Download ID_2410_N5 sur6 Peculiarities of surgi_English_sem_11

Survey
yes no Was this document useful for you?
   Thank you for your participation!

* Your assessment is very important for improving the workof artificial intelligence, which forms the content of this project

Document related concepts

Prenatal nutrition wikipedia , lookup

List of medical mnemonics wikipedia , lookup

Transcript
Назва наукового напрямку (модуля):
Семестр: 11
N5 sur6 Peculiarities of surgical diseases in pregnancy. Diagnosis and differential diagnostic of acute
abdominal diseases
Опис:
Перелік питань:
1.
A.
B.
C.
D.
E. *
2.
A.
B.
C.
D. *
E.
3.
A. *
B.
C.
D.
E.
4.
A. *
B.
C.
D.
E.
5.
A.
B.
C.
D.
E. *
6.
A. *
B.
C.
D.
E.
7.
A.
B.
C. *
D.
Vital body functions:
hemodynamic state of consciousness;
respiration, activity of kidney, liver, gastrointestinal tract;
hemodynamics, somatic and autonomic nervous system;
breathing, heart activity, liver;
respiratory, hemodynamic, central nervous system activity
In the postoperative period the patient must be treated with volume infusion likely for:
50 ml / kg;
10 ml / kg;
20 ml / kg;
40 ml / kg
30 ml / kg
Please provide optimal kalorazh during postoperative parenteral nutrition patients:
40 kcal / kg
10 kcal / kg;
20 kcal / kg;
30 kcal / kg;
50 kcal / kg
Parenteral nutrition patients displayed:
if you can not enteral
All patients who are treated in VAITi;
all terminally ill;
with disorders of vital functions;
in the postoperative period
In preparations for parenteral nutrition include:
polihlyukin;
albumin;
plasma;
starch derivatives;
lipofundin
In preparations for parenteral nutrition include:
10% glucose solution
albumin;
plasma;
starch derivatives;
karbikarb
In preparations for parenteral nutrition include:
plasma; Mr. casein hydrolysates;
albumin;
Mr. casein hydrolysates
protein;
E.
8.
A. *
B.
C.
D.
E.
9.
A. *
B.
C.
D.
E.
10.
A.
B.
C.
D. *
E.
11.
A. *
B.
C.
D.
E.
12.
A.
B.
C. *
D.
E.
13.
A.
B.
C.
D.
E. *
14.
A. *
B.
C.
D.
E.
15.
A.
polivinilpirrolidon
In preparations for parenteral nutrition do not include:
dextran
protein hydrolysates;
10% glucose;
20% glucose;
lipomays
In preparations for parenteral nutrition do not include:
salt
hidrolizyn;
casein hydrolysates;
10% glucose;
lipofundin
Frequently the cause of early complications after surgery using ditylinu:
laryngism;
inhibition of the respiratory center;
collapse;
zapadinnya root of the tongue
Arrhythmia
Frequently the cause of early complications after surgery using the central analgesia:
depressed respiration
bronhiolospazm;
hypotension;
cardiac arrest;
acute liver failure
Immediately after the operation under anesthesia prozeryn vykorystovuyut to:
restore tone respiratory center;
removing the residual after applying kuraryzatsiyi depolyaryzuyuchyh muscle relaxants;
removing the residual after applying kuraryzatsiyi antydepolyaryzuyuchyh muscle relaxants
stimulation of intestinal peristalsis;
Prevention bronhiolospazmu
Please list the required corrective surgery therapy
narcotic analgesics, antibiotics, cardiovascular drugs, electrolytes, vitamins;
correction of hemostasis, anesthesia, parenteral nutrition, exercise;
Correction pain, external respiration, volume hidremiyi, stimulation of peristalsis;
anesthesia, the use of central respiratory stimulants, antibiotics, drugs for parenteral breathing;
correction of homeostasis, pain, antibacterial therapy, exercise therapy
Peritonitis is divided into:
reactive, toxic, terminal
compensated, subkompensovanyy, terminal;
stage (I; II; III);
upper and lower half of the abdomen;
Early and late
In a nakrkozu in patients with peritonitis significantly increases the risk of such complications:
respiratory depression due to pulmonary edema;
B.
bronhiolospazmu;
C.
D. *
E.
16.
A. *
B.
C.
D.
E.
