Download ID_640_Phthisiology_English_sem_8

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.
E.
8.
A. *
B.
In what term from the beginning of illness does the typical rentgenological| picture of miliary
tuberculosis appear ?
On the first days
On 7th days
Through 3-4 weeks
Through 2-3 months
Through 5-6 months.
What kind of rentgenological| picture is most typical for miliary tuberculosis?
Flakes of snow".
Snow-storm".
Bat’s wings|
Weeping willow".
Looks like millet dissemination
By what method does selection of bacteriae| usually appear at miliary tuberculosis?
Bakterioskopy.
Bakterioskopy after the using method of flotation.
Bacteriological.
Biological.
Usually doesn’t appear by any method.
What sputum in patients with miliary tuberculosis?
Mucous.
Mucous and purulent.
Purulent.
Mucous| with bloodstreaks.
Sputum is absent.
How does usually miliary tuberculosis finish without treatment?
Spontaneous curing.
By death in 4-5 weeks.
By death in 5-7 months.
Passing to infiltration tuberculosis.
Passing to chronic tuberculosis.
What character usually has temperature reaction for a patient on miliary tuberculosis?
Subfebrility| during the first 3-5 days of illness.
Protracted inconstant subfebrility|.
Fever during the first 3-5 days of illness.
The Wrong fever
Normal temperature.
What is the most characteristic investigation, if miliary tuberculosis does not end with death of
patient?
Convalescence
with development of diffuse pneumofibrosis.
Convalescence with forming the hearths of Gon.
Passing into subsharp disseminated tuberculosis.
Passing into fibrous-cavernous tuberculosis.
Development the cirrhosis of lungs.
What complication is not typical |for miliary tuberculosis?
Sharp insufficiency of kidney.
Cerebral comma.
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.
Sharp hepatic insufficiency.
Amyloidosis.
Endotoxicosis.
What is correct continuation of suggestion? Miliary tuberculosis....
Is the most frequent form of tuberculosis.
Takes the second place (after the infiltration tuberculosis) in the structure of morbidity on secondary
tuberculosis.
Nowadays meets rarely.
Takes the second place (after the tuberculosis of intrathoracic nodes) in the structure of morbidity on
primary tuberculosis.
Nowadays meets in casuistic cases.
What thesis is faithful?
Miliary tuberculosis is one of the most unfavourable| form of tuberculosis.
Miliary tuberculosis is a favourable form of tuberculosis.
Miliary tuberculosis is a torpid| form of tuberculosis.
Miliary tuberculosis is a subclinical form of tuberculosis.
Miliary tuberculosis is a | form of tuberculosis without symptome.
What thesis is faithful?
Miliary tuberculosis is a local form of tuberculosis.
Miliary tuberculosis is a general |form of tuberculosis.
Miliary tuberculosis is characterized by migrant defeats of different organs.
Only the lungs are struck at miliary tuberculosis .
The defeat takes place in 1-2 parenchymal |organs at miliary tuberculosis.
What is the method of provocation of wheezes for patients with tuberculosis?
deep breathing
breathing through the mouth.
deep inhalation after the easy coughing.
breathing through the nose.
quiet breathing
Patient of 35 at a reception to tuberculosis dispensary complains about a weakness, promoted
sweating, cough with sputum of mucus character. Roentgenological: in S1,2 of left lung darkening of
weak intensity with unclear contours was found. What kind of research should be done to confirm
diagnosis tuberculosis?
General blood test.
Biochemical blood test.
Sputum’s test on MBT.
Immunological research of blood.
Sputum’s test on the second flora.
Patient of 43 undergo a coursus-cav of anmycobacterial medication treatment concerning FDT
(12.12.1998) of left lung’s upper part (fibrocavernous, phase of infiltration and
dissemination), Destr-+ Mbt+ M+ K+ resist 0, ISTO, Cat4 Cog4(2004).What research
above all should be done to a patient to set an optimum combination of chemo medication?
Determine a type of MBT.
Determine presence of the second flora.
Determine sensitiveness of MBT to antimycobacterial medication.
To define massiveness of bacterioexcretion
To define virulence of MBT.
15.
A.
B.
C.
D. *
E.
16.
A.
B.
C.
D.
E. *
17.
A.
B.
C. *
D.
E.
18.
A.
B.
C.
D.
E. *
19.
A.
B.
C. *
D.
E.
20.
A. *
B.
C.
D.
E.
21.
A.
B.
Indicate the incorrect formulation of clinical diagnosis of lung tuberculosis
FDTB (16.06.2003) of the lungs upper sections (disseminated), Destr +, (infiltration ), MBT +M+C+,
Resist -, Hist 0, Cat1 Coh2(2003).
CTB (12.01.2000) the upper section of the right lung (fibrous-cavernous), Destr +, (infiltration),
MBT +M-C+ Resist I (S, H) Hist0. Lung haemoptysis. RI II, Cat 4 Coh1(2000).
FDTB (20.03.2001) of the lower part of the right lung (tuberculoma), Destr +, MBT- M-C-, Hist 0,
Cat1 Coh1(2001).
FDTB (20.09.2003), (nidus tuberculosis), (infiltration), MBT-M-C-, Hist 0, Cat3 Coh3(2003).
RTB (20.06.2003) of the upper part of the right lung (infiltrative), Destr -, MBT- M-C-, Hist 0, Cat2
Coh2(2003).
How is tuberculous etiology of pleurisy confirmed?
By the presence of tuberculous changes in lungs or other organs.
Finding of MBT| in a pleural exudate or in sputum|.
Mantouex test reaction is positive or recent tuberculin intensifier|.
Puncture biopsy of pleura.
All indicated are correct.
What is the mechanism of development of pleural inflammation by MBT| ?
Sputogenic.
Only lymphogenic|.
Lympho-hematogenic.
Bronchogenic|.
Only hematogenic |.
What is the reason of appearance of exsudate in a pleural cavity at different clinical forms of
tuberculosis?
The anatomic and functional connection between the sheets of pleura, lymphatic nodes and lymphatic
system of lungs.
The inflammation of pleura that caused by MBT|, that penetrate into pleura by lymphogenic way
from the hearths or infiltrations| in lungs.
Pleura hypersensibilization by MBT decay products |.
The inflammation of pleura that caused by MBT|, that penetrate into pleura because of bacteriemia||.
All indicated assertions are faithful.
At what type of exsudate is a small amount of free liquid in a pleural cavity , an exsudate is organized
quickly|?
Purulent.
Serous.
Fibrinous and serous-fibrinous
Haemorrhagic and serous-haemorrhagic.
Serous-purulent|.
What of tubercular pleurisy is the most widespread ?
Exudative (serous or serous-haemorrhagic liquid).
Armourclad.
Chillous.
Haemorrhagic.
Purulent.
What is the character of exsudate at the tuberculous empyema ?
Serous-fibrinous| and fibrinous |.
Haemorrhagic
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. *
Serous-purulent| and purulent.
Serous-haemorrhagic.
Chillous.
For what disease or state transudate into pleural cavity is not typical |?
Myxedema|.
Cirrhosis of liver.
Tuberculosis.
Stagnant cardiac insufficiency.
Nefrotic syndrome.
What composition of pleural liquid is typical for an exsudate?
All indicated is an exsudate.
Relative density - 1025, protein content- 45 g/l, protein (in effusion/ in the serum of blood)-0,8,
activity of LDG| -2,1 mmol/(l/hour), content of cells -2,1?109/l.
Relative density - 1010, protein content - 20 g/l, protein (in effusion/ in the serum of blood)-0,2,
activity of LDG| - 1,1 mmol/(l/hour), content of cells- 0,8?109/l.
Relative density - 1005, protein content- 15 g/l, protein (in effusion/ in the serum of blood)-0,3,
activity of LDG| -0,9 mmol/(l/hour), content of cells -0,5?109/l.
Relative density - 1000, protein content- 10 g/l, protein (in effusion/ in the serum of blood)-0,4,
activity of LDG| -1,3 mmol/(l/hour), content of cells -0,6?109/l.
What method of research is decisive in diagnostics of pleurisy of any etiology?
Pleural puncture
Roentgenologic examination|.
Ultrasound examination.
Clinic and information of physical| methods.
Tuberculin tests.
Complication of what form of tuberculosis can be an allergic pleurisy?
Lung infiltrative tuberculosis|.
Nidus lung tuberculosis.
Subacute disseminated lung tuberculosis|.
Lung tuberculoma.
Tuberculosis of intrathoracic |lymphatic nodes.
What method help to find MBT in pleural liquid at an allergic tubercular pleurisy||?
It is impossible to find .
By an ordinary bacterioscopy|.
By flotation method.
By cultural method.
By luminescent microscopy.
Complication of what form of tuberculosis can be development of perifocal pleurisy?
Fibrous-cavernous lung tuberculosis.
Lung infiltrative tuberculosis|.
Subacute disseminated lung tuberculosis|.
Chronic disseminated lung tuberculosis|.
All noted forms.
What measures are the most important in treatment at the purulent (exudative) tuberculous pleurisy?
To increase the amount of antimycobacterial drugs.
Repeated aspirations of exsudate with creation of negative pressure in a pleural cavity.
C.
D.
E.
29.
A.
B.
C.
D.
E. *
30.
A. *
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.
Setting of corticosteroids|.
Desintoxication| therapy.
All marked.
What complications can accompany a tuberculous empyema?.
Broncho-pleural fistula||.
Toracic fistula|.
Amyloidosis of internal organs.
Pneumopleurisy|.
All marked.
What is the exsudate at tuberculous pleurisy?
Mainly lymphocytic
Mainly neutrophilic.
Chillous.
Monocytic|.
Macrophagic.
What tuberculin and at dose is used at mass tuberculinization?
100 % Koch alt tuberculin
PPD-L in standard dilution in 2TU dose
PPD-L in standard dilution in 5TU dose
PPD-L in standard dilution in 10TU dose
25 % dilution of purified dry tuberculin
The sensitivity of organism to tuberculin may be intensified with:
Senile age
Lymphogranulomatosis
Lymphosarcoma
Treatment with immunodepressants
Bronchial asthma
Koch’s testing is used for:
Prophylaxis of tuberculosis
Early tuberculosis revealing
Determination of infection index of population with tuberculosis
for diagnostics of activity TB
Revealing the persons with the increased risk of tuberculosis illness
A 2-years old child reaction to Mantoux test with 2 TU – 7 mm infiltration, at the age of 4 – 3 mm.
Postvaccinal seam of 4 mm. Define the character of tuberculin reaction.
Infectious allergy
A “range” of tuberculin testing
The child is ill with tuberculosis
Postvaccinal allergy
Doubtful Mantoux reaction
From what age and in what terms is mass tuberculinization performed:
From 12-months age, annually
At 7 and 14 years of age only
From 12-months age, once in 2-3 years
From 7 up to 14 years annually
From 7 and each 5 years up to 30-years old age
36.
A.
B.
C. *
D.
E.
37.
A.
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.
What is the “range” of tuberculin reactions?
Transition of negative reaction to tuberculin to a positive one after BCG vaccination
Transition of negative reaction to tuberculin to a positive one after BCG revaccination
Sensitivity change to tuberculin due to the primary infection with tuberculosis mycobacteria
Appearance of hyperergy reaction to tuberculin in patients infected with tuberculosis
Negative reaction to tuberculin in seriously ill tuberculosis patients
What is the aim of mass tuberculinization:
For prophylaxis of MBT infection
For prophylaxis of tuberculosis illness
For early tuberculosis revealing among children
For early tuberculosis revealing among adults
For revealing the persons with the increased risk of tuberculosis illness
A 6 years old boy K., had a “range” of tuberculin reaction. What examinations should be done?
General clinical examination, inspection roentgenogram of the thoracic cage organs, general blood
and urine test
Koch’s testing, general blood and urine test
Fluorography, general blood and urine test
Tomography, smear examination from pharynx for MBT
Fibrobronchoscopy, examination of contents from bronchi for MBT
While carrying out the differential diagnostics between infectious postvaccinal reactions on the
tuberculin is not taken into account:
The contact with the tuberculosis patients
The intensiveness of the reaction on the Mantoux test of previous years
A presence of postvaccinal scar
The time of the carrying out of the vaccibation BCG
The poisoning by the carbon oxide some yars ago
If there is the positive reaction on the tuberculin with 2 TU on the skin of antebrachium there can be
visible:
Infiltrate by the size of 5 –16 mm
Infiltrate with a vesicle in the centre
Hyperemia more than 5 mm
Infiltrate by the size more than 16 mm
Infiltrate by the size of 2-4 mm
Which one from the mentioned diseases can decrease the sensibility of an organism to tuberculin?
Cataral otitis
Allergic rhinitis
Bronchial asthma
Hypertonic disease
Measles
Primary forms of tuberculosis comprise:
Nidus
Disseminated
Tuberculosis intoxication
Caseous pneumonia
Infiltrative
Specific complications comprise:
A.
B.
C.
D. *
E.
44.
A.
B.
C. *
D.
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.
Haemophthisis
Chronic lung heart
Lung atelectasis
Larynx tuberculosis
Amyloidosis disease
The characteristic phase of tuberculous process progression is:
Suction
Condensation
Sowing
Scarring
Calcination
Formulating the clinical diagnosis of lung tuberculosis, first of all should be defined:
The process phase
The clinical form
Bacterial secretion
Localisation process
Type of tuberculuos process
Single nidal shades of small intensity with vague contours were revealed on the apex of both lungs of
a 19-years old woman patient during the prophylactic fluorographyc examination. What is the
clinical form of tuberculosis?
Infiltrative
Lung tuberculoma
Nidus
Caseous pneumonia
Disseminated
A 25-year-old patient fell ill acutely. Complaints for headache, dry cough, dyspnea, temperature rise
up to 39,0? C. Objectively: general condition is grave, lips cyanosis, rales are not heard. Blood
analysis: leuk. – 12x109/l, ESR – 16 mm/hour. Plain roengenogram: the whole length of both lungs is
full with multiple, small focal shadows of low intensity. Mantoux test – 5mm infiltrate. What clinical
form of lungs tuberculosis does this patient have?
Nidus
Infiltrative
Disseminated
Miliary tuberculosis
Caseous pneumonia
Patient N., 26. Roentgenologic examination showed multiple focal shadows in upper and medial
lungs segments of low and medium intensity. Sputum contains MBT. Blood analysis: ESR – 38
mm/hour. What diagnosis is the most probable one?
Infiltrative lung tuberculosis
Nidus lung tuberculosis
Disseminated lung tuberculosis
Caseous pneumonia
Lung fibrous-cavernous tuberculosis
To the primary forms of tuberculosis belong:
Disseminated
Nidus
Infiltrative
D.
E. *
50.
A.
B.
C. *
D.
E.
51.
A.
B.
C. *
D.
E.
52.
A.
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.
Tuberculoma
Tuberculosis of intrathoracic lymphatic nodes
The most informative method of roentgenologic examination at the diagnostics of a small form of
tuberculosis of intrathoracic lymphatic nodes:
A. A target roentgenogram
B. A fluorogram
C. A tomogram on the level of trachea bifurcation
D Observation roentgenogram of the thoracic cage
E Bronchogram
The patient of 52 years old, during 9 months was treated because of the infiltrative tuberculosis of the
upper part of the right lung, decay phase, MBT (+). At X-ray examination: the upper part of the right
lung became smaller in volume, under the clavicle there’s a decay cavity 3 cm in diameter, the
trachea is moved to the right, MBT (-). Define the form of tuberculosis.
Cyrrhotic
Caseuos pneumonia
Fibrous-cavernous
Infiltrative
Nidus
What is meant by the diagnosis “tuberculous intoxication in children”?
An intoxication syndrome at a small form of tuberculosis of intrathoracic lymphatic nodes.
A symptom complex of functional and objective signs of intoxication as a result of primary
infestation with tuberculosis mycobacteria with unestablished localization.
