Survey
* Your assessment is very important for improving the workof artificial intelligence, which forms the content of this project
Download E. Duge`s tonsillitis
Document related concepts
Public health genomics wikipedia , lookup
Transmission (medicine) wikipedia , lookup
Eradication of infectious diseases wikipedia , lookup
Compartmental models in epidemiology wikipedia , lookup
Canine parvovirus wikipedia , lookup
Dental emergency wikipedia , lookup
Marburg virus disease wikipedia , lookup
Transcript
Modul 1. Infections diseases. Text test tasks 1. All are the clinical signs of measles except: A. Acute beginning of high fever B. * Icterus C. Maculo-papula rash D. Sequential appearance of rash E. Scaling 2. All are the clinical signs of measles EXEPT: A. Acute beginning of high fever B. * Icterus C. Maculo-papula rash D. Sequential appearance of rash E. Scaling 3. Character rash of scarlet fever: A. It appears in 1-2-day sickness B. Punctuated on hyperemic background skin C. Thickening in the natural folds D. Education lines graze E. * All of the above 4. Characteristic symptom of adenovirus infection, except: A. Conjunctivitis B. Lymphadenopathy C. Bowel dysfunction D. Hepatosplenomegaly E. * Meningeal syndrome 5. Characteristic symptom of adenovirus infection, except: A. Pharyngitis B. Conjunctivitis C. Tonsillitis D. Lymphadenopathy E. * The predominance of catarrhal intoxication syndrome 6. Characteristic symptom of adenovirus infection, except: A. Pharyngitis, tonsillitis B. Conjunctivitis C. Bowel dysfunction D. Lymphadenopathy E. * Hemorrhagic syndrome 7. Characteristic symptom of adenovirus infection, except: A. Conjunctivitis B. Lymphadenopathy C. Bowel dysfunction D. Hepatosplenomegaly E. * Hemorrhagic syndrome 8. Characteristic symptom of adenovirus infection: A. Pharyngitis B. Conjunctivitis C. Lymphadenopathy D. Bowel dysfunction E. * All of the above 9. Characteristic symptom of adenovirus infection: A. Pharyngitis B. Conjunctivitis C. Tonsillitis D. Generalized lymphadenopathy E. * All of the above 10. Characteristic symptom of adenovirus infection: A. Moderate intoxication B. Conjunctivitis C. Tonsillitis, pharyngitis D. Lymphadenopathy E. * All of the above 11. Characteristic syndrome of adenovirus infection: A. Catarrhal syndrome B. Conjunctivitis C. Lymphadenopathy D. Gepatolienal syndrome E. * All of the above 12. Characteristic syndrome of uncomplicated influenza: A. * Intoxication syndrome B. Nephrotic syndrome C. Skin rashes D. DIS E. Gepatolienalny syndrome 13. Characteristic syndrome of uncomplicated influenza: A. Bowel dysfunction B. * Catarrhal syndrome C. Hypovolemic syndrome D. Meningeal syndrome E. Gepatolienalny syndrome 14. Clinical manifestations of catarrhal symptoms of the flu: A. Dry, scratchy, sore nose and throat B. Runny nose with 2-3rd day of illness C. Dry hacking cough D. Labored nasal breathing E. * All of the above 15. Clinical manifestations of catarrhal symptoms of the flu: A. Dry, scratchy throat B. Redness, swelling and swelling of the mucous membrane of the oropharynx C. Dry cough D. Labored nasal breathing E. * All of the above 16. Clinical manifestations of catarrhal symptoms of the flu, except: A. Dry, scratchy throat B. Labored nasal breathing, runny nose with a 2-3rd day of illness C. Dry cough D. Congestive redness, dryness, swelling and swelling of the mucous membrane of the nasopharynx E. * The raid on the tonsils 17. Clinical manifestations of catarrhal symptoms of the flu, except: A. Dry, scratchy, sore throat B. Labored nasal breathing C. * "Barking" cough D. Congestive redness, dryness, swelling and swelling of the mucous membrane of the nasopharynx E. Runny nose with 2-3rd day of illness 18. Clinical manifestations of catarrhal symptoms of the flu, except: A. Dry, scratchy, sore throat B. Labored nasal breathing C. * Membranous conjunctivitis D. Congestive redness, dryness, swelling and swelling of the mucous membrane of the nasopharynx E. Runny nose with 2-3rd day of illness 19. Clinical manifestations of catarrhal symptoms of the flu, except: A. Dry, scratchy, sore throat B. Labored nasal breathing C. * Poliadenopatiya D. Congestive redness, dryness, swelling and swelling of the mucous membrane of the nasopharynx E. Runny nose with 2-3rd day of illness 20. Clinical manifestations of catarrhal symptoms of the flu, except: A. Dry, scratchy, sore throat B. Labored nasal breathing C. * Hepatosplenomegaly D. Congestive redness, dryness, swelling and swelling of the mucous membrane of the nasopharynx E. Runny nose with 2-3rd day of illness 21. Clinical manifestations of intoxication syndrome of influenza: A. Acute onset of illness B. High fever C. Headache in the frontal-orbital region D. General aches E. * All of the above 22. Clinical manifestations of intoxication syndrome of influenza: A. High fever B. Conjunctivitis C. Headache in the frontal-orbital region D. Myalgia E. * All of the above 23. Clinical manifestations of intoxication syndrome of influenza: A. Headache B. Pain in the eyeballs C. General aches D. Vomiting E. * All of the above 24. Clinical manifestations of parainfluenza: A. Dry, "barking" cough B. Hoarseness C. Moderate intoxication D. Low-grade temperature E. * All of the above 25. Clinical manifestations of respiratory tract lesions in patients with uncomplicated influenza during the first days of illness: A. Profuse rhinorrhea B. * Tracheobronchitis C. False croup D. Bronchiolitis E. Pneumonia 26. Clinical manifestations of respiratory tract lesions in patients with uncomplicated influenza during the first days of illness: A. Nasal congestion B. * Tracheobronchitis C. Pneumonia D. Sore throat E. All of the above 27. Clinical manifestations of respiratory tract lesions in patients with uncomplicated influenza during the first days of illness during the first days of illness: A. Running nose B. * Tracheobronchitis C. Conjunctivitis D. Hyperemia of the posterior pharyngeal wall E. All of the above 28. Clinical signs of catarrhal period measles are: A. Acute onset of high fever B. Running nose C. Conjunctivitis D. Bielski-Koplik-Filatov's spots E. * All of the above 29. Clinical signs of catarrhal period of measles are, except: A. Acute onset of high fever B. Running nose C. * Conjunctivitis with copious purulent D. Bielski-Koplik-Filatov's spots E. Dry cough 30. Clinical signs of catarrhal period of measles are, except: A. Acute onset of high fever B. Running nose C. Conjunctivitis D. Bielski-Koplik-Filatov's spots E. * Spasmodic cough 31. Clinical signs of catarrhal period of measles are, except: A. Acute onset of high fever B. Running nose C. Conjunctivitis D. Bielski-Koplik-Filatov's spots E. * Exanthema 32. Clinical signs of measles rash period: A. High fever B. Increased cough, rhinitis C. Conjunctivitis, photophobia D. Maculo-papula rash E. * All of the above 33. Clinical signs of the rash of measles period, except: A. High fever B. Increased cough, rhinitis C. Conjunctivitis, photophobia D. Maculo-papula rash E. * Peeling 34. Clinical signs of the rash of measles period, except: A. High fever B. Increased cough, rhinitis C. Conjunctivitis, photophobia D. Maculo-papula rash E. * Pigmentation 35. Clinical signs of the rash of measles period, except: A. High fever B. Increased cough, rhinitis C. Conjunctivitis, photophobia D. Maculo-papula rash E. * Jaundice 36. Complications of rubella, except: A. Arthritis B. Encephalitis C. Thrombocytopenic purpura D. Congenital malformations of the fetus with the disease of the mother in the first trimester of pregnancy E. * Toxic shock 37. Complications of rubella, except: A. Arthritis B. Encephalitis C. Thrombocytopenic purpura D. Congenital malformations of the fetus with the disease of the mother in the first trimester of pregnancy E. * Intestinal perforation 38. Complications of rubella: A. Arthritis B. Encephalitis C. Thrombocytopenic purpura D. Congenital malformations of the fetus with the disease of the mother in the first trimester of pregnancy E. * All of the above 39. Complications of scarlet fever, except: A. Myocarditis B. Glomerulonephritis C. Otitis D. Arthritis E. * Enterorrhagia 40. Complications of scarlet fever, except: A. Myocarditis B. Glomerulonephritis C. Otitis D. Arthritis E. * Stenosis of the larynx 41. Complications of scarlet fever: A. Myocarditis B. Glomerulonephritis C. Sepsis D. Lymphadenitis E. * All of the above 42. Complications of scarlet fever: A. Myocarditis B. Glomerulonephritis C. Otitis D. Arthritis E. * All of the above 43. Duration of infectious cases of scarlet fever: A. 10 days of onset B. Prior to discharge from hospital C. Prior to the disappearance of the rash D. * Until 22 days from the onset of the disease E. Generally not contagious 44. Duration of isolation of patient with influenza complications? A. 4 days B. 7 days C. 10 days D. 17 days E. * Not required 45. Features a measles rash, except: A. Stages rash B. Maculo-papula, sometimes haemorrhagic, confluent C. Leaves pigmentation D. * Lamellar desquamation E. All of the above 46. Features a measles rash, except: A. * Appears in the 1-2-day sickness B. Maculo-papula, sometimes haemorrhagic, confluent C. Leaves pigmentation D. Defurfuration E. All of the above 47. Features a measles rash, except: A. Appears on the 3-4th day of illness B. * Vesicular, sometimes hemorrhagic, confluent C. Leaves pigmentation D. Defurfuration E. All of the above 48. Features a measles rash, except: A. Appears on the 3-4th day of illness B. * Hemorrhagic, confluent, with elements of necrosis C. Leaves pigmentation D. Defurfuration E. Stages 49. Features exanthema of measles, except: A. Bright maculopapular B. Drain C. Throughout the body D. * Appears simultaneously in all areas E. Consecutive change-peeling rash, pigmentation 50. Features exanthema of measles, except: A. Bright maculo-papula B. * Hemorrhagic, with elements of necrosis C. Tendency to fuse elements D. Phases of the rash E. Consecutive change-peeling rash, pigmentation 51. Features exanthema of measles: A. Bright maculopapula B. Tendency to fuse elements C. Phases of the rash D. Consecutive change-peeling rash, pigmentation E. * All of the above 52. Features rash of measles: A. Stages rash B. Maculo-papula, sometimes hemorrhagic, confluent C. Leaves pigmentation D. Defurfuration E. * All of the above 53. Features rash of measles: A. Appears on the 3-4th day of illness B. Maculo-papula, confluent C. Stages rash D. Leaves pigmentation E. * All of the above 54. Features rash of scarlet fever, except: A. It appears in 1-2-day sickness B. Punctuated on hyperemic background skin C. * Mandatory phasing rash D. Peeling plate in end E. All of the above 55. Features rash of scarlet fever, except: A. It appears in 1-2-day sickness B. Punctuate on hyperemic background skin C. Thickening in the natural folds D. * Do not peel off E. All of the above 56. Features rash of scarlet fever: A. It appears in 1-2-day sickness B. Punctuated on hyperemic background skin C. Thickening in the natural folds D. Peeling plate ends E. * All of the above 57. For adenoviral infection, in contrast to parainfluenza, not typical: A. Enlarged tonsils B. Acute and long-term course C. Hepatosplenomegaly D. * Laryngitis E. Membranous conjunctivitis 58. 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 59. For how long a patient with complicated 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 60. For how long a patient without 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 61. For mumps meningitis is characterized by: A. Paresthesia B. Kernig-Brudzinskyy's symptoms C. Severe headache, vomiting D. Serous changes of CSF E. * All of the above 62. For mumps meningitis is typical, except: A. Swelling in retromandibular fossa B. Kernig-Brudzinskyy's symptoms C. Severe headache, vomiting D. * Purulent changes of CSF E. Paresthesia 63. For real croup in opposed to the false, is not typical: A. Severe, progressive intoxication B. Hoarseness C. Evolution D. * Comes on suddenly at night E. Typical attacks on the tonsils 64. For rubella is characterized by: A. Spotted rash B. Mild fever C. Increased occipitals glands D. Moderate intoxication E. * All of the above 65. For rubella rash are characteristic, except: A. Spotted rash B. Location on face, neck and body C. Do not have a tendency to fuse elements D. * Lamellar desquamation E. All of the above 66. For rubella rash are characteristic, except: A. Spotted rash B. * Rash captures the palms and soles C. Do not have a tendency to fuse elements D. No peeling E. All of the above 67. For rubella rash are characteristic, except: A. Spotted rash B. Location on the face, neck and body C. * Specific stages D. Disappears without peeling E. All of the above 68. For rubella rash are characterized by: A. Spotted rash B. The location on the face, neck and body C. Any phasing D. Disappears without peeling E. * All of the above 69. For scarlet fever is characterized by such changes of tongue: A. "lacquered" B. * "Strawberry" C. With imprints of teeth D. Symptom Govorova-Godelier E. All of the above 70. For scarlet fever is characterized by: A. Angina B. Punctuate hyperemic rash on skin background C. "Burning" shed D. "Strawberry" tongue E. * All of the above 71. For scarlet fever is characterized by: A. Angina B. Punctuate hyperemic rash on skin background C. White nasolabial triangle D. "Strawberry" tongue E. * All of the above 72. For scarlet fever is characterized by: A. Angina B. Punctuate hyperemic rash on skin background C. Resistant white dermographism D. "Strawberry" tongue E. * All of the above 73. For scarlet fever is characterized, except: A. Angina B. Punctuate hyperemic rash on skin background C. Line of Pastia D. "Strawberry" tongue E. * Defurfuration 74. For the treatment of scarlet fever are necessary: A. Antibiotics B. Antihistamines C. Vitamins D. Detoxification facilities E. * All of the above 75. For the treatment of scarlet fever are shown, except for: A. Antibiotics B. Antihistamines C. Dekamevit D. * Decaris E. All of the above 76. For the treatment of scarlet fever are shown, except for: A. Antibiotics B. Antihistamines C. Dekamevit D. * Ganciclovir E. All of the above 77. For the treatment of scarlet fever are shown, except for: A. Antibiotics B. Antihistamines C. Dekamevit D. * Azidothymidine E. All of the above 78. How is the urgent prophylaxis of scarlet fever conducted? A. By vaccination B. * Isolation of children, who had contact with a patient C. Using immunoglobulin D. Disinfection E. Non-admission of contact with carrier of B-streptococcus 79. How long is contagious period in patient 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 80. In which of these infections is most characteristic of meningeal syndrome? A. * Flu B. Adenovirus infection C. Parainfluenza D. Rhinovirus infection E. For any of the above 81. Indicate signs of possible complications of influenza: A. Duration of fever for more than 5 days B. Leukocytosis C. Neutrophilia D. Elevated erythrocyte sedimentation rate E. * All of the above 82. Indications for antibiotic treatment of influenza: A. Very severe form B. The presence of complications C. Selected age groups (children, elderly) D. The presence of foci of chronic bacterial infection E. * All of the above 83. Indications for antibiotic treatment of influenza: A. * Very severe form B. High body temperature C. Sore throat D. Pain when moving the eyeballs E. All of the above 84. Indications for antibiotic treatment of influenza: A. Poor health B. * The presence of complications C. Heavy cold D. Belonging to the decreed population E. All of the above 85. Indications for antibiotic treatment of influenza: A. * The presence of foci of chronic bacterial infection B. High body temperature C. Severe headache D. General aches E. All of the above 86. Influenza virus is: A. * Ortomiksovirus B. Legionella C. Pathogenic staphylococci D. Fungus E. Adenovirus 87. Influenza, unlike measles, characterized by: A. "barking" cough B. The presence of a rash C. Koplik's spots D. Long duration E. * Symptom of Morozkin 88. Influenza, unlike parainfluenza, characterized by: A. Gradual onset B. * Severe intoxication C. Mucosa dimly hyperemic D. Catarrhal phenomena predominate over symptoms of intoxication E. The defeat of the larynx with the development of laryngitis 89. Influenza, unlike rhinovirus infection, characterized by: A. Low-grade body temperature B. Watery eyes, frequent sneezing, in the absence of symptoms tracheobronchitis C. Mucosa slightly hyperemic D. Thick serous nasal discharge E. * The severity of intoxication syndrome 90. Influenza, unlike the adenovirus infection, characterized by: A. The phenomena of tonsillitis B. Lymphadenopathy C. Hepatosplenomegaly D. Asymmetric conjunctivitis E. * Severe symptoms of intoxication 91. Laboratory confirmation of scarlet fever: A. Sowing the pathogen from blood B. Detection of the pathogen in the material from the oropharynx C. The increase in specific antibody titers D. Neutrophilic leukocytosis E. * Not required 92. Laboratory diagnosis of influenza: A. Cultivation of the virus in chicken embryos B. Detection of viral antigens by immunofluorescence in nasopharyngeal swabs C. Detection of antibodies to the virus in paired sera D. Detection of viral antigens by fluorescent microscopy in smears from the nasal mucosa E. * All of the above 93. Laboratory diagnosis of influenza: A. Cultivation of the virus in tissue culture B. Detection of viral antigens by immunofluorescence in nasopharyngeal swabs C. Detection of antibodies to the virus in paired sera D. Detection of viral antigens using the polymerase chain reaction E. * All of the above 94. Laboratory diagnosis of influenza: A. * Immunofluorescence method of nasal swabs B. Complete blood count C. Bacteriological examination of sputum D. Bioassay in laboratory animals E. All of the above 95. 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. * Nothing 96. 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. * Nothing 97. Methods of specific prevention of scarlet fever: A. Dissociation of contact B. Vaccination C. Use of antibiotics D. Disinfection E. * Absent 98. Methods of specific prophylaxis of scarlet fever: A. Isolation of ill B. Vaccination C. Use of antibiotics D. Disinfection E. * Does not exist 99. Methods of specific prophylaxis of scarlet fever: A. Isolation of ill B. Vaccination C. Use of antibiotics D. Disinfection E. * Does not exist 100. Monitoring of contact lines for scarlet fever A. * 7 days from the time of contact B. 21 days C. Prior to the disappearance of a patient rash D. To discharge the patient from hospital E. Never performed 101. Name the agent of influenza. A. * Viruses B. Spirochetes C. Bacteria D. Rickettsiae E. Mushrooms 102. Periods of measles are: A. Catarrhal, during eruptions B. Catarrhal, period pigmentation C. * Catarrhal, during eruptions, pigmentation period D. Catarrhal, spasmodic cough during E. All of the above 103. 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 104. The duration of quarantine in an institution with rubella: A. 5 days after the last patient isolation B. 11 days C. 21 days D. 10 days E. * Do not impose quarantine 105. The entrance gate of the flu: A. * Columnar epithelium of the mucous membranes of the respiratory tract B. Peyer's patches and solitary follicles C. The mucous membrane of the tonsils D. Epithelial cells of the skin E. The mucous membrane of the digestive tract 106. The most common complication of parainfluenza: A. * False croup B. Pneumonia C. IVDS D. Meningoencephalitis E. All of the above 107. The most typical clinical manifestations of parainfluenza: A. Pharyngitis B. Conjunctivitis C. Tonsillitis D. Lymphadenopathy E. * Laryngitis 108. The most typical clinical manifestations of parainfluenza: A. Tonsillopharyngitis B. Conjunctivitis C. Bowel dysfunction D. Lymphadenopathy E. * Laryngitis 109. The most typical clinical manifestations of parainfluenza: A. Tonsillopharyngitis B. Conjunctivitis C. Bowel dysfunction D. Lymphadenopathy E. * False croup 110. The most typical clinical manifestations of parainfluenza: A. Tonsillitis B. Conjunctivitis C. Severe intoxication D. Lymphadenopathy E. * Hoarseness 111. Typical clinical manifestations of mumps: A. Fever B. Growth and tenderness of salivary glands C. Serous meningitis D. Orchitis, oophoritis E. * All of the above 112. Typical clinical manifestations of mumps: A. Fever B. Positive symptom of Murson C. Stiff neck muscles D. Pancreatitis E. * All of the above 113. Typical clinical signs of measles are, except: A. Acute onset of high fever B. * Jaundice C. Maculo-papula rash D. Stages rash E. Peeling 114. Virus causing hemorrhagic cystitis, diarrhea and conjunctivitis: A. RS-virus B. Rhinovirus C. * Adenovirus D. Rotavirus E. Flu 115. Virus causing tonsillitis, diarrhea and conjunctivitis: A. * Adenovirus B. Rhinovirus C. RS-virus D. Rotavirus E. Flu 116. What are characteristic changes in the peripheral blood in patients with uncomplicated influenza: A. Leukopenia B. Limfomonocytoz C. Neutropenia D. Elevated erythrocyte sedimentation rate E. * All of the above 117. What are characteristic changes in the peripheral blood of adenovirus infection: A. Leukocytosis B. Limfomonocitoz C. Neutropenia D. Elevated erythrocyte sedimentation rate E. * All of the above 118. What are the antiepidemic 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 119. What are the antiepidemic 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 120. What changes is not typical for salivary glands in epidparotitis: A. Swelling in retromandibular fossa B. Positive Murson's symptom C. Shape of face is like to pea D. Dry mouth, pain when chewing E. * "Burning" orofaring 121. What changes is not typical for salivary glands in epidparotitis: A. Swelling in retromandibular fossa B. Dry mouth, pain when chewing C. Shape of face is like to pea D. Kernig-Brudzinskyy's symptoms E. * Necrotic process in the tonsils 122. What changes is not typical for salivary glands in epidparotitis: A. Swelling in retromandibular fossa B. Dry mouth, pain when chewing C. Abdominal pain, vomiting D. Shape of face is like to pea E. * Pyogenic orchiepididymitis 123. What changes is typical for salivary glands in epidparotitis: A. Swelling in fossa retromandibularis B. Positive symptom of Murson C. Shape of face is like to pear D. Dry mouth, pain when chewing E. * All of the above 124. What complication more often may appear in flu? A. Bronchitis B. Edema of brain C. * Pneumonia D. Edema of lungs E. Infectious-toxic shock 125. What complication more often may appear in flu? A. Glomerulonephritis B. Edema of brain C. * Pneumonia D. Edema of lungs E. Reyno-syndrom 126. What drag use for etiotropic treatment of adenovirus infection: A. Paracetamol B. Aspirin C. Antibiotics D. * Deoxyribonuclease E. All of the above 127. What drag use for etiotropic treatment of flu: A. Antibiotics B. C. D. E. 128. A. B. C. D. E. 129. A. B. C. D. E. 130. A. B. C. D. E. 131. A. B. C. D. E. 132. A. B. C. D. E. 133. A. B. C. D. E. 134. A. B. C. D. E. 135. A. B. C. Glucocorticoids Vitamins * Rimantadine All of the above What drag use for etiotropic treatment of flu: Antibiotics Aspirin Sulfonamides * Specific immunoglobulin All of the above What drag use for etiotropic treatment of flu: Paracetamol Aspirin Antibiotics * Tamiflu All of the above What group of infectious diseases measles belong to: Intestinal Blood * Respiratory Transmissive External covers What group of infectious diseases scarlet fever belong to: Intestinal Blood * Respiratory Transmissive External covers What is actions against persons who were in contact with the patient with mumps: Monitoring of contact for the maximum incubation period Quarantine in child care Prevention of children in the community, to communicate with patients with 11 to 21 days from the moment of contact Isolation of children up to 10 years earlier without a history of up to 21 days from the moment of contact * All of the above What is antigenic drave of influenza virus? * The antigenic changes in the virus within a subtype Recombination of the hemagglutynin and neuraminidase Antigenic changes in the virus within the serovar Genetic recombination between different strains of the influenza virus Variability of the neuraminidase What is antigenic shift of influenza virus? The antigenic changes in the virus within a subtype Recombination of the hemagglutynin and neuraminidase Antigenic changes in the virus within the serovar Genetic recombination between different strains of the influenza virus * Complete replacement of the neuraminidase What is conduct specific passive immunnoprophylaxis of flu? Living attenuated vaccine Inactive parenteral vaccine * By an immunoprotein D. Remantadin E. Antibiotics of wide spectrum of action| 136. What is conduct specific passive immunnoprophylaxis of flu? A. Living attenuated vaccine B. Inactive parenteral vaccine C. * Human immunoglobulin D. Remantadin E. Antibiotics of wide spectrum of action| 137. What is conduct specific passive immunnoprophylaxis of flu? A. Living attenuated vaccine B. Inactive parenteral vaccine C. * Any one D. Remantadin E. Antibiotics of wide spectrum of action| 138. 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 139. 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 140. 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 141. What is duration period of supervision after scarlet fever? A. * 7 days from time of contact B. 21 days C. Till patient's rash is present D. Till patient is discharged from permanent establishment E. Not conducted 142. What is seasonal character of scarlet fever? A. Summer-autumn B. Autumn-winter C. * Winter-spring D. Winter E. Summer 143. What is the duration of contagious period for a patient diagnosed with scarlet fever? A. 10 days from the beginning of illness B. Until patient is discharged from the hospital C. Until rash is present D. * Till the 22nd day from the beginning of illness E. Not contagious 144. What is the duration of contagious period for a patient with scarlet fever? A. B. C. D. E. 10 days from the beginning of illness Until patient is discharged from the hospital Until rash is present * Till the 22d day from the beginning of illness Not contagious 145. What is the duration of quarantine in child's establishment in case of rubella? A. 11 days B. * 21 day C. 10 days D. No need for quarantine E. 5 days after isolation of the last child 146. What is the duration of quarantine in child's establishment in case of rubella? A. 11 days B. 21 day C. 10 days D. No need for quarantine E. * 5 days after isolation of the last child 147. What is the mechanism of transmission of measles? A. Fecal-oral B. Contact C. Transmissive D. * Air-drop E. Vertical 148. What is the mechanism of transmission of scarlet fever? A. Fecal-oral B. Contact C. Transmissive D. * Air-drop E. Vertical 149. What laboratory and instrumental examinations are needed for confirming the diagnosis of flu? A. Complete analysis of blood B. X-ray of organs of thoraxes cavity C. Analysis of sputum D. * Determination of viruses by the method of immunofluorescence E. Biochemical blood test 150. What laboratory and instrumental examinations are needed for confirming the diagnosis of flu? A. Complete analysis of blood B. X-ray of organs of thoraxes cavity C. Analysis of sputum D. * Determination of viruses by PSR E. Biochemical blood test 151. What level is necessary to reduce the temperature of patient's body with hyperthermia? A. 39,0 C B. * 38,0 C C. 37,5 C D. 37,0 C E. 38,5 C 152. What level is necessary to reduce the temperature of patient's body with hyperthermia? A. B. C. D. E. * 38,0 C 37,0 C 37,5 C 36,6 C 35,5 C 153. What measures are necessary to patient with flu (fever 40,1 C, breathing is 40 for a minute)? A. * Decreasing of patients temperature B. Artificial ventilation C. Oxygen. inhalation D. Infusion therapy E. Antibiotic therapy 154. What measures should be taken in regards to persons, who were in contact with a patient with mumps? A. Observation after contact people during a maximal length of incubation period B. Quarantine 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 mumps, for 21 day from a moment of contact E. * All above enumerated 155. What media are used to isolate influenza virus? A. * Chicken's embryo B. Gall broth C. Plain agar D. Medium that contains blood E. Water-serum culture medium 156. What the media are used to isolate influenza's virus? A. * The cell cultures B. Gall broth C. 1% peptone water D. Medium that contains blood E. Water-serum culture medium 157. Which group of infections is influenza for? A. Sapronosis B. Zoonosis C. * Anthroponosis D. Anthropozoonosis E. Not identified 158. Which of these mechanisms for the transfer characteristic to the flu? A. Contact B. Transmissiv C. Alimentary D. * Airborne E. All of the above 159. What is the entrance gate at infectious mononucleosis? A. Mucus of colon B. Mucus of digestive highway C. Epithelial mews of skin D. Peyer‘s plate and follicles E. * Mucus of nazo-pharig 160. A boy 6 years was in the close touch with a patient with diphtheria. What treatment-prophylactic measures need to be conducted, if vaccine anamnesis is unknown? A. B. C. D. E. Introduction of AWDT vaccine Antibacterial therapy Introduction of ADT-м to the toxoid * Antibacterial therapy and double introduction of ADT toxoid Antibacterial therapy and introduction of immunoprotein 161. A child 2 years carries a diphtherial croup. There was the stop of breathing on 2nd days of whey therapy. What was the reason of asphyxia? A. * Mechanical obturation by tapes B. Stenosis of larynx C. Anaphylaxis shock D. Whey illness E. Paresis of respiratory musculature 162. A junior nurse which works in child's infectious separation has a herpes zoster. What do manager must doing in separation? A. To inspect a nurse on staphylococcus B. To appoint immunoprotein to all children C. Delete all children from a separation D. To appoint interferon to all children E. * To a quarantine in a separation concerning a chicken pox 163. A patient 60 years year has 4th relapse of herpes zoster. What are recommendations to the treatmet and prevention of relapse. A. * Valacyclovir B. Acyclovir C. Herpevir D. Proteflazid E. Cyklopheron 164. 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 165. A patient has herpetic meningitis. What preparation for specific therapy of viral neiroinfection would you appoint? A. Laziks B. Cefotaksim C. Ceftriakson D. * Acyclovir E. Prednisolon 166. At a child 4 years on the third day of disease the widespread form of diphtheria of nasopharynx is diagnosed. Preparation of specific therapy: A. Macrolids per os B. Penicillin i/m C. Cortycosteroid D. * Antidiphterial serum i/v E. Antitoxic therapy 167. At a child 6 years with a diphtherial widespread croup the first dose of antidiphterial serum makes: A. * 40 AО B. 15 AО C. 20 AО D. 80 AО E. 60 AО 168. At a girl, 22 years old, severy form of diphtheria of otopharynx have happened. Specific treatment begun only on a 5th day from the beginning of disease. What complication of diphtheria is potentially dangerous? A. Stenotic laryngotracheitis B. Pneumotorax C. Meningoencephalitis D. Septicopyemia E. * Infectious-toxic shock 169. At a patient the dense darkly-grey raid covers tonsills is considerably megascopic and spreads for their scopes. Mucus shell bloodshot accented cyanochroic, was considerably swollen. Immediate medical measure: A. * Antidiphterial serum B. Punction of peritonsillar space C. Section of peritonsillar space D. Microscopic research of stroke from under tape E. Bacteriologic examination of stroke from under pallatum 170. At how many percents of grown man does present antibodies to the virus of simple herpes? A. 10-20 % B. 20-30 % C. 40-60 % D. * 80-90 % E. 60-70 % 171. 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 172. At maintenance of call on a house a district pediatrician put to the sick 5 years old child diagnosis “Acute lacunar tonsillitis”. Specify, who must carry out the laboratory inspection of patient and in what terms. A. Worker of SES upon receipt report B. A district medical sister is at once after determination of diagnosis C. Doctor pediatrician in 5 hours D. * Doctor pediatrician at once after determination of diagnosis E. District medical sister on a next day 173. At sick L, 35 years old, a diagnosis is set is diphtheria of pharynx, noncommunicative form. What first dose of antitoxic antidiphtheria whey is it necessary to appoint? A. 120 thousand of AО B. 80 thousand of AО C. * 30 thousand of AО D. 50 thousand of AО E. 150 thousand of AО 174. At the end of treatment of patients with a quinsy 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 175. 176. 177. 178. 179. 180. D. 1 500 000 of Bicyllin-3 intramuscular E. 500 000 of Bicyllin-3 intramuscular Before revaccination from diphtheria of adult persons, they are recommended: A. * To explore an immune type B. To use antibiotics C. To use antihistamines D. 5 years after last revaccination E. 10 years after last revaccination Before revaccination from diphtheria of adult persons, are recommended: A. * To explore an immune type B. To use antibiotics C. To use antihistamines D. 5 years after last revaccination E. 10 years after last revaccination Call the exciter of tonsillitis (angina). A. * Streptococcus of group A B. Streptococcus of group B C. Streptococcus of group C D. Streptococcus of group D E. Streptococcus of group E Choose, what changes are characteristic for a diphtheria tonsillitis. A. Tonsils enlarged, edematous, on-the-spot of tonsils are some heaved up subephithelial abscesses yellow-white color B. In lacunes of tonsils are a pus as yellow-white coat C. Tonsils are hyperemic, hypertrophied, on both are necrotizing areas dark grey color, after removing layer by layer of which the deep defect of mucus shell appeared with an uneven bottom D. One tonsils hyperemic and filling out, on its surface there is a grey-white coat, under it coat – bleeding ulcer with a smooth bottom E. * One tonsil is enlarged, on him dense grey-white color coat, which becomes separated from hardness, mucus bleeds under him Choose, what changes are characteristic for a follicle tonsillitis (angina). A. * Tonsils enlarged, edematous, on-the-spot of tonsils are some heaved up subephithelial abscesses yellow-white color B. In lacunes of tonsils are a pus as yellow-white coat C. Tonsils are hyperemic, hypertrophied, on both are necrotizing areas dark grey color, after removing layer by layer of which the deep defect of mucus shell appeared with an uneven bottom D. One tonsils hyperemic and filling out, on its surface there is a grey-white coat, under it coat – bleeding ulcer with a smooth bottom E. One tonsil is enlarged, on him dense grey-white color coat, which becomes separated from hardness, mucus bleeds under him Choose, what changes are characteristic for a lacunars tonsillitis (angina). A. Tonsils enlarged, edematous, on-the-spot of tonsils are some heaved up subephithelial abscesses yellow-white color B. * In lacunes of tonsils are a pus as yellow-white coat C. Tonsils are hyperemic, hypertrophied, on both are necrotizing areas dark grey color, after removing layer by layer of which the deep defect of mucus shell appeared with an uneven bottom D. One tonsils hyperemic and filling out, on its surface there is a grey-white coat, under it coat – bleeding ulcer with a smooth bottom 181. 182. 183. 184. 185. are: E. One tonsil is enlarged, on him dense grey-white color coat, which becomes separated from hardness, mucus bleeds under him Choose, what changes are characteristic for a ulcers-necrotic tonsillitis (angina). A. Tonsils enlarged, edematous, on-the-spot of tonsils are some heaved up subephithelial abscesses yellow-white color B. In lacunes of tonsils are a pus as yellow-white coat C. * Tonsils are hyperemic, hypertrophied, on both are necrotizing areas dark grey color, after removing layer by layer of which the deep defect of mucus shell appeared with an uneven bottom D. One tonsils hyperemic and filling out, on its surface there is a grey-white coat, under it coat – bleeding ulcer with a smooth bottom E. One tonsil is enlarged, on him dense grey-white color coat, which becomes separated from hardness, mucus bleeds under him Choose, what changes are characteristic for a Vensan-Plaut‘s tonsillitis. A. Tonsils enlarged, edematous, on-the-spot of tonsils are some heaved up subephithelial abscesses yellow-white color B. In lacunes of tonsils are a pus as yellow-white coat C. Tonsils are hyperemic, hypertrophied, on both are necrotizing areas dark grey color, after removing layer by layer of which the deep defect of mucus shell appeared with an uneven bottom D. * One tonsils hyperemic and filling out, on its surface there is a grey-white coat, under it coat – bleeding ulcer with a smooth bottom E. One tonsil is enlarged, on him dense grey-white color coat, which becomes separated from hardness, mucus bleeds under him Complication of diphtheria of larynx is: A. Myocarditis B. Paresis of auditory nerve C. Nephrosonephritis D. * Cereals E. Poliomyelitis Complications of 4-5th week of diphtheria are: A. Encephalitis B. Bulbar disorders, pancreatitis, hepatitis C. * Poliomyelitis, myocarditis D. Nephrosonephritis E. Stenotic laryngotracheitis Complications which often develop on the first week of diphtheria of otopharynx A. B. C. D. E. 186. A. B. C. D. E. 187. A. B. Poliomyelitis Asphyxia Insufficiency of glandulars hepatospleenomegaly * Paresis of soft palate Did you need bacteriological examination of quinsy? Yes * No Only for the decreed persons Only for children Only at suspicion on diphtheria Did you need biological examination of quinsy? Yes * No 188. 189. 190. 191. 192. 193. 194. 195. C. Only for the decreed persons D. Only for children E. Only at suspicion on diphtheria Did you need serum examination of quinsy? A. Yes B. * No C. Only for the decreed persons D. Only for children E. Only at suspicion on diphtheria Diphtheria planned vaccination begin in: A. In first days after birth of child B. * In 3 month age C. In 6-month age D. In 1 year E. In 6 years Diphtheria planned vaccination begin in: A. In first days after birth of child B. * In 3 month age C. In 6-month age D. In 1 year E. In 6 years Early complications of diphtheria of otopharynx is: A. * Paresis of soft palate B. Pneumonia C. Asphyxia D. Croup E. Poliomyelitis Especially high titre of ant diptherial antitoxic antibodies testifies to: A. Recovering B. Acute period of diphtheria C. * Bacteriocarriering D. Forming of immunity to diphtheria E. About nothing does not testify Etiology agent of meningitis is: A. * Neisseria meningitides B. Entamoeba histolytica C. Vibro cholerae D. Clostridium botulinum E. Campylobacter pylori For corynebacterium diphtheria is typical: A. Contain endotoxin only B. * Exotoxin products C. Exotoxin does not product D. An enterotoxin products E. Myelotoxin products For the treatment of acidosis at meningococcal meningitis is better to use. A. 10-20 % glucose solution B. 10 % chloride solution C. * 4 % sodium bicarbonate solution D. Albumen E. Concentrated dry plasma 196. For what disease are characterize changes in blood (presence of atypical mononucleares)? A. Flu B. * Kissing disease C. Measles D. AIDS E. Diphtheria 197. 