Introduction into the Infectious Diseases. Infections with fecal-oral mechanism of transmission. Infections with droplet mechanism of transmission. Tests

1. 
   Intestinal echerihiosis
   
2. 
   Salmonellosis
   
3. 
   Shigellosis
   
4. 
   * Cholera
   
5. 
   Amebiasis, intestinal form
   

?Sick E., 21 years old, grumble about nausea, insignificant dull or rarely aggressive pain in a stomach. Appetite is decreased. Periodically presence of flatulence, grumbling in a stomach and semi-fluid emptying. Sick during about 6 month. The diagnosis of chronic cholecystitis was proposed. In examination pallor of skin, lowering of mass of body and signs of vegetative dystonia are found.On palpation pain in еpigastric area also found. What disease you will think about?

1. 
   * Giardiasis
   
2. 
   Salmonellosis
   
3. 
   Amebiasis
   
4. 
   Balantidiasis
   
5. 
   Intestinal єcheriosis
   

Sick E., 21 years old, grumble about nausea, insignificant dull or rarely aggressive pain in a stomach. Appetite is decreased. Periodically presence of flatulence, grumbling in a stomach and semi-fluid emptying. Sick during about 6 month. The diagnosis of chronic cholecystitis was proposed. In examination pallor of skin, lowering of mass of body and signs of vegetative dystonia are found.On palpation pain in еpigastric area also found. What disease you will think about?

1. 
   * Giardiasis
   
2. 
   Salmonellosis
   
3. 
   Amebiasis
   
4. 
   Balantidiasis
   
5. 
   Intestinal echerihiosis
   

Sick E., 21 years old, grumble about nausea, insignificant dull or rarely aggressive pain in a stomach. Appetite is decreased. Periodically presence of flatulence, grumbling in a stomach and semi-fluid emptying. Sick during about 6 month. The diagnosis of chronic cholecystitis was proposed. In examination pallor of skin, lowering of mass of body and signs of vegetative dystonia are found.On palpation pain in еpigastric area also found. What disease you will think about?

1. 
   * Giardiasis
   
2. 
   Salmonellosis
   
3. 
   Amebiasis
   
4. 
   Balantidiasis
   
5. 
   Intestinal echeriosis
   

Sick I., 25 years, returned from rest in Egypt. Early in the morning diarrhea began. Emptying each 1-1,5 hrs, abundant watery, without mucus and blood. Abundant vomiting also appeared. The temperature of body at first rise to 37,3 ?C, afterwards became 35,5 ?C, stomach-aches negative. Delivered in an infectious department. What is first aid?

1. 
   Treatment with sorbents
   
2. 
   Polyhybrid solution intravenous
   
3. 
   5 % solution of glucose intravenous
   
4. 
   Fresh-frozen plasma intravenous
   
5. 
   * Salt solutions intravenous
   

Sick I., 25 years, returned from rest in Egypt. Early in the morning diarrhea began. Emptying each 1-1,5 hrs, abundant watery, without mucus and blood. Abundant vomiting also appeared. The temperature of body at first rise to 37,3 C, afterwards became 35,5 CC, stomach-aches negative. Delivered in an infectious department. What is first aid?

1. 
   Treatment with sorbents
   
2. 
   Polyhybrid solution intravenous
   
3. 
   5 % solution of glucose intravenous|
   
4. 
   Fresh-frozen plasma intravenous
   
5. 
   * Salt solutions intravenous
   

Sick P, 36 years, farmer, became acutely ill when the temperature of body rised. There were a chills, pain in chest, flatulence and nausea. In the moment of admition grumbles about terminal diarrhoea with 15 times day. The stool is liquid, sticky with the admixtures of pus and blood. Tongue is covered with whitecovering. Stomach is distended, painfu colon, enlarged liver is palpable. In blood neutrophilic leucocytosis with the shift of formula to the left and anemia. At a rectoscopy, deep ulcers with unequal, sharped areas which are placed along the folds was found. What disease will you think about?

1. 
   Shigellosis
   
2. 
   Heterospecific ulcerous colitis
   
3. 
   * Balantidiasis
   
4. 
   Amebiasis
   
5. 
   Cancer of colon
   

Sick P., 25 years old, presents with frequent vomitting. Objectively: dryness of skin and mucous membranes, brief cramps in gastrocnemius muscles, the temperature of body is normal, voice is hoarsed, moderate tachycardia and hypotension. The compensated metabolic acidosis is marked. About what degree of dehydration is it possible to think?

