Children infectious diseases



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  • Meningococcal infection (meningoencephalitis)

  • Measles (meningoencephalitis)

  • Which form of poliomyelitis has this patient (Fig. 13)?

    1. spinal

    2. *pontine

    3. bulbar

    4. meningeal

    5. inapparent

  • To the patient was diagnosed poliomyelitis, pontine form (Fig. 13), indicate which pair of cranial nerves is damaged?

    1. 7th on the right

    2. *7th on the left

    3. 5th on the right

    4. 5th on the left

    5. 5th and 7th on the left

  • What disease this syndrome (Fig. 15) is typical for?

    1. *Infectious mononucleosis

    2. Hepatitis A

    3. Adenovirus infection

    4. Salmonellosis (gastrointestinal form)

    5. Shigellosis

  • What disease this syndrome (Fig. 15) is typical for?

    1. Infectious mononucleosis

    2. Hepatitis B

    3. Typhoid fever

    4. Salmonellosis (septic form)

    5. *All of them

  • Typical complication of what disease is shown in Fig. 16?

    1. *Shigellosis

    2. Salmonella infection

    3. Rotavirus infection

    4. Cholera infection

    5. Colibacteriosis (E. coli infection)

  • Indicate the reason for the development of this complication (Fig. 16) in shigellosis:

    1. *Paresis of the rectal sphincter

    2. Rectal mucosa ulceration

    3. Separation of rectal mucosa from submucosa

    4. Necrosis of the rectal mucosa

    5. Spasm of the rectal sphincter

  • To which group belongs this medicine (Fig. 17)?

    1. *Fluoroquinolones

    2. Cephalosporins 2nd generation

    3. Cephalosporins 3rd generation

    4. Aminoglycosides

    5. Nitrofurans

  • Indicate the dose of this medicineg (Fig. 17) for salmonellosis treatment in a child.

    1. *10-15 mg / kg

    2. 25-30 mg / kg

    3. 50-75 mg / kg

    4. 100-150 mg / kg

    5. 30-50 mg / kg

  • How many times per day should be given this medicine (Fig. 17) to child with salmonellosis?

    1. *2 times a day

    2. 3 times a day

    3. 1 time a day

    4. 4 times a day

    5. 6 times a day

  • To which group belongs this medicine (Fig. 18)?

    1. Fluoroquinolones

    2. Cephalosporins 2nd generation

    3. Cephalosporins 3rd generation

    4. Aminoglycosides

    5. *Nitrofurans

  • How many times per day should be given this medicine (Fig. 18) to 4 years old child for treatment of intestinal infection, moderate severity?

    1. 2 times a day

    2. 3 times a day

    3. 1 time per day

    4. *4 times a day

    5. 6 times a day

  • What changes are presented in Figure 2?

    1. Malnutrition

    2. Paratrophia

    3. *Reduced skin elasticity

    4. Reduced soft tissues turgor

    5. Normal skin elasticity

  • Reduced skin elasticity in this child (Fig. 2) is developed due to:

    1. *Dehydration

    2. Malnutrition

    3. Pylorostenosis

    4. Protein-deficiency anemia

    5. Reduced soft tissues turgor

  • What symptom of dehydration is shown in Fig. 2?

    1. *Reduced skin elasticity

    2. Sunken large fontanel

    3. Weight loss more than 5%

    4. Dryness of mucous membranes

    5. Oliguria

  • What form of Meningococcal infection is represented in fig. 25?

    1. Typical meningococcemia

    2. *Fulminant meningococcemia

    3. Meningitis with meningococcemia

    4. Nasopharyngitis

    5. Chronic meningococcemia

  • How long should be given this medicine (Fig. 21) to a child with diarrhea?

    1. 5-7 days

    2. 1-2 weeks

    3. 3-4 days

    4. *Not less than 14 days

    5. Not less than 1 month

  • Represented medicine (Fig. 21) belongs to:

    1. Enterosorbents

    2. Medicines for oral rehydration

    3. *Probiotics

    4. Medicines for parenteral rehydration

    5. Enzyme preparations of the pancreas

  • Name changes on the radiograph (Fig. 14).