An intoxication syndrome at a primary tuberculous complex.
An intoxication syndrome at a primary tuberculous complex of ileocecal section of intestine.
Subfebrile body temperature, perspiration appeared, cough, voice hoarseness.
Paraspecific manifestations of primary tuberculosis:
Micropolyadenitis, nodual erythema, phlyctenuar keratoconjunctivitis
Tuberculosis of skin and tonsils
Amiloidosis of internal organs, pleural empyema
Tuberculosis pleurisy and pericarditis
Tuberculous peritonitis and tuberculosis of intestine
What is the primary tuberculosis?
First diagnosed tuberculosis
Tuberculosis that develops in firstly infected persons.
Tuberculosis what has developed after the primary tuberculous complex.
Tuberculosis revealed during the prophylactic examination.
Tuberculosis caused by mycobacteria of beef type.
Phtisiologist tactics to a 7-year-old child with a diagnosis of tuberculous intoxication.
To observe in a tuberculous dispensary for 2 years.
To undergo treatment with 3 antimycobacterial preparations within 4-6 months assuming the follow
of sanatoric-hygiene regime.
To improve the health in a recreation camp.
To observe in a children’s out-patient department up to the age of 14.
To make chemioprophylaxis with isoniazide within 3 months.
The most common complication for the primary tuberculous complex.
Chronic lung tuberculosis
Lung haemophtisis
C.
D. *
E.
57.
A.
B.
C.
D. *
E.
58.
A.
B.
C.
D. *
E.
59.
A.
B.
C.
D. *
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.
Spontaneous pneumothorax
Pleurisy
Amiloidosis of intestinal organs
To detect the “small” form of tuberculous bronchoadenitis, it’s necessary to perform:
Inspection roentgenography
Target roentgenography
Fibrobronchoscopy
Tomography on bifurcation trachea
Roentgenography in lateral position
The most frequent segmental localization of the primary lung affect:
I, II, III, IV segments
I, II, IV, VII segments
I, II, IV, VI segments
II, III, VIII, IX segments
I, II, VI, VII segments
Patients with firstly diagnosed tuberculosis of lungs may receive sick leaves with the term up to:
1 month
4 months
6 months
10 months
14 months
Particularly risk for the human comes from ill with tuberculosis:
Cows
Horses
Hens
Goats
Dogs
What is BCG and BCG-M vaccine?
Killed mycobacteria culture
Mycobacteria vital activity products
Mycobacteria live weakened culture
Compound of purified tuberculin and killed mycobacteria
Insufficient by purified dry tuberculin
What is the value of BCG vaccine?
Tuberculosis lighter course
Prevents infestation
Guarantee from an illness
Less chance of catching tuberculosis
Prevents tuberculosis relapse
In what time after BCG-vaccination does the immunity develop?
In 6-8 days
In 6-8 weeks
In 6-8 months
In 9-12 months
In 5-7 years
In what cases is revaccination with BCG vaccine done?
A.
B. *
C.
D.
E.
65.
A.
B.
C.
D. *
E.
66.
A.
B. *
C.
D.
E.
67.
A.
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.
To infestated persons
To noninfected persons
To contractual persons with doubtful reaction on Mantoux test with 2 TU
To tuberculosis patients
To persons who had previously been ill with tuberculosis
The terms of BCG revaccination performance in Ukraine.
On 3-5th day after birth
On 3-5th week after birth
At 3, 5 years of age
At 7,14 years of age
At 17, 30 years of age
A healthy child was born weighing 3200 g. On what day after the birth is the BCG vaccination done?
1-2
2-5
7-11
13-15
25-30
Vaccination and revaccination with BCG vaccine is done:
Cutaneously
Intracutaneously
Subcutaneously
Intramuscularly
Perorally
What does a 5 mm seam formed in 4 months after BCG vaccination testify?
To high reaction of vaccine
To complication - keloid seam
To violation of vaccine injection techniques
To the lack of antituberculous immunity
To the presence of postvaccinal immunity
What antimycobacterial preparation is prevalently used to make the chemoprophylaxis?
Streptomycinum
Rifampicinum
Pyrazinamidum
Isoniazidum
Ethambutolum
The chemoprophylaxis is performed during:
3 days
3 weeks
6 months
1 months
9 months
After realized BCG vaccine inoculation some not used vaccine remained. What is to be done with it?
In 2-3 hours after dilution the not used vaccine has to be destroyed by boiling
In 24 hours the not used vaccine has to be destroyed
To preserve 2-3 days. Then to destroy
To preserve during one week in a refrigerator
E.
72.
A.
B.
C. *
D.
E.
73.
A. *
B.
C.
D.
E.
74.
A. *
B.
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.
To preserve during one year in a refrigerator
Principal method of revealing tuberculosis among children.
Bacterioscopy of sputum
Fluorography
Tuberculinodiagnostics (Mantoux test with 2 TU)
Bronhoscopy
Tomography on bifurcation level
What organs are more frequent struck at miliary tuberculosis?
Lungs.
B. Kidneys.
Brain-tunics.
Overhead respiratory tracts.
Lymphatic nodes.
What kind are the hearths at miliary tuberculosis?
They are small, exsudative, without a tendency to confluence and disintegration.
They are large exsudative with a tendency to confluence and disintegration.
They are small, productive, compact and calcinated.
They are polymorphic.
They are large calcinates |.
What form have cavities of disintegration at miliary tuberculosis?
Bilateral symmetric thin-walled cavities.
Bilateral asymmetric thick-walled cavities.
One-sided plural cavities of different form.
One thick-walled cavity and plural thin-walled "daughters's" cavities .
There aren’t cavities
What result of Mantoux text is typical for clinical picture of miliary tuberculosis?
Negative
Doubtful
Positive
Giperergichniy
Results are different
What reason for evolving of cavernous pulmonary tuberculosis?
Resistance to antimicrobial medication.
Not timely process definition.
Medical mistakes.
Injurious clinical course.
Any with above possible to be a reason for evolution of cavernous pulmonary tuberculosis.
What is the main characteristic of fibrous cavernous pulmonary tuberculosis?
Disposition to forming acinar, acinar-nodes and lobular centers.
Disposition for creation infiltrations and caverns.
Old fibrous cavity and fibrosis in abutting pulmonary tissue.
Polychemoresistance.
Periodical or permanent bacterioexcretion.
What is clinic category for fibrous cavernous pulmonary tuberculosis patient with long term?
Fourth.
First.
C.
D.
E.
80.
A.
B.
C.
D.
E. *
81.
A.
B.
C. *
D.
E.
82.
A. *
B.
C.
D.
E.
83.
A.
B. *
C.
Second.
Third.
Fifth
What are typical complications for fibrous-cavernous pulmonary tuberculosis?
Tuberculosis bronchus.
Bronchogenic dissemination.
Tuberculosis larynx.
Tuberculosis colitis.
All with above.
What need take into account for prescription of medicine for fibrous-cavernous pulmonary
tuberculosis patient?
Symptoms of intoxication.
Attendant pathology.
Sensitivity to anti-tuberculosis medications.
Bronchial-lung syndrome.
Quantity and size of caverns.
What clinical course is typical for fibrous-cavernous pulmonary tuberculosis?
Wavy, with remission and exacerbation.
Acute, progressive.
Near acute.
Without symptoms or with few symptoms.
Quick feedback.
What clinical presentation is typical for fibrous-cavernous pulmonary tuberculosis?
No complaints or cough with minor spew. Sometime local humid wheeze.
Cough with spew, breathlessness, sometime spew with blood Time to time high temperature, hyper
hydrosis. Local humid wheezing during remission – good state of health.
Cough, spew with objectionable odor. During worsening – high temperature, hyper hydrosis,
sometime spew with blood moist and dry wheezing “Drumsticks”.
D.
Pain in thorax, often sputum with blood and smell, breathlessness, diminished breath sounds, sometime humid
or dry local wheeze.
E.
No complaints. Time to time dry cough. Temperature is normal (inflammation is able to raise
temperature). Auscultatory data are small.
What rontgenological changes describe availability of fibrous-cavernous pulmonary tuberculosis?
One insulated or plural thin-walled cavern . Pulmonary tissue is a little bit change Focal shadows are
absent.
Cavity with coiled internal contour, irregular walls, knotty external contour, more frequent in front
segments.
Cavity with wide sides and fluid level, more frequent in the inferior segments on lungs. Around –
fibrosis. Focal shadows are absent.
Cavity with thick walls, more frequent in the upper segments of lungs. Around – fibrosis.
Sometimes mediastinal displacement. Below – focal bronchogenic dissemination.
Insulated cavity without perifocal seepage, without fibrosis, without bronchogenic dissemination.
What feature is typical for fibrous-cavernous pulmonary tuberculosis in our time?
Complications by not specific inflammatory processes.
Frequent evolution of internal amyloidosis.
Profuse bleeding in lungs.
Frequent aspergillosis.
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.
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. *
Evolution of tuberculous meningoencephalitis.
What contraindication to surgery for fibrous cavernous pulmonary tuberculosis patient?
Wide distribution of the focus of disease.
Bronchiectasis is present.
Bleeding in lungs.
Resistivity to 2 antituberculous medications.
Wide bacterioexcretion.
What tests need to do when available cavity dissociation for potentially tuberculosis patient?
Multiphase exploration spew concerning mycobacteriums tuberculosis.
Tomography of the thorax organs.
Bronchoscopy with take a samples for cytodiagnosis and histologic study.
Bronchography.
Need to complete all above explorations.
What variant of clinical course is typical for fibrous cavernous pulmonary tuberculosis?
Limited and relatively stable.
Slowly progressive.
Quickly progressive.
Course with complications.
All above variants are possible.
What medications suitable for fibrous cavernous pulmonary tuberculosis patiens in addition to classic
antituberculosis medications?
Nonsteroidal anti-inflammatory drug, (NSAID).
Glucocorticoid.
Guinolone.
Cephalosporin.
Sulfanilamide
What morphological changes evolve in the lungs in fibrous cavernous pulmonary tuberculosis
patiens?
Bronchogenic
dissemination.
Pneumosclerosis.
Emphysema.
Bronchiectasis.
All above.
From wich clinic form of tuberculosis most often forms fibrous cavernous pulmonary tuberculosis?
Tuberculoma.
Tuberculous primary complex
Infiltrative form.
Focal form.
Cirrotic form.
Which most often not specific complication for fibrous cavernous pulmonary tuberculosis?
Chronical cor pulmonale.
Larynx tuberculosis.
Spontaneous pneumothorax.
Pulmonary atelectasis.
Internal amyloidosis.
Which most often specific complication for fibrous cavernous pulmonary tuberculosis?
Larynx tuberculosis.
B.
C.
D.
E.
94.
A.
B. *
C.
D.
E.
95.
A.
B.
C. *
D.
E.
96.
A.
B.
C.
D. *
E.
97.
A.
B.
C.
D.
E. *
98.
A.
B. *
C.
D.
E.
99.
A.
B.
C.
D.
E. *
Colorectal tuberculosis.
Tuberculous pleurisy.
Genitals tuberculous.
Renal tuberculosis.
Which is the most often reason for death of fibrous cavernous pulmonary tuberculosis patients?
Pulmonary atelectasis.
Chronical cor pulmonale.
Pulmonary hemorrhage.
Renal amyloidosis.
Progressive tuberculosis.
Which disease needs to be distinguish fibrous cavernous pulmonary tuberculosis from?
Eosinophylic infiltration.
Chronic bronchitis.
Chronic abscess.
Pleuropneumonia.
Lung infarction.
Which disease least advisable to be distinguish fibrous cavernous pulmonary tuberculosis from?
Chronic abscess.
Central cancer.
Cystic disease.
Chronic bronchitis.
Multiple bronchiectasis.
Patient age 48 years. He is sick by fibrous-cavernous pulmonary tuberculosis of the high part of left
lung during 6 years. Mycobacteriums tuberculosis+. Worsening state of health after supercooling.
What complains of patient are typical for fibrous cavernous pulmonary tuberculosis of the lungs?
Cough with sputum with blood streaks, hyper hydrosis, worsening of the appetite, decreasing of the
body
weight.
Cough, increasing of the body temperature, hyper hydrosis, general weakness, decreasing of the body
weight.
Increasing of the body temperature, hyper hydrosis, general weakness, decreasing of the body weight.
Headache, hyper hydrosis, general weakness, decreasing of the bode weight.
Cough wit sputum, breathlessness, pain in thorax, increasing of the body temperature, hyper
hydrosis, general weakness, decreasing of the body weight.
What clinical presentation is the most typical for fibrous cavernous pulmonary tuberculosis?
Long remissions.
Chronic clinical course.
Absent any remissions.
Periods of remissions alternate with acute conditions.
Permanent progress of process.
Which what diseases do not need to do differential diagnosis for fibrous cavernous pulmonary
tuberculosis?
Chronic abscess.
Cancer in degradation stage.
Multiple bronchiectasis.
Pneumonia complicated by an abscess.
Lung tuberculoma.
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.
A.
B.
C.
D. *
E.
105.
A.
B.
C.
D. *
E.
106.
A.
B.
Patient at the age of 43 years admitted to hospital with complains about weakness, decreasing
of the appetite, hyper hydrosis, subfebrile temperature, cough with spew. Tuberculosis of the
left lung was revealed 8 years ago. Three year ago patient had relapse of diseaseRadiographic
data:both lungs fibrous changeUpper part of left lung has cavity with diameter 10 centimeters
with area of perifocal inflammation.Upper part of right lung has some cavities of
disintegration.Sputum has mycobacterium tuberculosis+. What clinic form of pulmonary
tuberculosis is present in the patient?
Caseous pneumonia.
Tuberculoma.
Infiltrative form.
Fibrous-cavernous form.
Cirrhosis form.
From what age is fluorographic examination performed?
15 years
7 years
14 years
5 years
17 years
To lately revealed lung tuberculosis belong:
Lung tuberculoma, MBT (+)
Tuberculosis pleurisy
Miliary tuberculosis, MBT (+)
Infiltrative lung tuberculosis, ph. decay, MBT (-)
Lung fibrous-cavernous tuberculosis, MBT (+)
The complete fluorographic examination of the population beginning with 18 years of age is
performed.
Once
in 6 months
Once in 2 years
Once in 1 year
Once in 3 years
Once in 5 years
The group with the increased risk of catching tuberculosis includes patients with:
Chronic tonsillitis
Diabetes
Inguinal hernia
Hypertonic disease
Ascaridosis
What dispensary registration category will the patient with FDTB (22.02.2202) of the upper part of
the left lung (infiltration), Destr+, MBT+M+C+, Resit+ (S, R), HIST0 be observed in?
1
2
3
4
5
Patient K., 25, died from lung fibrous-cavernous tuberculosis, MBT (+). For how long must members
of his family be observed at antitubercular dispensary?
3 months
6 months
C.
D. *
E.
107.
A.
B.
C. *
D.
E.
108.
A.
B.
C. *
D.
E.
109.
A.
B.
C.
D.
E. *
110.
A.
B.
C. *
D.
E.
111.
A.
B. *
C.
D.
E.
112.
A.
B. *
C.
D.
E.
113.
A. *
B.
C.
12 months
2 years
5 years
Prophylactic fluorographic examinations rate of “obligatory contingents”:
Once in 6 months
Once in 9 months
Once a year
Once in 2 years
Once in 3 years
Permanent invalidity is established for males and females consequently at the age of:
45 and 35 years
50 and 40 years
60 and 55 years
55 and 45 years
65 and 60 years
The atypical form of clinical progress of miliary tuberculosis is:
Pulmonary
Meningeal
Typhoid
Septic (Landuzi disease)
Renal
A man of 46. Two months ago was dismissed from a prison. Has been falling ill gradually:
cough, dyspnea, temperature rise up to 38°C. Roentgenogram: focal shadows of low intensity
with illegible contours in the upper lungs lobs. Which diagnosis is the most probable?
