UNIVERSITY OF SANTO TOMAS FACULTY OF MEDICINE AND SURGERY MEDICAL BOARD REVIEW: DEPARTMENT OF MEDICAL EDUCATION MICRO/VIRO/PARA/MYCO MOCK EXAMINATION NAME: CODE: GENERAL INSTRUCTIONS: This questionnaire is composed of 100 items. On the box provided in the front page of the Examination Answer Sheet, kindly write your name. All final answers should be made on the back page of the EXAMINATION ANSWER SHEET that Is provided for. Only Mongol 2 may be used. Do not leave any blanks as this will be considered incorrect. Subrnit your answer sheet. Please be guided accordingly. CHOOSE THE BEST ANSWER: 1. This structure Is seen in the gram positive wall only: ‘A. inner membrane @©echoic acid B. cell wall D. Lipopolysaccharide 2. This genetic transfer involves mobilization of genes through a bacteriophage: ‘A. Transformation CC. Conjugation Transduction D. Translation 3. This Streptococcus is part of the normal flora of the Female genitaLtract and GIT and may cause sepsis or meningitis in the newborn: es ‘A. Streptococcus pyogenes C. Streptococcus pneumoniae @®streptococcus agalactiae ©. Viridans 4, This microbe is an aerobic bacillus implicated in fried rice dlarrhea: ‘A, Bacillus anthracis C. Clostridium perfringens @® Bacillus cereus D. Clostridium botulinum 5, These are toxins are associated with virulent strains of E.coli and Shigella spp which causes hemolytic-uremic syndrome in severe cases of bacterial gastroenteritis A. Enterotoxin C. Bxotoxin B. Verocytotoxin/ Shiga toxin. D. staphylotoxin 6. Subacute sclerosing panencephalitis is a slowly progressive, degenerative, neurologic disease associated wrth: A. Varicella-Zoster infection" rigtu C. Herpes simplex infection B. Mumps virus infection Drolwic D. Measles virus infection sere 7... Negri bodies are associated with: ‘A. Cytomegalovirus infections . Rubella virus infections B. Herpes simplex infections GpRabies virus infections bop = MATE 8 A65 year-old consulted at the ER with labored breathing, low grade fever and stabbing pain at the chest with ECG changes of ST-segment elevation, which among the following is the most likely infectious cause? ‘8. BK virus C. Moraxella catarrhalis Bvirus mi! D. Rotavirus 9. Aburm patient with an infected wound with weeping, odoriferous, blue-green exudate. Which is the most likely causative agent? a Spars one A. Aspergillus fumigatus C. Strep pyogenes 4 st B. Staphylococcus aureus (@)Pseudomonas aeruginosa 7" yes 10. Dengue virus is classified under this viral family: ‘A. Orthomyxoviridae @ Fiaviviridae B. Picornaviridae D, Togaviridae 11. This hepatitis virus cannot replicate Independently without the Hepatitis 8 virus. Identify this virus: A. Hepatitis A Hepatitis D = made Hy Bawa suman B. Hepatitis C D. Hepatitis € 12, This organism can be seen a stool examination and its presence is NOT an infection. A Gardia lamblia . Trichuris egg B. Hookworm ova ®Entameoba coli - vow Tarimywre fat F rutcie{ 13, Rheumatic heart disease Is a result of nr hiysicen = Payne dnd infection by the heart with Staphylococcal organisms Jantibody formation against the M protein of Group A Streptococci antigen-antibody complexes inducing an Inflammatory response D. deposition of the Ag-Ab complexes in the valves of the heart 14, Which cytopathic effect is pathognomonic of Measles,virus infection? ‘A. Cowdry Type A inclusions larthin-Finkeldey cells B. Cowdry Type B inclusions D. “Ow! eye” inclusions USTFMS MEDICAL BOARD REVIEW 2019 Page 1 of 72 15, EBV is particularly linked to causation of which distinctive Go of hyiehoene! ‘A. Non-Hodgkin lymphoma ed napbene B. Hodgkin lymphoma @ Burkitt lyme! a 16. This virus i the causative agent ofa severe, acute, atypical peumona mortality rate in debiltated/immunocompromised patients. EM of the virus ikes resembling a crown | ae Rhinovns " G Respiratory Syncytial virus Parainfluenza virus Coronavirus 17. You sre asked to identity the organism cultured froma throat swab of a patient expetencing secre throat pain with fever and hyperemic posterior pharyngeal wall. Edema of the uvula fs prov ‘with patchy exudates in the tonsillar pits. There