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Introduction into the Infectious Diseases. Infections with fecal-oral mechanism of
transmission. Infections with droplet mechanism of transmission.
Tests
1. A suspected case of typhoid fever of 1st week is admitted in the hospital. What specific
examination (laboratory diagnosis) do you suggest for this patient?
A. Biochemical blood analysis
B. Reaction of agglutination of Vidall
C. X-ray
D. Urinoculture
E. * Hemoculture
2. A suspected case of typhoid fever of 1st week is admitted into the hospital. What
examination (laboratory investigation) do you prescribe for this patient?
A. * Hemoculture
B. Reaction of agglutination of Vidall
C. Indirect hemaglutination test with О-, Н-, Vi-аntigens
D. Urinoculture
E. Coproculture
3. A suspected case of typhoid fever of 3-d week is admitted in the hospital. What examination
(laboratory investigation) do you prescribe for this patient?
A. Coproculture
B. Reaction of agglutination of Vidall
C. Urinoculture
D. Hemoculture
E. * All enumerated
4. A suspected case of typhoid fever of 2-nd week is admitted in the hospital. What
examination (laboratory diagnosis) do you suggest for this patient?
A. Coproculture
B. Reaction of agglutination of Vidall
C. Urinoculture
D. Hemoculture
E. * All enumerated
5. About what does the diagnostic titre of reaction of Vі-haemaglutination testify?
A. * About typhoid bacterial-carrier
B. About the period of height of the epidemic typhus
C. About meningococcaemia
D. About a malaria
E. About the latent period of brucellosis
6. After salmonellosis chronic carrier state.
A. Not formed
B. * Formed in 0,1-1 % of the cases
C. Formed in 8-10 % of cases
D. Formed in 20-30 % of cases
E. Formed in 50-80 % of cases
7. All laboratory and instrumental examinations are needed to confirm the diagnosis of food
poisoning, except:
A. * Blood analysis
B. Coproculture
C. Investigation of washing waters
D. Stool test
E. Serum researches with the autoculture of substance
8. All laboratory and instrumental examinations are needed to confirm the diagnosis of food
poisoning, except:
A. * Urinoculture
B. Coproculture
C. Investigation of washing waters
D. Stool test
E. Serum researches with the autoculture of substance
9. All the laboratory and instrumental examinations are needed to confirming the diagnosis of
food poisoning, except:
A. * General blood analysis
B. Coproculture
C. Stool test
D. Food debris
E. Serum researches with the autoculture of substance
10. At the typical form of typhoid fever temperature of body rises to 39-40 °C. The temperature
curve likes to 2 waives (during 3-4 weeks of disease). How is such temperature curve
named?
A. The temperature curve as Vunderlihs
B. * The temperature curve as Botkin
C. Temperature curve as Kildushevsky
D. Temperature curve as Ellers
E. Intermittent temperature curve
11. At the typical form of typhoid fever temperature of body rises to 39-40 °C. The temperature
curve likes to 2 waives (during 3-4 weeks of disease). How is such temperature curve
named?
A. Febris intermittent
B. * The temperature curve as Botkin
C. Febris recurrent
D. Temperature curve as Kildushevsky
E. Normal temperature
12. At the typical form of typhoid fever temperature of body rises to 37-37,5 °C. How is such
temperature curve named?
A. The temperature curve as Vunderlihs
B. * The subfebrile temperature curve
C. Temperature curve as Kildushevsky
D. Temperature curve as Ellers
E. Intermedium temperature curve
13. At the typical form of typhoid fever, temperature of body rises like to stairs from a day to
the day to 39-40 °C.
A. * The temperature curve as Vunderlihs
B. The temperature curve as Botkin
C. Temperature curve as Kildushevsky
D. Temperature curve as Ellers
E. Intermedium temperature curve
14. At the typical form of typhoid fever, temperature of body rises like to stairs from a day to
the day to 39-40 °C at the end of 1st week, and then slowly during 2-3 weeks gradually
going down, comes to the norm. How is such temperature curve named?
A. The temperature curve as Vunderlihs
B. The temperature curve as Botkin
C. * Temperature curve as Kildushevsky
D. Temperature curve as Ellers
E. Intermedium temperature curve
15. Bacteria typhoid, painted by Gram, look like.
A. The blue-violet rods
B. * Red rods
C. Blue-violet cocci
D. Red cocci
E. Brown vibrio
16. Bacteria typhoid, painted by Gram, looks like:
A. The yellow rods
B. Black vibrio
C. Blue cocci
D. Red cocci
E. * Red rods
17. Bacteria typhoid, painted by Gram, looks like:
A. Pink protozoa
B. Red fungi
C. Violet cocci
D. * Red rods
E. Green vibrio
18. By which method is it possible to diagnose typhoid fever?
A. All enumerated
B. Coproculture
C. Bilicultura
D. * Hemocultura
E. Reaction of Vidal
19. By which method is it possible to find out bacterial carrier in case of typhoid fever?
A. Coproculture
B. Reaction of agglutination of Vidall
C. Indirect hemaglutination test with О-аntigen
D. Indirect hemaglutination test with a Н-antigen
E. * Indirect hemaglutination test with a Vi-antigen
20. By which method is it possible to find out bacterial carrier in case of typhoid fever?
A. * Indirect hemaglutination test with a Vi-antigen
B. Reaction of agglutination of Vidall
C. Stool test
D. Indirect hemaglutination test with a Н-antigen
E. Swab from oropharynx
21. Convalescent of typhoid fever may be discharged from clinic after:
A. Non-permanent negative bacteriologic examination of feces
B. * 21-th day of normal temperature of body and 3-multiple negative bacteriologic
examination of excrements and urine
C. 14-th day of normal temperature of body and 2-multiple negative bacteriologic
examination of excrements and urine
D. Clinical convalescence and normalization of rectoscopic picture
E. Normalization of rectoscopic picture and decreasing of titre of antibodies in RNGA
22. Convalescent of typhoid fever may be discharged from clinic after:
A. * 21-th day of normal temperature of body and 3-multiple negative bacteriologic
examination of excrements and urine
B. Normalization of rectoscopic picture and decreasing of titre of antibodies in RNGA
C. 3-th day of normal temperature of body and 2-multiple negative bacteriologic
examination of excrements and urine
D. Clinical convalescence and normalization of rectoscopic picture
E. 14-th day of normal temperature of body and 2-multiple negative bacteriologic
examination of excrements and urine
23. District doctor suspected typhoid fever in a patient M., 15 y.o. For rendering harmless of
patient as the sources of infection it follows to conduct the following measures, except:
A. * Introduction to the patient of antityphoid monovaccine
B. Hospitalization in the infectious department during 3-6 hours
C. Introduction etiotropic antibacterial treatment
D. Conducting of controls bacteriological researches of excrement and urine (triply) and
bile before the discharge
E. Clinical supervision after the discharge during 3 months
24. Duration of incubation period at typhoid fever?
A. 3-7 days
B. * 9-21 day
C. From a few hours to 2-3 days
D. From 12 to 100 days
E. From a few hours to 17 days
25. Duration of incubation period at typhoid fever?
A. 30-45 days
B. 3-7 days
C. From a few hours to 2-3 days
D. * 9-21 day
E. From a few hours to 12 days
26. Entrance of causative agent at typhoid fever?
A. Mucous membrane of amygdales
B. Mucous membrane of nasopharynx
C. Epithelial cells of skin
D. Mucous membrane of colon
E. * Mucous membrane of digestive tract
27. For proven of Salmonella typhus infection use:
A. Test of Cuverkalov
B. RA with O- and Н-antigen
C. PCR
D. Bacteriologic examination and reaction of Vidal
E. * Bacteriologic examination and RNGA with a Vi-antigen
28. For identification of transmitter of Salmonella typhi utilize:
A. * Bacteriologic examination and RNGA with a Vi-antigen
B. RIHA with Н-antigen
C. Bacteriologic examination and reaction of Vidal
D. General blood analysis
E. Test of Paula- Bunnela
29. Greatest epidemiological role in the salmonellosis belongs.
A. * Ducks eggs
B. Gray rats
C. Pigs
D. Fish
E. Man
30. Greatest epidemiological role in the salmonellosis belongs to:
A. * Cattle
B. Gray rats
C. Mice
D. Fish
E. Man
31. The main epidemiological role in the salmonella belongs to:
A. * Cattle
B. Rodents
C. Birds
D. Fish
E. Horses
32. In a patient development of clostridial gastroenterocolitis is suspected. What is it necessary
for bacteriological confirmation of diagnosis?
A. Endo‘s medium, thermostat
B. Ploskirev‘s medium and blood agar
C. Blaurock‘s medium, thermostat
D. Endo‘s medium, anaerostat
E. * Blaurock‘s media, anaerostat
33. In epidemic focus of typhoid fever has be done, except:
A. Daily thermometry
B. Coproculture
C. Reaction of Vidal
D. * Hemoculture
E. Urine culture
34. At epidemic outbreak of typhoid fever has be done, except:
A. Daily thermometry
B. Coproculture
C. Reaction of Vidal
D. * Hemoculture
E. Urine culture
35. In epidemic focus of typhoid fever has be done:
A. * All enumerated
B. Coprologic culture
C. Reaction of Vidal
D. Daily thermometery
E. Urine culture
36. In order to prevent salmonellosis should be.
A. Disinfection
B. Vaccination
C. Chemoprophylaxis
D. * Sanitary and epidemiological control over food
E. All these measures are not undertaken
37. To prevent salmonellosis should be done:
A. Disinfection
B. Vaccination
C. Chemoprophylaxis
D. * Sanitary and epidemiological control over food industry
E. All these measures are not undertaken
38. In order to prevent salmonellosis should be.
A. Disinfection
B. All these measures are undertaken
C. Chemoprophylaxis
D. * Sanitary and epidemiological control over food industry
E. All these measures are not undertaken
39. Medical workers at salmonellosis must to work in protective clothing:
A. * Type I
B. Type II
C. Type III
D. Type IV
E. Type V
40. Name of the basic factors of pathogen of typhoid rod?
A. * Vi-antigen and endotoxin
B. Exotoxin
C. Vi-antigen
D. Enzymes of pathogenicity
E. Endotoxin
41. Enumerate the basic factors of pathogen activity of typhoid bacteria?
A. Vi-antigen
B. Exotoxin
C. * Vi-antigen and endotoxin
D. Enzymes of pathogenicity
E. Endotoxin
42. The basic factors of pathogen activity of typhoid bacteria are:
A. Endotoxin
B. Exotoxin
C. Vi-antigen
D. Enzymes of pathogenicity
E. * Vi-antigen and endotoxin
43. Nowadays in Ukraine salmonellosis.
A. Not registered
B. Reported in the form of epidemics
C. * Reported sporadically
D. Reported in the form of annual outbreaks
E. Reported only in endemic focus
44. One of methods of diagnostics of typhoid fever and paratyphoid fever is the selection of
hemoculture. For that in a fever period at 1-st week sowing of blood from a vein on bilious
bulione or Rappoport medium
A. 0,5 ml of blood
B. * 10 ml of blood
C. 15 ml of blood
D. 20 ml of blood
E. 25 ml of blood
45. One of methods of diagnostics of typhoid fever and paratyphoid fever is the selection of
hemoculture. For that in a fever period at 3-d week sowing of blood from a vein on bilious
bulione or Rappoport medium
A. 5 ml of blood
B. 10 ml of blood
C. 15 ml of blood
D. * 20 ml of blood
E. 25 ml of blood
46. One of methods of diagnostics of typhoid fever and paratyphoid fever is the selection of
hemoculture. For that in a fever period sowing of blood from a vein on bilious bullion or
Rappoport‘s medium in correlation 1:10 is made. What volume of blood must be taken on
the 2nd week of disease?
A. 5 ml of blood
B. 10 ml of blood
C. * 15 ml of blood
D. 20 ml of blood
E. 25 ml of blood
47. What volume of blood must be taken on the 1st week of typhoid fever for sowing of blood
from a vein on bilious bulione or Rappaport‘s medium.
A. 0,5 ml of blood
B. * 10 ml of blood
C. 15 ml of blood
D. 20 ml of blood
E. 25 ml of blood
48. What volume of blood must be taken on the 3-d week of typhoid fever for sowing of blood
from a vein on bilious bulione or Rappaport‘s medium.
A. 5 ml of blood
B. 10 ml of blood
C. 15 ml of blood
D. * 20 ml of blood
E. 25 ml of blood
49. Patient K., applied to the infectious department suspecting food poisoning (maybe
staphylococce). What methods can confirm the diagnosis?
A. Diagnostic confirmation requires isolating staphyloccocci from the urine
B. Diagnostic confirmation requires isolating staphyloccocci from the stool
C. Diagnostic confirmation requires isolating staphyloccocci from the liquor
D. * Diagnostic confirmation requires isolating staphyloccocci from the suspected food
E. All enumerated
50. Convalescents of typhoid fever may go out from clinic after:
A. Non-permanent negative bacteriologic examination of defecating
B. * 21th day of normal temperature of body and 3-multiple negative bacteriologic
examination of excrement and urine
C. 14th day of normal temperature of body and 2-multiple negative bacteriologic
examination of excrement and urine
D. Clinical convalescence and normalization of rectal manoscopic picture
E. Normalisations of rectal manoscopic picture and in default of title of antibodies in
RNGA
51. Salmonella adapted to humans.
A. * S. typhi
B. S. newport
C. S. cholerae-suis
D. S. abortus-ovis
E. S. gallinarum-pullorum
52. Salmonella is classified by:
A. * O-antigen and H-antigen
B. O-antigen and J-antigen
C. H-antigen and Vi-antigen
D. O-antigen, H-antigen and Vi-antigen
E. O-antigen, H-antigen, Vi-antigen and HBsAg
53. Salmonella is classified by:
A. * O-antigen and H-antigen
B. O-antigen and Vi-antigen
C. H-antigen and Vi-antigen
D. Z-antigen, H-antigen and Vi-antigen
E. HBsAg, O-antigen, F-antigen, Vi-antigen
54. Salmonella typhi contains:
A. Only O-antigen and Н-antigen
B. Only J-antigen and Vi-antigen
C. Only H-antigen and T-antigen
D. * O-antigen, H-antigen and Vi-antigen
E. O-antigen, HCV, Vi- antigen and HBsAg
55. Salmonella typhus contains:
A. Only O-antigen and Н-antigen
B. Only O-antigen and Vi-antigen
C. Only H-antigen and Vi-antigen
D. * O-antigen, H-antigen and Vi-antigen
E. O-antigen, H-antigen, Vi- antigen and HBcAg
56. Site of causative agent entrance at typhoid fever?
A. * Mucous membrane of small intestine
B. Mucous membrane of nasopharynx
C. Epithelial cells
D. Mucous membrane of genital organs
E. Mucous membrane of esophagus
57. Site of causative agent entrance at typhoid fever?
A. Mucous membrane of amygdales
B. Mucous membrane of pharynx
C. Epithelial cells of skin
D. Mucous membrane of colon
E. * Mucous membrane of small intestine
58. The etiologic diagnosis of acute intestinal infections can be confirmed thus, except:
A. Separation of pathogen from patients and from food debris
B. To obtain identical cultures of bacteria from a few patients from those which
consumed that meal
C. * Separation of identical cultures from different materials (washings, vomiting mass,
excrement) at one patient at the bacterial semination no less than 105/g and
diminishing of this index in the process of convalescence
D. Presence at the selected culture of Escherichia’s and staphylococcus enterotoxin
E. Positive agglutination reaction or other immunological reactions with autostrains of
possible pathogen, which testify to growth of title of antibodies on the blood serum
of patient in the dynamics of disease
59. The kind of immunity after salmonellosis.
A. Passive
B. Not formed
C. Short term
D. * Type specific
E. Inherited
60. The kind of immunity after salmonellosis.
A. Inherited
B. * Type specific
C. Short term
D. Not formed
E. Permanent
61. What immunity formed after salmonellosis.
A. Inherited
B. * Type specific
C. Short term
D. Not formed
E. Passive
62. The part of reproduction of typhoid bacterium in the organism of human is:
A. Stomach
B. * Lymphatic formations of colon
C. Blood
D. Bilious ways
E. Mucous membrane of colon
63. Place of reproduction of typhoid bacterium in the organism:
A. Stomach
B. * Lymphatic formations of colon
C. Blood
D. Bilious ways
E. Mucous membrane of colon
64. The part of reproduction of typhoid bacterium in the organism of human is:
A. Oral cavity
B. * Lymphatic formations of colon
C. Blood
D. Nerve ganglions
E. Mucous membrane of colon
65. The rules of discharging from a hospital of salmonellosis patients.
A. One-time negative bacteriological investigation of stool
B. * Three negative bacteriological investigation of stool
C. 14 days normal body temperature and the double negative bacteriological study stool
and urine
D. Clinical recovery and normalization rectomanoscopy picture
E. Normalization rectomanoscopy picture and in the absence of antiserum to RNGA
66. The rules of discharging from hospital of salmonellosis patients.
A. Two-time negative bacteriological investigation of stool and normalization
rectomanoscopy picture
B. * Three negative bacteriological investigation of stool
C. 21 days normal body temperature and the double negative bacteriological study stool
and urine
D. Normal temperature and clinical recovery
E. Normalization rectomanoscopy picture and in the absence of antiserum to RNGA
67. The source of the causative agent of salmonellosis are.
A. Urine of patients
B. * Farm birds
C. Rodents
D. Soil
E. Feces of patients
68. The source of the causative agent of salmonellosis is:
A. Sick person
B. * Farm animals
C. Rats
D. Environment
E. Stool of patients
69. At salmonellosis the source of the causative agent is:
A. Soil
B. Feces of patients
C. Rodents
D. Sick person
E. * Farm animals
70. Typhoid bacilli are usually cultured from:
A. * Blood, stool, urine
B. Blood, urine, sputum
C. Stool, liquor, urine
D. Blood, stool, sputum
E. Stool, liquor, sputum
71. Typhoid bacilli are usually cultured from:
A. Blood, stool, sputum
B. Blood, urine, sputum
C. Stool, liquor, urine
D. * Blood, stool, urine, bile
E. Stool, liquor, sputum
72. Typical food factor in the transmission of salmonella is.
A. Acidic juices
B. Alcohol drinks
C. * Meat products
D. Salad of red beets
E. Compote of dried fruits
73. In the transmission of salmonella the common food factors is:
A. Acidic juices
B. Compote of apple
C. Alcohol drinks
D. Salad of potatoes
E. * Meat products
74. Typical food factor in the transmission of salmonella is.
A. Orange juice
B. Fried potatoes
C. * Meat products
D. Salad of fresh cabbage
E. Compote of fresh fruits
75. What changes in general analysis of blood are characteristic for typhoid?
A. * Leucopenia, aneosinophilia, lympho-, monocytosis, increasing of ESR
B. Leucocytosis, hypereosinophilia, thrombocytosis, increasing of ESR
C. Hypochromic anaemia, leucocytosis, appearance of young forms, ESR is not
changed
D. Hyperchromatic anaemia, leycocytosis, appearance of young forms, increasing of
ESR
E. Leucopenia, lymphopenia, thrombocytosis, increasing of ESR
76. What changes in general blood analysis are characteristic for typhoid fever?
A. * Leucopenia, aneosinophilia, lympho-, monocytosis, increasing ESR
B. Leucocytosis, hypoeosinophilia, thrombocytosis, decreasing ESR
C. Anaemia, leucocytosis, appearance of young forms, ESR is not changed
D. Hyperchromic anaemia, leucocytosis, appearance of young forms, increasing ESR
E. Leucopenia, lymphopenia, thrombocytosis, increasing ESR
77. Such changes in general blood analysis are character for typhoid fever?
A. * Leucopenia, aneosinophilia, lympho-, monocytosis, increasing ESR
B. Leucocytosis, hypereosinophilia, thrombocytosis, increasing ESR
C. Hypochromatic anaemia, leucocytosis, appearance of young forms, ESR is not
changed
D. Hyperchromatic anaemia, leycocytosis, appearance of young forms, increasing ESR
E. Leucopenia, lymphopenia, thrombocytosis, increasing ESR
78. What does the diagnostic titre of reaction of Vі-haemaglutination testify to?
A. * About typhoid bacterial-carrier
B. About the period of height of the epidemic typhus
C. About meningococcaemia
D. About a malaria
E. About the latent period of brucellosis
79. What environments do typhoid rods grow on well?
A. Chicken embryos
B. Water-serum nourishing environment
C. * Bilious clear soup
D. Meat-peptone gelose + cistin
E. To the Bismute-sulfate gelose
80. What ever symptom is not characteristic for typhoid on the second week of illness?
A. Constipation
B. Headache
C. Fever
D. Relative bradycardia
E. * Cramps
81. What from the adopted phases of pathogenesis is not characteristic for typhoid?
A. * Swelling, edema of mucous membrane of overhead respiratory tracts
B. Stage of penetration
C. Stage of lymphodefence reactions
D. Stage of bacteriaemia
E. Stage of intoxication
82. What from the adopted ways of transmission is characteristic for typhoid?
A. * Alimentary
B. Contact
C. Transmission
D. Air-drop
E. Vertical
83. What from the indicated pathology anatomic phases is not characteristic for typhoid?
A. * Catarrhal inflammation of rectum
B. Cerebral-type of swelling
C. Necrosis
D. Ulcers
E. Clean ulcers
84. What from the listed signs is not character for typhoid rash?
A. * Papules, disappear together with normalization of body temperature
B. Appears on a 7-10-th day, maculopapular (roseola-type) rash
C. Located mainly on an abdomen and lateral surfaces of trunk, observed at the half of
patients
D. The amount of elements is limited
E. Roseola-type, sometimes saved longer than fever
85. What from the listed signs is not character for typhoid rash?
A. Papules, not disappear together with normalization of body temperature
B. * Appears on a 2-5-th day, vesicular rash
C. Located mainly on an abdomen and lateral surfaces of trunk, observed at the half of
patients
D. The amount of elements is limited
E. Roseola-type, sometimes saved longer than fever
86. What from the listed signs is not character for a typhoid rash?
A. Papules, not disappear together with normalization of body temperature
B. Appears on a 7-10-th day, maculopapular (roseola-type) rash
C. * Located mainly on an extremities, observed at all patients
D. The amount of elements is limited
E. Roseola-type, sometimes saved longer than
87. What group of infectious diseases salmonellosis belong to?
A. Sapronosis
B. * Zoonosis
C. Antroponosis
D. Zooantroponosis
E. The group is not defined
88. What group of infectious diseases Paratyphoid B belong to?
A. Sapronosis
B. Zoonosis
C. Antroponosis
D. * Antropozoonosis
E. The group is not defined
89. What group of infectious diseases Paratyphoid A belong to?
A. Sapronosis
B. Zoonosis
C. * Antroponosis
D. Zooantroponosis
E. The group is not defined
90. What inoculums material should be taken to discharge the toxins at Food poisoning?
A. * Suspected food
B. Urine
C. Stool
D. Vomiting mass
E. Spinal marrow
91. What is the most important factor in Salmonellosis transmission.
A. Boil meat
B. Home made foods
C. Water
D. Sexual contact
E. * Eggs
92. What is the most important factor in Salmonellosis transmission.
A. * Row meat
B. Home made foods
C. Water
D. Sexual contact
E. Blood
93. What is the most important factor in Salmonellosis transmission.
A. Mushrooms
B. Frozen fruits
C. Water
D. Mosquitoes
E. * Eggs
94. What is not character for typhoid fever from the pathogen phases?
A. * Swelling, edema of mucous membrane of upper respiratory tracts
B. Stage of penetration
C. Stage of lymphoimmune reactions
D. Stage of bacteriemia
E. Stage of intoxication
95. What is the source of typhoid fever?
A. * Sick human
B. Sick agricultural animals
C. Sick rodents
D. Soil
E. Birds
96. What mechanism of transmission is typical for salmonellosis.
A. * Fecal-oral
B. Contact
C. Transmissive
D. Air-drop
E. All possible
97. The most typical way of transmission for salmonellosis.
A. * Alimentary
B. Contact
C. Water
D. Air-drop
E. Flies
98. What mechanism of transmission is typical for salmonellosis.
A. Vertical
B. Contact
C. All possible
D. * Fecal-oral
E. Transmissive
99. What group of infections salmonellosis belong to?
A. All enumerated
B. Parenteral
C. Respiratory
D. Blood
E. * Intestinal
100.
What group of infectious diseases salmonellosis belong to?
* Intestinal
Blood
Respiratory
External coverings
Vertical
101.
What percentage of chronic carrier state can form after salmonellosis.
A. Not formed
B. * Formed in 0,1-1 % of the cases
C. Formed in 8-10 % of cases
D. Formed in 20-30 % of cases
E. Formed in 50-80 % of cases
102.
What percentage of chronic carrier state can form after salmonellosis.
A. Formed in 100 % of the cases
B. * Formed in 0,1-1 % of the cases
C. Formed in 5-10 % of cases
D. Formed in 20-30 % of cases
E. Not formed
103.
What preventive and antiepidemic activities against Salmonella focused on the first
link of epidemic process.
A. * Veterinarian measures
B. Revealing, hospitalization and treatment of sick people
C. Systematic sanitary-hygienic control
D. Disinfection
E. Vaccination
104.
What way of transmission is not inherent to Salmonella typhimurium.
A. Milk
B. Contact home
C. Water
D. * Sex
E. Food
105.
What Salmonella is adapted to humans?
A. * S. typhi
B. S. newport
C. S. cholerae-suis
D. S. abortus-ovis
E. S. gallinarum-pullorum
106.
What Salmonella is adapted to humans?
A. * S. enteritidis
B. S. newport
C. S. cholerae-suis
D. S. abortus-ovis
E. S. gallinarum-pullorum
107.
What Salmonella is adapted to humans?
A. * S. typhimurium
B. S. newport
C. S. cholerae-suis
D. S. abortus-ovis
E. S. gallinarum-pullorum
108.
What symptom is not characteristic for typhoid fever on the second week of disease?
A. Constipation
B. Headache
C. Fever
D. Relative bradycardia
A.
B.
C.
D.
E.
109.
110.
111.
112.
113.
114.
115.
116.
117.
E. * Cramps
What symptom is not characteristic for typhoid fever on the second week of disease?
A. Hepatosplenomegalia
B. Headache
C. Fever
D. Rash
E. * Cramps
What term of looking after the source of typhoid fever?
A. 14 days
B. * 21 days
C. 7 days
D. 30 days
E. Not needed
What term of looking after the source of typhoid fever?
A. 52 days
B. Not needed
C. 71 days
D. 30 days
E. * 21 days
What term of looking after the source of typhoid fever?
A. * 21 days
B. 3-6 days
C. 14 days
D. 45 days
E. 90 days
What way of transmission is not inherent to Salmonella typhy.
A. Milk
B. Contact home
C. Water
D. * Sex
E. Food
What way of transmission is not inherent to Salmonella typhy.
A. Milk
B. Contact home
C. Water
D. * Transmissive
E. Food
What ways of transmission is the most character for typhoid fever?
A. * Alimentary
B. Contact
C. Transmissive
D. Air-drop
E. Vertical
When is it possible to abolish etiotropic drugs in a patient with typhoid fever?
A. After normalization of body temperature
B. After normalization of sizes of liver and spleen
C. After disappearance of roseollas
D. In 10 days after disappearance of roseollas
E. * After the 10th day of normal body temperature
When is it possible to abolish etiotropic drugs in a patient with typhoid fever?
A. Direct after normalization of body temperature
B. After normalization of liver and spleen sizes
C. After appearance of roseollas
D. In 10 days after positive serologic reactions
E. * After the 10th day of normal body temperature
When is it possible to abolish etiotropic preparations in a patient with typhoid fever?
A. Direct after normalization of body temperature
B. After normalization of sizes of liver and spleen
C. After disappearance of roseollas
D. In 10 days after disappearance of roseollas
E. * After the 10th day of normal temperature of body
119.
When there can be such specific complication of typhoid fever, like to intestinal
bleeding?
A. In the incubation period
B. On the 4th week of illness
C. * On the 3d week of illness
D. After stopping the antibiotic therapy
E. On the any week of illness
120.
When there can be such specific complication of typhoid fever, like to perforation of
bowel?
A. On the 1st week of illness
B. On the 2nd week of illness
C. * On the 3rd week of illness
D. On the 4th week of illness
E. On the any week of illness
121.
When there can be such specific complication of typhoid fever, like intestinal
bleeding?
A. On the 1st week of illness
B. On the 2nd week of illness
C. * On the 3rd week of illness
D. On the 4th week of illness
E. On the any week of illness
122.
When there can be such specific complication of typhoid fever, like to perforation of
bowel?
A. In the incubation period
B. On the 4th week of illness
C. * On the 3d week of illness
D. After stopping the antibiotic therapy
E. On the any week of illness
123.
When there can be such specific complication of typhoid fever, like intestinal
bleeding?
A. In the latent period
B. On the 5th week of illness
C. * On the 3d week of illness
D. Cannot develop
E. On the any week of illness
124.
When there can be such specific complication of typhoid fever, like the perforation
of bowel?
A. In the latent period
B. On the 5th week of illness
C. * On the 3d week of illness
D. Cannot develop
E. On the any week of illness
125.
Which from the listed products can become the causal factor of toxic food-borne
infection?
A. Decorative cakes
B. * Galantine
C. Cheese
118.
D. Fresh bread
E. Tea
126.
Which season is prevalence for salmonellosis.
A. Spring
B. Winter and spring
C. Autumn
D. Winter
E. * Summer-autumn
127.
Which season is prevalence for salmonellosis.
A. All the year round
B. Exactly August
C. Autumn
D. Winter
E. * Summer-autumn
128.
Which season is prevalence for salmonellosis.
A. Spring-summer
B. Only spring months
C. Autumn
D. Winter
E. * Summer-autumn
129.
Which type of outbreaks in salmonellosis is the main?
A. Water
B. Home
C. Farm
D. * Food
E. Milk
130.
Which type of outbreaks in salmonellosis is the main?
A. Contact
B. Blood
C. Wound
D. Milk
E. * Food
131.
Which type of outbreaks in salmonellosis is the main?
A. * Food
B. Contact
C. Sexual
D. Nosocomial
E. Water
132.
Who is the source of typhoid fever?
A. * Sick person
B. Sick livestock animals
C. Sick rodents
D. Soil
E. Reptiles
133.
A child is diagnosed with giardiasis. What preparation is it more expedient to apply
for treatment?
A. Ursohol
B. Delagil
C. * Ornidazol
D. Tetracyclin
E. Enterosgel
134.
The main epidemiologic role at shigellosis play:
A. Sick with an acute form illnesses
B. Sick with a chronic form illnesses
C. * Sick with the latent form illnesses
D. Healthy transmitters
E. Children
135.
A patient complaints of severe abdominal pain, smelly watery diarrhea with secretion
of blood. What kind of disease might be considered previously.
A. Amoebiasis
B. Rotaviral gastroenteritis
C. Giardiasis
D. * Balantidiasis
E. Cholera
136.
During acute intestinal amoebiosis in feces will be:
A. Tissue form and cyst
B. Small vegetative form, pre-cystic
C. Small vegetative and cystic shape
D. Tissue and pre cystic forms
E. * Large vegetative form
137.
Amount of solutions necessary for the primary rehydration at cholera is.
A. * Accordingly to the degree of dehydration at time of hospitalization
B. In accordance with the loss of liquid
C. 2 l
D. 5 l
E. 10 l
138.
Amount of solutions necessary for the primary rehydration in cholera is:
A. * Accordingly to the degree of dehydration at time of hospitalization
B. In accordance with the loss of weight
C. 3 l
D. 4 l
E. 2 l
139.
Amount of solutions necessary for the secondary rehydration in cholera is.
A. Accordingly to the degree of dehydration at the time of hospitalization
B. * In accordance with the loss of liquid
C. 2 l
D. 5 l
E. 10 l
140.
Amount of solutions necessary for the secondary rehydration in cholera is:
A. Accordingly to the time of hospitalization
B. * In accordance with the loss of liquid
C. 3 l
D. Every 2 hours 2 l
E. 2 l
141.
At a child is diagnosed Lambliosis. What drug is the most helpful in such case?
A. * Ornidazol
B. Dimedrol
C. Ursophalk
D. Quinolones
E. Gastrolit
142.
At I degree of dehydration the loss of liquid is:
A. 0,1-1,0 % of body weight
B. 2-7 % of body weight
C. 9-11 % of body weight
D. 6-8 % of body weight
E. * 1-3 % of body weight
143.
At I degree of dehydration the loss of liquid is:
A. 0,5-1,5 % of body weight
B.
C.
D.
E.
144.
A.
B.
C.
D.
E.
145.
A.
B.
C.
D.
E.
146.
A.
B.
C.
D.
E.
147.
A.
B.
C.
D.
E.
148.
A.
B.
C.
D.
E.
149.
A.
B.
C.
D.
E.
150.
A.
B.
C.
D.
E.
151.
A.
B.
C.
D.
E.
152.
A.
6-9 % of body weight
3-6 % of body weight
5-8 % of body weight
* 1-3 % of body weight
At intestinal аmebiasis, area of mucous membrane of bowel between ulcers:
* Not changed
Sinusoid without edema
Hyperemic, fillings out
Ordinary color, fillings out
Hyperemic without edema
At intestinal аmebiasis, area of mucous membrane of bowel between ulcers:
* Not changed
Grey color with edema
Hyperemic, fillings in
Brown color, fillings out
Hyperemic with edema
What “metabolic violation” will be at II degree of dehydration:
Subcompensated
* Negative
Irreversible
Moderate metabolic acidosis
Insignificant metabolic alkalosis
At what percent of fluid loss will be II degree of dehydration?
* 3-6 % of body weight
6-9 % of body weight
1-3 % of body weight
0,5-2 % of body weight
2-7 % of body weight
At what percent of fluid loss will be III degree of dehydration?
3-6 % of body weight
Over 10 % of body weight
* 6-9 % of body weight
4-8 % of body weight
10-15 % of body weight
At what percent of fluid loss will be the II degree of dehydration?
* 3-6 % of body weight
Over 10 % of body weight
6-9 % of body weight
4-8 % of body weight
10-15 % of body weight
At what percentage of fluid loss will be IV degree of dehydration?
4-8 % of body weight
6-9 % of body weight
3-6 % of body weight
* Over 10 % of body weight
Over 15 % of body weight
At what percentage of fluid loss will be the IV degree of dehydration?
1-3 % of body weight
0,1-1 % of body weight
8-9 % of body weight
* Over 10 % of body weight
Over 15 % of body weight
Choose the universal drug given for amoebiasis from the list below.
Osarsol
B.
C.
D.
E.
* Metronidazole
Tetracycline
Delagil
All are correct
153.
Drug of choice for sanation of the holders of amoeba cysts can be.
A. Monomitsin
B. Delagil
C. Tetracycline
D. * Furamid
E. Ursosan
154.
Duration of therapy of primary rehydration in cholera is.
A. 30 minutes
B. * 2 hours
C. 6 hours
D. 12 hours
E. 1 days
155.
Duration of therapy of primary rehydration in cholera is:
A. 1 hour
B. * 2 hours
C. 12 hours
D. 9 hours
E. 1 day
156.
Endotoxin is not contained by shigella:
A. Boyd
B. Grigor'ev-Shig
C. Zonne
D. Fleksner
E. * All enumerated contain
157.
Etiologic agent of dysentery is:
A. Sh. dysentery
B. Sh. zonnei
C. Sh. flexneri
D. Sh. boydii
E. * All enumerated
158.
Etiology agent of Shigellosis is:
A. Sh. dysentery
B. * All enumerated
C. Sh. flexneri
D. Sh. boydii
E. Sh. zonnei
159.
For specific therapy used for ameobiasis that adversely acts on vegetative and tissue
forms of amoeba. Which group does delagil belong to:
A. * Tissue anti amoeboids
B. Indirect anti amoeboids
C. Direct anti amoeboids
D. Products with universal effect
E. Do not belong to any of these groups
160.
For specific therapy used for ameobiasis that adversely acts on vegetative and tissue
forms of amoeba. Which group does metronidasol belong to:
A. Tissue antiamoeboids
B. Indirect antiamoeboids
C. Direct antiamoeboids
D. * Drugss with universal effect
E. Do not belong to any of these groups
161.
For the rehydration at dehydration shock it is necessary to conduct the permanent
careful account of all losses of liquid every:
A. 4 hrs
B. 30 min
C. 3 hrs
D. * 2 hrs
E. 10 min
162.
For the rehydration in dehydration shock it is necessary to conduct the permanent
careful account of all losses of liquid in each:
A. 1 hr
B. 30 min
C. 4 hrs
D. * 2 hrs
E. 5 hrs
163.
For verification of diagnosis of balantidiasis more frequently used test is:
A. Virological researches
B. Bacteriological examinations
C. Roentgenologic researches
D. * Research on protozoa
E. Ultrasound investigation
164.
How long does last health system control of convalescence after balantidiasis?
A. 6 months
B. 3 months
C. * 1 year
D. 2 years
E. 5 years
165.
How long is continuing clinical convalescence after acute amoebiasis.
A. 3-6 months
B. 1-3 months
C. * 6-12 months
D. 12-18 months
E. 18-24 months
166.
How long the incubation period last, during dysentery:
A. 1-2 hours
B. 2-3 days
C. 10-15 hours
D. * 5-7 days
E. 7-10 days
167.
How long the incubation period last during dysentery:
A. 1-2 days
B. 3-4 days
C. 12-24 hours
D. * 5-7 days
E. 14-21 days
168.
How often treatment of cyst amebae carrier should be done?
A. * Twice on a year
B. Three times on a year
C. One time on a year
D. Does not treat
E. Quarterly
169.
How to increase frequency of findings of lamblia cyst in fresh feces and vegetative
forms in duodenal content?
A. Cultivation in thermostat
B. By the method of floatation in bilious clear soup
C. Cultivation in anaerobic chamber
D. * By the applications of phase-contrast and lumencense microscopy with the help of
methylen-orange
E. To cultivate on a nourishing environment
170.
Immunity after carried shigellosis:
A. Tense and species-specific
B. * Untense and type specific
C. Lifelong and cross
D. Untense and cross
E. Not formed
171.
Immunity after shigellosis is:
A. Innate immunity
B. * Untense and type specific
C. Cross and permanent
D. Formed only after vaccination
E. Not formed
172.
In 1 liter of Trisalt solution, the concentration of potassium chloride is:
A. 3 g/l
B. 1.5 g/l
C. * 1.0 g/l
D. 2 g/l
E. 2.5 g/l
173.
In 1 liter of Trisalt solution, the concentration of sodium bicarbonate is:
A. 3 g/l
B. 15 g/l
C. * 40 g/l
D. 2 g/l
E. 25 g/l
174.
In a different places of village found out a few cases of cholera. Who in the focus of
cholera was send in an insulator?
A. Carriers
B. Persons contact with the patient
C. * Patients with cholera
D. Persons with dysfunction of alimentary tract
E. Persons with hyperthermia
175.
In a different places of settlement found out a few cases of cholera. Who in the focus
of cholera was send in an infectious hospital?
A. Carriers
B. Persons that were in contact with the patient
C. * Patients with cholera
D. Persons with dysfunction of alimentary tract
E. Persons with hyperthermia
176.
In a settlement was found out a few cases of cholera. Who must be insulated?
A. Persons with disfunction of intestine
B. Patients with cholera
C. Carriers
D. * Persons, were in contact with the cholera patient
E. Persons with hyperthermia
177.
In acute intestinal amoebiasis causative agent is found in stool in which form:
A. * Tissue forms
B. Minor vegetative form
C. Vegetative form
D. Cysts
E. All listed forms
178.
In the outbreak of cholera it is necessary to carry out such measures, except:
Hyperchlorination of drinking water
An active discovery of patients by rounds
Obligatory hospitalization, inspection and treatment of patients and vibrio tests
Revealing and isolation of contact persons
* Vaccine prophylaxis
179.
In the different places of settlement found out a few cases of cholera. Who from the
contacts of cholera patient is sent in an isolation ward?
A. Vibrio positive
B. Patients with cholera
C. * Contact with the patient persons
D. Persons with dysfunction of intestine
E. Persons with high temperature
180.
In the different places of settlement found out a few cases of cholera. Who from the
contacts of cholera patient is sent in an isolation ward?
A. Vibriocarriers
B. Persons that were in contact with the patient
C. Persons with dysfunction of alimentary tract
D. Persons with hyperthermia positive
E. * Contact with the patient persons
181.
In the different places of settlement it is found out a few cases of cholera. Who from
such place is directed to an isolation ward?
A. Patients with a cholera
B. Transmitters
C. * Persons who had contact with the patient
D. Persons with dysfunction of gastro-intestinal tract
E. Persons who left the place on infection
182.
In the outbreak of cholera it is necessary to carry out such measures, except:
A. Hyperchlorination of drinking water
B. An active search of patients by rounds
C. Obligatory hospitalization, inspection and treatment of patients and vibrio tests
D. Revealing and isolation of contact persons
E. * Antiviral treatment
183.
In what disease during stool analysis mucous, erythrocytes, eosinophils, plasma cells
and crystals Charcot-Leiden were reveals.
A. * Intestinal amoebiasis
B. Intestinal yersiniosis
C. Shigellosis
D. Balantidiasis
E. Enterohaemorrhagic esherichiosis
184.
In what disease during stool analysis mucous, erythrocytes, eosinophils, plasma cells
and crystals Charcot-Leiden were reveals?
A. * Intestinal аmoebiasis
B. Intestinal Yersiniosis
C. Salmonellosis
D. Giardiasis
E. Rotaviral infection
185.
In which form during acute intestinal amoebiasis causative agent is found in stool:
A. * Tissue forms
B. Small vegetative form
C. Nothing
D. Cysts
E. All listed forms
186.
Intestinal amoebiasis can be characterized by such complications, ecxept:
A.
B.
C.
D.
E.
A.
B.
C.
D.
E.
Amoeboma
Intestinal bleeding
Perforation of ulcers
* Meningitis
Stricture of colon
187.
Intestinal amoebiasis can be characterized by such complications, ecxept:
A. Liver abscess
B. * Osteomyelitis
C. Perforation of ulcers
D. Lungs abscess
E. Stricture of colon
188.
Method of etiotropic therapy of cholera is.
A. Glucocorticoids
B. Antiviral
C. * Antibiotics
D. Rehydration
E. Vaccine
189.
Method of etiotropic therapy of cholera is.
A. Non steroid anti inflammatory
B. Antifungal
C. * Antibiotics
D. Desintoxication
E. Vaccine
190.
Most of vegitative forms of amoebiasis can be found in stool of:
A. * The patient with acute intestinal amoebiasis
B. Convalescent after acute intestinal amoebiasis
C. Defecation after use laxative
D. Patients with chronic recurrent intestinal amoebiasis in remission stage
E. Patients with amebic liver abscesses
191.
Mother with a child hospitalized with the diagnosis of shigellosis, typical form,
moderate severity. Other family members are healthy. What measures are conducted to
contact persons?
A. Supervision 7 days. General blood analyses
B. * Supervision 7 days. Non-permanent bacteriological investigation of feces on a
dysenteric group
C. Supervision 2 weeks. Non-permanent bacteriological inspection of feces on a
dysenteric group
D. Supervision during 24 hours from the moment of detection of patient
E. Hospitalization of contact persons on 7 day. Non-permanent blood analysis
192.
Name the cause of amoebiasis.
A. * E.histolytica
B. L.canicola
C. S.derby
D. S.boydii
E. B.enterocolitica
193.
Name the cause of amoebiasis.
A. * E.histolytica
B. L.icterohemorrhagica
C. S.sonnei
D. E.coli
E. B.anthracis
194.
On еndoscopical inspection of a patient are found cysts of аmoeba. These changes
are specific for what disease:
A. * Chronic intestinal аmoebiosis
Acute intestinal аmoebiosis
Amoeba liver abscess
Heterospecific ulcerous colitis
Cancer of rectum
195.
On еndoscopical inspection of a patient are found cysts of аmoeba. For what disease
are these changes specific?
A. * Chronic intestinal аmoebiosis
B. Convalescent after acute intestinal аmoebiosis
C. Nonspecific ulcerous colitis
D. Proctosigmoiditis
E. Cancer of rectum
196.
Patient with cholera has bradycardia, low blood pressure, weakness. What is most
important factor in the given clinical situation?
A. Hypocalcemia
B. Hypokaliemia
C. Hyponatremia
D. Hypernatremia
E. * Hyperkaliemia
197.
Patient with cholera has bradycardia, low blood pressure, weakness. What is the most
important factor in the given clinical situation?
A. Hypercalcemia
B. Hypokaliemia
C. Hyponatremia
D. Hypercalcemia
E. * Hyperpotassemia
198.
Patient with cholera on a background treatment has signs of hyperkalemia. What
solution must be applied for further rehydration therapy?
A. Neohemodez
B. * Disalt
C. Chlosalt
D. Polyhydrid
E. Lactasalt
199.
Patient with cholera on a background treatment has signs of hyperkalemia. What
solution must be applied for further rehydration therapy?
A. Reosorbilact
B. * Disalt
C. Trisalt
D. Isotonic solution
E. Glucose 5%
200.
Drugs of choice for the treatment of amoebae cyst carrier:
A. Monomycinum
B. Delagilum
C. Tetracyclin
D. * Furamid
E. Ursosan
201.
Principles of treatment of patients with shigellosis.
A. Diet
B. Antibacterial drugs
C. Correction of dysbacteriosis
D. Detoxication therapy
E. * All enumerated
202.
Drugs of choice at treatment of patients with shigellosis.
A. Probiotics
B. Antibacterial medicines
B.
C.
D.
E.
C. Prebiotics
D. Sorbents
E. * All enumerated
203.
Shigella that does not contain endotoxin:
A. Boidii
B. Grigor'eva-Shiga
C. Zonne
D. Fleksneri
E. * All of mentioned contain
204.
Such concomitant diseases are importent in more protracted convalescent transmitter
of shigella:
A. * HIV-infection/AIDS
B. Chronic hepatitis
C. Chronic pancreatitis
D. Adenoviral infection
E. Diabetes mellitus
205.
The balantidiasis possible complications are all, except:
A. Hypochromic anaemia
B. Enterorrhagia
C. Perforation of ulcer
D. * Abscess of liver
E. Cachexia
206.
The causal agent of amoebiasis during life cycle can be in any form except:
A. Mature cyst
B. Immature cyst
C. Trophozoite
D. Quadrinucleate cyst
E. * Spore
207.
The causative agent of amoebiasis during life cycle can be in any form except:
A. Mature cyst
B. Immature cyst
C. Trophosoit
D. Quadrinucleate cyst
E. * Spore
208.
The clinical forms of balatidiasis are all, except
A. * Flash rapid
B. Acute
C. Subclinical
D. Chronic continues
E. Chronic recurrent
209.
The drug of choice for treatment of the carriers of amoeba cysts can be.
A. Doxicyclin
B. Streptomycin
C. Furasolidon
D. * Furamid
E. Fluconasol
210.
The essential therapy for cholera is:
A. Diet
B. Antibacterial drugs
C. Correction of dysbacteriosis
D. Desintoxication
E. * Primary rehydration
211.
The essential therapy for cholera is.
A. Regime
B.
C.
D.
E.
Secondary rehydration
Correction of dysbacteriosis
Antiviral treatment
* Primary rehydration
212.
The inhabitant of a village, admitted with complaints about severe pain in a stomach,
and diarrhea. The stool is liquid with mixtures of blood. About what disease it is possible to
think?
A. Amebiasis
B. Rotavirus gastroenteritis
C. Giardiasis
D. * Shigellosis
E. Cholera
213.
The main principles of therapy for rehydration in cholera is.
A. Determining the definitive degree of dehydration from clinical data
B. Amount of lost liquid which was preceded at time of hospitalization
C. Application of isotonic solution
D. Simultaneous introduction of liquid in more than one vessel
E. * All are correct
214.
The majority of vegetative forms of Entamoeba can be found in stool from:
A. * The patients with acute intestinal amoebiasis
B. The convalescent after acute intestinal amoebiasis
C. Patients with amebic liver abscesses after using laxative
D. Patients with chronic recurrent intestinal amoebiasis in remission stage
E. Patients with amebic liver abscesses
215.
The most important epidemiologic role at shigellosis play:
A. Sick persons with an acute form of illnesses
B. Sick persons with a chronic form of illnesses
C. * Sick with the latent form of illnesses
D. Healthy carriers
E. Children
216.
The source of agent at shigellosis is:
A. * Patient
B. Sick cattle
C. Sick rodents
D. Soil
E. Feces of patients
217.
The source of exciter at shigellosis is:
A. * Sick man
B. Sick agricultural animals
C. Sick birdss
D. Environment
E. Urine of patients
218.
What agent can cause balantidiasis.
A. * B. Coli
B. B. Enterocolitica
C. S. Derby
D. S. Boydi
E. L. Canicola
219.
What agent causes balantidiasis.
A. * B. Coli
B. E. Coli
C. Sh. Sonne
D. S. Enteritidis
E. B. Anthracis
220.
A.
B.
C.
D.
E.
221.
A.
B.
C.
D.
E.
222.
A.
B.
C.
D.
E.
223.
A.
B.
C.
D.
E.
224.
A.
B.
C.
D.
E.
225.
A.
B.
C.
D.
E.
226.
A.
B.
C.
D.
E.
227.
A.
B.
C.
D.
E.
228.
A.
B.
C.
D.
E.
What are the clinical forms of amoebiasis, except:
Enteric
Skin
Liver abscess
* Myocarditis
Lung abscess
What are the known clinical forms of amoebiasis:
Enteric
Skin
Liver abscess
* All enumerated
Lung abscess
What are the stages of life-cycle of balantidium.
Cyst
Vegetative and spore
* Vegetative and cyst
Spore
Vegetative
What clinical forms of balantidiasis are the most often.
* Mild
Acute
Subclinical
Chronic
Fulminant
What complication is typical for balantidiasis.
Intestinal bleeding
Cachexia
Perforated ulcer
Abscess of bowel
* All enumerated
What does belong to the group of pathogens of amoebiasis?
Mycoplasma
Fungi
* The simplest
Rickettsiae
Worms
What does belongs to the group of pathogens of amoebiasis?
Viruses
Chlamydia
* The simplest
Fungi
Parasites
What from the given measures is made during the secondary rehydration?
Determining degree of dehydration from clinical data
Amount of lost liquid, which was preceded at the time of hospitalization
Application of isotonic crystalloid solutions
Simultaneous introduction of liquid in a few vessels
* Amount of liquid loss
What from the below is a complication of cholera?
Collapse
Infectious-toxic shock
Acute renal insufficiency
* Dehydration shock
Status typhosus
229.
What from the below mentioned drugs can be used for the treatment of primary
rehydration?
A. Lactosalt
B. Disalt
C. Acesalt
D. * Trisalt
E. Chlosalt
230.
What from the below mentioned preparations cannot be used for the treatment of
primary rehydration?
A. Lactosalt
B. * Disalt
C. Acesalt
D. Trisalt
E. Chlosalt
231.
What from the below mentioned preparations, can be used for the treatment of
primary rehydration?
A. * Quartasalt
B. Acesalt
C. Chlosalt
D. Disalt
E. Lactosalt
232.
What from the below mentioned preparations, cannot be used for the treatment of
primary rehydration?
A. Acesalt
B. Trisalt
C. * Cryoplasma
D. Chlosalt
E. Lactosalt
233.
What from the below mentioned preparations, can be used for the treatment of
primary rehydration?
A. * Rehidron
B. Acesalt
C. Chlosalt
D. Quartasalt
E. Lactosalt
234.
What from the given preparations can be applied for etiotropic therapy of
ameobiasis?
A. Osarsol
B. Metronidazol
C. Tetracycline
D. Delagil
E. * All are correct
235.
What group of infectious diseases balantidiasis belongs to.
A. * Intestinal
B. Blood infection
C. Sapronosis
D. External coverings
E. Respiratory
236.
What group of pathogens balantidiasis belong to.
A. Fungi
B. Viral
C. * Simplest
D. Parasites
E. Rickettsiosis
237.
What is a source of the causal agent of amoebiasis?
* People
Cows
Sheep
Pigs
Camel
238.
What is an incubation period for intestinal amoebiasis:
A. * From 1 week to several months
B. 3-5 days
C. 4-6 days
D. 1-2 years
E. From 3 months to 1 year
239.
What is the incubation period for balantidiasis.
A. 7-14 days
B. 5-10 days
C. 1-3 months
D. * 1-3 weeks
E. 3-6 weeks
240.
What is the main method of taking of material for parasitological examination in case
of intestinal amoebiasis.
A. * Immediately after the defecation
B. In the next day of defecation
C. After processing of disinfectants
D. 1-2 hours after processing with Lugol solution
E. 2-3 hours after processing with iron hematoxylin
241.
What is the main method of taking of material for parasitological examination in case
of intestinal amoebiasis.
A. * Immediately after the defecation warm feces
B. In the next day of defecation
C. After processing of disinfectants
D. After using the antibiotics
E. 2-3 hours after defecation
242.
What is the mechanism of transmission at amoebiasis
A. * Fecal-oral
B. Vector borne
C. Air-dropping
D. Wound
E. Vertical
243.
What is the way of transmission of amoebiasis
A. * Fecal-oral
B. Transmissive
C. Air-droplet
D. Parenteral
E. By flies
244.
What is the pathological changes in intestine at balantidiasis.
A. No changes
B. Ulcer
C. * Hyperemia, edema
D. Edema
E. Hyperemia without edema
245.
What is the source of the causative agent of amoebiasis?
A. * Humans
B. Cattle
C. Birds
A.
B.
C.
D.
E.
246.
247.
248.
249.
250.
251.
252.
253.
254.
D. Horses
E. Camels
What is the way of transmission at balantidiasis.
A. By mosquitoes
B. * Food-born
C. Air-drop
D. Parenteral
E. Vertical
What kind of colon mucous membrane can be found between amoebiatic ulcers:
A. Hyperemia without edema
B. Lividity, without edema
C. Hyperemia, edema
D. Regular colored edema
E. * Without changes
What kind of ulcers are present at аmebiasis?
A. * Fillings out sharp edges, surrounded by the area of hyperemia, are placed on the
unchanged mucus membrane
B. Smooth sharp edges, placed on a hyperemic mucus membrane
C. Plain edges, placed on a hyperemic mucus membrane
D. Fillings out sharp edges, placed on the unchanged mucus membrane
E. Fillings out sharp edges, surrounded by the area of hyperemia, are placed on the
changed mucus membrane
What mechanism of shigella transmission?
A. Vertical
B. Transmissive
C. Air-droplet
D. Contact
E. * Fecal-oral
What way of transmission at shigellosis?
A. * Fecal-oral
B. Transmissive
C. Air-droplet
D. Parenteral
E. By flies
What part as a rule of lower GI tract is affected during amoebiasis, exept?
A. The descending colon
B. Sigmoid and rectum
C. The ascending colon
D. Transversal colon
E. * Small intestine
What part of lower GI tract is affected with amoebiasis most often?
A. * The descending and ascending colon
B. Sigmoid and rectum
C. Duodenum and jejunum
D. Transversal colon
E. Small intestine
What solutions must be applied for compensatory rehydration in cholera?
A. Colloid
B. Hypertensive epitonic polyionic crystalloid
C. * Isotonic crystalloid
D. Reosorbilact
E. Isotonic solution of glucose
What solutions must be applied for compensatory rehydration in cholera?
A. Colloid
B.
C.
D.
E.
Hypertonic polyionic crystalloid
* Isotonic polyionic crystalloid
Reosorbilact
Isotonic solution of glucose
255.
What time is it necessary to complete primary rehydration at dehydration shock?
A. 3-5 hrs
B. 0.5 hrs
C. 15-20 min
D. * 1.5-2 hrs
E. 4-6 hrs
256.
What time is it necessary to complete primary rehydration at dehydration shock?
A. 10-15 hrs
B. 1/2 hrs
C. 4-5 hrs
D. * 1.5-2 hrs
E. 1 days
257.
When is it possible to discharge convalescent after аmoebiasis from the hospital?
A. * After clinical convalescence and negative results of parasitological research of
excrements
B. After clinical convalescence and three negative results of parasitological research of
excrements
C. After clinical convalescence and two negative results of parasitological research of
excrements
D. After clinical convalescence and normalization of indexes of general blood analysis
E. After clinical convalescence, normalization of indexes of general blood analysis and
two negative results of bacteriological examination of excrement
258.
When would you discharge a patient from hospital, who was diagnosed with
balandiasis?
A. * After clinical convalescence and two negative results of research on protozoan of
excrement
B. After clinical convalescence and two negative results of bacteriological examination
of excrement
C. After clinical convalescence and one negative result of parasitological research of
excrement
D. After clinical convalescence and normalization of indexes of general blood analysis
E. After clinical convalescence, normalization of indexes of general blood analysis and
two negative results of bacteriological examination of excrement
259.
Which group has pathogenic agent of giardiasis belongs to
A. * The simplest
B. Worms
C. Rickettsiae
D. Mycoplasmas
E. Chlamidia
260.
Which of antibiotics are used as etiological treatment of shigellosis:
A. Penicillin, bicillin
B. * Furasolidon, nifuroxasid
C. Tetracycline
D. Aminoglycosides (kanamicin)
E. Cephalosporins (cefazolin)
261.
Which salt solutions do not contain potassium?
A. Trisalt
B. Lactosalt
C. * Disalt
D. Quartasalt
E. Chlosalt
Which salt solutions do not contain potassium?
A. Trisalt
B. Lactosalt
C. * Disalt
D. Quartasalt
E. Chlosalt
263.
Which ulcers are specific for amoebiasis:
A. * Purulent ulcers with undermining, surrounded by hyperemic zone located on the
intact mucosa
B. Smooth ulcers with undermining, located on the hyperemic mucosa
C. Necrotic ulcers, located on the hyperemic mucosa
D. Edematose ulcers with undermining located on the intact mucosa
E. Small lesions on the basis of infiltration covered with white coat
264.
Who is the reservoir of the causative agent at balantidiasis.
A. * Pig
B. Cow
C. Sheep
D. Goat
E. Bear
265.
Who is the reservoir of the causative agent in balantidiasis.
A. * Pig
B. Chicken
C. Dog
D. Fox
E. Human
266.
Who must be admitted in the hospital from the focus of cholera?
A. Carriers
B. Patients with cholera
C. Persons with dysfunction of intestine
D. Contact persons
E. * All enumerated
267.
Who must be admitted in the hospital from the focus of cholera, except?
A. Carriers
B. Patients with cholera
C. Persons with dysfunction of intestine
D. Contact persons
E. * Persons with high temperature
268.
To the patient with the diagnosis of shigellosis antibacterial therapy is prescribed by
the protracted course. What is the most frequent complication can arise up at such
treatment?
A. Infectious-toxic shock
B. Allergic reactions
C. * Dysbacteriosis
D. Renal insufficiency
E. Toxic hepatitis
269.
To the patient with the diagnosis of shigellosis antibacterial therapy is prescribed by
the protracted course. What is the most frequent complication can arise up at such
treatment?
A. Disseminated intravascular coagulopathy
B. Allergic dermatitis
C. * Disbacteriosis
D. Herpetic stomatitis
E. Gastric ulcer
262.
270.
Young farmer was diagnosed with balantidiasis. Drugs of choice would be all,
except:
A. Monomycin
B. Ampicillin
C. Aminarson
D. * Gentamicin
E. Metronidazole
271.
Young farmer was diagnosed with balantidiasis. Drugs of choice would be:
A. Monomycin
B. Ampicillin
C. Metronidazole
D. Osarson
E. All enumerated
272.
Young farmer was diagnosed with balantidiasis. Drugs of choice would be all,
except:
A. * Bisoprolol
B. Monomycin
C. Ampicillin
D. Metronidazole
E. Osarson
273.
A Sick 18 years, hospitalized in an infectious department with diagnosis of cholera,
very severe state, dehydration of IV degree. What measures are possible primarily?
A. Oral rehydration by glucose solutions
B. Tetracycline
C. * Intravenous stream introduction of salt solutions
D. Proceeding the normal microflora of intestine
E. Intravenous stream introduction of sodium chloride solution
274.
All of the following are the blood flukes except:
A. Schistosoma japonicum
B. Fasciola gigantica
C. Clonorchis sinensis
D. Fasciola hepatica
E. * Echinococcus granulosis
275.
Alveococcosis belongs to:
A. Nematodosis
B. Trematodosis
C. * Cestodosis
D. Ricketsiosis
E. Mycosis
276.
Alveococcosis is:
A. Bacterial infection
B. Viral infection
C. Protozoosis
D. Fungal infection
E. * Helminthosis
277.
Ascaridiosis belongs to:
A. * Nematodosis
B. Trematodosis
C. Cestodosis
D. Ricketsiosis
E. Mycosis
278.
Ascaridiosis is:
A. Bacterial infection
B. Viral infection
279.
280.
281.
282.
283.
284.
285.
286.
287.
C. Protozoosis
D. Fungal infection
E. * Helminthosis
At I degree of dehydration the loss of liquid is:
A. 0,5-1,5 % of body weight
B. 6-9 % of body weight
C. 3-6 % of body weight
D. 5-8 % of body weight
E. * 1-3 % of body weight
At intestinal аmebiasis, area of mucous membrane of bowel between ulcers:
A. Hyperemic without edema
B. Sinusoid without edema
C. Hyperemic fillings out
D. Ordinary color, fillings out
E. * Not changed
At what percent of fluid loss will be II degree of dehydration?
