Download Viral hepatitis. HIV-infection. Infections with transmissible

Viral hepatitis. HIV-infection. Infections with transmissible mechanism of transmission.
Infections with wound and multiply mechanisms of transmission.
Tests
1. All the following medicines are hepatoprotective agents except:
A. Carsil
B. Silibor
C. Legalon
D. *Amicacinum
E. Arginine
2. All the following medicines are hepatoprotective agents except:
A. Essenciale
B. Silibor
C. Legalon
D. * Atenolol
E. Hepadif
3. All the following medicines are hepatoprotective agents except:
A. Carsil
B. Silibor
C. Legalon
D. * Lomusol
E. Hepabene
4. All the following medicines are interferons except:
A. Intron
B. Pegasis
C. Reaferon
D. Leukinferon
E. * Cycloferon
5. All the following medicines are interferons except:
A. Intron
B. Roferon
C. Reaferon
D. Leukinferon
E. * Ceftriaxon
6. All the following medicines are interferons except:
A. Intron
B. Roferon
C. Reaferon
D. Laferobion
E. * Legalon
7. All the hepatitis have parenteral route of transmission except:
A. * A
B. B
C. C
D. D
E. TTV
8. All the hepatitis have parenteral route of transmission except:
A. * E
B. B
C. C
D. D
E. TTV
9. All the hepatitis have parenteral route of transmission except:
A. * A and E
B. B and D
C. C and B
D. D and C
E. TTV
10. All the hepatitis have parenteral route of transmission except:
A. * A
B. B
C. C
D. D
E. TTV
11. As etiotropic therapy of acute and chronic viral hepatitis B utillize:
A. Corticosteroid
B. Immunomodulate preparations
C. Cytostatics
D. Antibiotics
E. * Antiviral preparations
12. As etiotropic therapy of sharp and chronic viral hepatitis B utillize:
A. Corticosteroid
B. Immunomodulate preparations
C. Cytostatics
D. Antibiotics
E. * Antiviral preparations
13. Basic principles of antiviral therapy for viral hepatitis.
A. Individual selection of dose and rhythm of application of preparations
B. Duration of introduction of preparations
C. Control of amount of erytrocytes, leucocytes and thrombocytes, in blood
D. Control of iron level in blood
E. * All the above
14. Basic principles of antiviral therapy for viral hepatitis.
A. Individual selection of dose and rhythm of application of preparations
B. Duration of introduction of preparations
C. Control of amount of erytrocytes, leucocytes and thrombocytes, in blood
D. Control of iron level in blood
E. * All the above
15. Before the appearance of jaundice in a patient 16 years old, during 2 days there were an
increasing of the body temperature (38,5 °C), headache, dull ache disturbed whole body.
Name the variant of pre-icteric period of viral hepatitis for this patient?
A. * Influenza-like
B. Astenovegetative
C. Artralgic
D. Dyspeptic
E. Allergic
16. Choose the indexes of efficiency of interferon therapy.
A. * Disappearance| of markers of viral replication
B. Improvement of the general state
C. Normalization of the liver size
D. Disappearance of icterus
E. All the above
17. Choose the indexes of efficiency of interferon therapy.
A. Improvement of the general state
B. * Normalization of activity of ALaT
C. Normalization of the liver size
D. Disappearance of icterus
E. All the above
18. Choose the indexes of efficiency of interferon therapy.
A. * Disappearance| of markers of viral replication
B. Improvement of the general state
C. Normalization of the liver size
D. Disappearance of icterus
E. All the above
19. Choose the indexes of efficiency of interferon therapy.
A. Improvement of the general state
B. * Normalization of activity of ALaT
C. Normalization of the liver size
D. Disappearance of icterus
E. All the above
20. Choose the indexes of efficiency of interferon therapy.
A. Improvement of the general state
B. * Normalization of activity of ALaT
C. Normalization of the liver size
D. Disappearance of icterus
E. All the above
21. Choose the remedies for etiotropic therapy for viral hepatitis.
A. Antibiotics
B. * Interferon
C. Probiotics
D. Vaccine
E. Normal human immunoprotein
22. Choose the remedies for etiotropic therapy for viral hepatitis.
A. Antibiotics
B. * Interferon
C. Probiotics
D. Vaccine
E. Normal human immunoprotein
23. Choose the remedies for etiotropic therapy for viral hepatitis.
A. Antibiotics
B. * Interferon
C. Probiotics
D. Vaccine
E. Normal human immunoprotein
24. Choose the remedies for etiotropic therapy of viral hepatitis.
A. * Ribavirin
B. Vaccine
C. Normal human immunoprotein
D. Hepatoprotector
E. Glucocorticoid
25. Choose the remedies for etiotropic therapy of viral hepatitis.
A. * Ribavirin
B. Vaccine
C. Normal human immunoprotein
D. Hepatoprotector
E. Glucocorticoid
26. Chronic course is common for viral hepatitis except:
A. * A
B. B
C. C
D. D
E. B+C
27. Chronic course is common for viral hepatitis except:
A. * A
B. B
C. C
D. D
E. B+C
28. Chronic course is common for viral hepatitis except:
A. * A
B. B
C. C
D. D
E. B+C
29. Chronic course is common for viral hepatitis except:
A. * A
B. B
C. C
D. D
E. B+C
30. Contra-indications for antiviral therapy of viral hepatitis.
31. Contra-indications for antiviral therapy of viral hepatitis.
A. ecompensatory cirrhosis of liver
B. Autoimmune disease
C. Alcoholism and other drug addictions
D. Coinfection by HIV
E. * All the above
32. Contra-indications for antiviral therapy of viral hepatitis.
33. Contra-indications for antiviral therapy of viral hepatitis.
A. ecompensatory cirrhosis of liver
B. Autoimmune disease
C. Alcoholism and other drug addictions
D. Coinfection by HIV
E. * All the above
34. Diagnosed a patient: chronic hepatitis in the stage of integration. What markers will be in
patient in this stage disease?
35. Direct bilirubin is increased , in urine there is significant increase of bilirubin and urobilin,
increasing of stercobilin of excrements. What is the type of icterus?
A. Haemolitic
B. * Parenchymatous
C. Transport
D. Extraliver
E. Mechanical
36. Direct bilirubin is increased , in urine there is significant increase of bilirubin and urobilin,
increasing of stercobilin of excrements. What is the type of icterus?
A. Haemolitic
B. * Parenchymatous
C. Transport
D. Extraliver
E. Mechanical
37. Direct bilirubin is increased , in urine there is significant increase of bilirubin and urobilin,
increasing of stercobilin of excrements. What is the type of icterus?
A. Haemolitic
B. * Parenchymatous
C. Transport
D. Extraliver
E. Mechanical
38. Etiotropic therapy of viral hepatitis is.
A. Ribavirin
B. Interferon
C. Inductors of interferon
D. Zefix
E. * All the above.
39. Etiotropic therapy of viral hepatitis is.
A. Ribavirin
B. Interferon
C. Inductors of interferon
D. Zefix
E. * All the above.
40. Factors which are indications of successful interferon therapy in HV infections are all,
except.
A. Level of ALaT not more than 2-3 norm
B. Low titre of HCV after the treatment
C. Absence of cholestasis
D. 2th and 4th genotypes of HCV
E. * Expressed fibrosis
41. Factors which are indications of successful interferon therapy in HV infections are all,
except.
A. Level of ALaT not more than 2-3 norm
B. Low titre of HCV after the treatment
C. Absence of cholestasis
D. 2th and 4th genotypes of HCV
E. * Expressed fibrosis
42. Give recommendation for a patient in reconvalensent period of viral hepatitis during a
clinical supervision after isolation.
A. A medical supervision during 6 month
B. Biochemical inspection
C. Abstain from hard physical load
D. Temporal contra-indications for prophylactic inoculations
E. * All the above
43. Give recommendation for a patient in reconvalensent period of viral hepatitis during a
clinical supervision after isolation.
A. * Medical supervision during 6 months, periodic biochemical inspections.
B. Control bacteriological examinations
C. Full labor investigation
D. To continue prophylactic inoculations
E. Supervision is not needed
44. Give recommendation for a patient in reconvalensent period of viral hepatitis during a
clinical supervision after isolation.
A. A medical supervision during 6 month
B. Biochemical inspection
C. Abstain from hard physical load
D. Temporal contra-indications for prophylactic inoculations
E. * All the above
45. Give recommendation for a patient in reconvalensent period of viral hepatitis during a
clinical supervision after isolation.
A. * Medical supervision during 6 months, periodic biochemical inspections.
B. Control bacteriological examinations
C. Full labor investigation
D. To continue prophylactic inoculations
E. Supervision is not needed
46. Indirect action of interferon therapy are all except.
A. Influenza-like syndrome
B. Nausea
C. Depression
D. Intensification of autoimmune diseases
E. * Progress of fibrosis
47. Indirect action of interferon therapy are all except.
A. Influenza-like syndrome
B. Nausea
C. Depression
D. Intensification of autoimmune diseases
E. * Progress of fibrosis
48. Indirect action of interferon therapy are all except.
A. Influenza-like syndrome
B. Nausea
C. Depression
D. Intensification of autoimmune diseases
E. * Progress of fibrosis
49. Indirect action of interferon therapy are all except.
A. Influenza-like syndrome
B. Nausea
C. Depression
D. Intensification of autoimmune diseases
E. * Progress of fibrosis
50. Indirect action of interferon therapy.
A. Influenza-like syndrome
B. Nausea
C. Itching
D. Para-hypnosis
E. * All the above
51. Indirect action of interferon therapy.
A. Influenza-like syndrome
B. Nausea
C. Itching
D. Para-hypnosis
E. * All the above
52. Indirect action of interferons.
A. Flatulence
B. Diarrhea
C. Nausea
D. Depression
E. * All the above
53. Indirect action of interferons.
A. Flatulence
B. Diarrhea
C. Nausea
D. Depression
E. * All the above
54. On the average 15 to 30 % of all population of the planet suffer from some pathology of
liver. Prevalence of hepatitis and cirrhosis in the European countries is about 1 % of adults.
Annually in the world there are about 2 million people with acute viral hepatitis. What % of
all cases will develop chronic form.
A. 100 %
B. 50 %
C. 25 %
D. * 10 %
E. 1 %
55. On the average 15 to 30 % of all population of the planet suffer from some pathology of
liver. Prevalence of hepatitis and cirrhosis in the European countries is about 1 % of adults.
Annually in the world there are about 2 million people with acute viral hepatitis. What % of
all cases will develop chronic form.
A. 100 %
B. 50 %
C. 25 %
D. * 10 %
E. 1 %
56. On the average 15 to 30 % of all population of the planet suffer from some pathology of
liver. Prevalence of hepatitis and cirrhosis in the European countries is about 1 % of adults.
Annually in the world there are about 2 million people with acute viral hepatitis. What % of
all cases will develop chronic form.
A. 100 %
B. 50 %
C. 25 %
D. * 10 %
E. 1 %
57. That characteristic of a partial answer of interferon therapy are all, except.
A. * Disappearance of markers of viral replication
B. Normalization of activity of ALaT is upon completion of course of therapy
C. Disappearance of icterus
D. Normalization the state of patient
E. Normalization of the size of liver
58. That characteristic of a partial answer of interferon therapy are all, except.
A. * Disappearance of markers of viral replication
B. Normalization of activity of ALaT is upon completion of course of therapy
C. Disappearance of icterus
D. Normalization the state of patient
E. Normalization of the size of liver
59. That characteristic of a partial answer of interferon therapy are all, except.
A. * Disappearance of markers of viral replication
B. Normalization of activity of ALaT is upon completion of course of therapy
C. Disappearance of icterus
D. Normalization the state of patient
E. Normalization of the size of liver
60. That characteristic of a partial answer of interferon therapy are all, except.
A. * Disappearance of markers of viral replication
B. Normalization of activity of ALaT is upon completion of course of therapy
C. Disappearance of icterus
D. Normalization the state of patient
E. Normalization of the size of liver
61. The characteristic of an unsteady answer of interferon therapy are.
A. Disappearance of markers of viral replication upon completion of course of therapy
B. Normalization of activity of ALaT during the course of therapy
C. An origin of relapse in next 6 months
D. Disappearance of icterus
E. * All the above
62. The characteristic of an unsteady answer of interferon therapy are.
A. Disappearance of markers of viral replication upon completion of course of therapy
B. Normalization of activity of ALaT during the course of therapy
C. An origin of relapse in next 6 months
D. Disappearance of icterus
E. * All the above
63. The characteristic of an unsteady answer of interferon therapy are.
A. Disappearance of markers of viral replication upon completion of course of therapy
B. Normalization of activity of ALaT during the course of therapy
C. An origin of relapse in next 6 months
D. Disappearance of icterus
E. * All the above
64. The criteria for application of etiotropic therapy in viral hepatitis is.
A. Protracted motion of HBV, HVD
B. Any form of HV
C. Biochemical activity
D. Presence of virus replication
E. * All the above.
65. The criteria for application of etiotropic therapy for the patient with HCV.
A. Clinical displays are insignificant
B. Icterus is absent
C. Moderate biochemical activity
D. There is anti-HCV in blood
E. * RNA of HCV +
66. The criteria for application of etiotropic therapy in viral hepatitis is.
A. Protracted motion of HBV, HVD
B. Any form of HV
C. Biochemical activity
D. Presence of virus replication
E. * All the above.
67. The criteria for application of etiotropic therapy for the patient with HCV.
A. Clinical displays are insignificant
B. Icterus is absent
C. Moderate biochemical activity
D. There is anti-HCV in blood
E. * RNA of HCV +
68. Types of answer for interferon therapy are.
A. Stable remission
B. Unsteady
C. Partial answer
D. Absence of answer
E. * All the above
69. Types of answer for interferon therapy are.
A. Stable remission
B. Unsteady
C. Partial answer
D. Absence of answer
E. * All the above
70. Types of answer for interferon therapy are.
A. Stable remission
B. Unsteady
C. Partial answer
D. Absence of answer
E. * All the above
71. What group of infectious diseases hepatitis A belong to:
A. External covers
B. * Intestinal
C. Blood
D. Wound
E. Transmissive
72. What group of infectious diseases hepatitis A belong to:
A. External covers
B. * Intestinal
C. Blood
D. Wound
E. Transmissive
73. What group of infectious diseases hepatitis A belong to:
A. External covers
B. * Intestinal
C. Blood
D. Wound
E. Transmissive
74. What group of infectious diseases hepatitis B belong to:
A. * External covers
B. Intestinal
C. Blood
D. Wound
E. Transmissive
75. What group of infectious diseases hepatitis B belong to:
A. * External covers
B. Intestinal
C. Blood
D. Wound
E. Transmissive
76. What group of infectious diseases hepatitis B belong to:
A. * External covers
B. Intestinal
C. Blood
D. Wound
E. Transmissive
77. What group of infectious diseases hepatitis C belong to:
A. * External covers
B. Intestinal
C. Blood
D. Wound
E. Transmissive
78. What group of infectious diseases hepatitis C belong to:
A. * External covers
B. Intestinal
C. Blood
D. Wound
E. Transmissive
79. What group of infectious diseases hepatitis C belong to:
A. * External covers
B. Intestinal
C. Blood
D. Wound
E. Transmissive
80. What group of infectious diseases hepatitis D belong to:
A. * External covers
B. Intestinal
C. Blood
D. Wound
E. Transmissive
81. What group of infectious diseases hepatitis D belong to:
A. * External covers
B. Intestinal
C. Blood
D. Wound
E. Transmissive
82. What group of infectious diseases hepatitis D belong to:
A. * External covers
B. Intestinal
C. Blood
D. Wound
E. Transmissive
83. What group of infectious diseases hepatitis E belong to:
A. External covers
B. * Intestinal
C. Blood
D. Wound
E. Transmissive
84. What group of infectious diseases hepatitis E belong to:
A. External covers
B. * Intestinal
C. Blood
D. Wound
E. Transmissive
85. What group of infectious diseases hepatitis E belong to:
A. External covers
B. * Intestinal
C. Blood
D. Wound
E. Transmissive
86. What is incubation period for hepatitis A:
A. * 45 days
B. 180 days
C. 360 days
D. 90 days
E. 25 days
87. What is incubation period for hepatitis A:
A. * 45 days
B. 180 days
C. 360 days
D. 90 days
E. 25 days
88. What is incubation period for hepatitis A:
A. * 45 days
B. 180 days
C. 360 days
D. 90 days
E. 25 days
89. What is incubation period for hepatitis B:
A. 45 days
B. * 180 days
C. 360 days
D. 90 days
E. 25 days
90. What is incubation period for hepatitis B:
A. 45 days
B. * 180 days
C. 360 days
D. 90 days
E. 25 days
91. What is incubation period for hepatitis B:
A. 45 days
B. * 180 days
C. 360 days
D. 90 days
E. 25 days
92. What is incubation period for hepatitis B:
A. 45 days
B. * 180 days
C. 360 days
D. 90 days
E. 25 days
93. What is mechanism of transmission in viral hepatitis C:
A. * Contact
B. Transmissive
C. Alimentary
D. Fecal-oral
E. Air-drop
94. What is mechanism of transmission in viral hepatitis D:
A. * Contact
B. Transmissive
C. Alimentary
D. Fecal-oral
E. Air-drop
95. What is mechanism of transmission in viral hepatitis E:
A. Contact
B. Sexual
C. Alimentary
D. * Fecal-oral
E. Air-drop
96. What is mechanism of transmission in viral hepatitis A:
A. Contact
B. Transmissive
C. Vertical
D. * Fecal-oral
E. Air-drop
97. What is mechanism of transmission in viral hepatitis B:
A. * Contact
B. Transmissive
C. Alimentary
D. Fecal-oral
E. Air-drop
98. What is mechanism of transmission in viral hepatitis A:
A. Contact
B. Transmissive
C. Vertical
D. * Fecal-oral
E. Air-drop
99. What is mechanism of transmission in viral hepatitis B:
A. * Contact
B. Transmissive
C. Alimentary
D. Fecal-oral
E. Air-drop
100.
What is mechanism of transmission in viral hepatitis C:
A. * Contact
B. Transmissive
C. Alimentary
D. Fecal-oral
E. Air-drop
101.
What is mechanism of transmission in viral hepatitis D:
A. * Contact
B. Transmissive
C. Alimentary
D. Fecal-oral
E. Air-drop
102.
What is mechanism of transmission in viral hepatitis E:
A. Contact
B. Sexual
C. Alimentary
D. * Fecal-oral
E. Air-drop
103.
What is transmissive factor for hepatitis A:
A. Blood
B. Semen
C. * Water
D. Air
E. Milk of mother
104.
What is transmissive factor for hepatitis A:
A. Blood
B. Semen
C. * Water
D. Air
E. Milk of mother
105.
What is transmissive factor for hepatitis A:
A. Blood
B. Semen
C. * Water
D. Air
E. Milk of mother
106.
What is transmissive factor for hepatitis B:
A. Food
B. Milk
C. Water
D. Air
E. * Milk of mother
107.
What is transmissive factor for hepatitis B:
A. Food
B.
C.
D.
E.
Milk
Water
Air
* Milk of mother
108.
What is transmissive factor for hepatitis B:
A. Food
B. Milk
C. Water
D. Air
E. * Milk of mother
109.
What laboratory and instrumental examinations are needed for confirming the
diagnosis of viral hepatitis.
A. Complete analysis of blood
B. Ultrasound of abdominal region
C. Determination of activity of aminotransferase
D. * Determination of antigen of viruses
E. Duodenal probing
110.
What laboratory and instrumental examinations are needed for confirming the
diagnosis of viral hepatitis.
A. Complete analysis of blood
B. Ultrasound of abdominal region
C. Determination of activity of aminotransferase
D. * Determination of antigen of viruses
E. Duodenal probing
111.
What laboratory and instrumental examinations are needed for confirming the
diagnosis of viral hepatitis.
A. Complete analysis of blood
B. Ultrasound of abdominal region
C. Determination of activity of aminotransferase
D. * Determination of antigen of viruses
E. Duodenal probing
112.
What laboratory and instrumental examinations are needed for confirming the
diagnosis of viral hepatitis.
A. Complete analysis of blood
B. Ultrasound of abdominal region
C. Determination of activity of aminotransferase
D. * Determination of antigen of viruses
E. Duodenal probing
113.
What laboratory work-up is needed for confirming the diagnosis of viral hepatitis.
A. Total analysis of blood
B. Determination of level of bilirubin
C. Determination of activity of aminotransferase
D. * Determination of markers of HV in IFA
E. All the above
114.
What laboratory work-up is needed for confirming the diagnosis of viral hepatitis.
A. Total analysis of blood
B. Determination of level of bilirubin
C. Determination of activity of aminotransferase
D. * Determination of markers of HV in IFA
E. All the above
115.
What laboratory work-up is needed for confirming the diagnosis of viral hepatitis.
A. Total analysis of blood
B. Determination of level of bilirubin
C. Determination of activity of aminotransferase
D. * Determination of markers of HV in IFA
E. All the above
116.
What laboratory work-up is needed for confirming the diagnosis of viral hepatitis.
A. Total analysis of blood
B. Determination of level of bilirubin
C. Determination of activity of aminotransferase
D. * Determination of markers of HV in IFA
E. All the above
117.
When is interferon therapy effective in the the patient.
A. Normalization of the state of patient
B. Normalization of activity of ALaT upon completion of course of therapy
C. Disappearance of icterus
D. Normalization of the size of liver
E. * The markers of viral replication, are determined upon completion of course of
therapy
118.
When is interferon therapy effective in the the patient.
A. Normalization of the state of patient
B. Normalization of activity of ALaT upon completion of course of therapy
C. Disappearance of icterus
D. Normalization of the size of liver
E. * The markers of viral replication, are determined upon completion of course of
therapy
119.
When is interferon therapy effective in the the patient.
A. Normalization of the state of patient
B. Normalization of activity of ALaT upon completion of course of therapy
C. Disappearance of icterus
D. Normalization of the size of liver
E. * The markers of viral replication, are determined upon completion of course of
therapy
120.
When is interferon therapy effective in the the patient.
A. Normalization of the state of patient
B. Normalization of activity of ALaT upon completion of course of therapy
C. Disappearance of icterus
D. Normalization of the size of liver
E. * The markers of viral replication, are determined upon completion of course of
therapy
121.
Combinations of loss of body mass, sweating, recurrent аpthus stomatitis and girdle
herpes and lymphadenopathy, allowed a physician to assume HIV-infection. It can be
discovered at an additional inspection:
A. Increased correlation of CD4/CD8 lymphocyte
B. * Diminished correlation of CD4/CD8 lymphocyte
C. Change of neutrophil formula to the left
D. Increased correlation of T8/T4 lymphocyte
E. Diminished correlation of T8/T4 of lymphocyte
122.
A sick entered permanent establishment with complaints about general weakness,
increase of temperature, pain in throat. Objectively: the mucus cell of retropharynx is bright
red, on oral cavity are raids of gum-blush, taken off easily, discovered enlargement of all
groups of lymphnode, 2-3cm in a diameter, dense, elastic little painful, not soldered between
itself. Liver is enlarged on 3cm, spleen – on 2cm. In blood present leucocytosis and
lymphomonocytosis. What is probable diagnosis?
A. * Infectious mononucleosis
B. Diphtheria
C. Acute leukosis
D. Quinsies
E. Adenovirus infection
123.
A sick entered permanent establishment with complaints about general weakness,
increase of temperature, pain in throat. Objectively: the mucus cell of retropharynx is bright
red, on oral cavity are raids of gum-blush, taken off easily, discovered enlargement of all
groups of lymphnode, 2-3cm in a diameter, dense, elastic little painful, not soldered between
itself. Liver is enlarged on 3cm, spleen – on 2cm. In blood present leucocytosis and
lymphomonocytosis. What is probable diagnosis?
A. * Infectious mononucleosis
B. Diphtheria
C. Acute leukosis
D. Quinsies
E. Adenovirus infection
124.
A youth with the catarrhal phenomena found out enlargement of axillary and
submandibular lymphatic node, hyperplasia of oral cavity with the magnificent raid of gumblush on them as points and spots, presence of mucus cell pouring out, increased liver and
spleen size.What additional researches must be appointed to do for diagnosis?
A. A test to HIV
B. IFA for the exposure of antibodies toHIV
C. IFA for the exposure of antibodies to the virus of Epstien-Bar
D. Analysis in the presence of mononuclear antibodies
E. * All the above
125.
A youth with the catarrhal phenomena found out enlargement of axillary and
submandibular lymphatic node, hyperplasia of oral cavity with the magnificent raid of gumblush on them as points and spots, presence of mucus cell pouring out, increased liver and
spleen size.What additional researches must be appointed to do for diagnosis?
A. A test to HIV
B. IFA for the exposure of antibodies toHIV
C. IFA for the exposure of antibodies to the virus of Epstien-Bar
D. Analysis in the presence of mononuclear antibodies
E. * All the above
126.
Call the groups of possible risk of HIV infection:
A. Only homo- and bisexual, prostitutes and other persons who conduct disorderly
sexual life:
B. Only drug addicts who enter drugs parenterally
C. Only recipeint of blood, its preparations, sperm and organs
D. Only patients with venereal diseases and parenteral viral hepatitis and from the HIV
infected mothers
E. All the above
127.
Call the groups of possible risk of HIV infection:
A. Only homo- and bisexual, prostitutes and other persons who conduct disorderly
sexual life:
B. Only drug addicts who enter drugs parenterally
C. Only recipeint of blood, its preparations, sperm and organs
D. Only patients with venereal diseases and parenteral viral hepatitis and from the HIV
infected mothers
E. All the above
128.
Choose the criteria for post contact prophylaxis of HIV infection.
A. A medical failure during working| with the HIV |patient
B. Birth of child by the HIV infected | mother
C. Violence
D. Blood transfusion
E. * All the above|
129.
Choose the criteria for post contact prophylaxis of HIV infection.
A. A medical failure during working| with the HIV |patient
B.
C.
D.
E.
Birth of child by the HIV infected | mother
Violence
Blood transfusion
* All the above|
130.
Choose the criteria for post contact prophylaxis of HIV infection.
A. A medical failure during working| with the HIV |patient
B. Birth of child by the HIV infected | mother
C. Violence
D. Blood transfusion
E. * All the above|
131.
Combinations of loss of body mass, sweating, recurrent аpthus stomatitis and girdle
herpes and lymphadenopathy, allowed a physician to assume HIV-infection. It can be
discovered at an additional inspection:
A. Increased correlation of CD4/CD8 lymphocyte
B. * Diminished correlation of CD4/CD8 lymphocyte
C. Change of neutrophil formula to the left
D. Increased correlation of T8/T4 lymphocyte
E. Diminished correlation of T8/T4 of lymphocyte
132.
Curent treatment for HIV infection consists of highly active antiretroviral therapy.
Choose the correct combination of preparations:
A. 1 NRTIs + 2 IP
B. 1 NRTIs + 2 NNRTI
C. * 3 NRTIs
D. 1 NRTIs +1 IP+ 2 NNRTI
E. 2 NRTIs +2 IP
133.
Curent treatment for HIV infection consists of highly active artiretroviral therapy.
Choose the correct combination of preparations:
A. 1 NRTIs + 2 IP
B. * 2 NRTIs + 1 NNRTI
C. 3 NRTIs
D. 1 NRTIs + 1 IP+ 2 NNRTI
E. 2 NRTIs + 2 IP
134.
Curent treatment for HIV infection consists of highly active antiretroviral therapy.
Choose the correct combination of preparations:
A. 1 NRTIs + 2 IP
B. 1 NRTIs + 2 NNRTI
C. * 3 NRTIs
D. 1 NRTIs +1 IP+ 2 NNRTI
E. 2 NRTIs +2 IP
135.
Curent treatment for HIV infection consists of highly active artiretroviral therapy.
Choose the correct combination of preparations:
A. 1 NRTIs + 2 IP
B. * 2 NRTIs + 1 NNRTI
C. 3 NRTIs
D. 1 NRTIs + 1 IP+ 2 NNRTI
E. 2 NRTIs + 2 IP
136.
For today the effective methods of protection from HIV are:
A. Vaccination and immunoprotein
B. Chemoprophylactic
C. Isolation of patients
D. * Safe sex and prevention of drug addiction
E. Disinfection
137.
For today the effective methods of protection from HIV are:
A. Vaccination and immunoprotein
B.
C.
D.
E.
Chemoprophylactic
Isolation of patients
* Safe sex and prevention of drug addiction
Disinfection
138.
Genetic errors at replication of HIV is:
A. Negative
B. Rare
C. Frequently enough
D. * Extraordinarily frequent
E. Virions type one genetically changeable and second – no
139.
Genetic errors at replication of HIV is:
A. Negative
B. Rare
C. Frequently enough
D. * Extraordinarily frequent
E. Virions type one genetically changeable and second – no
140.
How many types of HIV are known?
A. One
B. * Two
C. Three
D. Four
E. Five
141.
How many types of HIV are known?
A. One
B. * Two
C. Three
D. Four
E. Five
142.
Immediately after a contact with blood and other biological liquids it is necessary to
wash the muddy areas of skin with water and soap and to begin a postcontact prophylaxis,
antiretroviral preparations not later than
A. * 24-36 hrs
B. 36-48 hrs
C. 48-60 hrs
D. 60-72 hrs
E. 72-86 hrs
143.
Immediately after a contact with blood and other biological liquids it is necessary to
wash the muddy areas of skin with water and soap and to begin a postcontact prophylaxis,
antiretroviral preparations not later than
A. * 24-36 hrs
B. 36-48 hrs
C. 48-60 hrs
D. 60-72 hrs
E. 72-86 hrs
144.
In the order of diminishing of probability of infection of HIV the transferred ways
take place in such sequence:
A. Sexual contact, contaminated blood transfusion, operation of tattoo, from breast
milk, transplacental transmission
B. Contaminated blood transfusion, transplacental transmission, sexual contact,
operation of tattoo, postnatal from mother milk
C. Transplatsental transmission, contaminated blood transfusion, postnatal from breast
milk, sexual contact, operation of tattoo
D. * Contaminated blood transfusion, transplacental transmission, sexual contact,
postnatal from breast milk, operation of tattoo
E. Contaminated blood transfusion, sexual contact, transplacent transmission, operation
of tattoo, postnatal from breast milk
145.
In the order of diminishing of probability of infection of HIV the transferred ways
take place in such sequence:
A. Sexual contact, contaminated blood transfusion, operation of tattoo, from breast
milk, transplacental transmission
B. Contaminated blood transfusion, transplacental transmission, sexual contact,
operation of tattoo, postnatal from mother milk
C. Transplatsental transmission, contaminated blood transfusion, postnatal from breast
milk, sexual contact, operation of tattoo
D. * Contaminated blood transfusion, transplacental transmission, sexual contact,
postnatal from breast milk, operation of tattoo
E. Contaminated blood transfusion, sexual contact, transplacent transmission, operation
of tattoo, postnatal from breast milk
146.
Name the main specific methods of diagnosis of HIV infection which is used in
Ukraine?
A. RPGA
B. PLR
C. * IFA and ELISA
D. Bioassey
E. RIA
147.
Name the main specific methods of diagnosis of HIV infection which is used in
Ukraine?
A. RPGA
B. PLR
C. * IFA and ELISA
D. Bioassey
E. RIA
148.
Name the most dangerous parenteral way of infection of HIV/AIDS?
A. * Infusion of donor blood and its preparations
B. Transplantation of organs
C. Injections of medications
D. Diagnostic manipulations
E. Intravenous introduction of drugs
149.
Name the most dangerous parenteral way of infection of HIV/AIDS?
A. * Infusion of donor blood and its preparations
B. Transplantation of organs
C. Injections of medications
D. Diagnostic manipulations
E. Intravenous introduction of drugs
150.
Name the source of HIV infection/AIDS?
A. * Human
B. Warm-blooded animal
C. Poultries
D. Amphibious
E. Fishes
151.
Name the source of HIV infection/AIDS?
A. * Human
B. Warm-blooded animal
C. Poultries
D. Amphibious
E. Fishes
152.
On a background of prolonged treatment for HIV patient, appeared ulcer on the
mucous cell of mouth. At an objective examination doctor have found out erosions on the
mucous, hyperemic and filling out mucus cell of oral cavity, tongue without raid, with a
smooth surface. About what complication is possible to think?
A. Leptospirosis
B. Acute herpes
C. Stevens-Johnson syndrome
D. * Candidos stomatitis
E. Layel syndrome
153.
On a background of prolonged treatment for HIV patient, appeared ulcer on the
mucous cell of mouth. At an objective examination doctor have found out erosions on the
mucous, hyperemic and filling out mucus cell of oral cavity, tongue without raid, with a
smooth surface. About what complication is possible to think?
A. Leptospirosis
B. Acute herpes
C. Stevens-Johnson syndrome
D. * Candidos stomatitis
E. Layel syndrome
154.
That is not characterised for I clinical stage of AIDS, in obedience to clinical
classification of stages of HIV-infection for adults and teenagers, which is developed by the
experts of WHO (in 2002)?
A. Loss of mass of body 5 % from initial
B. Purulent defect of skin and mucus (seborrhic dermatitis, mycotic defect of nails)
C. An episode of herpes zoster during the last five years
D. Risiding of infection of upper respiratory tracts (for example, bacterial sinuitis)
E. * Minimum defeats of mucus (recurrent ulcers of mucus shell of oral cavity)
155.
That is not characterised for I clinical stage of AIDS, in obedience to clinical
classification of stages of HIV-infection for adults and teenagers, which is developed by the
experts of WHO (in 2002)?
A. Loss of mass of body 5 % from initial
B. Purulent defect of skin and mucus (seborrhic dermatitis, mycotic defect of nails)
C. An episode of herpes zoster during the last five years
D. Risiding of infection of upper respiratory tracts (for example, bacterial sinuitis)
E. * Minimum defeats of mucus (recurrent ulcers of mucus shell of oral cavity)
156.
The basic way of transmission of exciter HIV infections/AIDS are such:
A. Aerogene
B. Alimentary
C. * Parententeral
D. Through a kiss
E. Bite of mosquito|
157.
The basic way of transmission of exciter HIV infections/AIDS are such:
A. Aerogene
B. Alimentary
C. * Parententeral
D. Through a kiss
E. Bite of mosquito
158.
The experts of WHO consider suspicious in relation to AIDS:
A. Increase 3 and rmore lymph nodes in two anatomical topographic groups (except for
inguinal) by sizes more than 2 cm in diameter, which lasts more than 3 months
B. Increase 3 and more lymph nodes in two anatomical groups (except for inguinal), by
sizes more than 1 cm in diameter, which lasts more than 3 months
C. * Increase 2 and more lymph nodes in two аnatomical groups (except for inguinal),
by sizes more than 1 cm in diameter, which lasts more than 3 months
D. Increase 2 and more lymph nodes in two anatomical groups (except for inguinal), by
sizes more than 2 cm in diameter, which lasts more than 2 months
159.
160.
161.
162.
163.
164.
165.
166.
E. Increase 2 and more lymph nodes in two аnatomical groups (except for inguinal), by
sizes more than 1 cm in diameter, which lasts more than 2 months
The experts of WHO consider suspicious in relation to AIDS:
A. Loss of weight (3 % and more)
B. Loss of weight (5 % and more)
C. Loss of weight (6 % and more)
D. Loss of weight (9 % and more)
E. * Loss of weight (10 % and more)
The experts of WHO consider suspicious in relation to AIDS:
A. * Diarrhea, which lasts more than 1 months
B. Diarrhea, which lasts more than 2 months
C. Diarrhea, which lasts more than 3 months
D. Diarrhea, which lasts more than 4 months
E. Diarrhea, which lasts more than 5 months
The experts of WHO consider suspicious in relation to AIDS:
A. * Hypertermia, which lasts more than 1 months
B. Hypertermia, which lasts more than 2 months
C. Hypertermia, which lasts more than 3 months
D. Hypertermia, which lasts more than 4 months
E. Hypertermia, which lasts more than 5 months
The experts of WHO consider suspicious in relation to AIDS:
A. Hypertermia, which lasts more than 1 months
B. Diarrhea, which lasts more than 1 months
C. Increase 2 and more lymph nodes in two аnatomical groups (except for inguinal), by
sizes more than 1 cm in diameter, which lasts more than 3 months
D. Loss of weight (10 % and more)
E. * All the above
The experts of WHO consider suspicious in relation to AIDS:
A. Hypertermia, which lasts more than 21 months
B. Diarrhea, which lasts more than 3 months
C. * Increase 2 and more lymph nodes in two аnatomical groups (except for inguinal),
by sizes more than 1 cm in diameter, which lasts more than 3 months
D. Loss of weight (6 % and more)
E. All the above
The experts of WHO consider suspicious in relation to AIDS:
A. Increase 3 and rmore lymph nodes in two anatomical topographic groups (except for
inguinal) by sizes more than 2 cm in diameter, which lasts more than 3 months
B. Increase 3 and more lymph nodes in two anatomical groups (except for inguinal), by
sizes more than 1 cm in diameter, which lasts more than 3 months
C. * Increase 2 and more lymph nodes in two аnatomical groups (except for inguinal),
by sizes more than 1 cm in diameter, which lasts more than 3 months
D. Increase 2 and more lymph nodes in two anatomical groups (except for inguinal), by
sizes more than 2 cm in diameter, which lasts more than 2 months
E. Increase 2 and more lymph nodes in two аnatomical groups (except for inguinal), by
sizes more than 1 cm in diameter, which lasts more than 2 months
The experts of WHO consider suspicious in relation to AIDS:
A. Loss of weight (3 % and more)
B. Loss of weight (5 % and more)
C. Loss of weight (6 % and more)
D. Loss of weight (9 % and more)
E. * Loss of weight (10 % and more)
The experts of WHO consider suspicious in relation to AIDS:
A. * Diarrhea, which lasts more than 1 months
B. Diarrhea, which lasts more than 2 months
C. Diarrhea, which lasts more than 3 months
D. Diarrhea, which lasts more than 4 months
E. Diarrhea, which lasts more than 5 months
167.
The experts of WHO consider suspicious in relation to AIDS:
A. * Hypertermia, which lasts more than 1 months
B. Hypertermia, which lasts more than 2 months
C. Hypertermia, which lasts more than 3 months
D. Hypertermia, which lasts more than 4 months
E. Hypertermia, which lasts more than 5 months
168.
The experts of WHO consider suspicious in relation to AIDS:
A. Hypertermia, which lasts more than 1 months
B. Diarrhea, which lasts more than 1 months
C. Increase 2 and more lymph nodes in two аnatomical groups (except for inguinal), by
sizes more than 1 cm in diameter, which lasts more than 3 months
D. Loss of weight (10 % and more)
E. * All the above
169.
The experts of WHO consider suspicious in relation to AIDS:
A. Hypertermia, which lasts more than 21 months
B. Diarrhea, which lasts more than 3 months
C. * Increase 2 and more lymph nodes in two аnatomical groups (except for inguinal),
by sizes more than 1 cm in diameter, which lasts more than 3 months
D. Loss of weight (6 % and more)
E. All the above
170.
The planned inoculations for the children conduct in accordance with operating
Calendar are all, except
A. To tuberculosis
B. To poliomyelitis
C. * To tuberculosis and poliomyelitis
D. To tuberculosis and diphtheria
E. To poliomyelitis and diphtheria
171.
The planned inoculations for the children conduct in accordance with operating
Calendar are all, except
A. To tuberculosis
B. To poliomyelitis
C. * To tuberculosis and poliomyelitis
D. To tuberculosis and diphtheria
E. To poliomyelitis and diphtheria
172.
The planned inoculations of HIV infected| children| conduct in accordance with
operating calendar are all, except
A. To tuberculosis
B. To poliomyelitis
C. * To tuberculosis and poliomyelitis
D. To tuberculosis and diphtheria
E. To poliomyelitis and diphtheria
173.
The planned inoculations of HIV infected| children| conduct in accordance with
operating calendar are all, except
A. To tuberculosis
B. To poliomyelitis
C. * To tuberculosis and poliomyelitis
D. To tuberculosis and diphtheria
E. To poliomyelitis and diphtheria
174.
The sick grumbles about the prolonged cough, more than half-year, rising
temperature of body to 38 °C, enlargement of peripheral lymphnode, frequent herpetic wide-
spread pouring out with considerable lowering of body mass. In іmmunogram correlation of
T-helper to T-suppression is 0,3. It takes place because infestant:
A. Infects cells with the receptors of CD22
B. Induces proliferation of Т-helpers
C. Induces proliferation of T-suppressors
D. Infects cells from receptor CD8
E. * Infects cells from receptor CD4
175.
The sick grumbles about the prolonged cough, more than half-year, rising
temperature of body to 38 °C, enlargement of peripheral lymphnode, frequent herpetic widespread pouring out with considerable lowering of body mass. In іmmunogram correlation of
T-helper to T-suppression is 0,3. It takes place because infestant:
A. Infects cells with the receptors of CD22
B. Induces proliferation of Т-helpers
C. Induces proliferation of T-suppressors
D. Infects cells from receptor CD8
E. * Infects cells from receptor CD4
176.
To what cells of blood the human immunodeficiency virus has most affected:
A. Thrombocytes
B. T-suppressor-cell
C. Т-killer
D. * T-helper
E. Leucocytes
177.
To what cells of blood the human immunodeficiency virus has most affected:
A. Thrombocytes
B. T-suppressor-cell
C. Т-killer
D. * T-helper
E. Leucocytes
178.
Violation of what stage of cell cycle does HIV predetermine lamivudin?
A. Penetration of HIV into cells
B. * Reverse transcription
C. Integration
D. Transcription
E. Translation
179.
Violation of what stage of cell cycle does HIV predetermine stavudin?
A. Penetration of HIV in cells
B. * Reverse transcription
C. Integration
D. Transcription
E. Translation
180.
Violation of what stage of cell cycle does HIV predetermine lamivudin?
A. Penetration of HIV into cells
B. * Reverse transcription
C. Integration
D. Transcription
E. Translation
181.
Violation of what stage of cell cycle does HIV predetermine stavudin?
A. Penetration of HIV in cells
B. * Reverse transcription
C. Integration
D. Transcription
E. Translation
182.
Violation of what stage of life cycle does HIV predetermine by Zidovudin?
A. Penetration of HIV in cells
B.
C.
D.
E.
* Reverse transcription
Integration
Transcription
Translation
183.
Violation of what stage of life cycle does HIV predetermine by Zidovudin?
A. Penetration of HIV in cells
B. * Reverse transcription
C. Integration
D. Transcription
E. Translation
184.
What additional inspections must be conducted on patient with infectious
mononucleosis?
A. Reaction of Byurne and Rayta Khaddl'sona.
B. IFA on HIV and test on rabbit-fever.
C. Bacterioscopy on diphtheria and typhoid.
D. * IFA on HIV and bacterioscopy on diphtheria.
E. Reaction of Paulya-Bunnelya and puncture of lymphatic node.
185.
What additional inspections must be conducted on patient with infectious
mononucleosis?
A. Reaction of Byurne and Rayta Khaddl'sona
B. IFA on HIV and test on rabbit-fever
C. Bacterioscopy on diphtheria and typhoid
D. Reaction of Paulya-Bunnelya and puncture of lymphatic node
E. * Ig M and IgG to infectious mononucleosis
186.
What additional inspections must be conducted on patient with infectious
mononucleosis?
A. Reaction of Paulya-Bunnelya
B. IFA on HIV and test on rabbit-fever
C. Bacterioscopy on diphtheria and typhoid
D. * IFA on HCV
E. Reaction of Byurne and puncture of lymphatic node
187.
What additional inspections must be conducted on patient with infectious
mononucleosis?
A. Reaction of Byurne and Rayta Khaddl'sona.
B. IFA on HIV and test on rabbit-fever.
C. Bacterioscopy on diphtheria and typhoid.
D. * IFA on HIV and bacterioscopy on diphtheria.
E. Reaction of Paulya-Bunnelya and puncture of lymphatic node.
188.
What additional inspections must be conducted on patient with infectious
mononucleosis?
A. Reaction of Byurne and Rayta Khaddl'sona
B. IFA on HIV and test on rabbit-fever
C. Bacterioscopy on diphtheria and typhoid
D. Reaction of Paulya-Bunnelya and puncture of lymphatic node
E. * Ig M and IgG to infectious mononucleosis
189.
What additional inspections must be conducted on patient with infectious
mononucleosis?
A. Reaction of Paulya-Bunnelya
B. IFA on HIV and test on rabbit-fever
C. Bacterioscopy on diphtheria and typhoid
D. * IFA on HCV
E. Reaction of Byurne and puncture of lymphatic node
190.
What antiretroviral preparation is taken as post contact prophylaxis after a contact
with blood and other biological liquids?
A.
B.
C.
D.
E.
* Azidotimidin
Nevirapin
Indinavir
Saqvinavir
Ifavirent
191.
What antiretroviral preparation is taken as post contact prophylaxis after a contact
with blood and other biological liquids?
A. * Azidotimidin
B. Nevirapin
C. Indinavir
D. Saqvinavir
E. Ifavirent
192.
What cell of human body can HIV get into?
A. Red corpuscles
B. Neutrophilic leucocytes
C. Monocyte
D. T-lymphocte-killer
E. * T-cell helper
193.
What cell of human body can HIV get into?
A. Red corpuscles
B. Neutrophilic leucocytes
C. Monocyte
D. T-lymphocte-killer
E. * T-cell helper
194.
What cells are main target for HIV?
A. T-suppressor-cell
B. Т-kіller
C. * Т-helper
D. D-cells
E. 0-cells
195.
What cells are main target for HIV?
A. T-suppressor-cell
B. Т-kіller
C. * Т-helper
D. D-cells
E. 0-cells
196.
What cellular receptors of man can HIV stick to?
A. * CD4
B. CD8
C. CD95
D. CD40
E. CD3
197.
What cellular receptors of man can HIV stick to?
A. * CD4
B. CD8
C. CD95
D. CD40
E. CD3
198.
What clinical features of Kaposhi sarcoma in patients with AIDS?
A. * Will strike the persons of young and middle age
B. Primary elements appear on a head and trunk
C. Pouring out with necrosis and ulceration
D. A sarcoma metastasis | in internal and marked high lethality
E. All adopted features
199.
A.
B.
C.
D.
E.
What clinical features of Kaposhi sarcoma in patients with AIDS?
* Will strike the persons of young and middle age
Primary elements appear on a head and trunk
Pouring out with necrosis and ulceration
A sarcoma metastasis | in internal and marked high lethality
All adopted features
What disease is occupied by the second place after frequency of the first defects at
200.
AIDS?
A. * Sarcoma Kaposhi's
B. Pneumocystis pneumonia
C. Meningitis
D. Encephalitis
E. Lymphadenomas of cerebrum
201.
What disease is occupied by the second place after frequency of the first defects at
AIDS?
A. * Sarcoma Kaposhi's
B. Pneumocystis pneumonia
C. Meningitis
D. Encephalitis
E. Lymphadenomas of cerebrum
202.
What disease is occupied by the second place after frequency of the first defects at
AIDS?
A. * Sarcoma Kaposhi's
B. Pneumocystis pneumonia
C. Meningitis
D. Encephalitis
E. Lymphadenomas of cerebrum
203.
What dose of prophylaxis conducted by antiretroviral preparation after a contact with
blood and other biological liquids?
A. 600-800 mg/day
B. 700-800 mg/day
C. * 800-1000 mg/day
D. 1000-1100 mg/day
E. 1100-1200 mg/day
204.
What dose of prophylaxis conducted by antiretroviral preparation after a contact with
blood and other biological liquids?
A. 600-800 mg/day
B. 700-800 mg/day
C. * 800-1000 mg/day
D. 1000-1100 mg/day
E. 1100-1200 mg/day
205.
What factors does influence on the level of CD4?
A. Analytical variant
B. Seasonal diseases pathema
C. Some accidental diseases
D. Treatment with corticosteroid
E. * All the above
206.
What factors does influence on the level of CD4?
A. Analytical variant
B. Seasonal diseases pathema
C. Some accidental diseases
D. Treatment with corticosteroid
E. * All the above
207.
?what family of viruses does an exciter of HIV/AIDS belong to?
A.
B.
C.
D.
E.
Orto- and paramyxovirus
Rabdovirus
* Retrovirus
Herpesvirus
Reovirus
208.
what family of viruses does an exciter of HIV/AIDS belong to?
A. Orto- and paramyxovirus
B. Rabdovirus
C. * Retrovirus
D. Herpesvirus
E. Reovirus
209.
What group of infectious diseases an exciter of HIV infection/AIDS belong to by L.
Gromashevskij classification?
A. Intestinal infection
B. Infections of respiratory tract
C. Blood infection
D. * Infection of external covers
E. Behave to all indicated groups
210.
What group of infectious diseases an exciter of HIV infection/AIDS belong to by L.
Gromashevskij classification?
A. Intestinal infection
B. Infections of respiratory tract
C. Blood infection
D. * Infection of external covers
E. Behave to all indicated groups
211.
What group of infectious diseases, does an exciter of HIV/AIDS belong to?
A. * Antroponozis
B. Zoonosis
C. Sapronosis
D. Saprozoonozis
E. Zooantroponozis
212.
What group of infectious diseases, does an exciter of HIV/AIDS belong to?
A. * Antroponozis
B. Zoonosis
C. Sapronosis
D. Saprozoonozis
E. Zooantroponozis
213.
What immunological changes will be found out for a patient with HIV infection?
A. * There is polyclonality V-klitinna activating, the amount of autoantibodies and
immune complexes is increased
B. There is polyclonality V-klitinna activating, the amount of autoantibodies and
immune complexes diminishes
C. There is polyclonality V-klitinne of oppression, the amount of autoantibodies and
immune complexes diminishes
D. There is polyclonality V-klitinne of oppression, the amount of autoantibodies and
immune complexes is increased
E. There is polyclonality V-klitinna activating, the amount| of autoantibodies and
immune complexes is increased
214.
What immunological changes will be found out for a patient with HIV infection?
A. * There is polyclonality V-klitinna activating, the amount of autoantibodies and
immune complexes is increased
B. There is polyclonality V-klitinna activating, the amount of autoantibodies and
immune complexes diminishes
C. There is polyclonality V-klitinne of oppression, the amount of autoantibodies and
immune complexes diminishes
D. There is polyclonality V-klitinne of oppression, the amount of autoantibodies and
immune complexes is increased
E. There is polyclonality V-klitinna activating, the amount| of autoantibodies and
immune complexes is increased
215.
What is the genome named that HIV plugged in the genome of cell of owner?
A. Supervirus
B. Provirus
C. * Particle of DNA
D. Retrovirus
E. Coxavirus
216.
What is the genome named that HIV plugged in the genome of cell of owner?
A. Supervirus
B. Provirus
C. * Particle of DNA
D. Retrovirus
E. Coxavirus
217.
What is the level of functional ability of patient at Ist clinical stage of AIDS?
A. Decreased level of everyday activity
B. Enhanceable level of everyday activity
C. Variable level of everyday activity
D. * Normal level of everyday activity
E. All the above|
218.
What is the level of functional ability of patient at Ist clinical stage of AIDS?
A. Decreased level of everyday activity
B. Enhanceable level of everyday activity
C. Variable level of everyday activity
D. * Normal level of everyday activity
E. All the above|
219.
What is the level of functional ability of patient at Ist clinical stage of AIDS?
A. Decreased level of everyday activity
B. Enhanceable level of everyday activity
C. Variable level of everyday activity
D. * Normal level of everyday activity
E. All the above|
220.
What is the time of prophylaxis conducted for antiretroviral preparation after a
contact with blood and other biological liquids?
A. During 1 wk
B. During 2 wk
C. During 3 wk
D. * During 4 wk
E. During 5 wk
221.
What is the time of prophylaxis conducted for antiretroviral preparation after a
contact with blood and other biological liquids?
A. During 1 wk
B. During 2 wk
C. During 3 wk
D. * During 4 wk
E. During 5 wk
222.
What is the underlaid immunodeficiency at HIV infection?
A. Making progress diminishing amount of CD8 cell
B. * Making progress diminishing amount of CD4 cell
C. Scaling down the amount of CD4 cell
D. Scaling down the amount of CD8 cell
E. Diminishing amount of CD4 to CD8 cell
223.
What is the underlaid immunodeficiency at HIV infection?
A. Making progress diminishing amount of CD8 cell
B. * Making progress diminishing amount of CD4 cell
C. Scaling down the amount of CD4 cell
D. Scaling down the amount of CD8 cell
E. Diminishing amount of CD4 to CD8 cell
224.
What is the underlaid immunodeficiency at HIV infection?
A. Making progress diminishing amount of CD8 cell
B. * Making progress diminishing amount of CD4 cell
C. Scaling down the amount of CD4 cell
D. Scaling down the amount of CD8 cell
E. Diminishing amount of CD4 to CD8 cell
225.
What laboratory signs are characteristic of AIDS-associative complex?
A. * Lowering of content of immunoproteins A and G
B. Diminishing of correlation of CD4/CD8 below 1.0
C. Anaemia
D. Leycopenia
E. Increase level of circulatory immune complexes
226.
What laboratory signs are characteristic of AIDS-associative complex?
A. * Lowering of content of immunoproteins A and G
B. Diminishing of correlation of CD4/CD8 below 1.0
C. Anaemia
D. Leycopenia
E. Increase level of circulatory immune complexes
227.
What medical professions carry the most potential threat of infection?
A. * Surgical and laboratory specialities, who contact with blood
B. Therapeutic specialities
C. Epidemiologists
D. Sociologist
E. Teachers of medical establishments
228.
What medical professions carry the most potential threat of infection?
A. * Surgical and laboratory specialities, who contact with blood
B. Therapeutic specialities
C. Epidemiologists
D. Sociologist
E. Teachers of medical establishments
229.
What sexual contact are the most dangerous for infection with HIV?
A. Vaginal
B. * Anal
C. Oral
D. Lesbian
E. Artificial impregnation
230.
What sexual contact are the most dangerous for infection with HIV?
A. Vaginal
B. * Anal
C. Oral
D. Lesbian
E. Artificial impregnation
231.
What аntiretroviral preparation is conduct as prophylaxis after contact with blood
and other biological liquids?
A. * Zidovudin
B. Viramin
C. Fortovaze
D. Saqvinavir
E. Lopinavir
232.
What аntiretroviral preparation is conduct as prophylaxis after contact with blood
and other biological liquids?
A. * Zidovudin
B. Viramin
C. Fortovaze
D. Saqvinavir
E. Lopinavir
233.
When do the plan caesarian section of HIV infected pregnant conducted with the
purpose for decreasing of the risk of infecting the fetus?
A. In 36 weeks
B. In 37 weeks
C. * In 38 weeks
D. In 39 weeks
E. In 40 weeks
234.
When do the plan caesarian section of HIV infected pregnant conducted with the
purpose for decreasing of the risk of infecting the fetus?
A. In 36 weeks
B. In 37 weeks
C. * In 38 weeks
D. In 39 weeks
E. In 40 weeks
235.
When does begin antiviral therapy for infant of HIV-infected women?
A. * In the first 8-12 hr after birth
B. From 24-36 hr after birth
C. Does not conduct
D. From a month
E. After diagnosis of AIDS
236.
When does begin antiviral therapy for infant of HIV-infected women?
A. * In the first 8-12 hr after birth
B. From 24-36 hr after birth
C. Does not conduct
D. From a month
E. After diagnosis of AIDS
237.
When is possible to diagnose AIDS?
A. Only the content of CD4 less than 500 in 1 microlitre of blood
B. Only the conten of CD4 less than 400 in 1 microlitre of blood
C. Only the content of CD4 less than 300 in 1 microlitre of blood
D. * Only the content of CD4 less than 200 in 1 microolitre of blood
E. Only the content of CD4 less than 100 in 1 microolitre of blood
238.
When is possible to diagnose AIDS?
A. Only the content of CD4 less than 500 in 1 microlitre of blood
B. Only the conten of CD4 less than 400 in 1 microlitre of blood
C. Only the content of CD4 less than 300 in 1 microlitre of blood
D. * Only the content of CD4 less than 200 in 1 microolitre of blood
E. Only the content of CD4 less than 100 in 1 microolitre of blood
239.
When is possible to diagnose AIDS?
A. Only the content of CD4 less than 500 in 1 microlitre of blood
B. Only the conten of CD4 less than 400 in 1 microlitre of blood
C. Only the content of CD4 less than 300 in 1 microlitre of blood
D. * Only the content of CD4 less than 200 in 1 microolitre of blood
E. Only the content of CD4 less than 100 in 1 microolitre of blood
240.
With the help of what molecules which is included in composition protien, a virus
firmly contacts with the molecule of CD4:
A. gp 100
B. gp 110
C. * gp 120
D. gp 130
E. gp 140
241.
With the help of what molecules which is included in composition protien, a virus
firmly contacts with the molecule of CD4:
A. gp 100
B. gp 110
C. * gp 120
D. gp 130
E. gp 140
242.
A patient concerned about attacks of fever, which are repeated every third day. There
are jaundice of sclera and skin, hepatosplenomegaly. Which of the following diagnosis is
most likely?
A. Sepsis
B. * Malaria
C. viral hepatitis
D. Hemolytic anemia
E. Leptospirosis
243.
a patient concerned about attacks of fever, which are repeated every third day. There
are jaundice of sclera and skin, hepatosplenomegaly. Which of the following diagnosis is
most likely?
A. Sepsis
B. * Malaria
C. viral hepatitis
D. Hemolytic anemia
E. Leptospirosis
244.
Activities for contacts with import case of malaria:
A. Parasitoscopy of blood
B. The direction of the contact in the detention facility for 5 days
C. Chemoprophylaxis
D. Vaccination
E. * Do not hold
245.
Activities for contacts with import case of malaria:
A. Parasitoscopy of blood
B. The direction of the contact in the detention facility for 5 days
C. Chemoprophylaxis
D. Vaccination
E. * Do not hold
246.
Contra-indication for the application of antibiotics are all, except.
A. An increased sensitiveness to preparation
B. Severy disorders of liver
C. Severy disorders of kidneys
D. Period of pregnancy and lactation
E. * Prolonged fever
247.
Contra-indication for the application of antibiotics are all, except.
A. An increased sensitiveness to preparation
B. Severy disorders of liver
C. Severy disorders of kidneys
D. Period of pregnancy and lactation
E. * Prolonged fever
248.
Contra-indication for the application of antibiotics are all, except.
An increased sensitiveness to preparation
Severy disorders of liver
Severy disorders of kidneys
Period of pregnancy and lactation
* Prolonged fever
249.
Delagil appoint at the malaria in such doses:
A. 0,5 g 3 per a day 3 days
B. 0,5 g per a week
C. * In the first day 1 g, through 6 h 0,5 g
D. 0,5 g per a day during a month
E. 0,5 g 2 per a day 3 days
250.
Delagil appoint at the malaria in such doses:
A. 0,5 g 3 per a day 3 days
B. 0,5 g per a week
C. * In the first day 1 g, through 6 h 0,5 g
D. 0,5 g per a day during a month
E. 0,5 g 2 per a day 3 days
251.
During the treatment in a hospital of malaria the latest attack was happened. What is
etiotropic treatment.
A. Antibiotics
B. Serum
C. Delagil
D. Primachin
E. * Delagil + Primachin
252.
During the treatment in a hospital of malaria the latest attack was happened. What is
etiotropic treatment.
A. Antibiotics
B. Serum
C. Delagil
D. Primachin
E. * Delagil + Primachin
253.
During what time the lice can transfer the epidemic typhus?
A. Up to 10 days
B. Up to 15 days
C. Up to 20 days
D. * Up to 30 days
E. Up to 40 days
254.
During what time the lice can transfer the epidemic typhus?
A. Up to 10 days
B. Up to 15 days
C. Up to 20 days
D. * Up to 30 days
E. Up to 40 days
255.
During what time the lice can transfer the epidemic typhus?
A. Up to 10 days
B. Up to 15 days
C. Up to 20 days
D. * Up to 30 days
E. Up to 40 days
256.
How prevent malaria infection?
A. Follow the rules of personal hygiene
B. Boiling of a water
C. Vaccination
A.
B.
C.
D.
E.
D. * Chemoprophylaxis
E. Heating of a food
257.
How prevent malaria infection?
A. Follow the rules of personal hygiene
B. Boiling of a water
C. Vaccination
D. * Chemoprophylaxis
E. Heating of a food
258.
Immune modulator therapy of sepsis are all, except.
A. Ronkoleykin
B. Interferon
C. Inductors of interferon
D. * Vaccine
E. Normal human immune globuline
259.
Immune modulator therapy of sepsis are all, except.
A. Ronkoleykin
B. Interferon
C. Inductors of interferon
D. * Vaccine
E. Normal human immune globuline
260.
In a survey of the donor blood microhametosis was found. Assign treatment.
A. Delagil
B. * Primachin
C. Antibiotics
D. Fluorochinolones
E. Sulfanilamides
261.
In a survey of the donor blood microhametosis was found. Assign treatment.
A. Delagil
B. * Primachin
C. Antibiotics
D. Fluorochinolones
E. Sulfanilamides
262.
In the case of head pediculosis carry out sanitation: hair cut, followed by
incineration, processing hair. What kind of preparation is used?
A. 0,5 % solution of water emulsions karbofosa
B. 0,5 % metilatsetofos
C. 10 % solution of liquid neutral metilatsetofosa soap
D. 0,5 % water emulsion dikrezilu
E. * 3 % soap RHTSG
263.
In the case of head pediculosis carry out sanitation: hair cut, followed by
incineration, processing hair. What kind of preparation is used?
A. 0,5 % solution of water emulsions karbofosa
B. 0,5 % metilatsetofos
C. 10 % solution of liquid neutral metilatsetofosa soap
D. 0,5 % water emulsion dikrezilu
E. * 3 % soap RHTSG
264.
In what titre will be positive reaction of agglutination in patient with epidemic typhus
in droplets Mosing test?
A. * 1:40 and above
B. 1:80 and above
C. 1:160 or higher
D. 1:320 or higher
E. 1:640 or higher
265.
In what titre will be positive reaction of agglutination in patient with epidemic typhus
in droplets Mosing test?
A. * 1:40 and above
B. 1:80 and above
C. 1:160 or higher
D. 1:320 or higher
E. 1:640 or higher
266.
Indications for the appointment of hematoshizotropic antimalarial drugs:
A. * Attack of malaria
B. Preventing of late relapse
C. Prophylactic course after returning from malaria areas
D. Ant recidive course for the reconvalescents
E. During a check-up
267.
Indications for the appointment of hematoshizotropic antimalarial drugs:
A. * Attack of malaria
B. Preventing of late relapse
C. Prophylactic course after returning from malaria areas
D. Ant recidive course for the reconvalescents
E. During a check-up
268.
Indications for the appointment of histoshizotropic antimalarial drugs:
A. Attack of malaria
B. * Prevention of late relapse
C. Complications of malaria
D. Chemoprophylaxis during staying in endemic areas
E. During a check-up
269.
Indications for the appointment of histoshizotropic antimalarial drugs:
A. Attack of malaria
B. * Prevention of late relapse
C. Complications of malaria
D. Chemoprophylaxis during staying in endemic areas
E. During a check-up
270.
Malaria must be differentiated primarily with such diseases:
A. Cholangitis
B. Pyelonephritis
C. Sepsis
D. viral hepatitis
E. * All of the above
271.
Malaria must be differentiated primarily with such diseases:
A. Cholangitis
B. Pyelonephritis
C. Sepsis
D. viral hepatitis
E. * All of the above
272.
On which period the maximal symptoms of epidemic typhus disease appear?
A. At the incubation period
B. * At the 1th week of illness
C. At the 2nd week of illness
D. At the 3rd week of illness
E. At the time of recovery
273.
On which period the maximal symptoms of epidemic typhus disease appear?
A. At the incubation period
B. * At the 1th week of illness
C. At the 2nd week of illness
D. At the 3rd week of illness
274.
275.
276.
277.
278.
279.
280.
281.
282.
E. At the time of recovery
Prevention of early relapses of malaria by:
A. * Delagil
B. Immunoglobulin
C. Antibiotics
D. Primachin
E. Glucocorticoids
Prevention of early relapses of malaria by:
A. * Delagil
B. Immunoglobulin
C. Antibiotics
D. Primachin
E. Glucocorticoids
Prevention of late relapse of malaria by:
A. Delagil
B. Immunoglobulin
C. Antibiotics
D. * Primachin
E. Glucocorticoids
Prevention of late relapse of malaria by:
A. Delagil
B. Immunoglobulin
C. Antibiotics
D. * Primachin
E. Glucocorticoids
Principles of etiotropic therapy of sepsis.
A. Administration of antibiotics quick as possible
B. Administration of antibiotics in maximal therapeutic doses
C. In accordance to credible microbiological diagnosis
D. An account of possible of therapeutic concentration of antibiotic in field of infection
E. * All the above
Principles of etiotropic therapy of sepsis.
A. Administration of antibiotics quick as possible
B. Administration of antibiotics in maximal therapeutic doses
C. In accordance to credible microbiological diagnosis
D. An account of possible of therapeutic concentration of antibiotic in field of infection
E. * All the above
Radical treatment of malaria include:
A. 5 days therapy with delagil
B. Primachin within 2 weeks
C. Glucocorticoids
D. * Delagil + primachin
E. Serum therapy
Radical treatment of malaria include:
A. 5 days therapy with delagil
B. Primachin within 2 weeks
C. Glucocorticoids
D. * Delagil + primachin
E. Serum therapy
Reconvalenscents after malaria may discharged from a clinic no earlier than:
A. After 2 weeks to complete clinical recovery
B. After 2 weeks of the conclusion of a radical course of therapy
C. * At the conclusion of a radical course of therapy with a negative result of
parazitoscopy
D. After 3 weeks with a negative blood culture results
E. After 3 weeks, if the negative results of planting feces
283.
Reconvalenscents after malaria may discharged from a clinic no earlier than:
A. After 2 weeks to complete clinical recovery
B. After 2 weeks of the conclusion of a radical course of therapy
C. * At the conclusion of a radical course of therapy with a negative result of
parazitoscopy
D. After 3 weeks with a negative blood culture results
E. After 3 weeks, if the negative results of planting feces
284.
Remedie for malaria prevention for those who have returned from disadvantaged
areas:
A. Human immunoglobulin
B. Interferon
C. 6-day-prevention streptomyosin or tetracycline
D. * Primaquine 0,027 g 14 days
E. All the above.
285.
Remedie for malaria prevention for those who have returned from disadvantaged
areas:
A. Human immunoglobulin
B. Interferon
C. 6-day-prevention streptomyosin or tetracycline
D. * Primaquine 0,027 g 14 days
E. All the above.
286.
Rules of hospitalization of patients with malaria:
A. * In separate room
B. In the respiratory infections department
C. In the Meltserovsky‘s box
D. Patients are not hospitalized
E. In the intestinal infections department
287.
Rules of hospitalization of patients with malaria:
A. * In separate room
B. In the respiratory infections department
C. In the Meltserovsky‘s box
D. Patients are not hospitalized
E. In the intestinal infections department
288.
Specific complications of malaria, except:
A. Hemoglobinuria fever
B. The gap of the spleen
C. Malaria‘s comma
D. * Perforation bowel
E. Hemolytic anaemia
289.
Specific complications of malaria, except:
A. Hemoglobinuria fever
B. The gap of the spleen
C. Malaria‘s comma
D. * Perforation bowel
E. Hemolytic anaemia
290.
The diagnosis of malaria can be confirmed by :
A. Microscopy of urine
B. Hemoculture
C. Bacteriology of stool
D. Common blood analysis
E. * Parazitoscopy of blood
291.
The diagnosis of malaria can be confirmed by :
A.
B.
C.
D.
E.
292.
A.
B.
C.
D.
E.
293.
A.
B.
C.
D.
E.
294.
A.
B.
C.
D.
E.
295.
A.
B.
C.
D.
E.
296.
A.
B.
C.
D.
E.
297.
A.
B.
C.
D.
E.
298.
A.
B.
C.
D.
E.
299.
A.
B.
C.
D.
E.
300.