Carcinomatosis
Nidus pneumonia
Disseminated lung tuberculosis
Nidus lung tuberculosis
Chronic bronchitis
The main roentgenological indications of disseminated (subacute) lung tuberculosis:
Bilateral total small-nidus lung lesion
Bilateral symmentrical nidal lesion, mainly in the upper and the medium parts of lungs
One-side nidal lesion
Bilateral nidal lesion
Bilateral nidal-infiltrative process in the upper part of the both lungs
The most rational combination of antimycobacterial preparations at treating tuberculous
meningoencephalitis.
Isoniazidum, rifampicinum, ethambutolum
Isoniazidum, rifampicinum, streptomycini, pyrazinamidum
Isoniazidum, streptomycini, pyrazinamidum, ethambutolum
Isoniazidum, rifampicinum, kanamycini, ethionamidum
Pyrazinamidum, ethionamidum, streptomycini, thioacetazon
The most frequent beginning of tuberclosis meningoencephalitis.
Gradual
Subacute
Without any symptoms
D.
E.
114.
A.
B.
C. *
D.
E.
115.
A.
B.
C.
D. *
E.
116.
A. *
B.
C.
D.
E.
117.
A.
B.
C. *
D.
E.
118.
A. *
B.
C.
D.
E.
119.
A.
B. *
C.
D.
E.
120.
A.
B. *
C.
D.
Relapsing
Sudden
The frequency of primary tuberculous meningitis (isolated lesion of cerebral membranes).
2%
5%
20 %
40 %
50 %
The results of which examination are more informative for the confirmation of the tuberculous
meningitis?
Mantoux test
Koch’s test
General blood test
Examination of spinal liquor
Examination of albumen fractions in blood serum
Which pairs of cranial nerves are mainly affected at tuberculous meningitis?
III, VI, VII, XII
I, II, III
I, II, X, XII
V, VI, X
II, III, VII
The average duration of the prodromic period in patients with tuberculous meningitis.
1-7 days
5-10 days
From 1 to 4 weeks
2-3 months
4-6 months
What is the most probable content of glucose in spinal liquor in the patient with tuberculous
meningitis?
1,5
mmol/l
2,4 mmol/l
3,9 mmol/l
5,5 mmol/l
6,5 mmol/l
At the grave stage of the tuberculous meningitis besides isoniasid, ryphampicin, pirasinamid and
streptomycin sulphate, one should also prescribe:
ATF, cocarboxilasa, inhalation with 2% solution of solutison
Endolumbal administration of calcium chlorine complex of streptomycin,
glucocorticosteroids,
dehydration therapy
Intrarectal administration of isoniazid, vitamins B1, B6 and C
10% solution of manit, albumin, dibazol
Sibason, 25% solution of magnium sulphate, prozerin
Which pathomorphological changes prevail during focal pulmonary tuberculosis?
Alternate inflammation.
Productive inflammation.
Necrosis.
Escudative inflammation.
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.
D.
E.
128.
A.
B. *
Pneumofibrosis.
In which way the most often reveals focal tuberculosis?
At clinical examination.
At prophylactic photofluorographic examination.
At bacterioscopy analysis of spew.
At bronchoscopic examination.
At immunological examination.
Which is the most typical localization of centers at focal pulmonary tuberculosis?
1-2 segments.
3-4 segments.
7-8 segments.
9-10 segments.
Root of lung.
Which is the most typical complains in focal pulmonary tuberculosis patients?
Weakness, hyper hydrosis, rapid fatigability, minor increased temperature.
Fever.
Cough with big quantity of purulent spew.
Pulmonary hemorrhage.
Shortness of breath.
About which duration of disease does the most often indicate patients during gathering of anamnesis?
3-4 days.
1-2 weeks.
Below 1 year.
1-2 months.
4-5 years and more.
Which is the most typical auscultatory data during focal pulmonary tuberculosis?
Diffused dry crepitations.
Dry crepitations in upper parts.
No changes.
Dry and humid crepitations.
Diffused humid crepitations.
Which is the most typical percussion data during focal pulmonary tuberculosis?
Dullness of percussion sound in upper parts.
Dullness of percussion sound near root.
Dullness of percussion sound in basal areas.
Tympanic percussion sound.
No changes.
Which are the most typical radiological indications of new tuberculosis focus in the lungs?
Small or average intensity, nonccontrast borders, diameter up to 1 centimeter.
Big intensity, clear borders, diameter up to 1 centimeter.
Small intensity, clear borders, diameter more than 1 centimeter.
Big intensity, nonccontrast borders, diameter more than 1 centimeter.
Average intensity, round shape, diameter 3-5 centimeters.
Which is the most typical radiological indications of old tuberculosis focus in the lungs?
Small or average intensity, nonccontrast borders, diameter up to 1 cm.
Big intensity, clear borders, diameter up to 1 cm.
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. *
D.
Small intensity, clear borders, diameter more than 1 cm.
Big intensity, nonccontrast borders, diameter more than 1 cm.
Average intensity, round shape, diameter 3-5 cm.
Which tuberculin test needs to do for doubtful activity of focal tuberculosis?
Mantoux test with 2 TU.
Mantoux test, deluted,
Pirquet's test
Koch’s test.
Mantoux test with 5 TU.
In which way does the most often become apparent bacterioexcretion at focal pulmonary
tuberculosis?
Practically
always by use bacterioscopy.
Never.
Often by use bacterioscopy.
Sometimes by bacterioscopy.
Always by use bacterioscopy.
Which complication practically absent at focal tuberculosis?
Escudative pleurisy.
Chronic bronchitis.
Polysegmental fibrosis.
Profuse pulmonary hemorrhage
Hospital-acquired pneumonia.
In progressing focal tuberculosis able proceed to other clinical forms of tuberculosis. In which form
focal tuberculosis usually not proceed directly?
Infiltrative pulmonary tuberculosis.
Disseminated pulmonary tuberculosis.
Pulmonary tuberculoma.
Caseous pneumonia.
Fibrous cavernous tuberculosis.
Which form of backward evolution of tuberculosis is impossible for focal tuberculosis?
Infiltrative tuberculosis.
Pulmonary tuberculoma.
Miliary tuberculosis.
Impossible backware evoluion to focal tuberculosis from any other form of tuberculosis.
Disseminated pulmonary tuberculosis.
What roentgenologic signs convincingly testify about the activity of focal tuberculosis?
Focuses of medial intensity with distinct exterior contours.
Group of focuses, different in size, of high intensity.
Focuses of low intensity with illegible contours.
Gohn’s focus.
Focuses of medium intensity on the background of limited pneumosclerosis.
What medical preparations are advisable for the usage for a trial treatment of a patient with the aim of
differential diagnosis of the local tuberculosis and pneumonia?
Streptomycin and sulfaleni
Streptomycin and isoniazidum
Penicillin and sulfaleni
Penicillin and rifampicimun
E.
136.
A.
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.
Penicillin and streptomycin
Maximum size of shadows at nidus lung tuberculosis is:
1 mm
1,5 mm
5 mm
10 mm
25 mm
The most trustworthy criteria of nidal tuberculosis activity.
Intoxication syndrome
Changes in haemogram
Revealing of micobacteria tuberculosis
Nidus shadow of medium intensity with distinct contours
Positive Mantoux testing of 2 TU
Maximum number of segments affected at nidus lung tuberculosis.
1
2
3
4
5
Which tuberculin test has the most informative meaning for defining the activity of the tuberculous
process:
Pirquet’s test
Mantoux test
Koch test
Moro test
Pirquet’s graduated test.
Which is the most accurate definition of infiltrative pulmonary tuberculosis as clinicorontgenological
form of specific process?
Infiltrative tuberculosis is area of specific inflammation with mainly escudative nature, with size
more than 1 cm, with disposition to progress and disintegration, possible bronchogenic semination.
Infiltrative tuberculosis is focus of specific inflammation which necessarily accompaniment of
disintegration pulmonary tissue and disemination of pulmonary tissue.
It is form of specific inflammation with availability in the lungs formed and stable by dimension
cavity with marked infiltrative and (sometime) fibrous changes in surrounding pulmonary tissue.
Infiltrative tuberculosis is area of specific inflammation with chronical torpid behavior, with size
more than 1 cm, with predisposition to spontaneous recovery.
Infiltrative tuberculosis has big quantity of specific centers in the lungs. At initial stage of disease
prevails escudative-necrotizing reaction with future evolution of productive inflammation.
Which factors are not important for initial stage and clinical course of infiltrative pulmonary
tuberculosis?
Morphological structure of infiltration.
Width of perifocal inflammation.
Size of area caseous necrosis.
Complications from side of bronchopulmonary system.
Availability in anamnesis immunization by vaccine BCG (Calmette-Gurin bacillus).
Which factors are the most important (deciding factor) for diagnosis of infiltrative form of
tuberculosis?
Mycobacteriums tuberculosis in the sputum or scourage of bronchus..
B.
C. *
D.
E.
143.
A. *
B.
C.
D.
E.
144.
A.
B.
C. *
D.
E.
145.
A.
B. *
C.
D.
E.
146.
A.
B.
C.
D. *
E.
147.
A. *
B.
C.
D.
E.
148.
A.
B.
C.
D.
E. *
Hyperergic tuberculin sensitivity according Mantoux test with 2 TU PPD-L
Availability of mycobacteriums tuberculosis and presence infiltration on the rontgenogram.
Availability shadow on the rontgenogram which allocated in 1,2 or 6 segments.
Complains concerning cough with sputum, pain in chest, sputum with blood, rise in temperature of
the body, general weakness, information about former tuberculosis.
To which dispensary category does patient with first diagnosed infiltrative pulmonary tuberculosis in
disintegration stage and availability bacterioexcretion belong ?
To first.
To third.
To second.
To fourth.
To fifth.
Which disease at first needs to be differentiate from infiltration not homogeneous structure in the
upper part of right lung with “track” to root and focal shadows around?
Pneumonia.
Central pulmonary cancer.
Infiltrative tuberculosis.
Eosinophylic infiltration.
Periferal cancer
Which changes in the hemogram are typical for infiltrative tuberculosis?
Leukopenia, lymphocytosis, acceleration of ESR, anemia.
Small leucocytosis, lymphopenia, enlarged ESR, anemia, small increase of stab neutrophils,
monocytosis.
High leukocytosis, significant accereratioun of ESR, acidophilia, lymphopenia.
High leukocytosis with significant increasing of stab neutrophils, lymphocytosis, normal ESR,
monocytopenia, absent eosinophiles.
Formula of white blood not changeESR more than 50 mm/Hr, full-blown anemia.
Which X-ray syndrome is the most typical for infiltrative form of tuberculosis?
Syndrome of total darkening.
Syndrome of round shadow.
Syndrome of pathological changed root of the lung.
Syndrome of limited darkening.
Syndrome of focal shadow.
Which clinical syndrome is the most often suitable for infilrative tuberculosis?
Intoxicational.
Abdominal.
Meningeal.
Hyperthermic.
Painful.
Which criterion of effective treatment of infiltrative pulmonary tuberculosis in disintegration stage,
mycobacteriums tuberculosis+, is the most important?
Resolution of perifocal inflammatory reaction in pulmonary tissue?
Cicatrization of disintegration cavity
Fallout of intoxication occurrence.
Recovery of ability to work
Elimination of bacterioexcretion
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.
D.
E.
154.
A. *
B.
C.
D.
E.
155.
A. *
B.
C.
D.
E.
Which combination of antituberculous medications is the most worthwhile for first diagnosed
infilatrative pulmonary tuberculosis with destruction?
Isoniazid, streptomycin, rifampicin, pyrazinamide.
Kanamycin, ethambutol, isoniazid, rifampicin.
Isoniazid, pyrazinamide, amikacin, ofloxacin.
PAS(A)(para-aminosalicylic acid)-natrium, ethambutol, isoniazid, rifampicin.
Streptomycin, ethambutol, mycobutine, ethionamide.
Which is a characteristic property of tissue reaction at infiltrative tuberculosis?
Limited distribution of specific inflammation, marked peculiarity to its encapsulation.
Peculiarity to quick caseous necrosis.
Peculiarity to spontaneous resorption of infiltration.
Infiltrations quick dissipate, in other parts of lungs possible to appear new infiltrations (short-term).
Typical diffusive growing of conjunction tissue, sclerotic changes in lymphatic vessels and glands,
thickening of the pleura.
Which ways are the most probable for forming fresh centers of dissemination at infiltrative
tuberculosis.
Lympho-bronchogenic.
Only hematogenic.
Only sputogenic.
Hematogenic-lymphogenic.
Only lymphogenic.
Which enumerated complications practically always accompany infiltrative form of tubercular
process with?
Atelectasis of appropriate part of lung.
Pulmonary hemorrhage.
Amyloidosis of inner organs.
Spontaneous pneumothorax.
Tuberculosis of draining bronchus.
Which with mentioned below methods of examination (at suspicion about infiltrative tuberculosis) in
the adult not critical at diagnosis withs?
Visual rontgenography of thorax organs.
Biochemical blood analysis.
Bronchoscopy.
Rontgenography of chest organs in lateral projection.
Bacterioscopy and bacteriological exploration of spew concerning mycobacterium tuberculosis.
The illness, with which differential diagnostics of caseous pneumonia should be made most frequent:
Staphylococcal pneumonia
Central cancer
Eosinophilic pneumonia
Nidal pneumonia
Bronchoectasia
On the background of what complications of lungs tuberculosis caseous pneumonia is the most
frequent?
Pulmonary haemorrhage
Spontaneous pneumothorax
Larynx tuberculosis
Amyloidosis of kidney
Atelectasis of particle lung
156.
A.
B.
C.
D. *
E.
157.
A.
B.
C. *
D.
E.
158.
A.
B. *
C.
D.
E.
159.
A.
B. *
C.
D.
E.
160.
A. *
B.
C.
D.
E.
161.
A.
B.
C.
D.
E. *
162.
A.
B.
C.
D.
E. *
163.
The predominant segmental localization of tuberculosis infiltration
I, II, III segments
I, III, V segments
I, IV, V segments
I, II, VI segments
II, VI IX segments
Under the mask of what diseases is tuberculosis infiltrate the most frequent?
Peripheral lung cancer
Retention cyst
Pneumonia
Eosinophile infiltrate
Aspergiloma
The most characteristic blood analysis in patients with the infiltrative lung tuberculosis.
Leu– 25,0(10_/l; е – 3, p – 6, s – 51, l – 23, m – 7 %; ESR – 6 mm/hour.
Leu- 9,8(10_/l; е – 5, p – 6, s – 65, l – 13, m – 11 %; ESR – 36 mm/hour.
С. Leu- 4,0(10_/l; е – 2, p – 2, s – 60, l – 26, m – 9 %; ESR – 6 mm/hour.
Leu– 16,5(10_/l; е – 10, p – 10, s – 64, l – 14, m – 2 %; ESR – 21 mm/hour.
Е. Leu– 6,0(10_/l; е – 4, p – 3, s – 60, l – 26, m– 6 %; ESR – 7 mm/hour.
A darkening of medium intensity with a lightening in the center and a path to the root has been
revealed to the right beneath the clavicle of a patient B., 40, during fluorographic examination. He
feels well. Formulate the preliminary diagnosis.
Primary tuberculosis complex.
Infiltrative tuberculosis.
Lung tuberculoma.
Fibrous cavernous tuberculosis.
Caseous pneumonia.
Which clinical course is typical for caseous pneumonia?
Violent, acute progressive.
Initially chronic.
Near acute.
Without symptoms.
Forward with little symptoms.
On base of which infiltrative most often evolve lobar caseous pneumonia?
Round.
Lobular.
Periscysurite.
Like a cloud.
Lobitis.
Which pathogenic variant isn`t typical for evolution of lobular caseous pneumonia?