A. * 3-6 % of body weight
B. 6-9 % of body weight
C. 1-3 % of body weight
D. 0,5-2 % of body weight
E. 2-7 % of body weight
At what percent of fluid loss will be III degree of dehydration?
A. 3-6 % of body weight
B. Over 10 % of body weight
C. * 6-9 % of body weight
D. 4-8 % of body weight
E. 10-15 % of body weight
At what percent of fluid loss will be IV degree of dehydration?
A. 4-8 % of body weight
B. 6-9 % of body weight
C. 3-6 % of body weight
D. * Over 10 % of body weight
E. Over 15 % of body weight
B-12 deficiency is cause by which of the following:
A. Echinococus granulosis
B. T. saginata
C. E. multilocularis
D. * Diphyllobothrium latum
E. Ascaris lumbricoideus
Balantidiasis is caused by:
A. * B. coli
B. B. anthracis
C. E. coli
D. M. hominis
E. B. melitensis
Chyluria is the complication of
A. * lymphatic filariasis
B. abdominal angiostrongyliasis
C. enterobiasis
D. trichuriasis
E. amebiasis
Cryptosporidiosis is:
A. blood borne infection
B. respiratory infection
288.
289.
290.
291.
292.
293.
294.
295.
296.
C. * intestinal infection
D. infection of external covers
E. helminthiasis
Cysticercosis belongs to:
A. Nematodosis
B. Trematodosis
C. * Cestodosis
D. Ricketsiosis
E. Mycosis
Cycticercosis is:
A. Bacterial infection
B. Viral infection
C. Protozoosis
D. Fungal infection
E. * Helminthosis
Diphyllobothriosis belongs to:
A. Nematodosis
B. Trematodosis
C. * Cestodosis
D. Ricketsiosis
E. Mycosis
Diphyllobothriosis is:
A. Bacterial infection
B. Viral infection
C. Protozoosis
D. Fungal infection
E. * Helminthosis
Drug of choice for the treatment of the lymphatic filariasis is:
A. albendazole
B. steroids
C. * diethylcarbamazine
D. metronidazole
E. chloramphenicol
Echinococcosis belongs to:
A. Nematodosis
B. Trematodosis
C. * Cestodosis
D. Ricketsiosis
E. Mycosis
Echinococcosis is:
A. Bacterial infection
B. Viral infection
C. Protozoosis
D. Fungal infection
E. * Helminthosis
Enterobiosis belongs to:
A. * Nematodosis
B. Trematodosis
C. Cestodosis
D. Ricketsiosis
E. Mycosis
Enterobiosis is:
A. Bacterial infection
B. Viral infection
297.
298.
299.
300.
301.
302.
303.
304.
305.
C. Protozoosis
D. Fungal infection
E. * Helminthosis
Teniosis belongs to:
A. Nematodosis
B. Trematodosis
C. * Cestodosis
D. Ricketsiosis
E. Mycosis
Teniosis is:
A. Bacterial infection
B. Viral infection
C. Protozoosis
D. Fungal infection
E. * Helminthosis
Teniarinchosis belongs to:
A. Nematodosis
B. Trematodosis
C. * Cestodosis
D. Ricketsiosis
E. Mycosis
Teniarinchosis is:
A. Bacterial infection
B. Viral infection
C. Protozoosis
D. Fungal infection
E. * Helminthosis
Strongiloidosis belongs to:
A. * Nematodosis
B. Trematodosis
C. Cestodosis
D. Ricketsiosis
E. Mycosis
Strongiloidosis is:
A. Bacterial infection
B. Viral infection
C. Protozoosis
D. Fungal infection
E. * Helminthosis
Ancilostomosis belongs to:
A. * Nematodosis
B. Trematodosis
C. Cestodosis
D. Ricketsiosis
E. Mycosis
Ancilostomosis is:
A. Bacterial infection
B. Viral infection
C. Protozoosis
D. Fungal infection
E. * Helminthosis
Etiology agent of botulism is:
A. Campylobacter
B. Balantidium coli
C. * Cl. botulinum
D. Cl. perfrigens
E. S. aureus
306.
Etiology agent of botulism is:
A. Ch. trachomatis
B. Escherichia coli
C. * Cl. botulinum
D. Cl. perfrigens
E. Rotavirus
307.
Fasciolosis belongs to:
A. Nematodosis
B. * Trematodosis
C. Cestodosis
D. Ricketsiosis
E. Mycosis
308.
Fasciolosis is:
A. Bacterial infection
B. Viral infection
C. Protozoosis
D. Fungal infection
E. * Helminthosis
309.
For the rehydration in dehydration shock it is necessary to conduct the permanent
careful account of all losses of liquid in each:
A. 4 hrs
B. 30 hrs
C. 3 hrs
D. * 2 hrs
E. 5 hrs
310.
For verification of diagnosis of balantidiasis more frequently used test is:
A. Virological researches
B. Bacteriological examinations
C. Roentgenologic researches
D. * Research on protozoa
E. Ultrasound
311.
How long does last health centre system of convalescent after balantidiasis?
A. 6 months
B. 3 months
C. * 1 year
D. 2 years
E. 5 years
312.
How often treatment of amoebae cyst carrier should be done?
A. * Twice a year
B. Three times a year
C. One time a year
D. Does not treat
E. Quarterly
313.
How to increase frequency of findings of lamblias cyst in fresh feces and vegetative
forms in duodenal content?
A. Cultivation in thermostat
B. By the method of floatation in bilious clear soup
C. Cultivation in anaerobic chamber
D. * By the applications of phase-contrast and luminescent microscopy with the help of
methylen-orange
E. To cultivate on a nourishing environment
314.
In 1 liter of Trisalt solution, the concentration of potassium chloride is:
3 g/l
1.5 g/l
* 1.0 g/l
2 g/l
2.5 g/l
315.
In a settlement was found out a few cases of cholera. Who must be insulated?
A. Persons with dysfunction of intestine
B. Patients with cholera
C. Carriers
D. * Persons contact with the sick patient
E. Persons with hyperthermia
316.
In the break out of cholera it is necessary to carry out such measures, except:
A. Hyperchlorination of drinking water
B. An active discovery of patients by rounds
C. Obligatory hospitalization, inspection and treatment of patients and vibrio tests
D. Revealing and isolation of contact persons
E. * Vaccine prophylaxis
317.
In the different places of settlement found out a few cases of disease of cholera. Who
from the contacts of cholera patient is sent in an insulator?
A. Vibrio positive
B. Patients with cholera
C. * Contact with the patient persons
D. Persons with dysfunction of intestine
E. Persons with high temperature
318.
Loffler syndrome at Ascariasis is due to
A. * inflitration of lung tissue by eosinophills
B. inflitration of payer's patches by eosinophills
C. invasion of gallblader by A.lumbricoides pathogen
D. inflitration of liver by eosinophills
E. none of enumerated
319.
Child, 5 years, itching in the perianal region. Most probable diagnose will be:
A. Trichinosis
B. * Enterobiosis
C. Ascaridosis
D. Helminthosis
E. Cystitis
320.
Onchoceriasis is also known as:
A. tropical pulmonary eosinophillia
B. * river blindness
C. guinea worm infection
D. African eye worm disease
E. ricketsiosis
321.
Opisthorchosis belongs to:
A. Nematodosis
B. * Trematodosis
C. Cestodosis
D. Ricketsiosis
E. Mycosis
322.
Opisthorchosis is:
A. Bacterial infection
B. Viral infection
C. Protozoosis
D. Fungal infection
A.
B.
C.
D.
E.
E. * Helminthosis
323.
Patien O., 29 years old, farmer appeared to a doctor with the signs of balantidiasis
and was hospitalized. The best etiotropic drug is:
A. Benzylpenicillin
B. Gentamycin
C. Levomycitin
D. * Monomycin
E. Timogen
324.
Patient D., 13 y.o., hospitalized with complaints of nausea, abdominal pain, liquid
emptying without pathological admixtures with an unpleasant smell, 6 times per day. The
day before he had a supper with meat salad. What is a first aid?
A. Peroral rehydration by glucose-electrolytes solutions
B. * To wash a stomach and intestine by solution of hydrocarbonate of sodium
C. Antibacterial preparations of wide spectrum of action
D. Renewal of normal microflora of intestine
E. To wash a stomach and intestine by solution of permanganate of potassium
325.
Patient H., 37 y.o., appealed to the doctor on the second day of disease with
complaints of the promoted fatigueability, weakness in muscles („cotton feet”), violation of
sight, dryness of mouth. Works in a tourist agency, often is in the oversea business trip.
Three days ago was with friends on a picnic in a forest, where ate the varied meal of the
domestic making. At a review: Т-36,8 °C. Blepharoptosis. Midriasis. The reaction on light is
lost. A soft palate is not changed. Defecation is absent for 2 days. What is the source of
infection in this disease?
A. The sick man
B. Man-bacteria carrier
C. * Domestic animals
D. Canned foods
E. Ticks
326.
Patient I., 34 years old, entered to the infectional department. She is sick during 4
days. She complained on binocular diplopia, “rate” in front of eyes, erostomya, dysphagia,
myastenia. What is previous diagnosis?
A. Stool
B. Wine
C. * Blood
D. Vomiting mass
E. All above it
F. Poisoning by Belladonna
G. Diphtherial polyneuritis
H. Botulism
I. Rotaviral infection
J. Poliomyelitis
327.
Patient I., 34 years old, entered to the infectious department. She is sick during 4
days. She complained on binocular diplopia, “net” in front of eyes, xerostomya, dysphagia,
myastenia. What is previous diagnosis?
A. Poisoning by Belladonna
B. Diphtherial polyneuritis
C. * Botulism
D. Rotaviral infection
E. Poliomyelitis
328.
Patient M, 32 y.o., entered clinic on 3rd day of disease with complaints of nausea,
feeling of weight in abdomen, vomits, liquid stool. Then appeared clouds before eyes,
doubling of objects, voice hoarse, violation of swallowing. A day before he used the dried
fish. During review: state is moderate., violation of active motions like paralyses. There is
also midriasis, vertical nystagmus, blepharoptosis, absent reaction of pupils on light. Tongue
is dry. Flatulence of 2 stage. What methods of laboratory diagnostics are used to confirm the
diagnosis?
A. Reaction indirect hemaglutination
B. Immunofluorescent
C. Virology
D. Reaction of coaglutination
E. * Reaction of neutralization (biological test)
329.
Patient M., 35 years old, who is sick during 2 days, complains on xerostomia,
dysphagia. What symptom is necessary to check?
A. The Padalra‘s symptom
B. The Stefansky‘s symptoms
C. The corneal symptoms
D. * The eyes symptoms.
E. All above it
330.
Patient M., 35 years old, who is sick during 2 days, complain on herostomia,
dysphagia. What symptom is necessary to check?
A. The Padalra‘s symptom
B. The Stefansky‘s symptoms
C. The corneal symptoms
D. * The eyes symptoms.
E. All above it
331.
Patient with cholera has bradycardia, low blood pressure, weakness. What is most
important factor in the given clinical situation?
A. Hypocalcemia
B. Hypopotassium
C. Hyponatremia
D. Hypernatremia
E. * Hyperpotassium
332.
Patient with cholera on a background treatment has signs of hyperkalemia. What
solution must be applied for futher rehydration therapy?
A. Neohemodez
B. * Disalt
C. Chlosalt
D. Polyhybrid
E. Lactosalt
333.
Patient, 32 y.o., complains of progressing muscular weakness, worsening of sight,
doubling of objects, “net”, before eyes, violation of swallowing (can not swallow a hard
meal), thirst. In the first day of illness single liquid stool was present without pathological
admixtures, nausea. 2 days prior to beginning of disease was in guests, used an alcohol,
canned mushrooms. Presence of ptosis, midriasis, anizocoria. Tones of heart are muffled.
Which antibotulinic serum is it expedient to enter?
A. Mixture of serums of types A and E for 5 thousands IU and type B 10 thousands of
IU
B. Mixture of serums of types A, B and E for 10 thousands of IU
C. Mixture of serums of types A, B and E for 5 thousands of IU
D. * Mixture of serums of types A and E for 10 thousands IU and type B 5 thousands of
IU
E. Mixture of serums of types A and B for 10 thousands IU and type E 5 of thousand of
IU
334.
Patient, 40 y.o. in 5 hours after the use in the meal of canned mushrooms of the
domestic making a sharp general weakness, nausea, vomits, dryness of mucus membranes of
oral cavity, doublings of objects, disorders of act of swallowing. Diagnosis?
A. Poisoning by Belladonna
B. Diphtherial polyneuritis
335.
336.
337.
338.
339.
340.
341.
342.
343.
C. * Botulism
D. Rotaviral infection
E. Poliomyelitis
Preparation of choice for the treatment of carrier of cyst of amoebae is:
A. Monomycinum
B. Delagilum
C. Tetracyclin
D. * Yatrenum
E. Ursosan
Schistosomosis belongs to:
A. Nematodosis
B. * Trematodosis
C. Cestodosis
D. Ricketsiosis
E. Mycosis
Schistosomosis is:
A. Bacterial infection
B. Viral infection
C. Protozoosis
D. Fungal infection
E. * Helminthosis
Strongyloidosis belongs to:
A. * Nematodosis
B. Trematodosis
C. Cestodosis
D. Ricketsiosis
E. Mycosis
Strongyloidosis is:
A. Bacterial infection
B. Viral infection
C. Protozoosis
D. Fungal infection
E. * Helminthosis
Teniarinchosis belongs to:
A. Nematodosis
B. Trematodosis
C. * Cestodosis
D. Ricketsiosis
E. Mycosis
Teniarinchosis is:
A. Bacterial infection
B. Viral infection
C. Protozoosis
D. Fungal infection
E. * Helminthosis
Teniosis belongs to:
A. Nematodosis
B. Trematodosis
C. * Cestodosis
D. Ricketsiosis
E. Mycosis
Teniosis is:
A. Bacterial infection
B. Viral infection
344.
345.
346.
as:
C. Protozoosis
D. Fungal infection
E. * Helminthosis
The balantidiasis possible complications are all, except:
A. Hypochromic anaemia
B. Enterorrhagia
C. Perforation of ulcer
D. * Abscess of liver
E. Cachexia
The clinical forms of balatidiasis are all, except
A. * Lightning rapid
B. Acute
C. Subclinical
D. Chronic continues
E. Chronic recurrent
The distinctive pattern of movement of filarial worms in lymphatic vessels is known
A.
B.
C.
D.
E.
filaria jumping sign
* filaria dance sign
filaria swim sign
filaria escape sign
filaria flying sign
347.
The most effective means of filariasis control will be:
A. mass yatren therapy
B. insecticidal measures against culex mosquitoes
C. provision of underground drainage
D. * personal prophylaxix
E. all mentioned above
348.
The patient, 45 y.o., entered clinic on the 2nd day of illness with complaints of a
weakness, diplopia, dryness in mouth, constipations. 3 days ago ate the smoked pork of the
domestic making. At a review: skin pale, consciousness is clear. Temperature 37,2 C, pulse
68 in 1 min, AP 120/80, pupils are widening, reaction on light slow, ptosis, horizontal
nystagmus. Paresis of soft palate. A sensitiveness is normal. Meningeal signs are not
present. The most effective treatment will be:
A. Sulfanilamides
B. Antibiotics
C. Salts solutions
D. Antiviral preparations
E. * Antibolutilic antitoxic serum
349.
Toxocarosis belongs to:
A. * Nematodosis
B. Trematodosis
C. Cestodosis
D. Ricketsiosis
E. Mycosis
350.
Toxocarosis is:
A. Bacterial infection
B. Viral infection
C. Protozoosis
D. Fungal infection
E. * Helminthosis
351.
Trichinellosis develops after:
A. bite of a tick
B. drinking of contaminated water
C. * ingestion of the infected meat
D. bite of a dog
E. all of the above
352.
Trichinosis belongs to:
A. * Nematodosis
B. Trematodosis
C. Cestodosis
D. Ricketsiosis
E. Mycosis
353.
Trichinosis is:
A. Bacterial infection
B. Viral infection
C. Protozoosis
D. Fungal infection
E. * Helminthosis
354.
What clinically active forms of cholera do you know?
A. * Very rapid acute for the children and elderly persons
B. “Choleric typhoid”, acute subclinical, for the children and elderly persons
C. Dry, very rapid, “choleric typhoid”, subclinical for the children and elderly persons
D. Very rapid “choleric typhoid”, acute, subclinical, for the children and elderly persons
E. Very rapid, dry, subclinical, for the children and elderly persons
355.
What from the below mentioned preparations can be used for the treatment of
primary rehydration?
A. Lactosalt
B. * Disalt
C. Acesalt
D. Trisalt
E. Khlosalt
356.
What from the below mentioned preparations, can be used for the treatment of
primary rehydration?
A. * Polyhybrid
B. Acesalt
C. Khlosalt
D. Kvartasalt
E. Lactosalt
357.
What from the below mentioned preparations, can be used for the treatment of
primary rehydration?
A. Acesalt
B. Trisalt
C. * Cryoplasma
D. Khlosalt
E. Lactosalt
358.
What is larva currents
A. dead larva
B. floating larva
C. * running larva
D. slipping larva
E. none of the above
359.
What is the main symptom of the Trichinellosis:
A. Rash
B. Muscle pain
C. Edema of eyelids
D. Nodules in muscles
E. * All mentioned above
What kind of ulcers are present at аmebiasis?
A. * Fillings out sharp edges, surrounded by the area of hyperemia, are placed on the
unchanged mucus membrane
B. Smooth sharp edges, placed on a hyperemic mucus membrane
C. Even edges, placed on a hyperemic mucus membrane
D. Fillings out sharp edges, placed on the unchanged mucus membrane
E. Fillings out sharp edges, surrounded by the area of hyperemia, are placed on the
unchanged mucus membrane
361.
What material should be taken to discharge the Cl. Botulinum?
A. Stool
B. Food debris
C. Blood
D. Vomiting mass
E. * All above it
362.
What special treatment is used in beginning of the botulism?
A. * Antibotulinum serum
B. Disintoxication therapy
C. Hormonal therapy
D. Sulfonamides therapy
E. Vaccine therapy
363.
What special treatment used in beginning of the botulism?
A. * Antibiotic therapy
B. Disintoxication therapy
C. Hormonal therapy
D. Sulfonamides therapy
E. Vaccine therapy
364.
What time is it necessary to complete primary rehydration at dehydration shock?
A. 3-5 hrs
B. 0.5 hrs
C. 2-3 hrs
D. * 1-1.5 hrs
E. 4-6 hrs
365.
When it is.possible to write reconvalensense state of аmoebiosis from permanent
establishment?
A. * After clinical convalescence, in default of in incandescence of mucous,
еosinophils, crystals of Charkot-Leiden and two negative results of parasitological
research of excrements
B. After clinical convalescence, in default of in incandescence of blood and three
negative results of parasitological research of excrements
C. After clinical convalescence, in default of leukocytosis and two negative results of
parasitological research of excrements
D. After clinical convalescence and normalization of indexes of global analysis of blood
E. After clinical convalescence, normalization of indexes of global analysis of blood
and two negative results of bacteriological examination of excrement
366.
When would you discharge a patient from hospital, who was diagnosed with
balandiasis?
A. * After clinical recovery and two negative results of parasitological research of
excrement
B. After clinical recovery and two negative results of bacteriological examination of
excrement
C. After clinical recovery and one negative result of parasitological research of
excrement
D. After clinical recovery and normalization of indexes of global analysis of blood
360.
367.
368.
369.
370.
371.
372.
373.
374.
375.
E. After clinical recovery, normalization of indexes of global analysis of blood and two
negative results of bacteriological examination of excrement
Which drug can be used in pregnancy in case of ascariasis?
A. albendazole
B. mebendazole
C. pyrantel pamoate
D. ivermectin
E. * piperasin adipinat
Which from the below is a complication of cholera?
A. Collapse
B. Infectious-toxic shock
C. Acute renal insufficiency
D. * Dehydration shock
E. Status typhosis
Which groups of symptoms are occurs in the clinic of botulism?
A. Vomiting, higher temperature
B. * Dysphagia, dysphonia, diplopia,
C. Sickness, general weakness
D. Higher temperature, diarrhea, speech dysfunction
E. Diarrhea, vomiting dysfunction of eyesight
Which groups of symptoms are occurs in the clinic of botulism?
A. Vomiting, higher temperature
B. * Dysfunction of speech and eyesight, breath, sickness, dysphagia
C. Sickness, general weakness
D. Higher temperature, diarrhea, speech dysfunction
E. Diarrhea, vomiting dysfunction of eyesight
Which of the following is known as pinworm
A. * E. vermicularis
B. A. duodenale
C. N. americanus
D. T. solium
E. all of the above
Which of the following is the largest intestinal helminthes in human:
A. * D. latum
B. S. stercoralis
C. Anisakis simplex
D. E. vermicularis
E. T. saginatus
Which of the following species of Trichinella are distributed world wide:
A. T.nelsoni
B. T.spiralis
C. T.nativa
D. * All mentioned above
E. None
Which salt solutions do not contain potassium?
A. Trisalt
B. Lactosalt
C. * Disalt
D. Qudrosalt
E. Khlosalt
Who must be admitted in the hospital from the focus of cholera?
A. Carriers
B. Patients with cholera
C. * Persons with disfunction of intestine
D. Contact persons
E. Persons with high temperature
376.
With the purpose of specific prophylaxis of cholera is used:
A. * Cholerogen-toxoid
B. Vaccine
C. Nitrofuranes
D. Immunoprotein
E. Antibiotics
377.
With which serum reactions it is possible to confirm the diagnosis of balantidiasis?
A. * Complement link reaction, reaction in gel precipitation, reaction of immobilization
B. Reaction of indirect gemagglutination, immune fluorescent reaction
C. Complement link reaction, reaction of indirect gemagglutination
D. Complement link reaction, immune fluorescent reaction, reaction of indirect
gemagglutination
E. Complement link reaction, reaction of indirect gemagglutination
378.
Woman L, 65 y.o., became ill sharply, in 12 hours after the use in the meal of canned
mushrooms of the domestic making and fried eggs fried on fat. A sharp weakness, nausea,
double vomits, appeared „clouds” before eyes, disorders of swallowing. At a review: Т-36,2
C., ptosis, midriasis,anizocoria, inspiratory dyspnea. What disease is present in women?
A. * Botulism
B. Salmonelosis
C. Poisoning by mushrooms
D. Sharpening of chronic cholecystitis
E. Toxic food-borne infection
379.
Two girls came to a hospital, because they had 38 0С fever, a headache, weakness,
dizziness, and a pain in epigastry and round a navel, a nausea, vomiting 3 times, excrements
4 times per a night, watery diarrhea, foamy, fetid, with mucus impurity. It is known from the
history that the day before the girls ate pastries with cream which were not stored in a
refrigerator. Objectively: a tongue is dry, furred by white touch, the stomach is bloated
moderately, rumbles in palpation, painful in epigastry, pulse is 80 bpm, and the blood
pressure is 110/70 mm mercury column. To define the diagnosis.
A. Shigellosis
B. * Salmonellosis
C. Food poisoning
D. Typhoid fever
E. Cholera
380.
Two girls came to a hospital, because they had 38 0С fever, a headache, weakness,
dizziness, and a pain in epigastry and round a navel, a nausea, vomiting 3 times, excrements
4 times per a night, watery diarrhea, foamy, fetid, with mucus impurity. It is known from the
history that the day before the girls ate pastries with cream which were not stored in a
refrigerator. Objectively: a tongue is dry, furred by white touch, the stomach is bloated
moderately, rumbles in palpation, painful in epigastry, pulse is 80 bpm, and the blood
pressure is 110/70 mm mercury column. To make the treatment plan.
A. Diet 5, regidron, polifepan, enzymes, nifuroksazyd
B. Diet 5, regidron, polifepan, enzymes, furagin
C. * Diet 5, regidron, polifepan, enzymes
D. Diet 5, regidron
E. Diet 5, polifepan, enzymes, furagin
381.
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?
A. * Adenoviral infection
B. Enteroviral infection
C. Parainfluenza
D. Flu
E. Acute respiratory infection
382.
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?
A. Leptospirosis
B. Adenoviral infection
C. Typhoid fever
D. * Flu
E. Epidemic typhus
383.
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?
A. Scarlet fever
B. Rubella
C. * Measles
D. Herpetic infection
E. Flu
384.
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?
A. * Measles
B. Adenoviral infection
C. Acute respiratory viral infection
D. Enteroviral infection
E. Infectious mononucleosis
385.
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?
A. Localized diphtheria of oropharynx
B. Whooping-cough
C. * Parainfluenza, false croup
D. Bronchopneumonia
E. Adenoviral infection
386.
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?
A. * Parainfluenza, false croup
B. Diphtheria croup
C. Allergic laryngitis, croup
D. Flu, laryngitis
E. Acute exudative pleuritis
387.
A normal indices of impalpable fluid losses of the adult person with 70 kg body
weight is:
A. * 1000 ml per a day
B. 500 ml per a day
C. 700 ml per a day
D. 1500 ml per a day
E. 2000 ml per a day
388.
?A pathological state which develops owing to catastrophic reduction of a circulating
fluid volume and electrolytes loss is:
A.
B.
C.
D.
E.
An infectious-toxic shock
An anaphylactic shock
* A dehydrationous shock
A hemorrhagic shock
All right
389.
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?
A. * Flu with pneumonia and edema of brain
B. Flu, typical course
C. Parainfluenza, false croupe
D. Respiratory-sencytial infection
E. Adenoviral infection, pneumonia
390.
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?
A. Encephalitis
B. Flu with a hemorrhagic syndrome
C. * Meningococcal infection
D. Measles
E. Leptospirosis
391.
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?
A. Diphtheria
B. * Adenoviral infection
C. Meningococcal nasopharyngitis
D. Influenza
E. Infectious mononucleosis
392.
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?
A. * Infectious mononucleosis
B. Adenoviral infection
C. Angina
D. Diphtheria
E. Acute lympoleycosis
393.
A patient 20 years old fell ill rapidly with increasing of temperature to 39.9 °C.
complains about headache in frontotemporal region, pain in eyeballs, dull ache in whole
trunk, closed nose, scrapes in the throat, dry cough. There was nose-bleeding. What
diagnosis is most possible?
A. * Influenza
B. Adenoviral infection
C. Parainfluenza
D. RS-infection
E. Enteroviral infection
394.
A patient 20 years old, complains about increasing of temperature up to 39 оC,
headache in frontal area, pain in eyeballs, photophobia, pain in muscles, dry cough. Became
ill sharply. Objectively: severe state. Face is hyperemic, eyes brilliant, injections of scleras.
Pulse 96/min, rhythmic, tones of heart are hyposthenic. Menengial symptoms are not
present. Blood analysis: leuk 9?109, е 1 %, bands 6 %, seg 51 %, lymp 35 %, mono 7 %.
What is the most possible diagnosis?
A. * Ifluenza
B. Adenovirus infection
C. Leptospirosis
D. Pneumonia
E. Epidemic typhus
395.
A patient 26 years old, became sick rapidly: temperature 39.5 оC, severe headache,
mainly in frontal and temporal areas, pain in muscles and joints. Examined on the 2nd day
of illness: state of middle weight, skin is clean. Moderate hyperemia with cyanosis, pulse
120 per min, rhythmic. Heart activity is rhythmic, tones are muffled, in lungs there is
vesicular breathing. What is the treatment of this patient?
A. Aspirin
B. * Remantadin
C. Ampicillin
D. Ascorbic acid
E. Ribonuclease
396.
A patient 27 years old, entered clinic on the 4th day of illness with a diagnosis
ARVI, allergodermia. Fell ill with the rise of temperature to 38,0 °C, headache, hyperemia
of the throat, then barking cough appeared. On the 3rd day rash appeared on the skin and
neck. Was treated by aspirin. Objectively: temperature 38.8 °C. Face is puffy, conjunctivitis.
On the skin of neck and upper part of chest is abundant red-papular rashes as rings which
does not itch. Mucosa of epiglottis is brightly hyperemic. Submandibular and neck
lymphadenitis. Liver and spleen were not enlarged. What is your diagnosis?
A. * Measles
B. Allergic dermatitis
C. Infectious mononucleosis
D. German measles
E. Scarlet fever
397.
A patient 52 years old, hospitalized with the severe form of viral hepatitis B. The
signs of flu appeared in the department. The indexes of bilirubin rose up and transaminase
falls down. What complication can arise in that patient?
A. * Acute hepatic insufficiency
B. Infectious-toxic shock
C. Gastric bleeding
D. Neurotoxicosis
E. Cerebral comma
398.
A patient 56 years old, the day before felt easy indisposition, insignificant headache,
and weakness. Afterwards the increasing of temperature appeared to 38,5 оC with chills,
headache increased considerably, mainly in forehead and temples. Skin and conjunctiva is
hyperemic, dry, barking cough. Pharynx is hyperemic. On soft palate present grainy
granules, placed point hemorrhages. Difficult breathing. What is the most possible
diagnosis?
A. Typhoid fever
B. Leptospirosis
C. Epidemic typhus
D. * Flu
E. Enteroviral infection
399.
A patient 56 years old, workwomen of pig farm, on a background chills appeared, the
temperature rose to 39,9 °C, headache, nausea. The next day marked pains in the muscles of
lower extremities appeared, the nose bleeding began. At the receipt, on the 3rd day common
state deteriorated. Hyperemic spots, subecteric appeared. Liver +3 cm. Daily – diuresis 700
ml. What is the previous diagnosis?
A. Hemorrhagic fever with a kidney syndrome
B. Hepatitis A
C. Escerichiosis
D. Flu
E. * Leptospirosis
400.
A patient A., 30 years old, on the 4th day of illness a district doctor marked such
subjective and objective data: insignificant indisposition, mild headache, hoarseness of
voice, itching in throat, breakingdry cough, temperature of the body 37,4 °C. Pulse 86/min.,
difficult nasal breathing, insignificant serous excretions from nose. Which acute respiratory
infection does the patient carry?
A. Influenza
B. * РC-viral infection
C. Parainfluenza
D. Adenoviral infection
E. Enteroviral infection
401.
A patient admitted in the infectious department with diagnosis of acute respiratory
viral infection. Became ill suddenly, the disease is accompanied by the increase of
temperature of body till 39 °C, by severe headache, mainly in area of frontal, temporal,
above eyes, dryness in nose, itching in throat, dry cough, dull pain in all body. He had
bleeding from nose twice at home. Which acute respiratory disease has the patient?
A. Adenoviral infection
B. РC-infection
C. * Flu
D. Parainfluenza
E. Enteroviral infection
402.
A patient becomes sick very fast: chills, increasing of temperature to 40,1 оC,
headache in frontal and temporal regions, pain in eyeballs, close nose, dry cough and pain in
the chest. The nose bleeding, nausea, double vomits. Objectively: conjunctivitis, hyperemia,
edema, hemorrhages in mucous of otopharhynx, tachycardia. Blood pressure is low.
Difficult breathing . What is the most possible diagnosis?
A. Meningococcemia
B. Epidemic typhus
C. Leptospirosis
D. * Flu
E. Typhoid fever
403.
A patient C., 25 years old, fell suddenly ill. Every morning severe headache, frequent
vomiting, temperature of the body is 39.9 °C. Adopted fatigue, then state got much worse.
In the evening lost of consciousness. Expressed muscles pains of back and head. Positive
Кеrning’s symptom. Leukocytes – 18,0?109. What is the most reliable diagnosis?
A. Flu
B. Epidemic typhus, typhus state
C. Viral menigoencephalitis
D. Sepsis, infectious-toxic shock
E. * Bacterial menigoencephalitis
404.
A patient C., was hospitalized on the 2nd day of illness with complaints about
hoarseness of voice, rough barking cough, labored breathing. Objectively: the state is severe,
uneasy, pallor, temperature 37.1 °C, BR 30/min., breathing is noisy, can hear from the
distance, with participation of auxiliary musculature. Which viruses could cause
development of similar state?
A.
B.
C.
D.
E.
Rhino virus
Influenza virus
Adenovirus
* Parainfluenza virus
Cytomegalovirus
405.
A patient caused a doctor home. Age – 75 years. Complaints of a subfebrile
temperature, general weakness, pharyngalgia, conjunctivitis. In family a child is ill the acute
adenoviral disease. A patient considers itself a patient the second day. At a review are found
out the signs of acute blepharoconjunctivitis, pharyngitis. There are megascopic lymphatic
knots: neck front and back, arm-pits and inguinal, to 1 sm in a diameter, soft, not is soldered
between itself and with a surrounding cellulose. A pharynx is hyperemic, tonsills are
hypertrophied and hyperemic. In lights of wheezes it is not. Breathing clean. Tones of heart
are muffled. BP is 140/80 mm Hg. Ps – 80 per 1 minute. Stomach soft. A megascopic liver
which comes forward on 3 cm below costal arc and spleen are palpated – soft, painless.
Choose the most credible diagnosis:
A. * Acute adenoviral infection
B. Flu
C. Megacaryoblastoma
D. Infectious mononucleosis
E. Hepatitis A
406.
A patient fell ill very rapidly: chills, increase of temperature to 40.1 °C, headache in
frontotemporal regions, pain in eyeballs, close nose, dry cough, and chest pain. Nose
bleeding, nausea, vomiting appeared after 4 hours. Objectively: conjunctivitis, hyperemia,
edema, point hemorrhages in mucus of epiglottis, tachycardia. Blood pressure is low.
Weaken breathing in the lungs. What is the most possible diagnosis?
A. Leptospirosis
B. Epidemic typhus
C. * Flu
D. Мeningococcemia
E. Enteroviral infection
407.
A patient H., 22 years old, with flu was hospitalized into infectious department with
the acute worsening of the common state. Consiousness is stored. The patient strangles.
Pallor of skin with cynosis. Respiratory rate 50 per min, AP 80/55 mmHg, pulse 110 per a
min, temperature 39.8 оC. During percussion of lungs tympanic sound with dullness in
lower quadrant was found. Crackles in the lower-back parts of lungs. What complication of
influenza has developed in that patient?
A. Pneumonia
B. * Edema of lungs
C. Edema of brain
D. Infectious-toxic shock
E. Meningoencephalitis
408.
A patient K., 23 years old, with 3 days of moderate illness, with high temperature of
body to 40.0 °C, headache and petechial rash on skin, is hospitalized. After introduction of
penicillin at 2 o’clock, the BP fell down to 40/10 mm of hg. Peripheral pulse and мeningeal
signs does not concerne. What is the diagnosis of the patient?
A. * Меningococcemia, infectious-toxic shock
B. ARVI, anaphylactic shock
C. Measles, severe course
D. Epidemic typhus, severe course
E. Scarlet fever, severe course
409.
A patient of 5 years old, which treated at home on an occasion of flu by aspirin,
calcium gluconatis, on the second day from the beginning of disease “coffee grounds”
vomiting appeared, melena. What complication arises?
A. Neurotoxicosis
B.
C.
D.
E.
Pneumonia
* Hemorrhagic syndrome
Infectious-toxic
Bowel obstruction
410.
A patient on the background of ARVI the fever developed to 40,1 °C, frequency of
breathing is 40 for a minute. What measures are necessary?
A. * Decreasing of patients temperature
B. Artificial ventillation
C. Oxygen. inhalation
D. Infusion therapy
E. Antibioticotherapy
411.
A patient P., 14 years old, is hospitalized in the infectious dept. in grave condition.
Complaints on headache, mainly in frontal and temporal regions, superciliary arcs, vomiting
on severe pain, pain on movement of eyeballs, in muscles, joints. Objectively – a patient is
excited, temperature of the body 39 °C. BP 100/60 mmHg. Bradycardia was replaced by
tachycardia. Tonic cramps appeared. Doubtful meningial signs. From anamnesis it is found
that at home his brother has flu. What preparations must be injected?
A. Verospiron, euphyllin, dimedrol
B. * Mannitol, paracetamol, prednisolone, euphyllin
C. Analgin, dimedrol, aspirin, ampicillin
D. Mannitol, aspirin
E. Lasix, analgin, ampicillin
412.
A patient with flu complicated by pneumonia, during some days there are the
displays of infectious-toxic shock of ІІ degree. In BA the level of urea and creatinine
increases. What from these preparations is not recommended to enter in such a situation?
A. * Adrenalin
B. Prednisolone
C. Polioniic solutions
D. Dofaminum
E. Heparin
413.
A patient with temperature of body 40.0 °C, nonproductive cough, photophobia,
puffiness of face, dots on gums, blushes on the mucus of cheeks your diagnosis?
A. Tuberculosis
B. Меningococcemia
C. * Measles
D. Enteroviral infection
E. Staphylococcal sepsis
414.
A patient Т., 45 years old, was hospitalized at the 2nd day of disease. One week ago
got back from India (sailor of the distant swimming). Complains of temperature 41.3 °C,
great headache, shortness of breathing; cough with foamy pink colour sputum. Objectively:
pale of face, cyanosis of mucous, breath rate 24/min, tachycardia. Lungs: breathing is
hyposthenic, moist wheezes in both lungs, crepitation. What is possible diagnosis?
A. Flu
B. Miliary tuberculosis
C. * Plaque, pulmonary form
D. Leptospirosis
E. Sepsis
415.
A patient, 20 years old, during few days complains about pharyngalgias. After
supercooling the state became worse: sudden chills, increase of temperature to 40.6 °C,
headache. On the skin of low extremities, trunk and buttocks there are a lot of different sizes
hemorrhagic spots, acrocyanosis. Consiouness is preserved. Meningeal signs are absent.
What is the previous diagnosis?
A. * Meningococcal infection
B. Flu
C. Epidemic typhus
D. Hemorrhagic fever
E. Leptospirosis
416.
A patient, 75 years old, called a doctor to home. Rashes and subfebrile temperature,
general weakness, pharyngalgia, conjunctivitis. In family a child is ill with acute adenoviral
disease. A patient considers himself ill on the second day. At a review there are signs of
pharyngitis. There are enlarged lymphatic nodes: of neck, front and back, armpits and
inguinal up to 1 cm in diameter, soft. Pharynx is hyperemic, tonsils are hypertrophy and
hyperemic. Both lungs have wheezing sounds. Not clean breathing. Tones of heart are
muffled. AP 140/80 mm Hg. Heart rate 80 for 1 minute. Stomach is soft. Enlarged liver 3
cm below costal arch and spleen is palpable. Palpation is soft, painless. Choose the most
possible diagnosis:
A. * Acute adenoviral infection
B. Flu
C. Hepatitis B
D. Infectious mononucleosis
E. Hepatitis A
417.
A sick 15 years old, 3rd day of illness. On the background the catarrhal pneumonia,
weakness in hands appeared, double vision, cross-eye. Voice is weak. Palatoplegia and
extended extremities. Pulse 90/min. AP 130/90 mm Hg .What is your previous diagnosis?
A. Diphtheria
B. * Poliomyelitis
C. Botulism
D. Epidemic encephalitis
E. Enteroviral infection
418.
A sick 19 years old, fell ill rapidly, when a temperature rose to 39,2 °C, coughing
appeared, closed nose. Pains in muscles and joints. On the 3rd day of disease, shallow spots
on the trunk appeared, extremities with hyperemia and edematous feet. Generalized
lymphadenopathy, hyperemia of cheeks, enlargement of the liver were found out. What is
previous diagnosis?
A. * Pseudotuberculosis
B. Flu
C. Infectious mononucleosis
D. Herpetic infection
E. Epidemic typhus
419.
A sick 70 years old, became ill sharply, the temperature of body rose to 39.2 °C,
excited, euphoric, hyperemia of face, Rozenberg’s exanthema appears. Ricketsia titer is
1:160, IgG – 87 %. What is diagnosis?
A. * Epidemic typhus
B. Meningococcal infection
C. Epidemic spotted fever
D. Flu
E. Parainfluenza
420.
A sick explorer of train, 39 years old is hospitalized on the 4th day of illness with
complaints about headache, weakness, dizziness, chills, insomnia, fever. The person is
hyperemic, conjunctivitis. On the transitional fold of conjunctiva there is a single rash. On
the skin of trunk, thorax, stomach, extremities there are abundant red coloured rashes.
Tachycardia. AP 100/60 mm of Hg. Tremor of tongue. Liver and spleen were enlarged.
Stool fistula is detained. What is the most reliable diagnosis?
A. * Epidemic typhus
B. Typhoid
C. Flu
D. Меnigococcemia
E. Leptospirosis
421.
A sick person, 45 years old, was hospitalized after 2 days of disease. On Sunday he
came back from India (sailor). Complains about increasing of temperature to 41 оC, severe
headache, shortness of breath, cough, with sputum. Objectively: pallor, cyanosis of mucous,
tachycardia. Breathing is weaken, crackles in the lower-back parts of the lungs, crepitation.
What is the possible diagnosis?
A. * Flu complicated by pneumonia
B. Miliary tuberculosis
C. Plague, pulmonary form
D. Leptospirosis
E. Sepsis
422.
A sick woman, 42 years old, complaints about temperature 39.3 °C, headache in the
frontal area, pain in the eyeballs, photophobia, pain in muscles, dry cough. Became ill
suddenly one day before. Objectively: state is severe. Hyperemia of the face, eyes shinny,
injection of scleras. Pulse 96/min., rhythmic. Tones of heart are hypotonic. Both lungs are
dissipated. Dry wheezes. Mucosa of epiglottis is hyperemic, grainy, vessels are extended.
Meningeal symptoms are not present. Analysis of blood: leuk – 3?109/l, еos – 1 %, band – 6
%, seg – 51 %, lymp – 35 %, mono – 7 %. What is the most possible diagnosis?
A. * Flu
B. Measles
C. Meningococcal infection
D. Pneumonia
E. Epidemic typhus
423.
A sick, 54 years old, hospitalized in infectious department in the grave condition.
Complaints about expressed headache, mainly in frontal and temporal areas superciliary
arcs, origin of vomiting on peak of pain. Objectively: patient is excited, temperature of body
39 оC, AP 100/60 mm Hg. Bradycardia changed to tachycardia. Tonic cramps, meningeal
signs appeared. From anamnesis it is known that father is also sick. What treatment should
be prescribed?
A. * Mannitol, lasix, prednisolone, еuphyllin, suprastain
B. Mannitol, acetophene
C. Lasix, analgin, ampicillin
D. Verospiron, euphyllin, demidrol
E. Aspirin, analgin, demidrol
424.
A student, 18 years old, for 7 days complains about weakness, hyperthermia to 37.8
°C, mucous excretions from a nose, pharyngalgia at swallowing, pain in eyeballs.
Objectively: increased lymph nodes of neck and mandible, lymphadenitis, edema and
injection of conjunctiva, hyperemia of mucous of epiglottis, hypertrophy of tonsils. What is
the most reliable diagnosis:
A. * Adenoviral infection
B. Influenza
C. Infectious mononuleosis
D. Rhinoviral infection
E. Parainfluenza
425.
A woman 27 years old, complaints about the general weakness, absence of appetite,
coughing, fever up to 37.5 °C for three weeks. Ulcerous illness of stomach, myocarditis is in
anamnesis. What inspection is primarily need to do?
A. Electrocardiography
B. Fibrobronchoscopy
C. Fibrogastroscopy
D. * Fluorography
E. Common blood analysis
426.
A woman who came back from a tour trip, the next day called emergency help. It is
known from the anamnesis, that within a week the temperature of body was moderately
high. Complains of bad sleep and bad appetite, pain in the stomach. During the assessment
of the sick it is found out roseolas on the pale skin of breasts and abdomen. Pulse is normal,
temperature of body 38,2 °C, hepatospleenomegaly. What is your previous diagnosis?
A. * Typhoid fever
B. Epidemic typhus
C. Flu
D. Enteroviral infection
E. Leptospirosis
427.
Amount of solutions necessary for the primary rehydration in cholera is.
A. * Accordingly to the degree of dehydration at time of hospitalization
B. In accordance with the loss of liquid
C. 2 l
D. 5 l|
E. 10 l
428.
Amount of solutions necessary for the secondary rehydration in cholera is.
A. Accordingly to the degree of dehydration at the time of hospitalization
B. * In accordance with the loss of liquid
C. 2 l
D. 5 l
E. 10 l
429.
At a child with the clinical displays of ARVI a generilized lymphadenopathy, onesided conjunctivitis increase of liver and spleen, is marked. Most reliable diagnosis?
A. Infectious mononucleosis
B. Leptospirosis
C. * Adenoviral infection
D. Flu
E. Pseudotuberculosis
430.
At a child with the clinical displays of ARVI a generilized lymphadenopathy, onesided conjunctivitis increase of liver and spleen, is marked. Most reliable diagnosis?
A. Infectious mononucleosis
B. Leptospirosis
C. * Adenoviral infection
D. Flu
E. Pseudotuberculosis
431.
At I degree of dehydration the loss of liquid is:
A. 0,5-1,5 % of body weight
B. 6-9 % of body weight
C. 3-6 % of body weight
D. 5-8 % of body weight
E. * 1-3 % of body weight
432.
At patient with pediculosis rapidly rise temperature of body up to 41.2 °C, headache,
euphoria appeared in 4 days from the beginning of illness. Red colour rash on the lateral
thorax and back. Titer of Rickettsia antibodies 1:640, Ig M – 89 %. What is diagnosis?
A. Flu
B. Enteroviral infection
C. Brill-Zinsser disease
D. * Epidemic typhus
E. Parainfluenza
433.
At what degree of dehydration, there will be “metabolic violation”:
A. Subcompensated
B. * Negative
C. Irreversible
D. Moderate metabolic acidosis
E. Insignificant metabolic alkalosis
434.
At what percent of fluid loss will be I degree of dehydration?
A.
B.
C.
D.
E.
435.
A.
B.
C.
D.
E.
436.
A.
B.
C.
D.
E.
437.
A.
B.
C.
D.
E.
438.
A.
B.
C.
D.
E.
439.
A.
B.
C.
D.
E.
440.
A.
B.
C.
D.
E.
441.
A.
B.
C.
D.
E.
442.
A.
B.
C.
D.
E.
443.
* -6 % of body weight
6-9 % of body weight
1-3 % of body weight
0,5-2 % of body weight
2-7 % of body weight
At what percent of fluid loss will be II degree of dehydration?
3-6 % of body weight
Over 10 % of body weight
* 6-9 % of body weight
4-8 % of body weight
10-15 % of body weight
At what percentage of fluid loss will be IV degree of dehydration?
4-8 % of body weight
6-9 % of body weight
3-6 % of body weight
* Over 10 % of body weight
Over 15 % of body weight
Can the symptoms of an acute appendicitis be the complications of typhoid fever:
* Yes
No
Not always
Often
May be
Compensated dehydrationous shock develops:
Rise level of toxins
At a decrease of the systolic blood pressure
At a hyperthermia
At hypohemoglobinemia
* Because of the haemodynamics changes absence in peace
Duration of isolation of patient with influenza complications?
4 days
7 days
* 10 days
17 days
20 days
Duration of isolation of patient with influenza complications?
4 days
7 days
* 10 days
17 days
20 days
Duration of therapy of primary rehydration in cholera is.
30 minutes
* 2 hours
6 hours
12 hours
1 days
Enterorrhagia feces:
* Melena
Fetid
Does not change
With mucous
With billirubin
How is the urgent prophylaxis of scarlet fever conducted?
A.
B.
C.
D.
E.
By vaccination
* Isolation of children, who had contact with a patient
Using of vaccination
Disinfection
Non-admission of contact with carrier of B-streptococcus
444.
How is the urgent prophylaxis of scarlet fever conducted?
A. By vaccination
B. * Isolation of children, who had contact with a patient
C. Using of vaccination
D. Disinfection
E. Non-admission of contact with carrier of B-streptococcus
445.
In 1 liter of Trisalt solution, the concentration of potassium chloride is:
A. 3 g/l
B. 1.5 g/l
C. * 1.0 g/l
D. 2 g/l
E. 2.5 g/l
446.
In a child with the clinical display of acute respiratory viral infection observed
generalized lymphadenopathy, one-sided conjunctivitis, increase of liver and spleen. What
will be the most credible diagnosis?
A. Infectious mononucleosis
B. Leptospirosis
C. * Adenoviral infection
D. Influenza
E. Meningococcal infection
447.
In a child with the clinical display of acute respiratory viral infection observed
generalized lymphadenopathy, one-sided conjunctivitis, increase of liver and spleen. What
will be the most credible diagnosis?
A. Infectious mononucleosis
B. Leptospirosis
C. * Adenoviral infection
D. Influenza
E. Meningococcal infection
448.
In a different places of settlement found out a few cases of cholera. Who in the focus
of cholera was send in an insulator?
A. Carriers
B. Persons contact with the patient
C. * Patients with cholera
D. Persons with dysfunction of alimentary tract
E. Persons with hyperthermia
449.
In a patient of 16 years old, the disease began gradually, from the catarrhal
syndrome. For 2-3 days the temperature of body increase till 38,5 °C, cold, severe cough
with the negligible quantity of mucous sputum, «souring» eyes. Peripheral lymph nodes are
soft, painless and some enlarged. Mucous of pharynx is hyperemic, granules on posterior
part of pharynx. General state is satisfactory. What is the drug of choice?
A. Ascorbic acid
B. Aspirin
C. * Desoxyribonucleas
D. Remantadin
E. Aminocapronic acid
450.
In a patient with ARVI fever develops to 40,1 °C, breathing frequency 40/min. What
measures are the most effective in treatment of such complication.
A. Minimising of body temperature
B. Keep patient on artificial lung ventilation
C. * Oxygen inhalation
D. Infusion therapy
E. Antibiotic therapy|
451.
In a patient with ARVI fever develops to 40,1 °C, breathing frequency 40/min. What
measures are the most effective in treatment of such complication.
A. Minimising of body temperature
B. Keep patient on artificial lung ventilation
C. * Oxygen inhalation
D. Infusion therapy
E. Antibiotic therapy|
452.
In a settlement was found out a few cases of cholera. Who must be insulated?
A. Persons with disfunction of intestine
B. Patients with cholera
C. Carriers
D. * Persons contact with the sick patient
E. Persons with hyperthermia
453.
In girl V., 1 year old, appeared the thump of nose, dry cough, body temperature rose
till 37,5 ?C. Next day cough become attack like with the excretion of small amount of viscid
sputum. Noisy breathing. Sharply expressed expiratory dyspnea, breating rate 40
times/minute. During examination: acrocyanosis and emphysematous thorax, at lungs
dissipated dry and single moist rales. Tear of frenulum of tongue. What will be the
preliminary diagnosis?
A. * Parainfluenza
B. Pneumonia
C. Influenza
D. Respiratory-syncytial infection
E. Whooping-cough
454.
In the blood analysis at an enterorrhagia:
A. Leukocytosis and hyperhemoglobinemia
B. * Coagulation failure
C. Leukocytosis
D. Normocytosis
E. Hyperhemoglobinemia
455.
In the break out of cholera it is necessary to carry out such measures, except:
A. Hyperchlorination of drinking water
B. An active discovery of patients by rounds
C. Obligatory hospitalization, inspection and treatment of patients and vibrio tests
D. Revealing and isolation of contact persons
E. * Vaccine prophylaxis
456.
In the different places of settlement found out a few cases of disease of cholera. Who
from the contacts of cholera patient is sent in an insulator?
A. Vibrio positive
B. Patients with cholera
C. * Contact with the patient persons
D. Persons with dysfunction of intestine
E. Persons with high temperature
457.
In the different places of settlement it is found out a few cases of cholera. Who from
such place is directed to an insulator?
A. Patients with a cholera
B. Transmitters
C. * Persons who had contact with the patient
D. Persons with dysfunction of gastro-intestinal tract
E. Persons who left the place on infection
458.
Method of etiotropic therapy of cholera is.
A.
B.
C.
D.
E.
Glucocorticoids
Antiviral
* Antibiotics
Rehydration
Vaccine
459.
More often the dehydrationous shock develops at:
A. * Acute intestinal diseases
B. Respiratory diseases
C. Blood infections
D. Diseases of investments
E. Diseases of never system
460.
Normal potassium concentration in blood plasma:
A. 1,5-2,0 mmol/l
B. 2,0 mmol/l
C. 2,5 mmol/l
D. * 3,5-5,5 mmol/l
E. 4,5 mmol/l
461.
Normal sodium concentration in blood plasma:
A. * 135-150 mmol/l
B. 125 mmol/l
C. 170 mmol/l
D. 110 mmol/l
E. 90 mmol/l
462.
Patient 22 years old, has increase temperature of body till 37,8 °C. Treated under the
supervision of district doctor with a diagnosis of influenza. On the 5th day of illness
temperature remained the same; it began difficultly in opening eyes. On examination –
edema on face, expressed conjunctivitis with film stratifications. Mucous pharynx is
heperemia, on the back wall of gullet considerable graininess. Lymph nodes are enlarged in
neck. The general state of patient is satisfactory. This disease is related to cold. What disease
you suspect?
A. Leptospirosis
B. Infectious mononucleosis
C. * Adenoviral infection
D. Allergic dermatitis
E. Meningococcal infection
463.
Patient A., 28 years old, hospitalized with a previous diagnosis of flu. On the 5th day
of illness, rash appeared on the trunk and internal surfaces of extremities. Temperature 41.5
°C, hyperemia of sclera, tremor of tongue, tachycardia, spleenomegaly, excitation. What is
the most possible diagnosis?
A. Measles
B. Meningococcal infection
C. Leptospirosis
D. * Epidemic typhus
E. Typhoid
464.
Patient B., 20 years old, complains about severe headache in temples and orbits, dull
ache in the trunk, dry cough. Temperature of the body 39.6 °C. Inflammatory changes of
mucous membrane of oropharynx. Normal breathing in the lungs. What is the most credible
diagnosis?
A. Pneumonia
B. Parainfluenza
C. Respiratory micoplasma
D. * Flu
E. Meningococcal infection
465.
Patient L., 18 years old is sick with fever till 38 °C which proceeds 5 days. he has
moderate dry cough, common cold, badly opens eyes. On examination –edema on face,
expressed conjunctivitis with film raids. Mucous of pharynx is hyperemic, posterior wall of
pharynx is grainy. Internal organs are without pathology. What form of disease does the
described picture correspond to?
A. Viral conjunctivitis
B. Allergic dermatitis
C. * Adenoviral infection
D. Influenza
E. Rhinoviral infection
466.
Patient M., 11 years old, complains on general weakness, cough, at night suddenly
temperature rose till 39,5 ?C, appeared restlessness, barking cough, noisy whistling
breathing with drowing in supra- and subclavicular cavities, intercostal spaces. He was in
contact with the patient acute respiratory viral infection. What should recommend him the
first line?
A. * Prednisolon, hot foot-baths
B. Seduxsen, euphylin
C. Euphylin, vitamin C
D. Antibiotics, dimedrol
E. Astmopen, diazolin
467.
Patient P., 14 years old, is hospitalized in the infectious department in the severe
condition. Complains on expressed headache, mainly in frontal and temporal regions,
supercilliary arcs, origin of vomiting appear in condition of severe pain, pains by moving the
eyeballs, in muscles and joints. Objectively: patient is excited, body temperature-39 ?C. BP100/60 mmHg. Bradycardia was replaced by tachycardia. Appeared tonic cramps. Doubtful
meningeal signs. From anamnesis it is clear that his brother has flu at home. What will be
your diagnosis?
A. Influenza, typical flow
B. * Influenza with the phenomena of edema of brain
C. Respiratory-syncytial infection
D. Parainfluenza
E. Adenoviral infection
468.
Patient R., 16 years old, hospitalized for 5-day illness with complaints of moderate
headache in fronto-temporal region, laid nose, sore throat, pain in the left eye, rise in
temperature to 38.1-38.5 °C. General condition is satisfactory. Shortness of nasal breath,
mucous discharging from the nose, hyperemia of face, enlargment of the neck and
submaxillary lymph glands, left foamy conjunctivitis. What is preliminary diagnosis?
A. Influenza
B. Infectious mononucleosis
C. Enteroviral infection
D. * Adenoviral infection
E. Influenza
469.
Patient R., 26 years old, became ill sharply: temperature 39,5 °C, severe headache,
mainly in frontal and temporal an area, pains in muscles and joints. Examined on the 2th
days of illness: state of middle weight, skin clean, dry. Moderate hyperemia with cyanosis,
pulse 120/min., rhythmic. Cardiac activity rhythmic, tones are muffled, in lights of the
vesicular breathing. Stomach is without peristalsis. What is the preparation of choice for
treatment of this patient?
A. Aspirin
B. * Remalol
C. Ampicillin||
D. Ascorbic acid
E. Ribonuclease
470.
Patient with cholera has bradycardia, low blood pressure, weakness. What is most
important factor in the given clinical situation?
A. Hypocalcemia
B. Hypopotassium
C. Hyponatremia
D. Hypernatremia
E. * Hyperpotassium
471.
Patient with cholera on a background treatment has signs of hyperkalemia. What
solution must be applied for futher rehydration therapy?
A. Neohemodez
B. * Disalt
C. Chlosalt
D. Polyhybrid
E. Lactosalt
472.
Sick M., 22 years old, complaints about increasing of body temperature to 39 оC,
headache in frontal area, pain in eyeballs, photophobia, pain in a muscles, dry cough.
Became ill suddenly. The state is heavy. Objectively face is hyperemic, injection of scleras.
Pulse 96 per min, rhythmic. Tones of heart are hypotonic. In the lungs – dissipated dry
wheezes. Mucous membrane of oropharynx is hyperemic, grainy, vessels are extended.
menengial symptoms are not present. Analysis of blood: leukocytes 3?109/L, е 1 %, band
neut. 6 %, seg. neut 51 %, lymphocytes 35 %, мonocytes 7 %. What is most probable
diagnosis?
A. Measles
B. * Flu
C. Meningococcal disease
D. Epidemic typhus
E. Pneumonia
473.
Sick, 52 years old, with complaints about pain in lumbar region, headache edema of
chin. It is known from anamnesis that the sick suffers from obesity of ІІ degree. Recently
carried heavy neurological stress and had flu. He has chronic bronchitis for 5 years, chronic
gastritis for 8 years. Objectively: Temperature of the body 38.2 °C, AP – 140/90 mm Hg. It
is proposed the diagnosis of acute glomerulonephritis. What transferred factors could be the
reason of disease?
A. Neuro psycologic stress
B. Chronic bronchitis
C. Chronic gastritis
D. Obesity
E. * Flu
474.
The bowel perforation of the typhoid fever can appear:
A. On 1-5 weeks of disease
B. On 1 week of disease
C. On 2 week of disease
D. * On 3 week of disease
E. On 5 week of disease
475.
The bowel perforation of the typhoid fever is accompanied by the onset of:
A. * Protective muscle tension of a stomach
B. Absence of respiratory excursion of a abdominal wall
C. Pains in a stomach
D. Disappearances of hepatic dullness of percussion
E. All answers are right
476.
The collapse, a severe intoxication of a typhoid fever develops:
A. * On 1-2 week of disease
B. On 3 week of disease
C. On 4 week of disease
D. On 4-5 week of disease
E. On 5-6 week of disease
477.
The diarrheic syndrome and vomiting are the reason:
A. An infectious-toxic shock
B. An anaphylactic shock
C. * A dehydrationous shock
D. A hemorrhagic shock
E. All right
478.
The essential therapy for cholera is.
A. Diet
B. Antibacterial preparations
C. Correction of dysbacteriosis
D. Desintoxication
E. * Primary rehydration
479.
The hypovolemic shock develops owing to fluid loss at:
A. A long-term fever
B. A bleeding (a hemorrhagic shock)
C. Vomiting and diarrheas
D. All answers are not true
E. * All answers are true
480.
The hypovolemic shock is:
A. І degree of dehydration
B. ІІ degree of dehydration
C. ІІІ degree of dehydration
D. * ІV degree of dehydration
E. V degree of dehydration
481.
The patient P., 14 years old, is suffering from flu. He is hospitalized in infectious
dept. due to worsening of his condition. He is conscious. A patient is suffocated. Pallor of
skin covers with cyanosis, breathing rate 50 times/minute. BP-80/55 mmHg, pulse 110 times
/minute. Body temperature-39,5 °C. Excretion of rose foamy sputum. On percussion of
lungs there is tympanic sound with dullness in lower part of lung .On auscultation there is
moist rales in lower posterior part of lungs. What complication of flu appeared in patient?
A. Bronchitis
B. Edema of brain
C. * Pneumonia
D. Edema of lungs
E. infectious-toxic shock
482.
The peritonitis of the typhoid is accompanied by the onset of:
A. Stefanskyy's symptom
B. Mayo-Robson's symptom
C. Voskresensky symptom
D. Krymov's symptom
E. * Guarding symptom
483.
The subcompensated dehydrationous shock develops at:
A. A diastolic and systolic blood pressure boost
B. * A decrease of the systolic blood pressure
C. A diastolic blood pressure decrease
D. A diastolic blood pressure boost
E. A systolic blood pressure boost
484.
The typhoid fever enterorrhagia is characterised with:
A. A normal pulse
B. A bradycardia
C. * A tachycardia
D. An alternating pulse
E. An asystole
485.