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 198. For what diseases is characteristic hemilesion of tonsils? A. Rabbit-fever B. Syphilis C. Simanovskyy-Plaut-Vensan‘s quinsy D. A and C E. * A, B and C 199. From etiotropic (antistreptococcus) facilities the most effective are: A. Furazolidonum B. Gentamicin C. * Benzilpenicilin and Oxacillinum D. Benzilpenicilin and Furazolidonum E. Doksiciklin and Gentamicin 200. How is it possible to specify the diagnosis of meningococcal meningitis. A. Meningitis is primary B. Presence of a lot of cells in the CSF C. Presence of gram-negative diplococcus in CSF D. Meningococes from the throat E. * All the above 201. How long is the incubation period of a tonsillitis (angina)? A. From a few hours to 5 days B. From a few hours to 4 days C. From a few hours to 3 days D. * From a few hours to 2 days E. From a few hours to 1 days 202. How long is the period of fever in patients with a tonsillitis (angina)? A. 1-2 days B. 2-3 days C. * 3-5 days D. 5-7 days E. ..More than week 203. How mach are exist subfamilies of herpes-viruses? A. 2 B. 4 C. 5 D. 6 E. * 3 204. How mach types of herpes-viruses do you know? A. 2 B. C. D. E. 4 6 *8 10 205. How many times must a patient after a follicle quinsy be under a supervision? A. * It is not needed B. 5 days C. 14 days D. 1 month E. 3 months 206. How many times must a patient after a lacunars quinsy be under a supervision? A. * It is not needed B. 5 days C. 14 days D. 1 month E. 3 months 207. How many times must a patient after a ulcers-necrotic quinsy be under a supervision? A. * It is not needed B. 5 days C. 14 days D. 1 month E. 3 months 208. How many times must a patient after a Vensan-Plaut‘s tonsillitis be under a supervision? A. * It is not needed B. 5 days C. 14 days D. 1 month E. 3 months 209. In an epidemic cell rationally to organize verification of the state of immunity. The Use of RUHA allows to find out persons unimmune to diphtheria during a few hours. What minimum protective titre? A. 1:10 B. 1:20 C. * 1:40 D. 1:80 E. 1:160 210. In preschool is case of diphtheria. What prophylactic measures must be conducted above all things? A. Urgent hospitalization B. Urgent vaccination C. * Quarantines measures D. Urgent by chemical prophylactic antibiotics E. Introduction of antidiphterial whey 211. In preschool is case of disease on diphtheria. What prophylactic measures must be conducted above all things? A. Urgent hospitalization B. Urgent vaccination C. * Quarantines measures D. Urgent by chemical prophylactic antibiotics E. Introduction of antidiphterial whey 212. In preschool the registered case of diphtheria. What from the measures adopted below does not conduct to the contact children? A. * Introduction of antidiphterial serum B. Non-permanent is stroke from a pharynx and nose for the bacteriologic examination C. Daily is supervision during 7 days D. Determination of titres of specific antibodies E. At the repeated cases of disease is extraordinary revaccination diphtheria 213. In what age are infected by primary herpes more frequent? A. 55-65 years B. 5-10 years C. 12-18 years D. to 6 months E. * 6 months – 5 years 214. In what daily interval should the dose of benzylpenicillin at meningococcal meningitis administered. A. 2 hrs B. * 4 hrs C. 6 hrs D. 5 hrs E. 8 hrs 215. In what dose should| benzyl penicillin be administered at meningococcal meningitis? A. From a calculation 100-300 thousands unit on 1 kg of mass of body on days B. * From a calculation 200-500 thousands unit on 1 kg of mass of body on days C. From a calculation 500-700 thousands unit on 1 kg of mass of body on days D. From a calculation 700-900 thousands unit on 1 kg of mass of body on days E. Regardless of mass of body 216. Is a vaccination conducted at a kissing disease? A. Ribosom vaccine B. Alive vaccine C. Dead vaccine D. Chemical vaccine E. * On the stage of 217. Meningococemia and DIC-syndrome require above all things. A. dministration of diuretics B. Administration of analgesic C. * Administration of heparin D. Administration of vitamins E. Administration of antihistaminic preparations 218. Name the most reliable of kissing disease? A. * Became healthy B. Death C. Chronic form D. Hematological violations E. Changes in the nervous system 219. On what period does appoint the lying regime to the patients with a quinsy? A. * During all period of fever B. First 2 days C. During all period of fever +2 days D. During all period of fever+5 days E. Does not need 220. Patient, 24 years old, with diagnosis dyphtheria was admitted to the infectious disease department. What remedy is most effective for treatment and should be used immediately? A. Antibiotics B. Oxygenotherapy C. * Antitoxic antidyphtherial serum D. Antipyretic drugs E. Sulfanilamides 221. Patient, 35 years was hospitalized with diagnosis localized diphtheria of pharynx. What is the first dose of antitoxic antidyphtherial serum? A. * 30 000 AU B. 50 000 AU C. 80 000 AU D. 120 000 AU E. 150 000 AU 222. Patients with a quinsy, as a rule, is treated at home. In what accident does he hospitalization in infectious permanent? A. Presence of complications B. Burdened premonstratensian background C. Necrotizing-ulcerous quinsy D. Residence in a hostel E. * All is listed above 223. Patients with a quinsy, as a rule, is treated at home. In what accident does he hospitalization in infectious permanent? A. Follicle quinsy B. Lacunars quinsy C. Quinsy of Simanovskyy-Vensan D. Age to 5 years E. * Necrotizing-ulcerous quinsy 224. Patients with a quinsy, as a rule, is treated at home. In what accident does he hospitalization in infectious permanent? A. Follicle quinsy B. Lacunars quinsy C. Quinsy of Simanovskyy-Vensan D. Age to 5 years E. * Heavy degree 225. Rules hospitalizations of patients with a kissing disease? A. * In a room for the patients with infections of respiratory tracts B. Patients are not hospitalized C. In a separate chamber D. In a chamber for the patients with infections of external covers E. In a chamber for the patients with intestinal infections 226. Scheme of vaccination at herpetic illness? A. Enter subcutaneus 0,1-0,2 ml every 3-4 days, 3 injections on a course, repeat in 30 days B. Enter intramasels 0,1-0,2 ml every 3-4 days, 5 injections on a course, repeat in 710 days C. Enter intraskin 0,1-0,2 ml every 8-9 days, 3 injections on a course, repeat in 7-10 days D. Enter intramasels 0,1-0,2 ml every 8-9 days, 5 injections on a course, repeat in 30 days E. * Enter intraskin 0,1-0,2 ml every 3-4 days, 5 injections on a course, repeat in 710 days 227. Scheme of vaccination at herpetic illness? A. Enter subcutaneus 0,1-0,2 ml every 3-4 days, 5 injections on a course, repeat in 710 days B. Enter intramasels 0,1-0,2 ml every 3-4 days, 5 injections on a course, repeat in 710 days C. Enter intraskin 0,1-0,2 ml every 8-9 days, 5 injections on a course, repeat in 7-10 days D. Enter intramasels 0,1-0,2 ml every 8-9 days, 5 injections on a course, repeat in 710 days E. * Enter intraskin 0,1-0,2 ml every 3-4 days, 5 injections on a course, repeat in 710 days 228. Source of meningitis is: A. Animals B. Birds C. Fish D. Pediculus humanus E. * People 229. Specify the correct method of serum introduction after the Bezredko method: A. 1,0 ml of divorced 1:100 hypodermic – through 30 min. 0,1 ml of undivorced hypodermic – through 30 min. all dose of intramuscle B. 0,1 ml of divorced 1:1 000 endermic – through 30 min. 0,1 ml of divorced 1:10 hypodermic – through 30 min. all dose of intramuscle C. 0,1 ml of undivorced endermic – through 30 min. 0,1 ml hypodermic – through 30 min. all dose of intramuscle D. * 0,1 ml of divorced 1:100 endermic – through 30 min. 0,1 ml of undivorced hypodermic – through 30 min. all dose of intramuscle E. 1,0 ml of divorced 1:10 hypodermic – through 30 min. 0,1 ml of undivorced hypodermic – through 30 min. all dose of intramuscle 230. The duration of latent period at a kissing disease are? A. * 25-50 days B. 3-6 days C. 1-4 weeks D. From a few hours to 3 days E. From a few days to 1-2 months 231. The otolaryngologist during the review of patient marked hyperemia, considerable edema of tonsills with the grey raid on them. During the microscopy of raid it was found out sticks located under a corner to each other. What disease does it follow to think about? A. Scarlet fever B. Streptococcus quinsy C. * Diphtheria D. Vensan tonsillitis E. Staphylococcus quinsy 232. The source of exciter of tonsillitis (angina) 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 233. The source of infection at diphtheria is: A. B. C. D. E. * Sick people and carriers Sick agricultural animals Rodents Mosquitoes Aerosol of saliva and epipharyngeal mucous of patients 234. The source of infection at infectious mononucleosis is: A. * Sick people and carriers B. Sick agricultural animals C. Rodents D. Mosquitoes E. Aerosol of saliva and epipharyngeal mucous of patients 235. 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 236. What additional inspections must be conducted to the patient with a kissing disease? A. Reaction of Burne and Rayt B. ELISA test on AID, bacteriological examination on a rabbit-fever. C. Bacteriological examination on diphtheria and typhoid D. * ELISA test on AID, bacteriological examination on diphtheria E. Reaction of Paul-Bunnel and punction of lymphatic no 237. 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 238. What antibiotics preparations of choice of etiotropic therapy at a meningococcal infection. A. * Benzylpenicillin and it derivatives B. Gentamycin C. Cefazolin D. Sulfolamide E. Ciprofloxacin 239. What are the changes in the blood in patients with a quinsy? A. Changes are absent B. Limfomonocitosis, increase of ESR C. * Neutrophilic leycositosis, increase of ESR D. Leycopeniya, increase of ESR E. Increase of ESR 240. What are the exciters of Simanovskyy-Plaut-Vensan‘s quinsy? A. Bac. fusiformis B. Sp. buccalis C. Streptococcus of group A D. * Bac. fusiformis and Sp. buccalis E. Streptococci 241. What are the main exciters of quinsy. A. * Streptococcus B. C. D. E. Staphylococcus Spirochetes Gonococcus Stick of Lefler 242. What are the possible ways of transmission of herpes-viruses? A. * Contact, air, sexual, vertical B. Contact, sexual, vertical C. Contact, air, vertical D. Contact, air, sexual E. Air, sexual, vertical 243. What are the rules of hospitalization of patients with infectious mononucleosis? 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 244. What are the rules| at taking of smear material on the discovery of meningococal infection? A. The taken away material at drawing out must not touch only mucus shell of cheeks and tongue B. The taken away material at drawing out must not touch only teeth and tongue C. The taken away material at drawing out must not touch only teeth, mucus shell of cheeks D. * The taken away material| at drawing out must not touch|| teeth, mucus shell of cheeks and tongue E. The taken away material|| at drawing out can touch|| teeth, mucus shell of cheeks and tongue 245. What are the signs of defeat cardiovascular note angina? A. * Tachycardia B. Increased tones of heart C. High blood pressure D. Constant pain after a breastbone E. All is listed above 246. What are the signs of defeat cardiovascular note angina? A. Bradycardia B. Increased tones of heart C. * Hypotonia D. Dicrotia of pulse E. All is listed above 247. What changes in kidney can be find at a quinsy? A. Kidney insufficiency B. Poliuria C. Gematuria D. * Mikrogematuria, proteinuria| E. Absent 248. What complications can be after a tonsillitis (angina)? A. Myocarditis B. Otitis C. Parafaringeal abscesses D. * Glomerulonephritis E. Encephalitis 249. What complications can be after a tonsillitis (angina)? A. B. C. D. E. Myocarditis * Endocarditis Inflammation of additional bosoms of nose Otitis Festering inflammation of neck lymphonoduss 250. What complications can be after a tonsillitis (angina)? A. Pneumonia B. Pseudorheumatism C. Illness of Reyno D. Rheumatoceils E. * Sepsis 251. What complications do happen at a kissing disease? A. Insult B. Autoimmune diseases C. Contractures D. * Break of spleens E. Cirrhosis 252. What complications more often develops during 4-5th week of diphtheria: A. Encephalitis B. Bulbar disorders, pancreatitis, hepatitis C. * Poliomyelitis, myocarditis D. Nephrosonephritis E. Stenotic laryngotracheitis 253. What complications more often develops during the first week of diphtheria of otopharynx: A. Poliomyelitis B. Asphyxia C. Paratonsillitis D. Hepatospleenomegaly E. * Paresis of soft palate 254. What disease is by the herpes-virus of 1th type? A. Genital herpes B. * L herpes C. Syndrome of chronic fatigue D. Sarcoma of Kaposi E. Cytomegalovirus infection 255. What disease is by the herpes-virus of 2 type? A. * Genital herpes B. Herpes zoster C. Syndrome of chronic fatigue D. Sarcoma of Kaposi E. Cytomegalovirus infection 256. What disease is by the herpes-virus of 3 type? A. Genital herpes B. Herpes simplex C. Syndrome of chronic fatigue D. * Herpes zoster E. Cytomegalovirus infection 257. What disease is by the herpes-virus of 3 type? A. Genital herpes B. L herpes C. Syndrome of chronic fatigue D. * Chicken pox E. Cytomegalovirus infection 258. What disease is by the herpes-virus of 4 type? A. Genital herpes B. L herpes C. Syndrome of chronic fatigue D. Chicken pox E. * Cytomegalovirus infection 259. What disease is by the herpes-virus of 5 type? A. Genital herpes B. * Eczema of new-born C. Syndrome of chronic fatigue D. Sarcoma of Kaposi E. Epshtein-Barr‘s infection 260. What disease is by the herpes-virus of 6 type? A. Genital herpes B. * Eczema of new-born C. Syndrome of chronic fatigue D. Sarcoma of Kaposi E. Epshtein-Barr‘s infection 261. What disease is by the herpes-virus of 7 type? A. Genital herpes B. Eczema of new-born C. * Syndrome of chronic fatigue D. Sarcoma of Kaposi E. Epshtein-Barr‘s infection 262. What disease is by the herpes-virus of 8 type? A. Genital herpes B. Eczema of new-born C. Syndrome of chronic fatigue D. * Sarcoma of Kaposi E. Epshtein-Barr‘s infection 263. What does the most characteristic syndrome appear in patients with a tonsillitis (angina) in 1 days of diseases)? A. Nausea B. Vomit C. * Pharyngalgia D. Stomach-ache E. Takhikardiya 264. What family does the exciter of kissing disease belong to? A. * Family of herpes virus B. Family of pox virus C. Family of retro virus D. Family of reo virus E. Family of toga virus 265. What formations of lymphatic fabric are struck at a tonsillitis (angina)? A. Sky tonsils B. Tongue tonsil C. Lymphatic fabric of back wall of faring D. Lymphatic fabric of larynx E. * All is listed above 266. 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 267. What group of infections does infectious mononucleosis behave to? A. Zoonoz B. Sapronosis C. Antropozoonoz D. * Antroponoz E. Sapronoz+antroponoz 268. What group of infectious diseases by L. Gromashevsky classification diphtheria belong to? A. External covers B. Blood C. Intestinal D. * Respiratory ways E. Transmissive 269. ?What group of infectious diseases diphtheria belong to? A. Sapronosis B. Zoonosis C. * Anthroponosis D. Zooanthroponosis E. A group is not certain 270. What group of infectious diseases diphtheria belong to? A. Sapronosis B. Zoonosis C. * Anthroponosis D. Zooanthroponosis E. A group is not certain 271. What group of infectious diseases infectious mononucleosis belong to? A. Sapronosis B. Zoonosis C. * Anthroponosis D. Zooanthroponosis E. A group is not certain 272. What is characteristic signs of raid at diphtheria? A. One-sided, grey-white, on-the-spot crateriform ulcers B. * Grey-white, dense with clear edges and brilliant surface C. Yellow-white, fragile, perilacunar is located D. One-sided, yellow-white, in lacunas E. White, fragile, is easily taken off by a spatula 273. What is early complications of diphtheria of otopharynx: A. * Paresis of soft palate B. Pneumonia C. Asphyxia D. Croup E. Poliomyelitis 274. What is immediately investigation in suspicious of diphtheria: A. Strokes with tonsills, nose or other areas for the exposure of diphtherial stick B. C. D. E. IFA * Microscopy (painting for Neiser) Haemoculture RDHA with a diphtherial diagnosticum 275. What is main complication of diphtheria of larynx: A. Myocarditis B. Paresis of auditory nerve C. Nephrosonephritis D. * Croup E. Poliomyelitis 276. What is material for the bacteriologic examination in time to suspicion on diphtheria? A. Excrement B. Blood C. Urine D. * Mucus from the area of defeat E. Neurolymph 277. What is mechanism of transmission of Corynebacterium diphtheria? A. Vertical B. Transmissive C. * Air-drop D. Contact E. Parenteral 278. What is recommended treatment and relapses prophylaxis of Herpes zoster? A. * Valcyclovir B. Acyclovir C. Herpevir D. Proteflazid E. Cycloferon 279. What is seasonal character of diphtheria? A. Spring-summer B. Summer-autumn C. * Autumn-winter D. Winter-spring E. Spring-autumn 280. What is seasonal character of infectious mononucleosis? A. Spring-summer B. Summer-autumn C. Autumn-winter D. * Winter-spring E. Spring-autumn 281. What is taken for serum research for confirmation of meningococcal infection? A. * Blood B. Mucus C. Urine D. CSF E. Saliva 282. What is the mechanism of transmission of herpetic infection? A. Fecal-oral B. * Air C. Contact D. Vertical E. Transmisiv 283. What is the exciter of diphtheria: A. Virus of Epshtein-Barr B. * Leffler Bacillus C. Corynebacteria ulcerans D. Fusiform stick E. Corynebacteria xerosis 284. What is the exciter of kissing disease: A. Virus small pox B. Virus of simple herpes C. * Virus of Epshteyn-Barr D. Cytomegalovirus E. Virus of flu 285. What is the main mechanism of transmission of a tonsillitis (angina)? A. * Airborne B. Alimentary C. Contact D. Transmisiv E. Vertical 286. What is the most diagnostic method for infectious mononucleosis? A. Common analysis of excrement B. Common analysis of urine C. * Common blood test D. Blood is on a drop E. Stroke of blood 287. What is the properties of сorynebacterium diphtheria: A. Contain endotoxin only B. * Exotoxin products C. Exotoxin does not product D. An enterotoxin products E. Myelotoxin products 288. What is transmissive factors in diphtheria? A. Blood B. Water C. * Saliva D. Urine E. Exrements 289. What is used as specific prophylaxis in the period of epidemic spreading of meningococcal infection. A. Immun globulin B. Serum C. * Vaccine D. Anatoxin E. Nothing 290. What kind of lymphonoduss are increased in patients with a tonsillitis (angina)? A. Posterolateral neck B. Back of head C. Supraclavicular D. * Submandibular E. Anterolateral neck 291. What kind of tonsillitis (angina) do your now A. Catarrhal, follicle and lacunars B. C. D. E. * Catarrhal, follicle, lacunars and necrotizing-ulcerous Catarrhal, follicle, lacunars, pellicle and necrotizing-ulcerous Follicle, lacunars and necrotizing-ulcerous Follicle, lacunars, pellicle and necrotizing-ulcerous 292. What laboratory examination is compulsory to do for the patient with signs of tonsillit? A. Isolation of hemolytic streptococcus from the throat mucosa B. Biochemical blood analysis C. X-ray examination D. * Smear from nose and pharynx E. Immune-enzyme analysis 293. What laboratory examination is compulsory to do for the patient with diagnosis of tonsillits? A. Isolation of hemolytic streptococcus from the throat mucosa B. Biochemical blood analysis C. * Smear (for microscopic examination) from nose and pharynx for Corynebacterium diphtheriae detection D. Hemoculture E. Immune-enzyme analysis 294. What laboratory examination is compulsory to do for the patient with diagnosis of tonsillits? A. Isolation of hemolytic streptococcus from the throat mucosa B. Biochemical blood analysis C. * Smear (for microscopic examination) from nose and pharynx for Corynebacterium diphtheriae detection D. Hemoculture E. Immune-enzyme analysis 295. What laboratory methods should be taken to discharge meningitis? A. * Lumbar puncture B. Serologic detection C. Urine examination D. Coprograma E. Biopsy of tissues 296. What material it’s necessary to take for bacteriologic examination in suspicion on diphtheria? A. Excrement B. Blood C. Urine D. * Mucous E. Neurolymph 297. What measures are conducted in the place of meningococcal infection? A. Supervision during 2 weeks B. Phagoprophylaxis C. Immunization D. * Bacteriological inspection of contact E. Chemoprophylaxis 298. What medical measures are primary in diphtheria of pharynx, widespread form? A. ntroduction of non steroid and ant inflammatory drugs B. ntroduction of antibiotics C. * ntroduction of antydiphtheria serum D. ntroduction of glucocorticoids E. isintoxication therapy 299. What symptom is not characterized for a kissing disease? A. Pain in a throat B. * Coated conjunctivitis C. Generalized lymphadenopathy D. Hepatolienal syndrome E. Limphomonocitosis 300. What symptom is not characterized for a kissing disease? A. Generalized lymphadenopathy B. * Total flatulence C. Tonsillitis D. Hepatolienal syndrome E. Rash 301. What symptoms do not characterize for infectious mononucleosis? A. Increased of temperature B. * Defeat of C. Lymphadenopathy D. Tonsillitis E. Increase of liver and spleen 302. What temperature terms is it needed for cultivation of meningococcal on artificial mediums? A. 23-40 °C B. 35-43 °C C. * 35-37 °C D. 23-35 °C E. 37-39 °C 303. What the most possible complication occurs during infectious mononucleosis? A. Meningitis B. Autoimmune alopecia C. Encephalitis D. * Splenic rupture E. Obstruction of respiratory tract 304. What ways of transmission does characterize for infectious mononucleosis? A. Alimentarniy B. Transfuziv C. Sexual D. * Air E. Contact 305. When does admit to work of reconvalescentes? A. On condition of clinical convalescence (after the 5th day of normal temperature) B. On condition of normalization of indexes of blood C. On condition of normalization of indexes of urine D. On condition of normalization of ECG E. * All things considered it is listed above 306. When does the laboratory give the results of bacteriological examination of smear from throat? A. On 2th days B. On 3th days C. * On 4th days D. On 5th days E. On 6th days 307. Which preparation has a bacteriostatic action, and is more expedient to begin etiotropic therapy in the case of infectious toxic shock. A. B. C. D. E. From benzylpenicillin and its derivatives From ciprofloxacin From gentamycin From ciprofloxacin * From levomycitin of succinate 308. Witch of these symptoms are often present in patients with meningitis? A. Algor, high temperature, headache B. Profuse watery diarrhea, vomiting, dehydratation, muscular cramps C. Abdominal pain, diarrhea, constipation, flatulence D. Headache, dry cough, algor E. * Prodromal respiratory illness or sore throat, fever, headache, stiff neck, vomiting, confusion, irritability 309. What is mechanism of transmission of salmonellosis. A. Vertical B. Parenteral C. Air-drop D. Contact E. * Fecal-oral 310. A contact carrier in cholera has following characteristic: A. gall bladder is infected B. stolls are not positive for vibrio cholera C. does not play any role in spread of infection D. * duration of carrier state is less than 10 days E. none of these 311. A freshly prepared oral rehydration solution should not be used after: A. 4 hours B. 6 hours C. 12 hours D. * 24 hours E. 48 hours 312. A most epidemiology role at shigellosis is played: A. Sick with an acute form illnesses B. Sick with a chronic form illnesses C. * Sick with the effaced form illnesses D. Healthy transmitters E. Children 313. All laboratory and instrumental tests are needed to confirming the diagnosis of food poisoning, except: A. * General blood analysis B. Coprogram C. Occupied emptying D. Occupied sources E. Serum researches with the autoculture of substance 314. Amount of solutions necessary for the primary rehydration in cholera is. A. * Accordingly to the degree of dehydration at time of hospitalization B. In accordance with the loss of liquid C. 2 l D. 5 l| E. 10 l 315. Amount of solutions necessary for the secondary rehydration in cholera is. A. Accordingly to the degree of dehydration at the time of hospitalization B. * In accordance with the loss of liquid C. 2 l D. 5 l E. 10 l 316. 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 317. At what degree of dehydration, there will be “metabolic violation”: A. Subcompensated B. * Negative C. Irreversible D. Moderate metabolic acidosis E. Insignificant metabolic alkalosis 318. At what percent of fluid loss will be I degree of dehydration? A. * 3-6 % of body weight B. 6-9 % of body weight C. 1-3 % of body weight D. 0,5-2 % of body weight E. 2-7 % of body weight 319. At what percent of fluid loss will be II degree of dehydration? A. 3-6 % of body weight B. Over 10 % of body weight C. * 6-9 % of body weight D. 4-8 % of body weight E. 10-15 % of body weight 320. B Stool culture, sigmoidoscopic examination, indirect hemaglutination test with dysenteric diagnostics, coprogram A. Stool culture, indirect hemaglutination test with dysenteric diagnostics B. Stool culture, biological examination, indirect hemaglutination test with dysenteric diagnostics, coprogram C. Stool culture, sigmoidoscopic examination, indirect hemaglutination test with dysenteric diagnostics, biological examination,c oprogram D. Stool culture, sigmoidoscopic examination, indirect hemaglutination test with dysenteric diagnostics, coprogram 321. Best emergency sanitary measure to control cholera is: A. disinfection of stool B. mass vaccination C. * provision of chlorinated water D. chemoprophylaxis E. none of these 322. Best method to treat diarrhoea in child is: A. intra venous fluide B. * ORS C. antibiotics D. bowel binders E. lavage of stomach 323. Certificate to cholera vaccination is valid after: A. 5 days B. * 10 days C. 15 days D. 20 days E. 25 days 324. Chemo-prophylaxis for cholera is administrating: A. * doxycycline 300 mg once B. metrogyl 400 mg 3 tablets C. vancomycin 1 mg stat D. kanamycin 500 mg stat E. lincomycin 1 g 325. Commonest strain of cholera in India is: A. * Ogaiva B. Inaba C. Hikojima D. all of these E. none of these 326. Demands according more than 3 months salmonella carrier who are working in food production. A. Dyspanserization B. Recently released from work C. Rehospitalization D. * Do not allow to work E. Do nothing 327. Differential diagnosis of food poisoning is done with: A. Cholera B. Shigellosis C. Salmonellosis D. Rota viral infection E. * All of above 328. Drug of choice for cholera prophylaxis is: A. * oxytetracycline B. chloramphenicol C. erythromycin D. penicillin E. none of these 329. Drug of choice for treating cholera in a pregnant women is: A. tetracycline B. doxycycline C. * furazolidone D. cotrimoxozole E. none of these 330. Drug ofchoice in cholera treatment is: A. * tetracycline B. sulphadiazine C. erythromycin D. ampicillin E. none of these 331. Duration of therapy of primary rehydration in cholera is. A. 30 minutes B. * 2 hours C. 6 hours D. 12 hours E. 1 days 332. El-Tor vibrio may be differentiated from classical vibrio by the fact that El-Tor vibrio: A. agglutinate chicken and sheep RBC B. resistant to classical phage IV C. resistant to polymixin B-5 unit disc D. * all of the above E. none of these 333. Endotoxin is not contained by shygella: A. Boyd B. Grigor'ev-Shig C. Zonne D. Fleksner E. * All of transferred contain 334. Etiology agent of dysentery is: A. Sh. dysentery B. Sh. zonnei C. Sh. flexneri D. Sh. boydii E. * All above it 335. Food poisoning due to Staphylococcus aureus has an incubation period of: A. * - 6 hours B. 6 - 12 hours C. 12 - 18 hour D. more then 18 hours E. less then 1 hour 336. For cholera prophylaxis drug is: A. erythromycin B. ampicillin C. * tetracycline D. biseptol 337. Greatest epidemiological role in spreding of salmonella belong to. A. * Cattle B. Gray rats C. Mice D. Fish E. Man 338. How long the incubation period last: A. 1-2 hours B. 2-3 days C. 10-15 hours D. * 5-7 days E. 7-10 days 339. How long the incubation period last: A. 1-2 days B. 2-3 days C. 10-15 days D. * 5-7 days E. 7-10 days 340. Immunity after carried shigellosis: A. Tense and species-specific B. * Untense and type specific C. Lifelong and cross D. Untense and cross E. Not formed 341. In a settlement was found out a few cases of cholera. Who must be insulated? A. Persons with disfunction of intestine B. Patients with cholera C. Carriers D. * Persons contact with the sick patient E. Persons with hyperthermia 342. In order to prevent salmonellosis should be. A. Disinfection B. Vaccination C. Chemoprophylaxis D. * Sanitary and epidemiological control over food E. All these measures are not undertaken 343. In the break out of cholera it is necessary to carry out such measures, except: A. Hyperchlorination of drinking water B. An active discovery of patients by rounds C. Obligatory hospitalization, inspection and treatment of patients and vibrio tests D. Revealing and isolation of contact persons E. * Vaccine prophylaxis 344. In the different places of settlement found out a few cases of disease of cholera. Who from the contacts of cholera patient is sent in an insulator? A. Vibrio positive B. Patients with cholera C. * Contact with the patient persons D. Persons with dysfunction of intestine E. Persons with high temperature 345. In the different places of settlement it is found out a few cases of cholera. Who from such place is directed to an insulator? A. Patients with a cholera B. Transmitters C. * Persons who had contact with the patient D. Persons with dysfunction of gastro-intestinal tract E. Persons who left the place on infection 346. Material which should be taken for bacteriological examination in case of food poisoning include: A. Suspicion food products B. Vomiting mass C. Stool of patient D. Washing mass E. * All of above 347. Method of etiotropic therapy of cholera is. A. Glucocorticoids B. Antiviral C. * Antibiotics D. Rehydration E. Vaccine 348. Oral rehydration therapy does not contain: A. sodium chloride B. * calcium lactate C. bicarbonate D. glucose E. none of these 349. ORS contains how much potassium: A. * 20 B. 30 C. 40 D. 10 E. 50 350. ORS rehydration fluid does not contain: A. Nacl B. * calcium lactate C. bicarbonate D. glucose E. none of these 351. Pathogenesis of food borne infections involves the production of: A. * Enterotoxins B. Endotoxins C. Necrotoxins D. All of above E. None of above 352. Principles of treatment of patients with shigellosis. A. Diet B. Antibacterial preparations C. Correction of dysbacteriosis D. Detoxication therapy E. * All the above 353. Quantity of NaCl in an ORS packet for making 1 litre of oral rehydration fluid is:A. * 3,5 gram B. 2,5 gram C. 1,5 gram D. 2 gram E. 3 gram 354. Regarding cholera vaccine which one of following is true: A. it is given at interval of 6 months B. long lasting immunity C. not useful in epidemics D. * not given orally E. is high effective 355. Salmonella is classified by. A. * O-antigen and H-antigen B. O-antigen and Vi-antigen C. H-antigen and Vi-antigen D. O-antigen, H-antigen and Vi-antigen E. O-antigen, H-antigen, Vi-antigen and HBsAg 356. Such concomitant diseases are instrumental in more protracted reconvalescent transmitter of shygella: A. * HIV-infection/AIDS B. Chronic hepatitis C. Chronic pancreatitis D. Adenoviral infection E. Diabetes mellitus 357. The average incubation period of cholera is: A. 24 hours B. C. D. E. * 48 hours 72 hours 96 hours 12 hours 358. The characteristic feature of El-Tor cholera are all except: A. more of subclinical cases B. mortality is less C. * secondary attack rate is high in family D. El-Tor vibrio is harder and able to survive longer E. severity is less 359. The essential therapy for cholera is. A. Diet B. Antibacterial preparations C. Correction of dysbacteriosis D. Desintoxication E. * Primary rehydration 360. The etiologic diagnosis of acute intestinal infections can be confirmed thus, except for: A. Separation of pathogen from patients and from remainder of suspicious product B. To obtain identical cultures of bacteria from a few patients from those which consumed that meal C. * Separation of identical cultures from different materials (washings, vomiting mass, excrement) at one patient at the bacterial semination them no less than 105/g and diminishing of this index in the process of convalescence D. Presence at the selected culture of Escherichia’s and staphylococcus enterotoxin E. Positive agglutination reaction or other immunological reactions with autoshtames of possible pathogen, which testify to growth of title of antibodies on the blood serum of patient in the dynamics of disease 361. The following are characteristic features of Staphylococcus aureus food poisoning except: A. * Optimum temperature for toxin formation is 37 B. Intra dietetic toxinns are responsible for intestinal symptoms C. Toxins can be destroyed by boiling for 30 min D. Incubation period is 1-6 hours E. All of above 362. The following are true about vibrio cholera except: A. * produces indole and reduces nitrares B. dies rapidly at low temperature C. synthesises neuraminidases D. vaccine confirms long immunity E. none of these 363. The function of glucose in ORS (oral rehydration solution): A. increase Na+ absorption by Co-transport B. gives sweet taste to ORS C. increase osmalality of ORS D. * increase Na+ K- pump activity E. increase Ca+ absorption 364. The growth factor required for growth of vibrio paraheamolyticus is: A. * saline B. tryptophan C. bile D. citrate 365. 366. 367. 368. 369. 370. 371. 372. 373. E. sugar The immediate treatment for toxic food borne infection is: A. Gastric lavage B. Sorbents C. Antibiotics D. * Both A & B E. All of above The main principle of therapy for re-hydration in cholera is. A. Determining the definitive degree of dehydration from clinical data B. Amount of lost liquid which was preceded at time of hospitalization C. Application of isotonic polyglucal solution D. Simultaneous introduction of liquid in more than one vessel E. * All are correct The rules of discharging of salmonellosis patients from a hospital . A. One-time negative bacteriological investigation of stool B. * Three negative bacteriological investigation of stool C. 14 days normal body temperature and the double negative bacteriological study stool and urine D. Clinical recovery and normalization rectomanoscopy picture E. Normalization rectomanoscopy picture and in the absence of antiserum to RNGA The source of agent in salmonellosis is. A. Cats B. * Farm animals C. Rodents D. Soil E. Feces of patients The source of exciter at shigellosis is: A. * Sick man B. Sick agricultural animals C. Sick rodents D. Soil E. Defecating of patients True about epidemiology of cholera is: A. * chemoprophylaxis is not effective B. boiling of water can’t destroy organism C. food can transport disease D. vaccination give 90 % protection E. rehydration is not effective True about vibrio cholera is: A. * very resistant to alkaline PH B. nutritionally fastidious C. best growth at 24 oC D. rod shaped bacilli E. all of these Vibrio cholera was discovered by: A. * Koch B. Mechnicov C. Johnsnow D. Virchow E. Jenner What clinically atypical forms of cholera do you know? A. * Very rapid of the children and elderly persons B. “Choleric typhoid”, acute subclinical, for the children and elderly persons C. Dry, very rapid, “choleric typhoid”, subclinical for the children and elderly persons D. Very rapid “choleric typhoid”, acute, subclinical, for the children and elderly persons E. Very rapid, dry, subclinical, for the children and elderly persons 374. What from is the given measures during the secondary rehydration? A. Determining degree of dehydration from clinical data B. Amount of lost liquid, which was preceded at the time of hospitalization C. Application of isotonic crystalloid solutions D. Simultaneous introduction of liquid in a few vessels E. * Amount of liquid loss 375. What from the below mentioned preparations can be used for the treatment of primary rehydration? A. Lactosalt B. * Disalt C. Acesalt D. Trisalt E. Khlosalt 376. What from the below mentioned preparations, can be used for the treatment of primary rehydration? A. * Rehydron B. Acesalt C. Khlosalt D. Kvartasalt E. Lactosalt 377. What from the below mentioned preparations, can be used for the treatment of primary rehydration? A. Acesalt B. Trisalt C. * Oralit D. Cryoplasma E. Lactosalt 378. What group of infectious diseases salmonellosis belong to? A. Sapronoz B. * Zoonosis C. Antroponoz D. Zooantroponoz E. The group is not defined 379. What inoculums material should be taken to discharge the toxins? A. * Suspected food B. Urine C. Stool D. Vomiting mass E. Medullar 380. What is most important factor in Salmonellosis transmission. A. Boiled meat B. Fish C. Water D. Sex E. * Eggs 381. What is necessary for bacteriological confirmation ofclostridial gastroenterocolitis diagnosis? A. Endo‘s medium, thermostat B. Ploskirev‘s medium and blood agar C. Blaurock‘s medium, thermostat D. Endo‘s medium, anaerostat E. * Blaurock‘s media, anaerostat 382. What is the duration of incubation period in food poisoning? A. * 2 hours - 24 hours B. 3 days C. 1 week D. 1 month E. 1 years 383. What is the kind of immunity after salmonellosis. A. Inheredited B. * Type specific C. Short term D. Not formed E. Passive 384. What is the level of morbidity of salmonellosis nowadays in Ukraine. A. Not registered B. Epidemic C. * Sporadic D. Annual outbreaks E. In endemic focus only 385. What is the main clinical symptom of food poisoning: A. Headache B. High fever C. Constipation D. Diarrhea E. * Vomiting 386. What is the transport medium for cholera: A. tellurinate medium B. chacko-nair medium C. * venkatraman-ramakrishna medium D. Mc-Leods medium E. none of these 387. What mechanism is typical for salmonellosis. A. * Fecal-oral B. Contact C. Transmissive D. Air-drop E. All possible 388. What mechanism of transmission of shygella? A. Vertical B. Transmissive C. Air-drop D. Contact E. * Fecal-oral 389. What mechanism of transmission of shygella? A. Vertical B. Transmissive C. Air-drop D. Contact E. * Anyone 390. What methods can confirm the diagnosis of food poisoning? A. Diagnostic confirmation requires isolating staphyloccocci from the urine B. Diagnostic confirmation requires isolating staphyloccocci from the stool C. Diagnostic confirmation requires isolating staphyloccocci from the liquor D. * Diagnostic confirmation requires isolating staphyloccocci from the suspected food E. All above it 391. What percentage of fluid loss will be in 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 392. What preventive and antepidemic activities in salmonella focused on the first link of epidemic process. A. * Veterinarian measures B. Revealing, hospitalization and treatment of sick people C. Systematic sanitary-hygienic control D. Disinfection E. Vaccination 393. What route of transmission is not inherent to Salmonella typhimurium. A. Milk B. Contact home C. Water D. * Sex E. Food 394. What salmonella is adapted to humans. A. * S. typhi B. S. newport C. S. cholerae-suis D. S. abortus-ovis E. S. gallinarum-pullorum 395. What season is typical for salmonellosis. A. Spring B. Winter and spring C. Autumn D. Winter E. * Summer-autumn 396. What solutions must be applied for compensatory rehydration in cholera? A. Colloid B. Hypertensive epitonic polyionic crystalloid C. * Isotonic polyionic crystalloid D. Reosorbilakt E. Isotonic solution of glucose 397. What time is it necessary to complete primary rehydration at dehydration shock? A. 3-5 hrs B. 0.5 hrs C. 2-3 hrs D. * 1-1.5 hrs E. 4-6 hrs 398. What type of outbreaks appear in salmonellosis. A. Water B. Home C. Farm D. * Food E. Milk 399. What typical dietary factor in spreading of salmonellosis. A. Juices B. Alcohol C. * Meat products D. Salad E. Water 400. When the specific complication of typhoid fever like intestinal bleeding may appier? A. On the 1st week of illness B. On the 2nd week of illness C. * On the 3rd week of illness D. On the 4th week of illness E. On the any week of illness 401. Which from the below is a complication of cholera? A. Collapse B. Infectious-toxic shock C. Acute renal insufficiency D. * Dehydration shock E. Status typhosis 402. Which from the listed products can become the causal factor of toxic food-borne infection? A. Decorative cakes B. * Galantine C. Cheese D. Fresh bread E. Tea 403. Which is not essential in cholera epidemic: A. notification B. oral rehydration therapy and tetracycline C. chlorination of well every week D. * isolation E. chemo-prophylaxis 404. Which of antibiotics are used as etiological treatment of dysentery: A. Penicillin, bicillin B. * Furazolidon C. Tetracycline D. Amynoglycosides (kanamicin) E. Cephalosporins (cephazolin) 405. Which of antibiotics are used as etiological treatment of dysentery: A. Penicillin B. Rovamicyn C. * Cyprofloxain D. Amynoglycosides (kanamicin) E. Cephalosporins (cephazolin) 406. Which of antibiotics are used as etiological treatment of dysentery: A. B. C. D. E. Penicillin * Nifuroxazid Rovamicyn Amynoglycosides (kanamicin) Cephalosporins (cephazolin) 407. Which of the following about cholera is true: A. inavasive B. endotoxin is released C. * vibriocidalantibody titre measure prevalence D. all of these E. none of these 408. Which of the following is frequent complication of food poisoning: A. * Acute heard insufficiency B. Acute renal insufficiency C. Acute lung insufficiency D. Acute brain insufficiency E. All of above 409. Which of the following is not a causative agent of food poisoning: A. Staphylococcus aureus B. Bacillus cereus C. Streptococcus haemoliticus D. Clostridium perfringens E. * Yersinia pestis 410. Which salt solutions do not contain potassium? A. Trisalt B. Lactosalt C. * Disalt D. Qudrosalt E. Khlosalt 411. Who must be admitted in the hospital from the focus of cholera? A. Carriers B. Patients with cholera C. * Persons with disfunction of intestine D. Contact persons E. Persons with high temperature 412. With the diagnosis of shigellosis antibacterial therapy is appointed a patient by the protracted course. What most frequent complication can arise up at such treatment? A. Infectiously-toxic shock B. Allergic reactions C. * Disbacteriosis D. Sprue E. Toxic hepatitis 413. With the purpose of specific prophylaxis of cholera is used: A. * Cholerogen-toxoid B. Vaccine C. Nitrofuranes D. Immunoprotein E. Antibiotics 414. After suffering a chronic carrier of hepatitis A: A. * Not formed B. Formed in 0.1-1% of cases C. Formed in 8-10% of cases 415. 416. 417. 418. 419. 420. 421. 422. 423. D. Formed in 20-30% of cases E. Formed in 50-80% of cases After suffering a chronic hepatitis B carriers: A. Not formed B. Formed in 0.1-1% of cases C. * Formed in 8-10% of cases D. Formed in 20-30% of cases E. Formed in 50-80% of cases After suffering from chronic hepatitis C carriers: A. Not formed B. Formed in 0.1-1% of cases C. Formed in 8-10% of cases D. Formed in 20-30% of cases E. * Formed in 70-80% of cases All the following medicines are hepatoprotective agents except: A. Carsil B. Silibor C. Legalon D. * Lomusol E. Arginine All the following medicines are interferons except: A. Intron B. Roferon C. Reaferon D. Leukinferon E. * Cycloferon All the hepatitis have parenteral route of transmission except: A. * A B. B C. C D. D E. TTV As etiotropic therapy of sharp and chronic viral hepatitis B utillize: A. Corticosteroid B. Immunomodulate preparations C. Cytostatics D. Antibiotics E. * Antiviral preparations At what temperature does a virus perished instantly? A. 37 C B. 56 C C. * 100 C D. 0 C E. - 10 C Autoclaving (126 C) dies HBV with: A. Perishes B. Killed immediately C. Dies after 2 minutes D. * Dies after 45 minutes E. Dies in 2 hours Basic principles of antiviral therapy for viral hepatitis. A. Individual selection of dose and rhythm of application of preparations B. C. D. E. 424. A. B. C. D. E. 425. A. B. C. D. E. 426. A. B. C. D. E. 427. A. B. C. D. E. 428. A. B. C. D. E. 429. A. B. C. D. E. 430. A. B. C. D. E. 431. A. B. C. Duration of introduction of preparations Control of amount of erytrocytes, leucocytes and thrombocytes, in blood Control of iron level in blood * All the above Call the groups of possible risk of HIV infection: Only homo- and bisexual, prostitutes and other persons who conduct disorderly sexual life: Only drug addicts who enter drugs parenterally Only recipeint of blood, its preparations, sperm and organs Only patients with venereal diseases and parenteral viral hepatitis and from the HIV infected mothers All the above Choose the indexes of efficiency of interferon therapy. * Disappearance| of markers of viral replication Improvement of the general state Normalization of the liver size Disappearance of icterus All the above Choose the indexes of efficiency of interferon therapy. Improvement of the general state * Normalization of activity of ALaT Normalization of the liver size Disappearance of icterus All the above Choose the remedies for etiotropic therapy for viral hepatitis. Antibiotics * Interferon Probiotics Vaccine Normal human immunoprotein Choose the remedies for etiotropic therapy of viral hepatitis. * Ribavirin Vaccine Normal human immunoprotein Hepatoprotector Glucocorticoid Chronic course is common for viral hepatitis except: *A B C D B+C Contra-indications for antiviral therapy of viral hepatitis. Decompensatory cirrhosis of liver Thrombocytopenia Psychic disorders Leucocytopenia * All the above Contra-indications for antiviral therapy of viral hepatitis. ecompensatory cirrhosis of liver Autoimmune disease Alcoholism and other drug addictions D. oinfection by HIV E. * All the above 432. Convalescent hepatitis B and C are discharged from the hospital after: A. Disposable negative virological testing stool B. 21 days of normal body temperature C. Normalization of bilirubin D. Improvement and normalization of transaminases E. * Clinical cure and no more than three-fold increase in transaminases 433. Criteria for assessing the severity of HBV, except for ...: A. The degree of intoxication B. The severity of jaundice C. The level of serum bilirubin D. Enlarged liver E. * High fever 434. Criteria for assessing the severity of HBV: A. The degree of intoxication B. The severity of jaundice C. The level of serum bilirubin D. Enlarged liver E. * All of the above 435. Diagnosed a patient: chronic hepatitis in the stage of integration. What markers will be in patient in this stage disease? A. HBeAg B. Antibodies to HBeAg C. DNA OF HBV D. Viral DNA-polimerase E. * HBsAg, anti-НBе 436. 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. * Parenhimatous C. Transport D. Extraliver E. Mechanical 437. Etiotropic therapy of viral hepatitis is. A. Ribavirin B. Interferon C. Inductors of interferon D. Zefix E. * All the above 438. 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 439. 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 440. 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 441. 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 442. Give recommendations convalescent hepatitis after discharge from hospital: A. medical surveillance for six months. B. Biochemical examination. C. Exemption from hard labor D. Temporary contraindications to vaccination E. * All of the above 443. Give recommendations convalescent hepatitis after discharge from hospital: A. * medical surveillance for six months., Periodic biochemical examination. B. Control bacteriological tests C. Begin to work after hospital discharge D. Continue routine immunizations on Calendar E. Observation is not necessary 444. Groups at risk of hepatitis B, C: A. Persons undergoing laboratory examination B. Addicts C. Patients receiving different injection D. Visitors Hairdressing (shaving, manicure) E. * All of the above 445. Groups of risk for hepatitis A: A. Medical profession B. * Children C. Addicts D. Recipients of blood E. All of the above 446. Groups of risk for hepatitis B, C: A. Recipients of blood B. Addicts C. Hospital patients D. Tattooing, piercing E. * All of the above 447. Groups of risk for hepatitis B: A. Medical profession B. Prostitutes C. Addicts D. Recipients of blood E. * All of the above 448. HAV contains: 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. 