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