{"id":2764,"date":"2023-04-03T16:53:56","date_gmt":"2023-04-03T11:23:56","guid":{"rendered":"https:\/\/www.marwahmedicine.com\/Qbank\/?page_id=2764"},"modified":"2023-04-03T16:56:00","modified_gmt":"2023-04-03T11:26:00","slug":"quiz-3","status":"publish","type":"page","link":"https:\/\/www.marwahmedicine.com\/Qbank\/infection-quizzes\/quiz-3\/","title":{"rendered":"Quiz 3"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"2764\" class=\"elementor elementor-2764\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-f409fa9 elementor-section-stretched header-forms elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"f409fa9\" data-element_type=\"section\" data-settings=\"{&quot;stretch_section&quot;:&quot;section-stretched&quot;,&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t\t<div class=\"elementor-background-overlay\"><\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-67dd351\" data-id=\"67dd351\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-dcb0355 elementor-widget elementor-widget-wp-widget-custom_html\" data-id=\"dcb0355\" data-element_type=\"widget\" data-widget_type=\"wp-widget-custom_html.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<div class=\"textwidget custom-html-widget\"><div class=\"search-banner\">\r\n<div class=\"title\">Infection Quiz 3\r\n<\/div>\r\n<\/div><\/div>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-16269ce elementor-section-stretched vision-box elementor-section-height-min-height elementor-section-boxed elementor-section-height-default elementor-section-items-middle\" data-id=\"16269ce\" data-element_type=\"section\" data-settings=\"{&quot;stretch_section&quot;:&quot;section-stretched&quot;,&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t\t<div class=\"elementor-background-overlay\"><\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-0f01754\" data-id=\"0f01754\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-85ab82d elementor-widget elementor-widget-shortcode\" data-id=\"85ab82d\" data-element_type=\"widget\" data-widget_type=\"shortcode.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-shortcode\">            <div class='ays-quiz-container ays_quiz_classic_light  ' data-quest-effect='shake'  data-hide-bg-image='false' id='ays-quiz-container-47'>                <div class='ays-live-bar-wrap '><div class='ays-live-bar-fill ' style='width: 0%;'><span><span class='ays-live-bar-percent ays-live-bar-count'><\/span>\/10<\/span><\/div><\/div>                                <div class='ays-questions-container'>                                        <div class='ays_quiz_reports'><div class='ays_quiz_rete_avg'>                <div class='for_quiz_rate_avg ui star rating' data-rating='0' data-max-rating='5'><\/div>                <qm_votes>0 votes, 0 avg<\/qm_votes>            <\/div> <qm_users_count class='ays_quizn_ancnoxneri_qanak'><i class='ays_fa ays_fa_users'><\/i> 0<\/qm_users_count><\/div>                    <form action='' method='post' id='ays_finish_quiz_47'                         class='ays-quiz-form enable_correction enable_questions_result '                    >            <input type='hidden' value='list' class='answer_view_class'>            <input type='hidden' value='' class='ays_qm_enable_arrows'>                                    <div class='step active-step'>                <div class='ays-abs-fs ays-start-page'>                                                            <p class='ays-fs-title'>Infection Quiz 3<\/p>                    <div class='ays-fs-subtitle'><div class=\"quiz-front\"><div class=\"full-width\">Test Yourself, where you stand ?<\/div><div class=\"left\"><img fetchpriority=\"high\" decoding=\"async\" class=\"alignnone size-medium wp-image-863\" src=\"https:\/\/www.marwahmedicine.com\/Qbank\/wp-content\/uploads\/2021\/06\/student2-300x300.png\" alt=\"\" width=\"300\" height=\"300\" srcset=\"https:\/\/www.marwahmedicine.com\/Qbank\/wp-content\/uploads\/2021\/06\/student2-300x300.png 300w, https:\/\/www.marwahmedicine.com\/Qbank\/wp-content\/uploads\/2021\/06\/student2-150x150.png 150w, https:\/\/www.marwahmedicine.com\/Qbank\/wp-content\/uploads\/2021\/06\/student2-400x400.png 400w, https:\/\/www.marwahmedicine.com\/Qbank\/wp-content\/uploads\/2021\/06\/student2.png 500w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><\/div><\/div><\/div>                    <input type='hidden' name='ays_quiz_id' value='47'\/>                    <input type='hidden' name='ays_quiz_curent_page_link' class='ays-quiz-curent-page-link' value='https:\/\/www.marwahmedicine.com\/Qbank\/wp-json\/wp\/v2\/pages\/2764'\/>                    <input type='hidden' name='ays_quiz_questions' value='436,437,438,439,440,441,442,443,444,445'>                                                            <input type='button'   class='ays_next start_button action-button' value='Start' data-enable-leave-page=\"false\" \/>                    <\/div>                <\/div><div class='step ' data-question-id='436' data-type='radio'>                                                            <p class='ays-question-counter animated'>1 \/ 10<\/p>                    <div class='ays-abs-fs'>                                                <div class='ays_quiz_question'>                                <p>A nursing staff while putting IV line to a severely ill patient of HIV accidentally got a needle stick injury. Which of the following investigations will be most appropriate for her.<\/p>                            <\/div>                                                    <div class='ays-quiz-answers ays_list_view_container  '>            <div class='ays-field ays_list_view_item' >                <input type='hidden' name='ays_answer_correct[]' value='0'\/>                <input type='radio' name='ays_questions[ays-question-436]' id='ays-answer-1741-47' value='1741'\/>                <label for='ays-answer-1741-47' class='ays_answer_image ays_answer_image_class' >P24 antigen capture assay<\/label>            <\/div>            <div class='ays-field ays_list_view_item' >                <input type='hidden' name='ays_answer_correct[]' value='0'\/>                <input type='radio' name='ays_questions[ays-question-436]' id='ays-answer-1742-47' value='1742'\/>                <label for='ays-answer-1742-47' class='ays_answer_image ays_answer_image_class' >ELISA test<\/label>            <\/div>            <div class='ays-field ays_list_view_item' >                <input type='hidden' name='ays_answer_correct[]' value='0'\/>                <input type='radio' name='ays_questions[ays-question-436]' id='ays-answer-1743-47' value='1743'\/>                <label for='ays-answer-1743-47' class='ays_answer_image ays_answer_image_class' >Western blot<\/label>            <\/div>            <div class='ays-field ays_list_view_item' >                <input type='hidden' name='ays_answer_correct[]' value='0'\/>                <input type='radio' name='ays_questions[ays-question-436]' id='ays-answer-1744-47' value='1744'\/>                <label for='ays-answer-1744-47' class='ays_answer_image ays_answer_image_class' >Blood culture<\/label>            <\/div><script>            if(typeof window.quizOptions_47 === 'undefined'){                window.quizOptions_47 = [];            }            window.quizOptions_47['436'] = 'eyJxdWVzdGlvbl9hbnN3ZXIiOnsiMTc0MSI6IjEiLCIxNzQyIjoiMCIsIjE3NDMiOiIwIiwiMTc0NCI6IjAifX0=';<\/script><\/div>                                                                                                <div class='ays_buttons_div'>                                                <i class=\"ays_fa ays_fa_arrow_left ays_previous action-button ays_arrow ays_display_none\"><\/i>                        <input type='button' class='ays_previous action-button ' value='Prev' \/>                                                <i class=\"ays_fa ays_fa_arrow_right ays_next action-button ays_arrow ays_next_arrow ays_display_none\"><\/i>                        <input type='button' class='ays_next action-button ' value='Next' \/>                    <\/div>                                                <div class='wrong_answer_text ays_do_not_show' style='display:none'>                                                    <\/div>                        <div class='right_answer_text ays_do_not_show' style='display:none'>                                                    <\/div>                        <div class='ays_questtion_explanation' style='display:none'>                            <p>Ref: Harrison 20th edition, p 1425, 26, 27; Harrison 19th edition, page 1246-47<br \/>After accidental needle stick injury the chances of developing HIV infection are 0.3%. S. ELISA test can become positive any time after 6 weeks to 6 months of actual infection. Hence p24 antigen is favoured for early detection.