Result of aspiration pneumonia after hemorrhages and spew with blood.
Malignant variant of near acute disseminated tuberculosis.
Complications in terminal stages of chronic form of tuberculosis.
Distribution of caseous output in the bronchuses and lungs through fistula with lymph glands.
In terminal stage of Miliary tuberculosis.
Which is the most typical combination of complains for caseous pneumonia patients?
A. *
B.
C.
D.
E.
164.
A.
B. *
C.
D.
E.
165.
A. *
B.
C.
D.
E.
166.
A. *
B.
C.
D.
E.
167.
A.
B.
C.
D. *
E.
168.
A. *
B.
C.
D.
E.
169.
A. *
High temperature of the body, profuse sweat, paint in chest, shortness of breath, cough with
greenish sputum, quick growing of intoxication syndromes.
Worsening of appetite, hyper hydrosis, sub febrile temperature, petulance, weakening of memory.
C Dry cough, general weakness, periodical sputum with blood, instable subfebrile state.
High temperature, headache, sputum, diarrhoea, chill.
Periodical pain in the side, sub febrile temperature changing to febrile, rare cough, pain in chest
gradually decreases, appears shortness of breath.
What result of Mantoux test with 2 TU PPD-L is the most typical at extended clinical presentation of
caseous pneumonia?
Papule with diameter 21 mm and more.
Negative reaction.
. Papule with diameter 10-15 mm.
. Papule with diameter 16-21 mm.
. Papule with diameter 5-10 mm.
Which rontgenologic indication is typical for caseous pneumonia?
Homogeneous shadow is partially limited.
Shadow not homogeneous, possible to out from part.
Appear of clarifications due disintegration cavity.
Centers of bronchogenic dissemination in other part current or other lung.
Massive not uniform darkening of all part of a lung against a background possible individual more
solid centers.
In which way hemogram will be changed at caseous pneumonia?
Hypo chromic anemia, leucocytosis 13.0-20.0 х109/L, eosinopenia, lymphopenia, ESR-acceleration
up to 50-70 mm/Hr.
Red blood in normal state, leucocytosis 20.0-40.0 х109/L, ESR-acceleration up to 35-55 mm/Hr,
lymphopenia, monocytopenia.
Monocytosis, lymphocytosis, normal ESR, leukopenia, hypochromic anemia.
Hypo chromic anemia, leucocytosis 10.0-12.0 х109/L, eosinopenia, lymphopenia, stub shift up to
8-15%, ESR-acceleration up to 20-25 mm/Hr.
Expressed hypo chromic anemia, normal state of white blood, ESR acceleration up to 50-70 mm/Hr.
Which medications, except antituberculosis, are able to stop evolution of caseous pneumonia?
Disintoxication.
antiretrovirals
Nonsteroidal antiinflammatory.
quinolones.
Immunomodulator.
Which result is expected at positive dynamic of caseous pneumonia.
Transformation to massive pneumocirrhosis.
Full resorption of infiltration.
Limited pneumofibrosis.
Forming of tuberculoma.
Chronic disseminated tuberculosis.
Which definition for caseous pneumonia is the most precise?
Caseous pneumonia is a clinical form of tuberculosis, which has many specific centers in the lungs:
initially disease has prevailed escudative-necrotic reacton with future evolving of productive
inflammation,
B.
C.
D.
E.
170.
A. *
B.
C.
D.
E.
171.
A.
B.
C.
D.
E. *
172.
A. *
B.
C.
D.
E.
173.
A.
B.
C.
D.
E. *
174.
A.
B. *
C.
D.
E.
175.
A.
B.
C. *
Caseous pneumonia is area of specific inflammation which has prevailed escudative nature, with size
more than 1 cm, with necessarily disintegration of pulmonary tissue and its semination.
C .Caseous pneumonia is a clinical form of secondary form of tuberculosis with significant changes
in the lungs with acute progressive clinical course At quick widening of caseous mass forming huge
cavities or big quantity of small caverns.
Caseous pneumonia is progressive evolution of expressed perifocal inflammation around fresh
tubercular appearances, which was formed due exogenous super infection or endogenous
revivification.
Caseous
pneumonia is clinical form of initial tuberculosis, with grave condition of patient, significant
symptoms of intoxication, frequent catarrhal events in lungs, massive bacterioexcretion.
To which category relate patients of caseous pneumonia?
To first.
To third.
To second.
To forth.
To fifth.
What quantity of medications with anti-tuberculosis action need to appoint to caseous pneumonia
patients in intensive stage.
2-3.
6-7.
3-4.
4-5.
5-6.
Which diseases need to disambiguate lobar caseous pneumonia with?
Pleuropneumonia.
Infarct of lung.
Pneumonia complicated by an abscess.
Exudative pleurisy.
With central cancer.
Which factors is the most important at disambiguate diagnostic between infilrative tuberculosis and
pneumonia?
Level of bacterioexcretion.
Localization of process.
Presense disintegration cavity in pulmonary tissue.
Presense complications.
Violent and progressive course of disease.
Which rontgenologic syndrome accompanies pulmanary tuberculoma?
Syndrome of focal shadow.
Syndrome of round shadow
Syndrome of limited darkening
Syndrome of ring-shaped brightening.
Syndrome of root of the lung pathology.
What rontgenologic picture is typical for tuberculoma?
Intensive shadow with diffused outlines, with brightening in the center and horizontal liquid level.
Round homogeneous shadow with contrast outlines, more often in deep layers of the lung,
neighbouring lung tissue is not changed.
Round and intensive shadow in I, II, VI segments with contrast outlines, sometime with
sickle-shaped brightening or with including of the lime.
D.
E.
176.
A. *
B.
C.
D.
E.
177.
A.
B. *
C.
D.
E.
178.
A. *
B.
C.
D.
E.
179.
A.
B.
C.
D.
E. *
180.
A.
B.
C. *
D.
E.
181.
A.
B. *
C.
D.
E.
182.
A. *
Homogenous shadow with humpbacked outlines, tension bars in the form of “rays”, sometime
increased lymph nodes in the root.
Round homogenous shadow with contrast outlines, sometimes with including of the
limNeighbouring lung tissue is not changed.
What therapeutic approach is the most effective at pulmonary tuberculoma.
Resectable surgery against a background of chemotherapy.
Chemotherapy + common strengthening therapy.
Chemotherapy in conjunction with absorbable therapy.
Physiotherapy against a background of chemotherapy.
Chemotherapy in conjunction with hormonal therapy.
In which case surgery is appropriate at tuberculoma?
Stationary course.
Disintegration and bacterioexcretion.
Small size of tuberculoma (up to 2 cm).
Regressive course of tuberculoma.
Declining years.
What is a definition for tuberculoma?
Tuberculoma is limited by capsule from conjunctive tissue focus of caseous with size more that 1
cm with chronic and torpid course.
Tuberculoma is center of specific pneumonia with size up to 1 cm which localized in border of 1-2
segments.
Tuberculoma is area of specific inflammation with prevailed escudative character with size more 1
cm, with disposition to spontaneous recovery.
Tuberculoma is area of specific inflammation with prevailed escudative character with size more 1
cm, with disposition to progress and disintegration.
Tuberculoma is accretion of rough conjunctive tissue in the lung as a result of involution of different
forms of tuberculosis.
How many versions of tuberculomas are distinguished regarding pathomorphologic structure?
1
2
3
4
5
What sensitively to tuberculine according Mantoux test with 2 TU PPD-L is typical to tuberculoama?
Negative.
Papule 5-10 cm.
Often hyperergic.
Present hyperemia without papule creation.
Papule 5-10 cm.
What course is the most typical for tuberculoma?
Gradual progressive worsening.
Few symptoms or without symptoms.
Acute start. Quick worsening.
Near acutLike influenza or pneumonia.
Acute start. Quick reverse evolution due chemical medications.
What clinic symptoms are the most typical for tuberculoma?
Sometime subfebrile state, minor cough, possible absent of complains.
B.
C.
D.
E.
183.
A.
B.
C.
D. *
E.
184.
A. *
B.
C.
D.
E.
185.
A.
B.
C.
D.
E. *
186.
A.
B.
C. *
D.
E.
187.
A. *
B.
C.
D.
E.
188.
A.
B. *
C.
D.
E.
189.
A. *
B.
C.
Strong cough, pain in chest, shortness of breath.
High temperature, chill, pain in chest, purulent spew.
Cough, spew with unpleasant smell, hyper hydrosis, spew with blood.
Pain in chest. Spew with blood, Shortness of breath.
Which morphologic type of tuberculoma is possible as result of focal tuberculosis?
Infiltrative-pneumonic.
Homogeneous.
Pseudotuberculoma.
Conglomerate.
Like ball.
Why chemical therapy for tuberculoma is low effective?
Tuberculoma has no blood vessels.
It is secondary form of tuberculosis.
At tuberculoma always present polychemoresistivity.
At tuberculoma always disturbed passability of draining bronchus.
At tuberculoma present hyperergic sensitivity to tuberculine.
In which morphological sort of tuberculoma possible to evolve due long course?
Infiltrative-pneumonic.
Homogeneous.
Pseudotuberculoma.
Conglomerate.
Zayer-by-layer
Which instrumental method is good enough at verify diagnose in a case when middle lung field has
round center up to 3 cm in diameter with contrast outlines?
Fluorography.
Bronchography.
Transthoracal paracentetic biopsy.
Bronchoscopy.
Rontgenoscopy.
What type of breathing is auscultating at tuberculoma?
Vesicular.
Bronchial.
Amphoric.
Stenotic.
Mixed.
What is the therapeutic approach at first revealed tuberculoma with size 3-4 cm?
Urgent surgery.
Medical treatment start with prescription of antituberculosis medicine, after this – surgery.
Just specific conservative treatment.
Case monitoring.
Tuberculin therapy.
What combination of antituberculosis medicines is the most suitable at first revealed small
tuberculoma?
Isoniazid, rifampicin, pyrazinamide.
Streptomycin, isoniazid, rifampicin.
Streptomycin, rifampicin, ethambutol.
D.
E.
190.
A.
B. *
C.
D.
E.
191.
A. *
B.
C.
D.
E.
192.
A.
B.
C. *
D.
E.
193.
A.
B. *
C.
D.
E.
194.
A.
B.
C.
D.
E. *
195.
A. *
B.
C.
D.
E.
196.
A. *
B.
C.
D.
Amikacin, kanamycin, pyrazinamide,
Rifampicin, ofloxacin, pyrazinamide.
What segments are tuberculomas the most often localized in?
I, II, III
I, II, VI
I, VI, X
I, II, VIII
II, IV, V
What illness is the most expedient to differentiate tuberculoma with?
Periferal cancer
An air-cyst
Central cancer
Eosinophilic infiltrate
Chronic abscess
How many versions of tuberculomas clinical progress do you know?
1
2
3
4
5
The most rational combination of antimycobacterial preparations at the initial stage in patients with
lung tuberculoma, MBT (-).
Isonoazidum + streptomycini + rifampycini
Isonoazidum + rifampycini + pyrazinamidum
Isonoazidum + streptomycini + pyrazinamidum
Isonoazidum + pyrazinamidum + PASA
Rifampycini + ethionamidum + kanamycini
What clinical form of tuberculosis is tuberculoma formed from most frequently?
Disseminated
Fibrous-cavernous
Cirrhotic
Nidus
Infiltrative
At the absence of positive treatment dynamics during 2-4 months the patients with lungs tuberculosis
are prescribed for:
Economical resection of a lung
Pneumonectomy
Decortication of a lesion of lung
Hormonotherapy
Antimycobacterial therapy up to 6-8 months
What do patients with the unfolded clinical picture of tuberculosis, regardless to the localization of
the process complain of?
Weakness, excessive perspiration, loss of weight, promoted temperature of body
Attacks of stuffiness at the change of weather
Consciousness blank
Disturbance of sensitiveness, “creeping of ants” in extremities
E.
197.
A.
B.
C.
D.
E. *
198.
A. *
B.
C.
D.
E.
199.
A.
B.
C. *
D.
E.
200.
A.
B.
C.
D. *
E.
201.
A.
B. *
C.
D.
E.
202.
A.
B.
C.
D. *
E.
203.
A.
B. *
C.
D.
E.
204.
A. *
B.
Headache, pain in abdomen without clear localization
What character does temperature curve at tuberculosis carry usually?
Constant
One-day
Hectic
Three-day
None of the above
What character of sputum at uncomplicated lung tuberculosis is most reliable?
Slime, transparent
Bright-yellow
Green-yellow
Green with a sharp odour
Rusty
What character of pain in a thorax at “fresh” uncomplicated lung tuberculosis is the most typical?
Phantomlike
Attackable
Constant
Sanestopathetic
Migrated
What does cause the pain at “fresh” uncomplicated tuberculosis?
Lung tissue decay
Expressed exudation in a lung tissue
Bronch`s lesion
Pleura`s lesion
Prevailing productive reaction
What character of sputum secretion at uncomplicated lung tuberculosis is most typical?
The sputum is secreted mainly in the morning after smoking in an amount of 10-15 ml
The sputum is secretion during a day in an amount of 30-100 ml
Liquid waterly sputum is secreted constantly to 1,5-2,0 l for a day
A patient can tell, when thick stinking sputum was one-time secreted by “full mouth”
Viscous sputum is secreted after completion of asthma attacks only
How do tuberculosis patients explain the weight loss more frequently?
Appetite worsening
Taste distortion, disgusting to the separate types of meal
Economy on the meal
They can not explain, because appetite and rhythm of feed are remained ordinary
Wishing to lose flesh
What disease anamnesis is the most characteristic for lung tuberculosis?
A patient felt ill acute three day ago, nowadays the state is some improved
A patient considers himself to be ill a few months
A patient considers himself to be ill “all life”, repeatedly inspected without a result
A patient notes the state worsening every fourth day
A patient notes the state worsening at reduction of light day every year
Which of the cited data of life anamnesis is the risk factor of tuberculosis disease?
Illegal working migration
Vaccination against hepatitis B
C.
D.
E.
205.
A.
B.
C. *
D.
E.
206.
A. *
B.
C.
D.
E.
207.
A.
B. *
C.
D.
E.
208.
A.
B. *
C.
D.
E.
209.
A.
B.
C. *
D.
E.
210.
A.
B.
C.
D. *
E.
211.
A.
B.
C.
Being in the countries of Western Europe 3 years less ago
A change of profession on more skilled
Retirement
Which of diseases in anamnesis increase the risk of tuberculosis disease?
Ischemic heart disease
Neurodermitis
Stomach ulcer
Deforming arthrosis
Appendicitis
In what age of men tuberculosis disease is the most reliable?
20-29 years
30-39 years
50-59 years
60-69 years
above 70 years
In what age of women tuberculosis disease is the most reliable?
20-29 years
30-39 years
40-49 years
50-59 years
above 60 years
What thorax form in a tuberculosis patients is the most typical?
Hypersthenes
Paralytic
Rachitic
Scoliotic
Emphysematic
What is the most informative phenomenon at auscultation of tuberculosis patient?
Dispersed dry rales
Inconstant dry and moist rales in the area by the root
Moist local rales on the lung apexes
Pleura friction murmur
“Mute” lung
A patient 45, complains of the weakness, periodical raising of body temperature to 37,7?C, cough
with sputum expectoration more than 3 weeks. There are tuberculosis patients in a family. In what
thorax areas can one reveal auscultative changes at objective examination of the patient most
In
the lover parts of lungs
frequently?
In the lower third of lungs
In the area under scapular
In the area under clavicle
In the axillary’s region
Infiltrative tuberculosis of the upper part of the right lung in decay phase has been revealed in a
patient, MBT (+). What breathily murmurs do you expect to hear above the area lesion?
Dry whistling rales
Crepitation
Murmur of pleural rub
D.
E. *
212.
A.
B.
C.
D. *
E.
213.
A.
B. *
C.
D.
E.
