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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. A suspected case of typhoid fever of 1st week is admitted in the hospital. What specific examination (laboratory diagnosis) do you suggest for this patient? Biochemical blood analysis Reaction of agglutination of Vidall X-ray Urinoculture Hemoculture A suspected case of typhoid fever of 1st week is admitted into the hospital. What examination (laboratory investigation) do you prescribe for this patient? Hemoculture Reaction of agglutination of Vidall Indirect hemaglutination test with О-, Н-, Vi-аntigens Urinoculture Coproculture A suspected case of typhoid fever of 3-d week is admitted in the hospital. What examination (laboratory investigation) do you prescribe for this patient? Coproculture Reaction of agglutination of Vidall Urinoculture Hemoculture All enumerated A suspected case of typhoid fever of 2-nd week is admitted in the hospital. What examination (laboratory diagnosis) do you suggest for this patient? Coproculture Reaction of agglutination of Vidall Urinoculture Hemoculture All enumerated About what does the diagnostic titre of reaction of Vі-haemaglutination testify? About typhoid bacterial-carrier About the period of height of the epidemic typhus About meningococcaemia About a malaria About the latent period of brucellosis After salmonellosis chronic carrier state. Not formed Formed in 0,1-1 % of the cases Formed in 8-10 % of cases Formed in 20-30 % of cases Formed in 50-80 % of cases All laboratory and instrumental examinations are needed to confirm the diagnosis of food poisoning, except: Blood analysis Coproculture Investigation of washing waters Stool test Serum researches with the autoculture of substance 8. A. * B. C. D. E. 9. A. * B. C. D. E. 10. A. B. * C. D. E. 11. A. B. * C. D. E. 12. A. B. * C. D. E. 13. A. * B. C. D. E. 14. A. B. All laboratory and instrumental examinations are needed to confirm the diagnosis of food poisoning, except: Urinoculture Coproculture Investigation of washing waters Stool test Serum researches with the autoculture of substance All the laboratory and instrumental examinations are needed to confirming the diagnosis of food poisoning, except: General blood analysis Coproculture Stool test Food debris Serum researches with the autoculture of substance At the typical form of typhoid fever temperature of body rises to 39-40 °C. The temperature curve likes to 2 waives (during 3-4 weeks of disease). How is such temperature curve named? The temperature curve as Vunderlihs The temperature curve as Botkin Temperature curve as Kildushevsky Temperature curve as Ellers Intermittent temperature curve At the typical form of typhoid fever temperature of body rises to 39-40 °C. The temperature curve likes to 2 waives (during 3-4 weeks of disease). How is such temperature curve named? Febris intermittent The temperature curve as Botkin Febris recurrent Temperature curve as Kildushevsky Normal temperature At the typical form of typhoid fever temperature of body rises to 37-37,5 °C. How is such temperature curve named? The temperature curve as Vunderlihs The subfebrile temperature curve Temperature curve as Kildushevsky Temperature curve as Ellers Intermedium temperature curve At the typical form of typhoid fever, temperature of body rises like to stairs from a day to the day to 39-40 °C. The temperature curve as Vunderlihs The temperature curve as Botkin Temperature curve as Kildushevsky Temperature curve as Ellers Intermedium temperature curve At the typical form of typhoid fever, temperature of body rises like to stairs from a day to the day to 39-40 °C at the end of 1st week, and then slowly during 2-3 weeks gradually going down, comes to the norm. How is such temperature curve named? The temperature curve as Vunderlihs The temperature curve as Botkin C. * D. E. 