<\/p>                        <\/div>                                                                    <\/div>                <\/div><div class='step ' data-question-id='437' data-type='radio'>                                                            <p class='ays-question-counter animated'>2 \/ 10<\/p>                    <div class='ays-abs-fs'>                                                <div class='ays_quiz_question'>                                <p>The most common microorganism known to cause tropical pyomyositis is?<\/p>                            <\/div>                                                    <div class='ays-quiz-answers ays_list_view_container  '>            <div class='ays-field ays_list_view_item' >                <input type='hidden' name='ays_answer_correct[]' value='0'\/>                <input type='radio' name='ays_questions[ays-question-437]' id='ays-answer-1745-47' value='1745'\/>                <label for='ays-answer-1745-47' class='ays_answer_image ays_answer_image_class' >Streptococcus viridans<\/label>            <\/div>            <div class='ays-field ays_list_view_item' >                <input type='hidden' name='ays_answer_correct[]' value='0'\/>                <input type='radio' name='ays_questions[ays-question-437]' id='ays-answer-1746-47' value='1746'\/>                <label for='ays-answer-1746-47' class='ays_answer_image ays_answer_image_class' >Staphylococcus albus<\/label>            <\/div>            <div class='ays-field ays_list_view_item' >                <input type='hidden' name='ays_answer_correct[]' value='0'\/>                <input type='radio' name='ays_questions[ays-question-437]' id='ays-answer-1747-47' value='1747'\/>                <label for='ays-answer-1747-47' class='ays_answer_image ays_answer_image_class' >Klebseilla pneumonia<\/label>            <\/div>            <div class='ays-field ays_list_view_item' >                <input type='hidden' name='ays_answer_correct[]' value='0'\/>                <input type='radio' name='ays_questions[ays-question-437]' id='ays-answer-1748-47' value='1748'\/>                <label for='ays-answer-1748-47' class='ays_answer_image ays_answer_image_class' >Staphylococcus aureus<\/label>            <\/div><script>            if(typeof window.quizOptions_47 === 'undefined'){                window.quizOptions_47 = [];            }            window.quizOptions_47['437'] = 'eyJxdWVzdGlvbl9hbnN3ZXIiOnsiMTc0NSI6IjAiLCIxNzQ2IjoiMCIsIjE3NDciOiIwIiwiMTc0OCI6IjEifX0=';<\/script><\/div>                                                                                                <div class='ays_buttons_div'>                                                <i class=\"ays_fa ays_fa_arrow_left ays_previous action-button ays_arrow ays_display_none\"><\/i>                        <input type='button' class='ays_previous action-button ' value='Prev' \/>                                                <i class=\"ays_fa ays_fa_arrow_right ays_next action-button ays_arrow ays_next_arrow ays_display_none\"><\/i>                        <input type='button' class='ays_next action-button ' value='Next' \/>                    <\/div>                                                <div class='wrong_answer_text ays_do_not_show' style='display:none'>                                                    <\/div>                        <div class='right_answer_text ays_do_not_show' style='display:none'>                                                    <\/div>                        <div class='ays_questtion_explanation' style='display:none'>                                                    <\/div>                                                                    <\/div>                <\/div><div class='step ' data-question-id='438' data-type='radio'>                                                            <p class='ays-question-counter animated'>3 \/ 10<\/p>                    <div class='ays-abs-fs'>                                                <div class='ays_quiz_question'>                                <p>A 16 years boy had urethral discharge 1 week after having unprotected intercourse gram staining of the discharge reveals diplococci he was treated with few intracellular gram negative diplococci He was treated with 250 mg intramuscular injection of ceftriaxone 7 days later he present with same complains, what is the most probable cause?<\/p>                            <\/div>                                                    <div class='ays-quiz-answers ays_list_view_container  '>            <div class='ays-field ays_list_view_item' >                <input type='hidden' name='ays_answer_correct[]' value='0'\/>                <input type='radio' name='ays_questions[ays-question-438]' id='ays-answer-1749-47' value='1749'\/>                <label for='ays-answer-1749-47' class='ays_answer_image ays_answer_image_class' >Reinfection with gonorrhea<\/label>            <\/div>            <div class='ays-field ays_list_view_item' >                <input type='hidden' name='ays_answer_correct[]' value='0'\/>                <input type='radio' name='ays_questions[ays-question-438]' id='ays-answer-1750-47' value='1750'\/>                <label for='ays-answer-1750-47' class='ays_answer_image ays_answer_image_class' >Resistance to Penicillin<\/label>            <\/div>            <div class='ays-field ays_list_view_item' >                <input type='hidden' name='ays_answer_correct[]' value='0'\/>                <input type='radio' name='ays_questions[ays-question-438]' id='ays-answer-1751-47' value='1751'\/>                <label for='ays-answer-1751-47' class='ays_answer_image ays_answer_image_class' >Infection with Chlamydia<\/label>            <\/div>            <div class='ays-field ays_list_view_item' >                <input type='hidden' name='ays_answer_correct[]' value='0'\/>                <input type='radio' name='ays_questions[ays-question-438]' id='ays-answer-1752-47' value='1752'\/>                <label for='ays-answer-1752-47' class='ays_answer_image ays_answer_image_class' >Ureaplasma Urealyticum Infection<\/label>            <\/div><script>            if(typeof window.quizOptions_47 === 'undefined'){                window.quizOptions_47 = [];            }            window.quizOptions_47['438'] = 'eyJxdWVzdGlvbl9hbnN3ZXIiOnsiMTc0OSI6IjEiLCIxNzUwIjoiMCIsIjE3NTEiOiIwIiwiMTc1MiI6IjAifX0=';<\/script><\/div>                                                                                                <div class='ays_buttons_div'>                                                <i class=\"ays_fa ays_fa_arrow_left ays_previous action-button ays_arrow ays_display_none\"><\/i>                        <input type='button' class='ays_previous action-button ' value='Prev' \/>                                                <i class=\"ays_fa ays_fa_arrow_right ays_next action-button ays_arrow ays_next_arrow ays_display_none\"><\/i>                        <input type='button' class='ays_next action-button ' value='Next' \/>                    <\/div>                                                <div class='wrong_answer_text ays_do_not_show' style='display:none'>                                                    <\/div>                        <div class='right_answer_text ays_do_not_show' style='display:none'>                                                    <\/div>                        <div class='ays_questtion_explanation' style='display:none'>                            <p>Ref: Harrison 20th edition, p 1125, 1128; Harrison 19th edition, page 1003<br \/>A teenager has come back with same symptoms which implies that he may be continuing with same high sexual behavior with same or different partner. His Partner should always be treated otherwise there is an increased chance of re infection from further sexual contact<br \/>Gonococcal urethritis<br \/>\uf0b7 Treat with ceftriaxone 250 mg IM+azithromycin lg PO or Doxycycline 100 mg BD for 7 days<br \/>\uf0b7 Cetixime 400 mg single dose is alternative for ceftriaxone<br \/>\uf0b7 Strains of gonococci are resistant to penicillin cephalosporin tetracycline or ciprofloxacin<br \/>\uf0b7 The partners should be treated and tested Or HIV and syphilis<\/p>                        <\/div>                                                                    <\/div>                <\/div><div class='step ' data-question-id='439' data-type='radio'>                                                            <p class='ays-question-counter animated'>4 \/ 10<\/p>                    <div class='ays-abs-fs'>                                                <div class='ays_quiz_question'>                                <p>Which parasite is shown in the peripheral smear?