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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