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Elective_2nd year_Step 1_med

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The state sanitary inspector checked a vendor selling

homemade pork sausages at the market and suspected sausage adulteration. Which

serological test can be used to identify the food substance?

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A pregnant woman was registered at a prenatal unit and

underwent a comprehensive examination for various infections. Her blood serum

tested positive for IgM antibodies against the rubella virus. What does this

result indicate?

       

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A

serological test was conducted to confirm whooping cough (pertussis) using

parapertussis and pertussis diagnostic agents. Grain-like sediment formed at

the bottom of the test tube containing the Bordetella parapertussis diagnostic

agent. Which antibodies were involved in this reaction?

     

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A man

died from an acute infectious disease manifested by fever, jaundice, acute

renal insufficiency, and a hemorrhagic rash on the skin and mucous membranes.

Histological examination of renal tissue, applying the Romanowsky-Giemsa

staining technique, revealed convoluted bacteria resembling (looking like) the

letters 'C' and 'S.' Which bacteria were identified?

   

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The area where an old cattle burial site once existed

has remained unused for over 50 years.

It

is intended to use this area to build residential properties.

However, soil analysis has detected a pathogen

responsible for a highly dangerous disease. Which of the following

microorganisms is most likely to persist in the soil for such an extended

period?

    

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A 16-year-old boy from a rural area entered an

educational establishment. A

scheduled Mantoux test was negative. What is the most reasonable action in this case?

      

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The patient,

experiencing symptoms such as vomiting, dizziness, double vision, and

difficulty swallowing, has been hospitalized. The doctor suspects botulism.

What diagnostic methods should be used to confirm the

diagnosis?

      

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In the course of the child's school registration

process, a Mantoux tuberculin skin test was conducted to identify if

revaccination was necessary. The test result was negative. What does this

negative result indicate?

   

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A female

patient underwent a liver transplantation. After 1.5 months, her condition

worsened due to a transplant rejection reaction. Which component of the immune

system plays the leading role in this reaction?  

       

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Microscopic examination of a Gram-stained scrape from the

patient's tongue revealed oval, round, elongated chains of dark-violet cells.

What disease can be triggered by this causative agent?  

        

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