455. A. B. C. D. E. 456. A. B. C. D. DNA DNA and RNA H-antigen and Vi-antigen * RNA O-antigen, H-antigen and HVsAg HAV is ruind boiling on: Perishes * Killed immediately Dies after 10 xs Dies at 30 xg Dies in 1 hour HBV contains: DNA HBsAg HBeAg HBsAg * All of the above HCV contains: DNA HBeAg and HBsAg H-antigen and Vi-antigen * RNA O-antigen, H-antigen and HBsAg How many types of HIV are known? One * Two Three Four Five Immunity after suffering a hepatitis A: Cross Non-durable * Life Not formed Only after vaccination Immunity after suffering a hepatitis C: Not formed Cross Life Only after vaccination * Spesifick In what year HIV/AIDS was discovered? 1981 1982 * 1983 2002 2003 Indicators that reflect the functional state of the liver in patients with hepatitis: * Markers HBV Bilirubin Aminotransferases Urobilinuria E. Protein fractions of blood serum 457. 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 458. Indirect action of interferon therapy. A. Influenza-like syndrome B. Nausea C. Itching D. Para-hypnosis E. * All the above|| 459. Indirect action of interferons. A. Flatulence B. Diarrhea C. Nausea D. Depression E. * All the above 460. Isolation of HAV begins: A. Since the beginning of the incubation period B. * In the last 2-3 days of incubation C. With the onset of clinical symptoms D. During the period of convalescence E. From 10 to 21 days after infection 461. Mechanism of transmission of hepatitis E? A. * The fecal-oral B. Drip C. Transmissible D. Contact E. Any of these 462. 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 463. Name the most dangerous parenteral way of infection of HIV/AIDS? A. * Infusion of donor blood and its preparations B. Transplantation of organs C. njections of medications D. Diagnostic manipulations E. Intravenous introduction of drugs 464. Name the source of exciter HIV infection/AIDS? A. * Man B. Warm-blooded animal C. Poultries D. Amphibious E. Fishes 465. Non indicators test that reflect the functional state of the liver in patients with hepatitis: A. B. C. D. E. * General blood test The level of total bilirubin and its fractions Aminotransferases Urobilinuria The level of alkaline phosphatase 466. 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 % 467. On treatment of acute and chronic hepatitis B is used: A. Corticosteroids B. Immunomodulators C. Cytostatics D. Antibiotics E. * Antiviral drugs 468. On which group of infectious disease is hepatitis A belongs? A. Sapronosis B. Zoonosis C. * Anthroponosis D. Zooanthroponoses E. The group is not defined 469. On which group of infectious disease is hepatitis C belongs? A. Sapronosis B. Zoonosis C. * Anthroponosis D. Zooanthroponoses E. The group is not defined 470. Receptivity of man to HIV infection at heterosexual infection is: A. * 100 % B. 50 % C. 20 % D. 10 % E. 0,1 % 471. Risk group for hepatitis B are not: A. Medical profession B. Prostitutes C. Addicts D. Recipients of blood E. * Blood donors 472. Risk group for hepatitis C are not: A. Medical profession B. Prostitutes C. Addicts D. Recipients of blood E. * Blood donors 473. That characteristic of a partial answer of interferon therapy are all, except. A. * Disappearance of markers of viral replication 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. Normalization of activity of ALaT is upon completion of course of therapy Disappearance of icterus Normalization the state of patient Normalization of the size of liver The basic way of transmission of exciter HIV infections/AIDS are such: Aerogene Alimentary * Parentalarenteral Through a kiss Bite of mosquito| The characteristic of an unsteady answer of interferon therapy are. Disappearance of markers of viral replication upon completion of course of therapy Normalization of activity of ALaT during the course of therapy An origin of relapse in next 6 months Disappearance of icterus * All the above The clinical symptoms wich not characteristic of hepatic encephalopathy: Increase of jaundice * Meningeal syndrome Fever Reducing the size of the liver Hemorrhagic syndrome The criteria for application of etiotropic therapy in viral hepatitis is. Protracted motion of HBV, HVD Any form of HV Biochemical activity Presence of virus replication * All the above The criteria for application of etiotropic therapy for the patient with HCV. Clinical displays are insignificant Icterus is absent Moderate biochemical activity There is anti-HCV in blood * RNA of HCV + The greatest role in the epidemiology of hepatitis B are: Patients icteric form of the disease * Patients anicteric form of the disease Transient carriers Chronic healthy carriers Children The largest epidemiological role in hepatitis A is played: Patients with icteric form of the disease * Patients with anicteric and inapparent forms of the disease Transient carriers Chronic carriers Children The largest epidemiological role in hepatitis C is played: Patients with icteric form of the disease * Patients with anicteric form of the disease Transient carriers Chronic healthy carriers 482. 483. 484. 485. 486. 487. 488. 489. 490. E. Children The mechanism of transmission of hepatitis C: A. The fecal-oral B. Drip C. Transmissible D. * Contact E. Any of these The most common clinical forms of hepatitis A are: A. * Anicteric B. Dyspepsial C. Intoxication D. Febrile E. Icteric The most common hepatitis B are such clinical forms: A. * Anicteric B. Dyspepsial C. Artralgicheskaya D. Gepatomegalicheskaya E. Icteric The most common hepatitis C are clinical forms: A. * Anicteric B. Dyspepsial C. Artralgicheskaya D. Gepatomegalicheskaya E. Icteric The most intensive selection HAV in the period: A. Increasing thymol B. 5 days after the increase in transaminase levels and the peak of their activity C. Fall of transaminases D. Jaundice period E. * Before the increase in transaminases and the peak of their activity The patient becomes infectious in hepatitis B: A. Since the beginning of the incubation period B. * The last 2 months of the incubation period C. The last 2-3 day incubation period D. With the onset of clinical symptoms E. During the period of convalescence The source of the causative agent for hepatitis C is: A. * Sick people B. Sick farm animals C. Patients rodents D. Soil E. The stools of patients The source of the causative agent of hepatitis A are: A. * Sick people B. Sick farm animals C. Patients rodents D. Soil E. The stools of patients The source of the causative agent of hepatitis B are: A. * Sick people B. Sick farm animals 491. 492. 493. 494. 495. 496. 497. 498. C. Patients rodents D. Soil E. The stools of patients Type of period before jungdice of viral hepatitis: A. Catarrhal B. Asthenovegetative C. Dyspepsial D. Artralgichny E. * All of the above Type of period before jungdice, except for the ...: A. Enlarged liver B. Dyspeptic symptoms C. * Pathological impurities in feces D. Discoloration of feces E. The rich color of the urine Types of answer for interferon therapy are. A. Stable remission B. Unsteady C. Partial answer D. Absence of answer E. * All the above What authenticity of neutritional transmission of HIV? A. 100 % B. 20-40 % C. 50 % and anymore D. 10 % E. * Less than 1 % 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 What cellular receptors of man can HIV stick to? A. * CD4 B. CD8 C. CD95 D. CD40 E. CD3 What clinical features of sarcoma Kaposhi 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 What family of viruses does an exciter of HIV/AIDS belong to? A. Orto- and paramyxovirus B. Rabdovirus C. * Retrovirus D. Herpesvirus E. Reovirus 499. 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 500. What group of infectious diseases, does an exciter of HIV/AIDS belong to? A. * Antroponozis B. Zoonosis C. Sapronosis D. Saprozoonozis E. Zooantroponozi 501. What is incubation period for hepatitis B: A. 45 days B. * 180 days C. 360 days D. 90 days E. 25 days 502. What is the most important factor in HBV transmission? A. * Blood B. Urine C. Water and food D. Soil E. Milk 503. What is the most important factor in the transmission HAV? A. Blood B. Urine C. * Water and food D. Soil E. Sexual 504. What is the most important factor of HCV transmission? A. * Blood B. Urine C. Water and food D. Soil E. Milk 505. What is the typical seasonality of hepatitis B? A. Spring and summer B. Summer-fall C. * Not typical D. Winter E. Autumn 506. What is the typical seasonality of hepatitis C? A. Summer B. Summer-fall C. * None D. Winter E. Autumn and spring-summer 507. What lab tests are needed to clarify the etiological diagnosis of viral hepatitis. A. General blood test B. Ultrasound of the abdomen C. Determination of transaminases D. * RNA / DNA viruses E. Duodenal intubation 508. 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 509. What laboratory tests are needed to clarify the etiological diagnosis of viral hepatitis. A. General blood test B. Determining the level of bilirubin C. Determination of transaminases D. * Determination of markers HS ELISA E. All of the above 510. 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 511. What level do the clonals of immunological memory go down to? A. * To 1000 cell B. To 500 cell C. To 300 cell| D. To 100 cell E. To 10 cell 512. What mechanism of transmission HAV? A. * The fecal-oral B. Drip C. Transmissible D. Contact E. Any of these 513. What mechanism of transmission HBV? A. The fecal-oral B. Transmissible C. Airborne D. * Contact E. Any of these 514. 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 515. What probability of infection to ricipients of contaminated blood of HIVinfection? A. * All are infected B. Majority is infected C. Every second is infected 516. 517. 518. 519. 520. 521. 522. 523. 524. D. Every third is infected E. Infected in single cases What seasonality characteristic of hepatitis E? A. Summer B. Summer-fall C. Not typical D. * Autumn and winter E. Autumn and spring-summer What sexual contacts are the most dangerous in relation to an infection with HIV? A. Vaginal B. * Anal C. Oral D. Lesbian E. Artificial impregnation What was the main route of transmission of hepatitis A. A. * Water B. Wound C. Sexual D. Wound and sexual E. Airborne dust What was the main route of transmission of hepatitis C. A. Alimentary B. Wound C. Sexual D. * Wound and sexual E. Airborne dust What was the main route of transmission of hepatitis B. A. Alimentary B. Wound C. Sexual D. * Wound and sexual E. Airborne dust What was the main route of transmission of hepatitis E. A. Alimentary B. Wound C. Sexual D. * Water E. Contact-household 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 Which group of infectious diseases hepatitis B belongs? A. Sapronosis B. Zoonosis C. * Anthroponosis D. Zooanthroponoses E. The group is not defined Which mode of transmission is not inherent to HAV? A. B. C. D. E. Milk Contact home Water * Sexual Alimentary 525. Which seasons of hepatitis A are character? A. Spring B. Summer C. Autumn D. * Autumn and winter E. Not typical 526. Who is the source of the pathogen for hepatitis A? A. Healthy virus carrier B. * A sick person C. Animals D. People + animal E. Sick man + virus carrier 527. Who is the source of the pathogen for hepatitis B? A. Virus carrier B. A sick person C. Animals D. People + animal E. * Sick man + virus carrier 528. Who is the source of the pathogen for hepatitis C? A. Virus carrier B. A sick person C. Animals D. People + animal E. * Sick man + virus carrier 529. Who is the source of the pathogen for hepatitis E? A. Virus carrier B. A sick person C. Animals D. * People + animal E. Sick man + virus carrier 530. Who was discovered HIV/AIDS? A. I. Miosi B. B. Marshall and D. Uorren C. R. Gallo D. C. Prusiner E. * L. Montan'e and R. Gallo 531. With what diseases should be a differential diagnosis of HBV in period before jaundice? A. Influenza B. Adenovirus infection C. Foodborne diseases D. Rheumatism, rheumatoid arthritis E. * All of the above 532. With what diseases should be a differential diagnosis of HBV icteric period? A. Cholelithiasis B. Kissing disease C. Leptospirosis D. Malaria E. * All of the above 533. With what diseases should be a differential diagnosis of HBV icteric period? A. Cholelithiasis B. Malignant tumors of the liver in the gate C. Leptospirosis D. Intestinal yersiniosis E. * All of the above 534. A citizen К., goes to country with unfavorable conditions related to plague. Provide necessary measures of specific prophylaxis. A. Human immunoglobulin B. Іnterferon C. * Dry life vaccine D. Bacteriophags E. Life measles vaccine 535. A kidney syndrome at haemorrhagic fever with kidneys syndrome shows up usually: A. Only laboratory changes B. Only on BRIDLES C. * By pain in lumbar area, positive Pasternatsky symptom, development of oliguria D. By fever, polyuria, dyspepsia E. By paradoxical ischuria 536. 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 537. Among the listed below choose the complication of the tetanus, which is not late: A. Contracture of muscles and joints B. Tetanus-kifozis C. * Anaphylactic shock D. Asthenic syndrome E. Chronic heterospecific diseases of lungs 538. Among the listed below choose the complication of the tetanus, which is not early: A. Tracheobronchitis B. * Compressive deformation of the spine C. Asphyxia D. Myocarditis E. Pneumonia 539. 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 540. Among the listed below people who should receive an immediate prophylactic of the tetanus in form of AC-anatoxin 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 541. 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 542. 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 543. 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 544. At what infectious disease does conduct the spasm almost always commences in the muscles of the neck and jaw. causing closure of the jaws? A. Poisoning mushrooms B. Meningoencefalitis C. Poliomyelitis D. Rabies E. * Tetanus 545. Causing of tetanus are: A. * C. tetani B. E. coli C. Candida D. Epstein-Barr virus E. Hemolytic streptococcus group A 546. Choose dose of the specific treatment for patients with tetanus. A. 500 international units of antytetanus Ig B. 500 international units of antytetanus serum C. * 900 international units of antytetanus Ig D. 900 international units of antytetanus serum E. 900 units/kg of antytetanus serum 547. Choose dose of the specific treatment for patients with tetanus. A. 500 international units of antytetanus Ig B. 500 international units of antytetanus serum C. 500 units/kg of antytetanus Ig D. 900 international units of antytetanus serum E. * 500 units/kg of antytetanus serum 548. Choose dose of the specific treatment for patients with tetanus. A. 600 units/kg of antytetanus serum B. 900 units/kg of antytetanus Ig C. 500 units/kg of antytetanus Ig D. 900 units/kg of antytetanus serum E. * 500 units/kg of antytetanus serum 549. A. B. C. D. E. 550. A. B. C. D. E. 551. A. B. C. D. E. 552. A. B. C. D. E. 553. A. B. C. D. E. 554. A. B. C. D. E. 555. A. B. C. D. E. 556. A. B. C. D. E. 557. A. B. C. Confirm diagnosis of haemorrhagic fever with kidneys syndrome by a way of: Only virological methods Only bacteriological methods Bacteriological and serum methods Proper epidemiological information * Virologic and serum methods Confirm the diagnosis of Congo hemorrhagic fever by a way of: Only virological methods Only bacteriological methods Bacteriological and serum methods Proper epidemiological information * Virologic and serum methods Confirm the diagnosis of Ebola fever by a way of: Growth of viruses on chicken embryons Only bacteriological methods Bacteriological and serum methods Proper epidemiological information * Selection of virus on the Vero culture Confirm the diagnosis of Lassa hemorrhagic fever by a way of: Only virological methods Only bacteriological methods Bacteriological and serum methods Proper epidemiological information * Virologic and serum methods Confirm the diagnosis of Marburg fever by a way of: Growth on chicken embryos Only bacteriological methods Bacteriological and serum methods Proper epidemiologys information * Selection of virus on the Vero culture Confirm the diagnosis of Omsk fever by a way of: Growth of virus on chicken embryons Only bacteriological methods Bacteriological and serum methods Proper epidemiological information * Selection of virus on the Vero culture Diagnosis again erysipelas can be set, if the clinical symptoms appeared: 2 years after the last relapse First After 6 months. after primary treatment * 2 years after the primary disease Subsequent calls a year after the primary disease Duration of the latent period in case of tetanus: 1-6 hours 1-4 days * 5-14 days 1-6 weeks. 1-6 months For a skin form of anthrax the most characteristically: Hyperemia Painful carbuncle * Not painful carbuncle 558. 559. 560. 561. 562. 563. 564. 565. 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 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 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 exciter of tetanus characteristic such properties, except: A. Formation of exotoxins B. Ability to propagate in anaerobic conditions C. Formation of spores D. * Formation of gametes E. Gram positive 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 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 566. 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 567. For what disease is characterized emprostotonus? A. Poliomyelitis B. Brucellosis C. Pseudo tuberculosis D. * Tetanus E. Hydrophobia 568. For what disease is characterized opistotonus? A. Poliomyelitis B. Brucellosis C. Pseudo tuberculosis D. * Tetanus E. Hydrophobia 569. For what disease is characterized rizos sardonicus? A. Poliomyelitis B. Brucellosis C. Pseudo tuberculosis D. * Tetanus E. Hydrophobia 570. For what disease is characterized this symptom (the generalized spasm of soft muscles, flexion of the arms and extension of the legs)? A. Poliomyelitis B. Brucellosis C. Pseudo tuberculosis D. * Tetanus E. Hydrophobia 571. From what form of plague is highly fatal? A. Sylvatic; B. Bubonic; C. Septicemic; D. * Pneumonic. E. Bubonic and septicemic 572. 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 573. 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 574. How long does the incubation period of tetanus last? A. B. C. D. E. 1-5 days 5-10 days 3-5 days * 5-14 days 15-20 days 575. 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 576. 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 577. In case of yellow fever is absent: A. Hemorrhagic syndrome B. Kidney insufficiency C. Іntoxication syndrome D. Міalglic syndrome E. * Hepatic insufficiency 578. In most patients with Congo hemorrhagic fever temperature curve is: A. Wunderlich type B. Botkin type C. Undulating D. Intermittent E. * Two-humped 579. 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 580. In the general analysis of blood in case of Congo hemorrhagic fever not characteristically: A. Leukocytosis B. * Leukopenia C. Neutropenia D. Thrombocytopenia E. Increasing of ESR 581. 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 582. Incubation period of plague 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; 583. 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 584. Mechanism of transmission in case of tetanus are: A. Intra muscular conduction B. * Wound C. Insect conduction D. Faecally-oral E. Vertical conduction 585. Mechanism of transmission of anthrax are: A. Contact B. Alimentary C. Air-droplets’ D. Transmissiv E. * All above it 586. Mechanism of transmission of tetanus are often: A. * Air B. Contact C. Transmissiv D. Fecal-oral E. Transplacental 587. Patient A., 25 years old, is being treated concerning tetanus. Choose the specific treatment. A. Antibiotics B. * Immunoglobulins C. Anticonvulsant medicine D. Cardiac preparations E. Respiratory analeptics 588. Patient G., 25 years old, is being treated concerning tetanus. Choose the specific treatment. A. Antibiotics B. * Serum C. Anticonvulsant medicine D. Cardiac preparations E. Desinthocsication therapy 589. 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 590. Preparations for urgent prophylaxis of plague: A. Injection of human immunoglobulin B. C. D. E. 591. A. B. C. D. E. 592. A. B. C. D. E. 593. A. B. C. D. E. 594. A. B. C. D. E. 595. A. B. C. D. E. 596. A. B. C. D. E. 597. A. B. C. D. E. 598. A. B. C. D. E. * Streptomycin or tetracycline Human immunoglobulin Dry living vaccine or tetracycline generations. Interferon Specific prevention of Crimean-Congo haemorrhagic fever are: * 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 Specify the measures of urgent prophylaxis of anthrax. Anti-anthrax immunoglobulin * Penicillinum or tetracyclinum during 5 days Vaccination Medical supervision Biseptolum 5 days Symptom of Stefansky - it is: Enantema on a soft palate Enantema on a conjunctiva Shaking of tongue at an attempt to put out a tongue * Shaking of edema like to jelly at pattering a hammer in the area of edema Painful of stomach in a right iliac area Tetanus might appear in case of: * Trauma Mosquito bite Usage of stranger clothes Contact with the sick people Drink the water with poor quality Tetanus might appear in case of: * Dog bite Mosquito bite Usage of stranger clothes Contact with the sick people Drink the water with poor quality Tetanus toxin consists of all units among the listed below, except: Tetanospasmin Tetanolysin Exotoxin Low-molecular fraction * Enterotoxin The best terms of tetanus exciter cultivation: * Anaerobic conditions Oxygen supply Presence of animal albumen in nutritive medium Low temperature 1 % peptone water 599. The diagnostic endermic reaction of anthrax take: A. * Antraksin B. Dizenterin C. Ornitin D. Malein E. Brucellin 600. The diagnostic reaction of anthrax is: A. Rayt‘s reaction B. Vidal‘s reaction C. * Reaction of term precipitation of Askoly D. Paul-Bunnel‘s reaction E. Reaction of agglutination-lysis 601. The etiological factor of anthrax is: A. Salmonella thyphi B. Erysipelothrix rhysiopothiac C. * Bacillus anthracis D. Rickettsiosis sibirica E. Toxocara canis 602. The exciter of tetanus is: A. * Clostridia B. Escherichia C. Candida D. Virus E. Simplest 603. The exciter of tetanus is: A. * Clostridia B. Escherichia C. Candida albicans D. Neisseria E. Gonococcus 604. The measures of urgent prophylaxis of plague. A. Administration of human immunoglobulin B. Chlorochin (delagil) 0,25 g 2 times in week C. * 6-day’s prophylaxis with streptomycin or tetracycline D. In first 5 days intake antibiotics of penicillin or tetracycline origin E. Іnterferon 605. The most characteristic symptom in the increse period of the Congo hemorrhagic fever is: A. * Hemorrhagic syndrome B. Hepatic insufficiency C. Dyspepsia phenomena D. Sharp kidney insufficiency E. Мeningeal syndrome 606. The period of poliuria 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 607. The rules of hospitalization of patients with plague: A. To separate ward B. To ward for respiratory infections C. * To ward boxing chamber D. Patient’s are not hospitalized E. To ward for intestinal infections 608. The source of infection of anthrax is more frequent than all: A. People B. Birds C. * Home animals D. Rodents E. Fly 609. 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 610. 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 611. 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 612. 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. * At once after the trauma E. Not mentioned 613. V. Interferon A. Human immunoglobulin B. Bacteriophage C. Dry living vaccine D. * Live measles vaccine 614. 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 action of carbolic acid D. Under the action of oxygen E. Under action of antibiotics 615. 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 616. What changes in biochemical blood test inherent for haemorrhagic 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 grows 617. 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 618. What clinical form of a skin affection by anthrax is: A. Hyperemic of skins B. Vesiculs C. * Ulcer D. Phlegmon E. Abscess 619. What drug did use for the treatment of plague? A. Amoxicillin B. * Streptomycin C. Penicillin D. Biseptol E. 5-NOK 620. What etiothropic means use at treatment of haemorrhagic fever with kidneys syndrome: A. Benzylpenicillin B. Dopamine C. * Virolex D. Dexamethazone E. Etamsylatum 621. What etiothropic means use at treatment of patients with Lassa fever: A. Benzylpenicillin B. Dopamine C. * Ribavirin D. Dexamethazole E. Etamsylatum 622. What etiothropic means use at treatment of patients with Omsk fever: A. Benzylpenicillin B. Dopamine C. * Ribavirin D. Dexamethazone E. Etamsylatum 623. What etiothropic means use at treatment of patients with Marburg fever: A. Benzypenicillin B. Dopamine C. * Ribavirin D. Dexamethazone E. Etamsylatum 624. What etiothropic means use at treatment of patients with Congo fever: A. B. C. D. E. Benzylpenicillin Dopamine * Ribavirin Dexamethazone Etamsylatum 625. What etiothropic means use at treatment of patients with Ebola fever: A. Benzylpenicillin B. Dopamine C. * Virolex D. Dexamethazone E. Etamsylatum 626. What etiothropic means use at treatment of patients with Crimea fever: A. Benzylpenicillin B. Dopamine C. * Ribavirin D. Dexamethazone E. Etamsylatum 627. What is the duration of outpatient supervision for patients, recovered of tetanus? A. * 2 years B. 3 months C. 1 month D. For the decreed groups of population for life time E. There is no such supervision at all 628. What is the first aid preparation for the patient with tetanus? A. Glucocorticoids B. Analgetics C. * Anticonvulsant medicine D. Surgical treatment of the wound E. Oxygen therapy 629. What is the main feature of septicemic plague? A. * Massive bacteriemia B. Headache C. Pain in the abdominal D. Throatache E. Bleeding 630. What is the main mechanism of transmission of tetanus? A. * Airborne B. Alimentary C. Contact D. Transmisiv E. Vertical 631. What is the medical tactic development of the severe tetanus after criminal abortion? A. Anticonvulsant preparations B. Revision of the uterus cavity C. Analgesic therapy D. Antibiotics E. * All answers are correct 632. What is the prevention of erysipelas? A. Introduction antistreptokokkovogo immunoglobulin B. The use of low doses of hormones C. * Bitsillinoprofilaktika 1 per month 633. 634. 635. 636. 637. 638. 639. 640. 641. D. The vaccine E. Prevention of trauma to the skin and sore throats What is the receptivity of population to the tetanus? A. 0 % 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 material is necessary take for diagnosis of anthrax: A. Spinal liquid B. Urine C. Saliva D. * Content of carbuncle E. Nose swab What measures should be taken in relation to contact persons in case of tetanus? A. Vaccination B. Isolation of contacts C. Chemoprophylaxis D. Laboratory inspection E. * They need no measures 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 What rashes present in case of Crimea hemorrhagic fever? A. Roseola B. Maculo-papular C. Punctulate D. * Petechial E. Rashes not is characteristic What specific test is used for anthrax diagnostic? A. Compliment fixation test B. C. D. E. 642. A. B. C. D. E. 643. A. B. C. D. E. 644. A. B. C. D. E. 645. A. B. C. D. E. 646. A. B. C. D. E. 647. A. B. C. D. E. 648. A. B. C. D. E. 649. A. B. C. D. E. Indirect hemaglutination test * Coetaneous test with antraxin Hemaglutination test RIFA with anthrax antigen Whatever complication meets at the yellow fever: * Liver insufficiency Kidney insufficiency Infectious-toxic shock Myocarditis Edema of lungs When 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 Which early complications occurs in tetanus? Tracheobronchitis Asphyxia Myocarditis Pneumonia * All the above Which late complications occurs in tetanus? Contracture of muscles and joints Compressive deformation of the spine Asthenic syndrome Chronic heterospecific diseases of lungs * All the above Who are the infection source of anthrax. Birds * Wild animals Fly Human Rodents Who is the source of tetanus? Sick person Rodents * Soil Insects Cattle Who is the source of tetanus? Sick person Rodents * Soil Bacteriocarrier Sick person and bacteriocarrier Who is the source of the causal agent in the Crimean-Congo haemorrhagic fever? Rodents, cattle, birds Iksod and gamazov mites * Rodents, cattle, birds, sick people The sick man, reconvalenc, bacteriocarries Rodents, cattle, birds, sick people, bacteriocarries 650. Who is the source of the erysipelas? A. Erysipelas B. A patient with angina C. Sick with scarlet fever D. Pneumonia E. * All of the above 651. Who is the source of the pathogen faces? A. * Sick man B. Rodents C. Ground D. Insects E. Cattle 652. 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 653. With what diseases it is necessary to differentiate anthrax: A. Leptospirozis B. Typhoid fever C. Dermatitis D. * Carbuncle E. Meningococcal infection 654. Y. pestis is transmitted more frequently by: A. * Flea B. Water C. Air D. Food storage E. Tick 655. Which of these modes of transmission characteristic to the flu? A. Contact B. Transmissiv C. Alimentary D. * Airborne E. Vertical Situational tasks 1. A 23 years old person, became ill sharply: fever 38.2 C, moderate diffuse pharyngalgia at swallowing, pain and itching in the right eye. Objectively: tonsillitis, pharyngitis, conjunctivitis. What is previous diagnosis? A. * Adenoviral infection B. Enteroviral infection C. Parainfluenza D. Flu E. Acute respiratory infection 2. 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, 3. 4. 5. 6. 7. especially in natural folds, point rash on hyperemic background was found. 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 A 24 y/o man was seen by a doctor on the 2d day of illness with complaints about a fever up-to 38,1 C, painful swallowing, malaise. On the skin of trunk and extremities, especially in natural folds, point rash on hyperemic background was faund. The nasolabial triangle was white with no rash. Enantema on a soft palate, and purulent exudates on tonsils were observed. A few enlarged and painful submandibular lymph nodes were palpated. What is the most probable diagnosis? A. * Scarlet fever B. Rubella C. Measles D. Enteroviral infection E. Flu A 25 years old patient, fell ill rapidly, with chills and temperature 39,9 C, headache appeared in frontotemporal regions, pain in eyeballs, dull pain in all trunk, closed nose. Dry cough after 2 days of illness, there was nose bleeding. Objectively: hyperemia with sputum, isolated petechial rash and shallow grittiness of soft palate. Difficult breathing in lungs. What is the most possible diagnosis? A. Leptospirosis B. Adenoviral infection C. Typhoid fever D. * Flu E. Epidemic typhus A 26 y/o patient was seen by a doctor on the 2d day of illness with complaints about a fever up-to 38,2 C, headache, and malaise. Vesicular rash with red hallow was found on the skin of hairy part of head, runk and extremities. 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 A 26 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 A 27 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 8. A 33.y/o man was seen by a doctor on the 3d 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 9. 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 10. A 43 y/o man .was seen by a doctor on the 2d day of illness with complaints about a fever up-to 38,1 C, painful swallowing, malaise. On the skin of trunk and extremities, especially in natural folds, point rash on hyperemic background was found. 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. Duration of infectious cases of this diseases: A. 10 days of onset B. Prior to discharge from hospital C. Prior to the disappearance of the rash D. * Until 22 days from the onset of the disease E. Generally not contagious 11. A 45.y/o man was seen by a doctor on the 3d 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. For the treatment are shown, except for: A. Antibiotics B. Antihistamines C. Dekamevit D. * Azidothymidine E. All of the above 12. A 50 y/o man was seen by a doctor on the 3d 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 complications may be, except: A. Arthritis B. Encephalitis C. Thrombocytopenic purpura D. Congenital malformations of the fetus with the disease of the mother in the first trimester of pregnancy E. * Toxic shock 13. A child 10 years old has temperature 38,0 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 14. 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 15. 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 16. A child 3 years old has the grave condition naughty, forced breathing, dry barking coughing, voice is hoarse, perioral cyanosis. Temperature of body is subfebrile 3 days, mild common cold. Single dry wheezes can be heard in lungs. Moderate tachycardia. For which disease these symptoms are characteristic? A. Localized diphtheria of oropharynx B. Whooping-cough C. * Parainfluenza, false croup D. Bronchopneumonia E. Adenoviral infection 17. A child of age 2 years has temperature of body 37,3 C, cold, hoarse voice "barking cough" appeared suddenly the anxiety, shortness of breath, appeared with participation of auxiliary muscles. Supposed diagnosis? A. * Parainfluenza, false croup B. Diphtheria croup C. Allergic laryngitis, croup D. Flu, laryngitis E. Acute exudative pleuritis 18. A child of age 2 years old has temperature of body 37,3 C, cold, hoarse voice barking cough appeared suddenly the anxiety, shortness of breath, appeared with participation of auxiliary muscles. What is the most supposed diagnosis? A. * Parainfluenza, false croup B. Diphtheria croup C. Allergic laryngitis, croup D. Flu, laryngitis E. Acute exudative pleuritis 19. A man, 44 years old, hospitalized in infectious department in the grave condition. Complaints about expressed headache, mainly in frontal and temporal areas superciliar arcs, origin of vomiting on peak of pain. Objectively: patient is excited, temperature of body 39,0 C, AP 100/60 mm Hg. Bradycardia changed to tachycardia. Tonic cramps, meningeal signs appeared. From anamnesis it is known that father is also sick. For what level is necessary to reduce the temperature of patient A. * 38,0 C B. 37,0 C C. 37,5 C D. 36,6 C E. 35,5 C 20. A man, 54 years old, hospitalized in infectious department in the grave condition. Complaints about expressed headache, mainly in frontal and temporal areas superciliar arcs, origin of vomiting on peak of pain. Objectively: patient is excited, temperature of body 39 C, AP 100/60 mm Hg. Bradycardia changed to tachycardia. Tonic cramps, meningeal signs appeared. From anamnesis it is known that father is also sick. What treatment should be prescribed? A. * Mannitol, paracetamol, prednisolone, B. Mannitol, acetophen C. Lasix, analgin, ampicillin D. Verospiron, euphyllin, dymidrol E. Aspirin, analgin, dymidrol 21. A patient A. Tuberculosis B. Meningococcemia C. * Measles D. Enteroviral infection E. Staphylococcus sepsis 22. A patient 14 years old, hospitalized in the infectious department in severe condition with considerable headache mainly in frontal and temporal area, pain in eyeballs, in muscles and joints. Objectively: patient is excited, temperature of the body is 39 A. * Flu with pneumonia and edema of brain B. Flu, typical course C. Parainfluenza, false croupe D. Respiratory-sencytial infection E. Adenoviral infection, pneumonia 23. A patient 14 years old, hospitalized in the infectious department in severe condition with considerable headache mainly in frontal and temporal area, pain in eyeballs, in muscles and joints. Objectively: patient is excited, temperature of the body is 39 C. Bradycardia changed by tachycardia. Muscles have tonic and clonic cramps. Positive meningeal signs. It is found in epidemic anamnesis, his brother is also sick. What is your diagnosis? A. * Flu with pneumonia and edema of brain B. Flu, typical course C. Parainfluenza, false croup D. Respiratory-sencytial infection E. Adenoviral infection, pneumonia 24. A patient 17 years, 11th class student, were a lot of cases of ARI (acute respiratory infection) have happened, appealed to a doctor in clinic at 3rd day of disease with complaints of chills, general weakness, a moderate sore throat, running nose, swelling of face, watering from eyes Objective examination: minor palatal hyperemia brackets and tonsillitis, on a background of moderate edema of tissues. Conjunctivitis. During palpation not painful enlarged inframaxillary lymph nodes, and enlarged neck lymph nodes were found. Crepitation can not be find. Liver and spleen moderately increased. What is the most likely diagnosis? A. Diphtheria B. * Adenoviral infection C. Meningococcal nasopharyngitis D. Influenza E. Infectious mononucleosis 25. A patient 20 years old fell ill rapidly with increasing of temperature to 39,9 C. complains about headache in frontotemporal region, pain in eyeballs, dull ache in whole trunk, closed nose, scrapes in the throat, dry cough. There was nose-bleeding. Which group of infections is influenza for? A. Sapronosis B. Zoonosis C. * Anthroponosis D. Anthropozoonosis E. Not identified 26. A patient 26 years old, became sick rapidly: temperature 39,5 C, severe headache, mainly in frontal and temporal areas, pain in muscles and joints. Examined on the 2nd day of illness: state of middle weight, skin is clean. Moderate hyperemia with cyanosis, pulse 120 per min, rhythmic. Heart's activity is rhythmic, tones are muffled, in lungs there is vesicular breathing. What is the treatment of this patient? A. Aspirin B. * Remantadin C. Ampicillin D. Ascorbic acid E. Ribonuclease 27. 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 28. A patient 29 years old, hospitalized in the infectious department in severe condition with considerable headache mainly in frontal and temporal area, pain in eyeballs, in muscles and joints. Objectively: patient is excited, temperature of the body is 39 C. Bradycardia changed by tachycardia. Muscles have tonic and clonic cramps. Positive meningeal signs. It is found in epidemic anamnesis, his brother is also sick. Which group of this infections belong for? A. Sapronosis B. Zoonosis C. * Anthroponosis D. Anthropozoonosis E. Not identified 29. A patient 56 years old, the day before felt easy indisposition, insignificant headache, and weakness. Afterwards the temperature increased to 38,5 C with chills, headache increased considerably, mainly in forehead and temples. Skin and conjunctiva is hyperemic, dry, barking cough. Pharynx is hyperemic. On soft palate present grainy granules, placed point hemorrhages. Difficult breathing. What is the most possible diagnosis? A. Typhoid fever B. Leptospirosis C. Epidemic typhus D. * Flu E. Enteroviral infection 30. A patient admitted in the infectious department with diagnosis of acute respiratory viral infection. Became ill suddenly, the disease is accompanied by the increase of temperature of body till 39 C, by severe headache, mainly in area of frontal, temporal, above eyes, dryness in nose, itching in throat, dry cough, dull pain in all body. He had bleeding from nose twice at home. Which acute respiratory disease has the patient? A. Adenoviral infection B. C. * Flu D. Parainfluenza E. Enteroviral infection 31. A patient becomes sick very fast: chills, increasing of temperature to 40,1 C, headache in frontal and temporal regions, pain in eyeballs, close nose, dry cough and pain in the chest. The nose bleeding, nausea, double vomits. Objectively: conjunctivitis, hyperemia, edema, hemorrhages in mucous of otopharhynx, tachycardia. Blood pressure is low. Difficult breathing . For what level is necessary to reduce the temperature of patient A. * 38,0 C B. 37,0 C C. 37,5 C D. 36,6 C E. 35,5 C 32. A patient becomes sick very fast: chills, increasing of temperature to 40,1 C, headache in frontal and temporal regions, pain in eyeballs, close nose, dry cough and pain in the chest. The nose bleeding, nausea, double vomits. Objectively: conjunctivitis, hyperemia, edema, hemorrhages in mucous of otopharhynx, tachycardia. Blood pressure is low. Difficult breathing . What is the most possible diagnosis? A. Meningococcemia B. Epidemic typhus C. Leptospirosis D. * Flu E. Typhoid fever 33. A patient C., was hospitalized on the 2nd day of illness with complaints about hoarseness of voice, rough barking cough, labored breathing. Objectively: the state is severe, uneasy, pallor, temperature 37.1 C, BR 30/min., breathing is noisy, can hear from the distance, with participation of auxiliary musculature. Which viruses could cause development of similar state? A. Rhino virus B. Influenza virus C. Adenovirus D. * Parainfluenza virus E. Cytomegalovirus 34. A patient caused a doctor home. Age 75 years. Complaints of a subfebrile temperature, general weakness, pharyngalgia, conjunctivitis. In family a child is ill the acute adenoviral disease. A patient considers itself a patient the second day. At a review are found out the signs of acute blepharoconjunctivitis, pharyngitis. There are megascopic lymphatic knots: neck front and back, arm-pits and inguinal, to 1 sm in a diameter, soft, not is soldered between itself and with a surrounding cellulose. A pharynx is hyperemic, tonsills are hypertrophied and hyperemic. In lights of wheezes it is not. Breathing clean. Tones of heart are muffled. BP is 140/80 mm Hg. Ps 80 per 1 minute. Stomach soft. A megascopic liver which comes forward on 3 cm below costal arc and spleen are palpated soft, painless. Choose the most credible diagnosis: A. * Acute adenoviral infection B. Flu C. Megacaryoblastoma D. Infectious mononucleosis E. Hepatitis A 35. A patient fell ill very rapidly: chills, increase of temperature to 40,1 C, headache in frontotemporal regions, pain in eyeballs, close nose, dry cough, and chest pain. Nose bleeding, nausea, vomiting appeared after 4 hours. Objectively: conjunctivitis, hyperemia, edema, point hemorrhages in mucus of epiglottis, tachycardia. Blood pressure is low. Weaken breathing in the lungs. What is the most possible diagnosis? A. Leptospirosis B. Epidemic typhus C. * Flu D. E. Enteroviral infection 36. A patient H., 22 years old, with flu was hospitalized into infectious department with the acute worsening of the common state. Consiousness is stored. The patient strangles. Pallor of skin with cyanosis. Respiratory rate 50 per min, AP 80/55 mmHg, pulse 110 per a min, temperature 39.8 C. During percussion of lungs tympanic sound with dullness in lower quadrant was found. Crackles in the lower-back parts of lungs. What complication of influenza has developed in that patient? A. Pneumonia B. * Edema of lungs C. Edema of brain D. Infectious-toxic shock E. Meningoencephalitis 37. A patient H., 22 years old, with flu was hospitalized into infectious department with the acute worsening of the common state. Consiousness is stored. The patient strangles. Pallor of skin with cyanosis. Respiratory rate 50 per min, AP 80/55 mmHg, pulse 110 per a min, temperature 39.8 C. During percussion of lungs tympanic sound with dullness in lower quadrant was found. Crackles in the lower-back parts of lungs. What complication of influenza has developed in that patient? A. Pneumonia B. * Edema of lungs C. Edema of brain D. Infectious-toxic shock E. Meningoencephalitis 38. A patient has such complaints: a subfebrile temperature, general weakness, pharyngalgia, conjunctivitis. A child in family is has acute respiratory disease disease. At a review are found out the signs of acute blepharoconjunctivitis, pharyngitis. There are enlarged lymphatic nodes: neck front and back, arm-pits and inguinal, to 1 cm in a diameter, soft, not is soldered between itself and with a surrounding cellulose. A pharynx is hyperemic, tonsils are hypertrophied and hyperemic. Breathing is clean. Tones of heart are muffled. AP is 140/80 mm Hg. Ps 80 per 1 minute. Stomach soft. Liver is enlarged (+3 cm below costal arc) and spleen are palpated soft, painless. Choose the most credible diagnosis: A. * Acute adenoviral infection B. Flu C. Megacaryoblastoma D. Infectious mononucleosis E. Hepatitis A 39. A patient has temperature of body 40,0 C, nonproductive cough, photophobia, puffiness of face, dots on gums, blushes on the mucus. What is diagnosis? A. Tuberculosis B. C. * Measles D. Enteroviral infection E. Staphylococcal sepsis 40. A patient on the background of ARVI the fever developed to 40,1 C, frequency of breathing is 40 for a minute. What measures are necessary? A. * Decreasing of patients temperature B. Artificial ventillation C. Oxygen. inhalation D. Infusion therapy E. Antibioticotherapy 41. A patient P., 14 years old, is hospitalized in the infectious dept. in grave condition. Complaints on headache, mainly in frontal and temporal regions, superciliary arcs, vomiting on severe pain, pain on movement of eyeballs, in muscles, joints. Objectively a patient is excited, temperature of the body 39 C. BP 100/60 mmHg. Bradycardia was replaced by tachycardia. Tonic cramps appeared. Doubtful meningial signs. From anamnesis it is found that at home his brother has flu. What preparations must be injected? A. Verospiron, euphyllin, dimedrol B. * Mannitol, paracetamol, prednisolone, euphyllin C. Analgin, dimedrol, aspirin, ampicillin D. Mannitol, aspirin E. Lasix, analgin, ampicillin 42. A patient S., was hospitalized on the 3rd day of illness with complaints about hoarseness of voice, rough barking cough, labored breathing. Objectively: the state is severe, uneasy, pallor, temperature 37,1 C, BR 32/min., breathing is noisy, can hear from the distance, with participation of auxiliary musculature. Which of these mechanisms for the transfer is characteristic? A. Contact B. Transmissiv C. Alimentary D. * Airborne E. All of the above 43. A patient V., 30 years old, on the 4th day of illness a district doctor marked such subjective and objective data: insignificant indisposition, mild headache, hoarseness of voice, itching in throat, breakingdry cough, temperature of the body 37,4 C. Pulse 86/min., difficult nasal breathing, insignificant serous excretions from nose. Which acute respiratory infection does the patient carry? A. Influenza B. * C. Parainfluenza D. Adenoviral infection E. Enteroviral infection 44. A patient with flu complicated by pneumonia, during some days there are the displays of infectious-toxic shock of II degree. In BA the level of urea and creatinine increases. What from these preparations is not recommended to enter in such a situation? A. * Adrenalin B. Prednisolone C. Polioniic solutions D. Dofaminum E. Heparin 45. 