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. * C. D. Temperature curve as Kildushevsky Temperature curve as Ellers Intermedium temperature curve Bacteria typhoid, painted by Gram, look like. The blue-violet rods Red rods Blue-violet cocci Red cocci Brown vibrio Bacteria typhoid, painted by Gram, looks like: The yellow rods Black vibrio Blue cocci Red cocci Red rods Bacteria typhoid, painted by Gram, looks like: Pink protozoa Red fungi Violet cocci Red rods Green vibrio By which method is it possible to diagnose typhoid fever? All enumerated Coproculture Bilicultura Hemocultura Reaction of Vidal By which method is it possible to find out bacterial carrier in case of typhoid fever? Coproculture Reaction of agglutination of Vidall Indirect hemaglutination test with О-аntigen Indirect hemaglutination test with a Н-antigen Indirect hemaglutination test with a Vi-antigen By which method is it possible to find out bacterial carrier in case of typhoid fever? Indirect hemaglutination test with a Vi-antigen Reaction of agglutination of Vidall Stool test Indirect hemaglutination test with a Н-antigen Swab from oropharynx Convalescent of typhoid fever may be discharged from clinic after: Non-permanent negative bacteriologic examination of feces 21-th day of normal temperature of body and 3-multiple negative bacteriologic examination of excrements and urine 14-th day of normal temperature of body and 2-multiple negative bacteriologic examination of excrements and urine Clinical convalescence and normalization of rectoscopic picture E. 22. A. * B. C. D. E. 23. A. * B. C. D. E. 24. A. B. * C. D. E. 25. A. B. C. D. * E. 26. A. B. C. D. E. * 27. A. B. C. D. E. * 28. A. * B. C. D. Normalization of rectoscopic picture and decreasing of titre of antibodies in RNGA Convalescent of typhoid fever may be discharged from clinic after: 21-th day of normal temperature of body and 3-multiple negative bacteriologic examination of excrements and urine Normalization of rectoscopic picture and decreasing of titre of antibodies in RNGA 3-th day of normal temperature of body and 2-multiple negative bacteriologic examination of excrements and urine Clinical convalescence and normalization of rectoscopic picture 14-th day of normal temperature of body and 2-multiple negative bacteriologic examination of excrements and urine District doctor suspected typhoid fever in a patient M., 15 y.o. For rendering harmless of patient as the sources of infection it follows to conduct the following measures, except: Introduction to the patient of antityphoid monovaccine Hospitalization in the infectious department during 3-6 hours Introduction etiotropic antibacterial treatment Conducting of controls bacteriological researches of excrement and urine (triply) and bile before the discharge Clinical supervision after the discharge during 3 months Duration of incubation period at typhoid fever? 3-7 days 9-21 day From a few hours to 2-3 days From 12 to 100 days From a few hours to 17 days Duration of incubation period at typhoid fever? 30-45 days 3-7 days From a few hours to 2-3 days 9-21 day From a few hours to 12 days Entrance of causative agent at typhoid fever? Mucous membrane of amygdales Mucous membrane of nasopharynx Epithelial cells of skin Mucous membrane of colon Mucous membrane of digestive tract For proven of Salmonella typhus infection use: Test of Cuverkalov RA with O- and Н-antigen PCR Bacteriologic examination and reaction of Vidal Bacteriologic examination and RNGA with a Vi-antigen For identification of transmitter of Salmonella typhi utilize: Bacteriologic examination and RNGA with a Vi-antigen RIHA with Н-antigen Bacteriologic examination and reaction of Vidal General blood analysis 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. 36. A. Test of Paula- Bunnela Greatest epidemiological role in the salmonellosis belongs. Ducks eggs Gray rats Pigs Fish Man Greatest epidemiological role in the salmonellosis belongs to: Cattle Gray rats Mice Fish Man The main epidemiological role in the salmonella belongs to: Cattle Rodents Birds Fish Horses In a patient development of clostridial gastroenterocolitis is suspected. What is it necessary for bacteriological confirmation of diagnosis? Endo‘s medium, thermostat Ploskirev‘s medium and blood agar Blaurock‘s medium, thermostat Endo‘s medium, anaerostat Blaurock‘s media, anaerostat In epidemic focus of typhoid fever has be done, except: Daily thermometry Coproculture Reaction of Vidal Hemoculture Urine culture At epidemic outbreak of typhoid fever has be done, except: Daily