bet 23/23 Sana 23.06.2017 Hajmi 1,36 Mb. #13623
Meningococcal infection (meningoencephalitis)
Measles (meningoencephalitis)
Which form of poliomyelitis has this patient (Fig. 13)?
spinal
*pontine
bulbar
meningeal
inapparent
To the patient was diagnosed poliomyelitis , pontine form (Fig. 13), indicate which pair of cranial nerves is damaged?
7th on the right
*7th on the left
5th on the right
5th on the left
5th and 7th on the left
What disease this syndrome (Fig. 15) is typical for?
*Infectious mononucleosis
Hepatitis A
Adenovirus infection
Salmonellosis (gastrointestinal form)
Shigellosis
What disease this syndrome (Fig. 15) is typical for?
Infectious mononucleosis
Hepatitis B
Typhoid fever
Salmonellosis (septic form)
*All of them
Typical complication of what disease is shown in Fig. 16?
*Shigellosis
Salmonella infection
Rotavirus infection
Cholera infection
Colibacteriosis (E. coli infection)
Indicate the reason for the development of this complication (Fig. 16) in shigellosis:
*Paresis of the rectal sphincter
Rectal mucosa ulceration
Separation of rectal mucosa from submucosa
Necrosis of the rectal mucosa
Spasm of the rectal sphincter
To which group belongs this medicine (Fig. 17)?
*Fluoroquinolones
Cephalosporins 2nd generation
Cephalosporins 3rd generation
Aminoglycosides
Nitrofurans
Indicate the dose of this medicineg (Fig. 17) for salmonellosis treatment in a child.
*10-15 mg / kg
25-30 mg / kg
50-75 mg / kg
100-150 mg / kg
30-50 mg / kg
How many times per day should be given this medicine (Fig. 17) to child with salmonellosis?
*2 times a day
3 times a day
1 time a day
4 times a day
6 times a day
To which group belongs this medicine (Fig. 18)?
Fluoroquinolones
Cephalosporins 2nd generation
Cephalosporins 3rd generation
Aminoglycosides
*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?
2 times a day
3 times a day
1 time per day
*4 times a day
6 times a day
What changes are presented in Figure 2?
Malnutrition
Paratrophia
*Reduced skin elasticity
Reduced soft tissues turgor
Normal skin elasticity
Reduced skin elasticity in this child (Fig. 2) is developed due to:
*Dehydration
Malnutrition
Pylorostenosis
Protein-deficiency anemia
Reduced soft tissues turgor
What symptom of dehydration is shown in Fig. 2?
*Reduced skin elasticity
Sunken large fontanel
Weight loss more than 5%
Dryness of mucous membranes
Oliguria
What form of Meningococcal infection is represented in fig. 25?
Typical meningococcemia
*Fulminant meningococcemia
Meningitis with meningococcemia
Nasopharyngitis
Chronic meningococcemia
How long should be given this medicine (Fig. 21) to a child with diarrhea?
5-7 days
1-2 weeks
3-4 days
*Not less than 14 days
Not less than 1 month
Represented medicine (Fig. 21) belongs to:
Enterosorbents
Medicines for oral rehydration
*Probiotics
Medicines for parenteral rehydration
Enzyme preparations of the pancreas
Name changes on the radiograph (Fig. 14).
Right lower lobe pneumonia
Right medial lobe pneumonia
Right upper lobe pneumonia
*Right-sided polysegmental pneumonia
Right-sided pleuropneumonia
A radiograph of the chest cavity (Fig. 14) presents:
*polysegmental pneumonia
focal pneumonia
interstitial pneumonia
lobar pneumonia
lobular pneumonia
4. Represented medicine (Fig. 22) belongs to:
*Enterosorbents
Medicines for oral rehydration
Probiotics
Medicines for parenteral rehydration
Enzyme preparations of the pancreas
Name a dose of this medicine (Fig. 22) for a child with diarrhea:
*100 mg / kg / day in 3 divided doses
1000 mg / kg / day in 3 divided doses
500 mg / kg / day in 3 divided doses
10 mg / kg / day in 3 divided doses
5 mg / kg / day in 3 divided doses
How long should be given this medicine (Fig. 22) to a child with diarrhea?
*5-7 days
1-2 weeks
1-2 days
10-14 days
Not less than 1 month
This medicine (Fig. 23) belongs to:
Enterosorbents
*Medicines for oral rehydration
Probiotics
Medicines for parenteral rehydration
Enzymes of the pancreas
How long should be given this medicine (Fig. 23) for the first phase of rehydration?