17.
A.
B.
C. *
acute heart failure due to mediastinal shift raised diaphragm;
regurgitation and aspiration
hiperkaliyemichnoyi cardiac arrest
The most frequent disorders of homeostasis in peritonitis are:
metabolic acidosis
respiratory acidosis;
deep vein thrombosis of lower extremities, thromboembolism
respiratory alkalosis;
metabolic alkalosis
When jet peritonitis hemodynamics often seen:
collapse;
hipodynamichnym regime;
hiperdynamichnym regime
hypovolemic shock;
depends on initial blood pressure
When toxic peritonitis Cardiac Output:
depends on the value of blood pressure;
increases;
does not change significantly;
reduced
depends on the total peripheral vascular resistance
Duration of preoperative preparation of patients with peritonitis limited:
conduct necessary surveys;
stabilization of homeostasis;
Willingness of Surgeons;
their preparation for anesthesia;
established ongoing all causes
The optimal anesthetic during the operation y of patients with peritonitis are:
with intravenous mioplehiyeyu and ventilation
Maskovyy inhalant;
epidural anesthesia;
spinal anesthesia;
conductor and infiltrative anesthesia
Acute intestinal obstruction causes are primarily disorders of homeostasis:
intoksykatsiynyy syndrome;
respiratory violations;
hipohidratatsiya, dyzelektrolitemiya
acute hepatic, kidney failure;
septic state due to the phenomenon of translocation
Decompensated pilorostenosis especially dangerous:
intoksykatsiynym syndrome;
hiponatriyemiyeyu and hipohidratatsiyeyu;
Respiratory alkalosis and metabolic acidosis;
Hypokalemia, hipohloremiyeyu, metabolic alkalosis
D.
E.
18.
A.
B.
C.
D. *
E.
19.
A.
B.
C.
D.
E. *
20.
A. *
B.
C.
D.
E.
21.
A.
B.
C. *
D.
E.
22.
A.
B.
C.
D. *
E.
23.
A. *
B.
C.
D.
E.
24.
A. *
B.
C.
D.
E.
25.
A.
B.
C.
D. *
E.
26.
A. *
B.
C.
D.
E.
27.
A.
B.
C.
D.
E. *
28.
A. *
B.
C.
D.
E.
29.
A.
B.
C.
D. *
E.
30.
A.
acute adrenal insufficiency
Intestinal obstruction significantly increased risk:
regurgitation and aspiration
septic state;
multiple organ failure;
liver failure;
painful shock
The best operational solution for decompensated pilorostenozi are:
overlay hastoenteroanastomozu
resection of the stomach by Billroth II;
resection of the stomach by Billroth I;
of radical surgery, which amount will be determined on the operating table;
overlay or hastrostomy yeyunostomy
In decompensated pilorostenosis is possible complications:
distributive shock; hipohidratatic shock;
hypovolemic shock due to anemia intoksykatsiynoho genesis;
cardiogenic shock;
hipohidratatic shock
vazohennyy shock
Pathogenetic most justified use of acute pancreatitis:
somatostatin;
kontrikal;
atropine sulfate;
antibiotic;
neostigmine methylsulfate
The most desirable preparation for infusion therapy of pancreatitis are:
reosorbilakt;
polihlyukin;
starch derivatives;
izotonichnymy Mr. sodium chloride;
glucose solution
The most frequent complication of pancreatic necrosis are:
pankreatohennyy shock
acute heart failure;
sepsis;
acute liver failure;
pulmonary edema
What is under ICE - Syndrome?
primary, consumption coagulopathy, anemia;
hypercoagulation, consumption coagulopathy, abnormal fibrinolysis, resolution;
hypercoagulation, hipokoahulyatsiyi;
hypercoagulation, consumption coagulopathy, abnormal fibrinolysis, pixels
offset, subkompensovana, decompensated
The most reasonable treatment for drug-ICE syndrome are:
Kriopretsipitat;
B.
C.
D.
E. *
31.
A.
B.
C.
D.
E. *
32.
A.
B.
C.
D. *
E.
33.
A.
B.
C.
D.
E. *
34.
A.
B. *
C.
D.
E.
35.
A.
B. *
C.
D.
E.
36.
A.
B.
C.
D. *
E.
37.