To the district doctor a patient, complaints on abundant excretions from a nose,
moderate headache, hearing loss, perversion of taste. On examination – dry of skin, nose
excoriation, in a pharynx – mild hyperemia. Temperature of body is subfebrile. Pathological
changes of internal organs are absent. Which acute respiratory viral infection carries the
patient?
A. Adenoviral infection
B. Parainfluenza
C. * Rhinoviral infection
D. РC-infection
E. Influenza
486.
Typhoid fever bleedings appears:
A. On 5-6 week of disease
B. * On 3-4 week of disease
C. On 1-2 week of disease
D. On 2 week of disease
E. On 1 week of disease
487.
Typhoid fever bleedings are accompanied with:
A. Body temperature decrease and pulse decrease
B. Body temperature increase and pulse increase
C. The temperature does not change
D. * Body temperature decrease and pulse increase
E. Body temperature increase and pulse decrease
488.
?Virus causing hemorrhagic cystitis, diarrhea and conjunctivitis:
A. RSV
B. Rhinovirus
C. * Adenovirus
D. Rotavirus
E. Flu
489.
?Virus causing hemorrhagic cystitis, diarrhea and conjunctivitis:
A. RSV
B. Rhinovirus
C. * Adenovirus
D. Rotavirus
E. Flu
490.
What clinically active forms of cholera do you know?
A. * Very rapid acute for the children and elderly persons
B. “Choleric typhoid”, acute subclinical, for the children and elderly persons
C. Dry, very rapid, “choleric typhoid”, subclinical for the children and elderly persons
D. Very rapid “choleric typhoid”, acute, subclinical, for the children and elderly persons
E. Very rapid, dry, subclinical, for the children and elderly persons
491.
What from is the given measures during the secondary rehydration?
A. Determining degree of dehydration from clinical data
B. Amount of lost liquid, which was preceded at the time of hospitalization
C. Application of isotonic crystalloid solutions
D. Simultaneous introduction of liquid in a few vessels
E. * Amount of liquid loss
492.
What from the below mentioned preparations can be used for the treatment of
primary rehydration?
A. Lactosalt
B. * Disalt
C. Acesalt
D. Trisalt
E. Khlosalt
493.
What from the below mentioned preparations, can be used for the treatment of
primary rehydration?
A. * Polyhybrid
B. Acesalt
C. Khlosalt
D. Kvartasalt
E. Lactosalt
494.
What from the below mentioned preparations, can be used for the treatment of
primary rehydration?
A. Acesalt
B. Trisalt
C. * Cryoplasma
D. Khlosalt
E. Lactosalt
495.
What is conduct specific passive immunnoprophylaxis of flu?
A. Living antenuated vaccine
B. Inactive parenteral vaccine
C. * By an immunoprotein
D. Remantadin
E. Antibiotics of wide spectrum of action|
496.
What is conduct specific passive immunnoprophylaxis of flu?
A. Living antenuated vaccine
B. Inactive parenteral vaccine
C. * By an immunoprotein
D. Remantadin
E. Antibiotics of wide spectrum of action|
497.
What laboratory and instrumental examinations are needed for confirming the
diagnosis of flu?
A. Complete analysis of blood
B. -ray of organs of thoraxic cavity
C. Analysis sputum|
D. * Determination of viruses by the method of immunofluorescence
E. Biochemical blood test
498.
What laboratory and instrumental examinations are needed for confirming the
diagnosis of flu?
A. Complete analysis of blood
B. -ray of organs of thoraxic cavity
C. Analysis sputum|
D. * Determination of viruses by the method of immunofluorescence
E. Biochemical blood test
499.
What level is necessary to reduce the temperature of patient’s body with
hyperthermia?
A. 39 °C
B. * 38 °C
C. 37,5 °C
D. 37 °C
E. 38,5 °C
500.
What level is necessary to reduce the temperature of patient’s body with
hyperthermia?
A. 39 °C
B. * 38 °C
C. 37,5 °C
D. 37 °C
E. 38,5 °C
501.
What solutions must be applied for compensatory rehydration in cholera?
Colloid
Hypertensive epitonic polyionic crystalloid
* Isotonic polyionic crystalloid
Reosorbilakt
Isotonic solution of glucose
502.
What time is it necessary to complete primary rehydration at dehydration shock?
A. 3-5 hrs
B. 0.5 hrs
C. 2-3 hrs
D. * 1-1.5 hrs
E. 4-6 hrs
503.
What type of a diarrhoeia is typical for a salmonellosis?
A. Osmotic
B. Exudative
C. * Secretory
D. Mixed
E. Toxic
504.
Which from the below is a complication of cholera?
A. Collapse
B. Infectious-toxic shock
C. Acute renal insufficiency
D. * Dehydration shock
E. Status typhosis
505.
Which salt solutions do not contain potassium?
A. Trisalt
B. Lactosalt
C. * Disalt
D. Qudrosalt
E. Khlosalt
506.
Who must be admitted in the hospital from the focus of cholera?
A. Carriers
B. Patients with cholera
C. * Persons with disfunction of intestine
D. Contact persons
E. Persons with high temperature
507.
With the purpose of specific prophylaxis of cholera is used:
A. * Cholerogen-toxoid
B. Vaccine
C. Nitrofuranes
D. Immunoprotein
E. Antibiotics
508.
What is the entrance gate at infectious mononucleosis?
A. Mucus of colon
B. Mucus of digestive highway
C. Epithelial mews of skin
D. Peyer‘s plate and follicles
E. * Mucus of nazo-pharig
509.
A boy 6 years was in the close touch with a patient with diphtheria. What treatmentprophylactic measures need to be conducted, if vaccine anamnesis is unknown?
A. Introduction of AWDT vaccine
B. Antibacterial therapy
C. Introduction of ADT-м to the toxoid
D. * Antibacterial therapy and double introduction of ADT toxoid
A.
B.
C.
D.
E.
E. Antibacterial therapy and introduction of immunoprotein
510.
A child 2 years carries a diphtherial croup. There was the stop of breathing on 2nd
days of whey therapy. What was the reason of asphyxia?
A. * Mechanical obturation by tapes
B. Stenosis of larynx
C. Anaphylaxis shock
D. Whey illness
E. Paresis of respiratory musculature
511.
A diagnosis is “diphtheria of otopharynx” put to the 3-years-old child (not instiled
through the refusal of parents). Family lives in a 3-room apartment, a mother does not work,
a father is the director of factory. Specify the method of isolation of child.
A. * Obligatory hospitalization
B. Hospitalization after clinical testimonies
C. Hospitalization after epidemiologys testimonies
D. Isolation in home terms
E. Does not need isolation
512.
A new born child on 10th day of life became worse: Temperature 39.2 °C, no
frequent vomiting, generalized cramps, violations of consciousness, spastic paresis of left
extremities. Month prior to his birth herpes virus was present in the mother, which she did
not treat. What disease is most possible?
A. * Herpetic encephalitis
B. Meningococcal meningitis
C. Subarechnoid hemorrhage
D. Cerebral abscess
E. Violation of blood cerebral circulation
513.
A patient came with complaints of sickly erosions on his penis. From anamnesis
frequent appearance of similar rashes is found out during a year. Objectively: on a balanus
are the grouped blisters and erosions, soft on palpation. What is your diagnose?
A. * Recurrent herpes of ІІ type
B. Vulvar pemphigus
C. Primary syphyllis
D. Shankoform pyoderma
E. Recurrent herpes of ІІІ type
514.
?A patient has herpetic meningitis. What preparation of specific therapy for viral
neuro infection should be given?
A. * Acyclovir
B. Cefataxime
C. Ceftriaxone
D. Gentamycin
E. Furazolidon
515.
A patient has herpetic meningitis. What preparation of specific therapy for viral
neuro infection should be given?
A. * Acyclovir
B. Cefataxime
C. Ceftriaxone
D. Gentamycin
E. Furazolidon
516.
A patient has herpetic meningitis. What preparation for specific therapy of viral
neiroinfection would you appoint?
A. Laziks
B. Cefotaksim
C. Ceftriakson
D. * Acyclovir
E. Prednisolon
517.
A pregnant woman, 27 years (pregnancy ІІ, 8-10 weeks.), temperature of body
increased. At the inspection on a TORCH-infection antibodies are found to the herpes virus,
ІІ types of class IGM. What we must recommend to pregnant women?
A. * To cut pregnancy
B. To prolong the supervision
C. Treatment with acyclovir
D. Symptomatic treatment
E. Appoint of alpha-fetoprotein
518.
A sick 3 years old child came to the doctor with symptoms of the fever, languor,
waiver of meal. A boy is capricious, temperature of body 37.9 °C. On the mucus shell of
soft palate, cheeks are single vesicle hypersalivation. What is the diagnosis?
A. * Herpetic stomatitis
B. Candidosis of oral cavity
C. Leucoplacia
D. Follicular tonsillitis
E. Lacunar tonsillitis
519.
After the disease which was accompanied by the fever and pharyngalgias, there were
an odynophagia, dysarthria, weakness and violation of motions in hands and feet,
hyporeflexia, violation of sensitiveness in extremities to the polyneurotic type. What disease
does it follow to think about above all things?
A. Neuropathy of hypoglossus
B. * Diphtherial polyneuropathy
C. Neuropathy of glossopharyngeus nerve
D. Trunk encephalitis
E. Pseudobulbar syndrome
520.
At a child 4 years on the third day of disease the widespread form of diphtheria of
nasopharynx is diagnosed. Preparation of specific therapy:
A. Macrolids per os
B. Penicillin i/m
C. Cortycosteroid
D. * Antidiphterial serum i/v
E. Antitoxic therapy
521.
At a child 6 years with a diphtherial widespread croup the first dose of antidiphterial
serum makes:
A. * 40 AО
B. 15 AО
C. 20 AО
D. 80 AО
E. 60 AО
522.
At a girl, 22 years old, severy form of diphtheria of otopharynx have happened.
Specific treatment begun only on a 5th day from the beginning of disease. What
complication of diphtheria is potentially dangerous?
A. Stenotic laryngotracheitis
B. Pneumotorax
C. Meningoencephalitis
D. Septicopyemia
E. * Infectious-toxic shock
523.
At a patient the dense darkly-grey raid covers tonsills is considerably megascopic
and spreads for their scopes. Mucus shell bloodshot accented cyanochroic, was considerably
swollen. Immediate medical measure:
A. * Antidiphterial whey
B. Punction of peritonsillar space
C. Section of peritonsillar space
D. Microscopic research of stroke from under tape
E. Bacteriologic examination of stroke from under pallatum
524.
At a patient the dense darkly-grey raid covers tonsills is considerably megascopic
and spreads for their scopes. Mucus shell bloodshot accented cyanochroic, was considerably
swollen. Immediate medical measure:
A. * Antidiphterial serum
B. Punction of peritonsillar space
C. Section of peritonsillar space
D. Microscopic research of stroke from under tape
E. Bacteriologic examination of stroke from under pallatum
525.
At a patient the dense darkly-grey raid covers tonsils is considerably megascopic and
spreads for their scopes. Mucus shell bloodshot accented cyanochroic, was considerably
swollen. Immediate medical measure:
A. Ultraviolet irradiation of throat
B. Punction of peritonsillar space
C. Section of peritonsillar space
D. * Introduction of antidiphterial serum
E. Compress on a neck
526.
At a patient which carried diphtheria with an incessant pharyngalgia, disartria,
weakness and loss of motions; hyperreflexia, decline of sensitiveness on a polyneuritis type
developed. Put a diagnose.
A. Hemorrhage in a brain
B. Viral encephalitis
C. * Diphtheria polyneuropathy
D. Psevdobulbar syndrome
E. Bulbar form of lateral Amiotrophic sclerosis
527.
At a patient, 17 years: angina. Temperature 38,2 °C, generilised lymphadenopathy
(the first multiplied neck lymphatic knots which are located along m.
sternocleidomastoideus), small icterus, hepatospleenomegaly. Previous diagnosis?
A. Tuberculosis of lymphatic knots
B. Bacterial quinsy
C. Diphtheria
D. * Infectious mononucleosis
E. Megacaryoblastoma
528.
At how many percents of grown man does present antibodies to the virus of simple
herpes?
A. 10-20 %
B. 20-30 %
C. 40-60 %
D. * 80-90 %
E. 60-70 %
529.
At junior nurse, who works in child’s infectious department, herpes simplex was
found. What should manager of department must do?
A. * Create a quarantine in the department
B. To appoint an immunoprotein to the children
C. Discharge all children from the department
D. To appoint immunomodulators with a prophylactic purpose
E. To inspect a junior nurse on a staphylococcus
530.
At junior nurse, who works in child’s infectious department, herpes simplex was
found. What should manager of department must do?
A. * Create a quarantine in the department
B. To appoint an immunoprotein to the children
C. Discharge all children from the department
D. To appoint immunomodulators with a prophylactic purpose
E. To inspect a junior nurse on a staphylococcus
531.
At maintenance of call on a house a district pediatrician put to the sick 5 years old
child diagnosis “Acute lacunar tonsillitis”. Specify, who must carry out the laboratory
inspection of patient and in what terms.
A. Worker of SES upon receipt report
B. A district medical sister is at once after determination of diagnosis
C. Doctor pediatrician in 5 hours
D. * Doctor pediatrician at once after determination of diagnosis
E. District medical sister on a next day
532.
At sick L, 35 years old, a diagnosis is set is diphtheria of pharynx,
noncommunicative form. What first dose of antitoxic antidiphtheria whey is it necessary to
appoint?
A. 120 thousand of AО
B. 80 thousand of AО
C. * 30 thousand of AО
D. 50 thousand of AО
E. 150 thousand of AО
533.
Before revaccination from diphtheria of adult persons, they are recommended:
A. * To explore an immune type
B. To use antibiotics
C. To use antihistamines
D. 5 years after last revaccination
E. 10 years after last revaccination
534.
Before revaccination from diphtheria of adult persons, they are recommended:
A. * To explore an immune type
B. To use antibiotics
C. To use antihistamines
D. 5 years after last revaccination
E. 10 years after last revaccination
535.
Complication of diphtheria of larynx:
A. Myocarditis
B. Paresis of auditory nerve
C. Nephrosonephritis
D. * Croup
E. Poliomyelitis
536.
Complications of 4-5th week of diphtheria:
A. Encephalitis
B. Bulbar disorders, pancreatitis, hepatitis
C. * Poliomyelitis, myocarditis
D. Nephrosonephritis
E. Stenotic laryngotracheitis
537.
Complications which often develop on the first week of diphtheria of otopharynx:
A. Poliomyelitis
B. Asphyxia
C. Insufficiency of glandulars
D. hepatospleenomegaly
E. * Paresis of soft palate
538.
Corynebacterium diphtheria:
A. Contain endotoxin only
B. * Exotoxin products
C. Exotoxin does not product
D. An enterotoxin products
E. Myelotoxin products
539.
Diphtheria planned vaccination begin in:
A. In first days after birth of child
B.
C.
D.
E.
* In 3 month age
In 6-month age
In 1 year
In 6 years
540.
Diphtheria planned vaccination begin in:
A. In first days after birth of child
B. * In 3 month age
C. In 6-month age
D. In 1 year
E. In 6 years
541.
Early complications of diphtheria of otopharynx:
A. * Paresis of soft palate
B. Pneumonia
C. Asphyxia
D. Croup
E. Poliomyelitis
542.
Especially high title of ant diptherial antitoxic antibodies testifies to:
A. Recovering
B. Acute period of diphtheria
C. * Bacteriocarriering
D. Forming of immunity to diphtheria
E. About nothing does not testify
543.
Especially high titre of ant diptherial antitoxic antibodies testifies to:
A. Recovering
B. Acute period of diphtheria
C. * Bacteriocarriering
D. Forming of immunity to diphtheria
E. About nothing does not testify
544.
For what disease are characterize changes in blood (presence of atypical
mononucleares)?
A. Flu
B. * Kissing disease
C. Measles
D. AIDS
E. Diphtheria
545.
For what disease characterize changes in a blood (presence of lymphomonocytes and
a typical mononuclears)?
A. Flu
B. * Infectious mononucleosis
C. Measels
D. AIDS
E. Diphtheria
546.
For what disease characterize changes in a blood (presence of lymphomonocytes and
a typical mononuclears)?
A. Flu
B. * Infectious mononucleosis
C. Measels
D. AIDS
E. Diphtheria
547.
How mach are exist subfamilies of herpes-viruses?
A. 2
B. 4
C. 5
D. 6
E. * 3
How mach types of herpes-viruses do you know?
A. 2
B. 4
C. 6
D. * 8
E. 10
549.
In an epidemic cell rationally to organize verification of the state of immunity. The
Use of RUHA allows to find out persons unimmune to diphtheria during a few hours. What
minimum protective titre?
A. 1:10
B. 1:20
C. * 1:40
D. 1:80
E. 1:160
550.
In preschool is case of disease on diphtheria. What prophylactic measures must be
conducted above all things?
A. Urgent hospitalization
B. Urgent vaccination
C. * Quarantines measures
D. Urgent by chemical prophylactic antibiotics
E. Introduction of antidiphterial whey
551.
In preschool the registered case of diphtheria. What from the measures adopted
below does not conduct to the contact children?
A. * Introduction of antidiphterial whey
B. Non-permanent is stroke from a pharynx and nose for the bacteriologic examination
C. Daily is supervision during 7 days
D. Determination of titres of specific antibodies
E. At the repeated cases of disease is extraordinary revaccination diphtheria
552.
In what age are infected by primary herpes more frequent?
A. 55-65 years
B. 5-10 years
C. 12-18 years
D. to 6 months
E. * 6 months – 5 years
553.
Is a vaccination conducted at a kissing disease?
A. Ribosom vaccine
B. Alive vaccine
C. Dead vaccine
D. Chemical vaccine
E. * On the stage of
554.
Name the most reliable of kissing disease?
A. * Became healthy
B. Death
C. Chronic form
D. Hematological violations
E. Changes in the nervous system
555.
Patient C., 60 years old during one year has 4th relapse of Herpes zoster.
Recommended treatment and relapses prophylaxis?
A. * Valcyclovir
B. Acyclovir
C. Herpevir
D. Proteflazid
E. Cycloferon
548.
556.
Patient, 24 years old, with diagnosis dyphtheria was admitted to the infectious
disease department. What remedy is most effective for treatment and should be used
immediately?
A. Antibiotics
B. Oxygenotherapy
C. * Antitoxic antidyphtherial serum
D. Antipyretic drugs
E. Sulfanilamides
557.
Patient, 35 years was hospitalized with diagnosis localized diphtheria of pharynx.
What is the first dose of antitoxic antidyphtherial serum?
A. * 30 000 AU
B. 50 000 AU
C. 80 000 AU
D. 120 000 AU
E. 150 000 AU
558.
Rules hospitalizations of patients with a kissing disease?
A. * In a room for the patients with infections of respiratory tracts
B. Patients are not hospitalized
C. In a separate chamber
D. In a chamber for the patients with infections of external covers
E. In a chamber for the patients with intestinal infections
559.
Specify the correct method of introduction of whey after the method of Bezredko:
A. 1,0 ml of divorced 1:100 hypodermic – through 30 min. 0,1 ml of undivorced
hypodermic – through 30 min. all dose of intramuscle
B. 0,1 ml of divorced 1:1 000 endermic – through 30 min. 0,1 ml of divorced 1:10
hypodermic – through 30 min. all dose of intramuscle
C. 0,1 ml of undivorced endermic – through 30 min. 0,1 ml hypodermic – through 30
min. all dose of intramuscle
D. * 0,1 ml of divorced 1:100 endermic – through 30 min. 0,1 ml of undivorced
hypodermic – through 30 min. all dose of intramuscle
E. 1,0 ml of divorced 1:10 hypodermic – through 30 min. 0,1 ml of undivorced
hypodermic – through 30 min. all dose of intramuscle
560.
Specify the correct method of serum introduction after the Bezredko method:
A. 1,0 ml of divorced 1:100 hypodermic – through 30 min. 0,1 ml of undivorced
hypodermic – through 30 min. all dose of intramuscle
B. * 0,1 ml of divorced 1:1 000 endermic – through 30 min. 0,1 ml of divorced 1:10
hypodermic – through 30 min. all dose of intramuscle
C. 0,1 ml of undivorced endermic – through 30 min. 0,1 ml hypodermic – through 30
min. all dose of intramuscle
D. 0,1 ml of divorced 1:100 endermic – through 30 min. 0,1 ml of undivorced
hypodermic – through 30 min. all dose of intramuscle
E. 1,0 ml of divorced 1:10 hypodermic – through 30 min. 0,1 ml of undivorced
hypodermic – through 30 min. all dose of intramuscle
561.
The duration of latent period at a kissing disease are?
A. * 25-50 days
B. 3-6 days
C. 1-4 weeks
D. From a few hours to 3 days
E. From a few days to 1-2 months
562.
The exciter of diphtheria is:
A. Virus of Epshtein-Barr
B. * Bacillaof Leffler
C. Corynebacteria ulcerans
D. Fusiform stick
E. Corynebacteria xerosis
563.
The otolaryngologist during the review of patient marked hyperemia, considerable
edema of tonsills with the grey raid on them. During the microscopy of raid it was found out
sticks located under a corner to each other. What disease does it follow to think about?
A. Scarlet fever
B. Streptococcus quinsy
C. * Diphtheria
D. Vensan tonsillitis
E. Staphylococcus quinsy
564.
The source of infection at diphtheria is:
A. * Sick people and bacillicarriers
B. Sick agricultural animals
C. Rodents
D. Mosquito
E. Aerosol of saliva and epipharyngeal mucous of patients
565.
The source of infection at diphtheria is:
A. * Sick people and carriers
B. Sick agricultural animals
C. Rodents
D. Mosquitoes
E. Aerosol of saliva and epipharyngeal mucous of patients
566.
The source of infection at infectious mononucleosis is:
A. * Sick people and carriers
B. Sick agricultural animals
C. Rodents
D. Mosquitoes
E. Aerosol of saliva and epipharyngeal mucous of patients
567.
What additional inspections must be conducted to the patient with infectious
mononucleosis?
A. * IFA on HIV-infection, bacteriology inspection on diphtheria
B. IFA on HIV-infection, bacteriology inspection on a rabbit-fever
C. Bacteriology inspection on diphtheria and typhoid
D. Reaction of Burne and Rihth-Heddlson
E. Reaction of Paul-Bunnel and punction of lymphatic knot
568.
What additional inspections must be conducted to the patient with a kissing disease?
A. Reaction of Burne and Rayt
B. ELISA test on AID, bacteriological examination on a rabbit-fever.
C. Bacteriological examination on diphtheria and typhoid
D. * ELISA test on AID, bacteriological examination on diphtheria
E. Reaction of Paul-Bunnel and punction of lymphatic no
569.
What additional test should hold for the patient with infectious mononucleosis?
A. Burne and Wright-Hadlson‘s reactions
B. ELISA-test, bacteriological test for tularemia
C. Bacteriological test for diphtheria and typhoid fever
D. * ELISA-test, bacteriological test for diphtheria
E. Paul-Burne reaction and lymph node puncture
570.
What are the possible ways of transmission of herpes-viruses?
A. * Contact, air, sexual, vertical
B. Contact, sexual, vertical
C. Contact, air, vertical
D. Contact, air, sexual
E. Air, sexual, vertical
571.
?What are the rules of hospitalization of patients with infectious mononucleosis?
A. Patients are not hospitalized
B.
C.
D.
E.
In a chamber for the infections of respiratory tracts
* In a separate chamber
In a chamber for the infections of external covers
In a chamber for intestinal infections
572.
What characteristic signs of raid at diphtheria?
A. One-sided, grey-white, on-the-spot crateriform ulcers
B. * grey-white, dense with clear edges and brilliant surface
C. Yellow-white, fragile, perilacunar is located
D. One-sided, yellow-white, in lacunas
E. White, fragile, is easily taken off by a spatula
573.
What complication has developed in patient with diphtheria of mouth pellicle severe
form was diagnosed. On the 6th day of disease when pain in the heart region, palpitation
were appeared. Pulse – 120 per 1 min, systolic noise on apex of heart. On ECG is
incomplete blockade of left leg of Giss bunch?
A. * Early infectious-toxic myocarditis
B. Myocardial dystrophy
C. Heart attack of myocardium
D. Acute cardio-vessel insufficiency
E. Stenosis of mitral valve
574.
What complications do happen at a kissing disease?
A. Insult
B. Autoimmune diseases
C. Contractures
D. * Break of spleens
E. Cirrhosis
575.
What complications more often develops during 4-5th week of diphtheria:
A. Encephalitis
B. Bulbar disorders, pancreatitis, hepatitis
C. * Poliomyelitis, myocarditis
D. Nephrosonephritis
E. Stenotic laryngotracheitis
576.
What complications more often develops during the first week of diphtheria of
otopharynx:
A. Poliomyelitis
B. Asphyxia
C. Paratonsillitis
D. Hepatospleenomegaly
E. * Paresis of soft palate
577.
What disease can the acute second tonsillitis be at?
A. Lupus
B. Diphtheria
C. Rheumatism
D. Tuberculosis
E. * Typhoid
578.
What disease is by the herpes-virus of 1th type?
A. Genital herpes
B. * L herpes
C. Syndrome of chronic fatigue
D. Sarcoma of Kaposi
E. Cytomegalovirus infection
579.
What disease is by the herpes-virus of 2 type?
A. * Genital herpes
B. L herpes
C. Syndrome of chronic fatigue
D. Sarcoma of Kaposi
E. Cytomegalovirus infection
580.
What disease is by the herpes-virus of 3 type?
A. Genital herpes
B. L herpes
C. Syndrome of chronic fatigue
D. * Herpes zoster
E. Cytomegalovirus infection
581.
What disease is by the herpes-virus of 3 type?
A. Genital herpes
B. L herpes
C. Syndrome of chronic fatigue
D. * Chicken pox
E. Cytomegalovirus infection
582.
What disease is by the herpes-virus of 4 type?
A. Genital herpes
B. L herpes
C. Syndrome of chronic fatigue
D. Chicken pox
E. * Cytomegalovirus infection
583.
What disease is by the herpes-virus of 5 type?
A. Genital herpes
B. * Eczema of new-born
C. Syndrome of chronic fatigue
D. Sarcoma of Kaposi
E. Epshtein-Barr‘s infection
584.
What disease is by the herpes-virus of 6 type?
A. Genital herpes
B. * Eczema of new-born
C. Syndrome of chronic fatigue
D. Sarcoma of Kaposi
E. Epshtein-Barr‘s infection
585.
What disease is by the herpes-virus of 7 type?
A. Genital herpes
B. Eczema of new-born
C. * Syndrome of chronic fatigue
D. Sarcoma of Kaposi
E. Epshtein-Barr‘s infection
586.
What disease is by the herpes-virus of 8 type?
A. Genital herpes
B. Eczema of new-born
C. Syndrome of chronic fatigue
D. * Sarcoma of Kaposi
E. Epshtein-Barr‘s infection
587.
What family does the exciter of kissing disease belong to?
A. * Family of herpes virus
B. Family of pox virus
C. Family of retro virus
D. Family of reo virus
E. Family of toga virus
588.
What from the following symptoms are not characteristic of infectious
mononucleosis?
A. Fever
B. * Defeat of kidneys
C. Lymphadenopathy
D. Tonsillitis
E. Increasing of liver and spleen
589.
What from the following symptoms are not characteristic of infectious
mononucleosis?
A. Fever
B. * Defeat of kidneys
C. Lymphadenopathy
D. Tonsillitis
E. Increasing of liver and spleen
590.
What group of infections does infectious mononucleosis behave to?
A. Zoonoz
B. Sapronosis
C. Antropozoonoz
D. * Antroponoz
E. Sapronoz+antroponoz
591.
What group of infectious diseases by L. Gromashevsky classification diphtheria
belong to?
A. External covers
B. Blood
C. Intestinal
D. * Respiratory ways
E. Transmissive
592.
What group of infectious diseases diphtheria belong to?
A. Sapronosis
B. Zoonosis
C. * Anthroponosis
D. Zooanthroponosis
E. A group is not certain
593.
What group of infectious diseases infectious mononucleosis belong to?
A. Sapronosis
B. Zoonosis
C. * Anthroponosis
D. Zooanthroponosis
E. A group is not certain
594.
What is characteristic signs of raid at diphtheria?
A. One-sided, grey-white, on-the-spot crateriform ulcers
B. * Grey-white, dense with clear edges and brilliant surface
C. Yellow-white, fragile, perilacunar is located
D. One-sided, yellow-white, in lacunas
E. White, fragile, is easily taken off by a spatula
595.
What is early complications of diphtheria of otopharynx:
A. * Paresis of soft palate
B. Pneumonia
C. Asphyxia
D. Croup
E. Poliomyelitis
596.
What is immediately investigation in suspicious of diphtheria:
A. Strokes with tonsills, nose or other areas for the exposure of diphtherial stick
B. IFA
C. * Microscopy (painting for Neiser)
D. Haemoculture
E. RDHA with a diphtherial diagnosticum
597.
What is main complication of diphtheria of larynx:
A.
B.
C.
D.
E.
Myocarditis
Paresis of auditory nerve
Nephrosonephritis
* Croup
Poliomyelitis
598.
What is material for the bacteriologic examination in time to suspicion on
diphtheria?
A. Excrement
B. Blood
C. Urine
D. * Mucus from the area of defeat
E. Neurolymph
599.
What is mechanism of transmission of Corynebacterium diphtheria?
A. Vertical
B. Transmissive
C. * Air-drop
D. Contact
E. Parenteral
600.
What is recommended treatment and relapses prophylaxis of Herpes zoster?
A. * Valcyclovir
B. Acyclovir
C. Herpevir
D. Proteflazid
E. Cycloferon
601.
What is seasonal character of diphtheria?
A. Spring-summer
B. Summer-autumn
C. * Autumn-winter
D. Winter-spring
E. Spring-autumn
602.
What is the mechanism of transmission of herpetic infection?
A. Fecal-oral
B. * Air
C. Contact
D. Vertical
E. Transmisiv
603.
What is the exciter of diphtheria:
A. Virus of Epshtein-Barr
B. * Leffler Bacillus
C. Corynebacteria ulcerans
D. Fusiform stick
E. Corynebacteria xerosis
604.
What is the exciter of kissing disease:
A. Virus small pox
B. Virus of simple herpes
C. * Virus of Epshteyn-Barr
D. Cytomegalovirus
E. Virus of flu
605.
What is the most diagnostic method for infectious mononucleosis?
A. Common analysis of excrement
B. Common analysis of urine
C. * Common blood test
D. Blood is on a drop
E. Stroke of blood
What is the properties of сorynebacterium diphtheria:
Contain endotoxin only
* Exotoxin products
Exotoxin does not product
An enterotoxin products
Myelotoxin products
607.
What is transmissive factors in diphtheria?
A. Blood
B. Water
C. * Saliva
D. Urine
E. Exrements
608.
What laboratory examination is compulsory to do for the patient with signs of
tonsillit?
A. Isolation of hemolytic streptococcus from the throat mucosa
B. Biochemical blood analysis
C. X-ray examination
D. * Smear from nose and pharynx
E. Immune-enzyme analysis
609.
What material it’s necessary to take for bacteriologic examination in suspicion on
diphtheria?
A. Excrement
B. Blood
C. Urine
D. * Mucous
E. Neurolymph
610.
What mechanism of transmission of Corynebacterium diphtheria?
A. Vertical
B. Transmissive
C. * Air-drop
D. Contact
E. Parenteral
611.
?What medical measures are primary in diphtheria of pharynx, widespread form?
A. ntroduction of non steroid and ant inflammatory drugs
B. ntroduction of antibiotics
C. * ntroduction of ant diphtheria serum
D. ntroduction of glucocorticoids
E. isintoxication therapy
612.
What symptom is not characterized for a kissing disease?
A. Generalized lymphadenopathy
B. * Total flatulence
C. Tonsillitis
D. Hepatolienal syndrome
E. Rash
613.
What symptoms do not characterize for infectious mononucleosis?
A. Increased of temperature
B. * Defeat of
C. Lymphadenopathy
D. Tonsillitis
E. Increase of liver and spleen
614.
What the most possible complication occurs during infectious mononucleosis?
A. Meningitis
B. autoimmune alopecia
C. encephalitis
606.
A.
B.
C.
D.
E.
D. * Splenic rupture
E. Obstruction of respiratory tract
615.
What the most possible complication occurs during infectious mononucleosis?
A. Meningitis
B. Autoimmune alopecia
C. Encephalitis
D. * Splenic rupture
E. Obstruction of respiratory tract
616.
What ways of transmission does characterize for infectious mononucleosis?
A. Alimentarniy
B. Transfuziv
C. Sexual
D. * Air
E. Contact
617.
С. Antibiotics, hepatoprotectors, antihistamines
A. * Antibiotics, preparations of interferon, hepatoprotectors
B. Antihistamines, antiherpetic preparations, hepatoprotectors
C. Antibiotics, antihistamines, antiherpetic preparations
D. Vitamins, antibiotics, preparations of interferon
618.
A 24 y/o man .was seen by a doctor on the 2d day of illness with complaints about a
fever up-to 38,1 °C, painful swallowing, malaise. On the skin of trunk and extremities,
especially in natural folds, point rash on hyperemic background was faund. The nasolabial
triangle was white with no rash. Enantema on a soft palate, and purulent exudates on tonsils
were observed. A few enlarged and painful submandibular lymph nodes were palpated.
What is the most probable diagnosis?
A. * Scarlet fever
B. Rubella
C. Measles
D. Enteroviral infection
E. Flu
619.
A 24.y/o man was seen by a doctor on the 2d day of illness with complaints about
subfebrile temperature, and insignificant catarrhal phenomena. On the skin of trunk and
extremities spotted-papular elements of rash without a tendency to congregate was observed.
The mucous membrane of oro-pharinx was not changed. A few enlarged and painful
cervical lymph nodes were found. What is the diagnosis?
A. Scarlet fever
B. * Rubella
C. Measles
D. Enteroviral infection
E. Flu
620.
A 24.y/o patient was seen by a doctor on the 2d day of illness with complaints about
a fever up-to 38 °C, headache, and malaise. On the skin of hairy part of head, runk and
extremities vesicular rash with red hallow was found. Also some vesicular elements were
found on the mucous membrane of pharynx. Lymph nodes were not palpable. What is the
most probable diagnosis?
A. Scarlet fever
B. Rubella
C. Measles
D. * Chicken-pox
E. Herpetic infection
621.
A 4 years old child complains about: cough, temperature of body 38,1 °C. Skin
without rashes. Conjunctiva hyperemic. Exanthema on skin. On mucous of cheeks there are
points of hyperemia gum blushs. In lungs difficult breathing. What is the most possible
diagnosis?
A.
B.
C.
D.
E.
Scarlet fever
Rubella
* Measles
Enteroviral infection
Flu
622.
A child 10 years old presents with temperature 38 °C, renitis, conjunctivitis, moist
cough. On the mucous membrane of cheeks, lips, gums there are greyish-white points,
reminding a farina. What is the diagnosis?
A. * Measles
B. Adenoviral infection
C. URTI
D. Enteroviral infection
E. Infectious mononucleosis
623.
A normal indices of impalpable fluid losses of the adult person with 70 kg body
weight is:
A. * 1000 ml per a day
B. 500 ml per a day
C. 700 ml per a day
D. 1500 ml per a day
E. 2000 ml per a day
624.
?A pathological state which develops owing to catastrophic reduction of a circulating
fluid volume and electrolytes loss is:
A. An infectious-toxic shock
B. An anaphylactic shock
C. * A dehydrationous shock
D. A hemorrhagic shock
E. All right
625.
A patient is sick with meningococcal meningitis. He take a massive dose of
penicillin. 4 days temperature of body 36,6-36,8 °C. Meningeal signs are negative. When is
it possible to stop the antibiotic therapy.
A. * At a cytosis in a CSF 100 and less, lymphocytes prevail
B. After 10 days from the beginning antibiotic therapy
C. After 7 days from the beginning antibiotic therapy
D. At a cytosis 100 and less, neutrophil prevail
E. From 6 days from the beginning antibiotic
626.
A patient with meningococcal meningitis gets penicillin during 7 days. The
temperature of body is normal 4 days. Meningeal signs are negative. When is it possible to
stop the antibiotic therapy.
A. In default of leucocytosis displacement in blood
B. * At a cytosis in a neurolymph 100 and less, lymphocyte prevail
C. At a cytosis in a neurolymph 100 and less, neutrophil prevail
D. At a cytosis in a neurolymph 150, lymphocyte prevail
E. At once immediately
627.
A patient with meningococcal meningitis gets penicillin during 7 days. Last 4 days
temperature of body is normal. Meningeal signs are absent. When is it possible to abolish an
antibiotic?
A. * At cytosis in liquor 100 and less, lymphocytes prevails
B. At absence of leukocytosis and stab-nucleus shift in a blood
C. At cytosis in liquor 100 and more less, neutrophils prevails
D. At cytosis in liquor 150, lymphocytes prevails
E. At once
628.
A patient’s temperature is 40 °C. There are olso deep and unproductive cough,
photophobia, face puffiness whitish points on the mucous membrane of cheeks opposite
molar teeth. What is the most possible diagnosis?
A.
B.
C.
D.
E.
Tuberculosis
Meningococcemia
* Measles
Enteroviral infection
Staphylococcus sepsis
629.
All are the clinical signs of measles except:
A. Acute beginning of high fever
B. * Icterus
C. Maculo-papular rash
D. Sequential appearance of rash
E. Scaling
630.
All are the clinical signs of measles EXEPT:
A. Acute beginning of high fever
B. * Icterus
C. Maculo-papular rash
D. Sequential appearance of rash
E. Scaling
631.
All are the clinical signs of measles EXEPT:
A. Acute beginning of high fever
B. * Icterus
C. Maculo-papular rash
D. Sequential appearance of rash
E. Scaling
632.
Among the students of school 2 cases of generalized form of meningococcal
infection are registered. What preparation does it follow to enter to the contact persons with
the purpose of urgent prophylaxis?
A. Normal immune globulin
B. Leukocytic interferon
C. * Meningococcal vaccine
D. Meningococcal anatoxin
E. Bacteriophage
633.
And. 5 days after the isolation of the last patient
A. 11 days
B. 21 day
C. 10 days
D. No need for quarantine
E. * 5 days after isolation of the last child
634.
And. 5 days after the isolation of the last patient
A. 11 days
B. 21 day
C. 10 days
D. No need for quarantine
E. * 5 days after isolation of the last child
635.
Can the symptoms of an acute appendicitis be the complications of typhoid fever:
A. * Yes
B. No
C. Not always
D. Often
E. May be
636.
Compensated dehydrationous shock develops:
A. Rise level of toxins
B. At a decrease of the systolic blood pressure
C. At a hyperthermia
D. At hypohemoglobinemia
637.
638.
639.
640.
641.
642.
643.
644.
645.
E. * Because of the haemodynamics changes absence in peace
Enterorrhagia feces:
A. * Melena
B. Fetid
C. Does not change
D. With mucous
E. With billirubin
Etiology agent of meningitis is:
A. * Neisseria meningitides
B. Entamoeba histolytica
C. Vibro cholerae
D. Clostridium botulinum
E. Campylobacter pylori
?Etiology agent of meningitis is:
A. * Neisseria meningitides
B. Entamoeba histolytica
C. Vibrio cholerae
D. Clostridium botulinum
E. Campylobacter pylori
For how long a patient with complicated form of measles should be isolated:
A. For 4 days from the beginning of rash
B. For 7 days from the beginning of rash
C. * For 10 days from the beginning of rash
D. For 17 days from the beginning
E. For 20 days from the beginning of illness
For how long a patient with complicated form of measles should be isolated:
A. For 4 days from the beginning of rash
B. For 7 days from the beginning of rash
C. * For 10 days from the beginning of rash
D. For 17 days from the beginning
E. For 20 days from the beginning of illness
For how long a patient with complicated form of measles should be isolated:
A. For 4 days from the beginning of rash
B. For 7 days from the beginning of rash
C. * For 10 days from the beginning of rash
D. For 17 days from the beginning
E. For 20 days from the beginning of illness
For the treatment of acidosis at meningococcal meningitis is better to use.
A. 10-20 % glucose solution
B. 10 % chloride solution
C. * 4 % sodium bicarbonate solution
D. Albumen
E. Concentrated dry plasma
For the treatment of acidosis at meningococcal meningitis is better to use.
A. 10-20 % glucose solution
B. 10 % chloride solution
C. * 4 % sodium bicarbonate solution
D. Albumen
E. Concentrated dry plasma
How is it possible to specify the diagnosis of meningococcal meningitis.
A. Meningitis is primary
B. Presence of a lot of cells in the CSF
C. Presence of gram-negative diplococcus in CSF
D. Meningococes from the throat
E. * All the above
How is it possible to specify the diagnosis of meningococcal meningitis.
A. Meningitis is primary
B. Presence of a lot of cells in the CSF
C. Presence of gram-negative diplococcus in CSF
D. Meningococes from the throat
E. * All the above
647.
In patients with intensive head acke, nausea, pain in a neck and lumbar area,
expressed meningeal symptoms; light, tactile, pain hyperesthesia what method of inspection
is most informing?
A. * Lumbar puncture
B. Computer tomography
C. Electroencephalography
D. Transcranial dopplerography
E. Echoencephalography
648.
In the blood analysis at an enterorrhagia:
A. Leukocytosis and hyperhemoglobinemia
B. * Coagulation failure
C. Leukocytosis
D. Normocytosis
E. Hyperhemoglobinemia
649.
In the kindergarden a child had a meningococcal infection. She was immediately
hospitalized. After clinical convalescence in child sowed meningococcus. To which
category can the carrier (child) of pathogen belongs?
A. Convalescent, chronic
B. * Convalescent, acute
C. Healthy
D. Immune in vaccinated
E. Immune in those, that had infection
650.
In what daily interval should the dose of benzylpenicillin at meningococcal
meningitis administered.
A. 2 hrs
B. * 4 hrs
C. 6 hrs
D. 5 hrs
E. 8 hrs
651.
In what daily interval should the dose of benzylpenicillin at meningococcal
meningitis administered.
A. 2 hrs
B. * 4 hrs
C. 6 hrs
D. 5 hrs
E. 8 hrs
652.
In what dose should| benzyl penicillin be administered at meningococcal meningitis?
A. From a calculation 100-300 thousands unit on 1 kg of mass of body on days
B. * From a calculation 200-500 thousands unit on 1 kg of mass of body on days
C. From a calculation 500-700 thousands unit on 1 kg of mass of body on days
D. From a calculation 700-900 thousands unit on 1 kg of mass of body on days
E. Regardless of mass of body
653.
In what dose should| benzyl penicillin be administered at meningococcal meningitis?
A. From a calculation 100-300 thousands unit on 1 kg of mass of body on days
B. * From a calculation 200-500 thousands unit on 1 kg of mass of body on days
C. From a calculation 500-700 thousands unit on 1 kg of mass of body on days
D. From a calculation 700-900 thousands unit on 1 kg of mass of body on days
646.
E. Regardless of mass of body
654.
Measures of urgent prophylaxis for unvaccinated children who have never been ill
with measles in case of exposure to an ill with measles
A. Separation from the source
B. * Vaccination
C. Administration of antibiotics
D. Disinfection
E. Does not exist
655.
Measures of urgent prophylaxis for unvaccinated children who have never been ill
with measles in case of exposure to an ill with measles:
A. Separation from the source
B. * Vaccination
C. Administration of antibiotics
D. Disinfection
E. Does not exist
656.
Measures of urgent prophylaxis for unvaccinated children who have never been ill
with measles in case of exposure to an ill with measles
A. Separation from the source
B. * Vaccination
C. Administration of antibiotics
D. Disinfection
E. Does not exist
657.
Measures of urgent prophylaxis of measles for contacts which have never been ill,
but were vaccinated against measles
A. Separation from the source
B. Vaccination
C. Use of antibiotics
D. Use of immunoglobulin
E. * No need to conduct
658.
Measures of urgent prophylaxis of measles for contacts which have never been ill,
but were vaccinated against measles
A. Separation from the source
B. Vaccination
C. Use of antibiotics
D. Use of immunoglobulin
E. * No need to conduct
659.
Measures of urgent prophylaxis of measles for people who had been ill with measles,
but never have been vaccinated
A. Separation from the ill
B. Vaccination
C. Use of immunoglobulin
D. Use of antibiotics
E. No need to conduct
660.
Measures of urgent prophylaxis of measles for people who had been ill with measles,
but never have been vaccinated:
A. Separation from the ill
B. Vaccination
C. Use of immunoglobulin
D. Use of antibiotics
E. * No need to conduct
661.
Measures of urgent prophylaxis of measles for people who had been ill with measles,
but never have been vaccinated
A. Separation from the ill
B. Vaccination
C. Use of immunoglobulin
D. Use of antibiotics
E. No need to conduct
662.
Meningococemia and DIC-syndrome require above all things.
A. dministration of diuretics
B. Administration of analgesic
C. * Administration of heparin
D. Administration of vitamins
E. Administration of antihistaminic preparations
663.
Meningococсemia and DIC-syndrome require above all things.
A. Administration of diuretics
B. Administration of analgesic
C. * Administration of heparin
D. Administration of vitamins
E. Administration of antihistaminic preparations
664.
Methods of specific prophylaxis of scarlet fever:
A. Isolation of ill
B. Vaccination
C. Use of antibiotics
D. Disinfection
E. Does not exist
665.
Methods of specific prophylaxis of scarlet fever:
A. Isolation of ill
B. Vaccination
C. Use of antibiotics
D. Disinfection
E. * Does not exist
666.
Methods of specific prophylaxis of scarlet fever:
A. Isolation of ill
B. Vaccination
C. Use of antibiotics
D. Disinfection
E. Does not exist
667.
More often the dehydrationous shock develops at:
A. * Acute intestinal diseases
B. Respiratory diseases
C. Blood infections
D. Diseases of investments
E. Diseases of never system
668.
Normal potassium concentration in blood plasma:
A. 1,5-2,0 mmol/l
B. 2,0 mmol/l
C. 2,5 mmol/l
D. * 3,5-5,5 mmol/l
E. 4,5 mmol/l
669.
Normal sodium concentration in blood plasma:
A. * 135-150 mmol/l
B. 125 mmol/l
C. 170 mmol/l
D. 110 mmol/l
E. 90 mmol/l
670.
Patient ?. 27 years old, was admited on the 4th day of illness with the diagnosis of
viral URTI, and allergic dermatitis”. The patient felt ill suddenly with increase of
temperature up-to 38 °C, headache, sore throat, and intensive cough. On the 3d day rash
appeared on the skin of neck and face. Patient was taking aspirin in order to decrease the
temperature. Objectively: temperature of body 38,8 °C. The face of patient looks puffy.
Signs of conjunctivitis, and renitis were observed. On the skin of neck face and chest there
was intensive papular rash, without itch. Mucous membrane of oropharynx was brightly
hyperemic. Submandibular and frontal neck lymph nodes were enlarged. The liver and
spleen were not palpable. What is the diagnosis?
A. * Measles
B. Allergic dermatitis
C. Infectious mononucleosis
D. Rubella
E. Scarlet fever
671.
Patient A 24y/o. Appealed on the 5th day of illness with complaints about cough,
malaise, fever up-to 38,1 °C. On face and behind the ears maculo-papular rash, appeared a
day ago, and other areas of skin are without rash. Conjunctiva is hyperemic. Enantema on a
soft palate, on the mucous membrane of cheeks are whitish points with the halo of
hyperemia. There is the hard breathing in the lungs. Most credible diagnosis is
A. Scarlet fever
B. German measles
C. * Measles
D. Enteroviral infection
E. Flu
672.
?Sick C., 8 years, appealed to the infectious hospital on the second day of disease
with complaints about a pharyngalgia at swallowing, increase of temperature. Objectively:
temperature 38,6 °C, sharp hyperemia of soft palate, tonsills, filling out, loose, on both there
are festering stratifications which are taken off by a spatula. Megascopic sickly
submandibular lymphonoduses are palpated. Pulse – 114 per a min. Present roseol-papular
pouring out on all body. Pastia‘s symptom is positive. It is known from epidemogical
anamnesis, that its comrade had alike symptoms. It is not found out the change from the side
of other organs. What previous diagnosis can be suspected?
A. Lacunar quinsy
B. Diphtheria of pharynx
C. * Scarlet fever
D. Flu
E. Infectious mononucleosis
673.
Sick C., 8 years, appealed to the infectious hospital on the second day of disease with
complaints about a pharyngalgia at swallowing, increase of temperature. Objectively:
temperature of body – 38,6 °C, sharp hyperemia of soft palate, tonsills, filling out, loose, on
both there are festering stratifications which are taken off by a spatula. Palpated megascopic,
sickly submandibular lymphonoduses. Pulse – 114 shots per min. Present roseol-papular
pouring out on all body. Pastia symptom is positive. It is known from epid anamnesis, that at
its comrade were alike symptomes. It is not found out the change from the side of other
organs. What previous diagnosis can be suspected?
A. lacunar quinsy
B. Diphtheria of pharynx
C. Infectious mononucleosis
D. Flu
E. * Scarlet fever
674.
Source of meningitis is:
A. Animals
B. Birds
C. Fish
D. Pediculus humanus
E. * People
675.
Source of meningitis is:
A.
B.
C.
D.
E.
676.
A.
B.
C.
D.
E.
677.
A.
B.
C.
D.
E.
678.
A.
B.
C.
D.
E.
679.
A.
B.
C.
D.
E.
680.
A.
B.
C.
D.
E.
681.
A.
B.
C.
D.
E.
682.
A.
B.
C.
D.
E.
683.
A.
B.
C.
D.
E.
684.
Animals
Birds
Fish
Pediculus humanus
* People
Term of contagious period of patient diagnosed with uncomplicated form of measles
Until clinical recovery
After rash starts disappearing
Before appearance of rash
* 4 days from the beginning of rash
10 days from the beginning of illness
Term of contagious period of patient diagnosed with uncomplicated form of measles
Until clinical recovery
After rash starts disappearing
Before appearance of rash
* 4 days from the beginning of rash
10 days from the beginning of illness
Term of contagious period of patient diagnosed with uncomplicated form of measles
Until clinical recovery
After rash starts disappearing
Before appearance of rash
* 4 days from the beginning of rash
10 days from the beginning of illness
The bowel perforation of the typhoid fever can appear:
On 1-5 weeks of disease
On 1 week of disease
On 2 week of disease
* On 3 week of disease
On 5 week of disease
The bowel perforation of the typhoid fever is accompanied by the onset of:
* Protective muscle tension of a stomach
Absence of respiratory excursion of a abdominal wall
Pains in a stomach
Disappearances of hepatic dullness of percussion
All answers are right
The collapse, a severe intoxication of a typhoid fever develops:
* On 1-2 week of disease
On 3 week of disease
On 4 week of disease
On 4-5 week of disease
On 5-6 week of disease
The diarrheic syndrome and vomiting are the reason:
An infectious-toxic shock
An anaphylactic shock
* A dehydrationous shock
A hemorrhagic shock
All right
The hypovolemic shock develops owing to fluid loss at:
A long-term fever
A bleeding (a hemorrhagic shock)
Vomiting and diarrheas
All answers are not true
* All answers are true
The hypovolemic shock is:
І degree of dehydration
ІІ degree of dehydration
ІІІ degree of dehydration
* ІV degree of dehydration
V degree of dehydration
685.
The peritonitis of the typhoid is accompanied by the onset of:
A. Stefanskyy's symptom
B. Mayo-Robson's symptom
C. Voskresensky symptom
D. Krymov's symptom
E. * Guarding symptom
686.
The subcompensated dehydrationous shock develops at:
A. A diastolic and systolic blood pressure boost
B. * A decrease of the systolic blood pressure
C. A diastolic blood pressure decrease
D. A diastolic blood pressure boost
E. A systolic blood pressure boost
687.
The typhoid fever enterorrhagia is characterised with:
A. A normal pulse
B. A bradycardia
C. * A tachycardia
D. An alternating pulse
E. An asystole
688.
Typhoid fever bleedings appears:
A. On 5-6 week of disease
B. * On 3-4 week of disease
C. On 1-2 week of disease
D. On 2 week of disease
E. On 1 week of disease
689.
Typhoid fever bleedings are accompanied with:
A. Body temperature decrease and pulse decrease
B. Body temperature increase and pulse increase
C. The temperature does not change
D. * Body temperature decrease and pulse increase
E. Body temperature increase and pulse decrease
690.
What antibiotics preparations of choice of etiotropic therapy at a meningococcal
infection.
A. * Benzylpenicillin and it derivatives
B. Gentamycin
C. Cefazolin
D. Sulfolamide
E. Ciprofloxacin
691.
What antibiotics preparations of choice of etiotropic therapy at a meningococcal
infection.
A. * Benzylpenicillin and it derivatives
B. Gentamycin
C. Cefazolin
D. Sulfolamide
E. Ciprofloxacin
692.
What are the anti epidemic measures in regards to people who were in contact with
chicken-pox patient:
A. * Separation and limit of contacts with others
B. Vaccination
C. Use of antibiotics
A.
B.
C.
D.
E.
D. Disinfection
E. Does not exist
693.
What are the anti epidemic measures in regards to people who were in contact with
chicken-pox patient:
A. * Separation and limit of contacts with others
B. Vaccination
C. Use of antibiotics
D. Disinfection
E. Does not exist
694.
What are the anti epidemic measures in regards to people who were in contact with
chicken-pox patient:
A. * Separation and limit of contacts with others
B. Vaccination
C. Use of antibiotics
D. Disinfection
E. Does not exist
695.
What are the rules at taking of smear material on the discovery of meningococal
infection?
A. The taken away material at drawing out must not touch only mucus shell of cheeks
and tongue
B. The taken away material at drawing out must not touch only teeth and tongue
C. The taken away material at drawing out must not touch only teeth, mucus shell of
cheeks
D. * The taken away material at drawing out must not touch teeth, mucus shell of
cheeks and tongue
E. The taken away material at drawing out can touch teeth, mucus shell of cheeks and
tongue
696.
What are the rules at taking of smear material on the discovery of meningococal
infection?
A. The taken away material at drawing out must not touch only mucus shell of cheeks
and tongue
B. The taken away material at drawing out must not touch only teeth and tongue
C. The taken away material at drawing out must not touch only teeth, mucus shell of
cheeks
D. * The taken away material at drawing out must not touch teeth, mucus shell of
cheeks and tongue
E. The taken away material at drawing out can touch teeth, mucus shell of cheeks and
tongue
697.
What clinical form of meningococcal infection more often may happened?
A. Meningococcemia
B. Meningitis
C. Meningoencephalitis
D. * Nasopharengitis
E. Pneumonia
698.
What group of infectious diseases measles belong to:
A. Intestinal
B. Blood
C. * Respiratory
D. Transmissive
E. External covers
699.
What group of infectious diseases meningococcal infection belong to:
A. Intestinal
B. Blood
C. * Respiratory
700.
701.
702.
703.
704.
705.
706.
707.
708.
D. Transmissive
E. External covers
What group of infectious diseases scarlet fever belong to:
A. Intestinal
B. Blood
C. * Respiratory
D. Transmissive
E. External covers
What is duration of contagious period for a patient with epidemic parotitis?
A. 21 days
B. First week of illness
C. First 10 days from the beginning of disease
D. Whole period of clinical symptoms
E. * First 9 days of disease.
What is duration of contagious period for a patient with epidemic parotitis?
A. 21 days
B. First week of illness
C. First 10 days from the beginning of disease
D. Whole period of clinical symptoms
E. * First 9 days of disease.
What is duration of contagious period for a patient with epidemic parotitis?
A. 21 days
B. First week of illness
C. First 10 days from the beginning of disease
D. Whole period of clinical symptoms
E. * First 9 days of disease.
What is duration period of supervision after ill with scarlet fever?
A. * 7 days from time of contact
B. 21 day
C. Till patient’s rash is present
D. Till patient is discharged from permanent establishment
E. Not conducted
What is duration period of supervision after ill with scarlet fever?
A. * 7 days from time of contact
B. 21 day
C. Till patient’s rash is present
D. Till patient is discharged from permanent establishment
E. Not conducted
What is duration period of supervision after scarlet fever?
A. * 7 days from time of contact
B. 21 days
C. Till patient’s rash is present
D. Till patient is discharged from permanent establishment
E. Not conducted
What is seasonal character of meningococcal infection?
A. Summer-autumn
B. Autumn-winter
C. * Winter-spring
D. Winter
E. Summer
What is seasonal character of meningococcal infection?
A. Summer-autumn
B. Autumn-winter
C. * Winter-spring
709.
710.
711.
712.
713.
714.
715.
716.
717.
D. Winter
E. Summer
What is seasonal character of scarlet fever?
A. Summer-autumn
B. Autumn-winter
C. * Winter-spring
D. Winter
E. Summer
What is taken for serum research for confirmation of meningococcal infection?
A. * Blood
B. Mucus
C. Urine
D. CSF
E. Saliva
What is taken for serum research for confirmation of meningococcal infection?
A. * Blood
B. Mucus
C. Urine
D. CSF
E. Saliva
What is the duration of contagious period for a patient diagnosed with scarlet fever?
A. 10 days from the beginning of illness
B. Until patient is discharged from the hospital
C. Until rash is present
D. * Till the 22d day from the beginning of illness
E. Not contagious
What is the duration of contagious period for a patient diagnosed with scarlet fever?
A. 10 days from the beginning of illness
B. Until patient is discharged from the hospital
C. Until rash is present
D. * Till the 22nd day from the beginning of illness
E. Not contagious
What is the duration of contagious period for a patient diagnosed with scarlet fever?
A. 10 days from the beginning of illness
B. Until patient is discharged from the hospital
C. Until rash is present
D. * Till the 22d day from the beginning of illness
E. Not contagious
What is the duration of quarantine in child's establishment in case of rubella?
A. 11 days
B. * 21 day
C. 10 days
D. No need for quarantine
E. 5 days after isolation of the last child
What is the mechanism of transmission of measles?
A. Fecal-oral
B. Contact
C. Transmissive
D. * Air-drop
E. Vertical
What is the mechanism of transmission of meningococcal infection?
A. Fecal-oral
B. Contact
C. Transmissive
D. * Air-drop
E. Vertical
718.
What is the mechanism of transmission of scarlet fever?
A. Fecal-oral
B. Contact
C. Transmissive
D. * Air-drop
E. Vertical
719.
What is used as specific prophylaxis in the period of epidemic spreading of
meningococcal infection.
A. Immun globulin
B. Serum
C. * Vaccine
D. Anatoxin
E. Nothing
720.
What is used as specific prophylaxis in the period of epidemic spreading of
meningococcal infection.
A. Immune globulin
B. Serum
C. * Vaccine
D. Anatoxin
E. Nothing
721.
What laboratory methods should be taken to discharge meningitis?
A. * Lumbar puncture
B. Serologic detection
C. Urine examination
D. Coprograma
E. Biopsy of tissues
722.
What laboratory methods should be taken to discharge meningitis?
A. * Lumbar puncture
B. Serologic detection
C. Urine examination
D. Coprograma
E. Biopsy of tissues
723.
What measures are conducted in the place of meningococcal infection?
A. Supervision during 2 weeks
B. Phagoprophylaxis
C. Immunization
D. * Bacteriological inspection of contact
E. Chemoprophylaxis
724.
What measures are conducted in the place of meningococcal infection?
A. Supervision during 2 weeks
B. Phagoprophylaxis
C. Immunization
D. * Bacteriological inspection of contact
E. Chemoprophylaxis
725.
What measures should be taken in regards to persons, who were in contact with a
patient diagnosed with epidemic parotitis?
A. Observation after contact people during a maximal length of incubation period
B. Quorantin in child's establishment
C. Isolation of people who were in contact with ill from 11th to the 21t day of illness
D. Isolation of children up to 10 years old, who were not ill with epidemic parotitis, for
21 day from a moment of contact
E. * All above enumerated
726.
What measures should be taken in regards to persons, who were in contact with a
patient diagnosed with epidemic parotitis?
A. Observation after contact people during a maximal length of incubation period
B. Quorantine in child's establishment
C. Isolation of people who were in contact with ill from 11th to the 21th day of illness
D. Isolation of children up to 10 years old, who were not ill with epidemic parotitis, for
21 day from a moment of contact
E. * All above enumerated
727.
What measures should be taken in regards to persons, who were in contact with a
patient diagnosed with epidemic parotitis?
A. Observation after contact people during a maximal length of incubation period
B. Quorantin in child's establishment
C. Isolation of people who were in contact with ill from 11th to the 21t day of illness
D. Isolation of children up to 10 years old, who were not ill with epidemic parotitis, for
21 day from a moment of contact
E. * All above enumerated
728.
What syndrome may appear in severe meningococcemia?
A. Paul-Bunnel
B. Plaut-Vincent
C. Jarish-Gersgeimer
D. Gien-Barre
E. * Waterhause-Friedrichsen
729.
What temperature terms is it needed for cultivation of meningococcal on artificial
mediums?
A. 23-40 °C
B. 35-43 °C
C. * 35-37 °C
D. 23-35 °C
E. 37-39 °C
730.