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. C. * Measles D. Enteroviral infection E. Staphylococcal sepsis 46. A patient, 75 years old, called a doctor to home. Rashes and subfebrile temperature, general weakness, pharyngalgia, conjunctivitis. In family a child is ill with acute adenoviral disease. A patient considers himself ill on the second day. At a review there are signs of pharyngitis. There are enlarged lymphatic nodes: of neck, front and back, armpits and inguinal up to 1 cm in diameter, soft. Pharynx is hyperemic, tonsils are hypertrophy and hyperemic. Both lungs have wheezing sounds. Not clean breathing. Tones of heart are muffled. AP 140/80 mm Hg. Heart rate 80 for 1 minute. Stomach is soft. Enlarged liver 3 cm below costal arch and spleen is palpable. Palpation is soft, painless. Which of these mechanisms for the transfer is characteristic? A. Contact B. Transmissiv C. Alimentary D. * Airborne E. All of the above 47. A patient, 75 years old, called a doctor to home. Rashes and subfebrile temperature, general weakness, pharyngalgia, conjunctivitis. In family a child is ill with acute adenoviral disease. A patient considers himself ill on the second day. At a review there are signs of pharyngitis. There are enlarged lymphatic nodes: of neck, front and back, armpits and inguinal up to 1 cm in diameter, soft. Pharynx is hyperemic, tonsils are hypertrophy and hyperemic. Both lungs have wheezing sounds. Not clean breathing. Tones of heart are muffled. AP 140/80 mm Hg. Heart rate 80 for 1 minute. Stomach is soft. Enlarged liver 3 cm below costal arch and spleen is palpable. Palpation is soft, painless. Choose the most possible diagnosis: A. * Acute adenoviral infection B. Flu C. Hepatitis B D. Infectious mononucleosis E. Hepatitis A 48. A patient's temperature is 40,0 C. There are also deep and unproductive cough, photophobia, face puffiness whitish points on the mucous membrane of cheeks opposite molar teeth. What is the most possible diagnosis? A. Tuberculosis B. Meningococcemia C. * Measles D. Enteroviral infection E. Staphylococcus sepsis 49. A sick person, 45 years old, was hospitalized after 2 days of disease. On Sunday he came back from India (sailor). Complains about increasing of temperature to 41,0 C, severe headache, shortness of breath, cough, with sputum. Objectively: pallor, cyanosis of mucous, tachycardia. Breathing is weaken, crackles in the lower-back parts of the lungs, crepitation. What is the possible diagnosis? A. * Flu complicated by pneumonia B. Miliary tuberculosis C. Plague, pulmonary form D. Leptospirosis E. Sepsis 50. A sick woman, 42 years old, complaints about temperature 39,3 C, headache in the frontal area, pain in the eyeballs, photophobia, pain in muscles, dry cough. Became ill suddenly one day before. Objectively: state is severe. Hyperemia of the face, eyes shinny, injection of scleras. Pulse 96/min., rhythmic. Tones of heart are hypotonic. Both lungs are dissipated. Dry wheezes. Mucosa of epiglottis is hyperemic, grainy, vessels are extended. Meningeal symptoms are not present. Analysis of blood: leuk 3?109/l, A. * Flu B. Measles C. Meningococcal infection D. Pneumonia E. Epidemic typhus 51. A student, 18 years old, complains 7 days for weakness, hyperthermia to 37,8 C, mucous excretions from a nose, pharyngalgia at swallowing, pain in eyeballs. Objectively: increased lymph nodes of neck and mandible, lymphadenitis, edema and injection of conjunctiva, hyperemia of mucous of epiglottis, hypertrophy of tonsils. What is the most reliable diagnosis: A. * Adenoviral infection B. Influenza C. Infectious mononuleosis D. Rhinoviral infection E. Parainfluenza 52. At a child with the clinical displays of ARVI a generalized lymphadenopathy, one-sided conjunctivitis increase of liver and spleen, is marked. Most reliable diagnosis? A. Infectious mononucleosis B. Leptospirosis C. * Adenoviral infection D. Flu E. Pseudotuberculosis 53. At a patient with influenza diagnosed lymphadenopathy, increased of the liver and spleen. Most reliable diagnosis? A. Infectious mononucleosis B. Leptospirosis C. * Adenoviral infection D. Flu E. Pseudotuberculosis 54. In a patient of 16 years old, the disease began gradually, from the catarrhal syndrome. For 2-3 days the temperature of body increase till 38,5 C, cold, severe cough with the negligible quantity of mucous sputum, A. Ascorbic acid B. Aspirin C. * Desoxyribonucleas D. Remantadin E. Aminocapronic acid 55. In a patient with flu fever develops to 40,1 C, breathing frequency 40/min. What measures are the most effective in treatment of such complication. A. Reduce of body temperature B. Keep patient on artificial lung ventilation C. * Oxygen inhalation D. Infusion therapy E. Antibiotic therapy| 56. In girl V., 1 year old, appeared the thump of nose, dry cough, body temperature rose till 37,5 C. Next day cough become attack like with the excretion of small amount of viscid sputum. Noisy breathing. Sharply expressed expiratory dyspnoa, breathing rate 40 times/minute. During examination: acrocyanosis and emphysematous thorax, at lungs dissipated dry and single moist rales. What will be the preliminary diagnosis? A. * Parainfluenza B. Pneumonia C. Influenza D. Respiratory-syncytial infection E. Whooping-cough 57. In patient with ARVI the fever developed to 40,1 C, frequency of breathing is 40 for a minute. What measures are necessary? A. * Decreasing of patients temperature B. Artificial ventilation C. Oxygen. inhalation D. Infusion therapy E. Antibiotic therapy 58. 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 59. 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 60. Patient 22 years old, has increase temperature of body till 37,8 C. Treated under the supervision of district doctor with a diagnosis of influenza. On the 5th day of illness temperature remained the same; it began difficultly in opening eyes. On examination edema on face, expressed conjunctivitis with film stratifications. Mucous pharynx is heperemia, on the back wall of gullet considerable graininess. Lymph nodes are enlarged in neck. The general state of patient is satisfactory. This disease is related to cold. What disease you suspect? A. Leptospirosis B. Infectious mononucleosis C. * Adenoviral infection D. Allergic dermatitis E. Meningococcal infection 61. 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 62. 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 63. Patient B., 20 years old, complains about severe headache in temples and orbits, dull ache in the trunk, dry cough. Temperature of the body 39.6 C. Inflammatory changes of mucous membrane of oropharynx. Normal breathing in the lungs. What is the most credible diagnosis? A. Pneumonia B. Parainfluenza C. Respiratory micoplasma D. * Flu E. Meningococcal infection 64. Patient D., 25 years old, was admited on the 4th day of illness with the diagnosis of viral URTI, and allergic dermatitis A. * Measles B. Allergic dermatitis C. Infectious mononucleosis D. Rubella E. Scarlet fever 65. Patient L., 18 years old is sick with fever till 38 C which proceeds 5 days. he has moderate dry cough, common cold, badly opens eyes. On examination edema on face, expressed conjunctivitis with film raids. Mucous of pharynx is hyperemic, posterior wall of pharynx is grainy. Internal organs are without pathology. What form of disease does the described picture correspond to? A. Viral conjunctivitis B. Allergic dermatitis C. * Adenoviral infection D. Influenza E. Rhinoviral infection 66. Patient M., 11 years old, complains on general weakness, cough, at night suddenly temperature rose till 39,5 C, appeared restlessness, barking cough, noisy whistling breathing with drowing in supra- and subclavicular cavities, intercostal spaces. He was in contact with the patient acute respiratory viral infection. What should recommend him the first line? A. * Prednisolon, hot foot-baths B. Seduxsen, euphylin C. Euphylin, vitamin C D. Antibiotics, dimedrol E. Astmopen, diazolin 67. Patient R., 16 years old, hospitalized for 5-day illness with complaints of moderate headache in fronto-temporal region, laid nose, sore throat, pain in the left eye, rise in temperature to 38.1-38.5 C. General condition is satisfactory. Shortness of nasal breath, mucous discharging from the nose, hyperemia of face, enlargment of the neck and submaxillary lymph glands, left foamy conjunctivitis. What is preliminary diagnosis? A. Influenza B. Infectious mononucleosis C. Enteroviral infection D. * Adenoviral infection E. Influenza 68. Patient R., 21 years old, complains about severe headache in temples and orbits, dull ache in the trunk, dry cough. Temperature of the body 39,6 C. Inflammatory changes of mucous membrane of oropharynx. Normal breathing in the lungs. What is the most credible diagnosis? A. Pneumonia B. Parainfluenza C. Respiratory micoplasma D. * Flu E. Meningococcal infection 69. Patient R., 27 years old, was admited on the 4th day of illness with the diagnosis of viral URTI, and allergic dermatitis A. * Measles B. Allergic dermatitis C. Infectious mononucleosis D. Rubella E. Scarlet fever 70. Sick A., 22 years, appealed to the infectious hospital on the second day of disease with some complaints.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 71. Sick C., 10 years, appealed to the infectious hospital on the second day of disease with complaints about a pharyngalgia, increase of temperature. Objectively: temperature 39,0 C, sharp hyperemia of soft palate. Present roseol-papular pouring out on all body. Pastia's symptom is positive. What previous diagnosis can be suspected? A. Lacunar quinsy B. Diphtheria of pharynx C. * Scarlet fever D. Flu E. Infectious mononucleosis 72. Sick C., 26 years, appealed to the infectious hospital on the second day of disease with some complaints. All are the clinical signs of measles EXEPT: A. Acute beginning of high fever B. * Pain in a throat C. Maculo-papular rash D. Sequential appearance of rash E. Scaling 73. Sick C., 8 years, appealed to the infectious hospital on the second day of disease with complaints about a pharyngalgia at swallowing, increase of temperature. Objectively: temperature 38,6 C, sharp hyperemia of soft palate, tonsills, filling out, loose, on both there are festering stratifications which are taken off by a spatula. Inlaged sickly submandibular lymphonoduses are palpated. Pulse 114 per a min. Present roseol-papular pouring out on all body. Pastia's symptom is positive. It is known from epidemogical anamnesis, that its comrade had alike symptoms. It is not found out the change from the side of other organs. What previous diagnosis can be suspected? A. Lacunar quinsy B. Diphtheria of pharynx C. * Scarlet fever D. Flu E. Infectious mononucleosis 74. Sick D., 28 years old, complaints about increasing of body temperature to 39,0 C, headache in frontal area, pain in eyeballs, photophobia, pain in a muscles, dry cough. Became ill suddenly. The face is hyperemic, injection of sclera. Pulse 96 per min, rhythmic. Tones of heart are hypotonic. In the lungs dissipated dry wheezes. Mucous membrane of oropharynx is hyperemic, grainy, vessels are extended. meningeal symptoms are not present. Analysis of blood: leukocytes 3?109, A. Sapronosis B. Zoonosis C. * Anthroponosis D. Anthropozoonosis E. Not identified 75. Sick G., 18 years, appealed to the infectious hospital on the second day of disease with some complaints. 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 76. Sick M., 22 years old, complaints about increasing of body temperature to 39 A. Measles B. * Flu C. Meningococcal disease D. Epidemic typhus E. Pneumonia 77. Sick M., 22 years old, complaints about increasing of body temperature to 39 C, headache in frontal area, pain in eyeballs, photophobia, pain in a muscles, dry cough. Became ill suddenly. The face is hyperemic, injection of sclera. Pulse 96 per min, rhythmic. Tones of heart are hypotonic. In the lungs dissipated dry wheezes. Mucous membrane of oropharynx is hyperemic, grainy, vessels are extended. meningeal symptoms are not present. Analysis of blood: leukocytes 3?109, A. Measles B. * Flu C. Meningococcal disease D. Epidemic typhus E. Pneumonia 78. Sick R., 18 years, appealed to the infectious hospital on the second day of disease with complaints about a pharyngalgia at swallowing, increase of temperature. Objectively: temperature 38,6 C, sharp hyperemia of soft palate, tonsills, filling out, loose, on both there are festering stratifications which are taken off by a spatula. Inlaged sickly submandibular lymphonoduses are palpated. Pulse 114 per a min. Present roseol-papular pouring out on all body. Pastia's symptom is positive. It is known from epidemogical anamnesis, that its comrade had alike symptoms. It is not found out the change from the side of other organs. What complications may be in this patiente? A. Myocarditis B. Glomerulonephritis C. Sepsis D. Lymphadenitis E. * All of the above 79. Sick V., 17 years, appealed to the infectious hospital on the second day of disease with some complaints. 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 80. Sick W., 16 years, appealed to the infectious hospital on the second day of disease with complaints about a pharyngalgia, increase of temperature. Objectively: temperature 39,0 C, sharp hyperemia of soft palate. Present roseol-papular pouring out on all body. Pastia's symptom is positive. What complications may be, except? A. Myocarditis B. Glomerulonephritis C. Otitis D. Arthritis E. * Enterorrhagia 81. Sick, 44 years old, has complaints about pain in lumbar region, headache edema of chin. It is known from anamnesis that the sick suffers from obesity of II degree. Recently carried heavy neurological stress and had flu. He has chronic bronchitis for 5 years, chronic gastritis for 8 years. Objectively: Temperature of the body 38,2 C, AP 140/90 mm Hg. It is proposed the diagnosis of acute glomerulonephritis. What transferred factors could be the reason of disease? A. Neuro psycologic stress B. Chronic bronchitis C. Chronic gastritis D. Obesity E. * Flu 82. The patient P., 14 years old, is suffering from flu. He is hospitalized in infectious dept. due to worsening of his condition. He is conscious. A patient is suffocated. Pallor of skin covers with cyanosis, breathing rate 50 times/minute. BP-80/55 mmHg, pulse 110 times /minute. Body temperature-39,5 C. Excretion of rose foamy sputum. On percussion of lungs there is tympanic sound with dullness in lower part of lung .On auscultation there is moist rales in lower posterior part of lungs. What complication of flu appeared in patient? A. Bronchitis B. Edema of brain C. * Pneumonia D. Edema of lungs E. infectious-toxic shock 83. To the district doctor a patient, complaints on abundant excretions from a nose, moderate headache, hearing loss, perversion of taste. On examination dry of skin, nose excoriation, in a pharynx mild hyperemia. Temperature of body is subfebrile. Pathological changes of internal organs are absent. Which acute respiratory viral infection carries the patient? A. Adenoviral infection B. Parainfluenza C. * Rhinoviral infection D. E. Influenza 84. What measures are the most effective in treatment in a patient with flu fever develops to 40,1 C, breathing frequency 40/min. A. Reduce of body temperature B. Keep patient on artificial lung ventilation C. * Oxygen inhalation D. Infusion therapy E. Antibiotic therapy 85. 15 year old patient was hospitalized on the 3rd day of disease with complaints on sore throat during swallowing, fever. Disease developed after consuming of cold raw milk. Objective status: fever 38 C, tonsils are hyperemic, right tonsil is swollen with necrotic layer of white-gray color. On the right neck side doctor big lymph node is palpable, approximately of hen's egg size, painful, with distinct contours, the skin above is not changed. What is the most possible diagnosis? A. Lacunar tonsillitis B. Diphtheria of pharynx C. Plout-Vensan's tonsillitis D. Duge's tonsillitis (typhoid fever) E. * Tonsilitic-bubo type of tularemia 86. 18 year old student was hospitalized to the infectious disease department on the 2nd day of disease with complaints on sore throat during swallowing. Objective status: t - 37,5 C, light hyperemia and swelling of right tonsil, which is covered by gray-white color pellicle, slightly erected above the tonsil's surface. The pellicle is easily removed by spatula, disclosing hemorrhagic ulcer with smooth bottom. What is the most possible diagnosis? A. Diphtheria of pharynx. B. * Plout-Vensan's tonsillitis C. Lacunar tonsillitis D. Follicular tonsillitis E. Ulcerative-necrotic tonsillitis 87. 28 year old patient was hospitalized to the infectious disease department on the 3rd day of disease with complaints on sore throat during swallowing. Objective status: t - 37 C, light hyperemia and swelling of right tonsil with gray-white color layer, which is slightly erected above the tonsil's surface. The layer is easily removed by spatula, disclosing hemorrhagic ulcer with smooth bottom. What is the most possible diagnosis? A. Diphtheria of pharynx B. Lacunar tonsillitis C. * Plout-Vensan's tonsillitis D. Tonsilitic-bubo type of tularemia E. Ulcerative-necrotic tonsillitis 88. 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 89. 8 year old patient was hospitalized on the 3rd day of disease with complaints on sore throat during swallowing, fever. Objective status: fever 38 C, pronounced hyperemia of soft palate, tonsils are swollen, porous, there're purulent layer on them, which are easily removed with spatula. Submandibular lymph nodes are palpable and painful. Ps - 114 per min. Roseolic-papulous rash all over the body. Positive symptom of Pastia. Epidanamnesis: patient contacted with another patient with the similar symptoms. What is the most possible diagnosis? A. Lacunar tonsillitis B. Diphtheria of pharynx C. * Scarlet fever D. Influenza E. Infectious mononucleosis 90. A 17 years old boy, got ill suddenly: the temperature rose up-to 40,3 С, extremely sharp headache, makes him to yell. The patient is agitated and vomits frequently. Tremor of fingers of extremities is observed. The star like hemorrhagic rash of different form and sizes appeared, mainly on buttocks, thighs, shins, and trunk. Meningeal signs are positive. What is the most credible diagnosis? A. Encephalitis B. Flu with a hemorrhagic syndrome C. * Meningococcal infection D. Measles E. Leptospirosis 91. A 19-years-old patient became ill 5 days ago: subfebrile temperature, acquired voice, dry cough weakness. After hospitalization: t - 37,1 C, but the state is heavy, pallor, expressed weakness, aphonia, noisy stenotic breathing, inciters indrawings of intercostal intervals, pulse-110 shots per min., frequency of breathings 36 per min., cyanosys of lips and nailes. Tonsills is covered by the greyish dense raid. Define strategy of intensive therapy: A. Tracheotomy, AVL, antitoxin B. Tracheotomy, AVL, toxoid, desintoxic therapy C. * Sedative, intubation, antitoxin, dexametazon, desintoxic therapy D. intubation, sedative, toxoid, penicillinum, desintoxic therapy E. sedative, oxygenotherapy, antitoxin i/v 92. 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 93. A 37 years old patient, 2 days ago a spot on a hand appeared, which for days grew into pustule with a black bottom, painless at touch, with the crown of daughters vesicles on periphery. There are painless edema on a hand and shoulder. Temperature rise to 39.0 C, dizziness appeared. Pulse - 100 beats per min, AP - 95/60 mm Hg. BR - 30 per a minute. What is the most possible diagnosis? A. * Anthrax B. Plague C. Tularemia D. Brucellosis E. Herpes 94. A 40 years old scientist, became ill sharply with chill, temperature of body - 39.8 C, severe headache, vomiting, pain in muscles. Did not went to the doctor, the state had become worse, hyperemia of sclera, appeared, on lips herpes with hemorrhagic maintenance, the nose-bleeding, skin and sclera, became icteric, urine color is of strong tea, diuresis 200 ml, an anacholia was not present. What is the most reliable source of infection? A. * Rats B. Cats C. Infected people D. Bacillocarrier E. Mosquito 95. 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 96. 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 97. A boy 6 years was in the close touch with a patient with diphtheria. What treatmentprophylactic measures need to be conducted, if vaccine anamnesis is unknown? A. Introduction of AWDT vaccine B. Antibacterial therapy C. Introduction of ADT-м to the toxoid D. * Antibacterial therapy and double introduction of ADT-м to the toxoid E. Antibacterial therapy and introduction of immunoprotein 98. A child 2 years carries a diphtherial croup. There was the stop of breathing on 2nd days of whey therapy. What was the reason of asphyxia? A. * Mechanical obturation by tapes B. Stenosis of larynx C. Anaphylaxis shock D. Whey illness E. Paresis of respiratory musculature 99. A diagnosis is “diphtheria of otopharynx” put to the 3-years-old child (not instiled through the refusal of parents). Family lives in a 3-room apartment, a mother does not work, a father is the director of factory. Specify the method of isolation of child. A. * Obligatory hospitalization B. Hospitalization after clinical testimonies C. Hospitalization after epidemiologys testimonies D. Isolation in home terms E. Does not need isolation 100. A female M., 24 years old came to the doctor with long-lasting fever, night sweat. Over the past three months, weight reduced by 7 kg. Low intention for sex. Objective examination found an increasing of all lymph nodes, hepatolienal syndrome. In the blood: Leucocyte - 2,2?109. What disease should be suspected? A. * HIV infection B. Lymphogranulomatosis C. Tuberculosis D. Infectious mononucleosis E. Sepsis 101. A girl, 18 years old, became ill sharply: indisposition, pain of head, pharyngalgia, t - 38,2 C. To the doctor appealed only on the 3th day of illness. Objectively: on one of tonsills the crateriform ulcer covered by the chlor raid. During the direct backterioscopy of area of defeat found out exciters morphologically similar to spirohets sticks. What previous diagnosis? A. Aphthosis stomatitis B. Diphtheria C. * Quinsy of Vensan D. Herpetic quinsy E. Infectious mononucleosis 102. A girl, 6 years old, admitted to hospital with complaints on general weakness, increase of temperature, pain in a throat. Objectively: observed oropharyngeal mucous membrane is bright red, on tonsils - white covering, can take off easily and enlarged all groups of lymph nodes 1-3 cm in a diameter, dense and elastic in consistancy, not very painfull, are not soldered between themselves. Liver is enlarged till 3 cm, spleen - till 1 cm. In bloods - leykocytosis, plazmocytes - 20 %. What will be the credible diagnosis? A. Acute lympholeycosis B. * Infectious mononucleosis C. Angina D. Diphtheria E. Adenoviral infection 103. 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 104. A patient 17 years old, became suddenly ill: .Temperature rose to 40,3 C. Severe headache, motive excitation, frequent vomiting, tremor of fingers of extremities. Hemorrhagic spots of round form and different sizes, more frequently as stars, mainly on buttocks and trunk. Meningeal signs are positive. What is the most possible diagnosis? A. Encephalitis B. C. D. E. Flu with a hemorrhagic syndrome * Meningococcal infection Measles Leptospirosis 105. A patient 21 years old 4th day grumbles about a general weakness, moderate pharyngalgia fervescence, to 39C. Did not treat oneself. Objectively: edema and cyanosys of mucus shell of otopharynx of left tonsill rough fibrinose raid which goes out on a palatal handle and tongue. Bloodstreaks appear at the attempt of removal by his spatula. Submandibular lymphatic knots are megascopic, more on the left side. What diagnosis is most credible? A. Paratonsill abscess B. Lacunar quinsy C. Quinsy of Vensan-Symanovskiy D. * Diphtheria of otopharynx E. Infectious mononucleosis 106. 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 107. A patient A., 23 years old, hospitalized on the 2th day of disease with complaints about a weakness, pharyngalgias, that increase at swallowing, chill. State is moderate, temperature of body - 38.3 C, a mouth opens freely, moderate hyperemia with small cyanosys of mucous in the throat, tonsils is megascopic, covered by the pellicles raids which spread on a wall pharynx and tongue. Increasing of neck lymphonodes. Pulse - 88 per 1 min, BP 120/60 mm of Hg. A liver and spleen are not megascopic. What is previous diagnosis: A. * Diphtheria of oropharynx B. Mycotic tonsillitis C. Simanovsky-Vensent's tonsillitis D. Infectious mononucleosis E. Acute leucosis 108. 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 109. A patient became ill sharply. Severe pain of head, frequent vomits appeared in the morning. Temperature of body rose to 39,9 C. Adopted febrifuge, however much the state got worse. Till the evening patient lost consciousness. Excited, sharply expressed meningeal signs. What is most reliable diagnosis? A. Status typhosus in typhoid fever B. Viral meningoencephalitis C. Sepsis, infectious-toxic shock D. * Meningococcal infection, meningitis E. Status typhosus in epidemic typhus 110. A patient C., 25 years old, fell suddenly ill. Every morning severe headache, frequent vomiting, temperature of the body is 39,9 C. Adopted fatigue, then state got much worse. In the evening lost of consciousness. Expressed muscles pains of back and head. Positive Кеrning's symptom. Leukocytes - 18,0?109. What is the most reliable diagnosis? A. Flu B. Epidemic typhus, typhus state C. Viral menigoencephalitis D. Sepsis, infectious-toxic shock E. * Bacterial menigoencephalitis 111. 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 112. 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 113. 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 114. A patient D., yesterday in the evening delivered in the hospital due to high temperature of body, increasing pharyngalgia, pain lockjaw of masseters, nausea, vomits. At nasopharhyngoscopy by an otolaryngologist the moderate expressed hyperemia, edema, cyanosys of mucous membrane of left palatal tonsil, oral cavity and nasopharynx were found out. The surface of tonsil is covered by the raid of dirty-grey color pellicle which goes beyond his borders (in nasopharynx). Increasing of left submandibular lymphatic node of dense consistency was also found. The edema of hypoderm of neck reaches to the collar-bone. What is the described disease? A. * Hypertoxic diphtheria of nasopharynx B. Localized diphtheria of nasopharynx C. Subtoxic diphtheria of nasopharynx D. Widespread diphtheria of nasopharynx E. Lacunar tonsillitis 115. 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 116. A patient is hospitalized in infectious permanent establishment: sharp beginning of disease, temperature 39,9 C, moderate pharyngalgia, takes place edema, insignificant hyperemia with cyanosys of mucuses shells of otopharynx, on tonsills dense, brilliant, greyish color the raids placed as continuous pellicle, is heavily taken off, bare a surface, that bleeds. Submandibular lymphonoduss are moderatory megascopic. A patient must immediately do: A. Strokes with tonsills, nose or other areas for the exposure of diphtherial stick B. IFA C. * Microscopy (painting for Neyser) D. Haemoculture E. RDHA with a diphtherial diagnosticum 117. A patient is sick with meningococcal meningitis. He take a massive dose of penicillin. 4 days temperature of body 36,6-36,8 C. Meningeal signs are negative. When is it possible to stop the antibiotic therapy. A. * At a cytosis in a CSF 100 and less, lymphocytes prevail B. After 10 days from the beginning antibiotic therapy C. After 7 days from the beginning antibiotic therapy D. At a cytosis 100 and less, neutrophil prevail E. From 6 days from the beginning antibiotic 118. 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 119. A patient sharply had a chill, head pain, vomits, temperature of body rose up to 38,5 C. Till evening rigidity of muscles, Kernig symptom appeared. Herpetic blisters are marked on mucouse of lips and nose. Neurological symptoms is not found out expressed. What disease will you suspect? A. Subarachnoiditis hemorrhage B. Herpetic encephalitis C. Abscess of brain D. Hemorrhage in a brain E. * Meningococcal meningitis 120. A patient was delivered in permanent establishment on the 2th day of illness with the symptoms of expressed toxicosis. Objectively: found out the severe condition, hemorrhagic rash of wrong form of different size on a skin, hemorrhages in the scleras of both eyes. Extremities are cold. AP 60/20 mm/hg, pulse - 120 per minute. Previous diagnosis? A. B. C. D. E. * Meningococcemia Hemorrhagic fever with a kidney syndrome Leptospirosis Typhoid fever Pseudotuberculosis 121. A patient with meningococcal meningitis gets penicillin during 7 days. Last 4 days temperature of body is normal. Meningeal signs are absent. When is it possible to abolish an antibiotic? A. * At cytosis in liquor 100 and less, lymphocytes prevails B. At absence of leukocytosis and stab-nucleus shift in a blood C. At cytosis in liquor 100 and more less, neutrophils prevails D. At cytosis in liquor 150, lymphocytes prevails E. At once 122. A patient with meningococcal meningitis gets penicillin during 7 days. The temperature of body is normal 4 days. Meningeal signs are negative. When is it possible to stop the antibiotic therapy. A. In default of leucocytosis displacement in blood B. * At a cytosis in a neurolymph 100 and less, lymphocyte prevail C. At a cytosis in a neurolymph 100 and less, neutrophil prevail D. At a cytosis in a neurolymph 150, lymphocyte prevail E. At once immediately 123. A patient X., 25 years old, was examined by a otolaryngologist on the 4th day of illness. Temperature of body - 38.1 C. Complaints about indisposition, moderate pains in the throat. Objectively: a mouth opens fully. Mucous soft palate, handles, tongue, was swollen, insignificant hyperemia with cyanosis. Increasing of tonsills, covered by the grey dense raid. The raid is taken off free. The edema of neck is not present. Increasing of submandibular lymph nodes. What is most credible diagnosis? A. Lacunar tonsillitis B. Infectious mononucleosis C. Simanovsky-Vensent's tonsillitis D. * Diphtheria of oropharynx E. Follicular tonsillitis 124. A patient, 13 years old, complaints on pain in a throat, body temperature rise till 38 C. Objectively: hyperemia of skin, hyperpigmentation of oropharyngeal mucous , tonsils are enlarged in size, marked suppuration of follicles. During palpation enlarged posterior cervical and submandibular lymph nodes. Pulse 96 times/minute, spleen - under the edge of costal arc on 1 cm. About what disease it is necessary to think? A. * Infectious mononucleosis B. Follicular tonsillitis C. Typhoid fever D. Measles E. Acute respiratory disease 125. A patient, 20 years old, during few days complains about pharyngalgias. After supercooling the state became worse : sudden chills, increase of temperature to 40,6 C, headache. On skin of lower extremities trunk and buttocks there are a lot of different sizes of hemorragic spots, acrocyanosis. Consiouness is preserved. Meningeal signs are absent. What is the previous diagnosis? A. * Meningococcal infection B. Flu C. Epidemic typhus D. Hemorrhagic fever E. Leptospirosis 126. 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 127. 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 128. 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 129. A sick person, 65 years old, complains of rash, pain in a subscapular region. Objectively: on a skin surface of the subscapular region present the arcwise rose-red filling out hearths some infiltrative, with clear scopes. On-the-spot hearths grouped vesicles with transparent maintenance. What preparation he should take? A. Suprastyn B. Prednisolone C. Biseptolum-480 D. Loratidin E. * Laferon 130. A woman 65 years old the disease had beginning sharply from increase of temperature to 39.0 C, weakness, and pain in the left part of thorax that increased with breathing motions. On 3rd day of disease vesicular breathing appeared after motion of rib on the left on a hyperemic background. Together with sick a grandchild lives 4 years. What measures of prophylaxis of disease need to be adopted? A. Vaccination B. Final disinfection C. Reception of specific immunoprotein D. * Isolation of patient E. Acyclovir administration 131. A woman C., during 3 days complaints about a general weakness, headache increasing of temperature to 39-40 C, insignificant pharyngalgia. Her husband is sick with tonsillitis. Objectively: a skin is pale, cyanosis of lips. Hyperemia of mucous of oropharynx, increasing of tonsils. On the spot of tonsils there are continuous dense accented mother-of-pearl raids, which are taken off with great effort with bleading. Increasing of submandibular lymphatic nodes. Edema of the neck. AP 105/65 mm Hg. What is most credible diagnosis? A. B. C. D. E. Acute leucosis Lacunar tonsillitis Infectious mononucleosis * Diphtheria of oropharynx Adenoviral infection 132. ?After the disease which was accompanied by the fever and pharyngalgias, there were an odynophagia, dysarthria, weakness and violation of motions in hands and feet, hyporeflexia, violation of sensitiveness in extremities to the polyneurotic type. What disease does it follow to think about above all things? A. Neuropathy of hypoglossus B. * Diphtherial polyneuropathy C. Neuropathy of glossopharyngeus nerve D. Trunk encephalitis E. Pseudobulbar syndrome 133. Among the students of PTU 2 cases of generalized form of meningococcal infection are registered. What preparation does it follow to enter to the contact persons with the purpose of urgent prophylaxis? A. Normal immunoglobulin B. Leukocytic interferon C. * Meningococcal vaccine D. Meningococcal anatoxin E. Bacteriophage 134. 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 135. 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 136. At a child 4 years on the third day of disease the widespread form of diphtheria of nasopharynx is diagnosed. Preparation of specific therapy: A. macrolids per os B. Antibiotics of penicillin row i/m C. cortycosteroid D. * antidiphterial whey i/v E. antitoxic therapy 137. At a child 6 years with a diphtherial widespread croup the first dose of antidiphterial whey makes: A. * 40 AО 15 AО 20 AО 80 AО 60 AО 138. At a child with the catarrhal phenomena it is found out the increase of submandibular and back neck lymphatic knots, hyperplasia of tonsils with the magnificent raid of gum-blush on them as points and aits, presence of the single roseolpapular pouring out, increase of liver. Name a credible diagnosis. A. * Infectious mononucleosis B. Adenoviral infection C. Scarlet fever D. Measles E. German measles 139. At a girl, 22 years old, heavy form of diphtheria of otopharynx. Specific treatment is begun only on a 5th day from the beginning of disease, in the day of appeal of parents for medical help. The sick is instiled only in a maternity hospital. What complication of diphtheria is potentially dangerous? A. Stenotic laryngotracheitis B. Pneumotorax C. Meningoencephalitis D. Septicopyemia E. * Infectiously-toxic shock 140. At a patient by the method of specific laboratory diagnostics the confirmed noncommunicative form of diphtheria of otopharynx. Specific etiotropic treatment is appointed on the second day from the beginning of disease. Your attitude toward setting of antibiotics: A. Beside the purpose to appoint B. * Obligatory component of holiatry C. To appoint in the case of stratification of complications D. To appoint at presence of base-line and concomitant diseases E. To appoint in default of positive dynamics of local displays of diphtheria during three days 141. At a patient the dense darkly-grey raid covers tonsils is considerably megascopic and spreads for their scopes. Mucus shell bloodshot accented cyanochroic, was considerably swollen. Immediate medical measure: A. Ultraviolet irradiation of throat B. Punction of peritonsillar space C. Section of peritonsillar space D. * Introduction of antidiphterial serum E. Compress on a neck 142. At a patient the dense darkly-grey raid covers tonsils is considerably megascopic and spreads for their scopes. Mucus shell bloodshot accented cyanochroic, was considerably swollen. Immediate medical measure: A. Ultraviolet irradiation of throat B. p0unction of perstonsillar space C. Section of peritonsillar space D. * Introduction of antidiphterial whey E. Compress on a neck 143. At a patient the dense darkly-grey raid covers tonsills is considerably megascopic and spreads for their scopes. Mucus shell bloodshot accented cyanochroic, was considerably swollen. Immediate medical measure: A. * Antidiphterial whey B. C. D. E. B. C. D. E. Punction of peritonsillar space Section of peritonsillar space Microscopic research of stroke from under tape Bacteriologic examination of stroke from under pallatum 144. At a patient which appealed to the district doctor with pharyngalgias, it is discovered at a review: temperature is subfebrile, moderate hyperemia of otopharynx, megascopic left tonsill, on him dense grey-white color raid which becomes separated from heavily, mucus bleeds under him. Megascopic littlesickly regional submandibular lymphonodus. Specify a previous diagnosis? A. Lacunar quinsy B. Quinsy of Symanovskyi-Plaut-Vensan C. Adenoviral infection D. * Noncommunicative diphtheria of otopharynx E. Infectious mononucleosis 145. At a patient which carried diphtheria with an incessant pharyngalgia, disartria, weakness and loss of motions; hyperreflexia, decline of sensitiveness on a polyneuritis type developed. Put a diagnose. A. Hemorrhage in a brain B. Viral encephalitis C. * Diphtheria polyneuropathy D. Psevdobulbar syndrome E. Bulbar form of lateral Amiotrophic sclerosis 146. At a patient which treats oneself stationary on an occasion the widespread form of diphtheria of otopharynx, on a background the positive dynamics of displays of illness appeared periodic hit of spoon-meat in a nose, voice acquired a nasal tint. During a review: hang-on of soft palate and absence of his motions at fonation. On-the-spot palatal tonsills tailings of grey raid for a gum-blush, perifocal edema. What complication of diphtheria at a patient? A. * Bilateral palatoplegia B. Peritonsillar abscess C. Postpharyngeal abscess D. Edema of Kvinke E. Peritonsillar abscess 147. At a patient with meningococcal meningitis 44 years old, rose up general clonictonic cramps, abundant sweat, hyperemia of person, bradycardia quickly changed on tachycardia, violation of breathing (Cheyne-Stokes type). What complication develop? A. Infectious toxic shock B. * Wedging of cerebrum in the cervical channel C. Encephalitis D. Swelling and edema of cerebrum E. Waterhause-Friedrichsen syndrome 148. At a patient with meningococcal meningitis, in 52, there was the syndrome of cerebral hypotension on the 6th day of illness. Objectively: expressed toxicosis and dehydration of organism, meningial symptoms disappeared, muscles tones was low and areflexia developed. What complication arose up? A. * Infectious toxic shock B. Wedging of cerebrum in the cervical channel C. Encephalitis D. Swelling and edema of cerebrum E. Waterhause-Friedrichsen syndrome 149. At a patient with meningococcal nasopharynsitis in 2 days from the beginning of illness the temperature of body rose to 41С, head pain, vomit, positive Kernig and Brudzinsky symptoms appeared. In cerebrospinal liquid: cytosis 15 000 in 1 mkl, 90 % are neutrophils. What diagnosis? A. Chronic meningococcemia B. * Meningitis C. Endocarditis D. Infectious-toxic shock E. Meningism 150. At a patient with nasopharyngitis after 2 days from the beginning of illness the temperature of body rose up to 41С, head pain, vomit, positive Kernig and Brudinsky symptoms appeared. Cerebrospinal liquid: cytosis 15000 in 1 mkl, 90 % are neutrophils. Diagnosis? A. Chronic meningococcemia B. Endocarditis C. * Meningitis D. Meningism E. Meningococcal nasopharyngitis 151. At a patient, 13 years, a pharyngalgia appeared, the temperature of body rose to 38C. Objectively: dermahemia mucus of otopharynx bloodshot, tonsills are megascopic in a size, suppuration of follicles is marked. Megascopic submandibular lymphatic knots are palpated. Pulse 96 shots per min. What disease does it follow to think about above all things? A. Infectious mononucleosis B. * Follicle quinsy C. Typhoid D. Measles E. Acute respirator disease 152. At a patient, 17 years: angina. Temperature 38,2 C, generilised lymphadenopathy (the first multiplied neck lymphatic knots which are located along m. sternocleidomastoideus), small icterus, hepatospleenomegaly. Previous diagnosis? A. Tuberculosis of lymphatic knots B. Bacterial quinsy C. Diphtheria D. * Infectious mononucleosis E. Megacaryoblastoma 153. At a patient, 17 years: tonsils, temperature 38,2 C, generilized lymphadenopathy (the first multiplied neck lymphatic knots which are located along m. sternocleidomastoideus), small icterus hepatospleenomegaly. What exciter causes this disease? A. Herpesvirus I type B. Herpesvirus ІІ type C. Herpesvirus ІІІ type D. * Herpesvirus ІV type E. Herpesvirus V type 154. At a patient, 35 years, sharp beginning of disease happened. Symptoms of nasopharyngitis. Body temperature - 39,5 С, head ache, which is accompanied with vomits, myalgias. Hemorrhagic rash, that are localized on scleras, brushes, feet, buttocks. Rigidity of cervical muscles, Kernig and Brudzinsky symptoms are expressed. Neutrophilic leucocytosis in common blood analisis.What is most credible diagnosis? A. * Meningococcal infection B. Typhoid fever C. Yersiniosis D. Leptospirosis E. Epidemic typhus 155. At a student 25 years on a background sharp development of illness is fervescence to 40 C, rapid growth of intoxication - a pharyngalgia appeared at swallowing. Objectively: oedematousness and hyperemia of mucuses shells of otopharynx and tonsills. On the tonsils there is raid of grey-white color, which is taken off by a spatula in the type of pellicle, that does not dissolve in water and is not ground by a spatula. In place of the taken tape off sanguifluousness. Suspected diphtheria of fauces. What most expedient medical tactic? A. * Obligatory hospitalization of patient and introduction of antidiphtheria whey B. Ambulatory treatment of patient and introduction of antidiphtheria whey C. Introduction of antidiphtheria whey D. Setting of antibiotics therapy ambulatory E. Hospitalization of patient in permanent establishment and setting of antibacterial therapy 156. At a two year child is subfebrile temperature, dryness of mucuses, pallor of skin, increase of lymphonoduss. In a pharynx - on a background stagnant hyperemia greyish bilateral pellicle-form raids which do not spread outside amygdales. Absence of effect from antibacterial therapy. Previous diagnosis? A. Streptococcus quinsy B. Infectious mononucleosis C. * Noncommunicative diphtheria of otopharynx D. Quinsy of Symanovskiy-Plaut-Vensan E. Acute leucosis 157. 