Microscopy of urine
Hemoculture
Bacteriology of stool
Common blood analysis
* Parazitoscopy of blood
The radical course of treatment of malaria includes:
Five-day therapy of delagilum
Prymahin during 2 weeks
Delagilum + prymahin + fansydar
* Delagilum + prymahin
Delagilum + fansydar
The radical course of treatment of malaria includes:
Five-day therapy of delagilum
Prymahin during 2 weeks
Delagilum + prymahin + fansydar
* Delagilum + prymahin
Delagilum + fansydar
There are etiotropic drags of malaria, except:
Delagilum
Prymahin
* Cerasyn
Quinine
Fansydar
There are etiotropic drags of malaria, except:
Delagilum
Prymahin
* Cerasyn
Quinine
Fansydar
What antibiotic is less effective in epidemic typhus?
Tetracyclin
Metacyclin
* Levomycetin
Vibramycin
Doxycyclin
What antibiotic is less effective in epidemic typhus?
Tetracyclin
Metacyclin
* Levomycetin
Vibramycin
Doxycyclin
What do you need for reatment of chlorochyn resistent forms of malaria?
Bactrimum
Dapson
Fansydar
Meflohin
* It is all above enumerated
What do you need for reatment of chlorochyn resistent forms of malaria?
Bactrimum
Dapson
Fansydar
Meflohin
* It is all above enumerated
What do you need to give to the patients with malaria‘s coma?
A.
B.
C.
D.
E.
301.
A.
B.
C.
D.
E.
302.
A.
B.
C.
D.
E.
303.
A.
B.
C.
D.
E.
304.
A.
B.
C.
D.
E.
305.
A.
B.
C.
D.
E.
306.
A.
B.
C.
D.
E.
307.
A.
B.
C.
D.
E.
308.
A.
B.
C.
D.
E.
309.
Glucocorticoids
Antishok drags
* Intravenously delagil
Blood transfusion
Oxygen
What do you need to give to the patients with malaria‘s coma?
Glucocorticoids
Antishok drags
* Intravenously delagil
Blood transfusion
Oxygen
What group of infectious diseases epidemic typhus belong to?
Intestinal
Respiratory
External covers
Transmissive
Blood
What group of infectious diseases epidemic typhus belong to?
Intestinal
Respiratory
External covers
Transmissive
Blood
What group of infectious diseases malaria belong to?
Intestinal
Respiratory
External covers
Transmissive
Blood
What group of infectious diseases malaria belong to?
Intestinal
Respiratory
External covers
Transmissive
Blood
What is Brill's disease?
Vertiacal borne
* Remote relapse typhus
Early relapse typhus
Re-infection rickettsia
Self nozological unit
What is Brill's disease?
Vertiacal borne
* Remote relapse typhus
Early relapse typhus
Re-infection rickettsia
Self nozological unit
What is Brill's disease?
Vertiacal borne
* Remote relapse typhus
Early relapse typhus
Re-infection rickettsia
Self nozological unit
What is diagnostic titer response agglutination test with typhus rickettsia?
A.
B.
C.
D.
E.
310.
A.
B.
C.
D.
E.
311.
A.
B.
C.
D.
E.
312.
A.
B.
C.
D.
E.
313.
A.
B.
C.
D.
E.
314.
A.
B.
C.
D.
E.
315.
A.
B.
C.
D.
E.
316.
A.
B.
C.
D.
E.
317.
A.
B.
C.
D.
E.
318.
1:40 and above
1:80 and above
* 1:160 or higher
1:320 or higher
1:640 or higher
What is diagnostic titer response agglutination test with typhus rickettsia?
1:40 and above
1:80 and above
* 1:160 or higher
1:320 or higher
1:640 or higher
What is not typical for epidemic typhus exanthema?
Disappearing with decreasing of temperature
Never appear a new elements
Roseola saved up to 6 days, petehii – 12
Leave a little pigmentation and poor peeling
* Few elements
What is not typical for epidemic typhus exanthema?
* Arise on 7-10 days of illness
Roseola-petehial kind
Localized mainly on the lateral surface of the torso and limbs flexion surfaces
It can grab hands and feet, but never on the face
Abundant
What is not typical for epidemic typhus exanthema?
* Arise on 7-10 days of illness
Roseola-petehial kind
Localized mainly on the lateral surface of the torso and limbs flexion surfaces
It can grab hands and feet, but never on the face
Abundant
What is not typical for epidemic typhus exanthema?
Disappearing with decreasing of temperature
Never appear a new elements
Roseola saved up to 6 days, petehii – 12
Leave a little pigmentation and poor peeling
* Few elements
What is not typical for severe epidemic typhus in the common blood analysis blood ?
Neutrophyl leukocytosis
Hypoeozinophylia
Lymphopenia
* Anemia
Increasing of ESR
What is not typical for severe epidemic typhus in the common blood analysis blood ?
Neutrophyl leukocytosis
Hypoeozinophylia
Lymphopenia
* Anemia
Increasing of ESR
What is not typical for the analysis of urine in the severe epidemic typhus?
Proteinuria
Single-cylinder hyaline
* Multiple granular cylinders
A small number of erythrocytes
A small number of leukocytes
What is not typical for the analysis of urine in the severe epidemic typhus?
A.
B.
C.
D.
E.
Proteinuria
Single hyaline cylinder
* Multiple granular cylinders
A small number of erythrocytes
A small number of leukocytes
319.
What is not typical for the analysis of urine in the severe epidemic typhus?
A. Proteinuria
B. Single hyaline cylinder
C. * Multiple granular cylinders
D. A small number of erythrocytes
E. A small number of leukocytes
320.
?What is possible side effects at application of antibiotics are all, except.
A. Stomach-ache
B. Nausea, vomit
C. Diarrhea
D. * Fever
E. Skin rash
321.
What is possible side effects at application of antibiotics are all, except.
A. Stomach-ache
B. Nausea, vomit
C. Diarrhea
D. * Fever
E. Skin rash
322.
What is possible side effects at application of antibiotics are all, except.
A. Stomach-ache
B. Nausea, vomit
C. Diarrhea
D. * Fever
E. Skin rash
323.
What is prophylaxis of epidemic typhus among the members of family with
pediculosis in the focus of the disease?
A. * Monitoring and complete sanitation of the contact persons
B. Chemoprophylaxis
C. Antibiotic therapy
D. Isolation of contact
E. Check-up
324.
What is prophylaxis of epidemic typhus among the members of family with
pediculosis in the focus of the disease?
A. * Monitoring and complete sanitation of the contact persons
B. Chemoprophylaxis
C. Antibiotic therapy
D. Isolation of contact
E. Check-up
325.
what is the Basic principles of antibiotics therapy.
A. A selection of preparation from data of bacteriostatic
B. Determination of dose, method and multiple of introduction the preparation
C. Timeliness and definite duration of introduction input of antibiotic
D. Combining antibiotics between itself for enhancement of antibacterial effect
E. * All the above
326.
what is the basic principles of antibiotics therapy?
A. Selection of antibiotics after the studing of sensitiveness
B. Selection of antibiotic according to the clinical diagnosis
C. Choose the most active drug
D. Choose the less toxic drug
E. * All the above
what is the Basic principles of antibiotics therapy.
A. A selection of preparation from data of bacteriostatic
B. Determination of dose, method and multiple of introduction the preparation
C. Timeliness and definite duration of introduction input of antibiotic
D. Combining antibiotics between itself for enhancement of antibacterial effect
E. * All the above
328.
What is the diagnosis in reaction of agglutination with rickettsiae Prowazekii 1:640.
A. Flu
B. Typhoid fever
C. Meningococcal infection
D. * Epidemic typhus
E. Leptospirosis
329.
What is the diagnosis in reaction of agglutination with rickettsiae Prowazekii 1:640.
A. Flu
B. Typhoid fever
C. Meningococcal infection
D. * Epidemic typhus
E. Leptospirosis
330.
What is the duration of observation of the contact persons in the focus of epidemic
typhus:
A. 21 days
B. 25 days
C. * 51 days
D. 72 days
E. 3 months
331.
What is the duration of observation of the contact persons with the Brill‘s patient:
A. 21 days
B. * 25 days
C. 51 days
D. 72 days
E. 3 months
332.
What is the duration of observation of the contact persons in the focus of epidemic
typhus:
A. 21 days
B. 25 days
C. * 51 days
D. 72 days
E. 3 months
333.
What is the duration of observation of the contact persons with the Brill‘s patient:
A. 21 days
B. * 25 days
C. 51 days
D. 72 days
E. 3 months
334.
What is the source of epidemic typhus?
A. Patients with epidemic typhus
B. Patients with disease Brill-Zinsser
C. * Patients with epidemic typhus and disease Brill-Zinsser
D. Patients with Brill-Zinsser disease and Sachs disease
E. Patients with epidemic typhus and abdominal typhoid
335.
What is the source of epidemic typhus?
A. Patients with epidemic typhus
B. Patients with disease Brill-Zinsser
327.
336.
337.
338.
339.
340.
341.
342.
343.
344.
C. * Patients with epidemic typhus and disease Brill-Zinsser
D. Patients with Brill-Zinsser disease and Sachs disease
E. Patients with epidemic typhus and abdominal typhoid
What measures must be taken for people who stood in contact with malaria case:
A. Microscopy of peripheral blood
B. Direction of all patients for in an isolation for 5 days
C. Chemical prophylaxis
D. Street rounds
E. * Does not conduct
What measures must be taken for people who stood in contact with malaria case:
A. Microscopy of peripheral blood
B. Direction of all patients for in an isolation for 5 days
C. Chemical prophylaxis
D. Street rounds
E. * Does not conduct
What method used for identification of malaria:
A. Stool culture test
B. Hemoculture
C. * Microscopic assessment of blood
D. Byurne test
E. All above enumerated
What method used for identification of malaria:
A. Stool culture test
B. Hemoculture
C. * Microscopic assessment of blood
D. Byurne test
E. All above enumerated
When does begin treatment of patients with a malaria?
A. * Immediately after hospitalization
B. After taking of material for research
C. After raising of final diagnosis
D. After the laboratory and instrumental result
E. All answers are faithful
When does begin treatment of patients with a malaria?
A. * Immediately after hospitalization
B. After taking of material for research
C. After raising of final diagnosis
D. After the laboratory and instrumental result
E. All answers are faithful
When patient after epidemic typhus may been discharged from a clinic?
A. * After clinical recovering, but not earlier 12-days normal temperature
B. After a full clinical recovering
C. After clinical recovering, but not earlier 12-days after antibiotics therapy
D. After 12-days normal body temperature
E. After clinical recovering, but not earlier than the 9-day normal body temperature
When patient after epidemic typhus may been discharged from a clinic?
A. * After clinical recovering, but not earlier 12-days normal temperature
B. After a full clinical recovering
C. After clinical recovering, but not earlier 12-days after antibiotics therapy
D. After 12-days normal body temperature
E. After clinical recovering, but not earlier than the 9-day normal body temperature
When serological diagnosis is possible in patients with epidemic typhus?
A. From the 1st day of illness
B. Fromn the 2nd day illness
C. From the 3-4th day illness
D. From 4-5th day of illness
E. * From the 5 to 7th day of illness
345.
When serological diagnosis is possible in patients with epidemic typhus?
A. From the 1st day of illness
B. Fromn the 2nd day illness
C. From the 3-4th day illness
D. From 4-5th day of illness
E. * From the 5 to 7th day of illness
346.
When the sick people gets epidemic typhus infection, which period is most
dangerous epidemically?
A. Fecal-oral
B. Air-drop
C. Contact
D. * Transmissive
E. Blood
F. Over the past 2 days, the incubation period and 2-3 days after lowering temperature
G. All hectic period and 2-3 days after lowering temperature
H. 2-3 days after lowering temperature
I. Over the past 2 days, the incubation period, all febrile period and 2-3 days after
lowering temperature
J. Over the past 2 days, the incubation period and the hectic period
347.
When the sick people gets epidemic typhus infection, which period is most
dangerous epidemically?
A. Fecal-oral
B. Air-drop
C. Contact
D. * Transmissive
E. Blood
F. Over the past 2 days, the incubation period and 2-3 days after lowering temperature
G. All hectic period and 2-3 days after lowering temperature
H. 2-3 days after lowering temperature
I. Over the past 2 days, the incubation period, all febrile period and 2-3 days after
lowering temperature
J. Over the past 2 days, the incubation period and the hectic period
348.
When we can stop the etiotropic treatment of the patient with epidemic typhus?
A. Immediately after the normalization of body temperature
B. After the normalization of the liver and spleen sizes
C. * After 2-days normal body temperature
D. After the disappearance of roseola
E. After 10 days disappearing of roseola
349.
When we can stop the etiotropic treatment of the patient with epidemic typhus?
A. Immediately after the normalization of body temperature
B. After the normalization of the liver and spleen sizes
C. * After 2-days normal body temperature
D. After the disappearance of roseola
E. After 10 days disappearing of roseola
350.
which of the following often occur in patient with epidemic typhus (tongue‘s tremor
when protrusion that sticked on the lower teeth)?
A. Heller's symptom
B. Conjunctivitis
C. * Govorov-Godelje symptom
D. Zorohovich-Chiari-Avtsyn symptom
E. Rosenberg‘s enantema
351.
which of the following often occur in patient with epidemic typhus (tongue‘s tremor
when protrusion that sticked on the lower teeth)?
A. Heller's symptom
B. Conjunctivitis
C. * Govorov-Godelje symptom
D. Zorohovich-Chiari-Avtsyn symptom
E. Rosenberg‘s enantema
352.
which of the following symptoms may occur in patient with epidemic typhus
(petechiaes in the mucosal soft palate)?
A. Heller's symptom
B. Conjunctivitis
C. Govorov-Godelje symptom
D. Zorohovich-Chiari-Avtsyn symptom
E. * Rosenberg‘s enantema
353.
which of the following symptoms may occur in patient with epidemic typhus
(petechiaes in the conjunctiva)?
A. Heller's symptom
B. Conjunctivitis
C. Govorov-Godelje symptom
D. * Zorohovich-Ciari-Avtsyn symptom
E. Rosenberg‘s enantema
354.
which of the following symptoms may occur in patient with epidemic typhus
(petechiaes in the conjunctiva)?
A. Heller's symptom
B. Conjunctivitis
C. Govorov-Godelje symptom
D. * Zorohovich-Ciari-Avtsyn symptom
E. Rosenberg‘s enantema
355.
which of the following symptoms may occur in patient with epidemic typhus
(petechiaes in the mucosal soft palate)?
A. Heller's symptom
B. Conjunctivitis
C. Govorov-Godelje symptom
D. Zorohovich-Chiari-Avtsyn symptom
E. * Rosenberg‘s enantema
356.
Who would be a subject for inspection on malaria?
A. People who recovered of malaria
B. Persons, returning from endemic regions of malaria
C. Patients with fever more than 5 days
D. Patients with spleenomegaly
E. * All above enumerated
357.
Who would be a subject for inspection on malaria?
A. People who recovered of malaria
B. Persons, returning from endemic regions of malaria
C. Patients with fever more than 5 days
D. Patients with spleenomegaly
E. * All above enumerated
358.
Why early relapse in malaria may develops ?
A. Immune deficiency
B. * Presence of erythrocytic shizonts
C. Presence of tissue shizonts
D. Fresh contamination
E. Presence of blood gamonts
359.
Why early relapse in malaria may develops ?
A.
B.
C.
D.
E.
Immune deficiency
* Presence of erythrocytic shizonts
Presence of tissue shizonts
Fresh contamination
Presence of blood gamonts
360.
Why late relapses in malaria may develop ?
A. Immune deficiency
B. Presence of erythrocytic shizonts
C. * Presence of tissue shizonts
D. Fresh contamination
E. Presence of blood gamonts
361.
Why late relapses in malaria may develop ?
A. Immune deficiency
B. Presence of erythrocytic shizonts
C. * Presence of tissue shizonts
D. Fresh contamination
E. Presence of blood gamonts
362.
A patient is disturbed by attacks of fever. The icterus of sclera and skins is observed,
hepatosplenomegaly is found on palpation. What is possible diagnosis accept?
A. Leishmaniosis
B. Leptospirosis
C. * Sepsis
D. Malaria
E. Viral hepatitis
363.
A patient is disturbed by attacks of fever. The icterus of sclera and skins is observed,
hepatosplenomegaly is found on palpation. What is possible diagnosis accept?
A. Leishmaniosis
B. Leptospirosis
C. * Sepsis
D. Malaria
E. Viral hepatitis
364.
A patient sharply had a chill, head pain, vomits, temperature of body rose up to 38,5
°C. Till evening rigidity of muscles, Kernig’s symptom appeareD. Herpetic blisters are
marked on mucous of lips and nosE. Neurological symptoms is not found out expresseD.
What disease will you suspect?
A. Herpetic encephalitis
B. Abscess of brain
C. * Meningoencephalitis
D. Hemorrhage in a brain
E. Subarachnoid hemorrhage
365.
A patient sharply had a chill, head pain, vomits, temperature of body rose up to 38,5
°C. Till evening rigidity of muscles, Kernig’s symptom appeareD. Herpetic blisters are
marked on mucous of lips and nosE. Neurological symptoms is not found out expresseD.
What disease will you suspect?
A. Herpetic encephalitis
B. Abscess of brain
C. * Meningoencephalitis
D. Hemorrhage in a brain
E. Subarachnoid hemorrhage
366.
Basic mechanism of transmission of Lime disease:
A. Air-drop
B. Contact
C. * Transmissive
D. Fecal-oral
367.
368.
369.
370.
371.
372.
373.
374.
375.
E. Vertical
Basic mechanism of transmission of Lime disease:
A. Air-drop
B. Contact
C. * Transmissive
D. Fecal-oral
E. Vertical
Basic vector of Lime disease:
A. * Tick
B. Mosquito
C. Flea
D. Mosquito
E. All of bloodsucking insects
Basic vector of Lime disease:
A. * Tick
B. Mosquito
C. Flea
D. Mosquito
E. All of bloodsucking insects
Clinical stages of Lime-borreliosis:
A. Common toxic
B. Cardiological complications
C. Neurological complications
D. Artritic
E. * All above enumerated
Clinical stages of Lime-borreliosis:
A. Common toxic
B. Cardiological complications
C. Neurological complications
D. Artritic
E. * All above enumerated
Duration of activity of pliers depends on:
A. Weather
B. Regional naturally-geographical terms
C. Kind of vector
D. Activity of animals in different periods of year
E. * From all of transferred
Duration of activity of pliers depends on:
A. Weather
B. Regional naturally-geographical terms
C. Kind of vector
D. Activity of animals in different periods of year
E. * From all of transferred
Etiological agent of meningitis are accept:
A. Staphylococci
B. Neisseria meningitides
C. Mycobacterium tuberculosis
D. Viruses
E. * Entamoeba histolytica
?Etiological agent of meningitis are accept:
A. Staphylococci
B. Neisseria meningitides
C. Mycobacterium tuberculosis
D. Viruses
E. * Entamoeba histolytica
376.
Examination is delivered in a cliniC. Objectively: temperature 40,2 °C. Expressed
meningeal symptoms. Light, haptic, pain hypesthesiA. Blood: leucocytes – 5 thousand/l,
ERS-19 mm/hr. A neurolymph under high pressure, turbid, lymphocytosis, some increasing
of protein, chlorides. What is your diagnosis?
A. Meningococcal meningitis
B. * Viral meningitis
C. Tubercular meningitis
D. Staphylococcus meningitis
E. Pneumoccocal meningitis
377.
For endermic reaction of leishmaniosis diagnosis is used:
A. Dyzenterin
B. Antraksin
C. * Leishmanin
D. Ornitin
E. Brucellin
378.
For endermic reaction of leishmaniosis diagnosis is used:
A. Dysenterin
B. Antraxin
C. * Leishmanin
D. Ornitin
E. Brucellin
379.
For the treatment of acidosis in viral meningoencephalitis is better to usE.
A. 10 % chloride solution
B. 10-20 % glucose solution
C. * 4 % sodium bicarbonate solution
D. Concentrated dry plasma
E. Albumen
380.
For the treatment of acidosis in viral meningoencephalitis is better to usE.
A. 10 % chloride solution
B. 10-20 % glucose solution
C. * 4 % sodium bicarbonate solution
D. Concentrated dry plasma
E. Albumen
381.
For treatment of leishmaniosis is used:
A. Sulfanilamids
B. Interferons
C. * Antibiotics
D. Nitrofurans
E. Hormones
382.
For treatment of leishmaniosis is used:
A. Sulfanilamids
B. Interferons
C. * Antibiotics
D. Nitrofurans
E. Hormones
383.
How is it possible to specify the diagnosis of viral meningoencephalitis after
cerebrospinal puncturE.
A. Some increasing of chlorides in CSF
B. Presence of a lot of lymphocytes in CSF
C. * All the above
D. Some increasing of protein in CSF
E. Neurolymph under high pressure
384.
How is it possible to specify the diagnosis of viral meningoencephalitis after
cerebrospinal puncturE.
A. Some increasing of chlorides in CSF
B. Presence of a lot of lymphocytes in CSF
C. * All the above
D. Some increasing of protein in CSF
E. Neurolymph under high pressure
385.
How many stages of the leishmania development do you now:
A. 3
B. 1
C. 5
D. 4
E. * 2
386.
How many stages of the leishmania development do you now:
A. 3
B. 1
C. 5
D. 4
E. * 2
387.
How to prevent development of leishmaniosis?
A. Follow the rules of personal hygiene
B. Conduct heat preparing of food
C. * Vaccination
D. Do not drink raw water
E. Chemoprophylaxis
388.
How to prevent development of leishmaniosis?
A. Follow the rules of personal hygiene
B. Conduct heat preparing of food
C. * Vaccination
D. Do not drink raw water
E. Chemoprophylaxis
389.
How to prevent Laim-borreliosis?
A. * Individual protecting from ticks
B. Urgent antibiotic prophylaxis
C. Vaccination
D. Using of specific immunoglobuline
E. All above enumerated
390.
How to prevent Laim-borreliosis?
A. * Individual protecting from ticks
B. Urgent antibiotic prophylaxis
C. Vaccination
D. Using of specific immunoglobuline
E. All above enumerated
391.
It is necessary to differentiate migrant erythema with:
A. * Erysipelas
B. Anthrax
C. Chicken-pox
D. Herpetic infection
E. Phlegmon
392.
It is necessary to differentiate migrant erythema with:
A. * Erysipelas
B. Anthrax
C. Chicken-pox
D. Herpetic infection
393.
394.
395.
396.
397.
398.
399.
400.
401.
E. Phlegmon
Leishmaniosis must be differentiated primarily with such disease:
A. Sepsis
B. Malaria
C. Influenza
D. Typhoid fever
E. * All of the above
Leishmaniosis must be differentiated primarily with such disease:
A. Sepsis
B. Malaria
C. Influenza
D. Typhoid fever
E. * All of the above
Lime disease can transmitted by ways, except for:
A. * Air-drop
B. Contact
C. Transmissive
D. Fecal-oral
E. Alimentary
Lime disease can transmitted by ways, except for:
A. * Air-drop
B. Contact
C. Transmissive
D. Fecal-oral
E. Alimentary
Mechanism of leishmaniosis transmission is:
A. Transmissive
B. Contact
C. Alimentary
D. * All above it
E. Air-droplets
Mechanism of leishmaniosis transmission is:
A. Transmissive
B. Contact
C. Alimentary
D. * All above it
E. Air-droplets
Methods of laboratory diagnostics of Laim-borreliosis:
A. Selection of exciter (from blood, neurolymph, synovia, skin bioptat)
B. Finding of borrelia antibodies (in blood, neurolymph) (IFA)
C. Exposure of DNA of exciter (PCR)
D. Darkfield microscopy
E. * All above enumerated
Methods used for identification of sources of leishmaniosis:
A. Stool culture
B. * Microscopy of tissue slades
C. Urine culture
D. Hemoculture
E. All above enumerated
Passing to exciters of Lime disease among pliers is carried out ways:
A. * Transovarian
B. Sexual
C. Air-drop
D. Fecal-oral
402.
403.
404.
405.
406.
407.
408.
409.
410.
E. Vertical
Passing to exciters of Lime disease among pliers is carried out ways:
A. * Transovarian
B. Sexual
C. Air-drop
D. Fecal-oral
E. Vertical
Radical treatment of skin leishmaniosis include:
A. Interferon
B. * Monomycin
C. Glucantim
D. Penicillin
E. Tetracyclin
Radical treatment of skin leishmaniosis include:
A. Interferon
B. * Monomycin
C. Glucantim
D. Penicillin
E. Tetracyclin
Radical treatment of visceral leishmaniosis include:
A. Interferon
B. Penicillin
C. Tetracyclin
D. Glucantim
E. * Monomycin
Radical treatment of visceral leishmaniosis include:
A. Interferon
B. Penicillin
C. Tetracyclin
D. Glucantim
E. * Monomycin
Rules of hospitalization of patients with leishmaniosis:
A. Patients were not hospitalized
B. * In separate room
C. In intestinal infections department
D. In respiratory infections department
E. In carantine box
Rules of hospitalization of patients with leishmaniosis:
A. Patients were not hospitalized
B. * In separate room
C. In intestinal infections department
D. In respiratory infections department
E. In carantine box
Source of meningoencephalitis are accept:
A. People
B. Ticks
C. * Fish
D. Fleas
E. Mosquitoes
Source of meningoencephalitis are accept:
A. People
B. Ticks
C. * Fish
D. Fleas
E. Mosquitoes
The basic clinical display of a skin leishmaniosis is:
A. Abscess
B. * Ulcer
C. Phlegmon
D. Vesiculs
E. Hyperemia
412.
The basic clinical display of a skin leishmaniosis is:
A. Abscess
B. * Ulcer
C. Phlegmon
D. Vesiculs
E. Hyperemia
413.
The diagnosis of leishmaniosis can confirm after:
A. Microscopy of blood
B. Bacteriology of stool
C. Hemoculture
D. * Microscopy of tissue punctates
E. Microscopy of urine
414.
The diagnosis of leishmaniosis can confirm after:
A. Microscopy of blood
B. Bacteriology of stool
C. Hemoculture
D. * Microscopy of tissue punctates
E. Microscopy of urine
415.
The diagnostic reaction for leishmaniosis:
A. Paul-Bunnel‘s reaction
B. Rayt‘s reaction
C. Vidal‘s reaction
D. * Reaction of latex agglutination
E. Askoli reaction of precipitation
416.
The diagnostic reaction for leishmaniosis:
A. Paul-Bunnel‘s reaction
B. Rayt‘s reaction
C. Vidal‘s reaction
D. * Reaction of latex agglutination
E. Reaction of term precipitation of Askol
417.
The examination is delivered in a cliniC. Objectively: temperature 40,1 °C.
Expressed meningeal symptoms. Light, haptic, pain hypesthesiA. Blood: leucocytes – 5
thousand/l, ERS-19 mm/hr. A neurolymph under high pressure, turbid, lymphocytosis, some
increasing of protein, chlorides. What is your diagnosis?
A. Meningococcal meningitis
B. * Viral meningitis
C. Tubercular meningitis
D. Staphylococcus meningitis
E. Pneumoccocal meningitis
418.
The natural reservoir of exciter in case of Lime is, except for:
A. * Sick person
B. Rodents
C. Birds
D. Pliers
E. Cattle
419.
The natural reservoir of exciter in case of Lime is, except for:
A. * Sick person
411.
B.
C.
D.
E.
Rodents
Birds
Pliers
Cattle
420.
The natural reservoir of exciter in case of Lime is, except for:
A. * Sick person
B. Rodents
C. Birds
D. Pliers
E. Cattle
421.
The natural reservoir of exciter in case of Lime is, except:
A. * Sick person
B. Rodents
C. Birds
D. Pliers
E. Cattle
422.
The patient concerned about fever, which is not periodical. Skin is pale,
hepatosplenomegaly. What diagnose is most likely accept?
A. Leishmaniosis
B. Sepsis
C. * Malaria
D. Leptospirosis
E. Viral hepatitis
423.
The patient concerned about fever, which is not periodical. Skin is pale,
hepatosplenomegaly. What diagnose is most likely accept?
A. Leishmaniosis
B. Sepsis
C. * Malaria
D. Leptospirosis
E. Viral hepatitis
424.
There are etiotropic drags for leishmaniosis treatment, except:
A. Monomycin
B. Glucantim
C. * Quinine
D. Solustibozan
E. Solusurmin
425.
There are etiotropic drags for leishmaniosis treatment, except:
A. Monomycin
B. Glucantim
C. * Quinine
D. Solustibozan
E. Solusurmin
426.
Viral meningoencephalitis and DIC-syndrome require above all things.
A. Administration of diuretics
B. Administration of antihistamin
C. Administration of vitamins
D. * Administration of analgetics
E. Administration of heparin
427.
Viral meningoencephalitis and DIC-syndrome require above all things.
A. Administration of diuretics
B. Administration of antihistamin
C. Administration of vitamins
D. * Administration of analgetics
E. Administration of heparin
428.
A.
B.
C.
D.
E.
429.
A.
B.
C.
D.
E.
430.
A.
B.
C.
D.
E.
431.
A.
B.
C.
D.
E.
432.
A.
B.
C.
D.
E.
433.
A.
B.
C.
D.
E.
434.
A.
B.
C.
D.
E.
435.
A.
B.
C.
D.
E.
436.
A.
B.
C.
D.
E.
What clinical forms of leishmaniosis do you know?
Ulceral and erhythematous
Papular and visceral
* Visceral and skin
Ulceral and necrotic
Bubous and skin
What clinical forms of leishmaniosis do you know?
Ulceral and erhythematous
Papular and visceral
* Visceral and skin
Ulceral and necrotic
Bubous and skin
What clinical forms of tick encephalitis present accept:
Meningeal
Meningoencephalitic
* General
Feverish
Meningoencephalopoliemielitic
What clinical forms of tick encephalitis present accept:
Meningeal
Meningoencephalitic
* General
Feverish
Meningoencephalopoliemielitic
What drugs of choice at etiotropic therapy of viral meningoencephalitis.
Penicillins
Amynoglicosides
* Interferons
Phtorhinilons
Nitrofuranes
What drugs of choice at etiotropic therapy of viral meningoencephalitis.
Penicillins
Amynoglicosides
* Interferons
Phtorhinilons
Nitrofuranes
What group of infectious diseases meningococcal infection belong to?
Intestinal
* Respiratory
External covers
Blood
Transmissive
What group of infectious diseases meningococcal infection belong to?
Intestinal
* Respiratory
External covers
Blood
Transmissive
What infectious diseases it is necessary differentiate visceral leishmaniosis with:
Malaria
Sepsis
Influenza
Leptospirozis
* All above enumerated
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.
A.
B.
C.
D.
E.
444.
A.
B.
C.
D.
E.
445.
A.
B.
C.
D.
E.
What infectious diseases it is necessary differentiate visceral leishmaniosis with:
Malaria
Sepsis
Influenza
Leptospirozis
* All above enumerated
What is etiological factor of antroponosis skin leishmaniosis:
L. classica
L. major
L. brasiliensis
* L. tropica
L. donovani
What is etiological factor of antroponosis skin leishmaniosis:
L. classica
L. major
L. brasiliensis
* L. tropica
L. donovani
What is etiological factor of visceral leishmaniosis:
* L. donovani
L. major
L. brasiliensis
L. classica
L. tropica
What is etiological factor of visceral leishmaniosis:
* L. donovani
L. major
L. brasiliensis
L. classica
L. tropica
What is etiological factor of zoonosis skin leishmaniosis:
L. donovani
L. tropica
L. classica
L. brasiliensis
* L. major
What is etiological factor of zoonosis skin leishmaniosis:
L. donovani
L. tropica
L. classica
L. brasiliensis
* L. major
What is etiotropic treatment of leishmaniosis.
Delagil
Antibiotics
* Solusurmin
Serum
Primaquine
What is etiotropic treatment of leishmaniosis.
Delagil
Antibiotics
* Solusurmin
Serum
Primaquine
446.
A.
B.
C.
D.
E.
447.
A.
B.
C.
D.
E.
448.
A.
B.
C.
D.
E.
449.
A.
B.
C.
D.
E.
450.
A.
B.
C.
D.
E.
451.
A.
B.
C.
D.
E.
452.
A.
B.
C.
D.
E.
453.
A.
B.
C.
D.
E.
454.
A.
B.
C.
D.
E.
What is most characteristic symptom of the initial stage of Lime-borreliosis:
Fever
Catarrhal phenomena
* Migrant erythematic
Dyspepsia phenomena
Icterus
What is most characteristic symptom of the initial stage of Lime-borreliosis:
Fever
Catarrhal phenomena
* Migrant erythematic
Dyspepsia phenomena
Icterus
What is most effective antibiotics in meningococcal disease:
Cephalosporines
Phtorhinolons
Aminoglicozides
* Penicillines
Macrolids
What is most effective antibiotics in meningococcal disease:
Cephalosporines
Phtorhinolons
Aminoglicozides
* Penicillines
Macrolids
What is prophylactic measures for high risk group?
Immunization by inactivated vaccine
Formulated vaccine
Vitamin therapy
Antibiotic therapy
* Immunization by live vaccine
What is prophylaxy of meningococcal disease for high risk group?
Immunization by inactivated vaccine
Formulated vaccine
Vitamin therapy
Antibiotic therapy
* Immunization by live vaccine
What is the method of laboratory diagnostics of Laym-borreliosis:
Selection of exciter (from blood, neurolymph, synovia, skin bioptat)
Finding of borrelia antibodies (in blood, neurolymph) (IFA)
Exposure of DNA of exciter (PCR)
Darkfield microscopy
* All above enumerated
What is the origin of Lime disease:
Simplest
Viruses
* Borrelium
Micoplasma
Ricketsia
What is the origin of Lime disease:
Simplest
Viruses
* Borrelia
Micoplasma
Rickettsia
455.
A.
B.
C.
D.
E.
456.
A.
B.
C.
D.
E.
457.
A.
B.
C.
D.
E.
458.
A.
B.
C.
D.
E.
459.
A.
B.
C.
D.
E.
460.
A.
B.
C.
D.
E.
461.
A.
B.
C.
D.
E.
462.
A.
B.
C.
D.
E.
463.
A.
B.
C.
D.
E.
What is the origin of Lime disease:
Simplest
Viruses
* Borrelium
Micoplasma
Ricketsia
What is the origin of Lime disease:
Simplest
Viruses
* Borrelium
Micoplasma
Ricketsia
What is the origin of visceral leishmaniosis (kala-azar):
L. classica
L. tropica
L. major
L. brasiliensis
* L. donovani
What is the origin of visceral leishmaniosis (kala-azar):
L. classica
L. tropica
L. major
L. brasiliensis
* L. donovani
What is used as specific prophylaxis of viral meningoencephalitis.
Immune globulin
* Vaccine
Antibioticsnatoxin
Serum
Nothing
What is used as specific prophylaxis of viral meningoencephalitis.
Immune globulin
* Vaccine
Antibioticsnatoxin
Serum
Nothing
What laboratory methods should be taken for diagnosis of meningoencephalitis?
Lumbar puncture
* Biopsy of tissues
Urine examination
Coprogram
Serologic detection
What laboratory methods should be taken for diagnosis of meningoencephalitis?
Lumbar puncture
* Biopsy of tissues
Urine examination
Coprogram
Serologic detection
What material is necessary take for leishmaniosis diagnosis:
Punctates from skin defect
Punctates from spleen
Punctates from lymph nodes
Punctates from bone brain
* All above enumerated
464.
A.
B.
C.
D.
E.
465.
A.
B.
C.
D.
E.
466.
A.
B.
C.
D.
E.
467.
A.
B.
C.
D.
E.
468.
A.
B.
C.
D.
E.
469.
A.
B.
C.
D.
E.
470.
A.
B.
C.
D.
E.
471.
A.
B.
C.
D.
E.
472.
A.
B.
C.
D.
E.
What material is necessary take for leishmaniosis diagnosis:
Punctates from skin defect
Punctates from spleen
Punctates from lymph nodes
Punctates from bone brain
* All above enumerated
What measures it’s necessary to perform in the focus of viral meningoencephalitis?
Bacteriological inspection of contact
Phagoprophylaxis
Supervision during 2 weeks
Chemoprophylaxis
* Immunization
What measures it’s necessary to perform in the focus of viral meningoencephalitis?
Bacteriological inspection of contact
Phagoprophylaxis
Supervision during 2 weeks
Chemoprophylaxis
* Immunization
What measures must be done in case of contact with leishmaniosis contact:
Prophylaxis with antibiotics
Chimioprophylaxis
* Do nothing
Microscopy of tissue slades
Vaccination
What measures must be done in case of contact with leishmaniosis contact:
Prophylaxis with antibiotics
Chimioprophylaxis
* Do nothing
Microscopy of tissue slades
Vaccination
What methods is used for identification of sources of leishmaniosis:
Stool culture
* Microscopy of tissue slades
Urine culture
Hemoculture
All above enumerated
What organ demerged more frequent than all in patients with visceral leishmaniosis?
Skin
Lymphatic system
Nervous system
* Gastrointestinal tract
Lungs
What organ demerged more frequent than all in patients with visceral leishmaniosis?
Skin
Lymphatic system
Nervous system
* Gastrointestinal tract
Lungs
What specific test is used for leishmaniosis diagnostic?
Compliment fixation test
* Coetaneous allergic test
Indirect hemaglutination test
RIFA with anthrax antigen
Hemaglutination test
473.
A.
B.
C.
D.
E.
474.
A.
B.
C.
D.
E.
475.
A.
B.
C.
D.
E.
476.
A.
B.
C.
D.
E.
477.
A.
B.
C.
D.
E.
478.
A.
B.
C.
D.
E.
479.
A.
B.
C.
D.
E.
480.
A.
B.
C.
D.
E.
481.
A.
B.
C.
D.
E.
What specific test is used for leishmaniosis diagnostic?
Compliment fixation test
* Coetaneous allergic test
Indirect hemaglutination test
RIFA with anthrax antigen
Hemaglutination test
When should start treatment of patient with leishmaniosis?
After taking of material for research
* Immediately after hospitalization
All answers are correct
After clinical diagnosis
After the laboratory and instrumental investig
When should start treatment of patient with leishmaniosis?
After taking of material for research
* Immediately after hospitalization
All answers are correct
After clinical diagnosis
After the laboratory and instrumental investig
Who are the source of leishmaniosis accept:
Rodents
Foxes
Human
* Flies
Wolves
Who are the source of leishmaniosis accept:
Rodents
Foxes
Human
* Flies
Wolves
Who would be a subject for inspection on leishmaniosis?
Convalescents after leishmaniosis
Persons, returning from endemic regions
Patients with spleenomegaly
Patients with fever more than 5 days
* All above enumerated
Who would be a subject for inspection on leishmaniosis?
Convalescents after leishmaniosis
Persons, returning from endemic regions
Patients with spleenomegaly
Patients with fever more than 5 days
* All above enumerated
Wich of these symptoms are often present in patients with meningitis?
Profuse watery diarrhea, vomiting, dehydratation, muscular cramps
* Fever, headache, stiff neck, vomiting, confusion, irritability
Headache, dry cough, algor
Abdominal pain, diarrhea, constipation, flatulence
Algor, high temperature, headache
Wich of these symptoms are often present in patients with meningitis?
Profuse watery diarrhea, vomiting, dehydratation, muscular cramps
* Fever, headache, stiff neck, vomiting, confusion, irritability
Headache, dry cough, algor
Abdominal pain, diarrhea, constipation, flatulence
Algor, high temperature, headache
482.
A kidney syndrome at haemorrhagic fever with kidneys syndrome shows up usually:
Only laboratory changes
Only on BRIDLES
* By pain in lumbar area, positive Pasternatsky symptom, development of oliguria
By fever, polyuria, dyspepsia
By paradoxical ischuria
483.
A patient has a heavy icteric form of leptospirosis. What from antibiotics is better to
appoint as etiotropic therapy?
A. Yunidoks
B. Tetracyclinum
C. Azitromicin
D. Rovamicin
E. * Penicillin
484.
Agglutinines at a leptospirosis arrive at a maximal titre:
A. On the third day of illness
B. * On the third week of illness and later
C. On the fourth week of illness
D. On the second month of illness
E. To the second week of illness
485.
All of these have an epidemic dangerous exept:
A. Farm animals
B. Wide rodents
C. Domestic animals
D. Foxes
E. * Human
486.
Among the listed below choose the complication of the tetanus, which is not late:
A. Contracture of muscles and joints
B. Tetanus-kifozis
C. * Asphyxia
D. Asthenic syndrome
E. Chronic heterospecific diseases of lungs
487.
Among the listed below choose the complication of the tetanus, which is not early:
A. Tracheobronchitis
B. * Contracture of muscles and joints
C. Asphyxia
D. Myocarditis
E. Pneumonia
488.
Among the listed below people who should receive an immediate prophylactic of the
tetanus in form of AC-Antitoxin and AC IP injections after trauma?
A. Man of 40 years, in anamnesis with 1 inoculation one year ago
B. Pregnant woman of 30 years, in the second half of pregnancy
C. Child, 7 months, instilled according to a calendar
D. * Retire man of 57 years, who is not instilled
E. Child of 6 years, instilled according to a calendar
489.
Among the listed below what preparations are not etiological for tetanus?
A. AC-anatoxin
B. Medical horse serum
C. Human immunoprotein
D. * Anticonvulsant preparations
E. Penicillin
490.
An initial period at the hemorrhagic fever with a kidneys syndrome lasts:
A. Few hours
B. Day
C. * To three days
A.
B.
C.
D.
E.
D. Week
E. Two weeks
491.
At a leptospirosis the exposure of antibodies is considered reliable in a titre:
A. 1:70 and anymore
B. 1:80 and anymore
C. 1:60 and anymore
D. * 1:100 and anymore
E. 1:40 and anymore
492.
At an objective review for the Congo hemorrhagic fever characteristically:
A. * Mucosal hyperemia of person
B. Pallor of person
C. Puffiness of person
D. Ochrodermia of person
E. Exanthema on face
493.
At patient, who acted to permanent establishment, on clinical epidemiological
indexes of Lassa fever is suspected. What from the resulted clinical indexes are not
characteristic for this disease?
A. * Hemolytic icterus
B. Generalized lymphadenopathy
C. Conjunctivitis
D. Ulcerous pharyngitis
E. Encephalopathy
494.
At patient, who acted to permanent establishment, the especially dangerous
hemorrhagic fever is suspected. For the selection of exciter can be used all materials, except
for?
A. Blood
B. * Puncture from lymph nodes
C. Urines
D. Pleura liquid
E. Swab from nasopharyng
495.
At treatment of patients with leptospirosis antibiotics consider most effective:
A. * Penicillin
B. Macrolids
C. Cefalosporins
D. Ftorhinolons
E. Sul'fanilamids
496.
Basic mechanism of transmission of Lime disease:
A. Air-drop
B. Contact
C. * Transmissive
D. Fecal-oral
E. Vertical
497.
Basic vector of Lime disease:
A. * Tick
B. Mosquito
C. Flea
D. Mosquito
E. All of bloodsucking insects
498.
Citizen A., take participence in a business geologic expedition. Area is endemic
according to Laim-borreliosis. How to prevent possible infection?
A. * Individual protecting from ticks
B. Urgent antibiotic prophylaxis
C. Vaccination
D. Using of specific immunoglobuline
499.
500.
501.
502.
503.
504.
505.
506.
507.
E. All above enumerated
Clinical stages of Lime-borreliosis:
A. Common toxic
B. Cardiological complications
C. Neurological complications
D. Artritic
E. * All above enumerated
Confirm diagnosis of haemorrhagic fever with kidneys syndrome by a way of:
A. Only virological methods
B. Only bacteriological methods
C. Bacteriological and serum methods
D. Proper epidemiological information
E. * Virologic and serum methods
Confirm the diagnosis of Congo hemorrhagic fever by a way of:
A. Only virological methods
B. Only bacteriological methods
C. Bacteriological and serum methods
D. Proper epidemiological information
E. * Virologic and serum methods
Confirm the diagnosis of Ebola fever by a way of:
A. Growth of viruses on chicken embryons
B. Only bacteriological methods
C. Bacteriological and serum methods
D. Proper epidemiological information
E. * Selection of virus on the Vero culture
Confirm the diagnosis of Lassa hemorrhagic fever by a way of:
A. Only virological methods
B. Only bacteriological methods
C. Bacteriological and serum methods
D. Proper epidemiological information
E. * Virologic and serum methods
Confirm the diagnosis of Marburg fever by a way of:
A. Growth on chicken embryos
B. Only bacteriological methods
C. Bacteriological and serum methods
D. Proper epidemiologys information
E. * Selection of virus on the Vero culture
Confirm the diagnosis of Omsk fever by a way of:
A. Growth of virus on chicken embryons
B. Only bacteriological methods
C. Bacteriological and serum methods
D. Proper epidemiological information
E. * Selection of virus on the Vero culture
Daily allowance doses of penicillin at treatment of leptospirosis:
A. 2-3 million units
B. * 3-12 million units
C. 20 million units
D. 40 million units
E. Over 40 million units
Duration of activity of pliers depends on:
A. Weather
B. Regional naturally-geographical terms
C. Kind of vector
D. Activity of animals in different periods of year
E. * From all of transferred
Duration of the latent period in case of tetanus:
A. 1-6 hours
B. 1-4 days
C. * 5-14 days
D. 1-6 weeks.
E. 1-6 months
509.
During a walk in-field a fox attacked on a child, bit and disappear him feet and
racemes of hands. An animal disappeared. What is medical tactic.
A. To process a wound surgically
B. * To process a wound soapy solution, to enter an antirabies immunoprotein and
vaccine
C. Preventive antirabies vaccination
D. To process wounds surgically, to enter an antirabies immunoprotein and vaccine
E. Preventive antirabies immunoprotein
510.
Etiotropic therapy of leptospirosis includes:
A. Oxyhinolons
B. Sulfanilamids
C. Nitrofurans
D. Antitocidns
E. * Antibiotics
511.
For confirmation of diagnosis of hemorragic fever with a kidney syndrome use:
A. Bacteriological method
B. Virological method
C. * Reaction of immunofluorescence
D. Reaction of braking of hemagglutination
E. Research of blood drop under a microscope
512.
For confirmation of yellow fever diagnosis use:
A. Bacteriological analysis of blood
B. Bacteriological examination of urine
C. * Virological hemanalysis
D. Biochemical blood test
E. Global analysis of blood
513.
For hydrophobia the source of infection can be a dog bite in all the cases, except for:
A. Patient with hydrophobia
B. Suspicion on hydrophobia
C. Vagrant
D. * Month prior to the disease
E. Last 10 days before the disease
514.
For the exciter of tetanus characteristic such properties, except:
A. Formation of exokinesis
B. Ability to propagate in anaerobic conditions
C. Formation of spores
D. * Formation of gametes
E. Gram positive
515.
For the initial period of the Congo hemorrhagic fever not characteristically:
A. Fever
B. Pains in joints and muscles
C. Severe pain of head
D. * Oliguria
E. Dizziness
516.
For the prophylaxis of leptospirosis use:
A. * Active vaccine
B. Anavaccine
508.
C. Toxoid
D. All
E. Antibiotics
517.
For treatment of patients with the hemorrhagic fever with a kidney syndrome does
not use:
A. Glucocorticoids
B. Anabolic steroid
C. Disintoxication facilities
D. * Dihydration facilities
E. Antihistaminics
518.
General view of patient with the hemorrhagic fever with a kidneys syndrome:
A. Skinning covers
B. * Pallor of nasolabial triangle, hyperemia of neck and overhead half of trunk
C. Hyperemia of person, scleritis, conjunctivitis
D. Grayish color of person
E. Icteric color of skin
519.
Hemograme in the second period of yellow fever:
A. Leukocytosis
B. Normal global analysis of blood
C. * Leukopenia, neutropenia
D. Leukopenia, neutrophilosis
E. Leukocytosis, lymphomonocytosis
520.
How long lasts the leptospirosis incubation period:
A. 2 month
B. 1-7 days
C. * 7-14 days
D. 14-21 days
E. 2-3 days
521.
How long the rash is present in case of haemorrhagic fever with kidneys syndrome?
A. * During all feverish period
B. Before the reconvalescense
C. Before development of clinical features of kidneys insufficiency
D. During whole disease
E. Appears yet in a latent period and disappears in the period of early reconvalescense
522.
illness?
A. Paroxysm of fever
B. * Paroxysm of hydrophobia
C. Hepatomegaly
D. Spleenomegaly
E. Presence of rash
523.
In case of tetanus the epidemiological measures are directed on:
A. Elimination of the source of tetanus
B. Treatment of the source of tetanus
C. * Specific prophylaxis
D. Medicines prophylactics
E. Nothing should be performed
524.
In hydrophobia the source of the virus can be:
A. Wild animals
B. Home animals
C. Bats
D. Rodents
E. * All the answers are correct
525.
In most patients with Congo hemorrhagic fever temperature curve is:
A. Wunderlich type
B.
C.
D.
E.
Botkin type
Undulating
Intermittent
* Two-humped
526.
In the biochemical blood test at patients with the hemorrhagic fever with a kidneys
syndrome not characteristically:
A. High level of urea
B. Decline of potassium level
C. * Bilirubinemia
D. Increasing of kreatinine
E. Increasing of nitrogen
527.
In the global analysis of blood in case of Congo hemorrhagic fever not
characteristically:
A. Leukocytosis
B. * Leukopenia
C. Neutropenia
D. Thrombocytopenia
E. Increasing of ESR
528.
In the global analysis of blood: leucopenia, neutropenia, increasing of ESR. Intensive
therapy without any effect and a patient died. Credible diagnosis?
A. Viral hepatitis
B. Leptospirosis
C. * Yellow fever
D. Crimean fever
E. Malaria
529.
In the initial period of hemorrhagic fever with a kidney syndrome a characteristic
sign is:
A. High temperatures
B. Pains in gastrocnemius muscles and positive Pasternatsky symptom
C. * Pains in joints and positive Pasternatsky symptom
D. Hemorragic syndrome
E. Dyspepsia phenomena
530.
It is necessary to differentiate migrant erythema with:
A. * Erysipelas
B. Anthrax
C. Chicken-pox
D. Herpetic infection
E. Phlegmon
531.
Lime disease can transmitted by ways, except for:
A. * Air-drop
B. Contact
C. Transmissive
D. Fecal-oral
E. Alimentary
532.
Mechanism of transmission in case of tetanus:
A. Intra muscular conduction
B. * Pin
C. Insect conduction
D. Faecally-oral
E. Vertical conduction
533.
Methods of laboratory diagnostics of Laym-borreliosis:
A. Selection of exciter (from blood, neurolymph, synovia, skin bioptat)
B. Finding of borrelia antibodies (in blood, neurolymph) (IFA)
C. Exposure of DNA of exciter (PCR)
D. Darkfield microscopy
E. * All above enumerated
534.
Most characteristic symptom of the initial stage of Lime-borreliosis:
A. Fever
B. Catarrhal phenomena
C. * Migrant erythematic
D. Dyspepsia phenomena
E. Icterus
535.
Most characteristic symptoms of the hydrophobia are:
A. * Paroxysm of hydrophobia
B. Apathy and depression
C. Neuralgic pains on motion nervous barrels, the nearest to the place of bite
D. Dyspepsia disorders
E. Catarrhal phenomena
536.
Passing to exciters of Lime disease among pliers is carried out ways:
A. * Transovarian
B. Sexual
C. Air-drop
D. Fecal-oral
E. Vertical
537.
Patient A., 25 years old, is being treated because of tetanus concerning. Choose the
specific treatment.
A. Antibiotics
B. * Immune globulini
C. Anticonvulsant medicine
D. Cardiac preparations
E. Respiratory analeptics
538.
Patient B., 37 years, had the rapid development of the severe tetanus after criminal
abortion. What is the medical tactic?
A. Anticonvulsant preparations
B. Revision of the uterus cavity
C. Analgesic therapy
D. Antibiotics
E. * All answers are correct
539.
Phage symptom in case of yellow fever is:
A. Pain in right iliac area
B. Enanthema on a soft palate
C. * Replacement of tachicardia on expressed bradicardia
D. Hemorrhages in a conjunctiva
E. Yellow hands
540.
Pregnant woman of 22.years old delivered in the ambulance. How should be treated
the child from the point of view of tetanus prophylactic?
A. AC-antitoxin
B. * Anti tetanus serum
C. Tetanus toxoid + anti tetanus serum
D. Tetanus toxoid + anti tetanus serum + immunoprotein
E. Anti tetanus serum + immunoprotein
541.
Rhabdovirus from an organism of the patient or animal is revealed to the flow:
A. Last 20 days of latent period and during all the illness
B. * Last 7-10 days of latent period and during all the illness
C. Last 7-10 days of latent period
D. Last 7-10 days of latent period and at the beginning of illness
E. During all the illness
542.
Specific prevention of Crimean-Congo haemorrhagic fever are:
A.
B.
C.
D.
E.
543.
A.
B.
C.
D.
E.
544.
A.
B.
C.
D.
E.
545.
A.
B.
C.
D.
E.
546.
A.
B.
C.
D.
E.
547.
A.
B.
C.
D.
E.
548.
A.
B.
C.
D.
E.
549.
A.
B.
C.
D.
E.
550.
A.
B.
C.
D.
E.
551.
* Vaccine and human immunoglobulin
Serum
Serum and human immunoglobulin
Do not developed
Antibacterial drugs
Specific prevention of hemorrhagic fevers:
The live vaccine
Killed vaccine
The specific immunoglobulin
* Do not developed
Polivalent vaccine
Tetanus might appear in case of:
* Trauma
Mosquito bite
Usage of stranger clothes
Socialization with the sick people
Usage of the water with poor quality
Tetanus toxin consists of all units among the listed below, except:
Tetanospasmin
Tetanolysin
Exotoxin
Low-molecular fraction
* Enterotoxin
The basic reservoir of rhabdovirus is:
Pisces
Reptiles
Birds
Weed-eaters
* Carnivores
The best terms of tetanus exciter cultivation:
* Anaerobic conditions
Oxygen supply
Presence of animal albumen in nutritive medium
Low temperature
1 % peptone water
The decline of arteriotony at a leptospirosis is not caused:
By expansion of vessels under the action of toxin
Hypovolemia
By myocarditis
* Hypercalcgesty
By adrenal insufficiency
?The exciter of tetanus is:
* Clostridia
Escherichia
Candida
Virus
Simplest
The first symptom of prodromal period of hydrophobia is:
Cough
Nausea
Vomiting
Diarrhea
* Slight swelling and erethema of the scar
The first symptom of prodromal period of hydrophobia is:
A.
B.
C.
D.
E.
Cough
Nausea
Vomiting
* Neurological pains in motion nervous barrels, the nearest to the place of bite
Diarrhea
552.
The first symptom of prodromal period of hydrophobia is:
A. Cough
B. Nausea
C. Vomiting
D. * Apathy and depression
E. Diarrhea
553.
The main of antibiotics which is used in treatment of leptospirosis:
A. Tetracyclin
B. Tetraolean
C. Erythromycin
D. Streptomycin
E. * Penicillin
554.
The most characteristic symptom in the climax period of the Congo hemorrhagic
fever is:
A. * Hemorrhagic syndrome
B. Hepatic insufficiency
C. Dyspepsia phenomena
D. Sharp kidney insufficiency
E. Мeningeal syndrome
555.
The natural reservoir of exciter in case of Lime is, except for:
A. * Sick person
B. Rodents
C. Birds
D. Pliers
E. Cattle
556.
The period of polyuria at haemorrhagic fever with kidneys syndrome is a sign of:
A. * Recovering
B. Chronic process
C. Unfavorable flow of illness
D. Development of complications
E. Complete convalescence
557.
The source of infection of Omsk‘s hemorrhagic fever are muskrat, water rats and
other rodents. Who are the carriers?
A. Bee and flea
B. * Pliers and flea
C. Mosquitoes
D. Fly
E. Pliers and mosquitoes
558.
The spores of tetanus are saved:
A. After boiling during 1 hour
B. Under act of dry air at the temperature of 115 degrees C
C. * In soil during many years
D. In 1 % solution of formalin during 6 hours
E. All answers are correct
559.
Those who have been in contact with sick haemorrhagic fevers, as well as those who
had bite by the ticks in endemic areas are introducing:
A. Specific vaccine
B. The specific immunoglobulin in doses of 10-15 ml vaccine
C. The specific immunoglobulin in doses of 10-15 ml
D. * The specific immunoglobulin in doses 5-7,5 ml
E. Nothing
560.
To what group of infections does the hydrophobia belong?
A. * Zoonosis
B. Anthroponosis
C. Capronosis
D. Anthropozoonosis
E. Caprozoonosis
561.
To you, as to the graduating student of medical university, is possibly to work upon
termination of studies in Crimea. What endemic ticks infections is in this territory?
A. * Crimean hemorrhagic fever, tick encephalitis, Q-fever
B. Crimean hemorrhagic fever, malaria, epidemic typhus
C. Tick encephalitis, Ebola fever, Lassa fever, Crimean hemorrhagic fever
D. Q-fever, spotted fever, leptospirosis
E. Q-fever, Crimean hemorrhagic fever, psittacosis, tick encephalitis
562.
Treatment of leptospirosis:
A. Desintoxication, dehydratation, antibiotics, glukokorticosteroids
B. * Antileptospirosis immunoprotein, antibiotics, nosotropic facilities
C. Antibiotics, rehadratation, sorbtion preparation, vitamins
D. Diet № 7, antibiotics, desintoxication facilities
E. Antibiotics, diuretic, interferons
563.
Unlike leptospirosis in case of yellow fever is absent:
A. Hemorrhagic syndrome
B. Kidney insufficiency
C. Іntoxication syndrome
D. Міalglic syndrome
E. * Hepatic insufficiency
564.
Urgent immunoprofilactic of tetanus in the case of trauma should be conducted in
such period:
A. 25 days from the moment of trauma
B. 30 days from the moment of trauma
C. In the first 10 days from the moment of trauma
D. * Right after the trauma
E. Not mentioned
565.
Vaccinations against leptosprosis perform for:
A. All
B. Only villagers
C. Only to the habitants of endemic districts
D. * Only to the persons busy in the stock-raising
E. It is not conducted
566.
Vegetative form of exciter of tetanus is destroyed in such terms, except for:
A. At a temperature of 100 °C
B. * At room temperature
C. Under act of carbolic acid
D. Under the action of oxygen
E. Under act of antibiotics
567.
Violations of electrolyte balance show up at a leptospirosis:
A. * Metabolic acidosis
B. By a metabolic alkalosis
C. Respirator acidosis
D. By a respiratory alkalosis
E. All above enumerated
568.
What changes in biochemical blood test inherent for haemorrhagic fever with
kidneys syndrome?
A.
B.
C.
D.
E.
Increase level of urea and bilirubin
The level of urea and kreatinine falls
The level of kreatinine grows and urea falls
The level of urea grows and kreatinine falls
* The level of urea and kreatinine grows
569.
What changes in haemogram inherent Congo hemorrhagic fever?
A. Normochomic anaemia, leucocytosis mononuclear
B. Erythrocytosis, lymphocytosis
C. * Hypochromic anemia, erythrofilosis
D. Hypochromic anemia, neutrofilosis
E. Hyperchromic anemia, neutrofilosis
570.
What changes in haemogram inherent for haemorrhagic fever with kidneys
syndrome?
A. Normochromic anaemia, leucocytosis with atypical mononucleosis,
thrombocytopenia enhanceable ESR
B. erythrocytosis, lymphocytosis,ESR is enhanceable
C. Normochromic anaemia, leucopenia with neutrophylosis, thrombocytopenia
enhanceable ESR
D. * Hypochromic anaemia, leucocytosis with neutrophylosis, thrombocytopenia
enhanceable ESR
E. Hyperchromic anaemia, leucocytosis with neutrophylosis, thrombocytopenia
mionectic ESR
571.
What etiothropic means use at treatment of haemorrhagic fever with kidneys
syndrome:
A. Benzylpenicillin
B. Dopamine
C. * Virolex
D. Dexamethazone
E. Etamsylatum
572.
What etiothropic means use at treatment of patients with Ebola fever:
A. Benzylpenicillin
B. Dopamine
C. * Virolex
D. Dexamethazone
E. Etamsylatum
573.
What etiothropic means use at treatment of patients with Marburg fever:
A. Benzypenicillin
B. Dopamine
C. * Ribavirin
D. Dexamethazone
E. Etamsylatum
574.
What etiothropic means use at treatment of patients with Congo fever:
A. Benzylpenicillin
B. Dopamine
C. * Ribavirin
D. Dexamethazone
E. Etamsylatum
575.
What etiothropic means use at treatment of patients with Lassa fever:
A. Benzylpenicillin
B. Dopamine
C. * Ribavirin
D. Dexamethazole
E. Etamsylatum
576.
What etiothropic means use at treatment of patients with Crimea fever:
A.
B.
C.
D.
E.
577.
A.
B.
C.
D.
E.
578.
A.
B.
C.
D.
E.
579.
A.
B.
C.
D.
E.
580.
A.
B.
C.
D.
E.
581.
A.
B.
C.
D.
E.
582.
A.
B.
C.
D.
E.
583.
A.
B.
C.
D.
E.
584.
A.
B.
C.
D.
E.
585.
Benzylpenicillin
Dopamine
* Ribavirin
Dexamethazone
Etamsylatum
What etiothropic means use at treatment of patients with Omsk fever:
Benzylpenicillin
Dopamine
* Ribavirin
Dexamethazone
Etamsylatum
What from antibiotics are more effective at treatment of icteric form of leptospirosis:
* Penicillins
Aminoglicozids
Tetracyclins
Macrolids
Metrogil
What from antibiotics more expedient to use for treatment of leptospirosis?
Macrolids
Tetracyclins
Aminoglicosids
* Penicillins
Metrogil
What is the duration of excitation period of hydrophobia?
7-10 days
24 hours
* 2-3 days, sometimes to 6 days
Not more than 2 days
Up to 6 hours
What is the duration of outpatient supervision after patients, recovered of tetanus?
* 2 years
3 months
1 month
For the decreed groups of population for life time
There is no such supervision at all
What is the duration of the prodromal period for the hydrophobia?
* 1-3 days
Up to 1 day
4-7 days
3-4 days
3-5 days
What is the entrance for the hydrophobia?
* Damaged skin and mucous tissues
Respiratory tracts
Family ways
Gastrointestinal tract
Blood
What is the first aid preparation for the patient with tetanus?
Glucocorticoids
Analgetics
* Anticonvulsant medicine
Surgical treatment of the wound
Oxygen therapy
What is the mechanism of transmission of hydrophobia?
A.
B.
C.
D.
E.
586.
A.
B.
C.
D.
E.
587.
A.
B.
C.
D.
E.
588.
A.
B.
C.
D.
E.
589.
A.
B.
C.
D.
E.
590.
A.
B.
C.
D.
E.
591.
A.
B.
C.
D.
E.
592.
A.
B.
C.
D.
E.
593.
A.
B.
C.
D.
E.
594.
Transmissive
Fecally-oral
Air drop
* Wound
Domestic contact
What is the origin of Lime disease:
Simplest
Viruses
* Borrelium
Micoplasma
Ricketsia
What is the receptivity of population to the tetanus?
0%
50 %
* Almost 100 %
10 %
70 %
What is the sensitivity to the hydrophobia?
45 %
25 %
85 %
* 100 %
10 %
What is typical for the Lassa hemorrhagic fever:
Effect of cardiovascular system
Development of acute hepatic insufficiency
Hundred-per-cent lethality
* Defeat of breathing organs
Development of paresis and paralysis
What measures should be taken in relation to contact persons in case of tetanus?
Vaccination
Isolation of contacts
Chemoprophylaxis
Laboratory inspection
* They need no measures
What periods of hydrophobia do you know?
Incubation, depressions, excitation
* Incubation, depressions, excitation, paralytic
Depression, excitation, paralytic
Incubation, excitation, paralytic
Incubation, depressions, paralytic
What rashes in case of haemorrhagic fevers with kidneys syndrome?
Roseola
Maculo-papular
Punctuate
* Petechial
Rashes is not characteristic
What rashes present in case of Congo hemorrhagic fever?
Roseola
Maculo-papular
Punctulate
* Petechial
Rashes not is characteristic
What rashes present in case of Crimea hemorrhagic fever?
A.
B.
C.
D.
E.
Roseola
Maculo-papular
Punctulate
* Petechial
Rashes not is characteristic
595.
What temperature of the body is typical for the paralytic period?
A. * Hyperpyrexia
B. Hypothermia
C. High
D. Normal
E. Subfebril
596.
Whatever complication meets at the yellow fever:
A. * Liver insufficiency
B. Kidney insufficiency
C. Infectious-toxic shock
D. Myocarditis
E. Edema of lungs
597.
When from the beginning of vaccination an antibodies to the rhabdovirus appear?
A. In a week
B. * In 2 weeks
C. In a month
D. After half of year
E. Don’t produced
598.
Whether there is violation of diuresis at patients with hemorrhagic fever with a
kidneys syndrome:
A. In an initial period
B. It is not
C. It is in all periods of disease
D. * It is in climax period
E. It is in the period of recovering
599.
Which serotypes of leptospirosis caused the disease more frequent:
A. L. interogans
B. L. grippotyphosa
C. L. canicola
D. * L. icterohaemorrhagia
E. L. Pomona
600.
Who is the source of tetanus?
A. Sick person
B. Rodents
C. * Soil
D. Insects
E. Cattle
601.
Who is the source of the causal agent in the Crimean-Congo haemorrhagic fever?
A. Rodents, cattle, birds
B. Iksod and gamazov mites
C. * Rodents, cattle, birds, sick people
D. The sick man, reconvalenc, bacteriocarries
E. Rodents, cattle, birds, sick people, bacteriocarries
602.
Who of the listed below persons must take the conditional course of inoculations
against hydrophobia?
A. * A teenager bitten by a dog which is on a leash, not instilled
B. Man bitten by a fox which perished
C. A child, scratched by a squirrel which disappeared in-field
D. A woman, bitten by a cat ill with hydrophobia
E. Man, who had a meal of undercooked of animal with hydrophobia
603.
With appearance of hemorrhagic syndrome at Congo fever temperature of body
always:
A. Normalize
B. Grows critically
C. * Goes down
D. Does not change
E. Grows gradually
604.
With the purpose of immunotherapy it is better to apply at treatment of leptospirosis:
A. Immunodepressants
B. Antihistaminics
C. Horse whey
D. * Antileptospirosis human immunoprotein
E. Antileptospirosis neat immunoprotein
605.
You might be infected with a rhabdovirus in case of:
A. * Bite +salivation to the skin by an animal
B. Infected meal
C. Infected water
D. Contact with the infected air
E. Bite with the infected insect
606.
A painful lesion with a bright red, edematous, indurate appearance and an advancing,
raised border that is sharply demarcated from the adjacent normal skin. Fever is a feature.
What is the main mechanism of transmission of this disease?
A. * Airborne
B. Alimentary
C. Contact
D. Transmisiv
E. Vertical
607.
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
608.
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
609.
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
610.
A patient’s temperature is 40 °C. There are 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
611.
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
612.
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
613.
At a patient, 17 years: quinsy, 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
614.
At a patient, 17 years: quinsy. 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
615.
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
616.
At the end of treatment of patients with erysipelas it is recommended to enter:
A. 500 000 of Bicyllin-3 intramuscular
B. * 1 500 000 of Bicyllin-5 intramuscular
C. 1 000 000 of Bicyllin-5 intramuscular
D. 1 500 000 of Bicyllin-3 intramuscular
E. 500 000 of Bicyllin-3 intramuscular
617.
Because of the risk of reinfection of erysipelas, prophylactic antibiotics are
sometimes used after resolution of the initial condition. Which antibiotics did we use?
A. Erythromycin
B. Penicillin III
C. * Penicillin V
D. Cephazolin
E. Laevomicetyn
618.
A.
B.
C.
D.
E.
619.
A.
B.
C.
D.
E.
620.
A.
B.
C.
D.
E.
621.
A.
B.
C.
D.
E.
622.
A.
B.
C.
D.
E.
623.
A.
B.
C.
D.
E.
624.
A.
B.
C.
D.
E.
625.
A.
B.
C.
D.
E.
626.
A.
B.
C.
D.
E.
Call the exciter of erysipelas.
* Streptococcus of group A
Streptococcus of group B
Streptococcus of group C
Streptococcus of group D
Streptococcus of group E
Causing of erysipelas are:
C. tetani
* E. coli
Candida
Epstein-Barr virus
Hemolytic streptococcus group A
Diagnosis of repeated erysipelas may be set if clinical signs appeared:
In 2 years after erysipelas the last relapse of erysipelas
In 1 years after erysipelas the last relapse of erysipelas
In 9 months after an initial appeal of erysipelas
* In 2 years after the initial disease
In 1 years after the initial disease
Did you need bacteriological examination of erysipelas?
