*anti HCV IgМ, viral RNA
anti HЕV IgМ, viral RNA
anti HВV IgМ and HВV IgG
HBsAg, HbeAg, HbcAg, anti НВс IgM, IgG
-
Name the clinical criteria of the congenital hepatitis B:
-
Presence of prodromal period, unexpressed jaundice, expressed cytolysis syndrome
-
jaundice increases quickly, catarrhal, dyspepsia syndrome,
-
jaundice is insignificant, satisfactory state, spleen is not enlarged, quick recovery
-
*jaundice from the first days of life, hepatosplenomegaly, hemorrhagic syndrome, malaise, severe disease
-
hepatosplenomegaly, delay of intrauterine development
-
Name the diagnostic criteria of hepatitis B incubation period:
-
*High activity of hepatic-cellular enzymes, absence of clinical signs, presence of viral antigens in a blood
-
toxic, dyspepsia, catarrhal, astheno-vegetative syndromes
-
hepatomegaly, pain syndrome, high activity of hepatic-cellular enzymes
-
bilirubinuria, urobilinuria, discoloration of excrements
-
Maximal activity of hepatic-cellular enzymes, absence of clinical signs, presence of viral antigens in a blood
-
Name the diagnostic criteria of hepatitis B prejaundice period:
-
Maximal activity of hepatic-cellular enzymes, absence of clinical signs, presence of viral antigens in a blood
-
High activity of hepatic-cellular enzymes, absence of clinical signs, presence of viral antigens in a blood
-
*toxic, dyspepsia, catarrhal, astheno-vegetative syndromes, hepatomegaly, pain syndrome, high activity of hepatic-cellular enzymes, presence of viral antigens in a blood
-
Rashes on a skin, hemorrhagic syndrome, splenomegaly, maximal activity of hepatic-cellular enzymes
-
hepatomegaly, pain syndrome, maximal activity of hepatic-cellular enzymes, bilirubinuria, urobilinuria, discoloration of excrements
-
Name the laboratory criteria of hepatitis B moderate degree:
-
*bilirubin up to 85 mcmol/l (indirect is up to 25 mcmol/l) , aminotranspherase level 5-10 times more than norm, prothrombin index 70-80 %, normal sulemic test
-
bilirubin up to 85 mcmol/l (indirect is up to 25 mcmol/l), aminotranspherase level 5-10 times more than norm, prothrombin index 70-80 %
-
bilirubin up to 85 mcmol/l (indirect is up to 25 mcmol/l), aminotranspherase level 5-10 times more than norm, prothrombin index 70-80 %, sulemic test is considerably reduced
-
bilirubin is over 200 mcmol/l (indirect is over 50 mcmol/l), aminotranspherase level 15-30 times more than norm, prothrombin index less than 60 %, sulemic test is normal
-
bilirubin 85-200 mcmol/l (indirect is up to 50 mcmol/l), aminotranspherase level 10-15 times more than norm, prothrombin index 60-70 %, sulemic test is considerably reduced
-
Name the laboratory criteria of hepatitis С mild severity:
-
bilirubin 85-200 mcmol/l (indirect is up to 50 mcmol/l), aminotranspherase level 10-15 times more than norm, prothrombin index 60-70 %
-
*bilirubin up to 85 mcmol/l (indirect is up to 25 mcmol/l), aminotranspherase level 5-10 times more than norm, prothrombin index 70-80 %
-
bilirubin up to 85 mcmol/l (indirect is up to 25 mcmol/l), aminotranspherase level 5-10 times more than norm, prothrombin index 70-80 %, sulemic test is considerably reduced
-
bilirubin is over 200 mcmol/l (indirect is over 50 mcmol/l), aminotranspherase level 15-30 times more than norm, prothrombin index less than 60 %, sulemic test is normal
-
bilirubin 85-200 mcmol/l (indirect is up to 50 mcmol/l), aminotranspherase level 10-15 times more than norm, prothrombin index 60-70 %, sulemic test is considerably reduced
-
Name the laboratory criteria of severe hepatitis B:
-
bilirubin up to 85 mcmol/l (indirect is up to 25 mcmol/l), aminotranspherase level 5-10 times more than norm, prothrombin index 70-80 %, normal sulemic test
-
bilirubin up to 85 mcmol/l (indirect is up to 25 mcmol/l), aminotranspherase level 5-10 times more than norm, prothrombin index 70-80 %, sulemic test is considerably reduced
-
bilirubin 85-200 mcmol/l (indirect is up to 50 mcmol/l), aminotranspherase level 10-15 times more than norm, prothrombin index 60-70 %, sulemic test is considerably reduced
-
bilirubin is over 200 mcmol/l (indirect is over 50 mcmol/l), aminotranspherase level 15-30 times more than norm, prothrombin index less than 60 %, sulemic test is normal
-
*bilirubin is over 200 mcmol/l (indirect is over 50 mcmol/l), aminotranspherase level 15-30 times more than norm, prothrombin index less than 60 %, sulemic test is considerably reduced
-
Name the terms of hepatitis B active prophylaxis according the Ukrainian vaccination schedule.
