Children infectious diseases

Children infectious diseases

Tests

1. 
   What groups of lymph nodes will be damaged more frequent at pseudotuberculosis?
   
   1. 
      Inguinal, axillar, mesenteric
      
   2. 
      *mesenteric
      
   3. 
      anterior and posterior cervical
      
   4. 
      submandibular, anterior cervical
      
   5. 
      posterior cervical, occipital
      

2. 
   What changes in a peripheral blood are typical for Rubella?
   
   1. 
      *leucopenia, lymphocytosis, plasmocytosis
      
   2. 
      leucopenia, lymphomonocytosis
      
   3. 
      leucocytosis, lymphocytosis, appearance of atypical mononuclear cells
      
   4. 
      leucocytosis, neutrophilia
      
   5. 
      leucopenia, plasmocytosis, anemia
      

3. 
   What is the criterion of exanthema period beginning at Rubella?
   
   1. 
      Appearance of the enanthem
      
   2. 
      *Appearance of rashes
      
   3. 
      Repeated rise of body temperature
      
   4. 
      Strengthening of catarrhal signs
      
   5. 
      Increase and tenderness of lymphatic nodes
      

4. 
   Choose one of the main diagnostic signs at infectious mononucleosis:
   
   1. 
      *Syndrome of acute tonsillitis
      
   2. 
      short fever
      
   3. 
      Catarrhal syndrome
      
   4. 
      exanthema
      
   5. 
      toxic syndrome
      

5. 
   The course of diphtheria could be:
   
   1. 
      mild
      
   2. 
      severe
      
   3. 
      *with complication
      
   4. 
      toxic
      
   5. 
      spread
      

6. 
   To atypical form of infectious mononucleosis belongs:
   
   1. 
      *asymptomatic
      
   2. 
      clinical
      
   3. 
      mild
      
   4. 
      moderate
      
   5. 
      severe
      

7. 
   Indicate the term of patient's contagiousness at acquired Rubella.
   
   1. 
      Till 5th day from the disease beginning
      
   2. 
      *Till 5th day after appearance of rashes
      
   3. 
      Till 5th day after appearance of the last rash
      
   4. 
      Till 9th day after the disease beginning
      
   5. 
      Till 10th day after appearance of rashes
      

8. 
   What is the possible way of infectious mononucleosis transmission:
   
   1. 
      *air-droplet
      
   2. 
      transmissive
      
   3. 
      Water
      
   4. 
      Vertical
      
   5. 
      Food
      

9. 
   Name the mechanism of the pseudotuberculosis agent transmission.
   
   1. 
      droplet
      
   2. 
      contact
      
   3. 
      *fecal-oral
      
   4. 
      alimentary
      
   5. 
      by water
      

10. 
    Indicate the possible mechanism of infectious mononucleosis transmission:
    
    1. 
       Fecaly-oral
       
    2. 
       Water
       
    3. 
       air-dust
       
    4. 
       *Contact
       
    5. 
       Food
       

11. 
    What immunity will develop after pseudotuberculosis?
    
    1. 
       species specific, stabile
       
    2. 
       *type specific, stabile
       
    3. 
       species specific, unsteady
       
    4. 
       type specific, unsteady
       
    5. 
       species specific, for all the life
       

12. 
    To atypical form of infectious mononucleosis belongs:
    
    1. 
       clinical
       
    2. 
       mild
       
    3. 
       moderate
       
    4. 
       severe
       
    5. 
       *Effaced
       

13. 
    Choose the main diagnostic sign of the infectious mononucleosis.
    
    1. 
       short fever
       
    2. 
       Catarrhal syndrome
       
    3. 
       exanthema
       
    4. 
       toxic syndrome
       
    5. 
       *lymphadenopathy
       

14. 
    Name the possible way of infectious mononucleosis transmission:
    
    1. 
       fecaly-oral
       
    2. 
       Water
       
    3. 
       air-dust
       
    4. 
       *Contact-domestic
       
    5. 
       Food
       

15. 
    Choose the main diagnostic sign of infectious mononucleosis:
    
    1. 
       short fever
       
    2. 
       *hepatosplenomegaly
       
    3. 
       Catarrhal syndrome
       
    4. 
       exanthema
       
    5. 
       purulent lymphadenitis
       

16. 
    What etiological therapy is used for the infectious mononucleosis treatment?
    
    1. 
       Antibiotics
       
    2. 
       antihistamines
       
    3. 
       glucocorticoids
       
    4. 
       *Preparations of recombined interferon
       
    5. 
       Vitamins
       

