Children infectious diseases

1-9%

10-35%

35-50%

179. 
     What is the localization of swelling in parotitis?
     
     1. 
        *Anteriorly, downward and backward from the ear lobe
        
     2. 
        In the occipital region
        
     3. 
        At the angle of the mandible
        
     4. 
        On the back edge of the sternocleidomastoid muscle
        
     5. 
        On the front of the sternocleidomastoid muscle
        

180. 
     Indicate the morphological features of the Yersinia pseudotuberculosis.
     
     1. 
        grampositive oval stick with a few plaits, does not form spores
        
     2. 
        gramnegative oval stick with perytrichia, does not form spores and capsule
        
     3. 
        gramnegative stick with dumbbells form plaits, contains the corns of volutin
        
     4. 
        *gramnegative oval stick with a few plaits, does not form spores
        
     5. 
        grampositive oval stick with perytrichia, does not form spores and capsule
        

181. 
     What could be the factor of the pseudotuberculosis transmission?
     
     1. 
        Meat and vegetable can foods
        
     2. 
        Dry fish
        
     3. 
        Fresh unboiled milk
        
     4. 
        *Vegetables, milk products which were not boiled
        
     5. 
        Fish can foods, mushrooms
        

182. 
     In lacunary tonsillitis are observed all of the following symptoms except:
     
     1. 
        *Membranes are difficulty removed with a spatula, and the mucosa bleeding
        
     2. 
        Bright diffuse hyperemia of the throat
        
     3. 
        Exedates in the gaps are yellowish-white
        
     4. 
        Increasing the temperature to 39-40 oC for 2-3 days
        
     5. 
        In severe cases, almost always vomiting is repeated
        

183. 
     In the 40-50 years of the last century scarlet fever patients were isolated for 40 days. At the present time period of isolation was reduced to 10-12 days because of:
     
     1. 
        *Mandatory antibiotic therapy in all patients regardless of severity
        
     2. 
        Significant prevalence of mild forms of the disease now
        
     3. 
        Availability of the abortive forms
        
     4. 
        Less pronounced lamellar desquamation
        
     5. 
        Evolution of the bacterial agent
        

184. 
     What Epidemic measures should be done in the focus of whooping cough?
     
     1. 
        *All of the above
        
     2. 
        Isolation of coughing children
        
     3. 
        Injection of the whooping cough immunoglobulin to contacted children
        
     4. 
        Throat culture of contacts for B.pertussis
        
     5. 
        Disinfection
        

185. 
     What is the latent period of mumps?
     
     1. 
        *In 11-21 day
        
     2. 
        In 9-21 day
        
     3. 
        In 9-17 days
        
     4. 
        In 11-25 days
        
     5. 
        In 14-21 day
        

186. 
     Indicate the term of children medical examination in kindergarten in case of Rubella.
     
     1. 
        9-17 days
        
     2. 
        17 days
        
     3. 
        11-17 days
        
     4. 
        11-21 day
        
     5. 
        *up to 23 days
        

187. 
     In the group of preschool (kindergarten) is quarantine because of measles. When is it possible to select a measles virus at children that are infected?
     
     1. 
        *In the end of incubation period, catarrhal period, first days of exanthema period
        
     2. 
        In an incubation period, catarrhal period
        
     3. 
        In a catarrhal period, period of exanthema, pigmentation
        
     4. 
        In the period of exanthema, pigmentation
        
     5. 
        In an incubation, catarrhal period and period of exanthema
        

188. 
     Indicate the possible source of Rubella.
     
     1. 
        Individuals which contacted with patients with the acquired Rubella
        
     2. 
        Individuals which contacted with patients with innate Rubella
        
     3. 
        carriers and individuals which contacted with patients with the acquired Rubella
        
     4. 
        carriers and individuals which contacted with patients with innate Rubella
        
     5. 
        *patients with the acquired Rubella, innate Rubella
        

189. 
     How long children with Whooping cough should be isolated?
     
     1. 
        7 days
        
     2. 
        14 days;
        
     3. 
        21 days;
        
     4. 
        10 days;
        
     5. 
        *30 days.
        