    1. Right lower lobe pneumonia

    2. Right medial lobe pneumonia

    3. Right upper lobe pneumonia

    4. *Right-sided polysegmental pneumonia

    5. Right-sided pleuropneumonia

  • A radiograph of the chest cavity (Fig. 14) presents:

    1. *polysegmental pneumonia

    2. focal pneumonia

    3. interstitial pneumonia

    4. lobar pneumonia

    5. lobular pneumonia

  • 4. Represented medicine (Fig. 22) belongs to:

    1. *Enterosorbents

    2. Medicines for oral rehydration

    3. Probiotics

    4. Medicines for parenteral rehydration

    5. Enzyme preparations of the pancreas

  • Name a dose of this medicine (Fig. 22) for a child with diarrhea:

    1. *100 mg / kg / day in 3 divided doses

    2. 1000 mg / kg / day in 3 divided doses

    3. 500 mg / kg / day in 3 divided doses

    4. 10 mg / kg / day in 3 divided doses

    5. 5 mg / kg / day in 3 divided doses

  • How long should be given this medicine (Fig. 22) to a child with diarrhea?

    1. *5-7 days

    2. 1-2 weeks

    3. 1-2 days

    4. 10-14 days

    5. Not less than 1 month

  • This medicine (Fig. 23) belongs to:

    1. Enterosorbents

    2. *Medicines for oral rehydration

    3. Probiotics

    4. Medicines for parenteral rehydration

    5. Enzymes of the pancreas

  • How long should be given this medicine (Fig. 23) for the first phase of rehydration?

    1. *4-6 hours

    2. 8-10 hours

    3. 10-12 hours

    4. 14-18 hours

    5. 20-24 hours

  • What amount of boiled water should be used to prepare this solution (Fig. 23)?

    1. 1000 ml

    2. 500 ml

    3. *200 ml

    4. 400 ml

    5. 300 ml

  • How many of the prepared solution (Fig. 23) is used for the first phase of oral rehydration therapy in children with dehydration of the first degree?

    1. *50 ml / kg body weight of the child

    2. 100 ml / kg body weight of the child

    3. 150 ml / kg body weight of the child

    4. 200 ml / kg body weight of the child

    5. 230 ml / kg body weight of the child

  • How many of the prepared solution (Fig. 23) is used for the first phase of oral rehydration therapy in children with dehydration of the third degree?

    1. 50 ml / kg body weight of the child

    2. 100 ml / kg body weight of the child

    3. 150 ml / kg body weight of the child

    4. 200 ml / kg body weight of the child

    5. They need parenteral rehydration

  • How many of the prepared solution (Fig. 23) is used for the first phase of oral rehydration therapy in children with dehydration of the second degree?

    1. 50 ml / kg body weight of the child

    2. *100 ml / kg body weight of the child

    3. 150 ml / kg body weight of the child

    4. 200 ml / kg body weight of the child

    5. 230 ml / kg body weight of the child

  • How many of the prepared solution (Fig. 23) is used for the second phase of oral rehydration therapy in children with dehydration?

    1. 50 ml / kg body weight of the child

    2. *100 ml / kg body weight of the child

    3. 150 ml / kg body weight of the child

    4. 200 ml / kg body weight of the child

    5. 230 ml / kg body weight of the child

  • A radiograph of the chest (Fig. 19) presents:

    1. *segmental pneumonia

    2. focal pneumonia

    3. lobular pneumonia

    4. lobar pneumonia

    5. destructive pneumonia

  • This radiograph (Fig. 19) is typical for:

    1. *segmental pneumonia

    2. lobar pneumonia

    3. focal bronchopneumonia

    4. staphylococcal pneumonia

    5. obstructive bronchitis

  • A radiograph of the chest (Fig. 19) presents pneumonia, which is known as:

    1. *bronchopneumonia

    2. interstitial pneumonia

    3. lobular pneumonia

    4. lobar pneumonia

    5. pleuropneumonia

  • Name changes on this radiograph (Fig. 20).

    1. Left lower lobe pneumonia

    2. Left pleuritis

    3. Left upper lobe pneumonia

    4. *Left polysegmental pneumonia

    5. Left pleuropneumonia

  • A radiograph of the chest (Fig. 20) presents:

    1. *polysegmental pneumonia

    2. focal pneumonia

    3. interstitial pneumonia

    4. lobar pneumonia

    5. lobular pneumonia

  • What form of Meningococcal infection is represented in Fig. 27?

    1. Typical meningococcemia

    2. *Fulminant meningococcemia

    3. Meningitis with meningococcemia

    4. Nasopharyngitis

    5. Chronic meningococcemia

  • What infectious disease can be diagnosed in this patient (Fig. 27)?

    1. *Meningococcal disease

    2. Measles

    3. Scarlet fever

    4. Chickenpox

    5. Pseudotuberculosis

  • What infectious disease can be diagnosed in this patient (Fig. 25)?

    1. *Meningococcal disease

    2. Measles

    3. Scarlet fever

    4. Chickenpox

    5. Pseudotuberculosis

  • Which form of Meningococcal infection is typical such localization of exanthem (Fig. 27)?

