=

10.

11.

12.

13.

14.

15.

५ Which type of leprosy is considered as the pre-granulomatous stage of the disease ?

. All these histological features are suggestive of leprosy except

A) LL B) BT
0) TT D) Indeterminate

A) Small granuloma localized to sweat glands or ducts

B) Granuloma in nerve bundle

C) Proliferation of Schwann cells with disorganization of the neural structure

D) Proliferation of Schwann cells without disorganization of the neural structure

The most important receptor for recognition of M. leprae by innate immune cells
A) 7೧1/2 B) CD-206
C) NOD-like receptors D) LILRA2

All are true about Type 1 reaction except

A) Occurs in the first 6 months of therapy in BT and BB patients
B) Improvement in CMI + ⋅
C) Neuritis is less marked when compared to downgrading reaction ` /

D) Steroids are needed in most patients

‎smear from an ulcerated lesion of Type | lepra reaction will reveal‏ م

‎A) polymorphs B) monocytes

‎C) lymphocytes D) eosinophils

‎This side effect of Dapsone is not an indication to interrupt therapy
A) Hemolysis B) Methemoglobinemia
C) Agranulocytosis D) Thrombocytopenia

‎All are specific deformities of hand seen in leprost except

‎A) Banana fingers

‎B) Reaction hand

‎C) Intrinsic plus deformity ।
0) Trigger finger a

‎All are disorders with nerve thickening except
൧) Refsum's disease

‎B) Neurofibroma

‎C) Dejerene-sottas syndrome

‎D) Hereditary motor and sensory neuropathy

‎58