thermometry Coproculture Reaction of Vidal Hemoculture Urine culture In epidemic focus of typhoid fever has be done: All enumerated Coprologic culture Reaction of Vidal Daily thermometery Urine culture In order to prevent salmonellosis should be. Disinfection 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. A. B. C. * D. E. Vaccination Chemoprophylaxis Sanitary and epidemiological control over food All these measures are not undertaken To prevent salmonellosis should be done: Disinfection Vaccination Chemoprophylaxis Sanitary and epidemiological control over food industry All these measures are not undertaken In order to prevent salmonellosis should be. Disinfection All these measures are undertaken Chemoprophylaxis Sanitary and epidemiological control over food industry All these measures are not undertaken Medical workers at salmonellosis must to work in protective clothing: Type I Type II Type III Type IV Type V Name of the basic factors of pathogen of typhoid rod? Vi-antigen and endotoxin Exotoxin Vi-antigen Enzymes of pathogenicity Endotoxin Enumerate the basic factors of pathogen activity of typhoid bacteria? Vi-antigen Exotoxin Vi-antigen and endotoxin Enzymes of pathogenicity Endotoxin The basic factors of pathogen activity of typhoid bacteria are: Endotoxin Exotoxin Vi-antigen Enzymes of pathogenicity Vi-antigen and endotoxin Nowadays in Ukraine salmonellosis. Not registered Reported in the form of epidemics Reported sporadically Reported in the form of annual outbreaks Reported only in endemic focus 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. D. * E. 50. A. One of methods of diagnostics of typhoid fever and paratyphoid fever is the selection of hemoculture. For that in a fever period at 1-st week sowing of blood from a vein on bilious bulione or Rappoport medium 0,5 ml of blood 10 ml of blood 15 ml of blood 20 ml of blood 25 ml of blood One of methods of diagnostics of typhoid fever and paratyphoid fever is the selection of hemoculture. For that in a fever period at 3-d week sowing of blood from a vein on bilious bulione or Rappoport medium 5 ml of blood 10 ml of blood 15 ml of blood 20 ml of blood 25 ml of blood One of methods of diagnostics of typhoid fever and paratyphoid fever is the selection of hemoculture. For that in a fever period sowing of blood from a vein on bilious bullion or Rappoport‘s medium in correlation 1:10 is made. What volume of blood must be taken on the 2nd week of disease? 5 ml of blood 10 ml of blood 15 ml of blood 20 ml of blood 25 ml of blood What volume of blood must be taken on the 1st week of typhoid fever for sowing of blood from a vein on bilious bulione or Rappaport‘s medium. 0,5 ml of blood 10 ml of blood 15 ml of blood 20 ml of blood 25 ml of blood What volume of blood must be taken on the 3-d week of typhoid fever for sowing of blood from a vein on bilious bulione or Rappaport‘s medium. 5 ml of blood 10 ml of blood 15 ml of blood 20 ml of blood 25 ml of blood Patient K., applied to the infectious department suspecting food poisoning (maybe staphylococce). What methods can confirm the diagnosis? Diagnostic confirmation requires isolating staphyloccocci from the urine Diagnostic confirmation requires isolating staphyloccocci from the stool Diagnostic confirmation requires isolating staphyloccocci from the liquor Diagnostic confirmation requires isolating staphyloccocci from the suspected food All enumerated Convalescents of typhoid fever may go out from clinic after: Non-permanent negative bacteriologic examination of defecating 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. C. D. E. 57. A. B. C. 21th day of normal temperature of body and 3-multiple negative bacteriologic examination of excrement and urine 14th day of normal temperature of body and 2-multiple negative bacteriologic examination of excrement and urine Clinical convalescence and normalization of rectal manoscopic picture Normalisations of rectal manoscopic picture and in default of title of antibodies in RNGA Salmonella adapted to humans. S. typhi S. newport S. cholerae-suis S. abortus-ovis S. gallinarum-pullorum Salmonella is classified by: O-antigen and H-antigen O-antigen and J-antigen H-antigen and Vi-antigen