<\/p>                            <\/div>                                                    <div class='ays-quiz-answers ays_list_view_container  '>            <div class='ays-field ays_list_view_item' >                <input type='hidden' name='ays_answer_correct[]' value='0'\/>                <input type='radio' name='ays_questions[ays-question-439]' id='ays-answer-1753-47' value='1753'\/>                <label for='ays-answer-1753-47' class='ays_answer_image ays_answer_image_class' >Plasmodium falciparum<\/label>            <\/div>            <div class='ays-field ays_list_view_item' >                <input type='hidden' name='ays_answer_correct[]' value='0'\/>                <input type='radio' name='ays_questions[ays-question-439]' id='ays-answer-1754-47' value='1754'\/>                <label for='ays-answer-1754-47' class='ays_answer_image ays_answer_image_class' >Plasmodium vivax<\/label>            <\/div>            <div class='ays-field ays_list_view_item' >                <input type='hidden' name='ays_answer_correct[]' value='0'\/>                <input type='radio' name='ays_questions[ays-question-439]' id='ays-answer-1755-47' value='1755'\/>                <label for='ays-answer-1755-47' class='ays_answer_image ays_answer_image_class' >Plasmodium ovate<\/label>            <\/div>            <div class='ays-field ays_list_view_item' >                <input type='hidden' name='ays_answer_correct[]' value='0'\/>                <input type='radio' name='ays_questions[ays-question-439]' id='ays-answer-1756-47' value='1756'\/>                <label for='ays-answer-1756-47' class='ays_answer_image ays_answer_image_class' >Plasmodium malaria<\/label>            <\/div><script>            if(typeof window.quizOptions_47 === 'undefined'){                window.quizOptions_47 = [];            }            window.quizOptions_47['439'] = 'eyJxdWVzdGlvbl9hbnN3ZXIiOnsiMTc1MyI6IjEiLCIxNzU0IjoiMCIsIjE3NTUiOiIwIiwiMTc1NiI6IjAifX0=';<\/script><\/div>                                                                                                <div class='ays_buttons_div'>                                                <i class=\"ays_fa ays_fa_arrow_left ays_previous action-button ays_arrow ays_display_none\"><\/i>                        <input type='button' class='ays_previous action-button ' value='Prev' \/>                                                <i class=\"ays_fa ays_fa_arrow_right ays_next action-button ays_arrow ays_next_arrow ays_display_none\"><\/i>                        <input type='button' class='ays_next action-button ' value='Next' \/>                    <\/div>                                                <div class='wrong_answer_text ays_do_not_show' style='display:none'>                                                    <\/div>                        <div class='right_answer_text ays_do_not_show' style='display:none'>                                                    <\/div>                        <div class='ays_questtion_explanation' style='display:none'>                                                    <\/div>                                                                    <\/div>                <\/div><div class='step ' data-question-id='440' data-type='radio'>                                                            <p class='ays-question-counter animated'>5 \/ 10<\/p>                    <div class='ays-abs-fs'>                                                <div class='ays_quiz_question'>                                <p>Drug treatment is given for how many days in pneumococcal meningitis?<\/p>                            <\/div>                                                    <div class='ays-quiz-answers ays_list_view_container  '>            <div class='ays-field ays_list_view_item' >                <input type='hidden' name='ays_answer_correct[]' value='0'\/>                <input type='radio' name='ays_questions[ays-question-440]' id='ays-answer-1757-47' value='1757'\/>                <label for='ays-answer-1757-47' class='ays_answer_image ays_answer_image_class' >5 days<\/label>            <\/div>            <div class='ays-field ays_list_view_item' >                <input type='hidden' name='ays_answer_correct[]' value='0'\/>                <input type='radio' name='ays_questions[ays-question-440]' id='ays-answer-1758-47' value='1758'\/>                <label for='ays-answer-1758-47' class='ays_answer_image ays_answer_image_class' >7 days<\/label>            <\/div>            <div class='ays-field ays_list_view_item' >                <input type='hidden' name='ays_answer_correct[]' value='0'\/>                <input type='radio' name='ays_questions[ays-question-440]' id='ays-answer-1759-47' value='1759'\/>                <label for='ays-answer-1759-47' class='ays_answer_image ays_answer_image_class' >14 days<\/label>            <\/div>            <div class='ays-field ays_list_view_item' >                <input type='hidden' name='ays_answer_correct[]' value='0'\/>                <input type='radio' name='ays_questions[ays-question-440]' id='ays-answer-1760-47' value='1760'\/>                <label for='ays-answer-1760-47' class='ays_answer_image ays_answer_image_class' >21 days<\/label>            <\/div><script>            if(typeof window.quizOptions_47 === 'undefined'){                window.quizOptions_47 = [];            }            window.quizOptions_47['440'] = 'eyJxdWVzdGlvbl9hbnN3ZXIiOnsiMTc1NyI6IjAiLCIxNzU4IjoiMCIsIjE3NTkiOiIxIiwiMTc2MCI6IjAifX0=';<\/script><\/div>                                                                                                <div class='ays_buttons_div'>                                                <i class=\"ays_fa ays_fa_arrow_left ays_previous action-button ays_arrow ays_display_none\"><\/i>                        <input type='button' class='ays_previous action-button ' value='Prev' \/>                                                <i class=\"ays_fa ays_fa_arrow_right ays_next action-button ays_arrow ays_next_arrow ays_display_none\"><\/i>                        <input type='button' class='ays_next action-button ' value='Next' \/>                    <\/div>                                                <div class='wrong_answer_text ays_do_not_show' style='display:none'>                                                    <\/div>                        <div class='right_answer_text ays_do_not_show' style='display:none'>                                                    <\/div>                        <div class='ays_questtion_explanation' style='display:none'>                            <p>Ref: Harrison 20th edition. p 1002; Chapter 602, Nelson 18th edition, Harrison 19th p 889<br \/>\uf0b7 Therapy for uncomplicated penicillin-sensitive S. pneumoniae meningitis should be completed with 10 to 14 days with a 3rd-generation cephalosporin or intravenous penicillin (400,000 U\/kg\/24 hr, given every 4-6 hr). If the isolate is<br \/>resistant to penicillin and the 3rd-generation cephalosporin, therapy should be completed with vancomycin.<\/p>                        <\/div>                                                                    <\/div>                <\/div><div class='step ' data-question-id='441' data-type='radio'>                                                            <p class='ays-question-counter animated'>6 \/ 10<\/p>                    <div class='ays-abs-fs'>                                                <div class='ays_quiz_question'>                                <p>Most common presentation of extra-pulmonary TB:<\/p>                            <\/div>                                                    <div class='ays-quiz-answers ays_list_view_container  '>            <div class='ays-field ays_list_view_item' >                <input type='hidden' name='ays_answer_correct[]' value='0'\/>                <input type='radio' name='ays_questions[ays-question-441]' id='ays-answer-1761-47' value='1761'\/>                <label for='ays-answer-1761-47' class='ays_answer_image ays_answer_image_class' >Tubercular lymphadenitis<\/label>            <\/div>            <div class='ays-field ays_list_view_item' >                <input type='hidden' name='ays_answer_correct[]' value='0'\/>                <input type='radio' name='ays_questions[ays-question-441]' id='ays-answer-1762-47' value='1762'\/>                <label for='ays-answer-1762-47' class='ays_answer_image ays_answer_image_class' >Peritoneal TB<\/label>            <\/div>            <div class='ays-field ays_list_view_item' >                <input type='hidden' name='ays_answer_correct[]' value='0'\/>                <input type='radio' name='ays_questions[ays-question-441]' id='ays-answer-1763-47' value='1763'\/>                <label for='ays-answer-1763-47' class='ays_answer_image