A.
erytrotsytna weight;
whole blood;
Refortan;
quick-frozen plasma
To be carried out by blood tests?
now the whole blood transfusion is therefore not necessary to conduct tests;
determining blood type, biological samples;
to save time and Rh blood group-membership can be estimated by documented data (in passport), to
conduct a biological sample;
blood group O (I) Rh (-) is universal for transfusions for any recipient;
blood grouping, Rh accessories, group and individual compatibility of biological samples
Which of the following belong to the mullion components of blood?
antystafilokokova plasma antyhemofilna plasma erytrotsytna mass, fibrinogen, Kriopretsipitat;
native plasma mass erytrotsytna, washed erythrocytes, Kriopretsipitat, polibiolin;
All types of plasma fibrinogen, washed erythrocytes, leykotsytna weight, albumin;
native plasma mass erytrotsytna, washed red cells, platelet mass
native plasma mass erytrotsytna, washed erythrocytes, aminokrovin, polibiolin, thrombus and
leykomasa
Which of the symptoms characteristic for diagnosis hemotransfuziynoho complications due to
incompatible system AB (0) during anesthesia?
znobinnya patient;
sudden pulmonary edema;
expressed hyperthermia;
acute anuria;
motiveless sudden hypotension
What happens in the bloodstream of the patient with an incompatible blood transfusion him?
thrombus;
hemolysis
arteriospazm acute;
hypertension due hiperkateholaminemiyi;
Go beyond the liquid part of blood vessel wall
Severe anemia occurs when a massive loss of blood volume:
30% of bcc;
40% of the bcc
50% of bcc;
60% of bcc;
70% of the bcc
Bcc in adults is:
1 / 10 of body weight;
5-6% of body weight;
5000 ml;
7% of body weight
1 / 20 on body weight
The reason for ICE - Syndrome can be:
incompatible blood transfusion;
B.
C.
D.
E. *
38.
A.
B.
C.
D.
E. *
39.
A.
B.
C.
D.
E. *
40.
A.
B.
C.
D. *
E.
41.
A. *
B.
C.
D.
E.
42.
A. *
B.
C.
D.
E.
43.
A.
B. *
C.
D.
E.
44.
A.
B.
C.
D. *
massive hemorrhage;
septic state;
amniotic fluid embolism;
All listed conditions
Laboratory features of 1-under ICE - syndrome are:
decrease in fibrinogen;
reduce the clotting time by Lee-White;
reduction of bleeding by Dyuk'om;
reduction in prothrombin time;
all listed features
Laboratory signs of stage 2-3 ICE - syndrome are:
fragmentation of circulating erythrocytes
reduce fibrinogen <1 g / l;
fewer platelets <10 • 109 l;
appearance of degradation products fibrynhenu (pdf)
all features listed above
Indications for transfer of pregnant women with gestosis in the intensive care unit are:
resistant hypertension;
nephropathy 3 cattle.
presence of generalized edema;
All listed conditions
proteinuria (> 1 g / l)
To remove the attack eclampsia apply appropriate anesthesia:
Sodium-tiopentalom
ketaminom;
Sodium-oksybutyrat;
ftorotanom;
broadcast
The best way Anaesthesia caesarian section are:
epidural anesthesia
neyroleptanalheziya;
ataralheziya;
central analgesia;
terminal block
In the third trimester of pregnancy Cardiac Output
increases by 10-20%;
increases by 30-40%
gets lower due to compression pregnant uterus lower hollow vein;
Financial Institutions;
remained at the level
Respiratory minute volume in pregnant women in 3 terms:
Financial Institutions;
gets lower due to the high standing of diaphragm;
increases by 10-15%;
growing 1.5 times
E.
45.
A.
B.
C.
D.
E. *
46.
A.
B. *
C.
D.
E.
47.
A.
B.
C. *
D.
E.
48.
A.
B.
C.
D. *
E.
49.
A.
B.
C. *
D.
E.
50.
A.
B. *
C.
D.
E.
51.
A.
B.
C. *
D.
E.
52.
