Children infectious diseases

1. 
   *Posterior neck
   
2. 
   Supraclavicular
   
3. 
   Occipital
   
4. 
   Tonsillar
   
5. 
   Axillary
   

241. 
     The most common herpes virus infection are all except:
     
     1. 
        *Herpetic encephalitis
        
     2. 
        Herpes of the lips
        
     3. 
        Herpes of the skin
        
     4. 
        Ophthalmic herpes
        
     5. 
        Genital herpes
        

242. 
     What immunity develops after infectious mononucleosis?
     
     1. 
        Immunity is unsteady, unsterile
        
     2. 
        Immunity is unsteady, typospecific
        
     3. 
        Immunity is unsteady
        
     4. 
        Immunity is prolonged, typospecific
        
     5. 
        *Immunity is stabile, long life
        

243. 
     The pathogenesis of mumps is characterized by everything except:
     
     1. 
        *The virus enters through a Stensen’s duct
        
     2. 
        Mucous membranes of the mouth, pharynx, nose are the input gates
        
     3. 
        Virus is trail to the glandular tissue
        
     4. 
        Virus is trail to the nervous system
        
     5. 
        Virusemia - one of the major pathogenetic mechanisms of the disease
        

244. 
     What laboratory investigation is the best for early diagnostic of whooping cough?
     
     1. 
        "cough plates" method;
        
     2. 
        Serological method;
        
     3. 
        The reaction of the complement binding;
        
     4. 
        *Immune-enzyme method;
        
     5. 
        DNA polymerase reaction.
        

245. 
     The specific prophylaxis of chicken pox is:
     
     1. 
        *vaccination
        
     2. 
        isolation of patient up to 5 days since the last rashes appear
        
     3. 
        isolation of contact person
        
     4. 
        ventilation and moist cleaning
        
     5. 
        acyclovir in the first 5 days after the contact
        

246. 
     The Varicella-Zoster Virus belongs to:
     
     1. 
        Adenoviridae
        
     2. 
        Rhinoviridae
        
     3. 
        *Herpes virus family
        
     4. 
        Hepadnaviridae
        
     5. 
        Paramyxovirus family
        

247. 
     Which from laboratory animals can be infected and become ill with measles?
     
     1. 
        Dogs
        
     2. 
        *Monkeys
        
     3. 
        Rabbits
        
     4. 
        Mice
        
     5. 
        Chickens
        

248. 
     What is epidemiological peculiarity of infectious mononucleosis?
     
     1. 
        Sporadic cases in summer
        
     2. 
        *Flashes in families
        
     3. 
        Epidemia
        
     4. 
        Epidemia in cold time of year
        
     5. 
        Epidemia in spring-summer time of year
        

249. 
     Indicate the possible source of diphtheria.
     
     1. 
        *carriers of toxigenic strains
        
     2. 
        domestic animals
        
     3. 
        carriers of nontoxigenic strains
        
     4. 
        carriers of C.xerosis
        
     5. 
        carriers of C.enzimaticum
        

250. 
     Indicate the possible source of diphtheria.
     
     1. 
        viral carriers
        
     2. 
        domestic animals
        
     3. 
        *patients with diphtheria
        
     4. 
        rodents
        
     5. 
        poultry
        

251. 
     Indicate the possible source of infectious mononucleosis:
     
     1. 
        Domestic animals
        
     2. 
        Poultry
        
     3. 
        Wild animals
        
     4. 
        Cattle
        
     5. 
        *viral carriers
        

252. 
     What changes in blood analysis are typical for Whooping cough?
     
     1. 
        Leucocytosis with neutrophilia;
        
     2. 
        Leucopenia with lymphocytosis;
        
     3. 
        *Leucocytosis with lymphocytosis;
        
     4. 
        Leucocytosis with lymphopenia;
        
     5. 
        Leucopenia with neutropenia.
        

253. 
     What age does it follow to perform the vaccination and re-vaccination against measles?
     
     1. 
        At 3, 4, 5 months
        
     2. 
        *In 1 year, 6 years
        
     3. 
        In 1 year, 11 years
        
     4. 
        In 1 year, 6, 11 years
        
     5. 
        In 1 year, 6, 15 years
        

254. 
     What titer of antibodies in Complement Binding Reaction will be diagnostic on a 2nd week of mumps?
     
     1. 
        *1 : 40
        
     2. 
        1 : 10
        
     3. 
        1 : 20
        
     4. 
        1 : 32
        
     5. 
        1 : 16
        

255. 
     When is it possible to select a virus of mumps from an organism?
     
     1. 
        *Last 1-3 days of latent period and 3-4 days from the beginning of illness
        