214.
A.
B.
C. *
D.
E.
215.
A.
B.
C. *
D.
E.
216.
A.
B.
C. *
D.
E.
217.
A.
B.
C.
D. *
E.
218.
A.
B.
C.
D. *
Bronchial breathing
Local moist rales
Percussion note with tympanic tinge, amphoric respiration at auscultative above the upper part of the
right lung in a tuberculosis patient. What should be changes in lungs thought about?
Infiltration of the lung tissue
Lung cirrhosis
Atelectasis
Large cavern
Spontaneous pneumothorax
A patient six-year-old boy with primary tubercular complex, above the lower department of
thorax in right side auscultate pleural friction What do pathological changes we think about?
Spontaneous pneumothorax.
Dry pleurisy.
Ecsudatical pleurisy.
Pleuropneumonia.
Pleural empyema.
For a patient a "fork" symptom is determineWhat do pathological changes we think about?
Primary tubercular complex
Spontaneous pneumothorax.
Cirrhosis of lung.
Dry pleurisy.
Tuberculosis of intrathoracic lymphatic nodus.
In patient with tuberculosis under a left shoulder-blade we can hear medium rales. What do such
changes testify about?
Focal changes in pulmonary tissue.
Bronchitis.
Presence of cavities of disintegration.
Spontaneous pneumothorax.
Atelectasis
What type of breathing in the projection of defeat at infiltrating tuberculosis is characteristic?
vesicular respiration
amphoric breath sounds
Mixed breathing.
bronchial respiration
interrupted breathing
What information is the most important at questioning of patient with suspicion on tuberculosis?
Family status of patient.
Profession.
Material well-being .
Contact with a patient with tuberculosis.
Presence of cattle in thehousekeeping (cows).
What disease can a "fork" symptom be determined at?
Tuberculoma
Miliary tuberculosis.
Dry pleurisy.
Cirrotic tuberculosis .
E.
219.
A.
B. *
C.
D.
E.
220.
A.
B. *
C.
D.
E.
221.
A.
B.
C. *
D.
E.
222.
A. *
B.
C.
D.
E.
223.
A.
B. *
C.
D.
E.
224.
A.
B. *
C.
D.
E.
225.
A. *
B.
C.
D.
Silicotuberculosis.
What symptoms do belong to the "pectoral" symptoms of tuberculosis?
low grade fever, cough, head pain, lack of breath, general weakness.
hemoptysis, lack of breath, chest pain, cough, excretion of sputum
heart pain, low grade fever, cough, hemoptysis lack of breath.
hepatic colic, lack of breath, cough, hemoptysis low grade fever
Vomit, hoarse voice, cough, lack of breath, excretion of sputum
In how many times contact persons are more frequently ill , than uncontacts with tuberculosis?
2-4.
5-10.
15-20.
25-30.
31-35.
What roentgenological method is used for skrining survey of population with the purpose of exposure
tuberculosis of breathing organs?
Sciagraphy.
Computerized tomography.
Fluorography.
Rentgenoscopy.
Bronchography.
What method more expedient to apply for control of dynamicsto efficiency of treatment of patients
with tuberculosis ?
Sciagraphy.
Roentgenokymography.
Fluorography.
Roentgenoscopy.
Bronchography .
What method is most effective for estimate of localization of shade in a pulmonary tissue and its
correlation with surrounding tissues?
Sciagraphy.
Computerized tomography.
Fluorography.
Rentgenoscopy.
Bronchography.
What method more frequent will be used to exposure the destruction of lungs tissue?
Sciagraphy.
Computerized tomography .
Spot-film sciagraphy.
Rentgenoscopy.
Bronchography.
With what roentgenological method is more expedient to begin additional inspection, if at
prophylactic fluorography inspection in the first and second segments of lungs focal shades are
discovered?
From
target rentgenogram
From computerized tomography.
From spot-film sciagraphy.
From rentgenoscopy.
E.
226.
A.
B.
C.
D.
E. *
227.
A. *
B.
C.
D.
E.
228.
A.
B.
C.
D. *
E.
229.
A.
B. *
C.
D.
E.
230.
A.
B.
C. *
D.
E.
231.
A.
B.
C.
D. *
E.
232.
A. *
B.
C.
From bronchography.
What methods of research of breathing organs transferring are roentgenological?
Sciagraphy.
Computerized tomography.
Rentgenoscopy.
Bronchography
Bronchoscopy.
What is the criteria of optimum inflexibility of sciagram?
On the sciagram evidently seen the first three-four pectoral vertebrae.
On the sciagram evidently contours of shoulder-blades.
On the sciagram evidently seen first six-eight pectoral vertebrae.
On the sciagram evidently seen ribs.
On the sciagram evidently seen breastbone.
What components of lungs tissue are not visible on a sciagram?
Roots of lungs.
Dig vascular barrels.
The walls of bronchial tubes.
Teeth ridges.
Interstice of lungs.
What is the high bound of the norm of a lungs root width?
1,0 sm
2,5 sm
3,5 sm
5 sm
7,5 sm
What form do normal roots of lungs have?
Optus corner opened aside pulmonary field.
Triangle, by the apex turned to middle shade.
Sector of a circle.
Rectangle.
Complex polycyclic figure.
In the patient of 35 years it was first found out infiltrative tuberculosis of the overhead particle of the
right lung with the presence of destructive changes. On the survey sciagram cavity of disintegration
we can see unclear. What does roentgenological method of research need to be applied for
visualization of cavity?
Bronchography.
Fluorography.
Lateral sciagraphy.
Tomography
Radioxerography.
The patient of 45 years . He is on treatment in T.prophylactic center concerning the relapse of
tuberculosis of the left lung (infiltrative tuberculosis). In patient's phlegm appear MBT but on a
survey sciagram destructive changes are not determineWhat roentgenological method of research
should we use to find the source which excretes bacterias?
Tomography.
Bronchography.
Spot-film sciagraphy.
D.
E.
233.
A.
B.
C.
D. *
E.
234.
A.
B.
C.
D. *
E.
235.
A.
B. *
C.
D.
E.
236.
A.
B.
C. *
D.
E.
237.
A.
B.
C.
D. *
E.
238.
A.
B.
Rentgenoscopy.
Lateral sciagraphy
The Patient 37 years olHe is ill with cirrhotic tuberculosis of overhead particle of the right lung
during 10 years. The patient is prepared to the operation.It is needed to define mobile of lower edge
of lungs.What method of roentgenological research is used in this case?
Tomography.
Bronchography.
Sciagraphy.
Rentgenoscopy.
NMR.
Sick men 35 years old. He is directed to the T.prophylactic center with a diagnos of tuberculosis. It
was made more inspection and as a result were revealed destructive changes in the overhead
particle of right lung.What roentgenological method of research was used for more inspection?
Lateral sciagraphy.
Bronchography.
Radioxerography.
Tomography.
Fluorography.
Sick women 35 years old She grumbles about a cough with sputum, pain in the right part of thorax,
weakness, increase body's temperature up to 37,8°On the survey sciagram of the right lung it is
found out an area of unhomogeneous structure without clear contours. It was established the
diagnosis: tuberculosis What disease does have alike roentgenological signs?
Bronchial asthma.
Pneumonia.
Cyst.
Bronchitis.
lungs oedema.
In the patient of 20 years on the fluorography inspection in the apex-back segment of the left lung
found out area of dark patch small intensity with unclear contours up to 1sm in a diameter.To what
roentgenological syndrome does the founded out formation belong to?
clearing up syndrome.
round shade syndrome.
focal shades syndrome.
ring shade syndrome.
Desimination syndrome
The patient of 35 years grumbles about the shortness of breath, weight in a right side increasing of
body's temperature up to 39°On a survey sciagram found out the homogeneous intensive dark patch
from the level of the IV rib to the diaphragm with an oblique border Such roentgenological changes
are inherent for:
Pneumonia.
Cancer.
Eosinophylic infiltration.
Exudatic pleurisy.
Dry pleurisy.
The patient is 35 years. At a prophylactic inspection in infraclavicular region of right lung (lateral
part of it) found out the area focal shade of small intensity .What segment of lung does the area
belongs to?
VIII.
VI.
C.
D.
E. *
239.
IV.
VI.
VII.
A.
B.
C. *
D.
E.
240.
Radioxerography.
Bronchography.
Computerized tomography.
Pleurography.
Rentgenoscopy.
In the patient 1 month after the completed treatment of infiltrative tuberculosis of upper particle of
right lung, appeared intermittent rise in temperature up to 37,1-37,2°C and coughing. It was made
an extraordinary roentgenological inspection - changes weren`t discovered in lungs.What
roentgenological method is expedient to use for visualization of the changes of bronchial tubes of
upper particle of right lung?
Sciagraphy.
Bronchography.
Rentgenoscopy.
Tomography.
Spot-film sciagraphy.
A.
B. *
C.
D.
E.
241.
A.
B.
C.
D. *
E.
242.
A.
B.
C.
D.
E. *
243.
A.
B.
C.
D. *
E.
244.
A.
B.
C.
Sick woman 50-ty years acted in to the Tuberculous prophylactic center complaining on a cough, weakness,
decline of mass , cough with sputum. A differential diagnostic is conducted between infiltrative tuberculosis of
upper particle of left lung and a cancer of lungs .What roentgenological method of research is optimum to
confirm the diagnosis?
The patient of 24 years acted into the Tuberculous prophylactic center complaining about a weakness,
decline of appetite, cough with sputum. A survey sciagram was made, on which in the part of the left lung an
annular shade is determine. Such character of shade is inherent for:
Hearth.
Infiltration.
Fibrosis.
Disintegration of pulmonary tissue.
Exudat accumulation.
Sick woman 20 years old is directed to phthisiatrician, concerning changes, that were discovered on
fluorogram (prophylactic inspection). We can see changes not very good, because they are hidden
behind the collar-bonWhat roentgenological research we need to use, to find out these changes?
Rentgenography.
Bronchography.
Rentgenoscopy.
Lateral sciagraphy.
Sciagraphy with the maximal taking of collar-bone.
What is the basic method of the discovering tuberculosis among people using alcohol ?
Rentgenoscopy.
Computerized tomography .
Bronchography.
Fluorography
Spot-film sciagraphy.
What research method we have to use to confirm the presence of bronchiectasis?
Spot-film sciagraphy.
Survey sciagraphy.
Fіstulography.
D.
E. *
245.
A.
B.
C.
D. *
E.
246.
A. *
B.
C.
D.
E.
247.
A.
B.
C.
D. *
E.
248.
A.
B.
C.
D. *
E.
249.
A.
B. *
C.
D.
E.
250.
A.
B.
C.
D. *
E.
251.
A.
B.
C. *
D.
E.
Tomography.
Bronchography.
A focal shade is:
Dark patch in a diameter up to 0,2 sm.
Dark patch 0,2 - 0,4 sm in a diameter.
Dark patch 0,5 - 1,0 sm in a diameter.
Dark patch in a diameter to 1,0 sm.
Dark patch from 1,0 to 2,0 sm in a diameter.
Patient of 29 years on a roentgenological inspection found out in the right lung under a collar-bone
dark patch in a diameter to 1sm, small intensity with unclear contours. What type of pathological
shade is certain in the woman?
focal
Infiltrative .
focal-infiltrative .
Annular.
Linear.
What are the most frequent segmental localization of the second forms of tuberculosis of lungs?
I, II, III segments.
II, III, IV segments.
III, V, VI segments.
I, II, VI segments.
II, III, X segments.
What method of research is executed for confirmation of presence of liquid in a pleural cavity?
Fluorography.
Tomography.
Bronchography.
Laterography.
Spot-film sciagraphy.
When were the X-rays discovered?
In 1882 year.
In 1895 year.
In 1944 year.
In 1951 year.
In 1965 year.
For how many criterias do we estimate the quality of technical implementation of survey sciagram?
1.
2.
3.
4.
5.
From how many parts does the root of lung consist of? (roentgenologicaly)
1.
2.
3.
4.
5.
252.
A.
B.
C. *
D.
E.
253.
A.
B. *
C.
D.
E.
254.
A.
B.
C.
D.
E. *
255.
A.
B.
C. *
D.
E.
256.
A.
B. *
C.
D.
E.
257.
A. *
B.
C.
D.
E.
258.
A. *
B.
C.
D.
E.
259.
A. *
How many segments can be in left lung?
8-11.
8-12.
9-10.
9-11.
9-12.
What method of research should be conducted for confirmation the small forms of tuberculosis of
intrathorax glands?
Spot-film sciagraphy.
Computerized tomography .
Tomography.
Sciagraphy in a lateral proection.
Fluorography on inhalation and exhalation.
What percent of patients with tuberculosis in Ukraine are detected at mass fluorographycal
5inspection?
%.
15%.
25%.
35%.
50%.
What is the most substantial morphological sign determines weight of the tubercular process?
Dystrophy.
Plethora.
Destruction.
Hypostasis.
Metaplasia.
Treatment of what state is most perspective and important from the epidemiological point of view?
At first diagnosed tuberculosis without destruction.
At first diagnosed tuberculosis with destruction.
Relapse.
Chronic tuberculosis.
Primary tuberculosis.
What phases characterize the progress of tuberculosis?
Infiltration, disintegration, semination.
Resorption, compression, scarring.
C Encrustation, mineralization.
Hyperemia, exudation, resorption
Proliferation, metaplasia, degeneration.
On the exposure of what changes in biopsy material is based histological confirmation of tubercular
character of inflammation?
Pirogov-Langerhans cells , caseous necrosis.
Cells of foreign bodies, fibroblasts.
A big amount of neutrophiles, colicvation necrosis.
Proliferation of lymphocytes.
Proliferation of poorly differentiated cells.
What organs are more frequently strucked by tuberculosis in Ukraine?
Lungs.
B.
C.
D.
E.
260.
A.
B.
C. *
D.
E.
261.
A.
B.
C. *
D.
E.
262.
A.
B.
C. *
D.
E.
263.
A.
B.
C. *
D.
E.
264.
A.
B.
C. *
D.
E.
265.
A.
B.
C.
D.
E. *
266.
A.
B.
C.
Genital organs.
Kidneys.
Bones and joints.
Eyes.
Whatever concept doesn't have the pathogenetical and clinical filling?
Primary tuberculosis.
Secondary tuberculosis.
Tertiary tuberculosis.
Chronic tuberculosis.
Relapse of tuberculosis.
Whatever information has no matter at formulation the diagnosis of tuberculosis?
Presence or absence of destruction.
Presence or absence of bacterioexcretion.
The way of contamination.
Resistance of mycobacterium.
Data of exposure of disease.
Whatever complication is not characteristic for pulmonary tuberculosis?
Pulmonary bleeding.
Spontaneous pneumothorax
Bronchial asthma.
Secondary pulmonary hypertension.
Atelectasis.
What is understood under a cohort at formulation the diagnosis of tuberculosis?
Group of patients with the identical clinical form of disease.
Group of patients, homogeneous on age, sex.
Group of patients which found out during one quarter.
Group of patients with identical concomitant pathology.
Group of patients with east motion of disease.
Whatever category of patients is not distinguished in clinical classification of tuberculosis?
Patients with the first diagnosed tuberculosis without bacterioexcretion.
Patients with the first diagnosed tuberculosis with bacterioexcretion.
Patients with the first diagnosed tuberculosis without bacterioexcretion on background of
concomitant pathology.
Patients with relapse of tuberculosis.
Patients with chronic tuberculosis.
What method of study of bacterioexcretion is not used in formulation of diagnosis according to
modern classification?
Microscopical.
Cultural.
Investigation of resistance to preparations of the I row.
Investigation of resistance to preparations of the II row.
Biological.
What is the definition of primary tuberculosis?
At first diagnosed tuberculosis.
Initial signs of tuberculosis.
Nondestructive tuberculosis.
D. *
E.
267.
A.
B.
C. *
D.
E.