O-antigen, H-antigen and Vi-antigen O-antigen, H-antigen, Vi-antigen and HBsAg Salmonella is classified by: O-antigen and H-antigen O-antigen and Vi-antigen H-antigen and Vi-antigen Z-antigen, H-antigen and Vi-antigen HBsAg, O-antigen, F-antigen, Vi-antigen Salmonella typhi contains: Only O-antigen and Н-antigen Only J-antigen and Vi-antigen Only H-antigen and T-antigen O-antigen, H-antigen and Vi-antigen O-antigen, HCV, Vi- antigen and HBsAg Salmonella typhus contains: Only O-antigen and Н-antigen Only O-antigen and Vi-antigen Only H-antigen and Vi-antigen O-antigen, H-antigen and Vi-antigen O-antigen, H-antigen, Vi- antigen and HBcAg Site of causative agent entrance at typhoid fever? Mucous membrane of small intestine Mucous membrane of nasopharynx Epithelial cells Mucous membrane of genital organs Mucous membrane of esophagus Site of causative agent entrance at typhoid fever? Mucous membrane of amygdales Mucous membrane of pharynx Epithelial cells of skin 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. A. B. * C. D. Mucous membrane of colon Mucous membrane of small intestine The etiologic diagnosis of acute intestinal infections can be confirmed thus, except: Separation of pathogen from patients and from food debris To obtain identical cultures of bacteria from a few patients from those which consumed that meal Separation of identical cultures from different materials (washings, vomiting mass, excrement) at one patient at the bacterial semination no less than 105/g and diminishing of this index in the process of convalescence Presence at the selected culture of Escherichia’s and staphylococcus enterotoxin Positive agglutination reaction or other immunological reactions with autostrains of possible pathogen, which testify to growth of title of antibodies on the blood serum of patient in the dynamics of Thedisease kind of immunity after salmonellosis. Passive Not formed Short term Type specific Inherited The kind of immunity after salmonellosis. Inherited Type specific Short term Not formed Permanent What immunity formed after salmonellosis. Inherited Type specific Short term Not formed Passive The part of reproduction of typhoid bacterium in the organism of human is: Stomach Lymphatic formations of colon Blood Bilious ways Mucous membrane of colon Place of reproduction of typhoid bacterium in the organism: Stomach Lymphatic formations of colon Blood Bilious ways Mucous membrane of colon The part of reproduction of typhoid bacterium in the organism of human is: Oral cavity Lymphatic formations of colon Blood Nerve ganglions 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. * E. 72. A. B. Mucous membrane of colon The rules of discharging from a hospital of salmonellosis patients. One-time negative bacteriological investigation of stool Three negative bacteriological investigation of stool 14 days normal body temperature and the double negative bacteriological study stool and urine Clinical recovery and normalization rectomanoscopy picture Normalization rectomanoscopy picture and in the absence of antiserum to RNGA The rules of discharging from hospital of salmonellosis patients. Two-time negative bacteriological investigation of stool and normalization rectomanoscopy picture Three negative bacteriological investigation of stool 21 days normal body temperature and the double negative bacteriological study stool and urine Normal temperature and clinical recovery Normalization rectomanoscopy picture and in the absence of antiserum to RNGA The source of the causative agent of salmonellosis are. Urine of patients Farm birds Rodents Soil Feces of patients The source of the causative agent of salmonellosis is: Sick person Farm animals Rats Environment Stool of patients At salmonellosis the source of the causative agent is: Soil Feces of patients Rodents Sick person Farm animals Typhoid bacilli are usually cultured from: Blood, stool, urine Blood, urine, sputum Stool, liquor, urine Blood, stool, sputum Stool, liquor, sputum Typhoid bacilli are usually cultured from: Blood, stool, sputum Blood, urine, sputum Stool, liquor, urine Blood, stool, urine, bile Stool, liquor, sputum Typical food factor in the transmission of salmonella is. Acidic juices