     2. 
        Last 1-3 days of latent period and 7-9 days from the beginning of illness
        
     3. 
        3-4 days from the beginning of illness
        
     4. 
        7-9 days from the beginning of illness
        
     5. 
        Last 1-3 days of the acute period
        

256. 
     What fluids of organism will contain the virus of mumps?
     
     1. 
        *Saliva, blood, spinal fluid
        
     2. 
        Urine, excrement, bile
        
     3. 
        Urine, blood, spinal fluid
        
     4. 
        Urine, excrement, blood
        
     5. 
        Saliva, excrement, bile
        

257. 
     What is the mechanism of congenital Rubella transmission?
     
     1. 
        air-droplet
        
     2. 
        alimentary
        
     3. 
        *hemocontact
        
     4. 
        droplet
        
     5. 
        Contact
        

258. 
     What agent is diphtheria caused by?
     
     1. 
        Corynebacterium enzimaticum
        
     2. 
        *Corynebacterium diphtheriae
        
     3. 
        Corynebacterium pyogenes
        
     4. 
        Corynebacterium haemoliticus
        
     5. 
        Corynebacterium xerosis
        

259. 
     What results of complete blood analysis in pseudotuberculosis will be different from scarlet fever?
     
     1. 
        Increased number of plasmatic cells, normal ESR
        
     2. 
        monocytosis, normal ESR
        
     3. 
        Appearance of atypical mononuclear cells, increased ESR
        
     4. 
        leucocytosis, increased ESR
        
     5. 
        *No one
        

260. 
     Indicate the duration of the agent secretion in case of congenital Rubella.
     
     1. 
        *1.5-2 years
        
     2. 
        1.5-2 weeks
        
     3. 
        1.5-2 months
        
     4. 
        Till 5 days from the beginning of disease
        
     5. 
        Till 5 days after appearance of exanthema
        

261. 
     What age does it follow to vaccinate the child against Rubella?
     
     1. 
        *In 1 year
        
     2. 
        At 1.5 years
        
     3. 
        In 3 years
        
     4. 
        In 6 years
        
     5. 
        In 11 years
        

262. 
     What is characteristically for the congenital Rubella?
     
     1. 
        Murson's Symptom
        
     2. 
        Filatov's Symptom
        
     3. 
        Pastia's Symptom
        
     4. 
        *Greg's Triad
        
     5. 
        Koplick's Symptom
        

263. 
     What with is a Rubella virus secreted to the environment in case of congenital Rubella?
     
     1. 
        With a blood, saliva, sweat
        
     2. 
        With a blood, urine, sweat
        
     3. 
        With sweat, nasopharyngeal mucus
        
     4. 
        *With excrements, urine, nasopharyngeal mucus
        
     5. 
        With saliva, urine, blood
        

264. 
     Tonsillitis may be a manifestation of any of the following diseases, except:
     
     1. 
        *Respiratory syncitial infection
        
     2. 
        Enteroviral infection (Coxsackie)
        
     3. 
        Fuzospirillous infection
        
     4. 
        Candida infection
        
     5. 
        Infectious mononucleosis
        

265. 
     Typical mechanism of chicken pox transmission is:
     
     1. 
        *droplet
        
     2. 
        alimentary
        
     3. 
        parentheral
        
     4. 
        contact
        
     5. 
        transplacental
        

266. 
     Vincent's tonsillitis is characterized by all except:
     
     1. 
        *Violations of the general condition
        
     2. 
        Not significant pain syndrome
        
     3. 
        Unilateral defeat
        
     4. 
        Ulcer-necrotic changes
        
     5. 
        The lack of regional lymph nodes reaction
        

267. 
     Viral pneumonia, as complication of chicken pox develops in:
     
     1. 
        *first 3-4 days of exanthema period
        
     2. 
        last 3-4 days of exanthema period
        
     3. 
        period of crusts
        
     4. 
        period of sculling
        
     5. 
        period of hyperpigmentation
        

268. 
     What antibacterial drug is better for 1 month infant with whooping cough?
     
     1. 
        *Azithromycin
        
     2. 
        Penicillin
        
     3. 
        Streptomycin
        
     4. 
        Bactrim
        
     5. 
        Gentamicin
        

269. 
     What antibiotic should be used for the whooping cough treatment?
     
     1. 
        Cephasolin;
        
     2. 
        Benzylpenicillin;
        
     3. 
        *Ampicillin;
        