268.
A.
B.
C. *
D.
E.
269.
A.
B.
C. *
D.
E.
270.
A.
B.
C. *
D.
E.
271.
A. *
B.
C.
D.
E.
272.
A.
B. *
C.
D.
Tuberculosis which arose up just after infection.
Tuberculosis with an affection of only one organ or system.
What is the definition of secondary tuberculosis?
Relapse of tuberculosis.
Destructive tuberculosis.
Tuberculosis which arose up long after an infection.
Generalized tuberculosis.
Tuberculosis with the unfolded clinical picture.
Whatever changes of pulmonary tissue usually do not arise up as a result of the tuberculosis?
Pneumofibrosis.
Calcinations.
Carnification of lungs.
Emphysema.
Bronchiectasis
What information must not contain the classification of any illness according to the IKD-10?
Clinical form of disease.
Localisation of affection.
Prognosis.
Accompanimental diseases.
Complication.
Patient of 44 underwent a course of medical treatment during 1 week. Patient was diagnosed: the
lungs’ FDT (15.01.2004) (desemination, phase to infiltration and disintegration), Destr+,
MBT+M+K+rezisto GISTO Cat1 Cog1(2004). MBT has been discovered by bacteriological
method in 3 analyses. What is the most reliable reason that the record of K O was made in a
Kulturalniy
diagnosis? analysis was not conducted.
Negative result of sputum’s sowing was got.
Insufficient period for MBT’s growth
Absence of MBT in sputum.
Incorrect results of bacterioscopy.
Patient of 25 is on treatment in tuberculosis dispensary with a diagnosis: FDT (2.02.2004)
of right lung’s upper part (infiltrative, phase of disintegration and semination), Destr- mbt+ m- k+
Resist+ (N,R) resist O, GIST O, Cat4 Cog1(2004). The patient was appointed proper treatment: N,
R, S, Z. In two months during conducting roentgenological control positive dynamics was not seen.
As a result of determination of MBT sensitiveness to untuberculosis preparations was got in 2 months
after patient’s receipt .What is the principal reason of treatment’s ineffectiveness?
Existence of MBT’s resistance to unmycobacterial medications.
Smoking.
Periodic using of alcohol.
Protracted reception of chemo medication.
In the absence of fifth preparation.'
Patient of 20 went to tuberculosis dispensary with complaints about a weakness, indisposition, cough
with sputum. On a survey rontgenography were discovered infiltrative changes on the upper part of
right lung with the presence of cavity of disintegration. Using bacterioscopic method MBT were
found in sputum.What amount of MBT should be found in 1 ml of sputum (at a revision 300
500.
eyeshots)?
5000.
1000.
100.
E.
273.
A. *
B.
C.
D.
E.
274.
A.
B.
C.
D. *
E.
275.
A.
B.
C.
D.
E. *
276.
A.
B.
C. *
D.
E.
277.
A. *
B.
C.
D.
E.
278.
A.
B.
C.
100000.
Patient of 42 grumbles about weakness, bad appetite and sleep, decline of body’s mass.
Roentgenlogical: in S1 infiltrative darkening was found out in a right lung. General analysis of
blood: Er.- 4,8х1012, Нb - 146 г/л, L - 8,5х109, ESR - 22 mm/hr.What research should be done to a
patient with the purpose to exposure MBT?
Taking of washing liquid of bronchial tubes.
Tomography.
To take a Manta’s sample from 2 PPD-L.
To explore sputum.
To make immunological research.
Patient of 43 complains about weakness, bad appetite, decline of body’s mass, subfebrile
temperature (37,1°-37,4°C), pain in left sideDuring roentgenological examination in S 1-2 of a
left lung limited microfocal disseminations has been determinated, to the bottom from the IV
rib exudation. At bacterioscopic research of liquid MBT were not found.What research is
optimum for confirmation of etiology of found changes for this patient?
Examination of sputum.
Making bronchoscopy.
Immunologic research.
Biopsy of pleura.
Cytological research of exudation.
Patient of 36 went to the stationary section of tuberculosis dispensary with complaints about cough
with sputum, weakness, temperature - 38,0°C, severe headache, nausea and vomit that does not bring
a facilitation. A disease has begun gradually. Patient went to the therapeutist and then X-ray
examination was madAs a result of examination small (1-2 mm in diameter) multiply nonintencive
shades with unclear contours along lungs were determinePatient was diagnosed: a FDT (3.12.2003)
of lungs (miliary in a phase of infiltration and disintegration), Destr+, Mbt+m-k+ rezist, GIST O
Kat1kog4(2003).What kind of research will reliably confirm possibility tubercular meningitis’
Bacterial
analysis of sputum.
development?
Immunologic research.
Encephalography.
Bacterioscopy of spinal liquid.
Biochemical analysis of composition of spinal liquid.
What biochemical components of MBT cause their firmness to acids, alkalis and alcohols?.
Albumen
Hydrocarbon
Lipids
Polysaccharide.
Mineral salts.
What constituent combinations of MBT are the basic transmitters of antigens’ characteristic features?
Albumen
Hydrocarbon
Lipids
Polysaccharide.
Mineral salts.
What mycobacterium are called L-form?
Vaccine’s culture of MBT.
Avisual forms of MBT.
Atypical forms of MBT.
D. *
E.
279.
A.
B.
C.
D.
E. *
280.
A.
B.
C. *
D.
E.
281.
A.
B.
C.
D.
E. *
282.
A. *
B.
C.
D.
E.
283.
A.
B.
C.
D. *
E.
284.
A.
B.
C.
D. *
E.
285.
A. *
B.
C.
D.
E.
MBT, which has partly lost a cellular wall.
Filtering forms of MBT.
What is the reason of origin of primary medicinal firmness of MBT?
Untimely exposure of tuberculosis.
Late exposure of tuberculosis.
Nonregularly taking of antimycobacterial medications.
Treatment by chemicals of understated doses.
Infection by stable cultures of MBT.
What is the frequency of primary medicinal firmness of MBT in patients with tuberculosis?
0,5-1%.
2 - 5 %.
1-14%.
15-20%.
25 - 30 %.
How often does the second medicinal firmness of MBT develop to antimycobacterial medications in
patients with tuberculosis?
1-5%.
5-10%.
10 - 20 %.
20-40%.
50 - 60 %.
What is primary medical firmness of MBT?
MBT firmness of the patients which had not been yet treated by antimycobacterial medications.
MBT firmness of patients with the primary form of tuberculosis.
MBT firmness of patients with the chronic forms of tuberculosis.
MBT firmness of patients with the relapses of tuberculosis.
MBT firmness of patients with the small forms of tuberculosis.
What types of MBT are the most pathogenic for a human being?
M. Africanum.
M Avium.
M. Bovinus.
M.Tuberculosis.
Kansasii.
What kinds of mycobacterial cause mycobacteriozis?
L-forms mycobacterium.
M. tuberculosis.
Acid-proof saprophytes.
Atypical mycobacterium.
MBT, firm to antimycobacterial medications.
What kind of sputum is characteristic for patients with pulmonary tuberculosis?
Mucus-purulent, odourless, 10-50 milliliters per days.
Purulent with a strong unpleasant smell, ferruginous color, to 500 milliliters.
Purulent, odourless, to 300 milliliters.
Mucus-watery, 50-100 milliliters.
Purulent -containing soom blood with an unpleasant smell, 100-150 milliliters per days.
286.
A.
B.
C.
D. *
E.
287.
A.
B.
C. *
D.
E.
288.
A.
B. *
C.
D.
E.
289.
A.
B.
C.
D. *
E.
290.
A.
B. *
C.
D.
E.
291.
A.
B.
C.
D. *
E.
292.
A. *
B.
C.
D.
E.
293.
With the purpose of MBT chromosome revelation sowing sputum was done on hard environment.
What does the appearance of colony mean on a third day from sowing?
Mycobacterium’s growth, which are propagating quickly.
Growth of highly virulent mycobacterium.
Growth of atypical mycobacterium.
Growth of unspecific microflora.
Growth of L-form mycobacterium.
What are the terms of appearance of tuberculosis’s mycobacterium growth on hard nourishing
environments?
2-3 days.
7-14 days.
3-4 weeks.
3-5 months.
6 months.
In what percentage of people tuberculosis is caused by M. bovis?
1-2%.
3-5%.
10-20%.
25-30%.
35-50%.
What type of exciter, after Runyon classification, is considered to be atypical mycobacterium?
M. Bovis.
M.africanum
Filtrate’s forms.
M. avium.
M tuberculosis.
What is the major diagnostic sign of joining tuberculosis in patient with pneumoconiosis|?
Positive result of Mantaex testing of 2 TU PPD-L.
Revealing MBT in sputum.
Presence of symptoms of tubercular intoxication.
Information about the tuberculosis carried in the past.
Presence of nidus shadows on a roentgenogram.
What kind is the sensitiveness to tuberculin after the Mantaex test of 2 TU PPD-L at
silicotuberculosis?
Negative.
Doubtful.
Poorly positive.
Hyperergy
Vesicule-necrotic.
What kind of symptoms (complaints) can testify the complication of silicosis by tuberculosis?
Intoxication.
The pant.
The cough.
Pain in thorax.
All these symptoms.
What are the roentgenologic| signs of tuberculosis in diabetes patients?
A.
B.
C.
D.
E. *
294.
A.
B.
C.
D. *
E.
295.
A.
B.
C.
D.
E. *
296.
A.
B.
C. *
D.
E.
297.
A.
B.
C. *
D.
E.
298.
A.
B.
C. *
D.
E.
299.
A. *
B.
C.
D.
E.
Infiltrative tuberculosis, more frequent cloudsimilar infiltration, polysegmentation infiltration or lobit
||.
Bilateral
infiltration | in lower particles of lung (caused by reactivation of| process in |intrathoracic
lymphatic nodes with lymphogenic| and |bronchogenic eruption).
Large tuberculoma with undistinct contours, perifocal inflammation, which is able to decay.
Fibrous-cavernous tuberculosis (with severe progressive course, can be complicated by caseous|
pneumonia).
All these signs.
The prognosis and course of which illness is not favourable at tuberculosis in combination with
diabetes|?
Always of tuberculosis.
Always of diabetes.
Of both diseases.
That illness, which arose up the first.
That illness,| which arose up the second.
What |are the indications to fluorography of the patient with diabetes?
After carried hyperglycemic| and hypoglycemic comma.
After carried a flu or pneumonia.
After any operative interference .
At appearance of symptoms, which are characteristic for tuberculosis or hyperergy reaction.|
All these sings.
What disease can assist development of tuberculosis?
Essential hypertension.
Infectious mononucleosis|.
Ulcer of the stomach and duodenum.
All marked disease.
Nothing of transferred.
In stomach and duodenal ulcer patient, who was prepared for operation, an active tuberculosis was
discovered.What is the best doctor’s tactic ?
Treatment of tuberculosis after an operation.
Operation is combined with beginning of tuberculosis treatment.
Operation after stabilizing of specific process.
Operation is only in 2 years from the beginning of tuberculosis treatment.
Operation is absolutely contra-indicated.
What forms of tuberculosis prevail for stomach and duodenal ulcer patients after the resection of
stomach?
Primary tuberculous complex.
Out of lungs tuberculous processes.
Infiltrative and exsudative forms of tuberculosis with propensity to progress, formation of plural
destructions and bronchogenic dissemination||.
Chronic forms of tuberculosis.
Tuberculous mesadenitis|.
What from transferred is characteristic for a tuberculous process on the late stages of HIV-infection|?
All transferred .
The expressed durable intoxication with negative Mantoux test.
Diffuse infiltrates| in upper, middle and lower lung sections.
Mainly |out of lungs defeats, enlargement of intrathoracic lymphatic nodes, lymphadenopathia
In the halves of patients – MBT absence from the sputum||.
300.
A.
B.
C.
D.
E. *
301.
A.
B. *
C.
D.
E.
302.
A.
B. *
C.
D.
E.
303.
A.
B. *
C.
D.
E.
304.
A.
B. *
C.
D.
E.
305.
A.
B.
C. *
D.
E.
306.
A.
B. *
C.
D.
E.
307.
A.
What are the most dangerous periods that contributing to aggravation, recurrence and progressing of
old tubercular hearths for pregnant ?
The second month of pregnancy.
The fifth month of pregnancy.
The last weeks before childbearing.
The first 6 months after childbearing.
All marked periods are dangerous.
What course is typical for tuberculosis which arises at first time after the childbearing?
Rapid reversed development.
Rapid progressing with expressed clinical symptomatic|.
Slow reversed development.
Poor symptomatic |motion.
Initially chronic motion.
What are the main principles of tuberculosis treatment during pregnancy?
To begin treatment only after childbearing.
Treatment by generally accepted principles .
Obligatory breaking the pregnancy regardless of process.
The dynamic looking after the motion of process. At progressing - immediate treatment.
The treatment should be performed immediately after revealing active tuberculosis|.
Is it possible to vaccinate a newborn child which borned |from a mother sick with tuberculosis?
Absolutely contra-indicated in any case.
It is possible, if a child does not have contra-indications and was immediately isolated from |mother
after childbearing.
It is possible, but needed to do Mantaex test before vaccinate.
Contra-indicated, if mother is sick with destructive tuberculosis.
It is possible, if mother accepted antimycobacterial drugs during pregnancy.
What from these preparations has antimicobacterial action ?
Nitroxolin.
Cyprofloxacin.
C. Kotrimaxazol.
Amoxycylin.
Doxicylin.
What from these preparations does not have antimicobacterial action?
Isoniazidum.
Rifampicinum.
Ceftriaxon.
Pyrazinamidum.
Etambutolum.
What from these preparations is not used for therapy for| patients with first found out tuberculosis?
Isoniazidum.
Natrii paraaminosalicylatis (PASA is Natrum)
Etambutolum.
Pyrazinamidum.
Streptomycini
What from the drugs does operate only on extracellularly distributed MBT?
Isoniazidum.
B.
C.
D. *
E.
308.
A.
B.
C. *
D.
E.
309.
A.
B.
C.
D. *
E.
310.
A.
B.
C.
D. *
E.
311.
A.
B. *
C.
D.
E.
312.
A.
B.
C.
D. *
E.
313.
A.
B.
C. *
D.
E.
314.
A.
B. *
Etambutolum.
Pyrazinamidum.
Streptomycini.
Rifampicinum.
What disease is contra-indication for setting of Isoniazidum?
Rheumatoid arthritis.
Chronic obstructive bronchitis.
Epilepsy.
Chronic pancreatitis.
Ulcerous illness.
What disease is contra-indication to setting of Streptomycini?
Chronic hepatitis.
Alcoholism.
Acute sinuitis.
Ischemic heart trouble.
Psoriasis.
What disease is contra-indication to setting of Etambutolum?
Acute conjunctivitis.
Chronic keratitis.
Chalazion.
Degeneration of nipple of visual nerve.
Cataract.
What disease does aggravate the bearableness of Pyrazinamidum|?
Chronic bronchitis.
Chronic hepatitis.
Chronic colitis.
Chronic cholecystitis.
Ischemic heart trouble.
What combination of preparations must we appoint to a patient with the first diagnosed infiltrative
tuberculosis in the phase of disintegration?
Isoniazidum, Streptomycini|, Kanamycini|, Etambutolum|.
Rifampicinum, Streptomycini|, Amoxycylini|, Pyrazinamidum.|
Isoniazidum, Ethionamidum|, PASA is Natrum|, Etambutolum|.
Isoniazidum, Rifampicinum|, Pyrazinamidum|, Streptomycini|.
Streptomycini, Viomycini|, Florimycini|, Kanamycini|.
What combination of preparations must we appoint to a patient with the first diagnosed Nidus lung
tuberculosis?