What temperature terms is it needed for cultivation of meningococcal on artificial
mediums?
A. 23-40 °C
B. 35-43 °C
C. * 35-37 °C
D. 23-35 °C
E. 37-39 °C
731.
What type of a diarrhoeia is typical for a salmonellosis?
A. Osmotic
B. Exudative
C. * Secretory
D. Mixed
E. Toxic
732.
When does the laboratory give the results of bacteriological examination of smear
from throat?
A. On 2th days
B. On 3th days
C. * On 4th days
D. On 5th days
E. On 6th days
733.
When does the laboratory give the results of bacteriological examination of smear
from throat?
A. On 2th days
B. On 3th days
C. * On 4th days
D. On 5th days
E. On 6th days
734.
When patient refered to the doctor with such complaints: prodromal respiratory
illness, sore throat, fever, headache, stiff neck, vomiting, confusion, irritability what is
previous diagnosis. What main methods can confirm the diagnosis?
A. Epidemic typhys. ELISA-test
B. Hemorrhagic fever. ELISA-test
C. Leptospirosis. Lumbar puncture.
D. Typhoid fever. ELISA-test
E. * Meningococcal infection. Lumbar puncture
735.
Which preparation has a bacteriostatic action, and is more expedient to begin
etiotropic therapy in the case of infectious toxic shock.
A. From benzylpenicillin and its derivatives
B. From rovamicin
C. From gentamycin
D. From ciprofloxacin
E. * From ceftriaxon
736.
Which preparation has a bacteriostatic action, and is more expedient to begin
etiotropic therapy in the case of infectious toxic shock.
A. From benzylpenicillin and its derivatives
B. From ciprofloxacin
C. From gentamycin
D. From acyclovir
E. * From chloramphenicol
737.
Wich of these symptoms are often present in patients with meningitis?
A. Algor, high temperature, headache
B. Profuse watery diarrhea, vomiting, dehydratation, muscular cramps
C. Abdominal pain, diarrhea, constipation, flatulence
D. Headache, dry cough, algor
E. * Prodromal respiratory illness or sore throat, fever, headache, stiff neck, vomiting,
confusion, irritability
738.
Witch of these symptoms are often present in patients with meningitis?
A. Algor, high temperature, headache
B. Profuse watery diarrhea, vomiting, dehydratation, muscular cramps
C. Abdominal pain, diarrhea, constipation, flatulence
D. Headache, dry cough, algor
E. * Prodromal respiratory illness or sore throat, fever, headache, stiff neck, vomiting,
confusion, irritability
Situational tasks
1. 3 patients were delivered with symptoms of fever, diarrhea and vomiting. Excrements are
dark-green, without any pathological changes. All patients together took part in the
preparation of food and have used eggs, meat, salad. The most likely diagnosis.
A. Cholera
B. Botulism
C. Dysbacteriosis
2.
3.
4.
5.
6.
7.
D. * Salmonellosis
E. Shigellosis
A 30 y/o patient is seen on the 9th day of illness. The symptoms of illness had been
building–up gradually with increasing of fever and intoxication. Roseolar rash has appeared
on skin of stomach. The skin is pale, temperature 40°C, pulse 80/min, BP 100/65. The
tongue is covered with sediments and abdomen is swollen. Spleen and liver are palpable.
What symptom will be positive for this patient?
A. Symptom of Botkin
B. * Symptom of Padalka
C. Symptom of Kyl'dyushevsky
D. Symptom of Ortner
E. Symptom of Pasternatsky
A 39 years old train conductor, is hospitalized on the 4th day of illness with complaints on
headache, weakness, dizziness, increased perspiration, insomnia, chills. Hyperaemia of face
with edema, and conjunctivitis have been observed. On a transitional fold of conjunctiva are
present some petechias. On the skin of trunk, thorax, stomach, extremities intensive
roseolopetechial rash was found. During examination there was tachycardia, BP – 100/60
mm of Hg, tremor of tongue were marked. The liver, and spleen, are enlarged. Patient is
constipated for 3 days. Most credible diagnosis is:
A. * Epidemic typhus
B. Typhoid fever
C. Flu
D. Meningococcemia
E. Leptospirosis
A child, 8 years old, has been ill for 9 days. Complaints of weakness, headache, insomnia. A
temperature to – 38,5-39,5°C. The skin is pale. There are 3 roseolas on the skin of abdomen.
A tongue is assessed. A liver and spleen is enlarged. What disease is the most probable?
A. Sepsis
B. Yersiniosis
C. Infectious mononucleosis
D. * Typhoid fever
E. Leptospirosis
A Pakistani, 30 years old, is severely ill: with the complains of frequent diarrhea like rice
water. Objectively: body temperature 35,4°C, skin of peripheral parts of the body cold to the
touch, acrocyanosis, xerostomia, sharply decreased skin elasticity and turgor. What should
be done to assess the degree of dehydration.
A. Measurement of central venous pressure
B. Determination of urea and creatinine in blood
C. Funduscopy
D. Plain X-ray film of abdomen
E. * Determination of specific gravity of blood plasma
A patient A., 43 years old, is ill 2 weeks. The disease began from the increasing of
temperature to 37,2°C, headache, decline of appetite, weakness. Then a temperature attained
39-40 °C. Objectively: the state is hard, on a question answers slowly. Adynamia. Pulse 80
in a min. BP is 100/60 mmHg. An abdomen is painless, flatulence, hepatosplenomegaly.
Stool is of green colour. How long is it necessary to look after people who were in contact
with this patient?
A. 35 days
B. 1 month
C. * 21 days
D. 1 week
E. 12 days
A patient K., 26 years old, acted to permanent establishment on the 5th day of the disease
with complaints for a high temperature, chill, dry cough. The disease began suddenly from
getting up of temperature to 38,8 °C, chill, then a dry cough. Treated oneself as acute
respiratory infection, took an analgesic, antihistaminic. Objectively: state of moderate
severity, on skin of an abdomen are single roseollas, hepatosplenomegaly, diarrhea up to 4
times without admixtures. The most informative methods of diagnostics of this disease are:
A. Washing off from a pharynx for a virus
B. Passive hemaglutination reaction with О-, Н- and Vi-antigens
C. Clinical blood test
D. Reaction of Vidal
E. * Hemoculture
8. A patient R., 23 years old, was hospitalized on the 4th day of disease, had a contact with a
patient of typhoid fever. During hospitalization temperature of body – 37,8 °C, severe
headache. A tongue is with a yellow coverings. A stomach is soft, painless, rumbling in an
ileocecal corner. Liver +1 cm. Defecation is absent during 3 days. Hospitalized for an
inspection on typhoid fever. What examination (laboratory diagnostic) do you suggest for
this patient?
A. Urinoculture
B. Coproculture
C. * Hemoculture
D. Biliculture
E. Positive reaction with a typhoidal antigen 1:200
9. A patient V., 23 years old, was hospitalized on the 6th day of the disease with complaints for
a high temperature, chill, dry cough. The disease began suddenly from getting up of
temperature to 39,7 °C, chill, then a dry cough. Treated oneself as ARI, took an analgesic,
antihistaminic. Objectively: state of moderate severity, on an abdomen are single roseollas,
hepatosplenomegaly, diarrhea up to 4 times without admixtures. What is the previous
diagnosis?
A. Yersiniosis
B. * Typhoid fever
C. Brill‘s disease
D. Meningococcemia
E. Epidemic typhus
10. A patient was hospitalised after 4 hours of consumption of raw eggs, complaining frequent
vomiting, abdominal pain, mostly in the right iliac area and umbilical area. Objectively pale
skin, dry tongue with grey coating, hypotension, tachycardia. What tests should be carried
out to confirm the diagnosis.
A. General blood analysis
B. Parasitological examinations
C. Microscopic examination of stool
D. Biological test
E. * Coproculture
11. A patient, 23 years old, appealed into the hospital on the 6th day of gradual development of
illness, with complaints about severe headache in the back of head, parahypnosis, fever.
Objectively: temperature 39,7 °C, Ps 84 per min. Face is pale, a tongue is dry, near a root
covered with grey coverings. A stomach is swollen. Dullness of percussion sound is
determined in a right iliac area. A liver and spleen are palpated. What day does a rash appear
at this disease?
A. On the 12th day
B. On the 4th day
C. On the 5th day
D. On the 6th day
E. * On the 8th day
12. A patient, 24 y/o, was hospitalized in infectious department on the 10th day of illness with
complaints about a weakness, headache, absence of appetite, cough. Objectively:
temperature of body 39,5 °C, pallor of skin. On the skin of stomach and chest some roseolas
were found. There is hard breathing over the lungs with no rales. RR 20 / min. Pulse 80 /1
min. The liver edge is palpable 1 cm. below than costal arc. The spleen is enlarged a little.
What is the diagnosis?
A. * Typhoid fever
B. Flu
C. Spotted fever
D. Brucellosis
E. Pneumonia
13. A persons 28 y.o., became ill sharply, when a chill, feeling of heat, increase body
temperature to 38,5 °C, spastic pain in a left hypogastria area, frequent liquid stool. The
excrements have the appearance of bloody-mucous mass (lumps of mucus with the blood).
At palpation: abdomen is painful in its left half, a spastic sigmoid colon. What is the
previous diagnosis?
A. Amoebiasis
B. Escherichiosis
C. * Shigellosis
D. Balanthidiasis
E. Acute intestinal infection
14. A plumber, 45 y/o., is hospitalized on the 7th day of fever. Objectively: t – 39,8 °C,
somnolence (at night insomnia), adynamia, pallor of skin, Ps 78/min, BP 105/70 mmHg.
Tongue is thickly assessed by the grey coverings with the imprints of teeth. Palpation: an
abdomen is distended, a liver enlarged for 2 cm, and spleen for 1 cm below costal arc, in the
right iliac area – the crepitating grumbles and hyperesthesia of skin. The defecation is absent
for 2 days. What additional research should be performed for confirmation of diagnosis?
A. Spinal puncture
B. * Bacteriological research of blood
C. Analysis of myelogram
D. Colonoscopy
E. Research of blood for the markers of viral hepatitis
15. A sick woman, 32 years, complains on diarrhea, headache, severe weakness, insomnia, dull
pain in a right iliac area. It is a 8th day of illness. At a review: Т-39,8 °C, Рs – 86/min., BP –
90/60 mm Hg. It is dictoria of pulse. Skin is pale. Single roseollas are on the abdomen.
Tongue is dry, assessed by the coverings, with the imprints of teeth on a lateral surface. Soft,
dulling of percussion sound is determined in a ileocaecal area of abdomen.
Hepatosplenomegaly, positive Blumberg’s symptom, neutrophilic leukocytosis. What
changes will be at X-ray examination?
A. No changes
B. * Presence of air under a diaphragm
C. Presence of the exaggerated loops of intestine
D. Enlarged liver and spleen
E. Signs of impassability of intestine
16. A vagabond 45 years old is hospitalized on the 7th day of fever. Objectively: t – 39,8 °C. He
complaints for headache and insomnia. A patient is excited, talkative. Face is hyperemic.
Rash mainly on the lateral surfaces of trunk, abundant, roseollar-patechial. Pulse is rapid.
Enlarged liver and spleen. What is the previous diagnosis?
A. Typhoid fever
B. * Epidemic typhus
C. Paratyphoid B
D. Leptospirosis
E. Scarlet fever
17. A woman D., 41 years, complains on diarrhea, headache, severe weakness, insomnia, dull
pain in a right iliac area. It is a 8th day of illness. At a review: Т-39,8 °C, Рs – 86/min., AP –
90/60 mm Hg. It is dictoric pulse. Skin is pale. Single roseollas are on the abdomen. Tongue
is dry, assessed by the coverings, with the imprints of teeth on a lateral surface. Soft, dulling
of percutory sound is determined in a illeocaecal area of abdomen. Hepatosplenomegaly,
positive Blumberg’s symptom, neutrophilic leukocytosis. What diagnosis is most reliable?
A. * Typhoid fever
B. Epidemic typhus
C. Sepsis
D. Megakaryoblastoma
E. Tuberculosis
18. ?At a patient G., 41 years old, was a high temperature during 8 days, severe headache,
constipation. Objectively: temperature of body 39,5 °C, pale, languid. Pulse 82 per a min, a
tongue is dry, assessed by the brown coat. An abdomen is moderato exaggerated, painful in
a right ileac area. A liver + 2 cm. What is the most credible diagnosis?
A. * Typhoid fever
B. Epidemic typhus
C. Flu
D. Appendicitis
E. Yersiniosis
19. At patient Z., 40 years old, disease became suddenly: the temperature of body rose to 39 °C,
pain appeared in a left ileac area, frequent stool was with blood and mucous. What
preparation does need to give at primarily?
A. * Furazolidonum
B. Phtalazoium
C. Tetracyclinum
D. Biseptolum
E. Levomicetynum
20. At sick P., 40 years old, the high temperature of body is marked during 8 days, great
headache. Objectively: temperature – 39,5 °C, a patient is pale, languid, adynamic. Pulse 82
per a min. A tongue is dry, assessed a brown raid, on the skin of abdomen singles roseolas.
A liver + 2 cm. What is the most credible diagnosis?
A. * Typhoid fever
B. Spotted fever
C. Sepsis
D. Tuberculosis
E. Brucellosis
21. At sick, 32 years, on the 9th day of illness which began gradually, from slow growth of
fever and intoxication, appeared 3 roseols on the skin of abdomen. Objectively: pale of skin,
temperature – 40,4 °C, pulse 80 per a min, BP 100/65 mm Hg. A tongue is assessed, an
abdomen is swollen, and the spleen and liver are palpated. Inspection what disease is it
needed to conduct on above all things?
A. Spotted fever
B. * Typhoid fever
C. Measles
D. Scarlet fever
E. Sepsis
22. At the inspection of persons who contact with patient with typhoid fever, stick of typhoid
fever was found in urine. The reaction of Widal was negative. A patient considers himself
healthy. What is your preliminary diagnosis?
A. Typhoid fever, latent period
B. Typhoid fever, relapse
C. Transitory bacteriocarriers of stick of typhoid fever
D. * Chronic bacteriocarriers of stick of typhoid fever
E. Any of the enumerated diagnoses is possible
23. At the patient B., 25 years old, was diagnosed typhoid fever. On the 17th day of disease the
temperature of body critically went down to the norm, a pallor color of skin increased.
Consciousness is stored. Pulse 120 per a min, rhythmic. On the top of heart is systolic noise.
Constipation. About what complication is it necessary to think?
A. * Bleeding
B. Perforation
C. Infectiously-toxic shock
D. Infectiously-allergic myocarditis
E. Pneumonia
24. At the typical form of typhoid fever temperature of body rises like to stairs from a day to the
day to 39-40 °C at the end of 1st week, in future during 10-14 days reposes approximately
on this level, and then becomes remittent and, gradually going down, comes to the norm.
How is such temperature curve named?
A. * The temperature curve as Vunderlihs
B. The temperature curve as Botkin
C. Temperature curve as Kildushevsky
D. Temperature curve as Ellers
E. Intermedium temperature curve
25. At the typical form of typhoid fever, temperature of body rises like to stairs from a day to
the day to 39-40 °C at the end of 1st week, and then slowly during 2-3 week gradually going
down, comes to the norm. How is such temperature curve named?
A. The temperature curve as Vunderlihs
B. The temperature curve as Botkin
C. * Temperature curve as Kildushevsky
D. Temperature curve as Ellers
E. Intermedium temperature curve
26. Disease started acutely with the complains of heavy watery diarrhea, vomiting, cramps in
the lower extremities. Objectively: slow voice, shunken eyes, quick pulse, low blood
pressure, decrease of urination, weak cardiac sounds. In liver and spleen no changes. Put the
correct diagnosis.
A. Salmonellosis
B. Dysentery
C. Food poisoning
D. * Cholera
E. Typhoid fever
27. Emergency ambulance deliveredin infectious hospital girl N., 17 years old, complaining of
headaches, expressed general weakness, pain in epigastrium, repeated vomiting, diarrhea to
8 times a day greenish color. She was used 2 raw chicken eggs. Body temperature 39 °C, the
tongue covered with white coat, moderately cramps, pain in abdomen and sigmoid area. The
most likely diagnosis.
A. Acute appendicitis
B. Crohn’s disease
C. Shigellosis
D. Viral gastroenteritis
E. * Salmonellosis
28. In 42 y.o. annual explorers the temperature of body rose to 39 °C. At the receipt patient is
pale, tongue edematous, covered by the dirtily-brown raid, has clean edges and tag, and on
sides imprints of teeth, pulling out of tongue is impaired and he trembles finely, bedside
patient is smell of ammonia. On the front wall of abdomen monomorphic single roseollas. In
a mouth cavity in place of hyperplasic lymphatic follicles of soft palate especially at front,
appeared symmetric flat superficial oval form of ulcer by the diameter to 5 mm. Such ulcers
are on tonsils. In case of such disease the convalescents are discharge after:
A. Triple bacteriological research of blood, excrement, urine, bile
B. * Triple bacteriological research of excrement, urines and once of the bile
C. Triple bacteriological research of excrement, urines and once of the blood
D. Triple bacteriological research of excrement, urine, bile
E. Triple bacteriological research of blood, urine, bile and once excrement
29. In a hospital admited within 5 patients in 15 hours. All of them have similiar complains of
mild diarrhea and vomiting developed ,diplopia, midriasis, visual disturbance, difficulty in
swallowing, dry mouth, difficulty in breathing. All patients together joined in a dinner party,
used different dishes, including meat, salad, canned mushroom. The most likely diagnosis.
A. Cholera
B. * Botulism
C. Thypus
D. Salmonellosis
E. Rotaviral gastroenteritis
30. In a patient 30 years old, on the 9th day of illness disease began gradually, with slow growth
of fever and intoxication, appeared unabundant roseollar rash on the skin of abdomen. Skin
was pale, Т-40 °C, pulse-80 per a min, BP-100/65 mm Hg. A tongue is assessed, abdomen is
distended, the spleen is enlarged, and liver is felt. What symptom will be positive?
A. Botkin’s symptom
B. * Padalka’s symptom
C. Kildushevsky‘s symptom
D. Оrtner’s symptom
E. Pasternatsky‘s symptom
31. In a patient 35 y.o. stormily illness began from chills, increase of temperature to 39 C,
vomits, pain in epigastria, and diarrhea with the watery stinking emptying. 6 hours prior to
the disease ate a raw egg, fried potato with the braised meat, drank juice. Which pathogen
probably caused the similar state?
A. Proteus
B. * Salmonella
C. Intestinal stick
D. Staphylococcus
E. C. perfringens
32. In a patient A., 33 years old, with a diagnosis typhoid fever, on the 5th day of normal
temperature appeared tachycardia and rozeol rash on the middle and lateral surfaces of
abdominal. About what is it necessary to think?
A. Measles
B. Bleeding
C. Perforation
D. * Relapse of typhoid fever
E. Infectiously-allergic myocarditis
33. In patient F., 25 years old, appeared a chill in 6 hours after breakfast (ate 2 row eggs), a
temperature rose to 38,7 °C, pain appeared in 20 minutes in the peryumbilical region,
nausea, frequent vomit, and yet in 30 minutes appeared frequent watery stool without
pathological admixtures, green color. What diagnosis is most reliable?
A. Esheryhiosis
B. Shigellosis
C. Cholera
D. Ersiniosis
E. * Salmonellosis
34. Induction centre of infectious hospital a patient entered at which during three weeks high
fever 38-40 °C, head pain, weakness, insomnia. To the doctor did not speak, accepted
antipyretics. Objectively: temperature of body 35,7 ?C, pulse 140 per 1 mines, BP 80/50 mm
Hg. General state heavy. Skin and mucous membranes pale. A tongue is incrassate with the
imprints of teeth, with a dirtily-brown raid, a tag and edges of tongue is clean. The abdomen
is swollen. A liver and spleen is enlarged. There was defecation on a reception, in an
excrement fresh blood. What is the fall-off of temperature of body and becoming more
frequent of pulse related to?
A. Perforation
B. Acute poisoning medications
C. Infectiously toxic shock
D. Endometriosis of colon
E. * Bleeding
35. One of methods of diagnostics of typhoid fever and paratyphoid fever is the selection of
hemoculture. For that in a fever period sowing of blood from a vein on bilious bulione or
Rappaport‘s media in correlation 1:10 is made. What volume of blood must be taken on the
2nd week of disease?
A. 5 ml of blood
B. 10 ml of blood
C. * 15 ml of blood
D. 20 ml of blood
E. 25 ml of blood
36. One of methods of diagnostics of typhoid fever and paratyphoid fever is the selection of
hemoculture. For that in a fever period sowing of blood from a vein on bilious bulione or
Rappaport‘s media in correlation 1:10 is made. What volume of blood must be taken on the
1st week of disease?
A. 0,5 ml of blood
B. * 10 ml of blood
C. 15 ml of blood
D. 20 ml of blood
E. 25 ml of blood
37. One of methods of diagnostics of typhoid fever and paratyphoid fever is the selection of
hemoculture. For that in a fever period sowing of blood from a vein on bilious bulione or
Rappaport‘s media in correlation 1:10 is made. What volume of blood must be taken on the
3nd week of disease?
A. 5 ml of blood
B. 10 ml of blood
C. 15 ml of blood
D. * 20 ml of blood
E. 25 ml of blood
38. Pain in abdomen appeared at a patient with typhoid fever on the 19th day of disease, and
was during 4 hours. Pulse – 100 per a min, rhythmic. A tongue is dry, assessed by wait coat.
The abdomen is tense, does not take part in the act of breathing. Stool and urine was absent.
About what complication is it necessary to think?
A. Appendicitis
B. Infectiously-toxic shock
C. Bleeding
D. * Perforation
E. Urolithiasis
39. Patient 24 y.o., was hospitalized in the infectious department on the 10th day of disease with
complains of general weakness, headache, poor appetite, cough. Objectively: body
temperature 39,5 °C, pallor of skin. Adynamism. Single roseolas are present on the skin of
anterior wall of the abdomen, thorax. Liver in palpate + 1 cm below the rib angle on the
midclavicular line, spleen is palpate not significantly. What is he most possible diagnosis?
A. * Typhoid fever
B. Flu
C. Typhoid rash
D. Brucellosis
E. Pneumonia
40. Patient 25 years, received complaints of double vision of the eyes, a decline of view,
shortness of breath. Before the disease eat mushrooms home preservation. Objective: pallor,
wide pupils with a weak reaction to light, dry mouth, a violation of swallowing, flatulence,
delay of stool. What is preliminary diagnosis.
A. Leptospirosis
B. Yersinioz
C. * Botulism
D. Giardiasis
E. Salmonellosis
41. Patient 27 years old, complains of headaches, weakness, pain in epigastric area, vomiting,
diarrhea (9 times in a day; huge excrement, greenish colour). Before the appearance of
disease he consumed raw eggs. Objectively: body temperature 38,8 °C. Tongue is white,
pain in epigastric and umbilical region. The most likely diagnosis.
A. * Salmonellosis
B. Cholera
C. Dysentery
D. Viral gastroenteritis
E. Acute appendicitis
42. Patient 35 years old with complains of, increasing of temperature to 39 °C with chill,
vomiting, pain in epigastric region, diarrhea with foul smell, abdominal cramps. 6 hours
before onset of the disease ate raw eggs, fried potatoes with grinded meat, drank juice. To
clarify the diagnosis of serological diagnostic methods often used RNGA with the group
salmonelle diagnostic tools and RA (Vidalya) with paired serum. When blood should take
for the diagnostic procedures?
A. In the first day of illness
B. At the end of the first month
C. In 1st week in 3-4 days
D. * At the end of the 1st week from 7-10 days
E. During admission to the hospital
43. Patient 38 y.o., entered infectious hospital with complaints of nausea, vomits,
схваткоподібний abdominal pain, chills. Became ill suddenly three hours after since he ate
meat salad in the cafe. Common state of middle severity, temperature 37,8 C, pulse – 90 in a
min, AP 110-60 mmHg. Abdomen is painful in epigastria, emptying- liquid, 1 time without
admixtures. What research need to be conducted for confirmation of diagnosis of toxic foodborne infection?
A. Coprology investigation.
B. Bacterioscopy
C. * Smear of stool and washings of stomach on a pathogenic intestinal flora
D. Smear of stool on 1 % peptone solution
E. USG of abdominal organs
44. Patient 45 years old, became ill within 10 hours after consumption of grinded meat.
Complains of vomiting, pain in epigastric region, diarrhea of green color, increasing of
temperature up to to 39 °C. During objective examination revealed that: patients general
condition is sever, pain in the muscles of the lower limbs, pale face, acrocyanosis. Pulse 130
per min,. B.P 70/40 mm Hg. weak cardiac sounds, dry tongue, brown-whitecovering .
abdomen cramps, painful iliac and epigastric regions. What is the most likely diagnosis.
A. Shigellosis
B. Cholera
C. * Salmonellosis
D. Viral gastroenteritis
E. Eshericiosis
45. Patient B., 32 years old, an employ of poultry was hospitalized with complains of pain in
abdomen, mostly in sigmoid area, fever up to 38,8 ?C, nausea, vomiting, diarrhea with darkgreen colour of stool, without any pathological changes. Skin and mucous membranes are
dry, moderate tension in epigastric region and pain in the right iliac area. The most likely
diagnosis.
A. Acute appendicitis
B. Cholera
C. Disbacteriosis
D. * Salmonellosis
E. Rotavirus gastroenteritis
46. Patient B., 36 years old, complains for a great headache, general weakness, insomnia, fever
to 39,7 °C. Fell ill gradually. Objectively: skin is pale, on a abdomen are singles roseolas. A
tongue with the imprints of teeth and white raid, edges and tag is clean. Flatulence. A liver
and spleen is enlarged. Dulling of percussive sound is in a right iliac area. Pulse 70 per a
min, BP 100/60 mm Hg. In lights there are the dissipated dry wheezes, hard breathing.
Blood test: leycocytosis 3,1?109/l, RSE 25 mm/hour, eos. 0 %, n/n 9 %, s/n 51 %, lymphs.
31 %, monocyts 5 %. What is the most credible diagnosis?
A. * Typhoid fever
B. Spotted fever
C. Pneumonia
D. Leptospirosis
E. Sepsis
47. Patient B., 38 years old, became ill quickly: appeared frequent vomit with the admixtures of
meal, pain in epigastriums, green watery stool, increases of temperature, to 39 °C.
Objectively: state severe. Pains in the muscles of lower extremities. Expressed pallor
acrocianosis. Pulse 120 per a min, frequent, BP 80/60 mm Hg. Tones of heart are muffled. A
tongue is dry, assessed by the whiter-brown coat. A stomach is blown away, painful in
epigastria and ileocecal regions. 12 hours before to the disease ate a galantine. What is the
most credible diagnosis?
A. * Salmonellosis
B. Cholera
C. Dysentery
D. Viral gastroenteritis
E. Esheryhiosis
48. Patient B., 38 years old, came to the admission department with the complains of fever up to
38 °C, vomiting 4 times in a day, diarrhea up to 6 times in a day. During objective
examination revealed that B.P 125/75 mm Hg, pulse 80 per min, abdomen is soft,painful in
the right iliac and epigastric area .According to anamnesis he took salad of boiled eggs and
sausage. What treatment should be started first.
A. Antibotulism serum
B. Intravenous antibiotics
C. Washing of the stomach and intestine, rehydration therapy , glucocorticoids
D. * Gastric lavage and washing of intestine, rehydraton therapy enterosorbents
E. Treatment after getting of the laboratory test results
49. Patient B., 55 years old, was hospitalized in an infectious hospital with complains on
frequent vomiting, liquid excrements, abdominal pain, mainly in the right iliac area and
epigastrium. Pale skin, dry tongue with a touch of gray, hypotension, tachycardia. The
doctor was suspected salmonella. What laboratory test is need to perform.
A. Common blood analysis
B. Parasytoscopy of blood smear
C. Microscopy of stool
D. * Coproculture
E. Biologic test
50. Patient C, 27 years old, complaints of headache, weakness, pain in the epigastral area,
repeated vomits, diarrhoea (9 per day, greenish colour). He eats raw chicken eggs 12 hours
before the disease. Objectively: temperature 38,8 °C. A tough is coated by the white coat,
pain in the epigastria and peryumbilical area. What diagnosis is most reliable?
A. Cholera
B. Shigellosis
C. * Salmonellosis
D. Esheryhiosis
E. Rotavirus gastroenteritis
51. Patient C. with the complains of diarrhea with mucus, stabing pain in epigastric area ,
rumbling in the stomach, fever. According to his anamnesis he took preserved milk, eggs,
salad of fresh vegetables. What is the disease most likely.
A. Shigellosis
B. Yersiniosis
C. * Salmonellosis
D. Cholera
E. Botulism
52. Patient C., 17 years old, working vegetable base. Acutely ill, 2 days ago. His illness is linked
to eating dirty roots. The disease started with chills, body temperature increase to 38,1 ?C,
headache, pain in muscles and joints of all groups, weakness, nausea, Cramping in the
stomach around the navel, in epigastrium, diarrhea up to 5 times. Excrements liquid,
viscous, bed smell, normal colour. Objective inspection: scleritis, conjunctivitis, hyperemia
of soft palate, “raspberry” tongue. In palpation of abdomen - the moderate morbidity in
epigastrium. What is diagnosis.
A. * Yersiniosis
B. Dysentery
C. Salmonellosis
D. Cholera
E. Viral hepatitis
53. Patient C., 22 years old, hospitalized in an infectious department complaining of chills,
temperature increase to 38,5 ?C, vomiting, pain in epigastrii, frequent stool. 7 hours before
the disease, ate raw eggs, potatoes with braised meat, drink tomato juice. What kind of
organism most likely to cause disease.
A. Enterovirus
B. * Salmonella
C. Enteric stick
D. Staphylococcus
E. C. perfringens
54. Patient C., 30 years old, was hospitalized with a preliminary diagnosis of salmonellosis.
Body temperature – 40 °C, repeated vomiting, profused diarrhea. Hypotension (BP 55/30
mm Hg), expressed tachycardia (pulse to 120/min), face pale, pain mainly in right iliac area
and epigastrium, hepatosplenomegaly were found. What treatment tactic will be most
effective in this case.
A. Glucocorticoids, crystalloid solutions, antibiotics, diuretics
B. Cardiac glycosides, colloid solutions, antibiotics
C. Sorbents, diuretics, desintoxication
D. Dopamine, colloid solutions, antibacterial
E. * Glucocorticoids, crystalloid solutions, antibiotics
55. Patient C., 35 years old, the disease has started severe chills, raising the temperature to 39
?C, vomiting, pain in epigastric region, diarrhea with water-smelly bowel movement. Over 6
hours after eating raw eggs, potatoes with braised meat, drank juice. What kind of agent is
likely to cause this condition.
A. * Salmonella
B. Vibrio cholera
C. Enteric stick
D. Campylobacter
E. Shigella
56. Patient C., 36 years old, periodically goes on a business trip in Egypt, desperately ill.
Complaints about the increasing body temperature up to 39,4 ?C with chills and sweating,
pain in the right under rib, emaciation. A slight jaundice. Increased liver density, painful. In
blood neutrophils leukocytosis, increased ESR. When USD revealed multiple liver
abscesses. What kind of illness need to think.
A. Legionellosis
B. Echinococcosis
C. Ascariasis
D. Liver cancer with metastases
E. * Amoebiasis
57. Patient D., 13 y.o., hospitalized with complains of nausea, переймоподібні abdominal
pains, liquid emptying without pathological admixtures with an unpleasant smell 6 times per
day. The day before had a supper by meat salad. What is a first aid?
A. * To wash a stomach and intestine by solution of hydrocarbonate of sodium
B. Peroral rehydratation by glucose-electrolytes solutions
C. Antibacterial preparations of wide spectrum of action
D. Renewal of normal microflora of intestine (probiotics)
E. To give sorbent in a dose 30 mg
58. Patient F., 25 years old, was hospitalized in the infectious hospital with complains on
frequent vomiting, liquid stool, abdominal pain in epigastrium. Pale skin, dry tongue with a
grey cover, hypotension, tachycardia. The doctor was suspected salmonella. What serologic
study is need to perform.
A. Microprecipitation reaction
B. RA (Widal)
C. * RIGA with Salmonella diagnosticum
D. RIGA with Shigella diagnosticum and RA (Widal) with paired serum
E. RKC
59. Patient G., 22 years old, hospitalised in an infectious department complaining of chills,
stabing pain in epigastrium, diarrhea, temperature increased up to 39,6 °C, repeated
vomiting. Feces copious, watery, without pathological changes. 4 hours before the onset of
symptoms ate the meat, salad. What is the most appropriate drug to be prescribe.
A. Antidiarrheal drugs
B. Flouroquinolone group of antibiotics
C. Sulfanilamide group of antibiotics
D. Desintoxication therapy
E. * Enterosorbents
60. Patient G., 24 years old., at 6 am after taking his breakfast with boiled eggs, a cup of coffee
appeared chill, fever up to 38,8 ?C, pain in left inguinal area, nausea,vomiting, rumbling in
the stomach, then frequent diarrhea, feces copious, watery, mudy-green. What is the most
likely diagnosis.
A. Cholera
B. Botulism
C. * Salmonellosis
D. Abdominal thypoid
E. Shigellosis
61. Patient I., 28 years old, hospitalized on the 9th day of illness with complaints about the
increase of temperature to 39,2 °C, headache, general weakness, absent of defecation. There
are singles roseolas on the abdomen, pulse 78 per a min, a liver + 2 cm. What is credible
diagnosis?
A. Sepsis
B. Spotted fever
C. * Typhoid fever
D. Brucellosis
E. Leptospirosis
62. Patient K., 20 years old, 8 hours ago eated mushroom. She complained about lacrimation,
salivation, abdominal cramps, diarrhea, vomiting. What is the previous diagnosis?
A. Cholera
B. Shigellosis
C. * Mushroom poisoning
D. Salmonellosis
E. Toxic food-borne infection
63. Patient K., 30 y.o., a sensitiveness to the cold, nausea, vomits, pain in epigastria and around
umbilicus. Vomits frequent. The temperature of body rarely rose to the high numbers. A
skin is pale, dry. A tongue is covered by the white or grey cover. Pulse frequent, arterial
pressure low. 2 hours prior to the origin of symptoms fed in a dining-room. What is the most
possible diagnosis?
A. Cholera
B. Shigellosis
C. * Toxic food-borne infection
D. Salmonellosis
E. Meningitis
64. Patient K., 30 y.o., the disease began from diarrhea; defecation is not accompanied by an
abdominal pains and increase of temperature. Vomits arose up later, without nausea and did
not bring facilitation. Dehydration of organism developed quickly. With similar clinics his
wife was admitted yesterday. What is the most possible diagnosis?
A. * Cholera
B. Shigellosis
C. Toxic food-borne infection
D. Salmonellosis
E. Meningitis
65. Patient K., 30 years old, came with complains of nausea, vomiting, pain in epigastrium and
paraumbilical area. High body temperature, pale skin, dry. tongue covered with whitish-gray
coating. quick pulse, low blood pressure. 2 hours before the onset of symptoms of the
disease he ate in cafe. What is the diagnosis most likely.
A. Cholera
B. Shigellosis
C. Thypoid fever
D. * Salmonellosis
E. Meningitis
66. Patient K., 40 years old, hospitalised with the diagnosis of intestinal infection. Complaining
general weakness, headache and diarrhea. Symptomes appeared suddenly 2 hours after
consumption of cake with custard. Suddenly there were chills, nausea, profuse repeated
vomiting, frequent diarrhoea, abdominal pain and short-term loss of consciousness,
temperature increased to 38,6 °C. What is the preliminary diagnosis?
A. Salmonellosis, localized form, gastroenteritis type
B. Salmonellosis, localized form gastroenterocolitis type
C. Salmonellosis, localized form enterocolitis type
D. * Salmonellosis, generalized form
E. Salmonellosis, nosoparasitic
67. Patient K., 40 years old, hospitalised with the diagnosis of salmonellosis, with symptoms of
rise of body temperature to 40 °C, repeated vomiting, diarrhea. Objectively: AP 60/20 mm
Hg, pulse 120/minute, pale face, increased intestinal peristalsis, enlarged liver and spleen.
What is the best treatment.
A. * Glucocorticoids, desintoxication therapy, antibacterial drugs
B. Diuretic, desintoxication therapy, antibacterial drugs
C. Enterorsorbents, diuretic, detsintoxication therapy
D. Glucocorticoids, diuretic, desintoxication therapy, antibacterial drugs
E. Glucocorticoids, diuretic, antibacterial drugs
68. Patient L., 20 years old, had appendectomy on the 5th day of disease. During operation was
found an appendix with the signs of catarrhal inflammation and hyperplasia of lymphatic
nodes of mesentery. After a day his state became severe: temperature – 40 °C, with
hallucinations, hepatosplenomegaly. Single roseols elements appeared on the skin of
abdominal on a 10th day. The tongue is great, covered with grey coating, with the imprints
of teeth, wound is in normal. In the analysis of blood is leucopenia, relative lympho- and
monocytosis. In anamnesis was contact with a patient with typhoid fever. What is the most
credible diagnosis?
A. * Typhoid fever, atypical form: appendicotyphoid
B. Epidemic typhus
C. Yersiniosis
D. Pseudotuberculosis
E. Flu
69. Patient L., 32 years old, was admitted to the infectious office complaining of chills,
headache, expressed general weakness, cutting pain in epigastrii, diarrhea. The temperature
of 39 °C, repeated vomiting. Excrement abundant, greenish color, without pathological
impurities. Over 4 hours to illnesses used the meat salad in the factory canteen. Which drugs
will be most effective for the treatment of this patient.
A. Antibotulism serum
B. Salt and colloid solutions
C. Sulfanilamides
D. * Antibiotics
E. Enterosorbent
70. Patient L., 33 years old, admitted to the hospital with the complains of untolarable pain in
the abdomen, mostly in sigmoid region, fever up to 38,8 ?C, nausea, vomiting , diarrhea of
dark-green colour in every1-1,5 hour, without admixture of blood and mucus. The condition
progressively deteriorated, increasing hypotension, paleness, weak cardiac sounds,
decreased intestinal peristalsis with moderate tension in epigastric region and pain in the
right iliac region. What tactics of treatment?
A. Glucocorticoids, infusion of salt solutions, antibiotics intravenously, diuretic
B. Cardiac glycosides, infusion colloidal solution, antibacterial drugs
C. Enterosorbents, diuretic, desintoxication therapy
D. Mezaton 1% / in drops, infusion of salt solutions, antibacterial drugs orally
E. * Glucocorticoids, infusion of salt solutions, antibiotics intravenously
71. Patient L., 43 years old, entered to the clinic of infectious diseases with a diagnosis „fever
not clearing etiology”. He has been ill 15 days: temperature of body – 39,3 °C. Skin is pale.
Pulse – 86 per a min, satisfactory properties. BP is 110/70 mm Hg. Tongue is dry, assessed
by the coverings, with the imprints of teeth on a lateral surface. On a stomach are 10-12
roseolas to 5 mm in a diameter. A liver and spleen is enlarged. What is the most credible
diagnosis?
A. Yersiniosis
B. * Typhoid fever
C. Brucellosis
D. Epidemic typhus
E. Sepsis
72. Patient N., 22 years old, was admitted to the infectious office complaining of chills,
headache, expressed general weakness, cutting pain in sigmoid area, diarrhea. The
temperature of the body of 39,3 °C, vomiting. Faces watery. Patient was used the salad with
sausage and eggs. For further diagnosis doctor was prescribed RIGA with salmonella
diagnosticums. When it’s necessary to take blood for the investigation.
A. At the 1st and 2nd days of illness
B. Once in recovering period
C. * At the end of the 1st week and after 7-10 days
D. At the end of the 1st week and after 3-4 days
E. Once in acute period
73. Patient N., 30 years old, works in a restaurant, admitted to the hospital complaining of
unbearable pain in the abdomen, increase of temperature 38,8 ?C, nausea, vomiting, diarrhea
of dark-green colour, He took eggs, mushrooms, canned food. Objective state: general
condition is moderately sever, skin and mucous membranes are dry, pain in epigastric
region. Name the disease.
A. Shigellosis
B. Yersiniosis
C. * Salmonellosis
D. Cholera
E. Rotaviral infection
74. Patient P., 45 years old, entered on consultation, with a diagnosis „fever not clearing
etiology”. He has been ill 8 days. The disease developed gradually, appeared headache,
insomnia, adynamia. Temperature – 39,5 °C, skin is pale. Pulse – 88 per a min. A tongue on
a center is assessed by the thick grey coat. A stomach is exaggerated, grumbles in a right
iliac region. A liver and spleen is enlarged on 2 cm. What is the most credible diagnosis?
A. * Typhoid fever
B. Yersiniosis
C. Epidemic typhus
D. Adenoviral infection
E. Sepsis
75. Patient R., 35 years old, entered to the clinic on the ninth day of illness with complaints of
the increased Т to 39,0 °C, headache, general weakness, delay of emptying, violation of
sleep. At a review: on the skin of abdomen are single roseollas, a tongue is assessed by the
brown covering, Ps. 78 shots in a min., rhythmic, a liver is enlarged for 2сm. What is
reliable diagnosis?
A. * Typhoid fever
B. Leptospirosis
C. Brucellosis
D. Sepsis
E. Tuberculosis
76. Patient S., 23 years old, became ill at the end of summer, when a temperature rose to 37,2
°C, insignificant headache, weakness appeared. To 7 day of illness treated oneself
ambulatory as an ARI (acute respiratory infection). The state became worse, hospitalized in
permanent establishment. Temperature – 40 °C, pale, weakness. Pulse 96 per a min, BP
110/70 mm Hg. Tongue with the imprints of teeth, abdomen soft, distended,
hepatosplenomegaly. Stool is not present. There is hyperemia and hyperplasia of palatine
tonsils, on the surface of right palatine tonsils are ulcers. What disease is it needed to think
about?
A. Angina of Simonovsky
B. Herpes angina
C. Ulcerative-necrotic angina
D. Infectious mononucleosis
E. * Angina of Diuge
77. Patient T., 30 years old, fell ill suddenly, when appeared chill, increased a temperature to
39,9 °C, appeared pain in a epigastria region, frequent vomiting, in 25 min – diarrhea, with
the unpleasant smell of emptying. The amount of urine diminished on the 3th day of illness.
What diagnosis is most the credible?
A. * Salmonellosis
B. Shigellosis
C. Cholera
D. Rotairus gastroenteritis
E. Esheryhiosis
78. Patient U., who arrived from the Crimea, at 5 o'clock in the morning appeared diarrhea in an
intervel of 1-1.5 hour. with copious watery increments, without admixtures of mucous and
blood. He was admtted in an infectious dipartment with the diagnosis of "acute intestinal
infection". What laboratory tests are necessary to confirm the etoilogical diagnosis.
A. General blood analysis
B. Bacteriological blood analysis
C. Microscopical analysis of stool
D. * Coprogram
E. The biological examination in mice
79. Patient with a diagnosis “typhoid fever” is hospitalized in an infectious hospital. He lives in
the isolated apartment with a woman and two children. What preparations is the mean
defense from typhoid fever for persons with contact with the patient?
A. Vaccine
B. Antibiotic
C. Immunoglobulin
D. Antitoxin
E. * Bacteriophage
80. Patient Н., 28 years old, entered to the clinic on the ninth day of illness with complaints of
the increased Т to 39,0 °C, headache, general weakness, delay of emptying, violation of
sleep. At a review: on the skin of abdomen are single roseollas, a tongue is assessed by the
brown covering, Ps. 78 shots in a min., rhythmic, a liver is enlarged for 2сm. What changes
will be from the side of the cardio-vascular system?
A. Bradycardia, dicrotic pulse, muffling of cardiac tones, hypotension
B. Tachycardia, dicrotic pulse, muffling of cardiac tones, hypotension
C. Tachcardia, dicrotic pulse, muffling of cardiac tones, hypertension
D. * Relative bradycardia, dicrotic pulse, muffling of cardiac tones, hypotension
E. Dicrotic pulse, muffling of cardiac tones, hypotension
81. Sick person, 18 years old, became ill suddenly, when appeared chill, increased of
temperature to 39,6 °C, weakness, headache. On the 2th day of illness appeared diarrhea to
10 times per day, without admixtures. For a few days before ate a meat of a beef. On the 5th
day of illness appeared maculous-papulous rash on a body. Pulse was 100 per a min., BP
110/60 mmHg. Stomach soft, painful in epigastrium and mezogastrium. Liver +1 cm.
Watery diarrhea 5 time per days. Choose the most reliable diagnosis:
A. Typhoid fever
B. Yersiniosis
C. * Paratyphoid fever B
D. Sepsis
E. Paratyphoid fever A
82. Sick person, 23 years old, appealed to the hospital on 6th day with gradual development of
illness, with complaints for severe headache, pain in the back of head, violation of sleep,
fever. Objectively: Т-39,7 °C, Рs-84/min. A face is pale, tongue dry, near a root covered by
the grey covering. A stomach is flatulent. During of percutory sound is determined in a right
iliac area. A liver and spleen are enlarged. In whit day does a rash appear on a skin at this
illness?
A. On 12 day
B. On 4 days
C. On 5 day
D. On 6 day
E. * On 8 day
83. Student A., 22 years old, ill for 3 weeks, a month after returning from Ethiopia: appeared
abdominal pain, liquid excrement, abundant, up to 10 times per day, in the form of
“raspberry jelly”, was cramping in the abdomen, more right, growing in the bowel. Over
time the disease has lost 6 kg body weight. Your diagnosis.
A. * Intestinal amoebiasis
B. Shigellosis
C. Salmonellosis
D. Tumor bowel
E. Intestinal yersiniosis
84. The patient is 47 years old, desperately ill. Occasionally travels on a business trip to
Uzbekistan. Complaints about the increasing body temperature up to 39,4 °C with chills and
sweating, chest pain and in the right under ribs, cough, bloody sputum. Skin with brown
shade. Signs of right pneumonia. Liver extended, painful. In blood neutrophils leukocytosis
increased ESR. When radiography of chest infiltration of right lung tissue. USD of abdomen
– multiple abscesses in the liver. What kind of illness need to think.
A. Yersiniosis
B. Alveococosis
C. * Amoebiasis
D. Liver cancer with metastases in the lungs
E. Legionellosis
85. The patient O., 23 years old, appealed to the hospital on the 6th day of gradual development
of illness, with complaints about severe headache (pain in the back of head), fever.
Objectively: temperature of body 39,7 °C, pulse 84 per a min A face is pale, a tongue is dry,
near a root covered a grey raid. A stomach is swollen. Dulling of percutic sound is
determined in a right iliac area. A liver and spleen are palpated. What day does a rash appear
on at this illness?
A. * On a 8th day
B. On a 2tnd day
C. On a 4th day
D. On a 5th day
E. On a 14th day
86. To the admitting point of infectious hospital came patient with complains of high fever – 3840 °C during 3 weeks, headache, weakness, insomnia. She didn’t consult with the doctor.
She took antipyretic drugs, seduxen. Objectively: Т 35,7 °C, Рs – 140/min., BP-80/50 mm
Hg. General condition is severe. Skin and mucous membranes are pail. The tongue is
thickened with the imprints of teeth, with the dirtily-brown covering, apex and edges of
tongue clean. A stomach is flatulent. A liver and spleen is moderately enlarged. There was a
stool on the admission, with an excrement fresh blood. Why was decries of temperature of
body and increase of pulse?
A. Poisoning by the drugs
B. Infectiously-toxic shock
C. Hemorrhoid bleeding
D. * Intestinal bleeding
E. Endometriosis of colon
87. To the patient with toxic food-borne infection emergency care is given at home, and only
after it hospitalize him. It is necessary as quick as possible to wash a stomach and bowels
with the purpose of release of microbes and toxins. Whatever is used for washing?
A. Isotonic solution of sodium of chloride
B. Boiled water
C. 1-2 % solution of sodium of hydrocarbonate
D. * Solution of potassium permanganate
E. Мineral water
88. 63 years old patient became ill suddenly. The temperature of body raised, the stomach-ache
with nausea and vomiting and diarrhea were observed. The patient’s condition did not
improve even after giving him Levomycitin for long time. The diarrhea had proceeded again
8-12 times a day and became liquid. On admition the patient complaints about diarrhea and
general weakness.The excrement is liquid stinking with the admixtures of pus and blood.
The persons face is emaciated, eyes are hollow. Tongue is covered by white stratification.
The stomach is distended, peristalsis after bowel movments. In blood leucocytosis and
anaemic. At a rectoscopy ulcers with sharped, uneven edges was found. What is the most
probable diagnosis?
A. * Amoebiosis
B. Shigella
C. Unspecific ulcerative colitis
D. Rotavirus gastroenteritis
E. Cancer of colon
89. A 23 years old patient complains about weakness, nausea, periodic presence of segments of
helminth in the stool. In anamnesis the patient had eaten undercooked meat. Faeces were
sent for microscopic examination. The bovin solitaire was found in the stool. What would be
the drug of choice?
A. * Biltritsid
B. Pyrantelum
C. Piperazinum
D. Decaris
E. Fazizhin
90. A 23 years old patient complains about weakness, nausea, periodic presence of segments of
helminth in the stool. In anamnesis the patient had eaten undercooked meat. Faeces were
sent for microscopic examination. The bovin solitaire was found in the stool. What would be
the drug of choice?
A. * Biltritsid
B. Pyrantelum
C. Piperazinum
D. Decaris
E. Fazizhin
91. A 24 years old engineer from Donetsk, has spent one month in India where he drunk
unboiled water. After arriving home he has become ill. He appeared to the doctor with
complaints of fever, weakness, pain in stomach, diarrhea - 12-15 times a day with mucous
and blood (like raspberry jelly stool). Objectively: the state is relatively satisfactory, appetite
became worse, tongue is coated with white patches.On deep palpation of abdomen patient
complaints of pain especially in his right half and hypochodrium area. Liver and spleen are
not changed. No change was found in blood analysis. On rectoscopy clear mucous and
hyperemia of mucous membrane in rectum with ulceration in sigmoid colon were found.
The stool test gave the growth of pathogenic flora. What most probable pathology which
predetermines such picture?
A. Strongyloidosis
B. * Amebiasis
C. Ulcerative colitis
D. Balantidiasis
E. Food poisoning
92. A 24 years old engineer from Donetsk, has spent one month in India where he drunk
unboiled water. After arriving home he has become ill. He appeared to the doctor with
complaints of fever, weakness, pain in stomach, diarrhea - 12-15 times a day with mucous
and blood (like raspberry jelly stool). Objectively: the state is relatively satisfactory, appetite
became worse, tongue is coated with white patches.On deep palpation of abdomen patient
complaints of pain especially in his right half and hypochodrium area. Liver and spleen are
not changed. No change was found in blood analysis. On rectoscopy clear mucous and
hyperemia of mucous membrane in rectum with ulceration in sigmoid colon were found.
The stool test gave the growth of pathogenic flora. What most probable pathology which
predetermines such picture?
A. Strongyloidosis
B. * Amebiasis
C. Ulcerative colitis
D. Balantidiasis
E. Food poisoning
93. A 5 years old girl complains about headache, decreased appetite, weakness, nausea,
vomiting, bitter taste in mouth, stomach-ache and periodic diarrhea. Objectively: decreased
nourishment status, on her tongue there is white coating observed. The stomach is soft,
accessible for palpation, and painful in the area of gall-bladder. No Change in blood analysis
was found.. According to the mother the same symptoms were observed with her son a
month ago. What is the most probable pathology which predetermines such picture?
A. Amebiasis
B. Balantidiasis
C. Intestinal trichomonosis
D. * Giardiasis
E. Dysbacteriosis
94. A 5 years old girl complains about headache, decreased appetite, weakness, nausea,
vomiting, bitter taste in mouth, stomach-ache and periodic diarrhea. Objectively: decreased
nourishment status, on her tongue there is white coating observed. The stomach is soft,
accessible for palpation, and painful in the area of gall-bladder. No Change in blood analysis
was found.. According to the mother the same symptoms were observed with her son a
month ago. What is the most probable pathology which predetermines such picture?
A. Amebiasis
B. Balantidiasis
C. Intestinal trichomonosis
D. * Giardiasis
E. Dysbacteriosis
95. A child is diagnosed with giardiasis. What preparation is it more expedient to apply for
treatment?
A. Ursohol
B. Delagil
C. * Ornidazol
D. Tetracyclin
E. Enteroseptol
96. 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?
A. Hypersaturated oxygen
B. Transfusion of fresh-frozen plasma
C. Tetracyclin
D. * Intravenous introduction of salt solutions
E. Introduction of polyhybrid
97. 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?
A. Hypersaturated oxygen
B. Transfusion of fresh-frozen plasma
C. Tetracyclin
D. * Intravenous introduction of salt solutions
E. Introduction of polyhybrid
98. A patient L., who returned from Crimea, developed diarrhea at 5AM. Bowel movements are
each 1-1.5 hrs, watery, without mucus and blood. In 12 hrs a single episode of vomiting
developed. The temperature of body at first rise to 37.3 C, stomach-aches is present. he was
examined by the doctor of first-aid and delivered to an infectious isolation with the
diagnosis of acute intestinal infection.Which disease is most probable for the patient?
A. Intestinal echeriosis
B. Salmonellosis
C. Echeriosis
D. Food poisoning
E. * Cholera
99. A patient L., who returned from Crimea, developed diarrhea at 5AM. Bowel movements are
each 1-1.5 hrs, watery, without mucus and blood. In 12 hrs a single episode of vomiting
developed. The temperature of body at first rise to 37.3 C, stomach-aches is present. he was
examined by the doctor of first-aid and delivered to an infectious isolation with the
diagnosis of acute intestinal infection.Which disease is most probable for the patient?
A. Intestinal echerihiosis
B. Salmonellosis
C. Echeriosis
D. Food poisoning
E. * Cholera
100.
A sick 20 years arrived from Western Siberia complaint of pain in the area of liver
and gall-bladder, bitter taste in mouth. Objectively: abdomen is soft, accessible for
palpation, at palpation pain takes place in an area of bilious system. At blood analysis
еosinophills – 23 %. She had eaten fish. What is the most probable pathology which
predetermines such picture?
A. * Opistorhosis
B. Ascaridosis
C. Trihocephallosis
D. Giardiasis
E. Trichinosis
101.
A sick 20 years arrived from Western Siberia complaint of pain in the area of liver
and gall-bladder, bitter taste in mouth. Objectively: abdomen is soft, accessible for
palpation, at palpation pain takes place in an area of bilious system. At blood analysis
еosinophills – 23 %. She had eaten fish. What is the most probable pathology which
predetermines such picture?
A. * Opistorhosis
B. Ascaridosis
C. Trihocephallosis
D. Giardiasis
E. Trichinosis
102.
A sick 26 years appeared to the therapeutic department with complaints about the
itching of skin, weakness, liquid emptying diarhoea 1-2 times a day. Objectively: sufficient
nourishment. On the skin has pouring out red color as “hives” which has linear character. In
blood eosinophilic reaction of blood – 28 %. Lives in rural area What is the most probable
pathology which predetermines such picture?
A. Salmonellosis
B. * Strongyloidosis
C. Food poisoning
D. Giardiasis
E. Trihocephallosis
103.
A sick 26 years appeared to the therapeutic department with complaints about the
itching of skin, weakness, liquid emptying diarhoea 1-2 times a day. Objectively: sufficient
nourishment. On the skin has pouring out red color as “hives” which has linear character. In
blood eosinophilic reaction of blood – 28 %. Lives in rural area What is the most probable
pathology which predetermines such picture?
A. Salmonellosis
B. * Strongyloidosis
C. Food poisoning
D. Giardiasis
E. Trihocephallosis
104.
A sick child 8 years old complains about itching in the area of perinium. According
to the mother child creaks teeth during sleep, sleeps badly. Objectively: sufficient
nourishment, pallor of skin, tongue is insignificantly covered with white patches, stomach is
soft, accessible for palpationis painless. The lowering of haemoglobin level takes place.
What is most probable pathology which predetermines such picture?
A. * Enterobiasis
B.
C.
D.
E.
Salmonellosis
Ascaridosis
Giardiasis
Trichinosis
105.
A sick child 8 years old complains about itching in the area of perinium. According
to the mother child creaks teeth during sleep, sleeps badly. Objectively: sufficient
nourishment, pallor of skin, tongue is insignificantly covered with white patches, stomach is
soft, accessible for palpationis painless. The lowering of haemoglobin level takes place.
What is most probable pathology which predetermines such picture?
A. * Enterobiasis
B. Salmonellosis
C. Ascaridosis
D. Giardiasis
E. Trichinosis
106.
A sick P, 40 in 2 weeks after eating of uncooked pork, purchased at the elemental
market, has sudden rise of temperature upto 40 °C, myalgias appeared, oedematous, papular
rash on extremities and trunk and dry cough. Accepted aspirin. Blood test, leucocyte –
12*109 eosinophil– 40 %. What disease it is needed to think about?
A. * Trichinosis
B. Ascaridosis
C. Leptospirosis
D. Teniosis
E. Allergic reaction
107.
A sick P, 40 in 2 weeks after eating of uncooked pork, purchased at the elemental
market, has sudden rise of temperature upto 40 °C, myalgias appeared, oedematous, papular
rash on extremities and trunk and dry cough. Accepted aspirin. Blood test, leucocyte –
12?109 eosinophil– 40 %. What disease it is needed to think about?
A. * Trichinosis
B. Ascaridosis
C. Leptospirosis
D. Teniosis
E. Allergic reaction
108.
A sick P, 40 in 2 weeks after eating of uncooked pork, purchased at the elemental
market, has sudden rise of temperature upto 40 °C, myalgias appeared, oedematous, papular
rash on extremities and trunk and dry cough. Accepted aspirin. Blood test, leucocyte –
12*109 eosinophil– 40 %. What disease it is needed to think about?
A. * Trichinosis
B. Ascaridosis
C. Leptospirosis
D. Teniosis
E. Allergic reaction
109.
A sick, 29 years, emptying watery stool repeatedly, frequent vomiting. Objectively:
total cyanosis, dryness of mucus membrane, turgor of skin is decreased Temperature of
body 35.2 ?C. Pulse in radial artery is not determined. Tachypnea, musle spasm, urination is
absent for 6 hours. What is the state of the patient?
A. Dehydration of IV degree
B. Dehydration of I degree
C. Infectious-toxic shock
D. Anaphylactic shock
E. * Uncompensated hypovolemic shock
110.
An unconscious patient is delivered in the intensive department. Pale dark circles
around eyes. Skin is cold with sticky sweat. Temperature of body 35,6 ?C. Pulse 140/min
and weak. Blood pressure is 40 /0 mm of Hg. Tongue is dry. Emptying is involuntary and
“watery”, vomited twice. What infusion must be given as intensive therapy.
A.
B.
C.
D.
E.
Albumin
Rheopoliglykin
5 % glucose solution
* Polyionic salt solutions
10 % glucose solution
111.
An unconscious patient is delivered in the intensive department. Pale dark circles
around eyes. Skin is cold with sticky sweat. Temperature of body 35,6 AC. Pulse 140/min
and weak. Blood pressure is 40 /0 mm of Hg. Tongue is dry. Emptying is involuntary and
“watery”, vomited twice. What infusion must be given as intensive therapy.
A. Albumin
B. Rheopoliglykin
C. 5 % glucose solution
D. * Polyionic salt solutions
E. 10 % glucose solution
112.
Citizen of Pakistan, 30 years became ill rapidly with frequent watery stool which
appears like a rice water. Objectively: temperature of body 35.4 ?C, skin is cold,
acrocynosis, elasticity of skin and turgor is decreased. By what method may estimate the
degree of dehydration?
A. To examine an eyeballs
B. To check central venous pressure
C. To define the level of urea and creatinine in blood
D. * To check the loss of blood plasma
E. To check the pressure of blood
113.
Citizen of Pakistan, 30 years became ill rapidly with frequent watery stool which
appears like a rice water. Objectively: temperature of body 35.4 sC, skin is cold,
acrocynosis, elasticity of skin and turgor is decreased. By what method may estimate the
degree of dehydration?
A. To examine an eyeballs
B. To check central venous pressure
C. To define the level of urea and creatinine in blood
D. * To check the loss of blood plasma
E. To check the pressure of blood
114.
Diagnosis of giardiasis is based on the discovering of cyst in fresh incandescence and
vegetative forms in duodenal content. At diarhoea in incandescence can appear trophozoite
on faecal microscopic examination and preparations with solution of Lugola and еоsin.
Examination is more expedient to conduct 3-5 times at intervals 1-2 days. How to increase
frequency of findings?
A. * By application of the formalin-еpiniphrine enriching methods
B. Cultivation in thermostat
C. Cultivation in an anaerobic chamber
D. By the method of floatation in bilious clear soup
E. To sow on a nourishing environment
115.
Diagnosis of giardiasis is based on the discovering of cyst in fresh incandescence and
vegetative forms in duodenal content. At diarhoea in incandescence can appear trophozoite
on faecal microscopic examination and preparations with solution of Lugola and еоsin.
Examination is more expedient to conduct 3-5 times at intervals 1-2 days. How to increase
frequency of findings?
