Download ID_3963_Epidemiology task_English_sem_10

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A boy, 6 years old was in the close contact with a patient with diphtheria. What
treatment-prophylactic measures need to be conducted, if vaccine anamnesis is unknown?
Introduction of APDT vaccine
Antibacterial therapy
Introduction of ADT-м to the toxoid
Antibacterial therapy and double introduction of ADT-м to the toxoid
Antibacterial therapy and introduction of immunoprotein
A diagnosis is “diphtheria of oropharynx” put to the child, 3-years-old (not vaccinated in connection
with the refusal of parents). Family lives in a 3-room apartment, a mother does not work, a father is
the director of factory. Specify the method of isolation of child.
Obligatory hospitalization
Hospitalization after clinical examination
Hospitalization after epidemiology examination
Isolation at home conditions
Does not need isolation
At a child, 6 years with a diphtherial widespread croup the first dose of antidiphtherial serum
includes:
40 AU
15 AU
20 AU
80 AU
60 AU
At a patient the dense darkly-grey covers on tonsils are considerably megascopic and spreads over
their scopes. Mucus shell bloodshot accented cyanochroic, was considerably swollen. Immediate
medical measures:
Antidiphtherial serum
Punction of peritonsillar space
Section of peritonsillar space
Microscopic research of swab
Bacteriologic examination of swab from palate
At sick L, 35 years old, a diagnosis is set diphtheria of pharynx, non form. What first dose of
antidiphtheria serum is it necessary to appoint?
120 thousand of AU
80 thousand of AU
30 thousand of AU
50 thousand of AU
150 thousand of AU
Before revaccination from diphtheria of adult persons, they are recommended:
To check an immune titer
To use antibiotics
To use antihistamines
5 years after last revaccination
10 years after last revaccination
By quantitative indexes distinguish such types of intensity of epidemic process:
sporadic and epidemic morbidity
ordinary and epidemic morbidity
sporadic and hyperendemic morbidity
ordinary and endemic morbidity
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endemic and exotic morbidity
Choose the clinical indications for hospitalization of infectious patient
Severity of the patient’s state
Belonging of the patient to the decree group of population
Unfavourable sanitary-hygienic conditions
Living in the hostel
All are enumerated
Choose the clinical indications for hospitalization of infectious patient
Presence of complications
Belonging of the patient to the decree group of population
Unfavourable sanitary-hygienic conditions
Living in the hostel
All are enumerated
Choose the clinical indications for hospitalization of infectious patient
Severity of the patient’s state
Belonging of the patient to the decree group of population
Unfavourable sanitary-hygienic conditions
Living in the hostel
All are enumerated
Choose the epidemiologic indications for hospitalization of infectious patient
Especially dangerous infections
Presence of complications
Presence of serious concomitant disease
Age of patient _ children, senior people
All are enumerated
Choose the epidemiologic indications for hospitalization of infectious patient
Unfavourable sanitary-hygienic conditions
Presence of complications
Presence of serious concomitant disease
Severity of the patient’s state
All are enumerated
Choose the epidemiologic indications for hospitalization of infectious patient
Living in hostel
Severity of the patient’s state
Presence of serious concomitant disease
Presence of complications
Age of patient _ children, senior people
Choose the epidemiologic indications for hospitalization of infectious patient
Especially dangerous infections
Belonging of patient is to the decree group of population
Unfavourable sanitary-hygienic conditions
Living in hostel
All are enumerated
Control of quality of disinfection can be carried out by such method:
visual and chemical
chemical and physical
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visual, chemical and bacteriological
chemical and bacteriological
chemical, bacteriological and physical|
District pediatrician at call on a house put to the sick child, 5 years old, diagnosis “Acute lacunar
tonsillitis”. Specify, who must carry out the laboratory inspection of patient and in what terms.
Worker of SES by receipt report
A district medical nurse once after determination of diagnosis
Doctor pediatrician in 5 hours
Doctor pediatrician once after determination of diagnosis
District medical nurse on a next day
Especially high titer of antidiphtherial antitoxic antibodies testifies about:
Recovering
Acute period of diphtheria
Bacteriocarrying
Forming of immunity to diphtheria
Testify about nothing
In an epidemic focus rationally to organize verification of the state of immunity. The using of RIHA
allows to find out persons nonimmune to diphtheria during a few hours. What minimum protective
titer?
1:10
1:20
1:40
1:80
1:160
In preschool is case of disease on diphtheria. What prophylactic measures must be conducted at first?
Urgent hospitalization
Urgent vaccination
Quarantine measures
Urgent chemical prophylactic by antibiotics
Introduction of antidiphtherial serum
In preschool is the registered case of diphtheria. What from the measures adopted below does not
conduct to the contact children?
Introduction of antidiphtherial serum
Swab from a pharynx and nose for the bacteriologic examination
Daily is supervision during 7 days
Determination of titers of specific antibodies
At the repeated cases of disease is urgent diphtheria revaccination
In the kindergarten a child had a meningococcal infection. She was immediately hospitalized. After
clinical convalescence in child find meningococcus. To which category can the carrier (child) of
pathogen belongs?
Convalescent, chronic
Convalescent, acute
Healthy
Immune in vaccinated
Immune in those, that had infection
In what daily interval should the dose of benzylpenicillin at meningococcal meningitis administered.
2 hrs
4 hrs
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6 hrs
5 hrs
8 hrs
In what dose should benzylpenicillin be administered at meningococcal meningitis?
From a calculation 100-300 thousands unit on 1 kg of mass of body per day
From a calculation 200-500 thousands unit on 1 kg of mass of body per day
From a calculation 500-700 thousands unit on 1 kg of mass of body per day
From a calculation 700-900 thousands unit on 1 kg of mass of body per day
Regardless of mass of body
Measures, that are directed on the disinfection of the source of causative agent at anthroponosis:
Isolation of patients
Laboratory inspection
Disinfective measures
Looking after the contact persons
All are enumerated
Measures, that are directed on the disinfection of the source of causative agent at anthroponosis:
Treatment of patients
Laboratory inspection
Disinfective measures
Looking after the contact persons
All are enumerated
Measures, that are directed on the disinfection of source of causative agent at anthroponosis:
A clinical supervision and laboratory control of recoverings
Laboratory inspection
Disinfective measures
Looking after the contact persons
All are enumerated
Measures, that are directed on the disinfection of source of causative agent at anthroponosis:
Exposure and registration of diseased
Isolation of patients
Treatment of patients
A clinical supervision and laboratory control of recoverings
All are enumerated
Modern classification of disinfective facilities by the chemical origin does not include such groups of
facilities:
halogen- containing
oxygen-containing
PAS and quaternary-ammonium connections
guanidines
heavy metals
Modern classification of disinfective facilities by the chemical origin does not include such groups of
facilities:
aldehyde-containing
oxygen-containing
PAS and quaternary-ammonium connections
guanidines
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inert gas
Modern classification of disinfective facilities by the chemical origin does not include such groups of
facilities:
alcohols
oxygen-containing
PAS and quaternary-ammonium connections
guanidines
phosphor-containing
Modern classification of disinfective facilities by the chemical origin does not include such groups of
facilities:
alcohols
phenols
PAS and quaternary-ammonium connections
guanidines
oxides
Modern classification of disinfective facilities by the chemical origin does not include such groups of
facilities:
bases
phenols
PAS and quaternary-ammonium connections
guanidines
nitrates
Patient Н., was hospitalized with a diagnosis diphtheria of pharynx, widespread form. At the
examining of oropharynx the coverings of gum-blush accented mother-of-pearl on tonsils follicles,
which are heavily taken off, a surface bleeds under them. What medical measures are primary?
Introduction of non steroid and antinflammatory drugs
Introduction of antibiotics
Introduction of antidiphtheria serum
Introduction of glucocorticoids
Desintoxication therapy
Principle of chemical method of disinfection is based on:
mechanical influence, high or subzero temperatures, ionizing irradiation
ionizing irradiation in combination with different chemical matters
mechanical influence, subzero temperatures
natural fermentation of impurities by certain types of bacteria
using of different chemical matters
Quality of the pre-sterilization cleaning of medical tool is controlled by making:
phenolphtalein tests
delatest
tests with sudan III
phenolphtalein tests and delatest
all are enumerated
The main principle of biological method of disinfection is based on:
mechanical influence, high or subzero temperatures, ionizing irradiation
ionizing irradiation in combination with different chemical matters
mechanical influence, subzer temperatures
natural fermentation of impurities by certain types of bacteria
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all enumerated influences
What are the rules at taking of smear material on the investigation of meningococal infection?
The taken away material at drawing out must not touch only mucus shell of cheeks and tongue
The taken away material at drawing out must not touch only teeth and tongue
The taken away material at drawing out must not touch only teeth, mucus shell of cheeks
The taken away material at drawing out must not touch teeth, mucus shell of cheeks and tongue
The taken away material at drawing out can touch teeth, mucus shell of cheeks and tongue
What does predetermine specific nonsusceptibility of organism to the infectious diseases?
Genetic factors
Condition of organism
Gender, age
Heterospecific factors of resistance
Immunity
What factors do influence on efficiency of disinfection?
physical and chemical properties of disinfectants
biological resistibility of microorganisms to different disinfective facilities
display
massiveness of microbial contamination of objects which are subject of disinfection
all are enumerate
What factors do not influence on efficiency of disinfection?
features of the processed objects
biological resistibility of microorganisms to different disinfective facilities
display
massiveness of microbial contamination of objects which are subject of disinfection
weather conditions
What is taken for serum research for confirmation of meningococcal infection?