190. 
     In the last decade, mumps occurs more often in adults due to:
     
     1. 
        *Mass vaccination of children
        
     2. 
        Environmental degradation in many countries
        
     3. 
        The ability of mumps virus to persist in dormant form for years
        
     4. 
        Growth in the number of adults with secondary immunodeficiency (use of cytostatics, immunosuppressants, HIV infection, etc.)
        
     5. 
        Late diagnosis of this disease by physicians ("mumps" is a children's infection)
        

191. 
     Indicate duration of the quarantine for contacts in case of Whooping cough.
     
     1. 
        3 days
        
     2. 
        5 days;
        
     3. 
        9 days;
        
     4. 
        *14 days;
        
     5. 
        21 days.
        

192. 
     Name the source of measles.
     
     1. 
        carriers of the virus
        
     2. 
        *sick people with typical and atypical forms of measles
        
     3. 
        people in recovery period
        
     4. 
        people which contacted with ill patients
        
     5. 
        sick birds
        

193. 
     Name the mechanism of measles transmission.
     
     1. 
        air-droplet
        
     2. 
        fecal-oral
        
     3. 
        *droplet
        
     4. 
        alimentary
        
     5. 
        Contact
        

194. 
     Name the way of measles transmission.
     
     1. 
        *air-droplet
        
     2. 
        fecal-oral
        
     3. 
        droplet
        
     4. 
        alimentary
        
     5. 
        Contact
        

195. 
     In what age the child should be revaccinated against diphtheria, tetanus, poliomyelitis, mumps, measles and rubella (according the Ukrainian vaccination schedule)?
     
     1. 
        *6 years
        
     2. 
        18 months
        
     3. 
        3 years
        
     4. 
        14 years
        
     5. 
        15 years
        

196. 
     In what period of the disease sympatic-phase symptoms of „scarlet fever" heart usually appear?
     
     1. 
        in prodromal period
        
     2. 
        *first two days of exanthema period
        
     3. 
        after 3-4 days of exanthema period
        
     4. 
        from the second week of the disease
        
     5. 
        only in the recovery period
        

197. 
     In what period of the disease vagus-phase symptoms of „scarlet fever" heart usually appear?
     
     1. 
        in prodromal period
        
     2. 
        first two days of exanthema period
        
     3. 
        *after 3-4 days of exanthema period
        
     4. 
        from the second week of the disease
        
     5. 
        only in the recovery period
        

198. 
     In which of the following diseases mainly posterior neck lymph nodes are increased?
     
     1. 
        *Infectious mononucleosis
        
     2. 
        Adenovirus infection
        
     3. 
        Toxic tonsillar diphtheria
        
     4. 
        "Cat’s scratches" disease
        
     5. 
        Rubella
        

199. 
     Indicate the daily dose of amikacin (mg/kg) for "Whooping cough" treatment:
     
     1. 
        1-2;
        
     2. 
        2-4;
        
     3. 
        6-8;
        
     4. 
        10-12;
        
     5. 
        *15-20.
        

200. 
     Indicate the daily dose of aminazin (mg/kg) for "Whooping cough" treatment:
     
     1. 
        *0.1-0.2;
        
     2. 
        0.25-0.5;
        
     3. 
        С. 0.5-1.0;
        
     4. 
        1.0-3.0;
        
     5. 
        3.0-5.0.
        

201. 
     Indicate the daily dose of ampicillin (mg/kg) for "Whooping cough" treatment:
     
     1. 
        25;
        
     2. 
        50;
        
     3. 
        *100;
        
     4. 
        150;
        
     5. 
        200.
        

202. 
     Indicate the daily dose of erythromycin (mg/kg) for "Whooping cough" treatment:
     
     1. 
        10-15;
        
     2. 
        15-20;
        
     3. 
        20-30;
        
     4. 
        *30-50;
        
     5. 
        50-100.
        