A. * By application of the formalin-еpiniphrine enriching methods
B. Cultivation in thermostat
C. Cultivation in an anaerobic chamber
D. By the method of floatation in bilious clear soup
E. To sow on a nourishing environment
116.
Diagnosis of giardiasis is based on the discovering of cyst in fresh incandescence and
vegetative forms in duodenal content. At diarhoea in incandescence can appear trophozoite
on faecal microscopic examination and preparations with solution of Lugola and еоsin.
Examination is more expedient to conduct 3-5 times at intervals 1-2 days. How to increase
frequency of findings?
A. * By application of the formalin-еpiniphrine enriching methods
B. Cultivation in thermostat
C. Cultivation in an anaerobic chamber
D. By the method of floatation in bilious clear soup
E. To sow on a nourishing environment
117.
For a patient E., 37 years old, a disease began rapidly, 6 hours the frequent liquid
emptying appeared onto the plain rise of normal temperature of body, vomit joined then. At
an inspection: aphonia, eyes are hollow, pulse frequent, threadlike, low blood pressure
cramps appeared in lower extremities. Liver and spleen are not enlarged. Choose
preparations for starting etiotropic therapy.
A. Tetracyclin, erythromycin, levomycetin, ciprofloxacin or imodium
B. Erythromycin, levomycetin, benzylpenicillin or imodium
C. Tetracyclin, erythromycin, levomycetin, benzylpenicillin or ofloxacin
D. Tetracyclin, erythromycin, levomycetin, or bifi-form
E. * Levomycetin, erythromycin or ciprofloxacin
118.
For a patient E., 37 years old, a disease began rapidly, 6 hours the frequent liquid
emptying appeared onto the plain rise of normal temperature of body, vomit joined then. At
an inspection: aphonia, eyes are hollow, pulse frequent, threadlike, low blood pressure
cramps appeared in lower extremities. Liver and spleen are not enlarged. Choose
preparations for starting etiotropic therapy.
A. Tetracyclin, erythromycin, chloramphenicol, ciprofloxacin or imodium
B. Erythromycin, chloramphenicol, benzylpenicillin or imodium
C. Tetracyclin, erythromycin, chloramphenicol, benzylpenicillin or ofloxacin
D. Tetracyclin, erythromycin, chloramphenicol, or bifi-form
E. * Chloramphenicol, erythromycin or ciprofloxacin
119.
For a patient E., 37 years, bodyweight of 70 kg, frequent liquid emptying appeared
with rise of body temperature, frequent vomiting joined in later. At an inspection: aphonia,
eyes are hollow, pulse with frequent threadlike, blood pressure is not determined, tachypnea,
total cramps. Liver and spleen are not enlarged. What volume of salt solutions must be
entered for primary rehydration?
A. * 7 L
B. 3,5 L
C. 5 L
D. 10 L
E. 2 L
120.
For a patient E., 37 years, bodyweight of 70 kg, frequent liquid emptying appeared
with rise of body temperature, frequent vomiting joined in later. At an inspection: aphonia,
eyes are hollow, pulse with frequent threadlike, blood pressure is not determined, tachypnea,
total cramps. Liver and spleen are not enlarged. What volume of salt solutions must be
entered for primary rehydration?
A. * 7 L
B. 3,5 L
C. 5 L
D. 10 L
E. 2 L
121.
For a patient in 35, the disease begun rapidly with a chill, increase of temperature to
39 ?C, vomitting, pain in epigastrium, diarrhea with the watery stinking emptying. 6 hours
before the disease he ate a raw egg, potato with the braised meat and drink juice. What
exciter did cause the similar state probably?
A. Shigella
B. Collibacillus
C. Campylobacter
D. * Salmonella
E. Citrobacter
122.
For a student from India, 22 years, through a month appeared liquid emptying
appeared after return from home, weak stomach-aches. In times of illness, lost 6 kg of mass.
On subsequent day diarrhoe is abundant 10 times on a day, the type of “raspberry jelly”
excrements. Stomach-aches joined and increase during defecation. Most probable diagnosis
is ?
A. Tumor of intestine
B. Salmonellosis
C. Shigellosis
D. * Amebiasis
E. HIV/AIDS
123.
How to increase frequency of findings of cyst of lamblias in fresh incandescence and
vegetative forms in duodenal content?
A. Cultivation in thermostat
B. By the method of floatation in bilious clear soup
C. Cultivation in anaerobic chamber
D. * By the applications of phase-contrast and lumencense microscopy with the help of
methylen-orange
E. To sow on a nourishing environment
124.
In a hospital are admitted 5 patients in 15 hours. All of them have similar complains
of mild diarrhea and vomiting, diplopia, midriasis, visual disturbance, difficulty in
swallowing, dry mouth, difficulty in breathing. All patients together joined in a dinner party,
used different dishes, including meat, salad, canned mushrooms. The most likely diagnosis.
A. Cholera
B. * Botulism
C. Typhoid fever
D. Salmonellosis
E. Rotaviral gastroenteritis
125.
In permanent establishment a patient admited with complaints of stomach-ache, fever
and diarrhea. Stool is liquid, stinking, with the admixtures of pus and blood. About what
disease it is necessary to think about?
A. * Balantidiasis
B. Rotaviral gastroenteritis
C. Food poisoning
D. Amebiosis
E. Giardiasis
126.
Most probable diagnose will be:
A. Trichinosis
B. * Enterobiosis
C. Ascaridosis
D. Helminthosis
E. Cystitis
127.
Most probable diagnose will be:
A. Trichinosis
B. * Enterobiosis
C. Ascaridosis
D. Helminthosis
E. Cystitis
128.
Name the cause of giardiasis:
A. L. Canicola
B. B. Coli
C. * L. Іntestinalis
D. S. Boidii
E. L. pomona
129.
?Patient 25 years, complaints of double vision, a decreasing of vision, shortness of
breath. Before the disease ate mushrooms of home preservation. Objective: pallor, wide
pupils with a weak reaction on light, dry mouth, a violation of swallowing, flatulence,
constipation. What is preliminary diagnosis.
A. Leptospirosis
B. Yersinioz
C. * Botulism
D. Giardiasis
E. Salmonellosis
130.
Patient 28 years old, complaints about an increased appetite, weakness, decreased
physical activity tolerance, pain in stomach. Objectively: colour of skin is pale, signs of
meteorism,and glossitis. In blood thereis diminished amount of red cells, leucocytes,
thrombocyte and hypochromic anaemia. It is known from epideminological anamnesis, that
the patient had spent 4th months on Volga river and had eaten the salted fish and caviar.
What is the most probable pathology which predetermines such picture?
A. Teniosis
B. Anaemia
C. * Difilobotriosis
D. Opisthorchosis
E. Helminthosis
131.
Patient 28 years old, complaints about an increased appetite, weakness, decreased
physical activity tolerance, pain in stomach. Objectively: colour of skin is pale, signs of
meteorism,and glossitis. In blood thereis diminished amount of red cells, leucocytes,
thrombocyte and hypochromic anaemia. It is known from epideminological anamnesis, that
the patient had spent 4th months on Volga river and had eaten the salted fish and caviar.
What is the most probable pathology which predetermines such picture?
A. Teniosis
B. Anaemia
C. * Difilobotriosis
D. Opisthorchosis
E. Helminthosis
132.
Patient 30 years old, complains about weakness, increasing of temperature up to 39.2
°C, pain in muscles, fatigue, edema present. 2 weeks ago he was used pork with the flab of
meat. Edema is present,an enlarged liver is palpable. The BP is 90/60 mm of Hg. In blood
analysis: leucocytes – 12,4-109, eos – 19 %, young neutrophills – 2 %, neutrophills – 59 %,
lymphocytes– 16 %, mon – 4 %. Specify the most probable diagnosis.
A. Leptospirosis
B. Flu
C. * Trichinosis
D. Typhoid
E. Spotted fever
133.
Patient 30 years old, complains about weakness, increasing of temperature up to 39.2
°C, pain in muscles, fatigue, edema present. 2 weeks ago he was used pork with the flab of
meat. Edema is present,an enlarged liver is palpable. The BP is 90/60 mm of Hg. In blood
analysis: leucocytes – 12,4-109, eos – 19 %, young neutrophills – 2 %, neutrophills – 59 %,
lymphocytes– 16 %, mon – 4 %. Specify the most probable diagnosis.
A. Leptospirosis
B. Flu
C. * Trichinosis
D. Typhoid
E. Spotted fever
134.
Patient 35 years old, was entered to the clinic with complaints about grumbling in a
stomach, propensity to diarrhea, that are already present during 2 months. After the last two
weeks at the act of defecation noticed moving snatches of flat struture. Has habit to use in a
meal the raw stuffing from meat of home animal with spices. At colonoscopy there are
numerous lateral folds which fills almost all segment.What is the drug of choice for
treatment?
A. Mebendazol
B. Combantrin
C. Albendazol
D. * Phenasalum
E. Medamin
135.
Patient 35 years old, was entered to the clinic with complaints about grumbling in a
stomach, propensity to diarrhea, that are already present during 2 months. After the last two
weeks at the act of defecation noticed moving snatches of flat struture. Has habit to use in a
meal the raw stuffing from meat of home animal with spices. At colonoscopy there are
numerous lateral folds which fills almost all segment.What is the drug of choice for
treatment?
A. Mebendazol
B. Combantrin
C. Albendazol
D. * Phenasalum
E. Medamin
136.
Patient 35 years old, was entered to the clinic with complaints about grumbling in a
stomach, propensity to diarrhea, that are already present during 2 months. After the last two
weeks at the act of defecation noticed moving snatches of flat struture. Has habit to use in a
meal the raw stuffing from meat of home animal with spices. At colonoscopy there are
numerous lateral folds which fills almost all segment.What is the drug of choice for
treatment?
A. Mebendazol
B. Combantrin
C. Albendazol
D. * Phenasalum
E. Medamin
137.
Patient A, 29 years old, appealed with complaints about the decline of appetite,
nausea, vomit, stomach-ache, diarrhea pain of chest, weakness, dizziness,
parahypnosis.There is present hypochromic anaemia.Periodically used raw and half cooked
raw pork. What most probable diagnosis?
A. Teniarinhosis
B. Difilobotriosis
C. * Teniosis
D. Trichinellosis
E. Ascaridosis
138.
Patient A, 29 years old, appealed with complaints about the decline of appetite,
nausea, vomit, stomach-ache, diarrhea pain of chest, weakness, dizziness,
parahypnosis.There is present hypochromic anaemia.Periodically used raw and half cooked
raw pork. What most probable diagnosis?
A. Teniarinhosis
B. Difilobotriosis
C. * Teniosis
D. Trichinellosis
E. Ascaridosis
139.
Patient A, 29 years old, appealed with complaints about the decline of appetite,
nausea, vomit, stomach-ache, diarrhea pain of chest, weakness, dizziness,
parahypnosis.There is present hypochromic anaemia.Periodically used raw and half cooked
raw pork. What most probable diagnosis?
A. Teniarinhosis
B. Difilobotriosis
C. * Teniosis
D. Trichinellosis
E. Ascaridosis
140.
Patient A., 17 years old, appeared with complaints about headache, stomachache,
nausea, enhanceable fatigue ability, insignificant pain and sometimes diarrhea. He was sick
during 4 months. Day prior he was addressed to the hospital in incandescence noticed a
round worm length 15cm. What will be the best treatment for him?
A. Levomycitin
B. * Decaris
C. Akrikhin
D. Ftalazol
E. Furazolidon
141.
Patient A., 17 years old, appeared with complaints about headache, stomachache,
nausea, enhanceable fatigue ability, insignificant pain and sometimes diarrhea. He was sick
during 4 months. Day prior he was addressed to the hospital in incandescence noticed a
round worm length 15cm. What will be the best treatment for him?
A. Levomycitin
B. * Decaris
C. Akrikhin
D. Ftalazol
E. Furazolidon
142.
Patient B., 20 years, became ill acutely. The unexpected severe diarrhea appeared
with frequent vomiting, with plenty of vomits. The patient arrived from a South-east Asia
countries. He has temperature 36,1 ?C during 3 weeks. Abdomen is pulled, not painful.
Stool is a rice-water. What most reliable changes in blood will be present?
A. Increasing amount of erytrocytes, leucocytes, relative closeness of plasma of blood,
hyperkalemia, metabolic acidosis
B. Decreasing of amount of erytrocytes, leucocytes, relative closeness of plasma of
blood, hypokalemia, metabolic acidosis
C. Decreasing of amount of erytrocytes, leucocytes, increase of relative closeness of
plasma of blood, hyperkalemia, metabolic acidosis
D. * Decreasing amounts of erytrocytes, leucocytes, relative closeness of plasma of
blood, metabolic hypokalemic acidosis
E. Increasing of amount of erytrocytes, leucocytes, relative closeness of plasma of
blood, hypokalemia, metabolic alkalosis
143.
Patient C, 17 years old, worker of vegetable garden. Became sick 2 days ago. The
disease is related to use of meal of dirty root crop. Disease begun with chill, fever of 38.1
?C, had pain in abdomen and in the muscles of all groups and joints, weakness, nausea.
Emptying is liquid, viscid, with a strong smell, ordinary color. At objective examination:
sclera, conjunctivitis, hyperemia of soft palate, “raspberry” tongue. At palpation of abdomen
– moderate pain in epigastrium and in right iliac area. What will be the diagnosis?
A. Cholera
B. Dysentery
C. Salmonellosis
D. * Scarlet fever
E. Viral hepatitis
144.
Patient C., 36 years old, periodically visits Egypt for a business purpose, became
acutely ill. Complaints about a ferver of 38 ?C, with chills and shevering, pain in right
hypochorium.Insignificant icterus.Liver is enlarged,some hyperechogeninic area . In blood
neutrophilic leucocytosis, increased ESR. At ultrasound found out the purulent abscesses of
liver. What disease it is needed to think about?
A. Legionellosis
B. Echinnococcosis
C. Ascaridosis
D. Cancer of liver with metastases
E. * Amebiasis
145.
Patient E, 47 years, became ill in 4 days after returning from Egypt. A disease begun
with the liquid emptying which look like a watery kind afterwards, joined with frequent
vomiting, expressed weakness and fatigue. The state progressively got worse and within 18
hrs was admitted in an infectious department in a very grave condition. The lines of person
are strained, skin is cold, cyanosis, temperature of body 35.5 ?C. Aphonia, cramps of hands
and feet. The skin fold falls out through the abdomen. A stomach is pulled; no pain at
palpation. Blood pressure is 70 and 30 mm of Hg. The pulse on radial artery is not
determined, urination and emptying normal. Weight of patient at admission to the hospital
was 60 kg. What is the degree of dehydration of the patient?
A. I
B. II
C. * IV
D. III
E. It is not
146.
Patient E., 47 years, became ill in 4 days after returning from Egypt. A disease begun
with the liquid stool which looks like a watery, joined with frequent vomiting, expressed
weakness and fatigue. The state progressively got worse and within 18 hrs was admitted in
an infectious department in a very severe condition. The skin is cold, cyanosis, temperature
of body is 35.5 dC. Aphonia, cramps of hands and legs. The turgor of skin is decreased. A
stomach is drawn-in; no pain at palpation. Blood pressure is 70 and 30 mm of Hg. The pulse
on radial artery is not determined, urination and stool are normal. Weight of patient at
admission to the hospital was 60 kg. What is the degree of dehydration of the patient?
A. I
B. II
C. * IV
D. III
E. V
147.
Patient F, 53 years, habitant of a village, diseased acutely,the symptoms of general
intoxication, dysfunction of bowels appeared, emptying became semi-fluid with the
admixtures of pus and blood. The stomach at palpation is soft, morbid along belly and
ascending colon with spasm. At rectoscopy are found ulcers with diameter upto 10-20 mm,
located along the folds of mucus membrane, have fillings out, sharp edges places,
surrounded by the area of hyperemia, bottom is covered by pus and necrotizing masses.
What disease it is needed to think about?
A. * Balantidiasis
B. Shigella
C. Heterospecific ulcerous colitis
D. Amebiosis
E. New formation of colon
148.
Patient M., 32 years old, during a month has disturbing cough, increasing of
temperature up to 38.0 ?C. In anamnesis ascaridosis was found. On x-ray was found
separate homogeneous infiltration without clear contour of bronchus. In blood test –
еоsinophil is 55 %. What most probable diagnosis?
A. * Eosinophil infiltration (Lefler syndrome)
B. Plague
C. Chronic bronchitis, acute phase
D. Acquired pneumonia
E. Tumour of lungs
149.
Patient M., 32 years old, during a month has disturbing cough, increasing of
temperature up to 38.0 PC. In anamnesis ascaridosis was found. On x-ray was found
separate homogeneous infiltration without clear contour of bronchus. In blood test –
еоsinophil is 55 %. What most probable diagnosis?
A. * Eosinophil infiltration (Lefler syndrome)
B. Plague
C. Chronic bronchitis, acute phase
D. Acquired pneumonia
E. Tumour of lungs
150.
Patient M., 32 years old, during a month has disturbing cough, increasing of
temperature up to 38.0 ?C. In anamnesis ascaridosis was found. On x-ray was found
separate homogeneous infiltration without clear contour of bronchus. In blood test –
еоsinophil is 55 %. What most probable diagnosis?
A. * Eosinophil infiltration (Lefler syndrome)
B. Plague
C. Chronic bronchitis, acute phase
D. Acquired pneumonia
E. Tumour of lungs
151.
Patient O., 25 years, hospitalized with complaints about diarrhea up to 10-15 times a
day. Month ago returned from Middle Asia. The general state is relatively satisfactory. The
temperature of body is subfebrile.A stomach is soft, pain after motion of colon. Emptying is
liquid with the considerable admixtures of glassy mucus and blood. What is most probable
diagnosis?
A. * Amebiasis
B. Shigellosis
C. Salmonellosis
D. Tumor of intestine
E. Enterohaemorrhagic echeriosis
152.
Patient O., 47 years old, became ill acutely. Periodically visits Uzbekistan for a
business purpose. Complaints about a ferver of 39,4 ?C with chills and shivering, and pain
in right hypochorium, cough with sputum. Skin with an earthy tint. Signs of rightsided
pneumonia.The liver and spleen are enlarged.In blood neutrophilic leucocytosis. On X-ray
infiltration of pulmonary tissues is found, at ultrasound abdominal examenation numerous
abscesses are present in a liver. What disease is it necessary to think about?
A. Echeriosis
B. Alveolitis
C. * Amebiasis
D. Cancer of liver is with metastases in lungs
E. Legionellosis
153.
Patient P, 35 years old, became ill within 2 days after returning from India. A disease
begun with appearance of liquid diarrhea which resembled a watery appearance, afterwards
joined with multiple vomit, expressed weakness and fatigue. State progressively got worse
and within 12 hrs delivered in an infectious department in a grave condition. The skin is
cold, cyanosis, temperature of body 35.5 ?C. Aphonia, cramps of hands and feet. A skin fold
falls out from abdomen. The stomach is pulled in, no pain at palpation. Blood pressure is 70
and 30 mm of Hg. A pulse on a radial artery is not determined, urination and emptying are
normal. Weight of patient at admission to the hospital was 80 kg. What volume of infusion
solutions is needed for primary rehydration?
A. 10 liters
B. * 8 liters
C. 4 liters
D. 6 liters
E. 2 liters
154.
Patient P, 35 years old, became ill within 2 days after returning from India. A disease
begun with appearance of liquid diarrhea which resembled a watery appearance, afterwards
joined with multiple vomit, expressed weakness and fatigue. State progressively got worse
and within 12 hrs delivered in an infectious department in a grave condition. The skin is
cold, cyanosis, temperature of body 35.5 C. Aphonia, cramps of hands and feet. A skin fold
falls out from abdomen. The stomach is pulled in, no pain at palpation. Blood pressure is 70
and 30 mm of Hg. A pulse on a radial artery is not determined, urination and emptying are
normal. Weight of patient at admission to the hospital was 80 kg. What volume of infusion
solutions is needed for primary rehydration?
A. 10 liters
B. * 8 liters
C. 4 liters
D. 6 liters
E. 2 liters
155.
Patient with complaints about a general weakness, diarrhoea appeared to the doctor.
Objectively: temperature of body 36,4 ?C, skin covers clean, acrocyanosis, tongue is dry,
stomach is soft, not painful, emptying is abundant, watery, with the supernatant flakes of
white color, odourless and admixtures. For clarification of diagnosis culture of stool was
made on Resselya. What is the color of culture chang?
A. From blue to green
B. From yellow to green
C. From green to yellow
D. From yellow to blue
E. * From blue to yellow
156.
Patient with complaints about a general weakness, diarrhoea appeared to the doctor.
Objectively: temperature of body 36,4 PC, skin covers clean, acrocyanosis, tongue is dry,
stomach is soft, not painful, emptying is abundant, watery, with the supernatant flakes of
white color, odourless and admixtures. For clarification of diagnosis culture of stool was
made on Resselya. What is the color of culture chang?
A. From blue to green
B. From yellow to green
C. From green to yellow
D. From yellow to blue
E. * From blue to yellow
157.
Patient, 27 years, appeared with complaints about weakness, irritation, pain of
muscles, fever, dry cough, pain in thorax, shortness of breath. In lung - dry and moist rales
and wheezes are determined without dulling of percutory sound. In sputum are еosinophil,
crystals of Charkot-Leyden with admixtures of blood. On the repeated X-ray of lungs shows
plural еosinophilic infiltrations of different sizes which change a form and localization
(syndrome of Leffler).
A. Tuberculosis of lungs
B. Acute pneumonia
C. Bronchitis
D. AIDS
E. * Ascaridosis
158.
Patient, 27 years, appeared with complaints about nausea, heaviness in epigastrium,
stomach-ache, diarhoea and general weakness. An increase in appetite, mass of body is
decreased. In blood moderate anaemia and high eosinophilia. Noticed creeping out of
segments with excrement. She likes to use raw meat. What will be the most probable
diagnosis?
A. * Teniarinhosis
B. Difilobotriosis
C. Teniosis
D. Trichinellosis
E. Ascaridosis
159.
Patient, 27 years, appeared with complaints about weakness, irritation, pain of
muscles, fever, dry cough, pain in thorax, shortness of breath. In lung - dry and moist rales
and wheezes are determined without dulling of percutory sound. In sputum are еosinophil,
crystals of Charkot-Leyden with admixtures of blood. On the repeated X-ray of lungs shows
plural еosinophilic infiltrations of different sizes which change a form and localization
(syndrome of Leffler).
A. Tuberculosis of lungs
B. Acute pneumonia
C. Bronchitis
D. AIDS
E. * Ascaridosis
160.
Patient, 27 years, appeared with complaints about nausea, heaviness in epigastrium,
stomach-ache, diarhoea and general weakness. An increase in appetite, mass of body is
decreased. In blood moderate anaemia and high eosinophilia. Noticed creeping out of
segments with excrement. She likes to use raw meat. What will be the most probable
diagnosis?
A. * Teniarinhosis
B. Difilobotriosis
C. Teniosis
D. Trichinellosis
E. Ascaridosis
161.
Patient, 37 years old, complaints about pain of chest, nausea, vomitting, periodic
attacks of Grand-mal epilepsy and memory became worse. Dense knots papule in
hypodermis. What most probable diagnosis?
A. Teniarinhosis
B. Difilobotriosis
C. Teniosis
D. Trichinellosis
E. * Ascaridosis
162.
Patient, 37 years old, complaints about pain of chest, nausea, vomitting, periodic
attacks of Grand-mal epilepsy and memory became worse. Dense knots papule in
hypodermis. What most probable diagnosis?
A. Teniarinhosis
B. Difilobotriosis
C. Teniosis
D. Trichinellosis
E. * Ascaridosis
163.
Patients with аmebiasis are necessarily hospitalized. For specific therapy are used
preparations which pernicious operate on the vegetative and tissue forms of amebae. It is the
so-called, indirect and аmebiostic tissue, and also preparations with universal action. What
group does delagin belong to?
A. * Tissue аmoebiostic
B. Indirect аmoebiostic
C. Lines of аmoebiostic
D. Preparations with universal action
E. It is not belonged to none
164.
Sick C., 20 years old, was admitted to the hospital with complaints about the frequent
emptying without stomach-ache, vomiting without nausea, pain in calf muscle. Objectively:
Temperature of body is 36,2 ?C. Skin is pale, cold, tongue is dry, voice is hoarsed. The
stomach is pulled is not painful at palpation. Emptying resemble with “rice-water”. Are
there what terms of discharge of patients from the hospital at such illness?
A. * Triple negative results of bacteriological examination of excrements
B. Double negative results of bacteriological examination of excrements
C. Single negative result of bacteriological examination of excrements
D. Single negative results of bacteriological examination of excrements and urine
E. Double negative results of bacteriological examination of excrements and urine
165.
Sick C., 23 years, ill from 3 days after returning from India. The disease has begun
with the liquid emptying which looks like a watery, after wards joined with multiple
vomiting, expressed weakness and cramps. The state progressively got worse and was
admitted within 12 hour in an infectious hospital in a grave condition. The eyes of person is
sharped, skin is cold, acrocynosis temperature of body 35,5 ?C. Aphonia, cramps of hands
and feet. The fold of skin falls out through abdomen. stomach is pulled in, no pain at
palpation. Blood pressure is 70 and 30 mm of Hg. Pulse on radial artery is not determined,
urination and emptying are not good. What is the most appropriate diagnosis?
A. Intestinal echerihiosis
B. Salmonellosis
C. Shigellosis
D. * Cholera
E. Amebiasis, intestinal form
166.
Sick C., 23 years, ill from 3 days after returning from India. The disease has begun
with the liquid emptying which looks like a watery, after wards joined with multiple
vomiting, expressed weakness and cramps. The state progressively got worse and was
admitted within 12 hour in an infectious hospital in a grave condition. The eyes of person is
sharped, skin is cold, acrocynosis temperature of body 35,5 gC. Aphonia, cramps of hands
and feet. The fold of skin falls out through abdomen. stomach is pulled in, no pain at
palpation. Blood pressure is 70 and 30 mm of Hg. Pulse on radial artery is not determined,
urination and emptying are not good. What is the most appropriate diagnosis?
A. Intestinal echerihiosis
B. Salmonellosis
C. Shigellosis
D. * Cholera
E. Amebiasis, intestinal form
167.
?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?
A. * Giardiasis
B. Salmonellosis
C. Amebiasis
D. Balantidiasis
E. Intestinal єcheriosis
168.
A geologist 36 y.o. is hospitalized with complaints of a general weakness, dryness in
mouth, diplopia and net before eyes. The day before used canned meat of the domestic
making. Objectively: bilateral ptosis, expansion of pupils, paralysis of accommodation,
violation of convergence. A mucus membranes are dry, swallowing is difficult, voice
hoarse, disarthria. An abdomen is soft, some distended, defecation and urination is absent
for 24 hours. What is the reason of constipation and stopping of urination?
A. Hyperergic inflammation of intestine of Artius type
B. Acute adrenal gland insufficiency
C. Acute violation of cerebral blood circulation
D. * Paralytic action of exotoxin on parasympathetic innervations
E. Degenerative changes of myelin shells of nervous fibres
169.
A patient with severe form of botulism received specific therapy with antibotulinic
serum. There is no sensibilization after intra- and subcutaneous tests. During introduction of
basic dose of preparation the patient suddenly stop of breath, tachycardia and cyanosis
appeared. The patient was transported to intensive care department. Ps – 110/min., AP –
140/60mmHg. The reason of this state is:
A. * Progress of basic disease
B. Anaphylactic shock due to introduction of antibotulinic serum
C. Anaphylactic shock due to introduction of infusive media in which antibotulinic
serum is present
D. Thromboembolia of pulmonary artery branches
E. Acute cardiac insufficiency
170.
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?
A. * Giardiasis
B. Salmonellosis
C. Amebiasis
D. Balantidiasis
E. Intestinal echerihiosis
171.
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?
A. * Giardiasis
B. Salmonellosis
C. Amebiasis
D. Balantidiasis
E. Intestinal єcheriosis
172.
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?
A. Treatment with sorbents
B. Polyhybrid solution intravenous
C. 5 % solution of glucose intravenous
D. Fresh-frozen plasma intravenous
E. * Salt solutions intravenous
173.
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?
A. Treatment with sorbents
B. Polyhybrid solution intravenous
C. 5 % solution of glucose intravenous|
D. Fresh-frozen plasma intravenous
E. * Salt solutions intravenous
174.
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?
A. Shigellosis
B. Heterospecific ulcerous colitis
C. * Balantidiasis
D. Amebiasis
E. Cancer of colon
175.
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?
A. IV
B. II
C. * III
D. I
E. There is no dehydration
176.
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?
A. IV
B. II
C. * III
D. I
E. There is no dehydration
177.
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?
A. Echeriosis
B. Food poisoning
C. * Cholera
D. Salmonellosis
E. Balantidiasis
178.
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?
A. Echeriosis
B. Food poisoning|
C. * Cholera
D. Salmonellosis
E. Balantidiasis
179.
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?
A. Double negative bacteriological examination of excrements
B. Single negative bacteriological examination of excrements
C. * Triple negative bacteriological examination of excrements
D. Negative bacteriological examination of excrement and urine
E. Double negative bacteriological examination of excrement and urine
180.
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?
A. Double negative bacteriological examination of excrements
B. Single negative bacteriological examination of excrements
C. * Triple negative bacteriological examination of excrements
D. Negative bacteriological examination of excrement and urine
E. Double negative bacteriological examination of excrement and urine
181.
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?
A. Amebiasis
B. * Balantidiasis
C. Nonspecific ulcerous colitis
D. Tumour of rectum
E. Food poisoning
182.
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?
A. Amebiasis
B. * Balantidiasis
C. Nonspecific ulcerous colitis
D. Tumour of rectum
E. Food poisoning
183.
Student, 22 years old fell ill within a month after return from Ethiopia.Dull stomachache 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?
A. * Intestinal аmoebiosis
B. Shigellosis
C. Salmonellosis
D. Tumor of intestine
E. Intestinal echeriosis
184.
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?
A. Collapse
B.
C.
D.
E.
Infectious toxic shock
* Dehydration shock
Cereblral edema
Intoxicated encephalopathy
185.
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?
A. Collapse
B. Infectious toxic shock
C. * Dehydration shock
D. Cereblral edema
E. Intoxicated encephalopathy
186.
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?
A. Amebiosis
B. Rotavirus gastroenteritis
C. Gisrdiasis
D. * Balantidiasis
E. Cholera
187.
V. Leptospirosis
A. * Trichinosis
B. Acute nephritis
C. Quike’s edema
D. Dermatomyositis
188.
V. Leptospirosis
A. * Trichinosis
B. Acute nephritis
C. Quike’s edema
D. Dermatomyositis
189.
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:
A. * Leptospirosis
B. Brucellosis
C. Viral hepatitis
D. Pseudotuberculosis
E. Trichinosis
190.
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:
A. * Leptospirosis
B. Brucellosis
C. Viral hepatitis
D. Pseudotuberculosis
E. Trichinosis
191.
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:
A. * Leptospirosis
B. Brucellosis
C. Viral hepatitis
D. Pseudotuberculosis
E. Trichinosis
192.
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:
A. Cancer of intestine
B. Acute cholecystitis
C. * Ascaridosis
D. Choledocholelythiasis
E. Cholecystitis
193.
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:
A. Cancer of intestine
B. Acute cholecystitis
C. * Ascaridosis
D. Choledocholelythiasis
E. Cholecystitis
194.
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:
A. * Ascaridosis
B. Partial intestinal uncommunicating
C. Sharp calculary cholecystitis
D. Choledocholithiasis
E. Cholecystitis
195.
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:
A. * Ascaridosis
B. Partial intestinal uncommunicating
C. Sharp calculary cholecystitis
D. Choledocholithiasis
E. Cholecystitis
196.
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:
A. * Ascaridosis
B. Partial intestinal uncommunicating
C. Sharp calculary cholecystitis
D. Choledocholithiasis
E. Cholecystitis
197.
63 years old patient became ill suddenly. The temperature of body raised, the
stomach-ache with nausea and vomiting and diarrhea were observed. The patient’s condition
did not improve even after giving him Levomycitin for long time. The diarrhea had
proceeded again 8-12 times a day and became liquid. On admition the patient complaints
about diarrhea and general weakness.The excrement is liquid stinking with the admixtures
of pus and blood. The persons face is emaciated, eyes are hollow. Tongue is covered by
white stratification. The stomach is distended, peristalsis after bowel movments. In blood
leucocytosis and anaemic. At a rectoscopy ulcers with sharped, uneven edges was found.
What is the most probable diagnosis?
A. * Amoebiosis
B. Shigella
C. Unspecific ulcerative colitis
D. Rotavirus gastroenteritis
E. Cancer of colon
198.
A 23 years old patient complains about weakness, nausea, periodic presence of
segments of helminth in the stool. In anamnesis the patient had eaten undercooked meat.
Faeces were sent for microscopic examination. The bovin solitaire was found in the stool.
What would be the drug of choice?
A. * Biltritsid
B. Pyrantelum
C. Piperazinum
D. Decaris
E. Fazizhin
199.
A 23 years old patient complains about weakness, nausea, periodic presence of
segments of helminth in the stool. In anamnesis the patient had eaten undercooked meat.
Faeces were sent for microscopic examination. The bovin solitaire was found in the stool.
What would be the drug of choice?
A. * Biltritsid
B. Pyrantelum
C. Piperazinum
D. Decaris
E. Fazizhin
200.
A 24 years old engineer from Donetsk, has spent one month in India where he drunk
unboiled water. After arriving home he has become ill. He appeared to the doctor with
complaints of fever, weakness, pain in stomach, diarrhea - 12-15 times a day with mucous
and blood (like raspberry jelly stool). Objectively: the state is relatively satisfactory, appetite
became worse, tongue is coated with white patches.On deep palpation of abdomen patient
complaints of pain especially in his right half and hypochodrium area. Liver and spleen are
not changed. No change was found in blood analysis. On rectoscopy clear mucous and
hyperemia of mucous membrane in rectum with ulceration in sigmoid colon were found.
The stool test gave the growth of pathogenic flora. What most probable pathology which
predetermines such picture?
A. Strongyloidosis
B. * Amebiasis
C. Ulcerative colitis
D. Balantidiasis
E. Food poisoning
201.
A 24 years old engineer from Donetsk, has spent one month in India where he drunk
unboiled water. After arriving home he has become ill. He appeared to the doctor with
complaints of fever, weakness, pain in stomach, diarrhea - 12-15 times a day with mucous
and blood (like raspberry jelly stool). Objectively: the state is relatively satisfactory, appetite
became worse, tongue is coated with white patches.On deep palpation of abdomen patient
complaints of pain especially in his right half and hypochodrium area. Liver and spleen are
not changed. No change was found in blood analysis. On rectoscopy clear mucous and
hyperemia of mucous membrane in rectum with ulceration in sigmoid colon were found.
The stool test gave the growth of pathogenic flora. What most probable pathology which
predetermines such picture?
A. Strongyloidosis
B. * Amebiasis
C. Ulcerative colitis
D. Balantidiasis
E. Food poisoning
202.
A 5 years old girl complains about headache, decreased appetite, weakness, nausea,
vomiting, bitter taste in mouth, stomach-ache and periodic diarrhea. Objectively: decreased
nourishment status, on her tongue there is white coating observed. The stomach is soft,
accessible for palpation, and painful in the area of gall-bladder. No Change in blood analysis
was found.. According to the mother the same symptoms were observed with her son a
month ago. What is the most probable pathology which predetermines such picture?
A. Amebiasis
B. Balantidiasis
C. Intestinal trichomonosis
D. * Giardiasis
E. Dysbacteriosis
203.
A 5 years old girl complains about headache, decreased appetite, weakness, nausea,
vomiting, bitter taste in mouth, stomach-ache and periodic diarrhea. Objectively: decreased
nourishment status, on her tongue there is white coating observed. The stomach is soft,
accessible for palpation, and painful in the area of gall-bladder. No Change in blood analysis
was found.. According to the mother the same symptoms were observed with her son a
month ago. What is the most probable pathology which predetermines such picture?
A. Amebiasis
B. Balantidiasis
C. Intestinal trichomonosis
D. * Giardiasis
E. Dysbacteriosis
204.
A child is diagnosed with giardiasis. What preparation is it more expedient to apply
for treatment?
A. Ursohol
B. Delagil
C. * Ornidazol
D. Tetracyclin
E. Enteroseptol
205.
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?
A. Hypersaturated oxygen
B. Transfusion of fresh-frozen plasma
C. Tetracyclin
D. * Intravenous introduction of salt solutions
E. Introduction of polyhybrid
206.
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?
A. Hypersaturated oxygen
B. Transfusion of fresh-frozen plasma
C. Tetracyclin
D. * Intravenous introduction of salt solutions
E. Introduction of polyhybrid
207.
A patient L., who returned from Crimea, developed diarrhea at 5AM. Bowel
movements are each 1-1.5 hrs, watery, without mucus and blood. In 12 hrs a single episode
of vomiting developed. The temperature of body at first rise to 37.3 C, stomach-aches is
present. he was examined by the doctor of first-aid and delivered to an infectious isolation
with the diagnosis of acute intestinal infection.Which disease is most probable for the
patient?
A. Intestinal echeriosis
B. Salmonellosis
C. Echeriosis
D. Food poisoning
E. * Cholera
208.
A patient L., who returned from Crimea, developed diarrhea at 5AM. Bowel
movements are each 1-1.5 hrs, watery, without mucus and blood. In 12 hrs a single episode
of vomiting developed. The temperature of body at first rise to 37.3 C, stomach-aches is
present. he was examined by the doctor of first-aid and delivered to an infectious isolation
with the diagnosis of acute intestinal infection.Which disease is most probable for the
patient?
A. Intestinal echerihiosis
B. Salmonellosis
C. Echeriosis
D. Food poisoning
E. * Cholera
209.
A sick 20 years arrived from Western Siberia complaint of pain in the area of liver
and gall-bladder, bitter taste in mouth. Objectively: abdomen is soft, accessible for
palpation, at palpation pain takes place in an area of bilious system. At blood analysis
еosinophills – 23 %. She had eaten fish. What is the most probable pathology which
predetermines such picture?
A. * Opistorhosis
B. Ascaridosis
C. Trihocephallosis
D. Giardiasis
E. Trichinosis
210.
A sick 20 years arrived from Western Siberia complaint of pain in the area of liver
and gall-bladder, bitter taste in mouth. Objectively: abdomen is soft, accessible for
palpation, at palpation pain takes place in an area of bilious system. At blood analysis
еosinophills – 23 %. She had eaten fish. What is the most probable pathology which
predetermines such picture?
A. * Opistorhosis
B. Ascaridosis
C. Trihocephallosis
D. Giardiasis
E. Trichinosis
211.
A sick 26 years appeared to the therapeutic department with complaints about the
itching of skin, weakness, liquid emptying diarhoea 1-2 times a day. Objectively: sufficient
nourishment. On the skin has pouring out red color as “hives” which has linear character. In
blood eosinophilic reaction of blood – 28 %. Lives in rural area What is the most probable
pathology which predetermines such picture?
A. Salmonellosis
B. * Strongyloidosis
C. Food poisoning
D. Giardiasis
E. Trihocephallosis
212.
A sick 26 years appeared to the therapeutic department with complaints about the
itching of skin, weakness, liquid emptying diarhoea 1-2 times a day. Objectively: sufficient
nourishment. On the skin has pouring out red color as “hives” which has linear character. In
blood eosinophilic reaction of blood – 28 %. Lives in rural area What is the most probable
pathology which predetermines such picture?
A. Salmonellosis
B. * Strongyloidosis
C. Food poisoning
D. Giardiasis
E. Trihocephallosis
213.
A sick child 8 years old complains about itching in the area of perinium. According
to the mother child creaks teeth during sleep, sleeps badly. Objectively: sufficient
nourishment, pallor of skin, tongue is insignificantly covered with white patches, stomach is
soft, accessible for palpationis painless. The lowering of haemoglobin level takes place.
What is most probable pathology which predetermines such picture?
A. * Enterobiasis
B. Salmonellosis
C. Ascaridosis
D. Giardiasis
E. Trichinosis
214.
A sick child 8 years old complains about itching in the area of perinium. According
to the mother child creaks teeth during sleep, sleeps badly. Objectively: sufficient
nourishment, pallor of skin, tongue is insignificantly covered with white patches, stomach is
soft, accessible for palpationis painless. The lowering of haemoglobin level takes place.
What is most probable pathology which predetermines such picture?
A. * Enterobiasis
B. Salmonellosis
C. Ascaridosis
D. Giardiasis
E. Trichinosis
215.
A sick P, 40 in 2 weeks after eating of uncooked pork, purchased at the elemental
market, has sudden rise of temperature upto 40 °C, myalgias appeared, oedematous, papular
rash on extremities and trunk and dry cough. Accepted aspirin. Blood test, leucocyte –
12*109 eosinophil– 40 %. What disease it is needed to think about?
A. * Trichinosis
B. Ascaridosis
C. Leptospirosis
D. Teniosis
E. Allergic reaction
216.
A sick P, 40 in 2 weeks after eating of uncooked pork, purchased at the elemental
market, has sudden rise of temperature upto 40 °C, myalgias appeared, oedematous, papular
rash on extremities and trunk and dry cough. Accepted aspirin. Blood test, leucocyte –
12?109 eosinophil– 40 %. What disease it is needed to think about?
A. * Trichinosis
B. Ascaridosis
C. Leptospirosis
D. Teniosis
E. Allergic reaction
217.
A sick P, 40 in 2 weeks after eating of uncooked pork, purchased at the elemental
market, has sudden rise of temperature upto 40 °C, myalgias appeared, oedematous, papular
rash on extremities and trunk and dry cough. Accepted aspirin. Blood test, leucocyte –
12*109 eosinophil– 40 %. What disease it is needed to think about?
A. * Trichinosis
B. Ascaridosis
C. Leptospirosis
D. Teniosis
E. Allergic reaction
218.
A sick, 29 years, emptying watery stool repeatedly, frequent vomiting. Objectively:
total cyanosis, dryness of mucus membrane, turgor of skin is decreased Temperature of
body 35.2 ?C. Pulse in radial artery is not determined. Tachypnea, musle spasm, urination is
absent for 6 hours. What is the state of the patient?
A. Dehydration of IV degree
B. Dehydration of I degree
C. Infectious-toxic shock
D. Anaphylactic shock
E. * Uncompensated hypovolemic shock
219.
An unconscious patient is delivered in the intensive department. Pale dark circles
around eyes. Skin is cold with sticky sweat. Temperature of body 35,6 ?C. Pulse 140/min
and weak. Blood pressure is 40 /0 mm of Hg. Tongue is dry. Emptying is involuntary and
“watery”, vomited twice. What infusion must be given as intensive therapy.
A. Albumin
B. Rheopoliglykin
C. 5 % glucose solution
D. * Polyionic salt solutions
E. 10 % glucose solution
220.
An unconscious patient is delivered in the intensive department. Pale dark circles
around eyes. Skin is cold with sticky sweat. Temperature of body 35,6 AC. Pulse 140/min
and weak. Blood pressure is 40 /0 mm of Hg. Tongue is dry. Emptying is involuntary and
“watery”, vomited twice. What infusion must be given as intensive therapy.
A. Albumin
B. Rheopoliglykin
C. 5 % glucose solution
D. * Polyionic salt solutions
E. 10 % glucose solution
221.
Citizen of Pakistan, 30 years became ill rapidly with frequent watery stool which
appears like a rice water. Objectively: temperature of body 35.4 ?C, skin is cold,
acrocynosis, elasticity of skin and turgor is decreased. By what method may estimate the
degree of dehydration?
A. To examine an eyeballs
B. To check central venous pressure
C. To define the level of urea and creatinine in blood
D. * To check the loss of blood plasma
E. To check the pressure of blood
222.
Citizen of Pakistan, 30 years became ill rapidly with frequent watery stool which
appears like a rice water. Objectively: temperature of body 35.4 sC, skin is cold,
acrocynosis, elasticity of skin and turgor is decreased. By what method may estimate the
degree of dehydration?
A. To examine an eyeballs
B. To check central venous pressure
C. To define the level of urea and creatinine in blood
D. * To check the loss of blood plasma
E. To check the pressure of blood
223.
Diagnosis of giardiasis is based on the discovering of cyst in fresh incandescence and
vegetative forms in duodenal content. At diarhoea in incandescence can appear trophozoite
on faecal microscopic examination and preparations with solution of Lugola and еоsin.
Examination is more expedient to conduct 3-5 times at intervals 1-2 days. How to increase
frequency of findings?
A. * By application of the formalin-еpiniphrine enriching methods
B. Cultivation in thermostat
C. Cultivation in an anaerobic chamber
D. By the method of floatation in bilious clear soup
E. To sow on a nourishing environment
224.
Diagnosis of giardiasis is based on the discovering of cyst in fresh incandescence and
vegetative forms in duodenal content. At diarhoea in incandescence can appear trophozoite
on faecal microscopic examination and preparations with solution of Lugola and еоsin.
Examination is more expedient to conduct 3-5 times at intervals 1-2 days. How to increase
frequency of findings?
A. * By application of the formalin-еpiniphrine enriching methods
B. Cultivation in thermostat
C. Cultivation in an anaerobic chamber
D. By the method of floatation in bilious clear soup
E. To sow on a nourishing environment
225.
Diagnosis of giardiasis is based on the discovering of cyst in fresh incandescence and
vegetative forms in duodenal content. At diarhoea in incandescence can appear trophozoite
on faecal microscopic examination and preparations with solution of Lugola and еоsin.
Examination is more expedient to conduct 3-5 times at intervals 1-2 days. How to increase
frequency of findings?
A. * By application of the formalin-еpiniphrine enriching methods
B. Cultivation in thermostat
C. Cultivation in an anaerobic chamber
D. By the method of floatation in bilious clear soup
E. To sow on a nourishing environment
226.
For a patient E., 37 years old, a disease began rapidly, 6 hours the frequent liquid
emptying appeared onto the plain rise of normal temperature of body, vomit joined then. At
an inspection: aphonia, eyes are hollow, pulse frequent, threadlike, low blood pressure
cramps appeared in lower extremities. Liver and spleen are not enlarged. Choose
preparations for starting etiotropic therapy.
A. Tetracyclin, erythromycin, levomycetin, ciprofloxacin or imodium
B. Erythromycin, levomycetin, benzylpenicillin or imodium
C. Tetracyclin, erythromycin, levomycetin, benzylpenicillin or ofloxacin
D. Tetracyclin, erythromycin, levomycetin, or bifi-form
E. * Levomycetin, erythromycin or ciprofloxacin
227.
For a patient E., 37 years old, a disease began rapidly, 6 hours the frequent liquid
emptying appeared onto the plain rise of normal temperature of body, vomit joined then. At
an inspection: aphonia, eyes are hollow, pulse frequent, threadlike, low blood pressure
cramps appeared in lower extremities. Liver and spleen are not enlarged. Choose
preparations for starting etiotropic therapy.
A. Tetracyclin, erythromycin, chloramphenicol, ciprofloxacin or imodium
B. Erythromycin, chloramphenicol, benzylpenicillin or imodium
C. Tetracyclin, erythromycin, chloramphenicol, benzylpenicillin or ofloxacin
D. Tetracyclin, erythromycin, chloramphenicol, or bifi-form
E. * Chloramphenicol, erythromycin or ciprofloxacin
228.
For a patient E., 37 years, bodyweight of 70 kg, frequent liquid emptying appeared
with rise of body temperature, frequent vomiting joined in later. At an inspection: aphonia,
eyes are hollow, pulse with frequent threadlike, blood pressure is not determined, tachypnea,
total cramps. Liver and spleen are not enlarged. What volume of salt solutions must be
entered for primary rehydration?
A. * 7 L
B. 3,5 L
C. 5 L
D. 10 L
E. 2 L
229.
For a patient E., 37 years, bodyweight of 70 kg, frequent liquid emptying appeared
with rise of body temperature, frequent vomiting joined in later. At an inspection: aphonia,
eyes are hollow, pulse with frequent threadlike, blood pressure is not determined, tachypnea,
total cramps. Liver and spleen are not enlarged. What volume of salt solutions must be
entered for primary rehydration?
A. * 7 L
B. 3,5 L
C. 5 L
D. 10 L
E. 2 L
230.
For a patient in 35, the disease begun rapidly with a chill, increase of temperature to
39 ?C, vomitting, pain in epigastrium, diarrhea with the watery stinking emptying. 6 hours
before the disease he ate a raw egg, potato with the braised meat and drink juice. What
exciter did cause the similar state probably?
A. Shigella
B. Collibacillus
C. Campylobacter
D. * Salmonella
E. Citrobacter
231.
For a student from India, 22 years, through a month appeared liquid emptying
appeared after return from home, weak stomach-aches. In times of illness, lost 6 kg of mass.
On subsequent day diarrhoe is abundant 10 times on a day, the type of “raspberry jelly”
excrements. Stomach-aches joined and increase during defecation. Most probable diagnosis
is ?
A. Tumor of intestine
B. Salmonellosis
C. Shigellosis
D. * Amebiasis
E. HIV/AIDS
232.
How to increase frequency of findings of cyst of lamblias in fresh incandescence and
vegetative forms in duodenal content?
A. Cultivation in thermostat
B. By the method of floatation in bilious clear soup
C. Cultivation in anaerobic chamber
D. * By the applications of phase-contrast and lumencense microscopy with the help of
methylen-orange
E. To sow on a nourishing environment
233.
In a hospital are admitted 5 patients in 15 hours. All of them have similar complains
of mild diarrhea and vomiting, diplopia, midriasis, visual disturbance, difficulty in
swallowing, dry mouth, difficulty in breathing. All patients together joined in a dinner party,
used different dishes, including meat, salad, canned mushrooms. The most likely diagnosis.
A. Cholera
B. * Botulism
C. Typhoid fever
D. Salmonellosis
E. Rotaviral gastroenteritis
234.
In permanent establishment a patient admited with complaints of stomach-ache, fever
and diarrhea. Stool is liquid, stinking, with the admixtures of pus and blood. About what
disease it is necessary to think about?
A. * Balantidiasis
B. Rotaviral gastroenteritis
C. Food poisoning
D. Amebiosis
E. Giardiasis
235.
Most probable diagnose will be:
A. Trichinosis
B. * Enterobiosis
C. Ascaridosis
D. Helminthosis
E. Cystitis
236.
Most probable diagnose will be:
A. Trichinosis
B. * Enterobiosis
C. Ascaridosis
D. Helminthosis
E. Cystitis
237.
Name the cause of giardiasis:
A. L. Canicola
B. B. Coli
C. * L. Іntestinalis
D. S. Boidii
E. L. pomona
238.
?Patient 25 years, complaints of double vision, a decreasing of vision, shortness of
breath. Before the disease ate mushrooms of home preservation. Objective: pallor, wide
pupils with a weak reaction on light, dry mouth, a violation of swallowing, flatulence,
constipation. What is preliminary diagnosis.
A. Leptospirosis
B. Yersinioz
C. * Botulism
D. Giardiasis
E. Salmonellosis
239.
Patient 28 years old, complaints about an increased appetite, weakness, decreased
physical activity tolerance, pain in stomach. Objectively: colour of skin is pale, signs of
meteorism,and glossitis. In blood thereis diminished amount of red cells, leucocytes,
thrombocyte and hypochromic anaemia. It is known from epideminological anamnesis, that
the patient had spent 4th months on Volga river and had eaten the salted fish and caviar.
What is the most probable pathology which predetermines such picture?
A. Teniosis
B. Anaemia
C. * Difilobotriosis
D. Opisthorchosis
E. Helminthosis
240.
Patient 28 years old, complaints about an increased appetite, weakness, decreased
physical activity tolerance, pain in stomach. Objectively: colour of skin is pale, signs of
meteorism,and glossitis. In blood thereis diminished amount of red cells, leucocytes,
thrombocyte and hypochromic anaemia. It is known from epideminological anamnesis, that
the patient had spent 4th months on Volga river and had eaten the salted fish and caviar.
What is the most probable pathology which predetermines such picture?
A. Teniosis
B. Anaemia
C. * Difilobotriosis
D. Opisthorchosis
E. Helminthosis
241.
Patient 30 years old, complains about weakness, increasing of temperature up to 39.2
°C, pain in muscles, fatigue, edema present. 2 weeks ago he was used pork with the flab of
meat. Edema is present,an enlarged liver is palpable. The BP is 90/60 mm of Hg. In blood
analysis: leucocytes – 12,4-109, eos – 19 %, young neutrophills – 2 %, neutrophills – 59 %,
lymphocytes– 16 %, mon – 4 %. Specify the most probable diagnosis.
A. Leptospirosis
B. Flu
C. * Trichinosis
D. Typhoid
E. Spotted fever
242.
Patient 30 years old, complains about weakness, increasing of temperature up to 39.2
°C, pain in muscles, fatigue, edema present. 2 weeks ago he was used pork with the flab of
meat. Edema is present,an enlarged liver is palpable. The BP is 90/60 mm of Hg. In blood
analysis: leucocytes – 12,4-109, eos – 19 %, young neutrophills – 2 %, neutrophills – 59 %,
lymphocytes– 16 %, mon – 4 %. Specify the most probable diagnosis.
A. Leptospirosis
B. Flu
C. * Trichinosis
D. Typhoid
E. Spotted fever
243.
Patient 35 years old, was entered to the clinic with complaints about grumbling in a
stomach, propensity to diarrhea, that are already present during 2 months. After the last two
weeks at the act of defecation noticed moving snatches of flat struture. Has habit to use in a
meal the raw stuffing from meat of home animal with spices. At colonoscopy there are
numerous lateral folds which fills almost all segment.What is the drug of choice for
treatment?
A. Mebendazol
B. Combantrin
C. Albendazol
D. * Phenasalum
E. Medamin
244.
Patient 35 years old, was entered to the clinic with complaints about grumbling in a
stomach, propensity to diarrhea, that are already present during 2 months. After the last two
weeks at the act of defecation noticed moving snatches of flat struture. Has habit to use in a
meal the raw stuffing from meat of home animal with spices. At colonoscopy there are
numerous lateral folds which fills almost all segment.What is the drug of choice for
treatment?
A. Mebendazol
B. Combantrin
C. Albendazol
D. * Phenasalum
E. Medamin
245.
Patient 35 years old, was entered to the clinic with complaints about grumbling in a
stomach, propensity to diarrhea, that are already present during 2 months. After the last two
weeks at the act of defecation noticed moving snatches of flat struture. Has habit to use in a
meal the raw stuffing from meat of home animal with spices. At colonoscopy there are
numerous lateral folds which fills almost all segment.What is the drug of choice for
treatment?
A. Mebendazol
B. Combantrin
C. Albendazol
D. * Phenasalum
E. Medamin
246.
Patient A, 29 years old, appealed with complaints about the decline of appetite,
nausea, vomit, stomach-ache, diarrhea pain of chest, weakness, dizziness,
parahypnosis.There is present hypochromic anaemia.Periodically used raw and half cooked
raw pork. What most probable diagnosis?
A. Teniarinhosis
B. Difilobotriosis
C. * Teniosis
D. Trichinellosis
E. Ascaridosis
247.
Patient A, 29 years old, appealed with complaints about the decline of appetite,
nausea, vomit, stomach-ache, diarrhea pain of chest, weakness, dizziness,
parahypnosis.There is present hypochromic anaemia.Periodically used raw and half cooked
raw pork. What most probable diagnosis?
A. Teniarinhosis
B. Difilobotriosis
C. * Teniosis
D. Trichinellosis
E. Ascaridosis
248.
Patient A, 29 years old, appealed with complaints about the decline of appetite,
nausea, vomit, stomach-ache, diarrhea pain of chest, weakness, dizziness,
parahypnosis.There is present hypochromic anaemia.Periodically used raw and half cooked
raw pork. What most probable diagnosis?
A. Teniarinhosis
B. Difilobotriosis
C. * Teniosis
D. Trichinellosis
E. Ascaridosis
249.
Patient A., 17 years old, appeared with complaints about headache, stomachache,
nausea, enhanceable fatigue ability, insignificant pain and sometimes diarrhea. He was sick
during 4 months. Day prior he was addressed to the hospital in incandescence noticed a
round worm length 15cm. What will be the best treatment for him?
A. Levomycitin
B. * Decaris
C. Akrikhin
D. Ftalazol
E. Furazolidon
250.
Patient A., 17 years old, appeared with complaints about headache, stomachache,
nausea, enhanceable fatigue ability, insignificant pain and sometimes diarrhea. He was sick
during 4 months. Day prior he was addressed to the hospital in incandescence noticed a
round worm length 15cm. What will be the best treatment for him?
A. Levomycitin
B. * Decaris
C. Akrikhin
D. Ftalazol
E. Furazolidon
251.
Patient B., 20 years, became ill acutely. The unexpected severe diarrhea appeared
with frequent vomiting, with plenty of vomits. The patient arrived from a South-east Asia
countries. He has temperature 36,1 ?C during 3 weeks. Abdomen is pulled, not painful.
Stool is a rice-water. What most reliable changes in blood will be present?
A. Increasing amount of erytrocytes, leucocytes, relative closeness of plasma of blood,
hyperkalemia, metabolic acidosis
B. Decreasing of amount of erytrocytes, leucocytes, relative closeness of plasma of
blood, hypokalemia, metabolic acidosis
C. Decreasing of amount of erytrocytes, leucocytes, increase of relative closeness of
plasma of blood, hyperkalemia, metabolic acidosis
D. * Decreasing amounts of erytrocytes, leucocytes, relative closeness of plasma of
blood, metabolic hypokalemic acidosis
E. Increasing of amount of erytrocytes, leucocytes, relative closeness of plasma of
blood, hypokalemia, metabolic alkalosis
252.
Patient C, 17 years old, worker of vegetable garden. Became sick 2 days ago. The
disease is related to use of meal of dirty root crop. Disease begun with chill, fever of 38.1
?C, had pain in abdomen and in the muscles of all groups and joints, weakness, nausea.
Emptying is liquid, viscid, with a strong smell, ordinary color. At objective examination:
sclera, conjunctivitis, hyperemia of soft palate, “raspberry” tongue. At palpation of abdomen
– moderate pain in epigastrium and in right iliac area. What will be the diagnosis?
A. Cholera
B. Dysentery
C. Salmonellosis
D. * Scarlet fever
E. Viral hepatitis
253.
Patient C., 36 years old, periodically visits Egypt for a business purpose, became
acutely ill. Complaints about a ferver of 38 ?C, with chills and shevering, pain in right
hypochorium.Insignificant icterus.Liver is enlarged,some hyperechogeninic area . In blood
neutrophilic leucocytosis, increased ESR. At ultrasound found out the purulent abscesses of
liver. What disease it is needed to think about?
A. Legionellosis
B. Echinnococcosis
C. Ascaridosis
D. Cancer of liver with metastases
E. * Amebiasis
254.
Patient E, 47 years, became ill in 4 days after returning from Egypt. A disease begun
with the liquid emptying which look like a watery kind afterwards, joined with frequent
vomiting, expressed weakness and fatigue. The state progressively got worse and within 18
hrs was admitted in an infectious department in a very grave condition. The lines of person
are strained, skin is cold, cyanosis, temperature of body 35.5 ?C. Aphonia, cramps of hands
and feet. The skin fold falls out through the abdomen. A stomach is pulled; no pain at
palpation. Blood pressure is 70 and 30 mm of Hg. The pulse on radial artery is not
determined, urination and emptying normal. Weight of patient at admission to the hospital
was 60 kg. What is the degree of dehydration of the patient?
A. I
B. II
C. * IV
D. III
E. It is not
255.
Patient E., 47 years, became ill in 4 days after returning from Egypt. A disease begun
with the liquid stool which looks like a watery, joined with frequent vomiting, expressed
weakness and fatigue. The state progressively got worse and within 18 hrs was admitted in
an infectious department in a very severe condition. The skin is cold, cyanosis, temperature
of body is 35.5 dC. Aphonia, cramps of hands and legs. The turgor of skin is decreased. A
stomach is drawn-in; no pain at palpation. Blood pressure is 70 and 30 mm of Hg. The pulse
on radial artery is not determined, urination and stool are normal. Weight of patient at
admission to the hospital was 60 kg. What is the degree of dehydration of the patient?
A. I
B. II
C. * IV
D. III
E. V
256.
Patient F, 53 years, habitant of a village, diseased acutely,the symptoms of general
intoxication, dysfunction of bowels appeared, emptying became semi-fluid with the
admixtures of pus and blood. The stomach at palpation is soft, morbid along belly and
ascending colon with spasm. At rectoscopy are found ulcers with diameter upto 10-20 mm,
located along the folds of mucus membrane, have fillings out, sharp edges places,
surrounded by the area of hyperemia, bottom is covered by pus and necrotizing masses.
What disease it is needed to think about?
A. * Balantidiasis
B. Shigella
C. Heterospecific ulcerous colitis
D. Amebiosis
E. New formation of colon
257.
Patient M., 32 years old, during a month has disturbing cough, increasing of
temperature up to 38.0 ?C. In anamnesis ascaridosis was found. On x-ray was found
separate homogeneous infiltration without clear contour of bronchus. In blood test –
еоsinophil is 55 %. What most probable diagnosis?