Is growth in blood agar plate of smooth whit colonies showing complete hemolysis. Organism is most likely A, Staphylococcus aureus. (-) juweljsic @streptococcus-pyogenes - (+)7u« B, Streptococcus agalactiae 6 hiyelgsic Escherichia coli 418. An 8 month old patient ddmitted at the ER because of severe respiratory distress, aphonia and moderate grade fever of 2-3 days. Examination of the oropharyngeal area shows an erythematous and edematous epiglottis. Pediatric history revealed non-compliance with prescribed vaccination program. Most likely etiology for patient's condition is: Hemophitus influenza ~ spine C.Entérococci B. Peptostreptococcus D. Parainfluenzae virus 19. A 34-year old male patient came in for consult for crusting, itching and burning sensation of the eyelids. Upon closer view, crops of vesicles were seen near the lid margin. Tzarick smear of the vesicle was done and revealed multinucleated giant cells. Most likely offending organism is: ‘A. Phithirus pubis . S. epidermidis B.S. aureus © Herpes simplex virus 20. A 2-day old female delivered via NSD showing purulent eye discharge. Gram stain of the discharge revealed Gram negative.intracellular diplococci. Culture revealed growth on Chocolate Agar Plate ‘containing hemin and NAD showing convex, glistening, mucoid colonies that are non-hemolytic. What is the causative organism? ‘A. Staphylococcus aureus elserria gonorthoea B, Streptococcus pneumonia ™ Haemophilus influenza 21. A43 year old farmer, sought consult at OPD with symptoms of blurring of vision of the right eye with foreign body sensation. He recalls a week old history of trauma to the eye being hit by a blade of (grass. Examination revealed opacity of the cornea with focal ulceration. Corneal scrapings revealed Gram positive yeast-like cells, KOH : positive, Germ tube test: Positive. What is the most likely causative organism? * @ Candida albicans C. Haemophilus influenza B. Aspergillus spp D. Acanthamoeba spp 22. A29 year old pregnant, diabetic female came in for a consult of yellowish, curd-like discharge with ‘rulvar erythema and pruritus. Which ofthe following are most helpful in the dlaghosis ofthe ‘causative agent A. RPR_ C. Wet’ mount of the discharge - Tdlwtrnc B. Tzanck smear — HSV (B\KOH mount of the discharge - Vapnal omdidarc it 23. Identity the correct organism (genital tract infection) with its ideal media fér isolation and growth. ‘A. Neiserria goniorrhoea : Blood Agar Plate 8. Mycoplasma : Thayer Martin Agar INelsseria gonorrhoea : Modified Thayer Martin Agar . Chlamydia trachomatis: JEMBEC medium 2002 in China with a high revealed a classical outer 24. Viruses undergo latency by Arvak vod tpampton ‘A. Formation of inclusion bodies @)Hibernating into an inactive form B. cell lysis : D. Inducing cell immortalization/oncogenesis 25. This is the most common cause of gastroenteritis in small children and neonates, contributing to a large number of morbidity and mortality especially in non-immunized individual. ius . Arbovirus, Hepadnaviruses D. Flavivirus 26. This is the commonly employed sterilizing temperature used for laboratories for sterilizing culture media, liquids and surgical instruments ‘1329 for 30-60 minutes © 121°c for 15 minutes 726c for 15 minutes D. 100° for 5 minutes 27. hick of the following organisms pose as the most challenge by eradication using disinfectants? ‘Bacillus spores C. Gram negative bacilli B. Enveloped viruses D. Hepatitis virusesfatigue and generalized infiltrates, is tes, Patient is fond of eating seafood "klawin’, Sputum microscopy revealed presence of V3 in concenti Giagncenration method, AFB smear is negative, CBC revealed ecgnopha. What is your most ikely Cryptococcal pneumonia C. Fasciolopsis, 29. wneh erect D. Enterobiasis: . Which among the following patients may most likely progress to a severe disseminated istoplasmosis? AA S0-year old TV executive with coronary artery disease ne a vba a 24-year old lupus patient on cortlcosterld treatment, (iim coppacioet ) . C.A 12-year old boy with mental retardation mse D. A 33-year old on oral contraceptive pis spin Hepat’ 