Yes
* No
Only for the decreed persons
Only for children
Only at suspicion on diphtheria
Did you need biological examination of erysipelas?
Yes
* No
Only for the decreed persons
Only for children
Only at suspicion on diphtheria
Did you need serum examination of erysipelas?
Yes
* No
Only for the decreed persons
Only for children
Only at suspicion on diphtheria
Ethyology of toxoplasmosis is:
Sh. Flexneri
* Toxoplasma gondii
Neisseria meningitides
Corinebacterium diphtheria
?-hemolytic streptococcus
?Ethyology of toxoplasmosis is:
Sh. Flexneri
* Toxoplasma gondii
Neisseria meningitides
Corinebacterium diphtheria
Hemolytic streptococcus
Ethyology of toxoplasmosis is:
Sh. Flexneri
* T. gondii
N. meningitides
C. diphtheria
S. aureus
627.
Ethyology of toxoplasmosis is:
Virus
* Simplest
Bacteria
Helminthes
Animals
628.
Etiology of erysipelas is.
A. Erysipelothrix rhusiopathiac
B. * ?-hemolytic streptococcus
C. Bacillus anthracis
D. Herpes zoster
E. Herpes simplex
629.
?Etiology of erysipelas is.
A. Erysipelothrix rhusiopathiac
B. * B-hemolytic streptococcus
C. Bacillus anthracis
D. Herpes zoster
E. Herpes simplex
630.
Factors of transmition of toxoplasmosis is:
A. Vertical
B. By ingestion of raw meat
C. By ingestion of undercooked meat
D. By cats
E. * All above it
631.
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
632.
For specific pathogen of erysipelas following such properties:
A. Formation of exotoxins
B. Ability to multiply in anaerobiosis
C. Formation of spores
D. Formation of gametes
E. * Gram-positive
633.
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
634.
From etiotropic (antistreptococcus) facilities the most effective are:
A. Furazolidonum
B. Gentamicin
C. * Benzilpenicilin and Oxacillinum
D. Benzilpenicilin and Furazolidonum
E. Doksiciklin and Gentamicin
635.
How long does the incubation period last in erysipelas?
A. 1-5 days
B. 5-10 days
C. * 3-5 days
D. 10-15 days
A.
B.
C.
D.
E.
636.
637.
638.
are:
E. 15-20 days
How long does the incubation period last?
A. 1-5 days
B. 5-10 days
C. * 3-5 days
D. 10-15 days
E. 15-20 days
How long is the incubation period of erysipelas?
A. From a few hours to 5-7 days
B. From a few hours to 7-10 days
C. From a few hours to 2 days
D. * From a few hours to 3-5 days
E. From a few hours to 14 days
In childbirth is erysipelas of left shin. Anti-epidemic measures in the maternity ward
A.
B.
C.
D.
E.
F.
G.
H.
I.
J.
No earlier than 2 years after disease
No earlier than 3 years after disease
In 9 months after the initial disease
In 2 weeks after a tonsillitis (angina)
* In 3 weeks after a tonsillitis (angina)
Not needed
Quarantine in the department
Chatting
Quartz of air
Isolation of sick, disinfection
639.
Indications for combined antibiotic therapy of erysipelas are:
A. Initial disease
B. Repeated wildfire
C. * Recurrent erysipelas
D. Hard course
E. To prevent relapse
640.
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
641.
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
642.
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
643.
Mechanism of transmission of erysipelas are often:
A. * Air
B.
C.
D.
E.
Contact
Transmissiv
Fecal-oral
Transplacental
644.
Mechanism of transmission of toxoplasmosis are often:
A. Air
B. Contact
C. Transmissiv
D. All above it
E. * Transplacental
645.
Methods of specific prophylaxis of scarlet fever:
A. Isolation of ill
B. Vaccination
C. Use of antibiotics
D. Disinfection
E. Does not exist
646.
Morphological characteristics of the causative agent of erysipelas:
A. Stik
B. * Cocc
C. Ring
D. Larva
E. In a spiral
647.
Patient A., 40 years, complains of hyperemia and edema on a right cheek. At
examination: temperature of body 38,7 °C, enlarged and painful lymphatic nodules on the
right part of neck. A border between hyperemia and healthy skin is clear, there are bubbles
with hemorrhagic content, and palpation is painful. What is clinical diagnosis?
A. * Erysipelas
B. Anthrax
C. Herpetic infection
D. Chicken pox
E. Phlegmon of cheek
648.
?Patient A., complains of redness of skin and edema on the right cheek. During a
review: Т 38,7 C, enlarged and painful lymphatic submandibular nodes on right side, border
between red and normal skin is sharp, present of swallowing with dark content, palpation is
painful. What is your previous diagnosis?
A. Herpetic infection
B. Anthrax, skin form
C. * Erysipelas, hemorrhagic form
D. Varicella (chickenpox)
E. Phlegmone of cheek
649.
Patient M., 30 years old, is treating ambulatory with uveitis. He complains of
periodical subfebrill temperature, headaches, weakness; he is ill during 3 years. Clinical
previous diagnose.
A. Malaria
B. Brucellosis
C. * Toxoplasmosis
D. Amoebiasis
E. Helmints
650.
Patient M., 30 years old, is treating ambulatory with uveitis. He complains of
periodical subfebrill temperature, headaches, weakness; he is ill during 3 years. Clinical
previous diagnose.
A. Malaria
B. Brucellosis
C. * Toxoplasmosis
D. Amoebiasis
E. Helmints
651.
Patient R., 31 years old, complains of rigor, fever (temperature 39 ?C), weakness,
bright hyperemia with elevated border and edema of subcutaneous fat, painfull in periphery,
appears on the left leg last day. What is clinical diagnosis?
A. * Erysipelas
B. Anthrax
C. Herpetic infection
D. Chicken pox
E. Phlegmon
652.
Patients with erysipelas working teacher in kindergarten. Anti-epidemic measures in
the place of work are:
A. Not needed
B. Quarantine of the group
C. The patient may be treated and continues to work
D. Compulsory hospitalization of the patient
E. * Isolation of the patient to recovery
653.
Primary and secondary prevention of recurrences of erysipelas disease are:
A. Avoid hypothermia
B. Of antibiotics in sufficient
C. Treatment that mycosis, thrombophlebitis-determine predisposition to erysipelas stop
D. * Bicylin-profilactyc after antibiotic therapy
E. Avoid skin mikrotraum
654.
Rules of hospitalization of patients with infectious mononuclesis:
A. Patients are not hospitalized
B. In a chamber for the infections of respiratory tracts
C. * In a separate chamber
D. In a chamber for the infections of external covers
E. In a chamber for intestinal infections
655.
Term of contagious period of patient diagnosed with uncomplicated form of measles
A. Until clinical recovery
B. After rash starts disappearing
C. Before appearance of rash
D. * 4 days from the beginning of rash
E. 10 days from the beginning of illness
656.
The diagnosis of recurrent erysipelas can be set, if clinical displays appeared:
A. In 2 years after a primary disease
B. At the first
C. * In 6 months after a primary disease
D. On other place
E. In 2 weeks after the tonsillitis
657.
The diagnosis of recurrent erysipelas can be set, if clinical displays appeared:
A. In 2 years after a primary disease
B. At the first
C. * In 6 months after a primary disease
D. On other place
E. In 2 weeks after the tonsillitis
658.
The diagnosis of the repeated erysipelas can be set, if clinical displays appeared:
A. In 2 years after the last recurrent erysipelas
B. At the first
C. In 6 months after a primary appeal
D. * In 2 years after a primary disease
E. In a year after a primary disease
659.
The diagnosis of the repeated erysipelas can be set, if clinical displays appeared:
A.
B.
C.
D.
E.
In 2 years after the last recurrent erysipelas
At the first
In 6 months after a primary appeal
* In 2 years after a primary disease
In a year after a primary disease
660.
The main complication of erysipelas:
A. * All above listed
B. Glomerulonephritis
C. Sepsis
D. Elephantiasis
E. Rheumatism
661.
The patient asked the doctor about the recurrence of erysipelas. He is a manager at
the company. Terms treatment and access to work:
A. Necessarily isolation
B. Necessarily hospitalization
C. Treatment in home, without access to work
D. Can not works on this job
E. * No restrictions
662.
The source of exciter of erysipelas is:
A. Man, patient with a tonsillitis (angina)
B. Man, patient with erysipelas
C. Man, patient with a scarlet fever
D. Healthy carriers of streptococcus
E. * All is listed above
663.
There is the risk of reinfection of erysipelas, prophylactic antibiotics are sometimes
used after resolution of the initial condition. Which antibiotics did we use?
A. Erythromycin
B. Penicillin III
C. * Penicillin V
D. Cephazolin
E. Laevomicetyn
664.
To what kind of patients with erysipelas prednisolon should be prescribed?
A. Patients with hemorrhagic-bulbous form of erysipelas
B. Patients with accompanied thrombophlebitis
C. Patients with severe intoxication
D. * Patients with often relapses of erysipelas and signs of lymphostasis
E. For all patients
665.
To what kind of patients with erysipelas prednisolon should be prescribed?
A. Patients with hemorrhagic-bulbous form of erysipelas
B. Patients with accompanied thrombophlebitis
C. Patients with severe intoxication
D. * Patients with often relapses of erysipelas and signs of lymphostasis
E. For all patients
666.
Toxoplasmosis is transmitted by:
A. Transplacentally
B. By ingestion of raw
C. By ingestion of undercooked meat
D. By cats
E. * All above it
667.
Toxoplasmosis is transmitted by:
A. Transplacentally
B. By ingestion of raw
C. By ingestion of undercooked meat
D. By cats
E. * All above it
668.
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
669.
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
670.
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
671.
What are the changes in the blood in patients with erysipelas?
A. Changes are absent
B. Limfomonocitosis, increase of ESR
C. * Neutrophilic leycositosis, increase of ESR
D. Leycopeniya, increase of ESR
E. Increase of ESR
672.
What are the main exciters of erysipelas.
A. * Streptococcus
B. Staphylococcus
C. Spirochetes
D. Gonococcus
E. Stick of Lefler
673.
What clinical form of erysipelas is in this patient?
A. * Eritematozis
B. Eritematozo-bullezis
C. Hemorrhagic
D. Eritematozo-hemorrhagic
E. Necrosis
674.
What complications can be after erysipelas?
A. Myocarditis
B. * Endocarditis
C. Inflammation of additional bosoms of nose
D. Otitis
E. Festering inflammation of neck lymphonoduss
675.
What complications can be after erysipelas?
A. Myocarditis
B. Otitis
C. Parafaringeal abscesses
D. * Glomerulonephritis
E. Encephalitis
676.
What complications can be after erysipelas?
A. Pneumonia
B. Pseudorheumatism
C. Illness of Reyno
D. Rheumatoceils
E. * Sepsis
677.
What disease is this? A painful lesion with a bright red, edematous, indurate
appearance and an advancing, raised border that is sharply demarcated from the adjacent
normal skin. Fever is a feature.
A. Phlegmona
B. Anthrax
C. * Erysipelas
D. Thrombophlebitis
E. Eczema
678.
What does the most characteristic syndrome appear in patients with in 1 days of
diseases?
A. Edema
B. Hyperemia
C. * Pain
D. Stomach-ache
E. Takhikardiya
679.
What does we use for the prophylaxis of reinfection of erysipelas?
A. Incoming immunoproteins
B. Incoming of small doses of hormones
C. * Incoming bicillin 1 per a month
D. Incoming a vaccine
E. Warning of skin lesion
680.
What does we use for the prophylaxis of reinfection of erysipelas?
A. Incoming immunoproteins
B. Incoming of small doses of hormones
C. * Incoming bicillin 1 per a month
D. Incoming a vaccine
E. Warning of skin lesion
681.
What examination should be performed to confirm the diagnosis of toxoplasmosis in
pregnant women?
A. Bacterioscopy of blood
B. Biopsy materrial from lymph nodes, muscle or tissues
C. Immunofluorescence test
D. Burne test
E. * ELISA-test
682.
What examination should be performed to confirm the diagnosis of toxoplasmosis?
A. Bacterioscopy of blood
B. Biopsy materrial from lymph nodes, muscle or tissues
C. Immunofluorescence test
D. Burne test
E. * ELISA-test
683.
What examination should be performed to confirm the diagnosis of toxoplasmosis in
pregnant women?
A. Bacterioscopy of blood
B. Biopsy materrial from lymph nodes, muscle or tissues
C. Immunofluorescence test
D. Burne test
E. * ELISA-test
684.
What examination should be performed to confirm the diagnosis of toxoplasmosis?
A. Biological test
B. Biopsy of lymph nodes
C. Bacteriological test
D. Burne‘s test
E. * ELISA-test
685.
What examination should be performed to confirm the diagnosis of toxoplasmosis in
pregnant women?
A. Biological test
B. Biopsy of lymph nodes
C. Bacteriological test
D. Bacterioscopy of blood
E. * ELISA-test
686.
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
687.
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.
688.
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
689.
What is the base prophylactic measures of erysipelas relapse?
A. Administration of antistreptococcus immunoglobulin
B. Usage of small dosage of hormones
C. * Bicillin prophylaxis once in a month
D. Usage of vaccine
E. Prevention of skin trauma and angina development
690.
What is the base prophylactic measures of erysipelas relapse?
A. Administration of antistreptococcus immunoglobulin
B. Usage of small dosage of hormones
C. * Bicillin prophylaxis once in a month
D. Usage of vaccine
E. Prevention of skin trauma and angina development
691.
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
692.
What is the main mechanism of transmission of a erysipelas?
A. * Airborne
B. Alimentary
C. Contact
D. Transmisiv
E. Vertical
693.
What is the main mechanism of transmission of a toxoplasmosis?
A. Airborne
B.
C.
D.
E.
* Fecal-oral
Contact
Transmisiv
All above it
694.
What is the prevention of erysipelas recurrence?
A. Introduction of antystreptococcus immunoglobulin
B. The use of small doses of prednizolon
C. * Bicillin prophylaxis
D. Serum
E. Prevention of traumatization of skin and angina
695.
What is the prevention of recurrence of erysipelas?
A. Introduction Ig
B. The use hormones
C. * Bicylin-5 in a month
D. Vaccine
E. Nothing
696.
What kind of erysipelas do your now:
A. Catarrhal, follicle and lacunars
B. * Catarrhal, erythemat-bulos, erythemat-hemoragic and bulos-hemoragic
C. Catarrhal, erythemat-bulos, erythemat-hemoragic and necrotizing-ulcerous
D. Catarrhal, erythemat-bulos, erythemat-hemoragic, bulos-hemoragic and necrotizingulcerous
E. Catarrhal, erythemat-hemoragic and bulos-hemoragic
697.
What kind of erysipelas do your now:
A. Catarrhal, erythemat-bulos, and bulos-hemoragic
B. * Catarrhal, erythemat-bulos, erythemat-hemoragic and bulos-hemoragic
C. Catarrhal, erythemat-hemoragic and necrotizing-ulcerous
D. Erythemat-bulos, erythemat-hemoragic, bulos-hemoragic and necrotizing-ulcerous
E. Catarrhal, erythemat-hemoragic and bulos-hemoragic
698.
What kind of lymphonoduss are increased in patients with a erysipelas?
A. All lymphonoduss
B. Nothing
C. * Regionall
D. Submandibular
E. Anterolateral neck
699.
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
700.
What the most possible complication occurs during infectious mononucleosis?
A. Meningitis
B. autoimmune alopecia
C. encephalitis
D. * Splenic rupture
E. Obstruction of respiratory tract
701.
Which antibiotic is more expedient in patient with erysipelas with benzylpenitsylin
allergy?
A. Ampicillin
B. Amoxicillin
C. Cefazolin
D. Amokciklav
E. * Ciprofloxacin
702.
Which antibiotics are use as etiological treatment of toxoplasmsis:
A. Penicillin
B. * Antyprotozoyni
C. Cephalosporins
D. Aminoglycosides
E. Sulfonamides
703.
Which antibiotics are use as etiological treatment of pregnant women with
toxoplasmosis:
A. Penicillin
B. * Metronidasol
C. Cephtriacson
D. Amikacin
E. Sulfanilamid
704.
Which antibiotics are use as etiological treatment of pregnant women toxoplasmsis:
A. Aminohinol
B. * Spiramicin
C. Fansydar
D. Cephtriacson
E. Sulfonamides
705.
Which antibiotics are use as etiological treatment of toxoplasmosis, except:
A. Aminohinol
B. Spiramicin
C. Fansydar
D. * Cephtriacson
E. Sulfonamides
706.
Which antibiotics are use as etiological treatment of toxoplasmosis:
A. Augmentin
B. * Tinidasol
C. Cephtriaxon
D. Avelox
E. Nifuroxazid
707.
Which antibiotics are use as etiological treatment of pregnant women with
toxoplasmosis:
A. Penicillin
B. * Metronidasol
C. Cephazolin
D. Cyprofloxacin
E. Biseptol
708.
Which antibiotics are use as etiological treatment of pregnant women toxoplasmosis:
A. Avelox
B. * Spiramicin
C. Fansydar
D. Cephtriacson
E. Biseptol
709.
Which complications occurs in erysipelas?
A. Sepsis
B. Septical endomiocarditis
C. Nephritis
D. Trombophlebitis
E. * All the above
710.
Which complications occurs in erysipelas?
A. Sepsis
B.
C.
D.
E.
711.
A.
B.
C.
D.
E.
712.
A.
B.
C.
D.
E.
Septical endomiocarditis
Nephritis
Trombophlebitis
* All the above
Which drags are use as etiological treatment of pregnant women toxoplasmosis:
* Immunoglobulin specific
Immunoglobulin normal
Interferon
Imunophan
Sulfonamides
Which drags are use as etiological treatment of pregnant women toxoplasmosis:
* Immunoglobulin specific
Serum
Intron
Imunophan
Vaccine
Which drags are use as etiological treatment of pregnant women toxoplasmosis,
713.
except:
A. Immunoglobulin specific human
B. * Intron A
C. Protephlazid
D. Metronidasol
E. Rovacid
714.
Which of antibiotics are use as etiological treatment of toxoplasmosis:
A. Penicillin
B. * Metronidasol
C. Cephazolin
D. Cyprofloxacin
E. Nifuroxazid
715.
Which of antibiotics are use as etiological treatment of toxoplasmosis, except:
A. Metronidasol
B. Spiramicin
C. Fansydar
D. * Avelox
E. Tinidasol
716.
Which of antibiotics are used as etiological treatment of toxoplasmsis:
A. Penicillin
B. * Antyprotozoyni
C. Cephalosporins
D. Aminoglycosides
E. Sulfonamides
717.
Which of antibiotics are used as etiological treatment of pregnant women with
toxoplasmosis:
A. Penicillin
B. * Metronidasol
C. Cephtriacson
D. Amikacin
E. Sulfanilamid
718.
Which of antibiotics are used as etiological treatment of pregnant women
toxoplasmsis:
A. Aminohinol
B. * Spiramicin
C. Fansydar
D. Cephtriacson
E. Sulfonamides
Which of antibiotics are used as etiological treatment of toxoplasmosis, except:
A. Aminohinol
B. Spiramicin
C. Fansydar
D. * Cephtriacson
E. Sulfonamides
720.
Which of drags are use as etiological treatment of pregnant women toxoplasmosis,
except:
A. Immunoglobulin specific
B. * Imunophan
C. Protephlazid
D. Metronidasol
E. Rovamicini
721.
Which of drags are used as etiological treatment of pregnant women toxoplasmosis:
A. * Immunoglobulin specific
B. Immunoglobulin normal
C. Interferon
D. Imunophan
E. Sulfonamides
722.
Which of drags are used as etiological treatment of pregnant women toxoplasmosis,
except:
A. Immunoglobulin specific
B. * Imunophan
C. Protephlazid
D. Metronidasol
E. Rovamicini
723.
Which patients with appropriate wildfire appoint prednisolone?
A. In the primary form
B. Repeated wildfire
C. * Often recurrent erysipelas
D. If there are complications
E. All patients
724.
Which patients with erysipelas assign appropriate prednisolone?
A. Buloz-haemorrhagic form
B. With concomitant tromboflebyt
C. * Often recurrent erysipelas
D. Since phenomena limfostasis
E. All patients
725.
Who is the source of erysipelas?
A. Sick man with erysipelas
B. Sick man with angina
C. Sick man with scarlet fever
D. Sick man with pneumonia
E. * All the above
726.
Who is the source of erysipelas?
A. * Sick man and carriers
B. Rodents
C. Soil
D. Insects
E. Cattle.
727.
Who is the source of erysipelas?
A. Sick man with erysipelas
B. Sick man with angina
719.
728.
729.
730.
731.
732.
733.
734.
735.
736.
C. Sick man with scarlet fever
D. Sick man with pneumonia
E. * All the above
Who is the source of toxoplasmosis?
A. Sick man and carriers
B. Rodents
C. Soil
D. Insects
E. * Cattle
Who is the source of toxoplasmosis?
A. Sick man and carriers
B. Rodents
C. Soil
D. Insects
E. * Cat
Who is the source of toxoplasmosis?
A. Sick man and carriers
B. Rodents
C. Soil
D. Insects
E. * Pig
An initial period at the hemorrhagic fever with a kidneys syndrome lasts:
A. Few hours
B. Day
C. * To three days
D. Week
E. Two weeks
At an objective examination for the Congo hemorrhagic fever character:
A. * Mucosal hyperemia of person
B. Pallor of person
C. Puffiness of person
D. Ochrodermia of person
E. Exanthema on face
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 what degree of dehydration, there will be “metabolic violation”:
A. Subcompensated
B. * Negative
C. Irreversible
D. Moderate metabolic acidosis
E. Insignificant metabolic alkalosis
At what percent of fluid loss will be I degree of dehydration?
A. * -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 II degree of dehydration?
A. 3-6 % of body weight
B. Over 10 % of body weight
737.
738.
739.
740.
741.
742.
743.
744.
745.
C. * 6-9 % of body weight
D. 4-8 % of body weight
E. 10-15 % of body weight
At what percentage 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
Confirm the diagnosis of Congo hemorrhagic fever by a way of:
A. virological methods
B. bacteriological methods
C. Bacteriological and serum methods
D. epidemiological information
E. * Virologic and serum methods
Confirm the diagnosis of Congo hemorrhagic fever by a way of:
A. Only virological methods
B. Only bacteriological methods
C. Bacteriological and serum methods
D. Proper epidemiological information
E. * Virologic and serum methods
Confirm the diagnosis of Ebola fever by a way of:
A. Growth of viruses on chicken embryos
B. Only bacteriological methods
C. Bacteriological and serum methods
D. Proper epidemiological information
E. * Selection of virus on the Vero culture
Confirm the diagnosis of hemorrhagic fever with kidneys syndrome by a way of:
A. Only virological methods
B. Only bacteriological methods
C. Bacteriological and serum methods
D. Proper epidemiological information
E. * Virologic and serum methods
Confirm the diagnosis of Lassa hemorrhagic fever by a way of:
A. Only virological methods
B. Only bacteriological methods
C. Bacteriological and serum methods
D. Proper epidemiological information
E. * Virologic and serum methods
Confirm the diagnosis of Omsk fever by a way of:
A. Growth of virus on chicken embryons
B. Only bacteriological methods
C. Bacteriological and serum methods
D. Proper epidemiological information
E. * Selection of virus on the Vero culture
Delagilum appoint at the malaria in such doses:
A. 0,5 g 3 per a day 3 days
B. 0,5 g per a week
C. * In the first day 1 g, through 6 h 0,5 g
D. 0,5 g per a day during a month
E. 0,5 g 2 per a day 3 days
Especially dangerous for surroundings are patients with:
A. Skin form of plague
B. * Pulmonary form of plague
746.
747.
748.
749.
750.
751.
752.
753.
C. Skin-bubonic form of plague
D. Bubonic form of plague
E. Septic form of plague
For a skin form of anthrax the most characteristically:
A. Hyperemia
B. Painful carbuncle
C. * Not painful carbuncle
D. Painful noodles
E. Vesicles and bulls
For anthrax carbuncle the most characteristically:
A. Ulcer with a festering bottom, roller on periphery and insignificant area of edema
B. Ulcer with hyperemia on periphery without an edema
C. * Ulcer with a black scab, black color, second vesicles and area of edema around of
ulcer
D. Ulcer with a festering bottom, roller on periphery, second vesicles and area of edema
E. Ulcer with serosis-hemorrhagic exudates, painful, with the area of edema around of
ulcer
For anthrax most characteristically:
A. Change of stool
B. Icterus of skin
C. Catarrhal phenomena
D. Meningeal phenomena
E. * Change of skin
For confirmation of diagnosis of hemorrhagic fever with a kidney syndrome use:
A. Bacteriological method
B. Virological method
C. * Reaction of immunofluorescence
D. Reaction of braking of hemagglutination
E. Research of blood drop under a microscope
For confirmation of yellow fever diagnosis use:
A. Bacteriological analysis of blood
B. Bacteriological examination of urine
C. * Virological hemanalysis
D. Biochemical blood test
E. Global analysis of blood
For the initial period of the Congo hemorrhagic fever not characteristic:
A. Fever
B. Pains in joints and muscles
C. Severe pain of head
D. * Oliguria
E. Dizziness
For the pulmonary form of anthrax characteristically:
A. * Foamy sputum with blood
B. Glassy sputum with blood
C. Foamy sputum without blood
D. Foamy green sputum
E. Like to «ferruginous» sputum
For treatment of anthrax us:
A. Sulfanilamids
B. Nitrofurans
C. Hormones
D. Antiviral facilities
E. * Antibiotics
754.
For treatment of patients with the hemorrhagic fever with a kidney syndrome does
not use:
A. Corticosteroids
B. Anabolic steroids
C. Disintoxication facilities
D. * Dehydration facilities
E. Antihistaminics
755.
General view of patient with the hemorrhagic fever with a kidneys syndrome:
A. Skinning covers
B. * Pallor of nasolabial triangle, hyperemia of neck and overhead half of trunk
C. Hyperemia of person, scleritis, conjunctivitis
D. Grayish color of person
E. Icteric color of skin
756.
?Hemograme in the second period of yellow fever:
A. Leukocytosis
B. Normal global analysis of blood
C. * Leukopenia, neutropenia
D. Leukopenia, neutrophilosis
E. Leukocytosis, lymphomonocytosis
757.
How long the rash is present in case of hemorrhagic fever with kidneys syndrome?
A. * During all feverish period
B. Before the convalescence
C. Before development of clinical features of kidneys insufficiency
D. During whole disease
E. Appears yet in a latent period and disappears in the period of early reconvalescense
758.
How many pandemics of plague were in history of mankind?
A. * Three
B. Four
C. One
D. Two
E. Five
759.
In a survey of donor blood found microhametosis. Assign treatment.
A. Delagil
B. * Primaquine
C. Antibiotics
D. Fluoroquinolone
E. sulfanilamide
760.
In the biochemical blood test at patients with the hemorrhagic fever with a kidneys
syndrome not characteristic:
A. High level of urea
B. Decline of potassium level
C. * Bilirubinemia
D. Increasing of kreatinine
E. Increasing of nitrogen
761.
In the global analysis of blood in case of Congo hemorrhagic fever not characteristic:
A. Leukocytosis
B. * Leukopenia
C. Neutropenia
D. Thrombocytopenia
E. Increasing of ESR
762.
In the initial period of hemorrhagic fever with a kidney syndrome a characteristic
sign is:
A. High temperatures
B. Positive Pasternatsky’ symptom
763.
764.
765.
766.
767.
768.
769.
770.
771.
C. * Pains in joints and positive Pasternatsky’ symptom
D. Hemorragic syndrome
E. Dyspepsia phenomena
In which clinical forms of tularemia is valid the intracutaneous test?
A. Pulmonic
B. Bubonic
C. Eye-bubonic
D. Ulcer-bubonic
E. * In all the clinical forms
Indications for the appointment of hematoshizotrop antimalarial drugs:
A. * Attack of malaria
B. Preventing late relapse
C. Prophylactic course after returning from areas difficult to malaria
D. Antyretsidiv course for the rekonvalescents
E. During a check-up
Indications for the appointment of histoshizotrop antimalarial drugs:
A. Attack of malaria
B. * Preventing late relapse
C. Complications of malaria
D. Malaria chemoprophylaxis for a period of stay in endemic areas
E. During a check-up
It is necessary to appoint for successful treatment of anthrax:
A. * Antyanthrax immunoglobulin and penicillin
B. Antyanthrax immunoglobulin and prednizolon
C. Antyanthrax immunoglobulin and vyrolex
D. Antyanthrax immunoglobulin and vermox
E. Antyanthrax immunoglobulin and delagil
Mechanism of transmission of anthrax are:
A. Contact
B. Alimentary
C. Air-droplets’
D. Transmissiv
E. * All above it
Patient V., 36 yrs. old has bubonic form of plague. What treatment do you suggest?
A. Local antibiotic therapy
B. Intravenous antibiotic therapy
C. Desintoxication therapy
D. Vitamins
E. * All the above
Preparations for urgent prophylaxis of plague:
A. Injection of human immunoglobulin
B. * Streptomycin or tetracycline
C. Human immunoglobulin
D. Dry living vaccine or tetracycline generations.
E. Interferon
Preparations for urgent prophylaxis of plague:
A. Injection of human immunoglobulin
B. * Streptomycin or tetracycline
C. Human immunoglobulin
D. Dry living vaccine or tetracycline generations.
E. Interferon
Preparations for urgent prophylaxis of plague:
A. Injection of human immunoglobulin
B. * Streptomycin or tetracycline
C. Human immunoglobulin
D. Dry living vaccine or tetracycline generations.
E. Interferon
772.
Risk group of plague infection the most frequent is:
A. Doctors
B. * Hunters
C. Alcoholic
D. Drug users
E. Prostitutes
773.
Specify the measures of urgent prophylaxis of anthrax.
A. Anti-anthrax immunoglobulin
B. * Penicillinum or tetracyclinum during 5 days
C. Vaccination
D. Medical supervision
E. Biseptolum 5 days
774.
Symptom of Stefansky – it is:
A. Enantema on a soft palate
B. Enantema on a conjunctiva
C. Shaking of tongue at an attempt to put out a tongue
D. * Shaking of edema like to jelly at pattering a hammer in the area of edema
E. Painful of stomach in a right iliac area
775.
The alimentary mechanisms of the tularemia infection of the humans are the
following:
A. * Due to water, food, straw and other substrata contaminated by the discharge of the
animals sick with tularemia
B. Contact with sick or dead rodents and hares
C. Bites of the infected blood-sucking arthropods
D. By means of a contact with sick animals
E. During the belated agricultural work
776.
The basic clinical display of a skin form of anthrax is:
A. Hyperemic of skins
B. Vesiculs
C. * Ulcer
D. Phlegmon
E. Abscess
777.
The causative agent of plague is:
A. * Yersinia pestis
B. Yersinia enterocolitica
C. Yersinia pseudotuberculosis
D. Bac. anthracis
E. Pseudomonas mallei
778.
The causative agent of plague is:
A. * Yersinia pestis
B. Yersinia enterocolitica
C. Yersinia pseudotuberculosis
D. Bac. anthracis
E. Pseudomonas mallei
779.
The contact mechanisms of the tularemia infection of the humans are the following:
A. Due to water, food, straw and other substrata contaminated by the discharge of the
animals sick with tularemia
B. * Contact with sick or dead rodents and hares
C. Bites of the infected blood-sucking arthropods
D. By means of a contact with sick man
E. During the belated agricultural work
780.
A.
B.
C.
D.
E.
781.
A.
B.
C.
D.
E.
782.
A.
B.
C.
D.
E.
783.
A.
B.
C.
D.
E.
784.
A.
B.
C.
D.
E.
785.
A.
B.
C.
D.
E.
786.
A.
B.
C.
D.
E.
787.
A.
B.
C.
D.
E.
788.
A.
B.
C.
D.
E.
The diagnosis of malaria can confirm:
Microscopy of urine
Hemoculture
Bacteriology of stool
The response action
* Parazitoscopy of blood
The diagnostic endermic reaction of anthrax take:
* Antraksin
Dizenterin
Ornitin
Malein
Brucellin
The diagnostic reaction of anthrax is:
Rayt‘s reaction
Vidal‘s reaction
* Reaction of term precipitation of Askoly
Paul-Bunnel‘s reaction
Reaction of agglutination-lysis
The duration of incubation period at plague is:
2-6 h
* 2-6 d
10-15 d
17-21 d
1-6 w
The duration of incubation period of plague is:
3 to 8 days;
2 to 12 days;
2 to 10 days;
1 to 8 days.
* 2 to 6 days;
The duration of incubation period of plague is:
3 to 8 days;
2 to 12 days;
2 to 10 days;
1 to 8 days.
* 2 to 6 days;
The etiological factor of anthrax is:
Salmonella thyphi
Erysipelothrix rhysiopothiac
* Bacillus anthracis
Rickettsiosis sibirica
Toxocara canis
The main antibiotics, which used for tularemia treatment.
Penicillines
Vaccinotherapy
* Aminoglycosides
Cephalosporines
Methronidazol
The measures of urgent prophylaxis of plague.
Administration of human immunoglobulin
Chlorochin (delagil) 0,25 g 2 times in week
* 6-day’s prophylaxis with streptomycin or tetracycline
In first 5 days intake antibiotics of penicillin or tetracycline origin
Іnterferon
789.
The measures of urgent prophylaxis of plague.
Administration of human immunoglobulin
Chlorochin (delagil) 0,25 g 2 times in week
* 6-day’s prophylaxis with streptomycin or tetracycline
In first 5 days intake antibiotics of penicillin or tetracycline origin
Іnterferon
790.
The most characteristic symptom in the climax period of the Congo hemorrhagic
fever is:
A. * Hemorrhagic syndrome
B. Hepatic insufficiency
C. Dyspepsia phenomena
D. Sharp kidney insufficiency
E. Мeningeal syndrome
791.
The period of polyuria at haemorrhagic fever with kidneys syndrome is a sign of:
A. * Recovering
B. Chronic process
C. Unfavorable flow of illness
D. Development of complications
E. Complete convalescence
792.
The radical course of treatment of malaria includes:
A. Five-day therapy of delagilum
B. Prymahin during 2 weeks
C. Delagilum + prymahin + fansydar
D. * Delagilum + prymahin
E. Delagilum + fansydar
793.
The rules of hospitalization of patients with plague:
A. To separate ward
B. To ward for respiratory infections
C. * To ward cubicle
D. Patient’s are not hospitalized
E. To ward for intestinal infections
794.
The rules of hospitalization of patients with plague:
A. To separate ward
B. To ward for respiratory infections
C. * To ward cubicle
D. Patient’s are not hospitalized
E. To ward for intestinal infections
795.
The source of infection of anthrax is more frequent than all:
A. People
B. Birds
C. * Home animals
D. Rodents
E. Fly
796.
The transmissional mechanisms of the tularemia infection of the humans are the
following:
A. Due to water, food, straw and other substrata contaminated by the discharge of the
animals sick with tularemia
B. Contact with sick or dead rodents and hares
C. * Bites of the infected blood-sucking arthropods
D. By means of a contact with sick animals
E. During the belated agricultural work
797.
The usual treatment for tularemia of streptomycin sulfate is
A. 0,5 to 1 g injected once per day for 7 to 14 days or until the patient has been without
fever for five to seven days.
A.
B.
C.
D.
E.
798.
799.
800.
801.
802.
803.
804.
805.
B. * 1 to 2 g injected once per day for 7 to 14 days or until the patient has been without
fever for five to seven days.
C. 2 to 3 g injected once per day for 7 to 10 days or until the patient has been without
fever for five to seven days.
D. 2 to 3 g injected once per day for 5 to 7 days or until the patient has been without
fever for five to seven days.
E. 1 to 3 g injected once per day for 7 to 14.
There are etiotropic drags of malaria, except:
A. Delagilum
B. Prymahin
C. * Cerasyn
D. Quinine
E. Fansydar
There can be several main variants of the tularemia bubo outcome:
A. Complete dissolving
B. Suppuration
C. Ulceration with the following scarring
D. Sclerotization
E. * All the above
To the internal-disseminated forms of plague belong:
A. * Primary-septic
B. Bubonic
C. Secondary-pulmonary
D. Primary-pulmonary
E. Intestinal
To the internal-disseminated forms of plague belong:
A. * Primary-septic
B. Bubonic
C. Secondary-pulmonary
D. Primary-pulmonary
E. Intestinal
To the localized forms of plague belong:
A. Intestinal
B. Primary-septic
C. Secondary-septic
D. Primary-pulmonary
E. * Skin-bubonic
To the localized forms of plague belong:
A. Intestinal
B. Primary-septic
C. Secondary-septic
D. Primary-pulmonary
E. * Bubonic
To the localized forms of plague belong:
A. Secondary-septic
B. Primary-septic
C. * Skin
D. Primary-pulmonary
E. Intestinal
To the localized forms of plague belong:
A. Secondary-septic
B. Primary-septic
C. * Skin
D. Primary-pulmonary
E. Intestinal
To the localized forms of plague belong:
A. Intestinal
B. Primary-septic
C. Secondary-septic
D. Primary-pulmonary
E. * Skin-bubonic
807.
To the localized forms of plague belong:
A. Intestinal
B. Primary-septic
C. Secondary-septic
D. Primary-pulmonary
E. * Bubonic
808.
Tularemia is transmitted by:
A. Air
B. Food
C. Contact
D. Transmission
E. * All the above
809.
Tularemia may also be transmitted by such mechanisms except
A. Alimentary
B. Transmissional
C. * Vertical
D. Respirational
E. Contct
810.
What anthrax prophylactic measures are entertained by farm workers?
A. Vitamin therapy
B. Immunization by inactivated vaccine
C. Formulated vaccine
D. * Immunization by live vaccine
E. Antibiotic therapy
811.
What changes in biochemical blood test inherent for hemorrhagic fever with kidneys
syndrome?
A. Increase level of urea and bilirubin
B. The level of urea and kreatinine falls
C. The level of kreatinine grows and urea falls
D. The level of urea grows and kreatinine falls
E. * The level of urea and kreatinine increase
812.
What changes in blood analysis inherent at Congo hemorrhagic fever?
A. Normochromic anaemia, leucocytosis mononuclear
B. Erythrocytosis, lymphocytosis
C. * Hypochromic anemia, erythrophilosis
D. Hypochromic anemia, neutrophilosis
E. Hyperchromic anemia, neutrophilosis
813.
What changes in blood analysis inherent for hemorrhagic fever with kidneys
syndrome?
A. Normochromic anaemia, leucocytosis with atypical mononucleosis,
thrombocytopenia increased ESR
B. erythrocytosis, lymphocytosis,ESR is increased
C. Normochromic anaemia, leucopenia with neutrophylosis, thrombocytopenia
increased ESR
D. * Hypochromic anaemia, leucocytosis with neutrophylosis, thrombocytopenia
increased ESR
806.
814.
815.
816.
817.
818.
819.
820.
821.
822.
E. Hyperchromic anaemia, leucocytosis with neutrophylosis, thrombocytopenia
mionectic ESR
What clinical form are not characterized for a rabbit-fever?
A. * Erytem
B. Bubonic
C. Eye-bubonic
D. Ulcer-bubonic
E. Pulmonic
What complication is meet at the yellow fever:
A. * Liver insufficiency
B. Kidney insufficiency
C. Infectious-toxic shock
D. Myocarditis
E. Edema of lungs
What does include a specific prophylaxis at a rabbit-fever?
A. Tetracyclin
B. Doxycyclin
C. * Vaccination by a living attenuated vaccine
D. Bakteriofag
E. Vaccination by a chemical attenuated vaccine
What drug did use for the treatment of small pox?
A. Merapenem
B. Flukonazol
C. * Specifically immunoglobulin
D. Vitamin K
E. Levomicetyn
What drug did use for the treatment of plague?
A. Amoxicillin
B. * Streptomycin
C. Penicillin
D. Biseptol
E. 5-NOK
What drug is first step of choice for the treatment of plague?
A. Amoxicillin
B. * Streptomycin
C. Penicillin
D. Biseptol
E. 5-NOK
What drug use as the drug of choice to treat tularemia?
A. Use kanamycin as the drug of choice.
B. Use cyproay as the drug of choice.
C. Use cephazolyn as the drug of choice.
D. * Use streptomycin as the drug of choice.
E. Use levomicetyn as the drug of choice.
What form of plague is highly fatal?
A. Sylvatic;
B. Bubonic;
C. Septicemic;
D. * Pneumonic.
E. Bubonic and septicemic
What is the main feature of septicemic plague?
A. * Massive bacteriemia
B. Headache
C. Pain in the abdominal
823.
824.
825.
826.
827.
828.
829.
830.
831.
D. Throatache
E. Bleeding
What is the susceptibility of human to plague?
A. Non susceptible
B. 50 %
C. * Almost 100 %
D. 10 %
E. 70 %
What is the susceptibility of human to plague?
A. Non susceptible
B. 50 %
C. * Almost 100 %
D. 10 %
E. 70 %
What is typical for the Lassa hemorrhagic fever:
A. Effect of cardiovascular system
B. Development of acute hepatic insufficiency
C. Hundred-per-cent lethality
D. * Defeat of breathing organs
E. Development of paresis and paralysis
What is typical for the Lassa hemorrhagic fever:
A. Effect of cardiovascular system
B. Development of acute hepatic insufficiency
C. Hundred-per-cent lethality
D. * Defeat of breathing organs
E. Development of paresis and paralysis
What material is necessary take for diagnosis of anthrax:
A. Spinal liquid
B. Urine
C. Saliva
D. * Content of carbuncle
E. Nose swab
What method is possible to confirm a diagnosis?
A. Examination of blood in the dark field
B. RIFA with anthrax antigen
C. * Bacteriologic examination of content of ulcer
D. Bacteriologic examination of blood
E. Nose swab
What organ demerged more frequent than all in patients with anthrax?
A. * Skin
B. Lights
C. Gastrointestinal tract
D. Lymphatic system
E. Nervous system
What rashes in case of haemorrhagic fevers with kidneys syndrome?
A. Roseola
B. Maculo-papular
C. Punctuate
D. * Petechial
E. Rashes is not characteristic
What rashes present in case of Congo hemorrhagic fever?
A. Roseola
B. Maculo-papular
C. Punctulate
D. * Petechial
E. Rashes not is characteristic
832.
What rashes present in case of Crimea hemorrhagic fever?
A. Roseola
B. Maculo-papular
C. Punctulate
D. * Petechial
E. Rashes not is characteristic
833.
What specific test is used for anthrax diagnostic?
A. Compliment fixation test
B. Indirect hemaglutination test
C. * Coetaneous test with antraxin
D. Hemaglutination test
E. RIFA with anthrax antigen
834.
What used for prophylaxis of small pox.
A. Immunoglobulin
B. Penicillinum or tetracyclinum during 5 days
C. * Vaccination
D. Medical supervision
E. Serum
835.
What your need for reatment of thlorohynresistent forms of malaria?
A. Bactrimum
B. Dapson
C. Fansydar
D. Meflohin
E. * It is all above enumerated
836.
What your need to give to the patients with malaria‘s comma?
A. Glucocorticoids
B. Antishok drags
C. * Intravenous delagilum
D. Substitute blood transfusion
E. Oxygen
837.
When does begin treatments of patients with a malaria?
A. * Immediately after hospitalization
B. After taking of material for research
C. After raising of final diagnosis
D. After the laboratory and instrumental result
E. All answers are faithful
838.
When there is violation of diuresis at patients with hemorrhagic fever with a kidneys
syndrome:
A. In an initial period
B. It is not
C. It is in all periods of disease
D. * It is in climax period
E. It is in the period of recovering
839.
Where may be find the tularemic granulloms:
A. In liver
B. In spleen
C. In brain
D. * In lymphatic nodes
E. In skin
840.
Which is preliminary diagnosis?
A. * Anginous-bubonic form of tularemia
B. Oropharyngeal form of Diphtheria
C. The Vensan-Simanovsky’s tonsilitis
D. The Dyuge-Shtryumpelya’s tonsilitis
E. Cataral tonsilitis
841.
Which method are the most often used to diagnose the rabbit-fever in the people?
A. * An intracutaneous allergic test with tularin
B. An intracutaneous allergic test with antraxin
C. ELISA test with specifical antibody
D. Allergic test of Byurne
E. Test of Cuverkalov
842.
Which of microorganismes causes the tularemia:
A. Shigella tularensis
B. Riketsua tularensis
C. * Francisella tularensis
D. Salmonella tularensis
E. Clostridia tularensis
843.
Which of microorganismes causes the tularemia:
A. Legionella
B. Corinebacterium diphtheriae
C. Orthomyxoviridae
D. * Francisella tularensis
E. Leptospira
844.
Which specifical serological methods is use for tularemia diagnostics
A. Indirect hemagglutination test
B. * Infradermic test with tularin
C. Compliment fiction rest
D. Agglutination reaction
E. Hemagglutination reaction
845.
Whit antibiotics are less effective from the transferred at the epidemic fever?
A. Tetracyclin
B. Metacyclin
C. * Levomicetyn
D. Vibramycinum
E. Doxyciclin
846.
Who are the infection source of anthrax.
A. Birds
B. * Wild animals
C. Fly
D. Human
E. Rodents
847.
Who is the reservoir of causative agent of plague in nature?
A. Birds
B. Insects
C. Fresh-water fish
D. * Rodents
E. Cattle
848.
Who is the source of infection at a rabbit-fever?
A. * Cattle, rodents, hare, water-rats, rabbits
B. Guinea-pigs
C. Man
D. Leeches and shellfishes
E. Cats
849.
With appearance of hemorrhagic syndrome at Congo fever temperature of body
always:
A. Normal
B.
C.
D.
E.
850.
A.
B.
C.
D.
E.
851.
A.
B.
C.
D.
E.
852.
A.
B.
C.
D.
E.
853.
A.
B.
C.
D.
E.
Grows critically
* Goes down
Does not change
Grows gradually
With what diseases it is necessary to differentiate anthrax:
Leptospirozis
Typhoid fever
Dermatitis
* Carbuncle
Meningococcal infection
Y. pestis is transmitted more frequently by:
* Flea
Water
Air
Food storage
Tick
Your mast begins to treat patients with a plague:
Immediately after hospitalization
* Immediately after hospitalization, carrying out only material for research
After raising of final diagnosis
After laboratory and instrumental diagnostics
All answers are faithful
Your mast begins to treat patients with a plague:
Immediately after hospitalization
* Immediately after hospitalization, carrying out only material for research
After raising of final diagnosis
After laboratory and instrumental diagnostics
All answers are faithful
Situational tasks
1. 53-years old patient during 6 months gets diabetes mellitus in a policlinic the injections of
insulin. A weakness, arthalgia, grew gradually, an appetite disappeared, then dull pain
appeared in an epigastrium after-meal. In 2 weeks from the beginning of illness noticed the
dark color of urine, and afterwards – icterus on a background which the general state
continues to be worsened. Temperature of body 36,5°C, Ps 58 per 1 min Liver +5 sm, spleen
+1 sm What from hemanalysis is it needed to appoint for confirmation of diagnosis?
A. Activity of alkaline phosphatase
B. Activity of lactatdehydrogenase
C. * Activity of ALAT
D. Activity of creatinphosphokinase
E. Activity of amylase
2. 55-years old patient during 6 months gets diabetes mellitus in a policlinic the injections of
insulin. A weakness, arthalgia, grew gradually, an appetite disappeared, then dull pain
appeared in an epigastrium after-meal. In 2 weeks from the beginning of illness noticed the
dark color of urine, and afterwards – icterus on a background which the general state
continues to be worsened. Temperature of body 36,5°C, Ps 58 per 1 min Liver +5 sm, spleen
+1 sm What from hemanalysis is it needed to appoint for confirmation of diagnosis?
A. Activity of alkaline phosphatase
B. Activity of lactatdehydrogenase
C. * Activity of ALAT
D. Activity of creatinphosphokinase
E. Activity of amylase
3. 63-years old patient during 6 months gets diabetes mellitus in a policlinic the injections of
insulin. A weakness, arthalgia, grew gradually, an appetite disappeared, then dull pain
appeared in an epigastrium after-meal. In 2 weeks from the beginning of illness noticed the
dark color of urine, and afterwards – icterus on a background which the general state
continues to be worsened. Temperature of body 36,5°C, Ps 58 per 1 min Liver +5 sm, spleen
+1 sm What from hemanalysis is it needed to appoint for confirmation of diagnosis?
A. Activity of alkaline phosphatase
B. Activity of lactatdehydrogenase
C. * Activity of ALAT
D. Activity of creatinphosphokinase
E. Activity of amylase
4. 22-years old woman during a semiyear got numerous injections concerning bronchial
asthma. An appetite disappeared gradually, a weakness, arthalgia grew, urine became dark
in two weeks, through three – an icterus on a background which the general state continues
to be worsened appeared. The temperature of body is normal, Ps 62 after 1 mins Moderate
sickliness in the area of pancreas, positive symptom of Voskresenskogo, liver +4 sm, spleen
+2 sm What from the markers of viral hepatitis more credible will be positive for a patient?
A. * Anti-HBc IGM
B. ANTI-HEV IGM
C. ANTI-CMV IGM
D. HBsAg
E. ANTI-HAV IGM
5. 23-years old patient during 6 months gets diabetes mellitus in a policlinic the injections of
insulin. A weakness, arthalgia, grew gradually, an appetite disappeared, then dull pain
appeared in an epigastrium after-meal. In 2 weeks from the beginning of illness noticed the
dark color of urine, and afterwards – icterus on a background which the general state
continues to be worsened. Temperature of body 36,5°C, Ps 58 per 1 min Liver +5 sm, spleen
+1 sm What from hemanalysis is it needed to appoint for confirmation of diagnosis?
A. Activity of alkaline phosphatase
B. Activity of lactatdehydrogenase
C. * Activity of ALAT
D. Activity of creatinphosphokinase
E. Activity of amylase
6. 25-years old woman during a semiyear got numerous injections concerning bronchial
asthma. An appetite disappeared gradually, a weakness, arthalgia grew, urine became dark
in two weeks, through three – an icterus on a background which the general state continues
to be worsened appeared. The temperature of body is normal, Ps 62 after 1 mins Moderate
sickliness in the area of pancreas, positive symptom of Voskresenskogo, liver +4 sm, spleen
+2 sm What from the markers of viral hepatitis more credible will be positive for a patient?
A. * Anti-HBc IGM
B. ANTI-HEV IGM
C. ANTI-CMV IGM
D. HBsAg
E. ANTI-HAV IGM
7. 29-years old woman during a semiyear got numerous injections concerning bronchial
asthma. An appetite disappeared gradually, a weakness, arthalgia grew, urine became dark
in two weeks, through three – an icterus on a background which the general state continues
to be worsened appeared. The temperature of body is normal, Ps 62 after 1 mins Moderate
sickliness in the area of pancreas, positive symptom of Voskresenskogo, liver +4 sm, spleen
+2 sm What from the markers of viral hepatitis more credible will be positive for a patient?
A. * Anti-HBc IGM
B. ANTI-HEV IGM
C. ANTI-CMV IGM
D. HBsAg
E. ANTI-HAV IGM
8. 40-years old patient during 2 days marks absence of appetite, nausea, general weakness. A
year ago carried sharp hepatitis B, avoided a clinical supervision. Objectively: the
temperature of body is enhanceable, skin and sclerotica are icterus, the megascopic
palpatory, to the moderate closeness, sickly liver, salient from under the edge of costal arc
on 3 sm. A spleen is not megascopic. Wetting moderatory dark colouring. The sickliness of
joints is marked at motions. ALAT of blood 4,0. What most credible diagnosis?
A. Chronic viral hepatitis, minimum activity
B. Chronic cholecystitis
C. * Chronic viral hepatitis, moderate activity
D. Hepatocirrhosis
E. Chronic viral hepatitis, high activity
9. 42-years old patient got blood transfusion two months ago. A weakness was gradually
increased, an appetite was worsened, arthalgia, small nausea appeared. On a 12th day
noticed an insignificant icterus, appealed to the doctor. At examination is the general state
fully satisfactory. The temperature of body is normal, Ps 60 per 1 min, BP 100/70 mm Hg.A
liver and spleen is moderate megascopic, a stomach at palpatory is not sickly. Anti-HCV
IGM is found in blood. What from changes in the global analysis of blood most probably?
A. Neutrocytosis
B. * Leukopenia
C. Lymphopenia
D. Speed-up ESR
E. Aneozinofiliya
10. 42-years old patient got blood transfusion two months ago. A weakness was gradually
increased, an appetite was worsened, arthalgia, small nausea appeared. On a 12th day
noticed an insignificant icterus, appealed to the doctor. At examination is the general state
fully satisfactory. The temperature of body is normal, Ps 60 per 1 min, BP 100/70 mm Hg.A
liver and spleen is moderate megascopic, a stomach at palpatory is not sickly. Anti-HCV
IGM is found in blood. What from changes in the global analysis of blood most probably?
A. Neutrocytosis
B. * Leukopenia
C. Lymphopenia
D. Speed-up ESR
E. Aneozinofiliya
11. 43-years old patient during 6 days marks absence of appetite, nausea, general weakness. A
year ago carried sharp hepatitis B, avoided a clinical supervision. Objectively: the
temperature of body is enhanceable, skin and sclerotica are icterus, the megascopic
palpatory, to the moderate closeness, sickly liver, salient from under the edge of costal arc
on 3 sm. A spleen is not megascopic. Wetting moderatory dark colouring. The sickliness of
joints is marked at motions. ALAT of blood 4,0. What most credible diagnosis?
A. Chronic viral hepatitis, minimum activity
B. Chronic cholecystitis
C. * Chronic viral hepatitis, moderate activity
D. Hepatocirrhosis
E. Chronic viral hepatitis, high activity
12. 48-years old patient during 6 days marks absence of appetite, nausea, general weakness. A
year ago carried sharp hepatitis B, avoided a clinical supervision. Objectively: the
temperature of body is enhanceable, skin and sclerotica are icterus, the megascopic
palpatory, to the moderate closeness, sickly liver, salient from under the edge of costal arc
on 3 sm. A spleen is not megascopic. Wetting moderatory dark colouring. The sickliness of
joints is marked at motions. ALAT of blood 4,0. What most credible diagnosis?
A. Chronic viral hepatitis, minimum activity
B. Chronic cholecystitis
C. * Chronic viral hepatitis, moderate activity
D. Hepatocirrhosis
E. Chronic viral hepatitis, high activity
13. 48-years old patient got blood transfusion two months ago. A weakness was gradually
increased, an appetite was worsened, arthalgia, small nausea appeared. On a 12th day
noticed an insignificant icterus, appealed to the doctor. At examination is the general state
fully satisfactory. The temperature of body is normal, Ps 60 per 1 min, BP 100/70 mm Hg.A
liver and spleen is moderate megascopic, a stomach at palpatory is not sickly. Anti-HCV
IGM is found in blood. What from changes in the global analysis of blood most probably?
A. Neutrocytosis
B. * Leukopenia
C. Lymphopenia
D. Speed-up ESR
E. Aneozinofiliya
14. A 19 years old patient was diagnosed with hepatitis B. After violation of diet and nervous
stress the state of patient got worse: intensity of ichterus was increased, pulse 110/min, BP
80/50 mm Hg. Also there was vomiting by «coffee-grounds». The size of liver has
decreased, the liver on palpation was painful. What complication would you think about?
A. Infectious-toxic shock
B. Acute kidneys insufficiency
C. Acute adrenal insufficiency
D. Hemolitic icterus
E. * Acute hepatic insufficiency
15. A 39 years old patient was diagnosed with hepatitis B. After violation of diet the state of
patient got worse: intensity of ichterus was increased, pulse 118/min, BP 90/50 mm Hg.
Also there was vomiting by «coffee-grounds». The size of liver has decreased, the liver on
palpation was painful. What complication would you think about?
A. Infectious-toxic shock
B. Acute kidneys insufficiency
C. Acute adrenal insufficiency
D. Hemolitic icterus
E. * Acute hepatic insufficiency
16. A 49 years old patient was diagnosed with hepatitis B. After violation of diet the state of
patient got worse: intensity of ichterus was increased, pulse 118/min, BP 85/55 mm Hg.
Also there was vomiting by «coffee-grounds». The size of liver has decreased, the liver on
palpation was painful. What complication would you think about?
A. Infectious-toxic shock
B. Acute kidneys insufficiency
C. Acute adrenal insufficiency
D. Hemolitic icterus
E. * Acute hepatic insufficiency
17. A 59 years old patient was diagnosed with hepatitis B. After violation of diet the state of
patient got worse: intensity of ichterus was increased, pulse 118/min, BP 95/50 mm Hg.
Also there was vomiting by «coffee-grounds». The size of liver has decreased, the liver on
palpation was painful. What complication would you think about?
A. Infectious-toxic shock
B. Acute kidneys insufficiency
C. Acute adrenal insufficiency
D. Hemolitic icterus
E. * Acute hepatic insufficiency
18. A man, 37 years, injection drug addict, practises upon an alcohol, grumbles about a general
weakness, dull pain in right hypocostal area, increase of stomach, shortness of breath. It is ill
chronic hepatitis on an extent 10 years. Objectively: temperature of body 37,1°C, an icterus
is expressed. Liver +6 sm. In an abdominal region is a free liquid. Positive symptom of
fluctuation. What complication did arise up for a patient?
A. Intensifying of chronic hepatitis C
B. Sharp hepatic insufficiency
C. Gepatokarcinoma
D. Intensifying of chronic hepatitis B
E. * Hepatocirrhosis
19. A man, 43 years, injection drug addict, practises upon an alcohol, grumbles about a general
weakness, dull pain in right hypocostal area, increase of stomach, shortness of breath. It is ill
chronic hepatitis on an extent 10 years. Objectively: temperature of body 37,1°C, an icterus
is expressed. Liver +6 sm. In an abdominal region is a free liquid. Positive symptom of
fluctuation. What complication did arise up for a patient?
A. Intensifying of chronic hepatitis C
B. Sharp hepatic insufficiency
C. Gepatokarcinoma
D. Intensifying of chronic hepatitis B
E. * Hepatocirrhosis
20. A man, 47 years, injection drug addict, practises upon an alcohol, grumbles about a general
weakness, dull pain in right hypocostal area, increase of stomach, shortness of breath. It is ill
chronic hepatitis on an extent 10 years. Objectively: temperature of body 37,1°C, an icterus
is expressed. Liver +6 sm. In an abdominal region is a free liquid. Positive symptom of
fluctuation. What complication did arise up for a patient?
A. Intensifying of chronic hepatitis C
B. Sharp hepatic insufficiency
C. Gepatokarcinoma
D. Intensifying of chronic hepatitis B
E. * Hepatocirrhosis
21. ?A patient 20 years old, had treated himself concerning an acute respiratory disease for 5
days, but marked no displays of respirator syndrome. Last 2 days temperature has been
normal, appetite disappeared, however, appeared pain in epigastrium with nausea, and urine
turned dark. About what illness is it possible to think?
A. Hepatitis B
B. Infectious mononucleosis
C. Pseudotuberculosis
D. Leptospirosis
E. * Hepatitis A
22. A patient 28 years old, an injection drug addict, complaints about dull pain in right subcostal
region, weakness, decline of appetite, pain in joints. The symptoms have been present for 2
weeks. At examination: the icterus of skin and scleras observed. The liver and spleen are
enlarged. Urine is dark, excrements are discoloured. What is preliminary diagnosis?
A. Hepatitis A
B. * Hepatitis B
C. Chronic cholecystitis
D. Toxic hepatitis
E. HIV-infection
23. A patient 40 years old, had treated concerning an acute respiratory disease for 5 days, but
marked no displays of respirator syndrome. Last 2 days temperature has been normal,
appetite disappeared, however, appeared pain in epigastrium with nausea, and urine turned
dark. About what illness is it possible to think?
A. Hepatitis B
B. Infectious mononucleosis
C. Pseudotuberculosis
D. Leptospirosis
E. * Hepatitis A
24. A patient 42 years old, complaints about dull pain in a right hypochondrium, weakness,
decline of appetite, itching of skin, icterus. Disease began 1 month ago from protracted
аrthralgia, disgust for a meal, strong weakness. An icterus which now increased
considerably appeared three weeks ago. Temperature 36,0 °C. Pulse 56 per 1 min. A tongue
is assessed with white cover. A stomach is soft, sickly in right hypochondrium. A liver +3
cm, spleen is not megascopic. Common analysis of blood: leukopenia, relative
lymphomonocytosis, ESR 3 mm/hour. What diagnosis is most credible?
A. Cancer of head of a pancreas
B. * Hepatitis B
C. Hepatitis A
D. Cirrhosis of liver
E. Chronic cholecystitis
25. A patient 46 years old, had treated concerning an acute respiratory disease for 5 days, but
marked no displays of respirator syndrome. Last 2 days temperature has been normal,
appetite disappeared, however, appeared pain in epigastrium with nausea, and urine turned
dark. About what illness is it possible to think?
A. Hepatitis B
B. Infectious mononucleosis
C. Pseudotuberculosis
D. Leptospirosis
E. * Hepatitis A
26. A patient 48 years old, had treated concerning an acute respiratory disease for 5 days, but
marked no displays of respirator syndrome. Last 3 days temperature has been normal,
appetite disappeared, however, appeared pain in epigastrium with nausea, and urine turned
dark. About what illness is it possible to think?
A. Hepatitis B
B. Infectious mononucleosis
C. Pseudotuberculosis
D. Leptospirosis
E. * Hepatitis A
27. A patient 48 years, appealed to the internist with complaints about a general weakness,
worsening of appetite, feeling of weight in right hypocostal area. Treated oneself on an
occasion ARVI ambulatory 3 days. A feel was worsened, nausea, pain in right hypocostal
arrea, ochrodermia of sclerotica, darkening of urine, appeared. Objectively: breathing
normal, cardiac tones are rhythmic. A stomach is soft, sickly in right hypocostal area, a liver
is megascopic, a spleen is not megascopic. What is the most credible diagnosis?
A. * Hepatitis A
B. Leptospirosis
C. Calculary cholecystitis
D. Flu
E. Pseudotuberculosis
28. A patient 52 years old, complaints about dull pain in a right hypochondrium, weakness,
decline of appetite, itching of skin, icterus. Disease began 1 month ago from protracted
аrthralgia, disgust for a meal, strong weakness. An icterus which now increased
considerably appeared three weeks ago. Temperature 36,0 °C. Pulse 56 per 1 min. A tongue
is assessed with white cover. A stomach is soft, sickly in right hypochondrium. A liver +3
cm, spleen is not megascopic. Common analysis of blood: leukopenia, relative
lymphomonocytosis, ESR 3 mm/hour. What diagnosis is most credible?
A. Cancer of head of a pancreas
B. * Hepatitis B
C. Hepatitis A
D. Cirrhosis of liver
E. Chronic cholecystitis
29. A patient 53 years old, an drug addict, complaints about pain in right subcostal region,
weakness, decline of appetite, pain in joints. The symptoms have been present for 4 weeks.
At examination: the icterus of skin and scleras observed. The liver and spleen are enlarged.
Urine is dark, excrements are discoloured. What is preliminary diagnosis?
A. Hepatitis A
B. * Hepatitis B
C. Chronic cholecystitis
D. Toxic hepatitis
E. HIV-infection
30. A patient 53 years old, an drug addict, complaints about pain in right subcostal region,
weakness, decline of appetite, pain in joints. The symptoms have been present for 2 weeks.
At examination: the icterus of skin and scleras observed. The liver and spleen are enlarged.
Urine is dark, excrements are discoloured. What is preliminary diagnosis?
A. Hepatitis A
B. * Hepatitis B
C. Chronic cholecystitis
D. Toxic hepatitis
E. HIV-infection
31. A patient 58 years old, an drug addict, complaints about pain in right subcostal region,
weakness, decline of appetite, pain in joints. The symptoms have been present for 3 weeks.
At examination: the icterus of skin and scleras observed. The liver and spleen are enlarged.
Urine is dark, excrements are discoloured. What is preliminary diagnosis?
A. Hepatitis A
B. * Hepatitis B
C. Chronic cholecystitis
D. Toxic hepatitis
E. HIV-infection
32. A patient 58 years old, complaints about dull pain in a right hypochondrium, weakness,
decline of appetite, itching of skin, icterus. Disease began 1 month ago from protracted
аrthralgia, disgust for a meal, strong weakness. An icterus which now increased
considerably appeared three weeks ago. Temperature 36,0 °C. Pulse 56 per 1 min. A tongue
is assessed with white cover. A stomach is soft, sickly in right hypochondrium. A liver +3
cm, spleen is not megascopic. Common analysis of blood: leukopenia, relative
lymphomonocytosis, ESR 3 mm/hour. What diagnosis is most credible?
A. Cancer of head of a pancreas
B. * Hepatitis B
C. Hepatitis A
D. Cirrhosis of liver
E. Chronic cholecystitis
33. A patient 62 years old, complaints about dull pain in a right hypochondrium, weakness,
decline of appetite, itching of skin, icterus. Disease began 1 month ago from protracted
аrthralgia, disgust for a meal, strong weakness. An icterus which now increased
considerably appeared three weeks ago. Temperature 36,0 °C. Pulse 56 per 1 min. A tongue
is assessed with white cover. A stomach is soft, sickly in right hypochondrium. A liver +3
cm, spleen is not megascopic. Common analysis of blood: leukopenia, relative
lymphomonocytosis, ESR 3 mm/hour. What diagnosis is most credible?
A. Cancer of head of a pancreas
B. * Hepatitis B
C. Hepatitis A
D. Cirrhosis of liver
E. Chronic cholecystitis
34. A patient B., 42 years old, for 4 monthes complains about nausea, periodic vomiting,
swelling of stomach, weakness, loss of weight up to 12 kg, consistency of stool is changing.
During some days consciousness is entangled, somnolence, allolalia, general weakness are
expressed. Temperature of body 37,4 °C. Icterusis on the skin. Tremor of brushes and
nystagmus is marked. Pupils are narrowed, with a slow reaction on light, increase of tendon
reflexes. Ps 112/min, unrhythmical. BP 90/65 mm Hg. A liver is dense +2. Laboratory tests:
Hb 86 g/L, Leuc 4,2*109/L, ESR 18 mm/hour, glucose 3,4 mmol/l, general bilirubin 56,7
mm/L, albumen 52 g/L, K+ 3,2 mmol/l, AsAT 0,62; AlAT 0,84; prothrombin index-58 %;
рН blood 7,3. What is previous diagnosis?
A. Hepatocirrhosis
B. Vilsona-Konovalov disease
C. Cancer of liver
D. * Endogenous hepatic encephalopathy
E. Meygs disease
35. A patient B., 46 years old, for 4 monthes complains about nausea, periodic vomiting,
swelling of stomach, weakness, loss of weight up to 10 kg, consistency of stool is changing.
During some days consciousness is entangled, somnolence, allolalia, general weakness are
expressed. Temperature of body 37,4 °C. Icterusis on the skin. Tremor of brushes and
nystagmus is marked. Pupils are narrowed, with a slow reaction on light, increase of tendon
reflexes. Ps 112/min, unrhythmical. BP 90/65 mm Hg. A liver is dense +2. Laboratory tests:
Hb 86 g/L, Leuc 4,2*109/L, ESR 18 mm/hour, glucose 3,4 mmol/l, general bilirubin 56,7
mm/L, albumen 52 g/L, K+ 3,2 mmol/l, AsAT 0,62; AlAT 0,84; prothrombin index-58 %;
рН blood 7,3. What is previous diagnosis?
A. Hepatocirrhosis
B. Vilsona-Konovalov disease
C. Cancer of liver
D. * Endogenous hepatic encephalopathy
E. Meygs disease
36. A patient B., 48 years old, for 4 monthes complains about nausea, periodic vomiting,
swelling of stomach, weakness, loss of weight up to 16 kg, consistency of stool is changing.
