Children infectious diseases

Toxic damage of myocardium, arthritis, synovitis

*Appendicitis, encephalitis, myocarditis

Pneumonia, pharyngitis, tonsillitis

enterocolitis, perforation of the intestinum, intestinal impassability

117. 
     Indicate localization of the rashes on the 1st day of exanthema period in measles.
     
     1. 
        all over the body, anymore in skin folds, pale perioral triangle
        
     2. 
        all over the body, hairy part of the head
        
     3. 
        *On face, behind the ears, neck
        
     4. 
        On face, trunk, proximal parts of arms
        
     5. 
        all over the body
        

118. 
     Indicate localization of the measles rashes on the 2nd day of exanthema period.
     
     1. 
        all over the body, anymore in skin folds, pale perioral triangle
        
     2. 
        all over the body, hairy part of the head
        
     3. 
        On face, behind the ears, shoulders
        
     4. 
        *On face, trunk, proximal parts of arms
        
     5. 
        all over the body
        

119. 
     Indicate localization of the measles rashes on the 3rd day of exanthema period.
     
     1. 
        all over the body, anymore in skin folds, pale perioral triangle
        
     2. 
        all over the body, hairy part of the head
        
     3. 
        On face, behind the ears, shoulders
        
     4. 
        On face, trunk, proximal parts of arms
        
     5. 
        *all over the body
        

120. 
     What is the most frequent reason of cardiac arrest on 3-5 day of diphtheria?
     
     1. 
        cardiomyocytes myolisis
        
     2. 
        parenchymatose dystrophy
        
     3. 
        *parasympatic influence
        
     4. 
        Fatty degeneration of myocardium
        
     5. 
        Destruction of myofibriles
        

121. 
     What way of congenital Rubella transmission?
     
     1. 
        hemocontact
        
     2. 
        *transplacental
        
     3. 
        alimentary
        
     4. 
        droplet
        
     5. 
        Contact
        

122. 
     What endotoxines products Yersinia pseudotuberculosis?
     
     1. 
        *thermolabile, thermostabile, enterotoxin
        
     2. 
        hemolysin, necrotoxin, cytotoxin
        
     3. 
        hemaglutinin, neuraminidase
        
     4. 
        hemolysin, necrotoxin, lypopolisacharidum
        
     5. 
        thermostabile, enterotoxin, neuraminidase
        

123. 
     Name the agent of rubella.
     
     1. 
        paramyxovirus of the Pneumophilus family
        
     2. 
        paramyxovirus of the Morbillivirus family
        
     3. 
        paramyxovirus of the Paramyxovirus family
        
     4. 
        orthomyxovirus
        
     5. 
        *togavirus family Rubivirus
        

124. 
     At what age children can be ill with whooping cough?
     
     1. 
        *From the first days of life
        
     2. 
        From three months
        
     3. 
        From six months
        
     4. 
        From one year
        
     5. 
        From two years
        

125. 
     Blazing throat with the expressly marked off hyperemia, fever, expressed intoxication, tonsillitis, increase of submandibular lymph nodes are characteristic for:
     