30. ttiaceous fungi'are: 100 Mower) ts Brown ‘ C.Coenocytic - (sy fipin C B. Colorless D. Achlorophyllous 31. A fruit-farm picker presents with subcutaneous nodular lesions along thedyimphaticS from the initial site of trauma 3 weeks ago caused by a plum thorn puncture. What is the nature of the most likely causative agent? ‘A. Acid fast organism . Filamentous fungi dimorphic fungus porunme Her vitamin B12 were below normal. A. Hymenolepis nana iphyliobothrium tatu 34. A38 year old Gheep-Rerder consults for abdominal-enfargement, On physical examination the liver is enlarged. Ultrasound ofthe liver shows a 20 cm thin walled cyst. Aspiration of the cyst content showed protoscolices. What is the etiologic agent? ‘A. Taenia solium 5. QEchinococcus granulosus - figdlatd ond 8. Dipylidium caninum . Hymenolepsis clminuta 35. A 48 year old cattle raiser noted passage of long, white, ribbon-like material on his stools. His physician sent it to the laboratory and requested for fecalysis. The ribbon-like material was identified as a tapeworm proglattid. The proglottd was fixed 10% formaldehyde solution and the uterine branches injected with India:ink which showed average of 20 uterine branches. What isthe etiologic agent? A. Taenia solium .. 15. ufin brim « 36. What disease does this cause in humans? ‘A. Cysticercosis C. Hydatid cyst B Taeniasis Avidmtal vrmiéoia laste D. Pernicious anemia 37. A patient being given steroids for SLE presents to his primary care physician with a 2-week history of watery, nonboody diarrhea, Acid fast stain of fecal material shows light pink to bright red round to oval oocyst measuring 4-6 jum with black granules. Which of the folowing is the most likely etiologic sq tl on Ralsospora bell = nd, Unpalk WOME © Cyclospora aq oa ] eae B. Balantidium coll Cryptosporidium (4) Wace. ppames J. inomne errant od 38. A'10 year old child of a migrant from Africa was noted to have abdominal enlargement. On physical ‘examination, the liver and spleen are enlarged accompanied by low grade fever and weight loss, Liver biopsy was done which showed amastigotes within macrophages. What is the most likely etiologic agent? . A Isospora belli _ @©leishmania donovani B, Balantidium coli D. Cryptosporidium 39. A 20 year old male who recently traveled to Africa complain of swelling around his right eyelid. Whe fs the most likely etiologic agent? i at ‘A. Trypanosoma. brucei gambiense . Leishmania donovani Typanosorna cruzi D. Trypanosoma brucei rhodisiense Toman’ sign yy B. Diphyllidium caninum D.Taenia soliumere tee : ; ith cil 40. 45 year old male complains of sudden onset of fever with showed pneumonia. Sputum examination showed gram postive lancet positive for ‘Quellung reaction. ‘What is the etiologic agent cus as! A Bronte aiens § Soeptococeus pneumoniae 41, what conttbutes cus aly of treatment and eradication of Tuberculous bacl in host tissues? ‘A. The organism has a rapid growth The organism grows on organs which have poor perfusion “The organism resides in macrophages and reticuloendothelial cells D. The organism is vascular invasive which promotes bloodstream dissemination . 42. A 30 year old female presents with fever, malaise, headache, and bloody diarrhea. Patient later has mild hepatosplenogemaly and rose colored spots.on the chest and abdomen. The clinician was ‘CBtertaiing typhoid fever. Serum agglutinins rise sharply during the second and third week of infection. What test is to detect antibodies against O and H antigens? Is and sharp pleural pain. Chest x ray ‘diplococei which are jidal test eid how C. Bowser test . Siide agglutination test phils .