Infections diseases with the syndrome of exanthema Scarlet fever

119. * The diphtheria pseudomembrane is commonly:

*A. Whitish or dirty gray, tough and adhered to the mucous membrane

B. Yellow, friable, localized in the gland crypt

C. White colored, friable, can be removed easily

D. Yellow, localized beneath tonsillar mucous membrane

E. Black, friable

120. 10-year-old child. Complaints are fever - 38,2^о С, sore throat while swallowing. The 2^nd day – fever - 37,6^оС, the swollen tonsils are observed in the pharynx, all over on the right tonsil extending to the palatoglossal arch, the upper and centre part of the left tonsil there is a grayish-white membrane is found, which is firmly adherent. The mucous around tonsils is hyperaemic, cyanotic; the submandibular lymphatic nodes are enlarged, a little painful. Taking into consideration the clinical features what medication is most sufficient for that patient?

A. Metronidazole

B. Biseptolum

C. Prednisolone

D. Antidiphtheric serum

E. Erythromycin

121. 2-year-old child. Complaints: cough, hoarseness, dyspnoe, Т - 37,4^оС. The condition gradually became worse. 3rd day of the disease: Т - 37,2^оС, inspiratory dyspnoe. Cough soundless, voice is aphonic cyanosis of the perioral area, acrocyanosis. Cold sweat. Anxious. Resonant breath in the lungs. What is the primary diagnosis:

A. Parainfluenza, stenotic laryngotracheobronchitis.

B. Larynx polyposis

C. Pertussis (spasmatic period)

D. Larynx diphtheria

E. Foreign body on the larynx

122. 12 -year-old child. Complains to sore throat. Т - 39°С. 3rd day: Т- 39,5°С, pallor, hypodynamics. Submandibular lymphatic nodes are enlarged - 2 cm, painless edema of cervical subcutaneous tissue up to the middle of the neck. Mucus membrane of tonsils and the palatoglossal arch is hyperaemic with cyanotic color, edemous. On the both tonsils, involving uvula from the left side there is a concrete grayish-white membrane, bulged, hardly detached, bleed. Heart sounds are muted. Your diagnosis?

A. Tonsils diphtheria, localized form.

B. Infectious mononucleosis.