*4-6 hours
8-10 hours
10-12 hours
14-18 hours
20-24 hours
What amount of boiled water should be used to prepare this solution (Fig. 23)?
1000 ml
500 ml
*200 ml
400 ml
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?
*50 ml / kg body weight of the child
100 ml / kg body weight of the child
150 ml / kg body weight of the child
200 ml / kg body weight of the child
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?
50 ml / kg body weight of the child
100 ml / kg body weight of the child
150 ml / kg body weight of the child
200 ml / kg body weight of the child
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?
50 ml / kg body weight of the child
*100 ml / kg body weight of the child
150 ml / kg body weight of the child
200 ml / kg body weight of the child
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?
50 ml / kg body weight of the child
*100 ml / kg body weight of the child
150 ml / kg body weight of the child
200 ml / kg body weight of the child
230 ml / kg body weight of the child
A radiograph of the chest (Fig. 19) presents:
*segmental pneumonia
focal pneumonia
lobular pneumonia
lobar pneumonia
destructive pneumonia
This radiograph (Fig. 19) is typical for:
*segmental pneumonia
lobar pneumonia
focal bronchopneumonia
staphylococcal pneumonia
obstructive bronchitis
A radiograph of the chest (Fig. 19) presents pneumonia, which is known as:
*bronchopneumonia
interstitial pneumonia
lobular pneumonia
lobar pneumonia
pleuropneumonia
Name changes on this radiograph (Fig. 20).
Left lower lobe pneumonia
Left pleuritis
Left upper lobe pneumonia
*Left polysegmental pneumonia
Left pleuropneumonia
A radiograph of the chest (Fig. 20) presents:
*polysegmental pneumonia
focal pneumonia
interstitial pneumonia
lobar pneumonia
lobular pneumonia
What form of Meningococcal infection is represented in Fig. 27?
Typical meningococcemia
*Fulminant meningococcemia
Meningitis with meningococcemia
Nasopharyngitis
Chronic meningococcemia
What infectious disease can be diagnosed in this patient (Fig. 27)?
*Meningococcal disease
Measles
Scarlet fever
Chickenpox
Pseudotuberculosis
What infectious disease can be diagnosed in this patient (Fig. 25)?
*Meningococcal disease
Measles
Scarlet fever
Chickenpox
Pseudotuberculosis
Which form of Meningococcal infection is typical such localization of exanthem (Fig. 27)?
Typical meningococcemia
*Fulminant meningococcemia
Meningitis with meningococcemia
Nasopharyngitis
Chronic meningococcemia
What changes are characteristic for a spinal fluid , presented on figure 35?
Cellular-protein dissociation
Increased level of sugar
Protein-cellular dissociation
Pandy Reaction +
Significantly reduced level of sugar
What microbiological changes are possible in a spinal fluid, presented on figure 35?
*Presence of diplococcus
Presence of micobacteria tuberculosis
Presence of poliovirus
Presence of enterovirus
Absence of any agent
Represented medicine (Fig. 26) belongs to:
*Enterosorbents
Medicines for oral rehydration
Probiotics
Medicines for parenteral rehydration
Enzyme preparations of the pancreas
What is the course of treatment by this medicine (Fig. 26) for a child with diarrhea:
*5-7 days
1-2 weeks
1-2 days
10-14 days
Not less than 1 month
Presented on a fig. 35 spinal fluid is characteristic for:
*Purulent meningitis
Serous meningitis
Meningism
Tubercular meningitis
Healthy child
What does a turbid spinal fluid testify about (fig. 35)?
* About the high level of polymorphonuclear cells
About the high level of chlorides
About the high level of lymphocites
About the high level of sugar
About the presence of viruses in it
What biochemical changes are characteristic for a spinal fluid, presented on figure 35?
*Protein more than 1 g/l
Increased level of sugar
Protein less than 1 g/l
Normal level of chlorides
Significantly reduced level of sugar
What biochemical changes are characteristic for a spinal fluid, presented on figure 35?
*Pandy Reaction +++
Protein-cellular dissociation
Normal level of cells in it
Increased level of sugar
Significantly reduced level of sugar
Identify the disease in this patient (Fig. 28).