     4. 
        Tetracyclin;
        
     5. 
        Nifuroxasid.
        

270. 
     What antibiotic should be used for the whooping cough treatment?
     
     1. 
        Cephasolin;
        
     2. 
        Benzylpenicillin;
        
     3. 
        *Erythromycin;
        
     4. 
        Ciprofloxacin;
        
     5. 
        Nifuroxasid.
        

271. 
     What antibiotic should not be used for the whooping cough treatment?
     
     1. 
        Ampicillin;
        
     2. 
        *Cefazoline;
        
     3. 
        Amoxacillin;
        
     4. 
        Gentamicin;
        
     5. 
        Cefotaxim.
        

272. 
     What are the features of whooping cough in infants?
     
     1. 
        *All the listed
        
     2. 
        Shortening of the incubation and catarrhal period
        
     3. 
        The prevalence of severe forms in the course of disease
        
     4. 
        Frequent complications
        
     5. 
        The absence of typical coughing paroxysms
        

273. 
     What changes does it follow to expect in the blood test of patients with chicken pox?
     
     1. 
        Leucocytosis with neutrophilia;
        
     2. 
        *Leucopenia with lymphocytosis;
        
     3. 
        Leucocytosis with lymphocytosis;
        
     4. 
        Leucocytosis with lymphopenia;
        
     5. 
        Leucopenia with neutropenia
        

274. 
     What changes in the peripheral blood can confirm a diagnosis of tonsillitis?
     
     1. 
        *Neutrophilic leucocytosis with a left shift
        
     2. 
        Leukopenia in with lymphocytosis
        
     3. 
        Slightly elevated ESR
        
     4. 
        Reduced hemoglobin levels and low color index
        
     5. 
        The number of atypical mononuclear cells in a smear more than 10%
        

275. 
     What complication is the most likely in the patient with perytonsillitis?
     
     1. 
        *Lymphadenitis
        
     2. 
        Paresis of soft palate
        
     3. 
        Myocarditis
        
     4. 
        Polyneuritis
        
     5. 
        Pneumonia
        

276. 
     What differs the pathogenesis of herpes zoster from varicella?
     
     1. 
        *Reactivation of varicella zoster virus in the immune organism
        
     2. 
        The manifestation of primary infection in the organism susceptible to varicella zoster virus
        
     3. 
        Reactivation of herpes simplex virus in the immune organism
        
     4. 
        Reactivation of the Epstein-Barr virus in the immune organism
        
     5. 
        None of the above
        

277. 
     What does not belong to allergic complications of scarlet fever?
     
     1. 
        rheumatic fever
        
     2. 
        myocarditis
        
     3. 
        arthritis
        
     4. 
        *myositis
        
     5. 
        nephritis
        

278. 
     What does not belong to infectious complications of scarlet fever?
     
     1. 
        purulent lymphadenitis
        
     2. 
        necrotizing tonsillitis
        
     3. 
        *keratitis
        
     4. 
        otitis
        
     5. 
        sinusitis
        

279. 
     What does not belong to specific complications of chicken pox?
     
     1. 
        encephalitis
        
     2. 
        croup
        
     3. 
        keratitis
        
     4. 
        pneumonia
        
     5. 
        *myositis
        

280. 
     What does not belong to the atypical forms of chicken pox?
     
     1. 
        hemorrhagic
        
     2. 
        bullous
        
     3. 
        gangrenous
        
     4. 
        *ulcerative
        
     5. 
        generalized
        

281. 
     What does not belong to the atypical forms of scarlet fever?
     
     1. 
        hemorrhagic form
        
     2. 
        hypertoxic form
        
     3. 
        extrabuccal form
        
     4. 
        *necrotizing form
        
     5. 
        scarlet fever without rashes
        

282. 
     What from enumerated is not the sign of scarlet fever?
     
     1. 
        skin shelling from the second week of illness
        
     2. 
        *pigmentation after rashes
        
     3. 
        „strawberry" tongue
        
     4. 
        „scarlet fever" heart
        
     5. 
        white dermographism
        

283. 
     What from enumerated is not the sign of scarlet fever?
     
     1. 
        *conjunctivitis
        
     2. 
        changes of the tongue
        
     3. 
        tonsillitis
        
     4. 
        „blazing" pharynx
        
     5. 
        rashes
        

284. 
     What from enumerated is not the sign of scarlet fever?
     
     1. 
        intoxication
        
     2. 
        *cold
        
     3. 
        tonsillitis
        
     4. 
        regional lymphadenitis
        
     5. 
        rashes
        

285. 
     What from the following is used for the treatment of uncomplicated moderate infectious mononucleosis?
     
     1. 
        *None of the above
        
     2. 
        Antidiphtheritic serum
        
     3. 
        Steroid hormones
        
     4. 
        Local antifungal treatment
        
     5. 
        Antibiotics
        

286. 
     What is characteristically for a typical form of scarlet fever?
     
     1. 
        Prolong fever before rashes
        
     2. 
        Koplick's spots appear before the rashes
        
     3. 
        rashes are provoked by the use of semisynthetic penicillins
        
     4. 
        appearance of new elements is accompanied by the increase of body temperature
        
     5. 
        *exfoliation of epidermis on the second week after rashes
        

287. 
     What is not characterized for herpes zoster?
     
     1. 
        It is more common in elderly
        
     2. 
        Varicella-zoster virus can not penetrate through the placental barrier
        
     3. 
        Infectivity is low (10-20%)
        
     4. 
        An airborne way of transmission
        
     5. 
        *Varicella-zoster viruses have affinity for herpes simplex virus
        

288. 
     What is not recommended for the secondary bacterial infection (in a mouth) prophylaxis to patient with a chicken pox:
     
     1. 
        gargle of the mouth cavity by 5 % boric acid solution
        
     2. 
        gargle of mouth cavity by weak potassium permanganate solution
        
     3. 
        gargle of mouth cavity by weak furacillin solution
        
     4. 
        gargle of mouth cavity by the boiled water
        
     5. 
        *antibiotics (a half of the usual dose)
        

