MCQS 283-285:transmission of legionellosis usually occurs through



transmission of legionellosis usually occurs through

a) bite of ticks
b) mosquito bites
c) drinking water
d) sharing of needles
e) fecal-oral route
f) close personal contact
g) contaminated eggs
h) raw foods
i) rodent bites
j) air conditioning cooling towers


A 53 year old female is admitted with right lower quadrant pain radiating to her back. On examination she is slightly tender in the lower abdomen. A urinalysis shows microscopic hematuria and the Casualty officer suspects acute renal colic. An intravenous urogram is performed. Ten minutes following the injection with iv contrast she develops severe shortness of breath. Which complication would you most particularly be looking for?

a) pulmonary hemorrhage
b) avascular necrosis of the femoral head
c) interstitial infiltrates and peripheral consolidation
d) large pleural effusions
e) pulmonary edema
f) massive hilar adenopathy
g) marked decrease in the glomerular filtration rate
h) hydronephrosis
i) pericarditis
j) pneumothorax



Match the following mechanism with the appropriate disease: an inherited disorder in which the muscles contract but have decreasing power to relax and in which the symptoms become more severe with each successive generation

a) Rhabdomyolysis
b) Guillain-Barré syndrome
c) Charcot-Marie-Tooth
d) Duchenne muscular dystrophy
e) Becker muscular dystrophy
f) Myasthenia gravis (MG)
g) Amyotrophic lateral sclerosis
h) Dermatomyositis
i) Myotonic dystrophy
j) Amyloid


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