-
First 12 hours of life, 1, 3, 5 months
-
*First 12 hours of life, 1, 6 months
-
First 12 hours of life, 1, 6, 12 months
-
3-5 days, 7, 14 years
-
3, 4, 5 months, revaccination in 18 months
-
Name the ways of hepatitis B virus transmission.
-
parenteral, transmissive, domestic
-
Food, water, domestic, sexual
-
*parenteral, vertical, sexual, domestic
-
parenteral, transplacental, domestic
-
parenteral, transplacental, transmissive
-
Name the ways of hepatitis C virus transmission.
-
Food, water, domestic, sexual
-
parenteral, transmissive, domestic
-
parenteral, transplacental, domestic
-
*parenteral, vertical, sexual, domestic
-
parenteral, transplacental, transmissive
-
The immunity against Rotaviruses is mainly conditioned by:
-
Ig M and Ig G
-
*Ig A and interferon
-
Ig G and interferon
-
Ig E and interferon
-
Ig D and Ig G
-
The main value in acute intestinal infection verifying has:
-
complete blood test
-
coprological method
-
serological test
-
blood culture
-
*fecal culture
-
The deficit of body weight in 3rd degree malnutrition is:
-
Up to 5%
-
5-10%
-
11-20%
-
21-30%
-
*Over 30%
-
The deficit of body weight in malnutrition of 1st degree is:
-
Up to 5%
-
5-10%
-
*11-20%
-
21-30%
-
Over 30%
-
The diagnosis of chronic hepatitis С is established if the disease's duration is:
-
More than 2 months
-
More than 3 months
-
More than 4 months
-
More than 5 months
-
*More than 6 months
-
The malnutrition degree in infant can be measured by the thickness of skin fold:
-
*at umbilical level
-
subscapularly
-
on the inner surface of the thigh
-
on the outer surface of the thigh
-
on the outer surface of the shoulder
-
The what is typical for the unicteric form of viral hepatitis A?
-
absence of changes of excrements, urine, bilirubin level
-
Level of aminotranspherase is normal, increase of bilirubin level
-
*the increase of aminotranspherase activity, absence of jaundice
-
jaundice, increase of enzymes activity
-
There is no right answer
-
The pre-jaundice period of viral hepatitis A is characterized by the increase of:
-
Indirect bilirubin, tymol test
-
Cholesterol, ALAT
-
tymol test, alkaline phosphatase
-
cholesterol, beta-lipoproteins, indirect bilirubin
-
*ALAT, ASAT, direct bilirubin
-
Name the source of dysentery infection.
-
Patients with dysentery;
-
Patients and carriers;
-
*Carriers;
-
Small rodents.
-
Insects.
-
When does it follow to expect clinical signs of disease at contacts in the focus of shigellosis (latent period course)?
-
Through 1-2 hours.
-
From 1 to 2 days.
-
*From 1 to 7 days.
-
Till 1 month.
-
From 1 to 3 months.