A.
does not change
Bcc in pregnant women in 3 terms:
not changed in the absence of hemorrhage;
increases in 1.5 times;
increases by 10-15%;
humble;
increases by 30-35%
What are the benefits of dopamine to norepinephrine?
less pronounced alpha-1 adrenolitychnyy effect;
Extension of renal artery
vasorelaxation skeletal muscle;
reducing heart rate;
more intensive action hipertenziyna
What are the three most frequent symptoms observed in the initial stadiyiyi cholera?
hyperthermia, anuria, eksykoz;
arterial hypotension, anuria, hypothermia;
diarrhea, vomiting, muscle cramps
hyperthermia, hypotension, acute myocardial ischemia;
hypothermia, hipohidratatsiya, muscle weakness
Synonym Phillips-1 solution:
Hlosol;
Atsesol;
Disol;
Trisol
kvadrysol
When hipohidratatsiyi correction in patients with cholera using Mr. Phillips-1, which comprises:
500 ml 5% glucose-term and 500 ml of 0.9% to Mr. NaCl;
100 ml 10% albumin + 450 ml 5% Mr. glucose + 450 ml 0.9% Mr. NaCl;
5.0 g NaCl + 4.0 g NaHCO3 + 1.0 g KCl in 1000 ml pyrogen-free water
6.0 g NaCl + 4.0 g NaHCO3 per 1000 ml of pyrogen-free water;
6.0 g NaCl + 4.0 g CaCl2 + 2.5 g MgSO4 in 1000 ml pyrogen-free water
Phillips-2 solution used for rehydration of cholera patients with complication:
hypercalcemia;
hyperpotassemia
hipokaltsiyemiyi;
hypernatremia;
hipohloremiyi
The incubation period of hepatitis A are:
from 3 to 10 days (average 4 days);
from 50 to 60 days (average 60 days);
from 7 to 50 days (average 5-7 days)
50 to 180 days (average 2-4 months);
over 4 months
The use of the drug which causes the least risk of infection with hepatitis B?
fibrinogen;
B.
C.
D.
E. *
53.
A.
B.
C. *
D.
E.
54.
A. *
B.
C.
D.
E.
55.
A.
B.
C.
D. *
E.
56.
A. *
B.
C.
D.
E.
57.
A. *
B.
C.
D.
E.
58.
A.
B. *
C.
D.
E.
59.
A.
B. *
C.
D.
quick-frozen plasma;
erytrotsytnoyi mass;
wash erythrocytes;
albumin
How far the largest important factor in differential diagnosis of infectious and serum hepatitis?
growth rate of jaundice;
zhovtushnosti degree;
difference in duration of incubation period
presence or absence of symptoms of digestive function disorders;
difference liver samples
Complications not inherent in diphtheria?
jade
polyneuropathy;
myocarditis;
aphonia;
violation accommodation
In patients with rabies occur due to rabies:
breach of taste to water;
anaphylactoid reaction to water;
gipergidratatsii brain;
spasmodically reduce respiratory muscles while trying to swallow the liquid
opistotonusa that occurs when you try to drink
Gravest forms of tetanus and bad weather often occur when:
availability "incoming gateways infection closer to the head
localization "gate input has no value;
zahvoyuvanni pronounced in men with muscles;
disease in women with labile nervous system and expressed subcutaneous fatty tissue;
long-term growth of clinical disease
In the course of the severity of tetanus affects:
duration of the incubation period
effectiveness of intensive therapy;
intensyvistiv qualified doctors and equipment department;
timely application of patient muscle relaxant;
use of tetanus toxoid in the event of clinical signs of disease
Tetanus toxoid
poorly medication for preventing tetanus;
sufficiently effective means for prevention of tetanus
sufficiently effective means for treatment of tetanus;
can cause allergic reactions;
need to enter only after the skin test
What's wrong: protypravtseva serum
way to prevent tetanus;
blocks the nerve-muscle synapse, preventing the movement of neurotoxins
tool for the treatment of tetanus;
can cause allergic reactions;
E.
60.
A.
B.
C. *
D.
E.
61.
A.
B.
C.
D.
E. *
62.
A.
B.
C.
D. *
E.
63.
A.
B.
C. *
D.
E.
64.
A.
B.
C.
D. *
E.
65.
A.
B.
C. *
D.
E.
66.
A.
B. *
C.
D.
E.
67.