Alcohol drinks 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. C. * D. E. 80. Meat products Salad of red beets Compote of dried fruits In the transmission of salmonella the common food factors is: Acidic juices Compote of apple Alcohol drinks Salad of potatoes Meat products Typical food factor in the transmission of salmonella is. Orange juice Fried potatoes Meat products Salad of fresh cabbage Compote of fresh fruits What changes in general analysis of blood are characteristic for typhoid? Leucopenia, aneosinophilia, lympho-, monocytosis, increasing of ESR Leucocytosis, hypereosinophilia, thrombocytosis, increasing of ESR Hypochromic anaemia, leucocytosis, appearance of young forms, ESR is not changed Hyperchromatic anaemia, leycocytosis, appearance of young forms, increasing of ESR Leucopenia, lymphopenia, thrombocytosis, increasing of ESR What changes in general blood analysis are characteristic for typhoid fever? Leucopenia, aneosinophilia, lympho-, monocytosis, increasing ESR Leucocytosis, hypoeosinophilia, thrombocytosis, decreasing ESR Anaemia, leucocytosis, appearance of young forms, ESR is not changed Hyperchromic anaemia, leucocytosis, appearance of young forms, increasing ESR Leucopenia, lymphopenia, thrombocytosis, increasing ESR Such changes in general blood analysis are character for typhoid fever? Leucopenia, aneosinophilia, lympho-, monocytosis, increasing ESR Leucocytosis, hypereosinophilia, thrombocytosis, increasing ESR Hypochromatic anaemia, leucocytosis, appearance of young forms, ESR is not changed Hyperchromatic anaemia, leycocytosis, appearance of young forms, increasing ESR Leucopenia, lymphopenia, thrombocytosis, increasing ESR What does the diagnostic titre of reaction of Vі-haemaglutination testify to? About typhoid bacterial-carrier About the period of height of the epidemic typhus About meningococcaemia About a malaria About the latent period of brucellosis What environments do typhoid rods grow on well? Chicken embryos Water-serum nourishing environment Bilious clear soup Meat-peptone gelose + cistin To the Bismute-sulfate gelose What ever symptom is not characteristic for typhoid on the second week of illness? A. B. C. D. E. * 81. A. * B. C. D. E. 82. A. * B. C. D. E. 83. A. * B. C. D. E. 84. A. * B. C. D. E. 85. A. B. * C. D. E. 86. A. B. C. * D. E. 87. A. B. * C. D. Constipation Headache Fever Relative bradycardia Cramps What from the adopted phases of pathogenesis is not characteristic for typhoid? Swelling, edema of mucous membrane of overhead respiratory tracts Stage of penetration Stage of lymphodefence reactions Stage of bacteriaemia Stage of intoxication What from the adopted ways of transmission is characteristic for typhoid? Alimentary Contact Transmission Air-drop Vertical What from the indicated pathology anatomic phases is not characteristic for typhoid? Catarrhal inflammation of rectum Cerebral-type of swelling Necrosis Ulcers Clean ulcers What from the listed signs is not character for typhoid rash? Papules, disappear together with normalization of body temperature Appears on a 7-10-th day, maculopapular (roseola-type) rash Located mainly on an abdomen and lateral surfaces of trunk, observed at the half of patients The amount of elements is limited Roseola-type, sometimes saved longer than fever What from the listed signs is not character for typhoid rash? Papules, not disappear together with normalization of body temperature Appears on a 2-5-th day, vesicular rash Located mainly on an abdomen and lateral surfaces of trunk, observed at the half of patients The amount of elements is limited Roseola-type, sometimes saved longer than fever What from the listed signs is not character for a typhoid rash? Papules, not disappear together with normalization of body temperature Appears on a 7-10-th day, maculopapular (roseola-type) rash Located mainly on an extremities, observed at all patients The amount of elements is limited Roseola-type, sometimes saved longer than What group of infectious diseases salmonellosis belong to? Sapronosis Zoonosis Antroponosis Zooantroponosis 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. B. C. D. E. * 94. A. * B. C. D. E. 95. A. * B. The group is not defined What