During some days consciousness is entangled, somnolence, allolalia, general weakness are
expressed. Temperature of body 37,4 °C. Icterusis on the skin. Tremor of brushes and
nystagmus is marked. Pupils are narrowed, with a slow reaction on light, increase of tendon
reflexes. Ps 112/min, unrhythmical. BP 90/65 mm Hg. A liver is dense +2. Laboratory tests:
Hb 86 g/L, Leuc 4,2*109/L, ESR 18 mm/hour, glucose 3,4 mmol/l, general bilirubin 56,7
mm/L, albumen 52 g/L, K+ 3,2 mmol/l, AsAT 0,62; AlAT 0,84; prothrombin index-58 %;
рН blood 7,3. What is previous diagnosis?
A. Hepatocirrhosis
B. Vilsona-Konovalov disease
C. Cancer of liver
D. * Endogenous hepatic encephalopathy
E. Meygs disease
37. A patient B., 52 years old, for 3 month complains about nausea, periodic vomiting, swelling
of stomach, weakness, loss of weight up to 12 kg, consistency of stool is changing. During
some days consciousness is entangled, somnolence, allolalia, general weakness are
expressed. Temperature of body 37,4 °C. Icterusis on the skin. Tremor of brushes and
nystagmus is marked. Pupils are narrowed, with a slow reaction on light, increase of tendon
reflexes. Ps 112/min, unrhythmical. BP 90/65 mm Hg. A liver is dense +2. Laboratory tests:
Hb 86 g/L, Leuc 4,2*109/L, ESR 18 mm/hour, glucose 3,4 mmol/l, general bilirubin 56,7
mm/L, albumen 52 g/L, K+ 3,2 mmol/l, AsAT 0,62; AlAT 0,84; prothrombin index-58 %;
рН blood 7,3. What is previous diagnosis?
A. Hepatocirrhosis
B. Vilsona-Konovalov disease
C. Cancer of liver
D. * Endogenous hepatic encephalopathy
E. Meygs disease
38. A patient C., 33 years old, has been treated for 5 years. During the last hospitalization a
liver-biopsy was conducted. Histologicaly there is bulb dystrophy and necrosis of
hepatocytes, with leucocyts infiltration, and pericellular fibrosis. What diagnosis is most
credible in this case?
A. * Alcohol liver cirrhosis
B. Viral hepatitis B
C. Viral hepatitis C
D. Cryptogenic hepatitis
E. Fatty dystrophy of liver
39. A patient C., 43 years old, has been treated for 5 years. During the last hospitalization a
liver-biopsy was conducted. Histologicaly there is bulb dystrophy and necrosis of
hepatocytes, with leucocyts infiltration, and pericellular fibrosis. What diagnosis is most
credible in this case?
A. * Alcohol liver cirrhosis
B. Viral hepatitis B
C. Viral hepatitis C
D. Cryptogenic hepatitis
E. Fatty dystrophy of liver
40. A patient C., 43 years old, has been treated for 5 years. During the last hospitalization a
liver-biopsy was conducted. Histologicaly there is bulb dystrophy and necrosis of
hepatocytes, with leucocyts infiltration, and pericellular fibrosis. What diagnosis is most
credible in this case?
A. * Alcohol liver cirrhosis
B. Viral hepatitis B
C. Viral hepatitis C
D. Cryptogenic hepatitis
E. Fatty dystrophy of liver
41. A patient C., 43 years old, has been treated for 5 years. During the last hospitalization a
liver-biopsy was conducted. Histologicaly there is bulb dystrophy and necrosis of
hepatocytes, with leucocyts infiltration, and pericellular fibrosis. What diagnosis is most
credible in this case?
A. * Alcohol liver cirrhosis
B. Viral hepatitis B
C. Viral hepatitis C
D. Cryptogenic hepatitis
E. Fatty dystrophy of liver
42. A patient I., 25 years old, appealed to the internist with complaints about a general
weakness, loss of appetite, pain in the right hypochodrium. Treated himself on an occasion
of ARVI ambulatory 3 days. Became acute worsening of fealling: nausea, pain in right
hypochondrium, ochrodermia of sclera, darkening of urine, appeared. Objectively: breathing
superficial, cardiac tone is rhythmic. Abdomen is soft, painfull in right hypochondrium, a
liver is megascopic, a spleen not palpable. What is most credible diagnosis?
A. * Hepatitis A
B. Leptospirosis
C. Cholecystitis
D. Influenza
E. Pseudotuberculosis
43. A patient I., 35 years old, appealed to the internist with complaints about a general
weakness, loss of appetite, pain in the right hypochodrium. Treated himself on an occasion
of ARVI ambulatory 3 days. Became acute worsening of fealling: nausea, pain in right
hypochondrium, ochrodermia of sclera, darkening of urine, appeared. Objectively: breathing
superficial, cardiac tone is rhythmic. Abdomen is soft, painfull in right hypochondrium, a
liver is megascopic, a spleen not palpable. What is most credible diagnosis?
A. * Hepatitis A
B. Leptospirosis
C. Cholecystitis
D. Influenza
E. Pseudotuberculosis
44. A patient I., 37 years old, appealed to the internist with complaints about a general
weakness, loss of appetite, pain in the right hypochodrium. Treated himself on an occasion
of ARVI ambulatory 4 days. Became acute worsening of fealling: nausea, pain in right
hypochondrium, ochrodermia of sclera, darkening of urine, appeared. Objectively: breathing
superficial, cardiac tone is rhythmic. Abdomen is soft, painfull in right hypochondrium, a
liver is megascopic, a spleen not palpable. What is most credible diagnosis?
A. * Hepatitis A
B. Leptospirosis
C. Cholecystitis
D. Influenza
E. Pseudotuberculosis
45. A patient I., 55 years old, appealed to the internist with complaints about a general
weakness, loss of appetite, pain in the right hypochodrium. Treated himself on an occasion
of ARVI ambulatory 3 days. Became acute worsening of fealling: nausea, pain in right
hypochondrium, ochrodermia of sclera, darkening of urine, appeared. Objectively: breathing
superficial, cardiac tone is rhythmic. Abdomen is soft, painfull in right hypochondrium, a
liver is megascopic, a spleen not palpable. What is most credible diagnosis?
A. * Hepatitis A
B. Leptospirosis
C. Cholecystitis
D. Influenza
E. Pseudotuberculosis
46. A patient is 25 years, appealed to the internist with complaints about a general weakness,
worsening of appetite, feeling of weight in right hypocostal area. Treated oneself on an
occasion ARVI ambulatory 3 days. A feel was worsened, nausea, pain in right hypocostal
arrea, ochrodermia of sclerotica, darkening of urine, appeared. Objectively: breathing
normal, cardiac tones are rhythmic. A stomach is soft, sickly in right hypocostal area, a liver
is megascopic, a spleen is not megascopic. What is the most credible diagnosis?
A. * Hepatitis A
B. Leptospirosis
C. Calculary cholecystitis
D. Flu
E. Pseudotuberculosis
47. A patient is 35 years, appealed to the internist with complaints about a general weakness,
worsening of appetite, feeling of weight in right hypocostal area. Treated oneself on an
occasion ARVI ambulatory 3 days. A feel was worsened, nausea, pain in right hypocostal
arrea, ochrodermia of sclerotica, darkening of urine, appeared. Objectively: breathing
normal, cardiac tones are rhythmic. A stomach is soft, sickly in right hypocostal area, a liver
is megascopic, a spleen is not megascopic. What is the most credible diagnosis?
A. * Hepatitis A
B. Leptospirosis
C. Calculary cholecystitis
D. Flu
E. Pseudotuberculosis
48. A patient is 35 years, grumbles about aching pain in right hypocostal area, nausea, decline of
appetite. Beginning of disease binds to appendicitis. After it in 2 months an icterus appeared
first. Treated oneself in an infectious department. In 1 began to notice aching pain in right
hypocostal area, in analyses is an increase of level of bilirubin. Your diagnosis?
A. Calculary cholecystitis
B. Illness of Zhilbera
C. Acute viral hepatitis
D. Chronic cholangitis
E. * Chronic hepatitis
49. A patient is 37 years, appealed to the internist with complaints about a general weakness,
worsening of appetite, feeling of weight in right hypocostal area. Treated oneself on an
occasion ARVI ambulatory 3 days. A feel was worsened, nausea, pain in right hypocostal
arrea, ochrodermia of sclerotica, darkening of urine, appeared. Objectively: breathing
normal, cardiac tones are rhythmic. A stomach is soft, sickly in right hypocostal area, a liver
is megascopic, a spleen is not megascopic. What is the most credible diagnosis?
A. * Hepatitis A
B. Leptospirosis
C. Calculary cholecystitis
D. Flu
E. Pseudotuberculosis
50. A patient is 37 years, grumbles about aching pain in right hypocostal area, nausea, decline of
appetite. Beginning of disease binds to appendicitis. After it in 2 months an icterus appeared
first. Treated oneself in an infectious department. In 1 began to notice aching pain in right
hypocostal area, in analyses is an increase of level of bilirubin. Your diagnosis?
A. Calculary cholecystitis
B. Illness of Zhilbera
C. Acute viral hepatitis
D. Chronic cholangitis
E. * Chronic hepatitis
51. A patient is 45 years, grumbles about aching pain in right hypocostal area, nausea, decline of
appetite. Beginning of disease binds to appendicitis. After it in 2 months an icterus appeared
first. Treated oneself in an infectious department. In 1 began to notice aching pain in right
hypocostal area, in analyses is an increase of level of bilirubin. Your diagnosis?
A. Calculary cholecystitis
B. Illness of Zhilbera
C. Acute viral hepatitis
D. Chronic cholangitis
E. * Chronic hepatitis
52. A patient is 49 years, grumbles about aching pain in right hypocostal area, nausea, decline of
appetite. Beginning of disease binds to appendicitis. After it in 2 months an icterus appeared
first. Treated oneself in an infectious department. In 1 began to notice aching pain in right
hypocostal area, in analyses is an increase of level of bilirubin. Your diagnosis?
A. Calculary cholecystitis
B. Illness of Zhilbera
C. Acute viral hepatitis
D. Chronic cholangitis
E. * Chronic hepatitis
53. A patient T., 28 years, appilled due to worsening of common status at the seventh day to the
infectious department concerning viral hepatitis. Nausea and vomiting were present, hepatic
smell appeared, increasing of the liver sizes. What biochemical index does allow to suspect
complication in the patient?
A. Increasing activity of AlAT
B. Increasing of bilirubin, increasing activity of AlAT
C. Increasing timol test
D. * Decreasing of protrombin, increasing of bilirubin
E. Decreasing of AlAT
54. A patient T., 32 years, appilled due to worsening of common status at the fifth day to the
infectious department concerning viral hepatitis. Nausea and vomiting were present, hepatic
smell appeared, increasing of the liver sizes. What biochemical index does allow to suspect
complication in the patient?
A. Increasing activity of AlAT
B. Increasing of bilirubin, increasing activity of AlAT
C. Increasing timol test
D. * Decreasing of protrombin, increasing of bilirubin
E. Decreasing of AlAT
55. A patient T., 38 years, appilled due to worsening of common status at the seventh day to the
infectious department concerning viral hepatitis. Nausea and vomiting were present, hepatic
smell appeared, increasing of the liver sizes. What biochemical index does allow to suspect
complication in the patient?
A. Increasing activity of AlAT
B. Increasing of bilirubin, increasing activity of AlAT
C. Increasing timol test
D. * Decreasing of protrombin, increasing of bilirubin
E. Decreasing of AlAT
56. A patient T., 48 years, appilled due to worsening of common status at the seventh day to the
infectious department concerning viral hepatitis. Nausea and vomiting were present, hepatic
smell appeared, increasing of the liver sizes. What biochemical index does allow to suspect
complication in the patient?
A. Increasing activity of AlAT
B. Increasing of bilirubin, increasing activity of AlAT
C. Increasing timol test
D. * Decreasing of protrombin, increasing of bilirubin
E. Decreasing of AlAT
57. A patient, 17 years, complains about a weakness, worsening of appetite, nausea, painfull in
right subcostal area, dull ache in the body, dark color of urine, temperature to 37,8 °C. She
stood in contact with sick on icterusis 1,5 months ago. Objectively: yellow colour of the skin
and visible mucous membranes. The liver is increased to 1,5 cm. Unsignificant enlargment
of spleen. What is your preliminary diagnosis?
A. Viral hepatitis B
B. Infectious mononucleosis
C. * Viral hepatitis A
D. Leptospirosis
E. Pseudotuberculosis
58. A patient, 24, complains about pains in right subcostal area, increasing after-meal, nausea,
increase temperature of body to 37,7 °C, icterus, pain in large joints. He is ill from 8
months. Suffers a nonspecific ulcerative colitis. Hepatosplenomegaly. ESR 47 mm/hr,
general bilirubin level is 86,1mmol/lt, direct-42,3 mmol/lt. In blood found out antibodies
against smooth muscles. General albumen of 62 gram/lt, albumin б. 40 %, globulin. 60 %,
gamma globulins 38 %. Not found out the markers of viral hepatitis. On USD diameter of
portal vein is 1 cm What will be your diagnosis?
A. Primary biliary cirrhosis
B. Zhilber syndrome
C. Viral hepatitis
D. Hemochromatosis
E. * Autoimmune hepatitis
59. A patient, 27 years, complains about a weakness, worsening of appetite, nausea, painfull in
right subcostal area, dull ache in the body, dark color of urine, temperature to 37,6 °C. She
stood in contact with sick on icterusis 1,5 months ago. Objectively: yellow colour of the skin
and visible mucous membranes. The liver is increased to 1,5 cm. Unsignificant enlargment
of spleen. What is your preliminary diagnosis?
A. Viral hepatitis B
B. Infectious mononucleosis
C. * Viral hepatitis A
D. Leptospirosis
E. Pseudotuberculosis
60. A patient, 29 years, complains about a weakness, worsening of appetite, nausea, painfull in
right subcostal area, dull ache in the body, dark color of urine, temperature to 37,8 °C. She
stood in contact with sick on icterusis 1,5 months ago. Objectively: yellow colour of the skin
and visible mucous membranes. The liver is increased to 1,5 cm. Unsignificant enlargment
of spleen. What is your preliminary diagnosis?
A. Viral hepatitis B
B. Infectious mononucleosis
C. * Viral hepatitis A
D. Leptospirosis
E. Pseudotuberculosis
61. A patient, 34, complains about pains in right subcostal area, increasing after-meal, nausea,
increase temperature of body to 37,9 °C, icterus, pain in large joints. He is ill from 8
months. Suffers a nonspecific ulcerative colitis. Hepatosplenomegaly. ESR 47 mm/hr,
general bilirubin level is 86,1mmol/lt, direct-42,3 mmol/lt. In blood found out antibodies
against smooth muscles. General albumen of 62 gram/lt, albumin б. 40 %, globulin. 60 %,
gamma globulins 38 %. Not found out the markers of viral hepatitis. On USD diameter of
portal vein is 1 cm What will be your diagnosis?
A. Primary biliary cirrhosis
B. Zhilber syndrome
C. Viral hepatitis
D. Hemochromatosis
E. * Autoimmune hepatitis
62. A patient, 37 years, complains about a weakness, worsening of appetite, nausea, painfull in
right subcostal area, dull ache in the body, dark color of urine, temperature to 37,6 °C. She
stood in contact with sick on icterusis 1,5 months ago. Objectively: yellow colour of the skin
and visible mucous membranes. The liver is increased to 1,5 cm. Unsignificant enlargment
of spleen. What is your preliminary diagnosis?
A. Viral hepatitis B
B. Infectious mononucleosis
C. * Viral hepatitis A
D. Leptospirosis
E. Pseudotuberculosis
63. A patient, 44, complains about pains in right subcostal area, increasing after-meal, nausea,
increase temperature of body to 37,4 °C, icterus, pain in large joints. He is ill from 8
months. Suffers a nonspecific ulcerative colitis. Hepatosplenomegaly. ESR 47 mm/hr,
general bilirubin level is 86,1mmol/lt, direct-42,3 mmol/lt. In blood found out antibodies
against smooth muscles. General albumen of 62 gram/lt, albumin б. 40 %, globulin. 60 %,
gamma globulins 38 %. Not found out the markers of viral hepatitis. On USD diameter of
portal vein is 1 cm What will be your diagnosis?
A. Primary biliary cirrhosis
B. Zhilber syndrome
C. Viral hepatitis
D. Hemochromatosis
E. * Autoimmune hepatitis
64. A patient, 44, complains about pains in right subcostal area, increasing after-meal, nausea,
increase temperature of body to 37,9 °C, icterus, pain in large joints. He is ill from 8
months. Suffers a nonspecific ulcerative colitis. Hepatosplenomegaly. ESR 47 mm/hr,
general bilirubin level is 86,1mmol/lt, direct-42,3 mmol/lt. In blood found out antibodies
against smooth muscles. General albumen of 62 gram/lt, albumin б. 40 %, globulin. 60 %,
gamma globulins 38 %. Not found out the markers of viral hepatitis. On USD diameter of
portal vein is 1 cm What will be your diagnosis?
A. Primary biliary cirrhosis
B. Zhilber syndrome
C. Viral hepatitis
D. Hemochromatosis
E. * Autoimmune hepatitis
65. A sick P., 54 years old, complains about dull pain in right subcostal area, bad taste in the
mouth, itching of the skin, increasing of abdomen. After the liver puncture fatty dystrophy
of hepatocytes, eccentric placing of veins in a hepatic lobule were found. What laboratory
index are most characteristic in this case?
A. Alkaline phosphotase
B. Hemodiastase
C. * Transaminases level
D. Glucose of blood
E. Creatinphosphokinase
66. A sick P., 54 years old, complains about dull pain in right subcostal area, bad taste in the
mouth, itching of the skin, increasing of abdomen. After the liver puncture fatty dystrophy
of hepatocytes, eccentric placing of veins in a hepatic lobule were found. What laboratory
index are most characteristic in this case?
A. Alkaline phosphotase
B. Hemodiastase
C. * Transaminases level
D. Glucose of blood
E. Creatinphosphokinase
67. A sick P., 64 years old, complains about dull pain in right subcostal area, bad taste in the
mouth, itching of the skin, increasing of abdomen. After the liver puncture fatty dystrophy
of hepatocytes, eccentric placing of veins in a hepatic lobule were found. What laboratory
index are most characteristic in this case?
A. Alkaline phosphotase
B. Hemodiastase
C. * Transaminases level
D. Glucose of blood
E. Creatinphosphokinase
68. A sick P., 65 years old, complains about dull pain in right subcostal area, bad taste in the
mouth, itching of the skin, increasing of abdomen. After the liver puncture fatty dystrophy
of hepatocytes, eccentric placing of veins in a hepatic lobule were found. What laboratory
index are most characteristic in this case?
A. Alkaline phosphotase
B. Hemodiastase
C. * Transaminases level
D. Glucose of blood
E. Creatinphosphokinase
69. A trained nurse got sick on 16.09: general weakness, nausea, vomiting, pain in joints
appeared. 21.09 urine turned dark, and skin yellow. 21.09 she was hospitalized. Objectively:
general status satisfactory, temperature 38,2 °C, expressed skin and mucous membranes
jaundice. Liver palpated 3 cm below the costal arc. 26.09 stomach-aches and increased
sleepiness with disorientation in time and place were appeared. 27.09 haematomas in the
places of injections also appeared. Hepatic breath was noticed. Light edema of feet and
lumbar region were observed. The liver was not palpable. Development of what syndrome
can be forecast?
A. Meningoencephalitis
B. * Hepatic encephalopathy
C. Acute nephrosonephritis
D. Pancreatitis
E. IDS syndrom
70. A trained nurse got sick: general weakness, nausea, vomiting, pain in joints appeared. After
10 days urine turned dark, and skin yellow. She was hospitalized. Objectively: general status
satisfactory, temperature 38,2 °C, expressed skin and mucous membranes jaundice. Liver
palpated 3 cm below the costal arc. 26.09 stomach-aches and increased sleepiness with
disorientation in time and place were appeared. 27.09 haematomas in the places of injections
also appeared. Hepatic breath was noticed. Light edema of feet and lumbar region were
observed. The liver was not palpable. Development of what syndrome can be forecast?
A. Meningoencephalitis
B. * Hepatic encephalopathy
C. Acute nephrosonephritis
D. Pancreatitis
E. IDS syndrom
71. A trained nurse got sick: general weakness, nausea, vomiting, pain in joints appeared. After
10 days urine turned dark, and skin yellow. She was hospitalized. Objectively: general status
satisfactory, temperature 38,2 °C, expressed skin and mucous membranes jaundice. Liver
palpated 3 cm below the costal arc. 26.09 stomach-aches and increased sleepiness with
disorientation in time and place were appeared. 27.09 haematomas in the places of injections
also appeared. Hepatic breath was noticed. Light edema of feet and lumbar region were
observed. The liver was not palpable. Development of what syndrome can be forecast?
A. Meningoencephalitis
B. * Hepatic encephalopathy
C. Acute nephrosonephritis
D. Pancreatitis
E. IDS syndrom
72. Before the appearance of jaundice in a patient 18 years old, during 2 days there were an
increasing of the body temperature (38,4 °C), headache, dull ache disturbed whole body.
Name the variant of pre-icteric period of viral hepatitis for this patient?
A. * Influenza-like
B. Astenovegetative
C. Artralgic
D. Dyspeptic
E. Allergic
73. Before the appearance of jaundice in a patient 18 years old, during 2 days there were an
increasing of the body temperature (38,5 °C), headache, dull ache disturbed whole body.
Name the variant of pre-icteric period of viral hepatitis for this patient?
A. * Influenza-like
B. Astenovegetative
C. Artralgic
D. Dyspeptic
E. Allergic
74. Before the appearance of jaundice in a patient 18 years old, during 2 days there were an
increasing of the body temperature (38,2 °C), headache, dull ache disturbed whole body.
Name the variant of pre-icteric period of viral hepatitis for this patient?
A. * Influenza-like
B. Astenovegetative
C. Artralgic
D. Dyspeptic
E. Allergic
75. In 2 months after returning from India, where often drank unboiled water, the 23-years-old
pregnant nauseated, strong general weakness, head pain, later the temperature of body rose
to 38,6°, which stuck to within a week. An icterus appeared on a 6th day, the general state
continued to be worsened. On the 12th day of illness the general state heavy. Euphoria.
Vomiting at night. Complete fastidium. Bright icterus, signs of hemorragic syndrome,
tachycardia. BP 110/60 mm Hg, temperature of body of 37,8°C. A liver is insignificantly
megascopic, soft, painfull, spleen +2 sm There is neutrophilic leykocytosis in the global
analysis of blood. General bilirubinum of blood of 570, to the line – 300, activity of ALAT
is enhanceable in 100 times, timol test of 26 units., urea – 2,1 mmol/l. With most probability
for a patient:
A. * Hepatitis A
B. Malignant icterus of pregnant
C. Typhoid
D. Mechanical icterus
E. Leptospirosis
76. In 2 months after returning from India, where often drank unboiled water, the 23-years-old
pregnant nauseated, strong general weakness, head pain, later the temperature of body rose
to 38,6°, which stuck to within a week. An icterus appeared on a 6th day, the general state
continued to be worsened. On the 12th day of illness the general state heavy. Euphoria.
Vomiting at night. Complete fastidium. Bright icterus, signs of hemorragic syndrome,
tachycardia. BP 110/60 mm Hg, temperature of body of 37,8°C. A liver is insignificantly
megascopic, soft, painfull, spleen +2 sm There is neutrophilic leykocytosis in the global
analysis of blood. General bilirubinum of blood of 570, to the line – 300, activity of ALAT
is enhanceable in 100 times, timol test of 26 units., urea – 2,1 mmol/l. With most probability
for a patient:
A. * Hepatitis A
B. Malignant icterus of pregnant
C. Typhoid
D. Mechanical icterus
E. Leptospirosis
77. In 3 months after returning from India, where often drank unboiled water, the 23-years-old
pregnant nauseated, strong general weakness, head pain, later the temperature of body rose
to 38,6°, which stuck to within a week. An icterus appeared on a 6th day, the general state
continued to be worsened. On the 12th day of illness the general state heavy. Euphoria.
Vomiting at night. Complete fastidium. Bright icterus, signs of hemorragic syndrome,
tachycardia. BP 110/60 mm Hg, temperature of body of 37,8°C. A liver is insignificantly
megascopic, soft, painfull, spleen +2 sm There is neutrophilic leykocytosis in the global
analysis of blood. General bilirubinum of blood of 570, to the line – 300, activity of ALAT
is enhanceable in 100 times, timol test of 26 units., urea – 2,1 mmol/l. With most probability
for a patient:
A. * Hepatitis A
B. Malignant icterus of pregnant
C. Typhoid
D. Mechanical icterus
E. Leptospirosis
78. In 5 months after returning from India, where often drank unboiled water, the 33-years-old
pregnant nauseated, strong general weakness, head pain, later the temperature of body rose
to 38,8°, which stuck to within a week. An icterus appeared on a 6th day, the general state
continued to be worsened. On the 12th day of illness the general state heavy. Euphoria.
Vomiting at night. Complete fastidium. Bright icterus, signs of hemorragic syndrome,
tachycardia. BP 110/60 mm Hg, temperature of body of 37,8°C. A liver is insignificantly
megascopic, soft, painfull, spleen +2 sm There is neutrophilic leykocytosis in the global
analysis of blood. General bilirubinum of blood of 570, to the line – 300, activity of ALAT
is enhanceable in 100 times, timol test of 26 units., urea – 2,1 mmol/l. With most probability
for a patient:
A. * Hepatitis A
B. Malignant icterus of pregnant
C. Typhoid
D. Mechanical icterus
E. Leptospirosis
79. Patient B., 23 years old. Objectively: skin is yellow, icterus of sclera. Pulse 66/min, BP
120/80 . Indexes of AlAT, AsAT, and Tymol tests are normal. General billirubin is 34
mmol/l due to indirect fraction. Specify the most credible diagnosis.
A. Chronic toxic hepatitis
B. Chronic cryptogenic hepatitis
C. Chronic hepatitis C
D. * Zhilber’s syndrome
E. Chronic B hepatitis
80. Patient B., 53 years old. Objectively: skin is yellow, icterus of sclera. Pulse 76/min, BP
110/80 . Indexes of AlAT, AsAT, and Tymol tests are normal. General billirubin is 44
mmol/l due to indirect fraction. Specify the most credible diagnosis.
A. Chronic toxic hepatitis
B. Chronic cryptogenic hepatitis
C. Chronic hepatitis C
D. * Zhilber’s syndrome
E. Chronic B hepatitis
81. Patient B., 58 years old. Objectively: skin is yellow, icterus of sclera. Pulse 76/min, BP
115/70 . Indexes of AlAT, AsAT, and Tymol tests are normal. General billirubin is 40
mmol/l due to indirect fraction. Specify the most credible diagnosis.
A. Chronic toxic hepatitis
B. Chronic cryptogenic hepatitis
C. Chronic hepatitis C
D. * Zhilber’s syndrome
E. Chronic B hepatitis
82. Patient B., 63 years old. Objectively: skin is yellow, icterus of sclera. Pulse 78/min, BP
115/70 . Indexes of AlAT, AsAT, and Tymol tests are normal. General billirubin is 44
mmol/l due to indirect fraction. Specify the most credible diagnosis.
A. Chronic toxic hepatitis
B. Chronic cryptogenic hepatitis
C. Chronic hepatitis C
D. * Zhilber’s syndrome
E. Chronic B hepatitis
83. Student 20 years, treated oneself on an occasion of ARVI (increasing of temperature to 38,2
°C during 3 days). He complaints about worsening of appetite, increasing fatigue at a
normal temperature and absence of the catarrhal phenomena of upper respiratory tracts. A
doctor found out an increasing and moderate sickliness of liver. There were cases of
hepatitis A in a student’s group. What method of investigation will allow?
A. Ultrasound scanning of the liver
B. Determination of bilirubin level of the blood
C. Determining the amount of beta-lipoproteins
D. * Determination of activity of аminotransferases of the blood
E. Immunofluorescent research of the nasal smears
84. Student 22 years, treated oneself on an occasion of ARVI (increasing of temperature to 38,2
°C during 3 days). He complaints about worsening of appetite, increasing fatigue at a
normal temperature and absence of the catarrhal phenomena of upper respiratory tracts. A
doctor found out an increasing and moderate sickliness of liver. There were cases of
hepatitis A in a student’s group. What method of investigation will allow?
A. Ultrasound scanning of the liver
B. Determination of bilirubin level of the blood
C. Determining the amount of beta-lipoproteins
D. * Determination of activity of аminotransferases of the blood
E. Immunofluorescent research of the nasal smears
85. Student 32 years, treated oneself on an occasion of ARVI (increasing of temperature to 38,6
°C during 4 days). He complaints about worsening of appetite, increasing fatigue at a
normal temperature and absence of the catarrhal phenomena of upper respiratory tracts. A
doctor found out an increasing and moderate sickliness of liver. There were cases of
hepatitis A in a student’s group. What method of investigation will allow?
A. Ultrasound scanning of the liver
B. Determination of bilirubin level of the blood
C. Determining the amount of beta-lipoproteins
D. * Determination of activity of аminotransferases of the blood
E. Immunofluorescent research of the nasal smears
86. Student 32 years, treated oneself on an occasion of ARVI (increasing of temperature to 38,6
°C during 5 days). He complaints about worsening of appetite, increasing fatigue at a
normal temperature and absence of the catarrhal phenomena of upper respiratory tracts. A
doctor found out an increasing and moderate sickliness of liver. There were cases of
hepatitis A in a student’s group. What method of investigation will allow?
A. Ultrasound scanning of the liver
B. Determination of bilirubin level of the blood
C. Determining the amount of beta-lipoproteins
D. * Determination of activity of аminotransferases of the blood
E. Immunofluorescent research of the nasal smears
87. The patient T., 35 years, operating trained nurse, appealed to the doctor on the 8th day of
gradual development of illness with complaints of a general weakness, rapid fatigueability,
dark color of urine. In the morning noticed the icterus. On examination temperature of body
36,8 °C. Found out the increase of liver -+3 sm The changes of what laboratory index most
informing at this illness?
A. * AlAT
B. Hemodiastases
C. Protrombin index
D. Cholesterol
E. Alkaline phosphatase
88. The patient T., 39 years, operating trained nurse, appealed to the doctor on the 8th day of
gradual development of illness with complaints of a general weakness, rapid fatigueability,
dark color of urine. In the morning noticed the icterus. On examination temperature of body
36,8 °C. Found out the increase of liver -+3 sm The changes of what laboratory index most
informing at this illness?
A. * AlAT
B. Hemodiastases
C. Protrombin index
D. Cholesterol
E. Alkaline phosphatase
89. The patient T., 49 years, operating trained nurse, appealed to the doctor on the 8th day of
gradual development of illness with complaints of a general weakness, rapid fatigueability,
dark color of urine. In the morning noticed the icterus. On examination temperature of body
36,8 °C. Found out the increase of liver -+3 sm The changes of what laboratory index most
informing at this illness?
A. * AlAT
B. Hemodiastases
C. Protrombin index
D. Cholesterol
E. Alkaline phosphatase
90. The patient T., 59 years, operating trained nurse, appealed to the doctor on the 8th day of
gradual development of illness with complaints of a general weakness, rapid fatigueability,
dark color of urine. In the morning noticed the icterus. On examination temperature of body
36,8 °C. Found out the increase of liver -+3 sm The changes of what laboratory index most
informing at this illness?
A. * AlAT
B. Hemodiastases
C. Protrombin index
D. Cholesterol
E. Alkaline phosphatase
91. 38-year-old white letter carrier returns to the office for follow-up of an abnormal liver
chemistry profile ordered 3 weeks ago during a routine examination. At that time, his
physical examination was normal, but he had a serum AST concentration of 72 U/L. His
serum bilirubin and alkaline phosphatase concentrations were normal. History includes an
episode of hepatitis A at age 22 years. He has no history of transfusions or intravenous drug
use. He drinks two to three beers daily. Today's follow-up test results show: Serum: AntiHAV Positive, Anti-HBs Negative, HBsAg Positive, HBeAg Positive. Which of the
following is the most appropriate next step?
A. Begin interferon-alfa therapy
B. Begin corticosteroid therapy
C. * Have him cease all alcohol consumption and retest him in 2 months
D. Order hepatitis B virus DNA polymerase study
E. Schedule liver biopsy
92. A patient, 28 years old, grumbles about the enlargement of lymphnodes during half-year,
making progressive weakness, sweating, periodic fever upto 38 °C. Decreased feed,
seborhic dermatitis is wide-spread, the enlargement of neck, axillary and inguinal lymph
nodes with diameter 2-2.5cm and unpainful. What research is necessary for diagnosis?
A. Biopsy of lymphnode
B. Hemanalysis on sterility
C. * Analysis in the presence of antibodies to HIV
D. Sternal puncture
E. Analysis in the presence of antibodies to the Epstein-Bar virus
93. A patient, 29 years old, grumbles about the enlargement of lymphnodes during half-year,
making progressive weakness, sweating, periodic fever upto 38 °C. Decreased feed,
seborhic dermatitis is wide-spread, the enlargement of neck, axillary and inguinal lymph
nodes with diameter 2-2.5cm and unpainful. What research is necessary for diagnosis?
A. Biopsy of lymphnode
B. Hemanalysis on sterility
C. * Analysis in the presence of antibodies to HIV
D. Sternal puncture
E. Analysis in the presence of antibodies to the Epstein-Bar virus
94. A patient, 38 years old, grumbles about the enlargement of lymphnodes during half-year,
making progressive weakness, sweating, periodic fever upto 38,2 °C. Decreased feed,
seborhic dermatitis is wide-spread, the enlargement of neck, axillary and inguinal lymph
nodes with diameter 2-2.5cm and unpainful. What research is necessary for diagnosis?
A. Biopsy of lymphnode
B. Hemanalysis on sterility
C. * Analysis in the presence of antibodies to HIV
D. Sternal puncture
E. Analysis in the presence of antibodies to the Epstein-Bar virus
95. A patient, 41 years old, grumbles about the enlargement of lymphnodes during half-year,
making progressive weakness, sweating, periodic fever upto 38,3 °C. Decreased feed,
seborhic dermatitis is wide-spread, the enlargement of neck, axillary and inguinal lymph
nodes with diameter 2-2.5cm and unpainful. What research is necessary for diagnosis?
A. Biopsy of lymphnode
B. Hemanalysis on sterility
C. * Analysis in the presence of antibodies to HIV
D. Sternal puncture
E. Analysis in the presence of antibodies to the Epstein-Bar virus
96. A sick entered permanent establishment with complaints about general weakness, increase
of temperature, pain in throat. Objectively: the mucus cell of retropharynx is bright red, on
oral cavity are raids of gum-blush, taken off easily, discovered enlargement of all groups of
lymphnode, 2-3cm in a diameter, dense, elastic little painful, not soldered between itself.
Liver is enlarged on 3cm, spleen – on 2cm. In blood present leucocytosis and
lymphomonocytosis. What is probable diagnosis?
A. * Infectious mononucleosis
B. Diphtheria
C. Acute leukosis
D. Quinsies
E. Adenovirus infection
97. A sick of 18 years, grumbles about an obtructive cough for 6 months, fever to 38 °C,
enlargment of lymphatic nodes, frequent herpetic wide-spread pouring out, considerable
lowering of mass of body. In immunogram correlation of CD4 to CD8 is 0.5. It takes place
because of
A. * An infestant infects cells with the receptors of CD4
B. Induces proliferation of Т-helper
C. Induces proliferation of T-suppressor-cell
D. Infects macrophagal cell
E. Stimulates the synthesis of leukotriene
98. A sick of 19 years, grumbles about an obtructive cough for 6 months, fever to 38,3 °C,
enlargment of lymphatic nodes, frequent herpetic wide-spread pouring out, considerable
lowering of mass of body. In immunogram correlation of CD4 to CD8 is 0.5. It takes place
because of
A. * An infestant infects cells with the receptors of CD4
B. Induces proliferation of Т-helper
C. Induces proliferation of T-suppressor-cell
D. Infects macrophagal cell
E. Stimulates the synthesis of leukotriene
99. A sick of 34 years, grumbles about an obtructive cough for 6 months, fever to 38,3 °C,
enlargment of lymphatic nodes, frequent herpetic wide-spread pouring out, considerable
lowering of mass of body. In immunogram correlation of CD4 to CD8 is 0.5. It takes place
because of
A. * An infestant infects cells with the receptors of CD4
B. Induces proliferation of Т-helper
C. Induces proliferation of T-suppressor-cell
D. Infects macrophagal cell
E. Stimulates the synthesis of leukotriene
100.
A woman M., 24, appealed to the doctor in connection with the protracted fever,
sweating at night. For the last three months became thin on 7 kg. On objective research the
increase of all groups of lymphatic nodes, hepatospleen syndrome is found. In blood: Leu –
2,2x109, anaemia. What disease must be suspected?
A. * HIV infection
B. Megakaryoblastoma
C. Tuberculosis
D. Infectious mononucleosis
E. Sepsis
101.
A woman M., 26, appealed to the doctor in connection with the protracted fever,
sweating at night. For the last three months became thin on 6 kg. On objective research the
increase of all groups of lymphatic nodes, hepatospleen syndrome is found. In blood: Leu –
2,2x109, anaemia. What disease must be suspected?
A. * HIV infection
B. Megakaryoblastoma
C. Tuberculosis
D. Infectious mononucleosis
E. Sepsis
102.
A woman M., 31, appealed to the doctor in connection with the protracted fever,
sweating at night. For the last three months became thin on 7 kg. On objective research the
increase of all groups of lymphatic nodes, hepatospleen syndrome is found. In blood: Leu –
2,2x109, anaemia. What disease must be suspected?
A. * HIV infection
B. Megakaryoblastoma
C. Tuberculosis
D. Infectious mononucleosis
E. Sepsis
103.
A woman M., 34, appealed to the doctor in connection with the protracted fever,
sweating at night. For the last three months became thin on 6 kg. On objective research the
increase of all groups of lymphatic nodes, hepatospleen syndrome is found. In blood: Leu –
2,2x109, anaemia. What disease must be suspected?
A. * HIV infection
B. Megakaryoblastoma
C. Tuberculosis
D. Infectious mononucleosis
E. Sepsis
104.
For a man 29 years, half-year ago there was a positive reaction on HIV. Last 2
months complaints about general weakness, somnolence, pain of chest, during 3 weeks
developed anxiety, fear and depression. Disorders of memory and aphasia, untidiness
appeared 5 days ago.To set a diagnosis.
A. Dementsia at AIDS
B. Somatoform depression
C. Organic psychic syndrome
D. Anxiously depressed syndrome of HIV infection
E. * Patient has encephalopathy (AIDS-related complex)
105.
For a man 30 years, half-year ago there was a positive reaction on HIV. Last 3
months complaints about general weakness, somnolence, pain of chest, during 2 weeks
developed anxiety, fear and depression. Disorders of memory and aphasia, untidiness
appeared 5 days ago.To set a diagnosis.
A. Dementsia at AIDS
B. Somatoform depression
C. Organic psychic syndrome
D. Anxiously depressed syndrome of HIV infection
E. * Patient has encephalopathy (AIDS-related complex)
106.
For a man 36 years, half-year ago there was a positive reaction on HIV. Last 3
months complaints about general weakness, somnolence, pain of chest, during 3 weeks
developed anxiety, fear and depression. Disorders of memory and aphasia, untidiness
appeared 5 days ago.To set a diagnosis.
A. Dementsia at AIDS
B. Somatoform depression
C. Organic psychic syndrome
D. Anxiously depressed syndrome of HIV infection
E. * Patient has encephalopathy (AIDS-related complex)
107.
For a man 40 years, half-year ago there was a positive reaction on HIV. Last 2
months complaints about general weakness, somnolence, pain of chest, during 2 weeks
developed anxiety, fear and depression. Disorders of memory and aphasia, untidiness
appeared 5 days ago.To set a diagnosis.
A. Dementsia at AIDS
B. Somatoform depression
C. Organic psychic syndrome
D. Anxiously depressed syndrome of HIV infection
E. * Patient has encephalopathy (AIDS-related complex)
108.
For a man with 29 years, it was half-year ago discovered positive reaction on HIV.
Last 3 months complaints about general weakness, fatigueability, somnolence, pain of chest.
Last 3 weeks with anxiety, fear, depression, disorders of memory and aphasia, untidiness
appeared 5 days ago. What does it need to take for treatment?
A. Acylovir
B. Cerebroprotector
C. Antidepressants
D. Neuroleptic
E. * Zidovudin, didanosin
109.
For a man with 30 years, it was half-year ago discovered positive reaction on HIV.
Last 3 months complaints about general weakness, fatigueability, somnolence, pain of chest.
Last 2 weeks with anxiety, fear, depression, disorders of memory and aphasia, untidiness
appeared 5 days ago. What does it need to take for treatment?
A. Acylovir
B. Cerebroprotector
C. Antidepressants
D. Neuroleptic
E. * Zidovudin, didanosin
110.
For a man with 38 years, it was half-year ago discovered positive reaction on HIV.
Last 3 months complaints about general weakness, fatigueability, somnolence, pain of chest.
Last 3 weeks with anxiety, fear, depression, disorders of memory and aphasia, untidiness
appeared 5 days ago. What does it need to take for treatment?
A. Acylovir
B. Cerebroprotector
C. Antidepressants
D. Neuroleptic
E. * Zidovudin, didanosin
111.
For a man with 40 years, it was half-year ago discovered positive reaction on HIV.
Last 2 months complaints about general weakness, fatigueability, somnolence, pain of chest.
Last 3 weeks with anxiety, fear, depression, disorders of memory and aphasia, untidiness
appeared 5 days ago. What does it need to take for treatment?
A. Acylovir
B. Cerebroprotector
C. Antidepressants
D. Neuroleptic
E. * Zidovudin, didanosin
112.
For a patient 20 year, fever during 5 days, pharyngalgia at swallowing, pains in
muscles. At examination, hyperemic mucus with festerings stratifications which are easily
taken off, neck, axillary and cervical lymphnode are enlarged, liver is enlarged by 1,5cm,
the edge of spleen is palpable. What additional researches must be appointed?
A. Puncture of lymphatic node with a subsequent microscopy
B. Ultrasound of organs of abdominal region
C. * A hemanalysis on mononuclear antibodies
D. Occupied blood
E. RPGA with the viruses of flu
113.
For a patient 28 year, fever during 6 days, pharyngalgia at swallowing, pains in
muscles. At examination, hyperemic mucus with festerings stratifications which are easily
taken off, neck, axillary and cervical lymphnode are enlarged, liver is enlarged by 1,5cm,
the edge of spleen is palpable. What additional researches must be appointed?
A. Puncture of lymphatic node with a subsequent microscopy
B. Ultrasound of organs of abdominal region
C. * A hemanalysis on mononuclear antibodies
D. Occupied blood
E. RPGA with the viruses of flu
114.
For a patient 30 year, fever during 4 days, pharyngalgia at swallowing, pains in
muscles. At examination, hyperemic mucus with festerings stratifications which are easily
taken off, neck, axillary and cervical lymphnode are enlarged, liver is enlarged by 1,5cm,
the edge of spleen is palpable. What additional researches must be appointed?
A. Puncture of lymphatic node with a subsequent microscopy
B. Ultrasound of organs of abdominal region
C. * A hemanalysis on mononuclear antibodies
D. Occupied blood
E. RPGA with the viruses of flu
115.
For a patient 45 year, fever during 6 days, pharyngalgia at swallowing, pains in
muscles. At examination, hyperemic mucus with festerings stratifications which are easily
taken off, neck, axillary and cervical lymphnode are enlarged, liver is enlarged by 1,5cm,
the edge of spleen is palpable. What additional researches must be appointed?
A. Puncture of lymphatic node with a subsequent microscopy
B. Ultrasound of organs of abdominal region
C. * A hemanalysis on mononuclear antibodies
D. Occupied blood
E. RPGA with the viruses of flu
116.
For a patient I., 37 years, during 3 months deceleration of muscular and motive
reactions, names, addresses and cognitive memory functions were violated. A constraint,
somnolence appeared and untidiness developed, indifferent attitude toward circumferential
state. Loss of weight 12 kg. At examination generalised lymyphadenopathy. Put a clinical
diagnosis:
A. Tuberculosis
B. Herpetic encephalitis
C. * AIDS
D. Syphillis
E. Lympholeucosis
117.
For a patient I., 39 years, during 2 months deceleration of muscular and motive
reactions, names, addresses and cognitive memory functions were violated. A constraint,
somnolence appeared and untidiness developed, indifferent attitude toward circumferential
state. Loss of weight 12 kg. At examination generalised lymyphadenopathy. Put a clinical
diagnosis:
A. Tuberculosis
B. Herpetic encephalitis
C. * AIDS
D. Syphillis
E. Lympholeucosis
118.
For a patient I., 41 years, during 4 months deceleration of muscular and motive
reactions, names, addresses and cognitive memory functions were violated. A constraint,
somnolence appeared and untidiness developed, indifferent attitude toward circumferential
state. Loss of weight 12 kg. At examination generalised lymyphadenopathy. Put a clinical
diagnosis:
A. Tuberculosis
B. Herpetic encephalitis
C. * AIDS
D. Syphillis
E. Lympholeucosis
119.
For a patient I., 47 years, during 3 months deceleration of muscular and motive
reactions, names, addresses and cognitive memory functions were violated. A constraint,
somnolence appeared and untidiness developed, indifferent attitude toward circumferential
state. Loss of weight 12 kg. At examination generalised lymyphadenopathy. Put a clinical
diagnosis:
A. Tuberculosis
B. Herpetic encephalitis
C. * AIDS
D. Syphillis
E. Lympholeucosis
120.
HIV positive patient, 28 years, in the past with IV drug addiction, grumbles about
short breathing, unproductive cough, fever with 37,5 °C during 2 months. Objectively: skin
is pale, in lung the hyposthenic breathing, especially in lower lobe, short breathing with 24
/min. Roentgenologic chromophilic bilateral infiltrations as “wings of butterfly”. Pick up the
most effective treatment:
A. Antibacterial preparations. Inhibitors of transcriptase
B. Inhibitors of proteases. Inhibitors of transcriptase
C. Transplantation of marrow. Inhibitors of transcriptase
D. Antiviral gamut-globulin. Vitamins of group A, C. Inhibitors of proteases
E. * Inhibitors of proteases. Inhibitors of transcriptase. Antibacterial drugs
121.
HIV positive patient, 29 years, in the past with IV drug addiction, grumbles about
short breathing, unproductive cough, fever with 37,6 °C during 3 months. Objectively: skin
is pale, in lung the hyposthenic breathing, especially in lower lobe, short breathing with 24
/min. Roentgenologic chromophilic bilateral infiltrations as “wings of butterfly”. Pick up the
most effective treatment:
A. Antibacterial preparations. Inhibitors of transcriptase
B. Inhibitors of proteases. Inhibitors of transcriptase
C. Transplantation of marrow. Inhibitors of transcriptase
D. Antiviral gamut-globulin. Vitamins of group A, C. Inhibitors of proteases
E. * Inhibitors of proteases. Inhibitors of transcriptase. Antibacterial drugs
122.
HIV positive patient, 38 years, in the past with IV drug addiction, grumbles about
short breathing, unproductive cough, fever with 37,8 °C during 3 months. Objectively: skin
is pale, in lung the hyposthenic breathing, especially in lower lobe, short breathing with 24
/min. Roentgenologic chromophilic bilateral infiltrations as “wings of butterfly”. Pick up the
most effective treatment:
A. Antibacterial preparations. Inhibitors of transcriptase
B. Inhibitors of proteases. Inhibitors of transcriptase
C. Transplantation of marrow. Inhibitors of transcriptase
D. Antiviral gamut-globulin. Vitamins of group A, C. Inhibitors of proteases
E. * Inhibitors of proteases. Inhibitors of transcriptase. Antibacterial drugs
123.
HIV positive patient, 39 years, in the past with IV drug addiction, grumbles about
short breathing, unproductive cough, fever with 37,5 °C during 2 months. Objectively: skin
is pale, in lung the hyposthenic breathing, especially in lower lobe, short breathing with 24
/min. Roentgenologic chromophilic bilateral infiltrations as “wings of butterfly”. Pick up the
most effective treatment:
A. Antibacterial preparations. Inhibitors of transcriptase
B. Inhibitors of proteases. Inhibitors of transcriptase
C. Transplantation of marrow. Inhibitors of transcriptase
D. Antiviral gamut-globulin. Vitamins of group A, C. Inhibitors of proteases
E. * Inhibitors of proteases. Inhibitors of transcriptase. Antibacterial drugs
124.
Liver is enlarged on 3 cm and spleen +1cm. What additional research must be
appointed above all the things?
A. Examination for mycosis
B. * IFA for the exposure of antibodies to HIV
C. Puncture of lymphatic node with subsequent microscopy
D. A hemanalysis on anti mononuclear antibodies
E. RPGA with the viruses of flu
125.
Liver is enlarged on 3 cm and spleen +1cm. What additional research must be
appointed above all the things?
A. Examination for mycosis
B. * IFA for the exposure of antibodies to HIV
C. Puncture of lymphatic node with subsequent microscopy
D. A hemanalysis on anti mononuclear antibodies
E. RPGA with the viruses of flu
126.
Liver is enlarged on 3 cm and spleen +1cm. What additional research must be
appointed above all the things?
A. Examination for mycosis
B. * IFA for the exposure of antibodies to HIV
C. Puncture of lymphatic node with subsequent microscopy
D. A hemanalysis on anti mononuclear antibodies
E. RPGA with the viruses of flu
127.
Patient 28 years, delivered in an infectious separation with ambulance in a grave
condition. At examination: temperature of body 38,5 °C a patient is exhausted, put on the
bed, skin covers pale, in the area of peripheral veins are tracks of injections. In an oral cavity
are plenty of carious teeth, many raids on mucus cell.Determined enlarged submandibular,
supraclavicular and axillary lymph nodes, painless not fixed with subject. In lung, breathing
is vesicular, breathing frequency is 30/min, pulse 92/min, BP 100/60. Tones of heart are
muffled, rhythmic and found hepatospleenomegaly.Your diagnosis?
A. Megakaryoblastoma
B. Herpetic encephalitis
C. * AIDS
D. Syphillis
E. Lympholeucosis
128.
Patient 30 years, delivered in an infectious separation with ambulance in a grave
condition. At examination: temperature of body 38,9 °C a patient is exhausted, put on the
bed, skin covers pale, in the area of peripheral veins are tracks of injections. In an oral cavity
are plenty of carious teeth, many raids on mucus cell.Determined enlarged submandibular,
supraclavicular and axillary lymph nodes, painless not fixed with subject. In lung, breathing
is vesicular, breathing frequency is 30/min, pulse 92/min, BP 100/60. Tones of heart are
muffled, rhythmic and found hepatospleenomegaly.Your diagnosis?
A. Megakaryoblastoma
B. Herpetic encephalitis
C. * AIDS
D. Syphillis
E. Lympholeucosis
129.
Patient 38 years, delivered in an infectious separation with ambulance in a grave
condition. At examination: temperature of body 38,3 °C a patient is exhausted, put on the
bed, skin covers pale, in the area of peripheral veins are tracks of injections. In an oral cavity
are plenty of carious teeth, many raids on mucus cell.Determined enlarged submandibular,
supraclavicular and axillary lymph nodes, painless not fixed with subject. In lung, breathing
is vesicular, breathing frequency is 30/min, pulse 92/min, BP 100/60. Tones of heart are
muffled, rhythmic and found hepatospleenomegaly.Your diagnosis?
A. Megakaryoblastoma
B. Herpetic encephalitis
C. * AIDS
D. Syphillis
E. Lympholeucosis
130.
Patient 40 years, delivered in an infectious separation with ambulance in a grave
condition. At examination: temperature of body 38,9 °C a patient is exhausted, put on the
bed, skin covers pale, in the area of peripheral veins are tracks of injections. In an oral cavity
are plenty of carious teeth, many raids on mucus cell.Determined enlarged submandibular,
supraclavicular and axillary lymph nodes, painless not fixed with subject. In lung, breathing
is vesicular, breathing frequency is 30/min, pulse 92/min, BP 100/60. Tones of heart are
muffled, rhythmic and found hepatospleenomegaly.Your diagnosis?
A. Megakaryoblastoma
B. Herpetic encephalitis
C. * AIDS
D. Syphillis
E. Lympholeucosis
131.
Patient A, 20 year appeared in hospital with complaints about moderate
pharyngalgia, pain in chest, general weakness, fervescence of 38,9 °C. Became sick three
days ago. Objectively, discovered enlarged axillary, sub-mandibular|| and cervical lymphatic
node.Hepatospleenomegaly sclerotic and skin changes, in the throat characteristic for
quinsy.At investigation of blood, lymphomonocytosis.probable diagnosis is
A. * Infectious mononucleosis
B. Follicular tonsillitis
C. Adenoviral infection
D. HIV and acute retrovirus syndrome
E. Viral hepatitis
132.
Patient A, 25 year appeared in hospital with complaints about moderate
pharyngalgia, pain in chest, general weakness, fervescence of 38,6 °C. Became sick three
days ago. Objectively, discovered enlarged axillary, sub-mandibular|| and cervical lymphatic
node.Hepatospleenomegaly sclerotic and skin changes, in the throat characteristic for
quinsy.At investigation of blood, lymphomonocytosis.probable diagnosis is
A. * Infectious mononucleosis
B. Follicular tonsillitis
C. Adenoviral infection
D. HIV and acute retrovirus syndrome
E. Viral hepatitis
133.
Patient A, 34 year appeared in hospital with complaints about moderate
pharyngalgia, pain in chest, general weakness, fervescence of 38,5 °C. Became sick three
days ago. Objectively, discovered enlarged axillary, sub-mandibular|| and cervical lymphatic
node.Hepatospleenomegaly sclerotic and skin changes, in the throat characteristic for
quinsy.At investigation of blood, lymphomonocytosis.probable diagnosis is
A. * Infectious mononucleosis
B. Follicular tonsillitis
C. Adenoviral infection
D. HIV and acute retrovirus syndrome
E. Viral hepatitis
134.
Patient A., 26 year, grumbles about the increase of lymphnode on a neck during halfyear, making progress weakness, sweating and periodic getting up of temperature of body to
38,3 °C. Loss of weight, seborrhic dermatitis is wide-spread, the enlarged painless neck,
axillary and sub mandibular lymph node by 2-2,5cm. What research is necessary to appoint?
A. Analysis in the presence of antibodies to CMV
B. A biopsy of lymphatic node for the exposure of cells of varicella-zooster
C. Analysis in the presence of antibodies to HIV
D. * Analysis in the presence of antibodies to HIV
E. Analysis in the presence of antibodies to Epstein-Barr virus
135.
Patient A., 28 year, grumbles about the increase of lymphnode on a neck during halfyear, making progress weakness, sweating and periodic getting up of temperature of body to
38 °C. Loss of weight, seborrhic dermatitis is wide-spread, the enlarged painless neck,
axillary and sub mandibular lymph node by 2-2,5cm. What research is necessary to appoint?
A. Analysis in the presence of antibodies to CMV
B. A biopsy of lymphatic node for the exposure of cells of varicella-zooster
C. Analysis in the presence of antibodies to HIV
D. * Analysis in the presence of antibodies to HIV
E. Analysis in the presence of antibodies to Epstein-Barr virus
136.
Patient A., 38 year, grumbles about the increase of lymphnode on a neck during halfyear, making progress weakness, sweating and periodic getting up of temperature of body to
38,3 °C. Loss of weight, seborrhic dermatitis is wide-spread, the enlarged painless neck,
axillary and sub mandibular lymph node by 2-2,5cm. What research is necessary to appoint?
A. Analysis in the presence of antibodies to CMV
B. A biopsy of lymphatic node for the exposure of cells of varicella-zooster
C. Analysis in the presence of antibodies to HIV
D. * Analysis in the presence of antibodies to HIV
E. Analysis in the presence of antibodies to Epstein-Barr virus
137.
Patient A., 39 year, grumbles about the increase of lymphnode on a neck during halfyear, making progress weakness, sweating and periodic getting up of temperature of body to
38 °C. Loss of weight, seborrhic dermatitis is wide-spread, the enlarged painless neck,
axillary and sub mandibular lymph node by 2-2,5cm. What research is necessary to appoint?
A. Analysis in the presence of antibodies to CMV
B. A biopsy of lymphatic node for the exposure of cells of varicella-zooster
C. Analysis in the presence of antibodies to HIV
D. * Analysis in the presence of antibodies to HIV
E. Analysis in the presence of antibodies to Epstein-Barr virus
138.
Patient L, 19 year, entered permanent establishment with complaints about pain in
chest, general weakness, increase of temperature to 38,2 °C, during 5 days present
pharyngalgia. Objectively:all groups of lymph node are enlarged with 1-3 cm in diameter,
elastic, little painful, unsoldered between itself. Liver is enlarged on 3cm, spleen – on 1cm.
In blood: leucocytosis, mononuclear antibodies – 15 %. Realiable diagnosis is?
A. Diphtheria
B. Adenovirus infection
C. Quinsy
D. * Infectious mononucleosis
E. Acute lympholeukosis
139.
Patient L, 23 years old, entered permanent establishment with complaints about pain
in chest, general weakness, increase of temperature to 38 °C, during 6 days present
pharyngalgia. Objectively:all groups of lymph node are enlarged with 1-3 cm in diameter,
elastic, little painful, unsoldered between itself. Liver is enlarged on 3cm, spleen – on 1cm.
In blood: leucocytosis, mononuclear antibodies – 15 %. Realiable diagnosis is?
A. Diphtheria
B. Adenovirus infection
C. Quinsy
D. * Infectious mononucleosis
E. Acute lympholeukosis
140.
Patient L, 28 year, entered permanent establishment with complaints about pain in
chest, general weakness, increase of temperature to 38,3 °C, during 6 days present
pharyngalgia. Objectively:all groups of lymph node are enlarged with 1-3 cm in diameter,
elastic, little painful, unsoldered between itself. Liver is enlarged on 3cm, spleen – on 1cm.
In blood: leucocytosis, mononuclear antibodies – 15 %. Realiable diagnosis is?
A. Diphtheria
B. Adenovirus infection
C. Quinsy
D. * Infectious mononucleosis
E. Acute lympholeukosis
141.
Patient L,18 year, entered permanent establishment with complaints about pain in
chest, general weakness, increase of temperature to 38 °C, during 6 days present
pharyngalgia. Objectively:all groups of lymph node are enlarged with 1-3 cm in diameter,
elastic, little painful, unsoldered between itself. Liver is enlarged on 3cm, spleen – on 1cm.
In blood: leucocytosis, mononuclear antibodies – 15 %. Realiable diagnosis is?
A. Diphtheria
B. Adenovirus infection
C. Quinsy
D. * Infectious mononucleosis
E. Acute lympholeukosis
142.
Patient O, 18 years, over 4 months grumble about obtructive cough, fervescence to
38 °C, treatment concerning interstitial pneumonia, did not give an effect. There were a few
episodes of the wide-spread herpetic pouring out, mass of body reduced. Research of
immunogram more reliable finding
A. Increase of number of CD4-lymphocyte
B. Increase of immunoregulatory index of CD4/ CD8
C. * Decrease of number of CD4-lymphocyte
D. Decrease of number of CD8-lymphocyte
E. Increase of indexes of hypersensitiveness of slow type
143.
Patient O, 19 years, over 6 months grumble about obtructive cough, fervescence to
38 °C, treatment concerning interstitial pneumonia, did not give an effect. There were a few
episodes of the wide-spread herpetic pouring out, mass of body reduced. Research of
immunogram more reliable finding
A. Increase of number of CD4-lymphocyte
B. Increase of immunoregulatory index of CD4/ CD8
C. * Decrease of number of CD4-lymphocyte
D. Decrease of number of CD8-lymphocyte
E. Increase of indexes of hypersensitiveness of slow type
144.
Patient O, 28 years, over 4 months grumble about obtructive cough, fervescence to
38,7 °C, treatment concerning interstitial pneumonia, did not give an effect. There were a
few episodes of the wide-spread herpetic pouring out, mass of body reduced. Research of
immunogram more reliable finding
A. Increase of number of CD4-lymphocyte
B. Increase of immunoregulatory index of CD4/ CD8
C. * Decrease of number of CD4-lymphocyte
D. Decrease of number of CD8-lymphocyte
E. Increase of indexes of hypersensitiveness of slow type
145.
Patient O, 32 years, over 5 months grumble about obtructive cough, fervescence to
38,5 °C, treatment concerning interstitial pneumonia, did not give an effect. There were a
few episodes of the wide-spread herpetic pouring out, mass of body reduced. Research of
immunogram more reliable finding
A. Increase of number of CD4-lymphocyte
B. Increase of immunoregulatory index of CD4/ CD8
C. * Decrease of number of CD4-lymphocyte
D. Decrease of number of CD8-lymphocyte
E. Increase of indexes of hypersensitiveness of slow type
146.
Patient P., 21 year,complaint about diarhhea that lasts for one and half months,
changes sometimes, on emptying there are admixtures of blood and mucous, loss of body
mass with 13 kg, weakness, subfebrile temperature of body, recurrent herpes. It is
discovered generalised lymphadenopathy, increase of liver size on 2 cm. Blood test: Er
4,4.1012 g/l, Hb 115 g/l, ESR – 15 mm/hr, L 10,0.109 g/l, е 2 %, b 6 %, n 61 %, s 17 %, m
3 %, atypical mononuclears 6 %. What is most credible diagnosis?
A. Shigellosis
B. * AIDS
C. Infectious mononucleosis
D. Salmonellosis
E. Ameobiasis
147.
Patient P., 24 year,complaint about diarhhea that lasts for one and half months,
changes sometimes, on emptying there are admixtures of blood and mucous, loss of body
mass with 13 kg, weakness, subfebrile temperature of body, recurrent herpes. It is
discovered generalised lymphadenopathy, increase of liver size on 2 cm. Blood test: Er
4,4.1012 g/l, Hb 115 g/l, ESR – 15 mm/hr, L 10,0.109 g/l, е 2 %, b 6 %, n 61 %, s 17 %, m
3 %, atypical mononuclears 6 %. What is most credible diagnosis?
A. Shigellosis
B. * AIDS
C. Infectious mononucleosis
D. Salmonellosis
E. Ameobiasis
148.
Patient P., 31 year,complaint about diarhhea that lasts for one and half months,
changes sometimes, on emptying there are admixtures of blood and mucous, loss of body
mass with 11 kg, weakness, subfebrile temperature of body, recurrent herpes. It is
discovered generalised lymphadenopathy, increase of liver size on 2 cm. Blood test: Er
4,4.1012 g/l, Hb 115 g/l, ESR – 15 mm/hr, L 10,0.109 g/l, е 2 %, b 6 %, n 61 %, s 17 %, m
3 %, atypical mononuclears 6 %. What is most credible diagnosis?
A. Shigellosis
B. * AIDS
C. Infectious mononucleosis
D. Salmonellosis
E. Ameobiasis
149.
Patient P., 34 years, complaint about diarhhea that lasts for one and half months,
changes sometimes, on emptying there are admixtures of blood and mucous, loss of body
mass with 13 kg, weakness, subfebrile temperature of body, recurrent herpes. It is
discovered generalised lymphadenopathy, increase of liver size on 2 cm. Blood test: Er
4,4.1012 g/l, Hb 115 g/l, ESR – 15 mm/hr, L 10,0.109 g/l, е 2 %, b 6 %, n 61 %, s 17 %, m
3 %, atypical mononuclears 6 %. What is most credible diagnosis?
A. Shigellosis
B. * AIDS
C. Infectious mononucleosis
D. Salmonellosis
E. Ameobiasis
150.
Sick 28 years, admit on neareast hospital with complaints of weakness, coughing,
producing serosal sputum, mass in breasts, short breathing, chills at night, fever, pain in
joints, rise of white color on mucus cavities of mouth. For 5 months the sick became thin on
12 kg, with appetite diminished, it become hard to swallow hard food. At examination: on
the soft palate to the back wall| of glottis rise of white color and lymphadenopathy. Above
the lungs, from the corner of shoulder-blade, dulling percutory sound. Hepatosplenomegaly
present. In blood: anemia, leucocytosis, immature change in blood with myelocyte
lymphopenia, ESR of 60 mm/hr.Your diagnosis?
A. Visceral leshmaniasis
B. * HIV infection. Pneumocystis pneumonia. Candidiasis of glottis
C. HIV infection. Pneumococal pneumonia. Candidiasis of glottis
D. Megakaryoblastoma
E. HIV infection. Pneumococal pneumonia. Gonococcal arthritis. Candidiasis of glottis
151.
?Sick 28 years, prostitute of 2 years admit on neareast hospital with complaints of
weakness, coughing, producing serosal sputum, mass in breasts, short breathing, chills at
night, fever, pain in joints, rise of white color on mucus cavities of mouth. For 5 months the
sick became thin on 12 kg, with appetite diminished, it become hard to swallow hard food.
At examination: on the soft palate to the back wall| of glottis rise of white color and
lymphadenopathy. Above the lungs, from the corner of shoulder-blade, dulling percutory
sound. Hepatosplenomegaly present. In blood: anemia, leucocytosis, immature change in
blood with myelocyte lymphopenia, ESR of 60 mm/hr.Your diagnosis?
A. Visceral leshmaniasis
B. * HIV infection. Pneumocystis pneumonia. Candidiasis of glottis
C. HIV infection. Pneumococal pneumonia. Candidiasis of glottis
D. Megakaryoblastoma
E. HIV infection. Pneumococal pneumonia. Gonococcal arthritis. Candidiasis of glottis
152.
Sick 28 years, prostitute of 2 years admit on neareast hospital with complaints of
weakness, coughing, producing serosal sputum, mass in breasts, short breathing, chills at
night, fever, pain in joints, rise of white color on mucus cavities of mouth. For 5 months the
sick became thin on 12 kg, with appetite diminished, it become hard to swallow hard food.
At examination: on the soft palate to the back wall| of glottis rise of white color and
lymphadenopathy. Above the lungs, from the corner of shoulder-blade, dulling percutory
sound. Hepatosplenomegaly present. In blood: anemia, leucocytosis, immature change in
blood with myelocyte lymphopenia, ESR of 60 mm/hr.Your diagnosis?
A. Visceral leshmaniasis
B. * HIV infection. Pneumocystis pneumonia. Candidiasis of glottis
C. HIV infection. Pneumococal pneumonia. Candidiasis of glottis
D. Megakaryoblastoma
E. HIV infection. Pneumococal pneumonia. Gonococcal arthritis. Candidiasis of glottis
153.
Sick 29 years, prostitute admit on neareast hospital with complaints of weakness,
coughing, producing serosal sputum, mass in breasts, short breathing, chills at night, fever,
pain in joints, rise of white color on mucus cavities of mouth. For 5 months the sick became
thin on 12 kg, with appetite diminished, it become hard to swallow hard food. At
examination: on the soft palate to the back wall| of glottis rise of white color and
lymphadenopathy. Above the lungs, from the corner of shoulder-blade, dulling percutory
sound. Hepatosplenomegaly present. In blood: anemia, leucocytosis, immature change in
blood with myelocyte lymphopenia, ESR of 60 mm/hr.Your diagnosis?
A. Visceral leshmaniasis
B. * HIV infection. Pneumocystis pneumonia. Candidiasis of glottis
C. HIV infection. Pneumococal pneumonia. Candidiasis of glottis
D. Megakaryoblastoma
E. HIV infection. Pneumococal pneumonia. Gonococcal arthritis. Candidiasis of glottis
154.
Sick 38 years, prostitute admit on neareast hospital with complaints of weakness,
coughing, producing serosal sputum, mass in breasts, short breathing, chills at night, fever,
pain in joints, rise of white color on mucus cavities of mouth. For 5 months the sick became
thin on 12 kg, with appetite diminished, it become hard to swallow hard food. At
examination: on the soft palate to the back wall| of glottis rise of white color and
lymphadenopathy. Above the lungs, from the corner of shoulder-blade, dulling percutory
sound. Hepatosplenomegaly present. In blood: anemia, leucocytosis, immature change in
blood with myelocyte lymphopenia, ESR of 60 mm/hr.Your diagnosis?
A. Visceral leshmaniasis
B. * HIV infection. Pneumocystis pneumonia. Candidiasis of glottis
C. HIV infection. Pneumococal pneumonia. Candidiasis of glottis
D. Megakaryoblastoma
E. HIV infection. Pneumococal pneumonia. Gonococcal arthritis. Candidiasis of glottis
155.