A.
need to enter only after the skin test
What is true: botulotoksyn
suppresses sympathetic nervous system department;
increases parasympathetic nervous system tone;
blocks release of acetylcholine from cholinergic nerve endings
increases the tone of the sympathetic nervous system;
depressing tone of the parasympathetic nervous system
What's wrong: botulotoksyn
stimulating effect on motor neurons of the medulla oblongata;
stimulating effect on spinal cord motor neurons
blocks release of acetylcholine from cholinergic nerve endings;
causes long immunity;
does not cause immune
The first classic manifestations of botulism are:
pareses paralichni and skeletal muscles;
violations heart rate;
Myocardial insufficiency
accommodation paresis, visual impairment, diplopia
stiff neck
In severe forms of botulism
diaphragm paralysis occurs after skeletal muscle paralysis;
paralysis of the diaphragm is unusual;
diaphragm paralysis often precedes the paralysis of skeletal muscles
paralysis of the diaphragm is not evident and rarely leads to disturbances of lung function;
paralysis of skeletal muscle is not evident
Which definition is true?
After setting the exact type botulinotoksynu to apply one of three types of serum;
naefektyvnishe serum are in the early hours of the poisoning, then they can not apply;
serum application in the period of the disease does not cause allergic reactions;
in the development of botulism should be used simultaneously for three types of serum
should determine the titer of antibodies to botulotoksynu and then, if necessary, to apply specific
serum
When Leptospirosis:
incubation period lasts more than 1.5 months;
Top gradual disease;
mialhiyiyi often have severe, especially in the lumbar muscles
primary cause of mortality is severe secondary pneumonia;
often observed encephalopathy due to infiltration by leptospires hematite-entsefalichnyy barrier
Clinical symptoms septic shock are all numbered signs, except
breathlessness;
bradycardia
mental blankness;
beginning with acute high fever;
often located in the hearth of urinary infection routes
Specify the wrong response to septic shock Intensive Care
at nebhidnosti - ventilation with positive pressure on expiration;
B.
C.
D. *
E.
68.
A. *
B.
C.
D.
E.
69.
A.
B.
C. *
D.
E.
70.
A.
B.
C.
D.
E. *
71.
A.
B. *
C.
D.
E.
72.
A.
B.
C. *
D.
E.
73.
A.
B.
C.
D. *
E.
74.
A.
B.
antibiotics depending on the nature and sensitivity of the infectious agent;
naloksonu application;
Use vnutrishnoaortalnoyi balloon kontrpulsatsiyi
application hemosorption
Where the number of neutrophils in the blood of a patient there a significant risk of opportunist
infections?
<1000 cells / ml
1000-1500 cells / ml;
1500-2000 cells / ml;
2000-2500 cells / ml;
2500-3000 cells / ml
Adult daily requirement of calories in absolute tranquility is
400-600 kcal;
600-800 kcal;
900-1500 kcal
1500-2500 kcal;
2600-3500 kcal
Which one of the least likely established ongoing complications with full parenteral nutrition?
hiperhlikemichna coma;
hypoglycemic coma after withdrawal parenteral nutrition;
hiperosmolyarnyy syndrome;
sepsis;
acute lack of thyroid
What is the likely need for daily calories in an adult patient after appendectomy?
20-30 kcal / kg;
30-40 kcal / kg
40-50 kcal / kg;
50-60 kcal / kg;
60-70 kcal / kg
To ensure adequate energy and plastic needs of the body is the optimal ratio between carbohydrates,
fats and proteins:
1:1:1;
2:2:1;
5:3:2
3:3:4;
2:3:5
When total parenteral nutrition needs in daily sodium and chloride for adults is:
25-50 mmol;
Mmol/m2 25-50;
50-75 mmol;
50-75 mmol/m2
These preparations are not advisable to enter
Daily requirement of carbohydrates for an adult is:
1-2 g / kg body weight;
2-3 g / kg body weight;
C. *
D.
E.
75.
A.
B. *
C.
D.
E.
76.
A.
B.
C. *
D.
E.
77.
A.
B.
C.
D.
E. *
78.
A.
B.
C. *
D.
E.
79.
A.
B.
C.
D.
E. *
80.
A.
B. *
C.
D.
E.
81.
A. *
B.
C.
D.
E.