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 158. At maintenance of call on a house a district paediatrician put to the sick child 5 years old, diagnosis “Acute lacunar tonsillitis”. Specify, who must carry out the laboratory inspection of patient and in what terms. A. Worker of SES upon receipt report B. A district medical sister is at once after determination of diagnosis C. Doctor pediatrician in 5 hours D. * Doctor pediatrician at once after determination of diagnosis E. District medical sister on a next day 159. At sick L, 35 years old, a diagnosis is set is diphtheria of pharynx, noncommunicative form. What first dose of antitoxic antidiphtheria whey is it necessary to appoint? A. 120 thousand of AО B. 80 thousand of AО C. * 30 thousand of AО D. 50 thousand of AО E. 150 thousand of AО 160. At sick person with the combined form of diphtheria of tonsills, larynx and front departments of nose on the 2nd day of stay in permanent establishment the state became worse: a weakness grew, pain appeared after a breastbone, vomiting. Objectively: patient is adinamic, pale, acrocyanosys. Pulse 54 per 1 min, weak filling. Cardiac tones are muffled, chaotic extrasystoles. BP is 80/40 mm Hg. Liver +3 cm. What complication arose up at a patient? A. B. C. D. E. Infectiously-toxic shock anaphilaxis shock cardiogenic shock * Early myocarditis Late myocarditis 161. At sick, that grumbled about the massive salivation, during the objective inspection it is found out gingivitis, separate rather yellow ulcers on tongue, mucus shell of cheeks, ash, moderate increase, and painful back neck lymphonoduses. What previous diagnosis? A. * Herpetic stpmatitis B. Diphtherial adenoiditis C. Infectious mononucleosis D. Abscess of epipharyngeal tonsill E. Herpetic quinsy 162. At the patient B., 35 years, after the disease which was accompanied by the fever and pharyngalgias, there were an odynophagia, dysarthria, weakness and violation of motions in hands and feet, hyporeflexia, violation of sensitiveness in extremities to the polyneurotic type. What disease does it follow to think about above all things? A. neuropathy of hypoglossus B. * Diphtherial polyneuropathy C. neuropathy of glossopharyngeus nerve D. Trunk encephalitis E. pseudobulbar syndrome 163. At the patient C., 13 years, a pharyngalgia appeared, the temperature of body rose to 38 C. Objectively: dermahemia mucus of otopharynx hyperemic, tonsills are megascopic in a size, suppuration of follicles is marked. Megascopic submandibular lymphatic knots are palpated. Pulse 96 shots per min. What disease does it follow to think about above all things? A. Infectious mononucleosis B. * Follicle quinsy C. Typhoid D. Measles E. Acute respirator disease 164. At the patient P, 20 years old, reconvalescent from heavy form of diphtheria in 10 days after excerption a general weakness pain and paresthesias appeared from permanent establishment (5th week from the beginning of disease), mainly in the distal departments of extremities. Independently can not be tricked into on feet. Objectively: considerable symmetric atrophy of muscles of extremities, especially - lower. To the tendon reflexes are mionectic. In a neurolymph is moderate pleocytosis is albumen-cellular dissociation. Your diagnosis? A. * Syndrome of Gienne-Barre B. Diphtherial polyneuropathy C. Poliomyelitis D. Transversal myelities E. Ascending paralysis of Landri 165. Child 3 years from having many children social-unprosperity family is ill 3 days. The disease began sharply, from the increase of temperature to 38,0 C, barking cough hoarseness voice. In a dynamics on a background of subfebrile temperature a cough became soundless. At a review: the state is heavy, inciter shortness of breath with the indrawing of jugular fossula, cyanosys of nasolabial triangle, HR -160 per minute, tonsills filling out, hyperaemia accented cyanochroic. In the plan of differential diagnostics the most reliable is: A. B. C. D. E. Viral croup * Diphtherial croup Respirator chlamidiosis Infectious mononucleosis Epiglottiditis 166. Diagnostics of quinsy background on such criteria: epidemiologys information, sharp beginning, fever, tonsillitis, regional lymphadenitis, neutrophilic leycocytosys. What research must be conducted in an obligatory order by a patient with the diagnosis of quinsy? A. Selection from mucus of otopharynx haemolitic streptococcus B. Biochemical blood test C. * Strokes from otopharynx and nose on bacteria of diphtheria D. Hemoculture E. IFA 167. During the examination of a patient with pharyngalgias subfebrile temperature, moderate hyperemia of mouth, increasing of left tonsil with grey-white cover which becomes bleading during separation. Megascopic submandibular leftside lymphatic nodus. What is previous diagnosis? A. * Diphtheria of oropharynx B. Lacunar tonsillitis C. Simanovsky-Vensent's tonsillitis D. Adenoviral infection E. Infectious mononucleosis 168. During the examination of a patient, 17 years old, observe tonsilitis, body temperature 38,2 C, generalized lymphadenopathy (cervical ltmph nodes, located along the m. sternocleidomastoideus), mild jaundice, hepatospleenomegaly. What is preliminary diagnosis? A. Tuberculosis of lymph nodes B. Bacterial tonsillitis C. Diphtheria D. * Infectious mononucleosis E. Lymphogranulematosis 169. Female patient, 20 years old, complains of sore throat, general weakness, and headache. Objective status: fever 39 C, Ps 110 per min, pharyngeal mucosa is hyperemic, tonsils are swollen, porous, covered with layer, which is easily removed with spatula, without bleeding. What is the most possible diagnosis? A. Follicular tonsillitis B. * Lacunars tonsillitis C. Simanovsky-Vensan's tonsillitis D. Infectious mononucleosis E. Ulcerative-necrotic tonsillitis 170. Female patient, 23 years old, fell ill in the end of the summer, when body temperature increased to 37,2 C, light headache and weakness appeared. During 7 days patient received ambulatory treatment with diagnosis acute respiratory infection, but condition worsen and she was hospitalized. Objective status: fever 40 C, Ps 96 per min, arterial pressure 110/70 mm Hg. Tongue has teeth marks, abdomen is soft, swollen, hepatosplenomegalia. Defecation is absent. Tonsils are hyperemic and swollen, right tonsil is ulcerated. What is the most possible diagnosis? A. Plout-Vensan's tonsillitis B. Herpetic tonsillitis C. Ulcerative-necrotic tonsillitis D. Infectious mononucleosis E. * Duge's tonsillitis (typhoid fever) 171. Female patient, 24 years old, complains of sore throat, general weakness. Objective status: fever 38 C, Ps 96 per min, skin and pharyngeal mucosa are hyperemic, tonsils are swollen, porous. Jugular and submandibular lymph nodes are palpable, spleen is increased + 1 sm. What is the most possible diagnosis? A. Scarlet fever B. Acute respiratory infection C. Follicular tonsillitis D. Typhoid fever E. * Infectious mononucleosis 172. In 18 years old patient, diphtheria of mouth pellicle severe form was diagnosed. On the 6th day of disease pain in the heart region, palpitation were appeared. Pulse - 120 per 1 min, systolic noise on apex of heart. On ECG is incomplete blockade of left leg of Giss bunch. What complication has developed? A. * Early infectious-toxic myocarditis B. Myocardial dystrophy C. Heart attack of myocardium D. Acute cardio-vessel insufficiency E. Stenosis of mitral valve 173. In a newborn, the septic state was accompanied with the increase of temperature to 40 oC which developed on 5th day, with pneumonia expressed intoxication: pallor, vomiting, shortness of breath, disturbance, cramps. Appeared rash (blisters with hemorrhages) on skin, mucous membrane of mouth cavity, throat and conjuctiva. The child suffers with congenital herpes. Lungs: difficult breathing and vesicular wheezing. Mild enlargement of liver. What is the most reliable diagnosis? A. * Herpetic infection B. Cytomegaloviral infection C. Chicken pox D. Rubella E. AIDS 174. In a patient, 27 y.o., on the 5th day of respirator disease, there was sharp head pain, that was accompanied by nausea, repeated vomits, hyperesthesia, photophobia. At a review: lies with the neglected head, feet are bended to the trunk, expressed rigidity of muscles of the back of head, positive symptoms of Kerning's, Brodzinsky's. It is not found out paresises. Select a basic neurological syndrome. A. * Meningeal syndrome B. Syndrome of liquor hypertension C. Syndrome of liquor hypotension D. Root syndrome E. Vegetative crisis 175. In a patient, 35 y.o., sharp beginning of disease, precedingnasopharyngitis, t 39,5C, headache, which is accompanied with vomits, myalgias, hemorrhagic rash, that is localized on sclera, fists, feet, buttocks; rigidity of cervical muscles, symptoms of Kering's and Brudzinsky's are positive, expressed neutrophilic leukocytosis. What most credible diagnosis? A. Typhoid fever B. Yersiniosis C. Leptospirosis D. * Meningococcal infection E. Thrombocytopenic purpura 176. In a policlinic the patient C., 18 years old, appealed with complaints about a moderate pharyngalgia, head pain, general weakness fervescence, to 38,9 C. It is ill already three days. Objectively: it is found out megascopic back neck, and inguinal lymphatic knots, hepatospleenomegaly, subicterus scleroticas and skin, changes in a throat, characteristic for tonsils. At the hemanalysis - lymphomonocytosis. Credible diagnosis? A. * Infectious mononucleosis B. Follicle quinsy C. Adenoviral infection D. Flu E. Viral hepatitis 177. In a policlinic the patient C., 18 years old, appealed with complaints about a moderate pharyngalgia, head pain, general weakness fervescence, to 38,9 C. It is ill already three days. Objectively: it is found out megascopic back neck, and inguinal lymphatic knots, hepatospleenomegaly, subicterus scleroticas and skin, changes in a throat, characteristic for tonsils. At the hemanalysis - lymphomonocytosis. Principles of treatment? A. Antibiotics, hepar protective preparations, antihistaminic B. Antiherpetic preparations, hepar protective preparations, antihistaminic C. * Antibiotics, preparations of interferon, hepar protective preparations D. Antibiotics, Antiherpetic preparations , antihistaminic E. Antibiotics, preparations of interferon, vitamins 178. In an epidemic cell rationally to organize verification of the state of immunity. The Use of RUHA allows to find out persons unimmune to diphtheria during a few hours. What minimum protective titre? A. 1:10 B. 1:20 C. * 1:40 D. 1:80 E. 1:160 179. 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 180. In infectious permanent establishment a patient is hospitalized with the moderate increase of temperature of body, insignificant pain at swallowing, hemilesion of tonsills, with formation of deep ulcer with unequal edges, the bottom of which is covered by the dirty green-grey raid; pellicles are easily taken off. What disease does it follow to think about above all things? A. Diphtheria of otopharynx B. Ulcer-necrotic quinsy C. Herpes quinsy D. * Quinsy of Symanovskyi-Plaut-Vensan E. Aphthosis stomatitis 181. In patient R., 34 years old with general intoxication and increased body temperature up to 38 C, appear pain in region of right auditory canal and next day distortion of face to the left side. Review: softening of frontal and nasal-mouth skin folds, right eyelid cleft is wider than left, mouth cavity turned left, right eyebrow doesn't move upwards and cheek is strenght. Right xerophthalmia, xerotomia and disordered taste sensation on the surface of right anterior 2/3 half of tongue. Herpetic vesicles in right exterior auditory canal and auricle. What is the most possible diagnosis? A. Rossolimo-Melkerson-Rozental's syndrome right side B. Postherpetic neuralgia of I-st and II-nd branch of right trigeminal nerve C. Postherpetic neuralgia of all 3 branches of right trigeminal nerve D. Sluder's syndrome right side E. * Hant's syndrome 182. In preschool the registered case of diphtheria. What from the measures adopted below does not conduct to the contact children? A. * Introduction of antidiphterial whey B. Non-permanent is stroke from a pharynx and nose for the bacteriologic examination C. Daily is supervision during 7 days D. Determination of titres of specific antibodies E. At the repeated cases of disease is extraordinary revaccination diphtheria 183. In the kindergarden a child had a meningococcal infection. She was immediately hospitalized. After clinical convalescence in child sowed meningococcus. To which category can the carrier (child) of pathogen belongs? A. Convalescent, chronic B. * Convalescent, acute C. Healthy D. Immune in vaccinated E. Immune in those, that had infection 184. Male patient, 13 years old, complains of sore throat, fever 38 C. Objective status: Ps 96 per min, skin and pharyngeal mucosa are hyperemic, tonsils are swollen, porous. Jugular and submandibular lymph nodes are palpable, spleen is increased + 1 sm. What is the most possible diagnosis? A. Infectious mononucleosis B. * Follicular tonsillitis C. Typhoid fever D. Measles E. Acute respiratory infection 185. Male patient, 22 years old, complains of sore throat, general weakness, headache. Objective status: fever 38 C, Ps 100 per min, pharyngeal mucosa is hyperemic, tonsils are swollen, porous, covered with layer, which is easily removed with spatula, without bleeding. What is the most possible diagnosis? A. Follicular tonsillitis B. * Lacunar tonsillitis C. Simanovsky-Vensan's tonsillitis D. Infectious mononucleosis E. Localized dyphtheria of pharynx 186. Patient 15 years, hospitalized in permanent establishment on the 3th day of illness with complaints on a pharyngalgia at swallowing, fever. The disease binds to the use of unboiled milk. At a review: temperature of body 38 C?; a pharynx is hyperemic, right tonsill is megascopic, filling out, with necrotizing stratification of grey-white color. On a neck business lymphonodus by a size with chicken egg, moderatory sickly, with clear contours, a skin above him not is changed. Previous diagnosis? A. lacunar quinsy B. Diphtheria of otopharynx C. Quinsy of Symanovskyi-Plaut-Vensan D. Quinsy of Duge E. * Anginal-bubonic form of rabbit-fever 187. 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 188. Patient 60 years old complain of pains in right hand which last for 2 days. On the 3rd day appeared vesicular chain-like rash on the skin of arm, forearm and fist. Sensitivity in the rash area is decreased. Which disease can be diagnosed? A. Dermatitis B. * Herpetic ganglionitis C. Neck-thorax radiculitis D. Psoriasis E. Allergy 189. Patient A., 17 years old, became ill gradually. A general weakness, fatigue, pain in throat, stomach-ache, nausea, was marked. He was hospitalized on the 5th day of illness. Objectively: body temperature 38 C, increased cervical, cubital and axillary lymph nodes. Subecteric skin and sclera. Observed elements of spot-papul rash on a trunk. Raids on tonsils are loose, yellow, tongue coated by white covering, a stomach is moderately swollen, hepatospleenomegaly. In general blood - leucocytosis, neutrophyle shift to left, atypical mononuclears - 10 %, plasmatic cells - 10 %. What is preliminary diagnosis? A. * Infectious mononucleosis B. Yersyniosis C. Lacunar tonsillitis D. Viral hepatitis A E. Typho-paratyphoid disease 190. 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 191. Patient A., 23 years suddenly experienced intensive head pain, nausea, pain in a neck, and lumbar. Examination is delivered in a clinic. Objectively: hemorrhagic rashes on a body. Temperature 40,2 C. Expressed meningeal symptoms. Light, haptic, pain hypesthesia. Blood: leucocytes - 25 thousand/l, ERS-29 mm/hr. A neurolymph is turbid, neutrophilic erythrocytosis, meningococci. What is your diagnosis? A. Staphylococcus meningitis B. Tubercular meningitis C. * Meningococcal meningitis D. Viral meningitis E. Pneumoccocal meningitis 192. 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 193. Patient A., complains of redness of the skin and edema on the right cheek. During a review: body temperature 38,7 C, enlarged and painful right submandibular lymphatic nodes, the border between red and normal skin is sharp, present vesicles with dark content, palpation is painful. Your primary diagnosis? A. * Erysipelas, hemorrhagic form B. Anthrax, skin form C. Herpetic infection D. Varicella (chickenpox) E. Phlegmone of the cheek 194. Patient B, 29 years, appealed to the clinic with complaints about the increase of temperature bodies, pain of head, dull ache in joints, chill, pharyngalgia, that increased at swallowing. Objectively: hyperemia of otopharynx, tonsills are hyperaemic, hypertrophied, on both are necrotizing areas of darkly-grey color, after removing a layer by the layer of which the deep defect of mucus shell appeared with an uneven bottom, sickly regional lymphatic knots are megascopic. What illnesses is it necessary to conduct differential diagnostics with? A. Diphtheria B. Rabbit-fever C. Lupus D. Infectious mononucleosis E. * With all listed above 195. Patient B, after disease, which was accompanied by fever and sore throat, has signs of dysphagia, dysarthria, weakness of limb muscles, hypoaesthesia of polyneurotic type. What is the most possible diagnosis? A. Sublingual nerve neuropathy B. * Dyphtherial polyneuropathy C. Glossopharyngeal nerve neuropathy D. Encephalitis E. Bulbar syndrome 196. Patient B., 18 years old, entered infectious department with complaints about headache, general weakness increasing of temperature to 37.5-38.2 C during 6 days, pharyngalgia. Objectively: all groups of lymphonodes are megascopic 1-3 cm in a diameter, elastic, littlesickly, not soldered between itself. A liver is megascopic on 3 cm, spleen - on 1 cm. Common blood analysis: atypical mononuclears - 15 %. What is reliable diagnosis? A. Acute lympholeukosis B. Adenoviral infection C. * Infectious mononucleosis D. Diphtheria E. Acute streptococcus tonsillitis 197. Patient B., 22 years, became ill sharply, when insignificant pharyngalgias appeared at swallowing, nasal voice. Objectively: on left tonsill and there is the pellicle raid on a handle. It is diagnosed: lacunar quinsy, appointed penicillinum and rinse 2 % by solution of soda. On the second day pellicles spread on a soft palate and tongue. On a neck the edema appeared to the collar-bone, voice nasal. Tones of heart are muffled, pulse 90 per min, BP is 95/65 mm HG. What most expedient medical tactic in this case? A. Antibiotics of group of penicillinum and diphtherial toxoid B. By the rinse 2 % by soda solution in combination with the peroral setting of erythromicinum C. Autohemotherapy, warming compresses and quartz D. Opening paratonsill cellulose E. * Antitoxic antidiphterial whey and benzylpenicillinum 198. Patient B., 34 years, appealed with complaints about the increase of temperature bodies, pain of head, dull ache in joints, chill, pharyngalgia, that increased at swallowing. Objectively: hyperemia of otopharynx, tonsills are hyperemic, hypertrophied, on both are necrotizing areas of darkly-grey color, after removing a layer by the layer of which the deep defect of mucus shell appeared with an uneven bottom, sickly submandibular lymphonoduses are megascopic. Diagnose? A. Diphtheria B. Follicle quinsy C. Lacunar quinsy D. Quinsy of Symanovskyi-Plaut-Vensan E. * Necrotizing-ulcerous quinsy 199. 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 clonictonic cramps in right extremities. Expressed asymmetry of person. Sharply expressed rigidity of muscles of the back of head, positive Кеrnig symptom, positive overhead and lower Brudzinsky symptom. On the skin of overhead and lower extremities, buttocks, trunk abundant hemorrhagic rashes “star shape” character with necrosis in a center. Acrocyanоsis is marked, temperature of body 38,8 С, hyperemia of pharynx Breathning 36/min, unrhythmical. Vesicular breathing during auscultation. Pulse 72/min, weak filling and tension. Heart tones are muffled, AP 80/50 mm/hg. Tongue is dry, assessed by the white raid. Physiology sending in a norm. Your diagnosis? A. Epidemic typhys B. Hemorrhagic fever C. Leptospirosis D. Typhoid fever E. * Meningococcal infection 200. Patient C., 16 years old, consulted to the infectious hospital on the 2nd day of diseases with complaints for a pain in throat at swallowing, increase of temperature. Objectively: body temperature 38,6 C, sharp hyperemia to the pharynx, edematous and loose tonsils, on both sides - purulent covering which can be taken off easily by spatula. By palpation painful enlarged submandibular lymph nodes. Pulse 114 times/minute. From epidemic anamnesis it is clear that the same symptoms had her boyfriend. Changes in other organs didn't observe. What preliminary diagnosis can be suspected? A. * Lacunar tonsillitis B. Diphtheria of pharynx. C. Infectious mononucleosis. D. Influenza E. Scarlet fever 201. Patient C., 28 years, appealed to the infectious hospital on the third day of disease with complaints about an insignificant pharyngalgia at swallowing. Temperature 37 C. At the review of otopharynx - on a background insignificant hyperemia and edema of right tonsill, grey-white raid some lifted above a surface; he is easily taken off by a spatula, opening a sanguifluous ulcer with a smooth bottom. About what disease is it necessary to think? A. Diphtheria of otopharynx B. lacunar quinsy C. * Quinsy of Symanovskyi-Plaut-Vensan D. Anginal-bubonic form of rabbit-fever E. Ulcer-necrotic quinsy 202. Patient C., 60 years old during one year has 4th relapse of Herpes zoster. Recommended treatment and relapses prophylaxis? A. * Valcyclovir B. Acyclovir C. Herpevir D. Proteflazid E. Cycloferon 203. Patient D, 24 years old, grumbles about a general weakness, increase of t to 37,5C, pharyngalgia, edema of neck. Objectively: the mucus shell of otopharynx was swollen, cyanochroic, tonsills is megascopic, covered by tapes, which spread for their scopes, is taken off heavily. What basic mechanism of development of this disease? A. Accumulation of unoxidized products B. Action of bacterial endotoxin C. Allergic D. Bacteriaemia E. * Action of bacterial exotoxin 204. 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 205. Patient D., 30 y.o., teacher, examined by the doctor of first-aid and delivered to a clinic on the 2nd day of illness. Fell ill sharply, temperature 40 C, sharp head pain, repeated vomits photophobia. The general condition is severe, consciousness is darkened. On the skin of stomach, buttocks and lower extremities is зірчаста rash. Sharply expressed rigidity of neck muscles, positive Kernig symptom. Pulse 100 min, weak; tones of heart deaf, AP 60/30 mmHg. Your diagnosis? A. Flu, toxic form B. Crimean hemorrhagic fever C. Disease of blood D. Hemorrhagic stroke E. * Meningococcal infection, meningococcemia 206. Patient D., 30 years, have been examined by emergency doctor and delivered in a clinic on the 2th day of illness. Fell ill sharply, temperature 40 С, sharp head pain, repeated vomits, photophobia. The common state is severe, consciousness is darkened. Star-like shape rashes at the skin of abdomen, buttocks and lower extremities appeared. Sharply expressed rigidity of cervical muscles, positive Kernig symptom been present. Pulse 100/min, weak, tones of heart seak, BP 60/30 mm/hg. Your diagnosis? A. B. C. D. E. * Meningococcal infection Flu, toxic form Marburg hemorragic fever Leptospirosis Hemorrhagic stroke 207. Patient D., 32 years, appealed on the third day with complaints about a sharp general weakness, change of voice, pharyngalgia. Objectively: dense pellicles occupy all surface of tonsills, tongue, handles; a hypoderm was swollen from both sides to the middle of neck. Cardiac activity is satisfactory: pulse 90 per min, BP is 95/65mm Hg; temperature of body 38,3 C. Your diagnosis? A. Combined diphtheria B. Diphtheria of otopharynx, middling-heavy form C. Infectious mononucleosis, heavy form D. * Diphtheria of otopharynx, heavy form E. Diphtheria of nasopharynx, heavy form 208. Patient D., was hospitalized with complaints on fever, sore throat, trismus of masticator muscle, nausea, vomiting. Data of pharyngoscopy: moderate hyperemia, swelling, cyanosis of left tonsil and pharyngeal mucosa. Tonsil is covered with thick gray-white pellicle, which is spreading beyond the tonsil. On the left neck side big submandibular lymph node is palpable. Swelling of neck spreads to the clavicle. What form of disease has developed? A. Toxic dyphtheria of pharynx of the III degree B. Subtoxic dyphtheria of pharynx C. Localized dyphtheria of pharynx D. Spread dyphtheria of pharynx E. * Toxic dyphtheria of pharynx of the II degree 209. Patient K., 21 y.o.., the disease began from the increase of temperature to 39,0C, headache, chill, repeated vomit. Objectively: temperature of 39,3 C, pulse 76 tense. Rigidity of muscles of the back of head. The tendon reflexes are expressed. Analysis of liquor: cytosis 1237 in 1 ml, from them: 84 % neutrophiles, 16 % lymphocytes, reaction to Panda ++, albumen 0,66 g/l, liquid is turbid, flows out under the promoted pressure. Bacterioscopy found out in liquor gram.(-) cooks morphologically similar with meningococcus. What disease is most reliable? A. Serous meningitis. B. Infectious mononucleosis C. * Meningococcal infection:purulent meningitis D. Second festering meningitis E. Meningococcal infection: serous meningitis 210. Patient K., 56 years old, during last 5 days has Herpes zoster with localization of the process on the right cheek and paraauricular region. Treating with herpevir. Today pain in the right eye appeared. During examination present of edema of eyelid and hyperemia of conjunctiva. What is the action of a physician? A. Prescribing eye drops (оphtan, аlbucid and other) B. Prolonged treatment with herpevir C. * Immediately consultation of ophthalmologist D. Intensify treatment with antiviral drugs E. Prescribe warm compress 211. Patient of 20 years old, on the 2nd day of illness painful swallowing, general weakness, headache complaints about. Objectively: temperature 39.0 C, pulse - 110 per 1 min, mucous of mouth is hyperemic, tonsils is enlarged in sizes, loose, covered by the raid, that is easily taken off, surface after the removal is not bleeding. What disease is it necessary to think about? A. B. C. D. E. Tularemia Diphtheria of mouth Simanovsky-Vensent's tonsillitis Infectious mononucleosis * Acute streptococcus tonsillitis 212. Patient P, 17 years old, has got ill gradually. General weakness, fatigue, painful throat, and nausea were marked. He was hospitalized on the 5th day of illness. Objectively: temperature is 38 С. Objectively: skin and sclera are yellowish, neck, anticubital and subclavian lymph nodes are enlarged. Not numerous mculo-papular elements of rash on a trunk are found. The tongue is covered with white coat. The tonsils covered with white yellowish patches.On palpation of stomach enlarged spleen and liver are found. In blood there is leucocytosis with neutophylic shift, atypical mononuclears-10 %, plasmatic cells- 10 %. What would be the diagnosis? A. Scarlet fever B. * Infectious mononucleosis C. Typhoid fever D. Iersiniosis E. Lacunar tonsilitis 213. Patient P., 10 years old, hospitalized with combined form of diphtheria of tonsils, larynx and nose. On the 2nd day in the hospital patient's condition worsened: general weakness, pain in the cardiac region, vomiting. Objective status: adynamia, paleness, acrocyanosis. Ps 54 per min, weak. Cardiac tones are muffled, extrasystole. AP - 80/40 mm Hg. Liver + 3 cm. What complication has developed? A. Infectious-toxic shock B. Anaphylaxis shock C. Cardiogenic shock D. * Early myocarditis E. Late myocarditis 214. Patient S., 20 years old refered to the doctor with such complaints: prodromal respiratory illness, sore throat, fever, headache, stiff neck, vomiting, confusion, irritability. Previous diagnosis. What main methods can confirm the diagnosis? A. Epidemic typhys. ELISA-test B. Hemorrhagic fever. ELISA-test C. Leptospirosis. Lumbar puncture. D. Typhoid fever. ELISA-test E. * Meningococcal infection. Lumbar puncture 215. Patient was consulted by doctor with complaints on sore throat. Objective status: subfebrile temperature, moderate hyperemia of pharynx with cyanotic tint, left tonsil is swollen with thick gray-white layer, which is hardly removed with bleeding. Regional submandibular lymph node is increased, light painful. What is preliminary diagnosis? A. Lacunar tonsillitis B. Plout-Vensan's tonsillitis C. Adenoviral infection D. * Localized diphtheria of pharynx E. Infectious mononucleosis 216. Patient was consulted by family doctor with complaints on sore throat. Objective status: subfebrile temperature, moderate hyperemia of pharynx with cyanotic tint, left tonsil is swollen with thick gray-white layer, which is hardly removed with bleeding. Regional submandibular lymph node is increased, light painful. What is preliminary diagnosis? A. Lacunar tonsillitis. B. Plaut-Vensan's tonsillitis C. Adenoviral infection D. * Localized diphtheria of pharynx E. Infectious mononucleosis 217. 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 39-40С. Objectively: patient adynamic, consciousness is stored. Temperature of body 37,5 С, the state as severe, pale skin, lips and nail phalanxes cyantic, hemorrhagic rashes on the skin of trunk and hands, the scopes of heart are extended to the left on 1,5 cm, tones deaf, pulse 130/min, weak filling, BP 80/40 mm/hg. Vesicular breathing. Tongue is assessed, moist, phenomena of pharyngitis present. Inlargement of neck lymphonodes. Meningeal symptoms are not present. Oliguria. What is previous diagnosis? A. Hemorrhagic fever B. Leptospirosis C. Epidemic typhus D. * Meningococcal infection E. Typhoid fever 218. Patient Н., was hospitalized with a diagnosis diphtheria of pharynx, widespread form. At the review of oropharynx stratifications of gum-blush accented mother-of-pearl on tonsils pellicles, which are heavily taken off, a surface bleeds under them. What medical measures are primary? A. Introduction of non steroid and ant inflammatory drugs B. Introduction of antibiotics C. * Introduction of ant diphtheria serum D. Introduction of glucocorticoids E. Disintoxication therapy 219. Patient, 15 y.o., became ill 3 days ago. Complains of headache, закладеність nose, pain in a throat, temperature of 37,4C. Next days : headache increased, a temperature risen to 38,3C, repeated vomits. Objectively: a skin is pale, without rash. Mucous membrane of posterior wall of throat is moderately hyperemic, swollen. Pulse 86, satisfactory filling. Meningeal signs are positive. What is needed to conduct the selection of pathogen: A. * Bacteriological research of liquor B. Biological test on mice C. Intracutaneous test D. Reaction of Vidala's E. Smear of the blood on bilious bullion 220. Patient, 16 y.o., during 3 days there was a increase of temperature to 38 C, першіння in a throat, indisposition. Next 2 days felt better. A temperature was normal. There was a chill on a 6th day, a temperature rose to 40 C, intensive, quickly increased headache, through 3 hours - repeated vomits. The state is heavy, consciousness is absent, psychomotor violations expressed meningeal signs. Meningitis is suspected. What is his etiology? A. Meningococcemia B. Crimean hemorrhagic fever C. Hemorrhagic fever with a renal syndrome D. * Typhoid fever E. ECНО-eczanthema F. NSWER: A G. Tubercular H. Enteroviral I. Postinfluenzal J. Meningococcal K. Lymphocytic choreomeningitis 221. Patient, 23 y.o., suddenly experienced intensive head pain, nausea, pain in a neck and lumbar area.. БШМД is delivered to the clinic. Objectively: on a body hemorrhagoc rash.. Temperature of 39,2C. Expressed meningeal symptoms. Light, tactile, pain hyperesthesia. Blood: leucocytes-25x10 9/l, ESR-29 mm/hour. What method of inspection is most informing? A. * Lumbar puncture B. Computer tomography C. Electroencephalography D. Transcranial dopplerography E. Echoencephalography 222. Patient, 24 years old, with diagnosis dyphtheria was admitted to the infectious disease department. What remedy is most effective for treatment and should be used immediately? A. Antibiotics B. Oxygenotherapy C. * Antitoxic antidyphtherial serum D. Antipyretic drugs E. Sulfanilamides 223. Patient, 25 years old, came to the physician on the 3rd day of disease with complains of rash on the mouth, external nose and ears, which are itching and painful. Objectively: T-37,7 C. On the not changed skin of mouth, nose and ear auricle there are vesicles with size of 1-2 mm grouped localization. About what disease you can think? A. Erysipelas, bulbous form B. Anthrax C. * Herpetic infection D. Eczema E. Streptodermic infection 224. Patient, 35 years was hospitalized with diagnosis localized diphtheria of pharynx. What is the first dose of antitoxic antidyphtherial serum? A. * 30 000 AU B. 50 000 AU C. 80 000 AU D. 120 000 AU E. 150 000 AU 225. Patient., 40 years, entered infectious separation on the 2th day of illness with complaints about pain of head, enhanceable temperatures of body, pharyngalgia at swallowing. It is objectively found out hyperemia of otopharynx, on megascopic tonsills there are necrotizing areas of darkly-grey color, after removing a layer by the layer of which the deep defect of mucus shell appeared with an uneven bottom, sickly regional lymphonoduss are megascopic. What research needs to be done to this patient? A. Backterioscopy B. * Stroke with otopharynx on BL C. Washing off from otopharynx D. Occupied to the blood on sterility E. Serum inspection 226. Person 16 years entered permanent establishment on 6 day of illness. Illness began from a cold and cough. Temperature 37,7 C. The state became worse: severe head pain, frequent vomits unconnected with a meal appeared. The common state is heavy. Pupils are extended, photoharmose is not present. Positive meningeal symptoms. General hyperesthesia. Tones of heart are deaf, BP 100/50 mm/hg. What reliable diagnosis? A. Infectious mononucleosis B. * Meningococcal meningitis C. Toxic food-born infection D. Influenza E. Typhoid fever 227. Sick 15 year old, became ill 3 days back. Disturbed| headache, running nose, pharyngalgia, temperature of 37,4 C. Next days: headache increased, a temperature had rose to 38,3 C, repeated vomiting. objectively: a skin is pale, without rash. Mucus of the posterior wall of pharyx moderate bloodshed filling out. Pulse 86/min satisfactory filling. Meningeal signs positive. It is needed to conduct for the selection of exciter. A. Bioassay on mice B. Endermic test C. Widal test D. Cultivation on bilious clear soup E. * Bacteriological examination of CSF 228. Sick 23 years became ill at the end of summer, when a temperature rose to 37,2 C, insignificant head pain weakness appeared. To 7th day of illness treated oneself ambulatory on an occasion ARD. The state became worse, hospitalized in permanent establishment. Temperature of body 40 C, pale, sharp weakness. Pulse 96 shots per min, BP is 110/70 mm Hg. A language with the imprints of teeth, stomach soft, is blown away, hepatospleenomegaly. Emptying is not present. There is hyperemia and hyperplasia of palatal tonsills, on-the-spot right are ulcers. What disease is it needed to think about (from transferred below)? A. Quinsy of Symanovskyi-Plaut-Vensan B. Herpes quinsy C. Ulcer-necrotic quinsy D. Infectious mononucleosis E. * Quinsy of Duge 229. 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 230. 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 231. Sick E., the student of 11 class, where the noted cases of ARVI have happened, appealed to the policlinic on the 3rd day of illness with complaints about a chill, general weakness moderate pharyngalgia, cold, edema of tongue. Objectively: insignificant hyperemia of palatal tonsils on a background the moderate edema of fabrics. Conjunctivitis. Soft, unpainfull submandibular, neck and inguinal lymphatic nodes were revealed. A liver and spleen were moderate inlarged. What is most credible diagnosis? A. Influenza B. Diphtheria C. Meningococcal nasopharyngitis D. * Adenoviral infection E. Infectious mononucleosis 232. Sick F, 20 years old, disturbs a pharyngalgia at swallowing, general weakness head pain. Objectively: temperature of body 39 C, pulse 110 shots per min, mucus of otopharynxis hyperaemic, tonsils are megascopic in sizes, loose, covered by the raid, that is easily taken off by a spatula, a surface does not bleed after the removal of raid. About what disease is it necessary to think? A. Follicle quinsy B. * Lacunar quinsy C. Quinsy of Symanovskyi-Plaut-Vensan D. Infectious mononucleosis E. Ulcer-necrotic quinsy 233. Sick F., 16 years old, complaints about a general weakness, painfull swallowing, pharyngalgia. Objectively: the mucous membrane of mouth is brightly red, tonsils are covered by white raids, which were taken off easily, increasing of all groups of lymphonodes, 1-3 cm in diameter, dense, elastic, not soldered between itself. A liver is megascopic on 3 cm, spleen - on 1 Cm. Common blood analysis: leucocytosis, mononuclear - 20 %. What is credible diagnosis? A. * Infectious mononucleosis B. Acute lympholeukosis C. Acute streptococcus tonsillitis D. Diphtheria E. Adenovirus infection 234. Sick K., 21 year, student, appealed to the doctor on the second day of illness with complaints about the pharyngalgia of head, fervescence, pharyngalgia, that increases at swallowing. From epidemiologic anamnesis: day prior to that visited a friend which was ill a scarlet fever. It is objectively discovered in lacunas of palatal tonsills accumulation of pus as the yellow-white raid, sickly submandibular lymphonoduss are megascopic. Diagnose? A. Catarrhal quinsy B. Follicle quinsy C. * Lacunar quinsy D. Necrotizing-ulcerous quinsy E. Quinsy of Symanovskyi-Plaut-Vensan 235. Sick K., 29 years old, complaints about increasing of temperature to 38.2 C, headache, weakness, pharyngalgia, which increase at swallowing. Disease began sharply 2 days ago. Objectively: pallor of skin surface. Pulse 110 per 1 min. Tones of heart are muffled, especially first. Tender systolic noise. AT 100/65 mm Hg. Inflammatory changes of tonsils and soft palate. On the spot of tonsils pale-grey cover which spreads out of their borders, is heavy to taken off, dense. Increasing of regional lymph nodes. There is the edema of hypoderm, which reaches to the middle of the neck. What is the most credible diagnosis: A. * Diphtheria of oropharynx B. Infectious mononucleosis C. Simanovsky-Vensent's tonsillitis D. Lacunar tonsillitis E. Paratonsillar abscess 236. 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 237. Sick person with complaints about increase of temperature to 37,8 C, moderate pharyngalgias during 3 days appealed to the doctor. Objectively: increasing of submandibular lymph nodes to 3 cm. Hypertrophy of tonsils, they are covered by the grey pellicle that spreads on a tongue, front palatal arches. What is most credible diagnosis? A. * Diphtheria of oropharynx B. Infectious mononucleosis C. Simanovsky-Vensent's tonsillitis D. Adenoviral infection E. Candidosis 238. Sick, 17 years old, became ill sharply after supercooling: fever 39,5 C, pain of head and muscles, pharyngalgia at swallowing, aching pain at lumbar region, palpitation. Palate and tonsils are hypertrophied, bright red, in the lacunes festering raid. A lacunar quinsy is diagnosed. What method of laboratory research most effective in this case? A. Biochemical hemanalysis B. Microscopic research of festering maintenance of lacunes C. Immunological hemanalysis D. Biological method of research E. * Bacteriologic examination of festering maintenance of lacunes 239. Sick, 24 years old, complaints on a pain in a throat, general weakness. Objectively: temperature 38,0 C. pulse 96 shots per a min., dermahemia mucus of otopharynx bloodshot, tonsils are enlarged in sizes, loose. During palpation-enlarged posterior cervical and submandibular lymph nodes, a spleen comes forward from under the edge of costal arc on 1 cm. About what disease it is necessary to think? A. Scarlet fever B. Acute respirator disease C. Follicle tonsillitis D. Typhoid fever E. * Infectious mononucleosis 240. Sick, 49 years old, became ill 3 days ago: fever 37,2 C, pharyngalgia. On right tonsill grey pellicle for a gum-blush by a thickness 2-3 mm, spreads on a soft palate. Previous diagnosis: Diphtheria of right tonsill and soft palate. What method of laboratory research most effective in this case? A. * Bacteriologic examination to the stroke, taken from under pellicle B. Microscopic research to the stroke, taken from under pellicle C. Immunological hemanalysis D. Biological method of research E. Biochemical hemanalysis 241. 