Blood
Mucus
Urine
CSF
Saliva
What is the main mechanism of transmission of causative agent at the infections of general coverings
contact
fecal-oral
droplet
transmissive
vertical
: What is used as specific prophylaxis in the period of epidemic spreading of meningococcal
infection.
Immunoglobulin
Serum
Vaccine
Antitoxin
Nothing
What temperature terms is it needed for cultivation of meningococcal on artificial mediums?
23-40 °C
35-43 °C
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35-37 °C
23-35 °C
37-39 °C
What temperature terms is it needed for cultivation of meningococcal on artificial mediums?
39-40 °C
45-50 °C
35-37 °C
23-27 °C
17-20 °C
What way of transmission of causative agent is character for the group of nosocomial infections?
artificial
alimentary
dusty
water
all are enumerated
What ways of agent transmission are peculiar for infectious diseases with fecal-oral mechanism:
droplet and dusty
obligatory and facultative
water, food, contact-domestic
contact-domestic, direct and indirect
all enumerated
What ways of agent transmission are peculiar for infectious diseases with droplet mechanism:
droplet and dusty
obligatory and facultative
water, food, contact-domestic
contact-domestic, direct and indirect
all enumerated
What ways of agent transmission are peculiar for infectious diseases with transmissive mechanism:
droplet and dusty
obligatory and facultative
water, food, contact-domestic
contact-domestic, direct and indirect
all enumerated
What ways of agent transmission are peculiar for infectious diseases with contact mechanism:
droplet and dusty
obligatory and facultative
water, food, contact-domestic
contact-domestic, direct and indirect
all enumerated
Which preparation has a bacteriostatic action, and is more expedient to begin etiotropic therapy in the
case of infectious toxic shock.
From benzylpenicillin and its derivatives
From macrolides
From gentamycin
From ciprofloxacin
From chloramphenicol
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A 22 years, teacher of children in kinder garden, lives in an own apartments, is sick with mild form
of dysentery, to decide a question about isolation.
Obligatory hospitalisation in infectious department
To isolate at home
It is possible to treat ambulatory
To isolate in a separate room at home
Isolation is not needed
A 32 years builder lives in the 3-rooms apartments with all comforts, is became sick with mild form
of dysentery. Members of family: wife in maternity, and a child of 2 years. Stationary treatment of
the patient renounces, to decide the question of isolation.
Obligatory hospitalization in infectious department
To isolate at home
It is possible to treat ambulatory
To isolate in a separate room at home
Isolation is not needed
A student of 22 years, lives in a dormitory, became ill with the mild form of dysentery, to decide
question about isolation.
Obligatory hospitalization in infectious department
It is possible to treat ambulatory
To place in the isolator
To isolate at home
Send to treat oneself at home
All patients with the “long term fever” have to be assessed for such diseases, except for:
Typhoid
Spotted fever
Malaria
Leptospirosis
Tuberculosis
All patients with the “long term fever” have to be assessed for such diseases, except for:
Typhoid
Spotted fever
Malaria
URTI
HIV/AIDS
All the actins can be considered as prophylactic exept:
Prevention of microbial contamination of environment
Disinfection of water according to the requirements of standard on a drinking-water
Prevention of spread of infection on epidemiology meaningful objects
Sanitary guard of territory of country from delivery and distribution of infectious diseases
Liquidations of epidemics
Anti epidemic measures must be conducted:
At presence of cases of infectious diseases
Regardless of presence of cases of infectious diseases
At zone of not infectious diseases
At departure into endemic zone
At unfavorable sanitary-hygienic conditions
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Anti epidemic measures must be conducted:
At delivery of especially dangerous infections
Regardless of presence of cases of infectious diseases
At zone of not infectious diseases
At departure into endemic zone
At unfavorable sanitary-hygienic conditions
Choose clinical criteria which would be used to hospitalize an infectious patient
Degree of heaviness of patient’s status
Presence of complications
Presence of heavy concomitant pathology
Age of patient - little children, elderly people
All above enumerated
Choose clinical criteria which would be used to hospitalize an infectious patient
Presence of heavy concomitant pathology
Belonging of sick to the decreed group population
Unfavorable sanitary-hygenic terms
The patient is a resident of a dormatory
All above enumerated
Choose clinical criteria which would be used to hospitalize an infectious patient
Degree of heaviness of patient’s status
Belonging of sick to the decreed group population
Unfavorable sanitary-hygenic conditions
The patient is a resident of a dormatory
All above enumerated
Choose clinical criteria which would be used to hospitalize an infectious patient
Presence of complications
Belonging of sick to the decreed group population
Unfavorable sanitary-hygenic terms
The patient is a resident of a dormatory
All above enumerated
Choose clinical prepositions for hospitalization of infectious patients.
Presence of severe concomitant pathology
Belonging of patient to the risk group of population
Unfavourable sanitary and hygienic conditions
Living in hostel
All the above
Choose clinical prepositions for hospitalization of infectious patients.
Presence of complications
Belonging of patient to risk group of population
Unfavourable sanitary and hygienic conditions
Living in a hostel
All the above
Choose clinical prepositions for hospitalization of infectious patients.
Severity of disease
Belonging of patient to risk group of population
Unfavourable sanitary and hygienic conditions
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Living in a hostel
All the above
Choose the clinical criteria for the hospitalization of infectious patients.
Severity of the patient’s disease
Presence of complications
Presence of heavy concomitant pathology
Age of patient
All the above
Choose the epidemiological criteria for the hospitalization of infectious patient.
Living in a hostel
Severity of the patient’s disease
Presence of severe concomitant pathology
Presence of complications
Age of patient
Choose the epidemiological criteria for the hospitalization of infectious patient.
Unfavourable sanitary and hygienic conditions
Presence of complications
Presence of severe concomitant pathology
Severity of the patient’s disease
All the above
Choose the epidemiological criteria for the hospitalization of infectious patients.
Especially dangerous infections
Presence of complications
Presence of severe concomitant pathology
Age of patient
All the above
Choose the epidemiological criteria for the hospitalization of infectious patient.
Belonging of patient to the high risk group of population
Presence of complications
Presence of severe concomitant pathology
Age of patient
All the above
Choose the epidemiology criteria for the hospitalization of infectious patient.
Especially dangerous infections
Belonging of patient to the high risk group of population
Unfavourable sanitary and hygienic conditions
Living in a hostel
All the above
Disease measures, which conduct in relation to persons from the decreed groups, pin on шигеллезу
Only supervision
Supervision in the conditions of insulator
Removal from work on the period of laboratory inspection
Laboratory inspection
Does not conduct
Disease measures, which is needed to be applied in relation to patients that are in contact with other
people.
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Supervision during latent period
Laboratory inspection
Applying the measures for specific prophylaxis
Sanitary and hygienic measures
All the above
Disease measures, which is needed to be applied in relation to patients with dangerous infections.
Only supervision
Supervision on the conditions of insulator
Removal from the work on the period of laboratory inspection
Laboratory inspection
Does not conduct
Disease measures, which is needed to be applied in relation to patients from the decreed groups, in
shigellosis.
Only supervision
supervision on the conditions in a insulator
A removal from the work on the period of laboratory inspection
Laboratory inspection
Does not conduct
Disease measures, which is needed to be applied in relation to patients from the non-decreed group,
in for shigellosis.
Only supervision
Supervision on the conditions in a insulator
Removal the from work on the period of laboratoryinspection
Laboratory inspection
Does not conduct
For how long the fever should be present that the patient could be accounted to the group of “long
term fever”.
2 days
5 days
One week
A month
A few months
Measures which must be conducted towards the source of infection in order to prevent infection
spread:
Clinical supervision and laboratory control of recovering patients
Laboratory inspection of circumferential
Disinfection measures
Looking after pin
All above enumerated
Measures which must be conducted towards the source of infection in order to prevent infection
spread:
Identification and registration of diseased
Isolation of patients
Treatment of patients
Clinical supervision and laboratory control of recovering patients
All the above enumerated
Measures which must be conducted towards the source of infection in order to prevent infection
spread:
Isolation of patients
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Laboratory inspection
Disinfection measures
Looking after pin
All above enumerated
Measures which must be conducted towards the source of infection in order to prevent infection
spread:
Treatment of patients
Laboratory inspection
Disinfection measures
Looking after pin
All above enumerated
Measures, directed on the mechanism of transmission of antroponous infections
Identification and isolation of patient
Treatment of patient
Disinfection of apartment and personal things of patient
Urgent prophylaxis of diseases at contact persons
Clinical supervision after recovered patients
Methods taken for identification of a source of infection are all EXEPT:
Inspection of «workers» in the food industry in the planned order and in case of epidemy
Physical examination and inspection of medical personnel before being employed
Identification of carriers or antigen carriers before the planned hospitalization
Inspection of children before admission to preschool establishment
Visiting of ill at home
Preparations in an immunno therapy belongs to.
Vaccines, toxoids
Immunnoglobulin
Imunostimulators
Immunno depressants
All the above
Prophylactic measures must be conducted:
At the solitary instances of infectious diseases
In the endemic zone for certain illness.