    1. Typical meningococcemia

    2. *Fulminant meningococcemia

    3. Meningitis with meningococcemia

    4. Nasopharyngitis

    5. Chronic meningococcemia

  • What changes are characteristic for a spinal fluid, presented on figure 35?

    1. Cellular-protein dissociation

    2. Increased level of sugar

    3. Protein-cellular dissociation

    4. Pandy Reaction +

    5. Significantly reduced level of sugar

  • What microbiological changes are possible in a spinal fluid, presented on figure 35?

    1. *Presence of diplococcus

    2. Presence of micobacteria tuberculosis

    3. Presence of poliovirus

    4. Presence of enterovirus

    5. Absence of any agent

  • Represented medicine (Fig. 26) belongs to:

    1. *Enterosorbents

    2. Medicines for oral rehydration

    3. Probiotics

    4. Medicines for parenteral rehydration

    5. Enzyme preparations of the pancreas

  • What is the course of treatment by this medicine (Fig. 26) for a child with diarrhea:

    1. *5-7 days

    2. 1-2 weeks

    3. 1-2 days

    4. 10-14 days

    5. Not less than 1 month

  • Presented on a fig. 35 spinal fluid is characteristic for:

    1. *Purulent meningitis

    2. Serous meningitis

    3. Meningism

    4. Tubercular meningitis

    5. Healthy child

  • What does a turbid spinal fluid testify about (fig. 35)?

    1. * About the high level of polymorphonuclear cells

    2. About the high level of chlorides

    3. About the high level of lymphocites

    4. About the high level of sugar

    5. About the presence of viruses in it

  • What biochemical changes are characteristic for a spinal fluid, presented on figure 35?

    1. *Protein more than 1 g/l

    2. Increased level of sugar

    3. Protein less than 1 g/l

    4. Normal level of chlorides

    5. Significantly reduced level of sugar

  • What biochemical changes are characteristic for a spinal fluid, presented on figure 35?

    1. *Pandy Reaction +++

    2. Protein-cellular dissociation

    3. Normal level of cells in it

    4. Increased level of sugar

    5. Significantly reduced level of sugar

  • Identify the disease in this patient (Fig. 28).

    1. *Left-sided parotitis

    2. Left-sided submaxillitis

    3. Left-sided cervical lymphadenitis

    4. Left-sided mastoiditis

    5. Perforated left-sided otitis media

  • Indicate the form of mumps in this patient (Fig. 28).

    1. *Isolated glandular

    2. Glandular combined

    3. Complicated

    4. Glandular isolated, complicated

    5. Glandular combined, complicated

  • Indicate what changes in the oral mucosa can be expected in this patient (Fig. 28)?

    1. *Hyperemia and edema of the external orifice of Stensen’s duct

    2. Hyperemia and edema of the internal orifice of Stensen’s duct

    3. Paleness of the external orifice of Stensen’s duct

    4. Paleness of the internal orifice of Stensen’s duct

    5. No changes

  • What disease has the child in Fig. 29?

    1. *Mumps

    2. Quincke’s edema

    3. Right-sided perytonsillar abscess

    4. Diphtheria of the pharynx, toxic form

    5. Cervical lymphadenitis

  • Indicate what specific symptom has the patient presented in Fig. 29 (right)?

    1. *Moorson sign

    2. Filatov sign

    3. Koplik sign

    4. Pastia sign

    5. Belsky sign

  • Name the way that Mantoux test is done (fig. 30).

    1. *Intracutaneously

    2. Subcutaneously

    3. Intramusculary

    4. By application on the skin

    5. By the skin scarification

  • Name the phenomen while tuberculin is injected, represented on this picture (fig. 30):

    1. *Papule

    2. Macule

    3. Pustule

    4. Vesicule

    5. Urtica

  • What substance or vaccine is injected by this way (fig. 30)?

    1. *Tuberculin

    2. BCG-vaccine

    3. MMR-vaccine

    4. DTP-vaccine

    5. Hib-vaccine

  • Name the way that tuberculin is injected (fig. 30).

    1. *Intracutaneously

    2. Subcutaneously

    3. Intramusculary

    4. By application on the skin

    5. By the skin scarification

  • What amount of tuberculin should be input to the syringe for the Mantoux test (fig. 30)?

    1. *0.2 ml

    2. 0.5 ml

    3. 0.4 ml

    4. 0.1 ml

    5. 0.3 ml

  • What amount of tuberculin should be injected to the patient for the Mantoux test (fig. 30)?