     1. 
        Initial period of pseudotuberculosis
        
     2. 
        prodromal period of measles
        
     3. 
        Diphtheria of the throat
        
     4. 
        *Initial period of scarlet fever
        
     5. 
        adenoviral infection
        

126. 
     What way of the acquired Rubella transmission?
     
     1. 
        *air-droplet
        
     2. 
        hemocontact
        
     3. 
        alimentary
        
     4. 
        droplet
        
     5. 
        Contact
        

127. 
     Enumerate the criteria of the acquired Rubella, typical form, smooth course.
     
     1. 
        isolated exanthema
        
     2. 
        isolated damage of lymph nodes
        
     3. 
        *mild or moderate severity of the disease
        
     4. 
        the secondary infection
        
     5. 
        exacerbation of chronic diseases
        

128. 
     Indicate the properties of the Rubella agent.
     
     1. 
        thermostabile, dye at drying
        
     2. 
        thermolabile, stabile to the ultraviolet insolation
        
     3. 
        *Quickly dye at the ultraviolet insolation, disinfection
        
     4. 
        stabile to the low temperatures, disinfection
        
     5. 
        thermolabile, stabile to disinfection
        

129. 
     Indicate the possible terms of the Rubella incubation period.
     
     1. 
        7-10 days
        
     2. 
        11-17 days
        
     3. 
        *11-23 days
        
     4. 
        2-5 days
        
     5. 
        21 day
        

130. 
     Against what diseases the child of 12 months must be vaccinated?
     
     1. 
        Hepatitis B
        
     2. 
        Poliomyelitis, diphtheria, tetanus
        
     3. 
        *Measles, rubella, mumps
        
     4. 
        Measles, poliomyelitis, tetanus
        
     5. 
        Poliomyelitis, whooping cough, diphtheria
        

131. 
     What vaccine is needed for the first revaccination against diphtheria, tetanus, and whooping-cough?
     
     1. 
        DTP
        
     2. 
        *DTaP
        
     3. 
        DT
        
     4. 
        DTP-m
        
     5. 
        D-m
        

132. 
     Against what diseases the child of 18 months must be revaccinated?
     
     1. 
        Hepatitis B
        
     2. 
        Diphtheria, tetanus, poliomyelitis, measles, rubella, mumps
        
     3. 
        Diphtheria, tetanus, Нів-infection, poliomyelitis, hepatitis B
        
     4. 
        Diphtheria, whooping-cough, tetanus, poliomyelitis measles, rubella, mumps
        
     5. 
        *Diphtheria, tetanus, whooping-cough, poliomyelitis, Ніb- infection
        

133. 
     Choose the associated vaccines among enumerated:
     
     1. 
        BCG
        
     2. 
        *DTP
        
     3. 
        Hepatitis A
        
     4. 
        Influenza (A, B)
        
     5. 
        poliomyelitis (I, ІІ, ІІІ)
        

134. 
     Against what disease the child of 5 months must be vaccinated?
     
     1. 
        Whooping cough
        
     2. 
        Tuberculosis
        
     3. 
        Measles
        
     4. 
        *Hepatitis B
        
     5. 
        Rubella
        

135. 
     Choose a correct answer about the associated vaccines:
     
     1. 
        They contain antigens of bacteria and viruses
        
     2. 
        They contain different serotypes of one type of microorganism
        
     3. 
        *They contain antigens of microorganisms and toxins
        
     4. 
        They contain antigens of bacteria and antigens of viruses, got with the help of recombined technologies
        
     5. 
        The antigens of different viruses are contained on adsorbents
        

136. 
     What symptoms will differ Rubella from scarlet fever?
     
     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. 
        Morphology and localization of rashes, increase of all groups of lymph nodes, hepatosplenomegaly, intestinal problems, damage of the other organs and systems
        
     4. 
        rashes are not obvious, increase of posterior and anterior cervical lymph nodes, hepatosplenomegaly, tonsillitis, and adenoiditis
        
     5. 
        Obligatory presence of rashes, increase of posterior cervical and occipital lymph nodes, insignificant catarrhal signs, absence of hepatosplenomegaly, tonsillitis, adenoiditis
        