ays_answer_image_class' >Pericardial TB<\/label>            <\/div>            <div class='ays-field ays_list_view_item' >                <input type='hidden' name='ays_answer_correct[]' value='0'\/>                <input type='radio' name='ays_questions[ays-question-441]' id='ays-answer-1764-47' value='1764'\/>                <label for='ays-answer-1764-47' class='ays_answer_image ays_answer_image_class' >Tubercular meningitis<\/label>            <\/div><script>            if(typeof window.quizOptions_47 === 'undefined'){                window.quizOptions_47 = [];            }            window.quizOptions_47['441'] = 'eyJxdWVzdGlvbl9hbnN3ZXIiOnsiMTc2MSI6IjEiLCIxNzYyIjoiMCIsIjE3NjMiOiIwIiwiMTc2NCI6IjAifX0=';<\/script><\/div>                                                                                                <div class='ays_buttons_div'>                                                <i class=\"ays_fa ays_fa_arrow_left ays_previous action-button ays_arrow ays_display_none\"><\/i>                        <input type='button' class='ays_previous action-button ' value='Prev' \/>                                                <i class=\"ays_fa ays_fa_arrow_right ays_next action-button ays_arrow ays_next_arrow ays_display_none\"><\/i>                        <input type='button' class='ays_next action-button ' value='Next' \/>                    <\/div>                                                <div class='wrong_answer_text ays_do_not_show' style='display:none'>                                                    <\/div>                        <div class='right_answer_text ays_do_not_show' style='display:none'>                                                    <\/div>                        <div class='ays_questtion_explanation' style='display:none'>                                                    <\/div>                                                                    <\/div>                <\/div><div class='step ' data-question-id='442' data-type='radio'>                                                            <p class='ays-question-counter animated'>7 \/ 10<\/p>                    <div class='ays-abs-fs'>                                                <div class='ays_quiz_question'>                                <p>Pathognomonic of miliary TB:<\/p>                            <\/div>                                                    <div class='ays-quiz-answers ays_list_view_container  '>            <div class='ays-field ays_list_view_item' >                <input type='hidden' name='ays_answer_correct[]' value='0'\/>                <input type='radio' name='ays_questions[ays-question-442]' id='ays-answer-1765-47' value='1765'\/>                <label for='ays-answer-1765-47' class='ays_answer_image ays_answer_image_class' >Snow storm appearance in CXR<\/label>            <\/div>            <div class='ays-field ays_list_view_item' >                <input type='hidden' name='ays_answer_correct[]' value='0'\/>                <input type='radio' name='ays_questions[ays-question-442]' id='ays-answer-1766-47' value='1766'\/>                <label for='ays-answer-1766-47' class='ays_answer_image ays_answer_image_class' >Choroid tubercles on fundus examination<\/label>            <\/div>            <div class='ays-field ays_list_view_item' >                <input type='hidden' name='ays_answer_correct[]' value='0'\/>                <input type='radio' name='ays_questions[ays-question-442]' id='ays-answer-1767-47' value='1767'\/>                <label for='ays-answer-1767-47' class='ays_answer_image ays_answer_image_class' >Pericardial TB<\/label>            <\/div>            <div class='ays-field ays_list_view_item' >                <input type='hidden' name='ays_answer_correct[]' value='0'\/>                <input type='radio' name='ays_questions[ays-question-442]' id='ays-answer-1768-47' value='1768'\/>                <label for='ays-answer-1768-47' class='ays_answer_image ays_answer_image_class' >Peritoneal TB<\/label>            <\/div><script>            if(typeof window.quizOptions_47 === 'undefined'){                window.quizOptions_47 = [];            }            window.quizOptions_47['442'] = 'eyJxdWVzdGlvbl9hbnN3ZXIiOnsiMTc2NSI6IjAiLCIxNzY2IjoiMSIsIjE3NjciOiIwIiwiMTc2OCI6IjAifX0=';<\/script><\/div>                                                                                                <div class='ays_buttons_div'>                                                <i class=\"ays_fa ays_fa_arrow_left ays_previous action-button ays_arrow ays_display_none\"><\/i>                        <input type='button' class='ays_previous action-button ' value='Prev' \/>                                                <i class=\"ays_fa ays_fa_arrow_right ays_next action-button ays_arrow ays_next_arrow ays_display_none\"><\/i>                        <input type='button' class='ays_next action-button ' value='Next' \/>                    <\/div>                                                <div class='wrong_answer_text ays_do_not_show' style='display:none'>                                                    <\/div>                        <div class='right_answer_text ays_do_not_show' style='display:none'>                                                    <\/div>                        <div class='ays_questtion_explanation' style='display:none'>                            <p>Ref: Harrison 20th edition, p 1245; Harrison 19th p 1112<br \/>\uf0b7 Fundus examination may reveal choroidal tubercles, which are pathognomonic of miliary TB, in up to 30% of cases.<br \/>\uf0b7 Meningismus occurs in &lt; 10% of cases.<br \/>\uf0b7 A high index of suspicion is required for the diagnosis of miliary TB. Frequently, chest radiography reveals a miliary reticulo-nodular pattern (more easily seen on underpenetrated film), although no radiographic abnormality may be evident early in the course and among HIV-infected patients. Other radiologic findings include large infiltrates, interstitial infiltrates (especially in HIV-infected patients), and pleural effusion.<\/p>                        <\/div>                                                                    <\/div>                <\/div><div class='step ' data-question-id='443' data-type='radio'>                                                            <p class='ays-question-counter animated'>8 \/ 10<\/p>                    <div class='ays-abs-fs'>                                                <div class='ays_quiz_question'>                                <p>Incorrect about Tuberculous meningitis:<\/p>                            <\/div>                                                    <div class='ays-quiz-answers ays_list_view_container  '>            <div class='ays-field ays_list_view_item' >                <input type='hidden' name='ays_answer_correct[]' value='0'\/>                <input type='radio' name='ays_questions[ays-question-443]' id='ays-answer-1769-47' value='1769'\/>                <label for='ays-answer-1769-47' class='ays_answer_image ays_answer_image_class' >Normal CSF sugar<\/label>            <\/div>            <div class='ays-field ays_list_view_item' >                <input type='hidden' name='ays_answer_correct[]' value='0'\/>                <input type='radio' name='ays_questions[ays-question-443]' id='ays-answer-1770-47' value='1770'\/>                <label for='ays-answer-1770-47' class='ays_answer_image ays_answer_image_class' >Cerebral infarction<\/label>            <\/div>            <div class='ays-field ays_list_view_item' >                <input type='hidden' name='ays_answer_correct[]' value='0'\/>                <input type='radio' name='ays_questions[ays-question-443]' id='ays-answer-1771-47' value='1771'\/>                <label for='ays-answer-1771-47' class='ays_answer_image ays_answer_image_class' >Communicating hydrocephalus<\/label>            <\/div>            <div class='ays-field ays_list_view_item' >                <input type='hidden' name='ays_answer_correct[]' value='0'\/>                <input type='radio' name='ays_questions[ays-question-443]' id='ays-answer-1772-47' value='1772'\/>                <label for='ays-answer-1772-47' class='ays_answer_image ays_answer_image_class' >Tuberculoma resolves after treatment<\/label>            <\/div><script>            if(typeof window.quizOptions_47 === 'undefined'){                window.quizOptions_47 = [];            }            window.quizOptions_47['443'] = 'eyJxdWVzdGlvbl9hbnN3ZXIiOnsiMTc2OSI6IjAiLCIxNzcwIjoiMCIsIjE3NzEiOiIwIiwiMTc3MiI6IjEifX0=';<\/script><\/div>                                                                                                <div class='ays_buttons_div'>                                                <i class=\"ays_fa ays_fa_arrow_left ays_previous action-button ays_arrow ays_display_none\"><\/i>                        <input type='button' class='ays_previous action-button ' value='Prev' \/>                                                <i class=\"ays_fa ays_fa_arrow_right ays_next action-button ays_arrow ays_next_arrow ays_display_none\"><\/i>                        <input type='button' class='ays_next action-button ' value='Next' \/>                    <\/div>                                                <div class='wrong_answer_text ays_do_not_show' style='display:none'>                                                    <\/div>                        <div class='right_answer_text ays_do_not_show' style='display:none'>                                                    <\/div>                        <div class='ays_questtion_explanation' style='display:none'>                            <p>Ref: Nelson 18th edition ch. 212, Harrison 19th p 1111<br \/>\uf0b7 During early stage I, the CSF may resemble that of viral aseptic meningitis only to progress to the more severe CSF profile over several weeks. Hence normal CSF sugar may be seen and choice A is correct.