17. 
    What diet is prescribed to the patient with infectious mononucleosis?
    
    1. 
       № 2
       
    2. 
       № 3
       
    3. 
       *№ 5
       
    4. 
       № 8
       
    5. 
       № 10
       

18. 
    What is the seasonality of diphtheria?
    
    1. 
       Summer
       
    2. 
       Spring-summer
       
    3. 
       *Autumn-winter
       
    4. 
       Summer-autumn
       
    5. 
       Spring
       

19. 
    What changes in the blood analysis at Rubella will be different from the changes at measles?
    
    1. 
       monocytosis
       
    2. 
       Appearance of atypical mononuclears
       
    3. 
       leucopenia
       
    4. 
       *Increased number of plasmatic cells
       
    5. 
       leucocytosis
       

20. 
    How will differ rashes at scarlet fever from rashes at pseudotuberculosis?
    
    1. 
       More large elements of rashes, concentration of rashes round joints, hyperemia and edema of the face, hands, feet
       
    2. 
       rashes are polymorphic (spots, papules, vesicles, crusts), appear in several pushes
       
    3. 
       The rashes are maculo-papulous, bright, spread all over the body during 3-4 days, then pigmented
       
    4. 
       *Absence concentration of rashes round joints, hyperemia and edema of the face, hands, feet
       
    5. 
       rashes are rose, small spots, during a day covers all the body, are disposed mainly on the unbend surfaces of extremities, back, buttocks
       

21. 
    Describe morphology of rashes at measles.
    
    1. 
       pin-point, on a red background
       
    2. 
       small maculae, rose, on the unchanged background
       
    3. 
       Polymorphic (spots, papules, vesicles), on the unchanged background
       
    4. 
       maculo-papulous, farther appear hemorrhagic elements star-like form with necrosis in a center.
       
    5. 
       *maculo-papulous, bright, sometimes hemorrhagic, on the unchanged background
       

22. 
    What is the duration of exanthema period at measles?
    
    1. 
       1-2 days
       
    2. 
       2-3 days
       
    3. 
       *3-4 days
       
    4. 
       4-5 days
       
    5. 
       5-6 days
       

23. 
    Name the clinical periods of pseudotuberculosis.
    
    1. 
       Incubation, height, recovery
       
    2. 
       Incubation, initial, height, recovery
       
    3. 
       *Initial, height, recovery
       
    4. 
       Initial, height, exacerbation, recovery
       
    5. 
       Initial, height, recovery, relapses
       

24. 
    For what age group pseudotuberculosis is not typical for?
    
    1. 
       *Newborns
       
    2. 
       Early age
       
    3. 
       Under-fives
       
    4. 
       Junior school
       
    5. 
       Senior school
       

25. 
    Name the properties of the measles virus.
    
    1. 
       *complement binding, hemagglutination, hemolytic, symplast forming activity
       
    2. 
       hemolytic, symplast forming activity
       
    3. 
       complement binding, hemagglutination, hemolytic activity
       
    4. 
       complement binding, symplast forming activity
       
    5. 
       hemagglutination, hemolytic, symplast forming activity
       

26. 
    Enumerate atypical forms of measles.
    
    1. 
       *Abortive, hemorrhagic, hypertoxic, subclinical
       
    2. 
       fulminant, asymptomatic
       
    3. 
       With complications
       
    4. 
       With the secondary infection
       
    5. 
       With exacerbation of chronic diseases
       

27. 
    What is the incubation period in measles?
    
    1. 
       *9-17 days
       
    2. 
       11-21 day
       
    3. 
       till 14 days
       
    4. 
       13- 14 days
       
    5. 
       17-21 day
       

28. 
    What is the term of patient's isolation in case of measles, which is complicated by pneumonia?
    
    1. 
       On all catarrhal period
       
    2. 
       Till 5 day from the beginning of rashes
       
    3. 
       5 days from the beginning of illness
       
    4. 
       9 days from the beginning of illness
       
    5. 
       *On 10 days from the beginning of rashes
       

29. 
    What is the term of Measles patient contagiousness?
    
    1. 
       Catarrhal period, period of exanthema
       
    2. 
       last 2 days of catarrhal period, period of exanthema, 3-4 days period of pigmentation
       
