Children infectious diseases

In what minimum term after intravenous injection of blood plasma a patient can be vaccinated against measles?

1. 
   *7 months
   
2. 
   6 months
   
3. 
   3 months
   
4. 
   2 months
   
5. 
   1 year
   

773. 
     In what minimum term after intravenous injection of platelets a patient can be vaccinated against chickenpox?
     
     1. 
        *7 months
        
     2. 
        6 months
        
     3. 
        3 months
        
     4. 
        2 months
        
     5. 
        1 year
        

774. 
     In what minimum term after intravenous injection of erythrocytes a patient can be vaccinated against rubella?
     
     1. 
        *6 months
        
     2. 
        9 months
        
     3. 
        3 months
        
     4. 
        2 months
        
     5. 
        1 year
        

775. 
     In what minimum term after intravenous injection of washed red cells a patient can be vaccinated against mumps infection?
     
     1. 
        *He can be vaccinated without interruption
        
     2. 
        6 months
        
     3. 
        3 months
        
     4. 
        2 months
        
     5. 
        1 year
        

776. 
     In what minimum term after the administration of tetanus immunoglobulin, the patient can be vaccinated against measles?
     
     1. 
        *3 months
        
     2. 
        1 month
        
     3. 
        2 months
        
     4. 
        6 months
        
     5. 
        1 year
        

777. 
     In what minimum term after the introduction of normal human immunoglobulin (for post-exposure prophylaxis of measles) healthy patients can receive the vaccine against mumps infection?
     
     1. 
        *5 months
        
     2. 
        3 months
        
     3. 
        2 months
        
     4. 
        6 months
        
     5. 
        1 year
        

778. 
     In what minimum term after the introduction of normal human immunoglobulin (for post-exposure prophylaxis of measles), immunocompromised patients can be vaccinated against chickenpox?
     
     1. 
        *6 months
        
     2. 
        5 months
        
     3. 
        3 months
        
     4. 
        2 months
        
     5. 
        1 year
        

779. 
     In what minimum term after the introduction to the patient blood products, which contain specific antibodies he can be vaccinated against chickenpox?
     
     1. 
        *3 months
        
     2. 
        1 month
        
     3. 
        2 months
        
     4. 
        6 months
        
     5. 
        1 year
        

780. 
     In what minimum term after passive hepatitis A immunization the patient can be vaccinated against rubella?
     
     1. 
        *3 months
        
     2. 
        1 month
        
     3. 
        2 months
        
     4. 
        6 months
        
     5. 
        1 year
        

781. 
     In what minimum term after specific passive Hepatitis B immunization patients can be vaccinated against mumps?
     