137. 
     What properties are typical for Rubella virus?
     
     1. 
        DNA-containing, contains hemagglutinin
        
     2. 
        *RNA-containing, contains neuraminidase
        
     3. 
        RNA-containing, contains hemagglutinin
        
     4. 
        RNA-containing, contains hyaluronidase
        
     5. 
        DNA-containing, contains hyaluronidase
        

138. 
     What is the evidence to give immunoglobulin in uncomplicated measles?
     
     1. 
        Syndrome of croup
        
     2. 
        Measles pneumonia
        
     3. 
        Early age, moderate disease
        
     4. 
        Child from socially unprotected family
        
     5. 
        *Early age, severe disease
        

139. 
     What day of measles exanthema period will the Koplick's spots disappear?
     
     1. 
        on the1-2th
        
     2. 
        *on the 2-3th
        
     3. 
        on the 3-4th
        
     4. 
        will be absent generally
        
     5. 
        will be remained for all period
        

140. 
     What groups of lymph nodes will be enlarged in case of Rubella in compare with infectious mononucleosis?
     
     1. 
        *Only posterior cervical and occipital
        
     2. 
        Only posterior cervical and anterior cervical
        
     3. 
        anterior, posterior cervical and occipital
        
     4. 
        submandibular
        
     5. 
        Inguinal and axillar
        

141. 
     What changes on mucus membranes in Rubella at the end of catarrhal period will be different from measles?
     
     1. 
        *Absence of the Koplick's spots, smaller enanthem on palate
        
     2. 
        Presence of the Koplick's spots, smaller enanthem on palate
        
     3. 
        Presence of the Koplick's spots, bright maculous enanthem on palate
        
     4. 
        Absence of the Koplick's spots, catarrhal tonsillitis
        
     5. 
        Absence of the Koplick's spots, herpangina
        

142. 
     Indicate the duration of measles pigmentation period.
     
     1. 
        1-2 days
        
     2. 
        3-4 days
        
     3. 
        5-7 days
        
     4. 
        *7-14 days
        
     5. 
        2-3 weeks
        

143. 
     What seasonality is characteristic for pseudotuberculosis?
     
     1. 
        Winter
        
     2. 
        Spring
        
     3. 
        *Winter-spring
        
     4. 
        autmn-winter
        
     5. 
        No
        

144. 
     What symptoms will differ Rubella from pseudotuberculosis?
     
     1. 
        Morphology and localization of rashes, presence of tonsillitis, increase of submandibular lymph nodes, insignificant catarrhal syndrome
        
     2. 
        Morphology and stages of rashes, time of its appearance, absence of tonsillitis, expressed catarrhal syndrome
        
     3. 
        Morphology and localization of rashes, increase of all groups of lymph nodes, hepatosplenomegaly, intestinal problems, damage of the other organs and systems
        
     4. 
        rashes are not obvious, increase of posterior and anterior cervical lymph nodes, hepatosplenomegaly, tonsillitis, and adenoiditis
        
     5. 
        *Morphology and localization of rashes, increased only posterior cervical and occipital lymph nodes, absence of the intestinal problems, damage of the other organs
        

145. 
     What changes in a mouth will differ Rubella from scarlet fever?
     
     1. 
        Presence of the Koplick's spots that smaller enanthem on palate
        
     2. 
        *Absence of tonsillitis, «strawberry» tongue, «blazing pharynx»
        