At the flashes of infectious diseases
At zone of not infectious diseases
At import of especially dangerous infections
Prophylactic measures must be conducted:
At the solitary instances of infectious diseases
At unfavorable sanitary-hygienic conditions
At the spikes of infectious diseases
At zone of not infectious diseases
At delivery of especially dangerous infections
Prophylactic measures must be conducted:
At the solitary instances of infectious diseases
Regardless of presence of cases of infectious diseases
At the spikes of infectious diseases
In areas of not infectious diseases
In case of import of especially dangerous infections
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Prophylaxis in relation with prevention of bringing infection.
Timely sorting of patients
A separate reception of patients is with different nosologies
Individual transportation of infectious patients
Careful collection of epidemiological anamnesis during the reception of patients
All the above
Prophylaxis in-hospital infections
Careful collection of epidemiological anamnesis during the reception of patients
An observance of principle pathology during all stages of disease in the hospital
Usage of non-permanent tool
Current and final disinfection
All the above
Prophylaxis in-hospital infections.
Careful collection of epidemiological anamnesis during the reception of patients
A complex of sanitary and protective measures on personnel
Usage of non-permanent tool
Current disinfection
All the above
Prophylaxis in-hospital infections.
Timely sorting of patients
Sanitisation of patient
Prohibing of the visit of patients in chambers
An observance of disease regime in separations
All the above enumerate
Prophylaxis in-hospital infections.
Timely sorting of patients
Prohibing the usage of patient own clothes during treatment| in the permanent establishment
Hospitalization of patients with the unstated diagnosis
Current and final disinfection
All the above
To decide a question about isolation for a patient 18 years old with chicken pox.
Obligatory hospitalization in infectious department
To isolate at home
It is possible to treat ambulatory
Possible isolation at home
Isolation is not needed
What are the anti epidemic measures, which should be conducted in relation to persons from the
undecreed groups, of shigelosis
Only supervision
Supervision in the conditions of insulation
Removal from work on the period of laboratory inspection
Laboratory inspection
No measures needed
What are the anti epidemic measures, which should be conducted in relation to contact persons at
especially dangerous infections?
Only supervision
B. *
C.
D.
E.
97.
A.
B.
C.
D.
E. *
98.
A.
B.
C.
D.
E. *
99.
A. *
B.
C.
D.
E.
100.
A. *
B.
C.
D.
E.
101.
A. *
B.
C.
D.
E.
102.
A. *
B.
C.
D.
E.
103.
A.
B. *
C.
D.
Supervision in the conditions of insulation
Removal from work on the period of laboratory inspection
Laboratory inspection
No measures needed
What are the anti epidemic measures, which should be conducted in relation to contact persons
Supervision during a latent period
Laboratory inspection
Use of methods of specific prophylaxis
Sanitary-hygenic measures
All above enumerated
What is an epidemiological criteria for hospitalization of infectious patient
Especially dangerous infections
Belonging of sick to the decreed group population
Unfavorable sanitary-hygienic conditions
The patient is a resident of a dormatory
All above enumerated
What is an epidemiological criteria for hospitalization of infectious patient
The patient is a resident of a dormatory
Degree of heaviness of patient’s status
Presence of heavy concomitant pathology
Presence of complications
Age of patient - little children, elderly people
What is an epidemiological criteria for hospitalization of infectious patient
Unfavorable sanitary-hygienic conditions
Presence of complications
Presence of heavy concomitant pathology
Degree of heaviness of patient’s status
All above enumerated
What is an epidemiological criteria for hospitalization of infectious patient
Belonging of sick to the decreed group population
Presence of complications
Presence of heavy concomitant pathology
Age of patient is little children, elderly people
All above enumerated
What is an epidemiological criteria for hospitalization of infectious patient
Especially dangerous infections
Presence of complications
Presence of heavy concomitant pathology
Age of patient is little children, elderly people
All above enumerated
What kind of medical supervision should be conducted in the area of antroponous infections
Only after patients’ direct caregivers
After all persons, who were in contact with a patient
Only after family members of patient in an apartment (dormitory)
Only after little children, resident together with diseased
E.
104.
A.
B. *
C.
D.
E.
105.
A.
B. *
C.
D.
E.
106.
A. *
B.
C.
D.
E.
107.
A.
B.
C.
D.
E. *
108.
A.
B.
C. *
D.
E.
109.
A.
B. *
C.
D.
E.
110.
A.
B.
C. *
D.
E.
111.
A.
Only after persons professional activity of which is related to the high risk of distribution of
infectious diseases
What persons do belong to the group of patients with “long term fever”?
With the temperature of body more than 37 °C
With the temperature of body more than 37,5 °C
With the temperature of body more than 38 °C
With the temperature of body more than 39 °C
With the temperature of body more than 40 °C
Which infections are mainly prevented by sanitary-hygienic measures:
Infections with the aerosol mechanism of transmission
Infections with the fecal-oral mechanism of transmission
Infections with the transmissive mechanism of transmission
Infections with the vertical mechanism of transmission
Infections with the contact mechanism of transmission
Which infections, mainly prevented by imunoprophylactilactics:
Infections with the aerosol mechanism of transmission
Infections with the fecal-oral mechanism of transmission
Infections with the transmissive mechanism of transmission
Infections y with the vertical mechanism of transmission
Infections with the contact mechanism of transmission
Who does belong to the decreed groups of population?
Workers of sphere of public food consumption
Workers of child's preschool establishments
Medical personal of hospitals and polyclinics establishments
Workers of water treating facilities
All above enumerated
Who would be a subject for outpatient (dispanceric) supervision?
Infectious patients during developing symptoms of the disease
Healthy persons, who were in contact with an infectious patient
Recovered patients after infectious diseases
Workers of public food consumption
All above enumerated
After contact persons in the focus of hepatitis A conduct a medical supervision during:
3 days
35 days.
6 months
3 months
not conducted.
After contact persons in the focus of salmonellosis conduct a medical supervision during:
5 days.
6 days.
7 days.
14 days.
not conducted.
Antiepidemic measures in the focus of hepatitis A (thermometry, questioning, examination) conduct:
daily.
B.
C. *
D.
E.
112.
A. *
B.
C.
D.
E.
113.
A. *
B.
C.
D.
E.
114.
A. *
B.
C.
D.
E.
115.
A. *
B.
C.
D.
E.
116.
A.
B.
C.
D.
E. *
117.
A. *
B.
C.
D.
E.
118.
A. *
B.
C.
D.
E.
2 times per a week.
1 time per a week.
only one time at the exposure of focus.
not conducted.
By quantitative indexes distinguish such types of intensity of epidemic process:
sporadic and epidemic morbidity
ordinary and epidemic morbidity
sporadic and hyperendemic morbidity
ordinary and endemic morbidity
endemic and exotic morbidity
Choose the clinical indications for hospitalization of infectious patient
Severity of the patient’s state
Belonging of the patient to the decree group of population
Unfavourable sanitary-hygienic conditions
Living in the hostel
All are enumerated
Choose the clinical indications for hospitalization of infectious patient
Presence of complications
Belonging of the patient to the decree group of population
Unfavourable sanitary-hygienic conditions
Living in the hostel
All are enumerated
Choose the clinical indications for hospitalization of infectious patient
Presence of serious concomitant disease
Belonging of the patient to the decree group of population
Unfavourable sanitary-hygienic conditions
Living in the hostel
All are enumerated
Choose the clinical indications for hospitalization of infectious patient
Severity of the patient’s state
Belonging of the patient to the decree group of population
Unfavourable sanitary-hygienic conditions
Living in the hostel
All are enumerated
Choose the epidemiologic indications for hospitalization of infectious patient
Especially dangerous infections
Presence of complications
Presence of serious concomitant disease
Age of patient _ children, senior people
All are enumerated
Choose the epidemiologic indications for hospitalization of infectious patient
Belonging of patient is to the decree group of population
Presence of complications
Presence of serious concomitant disease
Age of patient _ children, senior people
All are enumerated
119.
A. *
B.
C.
D.
E.
120.
A. *
B.
C.
D.
E.
121.
A.
B.
C.
D.
E. *
122.
A.
B.
C. *
D.
E.
123.
A.
B.
C.
D.
E. *
124.
A. *
B.
C.
D.
E.
125.
A.
B. *
C.
D.
E.
126.
A.
Choose the epidemiologic indications for hospitalization of infectious patient
Unfavourable sanitary-hygienic conditions
Presence of complications
Presence of serious concomitant disease
Severity of the patient’s state
All are enumerated
Choose the epidemiologic indications for hospitalization of infectious patient
Living in hostel
Severity of the patient’s state
Presence of serious concomitant disease
Presence of complications
Age of patient _ children, senior people
Choose the epidemiologic indications for hospitalization of infectious patient
Especially dangerous infections
Belonging of patient is to the decree group of population
Unfavourable sanitary-hygienic conditions
Living in hostel
All are enumerated
Control of quality of disinfection can be carried out by such method:
visual and chemical
chemical and physical
visual, chemical and bacteriological
chemical and bacteriological
chemical, bacteriological and physical|
During the conducting of epidemiology inspection of focus of infection it is not needed to decide
following:
to find out the source of infection.
to find out factors and ways of passing the infection.
to determine the scopes of focus.
to carry out measures on liquidation of focus.
to give an urgent report in SES.
During transportation the patient with especially dangerous infection utilize:
transport of disinfective station
transport of first-aid
the specially equipped sanitary transport
transport of medical establishment
transport of relatives
Entrance on territory of Ukraine of foreigners from countries, where quarantine infections are
registered, regulated thus:
forbidden categorically
allowed at presence of the proper documents
is allowed only after an isolation (to the quarantine)
allowed only to the persons which transit is pass Ukraine
allowed without any limitations
How we can name the time of actual existence of focus of infectious disease?