     1. 
        *3 months
        
     2. 
        1 month
        
     3. 
        2 months
        
     4. 
        6 months
        
     5. 
        1 year
        

782. 
     What is not used for active immunization?
     
     1. 
        *Antitoxic serum
        
     2. 
        Live vaccines
        
     3. 
        Toxoids
        
     4. 
        Inactivated Vaccines
        
     5. 
        Acellular vaccine
        

783. 
     What is not used for active immunization?
     
     1. 
        *Polyvalent human immunoglobulin
        
     2. 
        Live vaccines
        
     3. 
        Toxoids
        
     4. 
        Inactivated Vaccines
        
     5. 
        Acellular vaccine
        

784. 
     What is not used for active immunization?
     
     1. 
        *Human specific immunoglobulin
        
     2. 
        Live vaccines
        
     3. 
        Toxoids
        
     4. 
        Inactivated Vaccines
        
     5. 
        Acellular vaccine
        

785. 
     What is not used for passive immunization?
     
     1. 
        *Toxoids
        
     2. 
        Polyvalent human immunoglobulin
        
     3. 
        Human specific immunoglobulin
        
     4. 
        Antitoxic serum
        
     5. 
        Immunoglobulin
        

786. 
     What is not used for passive immunization?
     
     1. 
        *Acellular vaccine
        
     2. 
        Polyvalent human immunoglobulin
        
     3. 
        Human specific immunoglobulin
        
     4. 
        Antitoxic serum
        
     5. 
        Immunoglobulin
        

787. 
     What is not used for passive immunization?
     
     1. 
        *Inactivated Vaccines
        
     2. 
        Polyvalent human immunoglobulin
        
     3. 
        Human specific immunoglobulin
        
     4. 
        Antitoxic serum
        
     5. 
        Immunoglobulin
        

788. 
     What is not used for passive immunoprophylaxis?
     
     1. 
        *Live vaccines
        
     2. 
        Polyvalent human immunoglobulin
        
     3. 
        Human specific immunoglobulin
        
     4. 
        Antitoxic serum
        
     5. 
        Immunoglobulin
        

789. 
     What is the recommended method to enter a vaccine against hepatitis B?
     
     1. 
        *Intramuscular
        
     2. 
        Intravenously
        
     3. 
        Subcutaneously
        
     4. 
        Intradermally
        
     5. 
        Through a mouth
        

790. 
     What is the recommended method to enter a vaccine against Haemophilus influenza?
     
     1. 
        *Intramuscular
        
     2. 
        Intravenously
        
     3. 
        Subcutaneously
        
     4. 
        Intradermally
        
     5. 
        Through a mouth
        

791. 
     What is the recommended method to enter DPT vaccine?
     
     1. 
        *Intramuscular
        
     2. 
        Intravenously
        
     3. 
        Subcutaneously
        
     4. 
        Intradermally
        
     5. 
        Through a mouth
        

792. 
     What is the recommended method to enter polio vaccine (live vaccine)?
     
     1. 
        *Intradermal
        
     2. 
        Intravenous
        
     3. 
        Intramuscular
        
     4. 
        Subcutaneous
        
     5. 
        Through mouth
        

793. 
     What is the recommended method to enter the vaccine against measles?
     
     1. 
        *Subcutaneously
        
     2. 
        Intravenously
        
     3. 
        Intramuscular
        
     4. 
        Intradermally
        
     5. 
        Through a mouth
        

794. 
     What is used for active immunization?
     
     1. 
        *Acellular vaccine
        
     2. 
        Polyvalent human immunoglobulin
        
     3. 
        Human specific immunoglobulin
        
     4. 
        Antitoxic serum
        
     5. 
        Polyvalent bacteriophage
        

795. 
     What is used for active immunization?
     
     1. 
        *Inactivated Vaccines
        
     2. 
        Polyvalent human immunoglobulin
        
     3. 
        Human specific immunoglobulin
        
     4. 
        Antitoxic serum
        
     5. 
        Polyvalent bacteriophage
        

796. 
     What is used for active immunization?
     
     1. 
        *Live vaccines
        
     2. 
        Polyvalent human immunoglobulin
        
     3. 
        Human specific immunoglobulin
        
     4. 
        Antitoxic serum
        
     5. 
        Polyvalent bacteriophage
        

797. 
     What is used for active immunization?
     
     1. 
        *Toxoids
        
     2. 
        Polyvalent human immunoglobulin
        
     3. 
        Human specific immunoglobulin
        
     4. 
        Antitoxic serum
        
     5. 
        Polyvalent bacteriophage
        

798. 
     What terms must have the ideal vaccine?
     
     1. 
        *Have all these terms
        
     2. 
        Call lifelong immunity in 100% vaccinated by a single dose
        
     3. 
        To be polyvalent
        
     4. 
        Be safe
        
     5. 
        Be oral vaccine
        

799. 
     When the first revaccination against whooping cough should be done?
     
     1. 
        *Through 1 year after finished vaccination;
        