___D.Heterophile antibody test 43. Which of the following cause superficial mycosis? A. Coccidioides immitis E)Malassezia furfur Irs B. Histoplasma capsulatum . Cryptococcus neoformans 44, 410 year old patient receiving chemotherapy for leukemia had high grade fever and nuchal rigidity. Meningitis was considered and lumbar puncture was done. CSF examination with India ink showed large yeast cells surrounded by huge, clear capsule. What is the etiologic agent? ‘A. Coceidioides immitis C. Blastomyces dermatitids B. Histoplasma capsulatum Gperyptecoccus neoformans waprolaed 45, Of the following serological markers for the laboratory diagnosis of viral Hepatitis B, the last to appear is: A. Ant HBC. Ganti-Hes ump qed B. Anti-HBe B. none of the above 46. A28 year old male obtained multiple wounds from a motorcycle 2 weeks ago. He noted poor wound healing with yellow-green purulent discharge oozing from some of the wounds. Grams tain and culture of the discharge was requested. Grams stain showed rod-shaped bacill in pairs and short ‘chains. Culture showed green colonies and are oxidase positive. What pathogen was isolated from the wound? * )Pseudomonas aeruginosa . Stenotrophomonas maltophilia B. Burkholderia cepacia D. Acinetobacter baumanii 47. What is the mechanism of action of Vibrio cholera enterotoxin in the small intestine of humans? ‘A. multiplication and invasion into the mucosa which produces inflammation B. inhibits sodium potassium pumps C. Increases intraluminal-osmolarity levates levels of intracellular cyclic AMP . 48. A 25°year old female complains of hypogastric pain, accompanied by coffee-ground vomitus: EGD showed multiple gastric ulcers. Blopsy taken from the ulcers turned out positive for Helicobacter pylori. What does this organism produce that are used for rapid detection in commercially available diagnostic tests? ‘A. Hemolysin C, Protease @)urease D. Hyaluronidase 49, An eleven year old boy from Malabon has been suffering from moderate to high grade fever for three days. PE revealed a conscious, alert boy with the following vital signs : BP 100/60, T 38.9C, PR ‘96/min, RR 20/min, HEENT pink, palpebral conjunctiva, Abdomen: soft, non-tender. Skin: suffused. If pe, Denne a negative, which of the following are possible arboviral infections in the differential diagnos! ‘A. Yellow Fever © Chikungunya virus B. Ebola Virus D. Marburg virus 50._Zika virus has been associated with this infectious complication Hemorrhagic fever DIC Guillain Barre Syndrome D. Intrauterine fetal death 51. A25 year old medical student has contact with a patient who has pneumonia wit Four days later, the medical student developed fever with cough. On chest ean coos " the right, lower lobe was reported. Routine bacterial culture were negative. Atypical pneumonia entertained. One ofthe following is NOT the etiologic agent of this pneumonia, “~s ‘A; Mycoplasma pneumoniae» C. Legionella pneumophila Streptococcus pneumoniae D. Chlamydia pneumonia- Beta lactamase are enzymes associated with which mechanism of resistance? & fovement of antibiotics in or out of microorganisms Modification of antibiotic binding site/s C. Modification of antibiotic functional site/s D. Not associated with any mechanism of antimicrobial resistance 53. Gram stain of gonorrhea would appear as? ‘A. Gram positive cocci in pairs #14" (© Gram negative diplococci B. Gram positive budding yeast Arif B. Gram negative bacilli in palisades 2. Al' 54, A 26 year-old male, on chemotherapy for ALL, develops fever, productive cough, chest pain and dyspnea. CBC showed neutropenia. CXR: (+) infiltrates; (+) halo sign. Examination of the growth from his bronchoalveolar lavage showed large, branching septate hyphae. What Is the most likely causative agent? Aspergillus Cc. Zygomycetes B. Candida peaicbhyphat D. Preumocystis 55. What organ harbours the organism in carriers of S. typhi @ Gallbladder - C. Spleen B. CSF D. Cardiac muscles 56. “Cigar-shaped bodies" Is diagnostic of which ofthe folowing mycoses? toma “Sporothricosis sieuuieete B. Chromomycosis dren 5 Rhinosporidiosis ne wh '57. The following is the most common cause of neonatal meningitis: ool lab ‘A. Klebsiella pneumoniae C. Neisseria menigitidis the nitem 6 att ‘Streptococcus Linea thema {Deschertta coli pliewig — adult 58. Fifth disease is a common childhood exa and is known as: ‘A. Erythema nodosum C. Erythema migrans Gre juveom ee ® Erythema infectiosum D. Exanthem subitum 59, Pseudomemibranous colitis after antibiotic treatment is due to the over-growth of: ‘A. Corynebacterium diphtheria C. Clostridium tetani B, Bacillus anthracis ‘®yClostridiam difficile 60. Acid fast stain was subsequently performed on the submitted specimen. What is the counter stain used for acid fast staining? i i“ Ms Hae 2 ‘A. Hematoxylin oan recta = TMM Hi CMa | art B. Wright’s-Giemsa # wetnyfene Blue ~ tavkprened stone ~ Mak ( Zu 61. The ing parasite Is characterize by larval‘migration to other organs prior to maturation. - Bayetak ‘Ascaris: C. Enterobius . 