1. 
   IV
   
2. 
   II
   
3. 
   * III
   
4. 
   I
   
5. 
   There is no dehydration
   

Sick P., 25 years old, presents with frequent vomitting. Objectively: dryness of skin and mucous membranes, brief cramps in gastrocnemius muscles, the temperature of body is normal, voice is hoarsed, moderate tachycardia and hypotension. The compensated metabolic acidosis is marked. About what degree of dehydration is it possible to think?

1. 
   IV
   
2. 
   II
   
3. 
   * III
   
4. 
   I
   
5. 
   There is no dehydration
   

Sick X., which returned from vacations from Turkey within 5 hrs in the morning, diarrhea began. Emptying each 1-1.5 hrs, with abundant watery without mucus and blood. In future bloodless watery, abundant vomitting appeared through 12 hrs. The temperature of body at first rise to 37.5 ?C afterwards became 35.7 ?C is delivered in an infectious department. What disease did you suspect?

1. 
   Echeriosis
   
2. 
   Food poisoning
   
3. 
   * Cholera
   
4. 
   Salmonellosis
   
5. 
   Balantidiasis
   

Sick X., which returned from vacations from Turkey within 5 hrs in the morning, diarrhea began. Stool every 1-1.5 hrs, with abundant watery feces without mucus and blood. In future bloodless watery, abundant vomiting appeared through 12 hrs. The temperature of body at first rise to 37.5  C afterwards became 35.7 CC is admitted in an infectious department. What disease did you suspect?

1. 
   Echeriosis
   
2. 
   Food poisoning|
   
3. 
   * Cholera
   
4. 
   Salmonellosis
   
5. 
   Balantidiasis
   

Sick, 20 year old, apeared to the hospital with complaints about the frequent emptying without a stomach-ache, vomit without nausea, pain in calve. Objectively: temperature of body – 36,2 ?C. A skin is pale and cold, a tongue is dry, voice getting hoarse. A stomach is pulled in, painless, emptying like a “rice-water”. What are the criterias for discharging of the patient from the hospital?

1. 
   Double negative bacteriological examination of excrements
   
2. 
   Single negative bacteriological examination of excrements
   
3. 
   * Triple negative bacteriological examination of excrements
   
4. 
   Negative bacteriological examination of excrement and urine
   
5. 
   Double negative bacteriological examination of excrement and urine
   

Sick, 20 year old, apeared to the hospital with complaints about the frequent emptying without a stomach-ache, vomit without nausea, pain in calve. Objectively: temperature of body – 36,2 C. A skin is pale and cold, a tongue is dry, voice getting hoarse. A stomach is pulled in, painless, emptying like a “rice-water”. What are the criterias for discharging of the patient from the hospital?

1. 
   Double negative bacteriological examination of excrements
   
2. 
   Single negative bacteriological examination of excrements
   
3. 
   * Triple negative bacteriological examination of excrements
   
4. 
   Negative bacteriological examination of excrement and urine
   
5. 
   Double negative bacteriological examination of excrement and urine
   

Sick, 45 years old was sick for 17days, lives in a village. The sick grumbles about strong stomach-ache, frequent 15 times and more on a day emptying, nausea, vomit, headache and fever. Objectively: person is pale, eyes are hollow, the turgor of skin is sharply decreased.Tongue is dry assessed white coating, stomach is sharply blown away, at palpation pain takes place in the area of colons. Liver is moderately enlarged. At hemanalysis leucocytosis 16*109, eosinophills 1 %, ESR – 7mm/hr. Change of leucocyte formula takes place. Emptying with addition of bloods, has a pungel smell. At rectoscopy at the area sigmoid and bowels was found deep ulcers with undetermined edges. What most probable pathology which predetermines such picture?

1. 
   Amebiasis
   
2. 
   * Balantidiasis
   
3. 
   Nonspecific ulcerous colitis
   
4. 
   Tumour of rectum
   
5. 
   Food poisoning
   

Sick, 45 years old was sick for 17days, lives in a village. The sick grumbles about strong stomach-ache, frequent 15 times and more on a day emptying, nausea, vomit, headache and fever. Objectively: person is pale, eyes are hollow, the turgor of skin is sharply decreased.Tongue is dry assessed white coating, stomach is sharply blown away, at palpation pain takes place in the area of colons. Liver is moderately enlarged. At hemanalysis leucocytosis 16*109, eosinophills 1 %, ESR – 7mm/hr. Change of leucocyte formula takes place. Emptying with addition of bloods, has a pungel smell. At rectoscopy at the area sigmoid and bowels was found deep ulcers with undetermined edges. What most probable pathology which predetermines such picture?