     2. 
        Through 1.5-2 years after finished vaccination;
        
     3. 
        Through 2.5 years after finished vaccination;
        
     4. 
        Through 3 years after finished vaccination
        
     5. 
        In 4 years
        

800. 
     When the first vaccination against whooping cough should be done?
     
     1. 
        In 1 month
        
     2. 
        In 2 months
        
     3. 
        *In 3 months
        
     4. 
        In 4 months
        
     5. 
        In 5 months
        

801. 
     When the second vaccination against whooping cough should be done?
     
     1. 
        In 1 month
        
     2. 
        In 2 months
        
     3. 
        In 3 months
        
     4. 
        *In 4 months
        
     5. 
        In 5 months
        

802. 
     When the third vaccination against whooping cough should be done?
     
     1. 
        In 3 month
        
     2. 
        In 4 months
        
     3. 
        *In 5 months
        
     4. 
        In 6 months
        
     5. 
        In 7 months
        

803. 
     Which medicine causes the development of an artificial passive immunity?
     
     1. 
        *All listed
        
     2. 
        Antitoxic serum
        
     3. 
        Plasma
        
     4. 
        Whole blood
        
     5. 
        Immunoglobulin
        

804. 
     Which medicine causes the development of an artificial passive immunity?
     
     1. 
        *Antitoxic serum
        
     2. 
        Toxoid
        
     3. 
        Acellular vaccine
        
     4. 
        Inactivated vaccine
        
     5. 
        Live vaccines
        

805. 
     Which medicine causes the development of an artificial passive immunity?
     
     1. 
        *Plasma
        
     2. 
        Toxoid
        
     3. 
        Acellular vaccine
        
     4. 
        Inactivated vaccine
        
     5. 
        Live vaccines
        

806. 
     Which medicine causes the development of an artificial passive immunity?
     
     1. 
        *Whole blood
        
     2. 
        Toxoid
        
     3. 
        Acellular vaccine
        
     4. 
        Inactivated vaccine
        
     5. 
        Live vaccines
        

807. 
     Which medicine causes the development of an artificial passive immunity?
     
     1. 
        *Immunoglobulin
        
     2. 
        Toxoid
        
     3. 
        Acellular vaccine
        
     4. 
        Inactivated vaccine
        
     5. 
        Live vaccines
        

808. 
     Which medicine causes the development of an artificial active immunity?
     
     1. 
        *All listed
        
     2. 
        Toxoid
        
     3. 
        Acellular vaccine
        
     4. 
        Inactivated vaccine
        
     5. 
        Live vaccines
        

809. 
     Which medicine causes the development of an artificial active immunity?
     
     1. 
        *Toxoid
        
     2. 
        Antitoxic serum
        
     3. 
        Plasma
        
     4. 
        Whole blood
        
     5. 
        Immunoglobulin
        

810. 
     Which medicine causes the development of an artificial active immunity?
     
     1. 
        *Acellular vaccine
        
     2. 
        Antitoxic serum
        
     3. 
        Plasma
        
     4. 
        Whole blood
        
     5. 
        Immunoglobulin
        

811. 
     Which medicine causes the development of an artificial active immunity?
     
     1. 
        *Inactivated vaccine
        
     2. 
        Antitoxic serum
        
     3. 
        Plasma
        
     4. 
        Whole blood
        
     5. 
        Immunoglobulin
        

812. 
     Which medicine causes the development of an artificial active immunity?
     
     1. 
        *Live vaccines
        
     2. 
        Antitoxic serum
        
     3. 
        Plasma
        
     4. 
        Whole blood
        
     5. 
        Immunoglobulin
        

813. 
     Which medicine does not cause the development of an artificial passive immunity?
     
     1. 
        *Toxoid
        
     2. 
        Antitoxic serum
        
     3. 
        Plasma
        
     4. 
        Whole blood
        
     5. 
        Immunoglobulin
        

814. 
     Which medicine does not cause the development of an artificial passive immunity?
     
     1. 
        *Acellular vaccine
        
     2. 
        Antitoxic serum
        
     3. 
        Plasma
        
     4. 
        Whole blood
        
     5. 
        Immunoglobulin
        

815. 
     Which medicine does not cause the development of an artificial passive immunity?
     
     1. 
        *Inactivated vaccine
        
     2. 
        Antitoxic serum
        
     3. 
        Plasma
        
     4. 
        Whole blood
        
     5. 
        Immunoglobulin
        

816. 
     Which medicine does not cause the development of an artificial passive immunity?
     
     1. 
        *Live vaccines
        
     2. 
        Antitoxic serum
        
     3. 
        Plasma
        
     4. 
        Whole blood
        
     5. 
        Immunoglobulin
        

817. 
     Which of the following is a direct contraindication for prophylactic vaccinations?
     
     1. 
        *Pathologically strong reaction to the earlier introduction of this vaccine
        
     2. 
        Acute infectious disease at the time of routine vaccination
        
     3. 
        Local reaction to previous administration of this vaccine
        
     4. 
        Frequent respiratory infections (more than 6 times per year)
        
     5. 
        All of the above
        

818. 
     Which of the following vaccines more often cause severe general reaction in the form of hyperthermia (40 oC or higher), allergic reactions, and severe local reactions in the form of a hyperemia with swelling of the soft tissues at the injection site?
     