    3. 
       *last 2 days of incubation period, catarrhal period, 3-4 days of exanthema period
       
    4. 
       Period of pigmentation and exanthema
       
    5. 
       Last week of the incubation period, catarrhal period, period of exanthema
       

30. 
    What is the term of patient isolation at acquired Rubella?
    
    1. 
       On 4 days from the beginning of rashes
       
    2. 
       Not less than 5 days from the beginning of disease
       
    3. 
       *Not less than 5 days from the beginning of rashes
       
    4. 
       Not less than 5 days from the beginning of last rashes
       
    5. 
       Not less than 9 days from the beginning of disease
       

31. 
    When does the body temperature at the uncomplicated measles become normal?
    
    1. 
       At the end of catarrhal period
       
    2. 
       At the beginning of exanthema period
       
    3. 
       At the end of exanthema period
       
    4. 
       *In the period of pigmentation
       
    5. 
       In the period of recovery
       

32. 
    Indicate the features of measles pigmentation spreading.
    
    1. 
       Begins from lower extremities, staging spreads farther
       
    2. 
       At the same time appears all over the body
       
    3. 
       Begins from a trunk, spreads staging on the face, extremities
       
    4. 
       A rash turns pale, disappears without trace
       
    5. 
       *Begins from a face, passes staging, in that order, that pouring out
       

33. 
    Indicate the term of patient's isolation in uncomplicated measles.
    
    1. 
       5 days from the beginning of illness
       
    2. 
       9 days from the beginning of illness
       
    3. 
       *Till 5th day from the beginning of rashes
       
    4. 
       10 days from the beginning of rashes
       
    5. 
       On all catarrhal period
       

34. 
    How will differ rashes at measles from rashes at Rubella?
    
    1. 
       rashes are rose, small spots, during a day covers all the body, are disposed mainly on the unbend surfaces of extremities, back, buttocks
       
    2. 
       Rashes are pin point, bright, on a hyperemied background, concentrated in skin folds, during a day covers all the body
       
    3. 
       Rashes are papulous, situated on shins, and then hemorrhagic elements of star-form with necrosis in a center appear
       
    4. 
       rashes are polymorphic (spots, papules, vesicles, crusts), appear in several pushes
       
    5. 
       *The rashes are maculo-papulous, bright, spread all over the body during 3-4 days, then pigmented
       

35. 
    When will the catarrhal signs at measles disappear?
    
    1. 
       At the end of catarrhal period
       
    2. 
       At the beginning of exanthema period
       
    3. 
       At the end of exanthema period
       
    4. 
       *In the period of pigmentation
       
    5. 
       In the period of recovery
       

36. 
    Name the illness severity in case of diphtheria of the pharynx, localized insular form:
    
    1. 
       severe
       
    2. 
       moderate
       
    3. 
       *mild
       
    4. 
       Combined
       
    5. 
       0 degree
       

37. 
    How differs an exacerbation of pseudotuberculosis from the relapse? Exacerbation is...
    
    1. 
       *Growth of clinical symptoms after the period of improvement
       
    2. 
       Appearance of clinical symptoms after normalization of clinic-laboratory indexes
       
    3. 
       Growth of clinical symptoms without the improvement of the patient's state
       
    4. 
       Stable severe state of the patient
       
    5. 
       Gradual improvement of the patient's state up to the convalescence
       

38. 
    What changes in the pharynx at pseudotuberculosis are different from scarlet fever, typical form?
    
    1. 
       Absence of «strawberry» tongue
       
    2. 
       *Absence of purulent tonsillitis
       
    3. 
       Presence of aphthous stomatitis
       
    4. 
       Presence of herpangina
       
    5. 
       «blazing pharynx», necrotizing tonsillitis
       

39. 
    How rashes at infectious mononucleosis differ from rashes at measles?
    
    1. 
       Absence of concentration round joints, hyperemia and edema of face, hands, feet
       
    2. 
       *Occurs after treatment by amoxacillin. Absent stages, more frequent is localized on a trunk, less on face, extremities, is kept for 1-2 weeks
       