A. * Eosinophil infiltration (Lefler syndrome)
B. Plague
C. Chronic bronchitis, acute phase
D. Acquired pneumonia
E. Tumour of lungs
258.
Patient M., 32 years old, during a month has disturbing cough, increasing of
temperature up to 38.0 PC. In anamnesis ascaridosis was found. On x-ray was found
separate homogeneous infiltration without clear contour of bronchus. In blood test –
еоsinophil is 55 %. What most probable diagnosis?
A. * Eosinophil infiltration (Lefler syndrome)
B. Plague
C. Chronic bronchitis, acute phase
D. Acquired pneumonia
E. Tumour of lungs
259.
Patient M., 32 years old, during a month has disturbing cough, increasing of
temperature up to 38.0 ?C. In anamnesis ascaridosis was found. On x-ray was found
separate homogeneous infiltration without clear contour of bronchus. In blood test –
еоsinophil is 55 %. What most probable diagnosis?
A. * Eosinophil infiltration (Lefler syndrome)
B. Plague
C. Chronic bronchitis, acute phase
D. Acquired pneumonia
E. Tumour of lungs
260.
Patient O., 25 years, hospitalized with complaints about diarrhea up to 10-15 times a
day. Month ago returned from Middle Asia. The general state is relatively satisfactory. The
temperature of body is subfebrile.A stomach is soft, pain after motion of colon. Emptying is
liquid with the considerable admixtures of glassy mucus and blood. What is most probable
diagnosis?
A.
B.
C.
D.
E.
* Amebiasis
Shigellosis
Salmonellosis
Tumor of intestine
Enterohaemorrhagic echeriosis
261.
Patient O., 47 years old, became ill acutely. Periodically visits Uzbekistan for a
business purpose. Complaints about a ferver of 39,4 ?C with chills and shivering, and pain
in right hypochorium, cough with sputum. Skin with an earthy tint. Signs of rightsided
pneumonia.The liver and spleen are enlarged.In blood neutrophilic leucocytosis. On X-ray
infiltration of pulmonary tissues is found, at ultrasound abdominal examenation numerous
abscesses are present in a liver. What disease is it necessary to think about?
A. Echeriosis
B. Alveolitis
C. * Amebiasis
D. Cancer of liver is with metastases in lungs
E. Legionellosis
262.
Patient P, 35 years old, became ill within 2 days after returning from India. A disease
begun with appearance of liquid diarrhea which resembled a watery appearance, afterwards
joined with multiple vomit, expressed weakness and fatigue. State progressively got worse
and within 12 hrs delivered in an infectious department in a grave condition. The skin is
cold, cyanosis, temperature of body 35.5 ?C. Aphonia, cramps of hands and feet. A skin fold
falls out from abdomen. The stomach is pulled in, no pain at palpation. Blood pressure is 70
and 30 mm of Hg. A pulse on a radial artery is not determined, urination and emptying are
normal. Weight of patient at admission to the hospital was 80 kg. What volume of infusion
solutions is needed for primary rehydration?
A. 10 liters
B. * 8 liters
C. 4 liters
D. 6 liters
E. 2 liters
263.
Patient P, 35 years old, became ill within 2 days after returning from India. A disease
begun with appearance of liquid diarrhea which resembled a watery appearance, afterwards
joined with multiple vomit, expressed weakness and fatigue. State progressively got worse
and within 12 hrs delivered in an infectious department in a grave condition. The skin is
cold, cyanosis, temperature of body 35.5 C. Aphonia, cramps of hands and feet. A skin fold
falls out from abdomen. The stomach is pulled in, no pain at palpation. Blood pressure is 70
and 30 mm of Hg. A pulse on a radial artery is not determined, urination and emptying are
normal. Weight of patient at admission to the hospital was 80 kg. What volume of infusion
solutions is needed for primary rehydration?
A. 10 liters
B. * 8 liters
C. 4 liters
D. 6 liters
E. 2 liters
264.
Patient with complaints about a general weakness, diarrhoea appeared to the doctor.
Objectively: temperature of body 36,4 ?C, skin covers clean, acrocyanosis, tongue is dry,
stomach is soft, not painful, emptying is abundant, watery, with the supernatant flakes of
white color, odourless and admixtures. For clarification of diagnosis culture of stool was
made on Resselya. What is the color of culture chang?
A. From blue to green
B. From yellow to green
C. From green to yellow
D. From yellow to blue
E. * From blue to yellow
265.
Patient with complaints about a general weakness, diarrhoea appeared to the doctor.
Objectively: temperature of body 36,4 PC, skin covers clean, acrocyanosis, tongue is dry,
stomach is soft, not painful, emptying is abundant, watery, with the supernatant flakes of
white color, odourless and admixtures. For clarification of diagnosis culture of stool was
made on Resselya. What is the color of culture chang?
A. From blue to green
B. From yellow to green
C. From green to yellow
D. From yellow to blue
E. * From blue to yellow
266.
Patient, 27 years, appeared with complaints about weakness, irritation, pain of
muscles, fever, dry cough, pain in thorax, shortness of breath. In lung - dry and moist rales
and wheezes are determined without dulling of percutory sound. In sputum are еosinophil,
crystals of Charkot-Leyden with admixtures of blood. On the repeated X-ray of lungs shows
plural еosinophilic infiltrations of different sizes which change a form and localization
(syndrome of Leffler).
A. Tuberculosis of lungs
B. Acute pneumonia
C. Bronchitis
D. AIDS
E. * Ascaridosis
267.
Patient, 27 years, appeared with complaints about nausea, heaviness in epigastrium,
stomach-ache, diarhoea and general weakness. An increase in appetite, mass of body is
decreased. In blood moderate anaemia and high eosinophilia. Noticed creeping out of
segments with excrement. She likes to use raw meat. What will be the most probable
diagnosis?
A. * Teniarinhosis
B. Difilobotriosis
C. Teniosis
D. Trichinellosis
E. Ascaridosis
268.
Patient, 27 years, appeared with complaints about weakness, irritation, pain of
muscles, fever, dry cough, pain in thorax, shortness of breath. In lung - dry and moist rales
and wheezes are determined without dulling of percutory sound. In sputum are еosinophil,
crystals of Charkot-Leyden with admixtures of blood. On the repeated X-ray of lungs shows
plural еosinophilic infiltrations of different sizes which change a form and localization
(syndrome of Leffler).
A. Tuberculosis of lungs
B. Acute pneumonia
C. Bronchitis
D. AIDS
E. * Ascaridosis
269.
Patient, 27 years, appeared with complaints about nausea, heaviness in epigastrium,
stomach-ache, diarhoea and general weakness. An increase in appetite, mass of body is
decreased. In blood moderate anaemia and high eosinophilia. Noticed creeping out of
segments with excrement. She likes to use raw meat. What will be the most probable
diagnosis?
A. * Teniarinhosis
B. Difilobotriosis
C. Teniosis
D. Trichinellosis
E. Ascaridosis
270.
Patient, 37 years old, complaints about pain of chest, nausea, vomitting, periodic
attacks of Grand-mal epilepsy and memory became worse. Dense knots papule in
hypodermis. What most probable diagnosis?
A. Teniarinhosis
B. Difilobotriosis
C. Teniosis
D. Trichinellosis
E. * Ascaridosis
271.
Patient, 37 years old, complaints about pain of chest, nausea, vomitting, periodic
attacks of Grand-mal epilepsy and memory became worse. Dense knots papule in
hypodermis. What most probable diagnosis?
A. Teniarinhosis
B. Difilobotriosis
C. Teniosis
D. Trichinellosis
E. * Ascaridosis
272.
Patients with аmebiasis are necessarily hospitalized. For specific therapy are used
preparations which pernicious operate on the vegetative and tissue forms of amebae. It is the
so-called, indirect and аmebiostic tissue, and also preparations with universal action. What
group does delagin belong to?
A. * Tissue аmoebiostic
B. Indirect аmoebiostic
C. Lines of аmoebiostic
D. Preparations with universal action
E. It is not belonged to none
273.
Sick C., 20 years old, was admitted to the hospital with complaints about the frequent
emptying without stomach-ache, vomiting without nausea, pain in calf muscle. Objectively:
Temperature of body is 36,2 ?C. Skin is pale, cold, tongue is dry, voice is hoarsed. The
stomach is pulled is not painful at palpation. Emptying resemble with “rice-water”. Are
there what terms of discharge of patients from the hospital at such illness?
A. * Triple negative results of bacteriological examination of excrements
B. Double negative results of bacteriological examination of excrements
C. Single negative result of bacteriological examination of excrements
D. Single negative results of bacteriological examination of excrements and urine
E. Double negative results of bacteriological examination of excrements and urine
274.
Sick C., 23 years, ill from 3 days after returning from India. The disease has begun
with the liquid emptying which looks like a watery, after wards joined with multiple
vomiting, expressed weakness and cramps. The state progressively got worse and was
admitted within 12 hour in an infectious hospital in a grave condition. The eyes of person is
sharped, skin is cold, acrocynosis temperature of body 35,5 ?C. Aphonia, cramps of hands
and feet. The fold of skin falls out through abdomen. stomach is pulled in, no pain at
palpation. Blood pressure is 70 and 30 mm of Hg. Pulse on radial artery is not determined,
urination and emptying are not good. What is the most appropriate diagnosis?
A. Intestinal echerihiosis
B. Salmonellosis
C. Shigellosis
D. * Cholera
E. Amebiasis, intestinal form
275.
Sick C., 23 years, ill from 3 days after returning from India. The disease has begun
with the liquid emptying which looks like a watery, after wards joined with multiple
vomiting, expressed weakness and cramps. The state progressively got worse and was
admitted within 12 hour in an infectious hospital in a grave condition. The eyes of person is
sharped, skin is cold, acrocynosis temperature of body 35,5 gC. Aphonia, cramps of hands
and feet. The fold of skin falls out through abdomen. stomach is pulled in, no pain at
palpation. Blood pressure is 70 and 30 mm of Hg. Pulse on radial artery is not determined,
urination and emptying are not good. What is the most appropriate diagnosis?
A. Intestinal echerihiosis
B. Salmonellosis
C. Shigellosis
D. * Cholera
E. Amebiasis, intestinal form
276.
?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?
A. * Giardiasis
B. Salmonellosis
C. Amebiasis
D. Balantidiasis
E. Intestinal єcheriosis
277.
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?
A. * Giardiasis
B. Salmonellosis
C. Amebiasis
D. Balantidiasis
E. Intestinal echerihiosis
278.
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?
A. * Giardiasis
B. Salmonellosis
C. Amebiasis
D. Balantidiasis
E. Intestinal echeriosis
279.
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?
A. Treatment with sorbents
B. Polyhybrid solution intravenous
C. 5 % solution of glucose intravenous
D. Fresh-frozen plasma intravenous
E. * Salt solutions intravenous
280.
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?
A. Treatment with sorbents
B.
C.
D.
E.
Polyhybrid solution intravenous
5 % solution of glucose intravenous|
Fresh-frozen plasma intravenous
* Salt solutions intravenous
281.
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?
A. Shigellosis
B. Heterospecific ulcerous colitis
C. * Balantidiasis
D. Amebiasis
E. Cancer of colon
282.
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?
A. IV
B. II
C. * III
D. I
E. There is no dehydration
283.
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?
A. IV
B. II
C. * III
D. I
E. There is no dehydration
284.
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?
A. Echeriosis
B. Food poisoning
C. * Cholera
D. Salmonellosis
E. Balantidiasis
285.
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?
A. Echeriosis
B. Food poisoning|
C. * Cholera
D. Salmonellosis
E. Balantidiasis
286.
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?
A. Double negative bacteriological examination of excrements
B. Single negative bacteriological examination of excrements
C. * Triple negative bacteriological examination of excrements
D. Negative bacteriological examination of excrement and urine
E. Double negative bacteriological examination of excrement and urine
287.
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?
A. Double negative bacteriological examination of excrements
B. Single negative bacteriological examination of excrements
C. * Triple negative bacteriological examination of excrements
D. Negative bacteriological examination of excrement and urine
E. Double negative bacteriological examination of excrement and urine
288.
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?
A. Amebiasis
B. * Balantidiasis
C. Nonspecific ulcerous colitis
D. Tumour of rectum
E. Food poisoning
289.
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?
A. Amebiasis
B. * Balantidiasis
C. Nonspecific ulcerous colitis
D. Tumour of rectum
E. Food poisoning
290.
Student, 22 years old fell ill within a month after return from Ethiopia.Dull stomachache 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?
A. * Intestinal аmoebiosis
B. Shigellosis
C. Salmonellosis
D. Tumor of intestine
E. Intestinal echeriosis
291.
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?
A. Collapse
B. Infectious toxic shock
C. * Dehydration shock
D. Cereblral edema
E. Intoxicated encephalopathy
292.
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?
A. Collapse
B. Infectious toxic shock
C. * Dehydration shock
D. Cereblral edema
E. Intoxicated encephalopathy
293.
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?
A. Amebiosis
B. Rotavirus gastroenteritis
C. Gisrdiasis
D. * Balantidiasis
E. Cholera
294.
V. Leptospirosis
A. * Trichinosis
B. Acute nephritis
C. Quike’s edema
D. Dermatomyositis
295.
V. Leptospirosis
A. * Trichinosis
B. Acute nephritis
C. Quike’s edema
D. Dermatomyositis
296.
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:
A. * Leptospirosis
B. Brucellosis
C. Viral hepatitis
D. Pseudotuberculosis
E. Trichinosis
297.
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:
A. * Leptospirosis
B. Brucellosis
C. Viral hepatitis
D. Pseudotuberculosis
E. Trichinosis
298.
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:
A. * Leptospirosis
B. Brucellosis
C. Viral hepatitis
D. Pseudotuberculosis
E. Trichinosis
299.
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:
A. Cancer of intestine
B. Acute cholecystitis
C. * Ascaridosis
D. Choledocholelythiasis
E. Cholecystitis
300.
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:
A. Cancer of intestine
B. Acute cholecystitis
C. * Ascaridosis
D. Choledocholelythiasis
E. Cholecystitis
301.
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:
A. * Ascaridosis
B. Partial intestinal uncommunicating
C. Sharp calculary cholecystitis
D. Choledocholithiasis
E. Cholecystitis
302.
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:
A. * Ascaridosis
B. Partial intestinal uncommunicating
C. Sharp calculary cholecystitis
D. Choledocholithiasis
E. Cholecystitis
303.
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:
A. * Ascaridosis
B. Partial intestinal uncommunicating
C. Sharp calculary cholecystitis
D. Choledocholithiasis
E. Cholecystitis
304.
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?
A. * Adenoviral infection
B. Enteroviral infection
C. Parainfluenza
D. Flu
E. Acute respiratory infection
305.
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?
A. Leptospirosis
B. Adenoviral infection
C. Typhoid fever
D. * Flu
E. Epidemic typhus
306.
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?
A. Scarlet fever
B. Rubella
C. * Measles
D. Herpetic infection
E. Flu
307.
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?
A. * Measles
B. Adenoviral infection
C. Acute respiratory viral infection
D. Enteroviral infection
E. Infectious mononucleosis
308.
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?
A. Localized diphtheria of oropharynx
B. Whooping-cough
C. * Parainfluenza, false croup
D. Bronchopneumonia
E. Adenoviral infection
309.
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?
A. * Parainfluenza, false croup
B. Diphtheria croup
C. Allergic laryngitis, croup
D. Flu, laryngitis
E. Acute exudative pleuritis
310.
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?
A. Hypersaturated oxygen
B. Transfusion of fresh-frozen plasma
C. Tetracyclin
D. * Intravenous introduction of salt solutions
E. Introduction of polyhybrid
311.
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?
A. * Flu with pneumonia and edema of brain
B. Flu, typical course
C. Parainfluenza, false croupe
D. Respiratory-sencytial infection
E. Adenoviral infection, pneumonia
312.
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?
A. Encephalitis
B. Flu with a hemorrhagic syndrome
C. * Meningococcal infection
D. Measles
E. Leptospirosis
313.
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?
A. Diphtheria
B. * Adenoviral infection
C. Meningococcal nasopharyngitis
D. Influenza
E. Infectious mononucleosis
314.
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?
A. * Infectious mononucleosis
B. Adenoviral infection
C. Angina
D. Diphtheria
E. Acute lympoleycosis
315.
A patient 20 years old fell ill rapidly with increasing of temperature to 39.9 °C.
complains about headache in frontotemporal region, pain in eyeballs, dull ache in whole
trunk, closed nose, scrapes in the throat, dry cough. There was nose-bleeding. What
diagnosis is most possible?
A. * Influenza
B. Adenoviral infection
C. Parainfluenza
D. RS-infection
E. Enteroviral infection
316.
A patient 20 years old, complains about increasing of temperature up to 39 оC,
headache in frontal area, pain in eyeballs, photophobia, pain in muscles, dry cough. Became
ill sharply. Objectively: severe state. Face is hyperemic, eyes brilliant, injections of scleras.
Pulse 96/min, rhythmic, tones of heart are hyposthenic. Menengial symptoms are not
present. Blood analysis: leuk 9?109, е 1 %, bands 6 %, seg 51 %, lymp 35 %, mono 7 %.
What is the most possible diagnosis?
A. * Ifluenza
B. Adenovirus infection
C. Leptospirosis
D. Pneumonia
E. Epidemic typhus
317.
A patient 26 years old, became sick rapidly: temperature 39.5 оC, severe headache,
mainly in frontal and temporal areas, pain in muscles and joints. Examined on the 2nd day
of illness: state of middle weight, skin is clean. Moderate hyperemia with cyanosis, pulse
120 per min, rhythmic. Heart activity is rhythmic, tones are muffled, in lungs there is
vesicular breathing. What is the treatment of this patient?
A. Aspirin
B. * Remantadin
C. Ampicillin
D. Ascorbic acid
E. Ribonuclease
318.
A patient 27 years old, entered clinic on the 4th day of illness with a diagnosis
ARVI, allergodermia. Fell ill with the rise of temperature to 38,0 °C, headache, hyperemia
of the throat, then barking cough appeared. On the 3rd day rash appeared on the skin and
neck. Was treated by aspirin. Objectively: temperature 38.8 °C. Face is puffy, conjunctivitis.
On the skin of neck and upper part of chest is abundant red-papular rashes as rings which
does not itch. Mucosa of epiglottis is brightly hyperemic. Submandibular and neck
lymphadenitis. Liver and spleen were not enlarged. What is your diagnosis?
A. * Measles
B. Allergic dermatitis
C. Infectious mononucleosis
D. German measles
E. Scarlet fever
319.
A patient 52 years old, hospitalized with the severe form of viral hepatitis B. The
signs of flu appeared in the department. The indexes of bilirubin rose up and transaminase
falls down. What complication can arise in that patient?
A. * Acute hepatic insufficiency
B. Infectious-toxic shock
C. Gastric bleeding
D. Neurotoxicosis
E. Cerebral comma
320.
A patient 56 years old, the day before felt easy indisposition, insignificant headache,
and weakness. Afterwards the increasing of temperature appeared to 38,5 оC with chills,
headache increased considerably, mainly in forehead and temples. Skin and conjunctiva is
hyperemic, dry, barking cough. Pharynx is hyperemic. On soft palate present grainy
granules, placed point hemorrhages. Difficult breathing. What is the most possible
diagnosis?
A. Typhoid fever
B. Leptospirosis
C. Epidemic typhus
D. * Flu
E. Enteroviral infection
321.
A patient 56 years old, workwomen of pig farm, on a background chills appeared, the
temperature rose to 39,9 °C, headache, nausea. The next day marked pains in the muscles of
lower extremities appeared, the nose bleeding began. At the receipt, on the 3rd day common
state deteriorated. Hyperemic spots, subecteric appeared. Liver +3 cm. Daily – diuresis 700
ml. What is the previous diagnosis?
A. Hemorrhagic fever with a kidney syndrome
B. Hepatitis A
C. Escerichiosis
D. Flu
E. * Leptospirosis
322.
A patient A., 30 years old, on the 4th day of illness a district doctor marked such
subjective and objective data: insignificant indisposition, mild headache, hoarseness of
voice, itching in throat, breakingdry cough, temperature of the body 37,4 °C. Pulse 86/min.,
difficult nasal breathing, insignificant serous excretions from nose. Which acute respiratory
infection does the patient carry?
A. Influenza
B. * РC-viral infection
C. Parainfluenza
D. Adenoviral infection
E. Enteroviral infection
323.
A patient admitted in the infectious department with diagnosis of acute respiratory
viral infection. Became ill suddenly, the disease is accompanied by the increase of
temperature of body till 39 °C, by severe headache, mainly in area of frontal, temporal,
above eyes, dryness in nose, itching in throat, dry cough, dull pain in all body. He had
bleeding from nose twice at home. Which acute respiratory disease has the patient?
A. Adenoviral infection
B. РC-infection
C. * Flu
D. Parainfluenza
E. Enteroviral infection
324.
A patient becomes sick very fast: chills, increasing of temperature to 40,1 оC,
headache in frontal and temporal regions, pain in eyeballs, close nose, dry cough and pain in
the chest. The nose bleeding, nausea, double vomits. Objectively: conjunctivitis, hyperemia,
edema, hemorrhages in mucous of otopharhynx, tachycardia. Blood pressure is low.
Difficult breathing . What is the most possible diagnosis?
A. Meningococcemia
B. Epidemic typhus
C. Leptospirosis
D. * Flu
E. Typhoid fever
325.
A patient C., 25 years old, fell suddenly ill. Every morning severe headache, frequent
vomiting, temperature of the body is 39.9 °C. Adopted fatigue, then state got much worse.
In the evening lost of consciousness. Expressed muscles pains of back and head. Positive
Кеrning’s symptom. Leukocytes – 18,0?109. What is the most reliable diagnosis?
A. Flu
B. Epidemic typhus, typhus state
C. Viral menigoencephalitis
D. Sepsis, infectious-toxic shock
E. * Bacterial menigoencephalitis
326.
A patient C., was hospitalized on the 2nd day of illness with complaints about
hoarseness of voice, rough barking cough, labored breathing. Objectively: the state is severe,
uneasy, pallor, temperature 37.1 °C, BR 30/min., breathing is noisy, can hear from the
distance, with participation of auxiliary musculature. Which viruses could cause
development of similar state?
A. Rhino virus
B. Influenza virus
C. Adenovirus
D. * Parainfluenza virus
E. Cytomegalovirus
327.
A patient caused a doctor home. Age – 75 years. Complaints of a subfebrile
temperature, general weakness, pharyngalgia, conjunctivitis. In family a child is ill the acute
adenoviral disease. A patient considers itself a patient the second day. At a review are found
out the signs of acute blepharoconjunctivitis, pharyngitis. There are megascopic lymphatic
knots: neck front and back, arm-pits and inguinal, to 1 sm in a diameter, soft, not is soldered
between itself and with a surrounding cellulose. A pharynx is hyperemic, tonsills are
hypertrophied and hyperemic. In lights of wheezes it is not. Breathing clean. Tones of heart
are muffled. BP is 140/80 mm Hg. Ps – 80 per 1 minute. Stomach soft. A megascopic liver
which comes forward on 3 cm below costal arc and spleen are palpated – soft, painless.
Choose the most credible diagnosis:
A. * Acute adenoviral infection
B. Flu
C. Megacaryoblastoma
D. Infectious mononucleosis
E. Hepatitis A
328.
A patient fell ill very rapidly: chills, increase of temperature to 40.1 °C, headache in
frontotemporal regions, pain in eyeballs, close nose, dry cough, and chest pain. Nose
bleeding, nausea, vomiting appeared after 4 hours. Objectively: conjunctivitis, hyperemia,
edema, point hemorrhages in mucus of epiglottis, tachycardia. Blood pressure is low.
Weaken breathing in the lungs. What is the most possible diagnosis?
A. Leptospirosis
B. Epidemic typhus
C. * Flu
D. Мeningococcemia
E. Enteroviral infection
329.
A patient H., 22 years old, with flu was hospitalized into infectious department with
the acute worsening of the common state. Consiousness is stored. The patient strangles.
Pallor of skin with cynosis. Respiratory rate 50 per min, AP 80/55 mmHg, pulse 110 per a
min, temperature 39.8 оC. During percussion of lungs tympanic sound with dullness in
lower quadrant was found. Crackles in the lower-back parts of lungs. What complication of
influenza has developed in that patient?
A. Pneumonia
B. * Edema of lungs
C. Edema of brain
D. Infectious-toxic shock
E. Meningoencephalitis
330.
A patient J., 23 years old, became ill suddenly. Profuse diarrhea with frequent and
large amount vomits. A patient arrived from one of countries of south-east Asia, where was
near 3 weeks. T 36,1 °C. An abdomen is pulled in, painless. The stool has the appearance of
rice-water. What most reliable changes will be in a blood?
A. Decrease amount of erythrocytes, leucocytes, relative tightness of plasma of blood,
hypopotassemia, metabolic acidosis.
B. * Increase amount of erythrocytes, leucocytes, relative tightness of plasma of blood,
hypopotassemia, metabolic acidosis.
C. Decrease amount of erythrocytes, leucocytes, increase of relative tightness of plasma
of blood, hyperpotassemia, metabolic acidosis.
D. Increase amount of erythrocytes, leucocytes, relative tightness of plasma of blood,
hyperpotassemia, metabolic acidosis.
E. Increase amount of erythrocytes, leucocytes, relative tightness of plasma of blood,
hipopotassemia, metabolic alkalosis.
331.
A patient K., 23 years old, with 3 days of moderate illness, with high temperature of
body to 40.0 °C, headache and petechial rash on skin, is hospitalized. After introduction of
penicillin at 2 o’clock, the BP fell down to 40/10 mm of hg. Peripheral pulse and мeningeal
signs does not concerne. What is the diagnosis of the patient?
A. * Меningococcemia, infectious-toxic shock
B. ARVI, anaphylactic shock
C. Measles, severe course
D. Epidemic typhus, severe course
E. Scarlet fever, severe course
332.
A patient L., who returned from Crimea, developed diarrhea at 5AM. Bowel
movements are each 1-1.5 hrs, watery, without mucus and blood. In 12 hrs a single episode
of vomiting developed. The temperature of body at first rise to 37.3 C, stomach-aches is
present. he was examined by the doctor of first-aid and delivered to an infectious isolation
with the diagnosis of acute intestinal infection.Which disease is most probable for the
patient?
A. Intestinal echerihiosis
B. Salmonellosis
C. Echeriosis
D. Food poisoning
E. * Cholera
333.
A patient of 5 years old, which treated at home on an occasion of flu by aspirin,
calcium gluconatis, on the second day from the beginning of disease “coffee grounds”
vomiting appeared, melena. What complication arises?
A. Neurotoxicosis
B. Pneumonia
C. * Hemorrhagic syndrome
D. Infectious-toxic
E. Bowel obstruction
334.
A patient on the background of ARVI the fever developed to 40,1 °C, frequency of
breathing is 40 for a minute. What measures are necessary?
A. * Decreasing of patients temperature
B. Artificial ventillation
C. Oxygen. inhalation
D. Infusion therapy
E. Antibioticotherapy
335.
A patient P., 14 years old, is hospitalized in the infectious dept. in grave condition.
Complaints on headache, mainly in frontal and temporal regions, superciliary arcs, vomiting
on severe pain, pain on movement of eyeballs, in muscles, joints. Objectively – a patient is
excited, temperature of the body 39 °C. BP 100/60 mmHg. Bradycardia was replaced by
tachycardia. Tonic cramps appeared. Doubtful meningial signs. From anamnesis it is found
that at home his brother has flu. What preparations must be injected?
A. Verospiron, euphyllin, dimedrol
B. * Mannitol, paracetamol, prednisolone, euphyllin
C. Analgin, dimedrol, aspirin, ampicillin
D. Mannitol, aspirin
E. Lasix, analgin, ampicillin
336.
A patient with flu complicated by pneumonia, during some days there are the
displays of infectious-toxic shock of ІІ degree. In BA the level of urea and creatinine
increases. What from these preparations is not recommended to enter in such a situation?
A. * Adrenalin
B. Prednisolone
C. Polioniic solutions
D. Dofaminum
E. Heparin
337.
A patient with temperature of body 40.0 °C, nonproductive cough, photophobia,
puffiness of face, dots on gums, blushes on the mucus of cheeks your diagnosis?
A. Tuberculosis
B. Меningococcemia
C. * Measles
D. Enteroviral infection
E. Staphylococcal sepsis
338.
A patient Т., 45 years old, was hospitalized at the 2nd day of disease. One week ago
got back from India (sailor of the distant swimming). Complains of temperature 41.3 °C,
great headache, shortness of breathing; cough with foamy pink colour sputum. Objectively:
pale of face, cyanosis of mucous, breath rate 24/min, tachycardia. Lungs: breathing is
hyposthenic, moist wheezes in both lungs, crepitation. What is possible diagnosis?
A. Flu
B. Miliary tuberculosis
C. * Plaque, pulmonary form
D. Leptospirosis
E. Sepsis
339.
A patient, 20 years old, during few days complains about pharyngalgias. After
supercooling the state became worse: sudden chills, increase of temperature to 40.6 °C,
headache. On the skin of low extremities, trunk and buttocks there are a lot of different sizes
hemorrhagic spots, acrocyanosis. Consiouness is preserved. Meningeal signs are absent.
What is the previous diagnosis?
A. * Meningococcal infection
B. Flu
C. Epidemic typhus
D. Hemorrhagic fever
E. Leptospirosis
340.
A patient, 75 years old, called a doctor to home. Rashes and subfebrile temperature,
general weakness, pharyngalgia, conjunctivitis. In family a child is ill with acute adenoviral
disease. A patient considers himself ill on the second day. At a review there are signs of
pharyngitis. There are enlarged lymphatic nodes: of neck, front and back, armpits and
inguinal up to 1 cm in diameter, soft. Pharynx is hyperemic, tonsils are hypertrophy and
hyperemic. Both lungs have wheezing sounds. Not clean breathing. Tones of heart are
muffled. AP 140/80 mm Hg. Heart rate 80 for 1 minute. Stomach is soft. Enlarged liver 3
cm below costal arch and spleen is palpable. Palpation is soft, painless. Choose the most
possible diagnosis:
A. * Acute adenoviral infection
B. Flu
C. Hepatitis B
D. Infectious mononucleosis
E. Hepatitis A
341.
A sick 15 years old, 3rd day of illness. On the background the catarrhal pneumonia,
weakness in hands appeared, double vision, cross-eye. Voice is weak. Palatoplegia and
extended extremities. Pulse 90/min. AP 130/90 mm Hg .What is your previous diagnosis?
A. Diphtheria
B. * Poliomyelitis
C. Botulism
D. Epidemic encephalitis
E. Enteroviral infection
342.
A Sick 18 years, hospitalized in an infectious department with diagnosis of cholera,
as heavy as lead motion, dehydration of IV degree. What measures are possible primarily?
A. Oral rehydration by glucose solutions
B. Tetracycline
C. * Intravenous stream introduction of salt solutions
D. Proceeding in the normal microflora of intestine
E. Intravenous stream introduction of sodium chloride solution
343.
A sick 19 years old, fell ill rapidly, when a temperature rose to 39,2 °C, coughing
appeared, closed nose. Pains in muscles and joints. On the 3rd day of disease, shallow spots
on the trunk appeared, extremities with hyperemia and edematous feet. Generalized
lymphadenopathy, hyperemia of cheeks, enlargement of the liver were found out. What is
previous diagnosis?
A. * Pseudotuberculosis
B. Flu
C. Infectious mononucleosis
D. Herpetic infection
E. Epidemic typhus
344.
A sick 70 years old, became ill sharply, the temperature of body rose to 39.2 °C,
excited, euphoric, hyperemia of face, Rozenberg’s exanthema appears. Ricketsia titer is
1:160, IgG – 87 %. What is diagnosis?
A. * Epidemic typhus
B. Meningococcal infection
C. Epidemic spotted fever
D. Flu
E. Parainfluenza
345.
A sick explorer of train, 39 years old is hospitalized on the 4th day of illness with
complaints about headache, weakness, dizziness, chills, insomnia, fever. The person is
hyperemic, conjunctivitis. On the transitional fold of conjunctiva there is a single rash. On
the skin of trunk, thorax, stomach, extremities there are abundant red coloured rashes.
Tachycardia. AP 100/60 mm of Hg. Tremor of tongue. Liver and spleen were enlarged.
Stool fistula is detained. What is the most reliable diagnosis?
A.
B.
C.
D.
E.
* Epidemic typhus
Typhoid
Flu
Меnigococcemia
Leptospirosis
346.
A sick person, 45 years old, was hospitalized after 2 days of disease. On Sunday he
came back from India (sailor). Complains about increasing of temperature to 41 оC, severe
headache, shortness of breath, cough, with sputum. Objectively: pallor, cyanosis of mucous,
tachycardia. Breathing is weaken, crackles in the lower-back parts of the lungs, crepitation.
What is the possible diagnosis?
A. * Flu complicated by pneumonia
B. Miliary tuberculosis
C. Plague, pulmonary form
D. Leptospirosis
E. Sepsis
347.
A sick woman, 42 years old, complaints about temperature 39.3 °C, headache in the
frontal area, pain in the eyeballs, photophobia, pain in muscles, dry cough. Became ill
suddenly one day before. Objectively: state is severe. Hyperemia of the face, eyes shinny,
injection of scleras. Pulse 96/min., rhythmic. Tones of heart are hypotonic. Both lungs are
dissipated. Dry wheezes. Mucosa of epiglottis is hyperemic, grainy, vessels are extended.
Meningeal symptoms are not present. Analysis of blood: leuk – 3?109/l, еos – 1 %, band – 6
%, seg – 51 %, lymp – 35 %, mono – 7 %. What is the most possible diagnosis?
A. * Flu
B. Measles
C. Meningococcal infection
D. Pneumonia
E. Epidemic typhus
348.
A sick, 29 years, emptying watery stool repeatedly, frequent vomiting. Objectively:
total cyanosis, dryness of mucus membrane, turgor of skin is decreased Temperature of
body 35,2 ?C. Pulse in radial artery is not determined. Tachypnea, musle spasm, urination is
absent for 6 hours. What is the state of the patient?
A. Dehydration of IV degree
B. Dehydration of I degree
C. Infectious-toxic shock
D. Anaphylactic shock
E. * Uncompensated hypovolemic shock
349.
A sick, 54 years old, hospitalized in infectious department in the grave condition.
Complaints about expressed headache, mainly in frontal and temporal areas superciliary
arcs, origin of vomiting on peak of pain. Objectively: patient is excited, temperature of body
39 оC, AP 100/60 mm Hg. Bradycardia changed to tachycardia. Tonic cramps, meningeal
signs appeared. From anamnesis it is known that father is also sick. What treatment should
be prescribed?
A. * Mannitol, lasix, prednisolone, еuphyllin, suprastain
B. Mannitol, acetophene
C. Lasix, analgin, ampicillin
D. Verospiron, euphyllin, demidrol
E. Aspirin, analgin, demidrol
350.
A student, 18 years old, for 7 days complains about weakness, hyperthermia to 37.8
°C, mucous excretions from a nose, pharyngalgia at swallowing, pain in eyeballs.
Objectively: increased lymph nodes of neck and mandible, lymphadenitis, edema and
injection of conjunctiva, hyperemia of mucous of epiglottis, hypertrophy of tonsils. What is
the most reliable diagnosis:
A. * Adenoviral infection
B. Influenza
C. Infectious mononuleosis
D. Rhinoviral infection
E. Parainfluenza
351.
A woman 27 years old, complaints about the general weakness, absence of appetite,
coughing, fever up to 37.5 °C for three weeks. Ulcerous illness of stomach, myocarditis is in
anamnesis. What inspection is primarily need to do?
A. Electrocardiography
B. Fibrobronchoscopy
C. Fibrogastroscopy
D. * Fluorography
E. Common blood analysis
352.
A woman who came back from a tour trip, the next day called emergency help. It is
known from the anamnesis, that within a week the temperature of body was moderately
high. Complains of bad sleep and bad appetite, pain in the stomach. During the assessment
of the sick it is found out roseolas on the pale skin of breasts and abdomen. Pulse is normal,
temperature of body 38,2 °C, hepatospleenomegaly. What is your previous diagnosis?
A. * Typhoid fever
B. Epidemic typhus
C. Flu
D. Enteroviral infection
E. Leptospirosis
353.
An unconscious patient is delivered in the intensive department. Pale dark circles
around eyes. Skin is cold with sticky sweat. Temperature of body 35,6 ?C. Pulse 140/min
and weak. Blood pressure is 40 /0 mm of Hg. Tongue is dry. Emptying is involuntary and
“watery”, vomited twice. What infusion must be given as intensive therapy.
A. Albumin
B. Rheopoliglykin
C. 5 % glucose solution
D. * Polyionic salt solutions
E. 10 % glucose solution
354.
At patient with pediculosis rapidly rise temperature of body up to 41.2 °C, headache,
euphoria appeared in 4 days from the beginning of illness. Red colour rash on the lateral
thorax and back. Titer of Rickettsia antibodies 1:640, Ig M – 89 %. What is diagnosis?
A. Flu
B. Enteroviral infection
C. Brill-Zinsser disease
D. * Epidemic typhus
E. Parainfluenza
355.
Citizen of Pakistan, 30 years became ill rapidly with frequent watery stool which
appears like a rice water. Objectively: temperature of body 35.4 ?C, skin is cold,
acrocynosis, elasticity of skin and turgor is decreased. By what method may estimate the
degree of dehydration?
A. To examine an eyeballs
B. To check central venous pressure
C. To define the level of urea and creatinine in blood
D. * To check the loss of blood plasma
E. To check the pressure of blood
356.
For a patient E., 37 years old, a disease began rapidly, 6 hours the frequent liquid
emptying appeared onto the plain rise of normal temperature of body, vomit joined then. At
an inspection: aphonia, eyes are hollow, pulse frequent, threadlike, low blood pressure
cramps appeared in lower extremities. Liver and spleen are not enlarged. Choose
preparations for starting etiotropic therapy.
A. Tetracyclin, erythromycin, levomycetin, ciprofloxacin or imodium
B. Erythromycin, levomycetin, benzylpenicillin or imodium
C. Tetracyclin, erythromycin, levomycetin, benzylpenicillin or ofloxacin
D. Tetracyclin, erythromycin, levomycetin, or bifi-form
E. * Levomycetin, erythromycin or ciprofloxacin
357.
For a patient E., 37 years, bodyweight of 70 kg, frequent liquid emptying appeared
with rise of body temperature, frequent vomiting joined in later. At an inspection: aphonia,
eyes are hollow, pulse with frequent threadlike, blood pressure is not determined, tachypnea,
total cramps. Liver and spleen are not enlarged. What volume of salt solutions must be
entered for primary rehydration?
A. * 7 L
B. 3,5 L
C. 5 L
D. 10 L
E. 2 L
358.
For a patient in 35, the disease begun rapidly with a chill, increase of temperature to
39 ?C, vomitting, pain in epigastrium, diarrhea with the watery stinking emptying. 6 hours
before the disease he ate a raw egg, potato with the braised meat and drink juice. What
exciter did cause the similar state probably?
A. Shigella
B. Collibacillus
C. Campylobacter
D. * Salmonella
E. Citrobacter
359.
For the rehydration in dehydration shock it is necessary to conduct the permanent
careful account of all losses of liquid in each:
A. 4 hrs
B. 30 hrs
C. 3 hrs
D. * 2 hrs
E. 5 hrs
360.
In a patient of 16 years old, the disease began gradually, from the catarrhal
syndrome. For 2-3 days the temperature of body increase till 38,5 °C, cold, severe cough
with the negligible quantity of mucous sputum, «souring» eyes. Peripheral lymph nodes are
soft, painless and some enlarged. Mucous of pharynx is hyperemic, granules on posterior
part of pharynx. General state is satisfactory. What is the drug of choice?
A. Ascorbic acid
B. Aspirin
C. * Desoxyribonucleas
D. Remantadin
E. Aminocapronic acid
361.
In girl V., 1 year old, appeared the thump of nose, dry cough, body temperature rose
till 37,5 ?C. Next day cough become attack like with the excretion of small amount of viscid
sputum. Noisy breathing. Sharply expressed expiratory dyspnea, breating rate 40
times/minute. During examination: acrocyanosis and emphysematous thorax, at lungs
dissipated dry and single moist rales. Tear of frenulum of tongue. What will be the
preliminary diagnosis?
A. * Parainfluenza
B. Pneumonia
C. Influenza
D. Respiratory-syncytial infection
E. Whooping-cough
362.
Patient 22 years old, has increase temperature of body till 37,8 °C. Treated under the
supervision of district doctor with a diagnosis of influenza. On the 5th day of illness
temperature remained the same; it began difficultly in opening eyes. On examination –
edema on face, expressed conjunctivitis with film stratifications. Mucous pharynx is
heperemia, on the back wall of gullet considerable graininess. Lymph nodes are enlarged in
neck. The general state of patient is satisfactory. This disease is related to cold. What disease
you suspect?
A. Leptospirosis
B. Infectious mononucleosis
C. * Adenoviral infection
D. Allergic dermatitis
E. Meningococcal infection
363.
Patient A., 28 years old, hospitalized with a previous diagnosis of flu. On the 5th day
of illness, rash appeared on the trunk and internal surfaces of extremities. Temperature 41.5
°C, hyperemia of sclera, tremor of tongue, tachycardia, spleenomegaly, excitation. What is
the most possible diagnosis?
A. Measles
B. Meningococcal infection
C. Leptospirosis
D. * Epidemic typhus
E. Typhoid
364.
Patient B., 20 years old, complains about severe headache in temples and orbits, dull
ache in the trunk, dry cough. Temperature of the body 39.6 °C. Inflammatory changes of
mucous membrane of oropharynx. Normal breathing in the lungs. What is the most credible
diagnosis?
A. Pneumonia
B. Parainfluenza
C. Respiratory micoplasma
D. * Flu
E. Meningococcal infection
365.
Patient B., 20 years, became ill acutely. The unexpected severe diarrhea appeared
with frequent vomiting, with plenty of vomits. The patient arrived from a South-east Asia
countries. He has temperature 36,1 ?C during 3 weeks. Abdomen is pulled, not painful.
Stool is a rice-water. What most reliable changes in blood will be present?
A. Increasing amount of erytrocytes, leucocytes, relative closeness of plasma of blood,
hyperkalemia, metabolic acidosis
B. Decreasing of amount of erytrocytes, leucocytes, relative closeness of plasma of
blood, hypokalemia, metabolic acidosis
C. Decreasing of amount of erytrocytes, leucocytes, increase of relative closeness of
plasma of blood, hyperkalemia, metabolic acidosis
D. * Decreasing amounts of erytrocytes, leucocytes, relative closeness of plasma of
blood, metabolic hypokalemic acidosis
E. Increasing of amount of erytrocytes, leucocytes, relative closeness of plasma of
blood, hypokalemia, metabolic alkalosis
366.
Patient C, 17 years old, became ill suddenly. Profuse diarrhea with frequent vomits
without nosier. A patient arrived from south-east Asia. Temperature – 36,1 °C. An abdomen
is pulled in, painless. The stool has the appearance of rice-water. What diagnosis is most
reliable?
A. * Cholera
B. Dysentery
C. Salmonellosis
D. Esheryhiosis
E. Rotavirus gastroenteritis
367.
Patient C, 17 years old, worker of vegetable garden. Became sick 2 days ago. The
disease is related to use of meal of dirty root crop. Disease begun with chill, fever of 38.1
?C, had pain in abdomen and in the muscles of all groups and joints, weakness, nausea.
Emptying is liquid, viscid, with a strong smell, ordinary color. At objective examination:
sclera, conjunctivitis, hyperemia of soft palate, “raspberry” tongue. At palpation of abdomen
– moderate pain in epigastrium and in right iliac area. What will be the diagnosis?
A. Cholera
B. Dysentery
C. Salmonellosis
D. * Scarlet fever
E. Viral hepatitis
368.
Patient E, 47 years, became ill in 4 days after returning from Egypt. A disease begun
with the liquid emptying which look like a watery kind afterwards, joined with frequent
vomiting, expressed weakness and fatigue. The state progressively got worse and within 18
hrs was admitted in an infectious department in a very grave condition. The lines of person
are strained, skin is cold, cyanosis, temperature of body 35.5 ?C. Aphonia, cramps of hands
and feet. The skin fold falls out through the abdomen. A stomach is pulled; no pain at
palpation. Blood pressure is 70 and 30 mm of Hg. The pulse on radial artery is not
determined, urination and emptying normal. Weight of patient at admission to the hospital
was 60 kg. What is the degree of dehydration of the patient?
A. I
B. II
C. * IV
D. III
E. It is not
369.
Patient L., 18 years old is sick with fever till 38 °C which proceeds 5 days. he has
moderate dry cough, common cold, badly opens eyes. On examination –edema on face,
expressed conjunctivitis with film raids. Mucous of pharynx is hyperemic, posterior wall of
pharynx is grainy. Internal organs are without pathology. What form of disease does the
described picture correspond to?
A. Viral conjunctivitis
B. Allergic dermatitis
C. * Adenoviral infection
D. Influenza
E. Rhinoviral infection
370.
Patient M., 11 years old, complains on general weakness, cough, at night suddenly
temperature rose till 39,5 ?C, appeared restlessness, barking cough, noisy whistling
breathing with drowing in supra- and subclavicular cavities, intercostal spaces. He was in
contact with the patient acute respiratory viral infection. What should recommend him the
first line?
A. * Prednisolon, hot foot-baths
B. Seduxsen, euphylin
C. Euphylin, vitamin C
D. Antibiotics, dimedrol
E. Astmopen, diazolin
371.
Patient N, 13 years old, hospitalized in the infectious department with a diagnosis of
cholera, severe dehydration of Ш-ІV stage. What measures are primary?
A. Setting of etiotropic antibacterial preparations
B. Stream intravenous introduction of salts solutions
C. Peroral rehydratation with glucose-salts solutions
D. Renewal of normal microflora of intestine
E. * Setting of enzyme preparations
372.
Patient P, 35 years old, became ill within 2 days after returning from India. A disease
begun with appearance of liquid diarrhea which resembled a watery appearance, afterwards
joined with multiple vomit, expressed weakness and fatigue. State progressively got worse
and within 12 hrs delivered in an infectious department in a grave condition. The skin is
cold, cyanosis, temperature of body 35.5 ?C. Aphonia, cramps of hands and feet. A skin fold
falls out from abdomen. The stomach is pulled in, no pain at palpation. Blood pressure is 70
and 30 mm of Hg. A pulse on a radial artery is not determined, urination and emptying are
normal. Weight of patient at admission to the hospital was 80 kg. What volume of infusion
solutions is needed for primary rehydration?
A. 10 liters
B. * 8 liters
C. 4 liters
D. 6 liters
E. 2 liters
373.
Patient P., 14 years old, is hospitalized in the infectious department in the severe
condition. Complains on expressed headache, mainly in frontal and temporal regions,
supercilliary arcs, origin of vomiting appear in condition of severe pain, pains by moving the
eyeballs, in muscles and joints. Objectively: patient is excited, body temperature-39 ?C. BP100/60 mmHg. Bradycardia was replaced by tachycardia. Appeared tonic cramps. Doubtful
meningeal signs. From anamnesis it is clear that his brother has flu at home. What will be
your diagnosis?
A. Influenza, typical flow
B. * Influenza with the phenomena of edema of brain
C. Respiratory-syncytial infection
D. Parainfluenza
E. Adenoviral infection
374.
Patient R., 16 years old, hospitalized for 5-day illness with complaints of moderate
headache in fronto-temporal region, laid nose, sore throat, pain in the left eye, rise in
temperature to 38.1-38.5 °C. General condition is satisfactory. Shortness of nasal breath,
mucous discharging from the nose, hyperemia of face, enlargment of the neck and
submaxillary lymph glands, left foamy conjunctivitis. What is preliminary diagnosis?
A. Influenza
B. Infectious mononucleosis
C. Enteroviral infection
D. * Adenoviral infection
E. Influenza
375.
Patient R., 26 years old, became ill sharply: temperature 39,5 °C, severe headache,
mainly in frontal and temporal an area, pains in muscles and joints. Examined on the 2th
days of illness: state of middle weight, skin clean, dry. Moderate hyperemia with cyanosis,
pulse 120/min., rhythmic. Cardiac activity rhythmic, tones are muffled, in lights of the
vesicular breathing. Stomach is without peristalsis. What is the preparation of choice for
treatment of this patient?
A. Aspirin
B. * Remalol
C. Ampicillin||
D. Ascorbic acid
E. Ribonuclease
376.
Patient T., 22 years old, appealed to the hospital with complaints of the frequent stool
without the abdominal pain, vomits without nausea, pain in calves. Objectively: Т-36,2 °C.
A skin is pale, cold, tongue dry, voice getting hoarse. An abdomen is pulled in, painless.
Emptying remind a “rice-water”. What terms of extract of patients from a hospital at this
illness?
A. Non-permanent negative bacteriological research of excrement
B. Double negative bacteriological research of excrement
C. Double negative bacteriological research of excrement and urine
D. Non-permanent negative bacteriological research of excrement and urine
E. * Triple negative bacteriological research of excrement
377.
Patient with complaints about a general weakness, diarrhoea appeared to the doctor.
Objectively: temperature of body 36,4 ?C, skin covers clean, acrocyanosis, tongue is dry,
stomach| is soft, not painful, emptying is abundant, watery, with the supernatant flakes of
white color, odourless and admixtures. For clarification of diagnosis culture of stool was
made on Resselya. What is the color of culture chang?
A. From blue to green
B. From yellow to green
C. From green to yellow
D. From yellow to blue
E. * From blue to yellow
378.
Sick C., 20 years old, was admitted to the hospital with complaints about the frequent
emptying without stomach-ache, vomiting without nausea, pain in calf muscle. Objectively:
Temperature of body is 36,2 ?C. Skin is pale, cold, tongue is dry, voice is hoarsed. The
stomach is pulled is not painful at palpation. Emptying resemble with “rice-water”. Are
there what terms of discharge of patients from the hospital at such illness?
A. * Triple negative results of bacteriological examination of excrements
B. Double negative results of bacteriological examination of excrements
C. Single negative result of bacteriological examination of excrements
D. Single negative results of bacteriological examination of excrements and urine
E. Double negative results of bacteriological examination of excrements and urine
379.
Sick C., 23 years, ill from 3 days after returning from India. The disease has begun
with the liquid emptying which looks like a watery, after wards joined with multiple
vomiting, expressed weakness and cramps. The state progressively got worse and was
admitted within 12 hour in an infectious hospital in a grave condition. The eyes of person is
sharped, skin is cold, acrocynosis temperature of body 35,5 ?C. Aphonia, cramps of hands
and feet. The fold of skin falls out through abdomen. stomach is pulled in, no pain at
palpation. Blood pressure is 70 and 30 mm of Hg. Pulse on radial artery is not determined,
urination and emptying are not good. What is the most appropriate diagnosis?
A. Intestinal echerihiosis
B. Salmonellosis
C. Shigellosis
D. * Cholera
E. Amebiasis, intestinal form
380.
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?
A. Treatment with sorbents
B. Polyhybrid solution intravenous
C. 5 % solution of glucose intravenous|
D. Fresh-frozen plasma intravenous
E. * Salt solutions intravenous
381.
Sick M., 22 years old, complaints about increasing of body temperature to 39 оC,
headache in frontal area, pain in eyeballs, photophobia, pain in a muscles, dry cough.
Became ill suddenly. The state is heavy. Objectively face is hyperemic, injection of scleras.
Pulse 96 per min, rhythmic. Tones of heart are hypotonic. In the lungs – dissipated dry
wheezes. Mucous membrane of oropharynx is hyperemic, grainy, vessels are extended.
menengial symptoms are not present. Analysis of blood: leukocytes 3?109/L, е 1 %, band
neut. 6 %, seg. neut 51 %, lymphocytes 35 %, мonocytes 7 %. What is most probable
diagnosis?
A. Measles
B. * Flu
C. Meningococcal disease
D. Epidemic typhus
E. Pneumonia
382.
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?
A. IV
B. II
C. * III
D. I
E. There is no dehydration
383.
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?
A. Echeriosis
B. Food poisoning|
C. * Cholera
D. Salmonellosis
E. Balantidiasis
384.
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?
A. Double negative bacteriological examination of excrements
B. Single negative bacteriological examination of excrements
C. * Triple negative bacteriological examination of excrements
D. Negative bacteriological examination of excrement and urine
E. Double negative bacteriological examination of excrement and urine
385.
Sick, 52 years old, with complaints about pain in lumbar region, headache edema of
chin. It is known from anamnesis that the sick suffers from obesity of ІІ degree. Recently
carried heavy neurological stress and had flu. He has chronic bronchitis for 5 years, chronic
gastritis for 8 years. Objectively: Temperature of the body 38.2 °C, AP – 140/90 mm Hg. It
is proposed the diagnosis of acute glomerulonephritis. What transferred factors could be the
reason of disease?
A. Neuro psycologic stress
B. Chronic bronchitis
C. Chronic gastritis
D. Obesity
E. * Flu
386.
The disease began sharply from diarrhea, that was accompanied by an abdominal
pain. The act of defecation brought facilitation. Emptying of green color, abundant, foamy,
with a strong unpleasant smell. Temperature of body is subfebrile. It is found out hyperemia
and graininess of soft palate. In blood: leucopenia, eozinophilia. Violations of waterelectrolyte balance are moderate.Your diagnosis:
A. Cholera
B. Toxic food-borne infection
C. Salmonelliosis
D. Dysentery
E. * Rotaviral gastroenteritis
387.
The disease began sharply, 6 hours ago at a normal temperature appeared frequent
liquid emptying, then vomit joined. At the inspection: voice is soundless, eyes reddish, pulse
frequent, arterial pressure low, urine is not present, cramps appeared in lower extremities.
The heart and lungs without changes. A liver and spleen are not enlarged. Choose
preparations of ethiotropic therapy which can be used:
A. Tetracycline, erythromycin, levomycetine, gentamycine, ofloxacine
B.
C.
D.
E.
Erythromycine, evomycetine, gentamycine, ofloxacine, ciprofloxacin, imodium
Tetracycline, erythromycine, levomycetine, benzyl-penicillin sodium salt, ofloxacine
* Erythromycine, levomycetine, gentamycine, ofloxacine, ciprofloxacin
Erythromycine, gentamycine, ofloxacine, ciprofloxacine, imodium
388.
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?
A. Collapse
B. Infectious toxic shock
C. * Dehydration shock
D. Cereblral edema
E. Intoxicated encephalopathy
389.
The main principle of therapy for re-hydration in cholera is.
A. Determining the definitive degree of dehydration from clinical data
B. Amount of lost liquid which was preceded at time of hospitalization
C. Application of isotonic polyglucal solution
D. Simultaneous introduction of liquid in more than one vessel
E. * All are correct
390.
The patient P., 14 years old, is suffering from flu. He is hospitalized in infectious
dept. due to worsening of his condition. He is conscious. A patient is suffocated. Pallor of
skin covers with cyanosis, breathing rate 50 times/minute. BP-80/55 mmHg, pulse 110 times
/minute. Body temperature-39,5 °C. Excretion of rose foamy sputum. On percussion of
lungs there is tympanic sound with dullness in lower part of lung .On auscultation there is
moist rales in lower posterior part of lungs. What complication of flu appeared in patient?
A. Bronchitis
B. Edema of brain
C. * Pneumonia
D. Edema of lungs
E. infectious-toxic shock
391.
The seventh pandemic of cholera is caused by V cholera El Tor. It begans in 1961 on
the Sulawesi island. However, to the epidemic of cholera arose up only in the countries of
the third world. It is known that cholera is classic bacterial infection with the fecal-oral
mechanism of transmission with the certain infectious dose of exciter. After the L.V.
Hromashevsky factors of transmission of exciter of illness can be contaminated by them
drinking-water, meal, hands. What is the basic factor of risk, that is instrumental in the such
uneven division of morbidity on countries?
A. Biological properties of exciter
B. Climate of country
C. * Social-economic conditions of population of country
D. Immune status of population
E. High development of industry and contamination of surrounding environment
392.
To the district doctor a patient, complaints on abundant excretions from a nose,
moderate headache, hearing loss, perversion of taste. On examination – dry of skin, nose
excoriation, in a pharynx – mild hyperemia. Temperature of body is subfebrile. Pathological
changes of internal organs are absent. Which acute respiratory viral infection carries the
patient?
A. Adenoviral infection
B. Parainfluenza
C. * Rhinoviral infection
D. РC-infection
E. Influenza
393.
To the internist appealed patient with complaints of weakness, diarrhea. Rested on a
south, where the cases of diarrhea were present. Objectively: t-36,4 °C, skin covers are
clean, acrocyanosis, tongue is dry, abdomen is soft, painless, emptying abundant, watery,
with the flakes of white color floating on a surface, without odor and admixtures. For
clarification of diagnosis sowing on the Ressels medium was made. How will the color of
medium change?
A. From yellow to blue
B. From yellow to green
C. From green to yellow
D. * From blue to yellow
E. From blue to green
394.
18 year old student was hospitalized to the infectious disease department on the 2nd
day of disease with complaints on sore throat during swallowing. Objective status: t – 37,5
°C, light hyperemia and swelling of right tonsil, which is covered by gray-white color
pellicle, slightly erected above the tonsil’s surface. The pellicle is easily removed by spatula,
disclosing hemorrhagic ulcer with smooth bottom. What is the most possible diagnosis?
A. Diphtheria of pharynx.
B. * Plout-Vensan’s tonsillitis
C. Lacunar tonsillitis
D. Follicular tonsillitis
E. Ulcerative-necrotic tonsillitis
395.
35 years old patient A., came to the clinic on the third day of illness with complaints
of drowsiness, sweat, headache, fever up to 38.5 °C. Reviewing physician found sore throat,
splenomegaly, enlarged lymph nodes. Liver is not enlarged. Blood analysis – leukocytosis,
lymphocytosis. What additional test should hold the patient for infectious mononucleosis?
A. Byurne and Wright-Hadulson’s reaction
B. ELISA-test, bacteriological test for tularemia
C. Bacteriological test for diphtheria and typhoid fever
D. * ELISA-test, bacteriological test for diphtheria
E. Paul-Bunnel’s reaction and lymph node puncture
396.
A 19-years-old patient became ill 5 days ago: subfebrile temperature, acquired voice,
dry cough weakness. After hospitalization: t – 37,1 °C, but the state is heavy, pallor,
expressed weakness, aphonia, noisy stenotic breathing, inciters indrawings of intercostal
intervals, pulse-110 shots per min., frequency of breathings 36 per min., cyanosys of lips
and nailes. Tonsills is covered by the greyish dense raid. Define strategy of intensive
therapy:
A. Tracheotomy, AVL, antitoxin
B. Tracheotomy, AVL, toxoid, desintoxic therapy
C. * Sedative, intubation, antitoxin, dexametazon, desintoxic therapy
D. intubation, sedative, toxoid, penicillinum, desintoxic therapy
E. sedative, oxygenotherapy, antitoxin i/v
397.
A 32 years old patient appealed to a doctor on a background of fever and increase of
temperature to 38.0 °C, pain in the right ear area, left side “deviation” appear during the next
day. On examination: right side smoothed out frontal and occipital skinning folds, right
eyelids fissure is wider than left, a mouth is overtighten to the left, a right eyebrow does not
rise upwards, and a cheek “hyperemia”, xerostomia and violation of taste receptors on front
2/3 right halves of tongue. Herpetic blisters in right external auditory canal and auricle.
What is the most possible diagnosis?
A. * Hunt’s syndrome
B. Post herpetic neuralgia of the I- and II- branches of right trifacial nerve
C. Post herpetic neuralgia of all branches of right trifacial nerve
D. Sludder’s syndrome
E. Rosolimo-Меlkerson-Rozantalia syndrome
398.
A 37 years old patient, 2 days ago a spot on a hand appeared, which for days grew
into pustule with a black bottom, painless at touch, with the crown of daughters vesicles on
periphery. There are painless edema on a hand and shoulder. Temperature rise to 39.0 °C,
dizziness appeared. Pulse – 100 beats per min, AP – 95/60 mm Hg. BR – 30 per a minute.
What is the most possible diagnosis?
A. * Anthrax
B. Plague
C. Tularemia
D. Brucellosis
E. Herpes
399.
A 40 years old scientist, became ill sharply with chill, temperature of body – 39.8 °C,
severe headache, vomiting, pain in muscles. Did not went to the doctor, the state had
become worse, hyperemia of sclera, appeared, on lips herpes with hemorrhagic
maintenance, the nose-bleeding, skin and sclera, became icteric, urine color is of strong tea,
diuresis 200 ml, an anacholia was not present. What is the most reliable source of infection?
A. * Rats
B. Cats
C. Infected people
D. Bacillocarrier
E. Mosquito
400.
A 70 years old sick person, after supercooling severy pain in the left half of head in
the area of forehead and left eye appeared. 3 days ago the temperature of body increased to
37,6 °C, the blister of pouring out at the head and left overhead eyelid appeared. What
disease can be diagnosed?
A. * Herpetic ganglionitis
B. Encephalitis
C. Allergy
D. Dermatitis
E. Trifacial neuritis
401.