     1. 
        *DTP
        
     2. 
        Mumps
        
     3. 
        Measles
        
     4. 
        IPV
        
     5. 
        Hepatitis B
        

819. 
     Which of the following vaccines more often cause severe local reaction in the form of severe hyperemia with edema of the soft tissues at the injection site?
     
     1. 
        *BCG
        
     2. 
        MMR
        
     3. 
        Rubella
        
     4. 
        IPV
        
     5. 
        Hepatitis B
        

820. 
     Which of the following vaccines more often cause severe general reaction in the form of hyperthermia (40 oC or higher), allergic reactions, and severe local reactions in the form of a hyperemia with swelling of the soft tissues at the injection site?
     
     1. 
        *Hib
        
     2. 
        MMR
        
     3. 
        Rubella
        
     4. 
        IPV
        
     5. 
        Hepatitis B
        

821. 
     Why do some children vaccinated against diphtheria and having a high level of specific antibodies in the blood have localized form of the disease, but never toxic after close contact with diphtheria patient?
     
     1. 
        *Immunity after vaccination is only antitoxic
        
     2. 
        Active immunization of these children began after one year of life
        
     3. 
        These children are not subjected to vaccinations in the past 3 years
        
     4. 
        At vaccination they have post-vaccination complications
        
     5. 
        Vaccination was performed in 2 weeks after recovery from the respiratory viral infection
        

822. 
     Why is it not recommend to enter the vaccine into the buttock area for babies, but it is recommend to enter the vaccine into the frontal part of their thighs?
     
     1. 
        *All of the above is true
        
     2. 
        With this introduction tissue damage is rarer
        
     3. 
        When you enter vaccine into the buttock there is the high risk of sciatic nerve damage
        
     4. 
        Infants gluteal region consists mainly of adipose tissue
        
     5. 
        Other injection is the most saved from vascular injury
        

Situation tasks

1. 
   2 children from family are hospitalized in the infectious department, pseudotuberculosis is suspected. What measures, does it follow to perform concerning contact persons (except for prohibition to use raw products)?
   
   1. 
      Supervision during 2 weeks, 1 bacteriological research of emptying
      
   2. 
      *Supervision during 3 weeks, 1 bacteriological research of emptying
      
   3. 
      Supervision during 3 weeks, 1 bacteriological research of emptying, urine, throat mucus
      
   4. 
      Supervision during 3 weeks, 2 bacteriological researches of emptying
      
   5. 
      Supervision during 3 weeks, 1 bacteriological research of emptying, urine
      

2. 
   5 years old boy had scarlet fever. What investigations are obvious on the 20-21st day from the disease beginning?
   
   1. 
      *CBC, urinanalysis, ECG
      
   2. 
      nasopharyngeal swab
      
   3. 
      Blood culture
      
   4. 
      Echo-cardioscopy, ECG, ultrasound of abdomen
      
   5. 
      nasal and pharyngeal swab for Corynebacteria diphtheriae
      

3. 
   A 10 years old girl today has chickenpox. How many days she should not attend school (in the no complicated course of the disease)?
   
   1. 
      *9-10 days
      
   2. 
      2-4 days
      
   3. 
      5-7 days
      
   4. 
      10-14 days
      
   5. 
      15-20 days
      

4. 
   A 14 y.o. female presents with prolonged fever, nocturnal sweating. She's lost weight for 7 kg during the last 3 months. She had irregular menses. On examination: enlargement of all lymph groups, hepatosplenomegaly. In blood: WBC — 2.2*10^9/L. What is the most likely diagnosis?
   
   1. 
      Infectious mononucleosis
      
   2. 
      *HIV-infection
      
   3. 
      Lymphogranulomathosis
      
   4. 
      Tuberculosis
      
   5. 
      Chroniosepsis
      

5. 
   A 14 years patient complains about general weakness, dizziness, body temperature rise up to 37.5 °C, sore throat, neck edema, enlargement of sub-maxillary lymph nodes. Diphtheria was diagnosed. What is the leading mechanism of this illness' development?
   