    3. 
       More large elements of rashes, concentration of rashes round joints, hyperemia and edema of face, hands, feet
       
    4. 
       rashes are polymorphic (spots, papules, vesicles, crusts), appears in pushes
       
    5. 
       rashes are rose, small spots, during days covers all the body, is disposed mainly on the unbend surfaces of extremities, back, buttocks
       

40. 
    What diet (by Pevsner) is used for a patient with pseudotuberculosis, abdominal form?
    
    1. 
       *Diet № 4
       
    2. 
       Diet № 5
       
    3. 
       Diet № 5 п
       
    4. 
       Diet № 10
       
    5. 
       Diet № 15
       

41. 
    What changes in the urine analysis prove the toxic damage of kidneys in case of pseudotuberculosis?
    
    1. 
       proteinuria, leucocyturia, bacteriuria
       
    2. 
       crystaluria, leucocyturia, epitelium (flat epithelium) in the urine
       
    3. 
       crystaluria, erythrocyturia (unchanged red cells)
       
    4. 
       proteinuria, leucocyturia, epitelium in the urine
       
    5. 
       *proteinuria, casts, erythrocyturia, epitelium in the urine (kidney epithelium)
       

42. 
    What is the difference in rashes at Measles from rashes at scarlet fever?
    
    1. 
       Absence of rashes concentration round joints, hyperemia and edema of the face, hands, feet
       
    2. 
       More large elements of rashes, concentration round joints, hyperemia and edema of the face, hands, feet
       
    3. 
       rashes are polymorphic (spots, papules, vesicles, crusts), appears in pushes
       
    4. 
       *Time of appearance, morphology, localization, stages, propensity to confluence, unchanged background of skin, pigmentation of rashes
       
    5. 
       rashes are rose, as small spots, during days covers all body, is disposed mainly on the unbend surfaces of extremities, back, buttocks
       

43. 
    In what organs and systems will be the changes at Rubella?
    
    1. 
       Skin, mucus of the upper respiratory tracts, mouth, conjunctiva
       
    2. 
       *Skin, mucus of the throat, conjunctiva, lymph nodes
       
    3. 
       Liver, spleen, lymph nodes
       
    4. 
       tonsils, lymph nodes, blood
       
    5. 
       tonsils, lymph nodes, skin
       

44. 
    In what case a measles patient can be treated at home?
    
    1. 
       mild or moderate measles in any age
       
    2. 
       Early age of child, without complications
       
    3. 
       severe disease at the child of senior age
       
    4. 
       *Uncomplicated, mild illness at the child of senior age
       
    5. 
       Child of early age from the socially protected family
       

45. 
    What etiological treatment is need at moderate pseudotuberculosis?
    
    1. 
       cefazoline
       
    2. 
       Benzylpenicillin
       
    3. 
       nithrofurans
       
    4. 
       gentamicin
       
    5. 
       *chloramphenicol
       

46. 
    What etiological treatment is need at severe pseudotuberculosis?
    
    1. 
       chloramphenicol
       
    2. 
       *cefotaxim
       
    3. 
       cefazoline
       
    4. 
       nithrofurans
       
    5. 
       cefuroxim
       

47. 
    What changes in the blood analysis at pseudotuberculosis will be different from the changes at uncomplicated measles?
    
    1. 
       leucopenia, lymphocytosis, eosynopenia, normal ESR
       
    2. 
       leucocytosis, lymphocytosis, aneosynophylia, increased ESR
       
    3. 
       *leucocytosis, neutrophylia, eosynophylia, increased ESR
       
    4. 
       leucocytosis, lymphomonocytosis, appearance of atypical mononuclear cells, normal ESR
       