A boy 11 years old, complaints about sickness at mastication, increasing of
temperature to 37.1 °C, enlargment of parotid salivary glands . At the age of 8 years carried
a paraflu infection. Objectively: in the region of right parotid salivary gland tubular sickly at
palpation, a skin above it is not changed. A pharynx is moderate hyperemic, tonsils are not
coated. What is your previous diagnosis?
A. * Cytomegaloviral syaloadenitis
B. Lymphadenitis
C. Parotitis
D. Infectious mononucleosis
E. Cholylithiasis
402.
A boy 6 years was in the close touch with a patient with diphtheria. What treatmentprophylactic measures need to be conducted, if vaccine anamnesis is unknown?
A. Introduction of AWDT vaccine
B. Antibacterial therapy
C. Introduction of ADT-м to the toxoid
D. * Antibacterial therapy and double introduction of ADT-м to the toxoid
E. Antibacterial therapy and introduction of immunoprotein
403.
A child 2 years carries a diphtherial croup. There was the stop of breathing on 2nd
days of whey therapy. What was the reason of asphyxia?
A. * Mechanical obturation by tapes
B. Stenosis of larynx
C. Anaphylaxis shock
D. Whey illness
E. Paresis of respiratory musculature
404.
A female M., 24 years old came to the doctor with long-lasting fever, night sweat.
Over the past three months, weight reduced by 7 kg. Low intention for sex. Objective
examination found an increasing of all lymph nodes, hepatolienal syndrome. In the blood:
Leucocyte – 2,2?109. What disease should be suspected?
A. * HIV infection
B. Lymphogranulomatosis
C. Tuberculosis
D. Infectious mononucleosis
E. Sepsis
405.
A girl, 18 years old, became ill sharply: indisposition, pain of head, pharyngalgia, t –
38,2 °C. To the doctor appealed only on the 3th day of illness. Objectively: on one of
tonsills the crateriform ulcer covered by the chlor raid. During the direct backterioscopy of
area of defeat found out exciters morphologically similar to spirohets sticks. What previous
diagnosis?
A. Aphthosis stomatitis
B. Diphtheria
C. * Quinsy of Vensan
D. Herpetic quinsy
E. Infectious mononucleosis
406.
A girl, 6 years old, admitted to hospital with complaints on general weakness,
increase of temperature, pain in a throat. Objectively: observed oropharyngeal mucous
membrane is bright red, on tonsils – white covering, can take off easily and enlarged all
groups of lymph nodes 1-3 cm in a diameter, dense and elastic in consistancy, not very
painfull, are not soldered between themselves. Liver is enlarged till 3 cm, spleen - till 1 cm.
In bloods - leykocytosis, plazmocytes – 20 %. What will be the credible diagnosis?
A. Acute lympholeycosis
B. * Infectious mononucleosis
C. Angina
D. Diphtheria
E. Adenoviral infection
407.
A patient 21 years old 4th day grumbles about a general weakness, moderate
pharyngalgia fervescence, to 39°C. Did not treat oneself. Objectively: edema and cyanosys
of mucus shell of otopharynx of left tonsill rough fibrinose raid which goes out on a palatal
handle and tongue. Bloodstreaks appear at the attempt of removal by his spatula.
Submandibular lymphatic knots are megascopic, more on the left side. What diagnosis is
most credible?
A. Paratonsill abscess
B. Lacunar quinsy
C. Quinsy of Vensan-Symanovskiy
D. * Diphtheria of otopharynx
E. Infectious mononucleosis
408.
A patient 60 years old for 2 days has disturbed severe pain in a right arm. On 3rd day
appeared blisters, pouring out as a chain on the skin of shoulder, forearm and brush.
Sensitiveness in the area of pouring out is mionectic. What disease can be diagnosed?
A. Dermatitis
B. * Herpetic ganglionitis
C. Neck-pectoral redicals
D. Psoriasis
E. Allergy
409.
A patient A., 23 years old, hospitalized on the 2th day of disease with complaints
about a weakness, pharyngalgias, that increase at swallowing, chill. State is moderate,
temperature of body – 38.3 °C, a mouth opens freely, moderate hyperemia with small
cyanosys of mucous in the throat, tonsils is megascopic, covered by the pellicles raids which
spread on a wall pharynx and tongue. Increasing of neck lymphonodes. Pulse – 88 per 1
min, BP 120/60 mm of Hg. A liver and spleen are not megascopic. What is previous
diagnosis:
A. * Diphtheria of oropharynx
B. Mycotic tonsillitis
C. Simanovsky-Vensent’s tonsillitis
D. Infectious mononucleosis
E. Acute leucosis
410.
A patient appealed to the doctor with complaints of difficulties in opening of the
mouth. Two weeks ago fell down and head was hurt, did not have medication. At a review
mouth opens on 1.5 cm, moderate expressed pain of muscles at the back of head. The
paralysis of muscles of person, eyeballs, are more prominent. In a temporal area dry bloody
crusts in the place of trauma. What are your diagnosis?
A. Neuritis of facial nerve
B. Throat abscess
C. * Facial paralytic stupor of Rоsе
D. Bulbar encephalitis
E. Herpetic ganglionitis of knot of trifacial
411.
A patient came with complaints about erosions of his penis. From anamnesis
frequent appearance of similar rashes during a year is found out. Objectively: on a balanus
are the grouped blisters and erosions of polycyclic outlines, with clear margin, soft during
palpation. What is your diagnosis?
A. * Recurrent congenital herpes
B. Pemphigus vulgaris
C. Primary syphillis
D. Pyodermia
E. Scabies
412.
A patient D., 20 years old came to the infectious polyclinic with complaints of
moderate pain in the throat, headache, general weakness, increasing of body temperature to
38.9 °C. He fells sick during 3 days. Objective examination: increasing inguinal lymph
nodes, hepatosplenomegaly, subicteric sclera and skin, changes in the throat are typical for
sore throats were found. Blood analysis – lymphogranulomatosis. What is probable
diagnosis?
A. * Infectious mononucleosis
B. Tonsillitis
C. Adenovirus infection
D. Influenza
E. Viral hepatitis
413.
A patient D., yesterday in the evening delivered in the hospital due to high
temperature of body, increasing pharyngalgia, pain lockjaw of masseters, nausea, vomits. At
nasopharhyngoscopy by an otolaryngologist the moderate expressed hyperemia, edema,
cyanosys of mucous membrane of left palatal tonsil, oral cavity and nasopharynx were
found out. The surface of tonsil is covered by the raid of dirty-grey color pellicle which goes
beyond his borders (in nasopharynx). Increasing of left submandibular lymphatic node of
dense consistency was also found. The edema of hypoderm of neck reaches to the collarbone. What is the described disease?
A. * Hypertoxic diphtheria of nasopharynx
B. Localized diphtheria of nasopharynx
C. Subtoxic diphtheria of nasopharynx
D. Widespread diphtheria of nasopharynx
E. Lacunar tonsillitis
414.
A patient is hospitalized in infectious permanent establishment: sharp beginning of
disease, temperature 39,9 °C, moderate pharyngalgia, takes place edema, insignificant
hyperemia with cyanosys of mucuses shells of otopharynx, on tonsills dense, brilliant,
greyish color the raids placed as continuous pellicle, is heavily taken off, bare a surface, that
bleeds. Submandibular lymphonoduss are moderatory megascopic. A patient must
immediately do:
A. Strokes with tonsills, nose or other areas for the exposure of diphtherial stick
B. IFA
C. * Microscopy (painting for Neyser)
D. Haemoculture
E. RDHA with a diphtherial diagnosticum
415.
A patient N., 45 years old, complaints about headache, general weakness increasing
of temperature, to 37.4 °C. In 2 days pain appeared in the pectoral region of spine with an
irradiation in a right between scapular regions. After some time skin in this region turned red
as a strip from a spine to the subarmpit line, and in 2 days red knots which through the set
time grew into blisters with transparent maintenance appeared in this place. What is your
diagnosis?
A. * Herpes zoster
B. Thoracal rediculopathy
C. Neurology of intercostal nerves
D. Neurology of superscapular nerve
E. Herpetiform dermatitis
416.
A patient X., 25 years old, was examined by a otolaryngologist on the 4th day of
illness. Temperature of body – 38.1 °C. Complaints about indisposition, moderate pains in
the throat. Objectively: a mouth opens fully. Mucous soft palate, handles, tongue, was
swollen, insignificant hyperemia with cyanosis. Increasing of tonsills, covered by the grey
dense raid. The raid is taken off free. The edema of neck is not present. Increasing of
submandibular lymph nodes. What is most credible diagnosis?
A. Lacunar tonsillitis
B. Infectious mononucleosis
C. Simanovsky-Vensent’s tonsillitis
D. * Diphtheria of oropharynx
E. Follicular tonsillitis
417.
A patient, 13 years old, complaints on pain in a throat, body temperature rise till 38
°C. Objectively: hyperemia of skin, hyperpigmentation of oropharyngeal mucous , tonsils
are enlarged in size, marked suppuration of follicles. During palpation enlarged posterior
cervical and submandibular lymph nodes. Pulse 96 times/minute, spleen – under the edge of
costal arc on 1 cm. About what disease it is necessary to think?
A. * Infectious mononucleosis
B. Follicular tonsillitis
C. Typhoid fever
D. Measles
E. Acute respiratory disease
418.
A patient, 22 years old, became ill sharply. History showed fever up to 38.2 °C with
headache, repeated vomiting, olfactory and tastes hallucinations. Quickly got complex of
meningeal symptoms, pyramidal paresis. The general epileptic attack and comatose state
also developed. Neurolymph is with mixed lymphocytosis, cytochrome, single red
corpuscles. What is previous diagnosis?
A. Brain abscess
B. Subdural empyema
C. * Herpetic encephalitis
D. Tumor of brain
E. Encephalopathy
419.
A sick person, 65 years old, complains of rash, pain in a subscapular region.
Objectively: on a skin surface of the subscapular region present the arcwise rose-red filling
out hearths some infiltrative, with clear scopes. On-the-spot hearths grouped vesicles with
transparent maintenance. What preparation he should take?
A. Suprastyn
B.
C.
D.
E.
Prednisolone
Biseptolum-480
Loratidin
* Laferon
420.
A woman 65 years old the disease had beginning sharply from increase of
temperature to 39.0 °C, weakness, and pain in the left part of thorax that increased with
breathing motions. On 3rd day of disease vesicular breathing appeared after motion of rib on
the left on a hyperemic background. Together with sick a grandchild lives 4 years. What
measures of prophylaxis of disease need to be adopted?
A. Vaccination
B. Final disinfection
C. Reception of specific immunoprotein
D. * Isolation of patient
E. Acyclovir administration
421.
A woman C., during 3 days complaints about a general weakness, headache
increasing of temperature to 39-40 °C, insignificant pharyngalgia. Her husband is sick with
tonsillitis. Objectively: a skin is pale, cyanosis of lips. Hyperemia of mucous of oropharynx,
increasing of tonsils. On the spot of tonsils there are continuous dense accented mother-ofpearl raids, which are taken off with great effort with bleading. Increasing of submandibular
lymphatic nodes. Edema of the neck. AP 105/65 mm Hg. What is most credible diagnosis?
A. Acute leucosis
B. Lacunar tonsillitis
C. Infectious mononucleosis
D. * Diphtheria of oropharynx
E. Adenoviral infection
422.
An 18 years old patient, entered the hospital with complaints of headache, general
weakness, raising the temperature to 37,5-38,0 °C for 6 days, a sore throat. Objective
examination: increasing of all lymph nodes, 1-3 cm in diameter, flexible, megaloblastic not
soliter together. Increasing of the liver size till 3 cm, spleen – 1 cm. Common blood
analysis: leukocytosis, plasma cells – 15 %. What is preliminary diagnosis?
A. Diphtheria
B. Adenovirul infection
C. Lacunar tonsillitis
D. * Infectious mononucleosis
E. Acute lympholucosis
423.
At a 36 years old sick person, 4 days ago a rash appeared on a skin that is
accompanied by itching. Swelling of stomach. Disturbed dull pain in right subcostal area
had constipation. Day prior to it he ate the smoked meat. Atypical reactions appeared after
the use of tomatoes, strawberry, chocolate. Objectively: on the skin of person, trunk,
extremities are rashes. Level of general IgE in normal. What is most possible diagnosis?
A. * Pseudoallergy
B. Idiosyncrasy
C. Food allergy
D. Herpetic infection
E. Chronic hives
424.
At a child 4 years on the third day of disease the widespread form of diphtheria of
nasopharynx is diagnosed. Preparation of specific therapy:
A. macrolids per os
B. Antibiotics of penicillin row i/m
C. cortycosteroid
D. * antidiphterial whey i/v
E. antitoxic therapy
425.
At a child 6 years with a diphtherial widespread croup the first dose of antidiphterial
whey makes:
* 40 AО
15 AО
20 AО
80 AО
60 AО
426.
At a child with the catarrhal phenomena it is found out the increase of submandibular
and back neck lymphatic knots, hyperplasia of tonsils with the magnificent raid of gumblush on them as points and aits, presence of the single roseol-papular pouring out, increase
of liver. Name a credible diagnosis.
A. * Infectious mononucleosis
B. Adenoviral infection
C. Scarlet fever
D. Measles
E. German measles
427.
At a girl, 22 years old, heavy form of diphtheria of otopharynx. Specific treatment is
begun only on a 5th day from the beginning of disease, in the day of appeal of parents for
medical help. The sick is instiled only in a maternity hospital. What complication of
diphtheria is potentially dangerous?
A. Stenotic laryngotracheitis
B. Pneumotorax
C. Meningoencephalitis
D. Septicopyemia
E. * Infectiously-toxic shock
428.
At a patient by the method of specific laboratory diagnostics the confirmed
noncommunicative form of diphtheria of otopharynx. Specific etiotropic treatment is
appointed on the second day from the beginning of disease. Your attitude toward setting of
antibiotics:
A. Beside the purpose to appoint
B. * Obligatory component of holiatry
C. To appoint in the case of stratification of complications
D. To appoint at presence of base-line and concomitant diseases
E. To appoint in default of positive dynamics of local displays of diphtheria during
three days
429.
At a patient the dense darkly-grey raid covers tonsils is considerably megascopic and
spreads for their scopes. Mucus shell bloodshot accented cyanochroic, was considerably
swollen. Immediate medical measure:
A. Ultraviolet irradiation of throat
B. p0unction of perstonsillar space
C. Section of peritonsillar space
D. * Introduction of antidiphterial whey
E. Compress on a neck
430.
At a patient which appealed to the district doctor with pharyngalgias, it is discovered
at a review: temperature is subfebrile, moderate hyperemia of otopharynx, megascopic left
tonsill, on him dense grey-white color raid which becomes separated from heavily, mucus
bleeds under him. Megascopic littlesickly regional submandibular lymphonodus. Specify a
previous diagnosis?
A. Lacunar quinsy
B. Quinsy of Symanovskyi-Plaut-Vensan
C. Adenoviral infection
D. * Noncommunicative diphtheria of otopharynx
E. Infectious mononucleosis
431.
At a patient which treats oneself stationary on an occasion the widespread form of
diphtheria of otopharynx, on a background the positive dynamics of displays of illness
appeared periodic hit of spoon-meat in a nose, voice acquired a nasal tint. During a review:
A.
B.
C.
D.
E.
hang-on of soft palate and absence of his motions at fonation. On-the-spot palatal tonsills
tailings of grey raid for a gum-blush, perifocal edema. What complication of diphtheria at a
patient?
A. * Bilateral palatoplegia
B. Peritonsillar abscess
C. Postpharyngeal abscess
D. Edema of Kvinke
E. Peritonsillar abscess
432.
At a patient, 17 years: tonsils, temperature 38,2 °C, generilized lymphadenopathy
(the first multiplied neck lymphatic knots which are located along m.
sternocleidomastoideus), small icterus hepatospleenomegaly. What exciter causes this
disease?
A. Herpesvirus I type
B. Herpesvirus ІІ type
C. Herpesvirus ІІІ type
D. * Herpesvirus ІV type
E. Herpesvirus V type
433.
At a student 25 years on a background sharp development of illness is fervescence to
40 ?C, rapid growth of intoxication – a pharyngalgia appeared at swallowing. Objectively:
oedematousness and hyperemia of mucuses shells of otopharynx and tonsills. On the tonsils
there is raid of grey-white color, which is taken off by a spatula in the type of pellicle, that
does not dissolve in water and is not ground by a spatula. In place of the taken tape off
sanguifluousness. Suspected diphtheria of fauces. What most expedient medical tactic?
A. * Obligatory hospitalization of patient and introduction of antidiphtheria whey
B. Ambulatory treatment of patient and introduction of antidiphtheria whey
C. Introduction of antidiphtheria whey
D. Setting of antibiotics therapy ambulatory
E. Hospitalization of patient in permanent establishment and setting of antibacterial
therapy
434.
At maintenance of call on a house a district paediatrician put to the sick child 5 years
old, diagnosis “Acute lacunar tonsillitis”. Specify, who must carry out the laboratory
inspection of patient and in what terms.
A. Worker of SES upon receipt report
B. A district medical sister is at once after determination of diagnosis
C. Doctor pediatrician in 5 hours
D. * Doctor pediatrician at once after determination of diagnosis
E. District medical sister on a next day
435.
At sick L, 35 years old, a diagnosis is set is diphtheria of pharynx,
noncommunicative form. What first dose of antitoxic antidiphtheria whey is it necessary to
appoint?
A. 120 thousand of AО
B. 80 thousand of AО
C. * 30 thousand of AО
D. 50 thousand of AО
E. 150 thousand of AО
436.
At sick person with the combined form of diphtheria of tonsills, larynx and front
departments of nose on the 2nd day of stay in permanent establishment the state became
worse: a weakness grew, pain appeared after a breastbone, vomiting. Objectively: patient is
adinamic, pale, acrocyanosys. Pulse 54 per 1 min, weak filling. Cardiac tones are muffled,
chaotic extrasystoles. BP is 80/40 mm Hg. Liver +3 cm. What complication arose up at a
patient?
A. Infectiously-toxic shock
B. anaphilaxis shock
C. cardiogenic shock
D. * Early myocarditis
E. Late myocarditis
437.
At sick, that grumbled about the massive salivation, during the objective inspection it
is found out gingivitis, separate rather yellow ulcers on tongue, mucus shell of cheeks, ash,
moderate increase, and painful back neck lymphonoduses. What previous diagnosis?
A. * Herpetic stpmatitis
B. Diphtherial adenoiditis
C. Infectious mononucleosis
D. Abscess of epipharyngeal tonsill
E. Herpetic quinsy
438.
At the patient B., 35 years, after the disease which was accompanied by the fever and
pharyngalgias, there were an odynophagia, dysarthria, weakness and violation of motions in
hands and feet, hyporeflexia, violation of sensitiveness in extremities to the polyneurotic
type. What disease does it follow to think about above all things?
A. neuropathy of hypoglossus
B. * Diphtherial polyneuropathy
C. neuropathy of glossopharyngeus nerve
D. Trunk encephalitis
E. pseudobulbar syndrome
439.
At the patient P, 20 years old, reconvalescent from heavy form of diphtheria in 10
days after excerption a general weakness pain and paresthesias appeared from permanent
establishment (5th week from the beginning of disease), mainly in the distal departments of
extremities. Independently can not be tricked into on feet. Objectively: considerable
symmetric atrophy of muscles of extremities, especially – lower. To the tendon reflexes are
mionectic. In a neurolymph is moderate pleocytosis is albumen-cellular dissociation. Your
diagnosis?
A. * Syndrome of Gienne-Barre
B. Diphtherial polyneuropathy
C. Poliomyelitis
D. Transversal myelities
E. Ascending paralysis of Landri
440.
Child 3 years from having many children social-unprosperity family is ill 3 days. The
disease began sharply, from the increase of temperature to 38,0 °C, barking cough
hoarseness voice. In a dynamics on a background of subfebrile temperature a cough became
soundless. At a review: the state is heavy, inciter shortness of breath with the indrawing of
jugular fossula, cyanosys of nasolabial triangle, HR –160 per minute, tonsills filling out,
hyperaemia accented cyanochroic. In the plan of differential diagnostics the most reliable is:
A. Viral croup
B. * Diphtherial croup
C. Respirator chlamidiosis
D. Infectious mononucleosis
E. Epiglottiditis
441.
Diagnostics of quinsy background on such criteria: epidemiologys information, sharp
beginning, fever, tonsillitis, regional lymphadenitis, neutrophilic leycocytosys. What
research must be conducted in an obligatory order by a patient with the diagnosis of quinsy?
A. Selection from mucus of otopharynx haemolitic streptococcus
B. Biochemical blood test
C. * Strokes from otopharynx and nose on bacteria of diphtheria
D. Hemoculture
E. IFA
442.
During the examination of a patient with pharyngalgias subfebrile temperature,
moderate hyperemia of mouth, increasing of left tonsil with grey-white cover which
becomes bleading during separation. Megascopic submandibular leftside lymphatic nodus.
What is previous diagnosis?
A.
B.
C.
D.
E.
* Diphtheria of oropharynx
Lacunar tonsillitis
Simanovsky-Vensent’s tonsillitis
Adenoviral infection
Infectious mononucleosis
443.
During the examination of a patient, 17 years old, observe tonsilitis, body
temperature 38,2 °C, generalized lymphadenopathy (cervical ltmph nodes, located along the
m. sternocleidomastoideus), mild jaundice, hepatospleenomegaly. What is preliminary
diagnosis?
A. Tuberculosis of lymph nodes
B. Bacterial tonsillitis
C. Diphtheria
D. * Infectious mononucleosis
E. Lymphogranulematosis
444.
In 18 years old patient, diphtheria of mouth pellicle severe form was diagnosed. On
the 6th day of disease pain in the heart region, palpitation were appeared. Pulse – 120 per 1
min, systolic noise on apex of heart. On ECG is incomplete blockade of left leg of Giss
bunch. What complication has developed?
A. * Early infectious-toxic myocarditis
B. Myocardial dystrophy
C. Heart attack of myocardium
D. Acute cardio-vessel insufficiency
E. Stenosis of mitral valve
445.
In a newborn, the septic state was accompanied with the increase of temperature to
40 oC which developed on 5th day, with pneumonia expressed intoxication: pallor,
vomiting, shortness of breath, disturbance, cramps. Appeared rash (blisters with
hemorrhages) on skin, mucous membrane of mouth cavity, throat and conjuctiva. The child
suffers with congenital herpes. Lungs: difficult breathing and vesicular wheezing. Mild
enlargement of liver. What is the most reliable diagnosis?
A. * Herpetic infection
B. Cytomegaloviral infection
C. Chicken pox
D. Rubella
E. AIDS
446.
In a policlinic the patient C., 18 years old, appealed with complaints about a
moderate pharyngalgia, head pain, general weakness fervescence, to 38,9 °C. It is ill already
three days. Objectively: it is found out megascopic back neck, and inguinal lymphatic knots,
hepatospleenomegaly, subicterus scleroticas and skin, changes in a throat, characteristic for
tonsils. At the hemanalysis – lymphomonocytosis. Credible diagnosis?
A. * Infectious mononucleosis
B. Follicle quinsy
C. Adenoviral infection
D. Flu
E. Viral hepatitis
447.
In a policlinic the patient C., 18 years old, appealed with complaints about a
moderate pharyngalgia, head pain, general weakness fervescence, to 38,9 °C. It is ill already
three days. Objectively: it is found out megascopic back neck, and inguinal lymphatic knots,
hepatospleenomegaly, subicterus scleroticas and skin, changes in a throat, characteristic for
tonsils. At the hemanalysis – lymphomonocytosis. Principles of treatment?
A. Antibiotics, hepar protective preparations, antihistaminic
B. Antiherpetic preparations, hepar protective preparations, antihistaminic
C. * Antibiotics, preparations of interferon, hepar protective preparations
D. Antibiotics, Antiherpetic preparations , antihistaminic
E. Antibiotics, preparations of interferon, vitamins
448.
In an epidemic cell rationally to organize verification of the state of immunity. The
Use of RUHA allows to find out persons unimmune to diphtheria during a few hours. What
minimum protective titre?
A. 1:10
B. 1:20
C. * 1:40
D. 1:80
E. 1:160
449.
In children with catarrhal phenomena revealed an increase of inframaxillary lymph
nodes, tonsil hyperplasia with whitish soft touch on them in the form of points and islands,
the presence of rare maculo-papular bulging out, increased liver and spleen. Identify the
likely diagnosis?
A. * Infectious mononucleosis
B. Acute leukemia
C. Measles
D. Scarlet fever
E. Chicken pox
450.
In patient R., 34 years old with general intoxication and increased body temperature
up to 38 ?C, appear pain in region of right auditory canal and next day distortion of face to
the left side. Review: softening of frontal and nasal-mouth skin folds, right eyelid cleft is
wider than left, mouth cavity turned left, right eyebrow doesn’t move upwards and cheek is
strenght. Right xerophthalmia, xerotomia and disordered taste sensation on the surface of
right anterior 2/3 half of tongue. Herpetic vesicles in right exterior auditory canal and
auricle. What is the most possible diagnosis?
A. Rossolimo-Melkerson-Rozental’s syndrome right side
B. Postherpetic neuralgia of I-st and II-nd branch of right trigeminal nerve
C. Postherpetic neuralgia of all 3 branches of right trigeminal nerve
D. Sluder’s syndrome right side
E. * Hant’s syndrome
451.
Male patient, 22 years old, complains of sore throat, general weakness, headache.
Objective status: fever 38 ?C, Ps 100 per min, pharyngeal mucosa is hyperemic, tonsils are
swollen, porous, covered with layer, which is easily removed with spatula, without bleeding.
What is the most possible diagnosis?
A. Follicular tonsillitis
B. * Lacunar tonsillitis
C. Simanovsky-Vensan’s tonsillitis
D. Infectious mononucleosis
E. Localized dyphtheria of pharynx
452.
Patient 18 years, entered permanent establishment with complaints about head pain,
general weakness increase of temperatures, to 37,5–38,2 °C during 6 days, pharyngalgia.
Objectively: all groups of lymphonoduses, 1-3 cm in a diameter, elastic, are megascopic,
little sickly, not soldered between itself. A liver is megascopic on 3 sm, spleen – on 1 sm. In
a blood is leycocytosis, plasmatic mews – 15 %. What group of herpes does the exciter of
this illness belong to?
A. Alpha
B. Beta
C. * Gamma
D. Delta
E. Teta
453.
Patient 60 years old complain of pains in right hand which last for 2 days. On the 3rd
day appeared vesicular chain-like rash on the skin of arm, forearm and fist. Sensitivity in the
rash area is decreased. Which disease can be diagnosed?
A. Dermatitis
B. * Herpetic ganglionitis
C. Neck-thorax radiculitis
D. Psoriasis
E. Allergy
454.
Patient A., 17 years old, became ill gradually. A general weakness, fatigue, pain in
throat, stomach-ache, nausea, was marked. He was hospitalized on the 5th day of illness.
Objectively: body temperature 38 °C, increased cervical, cubital and axillary lymph nodes.
Subecteric skin and sclera. Observed elements of spot-papul rash on a trunk. Raids on
tonsils are loose, yellow, tongue coated by white covering, a stomach is moderately swollen,
hepatospleenomegaly. In general blood – leucocytosis, neutrophyle shift to left, atypical
mononuclears – 10 %, plasmatic cells – 10 %. What is preliminary diagnosis?
A. * Infectious mononucleosis
B. Yersyniosis
C. Lacunar tonsillitis
D. Viral hepatitis A
E. Typho-paratyphoid disease
455.
Patient A., 18 years old, is complaining about headache, weakness, high temperature,
soar throat. Objectively: general lymphadenopaty,wit lymph nodes 1-3 cm in diameter,
dense, elastic not painful and not combined between themselves. Hepatospleenomegaly was
noticed. In blood there is leucocytosis, monocytes – 15 %. What is the diagnosis?
A. * Infectious mononucleosis
B. Adenoviral infection
C. Tonislatis
D. Diphtheria
E. Acute leukemia
456.
Patient A., 35 years old, came to the clinic on the third day of disease with
complaints of drowsiness, sweat, headache, fever up to 38.5 °C. Reviewing physician found
sore throat, splenomegaly, enlarged lymph nodes. Liver not enlarged. Blood analysis –
leukocytosis, lymphomonocytosis. What is treatment for the patient?
A. * Antibiotic, drugs interferon, hepatoprotectors
B. Antihistamin, antiherpetic preparations hepatoprotectors
C. Antibiotic, hepatoprotector, antihistamine
D. Antibiotics, antihistamine, antiherpatic drugs
E. Vitamins, antibiotics, drugs interferon
457.
Patient A., complains of redness of the skin and edema on the right cheek. During a
review: body temperature 38,7 °C, enlarged and painful right submandibular lymphatic
nodes, the border between red and normal skin is sharp, present vesicles with dark content,
palpation is painful. Your primary diagnosis?
A. * Erysipelas, hemorrhagic form
B. Anthrax, skin form
C. Herpetic infection
D. Varicella (chickenpox)
E. Phlegmone of the cheek
458.
Patient B, 29 years, appealed to the clinic with complaints about the increase of
temperature bodies, pain of head, dull ache in joints, chill, pharyngalgia, that increased at
swallowing. Objectively: hyperemia of otopharynx, tonsills are hyperaemic, hypertrophied,
on both are necrotizing areas of darkly-grey color, after removing a layer by the layer of
which the deep defect of mucus shell appeared with an uneven bottom, sickly regional
lymphatic knots are megascopic. What illnesses is it necessary to conduct differential
diagnostics with?
A. Diphtheria
B. Rabbit-fever
C. Lupus
D. Infectious mononucleosis
E. * With all listed above
459.
Patient B, after disease, which was accompanied by fever and sore throat, has signs
of dysphagia, dysarthria, weakness of limb muscles, hypoaesthesia of polyneurotic type.
What is the most possible diagnosis?
A. Sublingual nerve neuropathy
B. * Dyphtherial polyneuropathy
C. Glossopharyngeal nerve neuropathy
D. Encephalitis
E. Bulbar syndrome
460.
Patient B., 18 years old, entered infectious department with complaints about
headache, general weakness increasing of temperature to 37.5-38.2 °C during 6 days,
pharyngalgia. Objectively: all groups of lymphonodes are megascopic 1-3 cm in a diameter,
elastic, littlesickly, not soldered between itself. A liver is megascopic on 3 cm, spleen – on 1
cm. Common blood analysis: atypical mononuclears – 15 %. What is reliable diagnosis?
A. Acute lympholeukosis
B. Adenoviral infection
C. * Infectious mononucleosis
D. Diphtheria
E. Acute streptococcus tonsillitis
461.
Patient B., 22 years, became ill sharply, when insignificant pharyngalgias appeared at
swallowing, nasal voice. Objectively: on left tonsill and there is the pellicle raid on a handle.
It is diagnosed: lacunar quinsy, appointed penicillinum and rinse 2 % by solution of soda.
On the second day pellicles spread on a soft palate and tongue. On a neck the edema
appeared to the collar-bone, voice nasal. Tones of heart are muffled, pulse 90 per min, BP is
95/65 mm HG. What most expedient medical tactic in this case?
A. Antibiotics of group of penicillinum and diphtherial toxoid
B. By the rinse 2 % by soda solution in combination with the peroral setting of
erythromicinum
C. Autohemotherapy, warming compresses and quartz
D. Opening paratonsill cellulose
E. * Antitoxic antidiphterial whey and benzylpenicillinum
462.
Patient C., 16 years old, consulted to the infectious hospital on the 2nd day of
diseases with complaints for a pain in throat at swallowing, increase of temperature.
Objectively: body temperature 38,6 ?C, sharp hyperemia to the pharynx, edematous and
loose tonsils, on both sides – purulent covering which can be taken off easily by spatula. By
palpation painful enlarged submandibular lymph nodes. Pulse 114 times/minute. From
epidemic anamnesis it is clear that the same symptoms had her boyfriend. Changes in other
organs didn’t observe. What preliminary diagnosis can be suspected?
A. * Lacunar tonsillitis
B. Diphtheria of pharynx.
C. Infectious mononucleosis.
D. Influenza
E. Scarlet fever
463.
Patient D, 24 years old, grumbles about a general weakness, increase of t to 37,5°C,
pharyngalgia, edema of neck. Objectively: the mucus shell of otopharynx was swollen,
cyanochroic, tonsills is megascopic, covered by tapes, which spread for their scopes, is
taken off heavily. What basic mechanism of development of this disease?
A. Accumulation of unoxidized products
B. Action of bacterial endotoxin
C. Allergic
D. Bacteriaemia
E. * Action of bacterial exotoxin
464.
Patient D., 20 years old, fell ill and went to infectious polyclinic cabinet with
complaints of moderate pain in the throat, headache, general weakness, increased body
temperature of 38.9 °C. Fells bed during three days. At examination: increasing of inguinal
lymph nodes, hepatosplenomegaly, subicteric sclera and skin, changes in the throat are
typical for sore throats. In the blood – lymphogranulomatosis. The principles of treatment
are?
A. * Antibiotics, interferons, hepatoprotectors
B. Antihypertensives hepatoprotectors, antihistamines
C. Antibiotics, hepatoprotectors, antihistamines
D. Antibiotics, antihypertensives, antihistamine
E. Antibiotics, interferones, vitamins
465.
Patient D., 32 years, appealed on the third day with complaints about a sharp general
weakness, change of voice, pharyngalgia. Objectively: dense pellicles occupy all surface of
tonsills, tongue, handles; a hypoderm was swollen from both sides to the middle of neck.
Cardiac activity is satisfactory: pulse 90 per min, BP is 95/65mm Hg; temperature of body
38,3 °C. Your diagnosis?
A. Combined diphtheria
B. Diphtheria of otopharynx, middling-heavy form
C. Infectious mononucleosis, heavy form
D. * Diphtheria of otopharynx, heavy form
E. Diphtheria of nasopharynx, heavy form
466.
Patient D., was hospitalized with complaints on fever, sore throat, trismus of
masticator muscle, nausea, vomiting. Data of pharyngoscopy: moderate hyperemia,
swelling, cyanosis of left tonsil and pharyngeal mucosa. Tonsil is covered with thick graywhite pellicle, which is spreading beyond the tonsil. On the left neck side big submandibular
lymph node is palpable. Swelling of neck spreads to the clavicle. What form of disease has
developed?
A. Toxic dyphtheria of pharynx of the III degree
B. Subtoxic dyphtheria of pharynx
C. Localized dyphtheria of pharynx
D. Spread dyphtheria of pharynx
E. * Toxic dyphtheria of pharynx of the II degree
467.
Patient K., 56 years old, during last 5 days has Herpes zoster with localization of the
process on the right cheek and paraauricular region. Treating with herpevir. Today pain in
the right eye appeared. During examination present of edema of eyelid and hyperemia of
conjunctiva. What is the action of a physician?
A. Prescribing eye drops (оphtan, аlbucid and other)
B. Prolonged treatment with herpevir
C. * Immediately consultation of ophthalmologist
D. Intensify treatment with antiviral drugs
E. Prescribe warm compress
468.
Patient of 20 years old, on the 2nd day of illness painful swallowing, general
weakness, headache complaints about. Objectively: temperature 39.0 °C, pulse – 110 per 1
min, mucous of mouth is hyperemic, tonsils is enlarged in sizes, loose, covered by the raid,
that is easily taken off, surface after the removal is not bleeding. What disease is it necessary
to think about?
A. Tularemia
B. Diphtheria of mouth
C. Simanovsky-Vensent’s tonsillitis
D. Infectious mononucleosis
E. * Acute streptococcus tonsillitis
469.
Patient P, 17 years old, has got ill gradually. General weakness, fatigue, painful
throat, and nausea were marked. He was hospitalized on the 5th day of illness. Objectively:
temperature is 38 °С. Objectively: skin and sclera are yellowish, neck, anticubital and
subclavian lymph nodes are enlarged. Not numerous mculo-papular elements of rash on a
trunk are found. The tongue is covered with white coat. The tonsils covered with white
yellowish patches.On palpation of stomach enlarged spleen and liver are found. In blood
there is leucocytosis with neutophylic shift, atypical mononuclears-10 %, plasmatic cells- 10
%. What would be the diagnosis?
A. Scarlet fever
B. * Infectious mononucleosis
C. Typhoid fever
D. Iersiniosis
E. Lacunar tonsilitis
470.
Patient P., 10 years old, hospitalized with combined form of diphtheria of tonsils,
larynx and nose. On the 2nd day in the hospital patient’s condition worsened: general
weakness, pain in the cardiac region, vomiting. Objective status: adynamia, paleness,
acrocyanosis. Ps 54 per min, weak. Cardiac tones are muffled, extrasystole. AP – 80/40 mm
Hg. Liver + 3 cm. What complication has developed?
A. Infectious-toxic shock
B. Anaphylaxis shock
C. Cardiogenic shock
D. * Early myocarditis
E. Late myocarditis
471.
Patient was consulted by doctor with complaints on sore throat. Objective status:
subfebrile temperature, moderate hyperemia of pharynx with cyanotic tint, left tonsil is
swollen with thick gray-white layer, which is hardly removed with bleeding. Regional
submandibular lymph node is increased, light painful. What is preliminary diagnosis?
A. Lacunar tonsillitis
B. Plout-Vensan’s tonsillitis
C. Adenoviral infection
D. * Localized diphtheria of pharynx
E. Infectious mononucleosis
472.
Patient Н., was hospitalized with a diagnosis diphtheria of pharynx, widespread
form. At the review of oropharynx stratifications of gum-blush accented mother-of-pearl on
tonsils pellicles, which are heavily taken off, a surface bleeds under them. What medical
measures are primary?
A. Introduction of non steroid and ant inflammatory drugs
B. Introduction of antibiotics
C. * Introduction of ant diphtheria serum
D. Introduction of glucocorticoids
E. Disintoxication therapy
473.
Patient, 24 years old, with diagnosis dyphtheria was admitted to the infectious
disease department. What remedy is most effective for treatment and should be used
immediately?
A. Antibiotics
B. Oxygenotherapy
C. * Antitoxic antidyphtherial serum
D. Antipyretic drugs
E. Sulfanilamides
474.
Patient, 25 years old, came to the physician on the 3rd day of disease with complains
of rash on the mouth, external nose and ears, which are itching and painful. Objectively: T37,7 °C. On the not changed skin of mouth, nose and ear auricle there are vesicles with size
of 1-2 mm grouped localization. About what disease you can think?
A. Erysipelas, bulbous form
B. Anthrax
C. * Herpetic infection
D. Eczema
E. Streptodermic infection
475.
Patient, 35 years was hospitalized with diagnosis localized diphtheria of pharynx.
What is the first dose of antitoxic antidyphtherial serum?
A.
B.
C.
D.
E.
* 30 000 AU
50 000 AU
80 000 AU
120 000 AU
150 000 AU
476.
Sick 65 years old patient, complains about pain in a subscapular region. Objectively:
on a skin surface of subscapular region the placed arcwise rose-red filling out hearths some
infiltrative, with clear scopes was present. On-the-spot hearths grouped vesicles with
transparent maintenance. What is the diagnosis?
A. Impetigo
B. Herpes simplex
C. Erysipelas
D. Allergodermia
E. * Herpes zoster
477.
Sick A., complaints about turning red rash and edema on a right cheek. During a
review: temperature of body – 38.7 °C, submandibular lymph nodes enlarged and painful,
border between turning red and healthy skin is clear, there are blisters with a dark liquid
inwardly, palpation is painful. What is your previous diagnosis?
A. * Erysipelas, hemorrhagic form
B. Anthrax, skin form
C. Herpetic infection
D. Chicken pox
E. Phlegmon of cheek
478.
Sick E., the student of 11 class, where the noted cases of ARVI have happened,
appealed to the policlinic on the 3rd day of illness with complaints about a chill, general
weakness moderate pharyngalgia, cold, edema of tongue. Objectively: insignificant
hyperemia of palatal tonsils on a background the moderate edema of fabrics. Conjunctivitis.
Soft, unpainfull submandibular, neck and inguinal lymphatic nodes were revealed. A liver
and spleen were moderate inlarged. What is most credible diagnosis?
A. Influenza
B. Diphtheria
C. Meningococcal nasopharyngitis
D. * Adenoviral infection
E. Infectious mononucleosis
479.
Sick F., 16 years old, complaints about a general weakness, painfull swallowing,
pharyngalgia. Objectively: the mucous membrane of mouth is brightly red, tonsils are
covered by white raids, which were taken off easily, increasing of all groups of
lymphonodes, 1-3 cm in diameter, dense, elastic, not soldered between itself. A liver is
megascopic on 3 cm, spleen – on 1 Cm. Common blood analysis: leucocytosis, mononuclear
– 20 %. What is credible diagnosis?
A. * Infectious mononucleosis
B. Acute lympholeukosis
C. Acute streptococcus tonsillitis
D. Diphtheria
E. Adenovirus infection
480.
Sick K., 29 years old, complaints about increasing of temperature to 38.2 °C,
headache, weakness, pharyngalgia, which increase at swallowing. Disease began sharply 2
days ago. Objectively: pallor of skin surface. Pulse 110 per 1 min. Tones of heart are
muffled, especially first. Tender systolic noise. AT 100/65 mm Hg. Inflammatory changes
of tonsils and soft palate. On the spot of tonsils pale-grey cover which spreads out of their
borders, is heavy to taken off, dense. Increasing of regional lymph nodes. There is the
edema of hypoderm, which reaches to the middle of the neck. What is the most credible
diagnosis:
A. * Diphtheria of oropharynx
B.
C.
D.
E.
Infectious mononucleosis
Simanovsky-Vensent’s tonsillitis
Lacunar tonsillitis
Paratonsillar abscess
481.
Sick patient, 25 years old, was consulted by a doctor on the third day of illness with
complaints about pouring out on lips, wings of nose and ears, pain and swelling in the places
of these pouring out. Objectively: temperature of body – 37.7 °C, unchanged skin of
overhead lip, wings of nose, auricles, there is vesicular scars 1-2 mm with the group
location. What disease you may think about?
A. Erysipelas, bullous form
B. Anthrax
C. * Herpetic infection
D. Anthrax, skin form
E. Chicken pox
482.
Sick person with complaints about increase of temperature to 37,8 °C, moderate
pharyngalgias during 3 days appealed to the doctor. Objectively: increasing of
submandibular lymph nodes to 3 cm. Hypertrophy of tonsils, they are covered by the grey
pellicle that spreads on a tongue, front palatal arches. What is most credible diagnosis?
A. * Diphtheria of oropharynx
B. Infectious mononucleosis
C. Simanovsky-Vensent’s tonsillitis
D. Adenoviral infection
E. Candidosis
483.
Sick, 17 years old, became ill sharply after supercooling: fever 39,5 °C, pain of head
and muscles, pharyngalgia at swallowing, aching pain at lumbar region, palpitation. Palate
and tonsils are hypertrophied, bright red, in the lacunes festering raid. A lacunar quinsy is
diagnosed. What method of laboratory research most effective in this case?
A. Biochemical hemanalysis
B. Microscopic research of festering maintenance of lacunes
C. Immunological hemanalysis
D. Biological method of research
E. * Bacteriologic examination of festering maintenance of lacunes
484.
Sick, 24 years old, complaints on a pain in a throat, general weakness. Objectively:
temperature 38,0 °C. pulse 96 shots per a min., dermahemia mucus of otopharynx
bloodshot, tonsils are enlarged in sizes, loose. During palpation-enlarged posterior cervical
and submandibular lymph nodes, a spleen comes forward from under the edge of costal arc
on 1 cm. About what disease it is necessary to think?
A. Scarlet fever
B. Acute respirator disease
C. Follicle tonsillitis
D. Typhoid fever
E. * Infectious mononucleosis
485.
Sick, 49 years old, became ill 3 days ago: fever 37,2 °C, pharyngalgia. On right
tonsill grey pellicle for a gum-blush by a thickness 2-3 mm, spreads on a soft palate.
Previous diagnosis: Diphtheria of right tonsill and soft palate. What method of laboratory
research most effective in this case?
A. * Bacteriologic examination to the stroke, taken from under pellicle
B. Microscopic research to the stroke, taken from under pellicle
C. Immunological hemanalysis
D. Biological method of research
E. Biochemical hemanalysis
486.
Sick, 49 years old, came to the doctor with complaints of pain. On the 3rd day he
became ill, first marked heartburn and pain in thorax, yesterday is pouring out. At
examination: temperature of body 37,8 °C, after motion of the V-VI intercostals intervals on
a hyperemic skin group of the blisters filled by transparent maintenance. What is the
diagnosis?
A. * Herpes zoster
B. Chicken pox
C. Erysipelas, erythematous-bulous form
D. Allergic dermatitis
E. Myositis
487.
Sick, in 24, disturbs a pharyngalgia, general weakness. Objectively: temperature – 38
°C. Pulse 96 shots per min, dermahemia mucus of otopharynx bloodshot, tonsills are
megascopic in sizes, loose. Palpated megascopic back neck and submandibular lymphatic
knots., a spleen comes forward from under the edge of costal arc of to 1 sm. What methods
of diagnostics is it possible to confirm a diagnosis by?
A. Reaction of Paul-Bynnel, Right-Heddlson, Goffa-Bauer
B. * Reaction of Paul-Bynnel, Lovrik-Volner, Goffa-Bauer
C. Reaction of Paul-Bynnel, Right-Heddlson, Lovrik-Volner
D. Reaction of Paul-Bynnel, Goffa-Bauer
E. Reaction of Paul-Bynnel, Goffa-Bauer, Right-Heddlson, Lovrik-Volner
488.
Student, 25 years old, has signs of acute disease – fever (t 40 °C), rapid intoxication,
headache, sore throat. Objective status: tonsil is swollen with thick gray-white pellicle,
which is hardly removed with bleeding, pellicle is not soluble. Doctor supposes it is
diphtheria of pharynx. What is the most rational tactic of treatment?
A. * Compulsory hospitalization of the patient and injection of antidyphtherial serum
B. Out hospital treatment of the patient and injection of antidyphtherial serum
C. Injection of antidyphtherial serum
D. Out hospital antibacterial treatment
E. Hospitalization of the patient and antibacterial treatment
489.
The boy 12 years old, with catarrhal phenomena seen an increase of all the lymph
nodes, sclera, hyperplasia of tonsils white layers on them as islands, existing single maculopapular rash, increased liver and spleen size. What additional research should appoint?
A. Reaction of passive heamaglutination(RPG) with influenza viruses
B. Ultrasound of the abdomen
C. Puncture of the lymph nodes, with following microscopy
D. Inoculation of blood
E. * Blood test for atypical mononuclears
490.
The otolaryngologist during the review of patient marked hyperemia, considerable
edema of tonsills with the grey raid on them. During the microscopy of raid it was found out
sticks located under a corner to each other. What disease does it follow to think about?
A. Scarlet fever
B. Streptococcus quinsy
C. * Diphtheria
D. Quinsy of Vensan
E. Staphylococcus quinsy
491.
The patient, 58 years old, was hospitalised in the infectious department with
complaints of pain in the left half of thorax, fever. At a review: temperature of body 37.5 °C,
in XI-XII intercostal area the grouped shallow blisters on a hyperemic-filling background
are filled by transparent maintenance. Preparation of choice for treatment of this patient is:
A. Suprastin
B. Prednisolone
C. Biseptolum-480
D. Semavin
E. * Laferon
492.
The patients, 20 years old, with 5 days fever, pain in the throat during swallowing,
pain in muscles. During review – there is thick, congested tonsils with purulent layers that
are easily removed, enlarged neck, and inframaxillary lymph glands, liver + 1.5 cm possible
palpation of edge of spleen. What additional research should be done?
A. Puncture of the lymph nodes, followed by microscopy
B. Ultrasound of the abdominal cavity
C. * Blood test for atypical mononuclear
D. Inoculation of blood
E. Reaction of passive heamoglutination(RPH) influenza A viruses
493.
The sick 49 years old grumbles about pain at swallowing, weakness, fervescence to
38,7 °C. Skin pale. In the area of tonsills, tongue and soft palate considerable edema
hyperemia accented cyanochroic and greyish dense pellicle. The pellicle are not taken off.
Megascopic front-neck lymphonoduss, edema of hypoderm of neck to the first neck fold.
Tones of heart are deaf, pulse 100 shots per minute, BP 120/90 mm Hg. What from the
methods of research is not obligatory?
A. * Electro-encephalography
B. Bacteriologic examination of strokes from otopharynx
C. Electrocardiography
D. Laryngoscopy
E. Determination of level of CPC and LDG in the whey of blood
494.
To the infectious diseases department was admitted patient M. 58 years old, with
complains of pain in left part of thorax, fever. During a review: body temperature 37,5 ?C,
on the level of XI–XII intercostals spaces on hyperemic-edemous shadow grouped small
vesicles with transparent content. Preparation of choice for treatment of this patient?
A. Suprastyn
B. Prednisolon
C. Biseptol-480
D. Cymeven
E. * Laferon
495.
With epidbonfire hospitalized sick Н. 23 years old with a diagnosis diphtheria of
pharynx, widespread form. At the review of pharynx on tonsills pellicles stratifications of
color of gum-blush accented mother-of-pearl, which were heavily taken off by a spatula, a
surface bleed under them. When will she can be written out?
A. After disappearance of clinical symptoms
B. After disappearance of clinical symptoms and receipt of negative result of
bacteriologic examination of mucus with tonsills and nose on the exciter of
diphtheria with a two-day interval
C. After disappearance of clinical symptoms and receipt of negative results of two
bacteriologic examinations of mucus with tonsills and nose on the exciter of
diphtheria with a three-day interval
D. After disappearance of clinical symptoms of diphtheria and receipt of negative
results of three bacteriologic examinations of mucus with tonsills and nose on the
exciter of diphtheria with a three-day interval
E. * After disappearance of clinical symptoms of diphtheria and receipt of negative
results of two bacteriologic examinations of mucus with tonsills and nose on the
exciter of diphtheria with a two-day interval
496.
Young 17 years patient complaints about headache, pharyngalgia, increasing of
temperature. He feels bed during 2 days. At examination: the state is severe, temperature –
38.5 °C, hyperemia of mucous of oropharynx, edema of pellicles stratifications on tonsils.
Increasing of lymphatic nodes, edema of soft tissues of the neck. What is previous
diagnosis?
A. * Diphtheria of oropharynx
B. Tularemia, tonsil-bubonic form
C. Infectious mononucleosis
D. Paratonsillar abscess
E. Adenoviral infection
497.
Two girls came to a hospital, because they had 38 0С fever, a headache, weakness,
dizziness, and a pain in epigastry and round a navel, a nausea, vomiting 3 times, excrements
4 times per a night, watery diarrhea, foamy, fetid, with mucus impurity. It is known from the
history that the day before the girls ate pastries with cream which were not stored in a
refrigerator. Objectively: a tongue is dry, furred by white touch, the stomach is bloated
moderately, rumbles in palpation, painful in epigastry, pulse is 80 bpm, and the blood
pressure is 110/70 mm mercury column. To define the diagnosis.
A. Shigellosis
B. * Salmonellosis
C. Food poisoning
D. Typhoid fever
E. Cholera
498.
Two girls came to a hospital, because they had 38 0С fever, a headache, weakness,
dizziness, and a pain in epigastry and round a navel, a nausea, vomiting 3 times, excrements
4 times per a night, watery diarrhea, foamy, fetid, with mucus impurity. It is known from the
history that the day before the girls ate pastries with cream which were not stored in a
refrigerator. Objectively: a tongue is dry, furred by white touch, the stomach is bloated
moderately, rumbles in palpation, painful in epigastry, pulse is 80 bpm, and the blood
pressure is 110/70 mm mercury column. To make the treatment plan.
A. Diet 5, regidron, polifepan, enzymes, nifuroksazyd
B. Diet 5, regidron, polifepan, enzymes, furagin
C. * Diet 5, regidron, polifepan, enzymes
D. Diet 5, regidron
E. Diet 5, polifepan, enzymes, furagin
499.
A 17 years old boy, got ill suddenly: the temperature rose up-to 40,3 °С, extremely
sharp headache, makes him to yell. The patient is agitated and vomits frequently. Tremor of
fingers of extremities is observed. The star like hemorrhagic rash of different form and sizes
appeared, mainly on buttocks, thighs, shins, and trunk. Meningeal signs are positive. What is
the most credible diagnosis?
A. Encephalitis
B. Flu with a hemorrhagic syndrome
C. * Meningococcal infection
D. Measles
E. Leptospirosis
500.
A 17 years old boy, got ill suddenly: the temperature rose up-to 40,3 °С, extremely
sharp headache, makes him to yell. The patient is agitated and vomits frequently. Tremor of
fingers of extremities is observed. The star like hemorrhagic rash of different form and sizes
appeared, mainly on buttocks, thighs, shins, and trunk. Meningeal signs are positive. What is
the most credible diagnosis?
A. Encephalitis
B. Flu with a hemorrhagic syndrome
C. * Meningococcal infection
D. Measles
E. Leptospirosis
501.
A 24 y/o man .was seen by a doctor on the 2d day of illness with complaints about a
fever up-to 38,1 °C, painful swallowing, malaise. On the skin of trunk and extremities,
especially in natural folds, point rash on hyperemic background was faund. The nasolabial
triangle was white with no rash. Enantema on a soft palate, and purulent exudates on tonsils
were observed. A few enlarged and painful submandibular lymph nodes were palpated.
What is the most probable diagnosis?
A. * Scarlet fever
B. Rubella
C. Measles
D. Enteroviral infection
E. Flu
502.
A 24.y/o man was seen by a doctor on the 2d day of illness with complaints about
subfebrile temperature, and insignificant catarrhal phenomena. On the skin of trunk and
extremities spotted-papular elements of rash without a tendency to congregate was observed.
The mucous membrane of oro-pharinx was not changed. A few enlarged and painful
cervical lymph nodes were found. What is the diagnosis?
A. Scarlet fever
B. * Rubella
C. Measles
D. Enteroviral infection
E. Flu
503.
A 24.y/o patient was seen by a doctor on the 2d day of illness with complaints about
a fever up-to 38 °C, headache, and malaise. On the skin of hairy part of head, runk and
extremities vesicular rash with red hallow was found. Also some vesicular elements were
found on the mucous membrane of pharynx. Lymph nodes were not palpable. What is the
most probable diagnosis?
A. Scarlet fever
B. Rubella
C. Measles
D. * Chicken-pox
E. Herpetic infection
504.
A 4 years old child complains about: cough, temperature of body 38,1 °C. Skin
without rashes. Conjunctiva hyperemic. Exanthema on skin. On mucous of cheeks there are
points of hyperemia gum blushs. In lungs difficult breathing. What is the most possible
diagnosis?
A. Scarlet fever
B. Rubella
C. * Measles
D. Enteroviral infection
E. Flu
505.
A child 10 years old presents with temperature 38 °C, renitis, conjunctivitis, moist
cough. On the mucous membrane of cheeks, lips, gums there are greyish-white points,
reminding a farina. What is the diagnosis?
A. * Measles
B. Adenoviral infection
C. URTI
D. Enteroviral infection
E. Infectious mononucleosis
506.
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?
A. Encephalitis
B. Flu with a hemorrhagic syndrome
C. * Meningococcal infection
D. Measles
E. Leptospirosis
507.
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?
A. Encephalitis
B. Flu with a hemorrhagic syndrome
C. * Meningococcal infection
D. Measles
E. Leptospirosis
508.
A patient became ill sharply. Severe pain of head, frequent vomits appeared in the
morning. Temperature of body rose to 39,9 °C. Adopted febrifuge, however much the state
got worse. Till the evening patient lost consciousness. Excited, sharply expressed meningeal
signs. What is most reliable diagnosis?
A. Status typhosus in typhoid fever
B. Viral meningoencephalitis
C. Sepsis, infectious-toxic shock
D. * Meningococcal infection, meningitis
E. Status typhosus in epidemic typhus
509.
A patient became ill sharply. Severe pain of head, frequent vomits appeared in the
morning. Temperature of body rose to 39,9 °C. Adopted febrifuge, however much the state
got worse. Till the evening patient lost consciousness. Excited, sharply expressed meningeal
signs. What is most reliable diagnosis?
A. Status typhosus in typhoid fever
B. Viral meningoencephalitis
C. Sepsis, infectious-toxic shock
D. * Meningococcal infection, meningitis
E. Status typhosus in epidemic typhus
510.
A patient C., 25 years old, fell suddenly ill. Every morning severe headache, frequent
vomiting, temperature of the body is 39,9 °C. Adopted fatigue, then state got much worse.
In the evening lost of consciousness. Expressed muscles pains of back and head. Positive
Кеrning’s symptom. Leukocytes – 18,0?109. What is the most reliable diagnosis?
A. Flu
B. Epidemic typhus, typhus state
C. Viral menigoencephalitis
D. Sepsis, infectious-toxic shock
E. * Bacterial menigoencephalitis
511.
A patient C., 25 years old, fell suddenly ill. Every morning severe headache, frequent
vomiting, temperature of the body is 39,9 °C. Adopted fatigue, then state got much worse.
In the evening lost of consciousness. Expressed muscles pains of back and head. Positive
Кеrning’s symptom. Leukocytes – 18,0?109. What is the most reliable diagnosis?
A. Flu
B. Epidemic typhus, typhus state
C. Viral menigoencephalitis
D. Sepsis, infectious-toxic shock
E. * Bacterial menigoencephalitis
512.
A patient is sick with meningococcal meningitis. He take a massive dose of
penicillin. 4 days temperature of body 36,6-36,8 °C. Meningeal signs are negative. When is
it possible to stop the antibiotic therapy.
A. * At a cytosis in a CSF 100 and less, lymphocytes prevail
B. After 10 days from the beginning antibiotic therapy
C. After 7 days from the beginning antibiotic therapy
D. At a cytosis 100 and less, neutrophil prevail
E. From 6 days from the beginning antibiotic
513.
A patient is sick with meningococcal meningitis. He take a massive dose of
penicillin. 4 days temperature of body 36,6-36,8 °C. Meningeal signs are negative. When is
it possible to stop the antibiotic therapy.
A. * At a cytosis in a CSF 100 and less, lymphocytes prevail
B. After 10 days from the beginning antibiotic therapy
C. After 7 days from the beginning antibiotic therapy
D. At a cytosis 100 and less, neutrophil prevail
E. From 6 days from the beginning antibiotic
514.
A patient sharply had a chill, head pain, vomits, temperature of body rose up to 38,5
°C. Till evening rigidity of muscles, Kernig symptom appeared. Herpetic blisters are marked
on mucouse of lips and nose. Neurological symptoms is not found out expressed. What
disease will you suspect?
A. Subarachnoiditis hemorrhage
B. Herpetic encephalitis
C. Abscess of brain
D. Hemorrhage in a brain
E. * Meningococcal meningitis
515.
A patient sharply had a chill, head pain, vomits, temperature of body rose up to 38,5
°C. Till evening rigidity of muscles, Kernig symptom appeared. Herpetic blisters are marked
on mucouse of lips and nose. Neurological symptoms is not found out expressed. What
disease will you suspect?
A. Subarachnoiditis hemorrhage
B. Herpetic encephalitis
C. Abscess of brain
D. Hemorrhage in a brain
E. * Meningococcal meningitis
516.
A patient with meningococcal meningitis gets penicillin during 7 days. Last 4 days
temperature of body is normal. Meningeal signs are absent. When is it possible to abolish an
antibiotic?
A. * At cytosis in liquor 100 and less, lymphocytes prevails
B. At absence of leukocytosis and stab-nucleus shift in a blood
C. At cytosis in liquor 100 and more less, neutrophils prevails
D. At cytosis in liquor 150, lymphocytes prevails
E. At once
517.
A patient with meningococcal meningitis gets penicillin during 7 days. The
temperature of body is normal 4 days. Meningeal signs are negative. When is it possible to
stop the antibiotic therapy.
A. In default of leucocytosis displacement in blood
B. * At a cytosis in a neurolymph 100 and less, lymphocyte prevail
C. At a cytosis in a neurolymph 100 and less, neutrophil prevail
D. At a cytosis in a neurolymph 150, lymphocyte prevail
E. At once immediately
518.
A patient with meningococcal meningitis gets penicillin during 7 days. The
temperature of body is normal 4 days. Meningeal signs are negative. When is it possible to
stop the antibiotic therapy.
A. In default of leucocytosis displacement in blood
B. * At a cytosis in a neurolymph 100 and less, lymphocyte prevail
C. At a cytosis in a neurolymph 100 and less, neutrophil prevail
D. At a cytosis in a neurolymph 150, lymphocyte prevail
E. At once immediately
519.
A patient with meningococcal meningitis gets penicillin during 7 days. Last 4 days
temperature of body is normal. Meningeal signs are absent. When is it possible to abolish an
antibiotic?
A. * At cytosis in liquor 100 and less, lymphocytes prevails
B. At absence of leukocytosis and stab-nucleus shift in a blood
C. At cytosis in liquor 100 and more less, neutrophils prevails
D. At cytosis in liquor 150, lymphocytes prevails
E. At once
520.
A patient, 20 years old, during few days complains about pharyngalgias. After
supercooling the state became worse : sudden chills, increase of temperature to 40,6 °C,
headache. On skin of lower extremities trunk and buttocks there are a lot of different sizes of
hemorragic spots, acrocyanosis. Consiouness is preserved. Meningeal signs are absent. What
is the previous diagnosis?