289. 
     What is not typical for the blood picture in case of "Sixth disease"?
     
     1. 
        *Eosinophilia
        
     2. 
        Pronounced leukopenia
        
     3. 
        Granulocytopenia
        
     4. 
        Lymphocytosis
        
     5. 
        Thrombocytopenia
        

290. 
     What is not typical for the epidemiology of varicella?
     
     1. 
        *It is transmitted through a third person, care facilities
        
     2. 
        The source of infection can be patient with herpes zoster
        
     3. 
        The infection can spread through the keyhole, door gaps
        
     4. 
        Pathogen die when exposed to ultraviolet rays
        
     5. 
        An airborne way of transmission
        

291. 
     What is not typical for the varicella rash?
     
     1. 
        *The formation of scars on the soles and palms
        
     2. 
        The first elements appear on the face and scalp
        
     3. 
        Duration of rash 2-8 days
        
     4. 
        Polymorphism
        
     5. 
        Itching
        

292. 
     What is not typical for the varicella rash?
     
     1. 
        *Skin sores
        
     2. 
        Each new eruption is accompanied by a new rise in body temperature
        
     3. 
        All stages of the rash elements can be seen simultaneously
        
     4. 
        Rash is located superficially
        
     5. 
        Involvement of the scalp skin and mucous membranes
        

293. 
     What is the whooping cough contagiousness?
     
     1. 
        *70-80%
        
     2. 
        20%
        
     3. 
        40%
        
     4. 
        95%
        
     5. 
        100%
        

294. 
     What is the dose of erythromycin at scarlet fever?
     
     1. 
        10-15 mg/kg/day
        
     2. 
        *30-50 mg/kg/day
        
     3. 
        50-100 mg/kg/day
        
     4. 
        100-150 mg/kg/day
        
     5. 
        20-30 mg/kg/day
        

295. 
     What is the dose of penicillin at scarlet fever?
     
     1. 
        30-50 mg/kg/day
        
     2. 
        50-100 mg/kg/day
        
     3. 
        100-150 mg/kg/day
        
     4. 
        *50-100 thousand IU/kg/day
        
     5. 
        100-200 thousand IU/kg/day
        

296. 
     What is the duration of scarlet fever latent period?
     
     1. 
        1-2 hours
        
     2. 
        *till 7 days
        
     3. 
        1-2 days
        
     4. 
        11-21 day
        
     5. 
        30 days
        

297. 
     What is the etiology of scarlet fever?
     
     1. 
        Varicella-Zoster
        
     2. 
        Neisseria meningitidis
        
     3. 
        Staphylococcus aureus
        
     4. 
        Parvovirus
        
     5. 
        *group A B-hemolytic streptococcus
        

298. 
     What is the main cause of asphyxia in diphtheria croup?
     
     1. 
        *Trachea blockage by fibrinous membrane
        
     2. 
        The presence of a viscous secretion
        
     3. 
        Edema of the mucous membrane
        
     4. 
        Reflex spasm of laryngeal muscles
        
     5. 
        Necrosis of mucosa
        

299. 
     What is the main cause of low mumps virus distribution in the environment?
     
     1. 
