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MID SSN 2012 Practice Questions [Part 6 of 6] - Qiurio

MID SSN 2012 Practice Questions [Part 6 of 6]

A collection of practice questions covering infectious disease and parasitology (MID course) written by SSN instructors in 2012. There are 6 parts to this collection.







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Score Card

Question Your Answer Correct Answer
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Your Score X%
Set Average X%
Standard Deviation X
Percentile X

Score Frequency Distribution

Number of Test Takers
Score Range (%)

Performance Trend

Score (%)
Test Number
You've taken this test before. The chart on the left shows how your performance has changed with each sitting.

It's a good idea to repeat tests in which you performed poorly. Aim to improve your performance with each sitting by taking the time to review your mistakes.

Topic Breakdown

Topic Breakdown

Topic
Percent Correct (%)
This chart shows your performance by topic.

Be sure to identify topics on which you had difficulty and give these more attention.

It's equally important to know to what extent a topic will be represented in a test.

Difficult topics that appear rarely may not represent the highest yield material to review.

Difficulty Analysis

Question Difficulty

Rank Question Answered Incorrectly
This table ranks questions by difficulty.

The more a question is answered incorrectly the more difficult it likely is.

Alternatively, it may be a poorly constructed question.

Question 1
A 30yo woman presents to your clinic. She recently emigrated from the Dominican Republic is concerned because she has heard bad things about the BCG vaccine and is pretty sure she has had it. Which of the following is NOT true about the BCG vaccine?
A. The BCG vaccine can prevent meningitis in infants
B. Receiving the BCG vaccine as an infant will always cause a positive PPD as an adult
C. The BCG vaccine should not be given to an immune compromised patient
D. The BCG vaccine is made with an attenuated strain of mycobacterium
E. The BCG vaccine is of little proven clinical benefit in adults

Explanation

Question 2
A 45yo HIV+ man presents with 3 months of fever, night sweats and cough. He has unintentionally lost 10 lbs over this time. You obtain a chest x-ray and note the presence of several opacities in the right apex. You presume these represent nodules filled with caseating granulomas from tuberculosis. Which of the following is true about granuloma formation in tuberculosis?
A. Any medications for rheumatoid arthritis and other autoimmune arthritides can block granuloma formation
B. IL-12 & IL-18 are not released from macrophages in patients with AIDS
C. Granuloma formation is a useless byproduct of the immune response that causes lung scaring.
D. The absence of CD4 cells precludes the release of IFN-gamma, which is why AIDS patients with very low CD4 counts don’t form granuloma.
E. Granulomas in TB are typically non-caseating.

Explanation

Question 3
Which of the following is FALSE?
A. The majority of primary infections require treatment to prevent dissemination.
B. Reactivation account for the majority of active TB cases
C. Non-US born individuals account for the majority of TB cases in the US.
D. Reactivation most commonly occurs in extrapulmonary sites.
E. Young children are at a decreased risk of primary progressive infection.

Explanation

Question 4
Working in clinic, you see a series of patients for whom you consider placing a PPD. For which of the following patients would you NOT recommend a PPD?
A. A woman about to start a TNF-alpha inhibitor for rheumatoid arthritis.
B. A Kenyan man who immigrated to the US 10 years ago.
C. Medical students about to entry the MCY year.
D. A patient about to undergo a kidney transplant.
E. A man whose wife is being treated for active tuberculosis,

Explanation

Question 5
On your medicine rotation, you admit a 62 yo woman with recurrent night sweats and cough productive of blood-streaked sputum. A chest x-ray shows a cavitary lesion in the left apex and enlargement of the hyla. A sputum smear shows acid-fast bacilli. Which of the follow is true of the appropriate drug regimen?
A. Hepatic toxicity is a concern for isoniazid and ethambutol
B. Ethambutol covers possible TB meningitis
C. Including either rifampin or pyrazinamide allows the regimen to be shortened to 9 months
D. Pyridoxine can be given to reduce the likelihood of neuropathy from rifampin
E. Regular testing for color blindness can preempt a toxicity of ethambutol

Explanation

Question 6
A 28yo man is admitted to the hospital to hospital for pneumonia. Sputum cultures unexpectedly grow aspergillus. Which of the following drug regimens would be acceptable?
A. Voriconazole
B. 5-FC
C. Griseofungin
D. Terbinafine
E. Nystatin

Explanation

Notes

Discussion

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