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 242. Sick, 54, hospitalized in an infectious department in a severy condition. Complaint about the expressed headache, mainly in frontal and temporal areas, superciliary arcs, origin of vomit on height of pain, pain at motions by eyeballs, in muscles and joints. Objectively: a patient is excited, temperature of body 39 C, BP?100/60 mm Hg. Bradycardia changed by tachycardia. There were tonic cramps. Doubtful meningeal signs. From anamnesis it is known that at home a woman is ill. What preparations must be entered? A. * Mannitol, lasix, prednisolone, euphylin, suprastin B. Mannitol, acetophene C. Lasix, analgin, ampicillin D. Veroshpiron, euphylin, dimedrol E. Aspirin, analgin, dimedrol 243. Sick, in 24, disturbs a pharyngalgia, general weakness. Objectively: temperature 38 C. Pulse 96 shots per min, dermahemia mucus of otopharynx bloodshot, tonsills are megascopic in sizes, loose. Palpated megascopic back neck and submandibular lymphatic knots., a spleen comes forward from under the edge of costal arc of to 1 sm. What methods of diagnostics is it possible to confirm a diagnosis by? A. Reaction of Paul-Bynnel, Right-Heddlson, Goffa-Bauer B. * Reaction of Paul-Bynnel, Lovrik-Volner, Goffa-Bauer C. Reaction of Paul-Bynnel, Right-Heddlson, Lovrik-Volner D. Reaction of Paul-Bynnel, Goffa-Bauer E. Reaction of Paul-Bynnel, Goffa-Bauer, Right-Heddlson, Lovrik-Volner 244. Student, 25 years old, has signs of acute disease - fever (t 40 C), rapid intoxication, headache, sore throat. Objective status: tonsil is swollen with thick graywhite pellicle, which is hardly removed with bleeding, pellicle is not soluble. Doctor supposes it is diphtheria of pharynx. What is the most rational tactic of treatment? A. * Compulsory hospitalization of the patient and injection of antidyphtherial serum B. Out hospital treatment of the patient and injection of antidyphtherial serum C. Injection of antidyphtherial serum D. Out hospital antibacterial treatment E. Hospitalization of the patient and antibacterial treatment 245. 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 maculo-papular 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 246. The otolaryngologist during the review of patient marked hyperemia, considerable edema of tonsills with the grey raid on them. During the microscopy of raid it was found out sticks located under a corner to each other. What disease does it follow to think about? A. Scarlet fever B. C. D. E. Streptococcus quinsy * Diphtheria Quinsy of Vensan Staphylococcus quinsy 247. 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 248. 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 249. The sick 49 years old grumbles about pain at swallowing, weakness, fervescence to 38,7 C. Skin pale. In the area of tonsills, tongue and soft palate considerable edema hyperemia accented cyanochroic and greyish dense pellicle. The pellicle are not taken off. Megascopic front-neck lymphonoduss, edema of hypoderm of neck to the first neck fold. Tones of heart are deaf, pulse 100 shots per minute, BP 120/90 mm Hg. What from the methods of research is not obligatory? A. * Electro-encephalography B. Bacteriologic examination of strokes from otopharynx C. Electrocardiography D. Laryngoscopy E. Determination of level of CPC and LDG in the whey of blood 250. To the infectious diseases department was admitted patient M. 58 years old, with complains of pain in left part of thorax, fever. During a review: body temperature 37,5 C, on the level of XI-XII intercostals spaces on hyperemic-edemous shadow grouped small vesicles with transparent content. Preparation of choice for treatment of this patient? A. Suprastyn B. Prednisolon C. Biseptol-480 D. Cymeven E. * Laferon 251. What complication has developed in patient with diphtheria of mouth pellicle severe form was diagnosed. On the 6th day of disease when pain in the heart region, palpitation were appeared. Pulse - 120 per 1 min, systolic noise on apex of heart. On ECG is incomplete blockade of left leg of Giss bunch? A. * Early infectious-toxic myocarditis B. Myocardial dystrophy C. Heart attack of myocardium D. Acute cardio-vessel insufficiency E. Stenosis of mitral valve 252. With epidbonfire hospitalized sick Н. 23 years old with a diagnosis diphtheria of pharynx, widespread form. At the review of pharynx on tonsills pellicles stratifications of color of gum-blush accented mother-of-pearl, which were heavily taken off by a spatula, a surface bleed under them. When will she can be written out? A. After disappearance of clinical symptoms B. After disappearance of clinical symptoms and receipt of negative result of bacteriologic examination of mucus with tonsills and nose on the exciter of diphtheria with a two-day interval C. After disappearance of clinical symptoms and receipt of negative results of two bacteriologic examinations of mucus with tonsills and nose on the exciter of diphtheria with a three-day interval D. After disappearance of clinical symptoms of diphtheria and receipt of negative results of three bacteriologic examinations of mucus with tonsills and nose on the exciter of diphtheria with a three-day interval E. * After disappearance of clinical symptoms of diphtheria and receipt of negative results of two bacteriologic examinations of mucus with tonsills and nose on the exciter of diphtheria with a two-day interval 253. Worker, 22 y.o., became ill sharply: t 39C, great pain of head, frequent vomits. Objectively: the condition is severe, psychomotor excitation, moans due to the great pain of head, expressed rigidity of neck muscles. Sharply positive symptoms of Brudzinsky's and Kernig's, general hyperesthesia. What needs to be done for clarification of diagnosis? A. * General blood analysis and liquor analysis B. General blood analysis and blood sterility C. Computer tomography of cerebrum D. X-ray of skull in two projections E. Analysis of the excrement and urine for a pathological flora 254. Young 17 years patient complaints about headache, pharyngalgia, increasing of temperature. He feels bed during 2 days. At examination: the state is severe, temperature - 38.5 C, hyperemia of mucous of oropharynx, edema of pellicles stratifications on tonsils. Increasing of lymphatic nodes, edema of soft tissues of the neck. What is previous diagnosis? A. * Diphtheria of oropharynx B. Tularemia, tonsil-bubonic form C. Infectious mononucleosis D. Paratonsillar abscess E. Adenoviral infection 255. 29 years old sick man complaints of a weakness, diarrhea. He rested on a south, where cases of diarrhea were. Objectively: temperature of body 36,4 C, skin is clean, acrocyanosys, tongue is dry, a abdomen is soft, not painful, defecating is abundant, watery, with the flakes of white color, odourless and admixtures. What is the preliminary diagnosis? A. * Cholera B. Shigellosis C. Giardiasis D. Intestinal Yersiniosis E. Salmonellosis 256. 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. * Salmonellosis E. Shigellosis 257. 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 258. 5 patients during 15 hours were admited In a hospital. All of them have similiar complains of mild diarrhea and vomiting developed ,diplopia, midriasis, visual disturbance, difficult swallowing, dry mouth, difficulty in breathing. All patients together joined in a dinner party, used different dishes, including meat, salad, canned mushroom. The most likely diagnosis. A. Cholera B. * Botulism C. Thypus D. Salmonellosis E. Rotaviral gastroenteritis 259. A farmer O., 50 years old, hospitalized in a moderate condition with complaints about dryness in mouth, multiple vomitings, pain in the epigastriums and frequent watery stool. First aid to the patient is? A. Hypersaturated oxygen B. Transfusion of fresh-frozen plasma C. Tetracyclin D. * Intravenous introduction of salt solutions E. Introduction of polyhybrid 260. A Pakistani, 30 years old, severly ill: with the complains of frequent diarrhea like rice water. Objectively: body temperature 35,4 C, skin of peripheral parts of the body cold to the touch, acrocyanosis, xerostomia, sharply decreased skin elasticity and turgor. What should be done to assess the degree of dehydration. A. Measurement of central venous pressure B. Determination of urea and creatinine in blood C. Funduscopy D. Plain X-ray film of abdomen E. * Determination of specific gravity of blood plasma 261. A Pakistani, 30 years old, severly ill: with the complains of frequent diarrhea like rice water. Objectively: body temperature 35,4 C, skin of peripheral parts of the body cold to the touch, acrocyanosis, xerostomia, sharply decreased skin elasticity and turgor. What should be done to assess the degree of dehydration. A. Measurement of central venous pressure B. Determination of urea and creatinine in blood C. Funduscopy D. Plain X-ray film of abdomen E. * Determination of specific gravity of blood plasma 262. A patient G., 30 years old, complains for a pain at the bottom of abdomen of attack-type character, frequent liquid stool to 10 times per days. In the first 3 days there was a high temperature; from the 2th day of illness is the liquid insignificant defecating with the admixture of mucus. Sigma-meson is spasmodic, painful. What is the preliminary diagnosis? A. Cholera B. C. D. E. Intestinal amoebiasis Salmonellosis * Shigellosis Balantidiasis 263. A patient is delivered with the previous diagnosis of shigellosis. State of patient of middle heavy, BP is 105/70 mm Hg, pulse - 90 per min. 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, rehydratation therapy C. Levomicetynum, diuretics, sorbents D. * Furazolidonum, rehydratation therapy, sorbents E. Furazolidonum, levomicetynum, rehydratation therapy 264. A patient J., 23 years old, became ill suddenly. Profuse diarrhea with frequent and large amount vomits. A patient arrived from one of countries of south-east Asia, where was near 3 weeks. T 36,1 C. An abdomen is pulled in, painless. The stool has the appearance of rice-water. What most reliable changes will be in a blood? A. Decrease amount of erythrocytes, leucocytes, relative tightness of plasma of blood, hypopotassemia, metabolic acidosis. B. * Increase amount of erythrocytes, leucocytes, relative tightness of plasma of blood, hypopotassemia, metabolic acidosis. C. Decrease amount of erythrocytes, leucocytes, increase of relative tightness of plasma of blood, hyperpotassemia, metabolic acidosis. D. Increase amount of erythrocytes, leucocytes, relative tightness of plasma of blood, hyperpotassemia, metabolic acidosis. E. Increase amount of erythrocytes, leucocytes, relative tightness of plasma of blood, hipopotassemia, metabolic alkalosis. 265. A patient L., who returned from Crimea, developed diarrhea at 5AM. Bowel movements are each 1-1.5 hrs, watery, without mucus and blood. In 12 hrs a single episode of vomiting developed. The temperature of body at first rise to 37.3 oC, stomachaches is present. he was examined by the doctor of first-aid and delivered to an infectious isolation with the diagnosis of acute intestinal infection.Which disease is most probable for the patient? A. Intestinal echerihiosis B. Salmonellosis C. Echeriosis D. Food poisoning E. * Cholera 266. A patient was hospitalised after 4 hours of consumption of raw eggs, complaining frequent vomiting, abdominal pain, mostly in the right iliac area and umbilical area. Objectively pale skin, dry tongue with gray coating, hypotension, tachycardia. What tests should be carried out to confirm the diagnosis. A. General blood analysis B. Parasitological examinations C. Microscopic examination of stool D. Biological test E. * Coproculture 267. A patient was hospitalised after 4 hours of consumption of raw eggs, complaining frequent vomiting, abdominal pain, mostly in the right iliac area and umbilical area. Objectively pale skin, dry tongue with gray coating, hypotension, tachycardia. What tests should be carried out to confirm the diagnosis. A. General blood analysis B. Parasitological examinations C. Microscopic examination of stool D. Biological test E. * Coproculture 268. A patient, 36 years old, farmer, fell ill gradually. Indisposition, unacute abdomenache appeared, disorders of stool (8-12 times per days). It was in one of countries with a hot climate on the extent of the last 2 months. Temperature of body 36,9 C. At palpation a sickliness of abdomen is in iliac areas. Defecating is liquid, with the admixtures of glassy mucus, have the appearance of „raspberry jelly”. What disease is it needed to think about? A. * Amoebiasis B. Shigellosis C. Heterospecific ulcerous colitis D. Balantidiasis E. New formation of colon 269. A Sick 18 years, hospitalized in an infectious department with diagnosis of cholera, as heavy as lead motion, dehydration of IV degree. What measures are possible primarily? A. Oral rehydration by glucose solutions B. Tetracycline C. * Intravenous stream introduction of salt solutions D. Proceeding in the normal microflora of intestine E. Intravenous stream introduction of sodium chloride solution 270. A sick, 29 years, emptying watery stool repeatedly, frequent vomiting. Objectively: total cyanosis, dryness of mucous membrane, turgor of skin is decreased Temperature of body 35,2 oC. Pulse in radial artery is not determined. Tachypnea, musle spasm, urination is absent for 6 hours. What is the state of the patient? A. Dehydration of IV degree B. Dehydration of I degree C. Infectious-toxic shock D. Anaphylactic shock E. * Uncompensated hypovolemic shock 271. An unconscious patient is delivered in the intensive department. Pale dark circles around eyes. Skin is cold with sticky sweat. Temperature of body 35,6 oC. Pulse 140/min and weak. Blood pressure is 40 /0 mm of Hg. Tongue is dry. Emptying is involuntary and “watery”, vomited twice. What infusion must be given as intensive therapy. A. Albumin B. Rheopoliglykin C. 5 % glucose solution D. * Polyionic salt solutions E. 10 % glucose solution 272. At a patient R., 32 years old, appeared diarrhea, periodically subfebrile temperature. Late the admixtures of blood appeared in an excrement, mixed with mucus. Objectively: BP is 110/70 mm Hg, pulse - 90 per 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, rehydratation therapy, sorbents D. Antibiotics, ferments, sorbents E. Nitrofurans, combination of 2 antibiotics, rehydratation therapy 273. At a patient who arrived from Crimea, at 5 o’clock in the morning began diarrhea 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 abdomen-ache was not present. What is most credible diagnosis? A. Ecsherichiosis B. Salmonellosis C. Cholera D. Food poisons E. * Shigellosis 274. At sick E, 32 years old, a fever appeared (39 C), a diarrhea is to 4 times per days, defecating small value, with the admixtures of mucus and blood. Objectively: a skin is pale, a tongue is moist, covered a white raid, a abdomen is hollow, pain attack-type, anymore in area of line and sigmoid bowels, increases during defecation (tenesm), sigmameson of spasmodic. The symptoms of irritation of peritoneum are not present. What is the most credible diagnosis? A. Shigellosis, gastrointestinal form B. * Shigellosis, colitis form C. Salmonellosis, gastroenteritis D. Salmonellosis, gastro-enterocolitis form E. Ecsherichiosis 275. 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. Pain is 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. Salmonellosis C. Tumor of colon D. Amoebiasis E. Intestinal indigitation 276. Citizen of Pakistan, 30 years became ill rapidly with frequent watery stool which appears like a rice water. Objectively: temperature of body 35.4 oC, skin is cold, acrocynosis, elasticity of skin and turgor is decreased. By what method may estimate the degree of dehydration? A. To examine an eyeballs B. To check central venous pressure C. To define the level of urea and creatinine in blood D. * To check the loss of blood plasma E. To check the pressure of blood 277. Citizen T., 30 years old, had the bacteriologic examination of excrement. Was found Shygella of Zonne. Complaints are absent. At examination - an abdomen is not tense, at palpation - spasms of sigmoid pat of colon. Excrement is designed, without pathological admixtures. It is known from anamnesis, that two week ago he had nausea, diarrhea - liquid massive excrement of yellow color. He did not have treatment. What is preliminary diagnosis? A. Bacillicarrier of shygella Zonne B. Chronic shigellosis C. * Acute shigellosis Zonne D. Healthy E. Tranzitor transmitter of shygella of Zonne 278. Disease started acutely with the complains of watery diarrhea, vomiting, cramps in the lower extremities. Objectively: slow voice, shunken eyes, quick pulse, low blood pressure, decrease of urination, weak cardiac sounds. In liver and spleen no changes. Put the correct diagnosis. A. B. C. D. E. Salmonellosis Dysentery Food poisoning * Cholera Typhoid fever 279. Disease started acutely with the complains of watery diarrhea, vomiting, cramps in the lower extremities. Objectively: slow voice, shunken eyes, quick pulse, low blood pressure, decrease of urination, weak cardiac sounds. In liver and spleen no changes. Put the correct diagnosis. A. Salmonellosis B. Dysentery C. Food poisoning D. * Cholera E. Typhoid fever 280. Emergency ambulance delivered in 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. What is the most likely diagnosis. A. Acute appendicitis B. Crohn’s disease C. Shigellosis D. Viral gastroenteritis E. * Salmonellosis 281. 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 282. For a patient E., 37 years old, a disease began rapidly, 6 hours the frequent liquid emptying appeared onto the plain rise of normal temperature of body, vomit joined then. At an inspection: aphonia, eyes are hollow, pulse frequent, threadlike, low blood pressure cramps appeared in lower extremities. Liver and spleen are not enlarged. Choose preparations for starting etiotropic therapy. A. Tetracyclin, erythromycin, levomycetin, ciprofloxacin or imodium B. Erythromycin, levomycetin, benzylpenicillin or imodium C. Tetracyclin, erythromycin, levomycetin, benzylpenicillin or ofloxacin D. Tetracyclin, erythromycin, levomycetin, or bifi-form E. * Levomycetin, erythromycin or ciprofloxacin 283. For a patient E., 37 years, bodyweight of 70 kg, frequent liquid emptying appeared with rise of body temperature, frequent vomiting joined in later. At an inspection: aphonia, eyes are hollow, pulse with frequent threadlike, blood pressure is not determined, tachypnea, total cramps. Liver and spleen are not enlarged. What volume of salt solutions must be entered for primary rehydration? A. * 7 L B. 3,5 L C. 5 L D. 10 L E. 2 L 284. For a patient in 35, the disease begun rapidly with a chill, increase of temperature to 39 oC, vomitting, pain in epigastrium, diarrhea with the watery stinking emptying. 6 hours before the disease he ate a raw egg, potato with the braised meat and drink juice. What exciter did cause the similar state probably? A. Shigella B. Collibacillus C. Campylobacter D. * Salmonella E. Citrobacter 285. In a different places of settlement found out a few cases of cholera. Who in the focus of cholera was send in an insulator? A. Carriers B. Persons contact with the patient C. * Patients with cholera D. Persons with dysfunction of alimentary tract E. Persons with hyperthermia 286. Man 28 years, fell ill suddenly: a chill, feeling of heat appeared, T - 38,5 C, attack-type pain is in the left iliac area, frequent liquid stool. Defecating has the appearance of with-mucous mass. At palpation of abdomen a sickliness and spasm of sigmoid bowel is marked. What is the preliminary diagnosis? A. * Shigellosis B. Amoebiasis C. Ecsherichiosis D. Heterospecific ulcerous colitis E. Malignant tumor of colon 287. Man 37 years old, farmer, complains for a general weakness, attack-type pain in the lower departments of abdominal, mainly in the left iliac area, frequent liquid stool to 18 times per days with the admixtures of mucus and blood. A disease began suddenly, three days ago, from a chill, feeling of heat, headache. Defecating is frequent, wretched, consisted of thick mucus veined blood, tenesme. General state of middle heavy, temperature of body 37,8 C. Sigmoid bowel is of spasmodic and painful. What diagnosis is the most credible? A. * Shigellosis B. Amoebiasis C. Nonspecific ulcerous colitis D. Yersiniosis E. Salmonellosis 288. Mother with a child hospitalized with the diagnosis of shigellosis, typical form, to middle heavy. Other family members are healthy. What disease measures are conducted in relation to contact persons? A. Supervision 7 days. Non-permanent serum hemanalysis B. * Supervision 7 days. Non-permanent bacteriological inspection of excrement on a dysenteric group C. Supervision 2 weeks. Non-permanent bacteriological inspection of excrement on a dysenteric group D. Supervision during 24 hours from the moment of exposure of patient E. Hospitalization of contact persons on 7 days. Non-permanent serum hemanalysis 289. Patient 25 years, received complaints of double vision of the eyes, a decline of view, shortness of breath. Before the disease eat mushrooms home preservation. Objective: pallor, wide pupils with a weak reaction to light, dry mouth, a violation of swallowing, flatulence, delay of stool. What is preliminary diagnosis. A. Leptospirosis B. Yersinioz C. * Botulism D. Giardiasis E. Salmonellosis 290. Patient 27 years old, complains of headaches, weakness, pain in epigastric area, vomiting, diarrhea (9 times in a day; huge excrement, greenish colour). Before the appearance of disease he consumed raw eggs. Objectively: body temperature 38,8 C. Tongue is white, pain in epigastric and umbilical region. The most likely diagnosis. A. * Salmonellosis B. Cholera C. Dysentery D. Viral gastroenteritis E. Acute appendicitis 291. Patient 27 years old, complains of headaches, weakness, pain in epigastric area, vomiting, diarrhea (9 times in a day; huge excrement, greenish colour). Before the appearance of disease he consumed raw eggs. Objectively: body temperature 38,8 C. Tongue is white, pain in epigastric and umbilical region. The most likely diagnosis. A. * Salmonellosis B. Cholera C. Dysentery D. Viral gastroenteritis E. Acute appendicitis 292. Patient 27 years, grumbles about headache, weakness, pain in an epigastrium, repeated vomiting, diarrhea (defecating is abundant, 9 times per days, greenish color). 12 hours prior to beginning of disease used raw chicken eggs. Objectively: temperature of body 38,8 C. A tongue is assessed a white raid, a abdomen is moderatory swollen, pain in epigastrium and in paraumbilical areas. What is the most credible diagnosis? A. * Salmonellosis B. Cholera C. Shigellosis D. Viral gastroenteritis E. Acute appendicitis 293. Patient 35 years old with complains of increasing of temperature to 39 C with chill, vomiting, pain in epigastric region, diarrhea with foul smell, abdominal cramps. 6 hours before onset of the disease ate raw eggs, fried potatoes with grinded meat, drank juice. To clarify the diagnosis of serological diagnostic methods often used RNGA with the salmonella groupdiagnostic tools and RA (Vidal test) . When blood should take for the diagnostic procedures? A. In the first day of illness B. At the end of the first month C. n 1st week in 3-4 days D. * At the end of the 1st week from 7-10 days E. During admission to the hospital 294. Patient 35 years old with complains of, increasing of temperature to 39 C with chill, vomiting, pain in epigastric region, diarrhea with foul smell, abdominal cramps. 6 hours before onset of the disease ate raw eggs, fried potatoes with grinded meat, drank juice. To clarify the diagnosis serological diagnostic methods often used. When blood should be taken for the diagnostic procedures? A. In the first day of illness B. C. D. E. At the end of the first month n 1st week in 3-4 days * At the end of the 1st week from 7-10 days During admission to the hospital 295. Patient 45 years old, became ill within 10 hours after consumption of grinded meat. Complains of vomiting, pain in epigastric region, diarrhea of green color, increasing of temperature up to to 39 C. During objective examination revealed that: patients general condition is sever, pain in the muscles of the lower limbs, pale face, acrocyanosis. Pulse 130 per min,. B.P 70/40 mm Hg. weak cardiac sounds, dry tongue, brown-whitecovering . abdomen cramps, painful iliac and epigastric regions. What is the most likely diagnosis. A. Shigellosis B. Cholera C. * Salmonellosis D. Viral gastroenteritis E. Eshericiosis 296. Patient 45 years old, became ill within 10 hours after consumption of grinded meat. Complains of vomiting, pain in epigastric region, diarrhea of green color, increasing of temperature up to to 39 C. During objective examination revealed that: patients general condition is sever, pain in the muscles of the lower limbs, pale face, acrocyanosis. Pulse 130 per min,. B.P 70/40 mm Hg. weak cardiac sounds, dry tongue, brown-whitecovering . abdomen cramps, painful iliac and epigastric regions. What is the most likely diagnosis. A. Shigellosis B. Cholera C. * Salmonellosis D. Viral gastroenteritis E. Eshericiosis 297. Patient A., 17 years old, schoolboy, entered to the infectious department on the 3ed day of illness with complaints about a C attack-type of abdomen-aches, increase of temperature, speeded up stool, excrement of liquid consistency, wretched, with the admixtures of mucus and blood. It is known from epidemiological anamnesis that together with the students of class rode in the forest. From a meal used: eggs, raw, meat, fish, drank spring water, smoked. An analogical disease arose up for two students which were together with a patient. The preliminary diagnosis of shigellosis is set. What is the most specific reliable factor of transmission? A. Eggs B. Meat C. Raw D. Fish E. * Water 298. Patient A., 23 years old, appeal to the infectious separation through 6 hours after the beginning of disease with complaints for a temperature rises to 40 C, nausea, repeated vomiting, pain in abdominal, frequent liquid excrement. At examination a tongue is assessed a white raid. Sigmoid bowel is incrassate, painful. The diagnosis of shigellosis was set. What diseases can simulate the noted clinic? A. * Salmonellosis B. Cholera C. Acute pancreatitis D. Acute adnecsitis E. Balantidiasis 299. Patient A., 65 years old, entered to the infectious department on the 3th day of disease with complaints for a rises temperature to 39 C, abdomen-ache, swelling of abdomen, liquid stool with the admixtures of mucus and blood. He does not know reason of disease. At examination - abdomen is not tense; a sigmoid bowel is incrassate, sensible. What is the preliminary diagnosis? A. Cancer of rectum B. * Shigellosis C. Amoebiasis D. Salmonellosis E. Yersiniosis 300. Patient B., 20 years, became ill acutely. The unexpected severe diarrhea appeared with frequent vomiting, with plenty of vomits. The patient arrived from a South-east Asia countries. He has temperature 36,1 oC during 3 weeks. Abdomen is pulled, not painful. Stool is a rice-water. What most reliable changes in blood will be present? A. Increasing amount of erytrocytes, leucocytes, relative closeness of plasma of blood, hyperkalemia, metabolic acidosis B. Decreasing of amount of erytrocytes, leucocytes, relative closeness of plasma of blood, hypokalemia, metabolic acidosis C. Decreasing of amount of erytrocytes, leucocytes, increase of relative closeness of plasma of blood, hyperkalemia, metabolic acidosis D. * Decreasing amounts of erytrocytes, leucocytes, relative closeness of plasma of blood, metabolic hypokalemic acidosis E. Increasing amount of erytrocytes, leucocytes, relative closeness of plasma of blood, hypokalemia, metabolic alkalosis 301. Patient B., 32 years old, an employ of poultry was hospitalized with complains of pain in abdomen, mostly in sigmoid area, fever up to 38,8 C, nausea, vomiting, diarrhea with dark-green colour of stool, without any pathological changes. Skin and mucous membranes are dry, moderate tension in epigastric region and pain in the right iliac area. The most likely diagnosis. A. Acute appendicitis B. Cholera C. Disbacteriosis D. * Salmonellosis E. Rotavirus gastroenteritis 302. Patient B., 32 years old, an employ of poultry was hospitalized with complains of pain in abdomen, mostly in sigmoid area, fever up to 38,8 oC, nausea, vomiting, diarrhea with dark-green colour of stool, without any pathological changes. Skin and mucous membranes are dry, moderate tension in epigastric region and pain in the right iliac area. The most likely diagnosis. A. Acute appendicitis B. Cholera C. Disbacteriosis D. * Salmonellosis E. Rotavirus gastroenteritis 303. 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. Durin objective examination revealed that B.P 125/75 mm Hg, pulse 80 per min, abdomen is soft,painful in the right iliac and epigastric area .According to anamnesis he took salad of boiled eggs and sausage. What treatment should be started first. A. Antibotulism serum B. Intravenous antibiotics C. Washing of the stomach and intestine, rehydration therapy , glucocorticoids D. * Gastric lavage and washing of intestine, rehydraton therapy enterosorbents E. Treatment after getting of the laboratory test results 304. 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. Durin objective examination revealed that B.P 125/75 mm Hg, pulse 80 per min, abdomen is soft,painful in the right iliac and epigastric area .According to anamnesis he took salad of boiled eggs and sausage. What treatment should be started first. A. Antibotulism serum B. Intravenous antibiotics C. Washing of the stomach and intestine, rehydration therapy , glucocorticoids D. * Gastric lavage and washing of intestine, rehydraton therapy enterosorbents E. Treatment after getting of the laboratory test results 305. Patient B., 55 years old, was hospitalized in an infectious hospital with complains on frequent vomiting, liquid excrements, abdominal pain, mainly in the right iliac area and epigastrium. Pale skin, dry tongue with a touch of gray, hypotension, tachycardia. The doctor was suspected salmonella. What laboratory test is need to perform. A. General blood analysis B. Parasytoscopy of blood smear C. Microscopy of stool D. * Coproculture E. Biologic test 306. Patient B., 55 years old, was hospitalized in an infectious hospital with complains on frequent vomiting, liquid excrements, abdominal pain, mainly in the right iliac area and epigastrium. Pale skin, dry tongue with a touch of gray, hypotension, tachycardia. The doctor was suspected salmonella. What laboratory test is need to perform. A. General blood analysis B. Parasytoscopy of blood smear C. Microscopy of stool D. * Coproculture E. Biologic test 307. Patient C with complains of diarrhea with mucous, stabing pain in epigastric area , rumbling in the stomach, fever. According to his anamnesis he took preserved milk, eggs, salad of fresh vegetables. What is the disease most likely. A. Shigellosis B. Yersiniosis C. * Salmonellosis D. Cholera E. Botulism 308. Patient C, 17 years old, became ill suddenly. Profuse diarrhea with frequent vomits without nosier. A patient arrived from south-east Asia. Temperature - 36,1 C. An abdomen is pulled in, painless. The stool has the appearance of rice-water. What diagnosis is most reliable? A. * Cholera B. Dysentery C. Salmonellosis D. Esheryhiosis E. Rotavirus gastroenteritis 309. Patient C. with complains of diarrhea with mucous, stabing pain in epigastric area , rumbling in the stomach, fever. According to his anamnesis he took preserved milk, eggs, salad of fresh vegetables. What is the disease most likely. A. Shigellosis B. Yersiniosis C. * Salmonellosis D. Cholera E. Botulism 310. Patient C., 17 years old, worker of vegetable garden. Became sick 2 days ago. The disease is related to use of meal of dirty root crop. Disease begun with chill, fever of 38.1 oC, had pain in abdomen and in the muscles of all groups and joints, weakness, nausea. Emptying is liquid, viscid, with a strong smell, ordinary color. At objective examination: sclera, conjunctivitis, hyperemia of soft palate, “raspberry” tongue. At palpation of abdomen - moderate pain in epigastrium and in right iliac area. What will be the diagnosis? A. Cholera B. Dysentery C. Salmonellosis D. * Scarlet fever E. Viral hepatitis 311. Patient C., 17 years old, working vegetable base. Acutely ill, 2 days ago. His illness is linked to eating dirty roots. The disease started with chills, body temperature increase to 38,1 C, headache, pain in muscles and joints of all groups, weakness, nausea, Cramping in the stomach around the navel, in epigastrium, diarrhea up to 5 times. Excrements liquid, viscous, bed smell, normal colour. Objective inspection: scleritis, conjunctivitis, hyperemia of soft palate, “raspberry” tongue. In palpation of abdomen the moderate morbidity in epigastrium. What is diagnosis. A. * Yersiniosis B. Dysentery C. Salmonellosis D. Cholera E. Viral hepatitis 312. Patient C., 22 years old, hospitalized in an infectious department complaining of chills, temperature increase to 38,5 C, vomiting, pain in epigastrii, frequent stool. 7 hours before the disease, ate raw eggs, potatoes with braised meat, drink tomato juice. What kind of organism most likely to cause disease. A. Enterovirus B. * Salmonella C. Enteric stick D. Staphylococcus E. C. perfringens 313. Patient C., 22 years old, hospitalized in an infectious department complaining of chills, temperature increase to 38,5 oC, vomiting, pain in epigastrii, frequent stool. 7 hours before the disease, ate raw eggs, potatoes with braised meat, drink tomato juice. What kind of organism most likely to cause disease. A. Enterovirus B. * Salmonella C. Enteric stick D. Staphylococcus E. C. perfringens 314. 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 315. Patient C., 35 years old, the disease has started severe chills, raising the temperature to 39 C, vomiting, pain in epigastric region, diarrhea with water-smelly bowel movement. Over 6 hours after eating raw eggs, potatoes with braised meat, drank juice. What kind of agent is likely to cause this condition. A. * Salmonella B. Vibrio cholera C. Enteric stick D. Campylobacter E. Shigella 316. Patient C., 35 years old, the disease has started severe chills, raising the temperature to 39 oC, vomiting, pain in epigastric region, diarrhea with water-smelly bowel movement. Over 6 hours after eating raw eggs, potatoes with braised meat, drank juice. What kind of agent is likely to cause this condition. A. * Salmonella B. Vibrio cholera C. Enteric stick D. Campylobacter E. Shigella 317. Patient C., 36 years old, periodically goes on a business trip in Egypt, desperately ill. Complaints about the increasing body temperature up to 39,4 C with chills and sweating, pain in the right under rib, emaciation. A slight jaundice. Increased liver density, painful. In blood neutrophils leukocytosis, increased ESR. When USD revealed multiple liver abscesses. What kind of illness need to think. A. Legionellosis B. Echinococcosis C. Ascariasis D. Liver cancer with metastases E. * Amoebiasis 318. Patient E, 47 years, became ill in 4 days after returning from Egypt. A disease begun with the liquid emptying which look like a watery kind afterwards, joined with frequent vomiting, expressed weakness and fatigue. The state progressively got worse and within 18 hrs was admitted in an infectious department in a very grave condition. The lines of person are strained, skin is cold, cyanosis, temperature of body 35.5 oC. Aphonia, cramps of hands and feet. The skin fold falls out through the abdomen. A stomach is pulled; no pain at palpation. Blood pressure is 70 and 30 mm of Hg. The pulse on radial artery is not determined, urination and emptying normal. Weight of patient at admission to the hospital was 60 kg. What is the degree of dehydration of the patient? A. I B. II C. * IV D. III E. It is not 319. Patient F., 25 years old, was hospitalized in the infectious hospital with complains on frequent vomiting, liquid stool, abdominal pain in epigastrium. Pale skin, dry tongue with a grey cover, hypotension, tachycardia. The doctor was suspected salmonella. What serologic study is need to perform. A. Microprecipitation reaction B. RA (Widal) C. * RIGA with Salmonella diagnosticum D. RIGA with Shigella diagnosticum and RA (Widal) with paired serum E. RKC 320. Patient F., 25 years old, was hospitalized in the infectious hospital with complains on frequent vomiting, liquid stool, abdominal pain in epigastrium. Pale skin, dry tongue with a grey cover, hypotension, tachycardia. The doctor was suspected salmonella. What serologic study is need to perform. A. Microprecipitation reaction B. RA (Widal) C. * RIGA with Salmonella diagnosticum D. RIGA with Shigella diagnosticum and RA (Widal) with paired serum E. RKC 321. Patient G., 22 years old, was 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 322. Patient G., 22 years old, was 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 323. Patient G., 24 years old, 6 hours after taking his breakfast with boiled eggs, a cup of coffee appeared chill, fever up to 38,8 C, pain in left inguinal area, nausea,vomiting, rumbling in the stomach, then frequent diarrhea, feces copious, watery, mudy-green. What is the most likely diagnosis. A. Cholera B. Botulism C. * Salmonellosis D. Abdominal thypoid E. Shigellosis 324. Patient G., 24 years old, 6 hours after taking his breakfast with boiled eggs, a cup of coffee appeared chill, fever up to 38,8 C, pain in left inguinal area, nausea,vomiting, rumbling in the stomach, then frequent diarrhea, feces copious, watery, mudy-green. What is the most likely diagnosis. A. Cholera B. Botulism C. * Salmonellosis D. Abdominal thypoid E. Shigellosis 325. Patient I., 30 years old, cook, directed in an infectious department on an inspection concerning abdomen-aches, becoming more frequent of stool (6 times per days). Excrement is liquid consistency with the admixtures of mucus. He has been ill 2 days. A disease binds to the use of unboiled milk. At examination a tongue is assessed a white raid. At palpation is a painful in descending part of colon, a sigmoid bowel is incrassate, dense. What is the most credible preliminary diagnosis? A. Food toxic infection B. * Shigellosis C. Salmonellosis D. Rotavirus enteritis E. Yersiniosis of intestine 326. Patient K. addressed to the infectious department on the second day from the beginning of the disease. Complain on spastic pain in abdomen repeated vomiting. Stool 5 mites a day, watery, with blood, mucous. Body temperature 37,6 оC, tongue is wet and coated. Pain in the left hypogastric area, spastic. Previous diagnosis? A. Ecsherichiosis B. Salmonellosis C. Cholera D. Food poisons E. * Shigellosis 327. Patient K., 30 years old, came with complains of nausea, vomiting, pain in epigastrium and paraumbilical area. High body temperature, pale skin, dry. tongue covered with whitish-gray coating. quick pulse, low blood pressure. 2 hours before the onset of symptoms of the disease he ate in cafe. What is the diagnosis most likely. A. Cholera B. Shigellosis C. Thypoid fever D. * Salmonellosis E. Meningitis 328. Patient K., 30 years old, came with complains of nausea, vomiting, pain in epigastrium and paraumbilical area. High body temperature, pale skin, dry. tongue covered with whitish-gray coating. quick pulse, low blood pressure. 2 hours before the onset of symptoms of the disease he ate in cafe. What is the diagnosis most likely. A. Cholera B. Shigellosis C. Thypoid fever D. * Salmonellosis E. Meningitis 329. Patient K., 40 years old, had complained of fever, night sweating, a sharp decrease in body weight, pain in muscles, throat, joints, photophobia, recurrent diarrhea. When inspection revealed a generalized lymphadenopathy. The most reliable diagnosis. A. * AIDS B. Lymphogranulomatos C. The tumor of the digestive system D. Tuberculosis E. Salmonellosis 330. 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 331. 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 332. Patient K., 40 years old, was hospitalised with the diagnosis of intestinal infection. Complains of 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 diarrhea, abdominal pain and short-term loss of consciousness, temperature increased to 38,6 C. The preliminary dianosis? 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 333. Patient K., 40 years old, was hospitalised with the diagnosis of intestinal infection. Complains of 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 diarrhea, abdominal pain and short-term loss of consciousness, temperature increased to 38,6 C. The preliminary dianosis? 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 334. 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. Defecation is abundant, watery, greenish color, without pathological admixtures. He ate meat lettuce in a factory dining-room before 4 hours to the disease. What preparations will be most effective for treatment of this patient? A. Antibotulism serum B. Salts and colloid solutions C. Sulfanilamid preparations D. * Ftorhinolons E. Sorbents 335. Patient L., 32 years old, was admitted to the infectious office complaining of chills, headache, expressed general weakness, cutting pain in epigastrii, diarrhea. The temperature of 39 C, repeated vomiting. Excrement abundant, greenish color, without pathological impurities. Over 4 hours to illnesses used the meat salad in the factory canteen. Which drugs will be most effective for the treatment of this patient. A. Antibotulism serum B. Salt and colloid solutions C. Sulfanilamides D. * Antibiotics E. Enterosorbent 336. Patient L., 32 years old, was admitted to the infectious office complaining of chills, headache, expressed general weakness, cutting pain in epigastrii, diarrhea. The temperature of 39 C, repeated vomiting. Excrement abundant, greenish color, without pathological impurities. Over 4 hours to illnesses used the meat salad in the factory canteen. Which drugs will be most effective for the treatment of this patient. A. Antibotulism serum B. Salt and colloid solutions C. Sulfanilamides D. * Antibiotics E. Enterosorbent 337. Patient L., 33 years old, was 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 338. Patient L., 33 years old, was admitted to the hospital with the complains of untolarable pain in the abdomen, mostly in sigmoid region, fever up to 38,8 oC, 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 339. Patient N, 13 years old, hospitalized in the infectious department with a diagnosis of cholera, severe dehydration of Ш-ІV stage. What measures are primary? A. Setting of etiotropic antibacterial preparations B. Stream intravenous introduction of salts solutions C. Peroral rehydratation with glucose-salts solutions D. Renewal of normal microflora of intestine E. * Setting of enzyme preparations 340. Patient N., 22 years old, was admitted to the infectious office complaining of chills, headache, expressed general weakness, cutting pain in sigmoid area, diarrhea. The temperature of the body of 39,3 C, vomiting. Faces watery. Patient was used the salad with sausage and eggs. For further diagnosis doctor was prescribed RIGA with salmonella diagnosticums. When it’s necessary to take blood for the investigation. A. At the 1st and 2nd days of illness B. Once in recovering period C. * At the end of the 1st week and after 7-10 days D. At the end of the 1st week and after 3-4 days E. Once in acute period 341. Patient N., 22 years old, was admitted to the infectious office complaining of chills, headache, expressed general weakness, cutting pain in sigmoid area, diarrhea. The temperature of the body of 39,3 C, vomiting. Faces watery. Patient was used the salad with sausage and eggs. For further diagnosis doctor was prescribed RIGA with salmonella diagnosticums. When it’s necessary to take blood for the investigation. A. B. C. D. E. At the 1st and 2nd days of illness Once in recovering period * At the end of the 1st week and after 7-10 days At the end of the 1st week and after 3-4 days Once in acute period 342. Patient N., 30 years old, works in a restaurant, admitted to the hospital complaining of unbearable pain in the abdomen, increase of temperature 38,8 C, nausea, vomiting, diarrhea of dark-green colour, He took eggs, mushrooms, canned food. Objective state: general condition is moderately sever, skin and mucous membranes are dry, pain in epigastric region. Name the disease. A. Shigellosis B. Yersiniosis C. * Salmonellosis D. Cholera E. Rotaviral infection 343. Patient N., 30 years old, works in a restaurant, admitted to the hospital complaining of unbearable pain in the abdomen, increase of temperature 38,8 oC, nausea, vomiting, diarrhea of dark-green colour, He took eggs, mushrooms, canned food. Objective state: general condition is moderately sever, skin and mucous membranes are dry, pain in epigastric region. Name the disease. A. Shigellosis B. Yersiniosis C. * Salmonellosis D. Cholera E. Rotaviral infection 344. Patient P, 35 years old, became ill within 2 days after returning from India. A disease begun with appearance of liquid diarrhea which resembled a watery appearance, afterwards joined with multiple vomit, expressed weakness and fatigue. State progressively got worse and within 12 hrs delivered in an infectious department in a grave condition. The skin is cold, cyanosis, temperature of body 35.5 oC. Aphonia, cramps of hands and feet. A skin fold falls out from abdomen. The stomach is pulled in, no pain at palpation. Blood pressure is 70 and 30 mm of Hg. A pulse on a radial artery is not determined, urination and emptying are normal. Weight of patient at admission to the hospital was 80 kg. What volume of infusion solutions is needed for primary rehydration? A. 10 liters B. * 8 liters C. 4 liters D. 6 liters E. 2 liters 345. 