*Left-sided parotitis
Left-sided submaxillitis
Left-sided cervical lymphadenitis
Left-sided mastoiditis
Perforated left-sided otitis media
Indicate the form of mumps in this patient (Fig. 28).
*Isolated glandular
Glandular combined
Complicated
Glandular isolated, complicated
Glandular combined, complicated
Indicate what changes in the oral mucosa can be expected in this patient (Fig. 28)?
*Hyperemia and edema of the external orifice of Stensen’s duct
Hyperemia and edema of the internal orifice of Stensen’s duct
Paleness of the external orifice of Stensen’s duct
Paleness of the internal orifice of Stensen’s duct
No changes
What disease has the child in Fig. 29?
*Mumps
Quincke’s edema
Right-sided perytonsillar abscess
Diphtheria of the pharynx, toxic form
Cervical lymphadenitis
Indicate what specific symptom has the patient presented in Fig. 29 (right)?
*Moorson sign
Filatov sign
Koplik sign
Pastia sign
Belsky sign
Name the way that Mantoux test is done (fig. 30).
*Intracutaneously
Subcutaneously
Intramusculary
By application on the skin
By the skin scarification
Name the phenomen while tuberculin is injected, represented on this picture (fig. 30):
*Papule
Macule
Pustule
Vesicule
Urtica
What substance or vaccine is injected by this way (fig. 30)?
*Tuberculin
BCG-vaccine
MMR-vaccine
DTP-vaccine
Hib-vaccine
Name the way that tuberculin is injected (fig. 30).
*Intracutaneously
Subcutaneously
Intramusculary
By application on the skin
By the skin scarification
What amount of tuberculin should be input to the syringe for the Mantoux test (fig. 30)?
*0.2 ml
0.5 ml
0.4 ml
0.1 ml
0.3 ml
What amount of tuberculin should be injected to the patient for the Mantoux test (fig. 30)?
*0.1 ml
0.2 ml
0.5 ml
0.4 ml
0.3 ml
How many international units of tuberculin should be injected for the Mantoux test (fig. 30)?
1
*2
3
4
5
Name the way of this vaccine administration (fig. 31).
*Intramusculary
By the skin scarification
Orally (by the mouth)
Intracutaneously
Subcutaneously
Name healthy child’s age, when this vaccine is given according the schedule (fig. 31).
*3, 4 months
3, 4, 5 months
3, 4, 5, 18 months
3, 4, 5, 18, month, 6 years
3 months only
Which vaccine is given by this way (fig. 32)?
*OPV-vaccine
IPV-vaccine
Influenza-vaccine
MMR-vaccine
Hib-vaccine
Which vaccination (according the schedule) against poliovirus is given by this way (fig. 32)?
*3rd, 4th, 5th and 6th
1st and 2nd
Only the 1st
1st, 2nd and 3rd
All of them
Name healthy child’s age, when oral polio vaccine is given (fig. 32).
*5, 18 month, 6, 14 years
3, 4 months
3, 4, 5 months
3, 4, 5, 18 months
3 months only
How many components does this vaccine include (fig. 33)?
*4
5
3
6
7
Name healthy child’s age, when this vaccine (fig. 33) is given for primary vaccination according the schedule.
*3, 4, 5 months
3, 4, 5, 18 months
3, 4 months
3, 4, 5, 18 months and 6 years
18 months and 6 years
Name healthy child’s age, when this vaccine is given according the schedule (fig. 34).
*3-7th day after birth, 7, 14 years
3-7th day after birth only
7 years only
14 years only
3-7th day after birth, 7, 14, 18 years
What microscopic changes are characteristic for a spinal fluid, presented on a picture 35?
*the high level of polymorphonuclear cells
the high level of lymphocytes
Normal level of protein
Significantly reduced level of sugar
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?
*Rubella
Varicella
Herpes simplex
Cytomegalovirus
Toxoplasmosis
One of the Greg’s triad components is represented on fig. 36. Name other two.
*congenital heart disease, deafness
congenital heart disease, clift palate
congenital heart disease, clift upper lip
clift palate, deafness
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:
*Greg’s triad
Fallot’s triad
Filatov’s sign
Koplick’s sign
Pastia’s sign
Which disease is characterized by the presented symptoms (Fig. 40)?
*Tonsillar diphtheria, toxic form
Mumps infection, bilateral submaxillitis
Mumps infection, bilateral parotitis
Bilateral cervical lymphadenitis
Quincke’s edema
Indicate the form of diphtheria in this patient (Fig. 40).
