Children infectious diseases

In junior and middle school age

At schoolboys

61. 
    What is the entrance gate (atrium) of mumps?
    
    1. 
       *Mucous of the mouth, nose, throat
       
    2. 
       Mucous of the mouth, nose, throat, conjunctiva
       
    3. 
       Mucous of the mouth, nose, throat, tonsills
       
    4. 
       Mucous of the mouth, nose, throat, ducts of salivary glands
       
    5. 
       Ducts of salivary glands
       

62. 
    What changes will be present in the complete blood count at mumps?
    
    1. 
       *Leucopenia (sometimes leucocytosis in the first days), lymphocytosis
       
    2. 
       Leucopenia, lymphocytosis, elevated or normal ESR
       
    3. 
       leucocytosis, lymphocytosis, increased or normal ESR
       
    4. 
       Leucopenia (sometimes leucocytosis in the first days), lymphocytosis, plasmocytosis
       
    5. 
       leucocytosis, neutrophlia, eosynophylia, elevated ESR
       

63. 
    A patient with chicken pox is isolated on:
    
    1. 
       2 days after the last element of rash has appeared
       
    2. 
       *5 days after the last element of rash has appeared
       
    3. 
       7 days after the last element of rash has appeared
       
    4. 
       11 days after the last element of rash has appeared
       
    5. 
       21 day after the last element of rash has appeared
       

64. 
    A rare complication of whooping cough may include:
    
    1. 
       *All the listed
       
    2. 
       Spontaneous pneumothorax
       
    3. 
       Hernia
       
    4. 
       Brain hemorrhage
       
    5. 
       Rectal prolapse
       

65. 
    A vaccine against the chicken pox is named as:
    
    1. 
       MMR
       
    2. 
       BCG
       
    3. 
       DTaP
       
    4. 
       *Varilrix
       
    5. 
       OPV
       

66. 
    Abortive forms of whooping cough are characterized by:
    
    1. 
       *All the listed
       
    2. 
       Mild course of disease
       
    3. 
       The absence of the typical paroxismal cough
       
    4. 
       Shortened duration of illness
       
    5. 
       They occur in vaccinated
       

67. 
    Acyclovir therapy at chicken pox is not given in case of:
    
    1. 
       cytostatic therapy
       
    2. 
       glucocorticoids therapy
       
    3. 
       HIV-infection
       
    4. 
       *inborn antibodies deficit
       
    5. 
       severe course of chicken pox
       

68. 
    All of the blood indicators are typical for whooping cough in 1 year old child, except:
    
    1. 
       *Eosinophilia
       
    2. 
       Normal ESR
       
    3. 
       Mild leukocytosis
       
    4. 
       Lymphocytosis
       
    5. 
       Monocytosis
       

69. 
    All statements about the serological diagnosis of whooping cough are true, except:
    
    1. 
       *Serological investigation is the most diagnostically significant
       
    2. 
       Used to identify postvaccinal and postinfection immunity
       
    3. 
       Can be used for retrospective confirmation of diagnosis in unvaccinated children
       
    4. 
       Can be used for retrospective confirmation of the diagnosis in adults
       
    5. 
       Used in vaccinated children, in contact with whooping cough and in ill patients
       

70. 
    What age groups of children has mumps more frequently?
    
    1. 
       *Under-fives, junior schoolboys
       
    2. 
       Toddlers.
       
    3. 
       Children of early age and under-fives
       
    4. 
       Teenagers and schoolboys of middle school age
       
    5. 
       Infants.
       

71. 
    What is the evidence to interrupt the pregnancy after the contact with a Rubella patient?
    
    1. 
       Contact with a patient with Rubella in any term of pregnancy
       
    2. 
       *Growth of titre of rubella antibodies at the repeated serological research, term of pregnancy up to 12 weeks
       