    5. 
       leucopenia, lymphocytosis, plasmocytosis, normal ESR
       

48. 
    What fluids of organism is it possible to select a measles virus from?
    
    1. 
       Bile, gastric juice, blood, urine, saliva
       
    2. 
       nasopharyngeal mucus, urine, saliva, sweat, conjunctiva secretion
       
    3. 
       cerebral-spinal fluid, excrements, gastric content, bile
       
    4. 
       *nasopharyngeal mucus, blood, urine, excrement, conjunctiva secretion
       
    5. 
       cerebral-spinal fluid, excrement, nasopharyngeal mucus, sweat
       

49. 
    What complication is typical for pseudotuberculosis, abdominal form?
    
    1. 
       Perforation of the sygmoid colon
       
    2. 
       small-large intestinal invagination
       
    3. 
       *acute appendicitis
       
    4. 
       Pyelonephritis
       
    5. 
       glomerulonephritis
       

50. 
    How rashes at pseudotuberculosis diffes from rashes at scarlet fever?
    
    1. 
       *The «hood», «gloves», «socks» symptoms, concentration of rashes round joints
       
    2. 
       Pale perinasal triangle, localization of rashes on the unbend surfaces of extremities
       
    3. 
       The «hood», «gloves», «socks» symptoms, rashes is not predisposed to confluence
       
    4. 
       A rashes is smaller, on the pale background of skin
       
    5. 
       Rashes on the red background of skin, concentrated on the unbend surfaces of extremities
       

51. 
    Indicate the possible way of infectious mononucleosis transmission:
    
    1. 
       fecaly-oral
       
    2. 
       Water
       
    3. 
       *parenteral
       
    4. 
       air-dust
       
    5. 
       Food
       

52. 
    What from this is characteristically for Yersinia pseudotuberculosis?
    
    1. 
       stabile to the high temperatures, quickly perishes at the ultraviolet insolation, desinfection
       
    2. 
       *stabile to the low temperatures, quickly perishes at boiling, desinfection
       
    3. 
       stabile to the low temperatures, drying, boiling
       
    4. 
       Термолабільний, stabile to the ultraviolet insolation, desinfection
       
    5. 
       Термостабільний, stabile to the ultraviolet insolation, desinfection
       

53. 
    Name typical forms of pseudotuberculosis.
    
    1. 
       Catarrhal, skin, abdominal
       
    2. 
       Catarrhal, mononucleosis like, arthralgic
       
    3. 
       Effaced, asymptomatic, abdominal
       
    4. 
       gastrointestinal, abdominal, catarrhal
       
    5. 
       *scarlet fever like, abdominal, jaundice,
       

54. 
    Indicate the possible way of infectious mononucleosis transmission:
    
    1. 
       fecaly-oral
       
    2. 
       Water
       
    3. 
       air-dust
       
    4. 
       Food
       
    5. 
       *Sexual
       

55. 
    What is the criterion of the Rubella severity?
    
    1. 
       Localization of rashes
       
    2. 
       severity of changes in a peripheral blood
       
    3. 
       Presence of exanthema
       
    4. 
       *severity of intoxication
       
    5. 
       Presence of catarrhal signs
       

56. 
    Choose the main diagnostic signs of the infectious mononucleosis:
    
    1. 
       hepatomegaly
       
    2. 
       Catarrhal syndrome
       
    3. 
       exanthema
       
    4. 
       *High prolonged fever
       
    5. 
       toxic syndrome
       

57. 
    From what complications of infectious mononucleosis children die more frequently?
    
    1. 
       lymphadenitis
       
    2. 
       *stenosis of the larynx
       
    3. 
       hemolytic anemia
       
    4. 
       thrombocytopenia
       
    5. 
       Paresis of cranial nerves
       

58. 
    What is the evolution of the skin changes at pseudotuberculosis?
    
    1. 
       A rashes pigmented, desquamation will appear
       
    2. 
       Spots grow into papules, vesicles, crusts
       
    3. 
       *Rashes go out, pigmented rarely, desquamation will appear
       
    4. 
       Formation of crusts, hyperpigmentation
       
    5. 
       A rashes disappears without trace
       

59. 
    A high incidence of whooping cough in recent years is due to all of the following reasons, except:
    
    1. 
       *Preferential allocation of whooping cough bacilli in paroxismal period
       
    2. 
       Low rate of routine immunization against whooping cough
       
    3. 
       Low postvaccination immunity
       
    4. 
       The relatively high frequency of abortive and light forms of whooping cough
       
    5. 
       Late diagnosis of whooping cough
       

60. 
    In what age does orchitis (in mumps) develop more frequent?
    
    1. 
       *At adults, teenagers
       
    2. 
       At teenagers
       
    3. 
       At under-fives and junior schoolboys