1. 
   Amebiasis
   
2. 
   * Balantidiasis
   
3. 
   Nonspecific ulcerous colitis
   
4. 
   Tumour of rectum
   
5. 
   Food poisoning
   

Student, 22 years old fell ill within a month after return from Ethiopia.Dull stomach-ache appeared and liquid emptying. Emptying is abundant up to 10 times a day, as “raspberry jelly” excrement, stomach-ache that increase during defecation. In times of illness lost 6 kg of body weight. Your diagnosis will be?

1. 
   * Intestinal аmoebiosis
   
2. 
   Shigellosis
   
3. 
   Salmonellosis
   
4. 
   Tumor of intestine
   
5. 
   Intestinal echeriosis
   

The ill patient in severe state was delivered to infectious department with no consciousness. Pale dark circles around eyes. Skin is cold, covered with sticky sweat. Temperature of body 35.6 ?C. Pulse 140/min and weak.Blood pressure is 40 and 0 m of Hg. Tongue is dry. Emptying is involuntary and watery. Three times vomited like “fountain”.What is the state of the patient?

1. 
   Collapse
   
2. 
   Infectious toxic shock
   
3. 
   * Dehydration shock
   
4. 
   Cereblral edema
   
5. 
   Intoxicated encephalopathy
   

The ill patient in severe state was delivered to infectious department with no consciousness. Pale dark circles around eyes. Skin is cold, covered with sticky sweat. Temperature of body 35.6 C. Pulse 140/min and weak.Blood pressure is 40 and 0 m of Hg. Tongue is dry. Emptying is involuntary and watery. Three times vomited like “fountain”.What is the state of the patient?

1. 
   Collapse
   
2. 
   Infectious toxic shock
   
3. 
   * Dehydration shock
   
4. 
   Cereblral edema
   
5. 
   Intoxicated encephalopathy
   

The inhabitant of a village, admitedwith wit complaints about great pain in a stomach, and diarrhea. The stool is liquid with mixtures of blood. About what disease it is possible to think about?

1. 
   Amebiosis
   
2. 
   Rotavirus gastroenteritis
   
3. 
   Gisrdiasis
   
4. 
   * Balantidiasis
   
5. 
   Cholera
   

V. Leptospirosis

1. 
   * Trichinosis
   
2. 
   Acute nephritis
   
3. 
   Quike’s edema
   
4. 
   Dermatomyositis
   

V. Leptospirosis

1. 
   * Trichinosis
   
2. 
   Acute nephritis
   
3. 
   Quike’s edema
   
4. 
   Dermatomyositis
   

Veterinarian 57 years old, on the 3rd day of disease appealed to the doctor with complaints of headache, high temperature, pain in gastrocnemius muscles, icterus, dark urine and diminishing of its amount. Objectively: temperature of body is 38 °C, sclerotic big peteachia on overhead part of thorax, hepatospleenomegaly. Most reliable preliminary diagnosis will be:

1. 
   * Leptospirosis
   
2. 
   Brucellosis
   
3. 
   Viral hepatitis
   
4. 
   Pseudotuberculosis
   
5. 
   Trichinosis
   

Veterinarian 57 years old, on the 3rd day of disease appealed to the doctor with complaints of headache, high temperature, pain in gastrocnemius muscles, icterus, dark urine and diminishing of its amount. Objectively: temperature of body is 38 °C, sclerotic big peteachia on overhead part of thorax, hepatospleenomegaly. Most reliable preliminary diagnosis will be:

1. 
   * Leptospirosis
   
2. 
   Brucellosis
   
3. 
   Viral hepatitis
   
4. 
   Pseudotuberculosis
   
5. 
   Trichinosis
   

Veterinarian 57 years old, on the 3rd day of disease appealed to the doctor with complaints of headache, high temperature, pain in gastrocnemius muscles, icterus, dark urine and diminishing of its amount. Objectively: temperature of body is 38 °C, sclerotic big peteachia on overhead part of thorax, hepatospleenomegaly. Most reliable preliminary diagnosis will be:

1. 
   * Leptospirosis
   
2. 
   Brucellosis
   
3. 
   Viral hepatitis
   
4. 
   Pseudotuberculosis
   
5. 
   Trichinosis
   

Woman 24, complains about colic pain in the liver area during 3 days with an irradiation in the back. Signs of icterus are absent. Last menstruation 5 weeks ago. Appointed ultrasonic research of abdominal region and small pelvis was found marked progress uterogestation. Expansion of common biliary tract, inflammation of gall-bladder, bulge of its wall, presence of crystal sediment.The extend loops of small intestines are visualized. On investigation of common biliary tract, additional ехogenic structures as a “ribbon”, which is displaced on investigation and changes form without distal acouctical shadow are found. Most probable diagnosis will be:

1. 
   Cancer of intestine
   
2. 
   Acute cholecystitis
   
3. 
   * Ascaridosis
   
4. 
   Choledocholelythiasis
   
5. 
   Cholecystitis
   

Woman 24, complains about colic pain in the liver area during 3 days with an irradiation in the back. Signs of icterus are absent. Last menstruation 5 weeks ago. Appointed ultrasonic research of abdominal region and small pelvis was found marked progress uterogestation. Expansion of common biliary tract, inflammation of gall-bladder, bulge of its wall, presence of crystal sediment.The extend loops of small intestines are visualized. On investigation of common biliary tract, additional ехogenic structures as a “ribbon”, which is displaced on investigation and changes form without distal acouctical shadow are found. Most probable diagnosis will be:

1. 
   Cancer of intestine
   
2. 
   Acute cholecystitis
   
3. 
   * Ascaridosis
   
4. 
   Choledocholelythiasis
   
5. 
   Cholecystitis
   

Woman 24, complains on heaviness in the area of liver during 3 days, with an irradiation in the back. Signs of icterus are not present. Last menstruation – 5 weeks ago. Appointed ultrasonic research of abdominal region and small pelvis was, found marked progress uterogestation. Expansion of common biliary tract, inflammation of gall-bladder, bulge of its its wall, presence of crystal sediment, extended loops of small intestines are visualized. Investigation of colonoscopy found additional exogenic structures as a “ribbon”, which is displaced in intestine and changes form without distal acoustic shade. Most probable diagnosis is:

1. 
   * Ascaridosis
   
2. 
   Partial intestinal uncommunicating
   
3. 
   Sharp calculary cholecystitis
   
4. 
   Choledocholithiasis
   
5. 
   Cholecystitis
   

Woman 24, complains on heaviness in the area of liver during 3 days, with an irradiation in the back. Signs of icterus are not present. Last menstruation – 5 weeks ago. Appointed ultrasonic research of abdominal region and small pelvis was, found marked progress uterogestation. Expansion of common biliary tract, inflammation of gall-bladder, bulge of its its wall, presence of crystal sediment, extended loops of small intestines are visualized. Investigation of colonoscopy found additional exogenic structures as a “ribbon”, which is displaced in intestine and changes form without distal acoustic shade. Most probable diagnosis is:

1. 
   * Ascaridosis
   
2. 
   Partial intestinal uncommunicating
   
3. 
   Sharp calculary cholecystitis
   
4. 
   Choledocholithiasis
   
5. 
   Cholecystitis
   

Woman 24, complains on heaviness in the area of liver during 3 days, with an irradiation in the back. Signs of icterus are not present. Last menstruation – 5 weeks ago. Appointed ultrasonic research of abdominal region and small pelvis was, found marked progress uterogestation. Expansion of common biliary tract, inflammation of gall-bladder, bulge of its its wall, presence of crystal sediment, extended loops of small intestines are visualized. Investigation of colonoscopy found additional exogenic structures as a “ribbon”, which is displaced in intestine and changes form without distal acoustic shade. Most probable diagnosis is:

1. 
   * Ascaridosis
   
2. 
   Partial intestinal uncommunicating
   
3. 
   Sharp calculary cholecystitis
   
4. 
   Choledocholithiasis
   
5. 
   Cholecystitis
   

A 23 years old person, became ill sharply: fever 38.2 °C, moderate diffuse pharyngalgia at swallowing, pain and itching in the right eye. Objectively: tonsillitis, pharyngitis, conjunctivitis. What is previous diagnosis?

1. 
   * Adenoviral infection
   
2. 
   Enteroviral infection
   
3. 
   Parainfluenza
   
4. 
   Flu
   
5. 
   Acute respiratory infection
   

A 25 years old patient, fell ill rapidly, with chills and temperature rose to 39,9 оC, headache appeared in frontotemporal regions, pain in eyeballs, dull pain in all trunk, closed nose. Dry cough after 2 days of illness, there was nose bleeding. Objectively: hyperemia with sputum, isolated petechial rash and shallow grittiness of soft palate. Difficult breathing in lungs. What is the most possible diagnosis?

