【正文】 oral factors: plements, lysozyme, interferons (α β γ), cytokines ⑵ Specific immunity: Immune respond to specific recognizable antigens. A. Cellmediated immunity: Important in intracellular infections by viruses, fungi, protozoa and certain bacteria. B. Humoral immunity: Different kinds of antibodies (immune globulins, A D E G M) and their functions. 1. In 20th century, fall in the incidence of municable diseases in developed countries due to factors below, except: A. Immunization B. Antimicrobial chemotherapy C. Improved nutrition D. Better sanitation and housing E. Health education 2. Which is not a kind of pathogenecities in infection process? A. Invasiveness B. Virulence C. Quantity D. Direct damage E. Variability 3. Which is not belong to the immune responses in infection process? A. Route of exclusion B. Phagocytosis C. Humoral factors D. Specific immunity E. Natural barrier 4. Which is the mechanism of tissue damage in infection? A. Direct damage B. Action of the toxin C. Immunity mechanism D. Location in the body E. A, B and C 5. Which is not the metabolism change in infection? A. Higher proteins catabolism B. Acceleration of glucolysis C. Hyperkalemia D. Higher anabolism E. Dehydration 2 6. The developing process of acute municable diseases includes following periods, except: A. Incubation period B. Chronic period C. Prodromal period D. Symptomatic period E. Convalescent period 7. Which is not the basic characteristic of infectious diseases? A. Presence of pathogens B. Infectivity C. Epidemiological features D. Sequela E. Postinfection immunity 8. Who discovered tubculosis bacilii? A. Alexander Fleming B. Antonie van Leeuwenhoek C. Joshua Lederberg D. Robert Koch E. Leonardo da Vinci 9. During the process of the infection, which appears first in the blood? A. IgM B. IgG C. IgA D. IgD E. IgE 10. The essential elements of epidemiological process include: A. Sources of infection B. Routes of transmission C. Population susceptibility D. Climate and environment E. A, B and C 11. The sources of infection include: A. Patients B. Subclinical infection C. Carriers D. Infected animals E. All above 12. Which is used for the passive immunization? A. Antityphoid vaccine B. BCG vaccine C. Measies vaccine D. Antitetanicum serum E. Diphtheria anatoxin 13. Which method is not the procedure of laboratory examination of infectious diseases? A. Smear and isolation of pathogen B. The identification and susceptibility test of pathogen C. ELISA D. Flow Cytometry E. Fluorescent immunoassay 14. Which is the transmission route of pathogen of infectious diseases? A. Air B. Water and Food C. Insect and soil D. Contact E. Above of all 15. Which is not the rule of therapy of infectious diseases? A. The most important therapy is the essential bined treatment B. The special therapy of infectious diseases is etiological treatment C. The maintain therapy of the important ans is very important D. Rehabilitation treatment is not necessary for infectious diseases E. TCM is also useful for infectious diseases 16. Which statement about infectious diseases is not right? A. Invasiveness is a kind of pathogenecities in infection process B. Pathogen carrier is one kind of sources of infection C. ELISA can be used to diagnosis the infectious diseases D. TCM is not useful for infectious diseases E. To cut the transmission route and protect the susceptible population can prevent the spread of infectious diseases 17. The mon symptoms and physical signs of municable diseases include: A. Fever B. Eruption C. Toxemic symptoms D. Reaction of mononuclear phagocyte system E. All of above 18. Which kind of municable diseases can’t transmitted by blood? A. HBV B. AIDS C. Poliomyelitis D. Malaria E. HCV 19. According to the morphology, the classification of rash is not include: A. Maculopapule B. Vesicle C. Urticaria D. Rose spot E. Petechia 20. The measures of prevent municable diseases are include: A. Control the sources of infection B. Interrupt the routes of transmission C. Protection of the susceptible D. Avoid the iatrogenic infection E. A, B and C 2 肝炎大題 1. Describe the significance of serology diagnostic index during hepatitis B infection （ 1） HbsAg+ acute or chronic hepatitis or carrier 急性慢性肝炎或無癥狀攜帶者 （ 2） anti—HBs+ recovery from HBV infection or vaccination 康復(fù)或接種疫苗 （ 3） HbeAg+ infectious 病毒復(fù)制，有傳染性 （ 4） anti—Hbe+ antibody increase and antigen disappear,在抗體升高抗原消失時(shí)，表明趨向好轉(zhuǎn) （ 5） anti—HBc { IgM+ acute hepatitis or chronic hepatitis active stage 急性肝炎或慢性肝炎活動(dòng)期 IgG+ having been infected, recovery phase or chronic hepatitis 感染過，恢復(fù)期或慢性肝炎 2. How many phases of the icteric hepatitis? And what about these phases’ clinical manifestation? Answer: 3 phases Prodromal phase,Jaundice phase,Convalescent phase 3 Prodromal phase: sudden or insidious onset, lasting 37d constitutional symptom: malaise, fatigue, mild fever some time, dark urine gastrointestinal symptoms: anorexia, nausea, vomiting Jaundice phase: jaundice appeared and peak level often in 2 weeks after the onset other symptoms subside after jaundice。 imported or endemic。 the serum ALT level rise deeply. Secondly, in jaundice phase, the patient may feel better, but jaundice appears and often reaches the peak level in 1 to 3 weeks, lasting 2 to 6 weeks, with other symptoms subside after jaundice such as palpable tender liver and elevated serum bilirubin. Thirdly, in convalescent phase which often lasts in 1 to 2 months, symptoms and jaundice gradually resolve。 specific IgG in serum or CSF.