     3. 
        Presence of the Koplick's spots, bright maculous enanthem on palate
        
     4. 
        Presence of herpangina, absence of «blazing pharynx»
        
     5. 
        Catarrhal tonsillitis, absence of «strawberry» tongue
        

146. 
     What immunity will be formed after diphtheria?
     
     1. 
        Immunity is stabile, long-life
        
     2. 
        Immunity is unsteady, unsterile
        
     3. 
        Immunity is unsteady, typospecific
        
     4. 
        *Immunity is unsteady
        
     5. 
        Immunity is prolonged, typospecific
        

147. 
     What is an entrance gate (atrium) for diphtheria?
     
     1. 
        *Mucus membranes
        
     2. 
        Middle ear
        
     3. 
        Heart
        
     4. 
        Liver
        
     5. 
        Spleen
        

148. 
     Indicate the possible way of the diphtheria transmission:
     
     1. 
        air-dust
        
     2. 
        transmissive
        
     3. 
        Water
        
     4. 
        Vertical
        
     5. 
        *Food
        

149. 
     Indicate the possible way of the diphtheria transmission:
     
     1. 
        air-dust
        
     2. 
        transmissive
        
     3. 
        Water
        
     4. 
        *Contact-domestic
        
     5. 
        Vertical
        

150. 
     What is the possible mechanism of the diphtheria transmission:
     
     1. 
        hemo-contact
        
     2. 
        fecal- oral
        
     3. 
        *droplet
        
     4. 
        air-dust
        
     5. 
        Food
        

151. 
     Indicate the possible way of the diphtheria transmission:
     
     1. 
        *air-droplet
        
     2. 
        transmissive
        
     3. 
        water
        
     4. 
        vertical
        
     5. 
        air-dust
        

152. 
     Choose septic complications of scarlet fever:
     
     1. 
        encephalitis, otitis, myocarditis
        
     2. 
        *otitis, purulent lymphadenitis, necrotizsng tonsillitis, sinusitis
        
     3. 
        myocarditis, nephritis, arthritis, rheumatism
        
     4. 
        synovitis, encephalitis, otitis
        
     5. 
        myocarditis, nephritis, necrotizing tonsillitis
        

153. 
     CMV has the lowest tropism for:
     
     1. 
        *Skin
        
     2. 
        CNS
        
     3. 
        Liver
        
     4. 
        Lung
        
     5. 
        Lymphatic tissue
        

154. 
     Complications of whooping cough could be:
     
     1. 
        *All the listed
        
     2. 
        Atelectasis
        
     3. 
        Pneumonia
        
     4. 
        Encephalopathy with seizures
        
     5. 
        Massive subconjunctival hemorrhages
        

155. 
     Constrictive laryngitis (croup) may be a complication of the following diseases except:
     
     1. 
        *Mumps
        
     2. 
        Diphtheria
        
     3. 
        Influenza
        
     4. 
        Measles
        
     5. 
        Parainfluenza
        

156. 
     What age groups of population have measles more frequent nowadays?
     
     1. 
        *Teenagers, adults
        
     2. 
        infants, toddlers
        
     3. 
        Under-fives, junior schoolboys
        
     4. 
        Junior schoolboys, children of middle school ages
        
     5. 
        toddlers, under-fives
        

157. 
     What is the earliest complication of diphtheria?
     
     1. 
        *Nephrotic syndrome
        
     2. 
        Myocarditis
        
     3. 
        Palatoplegia
        
     4. 
        Polyradiculitis
        
     5. 
        Pneumonia
        

158. 
     Etiology of chicken pox is:
     
     1. 
        *Varicella-Zoster
        
     2. 
        Herpes simplex
        
     3. 
        Rubella
        
     4. 
        Parvovirus
        
     5. 
        group A B-hemolytic streptococcus
        

159. 
     Etiology of herpes zoster is:
     
     1. 
        *Varicella-Zoster
        
     2. 
        Herpes simplex
        
     3. 
        Epstain-Barr
        
     4. 
        Parvovirus
        
     5. 
        group A B-hemolytic streptococcus
        

160. 
     Everything listed below is typical for mumps, except:
     
     1. 
        *Koplik’s sign
        
     2. 
        Retromandibular swelling and edema
        
     3. 
        Pain while chewing
        
     4. 
        Body Temperature 38,0-39,0 0C
        
     5. 
        Abdominal pain
        

161. 
     Expressed catarrhal signs, photophobia, intoxication, maculous enanthem on the palate, pinpoint white elements on the red background on buccal mucosa are typical for:
     
     1. 
        prodromal period of measles on a 1st day
        
     2. 
        *prodromal period of measles on a 3rd day
        
     3. 
        enteroviral infection
        
     4. 
        prodromal period of Rubella
        
     5. 
        Scarlet fever
        

162. 
     Fever, stomach-aches, disorders of emptying, hyperemia of the throat, pains in joints, appearance of point, maculous, maculo-papulous rashes, anymore round joints, in skin folds are characteristic for:
     
     1. 
        Scarlet fever
        
     2. 
        Rubella
        
     3. 
        measles
        
     4. 
        Infectious mononucleosis
        
     5. 
        *Pseudotuberculosis
        

163. 
     For a typical chicken pox is characteristically:
     
     1. 
        tonsillitis precedes the rash
        
     2. 
        Koplick's spots appear before the rashes
        
     3. 
        rashes are provoken by the use of semisynthetic penicillins
        
     4. 
        *appearance of new elements is accompanied by the increase of body temperature
        
     5. 
        sculling of skin on the second week after rashes
        

164. 
     For chicken pox is typical:
     
     1. 
        presence of „strawberry" tongue
        
     2. 
        *presence of rashes on the mucus membranes of mouth, eye, sexual organs
        
     3. 
        presence of the expressed catarrhal sign
        
     4. 
        increase of cervical lymphatic nodes
        
     5. 
        presence of „goose skin" symptom
        

165. 
     For what disease are characteristic pin-point, maculous, maculo-papulous rashes more in skin folds, round joints, on a hyperemied background, large elements confluence; cyanotic hyperemia of the face, hands, feet?
     