Isoniazidum, Streptomycini|, Kanamycini
Rifampicinuum, Streptomycini|, Amoxycylini
Isoniazidum, Rifampicinum|, Pyrazinamidum
Isoniazidum, Ethionamidum|, PASA is Natrum
Streptomysin, Viomycini|, Florimycini||.
What combination of preparations does it follow to appoint a patient with found out reactivation| of
tuberculosis before the receipt of results of sensitiveness of MBT| to antimycobacterial drugs?
Isoniazidum, Streptomycini|, Kanamycini, Etambutolum, Ethionamidum
Isoniazidum, Rifampicinum|, Pyrazinamidum, Streptomycini, Etambutolum
C.
D.
E.
315.
A.
B.
C. *
D.
E.
316.
A.
B. *
C.
D.
E.
317.
A.
B.
C. *
D.
E.
318.
A. *
B.
C.
D.
E.
319.
A.
B.
C.
D. *
E.
320.
A.
B.
C. *
D.
E.
321.
A.
B.
C.
D. *
E.
Rifampicinum, Isoniazidum, Streptomycini, Amoxycylini Pyrazinamidum
Isoniazidum, Rifampicinum |, Ethionamidum|, PASA is Natrum , Etambutolum |.
Rifampicinum, Streptomycini, Viomycini|, Florimycini|, Kanamycini
What is recommended duration of treatment patient with the first discovered tuberculosis?
10 days.
2 months.
6 months.
9 months.
2 years.
In the patient suffering from tuberculous meningoencephalitis the right-side ptosis, midriasis,
divergent strabismus, were found. The damage of what cranial-brain nerve is present?
IV
III
VI
VII
X
The method of the definition of a kind of spontaneous pneumothorax.
Roentgenologic
On the basis of the clinic data.
The pressure measurement in the pleural cavity (manometry)
Computer tomography
USE
Which of those complications are specific?
Larynx tuberculosis
Atelectasis
Pulmonary haemorrhage
Spontaneous pneumothorax
Chronic lung heart
Which of the illnesses are the most frequently complicated with pulmonary haemorrhages?
Aspergilloma
Lung cancer
Bronchus adenoma
Lung tuberculosis
Pneumonia
An urgent aid at a valvate spontaneous pneumothorax.
Fibrobronchoscopy
Artificial lung ventilation
Pleural cavity drainage
Respiratory gymnastics
Strict bed rest
The main method of chronic lung heart diagnostics
Elecrocardiography
Phonocardiography
Balistocardiography
Echocardiography
Roentgenoscopy
322.
A.
B.
C. *
D.
E.
323.
A. *
B.
C.
D.
E.
324.
A.
B.
C. *
D.
E.
325.
A.
B. *
C.
D.
E.
326.
A.
B. *
C.
D.
E.
327.
A.
B.
C. *
D.
E.
328.
A.
B.
C.
D. *
E.
329.
A.
The frequency of lung haemorrage in lung tuberculosis patients.
1-2 %
3-5 %
6-19 %
20-25 %
30-35 %
The main reason of the profuse pulmonary bleeding in patients with tuberculosis.
Blood vessel rapture
Pulmonary artery thrombosis
Varicose of blood pulmonary vessels
Activation of fibrinolysis
Violations in blood coagulation system
What is the most frequent immediate causes of death at pulmonary haemorrage in pulmonary
tuberculosis patients?
Anemia
Aspirational pneumonia
Asphyxia
Atelectasis
Tuberculosis progressing
In order to lower the pressure in the system of the pulmonary artery, one should prescribe.
Penicyllin, camphorae, arphonad
Atropin, euphilin, ganglioblockers
Isoniazidum, atropin, uterics
Oxygen, camphor, trombin
Dicinin, epsilon-aminocapronic acid, nitrosorbid
Procoagulative action preparations.
Camphor
Dicinon
Benzohexoniy
Amben
Atropin
The most effective fibrinolysis inhibitor.
Trasilol
Contrycal
Epsilon-aminocapronic acid (EACA)
Amben
Albumin
More frequently the spontaneous pneumothorax in patients with lungs tuberculosis appear:
At fibrobronchoscopy
During pleural puncture
At cavern wall rupture
At subpleural emphysematous bubbles rupture
At pneumotachometria
Amiloidosis is a system disease, it complicates the chronic purulent processes in the organism and is
characterized by the violations of:
Carbon metabolism.
B. *
C.
D.
E.
330.
A.
B.
C. *
D.
E.
331.
A.
B.
C.
D. *
E.
332.
A.
B.
C.
D. *
E.
333.
A.
B.
C. *
D.
E.
334.
A. *
B.
C.
D.
E.
335.
A. *
B.
C.
D.
E.
336.
A.
B.
Albumen metabolism
Metabolism of fats
Vitamin exchange
Acid-alkaline equilibrium
How many stages of amyloidosis of kidneys are discriminated.
2
3
4
5
6
The greatest importance for the confirmation of lung atelectasis diagnosis is:
USE
Pneumotachometry
Roentgenoscopy
Computer tomography
Bronchoscopy
Select the clinicoradiological variant of infiltrative tuberculosis which occurs most often:
lobe
pericisurit
rounded infiltrate
cloudy infiltrate
lobular infiltrate
Mainly the tuberculosis is localized in what segments:
1, 2, 5
2, 3, 4
1, 2, 6
2, 6, 10
2, 3, 5
Bordered time for diagnosis "tuberculous intoxication" (tuberculosis without established localization)
in children and teenagers:
18 years
25 years
20 years
10 years
12 years
Character of temperature reaction for 4-year old patients with a diagnosis "tuberculous intoxication"
is all, except for:
subfebrile in the morning
subfebrile
febrile
the subfebrile had at intervals of normal temperature
normal temperature
Patients with the diagnosis of "tuberculous intoxication" have the most characteristic symptom all,
except for:
vegeto-vascular violations
mikropoliadenia
C.
D. *
E.
337.
A. *
B.
C.
D.
E.
338.
A.
B. *
C.
D.
E.
339.
A.
B.
C.
D.
E. *
340.
A. *
B.
C.
D.
E.
341.
A. *
B.
C.
D.
E.
342.
A. *
B.
C.
D.
E.
343.
A.
B. *
C.
D.
E.
positive reaction for a test Mantu
negative reaction for a test Mantu
luck in development general weakness
Patients with bacterial excretion of focal tuberculosis:
liquid exposure of MBT, mainly by the method of sowing
rareness of exposure of MBT, tetrada of Erlikh
frequent exposure of MBT mainly bacterioscopy
single exposure of MBT at frequent researches
valid for one occasion selection of MBT, violation of cardiac rhythm
Focal tuberculosis of doubtful activity is characterized:
scanty bacterioexcretion
by the expressly outlined hearths of middle intensity of homogeneous or heterogeneous due to
including of calcination structure without the clinical signs of activity
by hearths of different intensity for patients with the symptoms of intoxication
by intensive hearths and fibrosis with the signs of intoxication
by polymorphic hearths without the signs of intoxication
What type of infiltration is answered by a R-depiction: is darkening of upper lobe lungs?
lobular
rounded
nebulous
periscisurit
lobitis
The pulmonary component of primary tubercular complex is more frequent localized in segments:
S3, S4, S5, S8
S2, S6, S10
S1, S2, S3
S6, S7, S10
S1, S2
A primary tubercular complex most often needs to be differentiated from:
by the "protracted pneumonia
tumours
sarkoidosis
lymphogranulomatosis
by a "sharp abscess
A sensitiveness to the tuberculin at a primary tubercular complex:
normal
all of answers are faithful
doubtful
negative
all of answers are not faithful
A patient who has the most frequent reason of the profuse bleeding fibro-cavernous tuberculosis:
tuberculosis of bronchial tubes
dug up aneurysm
concomitant aspergilloma
bronchiectasis
tubercular meningitis
344.
A.
B.
C. *
D.
E.
345.
A. *
B.
C.
D.
E.
346.
A. *
B.
C.
D.
E.
347.
A.
B.
C. *
D.
E.
348.
A. *
B.
C.
D.
E.
349.
A.
B. *
C.
D.
E.
350.
A. *
B.
C.
D.
E.
351.
A.
B. *
C.
Clinical motion of "small" form of tuberculosis of intrathoracic lymphonodes:
sharp beginning, symptoms are expressed
subsharp beginning, oligosymptomatic motion
asymptomatic or oligosymptomatic motion
asymptomatic
chronic
Ran across tumorous forms of tuberculosis of intrathoracic lymphatic knots:
sharp beginning, symptoms are expressed
subsharp beginning, oligosymptomatic
asymptomatic or oligosymptomatic
oligosymptomatic
sharp beginning, oligosymptomatic
Estimate the results of sowing of mucus, if 200-500 colonies of MBT grew on an environment:
3+
1+
4+
2+
5+
What lymphatic intrathoracic nodes are more frequently to be struck at tuberculosis?
paratracheal
bifurcational
bronchopulmonary, tracheobronchial
paratracheal, bifurcatoinal
paraaortal
For whom more frequent tuberculosis of intrathoracic lymphonodes is complicated by atelectasis?
for children
for adults
for elderly people
for pregnant
for drug addicts
For whom more frequent is tuberculosis of intrathoracic lymphonodes?
for adults
for children
for pregnant
for men
for drug addicts
At chronic disseminated tuberculosis more intensive focal shadows are disposed in:
upper part of the lungs
middle part of the lungs
pararadical part of the lungs
basale part of the lungs
cortical part of the lungs
Most common complication of chronic diseminated white plague:
hemoptysis
chronic pulmonary heart
chronic kidney insufficiency
D.
E.
352.
A. *
B.
C.
D.
E.
353.
A.
B. *
C.
D.
E.
354.
A.
B.
C.
D. *
E.
355.
A.
B. *
C.
D.
E.
356.
A.
B.
C. *
D.
E.
357.
A.
B.
C.
D. *
E.
358.
A.
B.
C. *
D.
E.
359.
amiloidosis of internals
spontaneous pneumothoracs
Plural hearths (more 5) in lungs by a size not less than 1 see it:
large remaining changes
small remaining changes
infiltrative changes
cavities
bull
Shadow by a size less than 1 sm is:
fibrous changes
nidus shadow
infiltrative changes
cavities
bull
Large remaining changes:
fibrosis of one segment is limited
single hearths less than 1 see
lymphonodes are calcinated to 1 see
fibrosis more a 1 segment
focal more than 1 see
Sizes of shallow tuberculoma (in sm) :
to 1
1-2
to 3
to 4
5-7
Sizes of middle tuberculoma (in sm):
1-2
to 1
2-4
5-6
6-8
Sizes of large tuberculoma (in see):
to 1
1-2
2-4
more than 4
6-8
What auscultational phenomenon more frequent does appear for patients with tuberculosis in the
phase of disintegration?
amphor breathing
crepitation
moist wheezes in the projection of cavity of destruction
dry wheezes
vesicular breathing
The most frequent localization of tuberculoma is in lungs:
A.
B.
C. *
D.
E.
360.
A.
B.
C. *
D.
E.
361.
A.
B.
C.
D. *
E.
362.
A.
B. *
C.
D.
E.
363.
A. *
B.
C.
D.
E.
364.
A. *
B.
C.
D.
E.
365.
A.
B.
C.
D. *
E.
366.
A.
B.
C.
S6
S10
S2
S3
S1
What form of tuberculosis is tuberculoma more frequent formed from?
primary complex
focal
infiltrated
disseminated
tuberculosilicosis
What variant of infiltration is answered by a R-depiction: darkening of three-cornered form in basis
of upper fate of right lung with the washed out top limit and clear lower, by a top turned to radix?
lobular
rounded
cloudline
periscisurit
lobitis
What disease is characterised by limitation of mobility of bronchial tube in the place of his defeat?
tuberculoma
tuberculosis of bronchial tube
sarcoidosis
bronchitis
adenoma
What forms of tuberculosis of trachea and bronchial tubes do prevail in modern terms?
infiltrative
ulcerous
fistular
focal
disseminated
Estimate the result of sowing, if 20-100 colonies grew on an environment:
1+
3+
2+
4+
5+
What is character of effusion at a tubercular pleuritis right all, except:
serosal
purulent
serosal-hemorragic
khilezus
serous-fibrinous
What morphological type of cavity is characteristic for a fibrious-cavernous tuberculosis?
pneumogenic
elastic
rigid
D. *
E.
367.
A.
B.
C. *
D.
E.
368.
A. *
B.
C.
D.
E.
369.
A.
B. *
C.
D.
E.
370.
A.
B. *
C.
D.
E.
371.
A.
B. *
C.
D.
E.
372.
A.
B.
C. *
D.
E.
373.
A.
B.
C. *
D.
E.
374.
fibrotic
largenesses
More frequent miliary tuberculosis is on prevalence:
with the limited defeat of lungs
with the total defeat of lungs
generalised
with the subtotal defeat of lungs
with the defeat of two segments
Numerous hearths prevail in overhead departments at:
diseminated tuberculosis
silicosis
miliary carcinosis
Sarcoidosis
to idiopatic interstitial pneumonia
For which is there a characteristic presence of symptom of "fork" on the remoteness of motion of
tubercular process"?
fresh infiltrative
fіbro-cavernous
focal
tuberculoma
diseminated
Character and location of fosi is at a sub acute disseminated tuberculosis of hematogenous genesis :
polymorphic, asymmetric located hearths in the middle and lower departments of lungs
large, symmetric located fosi, mainly in the overhead and middle departments of lungs
productive character in the overhead departments of lungs
single, asymmetric located hearths are in the overhead departments of lungs
exudate character in the lower departments of lungs
Tuberculoma is not differentiated with :
adenoma
pneumonia
neuroma
hamartohondroma
by a peripheral cancer
Cicatrical stenosis of bronchial tube is most characteristic for:
cancer
chronic bronchitis
to a tuberculosis
bronchoectasis
cystic hypoplasia
Tuberculosis and cancer more frequent all localized in:
to one fate
to one segment
to one lung
different lungs
both lungs
Basic signs of difference of tubercular hearths from the silicotic nodes all is right , except for:
A.
B.
C. *
D.
E.
375.
A. *
B.
C.
D.
E.
376.
A. *
B.
C.
D.
E.
377.
A.
B.
C. *
D.
E.
378.
A. *
B.
C.
D.
E.
379.
A. *
B.
C.
D.
E.
380.
A. *
B.
C.
D.
E.
localization in the overhead-back departments of lungs
polymorphism of hearths
increase of amount of hearths from above to the bottom
less intensity
blurred outline
What kinds and forms of MBT are in swingeing majority of cases infecting people?
by bacterial forms of human type of MBT
by bacterial forms of bovine type of MBT
both bacterial and by L-forms and ultrasmall forms of MBT of human type
by L-forms and ultrasmall forms of MBT of human type
by the bacterial forms of horse type
What from transferred topographical marks is utillized in modern classification for denotation in the
diagnosis of localization and prevalence of process at a tuberculosis?
segment
he pulmonary field
intercostalis
collar-bone
ribs
Which of the following phases of tubercular process is not present in classification of tuberculosis?
disemination
calcification
compression
infiltrations
destruction
What from the transferred diagnosis was plugged in classification of tuberculosis, how tuberculosis
of indefinite localization?
tubercular intoxication
turn of tuberculin test
hyperergic reaction on a tuberculin
negative reaction on a tuberculin
a doubtful reaction on a tuberculin
Who does from listed patients do not belong to bacterioexcretion?
Mbt is detected by any method once if expliciting sources of bacterioexcretion is absent
found out "MBT any method multiple at presence of source of bacterioexcretion
found out "MBT discovered by any method multiple at absent of source of bacterioexcretion
found out "MBT the method of sowing (3+), singly, in default of clinical information and doubtful
roentgenologic information which testify to activity of process
ound out "MBT the method of bacterioscopy, singly, at presence of clinicoradiological information
which testify to activity of process
With which method and how many times we inspect sputum of patient with cough lasting more then
3 weeks:
3 scopy
2 scopy and 2 sowing
3 scopy and 3 sowing
3 scopy and 1 sowing
4 scopy, 3 sowing
381.