   1. 
      *Action of bacterial exotoxin
      
   2. 
      Accumulation of suboxidated products
      
   3. 
      Action of bacterial endotoxin
      
   4. 
      Allergic
      
   5. 
      Bacteriemia
      

6. 
   A 14 years patient was admitted to a hospital with complaints on headache, weakness, high temperature, sore throat. Objectively: enlargement of all groups of lymph nodes was revealed. The liver is enlarged by 3 cm, spleen - by 1 cm. In blood: leucocytosis, atypical lymphocytes - 15%. What is the most probable diagnosis?
   
   1. 
      Angina
      
   2. 
      Adenoviral infection
      
   3. 
      Diphtheria
      
   4. 
      Acute lymphoid leukemia
      
   5. 
      *Infectious mononucleosis
      

7. 
   A 15 years female complained of edema on her face and legs, rise of blood pressure up to 160/100 mm Hg and weakness. She fell ill 3 weeks after recovering from angina. Urinalysis data: protein of 0.5 g/l, erythrocytes of 17-20/field, leukocytes of 2-3/field, erythrocyte casts. What treatment should be initiated after specifying the diagnosis?
   
   1. 
      Ceftriaxon
      
   2. 
      *Penicillin
      
   3. 
      Dipyridamol
      
   4. 
      Heparin
      
   5. 
      Ciprofloxacin
      

8. 
   A 15-year-old patient complains of pain in the right half of face, headache, and raised body temperature. He is sick for 3 days, due to being in cold. On physical exam: in the right half of forehead there is inflammatory hyperemia, edema, erosions with necrotic coating on vesicles. There are groups of vesicles with inflammatory hyperemia around them. What pathology is present in this case?
   
   1. 
      *Herpes zoster
      
   2. 
      Eczema
      
   3. 
      Lichen planus erythematosus
      
   4. 
      Dermatitis
      
   5. 
      Erysipelas
      

9. 
   A 16 y.o. female presents with prolonged fever, nocturnal sweating. She's lost weight for 7 kg during the last 3 months. HIV-infection was diagnosed. What preparations are used for prevention of fungal infection?
   
   1. 
      *Fluconazol, Orungal, Nisoral
      
   2. 
      Cytosar, Cormyctin, Lomycitin
      
   3. 
      Rubomycin, Bleomycin, Mytomycin С
      
   4. 
      Captopril, Enalapril
      
   5. 
      Isoniazid, Ftivazid, Pyrazinamid
      

10. 
    A 2 years old girl has been ill for 3 days. Today she has low grade fever, mild catarrhal signs, pink maculopapular rash on her buttocks and enlarged occipital lymph nodes. What is the diagnosis?
    
    1. 
       Measles
       
    2. 
       Adenoviral infection
       
    3. 
       Scarlet fever
       
    4. 
       *Rubella
       
    5. 
       Pseudotuberculosis
       

11. 
    A 3 year old child has been suffering from fever, cough, corryza, conjunctivitis for 4 days. Today he has fever up to 39 °C and maculopapular rash on his face. Except of rash the child's skin has no changes. What is your diagnosis?
    
    1. 
       Scarlet fever
       
    2. 
       Rubella
       
    3. 
       Pseudotuberculosis
       
    4. 
       *Measles
       
    5. 
       Allergic rash
       

12. 
    A 36-year-old woman is on the 12-th week of her first pregnancy. In the past history she received treatment for infertility. Recently she visited guests and contacted a child who developed rubella in 2 days after meeting. The woman doesn't remember whether she had rubella or not. What is the adequate tactics?
    
    1. 
       *Monitoring of the specific Ig G, Ig M
       
    2. 
       Acyclovir administration
       
    3. 
       Immune globulin injection
       
    4. 
       Interruption of the pregnancy
       
    5. 
       Interferon administration
       

13. 
    A 4-year-old child on the 5th day of illness complains of cough, rash on the skin. Temperature is 38.2 °C, face is puffy, photophobia, conjunctivitis. There is a bright papulomacular rash on the face, neck, upper half of the thorax. Pharynx is hyperemic. There is serous and purulent discharge from the nose, dry rales in the lungs. What is the preliminary diagnosis?