Infections diseases with the syndrome of exanthema Scarlet fever

E. Prescription bases - therapies (a mode, a diet, vitamins)

111.(06) An 8 y.o. boy was ill with B hepatitis one year ago. In the last 2 months he has complaints of undue fatiguability, sleep disorder, appetite loss, nausea, especially in the mornings. Skin isn't icterious, liver and spleen are 1 cm below the costal margins, painless. Alanine aminotransferase activity is 2,2 mcmol/L. How can this condition be estimated?

A. Biliary dyskinesia

B. Residual effects of old viral hepatitis type B

*C. Development of chronic hepatitis

D. Development of liver cirrhosis

E. Recurrance of viral hepatitis type B
Mumps
112.* 6 year-old child. 3^rd day of the disease. Complaints: Т - 38,7^оС, edema in the paraauricular areas, headache, tenderness during chewing. Examination: edema in the paraauricular areas, of elastic consistency, tender on palpation. Skin in those areas is not changed. Retromandibular fossa is whammed. Pharynx is normal. There’s edema and hyperemia around the Stenonov’s duct. Primary diagnosis:

A. Tumour of parotid gland

B. Mumps (epidemic parotitis)

C. Pharynx diphtheria, toxic form

D. Secondary parotitis

E. Salivary duct obstruction due to calculus

113*. 5-year-old child have got ill acutely, fever t - 39,7°С, repeated vomiting, dizziness, edema in the left parauricular area. 2^nd day: t - 39,2°С, Tenderness in the paraumbilical area. Serum amylase: 16,4 IU/L. What is the primary diagnosis?

A. Enterovirus infection, pancreatitis.

B. Enterovirus infection, mesoadenitis.