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 defecation was present blood-mucus masses. Objectively: pain in abdominal and spasm of sigmoid bowel. What is previous diagnosis? A. * Shigellosis B. Amoebiasis C. Ecsherichiosis D. Nonspecific ulcerous colitis E. Tumour of colon 346. Patient T., 22 years old, appealed to the hospital with complaints of the frequent stool without the abdominal pain, vomits without nausea, pain in calves. Objectively: Т36,2 C. A skin is pale, cold, tongue dry, voice getting hoarse. An abdomen is pulled in, painless. Emptying remind a “rice-water”. What terms of extract of patients from a hospital at this illness? A. Non-permanent negative bacteriological research of excrement B. Double negative bacteriological research of excrement C. Double negative bacteriological research of excrement and urine D. Non-permanent negative bacteriological research of excrement and urine E. * Triple negative bacteriological research of excrement 347. Patient T., 37 years old, farmer, has complied on a general weakness, spastic pain in the lower departments of abdomen, 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, with mucus and blood, tenesmus. Temperature - 37,8 C. Sigmoid bowel is painful, with spasm. What diagnosis is the most credible? A. * Shigellosis B. Amoebiasis C. Ulcerous colitis D. Ecsherichiosis E. Salmonellosis 348. Patient U., who was arrived from the Crimea, diarrhea appeared in an intervel of 1-1.5 hour. with copious watery increments, without admixtures of mucous and blood. He was admtted in an infectious dipartment with the diagnosis of “acute intestinal infection”. What laboratory tests are necessary to confirm the etoilogical diagnosis. A. General blood analysis B. Bacteriological blood analysis C. Microscopical analysis of stool D. * Coprogram E. The biological examination in mice 349. Patient U., who was arrived from the Crimea, diarrhea appeared in an intervel of 1-1.5 hour. with copious watery increments, without admixtures of mucous and blood. He was admtted in an infectious dipartment with the diagnosis of “acute intestinal infection”. What laboratory tests are necessary to confirm the etoilogical diagnosis. A. General blood analysis B. Bacteriological blood analysis C. Microscopical analysis of stool D. * Coprogram E. The biological examination in mice 350. Patient with cholera has bradycardia, low blood pressure, weakness. What is most important factor in the given clinical situation? A. Hypocalcemia B. Hypopotassium C. Hyponatremia D. Hypernatremia E. * Hyperpotassium 351. Patient with cholera on a background treatment has signs of hyperkalemia. What solution must be applied for futher rehydration therapy? A. Neohemodez B. * Disalt C. Chlosalt D. Polyhybrid E. Lactosalt 352. Patient with complaints about a general weakness, diarrhoea appeared to the doctor. Objectively: temperature of body 36,4 oC, skin covers clean, acrocyanosis, tongue is dry, stomach| is soft, not painful, emptying is abundant, watery, with the supernatant flakes of white color, odourless and admixtures. For clarification of diagnosis culture of stool was made on Resselya. What is the color of culture chang? A. From blue to green B. From yellow to green C. From green to yellow D. From yellow to blue E. * From blue to yellow 353. Patient X., 42 years, from Turkmenistan, has complains on a general weakness, increased of temperature to 38 C, headache, spastic pain in the underbody of abdomen, tenesme. Pain is in region of sigmoid bowel at palpation. Defecation- 15 times per days, with the admixture of blood and mucus. What is the previous diagnosis and other possible pathology? A. Ecsherichiosis 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 354. ?Sick C., 20 years old, was admitted to the hospital with complaints about the frequent emptying without stomach-ache, vomiting without nausea, pain in calf muscle. Objectively: Temperature of body is 36,2 oC. Skin is pale, cold, tongue is dry, voice is hoarsed. The stomach is pulled is not painful at palpation. Emptying resemble with “ricewater”. Are there what terms of discharge of patients from the hospital at such illness? A. * Triple negative results of bacteriological examination of excrements B. Double negative results of bacteriological examination of excrements C. Single negative result of bacteriological examination of excrements D. Single negative results of bacteriological examination of excrements and urine E. Double negative results of bacteriological examination of excrements and urine 355. Sick C., 23 years, ill from 3 days after returning from India. The disease has begun with the liquid emptying which looks like a watery, after wards joined with multiple vomiting, expressed weakness and cramps. The state progressively got worse and was admitted within 12 hour in an infectious hospital in a grave condition. The eyes of person is sharped, skin is cold, acrocynosis temperature of body 35,5 oC. Aphonia, cramps of hands and feet. The fold of skin falls out through abdomen. stomach is pulled in, no pain at palpation. Blood pressure is 70 and 30 mm of Hg. Pulse on radial artery is not determined, urination and emptying are not good. What is the most appropriate diagnosis? A. Intestinal echerihiosis B. Salmonellosis C. Shigellosis D. * Cholera E. Amebiasis, intestinal form 356. Sick I., 25 years, returned from rest in Egypt. Early in the morning diarrhea began. Emptying each 1-1,5 hrs, abundant watery, without mucus and blood. Abundant vomiting also appeared. The temperature of body at first rise to 37,3 oC, afterwards became 35,5 oC, stomach-aches negative. Delivered in an infectious department. What is first aid? A. Treatment with sorbents B. Polyhybrid solution intravenous C. 5 % solution of glucose intravenous| D. Fresh-frozen plasma intravenous E. * Salt solutions intravenous 357. Sick P., 25 years old, presents with frequent vomitting. Objectively: dryness of skin and mucous membranes, brief cramps in gastrocnemius muscles, the temperature of body is normal, voice is hoarsed, moderate tachycardia and hypotension. The compensated metabolic acidosis is marked. About what degree of dehydration is it possible to think? A. IV B. II C. * III D. I E. There is no dehydration 358. Sick P., 55 years old, teacher, appeal to the hospital with complaints for attacktype of abdomen-aches, speeded up liquid defecating, T - 39 C, false urges on defecation, in the excrement of admixture of mucus and blood, swelling of abdomen. Among the students of his class during the last week there were cases of disease of shigellosis. What symptoms are most characteristic for diagnostics of shigellosis? A. There is attack-type of abdomen-aches B. * False urges on defecation C. Admixtures of mucus and blood are in an excrement D. Fervescence E. Swelling of abdomen 359. Sick X., which returned from vacations from Turkey within 5 hrs in the morning, diarrhea began. Emptying each 1-1.5 hrs, with abundant watery without mucus and blood. In future bloodless watery, abundant vomitting appeared through 12 hrs. The temperature of body at first rise to 37.5 oC afterwards became 35.7 oC is delivered in an infectious department. What disease did you suspect? A. Echeriosis B. Food poisoning| C. * Cholera D. Salmonellosis E. Balantidiasis 360. Sick, 20 year old, apeared to the hospital with complaints about the frequent emptying without a stomach-ache, vomit without nausea, pain in calve. Objectively: temperature of body - 36,2 oC. A skin is pale and cold, a tongue is dry, voice getting hoarse. A stomach is pulled in, painless, emptying like a “rice-water”. What are the criterias for discharging of the patient from the hospital? A. Double negative bacteriological examination of excrements B. Single negative bacteriological examination of excrements C. * Triple negative bacteriological examination of excrements D. Negative bacteriological examination of excrement and urine E. Double negative bacteriological examination of excrement and urine 361. Student A., 22 years old, ill for 3 weeks, a month after returning from Ethiopia: appeared abdominal pain, liquid excrement, abundant, up to 10 times per day, in the form of “raspberry jelly”, joined cramping in the abdomen, more right, growing in the bowel. Over time the disease has lost 6 kg body weight. Your diagnosis. A. * Intestinal amoebiasis B. Shigellosis C. Salmonellosis D. Tumor bowel E. Intestinal yersiniosis 362. The disease began sharply from diarrhea, that was accompanied by an abdominal pain. The act of defecation brought facilitation. Emptying of green color, abundant, foamy, with a strong unpleasant smell. Temperature of body is subfebrile. It is found out hyperemia and graininess of soft palate. In blood: leucopenia, eozinophilia. Violations of water-electrolyte balance are moderate.Your diagnosis: A. Cholera B. Toxic food-borne infection C. Salmonelliosis D. Dysentery E. * Rotaviral gastroenteritis 363. The disease began sharply, 6 hours ago at a normal temperature appeared frequent liquid emptying, then vomit joined. At the inspection: voice is soundless, eyes reddish, pulse frequent, arterial pressure low, urine is not present, cramps appeared in lower extremities. The heart and lungs without changes. A liver and spleen are not enlarged. Choose preparations of ethiotropic therapy which can be used: A. Tetracycline, erythromycin, levomycetine, gentamycine, ofloxacine B. Erythromycine, evomycetine, gentamycine, ofloxacine, ciprofloxacin, imodium C. Tetracycline, erythromycine, levomycetine, benzyl-penicillin sodium salt, ofloxacine D. * Erythromycine, levomycetine, gentamycine, ofloxacine, ciprofloxacin E. Erythromycine, gentamycine, ofloxacine, ciprofloxacine, imodium 364. The ill patient in severe state was delivered to infectious department with no consciousness. Pale dark circles around eyes. Skin is cold, covered with sticky sweat. Temperature of body 35.6 oC. Pulse 140/min and weak.Blood pressure is 40 and 0 m of Hg. Tongue is dry. Emptying is involuntary and watery. Three times vomited like “fountain”.What is the state of the patient? A. Collapse B. Infectious toxic shock C. * Dehydration shock D. Cereblral edema E. Intoxicated encephalopathy 365. The seventh pandemic of cholera is caused by V cholera El Tor. It begans in 1961 on the Sulawesi island. However, to the epidemic of cholera arose up only in the countries of the third world. It is known that cholera is classic bacterial infection with the fecal-oral mechanism of transmission with the certain infectious dose of exciter. What is the basic factor of risk, that is instrumental in the such uneven division of morbidity on countries? A. Biological properties of exciter B. Climate of country C. * Social-economic conditions of population of country D. Immune status of population E. High development of industry and contamination of surrounding environment 366. To the internist appealed patient with complaints of weakness, diarrhea. Rested on a south, where the cases of diarrhea were present. Objectively: t-36,4 C, skin covers are clean, acrocyanosis, tongue is dry, abdomen is soft, painless, emptying abundant, watery, with the flakes of white color floating on a surface, without odor and admixtures. For clarification of diagnosis sowing on the Ressels medium was made. How will the color of medium change? A. From yellow to blue B. From yellow to green C. From green to yellow D. * From blue to yellow E. From blue to green 367. 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 36,5C, 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 368. 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 369. 26-years old man during 6 days marks the 6-8-sentinel gettings up temperatures with a strong chill, which end with abundant then and repeat oneself regularly in a day. 6 months ago there were alike attacks of fever during a stay in Afghanistan, from where returned 4 months back. Temperature of body 36,4C, Ps 94 per 1 min The moderate increase of spleen and liver is marked. A diuresis suffices, wetting without pathological changes. What disease can be suspected for a patient? A. Leptospirosis B. Hemorragic fever C. * Malaria D. Viral hepatitis E. Sepsis 370. 36-year-old for 8 days, said the 6-8-hour temperature rises with a strong fever, drenching sweat that end and are repeated regularly every day. Had similar bouts of fever in Afghanistan, where he returned four months ago. Temperature of 39,2 C, the pulse 94 for 1 min. Abdomen on palpation is not painful. A modest increase in liver and spleen, slight jaundice. What is the most likely diagnosis? A. Viral hepatitis B. Typhoid C. Sepsis D. * Malaria E. Tuberculosis 371. 40-years old patient during 2th 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 372. 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. * Leykopeniya C. Lymphopenia D. Speed-up ESR E. Aneozinofiliya 373. A 17-years-old patient during 4 days suddenly had head pains, myalgias, fever of permanent type. From a 5th day is a normal temperature of body, the general state was considerably improved, an appetite appeared, nausea, general weakness, disappeared, but an icterus became noticeable. The general state is satisfactory, liver +3 sm, spleen +1 sm, Ps 56 per 1 mins Peripheral lymphatic knots, amygdales are not megascopic, hyperemia of pharynx is not present. At research of global analysis of blood is leykopenia with a relative lymphocytosis, 3 % virocytis, ESR normal. Activity of ALAT of blood is enhanceable in 5 times. What from diagnoses most credible for a patient? A. * Hepatitis A B. Infectious mnonucleosis C. Citomegaloviral infection D. Hepatitis B E. Hepatitis C 374. 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 375. 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 37,1C, an icterus is expressed. Liver +6 sm. In an abdominal region is a free liquid present. Positive symptom of fluctuation. What diagnose of a patient? A. Intensifying of chronic hepatitis C B. Sharp hepatic insufficiency C. Gepatokarcinoma D. Intensifying of chronic hepatitis B E. * Hepatocirrhosis 376. ?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 377. A patient 23 years old at the time of baseline medical examination revealed hepatomegaly 4 cm, increase of bilirubin in 2 times, ALT 2.5 times. Often sick with genital herpes. HCV RNA was detected in C. For etiological treatment shows the assignment: A. * Interferon-alpha B. Essentsialnih phospholipids C. Biseptol D. Rimantadine E. Ursodeoxycholic acid 378. A patient 25 years old got sick suddenly after chills and temperature increase up to 38,0 C. There was vomiting 2 times. Moderate pharyngeal pain appeared at swallowing. with stomach discomfort. Signs of bursitis observed on knee and elbow joints. The light icterus of sclera and skins of joints on 4th day, on the skin of lateral surfaces of trunk, forehead and lower extremities. The small bright red papular rash appeared, more concentrated in natural folds.Liver is enlarged, the tongue is raspberry like appearence. Preliminary diagnosis would be: A. Hepatitis A B. Hepatitis B C. * Pseudotuberculosis D. Scarlet fever E. Infectious mononucleosis 379. 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 380. A patient 28 years old, injection drug addict, complains about dull pain in the right subcostal area, weakness, decline of appetite, pain in joints, which disturbs during 2 weeks. At examination: icterus of the skin and sclera, enlargement of the liver and spleen, dark urine, excrement is discoloured. What is preliminary diagnosis? A. HIV-infecion B. Hepatitis B C. Hepatitis C D. * Toxic hepatitis E. Hepatitis A 381. A patient 34 years complains of fatigue, appetite loss, nausea, a feeling of heaviness in the epigastric region, bitter taste in the mouth. On-no: heart rate 76/min, temperature of 37,2 C. Pale skin, vascular single "star" on the chest. The liver performs at 2 cm from the edge of the arc. In the blood: bilirubin 36 mmol / l, 2.5 AST, ALT 2.8 mmol / (L ? h). Anti-HBc (-), HBsAg and HBeAg (+). Which therapeutic tactic is suitable in this case? A. Therapy hepatoprotectors B. * Antiviral therapy with lamivudine C. Antiviral therapy with ribavirin D. Glucocorticosteroid therapy E. Therapy immunostimulators 382. 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 383. A patient 42 years, radiologist, entered surgical department with bleeding from the mouth ,was admitted to the gastroenterological departments . He considered himself healthy. 20 years ago had haemotransfusion. Fibrogastroduodenoscopy shows venous dilation of the oesophagus of the III degree. Most probable etiologic reason of disease: A. Autoantibodies against hepatocytes B. Viral hepatitis A C. X-ray irradiation D. * Viral of hepatitis B E. Defficiency of antitrypsin 384. A patient 48 years old, complained of attacks of pain in the right upper quadrant after exercise. Notes periodically lighter feces, dark urine. Objectively: skin and mucous moderately icteric. Total bilirubin 36.8 mmol / l, 26.4 direct, indirect 10.4. Ultrasound of the gallbladder: wall thickness of 4 mm in the lumen of many bile ehopozitivnye shadows to 4 mm. With litholytic to want to set: A. Choleretic B. * Ursofalk C. Holekinetiks D. Antispasmodic E. Cytostatics 385. A patient 48 years old, complains about attacks pains in right subcostal area after the physical loading. Periodically marks more light excrement, darkening of urine. Objectively: skin and mucous membranes high icteric. General bilirubin 36,8 mm/L, direct fraction - 26,4. Ultrasound of gall-bladder: thickness of wall 4 mm, there is a lot of bile in the ducts. It is necessary to prescribe with a lytolitic purpose: A. Choleretics B. * Ursofalk C. Cholekinetics D. Spasmolytics E. Cytostatics 386. A patient 75 years old. Complaints about a subfibrile temperature, general weakness, pharyngalgia, conjunctivitis. A child in family an acute adenoviral disease is ill. A patient considers itself a patient the second day. At examination discovered sign of sharp pharyngitis. Lymphatic knots are megascopic: neck front and back, arm-pits and inguinal, to 1 sm in a diameter, soft, not soldered between itself and with a surrounding cellulose. A pharynx is bloodshot, amygdales are hypertrophied and hyperaemia. In lights wheezes are not present. Breathing clean. Tones of heart are muffled. BP - 140/80 mm Hg, Ps - 80 per 1 min. Stomach soft. Palpatory- megascopic liver, salient on 3 sm below than costal arc, and spleen, soft, painless. Choose the most credible diagnosis from offered: A. Flu, to middle weight B. Limfogranulomatosis C. * Sharp adenoviral infection D. Infectious mononucleosis E. Hepatitis A 387. 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 chainging. 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 388. A patient C., 43 years old, has been treated for 5years. 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. * Alcoholic liver cirrhosis B. Viral hepatitis B C. Viral hepatitis C D. Cryptogenic hepatitis E. Fatty dystrophy of liver 389. A patient during half of the year got frequent parenterally injections concerning bronchial asthma. There was decrease in appetite gradually, started to feel weakness, arthralgia, dark colored urine, the icterus of skin appeared. Objectively: temperature of 37 C, pulse 68/min BP 115/70 mm of Hg Liver +4 cm, spleen +1 cm, skin and sclera is yellow coloured In the general blood analysis: amount of leucocytes: 3,6 109,among them 52 % lymphocytes, ESR 6 mm/hr, activity of ALAT is increased in 10 times. which information will be more credible than all in blood of patient? A. Anti-HBs antibodies B. Anti-HAV IgM antibodies C. * Anti-HBV antibodies D. Anti-HCV IgG antibodies E. Anti-HEV IgM antibodies 390. 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 391. 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 392. 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 Zhil'bera C. Sharp viral hepatitis D. Chronic cholangitis E. * Chronic hepatitis 393. A patient is 59 years, suffers chronic viral hepatitis with development of cirrhosis, hospitalized with a diagnosis: “bleeding from the veins of gullet”. Sharp pallor of skin covers. BP 80/40 mm Hg, pulse 100 per 1 min, the temperature of body is normal. On a front abdominal wall a venous net is extended. What preparation is it necessary to begin therapy from? A. Albumen B. Plasma C. Neogemodez D. * Stop the bleeding E. Glucose 394. A patient of 21 years, noted the rise in temperature to 39,2 C, fatigue, headache, sore throat, muscle pain, joint pain and abdominal pain, nausea, vomiting was single. On the third day of abdominal pain increased and became clearly localized in the right iliac region. With the diagnosis of "appendicitis" brought to the surgical department. On examination: hyperemia oropharyngeal subikterichnost, liver 2 cm operated on, detects the change and appendix packages mesenteric lymph nodes. Preliminary diagnosis: A. Typhoid B. Adenovirus infection C. Hepatitis A D. * Pseudotuberculosis E. Enterovirus infection 395. A patient of 34 years complains of fatigue, decreasing of appetite, nausea, feeling of weight in a epigastric region, bitter taste in the mouth. Objective examination : Pulse 76/min, temperature 37,2 C. Skin is pale, single vascular star-like rash on the thorax. Liver is 2 cm below the costal arch. In blood: bilirubin level is 36 mmol/lt, ASAT 2,5, ALAT 2,8 . Anti-HBc (-), HBsAg and HBeAg (+). What therapeutic tactic is expedient in this case? A. Therapy by hepato-protectors B. * Antiviral therapy by lamivudine C. Antiviral therapy by ribavirin D. Therapy by corticosteriods E. Therapy by immunostimulators 396. 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 397. 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 398. A patient, 19 years old, with hepatitis B. After violation of diet and nervous stress the state of the patient became worse: increasing of intensity of jaundice, pulse 110 per 1 min, BP 80/50 mm Hg, vomiting with “coffee-grounds”, decreasing of the liver size. What complication is it possible to think about? A. * Acute liver insufficiency B. Infectious-toxic shock C. Acute kidney insufficiency D. Acute extrarenal insufficiency E. Hemolytic 399. A patient, 24, complains about pains in right subcostal area, increasing after-meal, nausea, increase temperature of body to 37,7 C, icterus, pains 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 400. 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 401. 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. * Level of transaminases D. Glucose of blood E. Creatinphosphokinase 402. 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 403. A woman 23 years old, with a pregnancy of 8 weeks, the examination found HBsAg. The level of bilirubin and ALT levels within the normal range. What should be the recommendations for pregnancy in this disease? A. * To continue the pregnancy and to vaccinate children against hepatitis B in hospital B. Abort C. To terminate the pregnancy and treat the drug interferon D. To continue the pregnancy and treat the antiviral drug lamivudine E. To continue the pregnancy, we also hold an ultrasound examination of the fetus 404. A woman of 22 years old, on the 7th month of pregnancy, fell ill suddenly after 3 weeks arrival from Turkmenistan. An icterus, incessant vomiting, pain in right subcostal area, skin haemorrhages, were appeared after 7-daily fever. What is most credible diagnosis: A. * Hepatitis E B. Hepatitis B C. Acute fatty hepatosis of pregnant D. Cholestatic hepatosis of pregnant E. Cholecystitis 405. A youth with the catarrhal phenomena found out enlargement of axillary and submandibular lymphatic node, hyperplasia of oral cavity with the magnificent raid of gum-blush 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 406. At inspection of a 8 weeks term pregnant woman HBsAg was found. Level of bilirubin of blood and activity of ALAT were normal. What is necessary to do? A. * To save pregnancy and conduct the inoculation to newborn against hepatitis B B. Termination of pregnancy C. Termination of pregnancy and conduct treatment by interferon D. To save pregnancy and conduct treatment by lamivudin E. To save pregnancy and ultrasonic inspection of the fetus 407. 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 408. C Analysis in the presence of antibodies to HIV A. Biopsy of lymphnode B. Hemanalysis on sterility C. * Sternal puncture D. Analysis in the presence of antibodies to the Epstein-Bar virus 409. During annual inspection increasing of a liver to 4 cm of 23 years old patient was found, increasing of bilirubin level in 2 times, AlAT in 2,5 time. He has been often sick with genital herpes. It was discovered RNA of hepatitis C virus. What is etiologic treatment? A. * Interferons B. Essencial phosphotides C. Choleretics D. Cholekinetics E. Ursodesoksihole acids 410. For a 16-years-old patient in a month after return from Crimea did head pain, myalgias appear suddenly, strong weakness with a simultaneous fervescence to 39C, which stuck to 3 days. The general state was considerably improved farther, a bad appetite and nausea, dull pain, was saved only in right hypocostal area, became dark wetting, white is an excrement. On a 6th day is a moderate icterus, an appetite appeared, a general weakness diminished. Liver +4 sm, spleen +1 sm In the global analysis of blood is leykopenia, relative limphomonocytosis, ESR 4 mm/hour. General bilirubinum of blood of 89, the direct prevails, activity of ALAT is enhanceable in 4 times, ASAT - in 3 times. What from diagnoses most credible? A. Hepatitis B B. * Hepatitis A C. Opisthorchiasis D. Gemolitic icterus E. Sharp calculary cholecystitis 411. For a man with 25years, half-year ago there was a positive reaction on protien. Last 3 months are complaint with general weakness, fatigueability, somnolence, pain of chest, during last 2 weeks developed anxiety, fear, depression, disorders of memory and aphasia, untidiness appeared 5 days ago. Set a diagnosis. A. Dementsia of AIDS B. * Patient has еncephalopathy (AIDS-related complex) C. Organic psychosis D. Anxiously depressed syndrome for HIV infection E. Somatoform depression 412. 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 413. For a patient 35 years after 4-months of treatment by isoniaside - аdynemia, icterus, pain in right hypochondric were appeared. A liver is megascopic. In blood activity of enzymes of AlAT is enhanceable in three times, AsAT in two times. Bilirubin of blood of 122 gm/ml (conjugated - 82, unconjugated - 40). НBs-аntigen is not found out. What is the diagnos? A. Calculary cholecystitis B. Hepatocirrhosis C. Acute viral hepatitis D. Chronic active hepatitis E. * Toxic hepatitis 414. HIV positive patient, 28 years, in the past with IV drug addiction, grumbles about shortbreathing, 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 415. 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 416. In 2 months after returning from India, where often drank unboiled water, the 23years-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 37,8C. 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 417. In 2 months after returning from India, where often drank unboiled water, a 23years-old expectant mother nauseated, strong general weakness, head pain, later the temperature of body rose to 38 , and stuck to week. An icterus appeared on a 6th day, the general state continued to be worsened. On a 12th day illnesses are the general state heavy. Eiforiya. At night there was vomiting. Complete fastidium. Bright icterus, signs of hemorragic syndrome, tachycardia. BP 110/60, temperature of body 37,8 C. A liver is insignificantly megascopic, soft, sickly, spleen +2 sm. There is neutrophilic leycocytosis in the global analysis of blood. General bilirubin of blood is 570 to the line 300, ALAT is enhanceable in 100 times, timol test of 26 units., urea - 2,1 mmol/l. What diagnose of the patient? A. Malignant icterus of pregnant B. Mechanical icterus C. Typhoid D. * Hepatitis E. Leptospirosis 418. Livestock 57 years, on the third day of the illness went to a doctor with complaints of headache, fever, pain in the calf muscles, back pain, jaundice, dark urine and decreased quantity. OBJECTIVE: Temperature 38,1 C, injection vessels sclera, petechial rash on the upper chest, hepatosplenomegaly. The most likely initial diagnosis? A. Pseudotuberculosis B. Brucellosis C. Viral hepatitis D. * Leptospirosis E. Trichinosis. 419. Male 30 years, injecting drug users. 12 years experience of addiction. Complains of weakness, mild jaundice, weight in the right upper quadrant. Condition deteriorated gradually. Biochemical parameters: total bilirubin 28.2 mmol / L, 1.0 ALT, AST 0.8 mmol / (L ? h). Define a diagnostic method that is advisable to conduct to determine the etiologic diagnosis? A. A liver biopsy B. * Polymerase chain reaction (HCV-RNA) C. Ultrasound of the liver D. Computed tomography E. Immunological studies 420. Man 30 years, drug addict, takes drugs intravenously. Has been taking drugs for 12 years Complaints about weakness, moderate icterus, weight in right subcostal region. The state was worsened gradually. Biochemical indexes: general bilirubin 28,2 mmol/lt; ALAT 1,0, ASAT 0,8 . Will you define a diagnostic method which it is expedient to conduct for establishment of etiologic diagnosis? A. Biopsy of liver B. * Polymerase chain reaction (PCR) C. Enzymes of liver D. Computer tomography E. Immunological tests 421. 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 422. On the 15th day of illness for a 17-years-old patient by hepatitis In anti-HBs is found in blood. The state of patient was considerably worsened the day before. There was excitation, there was a nose-bleed, a hemorragic rash appeared on a skin, diminished and became sickly at palpatory liver. Ps 106 per 1 min, BP of 110/ 70 mm Hg, the temperature of body subfebrile. What changes of indexes blood will a patient have most credible? A. Growth of alkalinephosphatase B. Growth of Fibrinogenum C. Growth of indirect bilirubinum D. * Decline of protrombin index E. Growth of albumin 423. On the mather baby found HBsAg. Which of the drugs must be entered for the prevention of hepatitis B in a child? A. Human immunoglobulin B. Hepatic C. Tsikloferon D. Interferon E. * Specific immunoglobulin 424. Patient 20 years, treated oneself concerning a sharp respirator disease during 5 days, but marked no displays of respirator syndrome. Last a temperature is normal 2 days, an appetite disappeared however, pain appeared in an epigastrium, nausea, urine became dark. About what illness is possible to think? A. Hepatitis D B. Infectious mononucleosis C. Pseudotuberculosis D. Leptospirosis E. * Hepatitis A 425. Patient 20 years, treated oneself on an occasion ARVI during 5 days, but marked no displays of respirator syndrome. Last a temperature is normal 2 days, an appetite disappeared however, pain appeared in an epigastrium, nausea, urine had darked. About what illness is it possible to think? A. Acute hepatitis B B. Infectious mononucleosisз C. Pseudotuberculosis D. Leptospirosis E. * Hepatitis A 426. Patient 34years old complains , about fatigue, decreasing of appetite, nausea, feeling of weight in a epigastric region, bitter taste in to the mouth. Objectively: Pulse is 76/min , temperature 37,2 -C. Skin is pale, with single vascular “asterisks” present on thorax. Liver is enlarged with 2 cm below the costal arch . In blood: bilirubinn :36 mmol/lt , ASAT :2,5 mmol/lt, ALAT :2,8 mmol. HBeAg, anti-HBc (-), HBsAg and antiHBe (+). What will be the diagnosis of the patient? A. B. C. D. E. * Chronic hepatitis In, phase of integration, activity is poorly expressed Chronic hepatitis In, phase of replication, activity is poorly expressed Chronic hepatitis In phase of integration, high activity Chronic hepatitis With, phase of replication, activity is poorly expressed Chronic hepatitis In phase of replication, moderate activity 427. Patient 42, a radiologist, was admitted to the surgical department with bleeding from the upper gastrointestinal tract. Prior to that considered healthy. 20 years ago, had a blood transfusion. Fibrogastroduodenoscopy - esophageal varices III degree. The most likely etiology of the disease: A. Autoantibodies against hepatocyte B. Hepatitis A virus C. X-ray irradiation D. * Hepatitis C virus E. Antitrypsin deficiency 428. Patient 43, a miner, on the 7th day of the disease complained of severe weakness, fever, pain in the muscles of the legs and lower back, jaundice, dark urine, headache. Acutely ill - chills, temperature 40,2 C, had a nosebleed. Diuresis 200 ml. Diagnosis likely? A. Sepsis B. Typhoid C. Viral hepatitis D. * Leptospirosis E. Malaria 429. 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 430. Patient B., 51 years, a lot of years used an alcohol. Complaints about nausea, liquid stools, icterus of skin. Objectively: skin and sclera is yellow coloured, atrophy of muscles, subfebrile temperature. Liver 3 cm below the costal arch, painful on palpation What method of diagnostics most informing in this case? A. Activity of cytolysis (AsAT, AlAT) B. Proteinogram C. * Biopsy of liver D. Markers of viral hepatitis E. Violation of cellular immunity (T4,T8) 431. Patient B., 64, ten years is ill with chronic hepatitis. Complaints: pain in the liver, weight loss. Objectively: the skin is dry, pale yellow, muscle atrophy, telangiectasias on his shoulders, flushing of the palms, abdomen enlarged, "the caput of Medusa." Liver 3 cm below the costal arch, painful, heavy, spleen at 1 cm from the costal arch supports, positive symptom fluctuation. Laboratory: hyper-?-globulinemiya moderately increased activity of AST, ALT. What medications are the drugs of choice in a patient? A. Lactulose B. * Hepatic C. Antibiotics D. Glucocorticoids E. ?-interferon 432. 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 433. Patient of A., 19 years, had ill suddenly - the temperature of body rose to 39C, a weakness, nausea, appeared. Vomiting, a stomach-ache was not. A temperature reposed on high numbers 2 days, then went down to normal. Urine became dark on the 6th day of illness, subicterus noticed on 5th. To this time the feel of patient was improved, nausea, weakness, disappeared. Objectively: moderate icterus of skin and sclerotica, a rash is not present. Pulse 66 per 1 min, BP 110/70 mm Hg. A stomach is soft, painless in all of departments, a liver on 2,5 sm comes forward from under a costal arc, the edge of spleen was palpitated. Is there what reason of fervescence in the pre-icteric period of this disease? A. * Toxicemiya B. Bacterialemiya C. Pancreatitis D. Viremia E. Cholecystitis 434. Patient of B., 64 years old, has been sick with chronic hepatitis. Complaints about pain in the liver, growth retardation. Objectively: his skin is dry, erythemic, atrophy of muscles, telangiectasis on shoulders, hyperemia of hands, abdomen is enlarged, look like “jelly-fish head”. The liver below the costal arc on 3 cm, painful, dense, spleen on 1 cm below the costal arch, positive symptom of fluctuation. Laboratory investigation: hypergammaglobulinaemia, increasing of AsAT activity, AlAT is highly increased. What drug of choice for the patient? A. Lactulose B. * Hepatoprotectors C. Antibiotics D. Glucocorticoids E. Alpha interferon 435. Patient P., 21 year,complaint about diarhhea that lasts for one and half months, changes sometimes, on emptying there are admixtures of blood and mucus, 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. Protracted shigellosis B. * AIDS C. Infectious mononucleosis D. Megakaryoblastoma E. Ameobiasis 436. Patient S., 26 years old, was taken to hospital on the 4th day of illness with complaints of fever, headache, pain in the calf muscles. Land improvement works. Have casual sex. OBJECTIVE: temperature - 39,7 C. A serious condition. Sluggish. Inhibited. Severe icterus of the skin and sclera. Bleeding in the conjunctiva and sclera. Haemorrhagic rash on the skin. Liver palpable 3 cm below the costal edge, edge spleen, daily urine 300 ml. Etiologic agent of the disease is the most reliable: A. Rickettsia B. Hepatitis A virus C. * Leptospira D. Spirochete E. Chlamydia 437. Patient, 24, complains of pain in the right hypochondrium, worse after eating, nausea, fever up to 37,7 C, jaundice, pain in the large joints. Sick for 8 months. He suffers from ulcerative colitis. Hepatosplenomegaly. Erythrocyte sedimentation rate of 47 mm / year, total bilirubin 86.1, direct 42.3 mmol / liter. In the blood of antibodies to smooth muscle cells. Total protein 62 g / l, Alb. 40% of Globe. 60%, 38% gamma globulin. Viral hepatitis markers were detected. At SPL portal vein diameter of 1 cm your diagnosis? A. Primary biliary cirrhosis B. Gilbert's syndrome C. Viral hepatitis D. Hemachromatosis E. * Autoimmune hepatitis 438. Patiett is worried bouts of fever, repeated every third day. Marked jaundice sclera and skin, hepatosplenomegaly. Which of the following most likely diagnosis? A. Viral hepatitis B. Sepsis C. * Malaria D. Yersiniosis E. Leptospirosis 439. Plumber 45 years, was hospitalized on 7-day fever. OBJECTIVE: Temperature 39,8 C, somnolence (night insomnia), lethargy, weakness, pallor, pulse 78 for 1 min, blood pressure 105/70 mm Hg. Art. Tongue thickly coated gray patina, with imprints of the teeth. Distended stomach, liver and spleen are enlarged, in the right iliac region rumbling and hypersensitivity of the skin. Chair was not 2 days. What studies should be performed to confirm the diagnosis? A. * Blood cultures B. Spinal tap C. Analysis myelogram D. Colonoscopy E. Examination of blood for markers of viral hepatitis 440. Sick 34, complaining of fatigue, appetite loss, nausea, a feeling of heaviness in the epigastric region, bitter taste in the mouth. OBJECTIVE: HR 76 for 1 min, the temperature of 37,2 C. Pale skin, with single vascular "stars" on the top of the chest. The liver performs at 2 cm from the edge of the arc. In the blood: bilirubin 36 umol / L, AST 2.5 mmol / (l ? year), ALT 2.8 mmol / (l ? year). HBeAg (-), anti-HBc (-), HBsAg (+) and anti-HBe (+). What diagnosis should be set to the patient? A. * Chronic hepatitis B, the phase of integration, poorly expressed Activity B. Chronic hepatitis B replication phase, the activity of weakly expressed C. Chronic hepatitis B phase of integration, high activity D. Chronic hepatitis C replication phase, the activity of weakly expressed E. Chronic hepatitis B replication phase, moderate activity 441. 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 442. 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 443. Student 20 years, was treated at the outpatient ARI for 3 days due to the increase in temperature to 38,2 C. At the next inspection - complaints of poor appetite, tiredness growing at normal temperature and no catarrhal symptoms of the upper respiratory tract. Doctor noticed an increase in pain and moderate liver. In the group were cases of hepatitis A. Which method of research will reveal the cause of this condition? A. Ultrasound of the liver B. Determination of bilirubin C. Determination of ?-lipoprotein D. * Determination of blood aminotransferase E. Immunofluorescence study of nasopharyngeal wash 444. Student L, 20 years, during a month disturb with considerable fatigueability, 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 445. Student L., 20 years old, during a month disturb with considerable fatigueability, 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| 446. 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. C. D. E. Purulent defect of skin and mucus (seborrhic dermatitis, mycotic defect of nails) An episode of herpes zoster during the last five years Risiding of infection of upper respiratory tracts (for example, bacterial sinuitis) * Minimum defeats of mucus (recurrent ulcers of mucus shell of oral cavity) 447. 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 fatigue, ability, 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 448. The patient was 40 years old in a week after returning home from Ethiopia worried recurrent bouts of fever. Marked jaundice sclera and skin, hepatosplenomegaly. Which of the following most likely diagnosis? A. Sepsis B. * Malaria C. Hepatitis A D. Congenital anemia E. Leptospirosis 449. The patient, aged 17, complained of fatigue, loss appetite, nausea, a feeling of heaviness in the right upper quadrant, body aches, dark urine, fever up to 37,8 C. Found that the younger sister of the patient 1.5 months ago suffered jaundice. Objectively: skin and visible mucous membranes yellow. The lower edge of the liver is palpable 1.5 cm below the costal arch. Spleen palpable. Your preliminary diagnosis? A. Hepatitis B B. Infectious monomucleosis C. * Hepatitis A D. Leptospirosis E. Pseudotuberculosis 450. The patient, aged 35, fell ill acutely complained of intense headache, pain in the muscles of the lower extremities, increasing the temperature to 39,3 C. Objectively, on the 4th day of illness: a serious condition, hyperemic face, the skin and the sclera icteric. Enlarged liver and spleen. Urine output is reduced. The most likely diagnosis? A. Trichinosis B. Hepatitis A C. Yersiniosis D. Kissing disease E. * Leptospirosis 451. 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 452. Weakness appeared in a patient, decrease in an appetite, began pains in the joints of extremities, felling of weight in right subcostal region, vomiting. Urine became dark in 12 days, and in a day - sclera and skin turned yellow. It was discovered in an immunogram: antuIgG -HAV (+), HBsAg (+), antiIgМ -НBcorAg (+), anti-НCV (-), anti-НDV (-). To the patient 3 months back was extracted a tooth. Most probable diagnosis? A. * Viral hepatitis B B. Viral hepatitis A C. Viral hepatitis C D. Viral hepatitis D E. Viral hepatitis E 453. 