mcq fms4 2009 fix.doc

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FMS4 - MCQ 2009 DIRECTIONS: Choose the one best answer! Queston -2 are "n#e$ to the %o""own& 'ase: A 33-year-old HIV -positive man presented with a 2-week history of moderate fever and chills, and a progressively worsening headache. Physical eamination revealed a fe!rile patient "#$ 3%&'( with lethargy, n)chal rigidity, and diminish reflees. 'hest -ray was normal. After see the res)lt of '*+s analysis, the doctor diagnoses him with meningitis. An India ink test of a '*+ smear performed large transparent caps)le s)rro)nding the !)dding cell. 1. hich of the following vir)lence factors is most likely to !e involved in the pathogenesis of illness A. *ol)!le /-0, 3 gl)can polymer 1. ran)loma-form ing sol)!le antigen '. Atypical cell-wall peptidoglycan . Po lys accharide cap s)l e 4. Arthroconidial mitogen 2. #he patients ina!ility to control this infection is most likely d)e to a deficiency in which of the host response A. P56 re sp on se 1. 5)cosal IgA response '. H)mora l Ig 5 re sp onse . 4sterase inhi!itory re spo nse 4. Alt ern ate comple me nt p ath wa y 3. A 2 year-old !a!y !oy was !ro)ght to hospital with s)dden onset of high fever , chills, stiff neck and vomit ing . 7n phy sical ea mination, the !a!y has a haemorrh agi c skin rash in the etremities, neck rigidity, a positive 8ernigs sign, and positive papilloedema. 'hest -ray was normal. #he doctor diagnose with meningitis ca)se !y a gram negative and diplococc)s organism. #he a!ility of the pathogen to coloni9e is associated with its a!ility to synthesi9e which of the follow ing A. Hemolysi n 1. Protein 5 '. Hy al )ron id as e . Py rogenic e oto in 4. :i po ol ig osaccarid e 1

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