127.
A.
B. *
C.
D.
E.
128.
A.
B.
C. *
D.
E.
129.
A.
B. *
C.
D.
E.
130.
A. *
B.
C.
D.
E.
131.
A. *
B.
C.
D.
E.
132.
A. *
B.
C.
D.
E.
133.
A.
B.
C.
D.
E. *
134.
A.
In a prophylaxis and fight against intestinal infections the basic measures are:
the isolation of source of infection.
measures, directed on the way of transmission.
measures, directed on creation of immunity of population.
deratization.
sanitary-educational work.
In the focus of sausage-poisoning that, who used a suspicious product together with a patient, it is
necessary:
to wash a stomach only.
to wash a stomach and inject the antibotulinum serum of type A, B & E.
only to inject the antibotulinum serum of type A, B & E.
to conduct the chemoprophylaxis by chloramphenicol.
to conduct no measures.
In the focus of sausage-poisoning the persons, who ate together have be observed during:
6 days.
12 days.
18 days.
21 day.
not conducted.
Measures, that are directed on the disinfection of the source of causative agent at anthroponosis:
Isolation of patients
Laboratory inspection
Disinfective measures
Looking after the contact persons
All are enumerated
Measures, that are directed on the disinfection of the source of causative agent at anthroponosis:
Treatment of patients
Laboratory inspection
Disinfective measures
Looking after the contact persons
All are enumerated
Measures, that are directed on the disinfection of source of causative agent at anthroponosis:
A clinical supervision and laboratory control of recoverings
Laboratory inspection
Disinfective measures
Looking after the contact persons
All are enumerated
Measures, that are directed on the disinfection of source of causative agent at anthroponosis:
Exposure and registration of diseased
Isolation of patients
Treatment of patients
A clinical supervision and laboratory control of recoverings
All are enumerated
Modern classification of disinfective facilities by the chemical origin does not include such groups of
facilities:
alcohols
B.
C.
D.
E. *
135.
A. *
B.
C.
D.
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.
phenols
PAS and quaternary-ammonium connections
guanidines
oxides
Organization of antiepidemic measures in the focus of cholera carry out directly by:
extraordinary disease commissions.
organs of executive power.
organs of local self-government.
sanitary epidemiology service.
Ministry of Public Health of Ukraine.
Organization of disease measures in the focus of any quarantine and other especially dangerous
infectious disease carries out directly:
extraordinary disease commissions
organs of executive power
organs of local self-government
sanitary-epidemiologic station
Ministry of health of Ukraine
Persons after typhoid fever, which work on food enterprises and equated with them, inspect:
1 time per month during 3 months and quarterly during 2 years.
quarterly during 2 years.
5 times during the first month, further 1 time per month during 3 months and quarterly during 2
1years.
time per month for a year.
inspect only 1 time after discharging from permanent establishment.
Persons which communicate with typhoid fever patient have to perform such laboratory
investigations:
the
non-permanent bacteriologic examination of blood, excrement and urine.
the non-permanent bacteriologic examination of blood and excrement.
the non-permanent bacteriologic examination of blood and urine.
the non-permanent bacteriologic examination of excrement and urine.
the non-permanent bacteriologic examination of blood.
Persons which contacted with the shigellosis patient, keep under medical observation during:
5 days.
6 days.
7 days.
14 days.
21 day.
Persons with alarm symptoms (vomiting, diarrhea) in the focus of cholera it is necessary to
hospitalize:
in
infectious permanent establishment.
in a provisory hospital.
in an insulator.
in an observation separation.
it is possible to inspect ambulatory.
Principle of chemical method of disinfection is based on:
mechanical influence, high or subzero temperatures, ionizing irradiation
ionizing irradiation in combination with different chemical matters
mechanical influence, subzero temperatures
natural fermentation of impurities by certain types of bacteria
E. *
142.
A.
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.
149.
using of different chemical matters
Quality of the pre-sterilization cleaning of medical tool is controlled by making:
phenolphtalein tests
delatest
tests with sudan III
phenolphtalein tests and delatest
all are enumerated
The epidemiological inspection of focuses and outbreaks of infectious diseases – it:
disease measures on liquidation of epidemic focuses and outbreaks.
estimation of efficiency and quality of disease measures on liquidation of focuses and outbreaks of
infectious diseases.
measures, directed on the exposure of source of infection.
measures, directed on liquidation of ways of transmission.
all listed above.
The main principle of biological method of disinfection is based on:
mechanical influence, high or subzero temperatures, ionizing irradiation
ionizing irradiation in combination with different chemical matters
mechanical influence, subzer temperatures
natural fermentation of impurities by certain types of bacteria
all enumerated influences
The primary complex of antiepidemic measures, directed on localization and liquidation of focus,
carries out:
infectious diseases doctor.
doctor-epidemiologist.
doctor which found out a patient.
doctor-immunologist.
doctor of sanitary-epidemic station.
To the antiepidemic measures, directed on the mechanism of transmission, belong:
deratization, isolation.
sanitary-technical, regime-restrictive.
sanitary-hygenic.
sanitary-hygenic, disinfection and sterilization.
sterilization and disinfection.
To the basic antiepidemic measures on localization and liquidation of focus of cholera does not
belong: measures and quarantine.
restrictive
treatment of cholera patients and vibriocarriers.
deratization.
prophylactic treatment of contact persons.
current and final disinfection.
To the basic antiepidemic measures on localization and liquidation of focus of cholera does not
belong: measures and quarantine.
restrictive
treatment of cholera patients and vibriocarriers.
disinsection.
prophylactic treatment of contact persons.
current and final disinfection.
To the pre-conditions of worsening of epidemic situation does not refer:
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.
156.
A. *
B.
social factors which can lead to the increasing of receptivity of population to the infectious diseases
natural factors which can lead to the increasing of receptivity of population to the infectious diseases
activation of mechanism of transmission
all listed above
manifestations after increasing of intensity of epidemic process
Urgent document about the exposure of infectious patient must be directed in the sanitary
epidemiology station:
urgently
not later than in 2 hours.
not later than in 6 hours.
not later than in 12 hours.
not later than in 24 hours.
What does predetermine specific nonsusceptibility of organism to the infectious diseases?
Genetic factors
Condition of organism
Gender, age
Heterospecific factors of resistance
Immunity
What factors do influence on efficiency of disinfection?
physical and chemical properties of disinfectants
biological resistibility of microorganisms to different disinfective facilities
display
massiveness of microbial contamination of objects which are subject of disinfection
all are enumerate
What factors do not influence on efficiency of disinfection?
features of the processed objects
biological resistibility of microorganisms to different disinfective facilities
display
massiveness of microbial contamination of objects which are subject of disinfection
weather conditions
What from the food products can be a nourishing environment for a maintenance and reproduction of
causative agents of intestinal infections?
tomatoes.
vegetable salads.
milk.
pastries with cream.
fried meat.
What is the main mechanism of transmission of causative agent at the infections of general coverings
contact
fecal-oral
droplet
transmissive
vertical
What way of transmission of causative agent is character for the group of nosocomial infections?
artificial
alimentary
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.
A. *
B.
dusty
water
all are enumerated
What ways of agent transmission are peculiar for infectious diseases with fecal-oral mechanism:
droplet and dusty
obligatory and facultative
water, food, contact-domestic
contact-domestic, direct and indirect
all enumerated
What ways of agent transmission are peculiar for infectious diseases with droplet mechanism:
droplet and dusty
obligatory and facultative
water, food, contact-domestic
contact-domestic, direct and indirect
all enumerated
What ways of agent transmission are peculiar for infectious diseases with transmissive mechanism:
droplet and dusty
obligatory and facultative
water, food, contact-domestic
contact-domestic, direct and indirect
all enumerated
What ways of agent transmission are peculiar for infectious diseases with contact mechanism:
droplet and dusty
obligatory and facultative
water, food, contact-domestic
contact-domestic, direct and indirect
all enumerated
A boy, 6 years old was in the close contact with a patient with diphtheria. What
treatment-prophylactic measures need to be conducted, if vaccine anamnesis is unknown?
Introduction of APDT vaccine
Antibacterial therapy
Introduction of ADT-м to the toxoid
Antibacterial therapy and double introduction of ADT-м to the toxoid
Antibacterial therapy and introduction of immunoprotein
A citizen К., goes to country with unfavorable conditions regarding to plague. Provide necessary
measures of specific prophylaxis.
Human immunoglobulin
Іnterferon
Dry live vaccine
Bacteriophags
Antitoxin
A diagnosis is “diphtheria of oropharynx” put to the child, 3-years-old (not vaccinated in connection
with the refusal of parents). Family lives in a 3-room apartment, a mother does not work, a father is
the director of factory. Specify the method of isolation of child.
Obligatory hospitalization
Hospitalization after clinical examination
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. *
B.
C.
D.
E.
170.
A. *
B.
C.
Hospitalization after epidemiology examination
Isolation at home conditions
Does not need isolation
At a child, 6 years with a diphtherial widespread croup the first dose of antidiphtherial serum
includes:
40
AU
15 AU
20 AU
80 AU
60 AU
At a patient the dense darkly-grey covers on tonsils are considerably megascopic and spreads over
their scopes. Mucus shell bloodshot accented cyanochroic, was considerably swollen. Immediate
medical measures:
Antidiphtherial serum
Punction of peritonsillar space
Section of peritonsillar space
Microscopic research of swab
Bacteriologic examination of swab from palate
At sick L, 35 years old, a diagnosis is set diphtheria of pharynx, non form. What first dose of
antidiphtheria serum is it necessary to appoint?