203. 
     Indicate the etiological therapy of chicken pox:
     
     1. 
        benzylpenicillin
        
     2. 
        levomycetin
        
     3. 
        *zovirax
        
     4. 
        human immune globulin
        
     5. 
        vaccine „Varilrix"
        

204. 
     Indicate the etiological therapy of herpes zoster.
     
     1. 
        benzylpenicillin
        
     2. 
        levomycetin
        
     3. 
        *zovirax
        
     4. 
        human immune globulin
        
     5. 
        vaccine „Varilrix"
        

205. 
     Indicate the source of infection at scarlet fever:
     
     1. 
        Wild animals
        
     2. 
        Insects
        
     3. 
        *sick man
        
     4. 
        domestic animals
        
     5. 
        patient with an acute post streptococcal glomerulonephritis
        

206. 
     Indicate the source of infection in case of chicken pox:
     
     1. 
        Wild and domestic animals
        
     2. 
        Insects
        
     3. 
        *sick man
        
     4. 
        carrier
        
     5. 
        a person in the recovery period
        

207. 
     Indicate the typical changes in CBC at scarlet fever:
     
     1. 
        *Leucocytosis with neutrophilia, increased ESR, eosynophilia;
        
     2. 
        Leucopenia with lymphocytosis, increased ESR;
        
     3. 
        Leucocytosis with lymphocytosis, normal ESR;
        
     4. 
        Leucocytosis with lymphopenia, increased ESR;
        
     5. 
        Leucopenia with neutropenia, eosynophilia, thrombocytopenia;
        

208. 
     Who is not the source of streptococcus infection?
     
     1. 
        patient with acute tonsillitis
        
     2. 
        patient with streptodemia
        
     3. 
        patient with scarlet fever
        
     4. 
        patient with erysipelas
        
     5. 
        *patient with an acute post streptococcal glomerulonephritis
        

209. 
     What is characteristically for the congenital Rubella?
     
     1. 
        Microcephaly, calcinates in a brain
        
     2. 
        granulomatous inflammation
        
     3. 
        *Cataract, deafness, congenital heart defects
        
     4. 
        hydrocephaly, retinopathy
        
     5. 
        exanthema, the CNS damage
        

210. 
     It is known that the same pathogen can cause scarlet fever, sore throat, lymphadenitis, otitis media, and other diseases. Which of the following is crucial for the occurrence of scarlet fever, and not other diseases the same etiology?
     
     1. 
        Agent’s serotype
        
     2. 
        Pathogenity of bacteria
        
     3. 
        *Lack of antitoxic immunity
        
     4. 
        Lack of antibacterial immunity
        
     5. 
        Localization of the infection atrium
        

211. 
     How many days the patient with mumps parotitis should be isolated?
     
     1. 
        *9 days
        
     2. 
        14 days
        
     3. 
        21 day
        
     4. 
        25 days
        
     5. 
        30 days
        

212. 
     Moderate intoxication and catarrhal signs, maculous enanthem on a soft palate, increase and tenderness of the posterior cervical and occipital lymph nodes are typical for:
     
     1. 
        measles, period of exanthema
        
     2. 
        prodromal period of measles
        
     3. 
        *prodromal period of Rubella
        
     4. 
        Infectious mononucleosis
        
     5. 
        Pseudotuberculosis
        

213. 
     Mumps virus from the upper respiratory tract spreads by:
     
     1. 
        *Hematogenous way
        
     2. 
        Lymphogenous way
        
     3. 
        Ascending through a Stensen’s duct
        
     4. 
        Combination of ascending and haematogenous way
        
     5. 
        Neither one of the above
        

214. 
     Name medicine for etiological therapy of scarlet fever.
     
     1. 
        *benzylpenicillin
        
     2. 
        chloramphenicol
        
     3. 
        acyclovir
        
     4. 
        human immune globulin
        
     5. 
        ciprofloxacin
        

215. 
     Name the sympatic-phase symptoms of „scarlet fever heart":
     
     1. 
        *tachycardia, increase of arterial pressure
        
     2. 
        tachycardia, increase of arterial pressure, dilation of the heart relative borders
        
     3. 
        tachycardia, weakening of the heart tones, rough systolic murmur
        
     4. 
        bradycardia, decrease of arterial pressure, dilation of the heart relative borders, systolic murmur
        