        *No patients with catarrhal symptoms, and virus isolation from large drops of saliva
        
     2. 
        The virus is transmitted from person to person primarily through contaminated saliva
        
     3. 
        The relatively high percentage (30-40) of atypical forms of mumps
        
     4. 
        Virus is not stable to the effects of physical and chemical factors
        
     5. 
        Lack of virus transmission via third parties
        

300. 
     What is the reason of the scarlet fever antibacterial therapy?
     
     1. 
        *Streptococcal etiology of disease
        
     2. 
        Age of the patient
        
     3. 
        Disease severity
        
     4. 
        The course of angina
        
     5. 
        The presence of complications
        

301. 
     What is typical for the varicella rash?
     
     1. 
        *Unilocular vesicle with a transparent content on the not infiltrated basis
        
     2. 
        Nodules, towering above the surface of the skin
        
     3. 
        Multilocular vesicle with a transparent content
        
     4. 
        Unilocular vesicle on the infiltrated basis
        
     5. 
        Vesicle with a yellowish pus (pustule)
        

302. 
     What kind of research will verify the diagnosis of fungal tonsillitis?
     
     1. 
        *Smear microscopy
        
     2. 
        Throat culture
        
     3. 
        Analysis of peripheral blood
        
     4. 
        The agglutination reaction with horses erythrocytes
        
     5. 
        The increased antibody titer to streptococcal antigens
        

303. 
     What laboratory method will confirm the diagnosis of chicken pox?
     
     1. 
        blood culture
        
     2. 
        throat smear
        
     3. 
        *immune-fluorescence method
        
     4. 
        „thick drop"
        
     5. 
        vesicles content culture
        

304. 
     What laboratory method will confirm the diagnosis of Herpes Zoster?
     
     1. 
        blood culture
        
     2. 
        throat smear
        
     3. 
        *immune-fluorescence method
        
     4. 
        „thick drop"
        
     5. 
        vesicles content culture
        

305. 
     What laboratory method of investigation will confirm the diagnosis of scarlet fever?
     
     1. 
        blood culture
        
     2. 
        *throat culture
        
     3. 
        immune-enzyme method
        
     4. 
        „thick drop"
        
     5. 
        nasopharyngeal swab
        

306. 
     What is the latent period duration at chicken pox?
     
     1. 
        a few hours
        
     2. 
        1-2 days
        
     3. 
        3-7 days
        
     4. 
        *11-21 day
        
     5. 
        30 days
        

307. 
     What is the single dose of acyclovir at chicken pox?
     
     1. 
        *10-15 mg/kg
        
     2. 
        100 mg/kg
        
     3. 
        1000 IU/kg
        
     4. 
        10-30 mg/kg
        
     5. 
        10 mcg/kg
        

308. 
     What percentage of the world's population is infected with the virus of infectious mononucleosis?
     
     1. 
        *80-100%
        
     2. 
        Less than 10%
        
     3. 
        10-30%
        
     4. 
        40-50%
        
     5. 
        60-70%
        

309.