    1. *0.1 ml

    2. 0.2 ml

    3. 0.5 ml

    4. 0.4 ml

    5. 0.3 ml

  • How many international units of tuberculin should be injected for the Mantoux test (fig. 30)?

    1. 1

    2. *2

    3. 3

    4. 4

    5. 5

  • Name the way of this vaccine administration (fig. 31).

    1. *Intramusculary

    2. By the skin scarification

    3. Orally (by the mouth)

    4. Intracutaneously

    5. Subcutaneously

  • Name healthy child’s age, when this vaccine is given according the schedule (fig. 31).

    1. *3, 4 months

    2. 3, 4, 5 months

    3. 3, 4, 5, 18 months

    4. 3, 4, 5, 18, month, 6 years

    5. 3 months only

  • Which vaccine is given by this way (fig. 32)?

    1. *OPV-vaccine

    2. IPV-vaccine

    3. Influenza-vaccine

    4. MMR-vaccine

    5. Hib-vaccine

  • Which vaccination (according the schedule) against poliovirus is given by this way (fig. 32)?

    1. *3rd, 4th, 5th and 6th

    2. 1st and 2nd

    3. Only the 1st

    4. 1st, 2nd and 3rd

    5. All of them

  • Name healthy child’s age, when oral polio vaccine is given (fig. 32).

    1. *5, 18 month, 6, 14 years

    2. 3, 4 months

    3. 3, 4, 5 months

    4. 3, 4, 5, 18 months

    5. 3 months only

  • How many components does this vaccine include (fig. 33)?

    1. *4

    2. 5

    3. 3

    4. 6

    5. 7

  • Name healthy child’s age, when this vaccine (fig. 33) is given for primary vaccination according the schedule.

    1. *3, 4, 5 months

    2. 3, 4, 5, 18 months

    3. 3, 4 months

    4. 3, 4, 5, 18 months and 6 years

    5. 18 months and 6 years

  • Name healthy child’s age, when this vaccine is given according the schedule (fig. 34).

    1. *3-7th day after birth, 7, 14 years

    2. 3-7th day after birth only

    3. 7 years only

    4. 14 years only

    5. 3-7th day after birth, 7, 14, 18 years

  • What microscopic changes are characteristic for a spinal fluid, presented on a picture 35?

    1. *the high level of polymorphonuclear cells

    2. the high level of lymphocytes

    3. Normal level of protein

    4. Significantly reduced level of sugar

    5. Erythrocytes cover all visual field

  • At a child of 2 months with congenital heart disease, deafness during the inspection such changes fig. 36) were found. Which congenital infectious disease is characterized by these changes?

    1. *Rubella

    2. Varicella

    3. Herpes simplex

    4. Cytomegalovirus

    5. Toxoplasmosis

  • One of the Greg’s triad components is represented on fig. 36. Name other two.

    1. *congenital heart disease, deafness

    2. congenital heart disease, clift palate

    3. congenital heart disease, clift upper lip

    4. clift palate, deafness

    5. deafness, spina bifida

  • At a child of 1 month with congenital heart disease, deafness during the inspection also such changes (fig. 36) were found. This triad is known as:

    1. *Greg’s triad

    2. Fallot’s triad

    3. Filatov’s sign

    4. Koplick’s sign

    5. Pastia’s sign

  • Which disease is characterized by the presented symptoms (Fig. 40)?

    1. *Tonsillar diphtheria, toxic form

    2. Mumps infection, bilateral submaxillitis

    3. Mumps infection, bilateral parotitis

    4. Bilateral cervical lymphadenitis

    5. Quincke’s edema

  • Indicate the form of diphtheria in this patient (Fig. 40).

    1. *Tonsillar diphtheria, toxic form

    2. Tonsillar diphtheria, spread form

    3. Nasopharyngeal diphtheria, toxic form

    4. Nasopharyngeal diphtheria, spread form

    5. Laryngeal diphtheria, laryngotracheobronchitis

  • This multicomponent vaccine (fig. 37) is given according the schedule for healthy children predominantly in:

    1. 3, 4 months

    2. 3, 4, 5 months

    3. *3, 4, 5, 18 months

    4. 3, 4, 5, 18, month, 6 years

    5. 3 months only

  • How many diseases this multicomponent vaccine (fig. 37) will prevent?

    1. *5

    2. 6

    3. 7

    4. 3

    5. 4

  • What demonstrates this picture (fig. 24)?