5 Capilaria D. Trichuris @ tearses (deni 62. Semilunar cutting plates is characteristic of: ‘A. Ancylostoma caninum . Ancylostoma brazilienze © trae cinw @ Necator americanus D. Strongyloides stercoralis Puttin vine - FB 63. Megaesophagus is a complication of chronic stages of: Slimia — Erol ‘A. Sleeping sickness C. Toxoplasmosis | disease *. *: D. Giardiasis 64. Ground itch is an allergic. réaction to the following parasite: A. Ascaris : Hookworm nk kin; mldecieonis 8. Trichiuris . Wuchereria 65. The intermediate host of Dracunculus: @Xxopepods - Ingutien of ty C. rats. B. mosquitoes D. fish 66. Falling leaf pattern is notable in the motility of this parasite: 'R..Entamoeba histolytica . Chllomastix mesnil B. Balantidium coli OGiardia lamblia Tinwuin's diserle & 67. Most. raintestinal complication of amoebic colit! “ ‘Liver abscess C, Skin amoebiasis 3. Amoebic keratitis D. Bone amoebiasis 68. Blackwater fever is a complication of this Plasmodium species: ‘A. vivax . falciparum Must fatal . ,B. ovale ‘malariae 69, This parasite causes human cysticercosis: \. Taenia saginata C. Echinococcus granulosus ‘aenia solium D. Hymenolepis nana 70. Rectal prolapse with worms embedded in the mucosa is characteristic manifestation of severe infection with: ‘A. Trchinella spiralis C. Enterobius vermicularis richuris trichiura — whipwere, D, Capillaria philippinensisfor patients receiving solid organ transplants? . Epstein Barr Virus ss Virus 6 . Human ferret oma, Which of the following 71. Which of the following should be routinely screened Q\rcytomegalovirus ~ wane hy « B, Herpes Simplex Virus 72, A63 year old male was recently diagnosed with nasopharyngeal carcinoma. viruses should be tested if present in the. patient? tha Fay ‘A. Cytomegalovirus Cepstein Barr Virus B. Herpes Simplex Virus D. Human herpes Virus 6 73, Varicella-Zoster Virus (VZV) is transmitted by: Respiratory droplets . Direct contact < Oral-fecal route D. Sexual transmission . 74. The presence of this Hepatitis B serologic marker indicates multiplication in the human host Is: ‘A, HBSAQ C. Anti-HBe HBeAQ Inyhiy interns D. Anti-HBe 7. omer the ost then cause of bronchiolitis and viral pneumonia in 6fants? ‘A. Influenza virus C. Coxsackie virus @>Respiratory Syncytial virus D. Measles virus 76, What is the etiologic agent for croup? ‘A Influenza virus C. Coxsackie virus B, Parainflueza virus — (rrp D. Rhinovirus 77. Zoster Is a reactivation of: ‘A. measles ©cnicken pox 8. Mumps ‘fill . German measles 78. The inclusion body in’pox virus is: A. Negri Body ~ rabiee fwiatt — C, Henderson-Patterson inclusion body ~ * lust B. Ow!’s eye inclusion body ~ uv» YsAqties B})Guarnieri bodies 79. This naked DNA virus infects red blood cells and acusgs hemolytic aneria A. Adenovirus arvovirus (B19) B. Human Papilloma Virus B-Pox virus 80. The gevelopmental cycle consisting of elementary and reticulate bodies are seen with: Chlamydia — ina waidav ~~ G. Leptospira B, Syphilis D. Rickettsia 81. The Jarisch-Herxheimer reaction is due to: ‘A Incubation of spirochetes in host tissues Deposition of antigen-antibody compet blood vesicle release of endotoxin-like substances by killed spirochetes D. allergic reaction with penicilin 82. Which one of the following immunizations should be administered immediately after birth? A. Diphtheria-pertusis-tetanus (DPT) vaccine» Hepatitis B vaccine B is influenzae type b vaccine. Oral Polio virus : 83. This fungi demonstrate the morphologic appearance of broad-based budding ‘A. Histoplasma Sporotrix ~ wid, aipar vhaged B. Cryptococcus, = aut Blastomycosis 84. A sputum sample which revealed large yeast with multinle buds Is suggestive of: jywinyc whl ‘A. Coceidioldes immitis Paracoccidioides brasilienses B. Histoplasma capsulatum D. Blastomyces dermatiditis 85. A patient js suspected to have an amoebic liver abscess. IF aspiration biopsy is contemplated to ‘confirm the dlagnosis, what area should be sampled to obtain a high yield of trophozoites? ‘A. Center of the abscess - nerf Hane C. Adjacent liver parenchyma @ Periphery of the abscess D. thru the biliary ducts 86, The ipicroflaria of W. bancroft is described as: 7 B: 'Sheathed with no nucle! at the tip C. Unsheathed —fctwavea B, Sheathed with two terminal nuclel mp4 OD. Sheathed with nuclei up to the tip lan 4 87. A fiseherman from La Union sought consult because of 2 months history of loase bowel movement accompanied by weight loss and borborygmi. Stool examination showed peanut shaped ova with Attn bioalar pugs, What is the etiologic agent? Capillaria philippinensis . Fasciola hepatica B. Trichur trichuria pot fyaned biploy r4 D. Metagonimus yokogawal ‘88. A 20 year old student who went mountaineering 2 weeks ago complains of greasy, foul, bulky stools and abdominal pain for the past few days.History revealed he drank water from the streams when thelr drinking water supply ran out. Fecalysis shows trophoizotes slowly moving like dry leaves and cysts that look like eyes of an awl. Which of these Is the most likely organism seen in the fecalysis? A. Entamoeba histolytica C. Balantidium coli - ata. B. Pentatrichomona hominis O©V6ardia tambiia'89. A7 year old child was brought for consult due to Persistent scratching of the peri-anal area at night. Scotch tape swab showed D-shaped ova, What is the causative organism? _ A Capill Dhilippinensis Ascaris lumbricoldes ai is B. Trichuris trichuria [D)Enterobius vermicularis fae! vnirt Fomily ). cee ee child was noted to have Progressive abdominal enlargement, weight loss, poor appetite, and difficulty in passing of stools, Few hours prior to consult, patient complains of severe abdominal pain. Physical examination showed enlarged globular abdomen with tenderness. Exploratory laparotomy showed dilated small I intestine which was filled with tangled tan, round worms around 10 to 20 cm long. What is the causative organism? a ‘A. Capillaria philippinensis \Ascaris lumbricoides B. Trichuris trichuria D. Enterobius vermicularis, 81. ASO year old male who returned from Egypt as a construction worker was diagnosed to have schistosomiasis. Urinalysis showed schistosoma ova with prominent terminal spine. What is the species that was isolated? ; 8S. hematobium C.S. japonicum ~ [Aynl bani B.S. mansoni ~ Ieien pin. D. S. mekongi 92. A 25 year old male involved at a motorcycle incident was transfused with 2 units of fresh whole blood. A week later, he developed high grade fever. The doctors wanted to rule out malaria because of the recent transfusion. What would be useful in diagnosis of malaria? ‘A. Complete Blood count C. Immunofluorescent test ick and Thin Blood Smear D. Complement fixation test 93. If the peripheral smear showed banana-shaped gametocytes, what is the etiologic agent? A. P. falciparum C.P. vivax B. P. malariae D.P. ovale 94, This occurs as a result of renewed exo-erythrocytic from latent hepatic. sporozoites (hypnozoites). ® relapse C. Re-infection B. Recrudescence D. Internal auto-infection 95. Which of the following causes lymphatic filariasis? F wuchorni i CC. Oneocerea volvulus D. Dracunculus medinensis 96. The following are Sheathed EXCEPT? A. Brugia malayi EPncocerca volvulus B. Loa loa D. Wuchureria bancrofti 97. Tertiary syphilis presents with: A. hard chancre @ortitis and CNS involvement B, Dissemination of lesions in almost all tissues D. Positive VORL 98. Orchitis is a possible manifestation of which of the following? ‘A. Cytomegalovirus Mumps B. Rabies D. Rhinovirus 99. The presence of Koplik’s spots is pathognomonic for what type of viral infection? Mumps ¢, Adenovirus: . Influenza Measles 100. Which group of viruses depend on an insect host for, survival and transmission? A. Enteroviruses rboviruses B, Paramyxoviruses D. Herpes viruses END OF EXAMINATION