A. * Meningococcal infection
B. Flu
C. Epidemic typhus
D. Hemorrhagic fever
E. Leptospirosis
521.
A patient, 20 years old, during few days complains about pharyngalgias. After
supercooling the state became worse : sudden chills, increase of temperature to 40,6 °C,
headache. On skin of lower extremities trunk and buttocks there are a lot of different sizes of
hemorragic spots, acrocyanosis. Consiouness is preserved. Meningeal signs are absent. What
is the previous diagnosis?
A. * Meningococcal infection
B. Flu
C. Epidemic typhus
D. Hemorrhagic fever
E. Leptospirosis
522.
A patient’s temperature is 40 °C. There are olso deep and unproductive cough,
photophobia, face puffiness whitish points on the mucous membrane of cheeks opposite
molar teeth. What is the most possible diagnosis?
A. Tuberculosis
B. Meningococcemia
C. * Measles
D. Enteroviral infection
E. Staphylococcus sepsis
523.
Among the students of PTU 2 cases of generalized form of meningococcal infection
are registered. What preparation does it follow to enter to the contact persons with the
purpose of urgent prophylaxis?
A. Normal immunoglobulin
B. Leukocytic interferon
C. * Meningococcal vaccine
D. Meningococcal anatoxin
E. Bacteriophage
524.
Among the students of PTU 2 cases of generalized form of meningococcal infection
are registered. What preparation does it follow to enter to the contact persons with the
purpose of urgent prophylaxis?
A. Normal immunoglobulin
B. Leukocytic interferon
C. * Meningococcal vaccine
D. Meningococcal anatoxin
E. Bacteriophage
525.
?At a patient with meningococcal meningitis 44 years old, rose up general clonictonic cramps, abundant sweat, hyperemia of person, bradycardia quickly changed on
tachycardia, violation of breathing (Cheyne-Stokes type). What complication develop?
A. Infectious toxic shock
B. * Wedging of cerebrum in the cervical channel
C. Encephalitis
D. Swelling and edema of cerebrum
E. Waterhause-Friedrichsen syndrome
526.
?At a patient with meningococcal meningitis 44 years old, rose up general clonictonic cramps, abundant sweat, hyperemia of person, bradycardia quickly changed on
tachycardia, violation of breathing (Cheyne-Stokes type). What complication develop?
A. Infectious toxic shock
B. * Wedging of cerebrum in the cervical channel
C. Encephalitis
D. Swelling and edema of cerebrum
E. Waterhause-Friedrichsen syndrome
527.
At a patient with meningococcal meningitis, in 52, there was the syndrome of
cerebral hypotension on the 6th day of illness. Objectively: expressed toxicosis and
dehydration of organism, meningial symptoms disappeared, muscles tones was low and
areflexia developed. What complication arose up?
A. * Infectious toxic shock
B. Wedging of cerebrum in the cervical channel
C. Encephalitis
D. Swelling and edema of cerebrum
E. Waterhause-Friedrichsen syndrome
528.
At a patient with meningococcal meningitis, in 52, there was the syndrome of
cerebral hypotension on the 6th day of illness. Objectively: expressed toxicosis and
dehydration of organism, meningial symptoms disappeared, muscles tones was low and
areflexia developed. What complication arose up?
A. * Infectious toxic shock
B. Wedging of cerebrum in the cervical channel
C. Encephalitis
D. Swelling and edema of cerebrum
E. Waterhause-Friedrichsen syndrome
529.
At a patient with meningococcal nasopharynsitis in 2 days from the beginning of
illness the temperature of body rose to 41°С, head pain, vomit, positive Kernig and
Brudzinsky symptoms appeared. In cerebrospinal liquid: cytosis 15 000 in 1 mkl, 90 % are
neutrophils. What diagnosis?
A. Chronic meningococcemia
B. * Meningitis
C. Endocarditis
D. Infectious-toxic shock
E. Meningism
530.
At a patient with meningococcal nasopharynsitis in 2 days from the beginning of
illness the temperature of body rose to 41°С, head pain, vomit, positive Kernig and
Brudzinsky symptoms appeared. In cerebrospinal liquid: cytosis 15 000 in 1 mkl, 90 % are
neutrophils. What diagnosis?
A. Chronic meningococcemia
B. * Meningitis
C. Endocarditis
D. Infectious-toxic shock
E. Meningism
531.
At a patient, 35 years, sharp beginning of disease happened. Symptoms of
nasopharyngitis. Body temperature – 39,5 °С, head ache, which is accompanied with
vomits, myalgias. Hemorrhagic rash, that are localized on scleras, brushes, feet, buttocks.
Rigidity of cervical muscles, Kernig and Brudzinsky symptoms are expressed. Neutrophilic
leucocytosis in common blood analisis.What is most credible diagnosis?
A. * Meningococcal infection
B. Typhoid fever
C. Yersiniosis
D. Leptospirosis
E. Epidemic typhus
532.
At a patient, 35 years, sharp beginning of disease happened. Symptoms of
nasopharyngitis. Body temperature – 39,5 °С, head ache, which is accompanied with
vomits, myalgias. Hemorrhagic rash, that are localized on scleras, brushes, feet, buttocks.
Rigidity of cervical muscles, Kernig and Brudzinsky symptoms are expressed. Neutrophilic
leucocytosis in common blood analisis.What is most credible diagnosis?
A.
B.
C.
D.
E.
* Meningococcal infection
Typhoid fever
Yersiniosis
Leptospirosis
Epidemic typhus
533.
Etiology agent of meningitis is:
A. * Neisseria meningitides
B. Entamoeba histolytica
C. Vibro cholerae
D. Clostridium botulinum
E. Campylobacter pylori
534.
For the treatment of acidosis at meningococcal meningitis is better to use.
A. 10-20 % glucose solution
B. 10 % chloride solution
C. * 4 % sodium bicarbonate solution
D. Albumen
E. Concentrated dry plasma
535.
How is it possible to specify the diagnosis of meningococcal meningitis.
A. Meningitis is primary
B. Presence of a lot of cells in the CSF
C. Presence of gram-negative diplococcus in CSF
D. Meningococes from the throat
E. * All the above
536.
In a patient, 27 y.o., on the 5th day of respirator disease, there was sharp head pain,
that was accompanied by nausea, repeated vomits, hyperesthesia, photophobia. At a review:
lies with the neglected head, feet are bended to the trunk, expressed rigidity of muscles of
the back of head, positive symptoms of Kerning’s, Brodzinsky’s. It is not found out
paresises. Select a basic neurological syndrome.
A. * Meningeal syndrome
B. Syndrome of liquor hypertension
C. Syndrome of liquor hypotension
D. Root syndrome
E. Vegetative crisis
537.
In a patient, 27 y.o., on the 5th day of respirator disease, there was sharp head pain,
that was accompanied by nausea, repeated vomits, hyperesthesia, photophobia. At a review:
lies with the neglected head, feet are bended to the trunk, expressed rigidity of muscles of
the back of head, positive symptoms of Kerning’s, Brodzinsky’s. It is not found out
paresises. Select a basic neurological syndrome.
A. * Meningeal syndrome
B. Syndrome of liquor hypertension
C. Syndrome of liquor hypotension
D. Root syndrome
E. Vegetative crisis
538.
In a patient, 35 y.o., sharp beginning of disease, precedingnasopharyngitis, t° 39,5°C,
headache, which is accompanied with vomits, myalgias, hemorrhagic rash, that is localized
on sclera, fists, feet, buttocks; rigidity of cervical muscles, symptoms of Kering’s and
Brudzinsky’s are positive, expressed neutrophilic leukocytosis. What most credible
diagnosis?
A. Typhoid fever
B. Yersiniosis
C. Leptospirosis
D. * Meningococcal infection
E. Thrombocytopenic purpura
539.
In a patient, 35 y.o., sharp beginning of disease, precedingnasopharyngitis, t° 39,5°C,
headache, which is accompanied with vomits, myalgias, hemorrhagic rash, that is localized
on sclera, fists, feet, buttocks; rigidity of cervical muscles, symptoms of Kering’s and
Brudzinsky’s are positive, expressed neutrophilic leukocytosis. What most credible
diagnosis?
A. Typhoid fever
B. Yersiniosis
C. Leptospirosis
D. * Meningococcal infection
E. Thrombocytopenic purpura
540.
In the kindergarden a child had a meningococcal infection. She was immediately
hospitalized. After clinical convalescence in child sowed meningococcus. To which
category can the carrier (child) of pathogen belongs?
A. Convalescent, chronic
B. * Convalescent, acute
C. Healthy
D. Immune in vaccinated
E. Immune in those, that had infection
541.
In the kindergarden a child had a meningococcal infection. She was immediately
hospitalized. After clinical convalescence in child sowed meningococcus. To which
category can the carrier (child) of pathogen belongs?
A. Convalescent, chronic
B. * Convalescent, acute
C. Healthy
D. Immune in vaccinated
E. Immune in those, that had infection
542.
In what daily interval should the dose of benzylpenicillin at meningococcal
meningitis administered.
A. 2 hrs
B. * 4 hrs
C. 6 hrs
D. 5 hrs
E. 8 hrs
543.
In what dose should| benzyl penicillin be administered at meningococcal meningitis?
A. From a calculation 100-300 thousands unit on 1 kg of mass of body on days
B. * From a calculation 200-500 thousands unit on 1 kg of mass of body on days
C. From a calculation 500-700 thousands unit on 1 kg of mass of body on days
D. From a calculation 700-900 thousands unit on 1 kg of mass of body on days
E. Regardless of mass of body
544.
Meningococemia and DIC-syndrome require above all things.
A. dministration of diuretics
B. Administration of analgesic
C. * Administration of heparin
D. Administration of vitamins
E. Administration of antihistaminic preparations
545.
Patient ?. 27 years old, was admited on the 4th day of illness with the diagnosis of
viral URTI, and allergic dermatitis”. The patient felt ill suddenly with increase of
temperature up-to 38 °C, headache, sore throat, and intensive cough. On the 3d day rash
appeared on the skin of neck and face. Patient was taking aspirin in order to decrease the
temperature. Objectively: temperature of body 38,8 °C. The face of patient looks puffy.
Signs of conjunctivitis, and renitis were observed. On the skin of neck face and chest there
was intensive papular rash, without itch. Mucous membrane of oropharynx was brightly
hyperemic. Submandibular and frontal neck lymph nodes were enlarged. The liver and
spleen were not palpable. What is the diagnosis?
A.
B.
C.
D.
E.
* Measles
Allergic dermatitis
Infectious mononucleosis
Rubella
Scarlet fever
546.
Patient A 24y/o. Appealed on the 5th day of illness with complaints about cough,
malaise, fever up-to 38,1 °C. On face and behind the ears maculo-papular rash, appeared a
day ago, and other areas of skin are without rash. Conjunctiva is hyperemic. Enantema on a
soft palate, on the mucous membrane of cheeks are whitish points with the halo of
hyperemia. There is the hard breathing in the lungs. Most credible diagnosis is
A. Scarlet fever
B. German measles
C. * Measles
D. Enteroviral infection
E. Flu
547.
Patient A., 23 years suddenly experienced intensive head pain, nausea, pain in a
neck, and lumbar. Examination is delivered in a clinic. Objectively: hemorrhagic rashes on a
body. Temperature 40,2 °C. Expressed meningeal symptoms. Light, haptic, pain
hypesthesia. Blood: leucocytes – 25 thousand/l, ERS-29 mm/hr. A neurolymph is turbid,
neutrophilic erythrocytosis, meningococci. What is your diagnosis?
A. Staphylococcus meningitis
B. Tubercular meningitis
C. * Meningococcal meningitis
D. Viral meningitis
E. Pneumoccocal meningitis
548.
Patient A., 23 years suddenly experienced intensive head pain, nausea, pain in a
neck, and lumbar. Examination is delivered in a clinic. Objectively: hemorrhagic rashes on a
body. Temperature 40,2 °C. Expressed meningeal symptoms. Light, haptic, pain
hypesthesia. Blood: leucocytes – 25 thousand/l, ERS-29 mm/hr. A neurolymph is turbid,
neutrophilic erythrocytosis, meningococci. What is your diagnosis?
A. Staphylococcus meningitis
B. Tubercular meningitis
C. * Meningococcal meningitis
D. Viral meningitis
E. Pneumoccocal meningitis
549.
Patient B., 38 years, delivered by emergency doctor, anamnesis is unknown.
However, according to neighbours, patient 2 days ago was healthy. At a review:
consciousness is absent, motion of left overhead and lower extremities is absent, increasing
of muscular tone is marked in the same extremities. Periodically are clonic-tonic cramps in
right extremities. Expressed asymmetry of person. Sharply expressed rigidity of muscles of
the back of head, positive Кеrnig symptom, positive overhead and lower Brudzinsky
symptom. On the skin of overhead and lower extremities, buttocks, trunk abundant
hemorrhagic rashes “star shape” character with necrosis in a center. Acrocyanоsis is marked,
temperature of body 38,8 °С, hyperemia of pharynx Breathning 36/min, unrhythmical.
Vesicular breathing during auscultation. Pulse 72/min, weak filling and tension. Heart tones
are muffled, AP 80/50 mm/hg. Tongue is dry, assessed by the white raid. Physiology
sending in a norm. Your diagnosis?
A. Epidemic typhys
B. Hemorrhagic fever
C. Leptospirosis
D. Typhoid fever
E. * Meningococcal infection
550.
Patient B., 38 years, delivered by emergency doctor, anamnesis is unknown.
However, according to neighbours, patient 2 days ago was healthy. At a review:
consciousness is absent, motion of left overhead and lower extremities is absent, increasing
of muscular tone is marked in the same extremities. Periodically are clonic-tonic cramps in
right extremities. Expressed asymmetry of person. Sharply expressed rigidity of muscles of
the back of head, positive Кеrnig symptom, positive overhead and lower Brudzinsky
symptom. On the skin of overhead and lower extremities, buttocks, trunk abundant
hemorrhagic rashes “star shape” character with necrosis in a center. Acrocyanоsis is marked,
temperature of body 38,8 °С, hyperemia of pharynx Breathning 36/min, unrhythmical.
Vesicular breathing during auscultation. Pulse 72/min, weak filling and tension. Heart tones
are muffled, AP 80/50 mm/hg. Tongue is dry, assessed by the white raid. Physiology
sending in a norm. Your diagnosis?
A. Epidemic typhys
B. Hemorrhagic fever
C. Leptospirosis
D. Typhoid fever
E. * Meningococcal infection
551.
Patient D., 30 y.o., teacher, examined by the doctor of first-aid and delivered to a
clinic on the 2nd day of illness. Fell ill sharply, temperature 40 °C, sharp head pain, repeated
vomits photophobia. The general condition is severe, consciousness is darkened. On the skin
of stomach, buttocks and lower extremities is зірчаста rash. Sharply expressed rigidity of
neck muscles, positive Kernig symptom. Pulse 100 min, weak; tones of heart deaf, AP 60/30
mmHg. Your diagnosis?
A. Flu, toxic form
B. Crimean hemorrhagic fever
C. Disease of blood
D. Hemorrhagic stroke
E. * Meningococcal infection, meningococcemia
552.
Patient D., 30 y.o., teacher, examined by the doctor of first-aid and delivered to a
clinic on the 2nd day of illness. Fell ill sharply, temperature 40 °C, sharp head pain, repeated
vomits photophobia. The general condition is severe, consciousness is darkened. On the skin
of stomach, buttocks and lower extremities is зірчаста rash. Sharply expressed rigidity of
neck muscles, positive Kernig symptom. Pulse 100 min, weak; tones of heart deaf, AP 60/30
mmHg. Your diagnosis?
A. Flu, toxic form
B. Crimean hemorrhagic fever
C. Disease of blood
D. Hemorrhagic stroke
E. * Meningococcal infection, meningococcemia
553.
Patient D., 30 years, have been examined by emergency doctor and delivered in a
clinic on the 2th day of illness. Fell ill sharply, temperature 40 °С, sharp head pain, repeated
vomits, photophobia. The common state is severe, consciousness is darkened. Star-like
shape rashes at the skin of abdomen, buttocks and lower extremities appeared. Sharply
expressed rigidity of cervical muscles, positive Kernig symptom been present. Pulse
100/min, weak, tones of heart seak, BP 60/30 mm/hg. Your diagnosis?
A. * Meningococcal infection
B. Flu, toxic form
C. Marburg hemorragic fever
D. Leptospirosis
E. Hemorrhagic stroke
554.
Patient D., 30 years, have been examined by emergency doctor and delivered in a
clinic on the 2th day of illness. Fell ill sharply, temperature 40 °С, sharp head pain, repeated
vomits, photophobia. The common state is severe, consciousness is darkened. Star-like
shape rashes at the skin of abdomen, buttocks and lower extremities appeared. Sharply
expressed rigidity of cervical muscles, positive Kernig symptom been present. Pulse
100/min, weak, tones of heart seak, BP 60/30 mm/hg. Your diagnosis?
A.
B.
C.
D.
E.
* Meningococcal infection
Flu, toxic form
Marburg hemorragic fever
Leptospirosis
Hemorrhagic stroke
555.
Patient K., 21 y.o.., the disease began from the increase of temperature to 39,0°C,
headache, chill, repeated vomit. Objectively: temperature of 39,3°C, pulse 76 tense. Rigidity
of muscles of the back of head. The tendon reflexes are expressed. Analysis of liquor:
cytosis 1237 in 1 ml, from them: 84 % neutrophiles, 16 % lymphocytes, reaction to Panda
++, albumen 0,66 g/l, liquid is turbid, flows out under the promoted pressure. Bacterioscopy
found out in liquor gram.(-) cooks morphologically similar with meningococcus. What
disease is most reliable?
A. Serous meningitis.
B. Infectious mononucleosis
C. * Meningococcal infection:purulent meningitis
D. Second festering meningitis
E. Meningococcal infection: serous meningitis
556.
Patient K., 21 y.o.., the disease began from the increase of temperature to 39,0°C,
headache, chill, repeated vomit. Objectively: temperature of 39,3°C, pulse 76 tense. Rigidity
of muscles of the back of head. The tendon reflexes are expressed. Analysis of liquor:
cytosis 1237 in 1 ml, from them: 84 % neutrophiles, 16 % lymphocytes, reaction to Panda
++, albumen 0,66 g/l, liquid is turbid, flows out under the promoted pressure. Bacterioscopy
found out in liquor gram.(-) cooks morphologically similar with meningococcus. What
disease is most reliable?
A. Serous meningitis.
B. Infectious mononucleosis
C. * Meningococcal infection:purulent meningitis
D. Second festering meningitis
E. Meningococcal infection: serous meningitis
557.
Patient S., 20 years old refered to the doctor with such complaints: prodromal
respiratory illness, sore throat, fever, headache, stiff neck, vomiting, confusion, irritability.
Previous diagnosis. What main methods can confirm the diagnosis?
A. Epidemic typhys. ELISA-test
B. Hemorrhagic fever. ELISA-test
C. Leptospirosis. Lumbar puncture.
D. Typhoid fever. ELISA-test
E. * Meningococcal infection. Lumbar puncture
558.
Patient S., 20 years old refered to the doctor with such complaints: prodromal
respiratory illness, sore throat, fever, headache, stiff neck, vomiting, confusion, irritability.
Previous diagnosis. What main methods can confirm the diagnosis?
A. Epidemic typhys. ELISA-test
B. Hemorrhagic fever. ELISA-test
C. Leptospirosis. Lumbar puncture.
D. Typhoid fever. ELISA-test
E. * Meningococcal infection. Lumbar puncture
559.
Patient Н., 21 year, entered hospital on the 7th day of disease with complaints about
the expressed weakness, pains in muscles and joints, head pain, nausea. The disease began
with irritation on the throat, chill, general weakness. After 2 days the state became worse,
temperature increased to 39-40°С. Objectively: patient adynamic, consciousness is stored.
Temperature of body 37,5 °С, the state as severe, pale skin, lips and nail phalanxes cyantic,
hemorrhagic rashes on the skin of trunk and hands, the scopes of heart are extended to the
left on 1,5 cm, tones deaf, pulse 130/min, weak filling, BP 80/40 mm/hg. Vesicular
breathing. Tongue is assessed, moist, phenomena of pharyngitis present. Inlargement of
neck lymphonodes. Meningeal symptoms are not present. Oliguria. What is previous
diagnosis?
A. Hemorrhagic fever
B. Leptospirosis
C. Epidemic typhus
D. * Meningococcal infection
E. Typhoid fever
560.
Patient Н., 21 year, entered hospital on the 7th day of disease with complaints about
the expressed weakness, pains in muscles and joints, head pain, nausea. The disease began
with irritation on the throat, chill, general weakness. After 2 days the state became worse,
temperature increased to 39-40°С. Objectively: patient adynamic, consciousness is stored.
Temperature of body 37,5 °С, the state as severe, pale skin, lips and nail phalanxes cyantic,
hemorrhagic rashes on the skin of trunk and hands, the scopes of heart are extended to the
left on 1,5 cm, tones deaf, pulse 130/min, weak filling, BP 80/40 mm/hg. Vesicular
breathing. Tongue is assessed, moist, phenomena of pharyngitis present. Inlargement of
neck lymphonodes. Meningeal symptoms are not present. Oliguria. What is previous
diagnosis?
A. Hemorrhagic fever
B. Leptospirosis
C. Epidemic typhus
D. * Meningococcal infection
E. Typhoid fever
561.
Patient, 15 y.o., became ill 3 days ago. Complains of headache, закладеність nose,
pain in a throat, temperature of 37,4°C. Next days : headache increased, a temperature risen
to 38,3°C, repeated vomits. Objectively: a skin is pale, without rash. Mucous membrane of
posterior wall of throat is moderately hyperemic, swollen. Pulse 86, satisfactory filling.
Meningeal signs are positive. What is needed to conduct the selection of pathogen:
A. * Bacteriological research of liquor
B. Biological test on mice
C. Intracutaneous test
D. Reaction of Vidala’s
E. Smear of the blood on bilious bullion
562.
Patient, 15 y.o., became ill 3 days ago. Complains of headache, закладеність nose,
pain in a throat, temperature of 37,4°C. Next days : headache increased, a temperature risen
to 38,3°C, repeated vomits. Objectively: a skin is pale, without rash. Mucous membrane of
posterior wall of throat is moderately hyperemic, swollen. Pulse 86, satisfactory filling.
Meningeal signs are positive. What is needed to conduct the selection of pathogen:
A. * Bacteriological research of liquor
B. Biological test on mice
C. Intracutaneous test
D. Reaction of Vidala’s
E. Smear of the blood on bilious bullion
563.
Patient, 16 y.o., during 3 days there was a increase of temperature to 38 °C, sore
throat, indisposition. Next 2 days felt better. A temperature was normal. There was a chill on
a 6th day, a temperature rose to 40 °C, intensive, quickly increased headache, through 3
hours – repeated vomits. The state is heavy, consciousness is absent, psychomotor violations
expressed meningeal signs. Meningitis is suspected. What is its etiology?
A. Tubercular
B. Enteroviral
C. Postinfluenzal
D. *Meningococcal
E. Lymphocytic choreomeningitis
564.
Patient, 16 y.o., during 3 days there was a increase of temperature to 38 °C, sore
throat, indisposition. Next 2 days felt better. A temperature was normal. There was a chill on
a 6th day, a temperature rose to 40 °C, intensive, quickly increased headache, through 3
hours – repeated vomits. The state is heavy, consciousness is absent, psychomotor violations
expressed meningeal signs. Meningitis is suspected. What is his etiology?
A. Tubercular
B. Enteroviral
C. Postinfluenzal
D. Meningococcal
E. Lymphocytic choreomeningitis
565.
Patient, 23 y.o., suddenly experienced intensive head pain, nausea, pain in a neck and
lumbar area.. БШМД is delivered to the clinic. Objectively: on a body hemorrhagoc rash..
Temperature of 39,2°C. Expressed meningeal symptoms. Light, tactile, pain hyperesthesia.
Blood: leucocytes-25x10 9/l, ESR-29 mm/hour. What method of inspection is most
informing?
A. * Lumbar puncture
B. Computer tomography
C. Electroencephalography
D. Transcranial dopplerography
E. Echoencephalography
566.
Patient, 23 y.o., suddenly experienced intensive head pain, nausea, pain in a neck and
lumbar area.. БШМД is delivered to the clinic. Objectively: on a body hemorrhagoc rash..
Temperature of 39,2°C. Expressed meningeal symptoms. Light, tactile, pain hyperesthesia.
Blood: leucocytes-25x10 9/l, ESR-29 mm/hour. What method of inspection is most
informing?
A. * Lumbar puncture
B. Computer tomography
C. Electroencephalography
D. Transcranial dopplerography
E. Echoencephalography
567.
Person 16 years entered permanent establishment on 6 day of illness. Illness began
from a cold and cough. Temperature 37,7 °C. The state became worse: severe head pain,
frequent vomits unconnected with a meal appeared. The common state is heavy. Pupils are
extended, photoharmose is not present. Positive meningeal symptoms. General
hyperesthesia. Tones of heart are deaf, BP 100/50 mm/hg. What reliable diagnosis?
A. Infectious mononucleosis
B. * Meningococcal meningitis
C. Toxic food-born infection
D. Influenza
E. Typhoid fever
568.
Person 16 years entered permanent establishment on 6 day of illness. Illness began
from a cold and cough. Temperature 37,7 °C. The state became worse: severe head pain,
frequent vomits unconnected with a meal appeared. The common state is heavy. Pupils are
extended, photoharmose is not present. Positive meningeal symptoms. General
hyperesthesia. Tones of heart are deaf, BP 100/50 mm/hg. What reliable diagnosis?
A. Infectious mononucleosis
B. * Meningococcal meningitis
C. Toxic food-born infection
D. Influenza
E. Typhoid fever
569.
Sick 15 year old, became ill 3 days back. Disturbed| headache, running nose,
pharyngalgia, temperature of 37,4 °C. Next days: headache increased, a temperature had
rose to 38,3 °C, repeated vomiting. objectively: a skin is pale, without rash. Mucus of the
posterior wall of pharyx moderate bloodshed filling out. Pulse 86/min satisfactory filling.
Meningeal signs positive. It is needed to conduct for the selection of exciter.
A. Bioassay on mice
B.
C.
D.
E.
Endermic test
Widal test
Cultivation on bilious clear soup
* Bacteriological examination of CSF
570.
Sick 15 year old, became ill 3 days back. Disturbed| headache, running nose,
pharyngalgia, temperature of 37,4 °C. Next days: headache increased, a temperature had
rose to 38,3 °C, repeated vomiting. objectively: a skin is pale, without rash. Mucus of the
posterior wall of pharyx moderate bloodshed filling out. Pulse 86/min satisfactory filling.
Meningeal signs positive. It is needed to conduct for the selection of exciter.
A. Bioassay on mice
B. Endermic test
C. Widal test
D. Cultivation on bilious clear soup
E. * Bacteriological examination of CSF
571.
?Sick C., 8 years, appealed to the infectious hospital on the second day of disease
with complaints about a pharyngalgia at swallowing, increase of temperature. Objectively:
temperature 38,6 °C, sharp hyperemia of soft palate, tonsills, filling out, loose, on both there
are festering stratifications which are taken off by a spatula. Megascopic sickly
submandibular lymphonoduses are palpated. Pulse – 114 per a min. Present roseol-papular
pouring out on all body. Pastia‘s symptom is positive. It is known from epidemogical
anamnesis, that its comrade had alike symptoms. It is not found out the change from the side
of other organs. What previous diagnosis can be suspected?
A. Lacunar quinsy
B. Diphtheria of pharynx
C. * Scarlet fever
D. Flu
E. Infectious mononucleosis
572.
Sick C., 8 years, appealed to the infectious hospital on the second day of disease with
complaints about a pharyngalgia at swallowing, increase of temperature. Objectively:
temperature of body – 38,6 °C, sharp hyperemia of soft palate, tonsills, filling out, loose, on
both there are festering stratifications which are taken off by a spatula. Palpated megascopic,
sickly submandibular lymphonoduses. Pulse – 114 shots per min. Present roseol-papular
pouring out on all body. Pastia symptom is positive. It is known from epid anamnesis, that at
its comrade were alike symptomes. It is not found out the change from the side of other
organs. What previous diagnosis can be suspected?
A. lacunar quinsy
B. Diphtheria of pharynx
C. Infectious mononucleosis
D. Flu
E. * Scarlet fever
573.
Sick, 54, hospitalized in an infectious department in a severy condition. Complaint
about the expressed headache, mainly in frontal and temporal areas, superciliary arcs, origin
of vomit on height of pain, pain at motions by eyeballs, in muscles and joints. Objectively: a
patient is excited, temperature of body 39 °C, BP?100/60 mm Hg. Bradycardia changed by
tachycardia. There were tonic cramps. Doubtful meningeal signs. From anamnesis it is
known that at home a woman is ill. What preparations must be entered?
A. * Mannitol, lasix, prednisolone, euphylin, suprastin
B. Mannitol, acetophene
C. Lasix, analgin, ampicillin
D. Veroshpiron, euphylin, dimedrol
E. Aspirin, analgin, dimedrol
574.
Sick, 54, hospitalized in an infectious department in a severy condition. Complaint
about the expressed headache, mainly in frontal and temporal areas, superciliary arcs, origin
of vomit on height of pain, pain at motions by eyeballs, in muscles and joints. Objectively: a
patient is excited, temperature of body 39 °C, BP?100/60 mm Hg. Bradycardia changed by
tachycardia. There were tonic cramps. Doubtful meningeal signs. From anamnesis it is
known that at home a woman is ill. What preparations must be entered?
A. * Mannitol, lasix, prednisolone, euphylin, suprastin
B. Mannitol, acetophene
C. Lasix, analgin, ampicillin
D. Veroshpiron, euphylin, dimedrol
E. Aspirin, analgin, dimedrol
575.
Source of meningitis is:
A. Animals
B. Birds
C. Fish
D. Pediculus humanus
E. * People
576.
What antibiotics preparations of choice of etiotropic therapy at a meningococcal
infection.
A. * Benzylpenicillin and it derivatives
B. Gentamycin
C. Cefazolin
D. Sulfolamide
E. Ciprofloxacin
577.
What are the rules| at taking of smear material on the discovery of meningococal
infection?
A. The taken away material at drawing out must not touch only mucus shell of cheeks
and tongue
B. The taken away material at drawing out must not touch only teeth and tongue
C. The taken away material at drawing out must not touch only teeth, mucus shell of
cheeks
D. * The taken away material| at drawing out must not touch|| teeth, mucus shell of
cheeks and tongue
E. The taken away material|| at drawing out can touch|| teeth, mucus shell of cheeks and
tongue
578.
What is taken for serum research for confirmation of meningococcal infection?
A. * Blood
B. Mucus
C. Urine
D. CSF
E. Saliva
579.
What is used as specific prophylaxis in the period of epidemic spreading of
meningococcal infection.
A. Immun globulin
B. Serum
C. * Vaccine
D. Anatoxin
E. Nothing
580.
What laboratory methods should be taken to discharge meningitis?
A. * Lumbar puncture
B. Serologic detection
C. Urine examination
D. Coprograma
E. Biopsy of tissues
581.
What measures are conducted in the place of meningococcal infection?
A. Supervision during 2 weeks
B. Phagoprophylaxis
C. Immunization
D. * Bacteriological inspection of contact
E. Chemoprophylaxis
582.
What temperature terms is it needed for cultivation of meningococcal on artificial
mediums?
A. 23-40 °C
B. 35-43 °C
C. * 35-37 °C
D. 23-35 °C
E. 37-39 °C
583.
When does the laboratory give the results of bacteriological examination of smear
from throat?
A. On 2th days
B. On 3th days
C. * On 4th days
D. On 5th days
E. On 6th days
584.
Which preparation has a bacteriostatic action, and is more expedient to begin
etiotropic therapy in the case of infectious toxic shock.
A. From benzylpenicillin and its derivatives
B. From ciprofloxacin
C. From gentamycin
D. From ciprofloxacin
E. * From levomycitin of succinate
585.
Witch of these symptoms are often present in patients with meningitis?
A. Algor, high temperature, headache
B. Profuse watery diarrhea, vomiting, dehydratation, muscular cramps
C. Abdominal pain, diarrhea, constipation, flatulence
D. Headache, dry cough, algor
E. * Prodromal respiratory illness or sore throat, fever, headache, stiff neck, vomiting,
confusion, irritability
586.
Family (three persons) came to permanent establishment with the disease which is
connected with the use of fish can food of the domestic making. These patients had a similar
clinic: violation of sight, clouds before eyes, impossibility to read a small font, they
appealed to the oculist. What link of pathogenesis is characteristic for this disease?
A. * Blocking of selection of acetylcholine from synapses
B. Blocking of inserted motoneurons
C. Demyelinization of nervous fibres
D. Stimulation of synthesis of adenilacyclase
E. Development of hypocoagulation
587.
Worker, 22 y.o., became ill sharply: t 39°C, great pain of head, frequent vomits.
Objectively: the condition is severe, psychomotor excitation, moans due to the great pain of
head, expressed rigidity of neck muscles. Sharply positive symptoms of Brudzinsky’s and
Kernig’s, general hyperesthesia. What needs to be done for clarification of diagnosis?
A. * General blood analysis and liquor analysis
B. General blood analysis and blood sterility
C. Computer tomography of cerebrum
D. X-ray of skull in two projections
E. Analysis of the excrement and urine for a pathological flora
Test to figures
1. Such type of temperature curve (Fig. 1), which meets at typhoid fever, d:
A. *Temperature curve of Vunderlich
B. Temperature curve of Kil'dushevskyy
C. Temperature curve of Botkin
D. Temperature curve of Eller
E. Septic temperature curve
2. Such type of temperature curve (Fig. 2), which meets at typhoid fever, d:
A. Temperature curve of Vunderlich
B. Temperature curve of Kil'dushevskyy
C. *Temperature curve of Botkin
D. Temperature curve of Eller
E. Septic temperature curve
3. Such type of temperature curve (Fig. 3), which meets at typhoid fever, d:
A. Temperature curve of Vunderlich
B. *Temperature curve of Kil'dushevskyy
C. Temperature curve of Botkin
D. Temperature curve of Eller
E. Septic temperature curve
4. Such type of temperature curve (Fig. 4), which meets at typhoid fever, d:
A. Temperature curve of Vunderlich
B. Temperature curve of Kil'dushevskyy
C. Temperature curve of Botkin
D. *Temperature curve of Eller
E. Septic temperature curve
5. Such types of temperature curve (Fig. 5) is characteristic for:
A. *Typhoid fever
B. Shigelosis
C. Spotted fever
D. Turning typhus
E. Sepsis
6. Such type of temperature curve (Fig. 3) is characteristic for:
A. *Typhoid fever
B. Shigelosis
C. Epidemic typhus
D. Scrub typhus
E. Sepsis
7. For a patient with such type of temperature curve (Fig. 3) levomicetyn will be effective at:
A. *Typhoid fever
B. Spotted fever
C. Malarias
D. Turning typhus
E. Sepsis
8. Such type of temperature curve (Fig. 1) is characteristic for:
A. *Typhoid fever
B. Shigelosis
C. Spotted fever
D. Turning typhus
E. Sepsis
9. Such elements (Fig. 8) and localization of rash on a abdomen are characteristic for:
A. *Typhoid fever
B. Spotted fever
C. Chicken pox
D. Herpetic infection
E. Rubella
10. Such elements (Fig. 8) and localization of rash on a abdomen are characteristic for:
A. Meningokokovoy infection
B. Measles
C. *Typhoidfever
D. Spotted fever
E. Yersyniozis
11. Such types of temperature curves (Fig. 5) meet at:
A. Sepsis
B. *Typhoid fever
C. Leptospirosis
D. Spotted fever
E. Flu
12. Such types of temperature curves (Fig. 5) meet at:
A. Sausage-poisoning
B. Diphtheria
C. Rabies
D. *Typhoid fever
E. Tetanus
13. Such type of temperature curve (Fig. 2), roseolas on lateral surfaces and stomach,
hepatosplenomegalia characteristic for:
A. Sepsis
B. *Typhoidfever
C. Leptospirosis
D. Spotted fever
E. Turning typhus
14. Such elements of rash (Fig. 9) and localization are characteristic for:
A. *Typhoid fever
B. Spotted fever
C. Chicken pox
D. Herpetic infection
E. Measles
15. Such elements of rash (Fig. 9) and localization are characteristic for:
A. Meningococcal infection
B. German measles
C. *Typhoidfever
D. Spotted fever
E. Yersyniozis
16. Such elements (Fig. 10) and localization are characteristic for:
A. *Typhoidfever
B. Spotted fever
C. Chicken pox
D. Herpetic infection
E. Measles
17. Such elements (Fig. 10) and localization of rash are characteristic for:
A. Meningococcal infection
B. Hives
C. *Typhoid fever
D. Spotted fever
E. Yersyniozis
18. What departments of intestinal (Fig. 11) is struck at typhoid?
A. Mucus of thin bowel
B. Mucus of sigmoid bowel
C. Mucus of rectum
D. *Lymphatic formations of thin bowel
E. All intestinal
19. Such changes of (Fig. 12) are characteristic for:
A. Typhoid fever
B. *Yersyniozis
C. Cholera
D. Salmonellosis
E. Candidosis
20. What symptom are characterazed at a salmonellosis (Fig. 13)?
A. Fever
B. Diareya
C. Nausea
D. Stomach-aches
E. *All are above-mentioned
21. Emptying as a mud (Fig. 14) is characteristic for:
A. Dysentery
B. Cholera
C. Amebiasis
D. Balantidiasis
E. *Salmonellosis
22. This procedure (Fig. 15) is obligatory at:
A. Dysentery
B. Cholera
C. Amebiasis
D. *Food poisoning
E. Salmonellosis
23. What organs are struck at typhoid (Fig. 16)?
A. Gullet
B. Stomach
C. Pancreas
D. *Lymphatic formations of thin bowel
E. All of intestinal
24. What complication of typhoid is it needed to think about (Fig. 17)?
A. Infectiously toxic shock
B. Peritonitis
C. DVS
D. *Enterorrhagia
E. Perforation
25. Such type of temperature curve and pulse curve (Fig. 17) characterized for:
A. Infectiously toxic shock
B. Peritonitis
C. DVS
D. *Enterorrhagia
E. Perforation
26. Such faeces is characteristic for: (Fig.18)
A. Dysentery
B. *Cholera
C. Amebiasis
D. Balantidiasis
E. Salmonellosis
27. What the symptoms are characterized for cholera? (Fig.13)
A. Fever
B. *Diarrhea
C. Nausea
D. Stomach-aches
E. Above all are correct
28. Faeces like swamp is characteristic for: (Fig.14)
A. Dysentery
B. Cholera
C. Amebiasis
D. Balantidiasis
E. *Salmonellosis
29. A fall-off to the turgor of skin is a characteristic sign: (Fig.19)
A. Dysentery
B. *Cholera
C. Amebiasis
D. Balantidiasis
E. Salmonellosis
30. Such changes, shrunk face, deeply hollow eyes, rolled up, semiclosed characteristic for: (Fig.20)
A. Dysentery
B. *Cholera
C. Amebiasis
D. Balantidiasis
E. Salmonellosis
31. Such changes, as: extraordinarily grave condition, shrunk face, eyes are deeply hollow, rolled
up, semiclosed. On face expression of suffering, skin is cyanotic characteristic for: (Fig.21)
A. Dysentery
B. *Cholera
C. Amebas
D. Balantidiasis
E. Salmonellosis
32. Such changes as: a very serious condition, the face is shrunk, eyes deep heat, roll up,
semiclosed. Expression on the face is suffering, skin cyanotic characteristic: (Fig.22)
A. Dysentery
B. *Cholera
C. Amebiasis
D. Balantidiasis
E. Salmonellosis
33. This bed (Fig.23) is for patients of:
A. Severe disease
B. Paralyzed
C. *Patients with cholera
D. Patients with dysentery
E. Cancer of rectum
34. The epidemic outbreak of disease with clinical symptoms typical of dehydration? (Fig.24)
A. Dysentery
B. *Cholera
C. Esherichiosis
D. Yersiniosis
E. Salmonellosis
35. Such changes of the tongue (Fig.12) are typical for
A. Typhoid fever
B. *Yersiniosis
C. Cholera
D. Salmonellosis
E. Candidiasis
36. Which parts of body affects in shigellosis? (Fig.16)
A. Esophagus
B. Stomach
C. Proximal colon
D. *Distal colon
E. The entire large intestine
37. What parts of intestine is affected in amebiasis (Fig.16)
A. Small Intestine
B. Rectum
C. Distal colon
D. *Proximal colon
E. The entire intestine
38. What symptoms are characteristic for dysentery: (Fig.26)
A. Intoxication
B. Nausea and vomiting
C. Tenesmus
D. Artificial call
E. *All the above listed
39. Which parts of intestine are affected in shigellosis? (Fig.27)
A. Esophagus
B. Stomach
C. Proximal colon
D. *Distal colon
E. The entire large intestine
40. What disease causes feces like "raspberry jelly" (Fig.28):
A. Dysentery
B. Cholera
C. *Amebiasis
D. Balantidiasis
E. Salmonellosis
41. Edema and hyperemia around the ulcer, mucosa was not modified. Such changes of the colon
are typical for: (Fig. 29)
A. Dysentery
B. Cholera
C. *Amebiasis
D. Balantidiasis
E. Salmonellosis
42. Such a source and agent are specific to: (Fig.30)
A. Dysentery
B. Cholera
C. Amebiasis
D. *Balantidiasis
E. Salmonellosis
43. Prolonged diarrhea (liquid stool, smelly, impure blood and mucus), fast weight loss, haggard
face, eyes, passion, deep ulcers with erosion edges characteristic (Fig.31):
A. Dysentery
B. Cholera
C. Amebiasis
D. *Balantidiasis
E. Salmonellosis
44. Which disease is caused by this parasite? (Fig.32)?
A. Dysentery
B. *Giardiasis
C. Amebiasis
D. Balantydiasis
E. Salmonellosis
45. What parasite can cause such destruction (Fig.33)?
A. Dysentery
B. Giardiasis
C. *Amebiasis
D. Balantydiasis
E. Yersiniosis
46. What part of intestinal tract is affected with amoebiasis most often (Fig.11)?
A. *The decending and ascending colon
B. Sigmoid and rectum
C. doudenun and jejunum
D. Transversal colon
E. Small intestine
47. Are such changes from the side of tongue characteristic for? (Fig.12)
A. Typhoid fever
B. *Psewdotuberculosis
C. Botulism
D. Salmonellosis
E. Food poisoning
48. Drug of choice for sanation of this form off amoebiasis (Fig.33) can be:
A. Monomitsin
B. *Delagil
C. Tetracycline
D. Hepabene
E. Ursosan
49. Are such changes from the side of tongue characteristic for? (Fig.34)
A. Typhoid fever
B. Yersiniosis
C. *Botulism
D. Salmonellosis
E. Food poisoning
50. Such changes of eyes (ptosis) characteristics for? (Fig.35)
A. Hydrophobia
B. *Botulism
C. Stupor
D. Meningococcal infection
E. Candidiasis
51. Such changes of eyes(midriasis) characteristic for? (Fig.36)
A. Teanus
B. *Botulism
C. Stupor
D. Meningococcal infection
E. Candidiasis
52. Dilation of pupils is named as? (Fig.36)
A. Miosis
B. *Midriasis
C. Anizokoriya
D. Strabizm
E. Nystagmus
53. Such changes of eyes (midriasis) characteristic for? (Fig.37)
A. Hydrophobia
B. *Botulism
C. Stupor
D. Meningococcal infection
E. Candidiasis
54. Is the dilation of pupils named? (Fig.37)
A. Miosis
B. *Midriasis
C. Anizokoriya
D. Strabizm
E. Nystagmus
55. Are these agents able to cause? (Fig.38)
A. *Ascaridosis
B. Enterobiasis
C. Teniosis
D. Trichocephalosis
E. Echinococosis
56. These agents able to cause? (Fig.39)
A. *Ascaridosis
B. Enterobiasis
C. Teniosis
D. Trichocefalosis
E. Echinococosis
57. Is there a scolex on picture?( Fig.40)
A. *Taenia solium
B. Taenia saginata
C. Diphyllobothrium latum
D. Hymenolepis nana
E. Taenia multiceps
58. Are these agents able to cause? (Fig.41)
A. *Ascaridosis
B. Enterobiosis
C. Teniosis
D. Trichocephalosis
E. Echinococcosis
59. For treatment of disease caused by certain agents:(Fig.41)
A. *Vormil
B. Venter
C. Vomix
D. Valtrex
E. Vestibo
60. For treatment of disease caused by certain agent (Fig.39)
A. *Pirantel
B. Plavix
C. Piretrum
D. Panzinorm
E. Prestarium
61. For treatment of disease caused by certain helminthes: (Fig.42)
A. *Biltricid
B. Biseptolum
C. Piretrum
D. Panzinorm
E. Prestarium
62. Are these agents able to cause? (Fig.43)
A. Ascaridosis
B. Diphylobotriosis
C. Teniosis
D. Trichocephalosis
E. *Echinococcosis
63. Are these agents able to cause? (Fig.42)
A. Ascaridosis
B. *Difilobotriosis
C. Teniosis
D. Trichocephalosis
E. Echinococcosis
64. Are these agents able to cause? (Fig.44)
A. *Opisthorchiasis
B. Diphylobotriosis
C. Teniosis
D. Trichocephalosis
E. Echinococal
65. For treatment of disease caused this agent: (Fig.44)
A. *Prazykvantel
B. Chloramphenicolum
C. Piretrum
D. Vermoxum
E. Prestarium
66. By eating of fish it is possible to be infected: (Fig.45)
A. *Opisthorchiasis
B. Teniarinchosis
C. Teniosis
D. Trichocephalosis
E. Echinococcosis
67. Are these agents able to cause? (Fig.46)
A. *Teniarinchosis
B. Diphilobotriosis
C. Teniosis
D. Trichocephalosis
E. Echinococcosis
68. Are these agents able to cause? (Fig.47)
A. Teniarinchosis
B. Diphylobotriosis
C. Teniosis
D. *Trichocephalosis
E. Echinococcosis
69. For treatment of disease caused this agents use: (Fig.47)
A. *Vormil
B. Venter
C. Vomiks
D. Valtreks
E. Vestibo
70. For treatment of disease caused this agents use: (Fig.46)
A. Echinaceyu
B. *Extract of masculine fern
C. Ervus
D. Essliver
E. Oxygen
71. For what disease are characteristic such changes (Fig.48)?
A. Catarrhal tonsillitis
B. Follicular tonsillitis
C. Lacunar tonsillitis
D. *Diphtheria
E. For all this disease
72. For what disease are characteristic such changes (Fig.49)?
A. Catarrhal tonsillitis
B. Follicular tonsillitis
C. Lacunar tonsillitis
D. *Diphtheria
E. For all this disease
73. For what disease are characteristic such changes (Fig.50)?
A. Antrax
B. Tularemia
C. Erysipelas
D. *Diphtheria
E. Plague
74. For what disease are characteristic such changes (Fig.51)?
A. Herpetic disease
B. Flegmona of nose
C. Erysipelas of nose
D. *Diphtheria of nose
E. Influenza
75. For what disease are characteristic such changes (Fig.52)?
A. Catarrhal tonsillitis
B. Follicular tonsillitis
C. Lacunar tonsillitis
D. *Diphtheria
E. For all this disease
76. For what disease are characteristic such changes (Fig.53)?
A. Catarrhal tonsillitis
B. *Follicular tonsillitis
C. Lacunar tonsillitis
D. Diphtheria
E. Simanovsky-Vensan’s tonsillitis
77. For what disease are characteristic such changes (Fig.62)?
A. *Catarrhal tonsillitis
B. Follicular tonsillitis
C. Lacunar tonsillitis
D. Diphtheria
E. Ulcerative-necrotic tonsillitis
78. For what disease are characteristic such changes (Fig.54)?
A. Catarrhal tonsillitis
B. Follicular tonsillitis
C. *Lacunar tonsillitis
D. Diphtheria
E. Simanovsky-Vensan’s tonsillitis
79. For what disease are characteristic such changes (Fig.48)?
A. Simanovsky-Vensan’s tonsillitis
B. Adenoviral infection
C. Syphilis
D. *Diphtheria
E. For all this disease
80. For what disease are characteristic such changes (Fig.55)?
A. *Simanovsky-Vensan’s tonsillitis
B. Adenoviral infection
C. Syphilis
D. Diphtheria
E. For all this disease
81. For what disease are characteristic such changes (Fig.56)?
A. Agranulocytosis
B. Simanovsky-Vensan’s tonsillitis
C. Duge’s tonsillitis
D. *Diphtheria
E. Syphilis
82. For what disease are characteristic such changes (Fig.57)?
A. Simanovsky-Vensan’s tonsillitis
B. Adenoviral infection
C. *Candidosis
D. Diphtheria
E. Mononucleosis
83. For what disease are characteristic such changes (Fig.58)?
A. Agranulocytosis
B. Simanovsky-Vensan’s tonsillitis
C. Duge’s tonsillitis
D. Diphtheria
E. *Syphilis
84. For what disease are characteristic such changes (Fig.59) and enlarged all lymphatic nodules?
A. Simanovsky-Vinsent’s tonsillitis
B. Adenoviral infection
C. Candidosis
D. Diphtheria
E. *Infectious mononucleosis
85. For what disease are characteristic such changes (Fig.60) and enlarged all lymphatic nodules?
A. Simanovsky-Vinsent’s tonsillitis
B. Ludvig’s tonsillitis
C. Candidosis
D. *Diphtheria
E. Duge’s tonsillitis
86. The exciter of (Fig.48) is:
A. Virus of Epshtein-Barr
B. *Bacilla of Leffler
C. Corynebacteria ulcerans
D. Fusiform stick
E. Corynebacteria xerosis
87. For what disease are characteristic such changes (Fig.61)?
A. Agranulocytosis
B. Simanovsky-Vensan’s tonsillitis
C. Duge’s tonsillitis
D. *Stomatitis aphtosus
E. Syphilis
88. For what disease are characteristic such changes (Fig.63)?
A. Allergodermia
B. Impetigo
C. Herpes simplex
D. Erysipelas
E. *Herpes zoster
89. For what disease are characteristic such changes (Fig.64)?
A. Allergodermia
B. Impetigo
C. Herpes simplex
D. Erysipelas
E. *Herpes zoster
90. For what disease are characteristic such changes (Fig.65)?
A. Allergodermia
B. Impetigo
C. Herpes simplex
D. Erysipelas
E. *Herpes zoster
91. For what disease are characteristic such changes (Fig.66)?
A. Allergodermia
B. Impetigo
C. Herpes simplex
D. Erysipelas
E. *Herpes zoster
92. For what disease are characteristic such changes (Fig.67)?
A. Allergodermia
B. Impetigo
C. Herpes simplex
D. Erysipelas
E. *Herpes zoster
93. For what disease are characteristic such changes (Fig.68)?
A. Allergodermia
B. Impetigo
C. Herpes simplex
D. Erysipelas
E. *Herpes zoster
94. For what disease are characteristic such changes (Fig.69)?
A. Allergodermia
B. Impetigo
C. Herpes simplex
D. Erysipelas
E. *Herpes zoster
95. What preparation of etyotropic therapy for this infection (Fig.69) should be given?
A. *Acyclovir
B. Cefataxime
C. Ceftriaxone
D. Gentamycin
E. Furazolidon
96. What preparation of etyotropic therapy for this infection (Fig.68) should be given?
A. *Acyclovir
B. Cefataxime
C. Amizon
D. Gentamycin
E. Erius
97. What preparation of etyotropic therapy for this infection (Fig.67) should be given?
A. *Valavir
B. Cefataxime
C. Amizon
D. Gentamycin
E. Erius
98. What preparation of specific therapy for this infection (Fig.66) should be given?
A. *Valtrex
B. Cefataxime
C. Amizon
D. Gentamycin
E. Erius
99. Preparation of choice for treatment of this patient (Fig.65) is:
A. Suprastin
B. Prednisolone
C. Biseptolum-480
D. Semavin
E. *Laferon
100. Preparation of choice for treatment of this patient (Fig.63) is:
A. Suprastin
B. Prednisolone
C. Biseptolum-480
D. Semavin
E. *Interferon
101. What measures of prophylaxis of disease (Fig.66) are need to be used?
A. Vaccination
B. Final disinfection
C. Reception of specific immunoprotein
D. *Isolation of patient
E. Acyclovir administration
102. What measures of prophylaxis of disease (Fig.67) are need to be used?
A. Vaccination
B. Final disinfection
C. Reception of specific immunoprotein
D. *Isolation of patient
E. Acyclovir administration
103. About what disease you can think (Fig.66)?
A. Erysipelas, bulbous form
B. Anthrax
C. *Herpetic infection
D. Eczema
E. Streptodermic infection
104. What is the most possible diagnosis (Fig.64)?
A. Rossolimo-Melkerson-Rozental’s syndrome right side
B. Postherpetic neuralgia of I-st and II-nd branch of right trigeminal nerve
C. Postherpetic neuralgia of all 3 branches of right trigeminal nerve
D. Sluder’s syndrome right side
E. *Hant’s syndrome
105.
A.
B.
C.
D.
E.
106.
A.
B.
C.
D.
E.
107.
A.
B.
C.
D.
E.
108.
A.
B.
C.
D.
E.
109.
A.
B.
C.
D.
E.
110.
A.
B.
C.
D.
E.
111.
A.
B.
C.
D.
E.
112.
A.
B.
C.
D.
E.
Named the agent of this disease (Fig.66)?
Herpes virus І type
*Herpes virus ІІI type
Herpes virus ІV type
Herpes virus V type
Herpes virus IІ type
Named the agent of this disease (Fig.67)?
Herpes virus І type
*Herpes virus ІІI type
Herpes virus ІV type
Herpes virus V type
Herpes virus IІ type
Named the agent of this disease (Fig.68)?
Herpes virus І type
*Herpes virus ІІI type
Herpes virus ІV type
Herpes virus V type
Herpes virus IІ type
Named the agent of this disease (Fig.70)?
Herpes virus І type
Herpes virus ІІI type
Herpes virus ІV type
Herpes virus V type
*Herpes virus IІ type
Named the agent of this disease (Fig.71)?
*Herpes virus І type
Herpes virus ІІI type
Herpes virus ІV type
Herpes virus V type
Herpes virus IІ type
For what disease are characteristic such changes (Fig.70)?
Allergodermia
Impetigo
*Herpes simplex
Syfilis
Furunculosis
For what disease are characteristic such changes (Fig.71)?
Allergodermia
Impetigo
*Herpes simplex
Erysipelas
Herpes zoster
For what disease characterize such syndrome (Fig.73)?
Lymphadenytys
Tularemia
Lymphogranulomatosis
Infectious mononucleosis
*For all this disease
113.
A.
B.
C.
D.
E.
114.
A.
B.
C.
D.
E.
115.
A.
B.
C.
D.
E.
116.
A.
B.
C.
D.
E.
117.
A.
B.
C.
D.
E.
118.
A.
B.
C.
D.
E.
119.
A.
B.
C.
D.
E.
120.
A.
B.
C.
D.
E.
For what disease characterize such syndrome (Fig.73)?
Adenoviral infection
Tularemia
Mumps
Infectious mononucleosis
*For all this disease
For what disease characterize such syndrome (Fig.73)?
Acute lympholeycosis
Neck lymphadenitis
Mumps
Infectious mononucleosis
*For all this disease
For what disease characterize such rash (Fig.74)?
Herpes simplex
Meningococcal infection
Herpes zoster
*Chicken pox
Rubella
For what disease is characterize such rash (Fig. 75)?
Herpetic infection of genitals
*Chicken pox
Typhoid fever
Yersiniosis
Erysipelas
For what disease is characterize such rash (Fig. 74)?
Herpetic infection of genitals
*Chicken pox
Typhoid fever
Yersiniosis
Erysipelas
For what disease is characterize such rash (Fig. 76)?
Herpetic infection of genitals
*Chicken pox
Typhoid fever
Yersiniosis
Erysipelas
For what disease is characterize such rash (Fig. 77)?
Herpetic infection of genitals
*Chicken pox
Typhoid fever
Yersiniosis
Erysipelas
For what disease is characterize such syndrome (Fig. 78)?
Adenoviral infection
Tularemia
*Mumps
Infectious mononucleosis
For all this disease
121.
A.
B.
C.
D.
E.
122.
A.
B.
C.
D.
E.
123.
A.
B.
C.
D.
E.
124.
A.
B.
C.
D.
E.
125.
A.
B.
C.
D.
E.
126.
A.
B.
C.
D.
E.
127.
A.
B.
C.
D.
E.
128.
A.
B.
C.
D.
E.
For what disease is characterize such syndrome (Fig. 79)?
Acute lympholeycosis
Neck lymphadenitis
*Mumps
Infectious mononucleosis
For all this disease
For what disease is characterize such syndrome (Fig. 80)?
Acute lympholeycosis
Neck lymphadenitis
*Mumps
Infectious mononucleosis
For all this disease
For what disease such symptom does characterize (Fig. 81)?
Rubella
Measles
Meningococcal infection
*Mumps
Scarlet fever
What is name of this symptom (Fig. 81)?
Stefanskyy‘s symptom
*Murson‘s symptom
Koplik‘s symptom
Vaserman‘s symptom
Pastia‘s symptom
For what disease does this rash characterize (Fig. 82)?
Rubella
*Measles
Meningococcal infection
Yersiniosis
Scarlet fever
For what disease does this rash characterize (Fig. 83)?
Rubella
*Measles
Meningococcal infection
Yersiniosis
Scarlet fever
For what disease does this rash characterize (Fig. 84)?
Typhoid fever
*Measles
Meningococcal infection
Yersiniosis
Scarlet fever
For what disease does this rash characterize (Fig. 85)?
Rubella
*Measles
Meningococcal infection
Yersiniosis
Scarlet fever
129.
A.
B.
C.
D.
E.
130.
A.
B.
C.
D.
E.
131.
A.
B.
C.
D.
E.
132.
A.
B.
C.
D.
E.
133.
A.
B.
C.
D.
E.
134.
A.
B.
C.
D.
E.
135.
A.
B.
C.
D.
E.
136.
A.
B.
C.
D.
E.
For what disease does this rash characterize (Fig. 86)?
Rubella
*Measles
Meningococcal infection
Yersiniosis
Scarlet fever
What is name of this symptom (Fig. 85)?
Stefanskyy‘s symptom
Murson‘s symptom
*Koplik‘s symptom
Vaserman‘s symptom
Rozenberg‘s symptom
For what disease does this rash characterize (Fig. 87)?
Rubella
Measles
Meningococcal infection
Yersiniosis
*Scarlet fever
What is name of this symptom (Fig. 87)?
Stefanskyy‘s symptom
Murson‘s symptom
Koplik‘s symptom
Vaserman‘s symptom
*Pastia‘s symptom
For what disease does this rash characterize (Fig. 88)?
Rubella
Measles
Meningococcal infection
Typhoid fever
*Scarlet fever
For what disease does this rash characterize (Fig. 89)?
*Rubella
Measles
Meningococcal infection
Yersiniosis
Scarlet fever
For what disease is this characterize (Fig. 90)?
Rubella
Measles
Meningococcal infection
Psoriasis
*Scarlet fever
For what disease is this characterize (Fig. 91)?
Rubella
Measles
Meningococcal infection
Rosenberg’s erythema
*Scarlet fever
137.
For what disease is this characterize (Fig. 12)?
A. Rubella
B. Measles
C. Meningococcal infection
D. Sodoku
E. *Scarlet fever
138. For what disease does this rash characterize (Fig. 92)?
A. Rubella
B. Measles
C. *Meningococcal infection
D. Yersiniosis
E. Scarlet fever
139. For what disease is this characterize (Fig.93)?
A. Epidemic typhus
B. Herpes zoster
C. Chicken pox
D. Herpetic infection I kind
E. *Meningococcal infection
140. For what disease does this rash characterize (Fig.94)?
A. *Meningococcal infection
B. Flu, toxic form
C. Marburg hemorragic fever
D. Leptospirosis
E. Kongo hemorragic fever
141. When is it possible to stop the antibiotic therapy in this disease (Fig.95).
A. *At a cytosis in a CSF 100 and less, lymphocytes prevail
B. After 10 days from the beginning antibiotic therapy
C. After 7 days from the beginning antibiotic therapy
D. At a cytosis 100 and less, neutrophil prevail
E. From 6 days from the beginning antibiotic
142. What is used as specific prophylaxis in the period of epidemic spreading of such (Fig.92)
infection?
A. Immunoglobulin
B. Serum
C. *Vaccine
D. Anatoxin
E. Nothing
143. What preparations must be entered in this disease (Fig.93)?
A. *Mannitol, prednisolone, penicillin, suprastin
B. Mannitol, acetophene
C. Lasix, analgin, ampicillin
D. Veroshpiron, euphylin, dimedrol
E. Aspirin, analgin, dimedrol
144. For what disease is this characterize (Fig.96)?
A. Epidemic typhus
B. Herpes zoster
C. Chicken pox
D. Herpetic infection I kind
E. *Meningococcal infection