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 454. 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 455. Woman of 22 years old, in the 7th month of pregnancy felt ill acutely in 3 weeks after arrival from Turkmenistan. An icterus, untraceable vomiting, pain in right subcostal region,, hemmorhaeges on the skin, appeared after three-day fever. Most probable diagnosis will be: A. Acute fatty hepatosis of pregnancy B. Cholestatic hepatosis of pregnant C. * Viral hepatitis of A D. Viral hepatitis B E. Acute sepsis 456. 2 men admitted in the clinic of infectious diseases, attendant of cattle farm. Both complaints on increase of body temperature, headache, injury of skin of hands like ulcers encoated by crusty black covering. Became ill 3 days ago. At first at the skin of hands appeared 2-3 red spots, then in the place of spots appear bubbles, bursting with formation of the ulcers covered by a dense black scab. Around the scab appeared inflamed red colored secondary vesicles, all is surrounded by the soft studnevidnim edema but not painful. Patients care for the ill bull 4 days ago to illness. What is the most credible diagnosis? A. Plague B. Eryzipelas C. Carbuncle D. * Anthrax E. Tularemia 457. 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 458. 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 C, 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 459. 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, the iliac lymphonoduss are enlarged, skin above them hyperemic, light, moving is sharply painful. What is previous diagnose? A. Limphogranulomatosis B. Tularemia C. Sharp festering lymphadenitis D. * Plague E. Anthrax 460. 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. Tularemia E. Lymphogranulomatosis 461. 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 C, 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 462. A patient has the sudenly expressed edema in half face and neck. In the center of edema is the black scab surrounded by small vesicles. Paracervicle and submandibular lymph nodes are increaseed in size. The changes on face are not accompanied by pain. During examintaion, patient has temperature 37,5 C. What is the most credible diagnosis? A. * Anthrax B. Plague C. Tularemia D. Eryzipelas E. Furuncle 463. A patient W., 40 years old, veterinaryer, is ill 3 day: insignificant weakness, body temperature - 38 C, at right forearm - ulcer of diameter 1,5 cm, covered by dark brown scab, surrounded by hyperemia with small vesicles. Expressed edema of soft tissue of forearm. Enlareged and sensible lymph nodes on the right elbow and arm pit. On the hands fresh scratches. What is the most credible diagnosis? A. * Anthrax B. Eryzipelas C. Felinoz D. Staphylococcal carbuncle E. Tularemia, ulcerous-bubonic form 464. 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 465. A patient, habitant of Nigeria, grumbles about the increase of temperature, general weakness. Gradually a temperature rose to 38,9 C, 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 466. 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 467. 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 468. At 25 years sick, which got back from Far East, suddenly temperature of body rose up to 39,9 C, 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 469. 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 470. 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 471. 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 472. 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 473. 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 474. 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 475. 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 476. 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. maculopapular pouring out on a trunk. Credible diagnosis? A. Lassa fever B. * Marburg fever C. Leptospirosis D. Ebola fever E. Crimean fever 477. 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 24th 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 darklycherry 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 478. 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 C, 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. * Hemorrhagic fevers B. Grigoriev-Shiga dysentery C. Leptospirosis D. Meningococcal infection E. Salmonellosis 479. 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. Tularemia, bubonic form D. Regional lymphadenitis E. Phlegmon 480. 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 481. 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 482. 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 483. In a villager, on back surface of right fist appeared itching papule, in the center of which is present swelling with ichoric content. In next 2 days develops edema of fist and forearm. On 4th day increase of body temperature, in axillaries region of right revealed large painful lymphatic nodule. One day before the beginning of disease, patient had contact with dead calf. What is the most possible diagnosis? A. Plague, skin-bubonic form B. * Anthrax ulcer, skin form C. Common carbuncle D. Tularemia, skin-bubonic form E. Sepsis 484. In ambulance delivered a girl 14 years, which became ill 6 days ago from appearance of weakness, increase body temperature to 39,3 C, 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 485. 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. Second day of disease. During examination: impared 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 486. 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 487. M., aged 26, a milkmaid, acutely ill with fever, muscle pain, increased body temperature to 38-40 C. On hand in the interdigital folds and around the nails are rash small blisters filled with clear, and further muddy contents. After 2 days the bubbles burst in their place were merging together erosion. In the farm, there are cases of diseases in animals. The preliminary diagnosis? A. Anthrax. B. * FMD. C. Erysipeloid. D. Herpes infection. E. Cowpox. 488. M., aged 26, a milkmaid, Became ill suddenly with fever, muscle pain, increased body temperature to 38-40 C. On hand in the interdigital folds and around the nails are rash small blisters filled with clear, and further muddy contents. After 2 days the bubbles burst in their place were merging together erosion. In the farm, there are cases of diseases in animals. Methods of laboratory diagnosis of the disease: A. B. C. D. E. * Isolation of the pathogen from the blood. Widal reaction. Neutralize the biological sample Complete blood count Intradermal test 489. Men D., 44 years old, received a suspicious letter. A letter must be read, however a recipient fears that his content can be potentially dangerous in regard to an anthrax. In this situation, it is necessary: A. To through it, not unsealing B. * Cover a letter by a moist gauze and iron it on heated till 250C C. Burn out a letter D. Deliver it in sanepidemic unit E. Send back 490. Patient 25 years, which got back from Far East, suddenly temperature of body raised to a 39 C, 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 491. 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 492. 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 493. 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 494. Patient A., 43 years old, was admitted in infectious hospital with complaints on a high body temperature and severe headache. He is ill 2 days. By examination observe carbuncle on forearm with the expressed edema around it and insignificant painful. Regional lymphadenitis. Hepatolienal syndrome. It is known from anamnesis, that a patient works on a stock-raising farm. About what disease is it necessary to think about? A. Erizipeloid B. Cancer of skin C. Eryzipelas D. * Anthrax E. Eczema 495. Patient A., complaints on redness of skin and edema at the right cheek. During examination: body temperature - 38,7 C, painful and edematous submandibular lymph nodes on the right side, can clearly differentiate between hyperemia and healthy skin, bubbles with a dark liquid inwardly, painful palpation. Your preliminary diagnosis? A. * Eryzipelas, hemorrhagic form B. Anthrax, skin form C. Herpetic infection D. Chicken-pox E. Phlegmon of cheek 496. 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 497. 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 C, 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 498. Patient C has got significant edema of half of face and neck. In the middle of edema there is a black scab, surrounded by small vesiculas. There are enlarged submandibular aand frontal neck lymph nodes. The changes on face are not accompanied with pain. Temperature of body at examination is 37,5 C. What is the most credible diagnosis: A. * Anthrax B. Plague C. Rabbit-fever D. Erysipelas E. Furunculosis 499. Patient C., 41 years old, geologist, during 2 months was 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 sm, 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. Phlegmon of right shin D. * Plague E. Spotted fever 500. 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, 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 501. 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 502. 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 smallvesicles 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 503. Patient D., 47 years old, veterinary doctor, admitted to infections department on 2nd day of disease in quite severe condition with expressed intoxication, high temperature (40 C); general weakness, exhausting cough with runny bloody sputum. Objectively: cyanosis of mouth, pulse 128 per minute, mucous membranes of mouth cavity lightly hyperemic, due to significant edema of nasal and pharyngeal mucous present impediment breathing, during lungs auscultation - dry and moist rales, in percutation - areas of consolidations. Deaf heart tones, AP - 85/50 mmHg. From epidemiologic anamnesis revealed, that patient during a week till the onset of disease work with ill animals. Part of the animals died. What is the most possible diagnosis? A. Community-acquired pneumonia B. * Anthrax, lung form C. Plague, lung form D. Atypic pneumonia (SARS) E. Q-fever 504. 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 by swallowing. Objectively: mucus of oro-pharing not sharply hyperemic, on right tonsil dense greyishyellow 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. * Tularemia D. Tonsillitis E. Limphogranulomatosis 505. 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 18х10,6, ESR - 35 mm/hr. What is previous diagnosis? A. * Plague, bubonic form B. Sepsis C. Lymphogranulomatosis D. Acute leucosis E. Anthrax 506. 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 507. 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 508. 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. Tularemia. Pulmonary form D. * Plague. Secondary-pulmonary form E. Tuberculosis of lungs 509. 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 510. Patient L., 38 years old, complains of significant pain in right inguinal area, takes extorsion position of extremity. From epidemiologic anamnesis revealed, that he works as a loader in port. During punctuate microscopy from bubon revealed bipolar stained gram-negative small sticks. What is the transmitting agent of this disease? A. Flies B. Mosquito C. * Flea D. Lice E. Tick 511. Patient L., was hospitalized to the infectious department. The doctor thinks that he has plague. What examination of the patient do you suggest? A. General blood examination, biological test, immediate diagnostic methods B. Bacteriological blood examination C. Faeces smear D. Bubonic smear E. * All the above 512. Patient M., 45 years old, came from Africa. Acutely ill: chills, high fever, pronounced symptoms of intoxication. After a few days - a watery, liquid, mixed with blood, frequent bowel movements (melena), hemorrhagic rash, joined nasal and gastrointestinal bleeding, hypovolemic growing phenomenon and infectious-toxic shock. Probable diagnosis: A. Fever pappatachi B. * Marburg fever C. Tropical helminthiasis D. Shigellosis E. Leptospirosis 513. ?Patient N., 35 years old, admitted 15th day of disease with subfebrile temperature. On the right side of the neck palpable lymphatic node, with the size of chicken egg, moderate pain, not connected with surrounding tissues. On the back side of the neck dry spot of dark-brown color. What is the most possible diagnosis? A. Plague, bubonic form B. Anthrax C. Purulent lymphadenitis D. Mononucleosis E. * Тularemia, skin-bubonic form 514. 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: the 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 515. Patient P., 40 years old, is a farmer. He is ill during 3 days. He complains of subfebrile temperature, headache. There is a large edema on the left arm. There is a vesicle (0,3x0,5 cm) in the center of it; which contains the serous and bloody liquid, painless, with considerable peripheral erythema. What is clinical diagnose? A. Plague B. Eryzipelas C. Carbuncle D. Tularemia E. * Anthrax 516. Patient S, 52 years old, cleaner, came to outpatient department with complains of pain sensations in area of right forearm, where appeared abscess, sharply painful with infiltration, mild edema and hyperemia of surrounding skin. In the center there is deep ulcer. Palpation is painful. What is the primary diagnosis? A. Plague, skin form B. Anthrax, skin form C. * Furunculous D. Тularemia, skin form E. Sepsis, purulent lymphadenitis 517. Patient V., 36 years. 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 518. 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. * Anthrax B. Diphtheria C. Kvinke’s oedema D. Plague E. Carbuncle of neck 519. Patient К., 43 years old, hunter. The onset was acute: appeared sharp pains in right inguinal area, which lead to extortion position of hand. Temperature raised till 39,5 C. Next day he calls the doctor who put the diagnosis “Lymphadenitis” and directs the patient by ambulance to surgical department. Surgeon during examination revealed woody-like tightly conglomerate of lymphatic nodes and purpose color of skin above it. What is the most possible diagnosis? A. B. C. D. E. * Plague, bubonic form Sepsis, purulent lymphadenitis Purulent lymphadenitis Тhrombosis of a. femoralis Тularemia, bubonic form 520. Patient, 30 years old, lives in Egypt. Became ill sharply. A temperature with a chill rose to 39 C 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 521. Patient, 37 years old hospitalized in infections department on 3rd day from the beginning of the disease in very severe condition. Complains of high fever and sharp general weakness, strong pain in inguinal area. Objectively: consciousness is darkened, Т - 41 C, in right inguinal area the group of enlarged, connected lymphatic nodes, not moveable, tightly, unclear borders, very painful, redness of skin above them. After one day appeared pain in right side of thoracic cavity, cough with bloody sputum. Patient is miserably, nervous. What is the primary diagnosis? A. * Plague, secondary-lung form B. Anthrax, generalized form C. Plague, primary-lung form D. Lung tuberculosis E. Тularemia, lung form 522. 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 C, 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 C, 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 523. 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. Tularemia C. * Plague D. Lymphogranulomatosis E. Acute festering lymphadenitis 524. Sick 37 years person on Crimea grumbles about a high temperature, nonpermanent 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 525. Sick C., 33, appealed on the 5th day of illness. In second day the temperature of body was raised to 40 C, 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 526. 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 527. 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 528. 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 529. 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 530. 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 531. 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. Tularemia, pulmonary form D. Anthrax, generalized form E. * Plague, secondary-pulmonary form 532. The 30-year-old inhabitant of Peru, brought to the hospital on the 4th day of the disease, there is vomiting blood, nose bleeding, jaundice of the skin, petechiae. In the study of urine revealed red blood cells, white. Decreased amount of urine. The preliminary diagnosis? A. * Yellow fever B. Dengue fever C. Kyasanur Forest Disease D. Lassa fever E. Ebola fever 533. 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 534. 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 535. The disease began acutely, without prodrome. There were chills, pain in the muscles, bones, back pain, increased body temperature to 38-40 C. The next day marked symptoms of the mucous membranes: a burning sensation in the mouth, heavy salivation, flushing of the lips, gums, palate, nose, tongue edema, redness, pain during urination, bowel dysfunction, aphthae in the mouthnthe day after a large number . From history revealed that the patient drank raw milk purchased in the private sector. The preliminary diagnosis? A. Aphthous stomatitis. B. * FMD. C. Erysipelas of the oral mucosa. D. Enterovirus infection. E. Candidiasis. 536. The disease began acutely, without prodrome. There were chills, pain in the muscles, bones, back pain, fever up to 38-40 C. The next day marked symptoms of the mucous membranes: a burning sensation in the mouth, heavy salivation, flushing of the lips, gums, palate, nose, tongue edema, redness, pain during urination, bowel dysfunction, aphthae in the mouthathe day after a large number. From history revealed that the patient drank raw milk purchased in the private sector. Treatments for this disease: A. Oral hygiene B. Local antiviral therapy C. Deintoxication D. Glucocorticoids E. * Specific immunoglobulin 537. 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? A. Оmsk hemorrhagic fever B. Yellow fever C. Leptospirosis D. * Hemorrhagic fever with a kidneys syndrome E. Crimea hemorrhagic fever 538. 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. B. C. D. E. The decline in serum indicators KFK and LDG ESR greater after 60 mm/hour Neutrophiil in liquor Elevated levels of alkaline phosphatase in the serum * High proteinuria 539. To villager an itching papula appeared on the back surface of right hand, in the center of which a bubble with ichor content appeared. During the next two days develped edema of hand and forearm . At 4th day appear body temperature, in right axillary region observe large painful lymph node. Patient examined a dead bull a day ago to beginning of illness. Most credible diagnosis? A. Plague, skin-bubonic form B. * Anthrax, skin form C. Banal carbuncle D. Tularemia, skin-bubonic form E. Sepsis 540. 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 541. 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 542. 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 543. 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 - 38,1C, 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. Furuncle B. Tularemia C. Кu-fever D. * Anthrax E. Sap 544. 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 545. What measures should be taken in regards to persons, who were in contact with a patient diagnosed with epidemic parotitis? A. Observation after contact people during a maximal length of incubation period B. Quorantine in child's establishment C. Isolation of people who were in contact with ill from 11th to the 21th day of illness D. Isolation of children up to 10 years old, who were not ill with epidemic parotitis, for 21 day from a moment of contact E. * All above enumerated Test to figures 1. A mechanism of transmission at this illness is (Fig. 49): A. Air-drop B. Fecal-oral C. * Contact D. Transmissiv E. Vertical 2. A mechanism of transmission at this illness is (Fig. 40): A. Air-drop B. Fecal-oral C. * Contact D. Transmissiv E. Vertical 3. A mechanism of transmission at this illness is (Fig. 46): A. Air-drop B. Fecal-oral C. * Contact D. Transmissiv E. Vertical 4. Appoint adequate therapy to this patient (Fig. 61) 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 5. At what infectious disease does conduct this symptom (Fig. 58)? A. Poisoning mushrooms B. Meningo-encefalit C. Poliomyelitis D. Rabies E. * Tetanus 6. Curent treatment for HIV infection (Fig. 3) consists of highly active artiretroviral 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 7. Curent treatment for HIV infection (Fig. 3) consists of highly active artiretroviral 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 8. Curent treatment for HIV infection (Fig. 3) consists of highly active artiretroviral 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 9. Curent treatment for HIV infection (Fig. 3) consists of highly active artiretroviral 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 10. ?For what family of viruses does this exciter (Fig. 1) belong to? A. Paramyxovirus B. Reovirus C. Rabdovirus D. * Retrovirus E. Herpesvirus 11. For what group does this infectious diseases caused by this exciter (Fig. 1) belong to by L. Gromashevskij classification? A. Intestinal infection B. Infections of respiratory tract C. Behave to all indicated groups D. Blood infection E. * Infection of external covers 12. For what infectious pathology is it characteristically (Fig. 51)? A. Poisoning mushrooms B. Meningo-encefalit C. Poliomyelitis D. Rabies E. * Tetanus 13. For what infectious pathology is it characteristically (Fig. 52)? A. Poisoning mushrooms B. Encefalomeningit C. Poliomyelitis D. Rabies E. * Tetanus 14. For what infectious pathology is it characteristically (Fig. 53)? A. Poisoning mushrooms B. Meningo-encefalit C. Poliomyelitis D. Rabies E. * Tetanus 15. For what infectious pathology is it characteristically (Fig. 54)? A. Poisoning mushrooms B. Meningo-encefalit C. Poliomyelitis D. Rabies E. * Tetanus 16. For what infectious pathology is it characteristically (Fig. 55)? A. Poisoning mushrooms B. Meningo-encefalit C. Poliomyelitis D. Rabies E. * Tetanus 17. For what infectious pathology is it characteristically (Fig. 56)? A. Poisoning mushrooms B. Meningo-encefalit C. Poliomyelitis D. Rabies E. * Tetanus 18. For what infectious pathology is it characteristically (Fig. 57)? A. Poisoning mushrooms B. Meningo-encefalit C. Poliomyelitis D. Rabies E. * Tetanus 19. How is this symptom named (Fig. 51)? A. * Opisthotonos B. Emprostotonus C. Plevrostotonus D. Risus sardonicus E. Lockjaw 20. How is this symptom named (Fig. 53)? A. Opisthotonos B. Emprostotonus C. Plevrostotonus D. Risus sardonicus E. Lockjaw 21. How is this symptom named (Fig. 54)? A. Opisthotonos B. Emprostotonus C. Plevrostotonus D. Risus sardonicus E. * Lockjaw 22. How is this symptom named (Fig. 55)? A. Opisthotonos B. Emprostotonus C. Plevrostotonus D. * Risus sardonicus E. All right 23. How is this symptom named (Fig. 56)? A. Opisthotonos B. Emprostotonus C. Plevrostotonus D. All right E. * Lockjaw 24. How is this symptom named (Fig. 57)? A. Opisthotonos B. Emprostotonus C. Plevrostotonus D. * Risus sardonicus E. Lockjaw 25. How is this symptom named (Fig. 58)? A. * Lorin-Epshteyn B. Blyumberg C. Murson D. Rozenberg E. Koplik 26. 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 27. Man V., 26 years, has HIV infection 5 years. What is your diagnosis (Fig. 6)? A. Dementsia of AIDS B. Patient has еncephalopathy (AIDS-related complex) C. Rabies D. Anxiously depressed syndrome for HIV infection E. * Toxoplasmosis 28. Put a preliminary diagnosis (Fig. 40)? A. * Erysipelas B. Phlegmon C. Sepsis D. Herpetic infection E. Erysipelotrix 29. 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 30. 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 31. 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 32. 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 33. 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 34. 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 35. Put a preliminary diagnosis (Fig. 49)? A. * Erysipelas B. Phlegmon C. Sepsis D. Herpetic infection E. Erysipelotrix 36. Put a preliminary diagnosis (Fig. 50)? A. * Erysipelas B. Phlegmon C. Sepsis D. Herpetic infection E. Erysipelotrix 37. Put a previous diagnosis (Fig. 61)? A. Viral hepatitis B. Leptospirosis C. Malaria D. Amebiaz, visceral form E. All is right 38. Specify the measures of urgent prophylaxis of this desease (Fig. 15). A. Anti-anthrax bacteriofag B. * Penicillinum or tetracyclinum during 5 days C. Vaccination D. Medical supervision E. Biseptolum 5 days 39. Specify the measures of urgent prophylaxis of this desease (Fig. 16). A. Anti-anthrax bacteriofag B. * Penicillinum or tetracyclinum during 5 days C. Vaccination D. Medical supervision E. Biseptolum 5 days 40. Specify the measures of urgent prophylaxis of this desease (Fig. 18). A. Anti-anthrax bacteriofag B. * Penicillinum or tetracyclinum during 5 days C. Vaccination D. Medical supervision E. Biseptolum 5 days 41. 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; 42. 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; 43. 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; 44. 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 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 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 2 months D. * 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 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 45. 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) 46. The experts of WHO consider suspicious in relation to AIDS (Fig. 8): A. Diarhea which lasts more than 6 months B. Diarhea which lasts more than 4 months C. Diarhea which lasts more than 2 months D. Diarhea which lasts more than 3 months E. * Diarhea which lasts more than 1 months 47. What cells are infected by this virus (Fig. 1)? A. CD 1 B. CD 2 C. CD 3 D. * CD 4 E. CD 5 48. What clinical features of sarcoma Kaposhi 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 adopted features 49. What clinical features of sarcoma Kaposhi 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 adopted features 50. What clinical features of sarcoma Kaposhi in such (Fig. 2) patients? A. A sarcoma do 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 adopted features 51. What clinical features of sarcoma Kaposhi in such (Fig. 2) patients? A. A sarcoma do 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 adopted features 52. What clinical features of sarcoma Kaposhi in such (pic. 2) patients? A. A sarcoma do 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 yung and middle age E. All adopted features 53. What complication may appear only in patient with HIV infection (Fig. 5)? A. Pneumococal pneumonia B. Megakaryoblastoma C. * Pneumocystis pneumonia D. Visceral leshmaniasis E. Tularemia 54. What drug did use for the treatment of the most possible disease (Fig. 20)? A. Amoxicillin B. * Streptomycin C. Penicillin D. Biseptol E. 5-NOK 55. What drug did use for the treatment of the most possible disease (Fig. 21)? A. Amoxicillin B. * Streptomycin C. Penicillin D. Biseptol E. 5-NOK 56. What drug did use for the treatment of the most possible disease (Fig. 22)? A. Amoxicillin B. * Streptomycin C. Penicillin D. Biseptol E. 5-NOK 57. What drug did use for the treatment of the most possible disease (Fig. 9)? A. Merapenem B. Flukonazol C. * Interferon D. Vitamin K E. Levomicetyn 58. What drug did use for the treatment of the most possible disease (Fig. 10)? A. Merapenem B. Flukonazol C. * Interferon D. Vitamin K E. Levomicetyn 59. What is optimum preparation for the prophylaxis of relapse of this disease (Fig. 42)? A. Bicillinum 1 B. Glyukokortikoides C. Bicillinum 3 and glyukokortikoides D. * Bicillinum 5 E. Bicillinum 5 and glyukokortikoides 60. What is optimum preparation for the prophylaxis of relapse of this disease (Fig. 50)? A. Bicillinum 1 B. Glyukokortikoides C. Bicillinum 3 and glyukokortikoides D. * Bicillinum 5 E. Bicillinum 5 and glyukokortikoides 61. What is optimum preparation for treatment of this disease (Fig. 40)? A. * Bicillinum B. Glyukokortikoides C. Levomicetin D. Furagin E. Tetracyclinum 62. What is optimum preparation for treatment of this disease (Fig. 41)? A. * Bicillinum B. Glyukokortikoides C. Levomicetin D. Furagin E. Tetracyclinum 63. What is optimum preparation for treatment of this disease (Fig. 42)? A. * Bicillinum B. Glyukokortikoides C. Levomicetin D. Furagin E. Tetracyclinum 64. What is optimum preparation for treatment of this disease (Fig. 44)? A. * Bicillinum B. Glyukokortikoides C. Levomicetin D. Furagin E. Tetracyclinum 65. What is optimum preparation for treatment of this disease (Fig. 45)? A. * Bicillinum B. Glyukokortikoides C. Levomicetin D. Furagin E. Tetracyclinum 66. What is optimum preparation for treatment of this disease (Fig. 46)? A. * Bicillinum B. Glyukokortikoides C. Levomicetin D. Furagin E. Tetracyclinum 67. What is optimum preparation for treatment of this disease (Fig. 47)? A. * Bicillinum B. Glyukokortikoides C. Levomicetin D. Furagin E. Tetracyclinum 68. What is the most possible diagnosis (Fig. 10)? A. Plague, septic form B. Anthrax, septic form C. * Hemorrhagic fever D. Tularemia, septic form E. Sepsis 69. 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 70. 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 71. 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 72. 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 73. 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 74. 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 75. What is the most possible diagnosis (Fig. 9)? A. Plague, septic form B. Anthrax, septic form C. * Hemorrhagic fever D. Tularemia, septic form E. Sepsis 76. What is your diagnosis (Fig. 13)? A. * Sarcoma Kaposhi B. Candidos C. CMV-infection D. Toxoplasmosis E. Diphtheria 77. What is your diagnosis (Fig. 2)? A. * Sarcoma Kaposhi B. Candidos C. CMV-infection D. Toxoplasmosis E. Diphtheria 78. What is your diagnosis (Fig. 4)? A. * Sarcoma Kaposhi B. Toxoplasmosis C. Chicken pox D. CMV-infection E. Small pox 79. What is your diagnosis (Fig. 4)? A. Leycoplakia B. * Sarcoma Kaposhi C. Furunculosis D. Rubella E. CMV-infection 80. What kind of specific prophylaxis should be conducted for this patient which was bitten (Fig. 60)? A. Gamma-globulin and 18 doses of Kab B. 12 doses of Kab C. * 6 doses of Kab D. Gamma-globulin and 21 dose of Kab E. 2 doses of Kab 81. 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 82. What kind of specific prophylaxis should be conducted for this patient which was bitten (Fig. 60)? A. Gamma-globulin + tetanus antitoxin B. * Antyrabies vaccine + tetanus antitoxin C. Antyrabies vaccine and gamma-globulin D. Gamma-globulin and serum E. Serum + tetanus antitoxin 83. What mechanism of transmission of this virus (Fig. 1)? A. Droplet B. Fecal-oral C. Transmissiv D. * Contact E. Vertical 84. What specific test is used for diagnostic of this disease (Fig. 15)? A. Compliment fixation test B. Indirect hemaglutination test C. * Coetaneous test with antraxin D. Hemaglutination test E. RIFA with anthrax antigen 85. What specific test is used for diagnostic of this disease (Fig. 16)? A. Compliment fixation test B. Indirect hemaglutination test C. * Coetaneous test with antraxin D. Hemaglutination test E. RIFA with anthrax antigen 86. What specific test is used for diagnostic of this disease (Fig. 18)? A. Compliment fixation test B. Indirect hemaglutination test C. * Coetaneous test with antraxin D. Hemaglutination test E. RIFA with anthrax antigen 87. Such changes of (Fig. 23) are characteristic for: A. Typhoid fever B. *Scarlet fever C. Cholera D. Salmonellosis E. Candidosis 88. What symptom are characterazed at a salmonellosis (Fig. 34)? A. Fever B. Diareya C. Nausea D. Stomach-aches E. *All are above-mentioned 89. Emptying as a mud (Fig. 25) is characteristic for: A. Dysentery B. Cholera C. Amebiasis D. Balantidiasis E. *Salmonellosis 90. This procedure (Fig. 26) is obligatory at: A. Dysentery B. Cholera C. Amebiasis D. *Food poisoning E. Salmonellosis 91. What organs are struck at typhoid (Fig. 27)? A. Gullet B. Stomach C. Pancreas D. *Lymphatic formations of thin bowel E. All of intestinal 92. Such faeces is characteristic for: (Fig. 28) A. Dysentery B. *Cholera C. Amebiasis D. Balantidiasis E. Salmonellosis 93. What the symptoms are characterized for cholera? (Fig. 24) A. Fever B. *Diarrhea C. Nausea D. Stomach-aches E. Above all are correct 94. Faeces like swamp is characteristic for: (Fig. 25) A. Dysentery B. Cholera C. Amebiasis D. Balantidiasis E. *Salmonellosis 95. A fall-off to the turgor of skin is a characteristic sign: (Fig. 29) A. Dysentery B. *Cholera C. Amebiasis D. Balantidiasis E. Salmonellosis 96. Such changes, as: extraordinarily grave condition, shrunk face, eyes are deeply hollow, rolled up, semiclosed. On face expression of suffering, skin is cyanotic characteristic for: (Fig. 30) A. Dysentery B. *Cholera C. Amebas D. Balantidiasis E. Salmonellosis 97. Such changes as: a very serious condition, the face is shrunk, eyes deep heat, roll up, semiclosed. Expression on the face is suffering, skin cyanotic characteristic: (Fig. 31) A. Dysentery B. *Cholera C. Amebiasis D. Balantidiasis E. Salmonellosis 98. This bed (Fig. 32) is for patients of: A. Severe disease B. Paralyzed C. *Patients with cholera D. Patients with dysentery E. Cancer of rectum 99. Which parts of body affects in shigellosis? (Fig. 27) A. Esophagus B. Stomach C. Proximal colon D. *Distal colon E. The entire large intestine 100. What parts of intestine is affected in amebiasis (Fig. 27) A. Small Intestine B. Rectum C. Distal colon D. *Proximal colon E. The entire intestine 101. What symptoms are characteristic for dysentery: (Fig. 33) A. Intoxication B. Nausea and vomiting C. Tenesmus D. Artificial call E. *All the above listed 102. A. B. C. D. E. 103. A. B. C. D. E. 104. A. B. C. D. E. 105. A. B. C. D. E. 106. A. B. C. D. E. 107. A. B. C. D. E. 108. A. B. C. D. E. 109. A. B. C. D. E. 110. A. B. C. Which parts of intestine are affected in shigellosis? (Fig. 34) Esophagus Stomach Proximal colon *Distal colon The entire large intestine For what disease are characteristic such changes (Fig. 35)? Catarrhal tonsillitis Follicular tonsillitis Lacunar tonsillitis *Diphtheria For all this disease For what disease are characteristic such changes (Fig. 36)? Catarrhal tonsillitis Follicular tonsillitis Lacunar tonsillitis *Diphtheria For all this disease For what disease are characteristic such changes (Fig. 37)? Herpetic disease Flegmona of nose Erysipelas of nose *Diphtheria of nose Influenza For what disease are characteristic such changes (Fig. 38)? Catarrhal tonsillitis Follicular tonsillitis Lacunar tonsillitis *Diphtheria For all this disease For what disease are characteristic such changes (Fig. 39)? Catarrhal tonsillitis *Follicular tonsillitis Lacunar tonsillitis Diphtheria Simanovsky-Vensan’s tonsillitis For what disease are characteristic such changes (Fig. 63)? Catarrhal tonsillitis Follicular tonsillitis *Lacunar tonsillitis Diphtheria Simanovsky-Vensan’s tonsillitis For what disease are characteristic such changes (Fig. 35)? Simanovsky-Vensan’s tonsillitis Adenoviral infection Syphilis *Diphtheria For all this disease For what disease are characteristic such changes (Fig. 14)? *Simanovsky-Vensan’s tonsillitis Adenoviral infection Syphilis D. Diphtheria E. For all this disease 111. For what disease are characteristic such changes (Fig. 17)? A. Agranulocytosis B. Simanovsky-Vensan’s tonsillitis C. Duge’s tonsillitis D. *Diphtheria E. Syphilis 112. For what disease are characteristic such changes (Fig. 19) and enlarged all lymphatic nodules? A. Simanovsky-Vinsent’s tonsillitis B. Adenoviral infection C. Candidosis D. Diphtheria E. *Infectious mononucleosis 113. For what disease are characteristic such changes (Fig. 30) and enlarged all lymphatic nodules? A. Simanovsky-Vinsent’s tonsillitis B. Ludvig’s tonsillitis C. Candidosis D. *Diphtheria E. Duge’s tonsillitis 114. The exciter of (Fig. 35) is: A. Virus of Epshtein-Barr B. *Bacilla of Leffler C. Corynebacteria ulcerans D. Fusiform stick E. Corynebacteria xerosis 115. For what disease are characteristic such changes (Fig. 43)? A. Agranulocytosis B. Simanovsky-Vensan’s tonsillitis C. Duge’s tonsillitis D. *Stomatitis aphtosus E. Syphilis 116. For what disease are characteristic such changes (Fig.64)? A. Allergodermia B. Impetigo C. Herpes simplex D. Erysipelas E. *Herpes zoster 117. For what disease are characteristic such changes (Fig.65)? A. Allergodermia B. Impetigo C. Herpes simplex D. Erysipelas E. *Herpes zoster 118. For what disease are characteristic such changes (Fig.66)? A. Allergodermia B. Impetigo C. Herpes simplex D. Erysipelas E. *Herpes zoster 119. A. B. C. D. E. 120. A. B. C. D. E. 121. A. B. C. D. E. 122. A. B. C. D. E. 123. A. B. C. D. E. 124. A. B. C. D. E. 125. A. B. C. D. E. 126. A. B. C. D. E. 127. A. B. C. For what disease are characteristic such changes (Fig.67)? Allergodermia Impetigo Herpes simplex Erysipelas *Herpes zoster For what disease are characteristic such changes (Fig.68)? Allergodermia Impetigo Herpes simplex Erysipelas *Herpes zoster For what disease are characteristic such changes (Fig.69)? Allergodermia Impetigo Herpes simplex Erysipelas *Herpes zoster What preparation of etyotropic therapy for this infection (Fig.69) should be given? *Acyclovir Cefataxime Ceftriaxone Gentamycin Furazolidon What preparation of etyotropic therapy for this infection (Fig.68) should be given? *Acyclovir Cefataxime Amizon Gentamycin Erius What preparation of etyotropic therapy for this infection (Fig.67) should be given? *Valavir Cefataxime Amizon Gentamycin Erius What preparation of specific therapy for this infection (Fig.66) should be given? *Valtrex Cefataxime Amizon Gentamycin Erius Preparation of choice for treatment of this patient (Fig.65) is: Suprastin Prednisolone Biseptolum-480 Semavin *Laferon What measures of prophylaxis of disease (Fig.66) are need to be used? Vaccination Final disinfection Reception of specific immunoprotein 128. 129. 130. 131. 132. 133. 134. 135. 136. D. *Isolation of patient E. Acyclovir administration What measures of prophylaxis of disease (Fig.67) are need to be used? A. Vaccination B. Final disinfection C. Reception of specific immunoprotein D. *Isolation of patient E. Acyclovir administration About what disease you can think (Fig.66)? A. Erysipelas, bulbous form B. Anthrax C. *Herpetic infection D. Eczema E. Streptodermic infection What is the most possible diagnosis (Fig.64)? A. Rossolimo-Melkerson-Rozental’s syndrome right side B. Postherpetic neuralgia of I-st and II-nd branch of right trigeminal nerve C. Postherpetic neuralgia of all 3 branches of right trigeminal nerve D. Sluder’s syndrome right side E. *Hant’s syndrome Named the agent of this disease (Fig.66)? A. Herpes virus І type B. *Herpes virus ІІI type C. Herpes virus ІV type D. Herpes virus V type E. Herpes virus IІ type Named the agent of this disease (Fig.67)? A. Herpes virus І type B. *Herpes virus ІІI type C. Herpes virus ІV type D. Herpes virus V type E. Herpes virus IІ type Named the agent of this disease (Fig.68)? A. Herpes virus І type B. *Herpes virus ІІI type C. Herpes virus ІV type D. Herpes virus V type E. Herpes virus IІ type Named the agent of this disease (Fig.70)? A. Herpes virus І type B. Herpes virus ІІI type C. Herpes virus ІV type D. Herpes virus V type E. *Herpes virus IІ type Named the agent of this disease (Fig.71)? A. *Herpes virus І type B. Herpes virus ІІI type C. Herpes virus ІV type D. Herpes virus V type E. Herpes virus IІ type For what disease are characteristic such changes (Fig.70)? A. Allergodermia B. C. D. E. 137. A. B. C. D. E. 138. A. B. C. D. E. 139. A. B. C. D. E. 140. A. B. C. D. E. 141. A. B. C. D. E. 142. A. B. C. D. E. 143. A. B. C. D. E. 144. A. B. C. D. E. Impetigo *Herpes simplex Syfilis Furunculosis For what disease are characteristic such changes (Fig.71)? Allergodermia Impetigo *Herpes simplex Erysipelas Herpes zoster For what disease characterize such syndrome (Fig.73)? Lymphadenytys Tularemia Lymphogranulomatosis Infectious mononucleosis *For all this disease For what disease characterize such syndrome (Fig.73)? Adenoviral infection Tularemia Mumps Infectious mononucleosis *For all this disease For what disease characterize such syndrome (Fig.73)? Acute lympholeycosis Neck lymphadenitis Mumps Infectious mononucleosis *For all this disease For what disease characterize such rash (Fig.74)? Herpes simplex Meningococcal infection Herpes zoster *Chicken pox Rubella For what disease is characterize such rash (Fig. 75)? Herpetic infection of genitals *Chicken pox Typhoid fever Yersiniosis Erysipelas For what disease is characterize such rash (Fig. 74)? Herpetic infection of genitals *Chicken pox Typhoid fever Yersiniosis Erysipelas For what disease is characterize such rash (Fig. 76)? Herpetic infection of genitals *Chicken pox Typhoid fever Yersiniosis Erysipelas 145. A. B. C. D. E. 146. A. B. C. D. E. 147. A. B. C. D. E. 148. A. B. C. D. E. 149. A. B. C. D. E. 150. A. B. C. D. E. 151. A. B. C. D. E. 152. A. B. C. D. E. 153. A. B. C. For what disease is characterize such rash (Fig. 77)? Herpetic infection of genitals *Chicken pox Typhoid fever Yersiniosis Erysipelas For what disease is characterize such syndrome (Fig. 78)? Adenoviral infection Tularemia *Mumps Infectious mononucleosis For all this disease For what disease is characterize such syndrome (Fig. 79)? Acute lympholeycosis Neck lymphadenitis *Mumps Infectious mononucleosis For all this disease For what disease such symptom does characterize (Fig. 81)? Rubella Measles Meningococcal infection *Mumps Scarlet fever What is name of this symptom (Fig. 81)? Stefanskyy‘s symptom *Murson‘s symptom Koplik‘s symptom Vaserman‘s symptom Pastia‘s symptom For what disease does this rash characterize (Fig. 82)? Rubella *Measles Meningococcal infection Yersiniosis Scarlet fever For what disease does this rash characterize (Fig. 83)? Rubella *Measles Meningococcal infection Yersiniosis Scarlet fever For what disease does this rash characterize (Fig. 48)? Rubella *Measles Meningococcal infection Yersiniosis Scarlet fever For what disease does this rash characterize (Fig. 59)? Rubella *Measles Meningococcal infection 154. 155. 156. 157. 158. 159. 160. D. Yersiniosis E. Scarlet fever What is name of this symptom (Fig. 48)? A. Stefanskyy‘s symptom B. Murson‘s symptom C. *Koplik‘s symptom D. Vaserman‘s symptom E. Rozenberg‘s symptom For what disease does this rash characterize (Fig. 62)? A. Rubella B. Measles C. Meningococcal infection D. Yersiniosis E. *Scarlet fever What is name of this symptom (Fig. 62)? A. Stefanskyy‘s symptom B. Murson‘s symptom C. Koplik‘s symptom D. Vaserman‘s symptom E. *Pastia‘s symptom For what disease does this rash characterize (Fig. 84)? A. Rubella B. Measles C. Meningococcal infection D. Typhoid fever E. *Scarlet fever For what disease does this rash characterize (Fig. 80)? A. *Rubella B. Measles C. Meningococcal infection D. Yersiniosis E. Scarlet fever For what disease is this characterize (Fig. 84)? A. Rubella B. Measles C. Meningococcal infection D. Rosenberg’s erythema E. *Scarlet fever For what disease is this characterize (Fig. 23)? A. Rubella B. Measles C. Meningococcal infection D. Sodoku E. *Scarlet fever