A. *
B.
C.
D.
E.
382.
A. *
B.
C.
D.
E.
383.
A. *
B.
C.
D.
E.
384.
A. *
B.
C.
D.
E.
385.
A. *
B.
C.
D.
E.
386.
A. *
B.
C.
D.
E.
387.
A. *
B.
C.
D.
E.
Name the automated system with the use of liquid nourishing environments for the speed-up
exposure of MBT:
BACTEC MGIT 960
microscopy of stroke after Cilem-Nil'senom
polymerase -chain reaction
occupied on the environment of Levenshtein-Yensena
reaction of imunobloting
What from the transferred ways is a tubercular infection passed in swingeing majority of cases (to
95%)?
to a aerogene(aircraft-drip, dust)
to contact (direct, indirect)
to natal
to inherited
to alimentary (food stuffs are from patients with tuberculosis of animals, food stuffs, tableware,
repeatedly infected a sick man)
Patients, with the tubercular defeat of what organs is the basic sources of infection?
lungs
bones and joints
peripheral lymphatic nodes with fistula
urinary ways
skin
What character does a contact from bacteria discharging have a most epidemic danger?
domestic (permanent, protracted)
apartment
periodic (repeated)
casual (non-permanent, "street")
production
At what method of exposure of MBT in a sputum does a patient have a most epidemic danger?
to the simple bacterioscopy
to the luminescent bacterioscopy
flotation
to a sowing
to the biological assay
What from the transferred factors is attributed to the number those which influence on infecting and
disease on tuberculosis?
all of answers are faithful
the inherited propensity to tuberculosis
absence of vaccination, re-vaccination and chemoprophilaxis
unfavorable social terms (low quality of life)
smoking, use of alcohol
What from the transferred morphological elements is specific for tuberculosis?
epithelioid cells, kazeoz
histiocytes
monocytes
alveolar epithelium
neutrophils
388.
A. *
B.
C.
D.
E.
389.
A. *
B.
C.
D.
E.
390.
A. *
B.
C.
D.
E.
391.
A.
B.
C.
D. *
E.
392.
A.
B.
C.
D.
E. *
393.
A.
B. *
C.
D.
E.
394.
A. *
B.
C.
D.
E.
395.
A. *
B.
C.
What from the transferred morphological elements is specific for tuberculosis?
giant cells of Pirogova-Langkhansa
mononuclear cells
erythrocytes
segmented neutrophils
lymphoid cells
What from the transferred morphological elements is specific for tuberculosis?
kazeoz
fibroblasts
endothelial cells
plazmocitarni cells
segmented neutrophils
Mainly which from the transferred ways does MBT spread at forming of miliary tuberculosis?
to hematogenous
to lymphogenous
to transplacental
to contact
to bronchogenic
Which from the transferred sources can miliary tuberculosis result from?
by affected persons by tuberculosis of intrathoracic lymphatic nodes
remaining changes of tuberculosis in lungs
remaining changes of tuberculosis of extrapulmonary localizations
all of answers are correct
a disease on tuberculosis is in anamnesis
What from the noted requirements are needed for forming of miliary tuberculosis?
source of MBT
bacteriemiya
decrease of immunity
sensitivity of fabrics vessels
all of answers are correct
What from the transferred methods of research can be informing for recognition of miliary
tuberculosis?
research of the bottom of eye
Spiral CT of lungs
bronchoscopy
determination of protein fraction of blood
bronchography
How does miliary (acute) tuberculosis begin usually?
sharply,
undulans
asymptomaticly
gradually
subsharply
Which from the transferred forms can miliary tuberculosis flow as?
all answers are correct
meningeal
pulmonary
D.
E.
396.
A. *
B.
C.
D.
E.
397.
A.
B. *
C.
D.
E.
398.
A. *
B.
C.
D.
E.
399.
A. *
B.
C.
D.
E.
400.
A. *
B.
C.
D.
E.
401.
A. *
B.
C.
D.
E.
402.
A. *
B.
C.
D.
E.
tifoid
septic
What from the transferred displays is it possible to find out at auscultation patients with miliary
tuberculosis?
all answers are correct
vesicular breathing
hard breathing
weak vesicular breathing
littlevesicle wheezes
What from the transferred methods of X-ray research most informing for the exposure of miliary
tuberculosis?
X-rayscopy
computer tomography
tomography
fluorography
radiography
Which symptoms are specific for cirrhotic tuberculosis?
periodic aggravation of process
protracted bacterial examination
fresh bronchogenic semination
presence of cavity
high body temperature
What from the transferred signs does distinguish cirrhotic tuberculosis from a cirrhosis lungs?
presence of active tubercular hearths among a cirrhosis
calcification pleura
change of mediastinum in an opposite side
by volume diminishing of affected lungs (particles)
massive excrescence of cicatrical tissue
What term is a fibro-cavernous tuberculosis usually formed during?
2 years
1 year
6 months
3 months
5 years
Most frequent symptom of fibro-cavernous tuberculosis?
all answers are correct
hemoptysis, bleeding
intoxication
shortness of breath
cough with a sputum
What from the transferred symptoms typical for a fibrosna-cavernous white plague?
all of answers are correct
narrowing of mediastinal intervals on the side of greater defeat
more pronounced subclavian and upperclavian fossa on the side of greater defeat
landslide of trachea toward a greater defeat
by "volume diminishing of hemotoraks on the side of greater defeat
403.
A. *
B.
C.
D.
E.
404.
A. *
B.
C.
D.
E.
405.
A. *
B.
C.
D.
E.
406.
A. *
B.
C.
D.
E.
407.
A. *
B.
C.
D.
E.
408.
A. *
B.
C.
D.
E.
409.
A.
B. *
C.
D.
E.
What variant of motion can be observed for patients with a fibrous-cavernous tuberculosis all
answers are correct, except ?
rapid regression of process
preference of complications
relative stability of process
rapid progress
slow progress
What from the transferred complications more frequent all does develop for patients with a
fibrocavernous tuberculosis?
chronic pulmonary heart
hemoptysis, pulmonary bleeding
adrenal insufficiency
spontaneous pneumothorax
amiloidosis of internalss
Which from the transferred forms of tuberculosis is a fibrous-cavernous tuberculosis usually formed
from?
infiltrative, disseminated
focal
tuberculoma
primary tubercular complex
cirrhotic
What from the transferred elements can appear at research of sputum only for patients with
tuberculosis?
epitelioid cells
pieces of lime
constant elastic fibres which keep an alveolar structure
constant elastic fibres as snatches
caltificated fibres
From overhead respiratory tracts by tuberculosis more frequent of all struck:
larynx
pharynx
gums
tonsils
tongue
Broncholithiasis more frequent of all shows up:
by symptoms of chronic bronchitis or pneumonia
sharp (knife-like) pain in a thorax
by attacks of difficulty in breathing
to hemoptisis
by a painful cough
The main method of tuberculous endobronchitis diagnosis:
Mantoux test with 2TU
bronchoscopy, histologycal
Koch test
by a polymerase chain reaction
observative X-ray
410.
A. *
B.
C.
D.
E.
411.
A. *
B.
C.
D.
E.
412.
A. *
B.
C.
D.
E.
413.
A. *
B.
C.
D.
E.
414.
A.
B.
C. *
D.
E.
415.
A. *
B.
C.
D.
E.
416.
A. *
B.
C.
D.
E.
Consider tuberculosis of bronchial tubes:
the limited infiltration of bronchial tube
stenosis of bronchial tube
broncholithiasis
atelectasis
fibrosis
Basic objective symptom of fibrogenial pleurisy:
noise of friction of pleura, pain in a thorax
cough
shortness of breath
moist wheezes
intoxication
What diseases can remind pain at a tubercular pleurisy?
all of answers are correct
angina
osteochondrosis
maist
mediastenal neuralgia
What from the transferred changes can appear at x-ray research of thorax for persons who have a
fibrinosis pleurisy?
all of answers are correct
calcification of pleura
different localization pleura accretions
diffuse dimness of the pulmonary field
fibrotic stratifications
What from diagnostic receptions can be used for establishment of tubercular etiology of fibrinosis
pleurisy?
test of Koch
trial treatment of AMBP in default of effect from preparations of wide spectrum
all of answers are correct
exception of other illnesses which can be accompanied by affection of pleura
pleuroscopy with next biopsy of pleura
How can a tubercular exsudate pleurisy begin?
all of answers are correct
sharply
subsharply
sharply from prodromes
asymptomatic (effusion appears at prophylactic fluorography)
What from the transferred methods are the most informative for establishment of diagnosis of
exsudate pleurisy?
pleura puncture
rentgenoscopy
x-ray
auscultation
percussion
417.
A. *
B.
C.
D.
E.
418.
A.
B.
C. *
D.
E.
419.
A.
B.
C.
D.
E. *
420.
A. *
B.
C.
D.
E.
421.
A. *
B.
C.
D.
E.
422.
A. *
B.
C.
D.
E.
423.
Which of the transferred indexes are typical for patients with a tubercular serosal pleurisy at research
of pleura effusion?
all of answers are correct
absence or single cells of mezoteliyu
lymphocytes (90 - 100%)
protein 30-60 grammes/l
density 1,015-1,022 kg/l
Which of the transferred indexes are more frequently observed for patients with a tubercular exsudate
pleurisy at research of pleura effusion?
protein more 60 grammes/l
density below 1,012 kg/l
lymphocytes (90 - 100%)
erythrocytes
negative reaction of Rivalt
At what diseases does pleura effusion more frequently has transsudative character all is correct,
except
:
all of answers
are correct
to stagnant cardiac insufficiency
nephrotical syndrome
cirrhosis of liver
tuberculosis
What from the transferred methods are the most informative for establishment of tubercular etiology
of exsudate pleurisy in default of MBT in effusion?
biopsy of pleura (puncture, during thoracoskopy, opened)
trial treatment by antiphthisic preparations
trial treatment by preparations of wide spectrum of action
clinicoradiological
exception of diseases the symptom of which can be pleura effusion
Tubercular pleurisy as independent clinical form of tuberculosis –it is:
tubercular defeat of pleura with pouring out of lymphogenic or hematogenic genesis of hillocks and
formation of fibrous-cavernous effusion, now and then as an empyema
specific defeat of pleura which serosal pleura effusion of lymphocytic character accumulates at, now
and then as an empyema
reaction of pleura on the tubercular defeat of intrathoracic lymphatic nodes as exudation
and fibrosa or serosal effusion, now and then as an empyema
specific defeat of pleura of hematogenous genesis, as an empyema
Disseminated tuberculosis is characterized:
by a presence, usually in both lungs, hearths of dissemination of hematogenous, now and then
lymphogenic or mixed genesis, different remoteness, with different correlation of exsudate and
productive inflammation; by sharp, subsharp and chronic motion
to a pouring out of plural of hearths of dissemination of hematogenous or bronchogenic genesis in
intersticial fabric of both lungs with sharp, subsharp and chronic motion of disease
different genesis and remoteness pouring out of hearths of dissemination in both lungs with sharp,
subsharp or chronic motion of process
by a presence of single hearths of dissemination in both lungs with sharp and subsharp motion
to a pouring out of single hearths of dissemination of hematogenous or bronchogenic genesis in
intersticial fabric one-sided
Focal tuberculosis is characterized:
A. *
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.
by a presence of different genesis and remoteness of small (to 10 mm in a diameter) hearths of
mainly productive character within the limits of 1-2 segments in one or both lungs and
oligosymptomatic motion
to a pouring out of two-bit of shallow (to 1-1,5 see) hearths of lymphobronchogenous genesis in the
apexes of lungs
by a presence of lymphobronchogenous genesis of hearths to 1,0 see in a diameter, mainly productive
character in the apex of one or both lungs
by a presence of different genesis and remoteness of small (to 2 see) hearths of mainly productive
character
to a pouring out of two-bit of shallow (to 1sm) hearths of lymphobronchogenous genesis in the
apexes of lungs
Caseson pneumonia - it:
sharp specific pneumonia which is characterized by quickly increasing caseos-necrotic changes and
heavy, quite often by quickly making progress motion with lethal investigation
caseson-necrotic process of large draught with quickly making progress motion
quickly making progress process with large caseson-necrotic changes with heavy, quite often lethal
investigation
quickly making progress process with large cavities, by quickly making progress motion with lethal
investigation
quickly making progress process with large caseson-necrotic changes with easy motion
Tuberculoma of lungs - is:
various genesis, as a rule, incapsulated, mainly caseson formation more 10 mm in a diameter, with an
insignificant clinic
caseson focus is "incapsulated with a diameter more 1,5 with an insignificant clinic and
asymptomatic motion
focus of caseson, surrounded a thin fibrotic capsule diametrom more 1 with torpid motion
caseson focus is incapsulated with a diameter less than 1 with a bright clinic and stormy motion
various genesis, neinkapsulevane, mainly kazeozne education more 2 see in a diameter, with a bright
clinic
A fibro-cavernous tuberculosis is characterized:
by a presence of fibrotic cavity, development of fibrotic changes in pulmonary fabric round a cavity,
hearths of bronchogenous contamination in that and (or) opposite lungs, permanent or periodic
bacterial excretion, chronic undulating, as a rule, by making progress motion
by "chronic undulating motion of fibro-cavernous process from contamination and quite often - by
complications
by a "fibro-cavernous process from bacterial excretion not less 2th annual remoteness and by chronic
undulating motion
by a fibro-cavernous process without bacterial excretion , with sharp motion
by development of fibrotic changes in pulmonary fabric, absence of cavities, permanent or periodic
bacterial excretion
Miliary tuberculosis - it:
hematogenous, almost always generalized form of tuberculosis which is characterized the even,
abundant pouring out of shallow, from millet grain of tubercular humps in the interstitium of lungs
and, as a rule, in other organs
sharp hematogenous-disseminated tuberculosis with pouring out in lungs, and sometimes in other
organs of miliary genesis and remoteness hematogenous-disseminated process which is characterized
by pouring out in lungs plural, mainly exsudate miliary humps
different genesis and remoteness hematogenous-disseminated process which is characterized by the
single pouring out in lungs, sometimes in other organs
D.
E.
428.
A. *
B.
C.
D.
E.
429.
A.
B.
C. *
D.
E.
430.
A. *
B.
C.
D.
E.
431.
A. *
B.
C.
D.
E.
by a presence of fibrotic cavity, development of fibrotic changes in pulmonary fabric round a cavity,
hearths of bronchogenous contamination in that and (or) opposite lungs, permanent or periodic
bacterial excretion, chronic undulating, as a rule, by making progress motion
sharp specific pneumonia which is characterized by quickly increasing caseson-necrotic changes and
heavy, quite often by quickly making progress motion with lethal investigation
A cirrhotic tuberculosis is characterized:
to large excrescences of cicatrical fabric, which active tubercular hearths which stipulate the periodic
sharpening and scanty bacterial excretion are saved among
by a posttubercular cirrhosis lungs with the periodic sharpening, bronchogenic contamination and
bacterial excretion
by fibro-cavernous changes with preference of cirrhosis, scanty bacterial excretion, chronic torpid,
with different complications by motion
to insignificant excrescences of cicatrical fabric, by fibro-cavernous changes with preference of
cirrhosis
by a posttubercular cirrhosis lungs without bacterial excretion
Define a main factor which is instrumental in the origin of caseous pneumonia:
the immunodeficient state of organism
all of answers are not correct
all of answers are correct
becoming more frequent of medicinal stabiliti of MBT
becoming more frequent of tuberculosis among a population
Caseous pneumonia begins usually:
acute
undulance course
gradually
asymptomaticly
inaperceptno
What from the transferred symptoms are characteristic for caseous pneumonia:
all of answers are correct
confused consciousness, adinamiya
cachexy
dyspnea
swelling of the legs