<br \/>\uf0b7 Since the advent of CT, the paradoxical development of tuberculomas in patients with tuberculous meningitis who are receiving ultimately effective chemotherapy has been recognized. The cause and nature of these tuberculomas are poorly understood, and do not represent failure of drug treatment. This phenomenon should be considered whenever a child with tuberculous meningitis deteriorates or develops focal neurologic findings while on treatment.<br \/>\uf0b7 Corticosteroids may help alleviate the occasionally severe clinical signs and symptoms that occur. These lesions may persist for months or even years.<br \/>\uf0b7 As disease progresses, basilar enhancement and communicating hydrocephalus with signs of cerebral edema or early focal ischemia are the most common findings. Some small children with tuberculous meningitis may have 1 or several clinically silent tuberculomas, occurring most often in the cerebral cortex or thalamic regions.<\/p>                        <\/div>                                                                    <\/div>                <\/div><div class='step ' data-question-id='444' data-type='radio'>                                                            <p class='ays-question-counter animated'>9 \/ 10<\/p>                    <div class='ays-abs-fs'>                                                <div class='ays_quiz_question'>                                <p>An 8-year old patient presents with fever, sore throat and lymphadenopathy. On examination hepatosplenomegaly was found. Peripheral blood film shows 20% atypical lymphocytosis, the most likely diagnosis is:<\/p>                            <\/div>                                                    <div class='ays-quiz-answers ays_list_view_container  '>            <div class='ays-field ays_list_view_item' >                <input type='hidden' name='ays_answer_correct[]' value='0'\/>                <input type='radio' name='ays_questions[ays-question-444]' id='ays-answer-1773-47' value='1773'\/>                <label for='ays-answer-1773-47' class='ays_answer_image ays_answer_image_class' >CLL<\/label>            <\/div>            <div class='ays-field ays_list_view_item' >                <input type='hidden' name='ays_answer_correct[]' value='0'\/>                <input type='radio' name='ays_questions[ays-question-444]' id='ays-answer-1774-47' value='1774'\/>                <label for='ays-answer-1774-47' class='ays_answer_image ays_answer_image_class' >Infectious mononucleosis<\/label>            <\/div>            <div class='ays-field ays_list_view_item' >                <input type='hidden' name='ays_answer_correct[]' value='0'\/>                <input type='radio' name='ays_questions[ays-question-444]' id='ays-answer-1775-47' value='1775'\/>                <label for='ays-answer-1775-47' class='ays_answer_image ays_answer_image_class' >ALL<\/label>            <\/div>            <div class='ays-field ays_list_view_item' >                <input type='hidden' name='ays_answer_correct[]' value='0'\/>                <input type='radio' name='ays_questions[ays-question-444]' id='ays-answer-1776-47' value='1776'\/>                <label for='ays-answer-1776-47' class='ays_answer_image ays_answer_image_class' >CML<\/label>            <\/div><script>            if(typeof window.quizOptions_47 === 'undefined'){                window.quizOptions_47 = [];            }            window.quizOptions_47['444'] = 'eyJxdWVzdGlvbl9hbnN3ZXIiOnsiMTc3MyI6IjAiLCIxNzc0IjoiMSIsIjE3NzUiOiIwIiwiMTc3NiI6IjAifX0=';<\/script><\/div>                                                                                                <div class='ays_buttons_div'>                                                <i class=\"ays_fa ays_fa_arrow_left ays_previous action-button ays_arrow ays_display_none\"><\/i>                        <input type='button' class='ays_previous action-button ' value='Prev' \/>                                                <i class=\"ays_fa ays_fa_arrow_right ays_next action-button ays_arrow ays_next_arrow ays_display_none\"><\/i>                        <input type='button' class='ays_next action-button ' value='Next' \/>                    <\/div>                                                <div class='wrong_answer_text ays_do_not_show' style='display:none'>                                                    <\/div>                        <div class='right_answer_text ays_do_not_show' style='display:none'>                                                    <\/div>                        <div class='ays_questtion_explanation' style='display:none'>                            <p>Ref: Harrison 20th edition, p 1358; Harrison 19th p 1187<br \/>\uf0b7 CLL is seen in adults and CML presents with massive splenomegaly and arc hence ruled out. ALL has a stormy onset but a peripheral smear finding negates the possibility.<br \/>\uf0b7 Infectious mononucleosis presents with Fever, sore throat, fatigue, malaise, anorexia, and myalgia and below mentioned findings.<br \/>Physical findings<br \/>1. Lymphadenopathy (discrete, non-Suppurative, slightly painful, especially along the posterior cervical chain)<br \/>2. Transient bilateral upper lid Edema (Hoagland sign),<br \/>3. Splenoinegaly (in up to 50% of patients).<br \/>4. Maculo-papular or occasionally petechial rash occurs in &lt; 15% of patients unless ampicillin is given.<br \/>5. Conjuctival Hemorrhage, exudative pharyngitis, uvular edema, tonsillitis, or gingivitis may occur and soft palatal petechiae may he seen<br \/>Investigations: The white blood cell count is usually elevated and peaks at 10,000-20,000\/\u03bcL during the second or third week of illness. Lymphocytosis is usually demonstrable, with &gt;10% atypical lymphocytes. The latter cells are enlarged lymphocytes that have abundant cytoplasm, vacuoles, and indentations of the cell membrane<\/p>                        <\/div>                                                                    <\/div>                <\/div><div class='step ' data-question-id='445' data-type='radio'>                                                            <p class='ays-question-counter animated'>10 \/ 10<\/p>                    <div class='ays-abs-fs'>                                                <div class='ays_quiz_question'>                                <p>Best test for mycoplasma infection is?