group of infectious diseases Paratyphoid B belong to? Sapronosis Zoonosis Antroponosis Antropozoonosis The group is not defined What group of infectious diseases Paratyphoid A belong to? Sapronosis Zoonosis Antroponosis Zooantroponosis The group is not defined What inoculums material should be taken to discharge the toxins at Food poisoning? Suspected food Urine Stool Vomiting mass Spinal marrow What is the most important factor in Salmonellosis transmission. Boil meat Home made foods Water Sexual contact Eggs What is the most important factor in Salmonellosis transmission. Row meat Home made foods Water Sexual contact Blood What is the most important factor in Salmonellosis transmission. Mushrooms Frozen fruits Water Mosquitoes Eggs What is not character for typhoid fever from the pathogen phases? Swelling, edema of mucous membrane of upper respiratory tracts Stage of penetration Stage of lymphoimmune reactions Stage of bacteriemia Stage of intoxication What is the source of typhoid fever? Sick human Sick agricultural animals 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. * 100. A. * B. C. D. E. 101. A. B. * C. D. E. 102. A. B. * C. D. E. Sick rodents Soil Birds What mechanism of transmission is typical for salmonellosis. Fecal-oral Contact Transmissive Air-drop All possible The most typical way of transmission for salmonellosis. Alimentary Contact Water Air-drop Flies What mechanism of transmission is typical for salmonellosis. Vertical Contact All possible Fecal-oral Transmissive What group of infections salmonellosis belong to? All enumerated Parenteral Respiratory Blood Intestinal What group of infectious diseases salmonellosis belong to? Intestinal Blood Respiratory External coverings Vertical What percentage of chronic carrier state can form after salmonellosis. Not formed Formed in 0,1-1 % of the cases Formed in 8-10 % of cases Formed in 20-30 % of cases Formed in 50-80 % of cases What percentage of chronic carrier state can form after salmonellosis. Formed in 100 % of the cases Formed in 0,1-1 % of the cases Formed in 5-10 % of cases Formed in 20-30 % of cases Not formed 103. A. * B. C. D. E. 104. A. B. C. D. * E. 105. A. * B. C. D. E. 106. A. * B. C. D. E. 107. A. * B. C. D. E. 108. A. B. C. D. E. * 109. A. B. C. D. E. * 110. A. B. * What preventive and antiepidemic activities against Salmonella focused on the first link of epidemic process. Veterinarian measures Revealing, hospitalization and treatment of sick people Systematic sanitary-hygienic control Disinfection Vaccination What way of transmission is not inherent to Salmonella typhimurium. Milk Contact home Water Sex Food What Salmonella is adapted to humans? S. typhi S. newport S. cholerae-suis S. abortus-ovis S. gallinarum-pullorum What Salmonella is adapted to humans? S. enteritidis S. newport S. cholerae-suis S. abortus-ovis S. gallinarum-pullorum What Salmonella is adapted to humans? S. typhimurium S. newport S. cholerae-suis S. abortus-ovis S. gallinarum-pullorum What symptom is not characteristic for typhoid fever on the second week of disease? Constipation Headache Fever Relative bradycardia Cramps What symptom is not characteristic for typhoid fever on the second week of disease? Hepatosplenomegalia Headache Fever Rash Cramps What term of looking after the source of typhoid fever? 14 days 21 days C. D. E. 111. A. 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. 7 days 30 days Not needed What term of looking after the source of typhoid fever? 52 days Not needed 71 days 30 days 21 days What term of looking after the source of typhoid fever? 