*Tonsillar diphtheria, toxic form
Tonsillar diphtheria, spread form
Nasopharyngeal diphtheria, toxic form
Nasopharyngeal diphtheria, spread form
Laryngeal diphtheria, laryngotracheobronchitis
This multicomponent vaccine (fig. 37) is given according the schedule for healthy children predominantly in:
3, 4 months
3, 4, 5 months
*3, 4, 5, 18 months
3, 4, 5, 18, month, 6 years
3 months only
How many diseases this multicomponent vaccine (fig. 37) will prevent?
*5
6
7
3
4
What demonstrates this picture (fig. 24)?
Places for comparative percussion of lungs
Places for auscultation of lungs
Places for cardiac valves auscultation
Location of possible pleural effusion
*Location of retractions in case of croup
Retractions, presented on this picture, are typical for:
Bronchitis
*Croup syndrome
Uncomplicated pneumonia
Tracheobronchitis
Pleuropneumonia
How often children should be vaccinated by such vaccine (fig. 38)?
*Once a year in september-october
Once a year in december-february
Twice a year in autmn and spring
Twice a year in winter and spring
Once in 2-3 years
This monovaccine (fig. 39) predominantly is given for:
*Primary vaccination against Rubella in adolescent girls (15 years)
Primary vaccination against Rubella in 12 month
Primary vaccination against Rubella in 6 years
Primary combined vaccination against Rubella, Measles and Mumps
Primary combined vaccination against Rubella, and Mumps
In what age this monovaccine is usually used for primary vaccination (fig. 39)?
*For 15 years girls
For 15 years boys
In 12 months
In 6 years
In 12 months, 6 years
This vaccine (fig. 39) belongs to live vaccines, name another live vaccine.
*BCG
IPV
Hepatitis B
Hib
DTP
What means the "bull neck" symptom, presented in Fig. 40?
Nuchal rigidity
Meningitis posture
*Swelling of the neck subcutaneous tissue
Increased anterior cervical lymph nodes
Swelling of the submandibular salivary glands
What disease the presented symptoms (Fig. 41) are typical for?
Measles
Rubella
Mumps
Thrush
Chickenpox
What period of measles does this patient have(Fig. 41)?
Catarrhal
*Eruption (rashes)
Pigmentation
Scaling
Residual
Indicate the day of the eruption period in this patient (Figure 41).
1st
2nd
3rd
4th
5th
Indicate the possible day of the disease in this patient (Fig. 41).
1-3rd
4-5th
6-7ht
8-10th
2 weeks
What disease is characterized by this symptom (Fig. 42)?
*Measles
Rubella
Mumps
Thrush
Chickenpox
Name the pathognomonic symptom of measles (Fig. 42).
Moorson’s sign
Filatov’s sign
*Koplik’s sign
Pastia’s sign
Kernig’s sign
What disease is characterized by the presented symptoms (Fig. 43)?
Tonsillar diphtheria, toxic form
Mumps infection, bilateral submaxillitis
*Infectious mononucleosis
Scarlet fever
Streptococcal tonsillitis
Describe the rash on Fig. 44:
*Polymorphic
Macular
Petechial
Papular
Erythema
Which infectious disease is this rash (Fig. 44) typical for?
*Varicella
Measles
Rubella
Scarlet fever
Pseudotubercullosis
What complication of chickenpox is presented on this picture (Fig. 44)?
Pustullosis
Erythema
Phlegmona
Scarring
*No complications
Which form of chicken pox the represented rash (Fig. 44) is characteristic for?
Hemorrhagic
Bullosa
Generalized
Rudimentary
*Typical
Which infectious disease is this rash (Fig. 45) typical for?
*Herpes simplex
Varicella
Herpes zoster
Erysipelas
Anthrax
Describe the rash on Fig. 45:
Polymorphic
Macular
Petechial
Papular
*Vesicular
Which infectious disease is this rash (Fig. 46) typical for?
Herpes zoster*
Herpes simplex
Varicella
Streptoderma
Variola
Describe the rash on Fig. 46:
Erythema
Macular
Petechial
Papular
Vesicular *
Which infectious disease is this rash (Fig. 47) typical for?
Herpes zoster *
Herpes simplex
Varicella
Rubella
Measles
Describe the rash on Fig. 47:
Erythema
Macular
Petechial
Papular
*Vesicular
Do'stlaringiz bilan baham: