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of NARS 2017
Item ct ms
No ILOs Diffic competency
Answ Taxon
ulty
er omy
Bacterial infections of GIT III
 Death from Clostridium
botulinum food poisoning is
due to
A. Respiratory paralysis
B. Electrolytes imbalance
C. Marked fluid loss
D. Metabolic acidosis
E. Metabolic alkalosis

 Which of the following are the

special laboratory conditions
needed for culture of Brucella
A. Culture on trypticase soya agar
with 5-10% CO2

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 B. Culture on nutrient agar with 5-
10% CO2
C. Culture on Skirrow media with
5-10% CO2
D. Culture on mannitol salt agar
with 5-10% CO2
E. Culture on nutrient agar with
atmospheric CO2
Pathogenicity of Vibro cholera is
due to

A. Enterotoxin production
B. Capsular polysaccharide of O1
C. Haemolysin production
D. Lipase enzyme
E. Urease enzyme production

Which of the following is

characteristic of Brucella?
A. Man to man infection can occur

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 B. It grows easily on ordinary
media
C. 5-10 % CO2 is indicated for its
isolation
D. Grow only under anaerobic
condition
E. The optimum temperature for
growth is 42 c

Viral gastroenteritis
1 What is the genetic structure of Identify the Easy
C
rotavirus? most common
a. Circular DNA containing virus viral infection
b. RNA virus with RT that affects the
c. ds RNA virus GIT.
d. Ss RNA virus in segments
e. Ss RNA
2 How are rotaviruses predominately Identify the Easy
b
identified from clinical samples? most common
a. Electron microscopy viral infection
b. RT PCR that affects the
c. Antibody tests GIT
d. Laboratory diagnosis not
required
e. IHA
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3 Which of the following is the usual e Types and Easy
way in which rotavirus, the most modes of
common cause of severe, transmission
of viruses that
dehydrating diarrhea among young
primarily infect
children worldwide, is spread? the GIT
a. Aerosol transmission
b. Contaminated objects
c. Drinking contaminated water
d. Eating contaminated food
e. Fecal-oral transmission
4 Infection with polioviruses: e Types of Easy
a. Is most often paralytic vaccines used
b. Children are more likely to to prevent
have infection without illness viruses
than adults causing
c. Cases are most infectious gastroenteritis.
before onset of illness
d. Live vaccine strains can be
used in immunocompromised
patient
e. Salk is an inactivated viral
vaccine.

Which of following is an effective D

rotavirus vaccine?

A. RNA oral vaccine

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 B. DNA oral vaccine

C. Inactivated intramuscular vaccine

D. Live attenuated oral Vaccine

E. Subunit intramuscular Vaccine

5 Oral polio vaccine (OPV) a Types of Easy

a. May protect contacts of vaccines used
vaccinated people to prevent
b. Difficult to administer viruses
c. Give no local immunity causing
d. May cause vaccine associated gastroenteritis.
paralytic polio
e. Not used in Egypt
6 Inactivated polio vaccine: e Types of Easy
a. Is made from 2 polio virus vaccines used
strains to prevent
b. Is available in an oral viruses
preparation causing
c. Should not be used in gastroenteritis.
immunocompromised patients.
d. Is recommended as OPV
e. Is recommended for HIV
patients
7 The following is true about b Types of Easy
rotavirus vaccines: vaccines used
to prevent

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 a. Recommended during 2 years viruses
of life causing
b. old preparation of the vaccine gastroenteritis.
caused intussusceptions
c. It is an inactivated vaccine
d. The vaccine not an oral
preparation.
e. Not effective
8 If diarrhea is present, icosehadral e Identify the Easy
virus non-enveloped double most common
stranded DNA is found in the stool, viral infection
which may indicate: that affects the
GIT.
a. Poliovirus
b. Echovirus
c. Norwalk virus
d. Rota virus
e. Adenovirus

9 Polio virus has the following a

nucleic acid composition:
a. single stranded negative
sense RNA
b. single stranded positive sense
RNA
c. double stranded RNA
d. Double stranded DNA
e. Single stranded RNA

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10 Which of the following is the most a Types and Easy
common serotype of adenovirus modes of
that causes gastroenteritis: transmission of
a. 40 viruses that
b. 12 primarily infect
c. 1 the GIT
d. 4
e. 31

11 What is the primary symptom of C Identify the Easy

viral gastroenteritis? most common
a. High fever viral infection
b. Chest pain that affects the
c. Watery diarrhea GIT.
d. Joint stiffness
e. Blurred vision
12 Which test can be used to detect D Methods for
viral shedding in stools of patients the diagnosis
with gastroenteritis? of viral
a. Blood culture gastroenteritis.
b. Urine analysis
c. Stool culture
d. Reverse transcriptase PCR
e. Chest X-ray
13 Which type of immunity does the C Types of Easy
Sabin vaccine provide in the gut? vaccines used
a. IgM immunity to prevent
b. IgG immunity viruses
c. IgA immunity causing
d. Cellular immunity gastroenteritis.

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 e. Humoral immunity

14 What is the most common b Correlate the Easy

complication in individuals infected knowledge
with norovirus? with the clinical
a. Encephalitis problems.
b. Dehydration
c. Pneumonia
d. Hepatitis
e. Arthritis
15 Which part of the gastrointestinal D Correlate the Easy
tract does rotavirus primarily knowledge
infect? with the clinical
a. Stomach problems.
b. Large intestine
c. Liver
d. Villi of small intestine
e. Appendix
16 Which type of vaccine is the Sabin A Types of Easy
vaccine for poliovirus? vaccines used
a. Live attenuated oral vaccine to prevent
b. Inactivated whole virus vaccine viruses
c. Subunit vaccine causing
d. Toxoid vaccine gastroenteritis.
e. Conjugate vaccine

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17 Which type of vaccine is the Salk Types of Easy
B
vaccine for poliovirus? vaccines used
a. Live attenuated oral vaccine to prevent
b. Inactivated whole virus vaccine viruses
c. Subunit vaccine causing
d. Toxoid vaccine gastroenteritis.
e. Conjugate vaccine
18 Which of the following viruses is a Explain the Easy
B
member of the Caliciviridae family? differences
a. Rotavirus between the
b. Norovirus viruses that
c. Echovirus primarily infect
d. Adenovirus the GIT (type
e. Poliovirus of virus and
mode of
transmission).
19 Polio vaccine used in Egypt? A Types of Easy
a. Sabin vaccine vaccines used
b. Havirx vaccine to prevent
c. Salk vaccine viruses
d. Gardasil vaccine causing
e. Twinrix vaccine gastroenteritis.

20 Polio vaccine "Sabine" is A Types of Easy

characterized by: vaccines used
a. Given as oral drops. to prevent
b. Safe, stable and can be used in viruses
immunocompromized patients. causing
c. The vaccine expensive. gastroenteritis.
d. Killed by formaline.

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 e. Not resemble natural infection
with good local immunity.

21 The meaning of 'enteritis' in the word B Correlate the Easy

gastroenteritis is: knowledge
a. Inflammation of stomach with the clinical
b. Inflammation of the intestines problems.
c. The entry of bacteria into the
mouth
d. Inflammation of the rectum
e. Inflammation of the gum

22 Which of these is the most common C Correlate the Easy

complication of gastroenteritis? knowledge
a. Heart attack with the clinical
b. Blurring of vision problems
c. Dehydration
d. Osteoporosis
e. Bleeding
23 Which is the first step in the treatment B Correlate the Easy
of diarrhea due to gastroenteritis? knowledge
a. Give the patient enterol with the clinical
b. Replace fluids orally or through problems
an injection into the vein
c. Stop intake of all foods
d. Start antibiotics immediately
e. Apply ice to the skin