Sick O., 25 years, during a month disturb with considerable fatigue ability, fever up
to 39 °C profuse sweating, lethargy. Objectively: all groups of peripheral lymphatic node are
enlarged, candidiasis of oral cavity, herpetic pouring out with megascopic on lips. In the
global analysis of blood: leucocytes 3,3?109 g/l, ESR – 15m/hr, B-lymphocyte 12 %, a
decline of CD4 to 600/mm. Most credible diagnosis is?
A. Herpetic infection
B. Malaria
C. Urogenital chlamydia
D. * HIV/AIDS
E. Acute brucellosis
156.
Sick O., 28 years, during a month disturb with considerable fatigue ability, fever up
to 39,1 °C profuse sweating, lethargy. Objectively: all groups of peripheral lymphatic node
are enlarged, candidiasis of oral cavity, herpetic pouring out with megascopic on lips. In the
global analysis of blood: leucocytes 3,3?109 g/l, ESR – 15m/hr, B-lymphocyte 12 %, a
decline of CD4 to 600/mm. Most credible diagnosis is?
A. Herpetic infection
B. Malaria
C. Urogenital chlamydia
D. * HIV/AIDS
E. Acute brucellosis
157.
Sick O., 35 years, during a month disturb with considerable fatigue ability, fever up
to 39,2 °C profuse sweating, lethargy. Objectively: all groups of peripheral lymphatic node
are enlarged, candidiasis of oral cavity, herpetic pouring out with megascopic on lips. In the
global analysis of blood: leucocytes 3,3?109 g/l, ESR – 15m/hr, B-lymphocyte 12 %, a
decline of CD4 to 600/mm. Most credible diagnosis is?
A. Herpetic infection
B. Malaria
C. Urogenital chlamydia
D. * HIV/AIDS
E. Acute brucellosis
158.
Sick O., 38 years, during a month disturb with considerable fatigue ability, fever up
to 39 °C profuse sweating, lethargy. Objectively: all groups of peripheral lymphatic node are
enlarged, candidiasis of oral cavity, herpetic pouring out with megascopic on lips. In the
global analysis of blood: leucocytes 3,3?109 g/l, ESR – 15m/hr, B-lymphocyte 12 %, a
decline of CD4 to 600/mm. Most credible diagnosis is?
A. Herpetic infection
B. Malaria
C. Urogenital chlamydia
D. * HIV/AIDS
E. Acute brucellosis
159.
Sick, 16 year, hospitalized on the 5th days of illness with complaints about moderate
pain of head in frontal-temporal area, book-mark of nose pharyngalgia at swallowing, pain
in the area of the left eye, fervescence to 38.1-38.5°C. The state at entrance is
satisfactory.The nasal breathing is laboured and abundant mucus excretions from a nose,
hyperemia of mucus shell on posterio pharyx, enlarged lymph nodes of neck and axillary
and pellicle conjunctivitis on the left eye. What is the preliminary diagnosis?
A. Flu
B. Infectious mononucleosis
C. Enterovirus infection
D. * Adenovirus infection
E. HIV infection and acute retrovirus syndrome
160.
Sick, 19 year, hospitalized on the 5th days of illness with complaints about moderate
pain of head in frontal-temporal area, book-mark of nose pharyngalgia at swallowing, pain
in the area of the left eye, fervescence to 38.1-38.5°C. The state at entrance is
satisfactory.The nasal breathing is laboured and abundant mucus excretions from a nose,
hyperemia of mucus shell on posterio pharyx, enlarged lymph nodes of neck and axillary
and pellicle conjunctivitis on the left eye. What is the preliminary diagnosis?
A. Flu
B. Infectious mononucleosis
C. Enterovirus infection
D. * Adenovirus infection
E. HIV infection and acute retrovirus syndrome
161.
Sick, 23 year, hospitalized on the 5th days of illness with complaints about moderate
pain of head in frontal-temporal area, book-mark of nose pharyngalgia at swallowing, pain
in the area of the left eye, fervescence to 38.1-38.5°C. The state at entrance is
satisfactory.The nasal breathing is laboured and abundant mucus excretions from a nose,
hyperemia of mucus shell on posterio pharyx, enlarged lymph nodes of neck and axillary
and pellicle conjunctivitis on the left eye. What is the preliminary diagnosis?
A. Flu
B. Infectious mononucleosis
C. Enterovirus infection
D. * Adenovirus infection
E. HIV infection and acute retrovirus syndrome
162.
Student I, 25 years, during a month disturb rapid increasing of body temperature to
39 °C profuse sweating, loss of appetite. Objectively, all groups of peripheral lymphatic
nodes are enlarged, candidiasis of oral cavity, herpetic pouring out are megascopic on lips.In
the global analysis of blood, leucocytes- 3.3x109 g/l, ESR 15mm/hr, B-lymphocyte 10
%.Most credible diagnosis
A. Megakaryoblastoma
B. * HIV/AIDS
C. Cytomegaloviral infection
D. Urogenital chlamydia
E. Acute brucellosis
163.
Student I, 28 years, during a month disturb rapid increasing of body temperature to
39 °C profuse sweating, loss of appetite. Objectively, all groups of peripheral lymphatic
nodes are enlarged, candidiasis of oral cavity, herpetic pouring out are megascopic on lips.In
the global analysis of blood, leucocytes- 3.3x109 g/l, ESR 15mm/hr, B-lymphocyte 10
%.Most credible diagnosis
A. Megakaryoblastoma
B. * HIV/AIDS
C. Cytomegaloviral infection
D. Urogenital chlamydia
E. Acute brucellosis
164.
Student I, 31 years, during a month disturb rapid increasing of body temperature to
39,2 °C profuse sweating, loss of appetite. Objectively, all groups of peripheral lymphatic
nodes are enlarged, candidiasis of oral cavity, herpetic pouring out are megascopic on lips.In
the global analysis of blood, leucocytes- 3.3x109 g/l, ESR 15mm/hr, B-lymphocyte 10
%.Most credible diagnosis
A. Megakaryoblastoma
B. * HIV/AIDS
C. Cytomegaloviral infection
D. Urogenital chlamydia
E. Acute brucellosis
165.
Student L, 20 years, during a month disturb with considerable fatigue, feverence
body temperature with 39 degree Celsus, profuse sweating lethargy.Objectively: all groups
of peripheral lymphatic node are enlarged, candidiasis of oral cavity, herpetic pouring out
with megascopic on lips. In the global analysis of blood: leucocytes of 3,3?109 g/l, ESR 15
mm/hr, B-lymp 12 %. Most credible diagnosis is?
A. Megakaryoblastoma
B. Malaria
C. * HIV/AIDS
D. Urogenital chlamydiasis
E. Brucellosis
166.
Student L, 28 years, during a month disturb with considerable fatigue, feverence
body temperature with 39 °C, profuse sweating lethargy.Objectively: all groups of
peripheral lymphatic node are enlarged, candidiasis of oral cavity, herpetic pouring out with
megascopic on lips. In the global analysis of blood: leucocytes of 3,3?109 g/l, ESR 15
mm/hr, B-lymp 12 %. Most credible diagnosis is?
A. Megakaryoblastoma
B. Malaria
C. * HIV/AIDS
D. Urogenital chlamydiasis
E. Brucellosis
167.
Student L, 30 years, during a month disturb with considerable fatigue, feverence
body temperature with 39,3 °C, profuse sweating lethargy.Objectively: all groups of
peripheral lymphatic node are enlarged, candidiasis of oral cavity, herpetic pouring out with
megascopic on lips. In the global analysis of blood: leucocytes of 3,3?109 g/l, ESR 15
mm/hr, B-lymp 12 %. Most credible diagnosis is?
A. Megakaryoblastoma
B. Malaria
C. * HIV/AIDS
D. Urogenital chlamydiasis
E. Brucellosis
168.
Student L, 43 years, during a month disturb with considerable fatigue, feverence
body temperature with 39,2 °C, profuse sweating lethargy. Objectively: all groups of
peripheral lymphatic node are enlarged, candidiasis of oral cavity, herpetic pouring out with
megascopic on lips. In the global analysis of blood: leucocytes of 3,3?109 g/l, ESR 15
mm/hr, B-lymp 12 %. Most credible diagnosis is?
A. Megakaryoblastoma
B. Malaria
C. * HIV/AIDS
D. Urogenital chlamydiasis
E. Brucellosis
169.
Student L., 20 years old, during a month disturb with considerable fatigue ability,
fever with 39 °C, profuse sweating, lethargy. Objectively: all groups of peripheral lymphatic
node are enlarged, Candidiasis of oral cavity, herpetic pouring out are megascopic on lips.
In the global analysis of blood: leucocytes of 3,3x109 g/L, ESR 15 mm/hr, B-lymphocyte 12
%, correlation of CD4/CD8 0.8. Most credible diagnosis?
A. Megakaryoblastoma
B. Malaria
C. * HIV/AIDS
D. Urogenital chlamydiasis
E. Acute brucellosis|
170.
Student L., 26 years old, during a month disturb with considerable fatigue ability,
fever with 39,1 °C, profuse sweating, lethargy. Objectively: all groups of peripheral
lymphatic node are enlarged, Candidiasis of oral cavity, herpetic pouring out are megascopic
on lips. In the global analysis of blood: leucocytes of 3,3x109 g/L, ESR 15 mm/hr, Blymphocyte 12 %, correlation of CD4/CD8 0.8. Most credible diagnosis?
A. Megakaryoblastoma
B. Malaria
C. * HIV/AIDS
D. Urogenital chlamydiasis
E. Acute brucellosis|
171.
Student L., 29 years old, during a month disturb with considerable fatigue ability,
fever with 39,1 °C, profuse sweating, lethargy. Objectively: all groups of peripheral
lymphatic node are enlarged, Candidiasis of oral cavity, herpetic pouring out are megascopic
on lips. In the global analysis of blood: leucocytes of 3,3x109 g/L, ESR 15 mm/hr, Blymphocyte 12 %, correlation of CD4/CD8 0.8. Most credible diagnosis?
A. Megakaryoblastoma
B. Malaria
C. * HIV/AIDS
D. Urogenital chlamydiasis
E. Acute brucellosis|
172.
Student L., 30 years old, during a month disturb with considerable fatigue ability,
fever with 39,2 °C, profuse sweating, lethargy. Objectively: all groups of peripheral
lymphatic node are enlarged, Candidiasis of oral cavity, herpetic pouring out are megascopic
on lips. In the global analysis of blood: leucocytes of 3,3x109 g/L, ESR 15 mm/hr, Blymphocyte 12 %, correlation of CD4/CD8 0.8. Most credible diagnosis?
A. Megakaryoblastoma
B. Malaria
C. * HIV/AIDS
D. Urogenital chlamydiasis
E. Acute brucellosis|
173.
Student O, 37 years during two years disturb with considerable fatigue, frequent
fever to 39 °C profuse sweating, loss of weight. Objectively, the lymphatic node of neck and
sub mandibular are enlarged, candidiasis of oral cavity, herpetic pouring out on lips. In the
global analysis of blood: leucocytes 3,3x109 g/l, ESR – 15mm/hr, B-lympho 12 %,
correlation.Most credible diagnosis?
A. Megakaryoblastoma
B. Malaria
C. * HIV/AIDS
D. Urogenital chlamydia
E. Sharp brucellosis
174.
Student O, 39 years during two years disturb with considerable fatigue, frequent
fever to 39,2 °C profuse sweating, loss of weight. Objectively, the lymphatic node of neck
and sub mandibular are enlarged, candidiasis of oral cavity, herpetic pouring out on lips. In
the global analysis of blood: leucocytes 3,3x109 g/l, ESR – 15mm/hr, B-lympho 12 %,
correlation.Most credible diagnosis?
A. Megakaryoblastoma
B. Malaria
C. * HIV/AIDS
D. Urogenital chlamydia
E. Sharp brucellosis
175.
Student O, 45 years during two years disturb with considerable fatigue, frequent
fever to 39,2 °C profuse sweating, loss of weight. Objectively, the lymphatic node of neck
and sub mandibular are enlarged, candidiasis of oral cavity, herpetic pouring out on lips. In
the global analysis of blood: leucocytes 3,3x109 g/l, ESR – 15mm/hr, B-lympho 12 %,
correlation.Most credible diagnosis?
A. Megakaryoblastoma
B. Malaria
C. * HIV/AIDS
D. Urogenital chlamydia
E. Sharp brucellosis
176.
Student O, 47 years during two years disturb with considerable fatigue, frequent
fever to 39,3 °C profuse sweating, loss of weight. Objectively, the lymphatic node of neck
and sub mandibular are enlarged, candidiasis of oral cavity, herpetic pouring out on lips. In
the global analysis of blood: leucocytes 3,3x109 g/l, ESR – 15mm/hr, B-lympho 12 %,
correlation.Most credible diagnosis?
A. Megakaryoblastoma
B. Malaria
C. * HIV/AIDS
D. Urogenital chlamydia
E. Sharp brucellosis
177.
Student of 19 year, during a month disturb with considerable fatigue ability,
fervescence of body 39,2 °C, profuse sweating, loss of weight.Objectively, all groups of
peripheral lymphatic node are enlarged, candidiasis of oral cavity, herpetic pouring out are
megascopic on lips.In the global analysis of blood: leucocytes 3,3.109 g/l, ESR 15mm/hr, Blympho 12 %, correlation of CD4/CD8 0,7. Most credible diagnosis?
A. Megakaryoblastoma
B. Malaria
C. * HIV/AIDS
D. Urogenital chlamydia
E. Acute brucellosis
178.
Student of 22 year, during a month disturb with considerable fatigue ability,
fervescence of body 39 °C, profuse sweating, loss of weight.Objectively, all groups of
peripheral lymphatic node are enlarged, candidiasis of oral cavity, herpetic pouring out are
megascopic on lips.In the global analysis of blood: leucocytes 3,3.109 g/l, ESR 15mm/hr, Blympho 12 %, correlation of CD4/CD8 0,7. Most credible diagnosis?
A. Megakaryoblastoma
B. Malaria
C. * HIV/AIDS
D. Urogenital chlamydia
E. Acute brucellosis
179.
Student of 25 year, during a month disturb with considerable fatigue ability,
fervescence of body 39,2 °C, profuse sweating, loss of weight.Objectively, all groups of
peripheral lymphatic node are enlarged, candidiasis of oral cavity, herpetic pouring out are
megascopic on lips.In the global analysis of blood: leucocytes 3,3.109 g/l, ESR 15mm/hr, Blympho 12 %, correlation of CD4/CD8 0,7. Most credible diagnosis?
A. Megakaryoblastoma
B. Malaria
C. * HIV/AIDS
D. Urogenital chlamydia
E. Acute brucellosis
180.
Student of 32 year, during a month disturb with considerable fatigue ability,
fervescence of body 39,2 °C, profuse sweating, loss of weight.Objectively, all groups of
peripheral lymphatic node are enlarged, candidiasis of oral cavity, herpetic pouring out are
megascopic on lips.In the global analysis of blood: leucocytes 3,3.109 g/l, ESR 15mm/hr, Blympho 12 %, correlation of CD4/CD8 0,7. Most credible diagnosis?
A. Megakaryoblastoma
B. Malaria
C. * HIV/AIDS
D. Urogenital chlamydia
E. Acute brucellosis
181.
A citizen of Nigeria, 19 years old, came to study in Ukraine. After 10 days of
appeared a strong chill, which lasted about 1 hour and changed the feeling of heat. There has
been a headache, slice, nagging pain in the muscles. Attack of such clinical symptoms rapid
again after 2 days. OBJECTIVE: body temperature 39,6 °C, sclera subicterich, appeared lips
herpes. Spleen significantly increased, dense, the liver is a normal. What did research need
to do?
A. * Microscopy of peripheral blood
B. Microscopy of centrifuge of urine
C. Lumbar puncture
D. Observation of oculi
E. USD abdomen
182.
A citizen of Nigeria, 29 years old, came to study in Ukraine. After 16 days of
appeared a strong chill, which lasted about 1 hour and changed the feeling of heat. There has
been a headache, slice, nagging pain in the muscles. Attack of such clinical symptoms rapid
again after 2 days. OBJECTIVE: body temperature 39,6 °C, sclera subicteric, appeared lips
herpes. Spleen significantly increased, dense, the liver is a normal. What did research need
to do?
A. * Microscopy of peripheral blood
B. Microscopy of centrifuge of urine
C. Lumbar puncture
D. Observation of oculi
E. USD abdomen
183.
A patient 25 years old, who returned from the Far East, suddenly increased body
temperature to 39 ?C, a pain in backbone, reddening skin type «hood», single hemoragies on
the skin. After 3 days, along with declining fever, weakness, thirst, decreased diuresis to 300
ml, decreased blood pressure. Much pronounced Pasternatskyj‘s symptom. What is the most
likely diagnosis?
A. Leptospirosis
B. Typhus
C. Haemorrhagic fever Crimean-Congo
D. Acute glomerulonephritis
E. * Haemorrhagic fever with renal syndrome
184.
A patient 29 years, a few days ago, a chill, the temperature for 2-3 days increased to
39-40 ° C. There hyperemia and edema person, significant sclera like "drunk" person and
"rabbit" eyes. On the third day of illness – on mucous of soft palate, parenthesis bright red
enantema is seen. At 3-4-day patient when trying to protrude the tongue, there was
hypermovement, tremor, rejecting it to the side. Diagnosis: epidemic typhus. What is the
mechanism of infection?
A. Air-dropping
B. Fecal-oral
C. Contact Residential
D. Parenteral
E. * Vector borne
185.
A patient 29 years, a few days ago, a chill, the temperature for 2-3 days increased to
39-40 °C. There hyperemia and edema person,significant sclera like "drunk" person and
"rabbit" eyes. On the third day of illness – on mucuos of soft palate, parenthesis bright red
enantema is seen. At 3-4-day patient when trying to protrude the tongue, there was
hypermovement, tremor, rejecting it to the side. Diagnosis: epidemic typhus. Which disease
is likely in a patient?
A. * Epidemic typhus
B. Typhoid fever
C. The disease Brill
D. Paratyphoid A
E. Paratyphoid B
186.
A patient 30 years on 9th day of illness that began gradually, the slow rise of fever
and intoxication, a painless rosy rashes on the skin of the abdomen. OBJECTIVE: pale,
temperature 40 ° C, pulse 80/min, AD 100 and 65 mm RT. Art. Language is coached,
stomach bubbles, enlarged spleen and liver. For what disease you can suggest in the first
place?
A. * Typhoid fever
B. Epidemic typhus
C. Measles
D. Scarlet fever
E. Sepsis
187.
A patient 30 years on 9th day of illness that began gradually, the slow rise of fever
and intoxication, a painless rosy rashes on the skin of the abdomen. OBJECTIVE: pale,
temperature 40 ° C, pulse 80/min, AD 100 and 65 mm RT. Art. Language is coached,
stomach bubbles, enlarged spleen and liver. For what disease you can suggest in the first
place?
A. * Typhoid fever
B. Epidemic typhus
C. Measles
D. Scarlet fever
E. Sepsis
188.
A patient 35 years old was hospitalized with a preliminary diagnosis «flu», a 5-day
illness appeared rosy-petechia rashes on the body and interior surfaces of the extremities.
The temperature of 41 °C, euphoria, hyperemia person, redness sclera, tongue tremor,
tachycardia, enlarged spleen; excitement. What is the likely diagnosis?
A. Typhoid fever
B. Leptospirosis
C. Alcohol deliry
D. Measles
E. * Epidemic typhus
189.
A patient 36 years, a few days ago, a chill, the temperature for 2-3 days increased to
39-40 ° C. There is hyperemia and edema, significant sclera like "drunk" person and "rabbit"
eyes. On the third day of illness – on mucous of soft palate, parenthesis bright red enantema
is seen. At 3-4-day patient when trying to protrude the tongue, there was hypermovement,
tremor, rejecting it to the side. Diagnosis: epidemic typhus. What is the mechanism of
infection?
A. Air-dropping
B. Fecal-oral
C. Contact Residential
D. Parenteral
E. * Vector borne
190.
A patient 37 years, temperature during 2-3 days increased to 39-40 ° C. There is
hyperemia and edema, significant sclera like "drunk" person and "rabbit" eyes. On the third
day of illness – on mucous of soft palate, parenthesis bright red enantema is seen. At 3-4-
day patient when trying to protrude the tongue, there was hypermovement, tremor, rejecting
it to the side. Diagnosis: epidemic typhus. What is the mechanism of infection?
A. Air-dropping
B. Fecal-oral
C. Contact Residential
D. Parenteral
E. * Vector borne
191.
A patient 38 years at the 4-th day fever has profuse rosy-petechia exanthema
predominantly located on the lateral surface of the torso and limbs flexion surfaces. An
individual patient hyperemic expressed vessels conjunctival injection, petehies transition to
fold conjunctiva. Analysis of urine protein single hyaline and granular cylinders. What kind
of illness can think?
A. Typhoid fever
B. Haemorrhagic fever with renal syndrome
C. Crimean hemorrhagic fever
D. Measles
E. * Epidemic typhus
192.
A patient 38 years at the 5-day fever has profuse rosy-petechia exanthema
predominantly located on the lateral surface of the torso and limbs flexion surfaces. An
individual patient hyperemic expressed vessels conjunctival injection, petehies transition to
fold conjunctiva. Analysis of urine protein single hyaline and granular cylinders. What kind
of illness can think?
A. Typhoid fever
B. Haemorrhagic fever with renal syndrome
C. Crimean hemorrhagic fever
D. Measles
E. * Epidemic typhus
193.
A patient 38 years old, of no fixed abode, hospitalized with a preliminary diagnosis
«flu», a 5-day illness appeared rosy-petechia rashes on the body and interior surfaces of the
extremities. The temperature of 41 °C, euphoria, hyperemia person, redness sclera, tongue
tremor, tachycardia, enlarged spleen; excitement. What is the likely diagnosis?
A. Typhoid fever
B. Leptospirosis
C. Alcohol deliry
D. Measles
E. * Epidemic typhus
194.
A patient 39 years old, of no fixed abode, hospitalized with a preliminary diagnosis
«flu», a 6-day illness appeared rosy-petechia rashes on the body and interior surfaces of the
extremities. The temperature of 41 °C, euphoria, hyperemia person, redness sclera, tongue
tremor, tachycardia, enlarged spleen; excitement. What is the likely diagnosis?
A. Typhoid fever
B. Leptospirosis
C. Alcohol deliry
D. Measles
E. * Epidemic typhus
195.
A patient 39 years, a few days ago, a chill, the temperature for 2-3 days increased to
39-39,5 °C. There is hyperemia and edema ,significant sclera like "drunk" person and
"rabbit" eyes. On the third day of illness – on mucuos of soft palate, parenthesis bright red
enantema is seen. At 3-4-day patient when trying to protrude the tongue, there was
hypermovement, tremor, rejecting it to the side. Diagnosis: epidemic typhus. Which disease
is likely in a patient?
A. * Epidemic typhus
B. Typhoid fever
C. The disease Brill
D. Paratyphoid A
E. Paratyphoid B
196.
A patient 39 years, a few days ago, a chill, the temperature for 2-3 days increased to
39-40 °C. There is hyperemia and edema ,significant sclera like "drunk" person and "rabbit"
eyes. On the third day of illness – on mucuos of soft palate, parenthesis bright red enantema
is seen. At 3-4-day patient when trying to protrude the tongue, there was hypermovement,
tremor, rejecting it to the side. Diagnosis: epidemic typhus. Which disease is likely in a
patient?
A. * Epidemic typhus
B. Typhoid fever
C. The disease Brill
D. Paratyphoid A
E. Paratyphoid B
197.
A patient 40 years on 9th day of illness that began gradually, the slow rise of fever
and intoxication, a painless rosy rashes on the skin of the abdomen. Objective: pale,
temperature 40 °C, pulse 80/min, AD 100 and 65 mm RT. Art. Language is coached,
stomach bubbles, enlarged spleen and liver. For what disease you can suggest in the first
place?
A. * Typhoid fever
B. Epidemic typhus
C. Measles
D. Scarlet fever
E. Sepsis
198.
A patient 41 years at the 4-th day fever has profuse rosy-petechia exanthema
predominantly located on the lateral surface of the torso and limbs flexion surfaces. An
individual patient hyperemic expressed vessels conjunctival injection, petehies transition to
fold conjunctiva. Analysis of urine protein single hyaline and granular cylinders. What kind
of illness can think?
A. Typhoid fever
B. Haemorrhagic fever with renal syndrome
C. Crimean hemorrhagic fever
D. Measles
E. * Epidemic typhus
199.
A patient 41 years old, was hospitalized with a preliminary diagnosis «flu», a 5-th
day illness appeared rosy-petechia rashes on the body and interior surfaces of the
extremities. The temperature of 41 °C, euphoria, hyperemia person, redness sclera, tongue
tremor, tachycardia, enlarged spleen; excitement. What is the likely diagnosis?
A. Typhoid fever
B. Leptospirosis
C. Malaria
D. Measles
E. * Epidemic typhus
200.
A patient 41 years, a few days ago, a chill, the temperature for 2-3 days increased to
40 °C. There is hyperemia and edema, significant sclera like "drunk" person and "rabbit"
eyes. On the third day of illness – on mucous of soft palate, parenthesis bright red enantema
is seen. At 3-4-day patient when trying to protrude the tongue, there was hypermovement,
tremor, rejecting it to the side. Diagnosis: epidemic typhus. What is the mechanism of
infection?
A. Air-dropping
B. Fecal-oral
C. Contact
D. Parenteral
E. * Transmissive
201.
A patient 45 years, a few days ago, a chill, the temperature for 2-3 days increased to
39-40 °C. There is hyperemia and edema, significant sclera like "drunk" person and "rabbit"
eyes. On the third day of illness – on mucuos of soft palate, parenthesis bright red enantema
is seen. At 3-4-day patient when trying to protrude the tongue, there was hypermovement,
tremor, rejecting it to the side. Diagnosis: epidemic typhus. Which disease is likely in a
patient?
A. * Epidemic typhus
B. Typhoid fever
C. Brill disease
D. Paratyphoid A
E. Paratyphoid B
202.
A patient 47 years, a few days ago, a chill, the temperature for 2-3 days increased to
39-40 °C. There is hyperemia and edema ,significant sclera like "drunk" person and "rabbit"
eyes. On the third day of illness – on mucuos of soft palate, parenthesis bright red enantema
is seen. At 3-4-day patient when trying to protrude the tongue, there was hypermovement,
tremor, rejecting it to the side. Diagnosis: epidemic typhus. Which disease is likely in a
patient?
A. * Epidemic typhus
B. Typhoid fever
C. Brill disease
D. Paratyphoid A
E. Paratyphoid B
203.
A patient 48 years at the 4-day fever has profuse rosy-petechia exanthema
predominantly located on the lateral surface of the torso and limbs flexion surfaces. An
individual patient hyperemic expressed vessels conjunctival injection, petehies transition to
fold conjunctiva. Analysis of urine protein single hyaline and granular cylinders. What kind
of illness can think?
A. Typhoid fever
B. Haemorrhagic fever with renal syndrome
C. Crimean hemorrhagic fever
D. Measles
E. * Epidemic typhus
204.
A patient 48 years, a few days ago, a chill, the temperature for 2-3 days increased to
39-40 ° C. There is hyperemia and edema, significant sclera like "drunk" person and "rabbit"
eyes. On the third day of illness – on mucous of soft palate, parenthesis bright red enantema
is seen. At 3-4-day patient when trying to protrude the tongue, there was hypermovement,
tremor, rejecting it to the side. Diagnosis: epidemic typhus. What is the mechanism of
infection?
A. Air-drop
B. Fecal-oral
C. Contact
D. Parenteral
E. * Transmissive
205.
A patient at the 5th day of fever has profuse rosy-petechia exanthema predominantly
located on the lateral surface of the torso and limbs flexion surfaces. Hyperemic, vascular
conjunctivitis, petechiae transition of anterior fold conjunctiva. What kind of illness can you
think?
A. Typhoid fever
B. * Typhus
C. Measles
D. Haemorrhagic fever with renal syndrome
E. Crimean hemorrhagic fever
206.
A patient at the 6-day fever has profuse rosy-petechia exanthema predominantly
located on the lateral surface of the torso and limbs flexion surfaces. Hyperemic, vascular
conjunctivitis, petechiae transition of anterior fold conjunctiva. What kind of illness can you
think?
A. Typhoid fever
B. * Typhus
C. Measles
D. Haemorrhagic fever with renal syndrome
E. Crimean hemorrhagic fever
207.
A patient G., 32 years old, for a week every 48 hours had attacks of chills, which is
followed by heat. Body temperature rises to 40 °C, in 3-4 hours was a severe sweat.
Worsened appetite, a common weakness. Skin pale. Hepatosplenomegaly. What are the
most effective method for verification of diagnosis.
A. * Microscopy and a thick smear of blood drops
B. Microscopy hanging drops
C. An overall analysis of blood
D. Bacteriological method
E. Enzyme multiplied immunoassay
208.
A patient K., 33 years old, for a week every 48 hours had attacks of chills, which is
followed by heat. Body temperature rises to 40 °C, in 3-4 hours was a severe sweat.
Worsened appetite, a common weakness. Skin pale. Hepatosplenomegaly. What are the
most effective method for verification of diagnosis.
A. * Microscopy and a thick smear of blood drops
B. Microscopy hanging drops
C. An overall analysis of blood
D. Bacteriological method
E. Enzyme multiplied immunoassay
209.
A patient L., 25 years old, who complains of severe headache and fever, on the 6-day
of illness positive agglutination test with rickettsia reaction. What is the Vector of the
disease:
A. Flea
B. Fly
C. Mosquitoes
D. Bee
E. * Lice
210.
A patient L., 33 years old, who complains of severe headache and fever, on the 6-day
of illness positive agglutination test with rickettsia reaction. What is the Vector of the
disease:
A. Flea
B. Fly
C. Mosquitoes
D. Bee
E. * Lice
211.
A patient L., 42 years old, who complains of severe headache and fever, on the 7-day
of illness positive agglutination test with rickettsia reaction. What is the Vector of the
disease:
A. Flea
B. Fly
C. Mosquitoes
D. Bee
E. * Lice
212.
A patient M., 32 years old, for a week every 48 hours had attacks of chills, which is
followed by heat. Body temperature rises to 40 °C, in 3-4 hours was a severe sweat.
Worsened appetite, a common weakness. Skin pale. Hepatosplenomegaly. What are the
most effective method for verification of diagnosis.
A. * Microscopy and a thick smear of blood drops
B.
C.
D.
E.
Microscopy hanging drops
An overall analysis of blood
Bacteriological method
Enzyme multiplied immunoassay
213.
A patient M., 47 years old, who complains of severe headache and fever, on the 6day of illness positive agglutination test with rickettsia reaction. What is the Vector of the
disease:
A. Flea
B. Fly
C. Mosquitoes
D. Bee
E. * Lice
214.
A patient M., 52 years old, for a week every 48 hours had attacks of chills, which is
followed by heat. Body temperature rises to 40 °C, in 3-4 hours was a severe sweat.
Worsened appetite, a common weakness. Skin pale. Hepatosplenomegaly. What are the
most effective method for verification of diagnosis.
A. * Microscopy and a thick smear of blood drops
B. Microscopy hanging drops
C. An overall analysis of blood
D. Bacteriological method
E. Enzyme multiplied immunoassay
215.
A patient was disturbed by attacks of fever, repeated periodically every third day.
The icterus of sclera and skins, is observed, hepatosplenomegaly, is found on palpation.
What is the diagnosis?
A. * The definition of markers of viral hepatitis
B. Parasitoscopy of blood
C. An overall analysis of urine
D. Bacteriology of stool
E. Biochemical blood test
F. Malaria
G. Sepsis
H. Viral hepatitis
I. Gemolitic anaemia
J. Leptospirosis
216.
A patient was disturbed by attacks of fevers, repeated periodically every third day.
The icterus of sclera and skins, is observed, hepatosplenomegaly, is found on palpation.
What is the diagnosis?
A. * The definition of markers of viral hepatitis
B. Parasitoscopy of blood
C. An overall analysis of urine
D. Bacteriology of stool
E. Biochemical blood test
F. Malaria
G. Sepsis
H. Viral hepatitis
I. Gemolitic anaemia
J. Leptospirosis
217.
A patient was disturbed by attacks of fevers, repeated periodically every third day.
The icterus of sclera and skins, is observed, hepatosplenomegaly, is found on palpation.
What is the diagnosis?
A. * The definition of markers of viral hepatitis
B. Parasitoscopy of blood
C. An overall analysis of urine
D. Bacteriology of stool
E.
F.
G.
H.
I.
J.
Biochemical blood test
Malaria
Sepsis
Viral hepatitis
Gemolitic anaemia
Leptospirosis
218.
A patient with a fever has profuse rosy-petechia exanthema predominantly located on
the lateral surface of the torso and limbs flexion surfaces. Hyperemic, vascular
conjunctivitis, petechiae transition of anterior fold conjunctiva. What kind of illness can you
think?
A. Typhoid fever
B. * Typhus
C. Measles
D. Haemorrhagic fever with renal syndrome
E. Crimean hemorrhagic fever
219.
A patient with the 4-day fever has profuse rosy-petechia exanthema predominantly
located on the lateral surface of the torso and limbs flexion surfaces. Hyperemic, vascular
conjunctivitis, petechiae transition of anterior fold conjunctiva. What kind of illness can you
think?
A. Typhoid fever
B. * Typhus
C. Measles
D. Haemorrhagic fever with renal syndrome
E. Crimean hemorrhagic fever
220.
A student, 19 years old, came to study in Ukraine. After 10 days of appeared a strong
chill, which lasted about 1 hour and changed the feeling of heat. There has been a headache,
slice, nagging pain in the muscles. Attack of such clinical symptoms rapid again after 2
days. OBJECTIVE: body temperature 39,6 °C, sclera subicteric, appeared lips herpes.
Spleen significantly increased, dense, the liver is a normal. What did research need to do?
A. * Microscopy of peripheral blood
B. Microscopy of centrifuge of urine
C. Lumbar puncture
D. Observation of oculi
E. USD abdomen
221.
atient A., 33 years old., hospitalized on the 3rd day of illness, which was
accompanied by mild running nose, high fever to 40,1 °C, headache and hemorrhagic rash
on the skin. In the 2 hours after the introduction of penicillin blood pressure dropped to 40
and 10 mm RT. Art. Distal pulse and meningeal signs are not defined. What is the diagnosis
in a patient?
A. * Meningoccocemia, infectious-toxic shock
B. Epidemic Typhus, severe course
C. Measles, severe course
D. Scarlet fever, severe course
E. Flu, anaphylactic shock
222.
atient C., 34 years old, six months ago returned from Africa. A month later he
introduced the three-day clinical symptoms of malaria. Whether is it necessary to carry out
epidemic contacts that the patient had?
A. You do not need because there is no vector
B. You need because there is vector
C. * You do not need because reconvalence not cause
D. It should be, because rekonvalence allocates cause
E. You do not need because epidemic activities inefficient
223.
atient G., 30 years old, six months ago returned from Africa. A month later he
introduced the three-day clinical symptoms of malaria. Whether is it necessary to carry out
epidemic contacts that the patient had?
A. You do not need because there is no vector
B. You need because there is vector
C. * You do not need because reconvalence not cause
D. It should be, because rekonvalence allocates cause
E. You do not need because epidemic activities inefficient
224.
atient K., 23 years old., hospitalized on the 3rd day of illness, which was
accompanied by mild running nose, high fever to 40,2 °C, headache and hemorrhagic rash
on the skin. In the 2 hours after the introduction of penicillin blood pressure dropped to 40
and 10 mm Hg. Distal pulse and meningeal signs are not defined. What is the diagnosis in a
patient?
A. * Meningoccocemia, infectious-toxic shock
B. Epidemic Typhus, severe course
C. Measles, severe course
D. Scarlet fever, severe course
E. Flu, anaphylactic shock
225.
atient K., 33 years old., hospitalized on the 3rd day of illness, which was
accompanied by mild running nose, high fever to 40,2 °C, headache and hemorrhagic rash
on the skin. In the 2 hours after the introduction of penicillin blood pressure dropped to 40
and 10 mm RT. Art. Distal pulse and meningeal signs are not defined. What is the diagnosis
in a patient?
A. * Meningoccocemia, infectious-toxic shock
B. Epidemic Typhus, severe course
C. Measles, severe course
D. Scarlet fever, severe course
E. Flu, anaphylactic shock
226.
atient K., 33 years old., hospitalized on the 3rd day of illness, which was
accompanied by mild running nose, high fever to 40,2 °C, headache and hemorrhagic rash
on the skin. In the 2 hours after the introduction of penicillin blood pressure dropped to 40
and 10 mm Hg. Distal pulse and meningeal signs are not defined. What is the diagnosis in a
patient?
A. * Meningoccocemia, infectious-toxic shock
B. Epidemic Typhus, severe course
C. Measles, severe course
D. Scarlet fever, severe course
E. Flu, anaphylactic shock
227.
atient K., 33 years old., hospitalized on the 3rd day of illness, which was
accompanied by mild running nose, high fever to 40,2 °C, headache and hemorrhagic rash
on the skin. In the 2 hours after the introduction of penicillin blood pressure dropped to 40
and 10 mm RT. Art. Distal pulse and meningeal signs are not defined. What is the diagnosis
in a patient?
A. * Meningoccocemia, infectious-toxic shock
B. Epidemic Typhus, severe course
C. Measles, severe course
D. Scarlet fever, severe course
E. Flu, anaphylactic shock
228.
atient K., 33 years old., hospitalized on the 3rd day of illness, which was
accompanied by mild running nose, high fever to 40,2 °C, headache and hemorrhagic rash
on the skin. In the 2 hours after the introduction of penicillin blood pressure dropped to 40
and 10 mm Hg. Distal pulse and meningeal signs are not defined. What is the diagnosis in a
patient?
A. * Meningoccocemia, infectious-toxic shock
B.
C.
D.
E.
Epidemic Typhus, severe course
Measles, severe course
Scarlet fever, severe course
Flu, anaphylactic shock
229.
atient K., 40 years old, six months ago returned from Africa. A month later he
introduced the three-day clinical symptoms of malaria. Whether is it necessary to carry out
epidemic contacts that the patient had?
A. You do not need because there is no vector
B. You need because there is vector
C. * You do not need because reconvalence not cause
D. It should be, because rekonvalence allocates cause
E. You do not need because epidemic activities inefficient
230.
atient K., 43 years old., hospitalized on the 3rd day of illness, which was
accompanied by mild running nose, high fever to 40,2 °C, headache and hemorrhagic rash
on the skin. In the 2 hours after the introduction of penicillin blood pressure dropped to 40
and 10 mm RT. Art. Distal pulse and meningeal signs are not defined. What is the diagnosis
in a patient?
A. * Meningoccocemia, infectious-toxic shock
B. Epidemic Typhus, severe course
C. Measles, severe course
D. Scarlet fever, severe course
E. Flu, anaphylactic shock
231.
atient M., 41 years old, six months ago returned from Africa. A month later he
introduced the three-day clinical symptoms of malaria. Whether is it necessary to carry out
epidemic contacts that the patient had?
A. You do not need because there is no vector
B. You need because there is vector
C. * You do not need because reconvalence not cause
D. It should be, because rekonvalence allocates cause
E. You do not need because epidemic activities inefficient
232.
atient V. was hospitalized on the 3rd day of illness, which was accompanied by mild
running nose, high fever to 40,2 °C, headache and hemorrhagic rash on the skin. In the 2
hours after the introduction of penicillin blood pressure dropped to 40 and 10 mm Hg. Distal
pulse and meningeal signs are not defined. What is the diagnosis in a patient?
A. * Meningoccocemia, infectious-toxic shock
B. Epidemic Typhus, severe course
C. Measles, severe course
D. Scarlet fever, severe course
E. Flu, anaphylactic shock
233.
Male 38 years old, fell ill after 2 weeks after returning from Afghanistan, where six
months ago underwent malaria. In return were found lice. Suddenly, there were severe
headache, weakness, body temperature 39 ?C with a temporary decrease in the 4th day of
illness, followed by general weakness, much intoxication, headache, appeared on the body
abundance polymorphic rash. At the 7-day state of heavy, the phenomenon of encephalitis,
excitation, hallucinations periodically. Objective – erythematos-petechial exanthema. The
temperature of the body 40,1 0C, pulse was 136 per 1 min, blood pressure 120/70 mm Hg .
Moderately enlarged liver and spleen. Paradoxical ishuriya. In the blood analys neutrofil
mild leukocytosis, eozinofilia, accelerated ESR. Which of the studies of blood will be
positive?
A. At typhoid fever
B. At the three-day malaria
C. At tropical malaria
D. * At epidemic typhus
E. At brucellosis
234.
Male 49 years old, fell ill after returning from Africa, where six months ago
underwent malaria. In return were found lice. Suddenly, there were severe headache,
weakness, body temperature 39 °C with a temporary decrease in the 4th day of illness,
followed by general weakness, much intoxication, headache, appeared on the body
abundance polymorphic rash. At the 7-day state of heavy, the phenomenon of encephalitis,
excitation, hallucinations periodically. Objective – erythematos-petechial exanthema. The
temperature of the body 40,1 0C, pulse was 136 per 1 min, blood pressure 120/70 mm Hg .
Moderately enlarged liver and spleen. Paradoxical ishuriya. In the blood analys neutrofil
mild leukocytosis, eozinofilia, accelerated ESR. Which of the studies of blood will be
positive?
A. At typhoid fever
B. At the three-day malaria
C. At tropical malaria
D. * At epidemic typhus
E. At brucellosis
235.
Male 55 years old, fell ill after 3 weeks after returning from Afghanistan, where six
months ago underwent malaria. In return were found lice. Suddenly, there were severe
headache, weakness, body temperature 39 ?C with a temporary decrease in the 4th day of
illness, followed by general weakness, much intoxication, headache, appeared on the body
abundance polymorphic rash. At the 7-day state of heavy, the phenomenon of encephalitis,
excitation, hallucinations periodically. Objective – erythematos-petechial exanthema. The
temperature of the body 40,1 0C, pulse was 136 per 1 min, blood pressure 120/70 mm Hg .
Moderately enlarged liver and spleen. Paradoxical ishuriya. In the blood analys neutrofil
mild leukocytosis, eozinofilia, accelerated ESR. Which of the studies of blood will be
positive?
A. At typhoid fever
B. At the three-day malaria
C. At tropical malaria
D. * At epidemic typhus
E. At brucellosis
236.
Patient 30 years, complained about the high temperatures of up to 39 ° C, headache
in the frontal area, pain in the eyeball, photophobia, pain in muscles, dry cough. Acutely ill
the day before. Objective: condition serious, hyperaemic, eyes shining, vascular injection
sclera. Pulse 96/min, rhythmical. Tone heart weakened. In the lungs scattered dry bubbling
rale. Faces hyperemic, granular. Meningeal symptoms are not present. Blood tests: Leu.
3*109, eoz. 1 %, band neu. 6 %,segmented neu. 51 %, lymph. 35 %, mon. 7 %. What is the
most likely diagnosis?
A. Measles
B. * Influenza
C. Meningococcal disease
D. Pneumonia
E. Typhus
237.
Patient 30 years, complains about the high temperatures of up to 39 ° C, headache in
the frontal area, pain in the eyeball, photophobia, pain in muscles, dry cough. Acutely ill the
day before. Objective: condition serious, hyperaemic, eyes shining, vascular injection sclera.
Pulse 96/min, rhythmical. Tone heart weakened. In the lungs scattered dry bubbling rale.
Faces hyperemic, granular. Meningeal symptoms are not present. Blood tests: Leu. 3*109,
eoz. 1 %, band neu. 6 %,segmented neu. 51 %, lymph. 35 %, mon. 7 %. What is the most
likely diagnosis?
A. Measles
B. * Influenza
C. Meningococcal disease
D. Pneumonia
E. Typhus
238.
Patient 32 years, complained about the high temperatures of up to 39 ° C, headache
in the frontal area, pain in the eyeball, photophobia, pain in muscles, dry cough. Acutely ill
the day before. Objective: condition serious, hyperaemic, eyes shining, vascular injection
sclera. Pulse 96/min, rhythmical. Tone heart weakened. In the lungs scattered dry bubbling
rale. Faces hyperemic, granular. Meningeal symptoms are not present. Blood tests: Leu.
3*109, eoz. 1 %, band neu. 6 %,segmented neu. 51 %, lymph. 35 %, mon. 7 %. What is the
most likely diagnosis?
A. Measles
B. * Influenza
C. Meningococcal disease
D. Pneumonia
E. Typhoid fever
239.
?Patient A., 37 years old, entered to the infectious hospital on the third day of disease
in the severe condition. He complaints about the high fever with chills and sweat, general
weakness, pain in right under a rib. Objectively: temperature of body 41 °С, icterus of skin,
liver +2 cm, pain at palpation in abdomen, positive symptoms of Ortner and Mussy, a spleen
is normal, tachycardia. What is the previous diagnosis?
A. Malaria
B. * Cholangitis
C. Viral hepatitis
D. Sepsis
E. Leptospirosis
240.
Patient A., 47 years old, entered to infectious hospital on the third day of disease in
the severe condition. He complaints about the high fever with chills and sweat, general
weakness, pain in right under a rib. Objectively: temperature of body 41 °С, icterus of skin,
liver +2 cm, pain at palpation in abdomen, positive symptoms of Ortner and Mussy, a spleen
is normal, tachycardia. What is the previous diagnosis?
A. Malaria
B. * Cholangitis
C. Viral hepatitis
D. Sepsis
E. Leptospirosis
241.
Patient A., complains of headaches, delirium. When inspection: a body temperature
of 39 ?C, initiated, a person hyperemic, positive symptom Govorova-Godele, petechia rash
on the trunk, limbs, tachycardia, hypotension, hepatosplenomegaly. Drunker, drug user,
living in the basement room type. What is your preliminary diagnosis?
A. AIDS infection
B. Influenza
C. Leptospirosis
D. * Typhus
E. Alcohol psychosis
242.
Patient B., 39 years old, entered to infectious hospital on the third day of disease in
the severe condition. He complaints about the high fever with chills and sweat, general
weakness, pain in right under a rib. Objectively: temperature of body 41 °С, icterus of skin,
liver +2 cm, pain at palpation in abdomen, positive symptoms of Ortner and Mussy, a spleen
is normal, tachycardia. What is the previous diagnosis?
A. Malaria
B. * Cholangitis
C. Viral hepatitis
D. Sepsis
E. Leptospirosis
243.
Patient C., 42 years old, entered to infectious hospital on the second week days of
disease in the severe condition. Local habitant, nowhere arrived. She complaints for the high
fever with chills and sweat, general weakness. Attacks of fever without correct periodicity.
Objectively: the temperature of body – 41 °С, subicterus of sclera, tachycardia,
Pasrernacky‘s symptom positive, liver + 2 cm, spleen + 2 cm. What is the previous
diagnosis?
A. Malaria
B. Cholangitis
C. Pyelonephritis
D. * Sepsis
E. Leptospirosis
244.
Patient C., complains of headaches, delirium. When inspection: a body temperature
of 39 °C, initiated, a person hyperemic, positive symptom Govorova-Godele, petechia rash
on the trunk, limbs, tachycardia, hypotension, hepatosplenomegaly. Drunker, drug user,
living in the basement room type. What is your preliminary diagnosis?
A. AIDS infection
B. Influenza
C. Leptospirosis
D. * Typhus
E. Alcohol psychosis
245.
Patient D., 39 years old, entered to infectious hospital on the second week days of
disease in the severe condition. Local habitant, nowhere arrived. She complaints for the high
fever with chills and sweat, general weakness. Attacks of fever without correct periodicity.
Objectively: the temperature of body – 41 °С, subicterus of sclera, tachycardia,
Pasrernacky‘s symptom positive, liver + 2 cm, spleen + 2 cm. What is the previous
diagnosis?
A. Malaria
B. Cholangitis
C. Pyelonephritis
D. * Sepsis
E. Leptospirosis
246.
Patient D., 42 years old, entered to infectious hospital on the second week days of
disease in the severe condition. Local habitant, nowhere arrived. She complaints for the high
fever with chills and sweat, general weakness. Attacks of fever without correct periodicity.
Objectively: the temperature of body – 41 °С, subicterus of sclera, tachycardia,
Pasrernacky‘s symptom positive, liver + 2 cm, spleen + 2 cm. What is the previous
diagnosis?
A. Malaria
B. Cholangitis
C. Pyelonephritis
D. * Sepsis
E. Leptospirosis
247.
Patient F., 37 years old, entered to infectious hospital on the third day of disease in
the severe condition. He complaints about the high fever with chills and sweat, general
weakness, pain in right under a rib. Objectively: temperature of body 41 °С, icterus of skin,
liver +2 cm, pain at palpation in abdomen, positive symptoms of Ortner and Mussy, a spleen
is normal, tachycardia. What is the previous diagnosis?
A. Malaria
B. * Cholangitis
C. Viral hepatitis
D. Sepsis
E. Leptospirosis
248.
Patient F., 38 years old, sailor, has been ill in 18-day illness, complaining of high
fever, headache, weakness. Disease began as a chills during an hour, then the temperature
had risen to 39,8 ?C. In next 5-6 days, chills repeated every day in the middle of the day,
after which the temperature rose to 40-41 °C, such attacks fever occur every other day. Face
is hyperemic, herpes, vascular injection of sclera. Tons of the heart muted, rhythmic, pulse
140 for 1 min, AD 140 and 60 mm Hg. Liver is normal, spleen +2 sm. What you need to
start treatment?
A. * Primaquine
B. Fansidar
C. Metakelfin
D. Quinine
E. Tetracycline
249.
Patient G., 38 years old, sailor, has been ill in 12-day illness, complaining of high
fever, headache, weakness. Disease began as a chills during an hour, then the temperature
had risen to 39,8 ?C. In next 5-6 days, chills repeated every day in the middle of the day,
after which the temperature rose to 40-41 °C, such attacks fever occur every other day. Face
is hyperemic, herpes, vascular injection of sclera. Tons of the heart muted, rhythmic, pulse
140 for 1 min, AD 140 and 60 mm Hg. Liver is normal, spleen +2 sm. What you need to
start treatment?
A. * Primaquine
B. Fansidar
C. Metakelfin
D. Quinine
E. Tetracycline
250.
Patient I., complains of headaches, delirium. When inspection: a body temperature of
39 °C, initiated, a person hyperemic, positive symptom Govorova-Godele, petechia rash on
the trunk, limbs, tachycardia, hypotension, hepatosplenomegaly. Drunker, drug user, living
in the basement room type. What is your preliminary diagnosis?
A. AIDS
B. Influenza
C. Leptospirosis
D. * Typhoid fever
E. Epidemic typhus
251.
Patient K., 41 years old, sailor, has been ill in 18-day illness, complaining of high
fever, headache, weakness. Disease began as a chills during an hour, then the temperature
had risen to 39,8 ?C. In next 5-6 days, chills repeated every day in the middle of the day,
after which the temperature rose to 40-41 °C, such attacks fever occur every other day. Face
is hyperemic, herpes, vascular injection of sclera. Tons of the heart muted, rhythmic, pulse
140 for 1 min, AD 140 and 60 mm Hg. Liver is normal, spleen +2 sm. What you need to
start treatment?
A. * Primaquine
B. Fansidar
C. Metakelfin
D. Quinine
E. Tetracycline
252.
Patient L., 46 years old, complained during 7 days for the permanent increase of
temperature to 38,2-38,7 °C, headache, insomnia, horrific dreams, dry cough, myalgias,
artalgias. Polymorphic rash appeared on a trunk on the 4th day of diseases. In childhood was
ill by epidemic fever, three-day malaria. Temperature of body – 38,4 °C, pulse – 98 per a
min, hepatolienal syndrome, bilateral pneumonia confirmed roentgenologic. In the analysis
of blood moderate neutrophil leycocytosis. What is the previous diagnosis?
A. * Brill‘s disease
B. Typhoid fever
C. Lime‘s disease
D. Malaria
E. Leptospirosis
253.
Patient M., 25 years old, complained during 7 days for the permanent increase of
temperature to 38,2-38,7 °C, headache, insomnia, horrific dreams, dry cough, myalgias,
artalgias. Polymorphic rash appeared on a trunk on the 4th day of diseases. In childhood was
ill by epidemic fever, three-day malaria. Temperature of body – 38,4 °C, pulse – 98 per a
min, hepatolienal syndrome, bilateral pneumonia confirmed roentgenologic. In the analysis
of blood moderate neutrophil leycocytosis. What is the previous diagnosis?
A. * Brill‘s disease
B. Typhoid fever
C. Lime‘s disease
D. Malaria
E. Leptospirosis
254.
Patient M., complains of headaches, delirium. When inspection: a body temperature
of 39 °C, initiated, a person hyperemic, positive symptom Govorova-Godele, petechia rash
on the trunk, limbs, tachycardia, hypotension, hepatosplenomegaly. Drunker, drug user,
living in the basement room type. What is your preliminary diagnosis?
A. AIDS infection
B. Influenza
C. Leptospirosis
D. * Typhus
E. Alcohol psychosis
255.
Patient O., 38 years old, sailor, has been ill in 18-day illness, complaining of high
fever, headache, weakness. Disease began as a chills during an hour, then the temperature
had risen to 39,8 ?C. In next 5-6 days, chills repeated every day in the middle of the day,
after which the temperature rose to 40-41 °C, such attacks fever occur every other day. Face
is hyperemic, herpes, vascular injection of sclera. Tons of the heart muted, rhythmic, pulse
140 for 1 min, AD 140 and 60 mm Hg. Liver is normal, spleen +2 sm. What you need to
start treatment?
A. * Primaquine
B. Fansidar
C. Metakelfin
D. Quinine
E. Tetracycline
256.
Patient P., 36 years old, complained during 7 days for the permanent increase of
temperature to 38,2-38,7 °C, headache, insomnia, horrific dreams, dry cough, myalgias,
artalgias. Polymorphic rash appeared on a trunk on the 4th day of diseases. In childhood was
ill by epidemic fever, three-day malaria. Temperature of body – 38,4 °C, pulse – 98 per a
min, hepatolienal syndrome, bilateral pneumonia confirmed roentgenologic. In the analysis
of blood moderate neutrophil leycocytosis. What is the previous diagnosis?
A. * Brill‘s disease
B. Typhoid fever
C. Lime‘s disease
D. Malaria
E. Leptospirosis
257.
Patient P., 56 years old, complained during 7 days for the permanent increase of
temperature to 38,2-38,7 °C, headache, insomnia, horrific dreams, dry cough, myalgias,
artalgias. Polymorphic rash appeared on a trunk on the 4th day of diseases. In childhood was
ill by epidemic fever, three-day malaria. Temperature of body – 38,4 °C, pulse – 98 per a
min, hepatolienal syndrome, bilateral pneumonia confirmed roentgenologic. In the analysis
of blood moderate neutrophil leycocytosis. What is the previous diagnosis?
A. * Brill‘s disease
B. Typhoid fever
C. Lime‘s disease
D. Malaria
E. Leptospirosis
258.
Patient V., 49 years old, entered to infectious hospital on the second week days of
disease in the severe condition. Local habitant, nowhere arrived. She complaints for the high
fever with chills and sweat, general weakness. Attacks of fever without correct periodicity.
Objectively: the temperature of body – 41 °С, subicterus of sclera, tachycardia,
Pasrernacky‘s symptom positive, liver + 2 cm, spleen + 2 cm. What is the previous
diagnosis?
A. Malaria
B. Cholangitis
C. Pyelonephritis
D. * Sepsis
E. Leptospirosis
259.
Patients A., 43 years old, became ill saddenly, when the temperature of body rise to
40,2 °C, appeared headache, weakness, euphoria, injection of vascular sclera, hyperemia of
face, appears the positive symptom of Govorova-Godele. Reaction with Rickettsia
Provachecky 1:160, IGG – 87 %. What is your diagnosis?
A. Brill‘s disease
B. Typhoid fever
C. Paratyphoid A
D. Paratyphoid B
E. * Epidemic typhus
260.
Patients B., 30 years old, became ill saddenly, when the temperature of body rise to
40,2 °C, appeared headache, weakness, euphoria, injection of vascular sclera, hyperemia of
face, appears the positive symptom of Govorova-Godele. Reaction with Rickettsia
Provachecky 1:160, IGG – 87 %. What is your diagnosis?
A. Brill‘s disease
B. Typhoid fever
C. Paratyphoid A
D. Paratyphoid B
E. * Epidemic typhus
261.
Patients B., 53 years old, became ill saddenly, when the temperature of body rose to
40,2 °C, appeared headache, weakness, euphoria, injection of vascular sclera, hyperemia of
face, appears the positive symptom of Govorova-Godele. Reaction with Rickettsia
Provachecky 1:160, IGG – 87 %. What is your diagnosis?
A. Brill‘s disease
B. Typhoid fever
C. Paratyphoid A
D. Paratyphoid B
E. * Epidemic typhus
262.
Patients D., 30 years old, became ill saddenly, when the temperature of body rose to
40,2 °C, appeared headache, weakness, euphoria, injection of vascular sclera, hyperemia of
face, appears the positive symptom of Govorova-Godele. Reaction with Rickettsia
Provachecky 1:160, IGG – 87 %. What is your diagnosis?
A. Brill‘s disease
B. Typhoid fever
C. Paratyphoid A
D. Paratyphoid B
E. * Epidemic typhus
263.
Patients D., 40 years old, became ill saddenly, when the temperature of body rise to
40,2 °C, appeared headache, weakness, euphoria, injection of vascular sclera, hyperemia of
face, appears the positive symptom of Govorova-Godele. Reaction with Rickettsia
Provachecky 1:160, IGG – 87 %. What is your diagnosis?
A. Brill‘s disease
B. Typhoid fever
C. Paratyphoid A
D. Paratyphoid B
E. * Epidemic typhus
264.
Patients D., 40 years old, became ill saddenly, when the temperature of body rose to
40,2 °C, appeared headache, weakness, euphoria, injection of vascular sclera, hyperemia of
face, appears the positive symptom of Govorova-Godele. Reaction with Rickettsia
Provachecky 1:160, IGG – 87 %. What is your diagnosis?
A. Brill‘s disease
B. Typhoid fever
C. Paratyphoid A
D. Paratyphoid B
E. * Epidemic typhus
265.
Patients D., 48 years old, became ill saddenly, when the temperature of body rise to
40,2 °C, appeared headache, weakness, euphoria, injection of vascular sclera, hyperemia of
face, appears the positive symptom of Govorova-Godele. Reaction with Rickettsia
Provachecky 1:160, IGG – 87 %. What is your diagnosis?
A. Brill‘s disease
B. Typhoid fever
C. Paratyphoid A
D. Paratyphoid B
E. * Epidemic typhus
266.
Patients T., 41 years old, became ill saddenly, when the temperature of body rose to
40,2 °C, appeared headache, weakness, euphoria, injection of vascular sclera, hyperemia of
face, appears the positive symptom of Govorova-Godele. Reaction with Rickettsia
Provachecky 1:160, IGG – 87 %. What is your diagnosis?
A. Brill‘s disease
B. Typhoid fever
C. Paratyphoid A
D. Paratyphoid B
E. * Epidemic typhus
267.
The patient 49 years old, hospitalized for a 4-day illness with complaints of
headache, weakness, dizziness, sweating, insomnia, fever. Hyperemic, edema,
conjunctivitis. At the transition fold conjunctiva – single petehies. At the skin torso, chest,
abdomen, limbs abundance rosy-petehia rash. Tachycardia. AD 100 and 60. Tremor of the
tough. Palpable liver, spleen. Stool arrested. What is the most likely diagnosis?
A. Leptospirosis
B. Typhoid fever
C. Influenza
D. Meningoccemia
E. * Epidemic typhus
268.
The patient, 39 years old, hospitalized for a 2-nd day illness with complaints of
headache, weakness, dizziness, sweating, insomnia, fever. Hyperemic, edema,
conjunctivitis. At the transition fold conjunctiva – single petehies. At the skin torso, chest,
abdomen, limbs abundance rosy-petehia rash. Tachycardia. AD 100 and 60. Tremor of the
tough. Palpable liver, spleen. Stool arrested. What is the most likely diagnosis?
A. Leptospirosis
B. Typhoid fever
C. Influenza
D. Meningoccemia
E. * Epidemic typhus
269.
The patient, 49 years old, hospitalized for a 4-day illness with complaints of
headache, weakness, dizziness, sweating, insomnia, fever. Hyperemic, edema,
conjunctivitis. At the transition fold conjunctiva – single petehies. At the skin torso, chest,
abdomen, limbs abundance rosy-petehia rash. Tachycardia. AD 100 and 60. Tremor of the
tough. Palpable liver, spleen. Stool arrested. What is the most likely diagnosis?
A. Leptospirosis
B. Typhoid fever
C. Influenza
D. Meningoccemia
E. * Epidemic typhus
270.
The patient, 49 years old, hospitalized for a 4-day illness with complaints of
headache, weakness, dizziness, sweating, insomnia, fever. Hyperemic, edema,
conjunctivitis. At the transition fold conjunctiva – single petehies. At the skin torso, chest,
abdomen, limbs abundance rosy-petehia rash. Tachycardia. AD 100 and 60. Tremor of the
tough. Palpable liver, spleen. Stool arrested. What is the most likely diagnosis?
A. Leptospirosis
B. Typhoid fever
C. Influenza
D. Meningoccemia
E. * Epidemic typhus
271.
A 17 years old boy, after tick bite got ill suddenly: the temperature rise 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. Meningeal signs are positivE.
What is the most credible diagnosis?
A. * Viral meningoencephalitis
B. Leptospirosis
C. Measles
D. Meningococcal disease
E. Flu
272.
A 19 years old boy, after tick bite got ill suddenly: the temperature rise up-to 40,1
°С, extremely sharp headache, makes him to yell. The patient is agitated and vomits
frequently. Tremor of fingers of extremities is observeD. Meningeal signs are positivE.
What is the most credible diagnosis?
A. * Viral meningoencephalitis
B. Leptospirosis
C. Measles
D. Meningococcal infection
E. Flu with a hemorrhagic syndrome
273.
A 23 years old boy, after tick bite got ill suddenly: the temperature rise up-to 40,1
°С, extremely sharp headache, makes him to yell. The patient is agitated and vomits
frequently. Tremor of fingers of extremities is observeD. Meningeal signs are positivE.
What is the most credible diagnosis?
A. * Viral meningoencephalitis
B. Leptospirosis
C. Measles
D. Meningococcal infection
E. Flu with hemorrhagic syndrome
274.
A 27 years old men, after tick bite got ill suddenly: the temperature rise 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. Meningeal signs are positivE.
What is the most credible diagnosis?
A. * Viral meningoencephalitis
B. Leptospirosis
C. Measles
D. Meningococcal infection
E. Flu with a hemorrhagic syndrome
275.
A citizen of Afganistan, 22 years old, came to study in UkrainE. After 11 days a
strong chill appeareD. There has been a headache, slice, nagging pain in the muscles.
OBJECTIVE: body temperature 39,6 °C, sclera subicteric, herpes of lips. Symptoms of
bronchitis were present. Spleen is significantly increased, dense, the liver is normal. What
investigation is necessary to do?
A.
B.
C.
D.
E.
USD of abdomen
Lumbar puncture
* Microscopy of tissue slads
Microscopy of peripheral blood
Bacterioscopy
276.
A citizen of India, 39 years old, came to study in UkrainE. After 10 days a strong
chill appeareD. There has been a headache, slice, nagging pain in the muscles.
OBJECTIVE: body temperature 39,6 °C, sclera subicteric, herpes of lips. Symptoms of
bronchitis were present. Spleen is significantly increased, dense, the liver is normal. What
investigation is necessary to do?
A. USD of abdomen
B. Lumbar puncture
C. * Microscopy of tissue slads
D. Microscopy of peripheral blood
E. Observation of E.coli
277.
A citizen of Nigeria, 19 years old, came to study in UkrainE. After 10 days a strong
chill appeareD. There has been a headache, slice, nagging pain in the muscles.
OBJECTIVE: body temperature 39,6 °C, sclera subicteric, herpes of lips. Symptoms of
bronchitis were present. Spleen is significantly increased, dense, the liver is normal. What
investigation is necessary to do?
A. USD of abdomen
B. Lumbar puncture
C. * Microscopy of tissue slaids
D. Microscopy of peripheral blood
E. Microscopy of large drop
278.
A citizen of Somali, 19 years old, came to study in UkrainE. After 8 days a strong
chill appeareD. There has been a headache, slice, nagging pain in the muscles.
OBJECTIVE: body temperature 39,6 °C, sclera subicteric, herpes of lips. Symptoms of
bronchitis were present. Spleen is significantly increased, dense, the liver is normal. What
investigation is necessary to do?
A. USD of abdomen
B. Lumbar puncture
C. * Microscopy of tissue slads
D. Microscopy of peripheral blood
E. Haemocultura
279.
A patient A., 28 years old, fell suddenly ill. Every morning severe headache, frequent
vomiting, temperature of the body is 39,6 °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 – 8,0?109. What is the most reliable diagnosis?
A. Epidemic typhus, typhus state
B. Flu
C. * Viral menigoencephalitis
D. Bacterial menigoencephalitis
E. Sepsis, infectious-toxic shock
280.
A patient B., 43 years old, stay sick during few weeks: insignificant weakness, body
temperature – 38,4 °C, at right forearm – 2 ulcers of diameter 1,5 cm, covered by scab with
pus under it, surrounded by infiltration. What is the most credible diagnosis?
A. Eryzipelas
B. Tularemia, ulcerous-bubonic form
C. Skin leishmaniosis
D. Staphylococcal carbuncle
E. * Anthrax
281.
A patient became ill sharply. Severe pain of head, frequent vomits appeared in the
morning. Temperature of body rise up to 39,6 °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. * Viral meningoencephalitis
B. Meningococcal infection, meningitis
C. Status typhosus in epidemic typhus
D. Sepsis, infectious-toxic shock
E. Status typhosus in typhoid fever
282.
A patient became ill sharply. Severe pain of head, frequent vomits appeared in the
morning. Temperature of body rise up to 39,6 °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. * Viral meningoencephalitis
B. Meningococcal infection, meningitis
C. Status typhosus in epidemic typhus
D. Sepsis, infectious-toxic shock
E. Status typhosus in typhoid fever
283.
A patient became ill sharply. Severe pain of head, frequent vomits appeared in the
morning. Temperature of body rise up to 39,9 °C. Till the evening patient lost
consciousness. Excited, sharply expressed meningeal signs. What is most reliable diagnosis?
A. * Viral meningoencephalitis
B. Meningococcal infection, meningitis
C. Status typhosus in epidemic typhus
D. Sepsis, infectious-toxic shock
E. Status typhosus in typhoid fever
284.
A patient became ill sharply. Severe pain of head, frequent vomits appeared in the
morning. Temperature of body rise up 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. * Viral meningoencephalitis
B. Meningococcal infection, meningitis
C. Status typhosus in epidemic typhus
D. Sepsis, infectious-toxic shock
E. Status typhosus in typhoid fever
285.
A patient became sick 2 days ago suddenly. Temperature of body rise up to 40°С,
headache, vomit, positive Kernig’s and Brudzinsky’s symptoms appeareD. In cerebrospinal
liquid: cytosis 7 000 in 1 mkl, 90 % are lymphocytes, some increasing of protein, sugar,
chlorides. What is clinical diagnosis?
A. Endocarditis
B. * Meningeal form of viral encephalitis
C. Infectious-toxic shock
D. Meningococcemia
E. Meningism
286.
A patient became sick 2 days ago suddenly. Temperature of body rise up to 41 °С,
headache, vomit, positive Kernig’s and Brudzinsky’s symptoms appeareD. In cerebrospinal
liquid: cytosis 7 000 in 1 mkl, 90 % are lymphocytes, some increasing of protein, sugar,
chlorides. What is clinical diagnosis?
A. Endocarditis
B. Meningococcemia
C. Infectious-toxic shock
D. * Meningeal form of viral encephalitis
E. Meningism
287.
A patient became sick 2 days ago suddenly. Temperature of body rise up to 41 °С,
headache, vomit, positive Kernig’s and Brudzinsky’s symptoms appeareD. In cerebrospinal
liquid: cytosis 7 000 in 1 mkl, 90 % are lymphocytes, some increasing of protein, sugar,
chlorides. What is clinical diagnosis?