120 thousand of AU
80 thousand of AU
30 thousand of AU
50 thousand of AU
150 thousand of AU
Before revaccination from diphtheria of adult persons, they are recommended:
To check an immune titer
To use antibiotics
To use antihistamines
5 years after last revaccination
10 years after last revaccination
By quantitative indexes distinguish such types of intensity of epidemic process:
sporadic and epidemic morbidity
ordinary and epidemic morbidity
sporadic and hyperendemic morbidity
ordinary and endemic morbidity
endemic and exotic morbidity
Choose the clinical indications for hospitalization of infectious patient
Severity of the patient’s state
Belonging of the patient to the decree group of population
Unfavourable sanitary-hygienic conditions
Living in the hostel
All are enumerated
Choose the clinical indications for hospitalization of infectious patient
Presence of complications
Belonging of the patient to the decree group of population
Unfavourable sanitary-hygienic conditions
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.
D.
E.
176.
A. *
B.
C.
D.
E.
177.
A.
B.
C.
D.
E. *
178.
A.
Living in the hostel
All are enumerated
Choose the clinical indications for hospitalization of infectious patient
Presence of serious concomitant disease
Belonging of the patient to the decree group of population
Unfavourable sanitary-hygienic conditions
Living in the hostel
All are enumerated
Choose the indications for hospitalization of infectious patient
Severity of the patient’s state
Belonging of the patient to the decree group of population
Unfavourable sanitary-hygienic conditions
Living in the hostel
All are enumerated
Choose the epidemiologic indications for hospitalization of infectious patient
Especially dangerous infections
Presence of complications
Presence of serious concomitant disease
Age of patient _ children, senior people
All are enumerated
Choose the epidemiologic indications for hospitalization of infectious patient
Belonging of patient is to the decree group of population
Presence of complications
Presence of serious concomitant disease
Age of patient _ children, senior people
All are enumerated
Choose the epidemiologic indications for hospitalization of infectious patient
Unfavourable sanitary-hygienic conditions
Presence of complications
Presence of serious concomitant disease
Severity of the patient’s state
All are enumerated
Choose the epidemiologic indications for hospitalization of infectious patient
Living in hostel
Severity of the patient’s state
Presence of serious concomitant disease
Presence of complications
Age of patient _ children, senior people
Choose the epidemiologic indications for hospitalization of infectious patient
Especially dangerous infections
Belonging of patient is to the decree group of population
Unfavourable sanitary-hygienic conditions
Living in hostel
All are enumerated
Control of quality of disinfection can be carried out by such method:
visual and chemical
B.
C. *
D.
E.
179.
A.
B.
C.
D.
E. *
180.
A.
B.
C.
D. *
E.
181.
A.
B.
C. *
D.
E.
182.
A.
B.
C.
D.
E. *
183.
A. *
B.
C.
D.
E.
184.
A.
B.
C. *
D.
E.
185.
A.
chemical and physical
visual, chemical and bacteriological
chemical and bacteriological
chemical, bacteriological and physical|
Diagnosed a patient: chronic hepatitis in the stage of integration. What markers will be in patient in
this stage of the disease?
HBeAg
Antibodies to HBeAg
DNA of HBV
Viral DNA
HBsAg, anti-НBе
District pediatrician at call on a house put to the sick child, 5 years old, diagnosis “Acute lacunar
tonsillitis”. Specify, who must carry out the laboratory inspection of patient and in what terms.
Worker of SES by receipt report
A district medical nurse once after determination of diagnosis
Doctor pediatrician in 5 hours
Doctor pediatrician once after determination of diagnosis
District medical nurse on a next day
Especially high titer of antidiphtherial antitoxic antibodies testifies about:
Recovering
Acute period of diphtheria
Bacteriocarrying
Forming of immunity to diphtheria
Testify about nothing
Give recommendation for a patient in recoverring period of viral hepatitis during a clinical
supervision after isolation.
A medical supervision during 6 month
Biochemical examination
Abstain from hard physical work
Temporal contra-indications for prophylactic inoculations
All enumerated
Give the recommendation for a patient in convalensence period of viral hepatitis during a clinical
supervision after isolation.
Medical supervision during 6 months, periodic biochemical inspections.
Control bacteriological examinations
Full laboratory investigation
Continue prophylactic inoculations
Supervision is not needed
In an epidemic focus rationally to organize verification of the state of immunity. The using of RIHA
allows to find out persons nonimmune to diphtheria during a few hours. What minimum protective
titer?
1:10
1:20
1:40
1:80
1:160
In preschool is case of disease on diphtheria. What prophylactic measures must be conducted at first?
Urgent hospitalization
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.
D.
E.
190.
A. *
B.
C.
D.
E.
191.
A. *
B.
C.
D.
E.
192.
A. *
B.
Urgent vaccination
Quarantine measures
Urgent chemical prophylactic by antibiotics
Introduction of antidiphtherial serum
In preschool is the registered case of diphtheria. What from the measures adopted below does not
conduct to the contact children?
Introduction of antidiphtherial serum
Swab from a pharynx and nose for the bacteriologic examination
Daily is supervision during 7 days
Determination of titers of specific antibodies
At the repeated cases of disease is urgent diphtheria revaccination
In the kindergarten a child had a meningococcal infection. She was immediately hospitalized. After
clinical convalescence in child find meningococcus. To which category can the carrier (child) of
pathogen belongs?
Convalescent, chronic
Convalescent, acute
Healthy
Immune in vaccinated
Immune in those, that had infection
In what daily interval should the dose of benzylpenicillin at meningococcal meningitis administered.
2 hrs
4 hrs
6 hrs
5 hrs
8 hrs
In what dose should benzylpenicillin be administered at meningococcal meningitis?
From a calculation 100-300 thousands unit on 1 kg of mass of body per day
From a calculation 200-500 thousands unit on 1 kg of mass of body per day
From a calculation 500-700 thousands unit on 1 kg of mass of body per day
From a calculation 700-900 thousands unit on 1 kg of mass of body per day
Regardless of mass of body
Measures, that are directed on the disinfection of the source of causative agent at anthroponosis:
Isolation of patients
Laboratory inspection
Disinfective measures
Looking after the contact persons
All are enumerated
Measures, that are directed on the disinfection of the source of causative agent at anthroponosis:
Treatment of patients
Laboratory inspection
Disinfective measures
Looking after the contact persons
All are enumerated
Measures, that are directed on the disinfection of source of causative agent at anthroponosis:
A clinical supervision and laboratory control of recoverings
Laboratory inspection
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.
E. *
197.
A.
B.
C.
D.
E. *
198.
A.
B.
C.
D.
E. *
Disinfective measures
Looking after the contact persons
All are enumerated
Measures, that are directed on the disinfection of source of causative agent at anthroponosis:
Exposure and registration of diseased
Isolation of patients
Treatment of patients
A clinical supervision and laboratory control of recoverings
All are enumerated
Modern classification of disinfective facilities by the chemical origin does not include such groups of
facilities:
halogen- containing
oxygen-containing
PAS and quaternary-ammonium connections
guanidines
heavy metals
Modern classification of disinfective facilities by the chemical origin does not include such groups of
facilities:
aldehyde-containing
oxygen-containing
PAS and quaternary-ammonium connections
guanidines
inert gas
Modern classification of disinfective facilities by the chemical origin does not include such groups of
facilities:
alcohols
oxygen-containing
PAS and quaternary-ammonium connections
guanidines
phosphor-containing
Modern classification of disinfective facilities by the chemical origin does not include such groups of
facilities:
alcohols
phenols
PAS and quaternary-ammonium connections
guanidines
oxides
Modern classification of disinfective facilities by the chemical origin does not include such groups of
facilities:
bases
phenols
PAS and quaternary-ammonium connections
guanidines
nitrates
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.
C.
D.
E. *
Patient G., 28 years old, sailor, on the 18-day of illness, complains of high fever, headache,
weakness. Disease began from a chills during an hour, then the temperature had risen to 39,8 lC. In
next 5-6 days, chills repeated every day in the middle of the day, after which the temperature rose to
40-41 °C, such attacks of fever occur every other day. Face is hyperemic, herpes, vascular injection
of sclera. Tons of the heart are muted, rhythmic, pulse is 140 for 1 min, BP 140 and 60 mm. Liver is
normal, spleen +2 sm. Which method of diagnosing is the most valuable in this situation?
Smear and thick drop of blood for malaria
General blood analysis
Level of bilirubin, ALaT
Blood culture
Immunological investigation
Patient L., 38 years old, complains of recurrent attacks of fever with severe chills. Epidemiologically
is found that he had recently returned from India. At parazitoscopy of blood are found out
erythrocytic schizonts. Agent of transmission of the disease is:
Fly
Mosquitoes
Flea
Bee
Ticks
Patient L., 38 years old, complains of significant pain in right inguinal area, takes extorsion position
of extremity. From epidemiologic anamnesis is known, that he works as a loader in port. During
punctuate microscopy from bubon revealed bipolar stained gram-negative small sticks. What is the
transmitting agent of this disease?
Flies
Mosquito
Flea
Lice
Ticks
Patient Н., was hospitalized with a diagnosis diphtheria of pharynx, widespread form. At the
examining of oropharynx the coverings of gum-blush accented mother-of-pearl on tonsils follicles,
which are heavily taken off, a surface bleeds under them. What medical measures are primary?
