PHM 461 FINAL EXAM QUESTIONS AND
ANSWERS7
Which one of the following conditions is recognized globally as a major cause of gastric and
duodenal inflammation and/or ulceration. - ANSWERS-Helicobacter pylori
Which one of the following regions or countries remains most severely affected with HIV/AIDS,
with nearly 1 in every 25 adults (4.4%) living with HIV and accounting for nearly 70% of the
people living with HIV worldwide? - ANSWERS-Sub-Saharan Africa
Malabsorption is an important clinical problem in tropical countries, typically presenting with
chronic diarrhea, glossitis, weight loss and multiple nutritional deficiencies. Which of the
following conditions causes severe malabsorption? - ANSWERS-Giardia lamblia
Which one of the following symptoms indicates inflammatory diarrhea? - ANSWERS-abdominal
pain
Which one of the following pathogens causes inflammatory diarrhea? - ANSWERS-Schistosoma
spp.
Which one of the following conditions IS NOT the cause of chronic neurological presentations in
the tropics? - ANSWERS-rotavirus
Which one of the following DOES NOT occur during the blood stage of malaria infection? -
ANSWERS-ataxia
, A 2-year-old child presents with three weeks of cyclic fever and chills, poor oral intake, and
seizures. The child and her family are emigrants from Indonesian Papua. Blood specimens were
collected for routine work-up.
CBC (complete blood count) showed low platelet count, and smears were made and stained
with Wright-Giemsa. During microscopic examination of thin blood smears, a laboratory
technologist identified parasites - see attached image.
What is the most likely diagnosis? - ANSWERS-malaria? (or african tryp.)
For the case above (a 2-yr-old child immigrant from Indonesia Papua), which one of the
following pharmacologic combinations is most appropriate? - ANSWERS-Artemether-
lumefantrine(?)
For which one of the following tropical diseases, the parasite produces schizogony? - ANSWERS-
malaria
A 7-year-old child from southern India presents with impaired consciousness, seizures,
respiratory distress. Blood tests confirm hypoglycemia and low hemoglobin. What is the most
likely diagnosis? - ANSWERS-malaria
Pharmacologic treatment of which of the following tropical diseases requires directly-observed
therapy (DOT)? - ANSWERS-tuberculosis
Kala-azar (Hindi for "black sickness") is caused by: - ANSWERS-Visceral Leishmaniasis
Which one of the following tropical parasites produces miracidium? - ANSWERS-Schistosoma
An individual Mozambique, presents with anesthetic skin lesions and thickened peripheral
nerves. The most likely diagnosis is: - ANSWERS-leprosy
ANSWERS7
Which one of the following conditions is recognized globally as a major cause of gastric and
duodenal inflammation and/or ulceration. - ANSWERS-Helicobacter pylori
Which one of the following regions or countries remains most severely affected with HIV/AIDS,
with nearly 1 in every 25 adults (4.4%) living with HIV and accounting for nearly 70% of the
people living with HIV worldwide? - ANSWERS-Sub-Saharan Africa
Malabsorption is an important clinical problem in tropical countries, typically presenting with
chronic diarrhea, glossitis, weight loss and multiple nutritional deficiencies. Which of the
following conditions causes severe malabsorption? - ANSWERS-Giardia lamblia
Which one of the following symptoms indicates inflammatory diarrhea? - ANSWERS-abdominal
pain
Which one of the following pathogens causes inflammatory diarrhea? - ANSWERS-Schistosoma
spp.
Which one of the following conditions IS NOT the cause of chronic neurological presentations in
the tropics? - ANSWERS-rotavirus
Which one of the following DOES NOT occur during the blood stage of malaria infection? -
ANSWERS-ataxia
, A 2-year-old child presents with three weeks of cyclic fever and chills, poor oral intake, and
seizures. The child and her family are emigrants from Indonesian Papua. Blood specimens were
collected for routine work-up.
CBC (complete blood count) showed low platelet count, and smears were made and stained
with Wright-Giemsa. During microscopic examination of thin blood smears, a laboratory
technologist identified parasites - see attached image.
What is the most likely diagnosis? - ANSWERS-malaria? (or african tryp.)
For the case above (a 2-yr-old child immigrant from Indonesia Papua), which one of the
following pharmacologic combinations is most appropriate? - ANSWERS-Artemether-
lumefantrine(?)
For which one of the following tropical diseases, the parasite produces schizogony? - ANSWERS-
malaria
A 7-year-old child from southern India presents with impaired consciousness, seizures,
respiratory distress. Blood tests confirm hypoglycemia and low hemoglobin. What is the most
likely diagnosis? - ANSWERS-malaria
Pharmacologic treatment of which of the following tropical diseases requires directly-observed
therapy (DOT)? - ANSWERS-tuberculosis
Kala-azar (Hindi for "black sickness") is caused by: - ANSWERS-Visceral Leishmaniasis
Which one of the following tropical parasites produces miracidium? - ANSWERS-Schistosoma
An individual Mozambique, presents with anesthetic skin lesions and thickened peripheral
nerves. The most likely diagnosis is: - ANSWERS-leprosy