3-4 g / kg body weight
4-5 g / kg body weight;
5-6 g / kg body weight;
Stem tissues are normal only dispose of glucose?
transversely posmuhovani muscles;
Glial cell;
hepatocytes;
nephron;
connective tissue
Transfusion of large amounts of hypertonic glucose solution may be more difficult:
gipergidratatsiya;
ketoatsydotychnoyu semicolon;
neketoatsydotychnoyu hiperosmolyarnoyu hipohidratatsiynoyu comma
Hypokalemia;
hipomahniyemiyeyu
At which disease can be used with established ongoing infusion of fat emulsions?
severe shock;
coma;
coagulopathy;
hepatarhiya;
alimentary expressed exhaustion
When 1 g of ethanol metabolism in the body is formed of energy:
3.8 kcal;
4.1 kcal;
7.1 kcal
9.3 kcal;
12.5 kcal
In infants with normal hemoglobin concentration is bcc:
30 ml / kg;
40 ml / kg;
50 ml / kg;
60 ml / kg;
80 ml / kg
Inspiratory volume in normal infants is on average:
10 ml;
20 ml
30 ml;
40 ml;
50 ml
Hourly diuresis during anesthesia in a child should not be lower than
1 ml / kg per hour
2 ml / kg per hour;
3 ml / kg per hour;
4 ml / kg per hour;
5 ml / kg per hour
82.
A.
B. *
C.
D.
E.
83.
A.
B. *
C.
D.
E.
84.
A.
B.
C.
D. *
E.
85.
A.
B.
C. *
D.
E.
86.
A.
B.
C. *
D.
E.
87.
A.
B.
C.
D. *
E.
88.
A.
B. *
C.
D.
E.
89.
Physiological daily demand in the major electrolytes (Na, K, Cl) in mmol / kg in children aged 1-14
years:
2 times smaller than in adults;
approximately the same as in adults
2 times greater than in adults;
3 times greater than in adults;
4 times greater than in adults;
Heart failure in children usually shows
acquired mitral stenosis hole;
congenital heart defect
anemia;
aortic stenosis;
acquired mitral valve insufficiency
Which volume of lost blood loss adult responsible in 50 ml newborn?
300 ml;
500 ml;
800 ml;
1000 ml
1200 ml;
To evaluate the Apgar scale Apgar use. Which of the exact criteria for this include?
HR, the presence of the court, the presence and strength cry;
HR, heart tones resonance, presence of respiratory disorders;
Heart rate, presence of respiratory disorders, the presence and strength cries
sonority heart tones, the presence of respiratory disorders, presence and power of crying;
HR, heart tones resonance, presence and strength cry
Apgar is satisfactory if the Apgar rating scale will be:
5 points;
6 points;
7 points
8 points;
12 points
Weight 2200 g newborn physiological skin color, muscle tone low, irregular breathing independently,
HR = 140/hv., Kashlevyy reflex save. Apgar scale can be set
2 points;
4 points;
6 points;
8 points
10 points
When ftorotanovomu anesthesia in children arrhythmia most often provoked
hipokapniyeyu;
Hypercapnia
ftorotanu overdose;
Hypokalemia;
hipokaltsiyemiyeyu
Prtypokazannyam to the use of neuroleptics in children are:
A.
B.
C.
D. *
E.
90.
A. *
B.
C.
D.
E.
91.
A.
B.
C.
D. *
E.
92.
A.
B.
C.
D.
E. *
93.
A.
B.
C.
D. *
E.
94.
A.
B.
C.
D. *
E.
95.
A.
B. *
C.
D.
E.
96.
A.
B.
C.
prematurity;
neonatal period;
convulsive readiness;
extrapyramidal system disease
hyperthermia
What you know vavzhlyvi vital body functions?
hemodynamics, respiration, activity of CNS
respiration, activity of kidney, liver, gastrointestinal tract;
hemodynamics, somatic and autonomic nervous system;
breathing, heart activity, liver;
external respiration, heart activity and state of consciousness
What drug depression drug liquidates breathing in newborns?
sodium carbonate;
adrenaline;
calcium gluconate;
nalokson
albumin
The most common cause of death in children aged 1-12 months may be:
Accidents;
sepsis;
congenital anomalies;
severe leukopenia;
sudden infant death syndrome
For parenteral nutrition apply:
hidrolizyn, casein hydrolysates, polihlyukin;
starch derivatives, proteins, lipofundin;
hekodez, glucose, lipofundin;
glucose, hidrolizyn, lipomayis
native plasma, glucose, fat emulsion
In preparations for parenteral nutrition does not belong:
glucose;
fructose;
sorbitol;
starch derivatives
lipofundin
Synehniyna stick - is:
Gram-positive bacteria;
Gram-negative bacteria
anaerobic flora;
sporoutvoryuyucha bacterium;
obligatory aerobe
Most likely cause of sepsis caused by Gram (-) microorganisms:
infected wound;
pneumonia;
acute gastroenteritis;
D.