Introduction of non steroid and antinflammatory drugs
Introduction of antibiotics
Introduction of antidiphtheria serum
Introduction of glucocorticoids
Desintoxication therapy
Principle of chemical method of disinfection is based on:
mechanical influence, high or subzero temperatures, ionizing irradiation
ionizing irradiation in combination with different chemical matters
mechanical influence, subzero temperatures
natural fermentation of impurities by certain types of bacteria
using of different chemical matters
Quality of the pre-sterilization cleaning of medical tool is controlled by making:
phenolphtalein tests
delatest
tests with sudan III
phenolphtalein tests and delatest
all are enumerated
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.
D.
E. *
Sick person, 38 years old, complains on whole-body cramps, impossibility to open a mouth, fever,
general sweating. What information of anamnesis will help to specify a diagnosis?
Trauma 2 weeks ago
Cold a week ago
Use of poor quality food
Presence of lice
Bite of tick
The main principle of biological method of disinfection is based on:
mechanical influence, high or subzero temperatures, ionizing irradiation
ionizing irradiation in combination with different chemical matters
mechanical influence, subzer temperatures
natural fermentation of impurities by certain types of bacteria
all enumerated influences
Weakness appeared in a patient, decrease in an appetite, began pains in the joints of extremities,
felling of weight in right subcostal region, vomiting. Urine became dark in 2 days, and in a day –
sclera and skin turned yellow. At immunoenzyme analyse: IgG -HAV (+), HBsAg (+),
IgМ-НBcorAg (+),IgМ-НCV (–), anti-НDV (–). To the patient 3 months back was extracted a tooth.
Acute
viral hepatitis
B
Most probable
diagnosis?
Viral hepatitis A
Acute viral hepatitis C
Viral hepatitis D
Chronic viral hepatitis C
What are the rules at taking of smear material on the investigation of meningococal infection?
The taken away material at drawing out must not touch only mucus shell of cheeks and tongue
The taken away material at drawing out must not touch only teeth and tongue
The taken away material at drawing out must not touch only teeth, mucus shell of cheeks
The taken away material at drawing out must not touch teeth, mucus shell of cheeks and tongue
The taken away material at drawing out can touch teeth, mucus shell of cheeks and tongue
What does predetermine specific nonsusceptibility of organism to the infectious diseases?
Genetic factors
Condition of organism
Gender, age
Heterospecific factors of resistance
Immunity
What factors do influence on efficiency of disinfection?
physical and chemical properties of disinfectants
biological resistibility of microorganisms to different disinfective facilities
display
massiveness of microbial contamination of objects which are subject of disinfection
all are enumerate
What factors do not influence on efficiency of disinfection?
features of the processed objects
biological resistibility of microorganisms to different disinfective facilities
display
massiveness of microbial contamination of objects which are subject of disinfection
weather conditions
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.
E.
219.
A.
What is taken for serum research for confirmation of meningococcal infection?
Blood
Mucus
Urine
CSF
Saliva
What is the main mechanism of transmission of causative agent at the infections of general coverings
contact
fecal-oral
droplet
transmissive
vertical
What is used as specific prophylaxis in the period of epidemic spreading of meningococcal infection.
Immunoglobulin
Serum
Vaccine
Antitoxin
Nothing
What measures should be taken in regards to persons, that were in contact with a epidemic parotitis
patient?
Observation the contact people during a maximal duration of incubation period
Quarantine in child's establishment
Isolation of persons that were in contact with ill from 11-th to the 21-t day of illness
Isolation of children up to 10 years old, that haven’t been ill with epidemic parotitis, for 21 day from
a moment of contact
All enumerated are right
What temperature terms is it needed for cultivation of meningococcal on artificial mediums?
23-40 °C
35-43 °C
35-37 °C
23-35 °C
37-39 °C
What temperature terms is it needed for cultivation of meningococcal on artificial mediums?
39-40 °C
45-50 °C
35-37 °C
23-27 °C
17-20 °C
What way of transmission of causative agent is character for the group of nosocomial infections?
artificial
alimentary
dusty
water
all are enumerated
What ways of agent transmission are peculiar for infectious diseases with fecal-oral mechanism:
droplet and dusty
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. *
E.
obligatory and facultative
water, food, contact-domestic
contact-domestic, direct and indirect
all enumerated
What ways of agent transmission are peculiar for infectious diseases with droplet mechanism:
droplet and dusty
obligatory and facultative
water, food, contact-domestic
contact-domestic, direct and indirect
all enumerated
What ways of agent transmission are peculiar for infectious diseases with transmissive mechanism:
droplet and dusty
obligatory and facultative
water, food, contact-domestic
contact-domestic, direct and indirect
all enumerated
What ways of agent transmission are peculiar for infectious diseases with contact mechanism:
droplet and dusty
obligatory and facultative
water, food, contact-domestic
contact-domestic, direct and indirect
all enumerated
Which preparation has a bacteriostatic action, and is more expedient to begin etiotropic therapy in the
case of infectious toxic shock.
From benzylpenicillin and its derivatives
From macrolides
From gentamycin
From ciprofloxacin
From chloramphenicol
A 23 years old person, became ill sharply: fever 38.2 °C, moderate diffuse pharyngalgia at
swallowing, pain and itching in the right eye. Objectively: tonsillitis, pharyngitis, conjunctivitis.
What is previous diagnosis?
Adenoviral infection
Enteroviral infection
Parainfluenza
Flu
Acute respiratory infection
A 25 years old patient, fell ill rapidly, with chills and temperature rose to 39,9°C, headache appeared
in frontotemporal regions, pain in eyeballs, dull pain in all trunk, closed nose. Dry cough after 2 days
of illness, there was nose bleeding. Objectively: hyperemia with sputum, isolated petechial rash and
shallow grittiness of soft palate. Difficult breathing in lungs. What is the most possible diagnosis?
Leptospirosis
Adenoviral infection
Typhoid fever
Flu
Epidemic typhus
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.
A 4 years old child complains about: cough, temperature of body 38.1 °C. Conjunctiva is hyperemic.
On mucous of cheeks there are points of mucous necrosis. Weaken breathing in the lungs. What is
the most possible diagnosis?
Scarlet fever
Rubella
Measles
Herpetic infection
Flu
A child 10 years old with temperature 38,0°C, conjunctivitis, moist cough, hyperemia of the mucous
membranes of cheeks and lips. Gums are pallor. What is your diagnosis?
Measles
Adenoviral infection
Acute respiratory viral infection
Enteroviral infection
Infectious mononucleosis
A child 3 years old is found in the grave condition – naughty, forced breathing, dry «barking»
coughing, voice is hoarse, perioral cyanosis. The third day, temperature of body is subfebrile, mild
common cold. In lungs single dry wheezes can be heard. Moderate tachycardia. For which disease
these symptoms are characteristic?
Localized diphtheria of oropharynx
Whooping-cough
Parainfluenza, false croup
Bronchopneumonia
Adenoviral infection
A child of age 2 years has temperature of body 37.3 °C, cold, hoarse voice “barking cough” appeared
suddenly the anxiety, shortness of breath, appeared with participation of auxiliary muscles. Supposed
diagnosis?
Parainfluenza, false croup
Diphtheria croup
Allergic laryngitis, croup
Flu, laryngitis
Acute exudative pleuritis
A concept «disinfection» includes such sections:
actually disinfection, sterilization, disinsection
actually disinfection, sterilization, disinsection, deratization
sterilization, disinsection, deratization
sterilization, disinsection, defumigation
actually disinfection, sterilization, defumigation
A deratization is a complex of measures for a fight with:
rodents
an arthropods
flies and cockroaches
ticks and mosquitoes
all bloodsucker insects
A deratization is directed on:
first link of epidprocess
second link of epidprocess
C.
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.
third link of epidprocess
first and second links of epidprocess
all links of epidprocess
A patient 14 years old, hospitalized in the infectious department in severe condition with
considerable headache mainly in frontal and temporal area, pain in eyeballs, in muscles and joints.
Objectively: patient is excited, temperature of the body is 39°C. Bradycardia changed by tachycardia.
Muscles tonic and clonic cramps. Positive meningeal signs. It is found in epidemic anamnesis, his
brother is also sick. What is your diagnosis?
Flu with pneumonia and edema of brain
Flu, typical course
Parainfluenza, false croup
Respiratory-syncytial infection
Adenoviral infection, pneumonia
A patient 17 years old, became suddenly ill: temperature rose to 40,3 °C. Severe headache, motive
excitation, frequent vomiting, tremor of fingers of extremities. Hemorrhagic spots of round form and
different sizes, more frequently as stars, mainly on buttocks and trunk. Meningeal signs are positive.
What is the most possible diagnosis?
Encephalitis
Flu with a hemorrhagic syndrome
Meningococcal infection
Measles
Leptospirosis
A patient 17 years, 11th class student, were a lot of cases of ARI (acute respiratory infection) have
happened, appealed to a doctor in clinic at 3rd day of disease with complaints of chills, general
weakness, a moderate sore throat, running nose, swelling of face, watering from eyes Objective
examination: minor palatal hyperemia brackets and tonsillitis, on a background of moderate edema of
tissues. Conjunctivitis. During palpation not painful enlarged inframaxillary lymph nodes, and
enlarged neck lymph nodes were found. Liver and spleen moderately increased. What is the most
likely diagnosis?
