Infections diseases with the syndrome of exanthema Scarlet fever



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20130321-102551

B. Pseudotuberculosis

C. Viral hepatitis

D. Typhoid fever

E. Infectious mononucleosis



38.* Child 5 years. Was ill sharply. Т – 38,5С, pains in a throat and a stomach. In 3 days - a rash on a leather(skin). 4-th day of illness - a condition heavy. It is languid, pale. Plentiful small maculation rash on all body, condensed on the person, brushes and stops. Total hyperemia mucous a pharunx. "Crimson" language. Tones of heart deaf persons. A stomach painful (unhealthy). A chair liquid, 2 once a day, without impurity. Your diagnosis?

A. Scarlatina.



B. Pseudotuberculosis.

C. Staphilococcus infection with syndrome of scarlatina.

D. Measles

E. Enterovirus exanthema.


Typhoid fever
39.* 10-year-old child. 9th day of the disease. Complaints: malaise, apathy, headache, Т- 38,5-39,5оС. Examination: heavy condition, Т - 39,2о С. Apathy. Skin is pale, dry, single rosella are found in the abdominal area. Tongue is with greyish coating, with teeth prints. Heart sounds are muted, bradycardia, abdomen is distended, tender in the right iliac area. Liver + 3,5 cm, lien + 1,5 cm. Stool is liquid, 1-2 times a day. Blood: Leucocytes- 4,5 х 09/л, myelocytes - 8%, mature neutrophils - 26%, lymphocytes - 52%, monocytes- 14%, ESR - 26 mm/h. Primary diagnosis:

A. Meningococcal infection

B. Typhoid fever

C. Influenza

D. Enterovirus infection

E. Salmonellosis



40.* Child 8 years. Complaints to rise in temperature all the days long, a headache. For 9 day of illness slackness, temperature 39,8С is marked, the pallor, the inflated stomach, is palpated a liver and a spleen. On a stomach 4 elements of a spotty rash in the size 0.2 х 0.2 see. Your diagnosis?

A. Typhoid fever.

B. Sepsis

C. Pseudotuberculosis

D. Infected mononucleosis

E. Enteritis infection.



41.* What period during a belly typhus is the most dangerous to development complications on the part of a gastroenteric path?

A. First week

B. Second week

C. Third week

D. Fourth week

F. Fifth week


Salmonellosis
42.* 5 -year-old child. Complains on repeated vomiting. Т- 38,8°С, pallor, apatic, skin is without pathology. Tongue is dry, has white coating. Heart sounds are muted. Abdomen is distended, tender in the epigastric area, stool 6 times a day, watery, dark-green color with some mucus. What is your primary diagnosis?

A. Bacillar dysentery.

B. Yersiniosis.


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