-
The source of infection at viral hepatitis A is:
-
patient and animal
-
*ill person
-
man, carrier and patient
-
animal and carrier
-
insects
-
The subclinical viral hepatitis A form is characterized by:
-
Insignificant jaundice of skin, the base phosphatase increased
-
subfebrile temperature, dark urine, colorless excrements
-
Brief jaundice, increase of tymol test
-
hemorrhagic syndrome
-
*clinical displays are absent, ALAT, ASAT are raised
-
The thickness of skin fold at the navel is 0,2 cm, that is typical for:
-
*3rd degree malnutrition
-
2nd degree malnutrition
-
1st degree malnutrition
-
eutrophya
-
paratrophya
-
The thickness of skin fold at the navel is 0,6 cm, that is typical for:
-
3rd degree malnutrition
-
*2nd degree malnutrition
-
1st degree malnutrition
-
eutrophya
-
paratrophya
-
The thickness of skin fold at the navel is 1 cm, that is typical for:
-
3rd degree malnutrition
-
2nd degree malnutrition
-
*1st degree malnutrition
-
eutrophya
-
paratrophya
-
At the children of what age group dysentery occurs more frequent?
-
0-12 months
-
1-2 years
-
*2-7 years
-
7-10 years
-
10-14 years
-
What from the enumerated serological tests should be done to reveal antibodies to typhoid fever?
-
brake of hemagglutination
-
precipitation
-
complement binding
-
*passive hemagglutination
-
agglutination
-
To what family does Escherichia belong?
-
Micrococcaceae
-
*Enterobacteriaceae
-
Neisseriaceae
-
Vibrionaceae
-
Korynebacteriaceae
-
Variants of prodromal period at viral hepatitis A:
-
Convulsive, dyspepsia
-
*Dyspepsia, astenic, catarrhal
-
Catarrhal, hemorrhagic
-
hepatolienal, convulsive
-
There is no right answer
-
Virus of hepatitis A in the human organism is contained in:
-
Feces
-
Blood and urine
-
Blood and bile
-
Tears and saliva
-
*Blood, feces, urine
-
Way of viral hepatitis A transmission is:
-
Contact-domestic
-
air-droplet
-
*fecal-oral
-
All answers are correct
-
There is no right answer
-
What antigens does the E. coli have?
-
*O-, K- and H-antigens.
-
O-, Vi-antigens.
-
O-, H-antigens.
-
O-, K-antigens.
-
O-antigens.
-
What is the average duration of hepatitis B incubation period?
-
3-6 weeks
-
2-3 months
-
6-26 weeks
-
*13-16 weeks
-
20-22 weeks
-
What is the average duration of hepatitis C incubation period?
-
3-6 weeks
-
2-3 months
-
6-26 weeks
-
13-16 weeks
-
*20-22 weeks
-
What is basis therapy at viral hepatitis A?
-
*Regime and diet
-
Regime and enterosorption
-
glucocorticoids
-
detoxication therapy
-
vitamin therapy
-
What conditions are unfavorable for choleric vibrio:
-
Drying
-
Heat
-
*Disinfectants
-
Soil water
-
Stay in the soil
-
What diet is appointed at viral hepatitis A?
-
3
-
*5-5а
-
9
-
10
-
15
-
What disease severity is characteristic for hepatitis С in an acute period?
-
*mild, asymptomatic
-
moderate
-
moderate, severe
-
severe, fulminant
-
fulminant
-
What diseases does it follow to differentiate the congenital hepatitis С with?
-
Hepatitis A, Е, biliary dyskinesia
-
*sepsis, biliary atresia, TORCH-infections, massive hemorrhages
-
sepsis, pseudotuberculosis, infectious mononucleosis
-
Gilbert syndrome, leptospirosis, hemolytic anemia
-
hemolytic disease of new-born, hepatitis Delta, cholecystitis.
-
What does the character of hepatitis B duration depend on?
-
From mechanism and way of virus transmission
-
From character of genetically definite immune answer
-
*From a dose and infectiousness of virus, character of the organism immune answer
-
From duration of latent period
-
From duration of prejaundice period
-
What dose of prednisone is appointed to the infants with unfavorable premorbid background in case of viral hepatitis A?
-
*2-3 mg/kg
-
4-5 mg/kg
-
5-10 mg/kg
-
0.5-1 mg/kg
-
1-2 mg/kg
-
What is the duration of patient's dispensarization in case of severe hepatitis B?
-
6 months with examination and laboratory investigation in 7 days, 1, 3, 6 months
-
9 months with examination and laboratory investigation in1, 3, 6, 9 months
-
*12 months with examination and laboratory investigation in 1, 3, 6, 9, 12 months
-
2 years with examination and laboratory investigation in 1, 3, 6, 9, 12, 18, 24 months
-
3 years with examination and laboratory investigation in 1, 3, 6, 9, 12, 18, 24, 36 months
-
What is the duration of severe hepatitis B base therapy?