1. 
   Leptospirosis
   
2. 
   Adenoviral infection
   
3. 
   Typhoid fever
   
4. 
   * Flu
   
5. 
   Epidemic typhus
   

A 4 years old child complains about: cough, temperature of body 38.1 °C. Conjunctiva is hyperemic. On mucous of cheeks there are points of hyperemia gum blushs. Weaken breathing in the lungs. What is the most possible diagnosis?

1. 
   Scarlet fever
   
2. 
   Rubella
   
3. 
   * Measles
   
4. 
   Herpetic infection
   
5. 
   Flu
   

A child 10 years old with temperature 38,0 °C, conjunctivitis, moist cough, hyperemia of the mucous membranes of cheeks and lips. Gums are pallor. What is your diagnosis?

1. 
   * Measles
   
2. 
   Adenoviral infection
   
3. 
   Acute respiratory viral infection
   
4. 
   Enteroviral infection
   
5. 
   Infectious mononucleosis
   

A child 3 years old is found in the grave condition – naughty, forced breathing, dry «barking» coughing, voice is hoarse, perioral cyanosis. The third day, temperature of body is subfebrile, mild common cold. In lungs single dry wheezes can be heard. Moderate tachycardia. For which disease these symptoms are characteristic?

1. 
   Localized diphtheria of oropharynx
   
2. 
   Whooping-cough
   
3. 
   * Parainfluenza, false croup
   
4. 
   Bronchopneumonia
   
5. 
   Adenoviral infection
   

A child of age 2 years has temperature of body 37.3 °C, cold, hoarse voice “barking cough” appeared suddenly the anxiety, shortness of breath, appeared with participation of auxiliary muscles. Supposed diagnosis?

1. 
   * Parainfluenza, false croup
   
2. 
   Diphtheria croup
   
3. 
   Allergic laryngitis, croup
   
4. 
   Flu, laryngitis
   
5. 
   Acute exudative pleuritis
   

A farmer O., 50 years old, hospitalized in a moderate condition with complaints about dryness in mouth, multiple vomitings, pain in the epigastriums and frequent watery stool. First aid to the patient is?

1. 
   Hypersaturated oxygen
   
2. 
   Transfusion of fresh-frozen plasma
   
3. 
   Tetracyclin
   
4. 
   * Intravenous introduction of salt solutions
   
5. 
   Introduction of polyhybrid
   

A patient 14 years old, hospitalized in the infectious department in severe condition with considerable headache mainly in frontal and temporal area, pain in eyeballs, in muscles and joints. Objectively: patient is excited, temperature of the body is 39 оC. Bradycardia changed by tachycardia. Muscles tonic and clonic cramps. Positive meningeal signs. It is found in epidemic anamnesis, his brother is also sick. What is your diagnosis?

1. 
   * Flu with pneumonia and edema of brain
   
2. 
   Flu, typical course
   
3. 
   Parainfluenza, false croupe
   
4. 
   Respiratory-sencytial infection
   
5. 
   Adenoviral infection, pneumonia
   

A patient 17 years old, became suddenly ill: temperature rose to 40,3 °C. Severe headache, motive excitation, frequent vomiting, tremor of fingers of extremities. Hemorrhagic spots of round form and different sizes, more frequently as stars, mainly on buttocks and trunk. Meningeal signs are positive. What is the most possible diagnosis?

1. 
   Encephalitis
   
2. 
   Flu with a hemorrhagic syndrome
   
3. 
   * Meningococcal infection
   
4. 
   Measles
   
5. 
   Leptospirosis
   

A patient 17 years, 11th class student, were a lot of cases of ARI (acute respiratory infection) have happened, appealed to a doctor in clinic at 3rd day of disease with complaints of chills, general weakness, a moderate sore throat, running nose, swelling of face, watering from eyes Objective examination: minor palatal hyperemia brackets and tonsillitis, on a background of moderate edema of tissues. Conjunctivitis. During palpation not painful enlarged inframaxillary lymph nodes, and enlarged neck lymph nodes were found. Crepitation can’t be find. Liver and spleen moderately increased. What is the most likely diagnosis?

1. 
   Diphtheria
   
2. 
   * Adenoviral infection
   
3. 
   Meningococcal nasopharyngitis
   
4. 
   Influenza
   
5. 
   Infectious mononucleosis
   

A patient 18 years old, with complaints about headache, pharyngalgia, weakness, high temperature. Objectively: all groups of lymphonodes, 1-3 cm in a diameter, dense, elastic, enlarged, hepatospleenomegaly. Blood analysis: leukocytosis, mononuclear – 15 %. What is possible diagnosis?

1. 
   * Infectious mononucleosis