    3. 
       Stable title of rubella antibodies at the repeated serological research, term of pregnancy up to 12 weeks
       
    4. 
       Growth of title of rubella antibodies at the repeated serological research, term of pregnancy over 12 weeks
       
    5. 
       Stable title of rubella antibodies at the repeated serological research, term of pregnancy over 12 weeks
       

72. 
    Antibacterial therapy at chicken pox is given:
    
    1. 
       in case of cytostatic therapy
       
    2. 
       in case of glucocorticoids therapy
       
    3. 
       in case of meningoencephalitis
       
    4. 
       *in case of bacterial complications
       
    5. 
       in case of generalised form of chicken pox
       

73. 
    Appearance of point white-grey elements on a red background of buccal mucosa, gums is a typical sign of:
    
    1. 
       Rubella
       
    2. 
       adenoviral infection
       
    3. 
       Scarlet fever
       
    4. 
       *measles
       
    5. 
       enteroviral infection
       

74. 
    Appearance of point white-grey elements on a red background of buccal mucosa, gums is a typical sign of:
    
    1. 
       Rubella
       
    2. 
       adenoviral infection
       
    3. 
       Scarlet fever
       
    4. 
       *measles
       
    5. 
       enteroviral infection
       

75. 
    What features of meningoencephalitis at measles?
    
    1. 
       *severe duration, high lethality
       
    2. 
       Defeat of cerebellum, convalescence without the remaining phenomena
       
    3. 
       Defeat of cerebellum, central paralyses
       
    4. 
       mild duration, without the remaining phenomena
       
    5. 
       Development of purulent meningitis
       

76. 
    What changes in the lymphatic system organs are typical for Rubella?
    
    1. 
       hepatosplenomegaly, lymphadenopathy
       
    2. 
       Catarrhal, follicle or lacunar tonsillitis
       
    3. 
       adenoiditis, tonsillitis
       
    4. 
       enlargement and tenderness of the anterior and posterior cervical lymph nodes
       
    5. 
       *enlargement and tenderness of the posterior cervical and occipital lymph nodes
       

77. 
    What duration of rashes presence at Rubella?
    
    1. 
       1-2 days
       
    2. 
       *2-3 days
       
    3. 
       3-4 days
       
    4. 
       4-5 days
       
    5. 
       5-6 days
       

78. 
    What symptoms will differ infectious mononucleosis from Rubella?
    
    1. 
       Morphology and stages of rashes, time of its appearance, absence of tonsillitis, expressed catarrhal syndrome
       
    2. 
       Morphology and localization of rashes, absence of tonsillitis, increase of posterior cervical and occipital lymph nodes, insignificant catarrhal syndrome
       
    3. 
       *rashes are not obvious, increase of posterior and anterior cervical lymph nodes, hepatosplenomegaly, tonsillitis, and adenoiditis
       
    4. 
       Morphology and localization of rashes, increase of all groups of lymph nodes, hepatosplenomegaly, intestinal problems, damage of the other organs and systems
       
    5. 
       Obligatory presence of rashes, increase of posterior cervical and occipital lymph nodes, insignificant catarrhal signs, absence of hepatosplenomegaly, tonsillitis, adenoiditis
       

79. 
    What changes in complete blod test will be typical for pseudotuberculosis?
    
    1. 
       leucocytosis, neutrophilia, eosynopenia, elevated ESR
       
    2. 
       leucocytosis, lymphomonocytosis, elevated ESR
       
    3. 
       *leucocytosis, neutrophilia, eosynophylia, elevated ESR
       
    4. 
       leucopenia, anaemia, lymphocytosis, elevated ESR
       
    5. 
       leucocytosis, lymphocytosis, plasmocytosis, normal ESR
       

80. 
    What investigation should be used for the early diagnostics of pseudotuberculosis?
    
    1. 
       Bacteriological examination of excrements, urine, blood
       
    2. 
       *immune-enzyme analysis, immune-fluorescent test
       
    3. 
       aglutination reaction
       
    4. 
       indirect hemaglutination reaction
       
    5. 
       indirect hemaglutination reaction with paired sera
       

81. 
    In what age Rubella complication by meningoencephalitis is more frequent?
    
    1. 
       In new-born
       
    2. 
       At infants
       
    3. 
       At the children of early age
       
    4. 
       In preschoolers
       
    5. 
       *In teenagers
       

82. 
    What part of the intestinum is damaged more frequent at the abdominal form of pseudotuberculosis?
    
    1. 
       cecum, ascending and transversal colon
       
    2. 
       cecum, appendix
       
    3. 
       duodenum, small intestinum, cecum
       
    4. 
       *Terminal department of small intestinum, cecum, appendix
       
    5. 
       Descending colon, sygmoid colon
       

83. 
    What changes on the tongue are typical for pseudotuberculosis?
    
    1. 
       *«strawberry» tongue
       
    2. 
       «nipple» tongue
       
    3. 
       «geographical» tongue
       
    4. 
       sour
       
    5. 
       aphthae
       

84. 
    What, except the features of rashes, will differ scarlet fever from pseudotuberculosis?
    
    1. 
       Stages of rashes, conjunctivitis, expressed catarrhal signs
       
    2. 
       Polymorphism of rashes, localization of it on hairy part of the head, mucus membraines
       
    3. 
       hemorrhagic star-like rashes on shins, thighs, meningeal syndrome, nasopharyngitis
       