A. Endocarditis
B. * Meningeal form of viral encephalitis
C. Infectious-toxic shock
D. Meningococcemia
E. Meningism
288.
A patient became sick 2 days ago suddenly. Temperature of body rise up to 41°С,
headache, vomit, positive Kernig’s and Brudzinsky’s symptoms appeareD. In cerebrospinal
liquid: cytosis 7 000 in 1 mkl, 90 % are lymphocytes, some increasing of protein, sugar,
chlorides. What is clinical diagnosis?
A. Endocarditis
B. * Meningeal form of viral encephalitis
C. Infectious-toxic shock
D. Meningococcemia
E. Meningism
289.
A patient became sick 4 days ago suddenly. Temperature of body rise up to 41 °С,
headache, vomit, positive Kernig’s and Brudzinsky’s symptoms appeareD. In cerebrospinal
liquid: cytosis 7 000 in 1 mkl, 90 % are lymphocytes, some increasing of protein, sugar,
chlorides. What is clinical diagnosis?
A. Endocarditis
B. Meningococcemia
C. Infectious-toxic shock
D. * Meningeal form of viral encephalitis
E. Meningism
290.
A patient became sick 5 days ago suddenly. Temperature of body rise up to 40 °С,
headache, vomit, positive Kernig’s and Brudzinsky’s symptoms appeareD. In cerebrospinal
liquid: cytosis 7 000 in 1 mkl, 90 % are lymphocytes, some increasing of protein, sugar,
chlorides. What is clinical diagnosis?
A. Endocarditis
B. Meningococcemia
C. Infectious-toxic shock
D. * Meningeal form of viral encephalitis
E. Meningism
291.
A patient became sick 5 days ago suddenly. Temperature of body rise up to 40,2 °С,
headache, vomit, positive Kernig’s and Brudzinsky’s symptoms appeareD. In cerebrospinal
liquid: cytosis 7 000 in 1 mkl, 90 % are lymphocytes, some increasing of protein, sugar,
chlorides. What is clinical diagnosis?
A. Endocarditis
B. * Meningeal form of viral encephalitis
C. Infectious-toxic shock
D. Meningococcemia
E. Meningism
292.
A patient became sick 6 days ago suddenly. Temperature of body rise up to 40,6 °С,
headache, vomit, positive Kernig’s and Brudzinsky’s symptoms appeareD. In cerebrospinal
liquid: cytosis 7 000 in 1 mkl, 90 % are lymphocytes, some increasing of protein, sugar,
chlorides. What is clinical diagnosis?
A. Endocarditis
B. Meningococcemia
C. Infectious-toxic shock
D. * Meningeal form of viral encephalitis
E. Meningism
293.
A patient C., 25 years old, fall 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 – 8,0?109. What is the most reliable diagnosis?
A. Epidemic typhus, typhus state
B. Bacterial menigoencephalitis
C. Flu
D. Sepsis, infectious-toxic shock
E. * Viral menigoencephalitis
294.
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 – 8,0?109. What is the most reliable diagnosis?
A. Epidemic typhus, typhus state
B. Flu
C. * Viral menigoencephalitis
D. Bacterial menigoencephalitis
E. Sepsis, infectious-toxic shock
295.
A patient C., 28 years old, fall suddenly ill. Every morning severe headache, frequent
vomiting, temperature of the body is 39,7 °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 – 8,0?109. What is the most reliable diagnosis?
A. Epidemic typhus, typhus state
B. Bacterial menigoencephalitis
C. Flu
D. Sepsis, infectious-toxic shock
E. * Viral menigoencephalitis
296.
A patient C., 31 years old, fall 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 – 8,0?109. What is the most reliable diagnosis?
A. Epidemic typhus, typhus state
B. Bacterial menigoencephalitis
C. Flu
D. Sepsis, infectious-toxic shock
E. * Viral menigoencephalitis
297.
A patient C., 35 years old, fall 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 – 8,0?109. What is the most reliable diagnosis?
A. Epidemic typhus, typhus state
B. Bacterial menigoencephalitis
C. Flu
D. Sepsis, infectious-toxic shock
E. * Viral menigoencephalitis
298.
A patient C., 43 years old, stay sick during few weeks: insignificant weakness, body
temperature – 38 °C, at right forearm – 2 ulcers of diameter 1,5 cm, covered by scab with
pus under it, surrounded by infiltration. What is the most credible diagnosis?
A. Eryzipelas
B. Tularemia, ulcerous-bubonic form
C. Skin leishmaniosis
D. Staphylococcal carbuncle
E. * Anthrax
299.
A patient C., 46 years old, fell suddenly ill. Every morning severe headache, frequent
vomiting, temperature of the body is 39,7 °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 – 8,0?109. What is the most reliable diagnosis?
A. Epidemic typhus, typhus state
B. Flu
C. * Viral menigoencephalitis
D. Bacterial menigoencephalitis
E. Sepsis, infectious-toxic shock
300.
A patient H., 35 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 – 8,0?109. What is the most reliable diagnosis?
A. Epidemic typhus, typhus state
B. Flue
C. * Viral menigoencephalitis
D. Bacterial menigoencephalitis
E. Sepsis, infectious-toxic shock
301.
A patient W., 34 years old, stay sick during few weeks: insignificant weakness, body
temperature – 38,3 °C, at right forearm – 2 ulcers of diameter 1,5 cm, covered by scab with
pus under it, surrounded by infiltration. What is the most credible diagnosis?
A. Eryzipelas
B. Tularemia, ulcerous-bubonic form
C. Skin leishmaniosis
D. Staphylococcal carbuncle
E. * Anthrax
302.
A patient W., 40 years old, stay sick during few weeks: insignificant weakness, body
temperature – 38 °C, at right forearm – 2 ulcers of diameter 1,5 cm, covered by scab with
pus under it, surrounded by infiltration. What is the most credible diagnosis?
A. Eryzipelas
B. Tularemia, ulcerous-bubonic form
C. Skin leishmaniosis
D. Staphylococcal carbuncle
E. * Anthrax
303.
At a patient with meningoencephalitis 32 years old, rise up general clonic-tonic
cramps, abundant sweat, hyperemia of the face, bradycardia quickly changed on
tachycardia, violation of breathing (Cheyne-Stokes type). What complication develop?
A. Swelling and edema of cerebrum
B. * Wedging of cerebrum in the cervical channel
C. Hypovolemic shock
D. Waterhause-Friedrichsen syndrome
E. Infectious toxic shock
304.
At a patient with meningoencephalitis 34 years old, rise up general clonic-tonic
cramps, abundant sweat, hyperemia of the face, bradycardia quickly changed on
tachycardia, violation of breathing (Cheyne-Stokes type). What complication develop?
A. Swelling and edema of cerebrum
B. * Wedging of cerebrum in the cervical channel
C. Hypovolemic shock
D. Waterhause-Friedrichsen syndrome
E. Infectious toxic shock
305.
At a patient with meningoencephalitis 44 years old, rise up general clonic-tonic
cramps, abundant sweat, hyperemia of the face, bradycardia quickly changed on
tachycardia, violation of breathing (Cheyne-Stokes type). What complication develop?
A. Swelling and edema of cerebrum
B. * Wedging of cerebrum in the cervical channel
C. Hypovolemic shock
D. Waterhause-Friedrichsen syndrome
E. Infectious toxic shock
306.
At a patient with meningoencephalitis 47 years old, rise up general clonic-tonic
cramps, abundant sweat, hyperemia of the face, bradycardia quickly changed on
tachycardia, violation of breathing (Cheyne-Stokes type). What complication develop?
A. Swelling and edema of cerebrum
B. * Wedging of cerebrum in the cervical channel
C. Hypovolemic shock
D. Waterhause-Friedrichsen syndrome
E. Infectious toxic shock
307.
At a patient, 29 years, after the trip to Japan acute beginning of disease happeneD.
Body temperature – 39,5 °С, headache, which is accompanied with vomits, myalgiA.
Hemorrhagic rash, that are localized on sclerA. Rigidity of cervical muscles, Kernig and
Brudzinsky symptoms are expresseD. Spinal liquid without any changes. What is most
credible diagnosis?
A. Meningococcal infection
B. Leptospirosis
C. Epidemic typhus
D. Typhoid fever
E. * Viral meningoencephalitis
308.
At a patient, 35 years, after the trip to Japan acute beginning of disease happeneD.
Body temperature – 39,5 °С, headache, which is accompanied with vomits, myalgiA.
Hemorrhagic rash, that are localized on sclerA. Rigidity of cervical muscles, Kernig and
Brudzinsky symptoms are expresseD. Spinal liquid without any changes. What is most
credible diagnosis?
A. Meningococcal infection
B. Leptospirosis
C. Epidemic typhus
D. Typhoid fever
E. * Viral meningoencephalitis
309.
At a patient, 37 years, after the trip to Japan acute beginning of disease happeneD.
Body temperature – 39,2 °С, headache, which is accompanied with vomits, myalgiA.
Hemorrhagic rash, that are localized on sclerA. Rigidity of cervical muscles, Kernig and
Brudzinsky symptoms are expresseD. Spinal liquid without any changes. What is most
credible diagnosis?
A. Meningococcal infection
B. Leptospirosis
C. Epidemic typhus
D. Typhoid fever
E. * Viral meningoencephalitis
310.
At a patient, 45 years, after the trip to Japan acute beginning of disease happeneD.
Body temperature – 39,5 °С, headache, which is accompanied with vomits, myalgiA.
Hemorrhagic rash, that are localized on sclerA. Rigidity of cervical muscles, Kernig and
Brudzinsky symptoms are expresseD. Spinal liquid without any changes. What is most
credible diagnosis?
A. Meningococcal infection
B. Leptospirosis
C. Epidemic typhus
D. Typhoid fever
E. * Viral meningoencephalitis
311.
In a patient, 27 y.o., after tick biting, headache which accompanied by nausea,
repeated vomits, hyperesthesia, photophobia appear. At a review: 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.
B.
C.
D.
E.
Root syndrome
* Meningeal syndrome
Syndrome of liquor hypertension
Vegetative crisis
Syndrome of liquor hypotension
312.
In a patient, 29 y.o., after tick biting, headache which accompanied by nausea,
repeated vomits, hyperesthesia, photophobia appear. At a review: 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. Root syndrome
B. * Meningeal syndrome
C. Syndrome of liquor hypertension
D. Vegetative crisis
E. Syndrome of liquor hypotension
313.
In a patient, 37 y.o., after tick biting, headache which accompanied by nausea,
repeated vomits, hyperesthesia, photophobia appear. At a review: 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. Root syndrome
B. * Meningeal syndrome
C. Syndrome of liquor hypertension
D. Vegetative crisis
E. Syndrome of liquor hypotension
314.
In a patient, 41 y.o., after tick biting, headache which accompanied by nausea,
repeated vomits, hyperesthesia, photophobia appear. At a review: 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. Root syndrome
B. * Meningeal syndrome
C. Syndrome of liquor hypertension
D. Vegetative crisis
E. Syndrome of liquor hypotension
315.
Patient A., 31 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, cyanosis of lips and nail
phalanxes, 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. Ring like erythema at forearm. Vesicular breathing. Tongue
is assessed, moist. Meningeal symptoms present. OliguriA. What is previous diagnosis?
A. Epidemic typhus
B. * Viral meningoencephalitis
C. Leptospirosis
D. Hemorrhagic fever
E. Typhoid fever
316.
Patient A., 33 years old, was admitted to infectious hospital with complaints on a
subfebrile temperature and headachE. Fill bad some months. By examination observe ulser
on forearm with infiltration around it and painful. Regional lymphadenitis is not present.
Hepatolienal syndromE. It is known from anamnesis, that a patient visited India a year ago.
About what disease is it necessary to think about?
A. Cancer of skin
B. Erizipeloid
C. * Skin leishmaniosis
D. Eryzipelas
E. Anthrax
317.
Patient A., 39 years old, was admitted to infectious hospital with complaints on a
subfebrile temperature and headachE. Fill bad some months. By examination observe ulser
on forearm with infiltration around it and painful. Regional lymphadenitis is not present.
Hepatolienal syndromE. It is known from anamnesis, that a patient visited India a year ago.
About what disease is it necessary to think about?
A. Cancer of skin
B. Skin plague
C. * Skin leishmaniosis
D. Eryzipelas
E. Anthrax
318.
Patient A., 43 years old, was admitted to infectious hospital with complaints on a
subfebrile temperature and headachE. Fill bad some months. By examination observe ulser
on forearm with infiltration around it and painful. Regional lymphadenitis is not present.
Hepatolienal syndromE. It is known from anamnesis, that a patient visited India a year ago.
About what disease is it necessary to think about?
A. Cancer of skin
B. Erizipeloid
C. * Skin leishmaniosis
D. Eryzipelas
E. Anthrax
319.
Patient A., 43 years, have been examined by doctor on the 2nd day of illness. Fell ill
suddenly, temperature 40 °С, sharp headache, repeated vomiting, photophobiA. The
common state is severe, consciousness is darkened, expressed rigidity of cervical muscles,
positive Kernig’s symptom. Pulse 110/min, weak. BP 60/30 mm/hg. What is your
diagnosis?
A. Hemorrhagic stroke
B. Leptospirosis
C. Flu, toxic form
D. * Viral meningoencephalitis
E. Marburg hemorrhagic fever
320.
Patient A., 45 years old, was admitted to infectious hospital with complaints on a
subfebrile temperature and headachE. Fill bad some months. By examination observe ulser
on forearm with infiltration around it and painful. Regional lymphadenitis is not present.
Hepatolienal syndromE. It is known from anamnesis, that a patient visited India a year ago.
About what disease is it necessary to think about?
A. Cancer of skin
B. Erizipeloid
C. * Skin leishmaniosis
D. Eryzipelas
E. Anthrax
321.
Patient A., a Pakistan student, complaints about redness of skin and edema at the
right cheek. During examination: body temperature – 38,7 °C; gray-red tuberculum, covered
with peels. Your preliminary diagnosis?
A. Herpetic infection
B. Anthrax, skin form
C. * Skin leishmaniosis
D. Eryzipelas, hemorrhagic form
E. Phlegmona
322.
Patient A., complaints about redness of skin and edema at the right cheek. During
examination: body temperature – 38,7 °C; gray-red tuberculum, covered with peels. Your
preliminary diagnosis?
A. Herpetic infection
B. Anthrax, skin form
C. * Skin leishmaniosis
D. Eryzipelas, hemorrhagic form
E. Phlegmona
323.
Patient A., indian student, complaints about redness of skin and edema at the right
cheek. During examination: body temperature – 38,7 ?C; gray-red tuberculum, covered with
peels. Your preliminary diagnosis?
A. Herpetic infection
B. Anthrax, skin form
C. * Skin leishmaniosis
D. Eryzipelas, hemorrhagic form
E. Phlegmona
324.
Patient A., indian student, complaints about redness of skin and edema at the right
cheek. During examination: body temperature – 38,7 ?C; gray-red tuberculum, covered with
peels. Your preliminary diagnosis?
A. Herpetic infection
B. Anthrax, skin form
C. * Skin leishmaniosis
D. Eryzipelas, hemorrhagic form
E. Phlegmona
325.
Patient B., 38 years old, was treated from myocarditis in a cardiologic department.
There are violations of cardiac conductivity on the type of atrioventrikular blockade,
tachicardiA. The temperature of body is subfebril. Arthritis of right knee-joint. Works as a
forest ranger, likes to gather mushrooms and berries. What is treatment?
A. Benzylpenicillin
B. Nonsteroid ant inflammatory drugs
C. Glucocorticoids
D. Physical therapy
E. * All above enumerated
326.
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 neck, positive Кеrnig symptom, positive overhead and lower Brudzinsky
symptom. Acrocyanоsis is marked, temperature of body 38,8 °С. 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. Typhoid fever
D. * Viral meningoencephalitis
E. Leptospirosis
327.
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 neck, positive Кеrnig symptom, positive overhead and lower Brudzinsky
symptom. Acrocyanоsis is marked, temperature of body 38,8 °С. 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.
C.
D.
E.
Hemorrhagic fever
Typhoid fever
* Viral meningoencephalitis
Leptospirosis
328.
Patient B., 39 years old, complains about attacks of fever with chill and common
sickness. Epedimiologically was found that he had recently returned from IndiA.
Leishmania donovani was found under a microscopy. What is the vector of the disease:
A. Bee
B. Pliers
C. Flea
D. * Mosquitoes
E. Fly
329.
Patient B., 48 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 neck, positive Кеrnig symptom, positive overhead and lower Brudzinsky
symptom. Acrocyanоsis is marked, temperature of body 38,8 °С. 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. Typhoid fever
D. * Viral meningoencephalitis
E. Leptospirosis
330.
Patient B., appealed to the surgeon with expressed edema of left half of neck. During
examination a doctor observe a carbuncle on the lateral surface of neck and a few small
bubbles near it, filled with a rather yellow liquiD. Submandibular and anterior cervical
lymph nodes are enlarged and painful. What diseases is the most credible?
A. Carbuncle of neck
B. * Anthrax
C. Plague
D. Diphtheria
E. Skin leishmaniosis
331.
Patient C., 27 years old, was treated from myocarditis in a cardiologic department.
There are violations of cardiac conductivity on the type of atrioventrikular blockade,
tachicardiA. The temperature of body is subfebril. Arthritis of right knee-joint. Works as a
forest ranger, likes to gather mushrooms and berries. What is treatment?
A. Benzylpenicillin
B. Nonsteroid inflammatory drugs
C. Glucocorticoids
D. Physical therapy
E. * All above enumerated
332.
Patient C., 39 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 neck, positive Кеrnig symptom, positive overhead and lower Brudzinsky
symptom. Acrocyanоsis is marked, temperature of body 38,8 °С. 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. Typhoid fever
D. * Viral meningoencephalitis
E. Leptospirosis
333.
Patient D., 46 years, have been examined by doctor on the 2nd day of illness. Fell ill
suddenly, temperature 40 °С, sharp headache, repeated vomiting, photophobiA. The
common state is severe, consciousness is darkened, expressed rigidity of cervical muscles,
positive Kernig’s symptom. Pulse 110/min, weak. BP 60/30 mm/hg. What is your
diagnosis?
A. Hemorrhagic stroke
B. Leptospirosis
C. Flu, toxic form
D. * Viral meningoencephalitis
E. Marburg hemorrhagic fever
334.
Patient D., 53 years, have been examined by doctor on the 2nd day of illness. Fell ill
suddenly, temperature 40 °С, sharp headache, repeated vomiting, photophobiA. The
common state is severe, consciousness is darkened, expressed rigidity of cervical muscles,
positive Kernig’s symptom. Pulse 110/min, weak. BP 60/30 mm/hg. What is your
diagnosis?
A. Hemorrhagic stroke
B. Leptospirosis
C. Flu, toxic form
D. * Viral meningoencephalitis
E. Marburg hemorrhagic fever
335.
Patient D., appealed to the surgeon with expressed edema of left half of neck. During
examination a doctor observe a carbuncle on the lateral surface of neck and a few small
bubbles near it, filled with a rather yellow liquiD. Submandibular and anterior cervical
lymph nodes are enlarged and painful. What diseases is the most credible?
A. Carbuncle of neck
B. * Anthrax
C. Plague
D. Diphtheria
E. Skin leishmaniosis
336.
Patient K., 48 years old, was treated from myocarditis in a cardiologic department.
There are violations of cardiac conductivity on the type of atrioventrikular blockade,
tachicardiA. The temperature of body is subfebril. Arthritis of right knee-joint. Works as a
forest ranger, likes to gather mushrooms and berries. What is treatment?
A. Benzylpenicillin
B. Nonsteroid ant inflammatory drugs
C. Glucocorticoids
D. Physical therapy
E. * All above enumerated
337.
Patient L., 38 years old, complains about attacks of fever with chill and common
sickness. Epedimiologically was found that he had recently returned from IndiA.
Leishmania donovani was found under a microscopy. What is the vector of the disease:
A. Bee
B. Pliers
C. Flea
D. * Mosquitoes
E. Fly
338.
Patient L., 43 years old, complains about attacks of fever with chill and common
sickness. Epedimiologically was found that he had recently returned from IndiA.
Leishmania donovani was found under a microscopy. What is the vector of the disease:
A. Bee
B. Pliers
C. Flea
D. * Mosquitoes
E. Fly
339.
Patient V., 57 years, have been examined by doctor on the 2nd day of illness. Fell ill
suddenly, temperature 40 °С, sharp headache, repeated vomiting, photophobiA. The
common state is severe, consciousness is darkened, expressed rigidity of cervical muscles,
positive Kernig’s symptom. Pulse 110/min, weak. BP 60/30 mm/hg. What is your
diagnosis?
A. Hemorrhagic stroke
B. Leptospirosis
C. Flu, toxic form
D. * Viral meningoencephalitis
E. Marburg hemorrhagic fever
340.
Patient V., appealed to the surgeon with expressed edema of left half of neck. During
examination a doctor observe a carbuncle on the lateral surface of neck and a few small
bubbles near it, filled with a rather yellow liquiD. Submandibular and anterior cervical
lymph nodes are enlarged and painful. What diseases is the most credible?
A. Carbuncle of neck
B. * Anthrax
C. Plague
D. Diphtheria
E. Skin leishmaniosis
341.
Patient V., appealed to the surgeon with expressed edema of left half of neck. During
examination a doctor observe a carbuncle on the lateral surface of neck and a few small
bubbles near it, filled with a rather yellow liquiD. Submandibular and anterior cervical
lymph nodes are enlarged and painful. What diseases is the most credible?
A. Carbuncle of neck
B. * Anthrax
C. Plague
D. Diphtheria
E. Skin leishmaniosis
342.
Patient X., 48 years old, complains about attacks of fever with chill and common
sickness. Epedimiologically was found that he had recently returned from IndiA.
Leishmania donovani was found under a microscopy. What is the vector of the disease:
A. Bee
B. Pliers
C. Flea
D. * Mosquitoes
E. Fly
343.
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, cyanosis of lips and nail
phalanxes, 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. Ring like erythema at forearm. Vesicular breathing. Tongue
is assessed, moist. Meningeal symptoms present. OliguriA. What is previous diagnosis?
A. Epidemic typhus
B. * Viral meningoencephalitis
C. Leptospirosis
D. Hemorrhagic fever
E. Typhoid fever
344.
Patient Н., 27 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, cyanosis of lips and nail
phalanxes, 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. Ring like erythema at forearm. Vesicular breathing. Tongue
is assessed, moist. Meningeal symptoms present. OliguriA. What is previous diagnosis?
A. Epidemic typhus
B. * Viral meningoencephalitis
C. Leptospirosis
D. Hemorrhagic fever
E. Typhoid fever
345.
Patient Н., 36 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, cyanosis of lips and nail
phalanxes, 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. Ring like erythema at forearm. Vesicular breathing. Tongue
is assessed, moist. Meningeal symptoms present. OliguriA. What is previous diagnosis?
A. Epidemic typhus
B. * Viral meningoencephalitis
C. Leptospirosis
D. Hemorrhagic fever
E. Typhoid fever
346.
Patient, 23 y.o., suddenly experienced intensive headacke, nausea, pain in a neck and
lumbar areA. Temperature of body 39,2 °C. Expressed meningeal symptoms. Light, tactile,
pain hyperesthesiA. Blood: leucocytes – 17 000 /l, ESR-29 mm/hour. What method of
investigation is most informative?
A. Echoencephalography
B. Transcranial dopplerography
C. Electroencephalography
D. * Lumbar puncture
E. Computer tomography
347.
Patient, 29 y.o., suddenly experienced intensive headacke, nausea, pain in a neck and
lumbar areA. Temperature of body 39,2 °C. Expressed meningeal symptoms. Light, tactile,
pain hyperesthesiA. Blood: leucocytes – 17 000 /l, ESR-29 mm/hour. What method of
investigation is most informative?
A. Echoencephalography
B. Transcranial dopplerography
C. Electroencephalography
D. * Lumbar puncture
E. Computer tomography
348.
Patient, 34 y.o., suddenly experienced intensive headacke, nausea, pain in a neck and
lumbar areA. Temperature of body 39,2 °C. Expressed meningeal symptoms. Light, tactile,
pain hyperesthesiA. Blood: leucocytes – 17 000 /l, ESR-29 mm/hour. What method of
investigation is most informative?
A. Echoencephalography
B. Transcranial dopplerography
C. Electroencephalography
D. * Lumbar puncture
E. Computer tomography
349.
Sick 15 year old, became ill 3 days ago. Disturbed| headache, temperature of 37,4 °C.
During next days: headeache increased, a temperature had rise up to 38,3 °C, repeated
vomiting. Objectively: a skin is pale, without rash. Pulse 86/min satisfactory filling.
Meningeal signs positivE. It is needed to conduct for the selection of exciter.
A. Endermic test
B. Bioassay on mice
C. * Bacteriological examination of CSF
D. Widal test
E. Cultivation on bilious clear soup
350.
Sick 19 year old, became ill 4 days ago. Disturbed| headache, temperature of 37,4 °C.
During next days: headeache increased, a temperature had rise up to 38,3 °C, repeated
vomiting. Objectively: a skin is pale, without rash. Pulse 86/min satisfactory filling.
Meningeal signs positivE. It is needed to conduct for the selection of exciter.
A. Endermic test
B. Bioassay on mice
C. * Bacteriological examination of CSF
D. Widal test
E. Cultivation on bilious clear soup
351.
Sick 26 year old, became ill 3 days ago. Disturbed| headache, temperature of 37,4 °C.
During next days: headeache increased, a temperature had rise up to 38,3 °C, repeated
vomiting. Objectively: a skin is pale, without rash. Pulse 86/min satisfactory filling.
Meningeal signs positivE. It is needed to conduct for the selection of exciter.
A. Endermic test
B. Bioassay on mice
C. * Bacteriological examination of CSF
D. Widal test
E. Cultivation on bilious clear soup
352.
Sick, 43 years old, 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. Aspirin, analgin, dimedrol
B. Lasix, analgin, ampicillin
C. Mannitol, acetophene, prednisolone
D. * Mannitol, lasix, prednisolone, euphylin, suprastin
E. Veroshpiron, euphylin, prednisolone, dimedrol
353.
Sick, 54 years old, 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. Aspirin, analgin, d, dimedrol
B. Lasix, analgin, ampicillin
C. Mannitol, acetophene, prednisolone
D. * Mannitol, lasix, prednisolone, euphylin, suprastin
E. Veroshpiron, euphylin, prednisolone, dimedrol
354.
Sick, 55 years old, 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. Aspirin, analgin, dimedrol
B. Lasix, analgin, ampicillin
C. Mannitol, acetophene, prednisolone
D. * Mannitol, lasix, prednisolone, euphylin, suprastin
E. Veroshpiron, euphylin, prednisolone, dimedrol
355.
Worker, 22 y.o., became ill sharply: t 39 °C, severe 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’s necessary to do for clarification of diagnosis?
A. Computer tomography of cerebrum
B. * General blood analysis and liquor analysis
C. X-ray of skull in two projections
D. Analysis of the excrement and urine for a pathological flora
E. General blood analysis and blood sterility
356.
Worker, 23 y.o., became ill sharply: t 39 °C, severe 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’s necessary to do for clarification of diagnosis?
A. Computer tomography of cerebrum
B. * General blood analysis and liquor analysis
C. X-ray of skull in two projections
D. Analysis of the excrement and urine for a pathological flora
E. General blood analysis and blood sterility
357.
Worker, 31 y.o., became ill sharply: t 39 °C, severe 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’s necessary to do for clarification of diagnosis?
A. Computer tomography of cerebrum
B. * General blood analysis and liquor analysis
C. X-ray of skull in two projections
D. Analysis of the excrement and urine for a pathological flora
E. General blood analysis and blood sterility
358.
Young woman was admitted to the infectious department. Became ill 3 days ago. An
itching node appeared on the neck. She continued to work, her state became worse on the
eve of hospitalization, body temperature – 38,1?C, edema at neck and upper part of thorax,
with serous-hemorrhagic excretions, not painful. No animal disease was registered during
the last year in diary form,where she works. What diagnosis is it necessary to suspect?
A. Tularemia
B. Skin leishmaniosis
C. * Anthrax
D. Plague, skin-bubonic form
E. Furuncle
359.
Young woman, a countrywoman, was admitted to the infectious department. Became
ill 4 days ago. An itching node appeared on the neck. She continued to work, her state
became worse on the eve of hospitalization, body temperature – 38,1?C, edema at neck and
upper part of thorax, with serous-hemorrhagic excretions, not painful. No animal disease
was registered during the last year in diary form,where she works. What diagnosis is it
necessary to suspect?
A. Tularemia
B. Skin leishmaniosis
C. * Anthrax
D. Plague, skin-bubonic form
E. Furuncle
360.
Young woman, a milkmaid, was admitted to the infectious department. Became ill 3
days ago. An itching node appeared on the neck. She continued to work, her state became
worse on the eve of hospitalization, body temperature – 38,1?C, edema at neck and upper
part of thorax, with serous-hemorrhagic excretions, not painful. No animal disease was
registered during the last year in diary form,where she works. What diagnosis is it necessary
to suspect?
A. Tularemia
B. Skin leishmaniosis
C. * Anthrax
D. Plague, skin-bubonic form
E. Furuncle
361.
32 years sick person, appealed to the doctor on the 7th day of illness with complaints
about a high temperature bodies, head pain pain in muscles especially gastrocnemius.
Skinning covers and scleroticas are icteric, on a skin hemorragic rash. Hematuria. 2 weeks
ago rode on fishing. Reliable diagnosis?
A. * Leptospirosis
B. Trichinosis
C. Brucellosis
D. Pyelonephritis
E. Hemorrhagic fever with a kidney syndrome
362.
36 years sick person, lumberjack, became ill sharply: a temperature rose to 39,6 °C,
head pain appeared. On the third days pain appeared, there was the positive Pasternatsky
symptom. Then there was vomit and nose-bleed, оliguria, urine of color developed
„pigwashes”. On seventh day poliuria (5-7 l/day) appeared. What is your diagnosis?
A. * Hemorrhagic fever with a kidney syndrome
B. Leptospirosis
C. Acute glomerulonephritis
D. Salmonellosis
E. Sepsis
363.
45 years sick person, appealed to the hospital on the 5th day of illness. 8 days ago he
arrived from Laos with complaints about fever, headache, general weakness. Objectively:
temperature of body – 40,2 °C, skin moisture, scleroticas, subicteric, acrocyanosis, cardiac
tones, deaf, increase of liver and spleen. What complication more frequent in all develops at
the malignant forms of this illness?
A. Coma
B. Edema of lungs
C. * DIC-syndrome
D. Acute hepatic insufficiency
E. Acute kidney insufficiency
364.
A 30-year-old resident of Peru brought to the hospital at the 4th day of illness, there
was vomiting with blood, nose bleeding, icteric skin, petehii. In urine revealed erythrocytes
protein. Volume of urine decreased. What is the preliminary diagnosis?
A. * Yellow fever
B. Dengue Fever
C. Malaria
D. Lassa fever
E. Ebola fever
365.
A boy 12 years old is hospitalized in an infectious department. Became ill 7 days ago
from appearance of a headache, hyperthermia up to 40,3 °С, pain in muscles, general
weakness. In 2 days after normalization of temperature of body the appeared hemorrhagic
rash on the skin and mucuses, nasal bleeding, icterus, hepatospleenomegaly. Three weeks
ago got back from rest in South Africa. There have been repeated mosquito bites. What
infectious disease does it follow to suspect above all things?
A. Dengue fever
B. * Yellow fever
C. Leptospirosis
D. Malaria
E. Q-fever
366.
A chill appeared suddenly at the workwoman of pig farm, a temperature rose to 39,9
°C, there was a headache, nausea. On the next day appeared pain in the muscles of lower
extremities, began the nose bleeding. On the 3th day of disease, state was severe. A face is
hyperemic, scleritis, subicterous of scleras. Liver + 3 см, diuresis – 700 ml. What is the
previous diagnosis?
A. Hemorrhagic fever with a kidney syndrome
B. Hepatitis A
C. Yersiniosis
D. Flu
E. * Leptospirosis
367.
A man 28 years old was appealed to the policlinic. The day before he find a tick into
the surface of his skin. He was in-field 2 days ago. He feels satisfactory. What measures of
Lime disease prophylaxis?
A. Treatment of the place of bite
B. * Urgent antibiotic therapy
C. Using of specific immunoglobulini
D. Enterosorbents
E. Vitamins
368.
A patient 25 years, entered infectious separation on the 3th day of disease with
complaints of pain in gastrocnemius muscles, high fever, chill. State of middle weight.
Sclerotica are icterus. Mucous membrane of soft palate is hyperaemia. A tongue is dry,
assessed a brown raid. A stomach is swollen. Liver +2 sm A spleen is not megascopic.
Palpation of muscles, especially gastrocnemius, painful. Wetting dark. Excrement of
ordinary color. Name the most credible diagnosis:
A. Infectious mononucleosis
B. Viral hepatitis A
C. Malaria
D. * Leptospirosis
E. Iersiniosis
369.
A patient 26 years entered permanent establishment in 3 weeks upon termination of
reaping. The state is heavy, chronotaraxis and space, high fever to 40 °С, on a skin petechial
and еchimosis, on the back linear hemorrhages, sanguifluousness from a nose and gums,
there was vomit by “coffee-grounds”. Pasternatsky symptom is sharply positive. At the
laboratory inspection: neutrophilic leukocytosis, thrombocytes – 100 thousand in 1 ml,
hematocrit – 0,55, day's amount of urine 70 ml, protienuria, еrythrocyturia. What disease
does it follow to suspect?
A. * Hemorragic fever with a kidney syndrome
B. Leptospirosis, anicteric form
C. Salmonellosis, septic form
D. Lassa hemorragic fever
E. Crimean hemorragic fever
370.
A patient 40 years grumbles about a sharp weakness, head pain, to pain in
gastrocnemius muscles, small of the back, insomnia, vomiting. Fell ill sharply 4 days back,
when did a chill appear, a temperature rose to 40°, myalgias, nose-bleeds, icterus. Bathed in
the river, where a lot of rodents is. The state is heavy, on lips is herpes, sclerotica injections,
icterus. Hemorragic rash on a skin. Pulse 120 on 1 mines, BP 90/50 mm Hg. A liver and
spleen is megascopic. The symptom of Pasternackogo is positive. For days selected 100 ml
of urine. Specify the most credible urgent state.
A. * Acute kidney insufficiency
B. Infectiously-toxic shock
C. Dehydratation shock
D. Head cerebral edema
E. Acute respiratory insufficiency
371.
A patient 42, animal technician, fell ill sharply: chill, temperature to 40°, head pain,
megalgias, is in muscles, especially gastrocnemius. Objectively: an icterus, hemorragic rash,
is expressed on a body, a liver and spleen is megascopic, positive symptom of
Pasternackogo,. Put a preliminary diagnosis.
A. Malaria
B. Ku-fever
C. * Leptospirosis
D. Spotted fever
E. Fever of Ebola
372.
A patient I., 26 years old, delivered in a hospital on the 4th day of disease with
complaints about fever, headache, pain in gastrocnemius muscles. Works as a specialist in
land-reclamation. Has a lot of sexual contacts. Objectively: temperature – 39,7 °C. Severe
common condition. Expressed icterosis of skins and sclera. Hemorrhages in conjunctiva and
sclera. There is a hemorragic rash on a skin. A liver increased on 3 see below the costal arc,
edge of spleen, the Day's diuresis 300 ml. The etiologic factor of disease most for certain is:
A. Rikketsii
B. Virus of hepatitis A
C. * Leptospiry
D. Spirokhety
E. Khlamidii
373.
A patient is 25 years, acted with complaints about doubling in eyes, decline of sight,
labouring breath. In eve a disease rested on a lake, used the mushrooms of the home canning
in food. Objectively: pallor, wide pupils with a weak reaction on light, dryness in to the
mouth, violation of swallowing, flatulence, delay of chair. Preliminary diagnosis?
A. * Sausage-poisoning
B. Iersiniosis
C. Leptospirosis
D. Gisrdiasis
E. Salmonellosis, gastrointestinal form
374.
A patient is disturbed by attacks fevers which repeat oneself periodically every third
day. The icterus of sclerotica and skin covers, megascopic of hepar and spleen is marked.
What from the diagnoses transferred below most credible?
A. Viral hepatitis
B. Sepsis
C. * Malaria
D. Iersiniosis
E. Leptospirosis
375.
A patient S., 45 years old, suffering suddenly from appearance of chill and increasing
of temperature to 39,2 °C. In the evening pain appeared in a stomach and gastrocnemius
muscles. In 2 days noticed the ochrodermia of skin and sclera. Objectively: the state is
severy, temperature 39,9 °C. The tongue is covered. Moderate jaundice of the skin and
sclera. There is plural petachiae on a trunk. Superficial breathing 20 times per 1 min, pulse
102 per 1 min, AP 100/60 mm of Hg. A stomach is soft, sickly in epigastrium, a liver on 3
cm comes from a costal arc. Daily diuresis 300 mm, urine is sad-coloured. What is
preliminary diagnosis?
A. Sepsis
B. * Leptospirosis
C. Influenza
D. Hepatitis B
E. Infectious mononucleus
376.
A patient Y., 25 years old, entered infectious department on the 3rd day of disease
with complaints about headache, pain in the back, gastrocnemius muscles, high fever, chill.
State is moderate. Icteruses of the scleras. Mucous membrane of soft palate is hyperemic.
Tongue is dry, assessed with brown cover. The abdomen is swollen. Liver +2 cm, spleen is
not megascopic. Painfull muscles, especially gastrocnemius. Urine is dark, excrements
ordinary color. What is the most credible diagnosis?
A. Infectious moneuclious
B. Hepatitis A
C. Malaria
D. * Leptospirosis
E. Yersiniosis
377.
A patient Z., 33 years old, miner, entered clinic of infectious diseases on the 7th day
of disease with complaints about a acute weakness, high temperature, pain in the muscles of
feet and back, icterus, dark color of urine, headache. Became sick sharply from a chill,
temperature rises up to 40,1 °C. On a 4th day there is an icterus, nose-bleeding, hemorrhages
in sclera. Duration of fever 6 days. Diuresis is 200 ml. What is credible diagnosis?
A. Typhoid fever
B. * Leptospirosis
C. Hepatitis A
D. Sepsis
E. Influenza
378.
A patient, 35 years, suffering sharply, complains about a headache, pain in the
muscles of lower extremities, increasing of temperature to 39,3 °C. Objectively on the 4th
day of disease: the state is severy, hyperemic face, icterosis of skin and sclera. Enlargment
of liver and spleen. A diuresis is mionectic. What is most credible diagnosis?
A. Trichinosis
B. Hepatitis A
C. Yersiniosis
D. Infectious mononucleus
E. * Leptospirosis
379.
A patient, 39 years old, became ill sharply 3 days ago after return from Jamaica.
Complains on a high temperature, severe headache, nausea, vomit by “coffee- brown”, pain
in the muscles and joints. Objectively: temperature 39,9 °C, face swelling, red,
conjunctivitis, photophobia. Rashes. Scleritis, and skin are yellow, petachial rash,
acrocyanosis. A liver is megascopic to 3 сm, painful. Tachycardia, hypotension. In
hemograme are leukopenia, thrmbocytopenia. Describe the most likely diagnosis.
A. * Yellow fever
B. Viral hepatitis B
C. Malaria
D. Leptospirosis
E. Hemorragic fever with a kidney syndrome
380.
A patient, 44 years, entered infectious separation with a diagnosis leptospirosis. On
the 7th day of treatment its state was sharply worsened, pains appeared in small of the back,
somnolence, languor, cramps, head pain, a diuresis diminished to 100 ml/days. In blood: red
corpuscles 2,6 T/l, kreatinine of 438 mcmoll/l, urea 13,0 mmol/l. What complication did
develop for a patient?
A. Heart attack of buds
B.
C.
D.
E.
Acute hepatic insufficiency
Chronic pyelonephritis
Ischemic stroke
* Acute kidney insufficiency
381.
A patient, habitant of Nigeria, grumbles about the increase of temperature, general
weakness. Gradually a temperature rose to 38,9 °С, pain of head increased, pains appeared
in muscles, nausea, conjunctivitis. On a 3th day necrotizing ulcer pharyngitis developed.
Ulcers appeared on a soft palatine tonsils. The groups of lymphatic nodes of neck were
multiplied. The state got worse. Stomach-aches joined, vomit, diarrhea, pain in a thorax,
cough. Relative bradycardia. About what disease is it possible to think?
A. Flu
B. Typhoid fever
C. * Hemorrhagic fever
D. Quinsy
E. Spotted fever
382.
A teenager was bitten by a neighbor’s dog. This dog is not instilled; it’s on a leash
and bitted the boy after provocation in the area of ankle. What should be done for the
prophylaxis of hydrophobia?
A. Elimination of dog
B. Inoculations on vital testimonies
C. Conditional course of inoculations
D. * Treatment of wound
E. All answers are correct
383.
A teenager was bitten by a neighbor’s dog. This dog is not instilled; it’s on a leash
and bitted the boy after provocation in the area of hand. What should be done for the
prophylaxis of hydrophobia?
A. Elimination of dog
B. Inoculations on vital testimonies
C. * Conditional course of inoculations
D. Surgical treatment of the wound
E. All answers are correct
384.
A woman, a resident of Nigeria, became ill sharply. Appeared a chill, repeated
vomiting, body temperature had risen to 39,7 °C. A patient is excited. Hyperemia and
puffiness was marked of face, expressed sclerite, hyperemia of mycoses mouth cavity. Pulse
130 per 1 min. The icterus of skin and sclera appeared on a 3th day, hemorrhages on a skin.
A liver and spleen is enlarged. After the brief improvement in the 5th day of illness the state
became worse sharply. A temperature again rose to 39,9 °C. Raves. An icterus grew sharply.
Vomit moderate. Vomiting and feces of black color. Nose bleeding. Petechial enanthema.
Tahycardia changed on bradycardia. Blood pressure 80/50 mm/hg. Olyguria.
A. Viral hepatitis A
B. Leptospirosis
C. * Yellow fever
D. Crimean fever
E. Malaria
385.
About what disease is it possible to think?
A. Lassa fever
B. * Yellow fever
C. Q-fever
D. Crimea hemorrhagic fever
E. Omsk hemorrhagic fever
386.
Animal technician 57 years, on the 3th day of illness appealed to the doctor with
complaints of head pain, high temperature, pain in gastrocnemius muscles, small of the
back, icterus, dark urine and diminishing of its amount. Objectively: temperature 38,2°,
injection of vessels of sclerotica, petechial rash on overhead part of thorax, megascopic
hepar and spleen. Most credible preliminary diagnosis?
A. Brucellosis
B. * Leptospirosis
C. Viral hepatitis
D. Pseudotuberculosis
E. Trichinosis
387.
Animal technician 57 years, on the 3th day of illness appealed to the doctor with
complaints about head pain, high temperature, pain in gastrocnemius muscles, small of the
back, icterus, dark urine and diminishing of its amount. Objectively: temperature 38,1 °C,
injection of the sclera vessels, petechial rash on upper part of the thorax,
hepatosplenomegaly. What is most credible preliminary diagnosis?
A. Pseudotuberculosis
B. Brucellosis
C. Viral hepatitis
D. * Leptospirosis
E. Influenza
388.
At 25 years sick, which got back from Far East, suddenly temperature of body rose
up to 39,9 °С, pain appeared, rash as a “jacket”, single hemorrhages on a skin. In 3 days
weakness, thirst, grew together with the decline of fever, diminished to 300 ml diuresis, the
arteriotony went down. Considerably expressed Pasternatsky symptom. What is most
credible diagnosis?
A. * Hemorrhagic fever with a kidney syndrome
B. Congo-Crimea hemorrhagic fever
C. Epidemic typhus
D. Glomerulonephritis
E. Leptospirosis
389.
At a boy 10 years, which lives in Transcarpathia, on the 4th day of fever appeared
painless hemorrhegic petachial rushes, sometimes in the form of red and purple stripes with
overwhelming localization on a neck, thorax, in the axillary, above collar-bones. On
hyperemic mucus of oro-pharing point hemorrhages, bleeding from a nose. In lungs was
hard breathing, tones of the heart deaf, bradicardia, swelling and stomach-ache, enlarged a
liver and spleen. Oliguria, proteinuria, hematuria, cylindruria. In blood neutrophilic
leukocytosis, thrombocytopenia, accelerated ESR. What diagnose is previous the most
reliable.
A. Meningococcal infection
B. * Hemorragic fever
C. Rheumatoceils
D. Leptospirosis
E. Thrombocytopenic purpura
390.
At a patient after fishing in 2 days sharply a temperature rose to 39,5 °C, appeared
pain in muscles (especially gastrocnemicus), icterus, the amount of urine diminished. At a
review hemorrhagic rash, hepatospleenomegaly, pain of muscles of the back of head. What
most credible diagnosis?
A. Sepsis
B. * Leptospirosis
C. Poisoning by the substitute of alcohol
D. Viral hepatitis
E. Hemorrhagic fever with a kidney syndrome
391.
At a patient with the hemorrhagic fever with a kidney syndrome a diuresis decreased
to 300 ml, the рН of blood is 7,0; increase the level of kreatinine and urea on the blood.
Intensive therapy is conducted. Which of the funds should not be considered appropriate?
A. * Hypotensions drugs
B. Heparin
C. Introduction of rheosorbilact solution
D. Introduction 4 % solution of sodium bicarbonate
E. Saluretics
392.
At a patient, 39 years old: disease beginning suddenly, appeared t° – 39,5 °C, pain in
muscles (especially in gastrocnemius), hepatosplenomegalia, icterus, hemorrhagic rash,
oligouria, rigidity of the neck muscles. What is the most credible complications?
A. Renal insufficiency, reno-hepatic insufficiency, ІТS, ACVI, meningitis
B. Renal insufficiency, hepatic insufficiency, ІТS, ACVI, meningitis
C. Renal insufficiency, hepatic insufficiency, ІТS, ACVI, break of spleen
D. * Renal insufficiency, reno-hepatic insufficiency, ІТS, ACVI, uveit
E. Renal insufficiency, hepatic insufficiency, ІТS, ACVI, uveit
393.
At a resident of Colombia on the 3th day of illness was a high temperature, head
pain, marked pains in back and extremities appear. At the inspection: face is hyperemic,
edema, scleritis. Tongue is assessed by the white coats, pulse frequent. Abdomen is soft,
sickly in a еpigastric area. 7 days ago got back from forests. What is previous diagnosis?
A. Ebola fever
B. Dengue fever
C. Hemorrhagic fever with a kidney syndrome
D. Lassa fever
E. * Yellow fever
394.
At one of holiday-makers ashore lake in 6 days did a temperature rise to 38,5°C,
head pain, pain, appeared in muscles, sweating. In 3 days there was the sickly slight
swelling in an inguinal area. At examination in an inguinal area found out a dense, mobile,
moderate sickly lymphonodus to 5 sm in a diameter. A skin above him is not changed. What
diagnosis is most credible?
A. Leptospirosis
B. Iersiniosis
C. Infectious mononucleosis
D. * Rabbit-fever
E. Acute lymphadenitis
395.
At two nurses which care for the patients with fever from southern Sudan in a
hospital, appeared a fever, headache, pain in muscles, joints, stomach, general weakness and
diarrhea. On the 4th day of the disease maculo-papular rash appeared on a body, on a 5th
day was the bloody vomiting, melena, hypotension, and deafness of cardiac tones. The
condition was extremely heavy. Put a previous diagnose.
A. Leptospirosis
B. Spotted fever
C. Dengue fever
D. * Ebola-fever
E. Malaria
396.
At workers laboratories, which looked after after marmosets which were brought
from Uganda, great pain appeared heads, myalgias, dryness in a mouth cavity, nausea,
vomits, frequent watery emptying, afterwards pains joined in the area of lower ribs which
increased at a cough. On the 4th day of disease a hemorragic syndrome appeared are
hemorrhages in a conjunctiva, sanguifluousness of gums, blood in vomiting. maculo-papular
pouring out on a trunk. Credible diagnosis?
A. Lassa fever
B. * Marburg fever
C. Leptospirosis
D. Ebola fever
E. Crimean fever
397.
blood, speed-up ESR. What from diagnoses is the most credible?
A. * Illness of Brilla
B. Typhoid
C. Illness of Lime
D. Malaria
E. Leptospirosis
398.
Boy of 13 years during a walk was bitten by an unknown dog in a park. The parents
of child appealed to the trauma department with documentary confirmed complete course of
the planned inoculations against the tetanus. What should perform the doctor for the
prophylaxis of tetanus in this specific case?
A. Surgical treatment of wound
B. * Surgical treatment of wound + introduction of 0,5 ml an AC-Antitoxin.
C. Surgical treatment of wound + introduction of 250 ME AC human immunoprotein
D. Surgical treatment of wound + introduction of 3000 ME AC whey
E. Surgical treatment of wound + introduction of 0,5 ml AC-Anatoxins and 250 ME
AC human immunoprotein
399.
Builder of 37 years came to the trauma department with the chopped wound of shin;
he was twice vaccinated in the past and revaccinated according to the plan vaccination list
11 years ago. What will be the specific prophylactic of the tetanus in this case?
A. * To inject anti tetanus toxoid + AC whey
B. To inject AC immunoprotein
C. To inject diphtheria toxoid
D. To inject ACDT vaccine
E. To inject Ads toxoid
400.
Complaints about the increasing body temperature up to 40,2 ?C, pain in the head,
joints and muscles, limbs and back, abdomen, frequent vomits. Patient is excited. Neck,
overhead part of breasts are hyperemic, scleratis and conjunctivatis of both eyes. Mucous of
oral cavity is hyperemic with punctulate еnanthema, soft palate is filling out. On the 2-4th
day of illness on the skin of lateral surface of trunk, and arm-pits areas, on abdomen and
extremities appeared petechial rushes oval form with the clear contours of darkly-cherry
blossom. Simultaneously mucosal bleeding appeared from gums, nose, lights, digestive
channel uterus. Liver is megascopic. Positive Pasternaskiy‘s symptom. What diagnosis is
most credible?
A. Yellow fever
B. Congo-Crimea hemorrhagic fever
C. * Hemorrhagic fever with a kidneys syndrome
D. Lassa fever
E. Ebola fever
401.
dry, assessed a white raid. The physiological sending is in a norm. Your diagnosis?
A. Leptospirosis
B. Spotted fever
C. Hemorragic fever
D. Stroke
E. * Meningococcal infection
402.
During the harvest a combine operator wounded his hand. In an hour he was treated
with the aseptic bandage, whey was entered. In 8 days the patient came to the first-aid post
complaining about an itching urtricaria rash and fever. What is the preliminary diagnosis?
A. Poliomyelitis
B. Flu
C. Pseudo tuberculosis
D. Tetanus
E. * Whey illness
403.
Family week ago got back from the trip on Africa. In a few days at a child 10 years
the temperature of body rose to 40 °С, on a next day vomit, diarrhea with the admixtures of
mucus, blood. The state gets worse gradually. On a 4th day on the skin of extremities, trunk
appeared single hemorrhage, hemorrhage on a soft palate. What credible disease from will
you settle tactic of conduct of patient coming?
A.
B.
C.
D.
E.
* Hemorrhagic fevers
Grigoriev-Shiga dysentery
Leptospirosis
Meningococcal infection
Salmonellosis
404.
Farmer, 57 years old, appealed to a doctor on the 3th day of disease with complaints
on headache, high temperature, pain in the muscles, icterus of skin, dark urine and decries
level of urine. Objectively: temperature – 38,2 °C, injection of scleras, petehial rash on the
overhead part of thorax, hepatosplenomegalia. What is the most reliable previous diagnosis?
A. Brucelosis
B. * Leptospirosis
C. Viral hepatitis
D. Yersiniosis
E. Trichinosis
405.
For a patient, workwoman of a pig farm, on a background of complete health a chill
appeared suddenly, a temperature rose to 39,9 °C, there was a headache, nausea. On the next
day marked pains in the muscles of lower extremities, nose-bleeding began. On the 3rd day
of illness, state became more severy. Face is hyperemic, scleritis, hyperemic scleritis. Liver
+3 cm. Daily diuresis 700 ml. What is previous diagnosis?
A. Yersiniosis
B. Hepatitis A
C. Hemorrhagic fever with a kidney syndrome
D. Flu
E. * Leptospirosis
406.
For a patient, workwoman of pig farm, on a background a complete health a chill
appeared suddenly, a temperature rose to 39,9 °, there was a head megalgia, nausea. The
next day marked pains in the muscles of lower extremities, a nose-bleed began. At a receipt
in permanent establishment, on the 3th day of illness, state heavy. Face of hyperaemia,
scleritis, subicterus of sclerotica. Liver +3 see, a diuresis 700 ml. Preliminary diagnosis?
A. Hemorragic fever with a kidney syndrome
B. Hepatitis of A
C. Iersiniosis
D. Flu
E. * Leptospirosis
407.
For patient A., 25 years, which returned from Far East, suddenly the temperature of
body rose to 39 °, pain appeared in small of the back, hyperemia of person, neck, overhead
half of trunk, single haemorrages as red strips on a neck and lateral surfaces of thorax. Nosebleeds. Through 3 days a weakness, thirst, grew together with the decline of fever,
diminished to 300 ml diuresis, an arteriotony went down. Positive symptom of
Pasternackogo. What diagnosis is most credible?
A. Leptospirosis
B. * Hemorragic fever with a kidney syndrome
C. Spotted fever
D. A hemorragic fever is Crimea-Congo
E. Acute glomerulonephritis
408.
In a patient who is at the hospital about high fever disease, which arose up suddenly,
a diagnosis of Ebola fever. The severity of the state can be attributed to the development of
the following emergency conditions, except for:
A. * Acute respiratory insufficiency
B. Infectious-toxic shock
C. Hypovolemic shock
D. Hemorrhagic shock
E. Acute kidneys insufficiency
409.
In a serviceman, who acted to permanent establishment, set previous diagnosis of
especially dangerous hemorrhagic fever. What from the transferred terms of latent period
does follow at determination of duration of primary disease measures?
A. 6 days
B. 10 days
C. 40 days
D. * 21 day
E. 72 hours
410.
In ambulance delivered a girl 14 years, which became ill 6 days ago from appearance
of weakness, increase body temperature to 39,3 °С, enanthema appeared on the skin and
mucouses and had hemorragic character, icterus, nasal bleeding, increases of liver and
spleen. 2 weeks ago got back from a festival in Brazil. What infectious pathology should be
eliminated first?
A. * Yellow fever
B. Q-fever
C. Dengue fever
D. Malaria
E. Viral hepatitis
411.
In receiving department of infectious separation on the 3th day of illness the sick is
delivered in a grave condition with complaints of a suddenly arising up high temperature,
head pain, repeated nose-bleed, pains in gastrocnemius muscles. Objectively: moderate
icterus of sclerotica and skins, megascopic of hepar and spleen, oliguria. What is the most
credible diagnosis?
A. Infectious mononucleosis
B. Viral hepatitis
C. Iersiniosis
D. * Leptospirosis
E. Malaria
412.
In trauma hospital appeared a builder 38 years, right after the wounding of foot (his
nail was chopped). During the examination: the condition of the patient is satisfactory, on
the sole of the right foot is the chopped wound. It is known that during last 3 years the
prophylaxis of tetanus was conducted three times. What is necessary to prevent the possible
development of tetanus among the measures listed below?
A. I/m to inject 3000 ME of AC whey
B. I/m to inject 1 ml of tetanus toxoid, 3000 ME of AC whey
C. * I/m to inject 0,5 ml of tetanus toxoid
D. To appoint the course of antibiotic therapy
E. To m?nage the wound with the antiseptic solution
413.
Man 26 years, month ago returned from Africa, passed treatment concerning a
pediculosis. It is ill 5 days. Beginning was sudden: great head pain, weakness, stationary
temperature of body (38,8°C), which on a 4th day went down on a few clock. The state of
patient was considerably worsened farther, a rash appeared on a trunk, coughing, uroschesis.
Objectively: temperature of body 39,7°C, pulse 110 per 1 min, BP 115/70 mm Hg. Skin of
person red, considerable injection of vessels of sclerotica, shallow hemorrhage on a
conjunctiva, mucous membrane of soft palate, abundant roseol-petechial exanthema on a
trunk. Signs of interstitial pneumonia, encephalitis. A liver and spleen is megascopic. What
disease most probably?
A. Yellow fever
B. Typhoid
C. Tropical malaria
D. Leptospirosis
E. * Spotted fever
414.
Man 45 years, works as on a stock-raising farm a veterinary. Delivered in an
induction centre with complaints of discoloration urine, diminishing of diuresis, fervescence
to 39,3°, pain in muscles. It is ill during 5 days: the temperature of body rose suddenly, great
pains appeared in the muscles of shins, head pain, rash on a skin, hemorrhage in a sclerotica,
red color of urine. Pulse 56 per 1 mines, BP 90/60 mm Hg. Uranalysis: squirrel of a 0,99
gramme/l, eras. 25-30 cylinders hyalin 8-10. Urea of blood 20,5 mmol/l. What diagnosis
most credible?
A. * Leptospirosis
B. Acute glomerulonephritis
C. Urolithiasis
D. Cancer of urinary bladder
E. Rheumatoceils
415.
Newborn after home delivery had no obligate medical care. At the age of 7 days after
birth his condition became very bad. There appeared an anxiety, refusal of the breast
feeding, blepharospasm, tremor of the tongue and chin, frequent apnoea.There are attacks of
cramps during which arms are flexed in elbows and attracted to the trunk. The mouth is
opened. Temperature is sub febrile, there is pneumonia. What is the preliminary diagnosis?
A. Trauma
B. * Tetanus
C. Spasmophylia
D. Meningitis
E. Pneumonia
416.
On the 3rd day of illness the sick is delivered in a severy condition with complaints
about a suddenly arising up high temperature, headache, repeated nose-bleed, pains in
gastrocnemius muscles. Objectively: moderate icterus of sclera and skins,
hepatospleenomegaly, оliguria. What is most credible diagnosis?
A. * Leptospirosis
B. Viral hepatitis
C. Influenza
D. Infectious mononucleosis
E. Malaria
417.
Patient , 34 years, cynologist, in a few days after the bite of animal felt dull pain in
area of wound, marked insomnia, worsening of mood. The state was considerably worsened
after some time: there were cramps. Objectively: hydrophobia, salivation, cramps of
swallowing musculature. Touching to the body of patient, light is provoked by tonic and
clonic myotonias. Bash diagnosis?
A. Tetanus
B. * Hydrophobia
C. Epileptic attack
D. Tumor of brain
E. Jeckson’s epilepsy
418.
Patient 25 years, which got back from Far East, suddenly temperature of body raised
to a 39 °С, pain appeared in back, erubescence as “jacket”, single hemmorrhege on a skin.
In 3 days a weakness, thirst, grew together with the decline of fever, diminished to a 300 ml
diuresis, the arteriotony went down. Considerably expressed Pasternasky symptom. What
diagnosis is most credible?
A. Typhoid fever
B. Crimea-Congo hemorrhagic fever
C. * Hemorrhagic fever with a kidneys syndrome
D. Acute glomerulonephritis
E. Leptospirosis
419.
Patient 35 years, which fell ill sharply, grumbles about a head megalgia, pain in the
muscles of lower extremities, increase of temperature to 39 °C. Objectively on the 4th day
of illness: state heavy. Face of hyperaemia. Skin and sclerotica icteric. A liver and spleen is
megascopic. A diuresis is mionectic. Most credible diagnosis?
A. Iersiniosis
B.
C.
D.
E.
Hepatitis A
* Leptospirosis
Infectious mononucleosis
Trichinosis
420.
Patient 39 years, grumbles about the high temperature, sharp pain in a head, back,
muscles of extremities, photophobia. At a review is pallor of nasolabial triangle, hyperemia
of person, neck, overhead half of trunk, by the positive Pasternatsky symptom on either side.
Eyeing cracks lips, injection of scleras. Mucous of mouth bright red with point hemorrhages.
On a neck, lateral surfaces of thorax, in arm-pits fossulas, above the collar-bones of
petechial rushes in the form of asterisks and forms group as red or violet strips. What
diagnosis is most credible?
A. Marburg fever
B. Congo-Crimean hemorrhagic fever
C. * Hemorrhagic fever with a kidney syndrome
D. Ebola fever
E. Lassa fever
421.
Patient 43, miner, on the 7th day of disease grumbles about a sharp weakness, high
temperature, pain in the muscles of feet and small of the back, icterus, dark color of urine,
head pain. Fell ill sharply is a chill, temperature 40°, there was a nose-bleed. A diuresis 200
ml. Credible diagnosis?
A. Malaria
B. Typhoid
C. Viral hepatitis
D. Sepsis
E. * Leptospirosis
422.
Patient 43, miner, on the 7th day of disease grumbles about a sharp weakness, high
temperature, pain in the muscles of feet and small of the back, icterus, dark color of urine,
headache. Fell ill sharply is a chill, temperature 40,2 °, there was a nose-bleed. A diuresis
200 ml. Credible diagnosis?
A. Sepsis
B. Typhoid
C. Viral hepatitis
D. * Leptospirosis
E. Malaria
423.
Patient 45 years old, approached into the hospital on a 5th day of illness, 8 days ago
he arrival from Laos, complaining of fever, headache, general weakness. OBJECTIVE:
body temperature is 40,2 ?C, skin moist, sclera inject, subichteric, acrocyanosis, cardial tone
dull, the increase of liver and spleen. What does the most often complications develop in
malignant forms of this disease?
A. Coma
B. Lung oedema
C. * IVD syndrome
D. Acute liver failure
E. Acute kidney failure
424.
Patient 52 years old, suffering sharply from a chill and headache, fever to 40,5 °C.
On a 3rd day of disease nausea, vomiting, dark urine appea. On a 4th day temperature falls
down to 37,2 °C, but an icterus appeared and the amount of urine decreased to 600 ml. What
disease such symptoms develop from?
A. Sepsis
B. Hemorrhagic fever with a kidney syndrome
C. Hepatitis A
D. * Leptospirosis
E. Acute glomerulonephritis
425.
Patient A., 16 years, hospitalized in an infectious department with complaints of
absence of motions in lower extremities. A disease was begun 2 days back with the increase
of temperature to 38 °, dyarrhea is to 3-5 times per days. Melosalgias took a place, head
pain. Objectively: temperature of body 36,8 °, active motions absent in lower extremities, in
the area of defeat is areflexis, low blood pressure of muscles, a sensitiveness is stored.
Meningeal symptoms are poorly positive. What disease is it needed to think about?
A. Leptospirosis
B. Meningococcal infection
C. * Poliomyelitis
D. Parainfectional encephalitis
E. Tubercular meningo encephalitis
426.
Patient A., 18 years, delivered in a hospital with complaints, according to her
relatives, on the periodic attacks of psychomotor excitation and aggressiveness. During an
attempt of drinking water she felt a spasm in area of gullet. Before the beginning of this
disease there was a party with alcohol at her parent’s home. One month ago she was bitten
by an unknown dog. What diagnosis is most probable for this patient?
A. * Hydrophobia
B. Tetanus
C. Alcoholic poisoning
D. Alcoholic psychosis
E. Hysteria
427.
Patient A., 28 years old, was treated in a neurological department during 2 months
concerning neuritis of facial nerve. In anamnesis - 2 years ago was treated due to polyartritis
(right knee and talocrural joints). Lives in a mud flow, likes to gather mushrooms. Presence
of ticks does not deny. What is laboratory and instrumental methods of research will allow
to specify a diagnosis?
A. Biological test on botulism
B. EEG
C. Computer tomography of a brain
D. RNGA with borrelies
E. * Lumbar puncture
428.
Patient A., 28 years old, was treated in a neurological department during 2 months
concerning neuritis of facial nerve. In anamnesis - 2 years ago was treated due to polyartritis
(right knee and talocrural joints). Lives in a mud flow, likes to gather mushrooms. Presence
of ticks does not deny. What is etiotropic therapy?
A. * Benzylpenicillin
B. Sulfanilamides
C. Normal immunoglobulini
D. Glycocortikoids
E. Antiviral drugs
429.
Patient A., 35 years old, became ill suddenly, complain on the high temperature,
severe headache, pain in muscles of legs. Objectively (the 4th day of disease): the state is
severe, hyperemia of face, skin and scleras are icterus, spleen and liver are enlarged,
oligourhia. What is the most credible diagnosis?
A. Yersiniosis
B. Viral hepatitis
C. * Leptospirosis
D. Poisoning by a tetraethyllead
E. Omsk‘s hemorrhagic fever
430.
Patient A., 35 years, had ill sharply, grumbles about the high temperature of body,
great head pain, sickliness in gastrocnemius muscles. Objectively on the 4th day of illness:
the state is heavy, hyperemia of person, skin and sclerotica are icterus, a liver and spleen is
megascopic. Oliguriya. What diagnosis is most credible?
A. Iersiniosis
B.
C.
D.
E.
Viral hepatitis
* Leptospirosis
Poisoning of tetraetyl lead
Omsk hemorragic fever
431.
Patient A., 36 years, delivered in a hospital with complaints, according to her
relatives, on the periodic attacks of psychomotor excitation and aggressiveness. During an
attempt of drinking water she felt a spasm in area of gullet. Before the beginning of this
disease there was a party with alcohol at her parent’s home. One month ago she was bitten
by an unknown dog. What specific inspection must be conducted in this case?
A. Biochemical blood test
B. * Research of imprints of cornea – to find the presence of antigens of rhabdovirus
C. General analysis of blood
D. General analysis of urine
E. Coprogram
432.
Patient A., 57 years old, farmer, came to the doctor on the 3th day of illness with
complaints on headache, pain in the gastrocnemius muscles, fever, icterus of skin and
scleras, dark urine and decries level of urine, temperature of body – 38,2 °C, petehial rash
on overhead part of thorax, hepatosplenomegalia. What preparations must be entered?
A. Salts solutions
B. Transfusion of fresh-frozen plasma
C. * Antibiotics
D. Hyperbaric oxygenation
E. Hemosorbcion, sympathomimetics
433.
Patient A., 57 years, animal technician, on the 3th day of illness appealed to the
doctor with complaints of head pain, fever, pain in gastrocnemius muscles, small of the
back, icterus, dark urine and diminishing of its amount; temperature of body 38,2° ,
injection of vessels of sclerotica, petechial rash on overhead part of thorax, megascopic liver
and spleen. What preparations must be appointed above all things?
A. Intravenous introduction of salt solutions
B. Transfusion of fresh-frozen plasma
C. * Setting of antibiotics
D. Hyperbaric oxygenetion
E. Haemosorbtion, sympathomimetics
434.
Patient B., 28 years old accidently got the burn of 2nd degree. He wasn’t vaccinated
against the tetanus before. What should be done for the urgent prophylactic of the tetanus?
A. Tetanus toxoid
B. Td vaccine
C. * Tetanus toxoid + anti tetanus serum
D. Tetanus toxoid + anti tetanus serum + tetanus immunoglobulin
E. Anti tetanus serum + tetanus immunoglobulin
435.
Patient B., 38 years old, was treated from myocarditis in a cardiologic department.
There are violations of cardiac conductivity on the type of atrioventrikular blockade,
tachicardia. The temperature of body is subfebril. Arthritis of right knee-joint. Works as a
forest ranger, likes to gather mushrooms and berries. What is treatment?
A. Benzylpenicillin
B. Nonsteroid ant inflammatory drugs
C. Glucocorticoids
D. Physical therapy
E. * All above enumerated
436.
Patient B., 45 years old, appealed to the hospital on the 6th day of illness with
complaints about head ache, tingling, insomnia, depressive mood, pain and itching at the
place of the dog bite 2 months ago. During the examination: general condition is quite
moderate, temperature is 37,6 0C, pulse 88 / min, BP 110/60 mm of Hg., apathy, on his face
there is an expressions of fear. The skin is pale, on right lower extremity, in the place of dog
bite there is a red scar, around it’s swollen. What specific inspection must be conducted in
case of this patient?
A. Biochemical blood test
B. * Research of imprints of cornea – to find the presence of antigens of rhabdovirus
C. General analysis of the blood
D. General analysis of the urine
E. Coprogram
437.