     1. 
        Scarlet fever
        
     2. 
        *Pseudotuberculosis
        
     3. 
        Rubella
        
     4. 
        measles
        
     5. 
        Infectious mononucleosis
        

166. 
     What fraction of diphtheria exotoxin in the culture of tissues causes cytotoxic effect?
     
     1. 
        *thermolabile (toxin A)
        
     2. 
        thermostabile (toxin B)
        
     3. 
        Cord-factor
        
     4. 
        Tox + phage
        
     5. 
        Gwarnieri corpuscles
        

167. 
     How many fractions of diphtheria toxin are identified now?
     
     1. 
        1
        
     2. 
        *2
        
     3. 
        3
        
     4. 
        4
        
     5. 
        5
        

168. 
     What is the etiology of pseudotuberculosis?
     
     1. 
        Yersinia enterocolitica
        
     2. 
        Yersinia intermedia
        
     3. 
        *Yersinia pseudotuberculosis
        
     4. 
        Yersinia frederiksenia
        
     5. 
        Yersinia pestis
        

169. 
     How will differ rashes at Rubella from rashes at measles?
     
     1. 
        *rashes are rose, small spots, during a day covers all the body, are disposed mainly on the unbend surfaces of extremities, back, buttocks
        
     2. 
        rashes are pin point, bright, on a hyperemied background, concentrated in skin folds, during a day cover all the body
        
     3. 
        rashes are papulous, situated on shins, then hemorrhagic elements of star-form with necrosis in a center appear
        
     4. 
        rashes are pin point, bright, on a hyperemied background, concentrated in skin folds, round joints, hyperemia of the face, hands, feet
        
     5. 
        rashes are polymorphic (spots, papules, vesicles, crusts), appear in several pushes
        

170. 
     Enumerate the criteria of Rubella, typical form, non-smooth course.
     
     1. 
        severe degree of disease
        
     2. 
        *secondary infection, presence of complications
        
     3. 
        asymptomatic form of the disease
        
     4. 
        effaced form of the disease
        
     5. 
        isolated damage of lymph nodes
        

171. 
     What is the mechanism of the acqiured Rubella transmission?
     
     1. 
        hemocontact
        
     2. 
        through damaged epidermis
        
     3. 
        alimentary
        
     4. 
        *droplet
        
     5. 
        Contact
        

172. 
     What changes in a mouth will differ Measles from scarlet fever?
     
     1. 
        Absence of the Koplick's spots, smaller enanthem on palate
        
     2. 
        Presence of the Koplick's spots, smaller enanthem on palate
        
     3. 
        *Presence of the Koplick's spots, absence of tonsillitis, «raspberry» tongue, marked hyperemia of the pharynx
        
     4. 
        Presence of herpangina, absence of «blazing pharynx»
        
     5. 
        Catarrhal tonsillitis, absence of «strawberry» tongue
        

173. 
     Herpetic infection caused by herpes simplex virus, may be present in different clinical forms, except:
     
     1. 
        *Kaposi Sarcoma
        
     2. 
        Skin lesions (herpes labialis, herpes nasalis, eczema, Kaposi's)
        
     3. 
        Encephalitis and meningoencephalitis
        
     4. 
        Eye (keratoconjunctivitis)
        
     5. 
        Lesions of the mucous membranes of the oral cavity (stomatitis)
        

174. 
     How long can be isolated Epstein-Barr virus from nasopharyngeal smear, after acute infectious mononucleosis?
     
     1. 
        *More than 2 months
        
     2. 
        1-3 days
        
     3. 
        1-2 weeks
        
     4. 
        1 month
        
     5. 
        Not isolated at all
        

175. 
     How long children at scarlet fever are contagious?
     
     1. 
        7 days
        
     2. 
        *10 days
        
     3. 
        21 day
        
     4. 
        30 days
        
     5. 
        40 days
        

176. 
     How long the monitoring of contacts is recommended in the focus of infectious mononucleosis?
     
     1. 
        *40-45 days
        
     2. 
        5-10 days
        
     3. 
        11-19 days
        
     4. 
        20-29 days
        
     5. 
        30-39 days
        

177. 
     How long the symptoms of „scarlet fever" heart vagus-phase are stored?
     
     1. 
        2 days
        
     2. 
        5-6 days
        
     3. 
        10 days
        
     4. 
        2 weeks
        
     5. 
        *3-4 weeks
        

178. 
     How often the limited hyperemia and infiltration of the cheek mucosa round the salivary gland excretory duct (Moorson symptom) is present in mumps?
     
     1. 
        *More than 50%
        
     2. 
        Less than 1%