E. *
97.
A.
B.
C. *
D.
E.
98.
A.
B.
C.
D. *
E.
99.
A.
B.
C. *
D.
E.
100.
A.
B.
C.
D. *
E.
101.
A.
B.
C.
D. *
E.
102.
A.
B.
C.
D.
E. *
103.
A.
B.
C.
D. *
E.
104.
erysipelas;
IMP
Enter the symptoms that are often in the early stages of cholera
hypotension, hyperthermia, anuria, eksykoz,;
eksykoz, arterial hypotension, anuria, hypothermia;
diarrhea, vomiting, muscle cramps
hyperthermia, hypotension, acute myocardial ischemia;
fever, diarrhea, violation of consciousness
Solution Philips 2 used for rehydration of cholera patients, complicated
hiponatriyemiyeyu;
hipokaltsiyemiyeyu;
chloruremia;
hyperkalemia
Hypokalemia
The most important differential features of infectious and serum hepatitis are:
growth rate of jaundice;
zhovtushnosti degree;
difference in duration of incubation period
presence or absence of symptoms of dysfunction of the gastrointestinal tract;
difference in the degree of hepatic functional tests violations
For acute meningitis as the bacterial and septic, typical symptoms, except for:
main pain;
Kerniha symptoms;
WBC pleotsytozu;
lowering the concentration of sugar liquor
increase the concentration of sugar liquor
Thermoregulatory centers are located in the area:
midbrain;
Varoliyevoho bridge;
upper medulla;
preoptical anterior hypothalamic area;
cauda hypothalamus
Regulation and maintenance of body temperature is provided:
heat production in muscles;
liver of substances;
heat radiation of the skin;
heat loss through the lungs;
all correct answers
Body temperature of the patient under anesthesia:
regulated by the hypothalamus thermoregulatory center;
increased by sweating;
vyriryuvannyam objectively assessed skin temperature;
gets lower at low ambient temperature
does not change
Which is not a factor influencing the patient's body temperature during anesthesia?
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.
D.
E.
111.
A. *
B.
duration of operations;
intravenous infusion solutions;
changes in the concentration of oxygen in inhaled air
use of muscle relaxants;
humidification of inhaled gases
Tidal newborn is:
20 ml
30 ml;
40 ml;
50 ml;
60 ml
Physiological daily need for calcium in children compared with adults:
reduced by half;
-roughly the same;
increased twofold;
increased 3 times;
increased in 4-9 times
The most pronounced tendency to acidosis in children:
3 years
to 5 years;
to 10 years;
to 18 years;
No such tendency
Apgar is satisfactory, when assessing the Apgar scale vysavlyayut:
5 points;
6 points;
7 points
8 points;
10 points
The 3-year child-eaten berries, there was a fever, skin rash, dry mucous membranes, enlarged pupil,
hyperemia of the skin, tachycardia. Specify the necessary therapy:
acetylcholine;
atropine;
fizostyhmin (neostigmine methylsulfate)
Refortan infusion;
respiratory analeptic
Peritonitis is divided into:
reactive, toxic, terminal
compensated, subkompensovanyy, terminal;
stage (I; II; III);
upper and lower half of the abdomen;
Early and late
Intestinal obstruction significantly increased risk:
regurgitation and aspiration
septic state;
C.
D.
E.
112.
A.
B. *
C.
D.
E.
113.
A.
B. *
C.
D.
E.
114.
A.
B.
C.
D. *
E.
115.
A. *
B.
C.
D.
E.
116.
A.
B.
C. *
D.
E.
117.
A.
B. *
C.
D.
E.
118.
A.
B.
C.