Patient B., 45 years old, appealed to the hospital on the fourth day of illness with
complaints about a high temperature, head pain, in muscles, dryness in a company,
enanthesis. Two weeks ago a patient arrived from Far East. Objectively: temperature – 39,6
°С, face and neck hyperemic, vessels of scleroticas and conjunctivitis. On a skin under
collar-bones, shoulder-blades, necks, face is petechial rash in the type of chainlet.
Pasternatsky‘s symptom is positive on both sides. What changes is characteristic for this
disease in hemograme?
A. * Leukocytosis
B. Hypolymphemia
C. Monocytosis
D. ESR is low
E. Eosinophilia
438.
Patient E., 24 years old, was hospitalized in the infectious department in the severe
condition. He complaints on headache, pain in muscles, joints, vomiting. Objectively:
temperature of body 39 °C. BP is 90 and 60 mm Hg, appeared tachycardia, hyperesthesia of
skin. Meningeal signs are doubtful. It is known from anamnesis, that lives in a village, has a
hostess, it is rats. What preparations must be entered?
A. Veroshpironum, euphilinum, dimedrol
B. * Manitol, lazix, prednizolonum, penicillin
C. Analgin, dimedrol, acetophen
D. Manitol, acetophen
E. Lazix, analgin, ampicillin
439.
Patient G., complains on the increased of body temperature to 39-40 °C, a sharp pain
in the head, in the backpain, in the muscles of limbs, photophobia. Objectively: nosolabial
triangle was pallor; face, neck, half upper torso was hyperemic, a positive Pasternatskiy‘s
symptom on both sides. Gaps narrowed eyes, scleritis. Mucous membrane of faces bright
was red with point hemorrhages. At the neck, thorax side surfaces, in axillary, over
collarbone was petehial rash in the form of stars and grouped in the form of red or violet
strips. What is the most likely diagnosis?
A. Yellow fever
B. Crimean-Congo haemorrhagic fever
C. * Haemorrhagic fever with renal syndrome
D. Volynskaya haemorrhagic fever
E. Crimean hemorrhagic fever
440.
Patient has attacks of cramps periodically during 3 years. 2 weeks ago he wounded
his hand. During the inspection: his stage is moderately poor; the attack of cramps was
completed independently, tone of muscles of trunk and extremities is ordinary. The wound
is outwardly quiet. What is the preliminary diagnosis?
A. Meningitis
B. Hydrophobia
C. Cranio cerebral trauma
D. Tetanus
E. * Epilepsy
441.
Patient I., 21 years old, entered hospital on the 7th day of illness with complaints of a
sharp weakness, pains in muscles and joints, head pain, nausea. A disease began with sore
throat, cold, general weakness. Did not measure a temperature. Last was the state worsened
2 days, a chill appeared, high temperature 39-40°C, head pain, nausea. Objectively: patient
of adinamic, is consciousness stored, temperature of body 37,5°C, the state is extremely
heavy, a skin is pale, lips and nail phalanxes of cianotic, on the skin of tiptoes and hands
hemorragic rash, the scopes of heart are extended to the left on 1,5 sm, tones are deaf, pulse
130 per 1 mines, weak filling, BP 80/40 mm Hg. Breathing normal. A tongue is assessed,
moist, phenomena of pharyngitis. Neck lymphonodus are megascopic. Meningeal signs
absent. Oliguria. What diagnosis is most credible?
A. Hemorragic fever
B. Leptospirosis
C. Spotted fever
D. Rheumatoceils
E. * Meningococcal infection. Meningococcemiya.
442.
Patient is 78 years old; 2 weeks ago he wounded his hand. 2 days ago speech became
illegible, his face is asymmetric, nasal-labial fold is smoothed out on the right. He complains
about the head pain BP: 180/100 mm of HG. During the examination: his stage is of weight.
A mouth opens normally; an immobility of jaw is not present. Tone of muscles of trunk and
extremities is ordinary. The wound is outwardly quiet. What is the preliminary diagnosis?
A. Meningitis
B. Hydrophobia
C. Cranio cerebral trauma
D. Tetanus
E. * Violation of cerebral blood circulation
443.
Patient K., 43 years old, miner, on the 4th day of disease complaints on the
weakness, headache, pain in the gastrocnemius muscles, fever, icterus of skin and scleras,
dark urine, temperature of body – 38,2 °C, hepatosplenomegalia. What preparations must be
entered? There was the nose-bleed. Diuresis – 200 ml. What preparations must be entered?
A. * Specific immunoglobulin
B. Holynomimetics
C. Spasmolytics
D. Miorelaxants
E. Vitamins of group B
444.
Patient M. gave a birth to a child in an ambulance car. She is not sure about previous
vaccinations. What kind of specific prophylaxis should be conducted for this patient?
A. Tetanus toxoid
B. Anti tetanus serum
C. * Tetanus toxoid + anti tetanus serum
D. Anti tetanus antitoxin + anti tetanus serum + tetanus immunoglobulin
E. Anti tetanus serum + tetanus immunoglobulin
445.
Patient of 15 years, after 3 days of fever and moderate symptoms of intoxication
suddenly felt the signs of peripheral paralysis of the left leg, which were not conducted with
the change of sensitiveness. What disease it might be?
A. * Poliomyelitis
B. Brucellosis
C. Pseudo tuberculosis
D. Tetanus
E. Hydrophobia
446.
Patient of 43 years, miner, on the 4th day of illness grumbles about a sharp
weakness, high fever, onychalgias and small of the back, dark color of urine, head pain. Fell
ill sharply chill, temperature 40,3°, there was a nose-bleed. A diuresis 200 ml. What
preparations from transferred is it needed to use for this disease?
A. * Specific immunoprotein
B. Holinomimetics
C. Spasmolysants
D. Miorelaks
E. Vitamins of group B
447.
Patient of 45 years old went fishing and by chance wounded his right arm with a
fishing hook. He wasn’t applying for medical help because of this wound. During the
examination: he state of the patient is heavy, temperature 40,5 °C, skin is sweaty, red. He
breathes heavily, often; chills, pronounces words hardly because of the frequent spasms of
muscles, and also periodical uncontrolled reductions of muscles of trunk and extremities. On
the right arm there is a wound 5*5 mm, signs of local inflammation and local fibrillations.
Lymphatic nodes are normal. What is the preliminary diagnosis?
A. * Tetanus
B. Anthrax
C. Phlegmon of right hand
D. Anaerobic gangrene
E. Infected wound. Septicemia
448.
Patient of 62 years, in the past had illed the spotted fever. Fall ill sharply: fever
39,5°C, head pain, insomnia. On a 6th day on the skin of stomach and lateral surfaces of
thorax roseol appeared rash. A liver and spleen, tachycardia, deafness of tones of heart, low
blood pressure is megascopic. What diagnosis is most credible?
A. * Illness of Brilla
B. Typhoid
C. Leptospirosis
D. Sepsis
E. Infectious mononucleosis
449.
Patient P., 24 years old, hospitalized in an infectious separation in a grave condition.
Complaints of great head pain, pain in muscles, joint, origin of vomiting. Objectively – is a
patient excited, temperature of body 39°. BP 90/60 mm Hg, tachycardia. hyperaestesia of
skin appeared. Doubtful meningial signs. It is known from anamnesis, that lives in a mud
flow, has an economy, there are rats. What preparations must be entered?
A. Veroshpiron, euphyllinum, Dimedrolum
B. * Manitol, Lasixum, prednisolon, penicillin
C. Analgin, Dimedrolum, acetophene
D. Manitol, acetophene
E. Lasixum, analgin, ampicillin
450.
Patient P., 35 years old, was treated from myocarditis in a cardiologic department.
There are violations of cardiac conductivity on the type of atrioventrikular blockade,
tachicardia. The temperature of body is subfebril. Arthritis of right knee-joint. Works as a
forest ranger, likes to gather mushrooms and berries. What laboratory and instrumental
methods of research will allow to specify a diagnosis?
A. Revmoprobes
B. ECG
C. X-rays investigation
D. * RIGA with borrelies
E. Biochemical blood test
451.
Patient P., 45 years old, fell ill suddenly from appearance of chill and increase of
temperature to 39,2°C. In the evening megalgias appeared in a stomach and gastrocnemius
muscles. In 2 days noticed the ochrodermia of skin and sclerotica. Objectively: the state is
heavy, temperature 39,9 °C. Skin and sclerotica moderate yellow. There is plural petechia
on a trunk. Breathing is normal. FB-20/min, Pulse-102/min, BP 100/60 mm Hg. A stomach
is soft, sickly in an epigastrium, a liver on 3 sm comes forward from under a costal arc.
Day's diuresis 300 ml of urine of sad-coloured. What preliminary diagnosis?
A. Sepsis
B. * Leptospirosis
C. Iersiniosis
D. Hepatitis B
E. Infectious mononucleosis
452.
Patient Q., 11 years old, complaints on weakness, headache, high temperature, pain
in the muscles; at night suddenly the temperature of body rose to 39,5 °C, decries level of
urine. 4 days ago swimming in a lake, injured a leg. What preparations must be appointed?
A. Prednizolonum, hot foot-baths
B. Febrifuge
C. Euphyllin, vitamin C
D. * Antibiotics
E. Sorbents
453.
Patient T., 22 years old, was hospitalized in the infectious department with
complaints on a chill, fever, severe headache, pain in the gastrocnemius muscles. The state
is severe, hyperemia of face, icterus of skin and scleras, liver and spleen are enlarged,
olygouria. What preparations must be entered at the first?
A. Introduction of serum
B. * Ftorchinolons preparations
C. Sulphanilamid preparations
D. Dethintoxikation therapy
E. Sorbents
454.
Patient T., 22 years old, was hospitalized in the infectious department with
complaints on a chill, fever, severe headache, pain in the gastrocnemius muscles. The state
is severe, hyperemia of face, icterus of skin and scleras, liver and spleen are enlarged,
olygouria. BP is 60 and 20 mm Hg, pulse – 120 per a min. What preparations must be
entered?
A. Hormones, dethintoxikation therapy, antibacterial preparations
B. Diuretic, dethintoxikation therapy, antibacterial preparations
C. Sorbents, diuretic, dethintoxikation therapy
D. * Hormones diuretic, dethintoxikation therapy, antibacterial preparations
E. Hormones, diuretic, antibacterial preparations
455.
Patient T., 40 years, hospitalized in infectious separation with complaints of a chill,
fever, great head pain, pain in gastrocnemius muscles. The state is heavy, hyperemia of face,
skin and sclerotica are icterus, a liver and spleen, anury, is megascopic. BP 60/20 mm Hg,
pulse 120 per 1 min Optimum chart of treatment?
A. Hormones, desintoxical therapy, antibiotics
B. Diuretic, desintoxical therapy, antibiotics
C. Sorbtions, diuretic, desintoxical therapy
D. * Hormones, diuretic, desintoxical therapy, antibiotics
E. Hormones, diuretic, antibiotics
456.
Patient, 30 years old, lives in Egypt. Became ill sharply. A temperature with a chill
rose to 39 °С and was contained next 3 days. Disturbed headache, severe muscle pain. The
skin of person is hyperemic, injection of sclera and conjunctiva vessels, hyperemia of
nasopharyngs mucous. Pulse – 80/min., lowered blood pressure. Increasing of lymphatic
nodes. Phenomena of bronchitis in lungs, cough insignificant, not productive. Petechial rush
on the skin of overhead and lower extremities. Bleeding of gums, nose-bleeds. Enlarged
liver. How do to confirm a credible diagnosis?
A. Bacteriological
B. * Virologic
C. Research of drop of blood in the dark field
D. Research of hanging drop of blood
E. Research of thick drop of blood
457.
Person 26 years old, month ago got back from Africa and passed treatment on an
occasion a pediculosis, are ill 5 days. Beginning was sudden: great head pain, a weakness,
38,8 °С, was saved all days at permanent level, but on the 4th day of illness went down on a
few hours. Farther the state of patient became worse considerably, a rash, coughing,
uroschesis, appeared on a trunk. Objectively: temperature – 39,7 °С, pulse – 110, BP 115/70 mm/hg. The skin of person is the red, considerable injection of scleroticas, shallow
hemorrhages on a conjunctiva, mucous shell of soft palate, abundant petechial-еrythematosis
еczenthema on a trunk. Signs of іnterstitial pneumonia, encephalitis. A liver and spleen is
megascopic. What disease is most credible?
A. Dengue fever
B. Typhoid
C. Tropical malaria
D. Leptospirosis
E. * Epidemic typhus
458.
Pregnant woman of 22 years delivered in the ambulance. She is not sure about her
previous vaccinations. How should be treated the mother from the point of view of tetanus
prophylactic?
A. AC-antitoxin
B. Anti tetanus serum
C. * Tetanus toxoid + anti tetanus serum
D. Tetanus toxoid + anti tetanus serum + tetanus immunoglobulin
E. Anti tetanus serum + tetanus immunoglobulin
459.
Pregnant woman of 22.years old delivered in the ambulance. Last inoculation against
tetanus was years ago. How should be treated the mother from the point of view of tetanus
prophylactic?
A. * Tetanus toxoid
B. Anti tetanus serum
C. Tetanus toxoid + anti tetanus serum
D. Tetanus toxoid + anti tetanus serum + immunoprotein
E. Anti tetanus serum + immunoprotein
460.
preliminary diagnosis?
A. Erysipelas
B. * Lime-borreliosis
C. Phlegmon
D. Erysipelotrix
E. Herpetic infection
461.
Sick 37 years person on Crimea grumbles about a high temperature, non-permanent
vomit head pain. On the 4th day of illness: the state is severe, temperature of body 38,9 °C,
skin pale, mucous shells are hyperemic. On a soft palate is hemorrhagic enanthema,
hemorrhages in sclera reveal. On lateral area of trunk – petechial rash. Pulse is weak,
120/min, BP – 90/50 mm/hg. Abdomen is soft, painless. What from therapeutic facilities not
are prescribed in this case?
A. Cyclopheron
B. * Biseptol
C. Glucocorcoids
D. Suprastine
E. Depiridamol
462.
Sick C., 33, appealed on the 5th day of illness. In second day the temperature of body
was raised to 40 °С, delirium happened. An icterus grew. Vomits was dark-brown colour,
stool – dark (melena). Petechial and ecchimos exanthema appeared on the skin of trunk and
extremities. There were the nasal and uterine bleeding. Oliguria, blood and cylinders in
urine, azothemia. In the blood test – leukopenia – (1,5-2,0?109), neutropenia, increasing of
ESR. Hyperbilirubinemia (due to both fractions of pigment), increasing of activity of
аminotransferases, in urine was bilirubin, urobilin. What diagnosis is the most credible?
A. * Yellow fever
B. Viral hepatitis A
C. Viral hepatitis B
D. Viral hepatitis hepatic encephalopathy
E. Crimean hemorrhagic fever
463.
?Sick man L., 38 years, complains about the whole-body cramps, impossibility of
mouth-opening, severe pain; he is wounded. What information in the anamnesis will help to
specify the diagnosis?
A. * Trauma 2 weeks ago
B. Cold one week ago
C. Recent meal of poor quality
D. Presence of lice
E. Tick bite
464.
Sick man of 42 years has a general weakness, sense of burning of the right foot
which was injured 3 days ago during the field-walk. His measured temperature was 37,1.
During the examination: the corners of mouth are drawn up, eye cracks are narrowed,
shallow wrinkles in the corners of eyes and on a forehead. His right foot is edematous,
hyperaemia is also present, on the sole there is a chopped wound; during the inspection
generalized cramps took place. What is the origin of cramps in this specific case?
A. Increase of intracranial pressure
B. Development of encephalitis
C. Skeletal violations
D. * Braking of the toxin in a spinal cord and inserted in motor neuron
E. Defeat of the virus of front horns of spinal cord
465.
Sick N., 25 years old, is delivered in an infectious hospital with suspicion on
hydrophobia, stage of excitation. Four a week ago was bitted for a hand by a dog-fox. What
leading symptom will be confirmed by a diagnosis?
A. Paresthesias
B. Paralyses of extremities
C. Dryness in the mouth
D. Clonic-tonic cramps
E. * Hydrophobia
466.
Sick patient, 27 age, 3th day of illness, became ill sharply. Grumbles about a chill,
head myalgia, pain in muscles and joints, nausea, vomit. Objectively: hyperemia and
puffiness of person, neck, thorax, petechia, “rabbit eyes”, scleroticas, photophobia,
dacryagogue. Pulse – 110. Hepatomegalia. A patient arrived from Zaire. Your diagnosis?
A. Viral hepatitis
B. Flu
C. Leptospirosis
D. * Yellow fever
E. Malaria
467.
Sick person 34 years old, became ill suddenly – rose temperatures of body, vomiting.
Patient disturbs pain in a head, back, joints, and bones. Hyperemia and puffiness of face and
neck, eyes are poured by a blood. Patient is excited. The yellow colouring of skin and
scleras appeared on the 3th day of illness, point hemorrhages on a skin, liver and spleen was
multiplied. What diagnosis is most credible?
A. * Yellow fever
B. Congo-Crimea hemorrhagic fever
C. Hemorrhagic fever with a kidneys syndrome
D. Lassa fever
E. Ebola fever
468.
Sick, 11 years, grumbles about a febricula, sharp weakness, pains in gastrocnemius
muscles and small of the back; at night suddenly did the temperature of body rise to 39,5°,
the amount of urine diminished. 4 days back bathed in to the pond, scotched a leg. What
preparations must be appointed above all things?
A. Prednizolon, hot foot-baths
B. Febrifuge
C. Euphyllinum, vitamin C
D. * Antibiotics
E. Enterosorbtions
469.
Sick, 22 years old, hospitalized in an infectious separation with complaints about a
chill, fever, great head pain, pain in gastrocnemius muscles. The state is heavy, hyperemia
of face, skin and sclerotica arre icterus, a liver and spleen are megascopic, oliguria. What
preparations are most rotined at this disease?
A. Introduction of whey
B. * Antibiotics
C. Sulfanilamid preparations
D. Desintoxic therapy
E. Enterosorbtion
470.
Sick, 35 years, habitant of Crimea. Became ill sharply. With a chill a temperature
rose to 39,5 °C. Disturbed pain of head, joints, in muscles, frequent vomits. The sick was
excited. Face, neck, overhead part of thorax, is hyperemic. Scleritis, conjunctivitis. Petechial
rush over the trunk. The state got worse. Uterine and intestinal nose-bleeds joined.
Hyperemia of face changed by a pallor and puffiness. Patient adynamic, consciousness is
darkened. Olygouria. In spite of haematostatic therapy patient died. About what disease is it
possible to think?
A. Lassa fever
B. Yellow fever
C. Q-fever
D. * Crimea hemorrhagic fever
E. Omsk hemorrhagic fever
471.
Sick, milkmaid became sick sharply, severe head ache appeared. Weakness, profuse
sweats, loss of appetite, dry cough, insomnia, myalgias, pain in a lumbar area also appeared.
A temperature from the first days rise to 39-40 °C. During inspection hyperemia of skin,
injections of vessels of scleras, hyperemia of mucous membranes found out. Pulse 80 per
min. BP is 90/60 mm/Hg. Lymphatic nodes are not palpable. Spleen and liver are enlarged.
How is it possible to confirm a credible diagnosis?
A. Virologicaly
B. * Bacteriologically
C. Exposure of exciter in emptying
D. Research of hanging drop of blood
E. Research of thick drop of blood
472.
Sick, milkmaid diseased sharply, appeared great pain heads, broken, weakness,
profuse sweats, loss of appetite, dry cough, insomnia, myalgias, pain, in a lumbar area. A
temperature from the first days rose to 39-40 °C. At a review it is found out hyperemia of
face, injections of sclera vessels, hyperemia of mucous of nasopharyngs. Pulse 80 per
minute. BP 90/60 mm/Hg. Lymphatic nodes are not palpable. Liver and spleen also not
palpable. About what disease is it possible to think?
A. Typhoid fever
B. Epidemic typhus
C. * Leptospirosis
D. Brucellosis
E. Flu
473.
Sick, milkmaid diseased sharply, appeared great pain heads, broken, weakness,
profuse sweats, loss of appetite, dry cough, insomnia, myalgias, pain, in a lumbar area. A
temperature from the first days rose to 39-40 °C. At a review it is found out hyperemia
persons, injections of vessels of scleroticas, hyperemia of mucuse. Pulse 80/min. BP is
90/60 mm/Hg. Lymphatic nodes not palpable. Hepatoslpeenomegaly. What etiotropic
facilities does it follow to appoint?
A. Benzylpenicilline
B. * Теtracyclin
C. Acyclovir
D. Delagilum
E. Ftalazol
474.
Student 27 years, ill gradually: appeared hyperemia, was swollen and itch of skin in
area of scars on the right forearm (three months back bit by a dog-fox). On the second day
the temperature of body raised to 38 °C, the symptoms of intoxication, hhydrophobia,
pphotophobia and sense of fear appeared. Periodically there were paroxysms of cramps.
What is the preliminary diagnosis?
A. * Hydrophobia
B. Tetanus
C. Sausage-poisoning
D. Meningococcemia
E. Viral encephalitis
475.
Student F., 22 years old, ill gradually: hyperemia and erythema in area of right
forearm, which was gradually increased to 10 cm in a diameter, appeared. Erythema has a
center and raised bright red edges. The temperature of body subfebrile, general state is
satisfactory. 5 days prior to beginning of illness walked in the forest after mushrooms. What
laboratory methods will allow to confirm a diagnosis?
A. Common analysis of blood
B. Hem culture
C. Parazytoskopi of blood
D. RMA with leptospires
E. * RIGA with borrelies
476.
Student of 22 years, ill gradually: hyperemia and erythema in area of right forearm,
which was gradually increased to 10 cm in a diameter, appeared. Erythema has a center and
raised bright red edges. The temperature of body is subfebrile, general state satisfactory. 5
days prior to beginning of illness gather mushrooms in the forest. What is etiotropic
therapy?
A. * Tetracyclinum
B. Metronidazolum
C. Normal immunoglobulin
D. Glucocorticoids
E. Enterosorbents
477.
Student of 27 years got ill: appeared hyperemia, the skin became swollen and itchy in
place of scars on a right forearm (three months ago he was bitten by a dog). On the second
day the temperature raised to 38 oC, the symptoms of intoxication grew, appeared fear,
hydrophobia, photophobia. Periodically there were paroxysms of cramps. What specific
inspection must be conducted in this case patient for the confirmation of diagnosis?
A. Biochemical blood test
B. Coprogram
C. General analysis of blood
D. General analysis of urine
E. * Intracerebral contamination of new-born mice
478.
The citizen of rural region is hospitalized with complaints about whole-body cramps,
impossibility of mouth opening. One week ago he wounded his leg. His state is poor,
temperature 39,5 °C masseter muscle is tensioned, forehead, eyebrows and wings of nose,
are wrinkled, eyes are squinted, muscles of the back of head are rigid. There is no defecation
and dieresis. Opisthotonus, clonic and tonic cramps of trunk and extremities repeat almost
every hour. Periodically appears apnoea. What is the heaviness of the illness?
A. Easy
B. Middle degree
C. * Heavy
D. As heavy as lead
E. Terminal
479.
The citizen of rural region is hospitalized with complaints about whole-body cramps,
impossibility of mouth opening, fever. 2 weeks ago he wounded a leg. State of middle
weight, temperature 38,5 °C, heaved up tonic tension of masseter muscles, forehead in
wrinkles, eyebrows and wings of nose, eyes are squinted, rigidity' of muscles of the back of
head. Opisthotonus. For days there were 3-4 attacks of clonic-tonic cramps of trunk and
extremities. What is the heaviness of the illness?
A. Easy
B. * Middle degree
C. Heavy
D. As heavy as lead
E. Subclinical
480.
The citizen of rural region is hospitalized with complaints about whole-body cramps,
impossibility of mouth opening, fever. 3 days ago he wounded a leg. His state is heavy,
temperature 39,5 °C, heaved up tonic tension of masseter muscles, forehead in wrinkles,
eyebrows and wings of nose, eyes are squinted, of muscles of the back of head are rigid.
There is no defecation and dieresis. Opisthotonus, clonic and tonic cramps of trunk and
extremities appear once or twice in an hour. Periodically appear apnoea, tachycardia and
cyanosis. What is the heaviness of the illness?
A. Easy
B. Middle degree
C. Heavy
D. * As heavy as lead
E. Terminal
481.
The citizen of rural region is hospitalized with complaints about the whole-body
cramps, mouth-opening impossibility. His general condition is poor: temperature 39,5
degrees C, increased tonus of the masseter muscle, wrinkled forehead, eyebrows and wings
of nose, eyes are squinted, muscles of the back of head are rigid. There are no defecation
and diuresis. The clonic and tonic cramps of trunk and extremities appeared during
examination. What is the diagnosis?
A. Hydrophobia
B. Epilepsy
C. * Tetanus
D. Trauma
E. Sepsis
482.
The citizen of rural region, 40 years old, is hospitalized on the second day of illness.
Complaints about a fever, impossibility of mouth opening, pharynx pain during swallowing.
Objectively: his state is poor, temperature 39,5 °C. A mouth opens hardly, not more than on
1 see Right tonsil is hyperaemic and enlarged, a palatal handle overhangs with a
considerable edema. Lymphatic nodes on the right are painful and inlarged. Tone of muscles
of trunk and extremities is ordinary. What is the preliminary diagnosis?
A. Tetanus
B. Meningitis
C. Craniocerebral trauma
D. * Paratonsillar abscess
E. Inflammation of the lower jaw joint
483.
The citizen of rural region, 70 years old, is hospitalized in 2 weeks after the trauma
of right brush with complaints about, pain in the wound area. His condition is poor,
temperature 39,5 °C, rigidity of the muscles of the back of head. His mouth opens fully.
Tone of muscles is ordinary. What is the diagnosis?
A. Osteoporosis
B. Epilepsy
C. Tetanus
D. Trauma
E. * Sepsis, meningitis
484.
The citizen of rural region, 70 years old, is hospitalized in 2 weeks after the trauma
of right brush with complaints about, pain in the wound area. His condition is poor,
temperature 39,5 °C, rigidity of the muscles of the back of head. His mouth opens fully.
Tone of muscles is ordinary. What inspections are necessary for the clarification of the
diagnosis?
A. General analysis of blood
B. Biochemical analysis of blood
C. * Sowing of the spinal fluid for the selection of tetanus
D. Detection of C. tetani from defecating
E. Determination of antibodies
485.
The citizen of rural region, 70 years old, is hospitalized after the trauma (a horse
struck). He complaints about a fever, mouth opening impossibility, pain, festering itching
and excretions in the area of wound. Objectively: his state is heavy, temperature 39,5 °C;
large scalped wound in area of right temple, rigidity' of muscles of the back of head. A
mouth opens on 1 see Tone of muscles of trunk and extremities are ordinary. What is the
preliminary diagnosis?
A. Tetanus
B. Meningitis
C. * Cranio-cerebral trauma
D. Osteoporosis
E. Inflammation of the lower jaw joint
486.
The patient 33 years, miner, entered clinic of infectious diseases on the 7th day of
disease with complaints of a sharp weakness, high temperature, pain in the muscles of feet
and small of the back, icterus, dark color of urine, head pain. Fell ill sharply from a chill,
temperatures 40°. On a 4th day is an icterus, nose-bleed, hemorrhage in a sclerotica.
Duration of fever 6 days. A diuresis 200 ml. Credible diagnosis?
A. * Leptospirosis
B. Typhoid
C. Hepatitis A
D. Sepsis
E. Iersiniosis
487.
The patient C. of 18 years is hospitalized to the infectious separation department with
suspicion on a facial tetanus. What diseases should be excluded during the differential
diagnostic?
A. Inflammation of the lower jaw joint
B. Cranium cerebral trauma
C. Appearance of the wisdom tooth
D. Hydrophobia
E. * All answers are correct
488.
The patient of C., 18 years, entered to infectious department on the 5th day of illness
with the signs of severe encephalitis: excited, fever, aerophobia, hydrophobia, salivation,
periodically generalized cramps. 2 months prior to a disease he was bitted by a dog. Sick is a
drug addict. What is preliminary diagnosis?
A. * Hydrophobia
B. Viral meningoencephalitis
C. Tetanus
D. Sodoku
E. Poisoning by opiates
489.
The Patient, a hunter, lives on Russia (Ural), arrived to Ukraine 2 weeks ago.
Became ill sharply. A temperature rose to 39 °C. Disturbed severe headache, pains in the
back, muscles, extremities. There was vomit, photophobia. Decline of sharpness of sight.
Consciousness is some darkened. Hyperemia of face, pallor of nasolabial triangle, injection
of scleras vessels. Petechial rush pouring out trunk as strips. Pulse 110 per 1 min. Tones of
heart are hyposthenic. Tongue is dry, abdomen is blown away. Megascopic liver. Sharply
positive Pasternatskiy‘s symptom. Olygouria. In urine: protein, hialin, fibrin cylinders, renal
epithelium cells. About what disease is it possible to think?
Оmsk hemorrhagic fever
Yellow fever
Leptospirosis
* Hemorrhagic fever with a kidneys syndrome
Crimea hemorrhagic fever
490.
The sick C., was hospitalized in an infectious hospital with complaints about thirst,
impossibility to drink water. There are myotonias gullet at an attempt to get a drunk for a
patient, breathing becomes noisy, a patient pushes away from itself glass with water. 1,5
months back a patient was bitten by a dog in a right caviar. In area of bite feels burning, itch
and heaving up pains. What prognosis of this disease?
A. * A disease always ends with death
B. Convalescence is possible in 15 % of patients by using of disintoxication therapy
C. Specific immune globulin conduces to convalescence
D. Vaccine conduces to convalescence
E. Three days vaccination conduced to convalescence
491.
The soldier, who arrived on vacation from Sierra Leone, was taken to hospital in
connection with the febrile illness. Suspected Lassa fever. What kind of laboratory
indicators are characteristic for this disease?
A. The decline in serum indicators KFK and LDG
B. ESR greater after 60 mm/hour
C. Neutrophiil in liquor
D. Elevated levels of alkaline phosphatase in the serum
E. * High proteinuria
492.
Woman of 33 years was attacked and biten with a bat in the area of hand
aggressively and bit a woman in a hand. During the laboratory research the diagnosis of
hydrophobia was confirmed. What should be done for the urgent prophylactic of the
hydrophobia in this case?
A. Gamma-globulin and 18 doses of Kab
B. 12 doses of Kab
C. * Gamma-globulin and 6 doses of Kab
D. Gamma-globulin and 21 dose of Kab
E. 2 doses of Kab
493.
Your are flying in airplanes from the Republic of Zaire. Waitress asks to help a child
12 years old. In inspection – at the torso, limbs, palms and soles are determined multi
bubbles. Parents indicate that over 4 days before the child's fever was 40 °C. Rash
developed gradually, on the first day of the face, on the second day on the body, on the third
day in the limbs. What is the best tactic?
A. * The immediate message to ground air traffic controllers on the case, the suspect
smallpox
B. Reassure parents, said that the state is a manifestation of allergic reaction
C. Immediately enter dexamethasone
D. Immediately begin antibiotic therapy
E. Immediately enter vaccine
494.
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
495.
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,
A.
B.
C.
D.
E.
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
496.
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
497.
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
498.
A 3 years old child complains about: cough, temperature of body 37.9 °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
499.
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
500.
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.
B.
C.
D.
E.
* Anthrax
Plague
Tularemia
Brucellosis
Herpes
501.
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
502.
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
503.
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
504.
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
505.
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
506.
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.
C.
D.
E.
Lymphogranulomatosis
Tuberculosis
Infectious mononucleosis
Sepsis
507.
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
508.
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
509.
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
510.
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
511.
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
512.
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
513.
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
514.
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
515.
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
516.
A s 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
517.
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
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.
A woman 65 years old had the disease 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
520.
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
521.
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
522.
At a child with the catarrhal phenomena it is found out the increase of submandibular
and back neck lymphatic knots, hyperplasia of tonsills 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. easles
E. German measles
523.
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.
B.
C.
D.
E.
* Herpetic infection
Cytomegaloviral infection
Chicken pox
Rubella
AIDS
524.
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
a quinsy. At the hemanalysis – lymphomonocytosis. Credible diagnosis?
A. * Infectious mononucleosis
B. Follicle quinsy
C. Adenoviral infection
D. Flu
E. Viral hepatitis
525.
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
a quinsy. 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
526.
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
527.
In patient present sharp manifested edema of half of the face and neck. In the center
of edema black scab, surrounded by small vesicles. Enlargement of submandibular and
anterior neck lymphatic nodes. Changes on the face are not connected with pain.
Temperature during a review 39 ?C. What is the most possible diagnosis?
A. Plague
B. * Anthrax
C. Tularemia
D. Erysipelas
E. Furuncle of the face
528.
In patient present sharp manifested edema of half of the face and neck. In the center
of edema black scab, surrounded by small vesicles. Enlargement of submandibular and
anterior neck lymphatic nodes. Changes on the face are not connected with pain.
Temperature during a review 39 ?C. What is the most possible diagnosis?
A. Plague
B. * Anthrax
C. Tularemia
D. Erysipelas
E. Furuncle of the face
529.
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
530.
Patient 27 years old came to the clinic at 4th day of disease with the diagnosis ARVI,
allergic dermatitis. Fell ill sharply with increasing temperature to 38.2 °C, headache pain in
the throat, then a barking cough. Treated with aspirin. Objective: temperature – 38,8 °C.
Face puffy. Conjunctivitis, rhinitis. Skin of the face, neck and upper chest with maculapapular rash, not itching. Mucous membrane of oropharynx is red color. Submaxillary
lymph glands not enlarged. Liver and spleen not enlarged. What is probable diagnosis?
A. Infectious mononucleosis
B. Allergic dermatitis
C. * Rubella
D. Measles
E. Scarlet fever
531.
Patient A. 24 y/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
532.
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
533.
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
534.
Patient A., 40 years, complains of hyperemia and edema on a right cheek. At
examination: temperature of body 38,7 °C, enlarged and painful lymphatic nodules on the
right part of neck. A border between hyperemia and healthy skin is clear, there are bubbles
with hemorrhagic content, and palpation is painful. What is clinical diagnosis?
A. * Erysipelas
B. Anthrax
C. Herpetic infection
D. Chicken pox
E. Phlegmon of cheek
535.
Patient A., 41 years old, complains of rigor, fever (temperature 39,3 ?C), weakness,
bright hyperemia with elevated border and edema of subcutaneous fat, painfull in periphery,
appears on the left leg last day. Repeated form of this disease may appeared:
A. In 2 years after the last recurrent erysipelas
B. At the first
C. In 6 months after a primary appeal
D. * In 2 years after a primary disease
E. In a year after a primary disease
536.
Patient A., 45 years old, admitted to the clinic on the 3-nd day of disease with
complains of fever, headache, chill, burning pain and redness of left leg; Т of body is 38,9
?C, on left leg present erythema with sharp borders. The margin of erythema looks like
„tongue of the flame”. During palpation skin has cake-like consistency. What clinical form
is in this patient?
A. * Eritematozis
B. Eritematozo-bullezis
C. Hemorrhagic
D. Eritematozo-hemorrhagic
E. Necrosis
537.
Patient A., 45 years old, admitted to the clinic on the 3-nd day of disease with
complains of fever, headache, chill, burning pain and redness of left leg; Т of body is 38,9
?C, on left leg present erythema with sharp borders. The margin of erythema looks like
„tongue of the flame”. During palpation skin has cake-like consistency. What is the most
possible diagnosis? Which complications may be occurs?
A. Sepsis
B. Septical endomiocarditis
C. Nephritis
D. Trombophlebitis
E. * All the above
538.
Patient A., complains of redness of skin and edema on the right cheek. During a
review: Т 38,7 ?C, enlarged and painful lymphatic submandibular nodes of right side, border
between red and normal skin is sharp, present of swallowing with dark content, palpation is
painful. What is your previous diagnosis?
A. Herpetic infection
B. Anthrax, skin form
C. * Erysipelas, hemorrhagic form
D. Varicella (chickenpox)
E. Phlegmone of cheek
539.
Patient B., complains of redness of skin and edema on the right cheek. During a
review: Т 38,7 C, enlarged and painful lymphatic submandibular nodes on right side, border
between red and normal skin is sharp, present of swallowing with dark content, palpation is
painful. Causing of this disease are:
A. C. tetani
B. * E. coli
C. Candida
D. Epstein-Barr virus
E. Hemolytic streptococcus group A
540.
Patient C. 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
541.
Patient C., 49 years, has complains on high fevers, shaking, fatigue, headaches, and
general illness. The erythematous skin lesion enlarges rapidly and has a sharply demarcated
raised edge. It appears as a red, swollen, warm, hardened and bullae, and petechiae. Which
is the most credible diagnosis?
A. Sepsis
B. Anthrax, skin form
C. * Erysipelas
D. Thrombophlebitis
E. Eczema
542.
Patient C., 49 years, has complains on high fevers, shaking, fatigue, headaches, and
general illness. The erythematous skin lesion enlarges rapidly and has a sharply demarcated
raised edge. It appears as a red, swollen, warm, hardened and bullae, and petechiae. What is
the most credible diagnosis?
A. Sepsis
B. Anthrax, skin form
C. * Erysipelas
D. Thrombophlebitis
E. Eczema
543.
Patient C., complains of redness of skin and edema on the right cheek. During a
review: Т 38,7 C, enlarged and painful lymphatic submandibular nodes on right side, border
between red and normal skin is sharp, present of swallowing with dark content, palpation is
painful. Who is the source of this disease?
A. Sick man with erysipelas
B. Sick man with angina
C. Sick man with scarlet fever
D. Sick man with pneumonia
E. * All the above
544.
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
545.
Patient D., 65 years old, became ill sharply: increased a temperature to 39,8 °C, was
chill, headaches, fatigue. Complaints on the nausea, single vomiting. In 18 hours increased
and became painful right inguinal lymphatic nudes. Yet in 6 hours appeared the edema of
right shin and hyperemia with clear uneven contours. Which symptom does prove the most
possible diagnosis?
A. Stephansky’s symptom
B. * Andrec’s symptom
C. Simonovsky’s symptom
D. Brunner’s symptom
E. Filatov’s symptom
546.
Patient D., complains of redness of skin and edema on the right cheek. During a
review: Т 38,7 C, enlarged and painful lymphatic submandibular nodes on right side, border
between red and normal skin is sharp, present of swallowing with dark content, palpation is
painful. From etiotropic facilities the most effective are:
A. Furazolidonum
B. Gentamicin
C. * Benzilpenicilin and Oxacillinum
D. Benzilpenicilin and Furazolidonum
E. Doksiciklin and Gentamicin
547.
Patient E., 53 years old , appeal to the physician with complains of chills, increased
body temperature till 39,1 ?C. After some hours edematic area with redness appeared on the
skin of face. Hyperemia is vivid with sharp borders, on the periphery presence of shaft,
margin of infected area is not regular, similar to the map picture. What complications may
be after this disease?
A. Myocarditis
B. * Endocarditis
C. Inflammation of additional bosoms of nose
D. Otitis
E. Festering inflammation of neck lymphonoduss
548.
Patient F., 46 years, complains of hyperemia and edema on a right cheek. At
examination: temperature of body 38,5 °C, enlarged and painful lymphatic nodules on the
right part of neck. A border between hyperemia and healthy skin is clear, there are bubbles
with hemorrhagic content, and palpation is painful. What does we use for the prophylaxis of
reinfection of this disease?
A. Incoming immunoproteins
B. Incoming of small doses of hormones
C. * Incoming bicillin 1 per a month
D. Incoming a vaccine
E. Warning of skin lesion
549.
Patient F., 69 years, has complains on high fevers, shaking, fatigue, headaches, and
general illness. The erythematous skin lesion enlarges rapidly and has a sharply demarcated
raised edge. It appears as a red, swollen, warm, hardened and bullae, and petechiae.
Mechanism of transmission of this disease are often:
A. * Air
B. Contact
C. Transmissiv
D. Fecal-oral
E. Transplacental
550.
Patient G., 39 years old, complains of rigor, fever (temperature 39,5 ?C), weakness,
bright hyperemia with elevated border and edema of subcutaneous fat, painfull in periphery,
appears on the left leg last day. Repeated form of this disease may appeared:
A. In 2 years after erysipelas the last relapse of erysipelas
B. In 1 years after erysipelas the last relapse of erysipelas
C. In 9 months after an initial appeal of erysipelas
D. * In 2 years after the initial disease
E. In 1 years after the initial disease
551.
Patient H., 59 years old, has complains on high fevers, shaking, chills, fatigue,
headaches, and general illness within 48 hours of the initial infection. The erythematous skin
lesion enlarges rapidly and has a sharply demarcated raised edge. It appears as a red,
swollen, warm, hardened and painful rash, similar in consistency to an orange peel.
Regional lymph nodes swollen, and lymphedema. Which symptom does prove the most
possible diagnosis?
A. Stephansky’s symptom
B. * Andrec’s symptom
C. Simonovsky’s symptom
D. Brunner’s symptom
E. Filatov’s symptom
552.
Patient J., 48 years, complains of hyperemia and edema on a right cheek. At
examination: temperature of body 38,8 °C, enlarged and painful lymphatic nodules on the
right part of neck. A border between hyperemia and healthy skin is clear, there are bubbles
with hemorrhagic content, and palpation is painful. Which antibiotic is more expedient in
this patient (he has benzylpenitsylin allergy)?
A. Ampicillin
B. Amoxicillin
C. Cefazolin
D. Amokciklav
E. * Ciprofloxacin
553.
Patient L., 47 years, complains of hyperemia and edema on a right cheek. At
examination: temperature of body 38,6 °C, enlarged and painful lymphatic nodules on the
right part of neck. A border between hyperemia and healthy skin is clear, there are bubbles
with hemorrhagic content, and palpation is painful. Morphological characteristics of the
causative agent of this disease:
A. Stik
B. * Cocc
C. Ring
D. Larva
E. In a spiral
554.
Patient M., 29 years old, villager, came to the physician with complains of pain and
edema of the right fist (back surface of fingers of hand). She’s ill 3-rd day. Objectively
revealed erythema with cyanotic tint and with sharp border of infected area which falls
inside. Intoxication symptoms not expressed, body temperature 36,8 ?C. What is your
diagnosis?
A. Phlegmone of fist
B. Erysipelas
C. Тularemia
D. * Erysipelotrix
E. Pyodermia
555.
Patient M., 29 years old, villager, came to the physician with complains of pain and
edema of the right fist (back surface of fingers of hand). She’s ill 3-rd day. Objectively
revealed erythema with cyanotic tint and with sharp border of infected area which falls
inside. Intoxication symptoms not expressed, body temperature 36,8 ?C. What is your
diagnosis?
A. Phlegmone of fist
B. Erysipelas
C. Тularemia
D. * Erysipelotrix
E. Pyodermia
556.
Patient M., 49 years old, came to the physician with complains of pain and rash
presence on the skin of the right side of thorax. She’s ill 3-rd day, at the beginning she felt
burning sensation and pain on right side of thorax, on the next day appeared skin rash.
During a review: body temperature 37,8 ?C, across the V-VI intercostals spaces of
hyperemic skin a group of vesicles with transparent contain. What is your diagnosis?
A. Мyositis
B. Erysipelas, еrythematous-bulous form
C. Allergic dermatitis
D. Varicella (chickenpox)
E. * Herpes zoster
557.
Patient M., 49 years old, came to the physician with complains of pain and rash
presence on the skin of the right side of thorax. She’s ill 3-rd day, at the beginning she felt
burning sensation and pain on right side of thorax, on the next day appeared skin rash.
During a review: body temperature 37,8 ?C, across the V-VI intercostals spaces of
hyperemic skin a group of vesicles with transparent contain. What is your diagnosis?
A. Мyositis
B. Erysipelas, еrythematous-bulous form
C. Allergic dermatitis
D. Varicella (chickenpox)
E. * Herpes zoster
558.
Patient O., 50 years old, appeal to the physician with complains of chills, increased
body temperature till 39 ?C. After some hours edematic area with redness appeared on the
skin of face. Hyperemia is vivid with sharp borders, on the periphery presence of shaft,
margin of infected area is not regular, similar to the map picture. How long is the incubation
period in this disease?
A. From a few hours to 5-7 days
B. From a few hours to 7-10 days
C. From a few hours to 2 days
D. * From a few hours to 3-5 days
E. From a few hours to 14 days
559.
Patient O., 62 years, became ill sharply: increased a temperature to 39,8 °C, was
chill, headaches, fatigue. Complaints on the nausea, single vomiting. In 18 hours increased
and became painful right inguinal lymphatic nudes. Yet in 6 hours appeared the edema of
right shin and hyperemia with clear uneven contours. Which is the most credible diagnosis?
A. Flegmona of the right shin
B. Plague, bubonic form
C. Rabbit-fever, bubonic form
D. * Erysipelas, erythematous form
E. Anthrax, edemas form
560.
Patient O., 62 years, became ill sharply: increased a temperature to 39,8 °C, was
chill, headaches, fatigue. Complaints on the nausea, single vomiting. In 18 hours increased
and became painful right inguinal lymphatic nudes. Yet in 6 hours appeared the edema of
right shin and hyperemia with clear uneven contours. What is the most credible diagnosis?
A. Flegmona of the right shin
B. Plague, bubonic form
C. Rabbit-fever, bubonic form
D. * Erysipelas, erythematous form
E. Anthrax, edemas form
561.
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 °C. 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
562.
Patient Q., 55 years old , appeal to the physician with complains of chills, increased
body temperature till 39,2 ?C. After some hours edematic area with redness appeared on the
skin of face. Hyperemia is vivid with sharp borders, on the periphery presence of shaft,
margin of infected area is not regular, similar to the map picture. What is the prevention of
recurrence of this disease?
A. Introduction Ig
B. The use hormones
C. * Bicylin-5 in a month
D. Vaccine
E. Nothing
563.
Patient R., 31 years old, complains of rigor, fever (temperature 39 ?C), weakness,
bright hyperemia with elevated border and edema of subcutaneous fat, painfull in periphery,
appears on the left leg last day. What is clinical diagnosis?
A. * Erysipelas
B. Anthrax
C. Herpetic infection
D. Chicken pox
E. Phlegmon
564.
Patient R., 31 years old, complains of rigor, fever (temperature 39 ?C), weakness,
bright hyperemia with elevated border and edema of subcutaneous fat, painfull in periphery,
appears on the left leg last day. Anti-epidemic measures in the place of work are:
A. Not needed
B. Quarantine of the group
C. The patient may be treated and continues to work
D. Compulsory hospitalization of the patient
E. * Isolation of the patient to recovery
565.
Patient R., 46 years old, appeal to the physician with complains of chills, increased
body temperature till 39 ?C. After some hours edematic area with redness appeared on the
skin of face. Hyperemia is vivid with sharp borders, on the periphery presence of shaft,
margin of infected area is not regular, similar to the map picture. What complications can be
after this disease?
A. Myocarditis
B. Otitis
C. Parafaringeal abscesses
D. * Glomerulonephritis
E. Encephalitis
566.
Patient R., 48 years old, admitted to the clinic on the 4-nd day of disease with
complains of fever, headache, chill, burning pain and redness of left leg; Т of body is 38,9
?C. It appears as a red, swollen, warm, hardened and bullae, and petechiae. The margin of
erythema looks like „tongue of the flame”. During palpation skin has cake-like consistency.
Which is the most credible diagnosis? What clinical form of erysipelas is in this patient?
A. Eritematozis
B. * Eritematozo-bullezis
C. Hemorrhagic
D. Eritematozo-hemorrhagic
E. Necrosis
567.
Patient R., 48 years old, admitted to the clinic on the 4-nd day of disease with
complains of fever, headache, chill, burning pain and redness of left leg; Т of body is 38,9
?C. It appears as a red, swollen, warm, hardened and bullae, and petechiae. The margin of
erythema looks like „tongue of the flame”. During palpation skin has cake-like consistency.
What clinical form is in this patient?
A. Eritematozis
B. * Eritematozo-bullezis
C. Hemorrhagic
D. Eritematozo-hemorrhagic
E. Necrosis
568.
Patient R., 48 years old, admitted to the clinic on the 4-nd day of disease with
complains of fever, headache, chill, burning pain and redness of left leg; Т of body is 38,9
?C. It appears as a red, swollen, warm, hardened and bullae, and petechiae. The margin of
erythema looks like „tongue of the flame”. During palpation skin has cake-like consistency.
Who is the source of this disease?
A. Sick man with erysipelas
B. Sick man with angina
C. Sick man with scarlet fever
D. Sick man with pneumonia
E. * All the above
569.
Patient S., 44 years old, a worker of pig-breeding farm, asks for help to physician
with complains of pain, excessive edema and flexion contracture intraphalangeal joints of
middle and index finger of right hand (between І and ІІ phalanges). There are no changes of
bones on X-ray. What is your diagnosis?
A. Phlegmone of bone
B. * Erysipelotrix
C. Reactive arthritis
D. Erysipelas
E. Rheumatoid arthritis
570.
Patient S., 44 years old, a worker of pig-breeding farm, asks for help to physician
with complains of pain, excessive edema and flexion contracture intraphalangeal joints of
middle and index finger of right hand (between І and ІІ phalanges). There are no changes of
bones on X-ray. What is your diagnosis?
A. Phlegmone of bone
B. * Erysipelotrix
C. Reactive arthritis
D. Erysipelas
E. Rheumatoid arthritis
571.
Patient S., 44 years old, appeal to the physician with complains of chills, increased
body temperature till 39,0 ?C. After some hours edematic area with redness appeared on the
skin of face. Hyperemia is vivid with sharp borders, on the periphery presence of shaft,
margin of infected area is not regular, similar to the map picture. In anamnesis: 5 years ago
had erysipelas, whit was localization in that place. What form of erysipelas is in this case?
A. Preview
B. * Repeated
C. Recurrent
D. Continuously-recurrent
E. Chronic
572.
Patient S., 44 years old, appeal to the physician with complains of chills, increased
body temperature till 39 ?C. After some hours edematic area with redness appeared on the
skin of face. Hyperemia is vivid with sharp borders, on the periphery presence of shaft,
margin of infected area is not regular, similar to the map picture. Which symptom does
prove the most possible diagnosis?
A. Stephansky’s symptom
B. * Andrec’s symptom
C. Simonovsky’s symptom
D. Brunner’s symptom
E. Filatov’s symptom
573.
Patient S., 44 years old, appeal to the physician with complains of chills, increased
body temperature till 39,0 ?C. After some hours edematic area with redness appeared on the
skin of face. Hyperemia is vivid with sharp borders, on the periphery presence of shaft,
margin of infected area is not regular, similar to the map picture. In anamnesis: 5 years ago
had erysipelas, whit was localization in that place. What form of erysipelas is in this case?
A. Preview
B. * Repeated
C. Recurrent
D. Continuously-recurrent
E. Chronic
574.
Patient S., 50 years, has complains on high fevers, shaking, chills, fatigue,
headaches, and general illness within 48 hours of the initial infection. The erythematous skin
lesion enlarges rapidly and has a sharply demarcated raised edge. It appears as a red,
swollen, warm, hardened and painful rash, similar in consistency to an orange peel.
Regional lymph nodes swollen, and lymphedema. Which is the most credible diagnosis?
A. Sepsis
B. Anthrax, skin form
C. Eczema
D. Thrombophlebitis
E. * Erysipelas
575.
Patient S., 50 years, has complains on high fevers, shaking, chills, fatigue,
headaches, and general illness within 48 hours of the initial infection. The erythematous skin
lesion enlarges rapidly and has a sharply demarcated raised edge. It appears as a red,
swollen, warm, hardened and painful rash, similar in consistency to an orange peel.
Regional lymph nodes swollen, and lymphedema. What is the most credible diagnosis?
A. Sepsis
B. Anthrax, skin form
C. Eczema
D. Thrombophlebitis
E. * Erysipelas
576.
Patient S., 52 years old , appeal to the physician with complains of chills, increased
body temperature till 39 ?C. After some hours edematic area with redness appeared on the
skin of face. Hyperemia is vivid with sharp borders, on the periphery presence of shaft,
margin of infected area is not regular, similar to the map picture. Which agent did cause this
disease?
A. ? hemolytic staphylococcus group B
B. ? hemolytic streptococcus
C. ? hemolytic streptococcus group B
D. ? hemolytic staphylococcus group A
E. * ? hemolytic streptococcus group A
577.
Patient S., 52 years old , appeal to the physician with complains of chills, increased
body temperature till 39,0 ?C. After some hours edematic area with redness appeared on the
skin of face. Hyperemia is vivid with sharp borders, on the periphery presence of shaft,
margin of infected area is not regular, similar to the map picture. Which agent did cause this
disease?
A. hemolytic staphylococcus group B
B. hemolytic streptococcus
C. hemolytic streptococcus group B
D. hemolytic staphylococcus group A
E. * hemolytic streptococcus group A
578.
Patient T., 48 years old, appeal to the physician with complains of chills, increased
body temperature till 39 ?C. After some hours edematic area with redness appeared on the
skin of face. Hyperemia is vivid with sharp borders, on the periphery presence of shaft,
margin of infected area is not regular, similar to the map picture. What is the prevention of
recurrence of this disease?
A. Introduction Ig
B. The use hormones
C. * Bicylin-5 in a month
D. Vaccine
E. Nothing
579.
Patient T., 61 years old, appeal to the physician with complains of chills, increased
body temperature till 38,5 ?C. After some hours edematic area with redness appeared on the
skin of face. Hyperemia is vivid with sharp borders, on the periphery presence of shaft,
margin of infected area is not regular, similar to the map picture. In anamnesis: the
inflammatory process of that localization repeats oneself 2-4 times annually in a flow last 5
years. What form of erysipelas is in this case?
A. Preview
B. Repeated
C. * Recurrent
D. Continuously-recurrent
E. Chronic
580.
Patient T., 61 years old, appeal to the physician with complains of chills, increased
body temperature till 38,5 ?C. After some hours edematic area with redness appeared on the
skin of face. Hyperemia is vivid with sharp borders, on the periphery presence of shaft,
margin of infected area is not regular, similar to the map picture. In anamnesis: the
inflammatory process of that localization repeats oneself 2-4 times annually in a flow last 5
years. What form of erysipelas is in this case?
A. Preview
B. Repeated
C. * Recurrent
D. Continuously-recurrent
E. Chronic
581.
Patient U., 57 years old , appeal to the physician with complains of chills, increased
body temperature till 39,3 ?C. After some hours edematic area with redness appeared on the
skin of face. Hyperemia is vivid with sharp borders, on the periphery presence of shaft,
margin of infected area is not regular, similar to the map picture. How long is the incubation
period of this disease?
A. From a few hours to 5-7 days
B. From a few hours to 7-10 days
C. From a few hours to 2 days
D. * From a few hours to 3-5 days
E. From a few hours to 14 days
582.
Patient V., 47 years old, admitted to the clinic on the 3-nd day of disease with
complains of fever, chill, headache, burning pain and redness of left shin; Т of body is 38,7
?C, on left shin and foot present erythema with sharp borders. The margin of erythema looks
like „tongue of the flame”. During palpation skin has cake-like consistency. What are the
changes in the blood in this patients?
A. Changes are absent
B. Limfomonocitosis, increase of ESR
C. * Neutrophilic leycositosis, increase of ESR
D. Leycopeniya, increase of ESR
E. Increase of ESR
583.
Patient V., 55 years old, admitted to the clinic on the 5-nd day of disease with
complains of fever, headache, chill, burning pain and redness of left leg; Т of body is 39,1
?C. It appears as a red, swollen, warm, hardened and bullae with hemorragic content, and
petechiae. The margin of erythema looks like „tongue of the flame”. During palpation skin
has cake-like consistency. Which is the most credible diagnosis? What clinical form of
erysipelas is in this patient?
A. Eritematozis
B. Eritematozo-bullezis
C. Hemorrhagic
D. * Eritematozo-hemorrhagic
E. Necrosis
584.
Patient V., 55 years old, admitted to the clinic on the 5-nd day of disease with
complains of fever, headache, chill, burning pain and redness of left leg; Т of body is 39,1
?C. It appears as a red, swollen, warm, hardened and bullae with hemorragic content, and
petechiae. The margin of erythema looks like „tongue of the flame”. During palpation skin
has cake-like consistency. What clinical form is in this patient?
A. Eritematozis
B. Eritematozo-bullezis
C. Hemorrhagic
D. * Eritematozo-hemorrhagic
E. Necrosis
585.
Patient V., 55 years old, admitted to the clinic on the 5-nd day of disease with
complains of fever, headache, chill, burning pain and redness of left leg; Т of body is 39,1
?C. It appears as a red, swollen, warm, hardened and bullae with hemorragic content, and
petechiae. The margin of erythema looks like „tongue of the flame”. During palpation skin
has cake-like consistency. Who is the source of this disease?
A. * Sick man and carriers
B. Rodents
C. Soil
D. Insects
E. Cattle.
586.
Patient W., 41 years old, admitted to the clinic on the 3-nd day of disease with
complains of fever, chill, headache, burning pain and redness of left shin; Т of body is 38,7
?C, on left shin and foot present erythema with sharp borders. The margin of erythema looks
like „tongue of the flame”. During palpation skin has cake-like consistency. At the end of
treatment of this patients it is recommended to enter:
A. 500 000 of Bicyllin-3 intramuscular
B. * 1 500 000 of Bicyllin-5 intramuscular
C. 1 000 000 of Bicyllin-5 intramuscular
D. 1 500 000 of Bicyllin-3 intramuscular
E. 500 000 of Bicyllin-3 intramuscular
587.
Patient X., 39 years old, admitted to the clinic on the 2-nd day of disease with
complains of fever, chill, headache, burning pain and redness of left shin; Т of body is 38,7
?C, on left shin and foot present erythema with sharp borders. The margin of erythema looks
like „tongue of the flame”. During palpation skin has cake-like consistency. What are the
main exciters of this disease.
A. * Streptococcus
B. Staphylococcus
C. Spirochetes
D. Gonococcus
E. Stick of Lefler
588.
Patient Y., 53 years old, admitted to the clinic on the 4-nd day of disease with
complains of fever, chill, headache, burning pain and redness of left shin; Т of body is 39,7
?C, on left shin and foot present erythema with sharp borders. The margin of erythema looks
like „tongue of the flame”. During palpation skin has cake-like consistency. Which
symptom does prove the most possible diagnosis?
A. Stephansky’s symptom
B. * Andrec’s symptom
C. Simonovsky’s symptom
D. Brunner’s symptom
E. Filatov’s symptom
589.
Patient Z., 37 years old, admitted to the clinic on the 2-nd day of disease with
complains of fever, chill, headache, burning pain and redness of left shin; Т of body is 38,7
?C, on left shin and foot present erythema with sharp borders. The margin of erythema looks
like „tongue of the flame”. During palpation skin has cake-like consistency. What is the
most possible diagnosis?
A. Anthrax
B. * Erysipelas
C. Phlegmone
D. Common carbuncle
E. Herpetic infection
590.
Patient Z., 37 years old, admitted to the clinic on the 2-nd day of disease with
complains of fever, chill, headache, burning pain and redness of left shin; Т of body is 38,7
?C, on left shin and foot present erythema with sharp borders. The margin of erythema looks
like „tongue of the flame”. During palpation skin has cake-like consistency. What is the
most possible diagnosis?
A. Anthrax
B. * Erysipelas
C. Phlegmone
D. Common carbuncle
E. Herpetic infection
591.
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
592.
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
593.
Sick C., 17 years old fell ill gradually. Disturbed by general weakness, fatigue, sore
throat, abdominal pain, nausea. Hospitalized at 5th day of illness. Examination: body
temperature 38,0 °C, increasing of the neck, shaped inframaxillary lymph nodes. Skin and
eye sclera were subicteric. Macula-papular rash on the trunk. Raids on tonsils thick, white,
yellow, white furred tongue stomach is moderately swollen, hepatosplenomegaly. In blood
analyses: leukocytosis, microphage with the left shift, atypical mononuclear – 10 %, plasma
cells – 10 %. What is preliminary diagnosis?
A. * Infectious mononucleosis
B. Yersyniosis
C. Lacunar tonsillitis
D. Viral hepatitis A
E. Typho-paratyphoid disease
594.
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
595.
Sick girl 8 years, entered permanent establishment with complaints about a general
weakness, increase of temperature, pharyngalgia. Objectively: the mucus shell of
otopharynx is bright red, on tonsills are white raids, is taken off easily, discovered
megascopic all groups of lymphonoduss, 1-3 sm in a diameter, dense, elastic, littlesickly, not
soldered between itself. A liver is megascopic on 3 sm, spleen – on 1 sm. In a blood is
leycocytosis, plasmatic mews – 20 %. Credible diagnosis?
A. Acute lympholeycosis
B. * Infectious mononucleosis
C. Quinsy
D. Diphtheria
E. Adenoviral infection
596.
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
597.
Sick, 24 years old, disturbs a pharyngalgia, general weakness. Objectively:
temperature – 38 °C. Pulse – 96 shotsper min., dermahemia mucus of otopharynx bloodshot,
tiosills 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
disease does it follow to think about?
A. Measles
B. Follicle quinsy
C. Typhoid
D. * Infectious mononucleosis
E. Acute respirator disease
598.
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
599.
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.
C.
D.
E.
* Reaction of Paul-Bynnel, Lovrik-Volner, Goffa-Bauer
Reaction of Paul-Bynnel, Right-Heddlson, Lovrik-Volner
Reaction of Paul-Bynnel, Goffa-Bauer
Reaction of Paul-Bynnel, Goffa-Bauer, Right-Heddlson, Lovrik-Volner
600.
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
601.
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
602.
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
603.
What disease is this? A painful lesion with a bright red, edematous, indurate
appearance and an advancing, raised border that is sharply demarcated from the adjacent
normal skin. Fever is a feature.
A. Phlegmona
B. Anthrax
C. * Erysipelas
D. Thrombophlebitis
E. Eczema
604.
3 patients were delivered with symptoms of fever, diarrhea and vomiting.
Excrements 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
D. * Salmonella
E. Shigellosis
605.
A boy F., 14 years old, has been hospitalized in infectious department with
complaints on severe headache, temperature increased to 40,2 °C, edema and pain in the
iliac areas. Got back from Russia three days ago, where was on hunts and eat a meat of hare,
together with a father. Objectively: a face is hyperemic, lines are sharp; the iliac
lymphonoduss are enlarged, skin above them hyperemic, light, moving is sharply painful.
What is previous diagnose?
A. Limphogranulomatosis
B. Rabbit-fever
C. Sharp festering lymphadenitis
D. * Plague
E. Anthrax
606.
A chill appeared suddenly at the workwoman of pig farm, a temperature rose to 39,9
°C, there was a headache, nausea. On the next day appeared pain in the muscles of lower
extremities, began the nose bleeding. On the 3th day of disease, state was severe. A face is
hyperemic, scleritis, subicterous of scleras. Liver + 3 см, diuresis – 700 ml. What is the
previous diagnosis?
A. Hemorrhagic fever with a kidney syndrome
B. Hepatitis A
C. Yersiniosis
D. Flu
E. * Leptospirosis
607.
A girl 13 years old, is delivered in child's infectious department with complaints of
temperature increased to 40,2 °C, headache, pain and edema in the iliac region. Family of
child got back from Middle Asia two days ago, where prepared meat of camel. Objectively:
the skin of face is hyperemic, dramatic face. In the left iliac region painful conglomerate of
enlarged lymph nodes, dense and elastic in consistency, hyperemic skin above them. What is
previous diagnose?
A. * Plague
B. Sharp festering iliac lymphadenitis
C. Reticulosis
D. Rabbit-fever
E. Lymphogranulomatosis
608.
A patient 28 years at the 4-day fever has profuse rosy-petehia exanthema
predominantly located on the lateral surface of the torso and limbs flexion surfaces. An
individual patient hyperemic expressed vessels conjunctival injection, petehies transition to
fold conjunctiva. Analysis of urine protein single hyaline and granular cylinders. What kind
of illness can think?
A. Typhoid fever
B. Haemorrhagic fever with renal syndrome
C. Crimean hemorrhagic fever
D. Measles
E. * Epidemic typhus
609.
A patient 28 years old, of no fixed abode, hospitalized with a preliminary diagnosis
«flu», a 5-day illness appeared rosy-petehia rashes on the body and interior surfaces of the
extremities. The temperature of 41 °C, euphoria, hyperemia person, redness sclera, tongue
tremor, tachycardia, enlarged spleen; excitement. What is the likely diagnosis?
A. Typhoid fever
B. Leptospirosis
C. Alcohol deliry
D. Measles
E. * Epidemic typhus
610.
A patient 42 years old, for a week every 48 hours appear attacks chills, which are
replaced by heat. Body temperature rises to 40 °C, in 3-4 hours was a severe sweat.
Worsened appetite, a common weakness. Skin pale. Hepatosplenomegaly. What is the
treatments tactics?
A. * Nomination delagilum
B. Introduction immunoglobulin
C. Appointment of antibiotics
D. Detoxification
E. Introduction glucocorticoisteroids
611.
A patient is delivered with the previous diagnosis of shigellosis. State of patient of
middle weight, BP is 105/70 mm Hg, pulse – 90 per a min. A mouse is soft; pain is at
palpation in a right iliac region, sigmoid bowel is with spasm. Appoint a adequate treatment.
A. Levomicetynum, sorbents, immunomodulators
B. Glucocorticoids, levomicetynum, regidratacion therapy
C. Levomicetynum, diuretic, sorbents
D. * Furazolidonum, регідратаційна therapy, sorbents
E. Furazolidonum, levomicetynum, regidratacion therapy
612.
A patient V., 23 years old, acted to permanent establishment 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 analgin, dimedrol. Objectively: state of middle severity, on an abdomen
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
613.
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., 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
614.
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
615.
At a patient R., 32 years old, appeared diarrhea, periodically subfebrail temperate.
Late the admixtures of blood appeared in an excrement, mixed with mucus. Objectively: BP
is 110/70 mm Hg, pulse – 90 per a min. There is a pain in region of right half of colon at
palpation, sigmoid bowel is with spasm. The symptoms of irritation of peritoneum are not
present. What is the most effective medical tactic?
A. Antibiotics, sorbents, immunomodulators
B. Glucocorticoids, antibiotics, salts solutions intra vines
C. * Nitrofurans, regidratacion therapy, sorbents
D. Antibiotics, ferments, sorbents
E. Nitrofurans, combination of 2 antibiotics, regidratacion therapy
616.
At a patient who arrived from Crimea, at 5 o’clock in the morning began watery,
without mucus and blood, late –only water. Vomit appeared in 12 hours. The temperature of
body rose to 37,3 °C at the beginning of illness. A stomach-ache was not present. What is
most credible diagnosis?
A.
B.
C.
D.
E.
Esheryhiosis
Salmonellosis
Cholera
Food poisons
* Shigellosis
617.
At a patient with a pediculosis the temperature of body rose to 41,6 °C, appeared
headache, euphoria, in 4th days from the beginning of illness – rozeola-petehial rash.
Reaction with rhycetsia of Provachec 1:640, IGG – 89 %. What is your diagnosis?
A. Flu
B. Typhoid fever
C. Meningococcal infection
D. * Epidemic typhus
E. Leptospirosis
618.
At a patient, 39 years old: disease beginning suddenly, appeared t° – 39,5 °C, pain in
muscles (especially in gastrocnemius), hepatosplenomegalia, icterus, hemorrhagic rash,
oligouria, rigidity of the neck muscles. What is the most credible complications?
A. Renal insufficiency, reno-hepatic insufficiency, ІТS, ACVI, meningitis
B. Renal insufficiency, hepatic insufficiency, ІТS, ACVI, meningitis
C. Renal insufficiency, hepatic insufficiency, ІТS, ACVI, break of spleen
D. * Renal insufficiency, reno-hepatic insufficiency, ІТS, ACVI, uveit
E. Renal insufficiency, hepatic insufficiency, ІТS, ACVI, uveit
619.
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
620.
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
621.
At the patient B., 32 years old, in 1th day of illness, temperature of body are 40 °C,
delirium, pulse 140 per 1 min, AP is 80/40 mm Rh, vomiting, petehial rash on a skin. In the
iliac region painful conglomerate of enlarged lymph nodes, dense and elastic in consistency.
In anamnesis – a patient got back from Vietnam 3 days ago. What is your previous
diagnosis?
A. * Plague
B. Rabbit-fever
C. Anthrax
D. Furuncle of iliac area
E. Pseudotuberculosis
622.