<\/p>                            <\/div>                                                    <div class='ays-quiz-answers ays_list_view_container  '>            <div class='ays-field ays_list_view_item' >                <input type='hidden' name='ays_answer_correct[]' value='0'\/>                <input type='radio' name='ays_questions[ays-question-445]' id='ays-answer-1777-47' value='1777'\/>                <label for='ays-answer-1777-47' class='ays_answer_image ays_answer_image_class' >PCR of respiratory secretions<\/label>            <\/div>            <div class='ays-field ays_list_view_item' >                <input type='hidden' name='ays_answer_correct[]' value='0'\/>                <input type='radio' name='ays_questions[ays-question-445]' id='ays-answer-1778-47' value='1778'\/>                <label for='ays-answer-1778-47' class='ays_answer_image ays_answer_image_class' >Gram stain of transtracheal aspirate<\/label>            <\/div>            <div class='ays-field ays_list_view_item' >                <input type='hidden' name='ays_answer_correct[]' value='0'\/>                <input type='radio' name='ays_questions[ays-question-445]' id='ays-answer-1779-47' value='1779'\/>                <label for='ays-answer-1779-47' class='ays_answer_image ays_answer_image_class' >Culture of transtracheal aspirate<\/label>            <\/div>            <div class='ays-field ays_list_view_item' >                <input type='hidden' name='ays_answer_correct[]' value='0'\/>                <input type='radio' name='ays_questions[ays-question-445]' id='ays-answer-1780-47' value='1780'\/>                <label for='ays-answer-1780-47' class='ays_answer_image ays_answer_image_class' >CXR<\/label>            <\/div><script>            if(typeof window.quizOptions_47 === 'undefined'){                window.quizOptions_47 = [];            }            window.quizOptions_47['445'] = 'eyJxdWVzdGlvbl9hbnN3ZXIiOnsiMTc3NyI6IjEiLCIxNzc4IjoiMCIsIjE3NzkiOiIwIiwiMTc4MCI6IjAifX0=';<\/script><\/div>                                                                                                <div class='ays_buttons_div'>                                                        <i class=\"ays_fa ays_fa_arrow_left ays_previous action-button ays_arrow ays_display_none\"><\/i>                            <input type='button' class='ays_previous action-button '  value='Prev' \/>                            <i class='ays_display_none ays_fa ays_fa_arrow_right ays_finish action-button ays_arrow ays_next_arrow'><\/i><input type='button' class='  ays_next action-button' value='Finish' \/>                        <\/div>                                                <div class='wrong_answer_text ays_do_not_show' style='display:none'>                                                    <\/div>                        <div class='right_answer_text ays_do_not_show' style='display:none'>                                                    <\/div>                        <div class='ays_questtion_explanation' style='display:none'>                            <p>Ref: Harrison 20th edition, p 1314; Harrison 19th p 1164<br \/>\uf0b7 Acute M. pneumoniae infection can he diagnosed by polymerase chain reaction detection of the organism in respiratory tract secretions.<br \/>\uf0b7 Oropharyngeal, nasopharyngeal, and pulmonary spec-imens are all acceptable for diagnosing M. pneumoniae pneumonia.<br \/>\uf0b7 M. pneumoniae culture requiring special media is not recommended for routine diagnosis because the organism may take weeks to grow and is often difficult to<br \/>isolate from clinical specimens. In contrast, PCR allows rapid, specific diagnosis earlier in the course of clinical illness<\/p>                        <\/div>                                                                    <\/div>                <\/div><div class='step'>                                <div class='ays-abs-fs ays-end-page information_form'>                                <div class='ays-form-title'><p>Please fill your details and submit the form to get your result.<\/p><\/div>                                    <label for='ays_form_field_user_name_47'>Name<\/label><input type='text' id='ays_form_field_user_name_47' name='ays_user_name' placeholder='Name' class='ays_quiz_form_input ays_animated_x5ms' ><label for='ays_form_field_user_email_47'>Email<\/label><input type='text' id='ays_form_field_user_email_47' name='ays_user_email' placeholder='Email' class='ays_quiz_form_input ays_animated_x5ms' ><label for='ays_form_field_user_phone_47'>Phone Number<\/label><input type='text' 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#ays-quiz-container-47 section.ays_quiz_timer_container hr {                margin: 0;            }            #ays-quiz-container-47 section.ays_quiz_timer_container.ays_quiz_timer_red_warning .ays-quiz-timer {                color: red;            }            #ays-quiz-container-47 .ays_thank_you_fs p {                text-align: center;            }            #ays-quiz-container-47 .ays_quiz_results_page .ays_score span {                visibility: visible;            }            #ays-quiz-container-47 input[type='button'],            #ays-quiz-container-47 input[type='submit'] {                color: #000000 !important;            }            #ays-quiz-container-47 input[type='button']{                outline: none;            }            #ays-quiz-container-47 .information_form input[type='text'],            #ays-quiz-container-47 .information_form input[type='url'],            #ays-quiz-container-47 .information_form input[type='number'],            #ays-quiz-container-47 .information_form input[type='email'],            #ays-quiz-container-47 .information_form input[type='checkbox'],            #ays-quiz-container-47 .information_form input[type='tel'],            #ays-quiz-container-47 .information_form textarea,            #ays-quiz-container-47 .information_form select,            #ays-quiz-container-47 .information_form option {                color: initial !important;                outline: none;                background-image: unset;            }            #ays-quiz-container-47 .wrong_answer_text{                color:#ff4d4d;            }            #ays-quiz-container-47 .right_answer_text{                color:#33cc33;            }            #ays-quiz-container-47 .wrong_answer_text p {                font-size:16px;            }            #ays-quiz-container-47 .ays_questtion_explanation p {                font-size:16px;            }            #ays-quiz-container-47 .right_answer_text p {                font-size:16px;            }            #ays-quiz-container-47 .ays-quiz-question-note-message-box p {                font-size:14px;            }                        #ays-quiz-container-47 .ays_cb_and_a,            #ays-quiz-container-47 .ays_cb_and_a * {                color: rgb(0,0,0);                text-align: center;            }            \/* Quiz textarea height *\/            #ays-quiz-container-47 textarea {                height: 100px;                min-height: 100px;            }            \/* Quiz rate and passed users count *\/            #ays-quiz-container-47 .ays_quizn_ancnoxneri_qanak,            #ays-quiz-container-47 .ays_quiz_rete_avg {                color:#fff !important;                background-color:#000;               }            #ays-quiz-container-47 .ays-questions-container > .ays_quizn_ancnoxneri_qanak {                padding: 5px 20px;            }            #ays-quiz-container-47 div.for_quiz_rate.ui.star.rating .icon {                color: rgba(0,0,0,0.35);            }            #ays-quiz-container-47 .ays_quiz_rete_avg div.for_quiz_rate_avg.ui.star.rating .icon {                color: rgba(255,255,255,0.5);            }            #ays-quiz-container-47 .ays_quiz_rete .ays-quiz-rate-link-box .ays-quiz-rate-link {                color: #000;            }            \/* Loaders *\/                        #ays-quiz-container-47 div.lds-spinner,            #ays-quiz-container-47 div.lds-spinner2 {                color: #000;            }            #ays-quiz-container-47 div.lds-spinner div:after,            #ays-quiz-container-47 div.lds-spinner2 div:after {                background-color: #000;            }            #ays-quiz-container-47 .lds-circle,            #ays-quiz-container-47 .lds-facebook div,            #ays-quiz-container-47 .lds-ellipsis div{                background: #000;            }            #ays-quiz-container-47 .lds-ripple div{                border-color: #000;            }            #ays-quiz-container-47 .lds-dual-ring::after,            #ays-quiz-container-47 .lds-hourglass::after{                border-color: #000 transparent #000 transparent;            }            \/* Stars *\/            #ays-quiz-container-47 .ui.rating .icon,            #ays-quiz-container-47 .ui.rating .icon:before {                font-family: Rating !important;            }            \/* Progress bars *\/            #ays-quiz-container-47 #ays_finish_quiz_47 .ays-progress {                border-color: rgba(0,0,0,0.8);            }            #ays-quiz-container-47 #ays_finish_quiz_47 .ays-progress-bg {                background-color: rgba(0,0,0,0.3);            }            #ays-quiz-container-47 . {                background-color: #27AE60;            }            #ays-quiz-container-47 . {                background-color: #000;            }                #ays-quiz-container-47 .ays-progress-value {                color: #000;                text-align: center;            }            #ays-quiz-container-47 .ays-progress-bar {                background-color: #27AE60;            }            #ays-quiz-container-47 .ays-question-counter .ays-live-bar-wrap {                direction:ltr !important;            }            #ays-quiz-container-47 .ays-live-bar-fill{                color: #000;                border-bottom: 2px solid rgba(0,0,0,0.8);                text-shadow: 0px 0px 