D. *
E.
multiple organ failure;
liver failure;
bolevoho shock
Severe anemia occurs when a massive loss of blood volume:
30% of bcc;
40% of the bcc
50% of bcc;
60% of bcc;
70% of the bcc
What are the benefits of dopamine to norepinephrine?
less pronounced alpha-1 adrenolitychnyy effect;
Extension of renal artery
vasorelaxation skeletal muscle;
reducing heart rate;
more intensive action hipertenziyna
In patients with rabies occur due to rabies:
breach of taste to water;
anaphylactoid reaction to water;
gipergidratatsii brain;
spasmodically reduce respiratory muscles while trying to swallow the liquid
opistotonusa that occurs when you try to drink
Gravest forms of tetanus and bad weather often occur when:
availability "incoming gateways infection closer to the head
localization "gate input has no value;
zahvoyuvanni pronounced in men with muscles;
disease in women with labile nervous system and expressed subcutaneous fatty tissue;
long-term growth of clinical disease
When Leptospirosis:
incubation period lasts more than 1.5 months;
Top gradual disease;
mialhiyiyi often have severe, especially in the lumbar muscles and lytkovyh
primary cause of mortality is severe secondary pneumonia;
often observed encephalopathy due to infiltration by leptospires hematite-entsefalichnyy barrier
Clinical symptoms septic shock are all numbered signs, except
breathlessness;
bradycardia
mental blankness;
beginning with acute high fever;
often located in the hearth of urinary infection routes
Prtypokazannyam to the use of neuroleptics in children are:
prematurity;
neonatal period;
convulsive readiness;
extrapyramidal system disease;
hyperthermia
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.
To evaluate the Apgar scale Apgar use. Which of the exact criteria for this include?
HR, the presence of the court, the presence and strength cry;
HR, heart tones resonance, presence of respiratory disorders;
Heart rate, presence of respiratory disorders, the presence and strength cries
sonority heart tones, the presence of respiratory disorders, presence and power of crying;
HR, heart tones resonance, presence and strength cry
Apgar is satisfactory if the Apgar rating scale will be:
5 points;
6 points;
7 points;
8 points;
9 points
When total parenteral nutrition needs in daily sodium and chloride for adults is:
25-50 mmol;
Mmol/m2 25-50;
50-75 mmol;
50-75 mmol/m2
These preparations are not advisable to enter
Daily requirement of carbohydrates for an adult is:
1-2 g / kg body weight;
2-3 g / kg body weight;
3-4 g / kg body weight
4-5 g / kg body weight;
5-6 g / kg body weight;
Transfusion of large amounts of hypertonic glucose solution may be more difficult:
gipergidratatsiya;
ketoatsydotychnoyu semicolon;
neketoatsydotychnoyu hiperosmolyarnoyu hipohidratatsiynoyu comma
Hypokalemia;
hipomahniyemiyeyu
What is true: botulotoksyn
suppresses sympathetic nervous system department;
increases parasympathetic nervous system tone;
blocks release of acetylcholine from cholinergic nerve endings
increases the tone of the sympathetic nervous system;
depressing tone of the parasympathetic nervous system
When expressed anemia caused by acute massive hemorrhage in obstetric practice, primarily to:
eliminate hypovolemia
pour erytrotsytnu mass;
enter hemostatyky;
Kriopretsipitat apply;
ensure the infusion of fibrinogen
To be carried out by blood tests?
now the whole blood transfusion is therefore not necessary to conduct tests;
determining blood type, biological samples;
C.
D.
E.
129.
to save time and Rh blood group-membership can be estimated by documented data (in passport), to
conduct a biological sample;
blood group O (I) Rh (-) is universal for transfusions for any recipient;
blood grouping, Rh accessories, group and individual compatibility of biological samples
Which of the following belong to the mullion components of blood?
antystafilokokova plasma antyhemofilna plasma erytrotsytna mass, fibrinogen, Kriopretsipitat;
native plasma mass erytrotsytna, washed erythrocytes, Kriopretsipitat, polibiolin;
All types of plasma fibrinogen, washed erythrocytes, leykotsytna weight, albumin;
native plasma mass erytrotsytna, washed red cells, platelet mass
native plasma mass erytrotsytna, washed erythrocytes, aminokrovin, polibiolin, thrombus and
leykomasa
Parenteral nutrition patients displayed:
if you can not enteral
All patients who are treated in VAITi;
all terminally ill;
with disorders of vital functions;
in the postoperative period
In preparations for parenteral nutrition include:
A.
B.
C.
D.
E. *
polihlyukin;
albumin;
plasma;
starch derivatives;
lipofundin
D.
E. *
127.
A.
B.
C.
D. *
E.
128.
A. *
B.
C.