     5. 
        bradycardia, decrease of arterial pressure
        

216. 
     Name the vagus-phase symptoms of „scarlet fever heart":
     
     1. 
        tachycardia, increase of arterial pressure
        
     2. 
        tachycardia, increase of arterial pressure, dilation of the heart relative borders
        
     3. 
        tachycardia, weakening of the heart tones, rough systolic murmur
        
     4. 
        *bradycardia, decrease of arterial pressure, dilation of the heart relative borders, systolic murmur
        
     5. 
        bradycardia, decrease of arterial pressure
        

217. 
     Neurological complications of chicken pox usually appear in:
     
     1. 
        prodromal period
        
     2. 
        period of exanthema
        
     3. 
        *period of crusts
        
     4. 
        period of shelling
        
     5. 
        period of hyperpigmentation
        

218. 
     Of all the nucleotide analogues, whose mechanism of action is inhibition of viral replication by competitive inhibition of DNA polymerase of the virus is only a single drug that can permanently interrupt the chain of viral DNA synthesis. What is the name of this drug?
     
     1. 
        *Acyclovir
        
     2. 
        Famcyclovir
        
     3. 
        Pencyclovir
        
     4. 
        Gancyclovir
        
     5. 
        Foscarnet
        

219. 
     Passive immunization by a high title Varicella-Zoster immune globulin is done:
     
     1. 
        not later than 24 hours from a contact moment
        
     2. 
        *not later than 72 hours from a contact moment
        
     3. 
        not later than 11 day from a contact moment
        
     4. 
        in a period with 11 for 21 day from a contact moment
        
     5. 
        only after 11th day from a contact moment
        

220. 
     What medicine is better to use to decrease the number of cough paroxysms at Whooping cough?
     
     1. 
        *Aminazin;
        
     2. 
        Anaprilin;
        
     3. 
        Salbuthamol;
        
     4. 
        Berotec;
        
     5. 
        Libexin.
        

221. 
     What antibiotic should be ineffective for the whooping cough treatment?
     
     1. 
        Ampicillin;
        
     2. 
        *Benzylpenicillin;
        
     3. 
        Amoxacillin;
        
     4. 
        Gentamicin;
        
     5. 
        Cefotaxim.
        

222. 
     What morphological changes are typical for Pseudotuberculosis unlike scarlet fever?
     
     1. 
        serous inflammation, granulomas
        
     2. 
        abscesses, necroses
        
     3. 
        *granulomas, micro abscesses
        
     4. 
        fibrinous inflammation, granulomas
        
     5. 
        hemorrhagic inflammation, necroses
        

223. 
     What clinical signs will differ Pseudotuberculosis, mononucleosis-like form from the infectious mononucleosis?
     
     1. 
        Absence of splenomegaly, rashes
        
     2. 
        *diarrhea, «strawberry» tongue, arthritis
        
     3. 
        leucocytosis with lymphomonocytosis, absence of atypical mononuclear cells
        
     4. 
        Tonsillitis, «strawberry» tongue, regional lymphadenitis
        
     5. 
        jaundice, hepatitis, insignificant increase of aminotranspherase level
        

224. 
     Relapsed scarlet fever is now possible because of:
     
     1. 
        *Obvious antibacterial therapy in all patients with scarlet fever
        
     2. 
        Evolution of the agent
        
     3. 
        Shortening of isolation from 20-21 days to 10-12
        
     4. 
        Preferential treatment at home
        
     5. 
        Reduce of severe forms frequency
        

225. 
     What symptoms will differ rubella from infectious mononucleosis?
     
     1. 
        Morphology and stages of rashes, time of its appearance, absence of tonsillitis, expressed catarrhal syndrome
        
     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. 
        Morphology and localization of rashes, increase of all groups of lymph nodes, hepatosplenomegaly, 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
        