-
10 days
-
14 days
-
21 day
-
*30 days
-
45 days
-
What is the duration of the bed regime at moderate hepatitis B?
-
*1 week
-
2 weeks
-
3 weeks
-
4 weeks
-
6 weeks
-
What features of acute dysentery are typical for infants?
-
Continuously relapsed course.
-
Absence of inflammation signs at sigmoscopy.
-
Watery stools.
-
Repeated vomits.
-
*Metheorysm and absence of tenesms.
-
What from the pointed representatives of the E.coli usually cause the disease in infants?
-
E.coli, that belong to normal microbiocynosis of intestine
-
*enteropathogenic E.coli
-
enteroaggregative E.coli
-
enteroinvasive E.coli
-
enterohemolytic E.coli
-
What hepatitis С typical consequences do you know?
-
liver fibrosis, chronic hepatitis
-
recovery with complete renewal of liver structure and function
-
damage of biliary system and liver
-
recovery with a defect (remaining fibrosis)
-
*Chronic hepatitis, liver cirrhosis, hepatocellular carcinoma
-
What seasonality is typical for viral hepatitis A?
-
spring-summer
-
*summer-autumn
-
winter-spring
-
autumn-winter
-
seasonality is not typical
-
What features are typical for the hepatitis B virus?
-
*DNA-containing virus from hepadnavirus family, 42-52 nm;
-
RNA-containing virus from enterovirus family, 27-30 nm;
-
Virus from flavivirus family, 22-60 nm;
-
virus 35-37 nm with small RNA and shell of the HB virus;
-
virus-like particle of spherical form, 27 nm.
-
What specific method of diagnostics is needed to prove viral hepatitis A?
-
*presence of anti HAV ІgM and anti HAV IgG in the blood
-
Increase of aminotranspherase level
-
Increase of bilious pigments in the urine
-
Increase of tymol test
-
hyperbilirubinemia
-
What treatment is appointed at the moderate form of viral hepatitis A?
-
Base therapy
-
*Base therapy, detoxication therapy
-
diet + enterosorption
-
glucocorticoids
-
hepatoprotectors
-
What is the volume of desiccation therapy at the moderate form of viral hepatitis A?
-
*40-50 ml/kg per day
-
50-100 ml/kg per day
-
150-200 ml/kg per day
-
200-300 ml/kg per day
-
300-350 ml/kg per day
-
What is the volume of detoxication therapy at the severe form of viral hepatitis A?
-
*50-100 ml/kg per day
-
150-200 ml/kg per day
-
200-300 ml/kg per day
-
All answers are correct
-
A right answer is not present
-
When does it follow to give choleretics at hepatitis B, moderate degree?
-
From the 1st day of jaundice period
-
From the 2nd week of jaundice period
-
*From the 3rd week of jaundice period
-
From the 4th week of jaundice period
-
Does not need to give
-
Which state is the most convenient to measure malnutrition in infant?
-
Trophic Index
-
Mass-growth coefficient
-
The thickness of skin folds at the navel level
-
*Lack of body weight (%)
-
The distribution of subcutaneous fat in body areas
-
Who is the source of the hepatitis B infection?
-
patients with acute and chronic forms of disease
-
transmitters of superficial antigen
-
patients with acute and chronic forms, healthy transmitters of core antigen
-
*patients with acute and chronic forms, healthy transmitters of superficial antigen
-
patients with acute and chronic forms, healthy transmitters of infectiousness antigen
-
Who is the source of the hepatitis С infection?
-
patients with acute and chronic forms of disease
-
transmitters of superficial antigen
-
*carriers, patients with acute and chronic forms
-
patients with acute and chronic forms, healthy transmitters of core antigen
-
patients with acute and chronic forms, healthy transmitters of infectiousness antigen
-
With appearance of jaundice at patients with viral hepatitis A:
-
their condition worsened
-
*their condition becomes better
-
the sizes of liver diminish
-
the temperature of body rises
-
hemorrhagic rash appears
-
Indicate age, when revaccination against tuberculosis is made:
-
1 year
-
2 years
-
*7 years
-
11 years
-
18 years
-
Indicate age, when revaccination against tuberculosis is made:
-
1 year
-
2 years
-
6 years
-
11 years
-
*14 years
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