Diphtheria
Adenoviral infection
Meningococcal nasopharyngitis
Influenza
Infectious mononucleosis
A patient 18 years old, with complaints about headache, pharyngalgia, weakness, high temperature.
Objectively: all groups of lymph nodes, 1-3 cm in a diameter, dense, elastic, enlarged,
hepatosplenomegaly. Blood analysis: leukocytosis, mononuclear – 15 %. What is possible diagnosis?
Infectious mononucleosis
Adenoviral infection
Angina
Diphtheria
Acute lymphatic leukemia
A patient 20 years old fell ill rapidly with increasing of temperature to 39.9 °C. Complains about
headache in frontotemporal region, pain in eyeballs, dull ache in whole trunk, closed nose, scrapes in
the throat, dry cough. There was nose-bleeding. What diagnosis is most possible?
Influenza
Adenoviral infection
Parainfluenza
RS-infection
E.
238.
A. *
B.
C.
D.
E.
239.
A.
B. *
C.
D.
E.
240.
A. *
B.
C.
D.
E.
241.
A. *
B.
C.
D.
E.
242.
A.
B.
C.
D. *
E.
Enteroviral infection
A patient 20 years old, complains about increasing of temperature up to 39°C, headache in frontal
area, pain in eyeballs, photophobia, pain in muscles, dry cough. Became ill sharply. Objectively:
severe state. Face is hyperemic, eyes brilliant, injections of sclera. Pulse 96/min, rhythmic, tones of
heart are hyposthenic. Meningeal symptoms are not present. Blood analysis: leuk. 9x109, е. 1 %,
young neutroph. 6 %, seg. 51 %, lymp. 35 %, mon. 7 %. What is the most possible diagnosis?
Influenza
Adenovirus infection
Leptospirosis
Pneumonia
Epidemic typhus
A patient 26 years old, became sick rapidly: temperature 39.5°C, severe headache, mainly in frontal
and temporal areas, pain in muscles and joints. Examined on the 2nd day of illness: state of middle
weight, skin is clean. Moderate hyperemia with cyanosis, pulse 120 per min, rhythmic. Heart activity
is rhythmic, tones are muffled, in lungs there is vesicular breathing. What is the treatment of this
Aspirin
patient?
Remantadin
Ampicillin
Ascorbic acid
Ribonuclease
A patient 27 years old, entered clinic on the 4th day of illness with a diagnosis ARVI, allergodermia.
Fell ill with the rise of temperature to 38,0 °C, headache, hyperemia of the throat, then barking cough
appeared. On the 3rd day rash appeared on the skin and neck. Was treated by aspirin. Objectively:
temperature 38.8 °C. Face is puffy, conjunctivitis. On the skin of neck and upper part of chest is
abundant red-papular rashes as rings which does not itch. Mucosa of epiglottis is brightly hyperemic.
Submandibular and neck lymphadenitis. Liver and spleen were not enlarged. What is your diagnosis?
Measles
Allergic dermatitis
Infectious mononucleosis
German measles
Scarlet fever
A patient 52 years old, hospitalized with the severe form of viral hepatitis B. The signs of flu
appeared in the department. The indexes of bilirubin rose up and transaminase falls down. What
complication can arise in that patient?
Acute hepatic insufficiency
Infectious-toxic shock
Gastric bleeding
Neurotoxicosis
Cerebral comma
A patient 56 years old, the day before felt easy indisposition, insignificant headache, and weakness.
Afterwards the increasing of temperature appeared to 38,5°C with chills, headache increased
considerably, mainly in forehead and temples. Skin and conjunctiva is hyperemic, dry, barking
cough. Pharynx is hyperemic. On soft palate present grainy granules, placed point hemorrhages.
Difficult breathing. What is the most possible diagnosis?
Typhoid fever
Leptospirosis
Epidemic typhus
Flu
Enterovirus infection
243.
A.
B.
C.
D.
E. *
244.
A.
B. *
C.
D.
E.
245.
A.
B.
C. *
D.
E.
246.
A.
B.
C.
D. *
E.
247.
A.
B.
C.
D.
E. *
A patient 56 years old, workwomen of pig farm, on a background chills appeared, the temperature
rose to 39,9 °C, headache, nausea. The next day marked pains in the muscles of lower extremities
appeared, the nose bleeding began. At the receipt, on the 3rd day common state deteriorated.
Hyperemic spots, subicteric color appeared. Liver +3 cm. Daily – diuresis 700 ml. What is the
Hemorrhagic
fever with a kidney syndrome
previous diagnosis?
Hepatitis A
Colibacillosis
Flu
Leptospirosis
A patient A., 30 years old, on the 4th day of illness a district doctor marked such subjective and
objective data: insignificant indisposition, mild headache, hoarseness of voice, itching in throat,
breaking dry cough, temperature of the body 37,4 °C. Pulse 86/min., difficult nasal breathing,
insignificant serous excretions from nose. Which acute respiratory infection does the patient carry?
Influenza
РC-viral infection
Parainfluenza
Adenoviral infection
Enterovirus infection
A patient admitted in the infectious department with diagnosis of acute respiratory viral infection.
Became ill suddenly, the disease is accompanied by the increase of temperature of body till 39 °C, by
severe headache, mainly in area of frontal, temporal, above eyes, dryness in nose, itching in throat,
dry cough, dull pain in all body. He had bleeding from nose twice at home. Which acute respiratory
disease has the patient?
Adenoviral infection
РC-infection
Flu
Parainfluenza
Enteroviral infection
A patient becomes sick very fast: chills, increasing of temperature to 40,1°C, headache in frontal and
temporal regions, pain in eyeballs, close nose, dry cough and pain in the chest. The nose bleeding,
nausea, double vomits. Objectively: conjunctivitis, hyperemia, edema, hemorrhages in mucous of
oropharynx, tachycardia. Blood pressure is low. Difficult breathing . What is the most possible
diagnosis?
Meningococcemia
Epidemic typhus
Leptospirosis
Flu
Typhoid fever
A patient C., 25 years old, fell suddenly ill. Every morning severe headache, frequent vomiting,
temperature of the body is 39.9 °C. Adopted fatigue, then state got much worse. In the evening lost of
consciousness. Expressed muscles pains of back and head. Positive Кеrning’s symptom. Leukocytes
– 18,0x109. What is the most reliable diagnosis?
Flu
Epidemic typhus, typhus state
Viral menigoencephalitis
Sepsis, infectious-toxic shock
Bacterial menigoencephalitis
248.
A.
B.
C.
D. *
E.
249.
A. *
B.
C.
D.
E.
250.
A.
B.
C. *
D.
E.
251.
A.
B. *
C.
D.
E.
252.
A. *
B.
C.
A patient C., was hospitalized on the 2nd day of illness with complaints about hoarseness of voice,
rough barking cough, labored breathing. Objectively: the state is severe, uneasy, pallor, temperature
37.1 °C, BR 30/min., breathing is noisy, can hear from the distance, with participation of auxiliary
musculature. Which viruses could cause development of similar state?
Rhino virus
Influenza virus
Adenovirus
Parainfluenza virus
Cytomegalovirus
A patient caused a doctor home. Age – 75 years. Complaints of a subfebrile temperature, general
weakness, pharyngalgia, conjunctivitis. In family a child is ill the acute adenoviral disease. A patient
considers itself a patient the second day. At a review are found out the signs of acute
blepharoconjunctivitis, pharyngitis. There are megascopic lymphatic nodes: neck front and back,
arm-pits and inguinal, to 1 sm in a diameter, soft, not is soldered between itself and with a
surrounding cellulose. A pharynx is hyperemic, tonsills are hypertrophied and hyperemic. In lights of
wheezes it is not. Breathing clean. Tones of heart are muffled. BP is 140/80 mm Hg. Ps – 80 per 1
minute. Stomach soft. A megascopic liver which comes forward on 3 cm below costal arc and spleen
are palpated – soft, painless. Choose the most credible diagnosis:
Acute adenoviral infection
Flu
Megacaryoblastoma
Infectious mononucleosis
Hepatitis A
A patient fell ill very rapidly: chills, increase of temperature to 40.1 °C, headache in frontotemporal
regions, pain in eyeballs, close nose, dry cough, and chest pain. Nose bleeding, nausea, vomiting
appeared after 4 hours. Objectively: conjunctivitis, hyperemia, edema, point hemorrhages in mucus
of epiglottis, tachycardia. Blood pressure is low. Weaken breathing in the lungs. What is the most
possible diagnosis?
Leptospirosis
Epidemic typhus
Flu
Meningococcemia
Enteroviral infection
A patient H., 22 years old, with flu was hospitalized into infectious department with the acute
worsening of the common state. Consciousness is present. The patient strangles. Pallor of skin with
cyanosis. Respiratory rate 50 per min, AP 80/55 mmHg, pulse 110 per a min, temperature 39.8°C.
During percussion of lungs tympanic sound with dullness in lower quadrant was found. Crackles in
the lower-back parts of lungs. What complication of influenza has developed in that patient?
Pneumonia
Edema of lungs
Edema of brain
Infectious-toxic shock
Meningoencephalitis
A patient K., 23 years old, with 3 days of moderate illness, with high temperature of body to 40.0 °C,
headache and petechial rash on skin, is hospitalized. After introduction of penicillin in 2 hours, the
BP fell down to 40/10 mm of Hg. Peripheral pulse and meningeal signs does not detect. What is the
diagnosis of the patient?