226. 
     Scarlet fever is characterized by all except:
     
     1. 
        *Large maculous exanthema
        
     2. 
        "Strawberry" tongue
        
     3. 
        Enanthema
        
     4. 
        Pale nasolabial triangle
        
     5. 
        Tonsillitis
        

227. 
     Shingles is caused by:
     
     1. 
        *Herpes virus type III
        
     2. 
        Mycoplasma
        
     3. 
        Chlamydia
        
     4. 
        Fungi
        
     5. 
        Herpes simplex virus
        

228. 
     Specific prophylaxis of chicken pox in Ukraine (in obedience to the vaccination calendar) is:
     
     1. 
        in 12 months with the next revaccination in 6 years
        
     2. 
        in 5 months with next revaccination in 12 years
        
     3. 
        in the first days after birth
        
     4. 
        necessarily to 15-monthly age child
        
     5. 
        *not obligatory
        

229. 
     Specific prophylaxis of scarlet fever in Ukraine (in obedience to the calendar of inoculations) is:
     
     1. 
        in 12 months with the next revaccination in 6 years
        
     2. 
        in 5 months with next revaccination in 12 years
        
     3. 
        in the first days after birth
        
     4. 
        necessarily to 15-monthly age child
        
     5. 
        *is not performed
        

230. 
     The agent of chicken pox belongs to:
     
     1. 
        Adenoviridae
        
     2. 
        Rhinoviridae
        
     3. 
        *Herpes virus family
        
     4. 
        Hepadnaviridae
        
     5. 
        Paramyxovirus family
        

231. 
     Indicate the seasonality of mumps.
     
     1. 
        *Winter-spring
        
     2. 
        Winter
        
     3. 
        Autumn-winter
        
     4. 
        Summer-autumn
        
     5. 
        Spring-summer
        

232. 
     The causative agent of mumps belongs to:
     
     1. 
        *Myxoviruses
        
     2. 
        Adenoviruses
        
     3. 
        Enteroviruses
        
     4. 
        Rotaviruses
        
     5. 
        Cytomegalovirus
        

233. 
     What vaccines does it follow to give to the 1 year child?
     
     1. 
        *MMR
        
     2. 
        BCG, MMR
        
     3. 
        Hepatitis B, Hib
        
     4. 
        DTP, IPV
        
     5. 
        IPV, Hib
        

234. 
     What immunity will be formed after the acquired Rubella?
     
     1. 
        Unsteady, short
        
     2. 
        Unspecific, short
        
     3. 
        Unspecific, long duration
        
     4. 
        Specific, short
        
     5. 
        *stabile, during all the life
        

235. 
     What is duration of quarantine in a group of kindergarten in case of Chickenpox?
     
     1. 
        From 17 to 21 day.
        
     2. 
        From 5 to 25 day.
        
     3. 
        For 14 day.
        
     4. 
        For 35 day.
        
     5. 
        *From 9 to 21 day.
        

236. 
     The result of mumps could be everything except:
     
     1. 
        *Salivary-stone disease
        
     2. 
        Infertility
        
     3. 
        CSF Hypertensive syndrome
        
     4. 
        Deafness
        
     5. 
        Epilepsy
        

237. 
     The epidemiology of mumps is characterized by everything enumerated, except:
     
     1. 
        *The high incidence among children under one year
        
     2. 
        Contagious index 0,7
        
     3. 
        Most affected males
        
     4. 
        After this illness remains a long and strong immunity
        
     5. 
        Incidence increasing every 4-5 years
        

238. 
     Indicate the etiology of measles.
     
     1. 
        paramyxovirus of the Pneumophilus family
        
     2. 
        togavirus family Rubivirus
        
     3. 
        *paramyxovirus of the Morbillivirus family
        
     4. 
        paramyxovirus of the Paramyxovirus family
        
     5. 
        orthomyxovirus
        

239. 
     The generalized form of chicken pox is characterized by:
     
     1. 
        a presence of not numerous vesicles on a skin, subfebrile temperature
        
     2. 
        rashes on a skin does not turn to vesicles (only maculo-papulous rashes are present), normal body temperature
        
     3. 
        *neurotoxicosis with a convulsive syndrome, hyperpyrexia, continuous vesicles, quite often with bloody content, defeat of internal organs
        
     4. 
        plenty of rashes, on the stage of vesicles on a skin and mucus membranes, febrile temperature
        
     5. 
        except typical rashes, appear large bubbles (up to 2-4 сm in diameter) with turbid content, which burst and abandon moist surfaces
        

240. 
     The increase of which lymph nodes has the greatest diagnostic value in infectious mononucleosis?