    4. 
       *Presence of tonsillitis, increase of only tonsillar lymph nodes, absent: arthritis, intestinal problems, damage of the other organs and systems
       
    5. 
       Small elements of rashes, their concentration in skin folds, presence of tonsillitis, absent catarrhal signs
       

85. 
    Which measles symptoms will be different from scarlet fever? Name them.
    
    1. 
       *Character, localization and stages of rashes, catarrhal syndrome, presence of the Koplick's spots; absence of: tonsillitis, «strawberry» tongue, lymphadenitis
       
    2. 
       Obligatory presence of rashes, increase of posterior cervical and occipital lymph nodes, insignificant catarrhal signs, absence of hepatosplenomegaly, tonsillitis, adenoiditis
       
    3. 
       rashes are not obvious, increase of posterior and anterior cervical lymph nodes, hepatosplenomegaly, tonsillitis, and adenoiditis
       
    4. 
       Small elements of rashes, their concentration in skin folds, presence of tonsillitis, absent catarrhal signs
       
    5. 
       Morphology and localization of rashes, increase of all groups of lymph nodes, hepatosplenomegaly, intestinal problems, damage of the other organs and systems
       

86. 
    What research will prove pseudotuberculosis at the patient?
    
    1. 
       Smears from a nose and throat on diphtheria
       
    2. 
       leucocytosis and neutrophilia, encreased ESR
       
    3. 
       agglutination reaction with pseudotubercular diagnostic test, titre of antibodies 1:80
       
    4. 
       *indirect hemagglutination reaction with pseudotubercular diagnostic test, titre of antibodies > 1: 200
       
    5. 
       Double growth of antibodies titre in paired sera
       

87. 
    What pathognomonic sign of measles do you know?
    
    1. 
       Filatov's sign
       
    2. 
       Pastia's sign
       
    3. 
       *Koplick's spots
       
    4. 
       Murson's sign
       
    5. 
       Presence of enanthem on a soft palate
       

88. 
    What is the reason of relative bradycardia in case of pseudotuberculosis?
    
    1. 
       *By activating of the parasympatic nervous system by toxins
       
    2. 
       By influence of bacteria on the vegetative nervous system
       
    3. 
       By development of myocarditis
       
    4. 
       By activating of the sympatic nervous system by toxins
       
    5. 
       By direct toxic influence on myocardium
       

89. 
    Indicate the morphological features of Koplick's spots.
    
    1. 
       Red point elements surrounded by the red framing, on mucus of lips, cheecks, gums
       
    2. 
       maculo-papulous elements on a soft palate
       
    3. 
       white-grey spots on the hard and soft palate
       
    4. 
       *white-grey point elements surrounded by the red framing, on mucus of lips, cheecks, gums
       