Child V., 7 years old, has complains on a general weakness, pain in abdomen,
frequent urges on defecation. She is ill the second day. Temperature – 38,5 °C, skin is pale,
mucus of ores is dry, a tongue is assessed by the white coat. There is a pain in region of
sigmoid bowel at palpation, it is with spasm. Defecation is frequent, with small portions
mucus and light blood. What is the diagnosis?
A. * Shigellosis
B.
C.
D.
E.
Salmonellosis
Tumor of colon
Amoebiasis
Intestinal indigitation
623.
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
624.
Farmer, 57 years old, appealed to a doctor on the 3th day of disease with complaints
on headache, high temperature, pain in the muscles, icterus of skin, dark urine and decries
level of urine. Objectively: temperature – 38,2 °C, injection of scleras, petehial rash on the
overhead part of thorax, hepatosplenomegalia. What is the most reliable previous diagnosis?
A. Brucellosis
B. * Leptospirosis
C. Viral hepatitis
D. Yersiniosis
E. Trichinosis
625.
In a boy 12 years old, which got back from Mongolia with parents 5 days ago,
suddenly fever with chill, great headache, muscles pain, deliriums, face – bright red,
injection of sclera, tongue is dry, edematous, covered with white coating. In the right iliac
region painful conglomerate of enlarged lymph nodes, dense and elastic in consistency,
hyperemic skin above them. What is previous diagnose?
A. * Plague, bubonic form
B. Anthrax, skinning form
C. Rabbit-fever, bubonic form
D. Regional lymphadenitis
E. Phlegmon
626.
In a girl in 14 years old, which got back from India 4 days ago with parents, suddenly
fever appeared, malaise, dizziness, delirium, hallucinations, severe headache, frequent
vomiting, palpitation, shortness of breath, moist cough, appeared with bloody sputum.
Petehial-hemorrhagic rash widespread on skin. In lights it is hyposthenic from both sides of
breathing, paravertebral are small quantity of moist crackles. What antibiotic is most
effective?
A. * Streptomicinum
B. Oxytetraciklynum
C. Monomycinum
D. Ampicillin
E. Morphicyklinum
627.
In infectious department delivered a patient M., 22 years old, with complaints on
weakness, dizziness, vomiting, insomnia, chills, fever, acute pain in right iliac region. It is
second day of disease. During examination: impaired consciousness, insignificant excitation,
weak of cardiac sounds, tachycardia, pulse with weak filled and tensions. In lungs changes
were absent. By palpation – enlarged spleen. Ordinary sizes liver. In the right iliac region
painful conglomerate of enlarged lymph nodes, dense and elastic in consistency, hyperemic
skin above them. It is known from anamnesis that patient works as a longshoreman in port.
Put a clinical diagnosis.
A. * Plague, bubonic form
B. Anthrax, generalized form
C. Plague, primary-pulmonary form
D. Tuberculosis of lungs
E. Tularemia, pulmonary form
628.
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
629.
Male 26 years old, who last month returned from Africa and was processing about
lice, sick 5days. Home was a sudden: severe headache, weakness, body temperature 38,8 °C,
which persisted all day at a constant level, but at the 4th day of the disease declined for
several hours. Then the patient condition has deteriorated significantly, a rash on the body,
delay urine. OBJECTIVE: pulse was 110 for 1 min, blood pressure 115/70 mm RT. Art.,
temperature 39,7 °C. Face red, a significant injection of vascular sclera, small hemorrhages
in the conjunctiva, mucous membrane soft palate, abundant rosy-petehialexanthema on the
body. Signs interstitsial pneumonia, encephalitis. Enlarged liver and spleen. What kind of
illness can think?
A. * Epidemic typhus
B. Typhoid fever
C. Tropical malaria
D. Leptospirosis
E. Yellow fever
630.
Male 26 years old, who last month returned from Africa and was processing about
lice, sick 5 days. Home was a sudden: severe headache, weakness, body temperature 38,8
°C, which persisted all day at a constant level, but at the 4th day of the disease declined for
several hours. Then the patient condition has deteriorated significantly, a rash on the body,
delay urine. OBJECTIVE: pulse was 110 for 1 min, blood pressure 115/70 mm RT. Art.,
temperature 39,7 °C. Face red, a significant injection of vascular sclera, small hemorrhages
in the conjunctiva, mucous membrane soft palate, abundant rosy-petehialexanthema on the
body. Signs interstitsial pneumonia, encephalitis. Enlarged liver and spleen. What kind of
illness can think?
A. * Epidemic typhus
B. Typhoid fever
C. Tropical malaria
D. Leptospirosis
E. Yellow fever
631.
Male 45 years old, fell ill after 2 weeks after returning from Afghanistan, where six
months ago underwent malaria. In return were found lice. Suddenly, there were severe
headache, weakness, body temperature 39 ?C with a temporary decrease in the 4th day of
illness, followed by general weakness, much intoxication, headache, appeared on the body
abundance polymorphic rash. At the 7-day state of heavy, the phenomenon of encephalitis,
excitation, hallucinations periodically. Objective – erythematos-petehial exanthema. The
temperature of the body 40,1 ?C, pulse was 136 for 1 min, blood pressure 120/70 mm RT
art. Moderately enlarged liver and spleen. Paradoxical ishuriya. In the blood analys neutrofil
mild leukocytosis, eozinofilia, accelerated ESR. Which of the studies of blood will be
positive?
A. At typhoid fever
B. At the three-day malaria
C. Tropical malaria
D. * At epidemic typhus
E. At brucellosis
632.
One person took rest on the bank of the lake. After 6 days he’s got fever (38,5 ?C)
with headache, muscle pain, sweating. Long after 3 days the painful swelling appeared in
inguinal area. During the exam of inguinal area was found the dense, mobile, painful lymph
nodes of 5 cm in diameter without any changes of skin. What will be the most credible
diagnosis?
A. * Tularemia
B. Plague
C. Yersiniosis
D. Infectious mononucleosis
E. Leptospirosis
633.
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
634.
Patient A., 25 years old, treated at a hospital about malaria. The latest attack was the
day before. Assign etiotropic treatment.
A. Antibiotics
B. Serum transfer
C. Delagil
D. Primaquine
E. * Delagil + Primaquine
635.
Patient A., 27 years old, was admitted to the isolation hospital for the second week of
the beginning of the disease. Complaints of fever to 38 ?C with chills, general weakness,
nausea, vomiting. The temperature lasted 3 hours, then noticed darkening of urine, and a day
yellowed. OBJECTIVE: Normal body temperature, citric sclera and skin, bradycardia, liver
+2 cm, spleen palpable edge. Urine was like to color of beer, feces discoloured. Which
means you can confirm a preliminary diagnosis?
A. * The definition of markers of viral hepatitis
B. Parasitoscopy of blood
C. An overall analysis of urine
D. Bacteriology of stool
E. Biochemical blood test
636.
Patient A., 35 years old, became ill suddenly, complain on the high temperature,
severe headache, pain in muscles of legs. Objectively (the 4th day of disease): the state is
severe, hyperemia of face, skin and scleras are icterus, spleen and liver are enlarged,
oligourhia. What is the most credible diagnosis?
A. Yersiniosis
B. Viral hepatitis
C. * Leptospirosis
D. Poisoning by a tetraethyllead
E. Omsk‘s hemorrhagic fever
637.
Patient A., 37 years old, entered to infectious hospital on the third days of disease in
the severe condition. He complaints about the high fever with chills and sweat, general
weakness, pain in right under a rib. Objectively: temperature of body 41 °C, icterus of skin,
liver + 2 cm, pain at palpation in abdomen, positive symptoms of Ortner and Mussy, a
spleen is normal, tachycardia. What methods is it possible to confirm a previous diagnosis
by?
A. Global analysis of blood
B.
C.
D.
E.
* Ultrasonic research
Biochemical blood test
Hemoculture
Parazytoskopy of blood
638.
Patient A., 37 years old, entered to infectious hospital on the third days of disease in
the severe condition. He complaints about the high fever with chills and sweat, general
weakness, pain in right under a rib. Objectively: temperature of body 41 °C, icterus of skin,
liver +2 cm, pain at palpation in abdomen, positive symptoms of Ortner and Mussy, a spleen
is normal, tachycardia. What is the previous diagnosis?
A. Malaria
B. * Cholangitis
C. Viral hepatitis
D. Sepsis
E. Leptospirosis
639.
Patient A., 40 years old, has complaints on the great headache, chills, pain, in
muscles and pain in right iliac region, where is the edema and increase of lymphatic nodes.
Become ill 3 days ago, when suddenly appeared a chill, increased a temperature to 39,8 °C,
appeared pain in the right iliac region. He was in the business trip in India, on shipboard
there were patients with the high fever. The state is heavy, excited, temperature 40,3 °C. A
tongue is covered with white coating. Pulse 140 in a minute, AP is 60/30 mm Rh. A liver
and spleen are enlarged. In the right iliac region enlarged lymphonodus, a skin above him is
tense, red. What is the most credible exigent state?
A. Acute kidneys insufficiency
B. * Infectiously-toxic shock
C. Degidratation shock
D. Acute respiratory insufficiency
E. Acute hepatic insufficiency
640.
Patient A., 57 years old, farmer, came to the doctor on the 3th day of illness with
complaints on headache, pain in the gastrocnemius muscles, fever, icterus of skin and
scleras, dark urine and decries level of urine, temperature of body – 38,2 °C, petehial rash
on overhead part of thorax, hepatosplenomegalia. What preparations must be entered?
A. Salts solutions
B. Transfusion of fresh-frozen plasma
C. * Antibiotics
D. Hyperbaric oxygenation
E. Hemosorbcion, sympathomimetics
641.
Patient B., 38 years old, disease became suddenly: 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. Shigellosis
D. Viral gastroenteritis
E. Esheryhiosis
642.
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.
C.
D.
E.
Intravenous antibiotics
Washing of the stomach and intestine, rehydration therapy , glucocorticoids
* Gastric lavage and washing of intestine, rehydraton therapy enterosorbents
Treatment after getting of the laboratory test results
643.
Patient C, 17 years old, became ill suddenly. Profuse diarrhea with frequent vomits
without nausea. 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. Shigellosis
C. Salmonellosis
D. Esheryhiosis
E. Rotavirus gastroenteritis
644.
Patient C, 27 years old, complaints of headache, weakness, pain in the epigastral
area, repeated vomits, diarrhoea (9 per day, greenish colour). He ate 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
645.
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
646.
Patient C., 41 years old, geologist, was during 2 months to in the steppes of the
Astrakhan before illness. Became ill suddenly on a 8th day after return home: temperature of
body – 40,0 °C, headache, vomiting, chill. A temperature grew, appeared a weakness,
dizziness. Cardiac tones are muffled, pulse – 110 per a min, tongue is “chalky”. On the skin
of right shin sharply sickly ulcer 2-3 cm, covered by a dark scab. In a right inguinal area
painful conglomerate of enlarged lymph nodes, immobile. What disease must be suspected?
A. Rabbit-fever
B. Anthrax
C. Phlegmona of right shin
D. * Plague
E. Spotted fever
647.
?Patient D., 35 years old, a cynologist, became ill suddenly. This disease begin from
a chill, severe pain in abdominal, temperature increased to 39,2 °C. Objectively: a face is
puffy, pile, with small cyanosis; a tongue is covered with white coating, as though rubbed by
a chalk. Nausea, vomits, diarrhea with the admixtures of mucus and blood. There are the
cases of plague in a district. What is the previous diagnosis?
A. Rabbit-fever, abdominal form
B. * Plague, intestinal form
C. Cholera
D. Salmonellosis
E. Intestinal аmoеbiasis
648.
Patient D., 39 years old, entered to infectious hospital on the second week days of
disease in the severe condition. Local habitant, nowhere arrived. She is complaints for the
high fever with chills and sweat, general weakness. Attacks of fever without correct
periodicity. Objectively: the temperature of body – 41 °C, subicterus of sclera, tachycardia,
Pasrernacky‘s symptom positive, liver + 2 cm, spleen + 2 cm. What is the previous
diagnosis?
A. Malaria
B. Cholangitis
C. Pyelonephritis
D. * Sepsis
E. Leptospirosis
649.
Patient D., 39 years old, entered to infectious hospital on the second week days of
disease in the severe condition. She is complaints for the high fever with chills and sweat,
general weakness, pharyngalgia at swallowing. Objectively: temperature of body 37,7 °C,
hyperemia of mucus of pharynx, tonsils are enlarged, loose, festering raid in lakuns,
enlarged submandibula, neck, axilars lymphonodules, icterus of sclera and skin,
bradycardia, liver + 2 cm, spleen + 1 cm. Urine is color of beer, an excrement is discolored.
What is the previous diagnosis?
A. Malaria
B. Infectious mononucleosis
C. Viral hepatitis
D. * Sepsis
E. Leptospirosis
650.
Patient D., 40 years old, has been hospitalized on the 5th day of illness with
complaints on severe pain in a right inguinal region that forces him to adopt the forced
position; temperature increased to 40 °C. By palpation – a dense uneven immobile
conglomerate of enlarged lymph nodes, a skin above him is refined, is glossy. What is the
most credible diagnosis?
A. Rabbit-fever, bubonic form
B. Anthrax, skinning form
C. Sepsis, purulent lymphadenitis
D. * Plague, bubonic form
E. Lymphadenitis
651.
Patient D., 42 years old, hunter, became ill suddenly: temperature of body increased
to 40,0 °C, chill, sharp headache, vomiting. He was hospitalized in the 1th day of disease in
severe condition: excited, temperature of body 40,0 °C, a face is hyperemic, eyes brilliant,
language is bed. Skin are moist, clean. Breathing is vesicular, single small-vesicles moist
wheezes. At deep inhalation severe pain in the right half of thorax. BP is 90/60 mm of Rh,
pulse – a 120 per a weak. A tough is dry, “chalky”. A cough is moderate, sputum is liquid,
pink, bloodily. What is previous diagnose?
A. Q-fever
B. Rabbit-fever
C. Spotted fever
D. * Plague
E. White plague
652.
Patient E., 24 years old, was hospitalized in the infectious department in the severe
condition. He complaints on headache, pain in muscles, joints, vomiting. Objectively:
temperature of body 39 °C. BP is 90 and 60 mm Hg, appeared tachycardia, hyperesthesia of
skin. Meningeal signs are doubtful. It is known from anamnesis, that lives in a village, has a
hostess, it is rats. What preparations must be entered?
A. Veroshpironum, euphilinum, dimedrol
B. * Manitol, lazix, prednizolonum, penicillin
C. Analgin, dimedrol, acetophen
D. Manitol, acetophen
E. Lazix, analgin, ampicillin
653.
Patient E., 43 years old, hunter, often drank water from springs during hunts on hare.
Became ill sharply in 2 days: chill, high temperature, pharyngalgia at swallowing.
Objectively: mucus of oro-pharing not sharply hyperemic, on right tonsil dense grayishyellow raid. In the right part of neck enlarged lymph nodes like to eggs, not painful, mobile,
temperature – 38 °C. What is previous diagnose?
A. Diphtheria
B. Plague
C. * Rabbit-fever
D. Tonsillitis
E. Lymphogranulomatosis
654.
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
655.
Patient G., 28 years old, sailor, has been ill in 18-day illness, complaining of high
fever, headache, weakness. Disease began as a chills during an hour, then the temperature
had risen to 39,8 ?C. In next 5-6 days, chills repeated every day in the middle of the day,
after which the temperature rose to 40-41 °C, such attacks fever occur every other day. Face
is hyperemic, herpes, vascular injection of sclera. Tons of the heart muted, rhythmic, pulse
140 for 1 min, AD 140 and 60 mm RT. Art. Liver is normal, spleen +2 sm. What you need
to start treatment?
A. * Primaquine
B. Fansidar
C. Metakelfin
D. Quinine
E. Tetracycline
656.
Patient G., 40 years old, complaints of rising of temperature to 39,0 °C, pain in
muscles, headache, general weakness. Became ill suddenly. The state is severe, pulse –
120/min, BP 90/50 mm of HG, a hepatomegaly. Painful lymphatic nodes is palpated in a left
inguinal area, edema of soft tissues. In a blood leucocytes 18х106, ESR – 35 mm/hr. What is
previous diagnosis?
A. * Plague, bubonic form
B. Sepsis
C. Lymphogranulomatosis
D. Acute leucosis
E. Anthrax
657.
Patient H., 48 years old, has been hospitalized with complaints of a rise in
temperature to 40,4 °C, severe headache, shortness of breath, cough, with the liquid, bloody
sputum. He arrived from India a week ago. Breathing in lights is hyposthenic, are small
quantity of moist crackles & crepitation. Tones are weak. What diagnosis is most reliable?
A. Yellow fever
B. Flu
C. * Plague
D. Chicken pox
E. Cholera
658.
Patient H., 54 years old, on a 15-day of illness complained of severe headache,
nausea, weakness, periodic rises in temperature. Two weeks before she returned from
Nigeria. OBJECTIVE: consciousness darken, hyperasthesia. Positive meningeal signs,
Babinski‘s symptoms on both sides. Pulse was 100 per 1 min. Light ictherich skin. The
temperature of the body 40,1 °C, BP 100/65 mm RT. Art. Ton of heart muted. Liver +3 sm.
Spleen +4 sm. In the blood – anemia, thrombocytopenia. Which of the following products
need to urgently introduce intravenous to the patient?
A. Mezaton
B. Delagil
C. Hydrocortisone hemisuccsinate
D. Levomitsetina succinate Na
E. * Muriatic quinine
659.
Patient J., 23 years old, has been hospitalized in grave condition: altered level of
consciousness, temperature – 41,3 °C, package of enlarged lymphnodes are in a right iliac
area, immobile, dense; very painful and hyperemic skin. After a day there was pain in the
right half of thorax, cough with a bloody sputum. What is previous diagnosis?
A. Anthrax. Pulmonary form
B. Plague. Initially-pulmonary form
C. Rabbit-fever. Pulmonary form
D. * Plague. Secondary-pulmonary form
E. Tuberculosis of lungs
660.
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
661.
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
662.
Patient K., 41 years old, feels pain in a left iliac area. At the inspection: temperature
– 39,0 °C, in a left iliac area conglomerate of lymph nodules, in a diameter 7 CM, dense,
painful, immobile, skin above him hot by touch, glitters. A previous diagnosis is a plague.
What etiotropic preparation we must be given to the patient?
A. * Streptomicinum
B. Penicillin
C. Cefazolin
D. Lincomicinum
E. Ceftriaxonum
663.
Patient K., 43 years old, miner, on the 4th day of disease complaints on the
weakness, headache, pain in the gastrocnemius muscles, fever, icterus of skin and scleras,
dark urine, temperature of body – 38,2 °C, hepatosplenomegalia. What preparations must be
entered? There was the nose-bleed. Diuresis – 200 ml. What preparations must be entered?
A. * Specific immunoglobulin
B. Holynomimetics
C. Spasmolytics
D. Miorelaxants
E. Vitamins of group B
664.
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 are 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
665.
Patient L., 32 years old, entered in infectious department with complaints on a chill,
headache, expressed general weakness, acute pain in epigastria, diarrhea. Temperature – 39
°C, frequent vomits. Stool is abundant, watery, greenish color, without pathological
admixtures. He ate meat lettuce in a factory dining-room before 4 h. to the disease. What
preparations will be most effective for treatment of this patient?
A. Antybotulism serum
B. Salts and colloid solutions
C. Sulfanilamid preparations
D. * Ftorhinolons
E. Sorbents
666.
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
667.
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
668.
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
669.
Patient P., 68 years old, fell ill suddenly 7 days ago from the increase of temperature
to 39,3 °C, appearances of headache and insomnia. Objectively: excited, inadequate. Face is
hyperemic. The tongue is very dry, trembles at pulling out. On a trunk are polymorphic rash,
tachycardia, and blood pressure low. Hepatosplenomegalia. Stool is absent. In age 10 years
had epidemic typhus. What is the previous diagnosis?
A. Yersiniosis
B. Typhoid fever
C. * Brill‘s disease
D. Meningococcemia
E. Epidemic typhus
670.
Patient P., 76 years old, complied during 7 days for the permanent increase of
temperature to 38,2-38,7 °C, headache, insomnia, horrific dreams, dry cough, myalgias,
artalgias. Polymorphic rash appeared on a trunk on the 4th day of diseases. In childhood was
ill by epidemic fever, three-day malaria. Temperature of body – 38,4 °C, pulse – 98 per a
min, hepatolienal syndrome, bilateral pneumonia confirmed roentgenologic. In the analysis
of blood moderate neutrophil leycocytosis. What is the previous diagnosis?
A. * Brill‘s disease
B. Typhoid fever
C. Lime‘s disease
D. Malaria
E. Leptospirosis
671.
Patient Q., 11 years old, complaints on weakness, headache, high temperature, pain
in the muscles; at night suddenly the temperature of body rose to 39,5 °C, decries level of
urine. 4 days ago swimming in a lake, injured a leg. What preparations must be appointed?
A. Prednizolonum, hot foot-baths
B. Febrifuge
C. Euphyllin, vitamin C
D. * Antibiotics
E. Sorbents
672.
Patient S., 28 years old, became ill suddenly: a chill, feeling of heat, temperature
appeared to 38,5 °C, spastic pain in a left iliac area, diarrhoea. In stool was present bloodmucus masses. Objectively: pain in abdominal and spasm of sigmoid bowel. What is
previous diagnosis?
A. * Shigellosis
B. Amoebiasis
C. Esheryhiosis
D. Nonspecific ulcerous colitis
E. Tumour of colon
673.
Patient T., 22 years old, was hospitalized in the infectious department with
complaints on a chill, fever, severe headache, pain in the gastrocnemius muscles. The state
is severe, hyperemia of face, icterus of skin and scleras, liver and spleen are enlarged,
olygouria. What preparations must be entered at the first?
A. Introduction of serum
B. * Ftorchinolons preparations
C. Sulphanilamid preparations
D. Dethintoxikation therapy
E. Sorbents
674.
Patient T., 22 years old, was hospitalized in the infectious department with
complaints on a chill, fever, severe headache, pain in the gastrocnemius muscles. The state
is severe, hyperemia of face, icterus of skin and scleras, liver and spleen are enlarged,
olygouria. BP is 60 and 20 mm Hg, pulse – 120 per a min. What preparations must be
entered?
A.
B.
C.
D.
E.
Hormones, dethintoxikation therapy, antibacterial preparations
Diuretic, dethintoxikation therapy, antibacterial preparations
Sorbents, diuretic, dethintoxikation therapy
* Hormones diuretic, dethintoxikation therapy, antibacterial preparations
Hormones, diuretic, antibacterial preparations
675.
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
676.
Patient T., 37 years old, farmer, has complied on a general weakness, spastic pain in
the lower departments of stomach, mainly in a left iliac area, frequent liquid emptying to 18
times per days with the admixtures of mucus and blood. The disease began sharply, three
days ago from a chill, feeling of heat, head pain. Diarrhea, stool with mucus and blood,
tenesmus. Temperature – 37,8 °C. Sigmoid bowel is painful, wth spasm. What diagnosis is
the most credible?
A. * Shigellosis
B. Amoebiasis
C. Ulcerous colitis
D. Esheryhiosis
E. Salmonellosis
677.
Patient U., 36 years old, farmer, became ill gradually. Indispositions, tormina,
diarrhea (stool was 8-12 times per day). He was in one of countries with a hot climate during
last 2 month. Temperature – 36,9 °C. At palpation – pain in iliac areas. Stool is liquid, with
the admixtures of glassy mucus, look like to „raspberry jelly”. What disease is need to think
about?
A. * Amoebiasis
B. Shigellosis
C. Salmonellosis
D. Tumor of intestine
E. Enterohaemorrhagic echerihiosis
678.
Patient W., 38 years old, entered to infectious hospital on the 5th days of disease in
the severe condition. He complaints about the high fever with chills and sweat, general
weakness, pain in sacrum. Objectively: temperature of body of 41 °C, tachycardia, positive
symptom of Pasternacky, liver and spleen not is normal. What is the previous diagnosis?
What methods is it possible to confirm a previous diagnosis by?
A. Global analysis of blood
B. Ultrasonic research
C. Biochemical blood test
D. Hemoculture
E. * Parazytoskopy of blood
679.
Patient W., 38 years old, entered to infectious hospital on the 5th days of disease in
the severe condition. He complaints about the high fever with chills and sweat, general
weakness, pain in sacrum. Objectively: temperature of body of 41 °C, tachycardia, positive
symptom of Pasternacky, liver and spleen not is normal. What is the previous diagnosis?
A. Malaria
B. Cholangitis
C. * Pyelonephritis
D. Sepsis
E. Leptospirosis
680.
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
681.
Patient X., 42 years old, from Turkmenistan, has complains on a general weakness,
increased of temperature to 38 °C, headache, spastic pain in the underbody of abdomen,
tenezmuss. Pain is in region of sigmoid bowel at palpation. Stool – 15 times per days, with
the admixture of blood and mucus. What are the previous diagnosis and other possible
pathology?
A. Esheryhiosis
B. Heavy form of ulcerous colitis is at a patient. Necessary differential diagnosis with
shigellosis and Crown disease
C. Crown disease is at a patient. Necessary differential diagnosis with an ulcerous
colitis and shigellosis
D. Acute enteritis
E. * Shigellosis is at the patient. Necessary differential diagnosis with an ulcerous
colitis and Crown disease
682.
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
683.
Patient Н., 28 years, 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 2см. What is reliable
diagnosis?
A. * Typhoid fever
B. Leptospirosis
C. Brucellosis
D. Sepsis
E. Tuberculosis
684.
Patients D., 30 years old, became ill saddenly, when the temperature of body rose to
40,2 °C, appeared headache, weakness, euphoria, injection of vascular sclera, hyperemia of
face, appears the positive symptom of Govorova-Godele. Reaction with rhycetsia of
Provachec 1:160, IGG – 87 %. What is your diagnosis?
A. Brill‘s disease
B. Typhoid fever
C. Paratyphoid A
D. Paratyphoid B
E. * Epidemic typhus
685.
Patients I., 78 years old, became ill saddenly, the temperature of body rose to 39,2
°C, euphoric, vessels of scleras are injection, hyperemia of face, appears enantema of
Rozenberg. Reaction with rhycetsia of Provachec 1:160, IGG – 87 %. What is your
diagnosis?
* Brill‘s disease
Typhoid fever
Meningococcal infection
Flu
Leptospirosis
686.
Severe pain appear at a patient in right iliac region ten hours ago. Temperature rose
to 39,2 °C. Objectively: poor balance, pulse is frequent. In the right iliac region painful
conglomerate of enlarged lymph nodes, dense and elastic in consistency, hyperemic skin
above them. What diagnosis is most reliable?
A. Anthrax
B. Rabbit-fever
C. * Plague
D. Lymphogranulomatosis
E. Acute festering lymphadenitis
687.
State of patient F., 37 years old, was severe. He had complaints of high fever, general
weakness, pain in an inguinal area. Objectively: consciousness, altered temperature, T –
41,0 °C, in a right inguinal area package from enlarged, painful conglomerate of lymph
nodes, immobile, dense, unclear, skin above nodules was red. After a days there was pain in
the right half of thorax, appeared cough with bloody sputum. What is previous diagnosis?
A. Tuberculosis of lungs
B. Plague, initially-pulmonary form
C. Rabbit-fever, pulmonary form
D. Anthrax, generalized form
E. * Plague, secondary-pulmonary form
688.
The patient concerned about attacks of fever, which are repeated every third day.
There are jaundice of sclera and skin, hepatosplenomegali. Which of the diagnoses most
likely?
A. Sepsis
B. * Malaria
C. viral hepatitis
D. Hemolytic anemia
E. Leptospirosis
689.
The patient, a train conductor, 39 years old, hospitalized for a 4-day illness with
complaints of headache, weakness, dizziness, sweating, insomnia, fever. Hyperemic, edema,
conjunctivitis. At the transition fold conjunctiva – single petehies. At the skin torso, chest,
abdomen, limbs abundance rosy-petehia rash. Tachycardia. AD 100 and 60. Tremor of the
tough. Palpable liver, spleen. Stool arrested. What is the most likely diagnosis?
A. Leptospirosis
B. Typhoid fever
C. Influenza
D. Meningoccemia
E. * Epidemic typhus
690.
The watchman 42 years old, C complaining of?desperately ill. Entered the 6-day
illness with fever 39,7 °C, severe headaches, noise in the ears, insomnia. Objectively:
instituted, euphoric, talkative. Face red, his eyes shining, sclera and conjunctiva enhanced
vascular pattern. On the inside shoulder and the side surfaces of chest rosy-petehia rash.
Found head lice and nits. Reaction Vidal 1:40. What is diagnosis?
A. Brill disease
B. Endemic typhus
C. * Epidemic typhus
D. Typhoid fever
E. Q-fever
691.
When there is violation of diuresis at patients with hemorrhagic fever with a kidneys
syndrome:
A.
B.
C.
D.
E.
A.
B.
C.
D.
E.
In an initial period
It is not
It is in all periods of disease
* It is in climax period
It is in the period of recovering
692.
When you can stopped etiotropic medications treatment of the patient with epidemic
typhus?
A. Immediately after the normalization of body temperature
B. After the normalization of the liver and spleen
C. * After a 2-day normal body temperature
D. After the disappearance of roseola
E. Within 10 days after the disappearance of roseola
693.
Y. pestis is transmitted more frequently by:
A. * Flea
B. Water
C. Air
D. Food storage
E. Tick
694.
Your mast begins to treat patients with a plague:
A. Immediately after hospitalization
B. * Immediately after hospitalization, carrying out only material for research
C. After raising of final diagnosis
D. After laboratory and instrumental diagnostics
E. All answers are faithful
Tests for figures
1. For what family of viruses does this exciter (Fig. 1) belong to?
A. Paramyxovirus
B. Reovirus
C. Rabdovirus
D. *Retrovirus
E. Herpesvirus
2. What cells are infected by this virus (Fig. 1)?
A. CD 1
B. CD 2
C. CD 3
D. *CD 4
E. CD 5
3. What mechanism of transmission of this virus (Fig. 1)?
A. Droplet
B. Fecal-oral
C. Transmissive
D. *Contact
E. Vertical
4. What group of infectious diseases does this infection, caused by this agent (Fig. 1) belong to?
A. Intestinal infection
B. Infections of respiratory tract
C. All indicated groups
D. Blood infection
E. *Infection of external coverings
5. What clinical features of sarcoma Kaposi in such (Fig. 2) patients?
A. A sarcoma metastasis in internal and marked high lethality
B. Pouring out with necrosis and ulceration
C. Primary elements appear on a head and trunk
D. Will strike the persons of young and middle age
E. *All enumerated features
6. What clinical features of sarcoma Kaposi in such (Fig. 2) patients?
A. *A sarcoma metastasis in internal and marked high lethality
B. Pouring out without necrosis and ulceration
C. Primary elements appear on a leg
D. Will strike the persons of old age
E. All enumerated features
7. What clinical features of sarcoma Kaposi in such (Fig. 2) patients?
A. A sarcoma does not metastasis in internal and marked high lethality
B. *Pouring out with necrosis and ulceration
C. Primary elements appear on a leg
D. Will strike the persons of old age
E. All enumerated features
8. What clinical features of sarcoma Kaposi in such (Fig. 2) patients?
A. A sarcoma does not metastasis in internal and marked high lethality
B. Pouring out without necrosis and ulceration
C. *Primary elements appear on a head and trunk
D. Will strike the persons of old age
E. All enumerated features
9. Man V., 26 years, has HIV infection 5 years. What is your diagnosis (Fig. 5)?
A. HIV infection. Pneumococal pneumonia
B. HIV infection. Megakaryoblastoma
C. *HIV infection. Pneumocystis pneumonia
D. HIV infection. Visceral leshmaniasis
E. HIV infection. Pneumococal pneumonia. Megakaryoblastoma
10. Man V., 26 years, has HIV infection 5 years. What is your diagnosis (Fig. 6)?
A. Dementia of AIDS
B. Patient has еncephalopathy (AIDS-related complex)
C. Rabies
D. Anxiously depressed syndrome for HIV infection
E. *Toxoplasmosis
11. What is your diagnosis (Fig. 9)?
A. *Sarcoma Kaposi
B. Candidosis
C. CMV-infection
D. Toxoplasmosis
E. Diphtheria
12. What is your diagnosis (Fig. 10)?
A. Sarcoma Kaposi
B. *Candidosis
C. CMV-infection
D. Toxoplasmosis
E. Diphtheria
13. What is your diagnosis (Fig. 13)?
A. *Sarcoma Kaposi
B. Candidosis
C. CMV-infection
D. Toxoplasmosis
E. Diphtheria
14. What is your diagnosis (Fig. 2)?
A. *Sarcoma Kaposi
B. Candidosis
C. CMV-infection
D. Toxoplasmosis
E. Diphtheria
15. What is your diagnosis (Fig. 10)?
A. Sarcoma Kaposi
B. Toxoplasmosis
C. *Leukoplakia
D. CMV-infection
E. Candidosis
16. What is your diagnosis (Fig. 4)?
A. *Sarcoma Kaposi
B. Toxoplasmosis
C. Chicken pox
D. CMV-infection
E. Small pox
17. What is your diagnosis (Fig. 4)?
A. Leukoplakia
B. *Sarcoma Kaposi
C. Furunculosis
D. Rubella
E. CMV-infection
18. The experts of WHO consider suspicious in relation to AIDS (Fig. 12):
A. Increase 2 and more lymph nodes in two anatomical groups (except for inguinal), by
sizes more than 2 cm in diameter, which lasts more than 2 months
B. Increase 3 and more lymph nodes in two anatomical topographic groups (except for
inguinal) by sizes more than 2 cm in diameter, which lasts more than 3 months
C. Increase 2 and more lymph nodes in two anatomic groups (except for inguinal), by sizes
more than 1 cm in diameter, which lasts more than 2 months
D. *Increase 2 and more lymph nodes in two anatomic groups (except for inguinal), by
sizes more than 1 cm in diameter, which lasts more than 3 months
E. Increase 3 and more lymph nodes in two anatomical groups (except for inguinal), by
sizes more than 2 cm in diameter, which lasts more than 1 months
19. The experts of WHO consider suspicious in relation to AIDS (Fig. 7):
A. Loss of weight (9 % and more)
B. Loss of weight (5 % and more)
C. Loss of weight (6 % and more)
D. *Loss of weight (10 % and more)
E. Loss of weight (3 % and more)
20. Current treatment for HIV infection (Fig. 3) consists of highly active antiretroviral therapy.
Choose the correct combination of preparations:
A. 1 NRTIs + 2 IP
B. 1 NRTIs + 1 IP + 2 NNRTI
C. *3 NRTIs
D. 2 NRTIs + 2 IP
E. 2 NNRTIs + 1 IP
21. Current treatment for HIV infection (Fig. 3) consists of highly active antiretroviral therapy.
Choose the correct combination of preparations:
A. 1 NRTIs + 2 IP
B. 1 NRTIs + 1 IP + 2 NNRTI
C. 2 NRTIs
D. 2 NRTIs + 2 IP
E. *2 NRTIs + 1 IP
22. Current treatment for HIV infection (Fig. 3) consists of highly active antiretroviral therapy.
Choose the correct combination of preparations:
A. 1 NRTIs + 2 IP
B. 1 NRTIs + 1 IP+ 2 NNRTI
C. *2 NRTIs + 1 NNRTI
D. 2 NRTIs + 2 IP
E. 2 NNRTIs + 1 IP
23. Current treatment for HIV infection (Fig. 3) consists of highly active antiretroviral therapy.
Choose the correct combination of preparations:
A. 1 NRTIs + 2 IP
B. 1 NRTIs + 1 IP + 2 NNRTI
C. *3 NRTIs
D. 2 NRTIs + 2 IP
E. 1 NNRTIs + 1 IP + 1 NNRTI
24. The experts of WHO consider suspicious in relation to AIDS (Fig. 8):
A. Diarrhea which lasts more than 6 months
B. Diarrhea which lasts more than 4 months
C. Diarrhea which lasts more than 2 months
D. Diarrhea which lasts more than 3 months
E. *Diarrhea which lasts more than 1 months
25. What clinical features of sarcoma Kaposi in such (Fig. 2) patients?
A. A sarcoma does not metastasis in internal and marked high lethality
B. Pouring out without necrosis and ulceration
C. Primary elements appear on a leg
D. *Will strike the persons of young and middle age
E. All enumerated features
26. What complication may appear only in patient with HIV infection (Fig. 5)?
A. Pneumococcal pneumonia
B. Megakaryoblastoma
C. *Pneumocystic pneumonia
D. Visceral Leishmaniasis
E. Tularemia
27. What is the most possible diagnosis (Fig. 14)?
A. Plague, skin-bubonic form
B. *Anthrax, skin form
C. Common carbuncle
D. Tularemia, skin-bubonic form
E. Sepsis
28. What is the most possible diagnosis (Fig. 15)?
A. Plague, skin-bubonic form
B. *Anthrax, skin form
C. Common carbuncle
D. Tularemia, skin-bubonic form
E. Sepsis
29. What is the most possible diagnosis (Fig. 16)?
A. Plague, skin-bubonic form
B. *Anthrax, skin form
C. Common carbuncle
D. Tularemia, skin-bubonic form
E. Sepsis
30. What is the most possible diagnosis (Fig. 17)?
A. Plague, skin-bubonic form
B. *Anthrax, skin form
C. Common carbuncle
D. Tularemia, skin-bubonic form
E. Sepsis
31. What is the most possible diagnosis (Fig. 18)?
A. Plague, skin-bubonic form
B. *Anthrax, skin form
C. Common carbuncle
D. Tularemia, skin-bubonic form
E. Sepsis
32. What is the most possible diagnosis (Fig. 19)?
A. Plague, skin-bubonic form
B. *Anthrax, skin form
C. Common carbuncle
D. Tularemia, skin-bubonic form
E. Sepsis
33. Specify the measures of urgent prophylaxis of this desease (Fig. 14).
A. Anti-anthrax bacteriophage
B. *Penicillinum or tetracyclinum during 5 days
C. Vaccination
D. Medical supervision
E. Co-trimoxazol 5 days
34. Specify the measures of urgent prophylaxis of this disease (Fig. 15).
A. Anti-anthrax bacteriophage
B. *Penicillinum or tetracyclinum during 5 days
C. Vaccination
D. Medical supervision
E. Co-trimoxazol 5 days
35. Specify the measures of urgent prophylaxis of this desease (Fig. 16).
A. Anti-anthrax bacteriophage
B. *Penicillinum or tetracyclinum during 5 days
C. Vaccination
D. Medical supervision
E. Co-trimoxazol 5 days
36. Specify the measures of urgent prophylaxis of this desease (Fig. 17).
A. Anti-anthrax bacteriophage
B. *Penicillinum or tetracyclinum during 5 days
C. Vaccination
D. Medical supervision
E. Co-trimoxazol 5 days
37. Specify the measures of urgent prophylaxis of this desease (Fig. 18).
A. Anti-anthrax bacteriophage
B. *Penicillinum or tetracyclinum during 5 days
C. Vaccination
D. Medical supervision
E. Co-trimoxazol 5 days
38. What specific test is used for diagnostic of this disease (Fig. 14)?
A. Compliment fixation test
B. Indirect hemaglutination test
C. *Cutaneous test with antraxin
D. Hemaglutination test
E. RIHA with anthrax antigen
39. What specific test is used for diagnostic of this disease (Fig. 15)?
A. Compliment fixation test
B. Indirect hemaglutination test
C. *Cutaneous test with antraxin
D. Hemaglutination test
E. RIHA with anthrax antigen
40. What specific test is used for diagnostic of this disease (Fig. 16)?
A. Compliment fixation test
B. Indirect hemaglutination test
C. *Cutaneous test with antraxin
D. Hemaglutination test
E. RIHA with anthrax antigen
41. What specific test is used for diagnostic of this disease (Fig. 17)?
A. Compliment fixation test
B. Indirect hemaglutination test
C. *Cutaneous test with antraxin
D. Hemaglutination test
E. RIHA with anthrax antigen
42. What specific test is used for diagnostic of this disease (Fig. 18)?
A. Compliment fixation test
B. Indirect hemaglutination test
C. *Cutaneous test with antraxin
D. Hemaglutination test
E. RIHA with anthrax antigen
43. What is the most possible diagnosis (Fig. 20)?
A. *Plague, skin-bubonic form
B. Anthrax, skin form
C. Common carbuncle
D. Tularemia, skin-bubonic form
E. Sepsis
44. What is the most possible diagnosis (Fig. 21)?
A. *Plague, skin-bubonic form
B. Anthrax, skin form
C. Common carbuncle
D. Tularemia, skin-bubonic form
E. Sepsis
45. What is the most possible diagnosis (Fig. 22)?
A. *Plague, skin-bubonic form
B. Anthrax, skin form
C. Common carbuncle
D. Tularemia, skin-bubonic form
E. Sepsis
46. The duration of incubation period of the most possible disease (Fig. 20) is:
A. 3 to 8 days;
B. 2 to 12 days;
C. 2 to 10 days;
D. 1 to 8 days.
E. *2 to 6 days;
47. The duration of incubation period of the most possible disease (Fig. 21) is:
A. 3 to 8 days;
B. 2 to 12 days;
C. 2 to 10 days;
D. 1 to 8 days.
E. *2 to 6 days;
48. The duration of incubation period of the most possible disease (Fig. 22) is:
A. 3 to 8 days;
B. 2 to 12 days;
C. 2 to 10 days;
D. 1 to 8 days.
E. *2 to 6 days;
49. What drug did use for the treatment of the most possible disease (Fig. 20)?
A. Amoxicillin
B. *Streptomycin
C. Penicillin
D. Co-trimoxazol
E. Nitroxolini
50. What drug did use for the treatment of the most possible disease (Fig. 21)?
A. Amoxicillin
B. *Streptomycin
C. Penicillin
D. Co-trimoxazol
E. Nitroxolini
51. What drug did use for the treatment of the most possible disease (Fig. 22)?
A. Amoxicillin
B. *Streptomycin
C. Penicillin
D. Co-trimoxazol
E. Nitroxolini
52. What is the most possible diagnosis (Fig. 23)?
A. Plague, skin-bubonic form
B. Anthrax, skin form
C. Tonsilitis
D. *Tularemia, bubonic form
E. Sepsis
53. What is the most possible diagnosis (Fig. 24)?
A. Streptodermia
B. Herpetic infection
C. *Small pox
D. Chicken pox
E. Sepsis
54. What is the most possible diagnosis (Fig. 25)?
A. Streptodermia
B. Herpetic infection
C. *Small pox
D. Chicken pox
E. Sepsis
55. What is the most possible diagnosis (Fig. 26)?
A. Streptodermia
B. Herpetic infection
C. *Small pox
D. Chicken pox
E. Sepsis
56. What is the most possible diagnosis (Fig. 27)?
A. Plague, septic form
B. Anthrax, septic form
C. *Hemorrhagic fever
D. Tularemia, septic form
E. Sepsis
57. What is the most possible diagnosis (Fig. 28)?
A. Plague, septic form
B. Anthrax, septic form
C. *Hemorrhagic fever
D. Tularemia, septic form
E. Sepsis
58. What used for prophylaxis of this desease (Fig. 24).
A. Bacteriophage
B. Penicillinum or tetracyclinum during 5 days
C. *Vaccination
D. Medical supervision
E. Serum
59. What used for prophylaxis of this desease (Fig. 25).
A. Bacteriophage
B. Penicillinum or tetracyclinum during 5 days
C. *Vaccination
D. Medical supervision
E. Serum
60. What used for prophylaxis of this desease (Fig. 26).
A. Bacteriophage
B. Penicillinum or tetracyclinum during 5 days
C. *Vaccination
D. Medical supervision
E. Serum
61. What drug did use for the treatment of the most possible disease (Fig. 27)?
A. Merapenem
B. Flukonazol
C. *Interferon
D. Vitamin K
E. Chloramphenicol
62. What drug did use for the treatment of the most possible disease (Fig. 28)?
A. Merapenem
B. Flukonazol
C. *Interferon
D. Vitamin K
E. Chloramphenicol
63. What drug did use for the treatment of the most possible disease (Fig. 24)?
A. Merapenem
B. Flukonazol
C. *Interferon
D. Vitamin K
E. Chloramphenicol
64. What drug did use for the treatment of the most possible disease (Fig. 25)?
A. Merapenem
B. Flukonazol
C. *Interferon
D. Vitamin K
E. Chloramphenicol
65. What drug did use for the treatment of the most possible disease (Fig. 26)?
A. Merapenem
B. Flukonazol
C. *Interferon
D. Vitamin K
E. Chloramphenicol
66. For what kind of Plasmodium characterized such temperature curve (Fig. 80)?
A. *P. falciparum
B. P. ovale
C. P. vivax
D. P. malariae
E. For all
67. For what kind of infectiones agent characterized such temperature curve (Fig. 81)?
A. P. falciparum
B. *P. ovale
C. S. typhi
D. P. malariae
E. For all
68. For what kind of infectiones agent characterized such temperature curve (Fig. 81)?
A. P. falciparum
B. S. typhi
C. *P. vivax
D. P. malariae
E. For all
69. For what kind of Plasmodium characterized such temperature curve (Fig. 92)?
A. P. falciparum
B. P. ovale
C. P. vivax
D. *P. malariae
E. For all
70. Such type of temperature curve (Fig. 80) is characteristic for:
A. Typhoid fever
B. *Malaria
C. Epidemic typhus
D. Spotted typhus
E. Sepsis
71. Such type of temperature curve (Fig. 81) is characteristic for:
A. Typhoid fever
B. *Malaria
C. Epidemic typhus
D. Spotted typhus
E. Sepsis
72. Such type of temperature curve (Fig. 82) is characteristic for:
A. Typhoid fever
B. *Malaria
C. Epidemic typhus
D. Spotted typhus
E. Sepsis
73. For a patient with such type of temperature curve (Fig. 80) will be effective such drag, except:
A. Chingamin
B. Chloroquine
C. *Chloramphenicol
D. Cloridin
E. Mephloquine
74. For a patient with such type of temperature curve (Fig. 81) will be effective such drag, except:
A. Chingamin
B. Chloroquine
C. *Chloramphenicol
D. Cloridin
E. Mephloquine
75. For a patient with such type of temperature curve (Fig. 82) will be effective such drag, except:
A. Chingamin
B. Chloroquine
C. *Chloramphenicol
D. Cloridin
E. Mephloquine
76. Who is the source of this infection (Fig. 30)?
A. Mosquito
B. *Human
C. Plasmodium
D. Blood
E. Animals
77. Who is the transmitter of this infection (Fig. 30)?
A. *Anopheles mosquito
B. Cellia mosquito
C. Kerteszia mosquito
D. Lophorhynchus mosquito
E. Stethomyia mosquito
78. For what kind of Plasmodium characterized such change in the blood (Fig. 32)?
A. *P. falciparum
B. P. ovale
C. P. vivax
D. P. malariae
E. For all
79. For what kind of Plasmodium characterized such change in the blood (Fig. 33)?
A. *P. falciparum
B. P. ovale
C. P. vivax
D. P. malariae
E. For all
80. What kind of disease this agent transmitted (Fig. 34)?
A. Plague
B. *Malaria
C. Spotted fever
D. Anthrax
E. Lime diseases
81. What kind of disease this agent transmitted (Fig. 35)?
A. Plague
B. *Malaria
C. Spotted fever
D. Anthrax
E. Lime diseases
82. For what kind of Plasmodium characterized such change in the blood (Fig. 36)?
A. P. falciparum
B. P. ovale
C. *P. vivax
D. P. malariae
E. For all
83. What kind of disease this agent transmitted (Fig. 37)?
A. *Plague
B. Malaria
C. Spotted fever
D. Anthrax
E. Lime diseases
84. For what kind of Plasmodium characterized such change in the blood (Fig. 38)?
A. P. falciparum
B. P. ovale
C. P. vivax
D. *P. malariae
E. For all
85. For what kind of Plasmodium characterized such change in the blood (Fig. 39)?
A. P. falciparum
B. P. ovale
C. P. vivax
D. *P. malariae
E. For all
86. During a blood meal, a malaria-infected female Anopheles mosquito inoculates 1 into the
human host. What is this (Fig. 29)?
A. *Sporozoites
B. Trophozoites
C. Merozoites
D. Zygotes
E. Schizonts
87. Sporozoites infect (2) and mature into schizonts, which rupture and release merozoites (Fig. 29).
What do sporozoites infect?
A. *Liver cells
B. Blood cells
C. Plasmodium
D. Mosquito
E. All cells
88. Sporozoites infect liver cells and mature into (3), which rupture and release merozoites (Fig.
29). What is this?
A. Sporozoites
B. *Schizonts
C. Trophozoites
D. Merozoites
E. Zygotes
89. Sporozoites infect liver cells and mature into schizonts, which rupture and release (4). What is
this (Fig. 29)?
A. Sporozoites
B. Schizonts
C. Trophozoites
D. *Merozoites
E. Zygotes
90. Merozoites (Fig. 29) infect such cells as (5):
A. Liver cells
B. *Red blood cells
C. White blood cells
D. Macrophages
E. Spleen cells
91. What stage parasites are responsible for the clinical manifestations of the disease (Fig. 29)?
A. A
B. *B
C. C
D. A, B
E. B, C
92. What is the name of this replication of Plasmodium (Fig. 29, A)?
A. *Exo-erythrocytic (tissues) schizogony
B. Erythrocytic schizogony
C. Sporogonic cycle
D. Erythrocytic sporogony
E. Exo-erythrocytic sporogony
93. What is the name of this replication of Plasmodium (Fig. 29, B)?
A. Exo-erythrocytic (tissues) schizogony
B. *Erythrocytic schizogony
C. Sporogonic cycle
D. Erythrocytic sporogony
E. Exo-erythrocytic sporogony
94. What is the name of this replication of Plasmodium (Fig. 29, C)?
A. Exo-erythrocytic (tissues) schizogony
B. Erythrocytic schizogony
C. *Sporogonic cycle
D. Erythrocytic sporogony
E. Exo-erythrocytic sporogony
95. What are the main (basic) symptoms of malaria (Fig. 31)?
A. *Fever, anemia, hepatosplenomegalia
B. Fever, anemia, arthralgia (joint pain)
C. Fever, anemia, hemoglobinuria
D. Fever, anemia, convulsions
E. Fever, anemia, retinal damage
96. Classic constituents of attack of this illness are (Fig. 81):
A. *Rigor and then fever and sweating lasting 4 to 6 hours
B. Rigor and then fever and sweating lasting 10 to 12 hours
C. Rigor and then fever and sweating lasting 1 to 2 hours
D. Rigor and then fever and sweating lasting 1 to 2 days
E. Rigor and then fever and sweating lasting 3 to 4 days
97. Put a preliminary diagnosis (Fig. 41)?
A. *Erysipelas, erytematous form
B. Erysipelas, erytematous-bulous form
C. Erysipelas, erytematous-hemorrhagic form
D. Erysipelas, bulous-hemorrhagic form
E. Erysipelas, bulous form
98. Put a preliminary diagnosis (Fig. 42)?
A. *Erysipelas, erytematous form
B. Erysipelas, erytematous-bulous form
C. Erysipelas, erytematous-hemorrhagic form
D. Erysipelas, bulous-hemorrhagic form
E. Erysipelas, bulous form
99. Put a preliminary diagnosis (Fig. 43)?
A. Erysipelas, erytematous form
B. *Erysipelas, erytematous-bulous form
C. Erysipelas, erytematous-hemorrhagic form
D. Erysipelas, bulous-hemorrhagic form
E. Erysipelas, bulous form
100. Put a preliminary diagnosis (Fig. 44)?
A. Erysipelas, erytematous form
B. *Erysipelas, erytematous-bulous form
C. Erysipelas, erytematous-hemorrhagic form
D. Erysipelas, bulous-hemorrhagic form
E. Erysipelas, bulous form
101. Put a preliminary diagnosis (Fig. 45)?
A. *Erysipelas, erytematous form
B. Erysipelas, erytematous-bulous form
C. Erysipelas, erytematous-hemorrhagic form
D. Erysipelas, bulous-hemorrhagic form
E. Erysipelas, bulous form
102. Put a preliminary diagnosis (Fig. 46)?
A. Erysipelas, erytematous form
B. Erysipelas, erytematous-bulous form
C. Erysipelas, erytematous-hemorrhagic form
D. *Erysipelas, bulous-hemorrhagic form
E. Erysipelas, bulous form
103. Put a preliminary diagnosis (Fig. 47)?
A. Erysipelas, erytematous form
B. Erysipelas, erytematous-bulous form
C. Erysipelas, erytematous-hemorrhagic form
D. *Erysipelas, bulous-hemorrhagic form
E. Erysipelas, bulous form
104. Put a preliminary diagnosis (Fig. 48)?
A. *Erysipelas
B. Phlegmon
C. Sepsis
D. Herpetic infection
E. Erysipelotrix
105. Put a preliminary diagnosis (Fig. 49)?
A. *Erysipelas
B. Phlegmon
C. Sepsis
D. Herpetic infection
E. Erysipelotrix
106. Put a preliminary diagnosis (Fig. 50)?
A. *Erysipelas
B. Phlegmon
C. Sepsis
107.
108.
109.
110.
111.
112.
113.
114.
115.
D. Herpetic infection
E. Erysipelotrix
Put a preliminary diagnosis (Fig. 40)?
A. *Erysipelas
B. Phlegmon
C. Sepsis
D. Herpetic infection
E. Erysipelotrix
What is optimum preparation for treatment of this disease (Fig. 40)?
A. *Bicillinum
B. Steroids
C. Chloramphenicol
D. Furagin
E. Tetracyclinum
What is optimum preparation for treatment of this disease (Fig. 41)?
A. *Bicillinum
B. Steroids
C. Chloramphenicol
D. Furagin
E. Tetracyclinum
What is optimum preparation for treatment of this disease (Fig. 42)?
A. *Bicillinum
B. Steroids
C. Chloramphenicol
D. Furagin
E. Tetracyclinum
What is optimum preparation for treatment of this disease (Fig. 43)?
A. *Bicillinum
B. Steroids
C. Chloramphenicol
D. Furagin
E. Tetracyclinum
What is optimum preparation for treatment of this disease (Fig. 44)?
A. *Bicillinum
B. Steroids
C. Chloramphenicol
D. Furagin
E. Tetracyclinum
What is optimum preparation for treatment of this disease (Fig. 45)?
A. *Bicillinum
B. Steroids
C. Chloramphenicol
D. Furagin
E. Tetracyclinum
What is optimum preparation for treatment of this disease (Fig. 46)?
A. *Bicillinum
B. Steroids
C. Chloramphenicol
D. Furagin
E. Tetracyclinum
What is optimum preparation for treatment of this disease (Fig. 47)?
A. *Bicillinum
B. Steroids
C. Chloramphenicol
116.
117.
118.
119.
120.
121.
122.
123.
124.
D. Furagin
E. Tetracyclinum
What is optimum preparation for the prophylaxis of relapse of this disease (Fig. 42)?
A. Bicillinum 1
B. Steroids
C. Bicillinum 3 and Steroids
D. *Bicillinum 5
E. Bicillinum 5 and Steroids
What is optimum preparation for the prophylaxis of relapse of this disease (Fig. 48)?
A. Bicillinum 1
B. Steroids
C. Bicillinum 3 and Steroids
D. *Bicillinum 5
E. Bicillinum 5 and Steroids
What is optimum preparation for the prophylaxis of relapse of this disease (Fig. 50)?
A. Bicillinum 1
B. Steroids
C. Bicillinum 3 and Steroids
D. *Bicillinum 5
E. Bicillinum 5 and Steroids
A mechanism of transmission at this illness is (Fig. 49):
A. Air-drop
B. Fecal-oral
C. *Contact
D. Transmissive
E. Vertical
A mechanism of transmission at this illness is (Fig. 40):
A. Air-drop
B. Fecal-oral
C. *Contact
D. Transmissive
E. Vertical
A mechanism of transmission at this illness is (Fig. 46):
A. Air-drop
B. Fecal-oral
C. *Contact
D. Transmissive
E. Vertical
For what infectious pathology is it characteristically (Fig. 51)?
A. Poisoning mushrooms
B. Meningo-encefalitis
C. Poliomyelitis
D. Rabies
E. *Tetanus
For what infectious pathology is it characteristically (Fig. 52)?
A. Poisoning mushrooms
B. Meningo-encefalitis
C. Poliomyelitis
D. Rabies
E. *Tetanus
For what infectious pathology is it characteristically (Fig. 53)?
A. Poisoning mushrooms
B. Meningo-encefalitis
C. Poliomyelitis
125.
126.
127.
128.
129.
130.
131.
132.
133.
D. Rabies
E. *Tetanus
For what infectious pathology is it characteristically (Fig. 54)?
A. Poisoning mushrooms
B. Meningo-encefalitis
C. Poliomyelitis
D. Rabies
E. *Tetanus
For what infectious pathology is it characteristically (Fig. 55)?
A. Poisoning mushrooms
B. Meningo-encefalitis
C. Poliomyelitis
D. Rabies
E. *Tetanus
For what infectious pathology is it characteristically (Fig. 56)?
A. Poisoning mushrooms
B. Meningo-encefalitis
C. Poliomyelitis
D. Rabies
E. *Tetanus
For what infectious pathology is it characteristically (Fig. 57)?
A. Poisoning mushrooms
B. Meningo-encefalitis
C. Poliomyelitis
D. Rabies
E. *Tetanus
At what infectious disease does conduct this symptom (Fig. 58)?
A. Poisoning mushrooms
B. Meningo-encefalitis
C. Poliomyelitis
D. Rabies
E. *Tetanus
How is this symptom named (Fig. 51)?
A. *Opisthotonus
B. Emprostotonus
C. Plevrostotonus
D. Risus sardonicus
E. Lockjaw
How is this symptom named (Fig. 53)?
A. Opisthotonus
B. Emprostotonus
C. *Plevrostotonus
D. Risus sardonicus
E. Lockjaw
How is this symptom named (Fig. 54)?
A. Opisthotonus
B. Emprostotonus
C. Plevrostotonus
D. Risus sardonicus
E. *Lockjaw
How is this symptom named (Fig. 56)?
A. Opisthotonus
B. Emprostotonus
C. Plevrostotonus
D. Risus sardonicus
E. *Lockjaw
134. How is this symptom named (Fig. 55)?
A. Opisthotonos
B. Emprostotonus
C. Plevrostotonus
D. *Risus sardonicus
E. All are right
135. How is this symptom named (Fig. 57)?
A. Opisthotonus
B. Emprostotonus
C. Plevrostotonus
D. *Risus sardonicus
E. Lockjaw
136. How is this symptom named (Fig. 58)?
A. *Lorin-Epstein
B. Blumberg
C. Murson
D. Rozenberg
E. Koplik
137. For what infectious pathology is it characteristically (Fig. 59)?
A. Poisoning mushrooms
B. Meningo-encefalitis
C. Poliomyelitis
D. *Rabies
E. Tetanus
138. What kind of specific prophylaxis should be conducted for this patient which was bitten
(Fig. 60)?
A. Gamma-globulin and 18 doses of Kav
B. 12 doses of Kav
C. *6 doses of Kav
D. Gamma-globulin and 21 dose of Kav
E. 2 doses of Kav
139. What kind of specific prophylaxis should be conducted for this patient which was bitten
(Fig. 60)?
A. Gamma-globulin
B. *Vaccine
C. Vaccine and gamma-globulin
D. Gamma-globulin and serum
E. Serum
140. What kind of specific prophylaxis should be conducted for this patient which was bitten
(Fig. 60)?
A. Gamma-globulin + tetanus antitoxin
B. *Antirabies vaccine + tetanus antitoxin
C. Antirabies vaccine and gamma-globulin
D. Gamma-globulin and serum
E. Serum + tetanus antitoxin
141. How are this little bodies named (Fig. 59)?
A. Lorin-Epstein
B. Blumberg
C. Murson
D. *Rozenberg
E. Koplik
142. How are this little bodies named (Fig. 59)?
143.
144.
145.
146.
147.
148.
149.
150.
151.
A. Epstein
B. Bush
C. Mursona
D. *Kera-Orthner
E. Babesh-Negri
Where are these little bodies of Babesh-Negri (Fig. 59)?
A. In lights
B. In a liver
C. In a spinal cord
D. *In neurons cells of brain
E. In the mews of blood
What is a previous diagnosis (Fig. 61, N 1)?
A. *Acute hepatitis B, climax period
B. Acute hepatitis B, recovery period
C. Chronic hepatitis B, high activity
D. Chronic hepatitis B, low activity
E. Recovering (formation of immunity)
What is a previous diagnosis (Fig. 61, N 2)?
A. Acute hepatitis B, climax period
B. *Acute hepatitis B, recovery period
C. Chronic hepatitis B, high activity
D. Chronic hepatitis B, low activity
E. Recovering (formation of immunity)
What is a previous diagnosis (Fig. 61, N 3)?
A. Acute hepatitis B, climax period
B. Acute hepatitis B, recovery period
C. *Chronic hepatitis B, high activity
D. Chronic hepatitis B, low activity
E. Recovering (formation of immunity)
What is a previous diagnosis (Fig. 61, N 4)?
A. Acute hepatitis B, climax period
B. Acute hepatitis B, recovery period
C. Chronic hepatitis B, high activity
D. *Chronic hepatitis B, low activity
E. Recovering (formation of immunity)
What is a previous diagnosis (Fig. 61, N 5)?
A. Acute hepatitis B, climax period
B. Acute hepatitis B, recovery period
C. Chronic hepatitis B, high activity
D. Chronic hepatitis B, low activity
E. *Recovering (formation of immunity)
What is a previous diagnosis (Fig. 61, N 6)?
A. Acute hepatitis B, climax period
B. Acute hepatitis B, recovery period
C. *Successful vaccination
D. Chronic hepatitis B
E. Recovering (formation of immunity)
Appoint adequate therapy to this patient (Fig. 61, N 1)?
A. *Enterosgel, glucose sol., nospanum, mezym-forte
B. Tiotriazolin, artichokes
C. Interferon or zefix
D. Esenciale
E. Needed nothing
Appoint adequate therapy to this patient (Fig. 61, N 2)?
152.
153.
154.
155.
156.
157.
158.
159.
160.
A. Enterosgel, glucose sol., nospanum, mezym-forte
B. *Tiotriazolin, artichokes
C. Interferon or zefix
D. Esenciale
E. Needed nothing
Appoint adequate therapy to this patient (Fig. 61, N 3)?
A. Enterosgel, glucose sol., nospanum, mezym-forte
B. Tiotriazolin, artichokes
C. *Interferon or zefix
D. Esenciale
E. Needed nothing
Appoint adequate therapy to this patient (Fig. 61, N 5)?
A. Enterosgel, glucose sol., nospanum, mezym-forte
B. Tiotriazolin, artichokes
C. Interferon or zefix
D. Esenciale
E. *Needed nothing
Appoint adequate therapy to this patient (Fig. 61, N 6)?
A. Enterosgel, glucose sol., nospanum, mezym-forte
B. Tiotriazolin, artichokes
C. Interferon or zefix
D. Esenciale
E. *Needed nothing
Put a previous diagnosis (Fig. 62)?
A. Viral hepatitis
B. Leptospirosis
C. Malaria
D. Amebiaz, visceral form
E. *All is right
Appoint adequate therapy to this patient (Fig. 62) in blood of which is RNA HCV.
A. *Intron A 3 millions 3 times for a week
B. Intron A 3 millions 5 times for a week
C. Intron A 5 millions 3 times for a week
D. Intron A 5 millions 5 times for a week
E. Intron A 10 millions 3 times for a week
What is a previous diagnosis (Fig. 63)?
A. Brucellosis
B. Herpes zoster
C. Erysipelas
D. Lime disease
E. *Allergic reaction
What is a previous diagnosis (Fig. 64)?
A. Brucellosis
B. Herpes zoster
C. Erysipelas
D. Lime disease
E. *Allergic reaction
What is a previous diagnosis (Fig. 65)?
A. Brucellosis
B. Herpes zoster
C. Erysipelas
D. Lime disease
E. *Allergic reaction
What is a previous diagnosis (Fig. 66)?
161.
162.
163.
164.
165.
166.
167.
168.
169.
A. *Syndrome of Laiel
B. Syndrome of Stivens-Djonson
C. Measels
D. Meningococcemia
E. Hives
What is a previous diagnosis (Fig. 67)?
A. Syndrome of Laiel
B. *Syndrome of Stivens-Djonson
C. Measels
D. Meningococcemia
E. Hives
What is a previous diagnosis (Fig. 68)?
A. Syndrome of Laiel
B. *Syndrome of Stivens-Djonson
C. Measels
D. Meningococcemia
E. Hives
What is a previous diagnosis (Fig. 69)?
A. Syndrome of Laiel
B. *Syndrome of Stivens-Djonson
C. Measels
D. Meningococcemia
E. Hives
In what time do first clinical signs (Fig. 63) appear after introduction of preparation?
A. 1 day
B. 2 days
C. С. *2 hours
D. 3 hours
E. Е. 7 day
In what time do first clinical signs (Fig. 64) appear after introduction of preparation?
A. 1 day
B. 2 days
C. С. *2 hours
D. 3 hours
E. Е. 7 day
In what time do first clinical signs (Fig. 65) appear after introduction of preparation?
A. 1 day
B. 2 days
C. С. *2 hours
D. 3 hours
E. Е. 7 day
What is preparation of choice for treatment (Fig. 63)?
A. *Prednizolon
B. Herpevir
C. Dimedrol
D. Platyphyllinum
E. Dicloberl
What is preparation of choice for treatment (Fig. 64)?
A. *Prednizolon
B. Herpevir
C. Dimedrol
D. Platyphyllinum
E. Dicloberl
What is preparation of choice for treatment (Fig. 65)?
170.
171.
172.
173.
174.
175.
176.
177.
178.
A. *Prednizolon
B. Herpevir
C. Dimedrol
D. Platyphyllinum
E. Dicloberl
What is preparation of choice for treatment (Fig. 66)?
A. *Prednizolon
B. Herpevir
C. Dimedrol
D. Platyphyllinum
E. Dicloberl
What is preparation of choice for treatment (Fig. 67)?
A. *Prednizolon
B. Herpevir
C. Dimedrol
D. Platyphyllinum
E. Dicloberl
What is preparation of choice for treatment (Fig. 68)?
A. *Prednizolon
B. Herpevir
C. Dimedrol
D. Platyphyllinum
E. Dicloberl
What is preparation of choice for treatment (Fig. 69)?
A. *Prednizolon
B. Herpevir
C. Dimedrol
D. Platyphyllinum
E. Dicloberl
What is a previous diagnosis (Fig. 70)?
A. Syndrome of Laiel
B. Leishmaniosis
C. Erysipelas
D. *Lime disease
E. Brucellosis
What is a previous diagnosis (Fig. 71)?
A. Syndrome of Laiel
B. Leishmaniosis
C. Erysipelas
D. *Lime disease
E. Brucellosis
What is a previous diagnosis (Fig. 72)?
A. Syndrome of Laiel
B. Leishmaniosis
C. Erysipelas
D. *Lime disease
E. Brucellosis
What is a previous diagnosis (Fig. 73)?
A. Syndrome of Laiel
B. *Leishmaniosis
C. Erysipelas
D. Lime disease
E. Brucellosis
What is a previous diagnosis (Fig. 74)?
179.
180.
181.
182.
183.
A. Syndrome of Laiel
B. *Leishmaniosis
C. Erysipelas
D. Lime disease
E. Brucellosis
What is a previous diagnosis (Fig. 75)?
A. Syndrome of Laiel
B. *Leishmaniosis
C. Erysipelas
D. Lime disease
E. Brucellosis
What is a previous diagnosis (Fig. 76)?
A. Syndrome of Laiel
B. *Leishmaniosis
C. Erysipelas
D. Lime disease
E. Brucellosis
What is a previous diagnosis (Fig. 77)?
A. Syndrome of Laiel
B. Leishmaniosis
C. Erysipelas
D. Reino disease
E. *Brucellosis
What is a previous diagnosis (Fig. 78)?
A. Syndrome of Laiel
B. Leishmaniosis
C. Erysipelas
D. Reino disease
E. *Brucellosis
What is a previous diagnosis (Fig. 79)?
A. Syndrome of Laiel
B. Leishmaniosis
C. Erysipelas
D. Reino disease
E. *Brucellosis