5px #fff;            }            #ays-quiz-container-47 .ays-live-bar-fill.ays-live-fourth,            #ays-quiz-container-47 .ays-live-bar-fill.ays-live-third,            #ays-quiz-container-47 .ays-live-bar-fill.ays-live-second {                text-shadow: unset;            }            #ays-quiz-container-47 .ays-live-bar-percent{                display:none;            }            #ays-quiz-container-47 #ays_finish_quiz_47 .ays_average {                text-align: center;            }                        \/* Music, Sound *\/            #ays-quiz-container-47 .ays_music_sound {                color:rgb(0,0,0);            }            \/* Dropdown questions scroll bar *\/            #ays-quiz-container-47 blockquote {                border-left-color: #000 !important;                                                  }            \/* Quiz Password *\/            #ays-quiz-container-47 .ays-start-page > input[id^='ays_quiz_password_val_'],            #ays-quiz-container-47 .ays-quiz-password-toggle-visibility-box {                width: 100%;            }            \/* Question hint *\/            #ays-quiz-container-47 .ays_question_hint_container .ays_question_hint_text {                background-color:#fff;                box-shadow: 0 0 15px 3px rgba(0,0,0,0.6);                max-width: 270px;            }            #ays-quiz-container-47 .ays_question_hint_container .ays_question_hint_text p {                max-width: unset;            }            #ays-quiz-container-47 .ays_questions_hint_max_width_class {                max-width: 80%;            }            \/* Information form *\/            #ays-quiz-container-47 .ays-form-title{                color:rgb(0,0,0);            }            \/* Quiz timer *\/            #ays-quiz-container-47 div.ays-quiz-redirection-timer,            #ays-quiz-container-47 div.ays-quiz-timer{                color: #000;                text-align: center;            }            #ays-quiz-container-47 div.ays-quiz-timer.ays-quiz-message-before-timer:before {                font-weight: 500;            }            \/* Quiz title \/ transformation *\/            #ays-quiz-container-47 .ays-fs-title{                text-transform: uppercase;                font-size: 21px;                text-align: center;                    text-shadow: none;            }                        \/* Quiz buttons *\/            #ays-quiz-container-47 .ays_arrow {                color:#000000!important;            }            #ays-quiz-container-47 input#ays-submit,            #ays-quiz-container-47 #ays_finish_quiz_47 .action-button,            div#ays-quiz-container-47 #ays_finish_quiz_47 .action-button.ays_restart_button,            #ays-quiz-container-47 + .ays-quiz-category-selective-main-container .ays-quiz-category-selective-restart-bttn,            #ays-quiz-container-47 .ays-quiz-category-selective-submit-bttn {                background: none;                background-color: #27AE60;                color:#000000;                font-size: 16px;                padding: 10px 50px;                border-radius: 3px;                height: auto;                letter-spacing: 0;                box-shadow: unset;            }            #ays-quiz-container-47 input#ays-submit,            #ays-quiz-container-47 #ays_finish_quiz_47 input.action-button,            #ays-quiz-container-47 + .ays-quiz-category-selective-main-container .ays-quiz-category-selective-restart-bttn,            #ays-quiz-container-47 .ays-quiz-category-selective-submit-bttn {                            }            #ays-quiz-container-47 #ays_finish_quiz_47 .action-button.ays_check_answer {                padding: 5px 10px;                font-size: 16px !important;            }            #ays-quiz-container-47 #ays_finish_quiz_47 .action-button.ays_restart_button {                white-space: nowrap;                padding: 5px 10px;                white-space: normal;            }            #ays-quiz-container-47 input#ays-submit:hover,            #ays-quiz-container-47 input#ays-submit:focus,            #ays-quiz-container-47 #ays_finish_quiz_47 .action-button:hover,            #ays-quiz-container-47 #ays_finish_quiz_47 .action-button:focus,            #ays-quiz-container-47 + .ays-quiz-category-selective-main-container .ays-quiz-category-selective-restart-bttn:hover,            #ays-quiz-container-47 .ays-quiz-category-selective-submit-bttn:hover {                background: none;                box-shadow: 0 0 0 2px #000000;                background-color: #27AE60;            }            #ays-quiz-container-47 .ays_restart_button {                color: #000000;            }                        #ays-quiz-container-47 .ays_restart_button_p,            #ays-quiz-container-47 .ays_buttons_div {                justify-content: center;            }            #ays-quiz-container-47 .ays_finish.action-button{                margin: 10px 5px;            }            #ays-quiz-container-47 .ays-share-btn.ays-share-btn-branded {                color: #fff;                display: inline-block;            }            #ays-quiz-container-47 .ays_quiz_results .ays-field.checked_answer_div.correct_div input:checked+label {                background-color: transparent;            }                                    \/* Question answers *\/            #ays-quiz-container-47 .ays-field {                    border-color: #444;                    border-style: solid;                    border-width: 1px;                    box-shadow: none;            }            \/* Answer maximum length of a text field *\/            #ays-quiz-container-47 .ays_quiz_question_text_message{                color: #000;                text-align: left;                font-size: 12px;            }            div#ays-quiz-container-47 div.ays_quiz_question_text_error_message {                color: #ff0000;            }                        #ays-quiz-container-47 .ays-quiz-answers .ays-field:hover{                opacity: 1;            }            #ays-quiz-container-47 #ays_finish_quiz_47 .ays-field {                margin-bottom: 10px;            }            #ays-quiz-container-47 #ays_finish_quiz_47 .ays-field.ays_grid_view_item {                width: calc(50% - 5px);            }            #ays-quiz-container-47 #ays_finish_quiz_47 .ays-field.ays_grid_view_item:nth-child(odd) {                margin-right: 5px;            }                        #ays-quiz-container-47 #ays_finish_quiz_47 .ays-field input:checked+label:before {                border-color: #27AE60;                background: #27AE60;                background-clip: content-box;            }            #ays-quiz-container-47 .ays-quiz-answers div.ays-text-right-answer {                color: #000;            }                        \/* Questions answer image *\/            #ays-quiz-container-47 .ays-answer-image {                width:50%;            }                        \/* Questions answer right\/wrong icons *\/            #ays-quiz-container-47 .ays-field input~label.answered.correct:after{                content: url('https:\/\/www.marwahmedicine.com\/Qbank\/wp-content\/plugins\/quiz-maker\/public\/images\/correct.png');          }            #ays-quiz-container-47 .ays-field input~label.answered.wrong:after{                content: url('https:\/\/www.marwahmedicine.com\/Qbank\/wp-content\/plugins\/quiz-maker\/public\/images\/wrong.png');            }            \/* Dropdown questions *\/                        #ays-quiz-container-47 #ays_finish_quiz_47 .ays-field .select2-container--default .select2-selection--single {                border-bottom: 2px solid #27AE60;                background-color: #27AE60;            }                        #ays-quiz-container-47 .ays-field .select2-container--default .select2-selection--single .select2-selection__placeholder,            #ays-quiz-container-47 .ays-field .select2-container--default .select2-selection--single .select2-selection__rendered,            #ays-quiz-container-47 .ays-field .select2-container--default .select2-selection--single .select2-selection__arrow {                color: #ffffff;            }            #ays-quiz-container-47 .select2-container--default .select2-search--dropdown .select2-search__field:focus,            #ays-quiz-container-47 .select2-container--default .select2-search--dropdown .select2-search__field {                outline: unset;                padding: 0.75rem;            }            #ays-quiz-container-47 .ays-field .select2-container--default .select2-selection--single .select2-selection__rendered,            #ays-quiz-container-47 .select2-container--default .select2-results__option--highlighted[aria-selected] {                background-color: #27AE60;            }            #ays-quiz-container-47 .ays-field .select2-container--default,            #ays-quiz-container-47 .ays-field .select2-container--default .selection,            #ays-quiz-container-47 .ays-field .select2-container--default .dropdown-wrapper,            #ays-quiz-container-47 .ays-field .select2-container--default .select2-selection--single .select2-selection__rendered,            #ays-quiz-container-47 .ays-field .select2-container--default .select2-selection--single .select2-selection__rendered .select2-selection__placeholder,            #ays-quiz-container-47 .ays-field .select2-container--default .select2-selection--single .select2-selection__arrow,            #ays-quiz-container-47 .ays-field .select2-container--default .select2-selection--single .select2-selection__arrow b[role='presentation'] {                font-size: 16px !important;            }            #ays-quiz-container-47 .select2-container--default .select2-results__option {                padding: 6px;            }                        \/* Dropdown questions scroll bar *\/            #ays-quiz-container-47 .select2-results__options::-webkit-scrollbar {                width: 7px;            }            #ays-quiz-container-47 .select2-results__options::-webkit-scrollbar-track {                background-color: rgba(255,255,255,0.35);            }            #ays-quiz-container-47 .select2-results__options::-webkit-scrollbar-thumb {                transition: .3s ease-in-out;                background-color: rgba(0,0,0,0.55);            }            #ays-quiz-container-47 .select2-results__options::-webkit-scrollbar-thumb:hover {                transition: .3s ease-in-out;                background-color: rgba(0,0,0,0.85);            }            \/* Audio \/ Video *\/            #ays-quiz-container-47 .mejs-container .mejs-time{                box-sizing: unset;            }            #ays-quiz-container-47 .mejs-container .mejs-time-rail {                padding-top: 15px;            }            #ays-quiz-container-47 .mejs-container .mejs-mediaelement video {                margin: 0;            }            \/* Limitation *\/            #ays-quiz-container-47 .ays-quiz-limitation-count-of-takers {                padding: 50px;            }            #ays-quiz-container-47 div.ays-quiz-results-toggle-block span.ays-show-res-toggle.ays-res-toggle-show,            #ays-quiz-container-47 div.ays-quiz-results-toggle-block span.ays-show-res-toggle.ays-res-toggle-hide{                color: #000;            }            #ays-quiz-container-47 div.ays-quiz-results-toggle-block input:checked + label.ays_switch_toggle {                border: 1px solid #000;            }            #ays-quiz-container-47 div.ays-quiz-results-toggle-block input:checked + label.ays_switch_toggle {                border: 1px solid #000;            }            #ays-quiz-container-47 div.ays-quiz-results-toggle-block input:checked + label.ays_switch_toggle:after{                background: #000;            }            #ays-quiz-container-47.ays_quiz_elegant_dark div.ays-quiz-results-toggle-block input:checked + label.ays_switch_toggle:after,            #ays-quiz-container-47.ays_quiz_rect_dark div.ays-quiz-results-toggle-block input:checked + label.ays_switch_toggle:after{                background: #000;            }            \/* Hestia theme (Version: 3.0.16) | Start *\/            #ays-quiz-container-47 .mejs-container .mejs-inner .mejs-controls .mejs-button > button:hover,            #ays-quiz-container-47 .mejs-container .mejs-inner .mejs-controls .mejs-button > button {                box-shadow: unset;                background-color: transparent;            }            #ays-quiz-container-47 .mejs-container .mejs-inner .mejs-controls .mejs-button > button {                margin: 10px 6px;            }            \/* Hestia theme (Version: 3.0.16) | End *\/            \/* Go theme (Version: 1.4.3) | Start *\/            #ays-quiz-container-47 label[for^='ays-answer']:before,            #ays-quiz-container-47 label[for^='ays-answer']:before {                -webkit-mask-image: unset;                mask-image: unset;            }            #ays-quiz-container-47.ays_quiz_classic_light .ays-field input:checked+label.answered.correct:before,            #ays-quiz-container-47.ays_quiz_classic_dark .ays-field input:checked+label.answered.correct:before {                background-color: #27AE60 !important;            }            \/* Go theme (Version: 1.4.3) | End *\/            #ays-quiz-container-47 .ays_quiz_results fieldset.ays_fieldset .ays_quiz_question .wp-video {                width: 100% !important;                max-width: 100%;            }            \/* Classic Dark \/ Classic Light *\/            \/* Dropdown questions right\/wrong styles *\/            #ays-quiz-container-47.ays_quiz_classic_dark .correct_div,            #ays-quiz-container-47.ays_quiz_classic_light .correct_div{                border-color:green !important;                opacity: 1 !important;                background-color: rgba(39,174,96,0.4) !important;            }            #ays-quiz-container-47.ays_quiz_classic_dark .correct_div .selected-field,            #ays-quiz-container-47.ays_quiz_classic_light .correct_div .selected-field {                padding: 0px 10px 0px 10px;                color: green !important;            }            #ays-quiz-container-47.ays_quiz_classic_dark .wrong_div,            #ays-quiz-container-47.ays_quiz_classic_light .wrong_div{                border-color:red !important;                opacity: 1 !important;                background-color: rgba(243,134,129,0.4) !important;            }            #ays-quiz-container-47.ays_quiz_classic_dark .ays-field,            #ays-quiz-container-47.ays_quiz_classic_light .ays-field {                text-align: left;                \/*margin-bottom: 10px;*\/                padding: 0;                transition: .3s ease-in-out;            }            #ays-quiz-container-47 .ays-quiz-close-full-screen {                fill: #000;            }            #ays-quiz-container-47 .ays-quiz-open-full-screen {                fill: #000;            }            #ays-quiz-container-47 .ays_quiz_login_form p{                color: #000;            }            @media screen and (max-width: 768px){                #ays-quiz-container-47{                    max-width: 100%;                }                #ays-quiz-container-47 .ays_quiz_question p {                    font-size: 16px;                }                #ays-quiz-container-47 .select2-container,                #ays-quiz-container-47 .ays-field * {                    font-size: 15px !important;                }                div#ays-quiz-container-47 input#ays-submit,                div#ays-quiz-container-47 #ays_finish_quiz_47 .action-button,                div#ays-quiz-container-47 #ays_finish_quiz_47 .action-button.ays_restart_button,                #ays-quiz-container-47 + .ays-quiz-category-selective-main-container .ays-quiz-category-selective-restart-bttn,                #ays-quiz-container-47 .ays-quiz-category-selective-submit-bttn {                    font-size: 17px;                }                \/* Quiz title \/ mobile font size *\/                div#ays-quiz-container-47 .ays-fs-title {                    font-size: 21px;                }                \/* Question explanation \/ mobile font size *\/                #ays-quiz-container-47 .ays_questtion_explanation p {                    font-size:16px;                }                \/* Wrong answers \/ mobile font size *\/                #ays-quiz-container-47 .wrong_answer_text p {                    font-size:16px;                }                \/* Right answers \/ mobile font size *\/                #ays-quiz-container-47 .right_answer_text p {                    font-size:16px;                }                \/* Note text \/ mobile font size *\/                #ays-quiz-container-47 .ays-quiz-question-note-message-box p {                    font-size:14px;                }            }            \/* Custom css styles *\/                                    \/* RTL direction styles *\/                    <\/style>            <style>                #ays-quiz-container-47 p {                    margin: 0.625em;                }                                #ays-quiz-container-47 .ays-field.checked_answer_div input:checked+label {                    background-color: rgba(39,174,96,0.6);                }                #ays-quiz-container-47.ays_quiz_classic_light  .enable_correction .ays-field.checked_answer_div input:checked+label,                #ays-quiz-container-47.ays_quiz_classic_dark  .enable_correction 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