    5. 
       white-grey islets on the tongue
       

90. 
    What factor of C. diphtheria causes polyneuropathy?
    
    1. 
       exotoxin
       
    2. 
       *neuraminidase
       
    3. 
       hyalurinidase
       
    4. 
       necrotising diffuse factor
       
    5. 
       Cord-factor
       

91. 
    What is the evidence to administer recombinant interferon in Rubella treatment?
    
    1. 
       Complication by thrombocytopenic purpura
       
    2. 
       *CNS complications
       
    3. 
       severe typical forms of the disease
       
    4. 
       Arthritis, synovitis
       
    5. 
       innate Rubella without the active signs of process
       

92. 
    Name complications of the acquired Rubella.
    
    1. 
       *Meningitis, encephalitis, arthritis
       
    2. 
       glomerulonephritis, arthritis, myocarditis
       
    3. 
       stomatitis, enterocolitis, pyelonephritis
       
    4. 
       Syndrome of croup, pneumonia
       
    5. 
       purulent meningitis, meningoencephalitis
       

93. 
    Indicate the main ways of the pseudotuberculosis transmission.
    
    1. 
       fecal-oral, contact-domestic
       
    2. 
       *by food, water
       
    3. 
       contact, water
       
    4. 
       by food, contact
       
    5. 
       droplet, contact
       

94. 
    At a child with mumps is exposed positive Fylatov's sign. Give its description.
    
    1. 
       edema and hyperemia of the external opening of the Stensen's duct
       
    2. 
       *pain behind and at the front of ear-lobes at talk, mastication
       
    3. 
       white point stratifications on cheeks mucous
       
    4. 
       dryness in the mouth, cracks on the tongue
       
    5. 
       tear of the tongue bridle
       

95. 
    At a child with mumps was exposed positive Murson's sign. Give its description.
    
    1. 
       *edema and hyperemia of the external opening of the Stensen's duct
       
    2. 
       pain behind and at the front of ear-lobes at talk, mastication
       
    3. 
       white point stratifications on cheeks mucous
       
    4. 
       dryness in the mouth, cracks on the tongue
       
    5. 
       tear of the tongue bridle
       

96. 
    Indicate the probable time of the rashes appearance at Rubella.
    
    1. 
       *On 1-3rd day of disease
       
    2. 
       On 4-5th day of disease
       
    3. 
       On 6-7th day of disease
       
    4. 
       On 8-10th day of disease
       
    5. 
       More than 10th day from the beginning of illness
       

97. 
    A pin-point rashes, mainly in skin folds, in the inguinal region, on the lateral surfaces of trunk are characteristic for:
    
    1. 
       Rubella
       
    2. 
       Pseudotuberculosis
       
    3. 
       *Scarlet fever
       
    4. 
       measles
       
    5. 
       enteroviral infections
       

98. 
    Name the evidence to prescribe corticosteroids at pseudotuberculosis.
    
    1. 
       moderate degree of disease, polyartritis
       
    2. 
       severe degree of disease, exacerbations and relapses
       
    3. 
       *severe degree of disease, myocarditis
       
    4. 
       Toxic damage of kidneys, polyarthritis
       
    5. 
       Toxic damage of myocardium, arthritis
       

99. 
    At what infectious exanthema rashes will have pigmentation stage, sculling of the epidermis?
    
    1. 
       *Measles
       
    2. 
       Rubella
       
    3. 
       Pseudotuberculosis
       
    4. 
       Scarlet fever
       
    5. 
       Chicken pox
       

100. 
     Enumerate clinical syndromes typical for the end of catarrhal period at measles.
     
     1. 
        Abdominal, toxic, catarrhal
        
     2. 
        *toxic, catarrhal, enanthem on a soft palate, Koplick's spots
        
     3. 
        intestinal, toxic, catarrhal
        
     4. 
        enanthem on a soft palate, toxic, catarrhal
        
     5. 
        enanthem on a soft palate, toxic, catarrhal, increase of posterior cervical and occipital lymph nodes
        

101. 
     What is the average duration of catarrhal period at measles?
     
     1. 
        1-2 days
        
     2. 
        2-3 days
        
     3. 
        *3-4 days
        
     4. 
        5-6 days
        
     5. 
        7 days
        

102. 
     What type of temperature is typical for uncomplicated measles?
     
     1. 
        remittent
        
     2. 
        intermittent
        
     3. 
        *two-humped type
        
     4. 
        hectic
        
     5. 
        subfebrile temperature
        

103. 
     What is the latent period of pseudotuberculosis?
     
     1. 
        25-30 days
        
     2. 
        *3-18 days
        
     3. 
        9-21 day
        
     4. 
        2-7 days
        
     5. 
        11-17 days
        

104. 
     What is the second phase of the pseudotuberculosis pathogenesis?
     
     1. 
        regional infection
        
     2. 
        *entheric
        
     3. 
        generalyzation
        
     4. 
        Infection
        
     5. 
        bacteremia
        

105. 
     What phase of the pseudotuberculosis pathogenesis is the next after the phase of regional infection.
     
     1. 
        parenchymal diffusion
        
     2. 
        entheric
        
     3. 
        Infection
        
     4. 
        *generalyzation
        
     5. 
        bacteremia
        

106. 
     Describe morphology of the rashes at pseudotuberculosis.
     
     1. 
        maculo-papulous, weathering, bright, sometimes hemorrhagic, on the unchanged background
        
     2. 
        pin-point, unweathering, on a red background
        
     3. 
        Polymorphic (spots, papules, vesicles), on the unchanged background
        
     4. 
        small macules, rose, on the unchanged background
        
     5. 
        *pin-point, maculo-papulous, weathering round joints, on a red background
        

107. 
     In what cases the patient with pseudotuberculosis can be treated at home?
     
     1. 
        mild, moderate degree of disease, satisfactory financial and house conditions
        
     2. 
        mild, moderatedegree of disease, child of senior age
        
     3. 
        mild degree of disease, child of early age
        
     4. 
        *mild degree of disease, satisfactory financial and house conditions
        
     5. 
        Effaced, atypical, mild, moderate forms of disease
        

108. 
     What fluids and environments of the organism does it follow to examine to confirm pseudotuberculosis?
     
     1. 
        Bile, urine, excrements, nasopharyngeal mucus
        
     2. 
        Saliva, blood, urine, excrements
        
     3. 
        CSF, blood, urine, excrements
        
     4. 
        *Blood, urine, excrements, nasopharyngeal mucus
        
     5. 
        CSF, blood, urine, excrement, nasopharyngeal mucus
        

109. 
     What is the rashes evolution in Rubella?
     
     1. 
        pigmentation
        
     2. 
        macrosculling
        
     3. 
        *disappears without any changes
        
     4. 
        crusts, then pigmentation
        
     5. 
        pigmentation, then sculling
        

110. 
     Indicate the typical changes in cerebro-spinal fluid in case of Rubella?
     
     1. 
        neutrophyl pleocytosis, normal level of sugar
        
     2. 
        neutrophyl pleocytosis, raised level of protein
        
     3. 
        *lymphocyte pleocytosis, normal level of protein
        
     4. 
        lymphocyte pleocytosis, raised level of sugar
        
     5. 
        lymphocyte pleocytosis, considerably decreased level of sugar
        

111. 
     What changes on oral mucosa are typical for rubella?
     
     1. 
        enanthem on a soft palate, the Koplick's spots
        
     2. 
        Hyperemia of the external opening of the parotid salivary gland's channel
        
     3. 
        Catarrhal tonsillitis, rough back pharyngeal wall
        
     4. 
        maculous enanthem on a hard palate, herpangina
        
     5. 
        *maculous enanthem on a soft palate, hyperemia of the throat
        

112. 
     Name the phase of the pseudotuberculosis pathogenesis following after entheric phase.
     
     1. 
        parenchymal diffusion
        
     2. 
        *regional infection
        
     3. 
        generalyzation
        
     4. 
        Infection
        
     5. 
        bacteremia
        

113. 
     Pseudotuberculosis belongs to the group of:
     
     1. 
        anthroponoses
        
     2. 
        anthropozoonoses
        
     3. 
        ornithoses
        
     4. 
        zooornithoses
        
     5. 
        *zoonoses
        

114. 
     What will differ pseudotuberculosis, jaundice form from a hemolytic jaundice?
     
     1. 
        High level of bilirubin (due to indirect), normal level of aminotransferases
        
     2. 
        High level of bilirubin (due to direct), normal level of aminotransferases
        
     3. 
        Splenomegaly, damage of other organs and systems
        
     4. 
        High level of bilirubin (due to indirect), splenomegaly, anaemia
        
     5. 
        *Damage of other organs and systems, raised level of bilirubin (due to direct) and bilirubin
        

115. 
     What will differ pseudotuberculosis, jaundice form from hepatitis A, mild severity?
     
     1. 
        Considerably raised level of bilirubin and aminotransferases
        
     2. 
        High level of bilirubin (due to indirect), normal level of aminotransferases
        
     3. 
        High level of bilirubin (due to direct), normal level of aminotransferases
        
     4. 
        *Splenomegaly, damage of other organs and systems
        
     5. 
        High level of bilirubin (due to indirect), splenomegaly, anaemia
        

116. 
     What are the pseudotuberculosis complications?
     
     1. 
        Toxic damage of kidneys, arthritis, myocarditis