Меningococcemia, infectious-toxic shock
ARVI, anaphylactic shock
Measles, severe course
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.
Epidemic typhus, severe course
Scarlet fever, severe course
A patient of 5 years old, which treated at home on an occasion of flu by aspirin, calcium gluconatis,
on the second day from the beginning of disease “coffee grounds” vomiting appeared, melena. What
complication arises?
Neurotoxicosis
Pneumonia
Hemorrhagic syndrome
Infectious-toxic
Bowel obstruction
A patient on the background of ARVI the fever developed to 40,1 °C, frequency of breathing is 40
for a minute. What measures are necessary?
Decreasing of patients temperature
Artificial ventilation
Oxygen inhalation
Infusion therapy
Antibiotic therapy
A patient P., 14 years old, is hospitalized in the infectious dept. in grave condition. Complaints on
headache, mainly in frontal and temporal regions, superciliary arcs, vomiting on severe pain, pain on
movement of eyeballs, in muscles, joints. Objectively – a patient is excited, temperature of the body
39 °C. BP 100/60 mmHg. Bradycardia was replaced by tachycardia. Tonic cramps appeared.
Doubtful meningeal signs. From anamnesis it is found that at home his brother has flu. What
preparations must be injected?
Veroshpiron, euphyllin, dimedrol
Mannitol, paracetamol, prednisolone, euphyllin
Analgin, dimedrol, aspirin, ampicillin
Mannitol, aspirin
Lasix, analgin, ampicillin
A patient with flu complicated by pneumonia, during some days there are the displays of
infectious-toxic shock of ІІ degree. In biochemical blood analyze the level of urea and creatinine are
increased. What from these preparations is not recommended to enter in such situation?
Adrenalin
Prednisolone
Polionic solutions
Dofaminum
Heparin
A patient with temperature of body 40.0°C, nonproductive cough, photophobia, puffiness of face,
dots on gums, blushes on the mucus of cheeks. Your diagnosis?
Tuberculosis
Меningococcemia
Measles
Enteroviral infection
Staphylococcal sepsis
A patient Т., 45 years old, was hospitalized at the 2nd day of disease. One week ago got back from
India (sailor of the distant swimming). Complains of temperature 41.3 °C, great headache, shortness
of breathing; cough with foamy pink color sputum. Objectively: pale of face, cyanosis of mucous,
breath rate 24/min, tachycardia. Lungs: breathing is hyposthenic, moist wheezes in both lungs,
crepitation. What is possible diagnosis?
Flu
B.
C. *
D.
E.
259.
A. *
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.
Miliary tuberculosis
Plaque, pulmonary form
Leptospirosis
Sepsis
A patient, 20 years old, during few days complains about pharyngalgia. After supercooling the state
became worse: sudden chills, increase of temperature to 40.6 °C, headache. On the skin of low
extremities, trunk and buttocks there are a lot of different sizes hemorrhagic spots, acrocyanosis.
Consciousness is preserved. Meningeal signs are absent. What is the previous diagnosis?
Meningococcal infection
Flu
Epidemic typhus
Hemorrhagic fever
Leptospirosis
A patient, 75 years old, called a doctor to home. Rashes and subfebrile temperature, general
weakness, pharyngalgia, conjunctivitis. In family a child is ill with acute adenoviral disease. A
patient considers himself ill on the second day. At a review there are signs of pharyngitis. There are
enlarged lymphatic nodes: of neck, front and back, armpits and inguinal up to 1 cm in diameter, soft.
Pharynx is hyperemic, tonsils are hypertrophy and hyperemic. Both lungs have wheezing sounds. Not
clean breathing. Tones of heart are muffled. AP 140/80 mm Hg. Heart rate 80 for 1 minute. Stomach
is soft. Enlarged liver 3 cm below costal arch and spleen is palpable. Palpation is soft, painless.
Acute
infectiondiagnosis:
Chooseadenoviral
the most possible
Flu
Hepatitis B
Infectious mononucleosis
Hepatitis A
A sick 15 years old, 3rd day of illness. On the background the catarrhal pneumonia, weakness in
hands appeared, double vision, cross-eye. Voice is weak. Palatoplegia and extended extremities.
Pulse 90/min. AP 130/90 mm Hg .What is your previous diagnosis?
Diphtheria
Poliomyelitis
Botulism
Epidemic encephalitis
Enteroviral infection
A sick 19 years old, fell ill rapidly, when a temperature rose to 39,2 °C, coughing appeared, closed
nose. Pains in muscles and joints. On the 3rd day of disease, shallow spots on the trunk appeared,
extremities with hyperemia and edematous feet. Generalized lymphadenopathy, hyperemia of cheeks,
enlargement of the liver were found out. What is previous diagnosis?
Pseudotuberculosis
Flu
Infectious mononucleosis
Herpetic infection
Epidemic typhus
A sick 70 years old, became ill sharply, the temperature of body rose to 39.2 °C, excited, euphoric,
hyperemia of face, Rozenberg’s exanthema appears. Ricketsia titer is 1:160, IgG – 87 %. What is
diagnosis?
Epidemic typhus
Meningococcal infection
Epidemic spotted fever
Flu
E.
264.
A. *
B.
C.
D.
E.
265.
A. *
B.
C.
D.
E.
266.
A. *
B.
C.
D.
E.
267.
A. *
B.
C.
D.
E.
268.
A.
B.
C.
D.
E. *
Parainfluenza
A sick explorer of train, 39 years old is hospitalized on the 4th day of illness with complaints about
headache, weakness, dizziness, chills, insomnia, fever. The person is hyperemic, conjunctivitis. On
the transitional fold of conjunctiva there is a single rash. On the skin of trunk, thorax, stomach,
extremities there are abundant red colored rashes. Tachycardia. AP 100/60 mm of Hg. Tremor of
tongue. Liver and spleen were enlarged. Stool fistula is detained. What is the most reliable diagnosis?
Epidemic typhus
Typhoid
Flu
Меnigococcemia
Leptospirosis
A sick person, 45 years old, was hospitalized after 2 days of disease. On Sunday he came back from
India (sailor). Complains about increasing of temperature to 41°C, severe headache, shortness of
breath, cough, with sputum. Objectively: pallor, cyanosis of mucous, tachycardia. Breathing is
weaken, crackles in the lower-back parts of the lungs, crepitation. What is the possible diagnosis?
Flu complicated by pneumonia
Miliary tuberculosis
Plague, pulmonary form
Leptospirosis
Sepsis
A patient, 42 years old, complaints about temperature 39.3 °C, headache in the frontal area, pain in
the eyeballs, photophobia, pain in muscles, dry cough. Became ill suddenly one day before.
Objectively: state is severe. Hyperemia of the face, eyes shinny, injection of sclera. Pulse 96/min.,
rhythmic. Tones of heart are hypotonic. Both lungs are dissipated. Dry wheezes. Mucosa of epiglottis
is hyperemic, grainy, vessels are extended. Meningeal symptoms are not present. Analysis of blood:
leuk. – 3x109/l, еos. – 1 %, young neutr. – 6 %, neutrophils – 51 %, lymph. – 35 %, monocytes – 7
%. What is the most possible diagnosis?
Flu
Measles
Meningococcal infection
Pneumonia
Epidemic typhus
A sick, 54 years old, hospitalized in infectious department in the grave condition. Complaints about
expressed headache, mainly in frontal and temporal areas superciliary arcs, origin of vomiting on
peak of pain. Objectively: patient is excited, temperature of body 39°C, AP 100/60 mm Hg.
Bradycardia changed to tachycardia. Tonic cramps, meningeal signs appeared. From anamnesis it is
known that father is also sick. What treatment should be prescribed?
Mannitol, lasix, prednisolone, еuphyllin, suprastin
Mannitol, acetaminophen
Lasix, analgin, ampicillin
Verospiron, euphyllin, dimedrol
Aspirin, analgin, dimedrol
A source of causative agent is an object which is:
the place of natural staying of microorganisms
the place of reproduction of microorganisms
the place of conglomeration of microorganisms
the place from which an agent is discharging in an environment
all that are enumerate
269.
A. *
B.
C.
D.
E.
270.
A.
B.
C.
D. *
E.
271.
A. *
B.
C.
D.
E.
A student, 18 years old, for 7 days complains about weakness, hyperthermia to 37.8 °C, mucous
excretions from a nose, pharyngalgia at swallowing, pain in eyeballs. Objectively: increased lymph
nodes of neck and mandible, lymphadenitis, edema and injection of conjunctiva, hyperemia of
mucous of epiglottis, hypertrophy of tonsils. What is the most reliable diagnosis:
Adenoviral infection
Influenza
Infectious mononucleosis
Rhinoviral infection
Parainfluenza
A woman 27 years old, complaints about the general weakness, absence of appetite, coughing, fever
up to 37.5 °C for three weeks. Ulcerous illness of stomach, myocarditis is in anamnesis. What
inspection is primarily need to do?
Electrocardiography
Fibrobronchoscopy
Fibrogastroscopy
Fluorography
Common blood analysis
A woman who came back from a tour trip, the next day called emergency help. It is known from the
anamnesis, that within a week the temperature of body was moderately high. Complains of bad sleep
and bad appetite, pain in the stomach. During the assessment of the sick it is found out roseolas on
the pale skin of breasts and abdomen. Pulse is normal, temperature of body 38,2 °C,
hepatospleenomegaly. What is your previous diagnosis?
Typhoid fever
Epidemic typhus
Flu
Enteroviral infection
Leptospirosis