Infections diseases with the syndrome of exanthema Scarlet fever

D. Whooping cough

E. Stenosis laryngotracheobronhitis

99.* Child 2th years transfer wooping cough. For 30-th day of illness cough continues to carry attack-like character. What principle of dominates means duration of cough?

A. Beyond-cutoff braking

B. Summation

C. Irradiation

D. Inactivity

E. Vestige reactions

100*. Boy 3,5 years has transferred wooping cough. Frequency of fits of coughing makes 35 in day, number of reprises - up to 15, up to 5 fits of coughing come to an end vomitting with an output(exit) glassy phlegm. What preparation is applied to reduction of fits of coughing?

A. Pectusin

B. Mucaltin

C. Bromgecsin

D. Gentamecini sulfate

E. Aminasini

101.* Child 3th years complained of cough which gradually amplified. Temperature 36,7-37 S. At the 12-th day objectively: temperature 37,1 With, a skin pale. A mucous membrane fauces - light pink. On a bridle of language a small ulcer. Fits of coughing up to 20 in day which are characterized by a series cough pushes which the whistling breath follows are marked. The attack comes to an end allocation glassy phlegm. In easy rigid breath, dry rattles, sometimes damp. On the roentgenogram: horizontal position of the edges, the raised(increased) transparency easy, expansion of root figure. In blood: leukocytes - 23,0х109/л, Э-1 %, »-3 %, seg-24 %, l-70 %, м-3 %, SSE-3 mm / hour. What disease is the most probable?

A. Measles

B. ARVI with a syndrome of stenotic laryngotracheobronchitis

C. Wooping cough

D. Tuberculosis bronchoadenitis

E. Pneumonia

102.*The child of one month it is diagnosed wooping cough, an easy degree of severity. In family of 3 more children. The pediatrist insists on hospitalization of the sick chlid. Main causal it is:

A. Obligation hospitalization of patients wooping cough

B. Providing isolation of the patient

C. Providing the best leaving(care)

D. Providing intensive treatment

E. Big probability of clinical complications

Viral hepatitis
103.* 2,5-month-old child. Complaints: Т - 39,2^о С, malaise, cancels breast-feeding, periodically agitation. 3^rd day – sclera and skin are jaundiced, dark urine, pale stool. 4th day vomiting – with haematemesis, convulsions, consciousness disturbances. Abdomen is distended. Liver is near the edge of rib arch. Lien enlarged + 1,5 cm. Bilirubin - 234 mkmol/L, direct -182, ALT - 3,1 mmol/L/h., prothrombine index– 38 %. Found НВS Аg and delta virus. In the past history – pneumonia and blood transfusion. What is the primary diagnosis:

A. Encephalitis

B. Viral hepatitis В, heavy form

C. Viral hepatitis В + delta infection, malignant form

D. Viral hepatitis А

E. Atresy of biliary ducts

104.* 2-year-old. Complaints: malaise, appetite loss. 5^th day – dark urine, pale stool. 6^th - jaundice of skin and sclera, Т - 37,4^о С, repeated vomiting. Liver enlarged + 7 cm, lien +2,5 cm. Heart sounds are muted, bradycardia. Child not active. Sleeping disturbances. Bilirubin - 220 mmol/L, direct - 176. Prothrombine - 60%. ALT - 6,4 IU. Found НВS Ag. In age 1,5 years child have had pneumonia, have got treatment in the hospital. What is the primary diagnosis:

A. Haemolytic anaemia

B. Viral hepatitis А

C. Toxic hepatitis

D. Viral hepatitis В

E. Obstructive jaundice

105.* 5 -year-old child. Complaints: Т - 38,7^о С, vomiting, abdominal pain. 3^rd day of the disease: malaise, skin and mucosa are without pathology. Tongue has white coating. Pharynx is clear. Abdomen is soft. Liver is enlarged + 2,5 cm. Faeces and urine are with normal colour. Child got in touch with person sick with viral hepatitis A and Scarlet fever 2 weeks ago. What examination do you prefer to found out the right diagnosis?

A. Smear from pharynx on haemolytic streptococcus

B. Urine analysis on bile pigments and urobilin

C. Blood on paired serums