    1. Places for comparative percussion of lungs

    2. Places for auscultation of lungs

    3. Places for cardiac valves auscultation

    4. Location of possible pleural effusion

    5. *Location of retractions in case of croup

  • Retractions, presented on this picture, are typical for:

    1. Bronchitis

    2. *Croup syndrome

    3. Uncomplicated pneumonia

    4. Tracheobronchitis

    5. Pleuropneumonia

  • How often children should be vaccinated by such vaccine (fig. 38)?

    1. *Once a year in september-october

    2. Once a year in december-february

    3. Twice a year in autmn and spring

    4. Twice a year in winter and spring

    5. Once in 2-3 years

  • This monovaccine (fig. 39) predominantly is given for:

    1. *Primary vaccination against Rubella in adolescent girls (15 years)

    2. Primary vaccination against Rubella in 12 month

    3. Primary vaccination against Rubella in 6 years

    4. Primary combined vaccination against Rubella, Measles and Mumps

    5. Primary combined vaccination against Rubella, and Mumps

  • In what age this monovaccine is usually used for primary vaccination (fig. 39)?

    1. *For 15 years girls

    2. For 15 years boys

    3. In 12 months

    4. In 6 years

    5. In 12 months, 6 years

  • This vaccine (fig. 39) belongs to live vaccines, name another live vaccine.

    1. *BCG

    2. IPV

    3. Hepatitis B

    4. Hib

    5. DTP

  • What means the "bull neck" symptom, presented in Fig. 40?

    1. Nuchal rigidity

    2. Meningitis posture

    3. *Swelling of the neck subcutaneous tissue

    4. Increased anterior cervical lymph nodes

    5. Swelling of the submandibular salivary glands

  • What disease the presented symptoms (Fig. 41) are typical for?

    1. Measles

    2. Rubella

    3. Mumps

    4. Thrush

    5. Chickenpox

  • What period of measles does this patient have(Fig. 41)?

    1. Catarrhal

    2. *Eruption (rashes)

    3. Pigmentation

    4. Scaling

    5. Residual

  • Indicate the day of the eruption period in this patient (Figure 41).

    1. 1st

    2. 2nd

    3. 3rd

    4. 4th

    5. 5th

  • Indicate the possible day of the disease in this patient (Fig. 41).

    1. 1-3rd

    2. 4-5th

    3. 6-7ht

    4. 8-10th

    5. 2 weeks

  • What disease is characterized by this symptom (Fig. 42)?

    1. *Measles

    2. Rubella

    3. Mumps

    4. Thrush

    5. Chickenpox

  • Name the pathognomonic symptom of measles (Fig. 42).

    1. Moorson’s sign

    2. Filatov’s sign

    3. *Koplik’s sign

    4. Pastia’s sign

    5. Kernig’s sign

  • What disease is characterized by the presented symptoms (Fig. 43)?

    1. Tonsillar diphtheria, toxic form

    2. Mumps infection, bilateral submaxillitis

    3. *Infectious mononucleosis

    4. Scarlet fever

    5. Streptococcal tonsillitis

  • Describe the rash on Fig. 44:

    1. *Polymorphic

    2. Macular

    3. Petechial

    4. Papular

    5. Erythema

  • Which infectious disease is this rash (Fig. 44) typical for?

    1. *Varicella

    2. Measles

    3. Rubella

    4. Scarlet fever

    5. Pseudotubercullosis

  • What complication of chickenpox is presented on this picture (Fig. 44)?

    1. Pustullosis

    2. Erythema

    3. Phlegmona

    4. Scarring

    5. *No complications

  • Which form of chicken pox the represented rash (Fig. 44) is characteristic for?

    1. Hemorrhagic

    2. Bullosa

    3. Generalized

    4. Rudimentary

    5. *Typical

  • Which infectious disease is this rash (Fig. 45) typical for?

    1. *Herpes simplex

    2. Varicella

    3. Herpes zoster

    4. Erysipelas

    5. Anthrax

  • Describe the rash on Fig. 45:

    1. Polymorphic

    2. Macular

    3. Petechial

    4. Papular

    5. *Vesicular

  • Which infectious disease is this rash (Fig. 46) typical for?

    1. Herpes zoster*

    2. Herpes simplex

    3. Varicella

    4. Streptoderma

    5. Variola

  • Describe the rash on Fig. 46:

    1. Erythema

    2. Macular

    3. Petechial

    4. Papular

    5. Vesicular *

  • Which infectious disease is this rash (Fig. 47) typical for?

    1. Herpes zoster *

    2. Herpes simplex

    3. Varicella

    4. Rubella

    5. Measles

  • Describe the rash on Fig. 47:

    1. Erythema

    2. Macular

    3. Petechial

    4. Papular

    5. *Vesicular

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