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24 Which of these cases of C Correlate the Easy
gastroenteritis will benefit from knowledge
antibiotics? with the clinical
a. Norovirus problems
b. Rotavirus
c. Salmonella
d. Adenovirus
e. Chron's disease

25 Which of these is a sign of D Correlate the Easy

dehydration? knowledge
a. Increase in urination with the clinical
b. Reduced thirst problems
c. Moist skin
d. Dizziness
e. Hematuria
26 Which of these is a virus that has D Identify the Easy
DsRNA? most common
a. Poliovirus viral infection
b. Echovirus that affects the
c. Norwalk virus GIT.
d. Rota virus
e. Adenovirus

27 Serological tests for detection of A Identify the Easy

Echo virus is impractical because most common
of: viral infection
a. Multiple serotypes that affects the
b. Shedding of Envelop GIT.
c. Coinfection
d. Segmented genome
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28 Rota vaccine can be given at B Types of Easy
a. 2 d vaccines used
b. 2,4.6 m to prevent
c. 2,4.6 d viruses
d. 10y causing
e. 3y gastroenteritis.

29 Examination of stool in a case of C Identify the Easy

diarrhea reveals the presence of most common
icosehadral virus non-enveloped viral infection
double stranded RNA suggesting that affects the
of: GIT.
a. Norwalk virus
b. Echovirus
c. Rota virus
d. Polio virus
e. Adenovirus
30 Adenovirus has the following nucleic D Identify the Essay
acid composition: most common
a. single stranded negative sense viral infection
RNA that affects the
b. single stranded positive sense GIT.
RNA
c. double stranded RNA
d. double stranded DNA
e. Single stranded RNA

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 Viral hepatitis
MCQ

Hepatitis A vaccine is:

A. Live - attenuated vaccine
B. Inactivated vaccine
C. Recombinant vaccine
D. Toxoid vaccine
E. Acellular vaccine

Hepatitis B vaccine doses are given

at the following intervals is:
A. 0, 1, 6 months
B. 0, 2, 7 months
C. 0, 1, 6 weeks
D. 0, 2, 7 weeks
E. 0, 1, 7 months

The following serological marker

remains present for life in both
chronic carriers as well as those
who clear the infection:
A. Anti-HBs antibody
B. Anti core IgM.
C. HBeAg
D. Anti- HBe antibody.
E. Anti core IgG

During the window period of

Hepatitis B infection, which marker

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may not be detectable yet the
person is infectious?
A. HBsAg
B. Anti-HBs antibody
C. HBeAg
D. Anti-HBe antibody
E. Anti-HBc IgG
Answer: A

 Which of the following antigen

marker is the first antigen to
appear and last to disappear in
Hepatitis B virus (HBV)
infection:

A. HBsAg

B. HBcAg.

C. HBeAg

D. Anti- HBe antibody.

E. Anti core IgG

Hepatitis D virus (HDV)

infection can be controlled by

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 A. Hepatitis A virus vaccine
B. Hepatitis B virus vaccine
C. Hepatitis C virus vaccine
D. Hepatitis D virus vaccine
E. Hepatitis E virus vaccine
 Hepatocellular carcinoma is
commonly occurring with
A. Hepatitis A virus
infection
B. Hepatitis C virus
infection
C. Hepatitis G virus
infection
D. Poliovirus infection
E. Hepatitis E virus
infection

Which of the following hepatitis

viruses can be transmitted by feco-
oral route?

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 A. Hepatitis A virus
B. Hepatitis B virus
C. Hepatitis C virus
D. Hepatitis D virus
E. Hepatitis G virus

What does the presence of anti-HBc

IgG alone suggest in the absence of
HBsAg and anti-HBs antibodies?
A. Ongoing acute infection
B. Chronic carrier state
C. Immune control of the virus
D. Previous exposure and
resolved infection
E. Vaccination response

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