21 days 3-6 days 14 days 45 days 90 days What way of transmission is not inherent to Salmonella typhy. Milk Contact home Water Sex Food What way of transmission is not inherent to Salmonella typhy. Milk Contact home Water Transmissive Food What ways of transmission is the most character for typhoid fever? Alimentary Contact Transmissive Air-drop Vertical When is it possible to abolish etiotropic drugs in a patient with typhoid fever? After normalization of body temperature After normalization of sizes of liver and spleen After disappearance of roseollas In 10 days after disappearance of roseollas After the 10th day of normal body temperature When is it possible to abolish etiotropic drugs in a patient with typhoid fever? Direct after normalization of body temperature After normalization of liver and spleen sizes After appearance of roseollas In 10 days after positive serologic reactions After the 10th day of normal body temperature When is it possible to abolish etiotropic preparations in a patient with typhoid fever? A. B. C. D. E. * 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. Direct after normalization of body temperature After normalization of sizes of liver and spleen After disappearance of roseollas In 10 days after disappearance of roseollas After the 10th day of normal temperature of body When there can be such specific complication of typhoid fever, like to intestinal bleeding? In the incubation period On the 4th week of illness On the 3d week of illness After stopping the antibiotic therapy On the any week of illness When there can be such specific complication of typhoid fever, like to perforation of bowel? On the 1st week of illness On the 2nd week of illness On the 3rd week of illness On the 4th week of illness On the any week of illness When there can be such specific complication of typhoid fever, like intestinal bleeding? On the 1st week of illness On the 2nd week of illness On the 3rd week of illness On the 4th week of illness On the any week of illness When there can be such specific complication of typhoid fever, like to perforation of bowel? In the incubation period On the 4th week of illness On the 3d week of illness After stopping the antibiotic therapy On the any week of illness When there can be such specific complication of typhoid fever, like intestinal bleeding? In the latent period On the 5th week of illness On the 3d week of illness Cannot develop On the any week of illness When there can be such specific complication of typhoid fever, like the perforation of bowel? In the latent period On the 5th week of illness On the 3d week of illness Cannot develop On the any week of illness Which from the listed products can become the causal factor of toxic food-borne infection? Decorative cakes Galantine Cheese Fresh bread E. 126. A. B. C. D. E. * 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. Tea Which season is prevalence for salmonellosis. Spring Winter and spring Autumn Winter Summer-autumn Which season is prevalence for salmonellosis. All the year round Exactly August Autumn Winter Summer-autumn Which season is prevalence for salmonellosis. Spring-summer Only spring months Autumn Winter Summer-autumn Which type of outbreaks in salmonellosis is the main? Water Home Farm Food Milk Which type of outbreaks in salmonellosis is the main? Contact Blood Wound Milk Food Which type of outbreaks in salmonellosis is the main? Food Contact Sexual Nosocomial Water Who is the source of typhoid fever? Sick person Sick livestock animals Sick rodents Soil Reptiles A child is diagnosed with giardiasis. What preparation is it more expedient to apply for treatment? Ursohol Delagil C. * D. E. 134. A. 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. Ornidazol Tetracyclin Enterosgel The main epidemiologic role at shigellosis play: Sick with an acute form illnesses Sick with a chronic form illnesses Sick with the latent form illnesses Healthy transmitters Children A patient complaints of severe abdominal pain, smelly watery diarrhea with secretion of blood. What kind of disease might be considered previously. Amoebiasis Rotaviral gastroenteritis Giardiasis Balantidiasis Cholera During acute intestinal amoebiosis in feces will be: Tissue form and cyst Small vegetative form, pre-cystic Small vegetative and cystic shape Tissue and pre cystic forms Large vegetative form Amount of solutions necessary for the primary rehydration at cholera is. Accordingly to the degree of dehydration at time of hospitalization In accordance with the loss of liquid 2l 5l 10 l Amount of solutions necessary for the primary rehydration in cholera is: Accordingly to the degree of dehydration at time of hospitalization In accordance with the loss of weight 3l 4l 2l Amount of solutions necessary for the secondary rehydration in cholera is. Accordingly to the degree of dehydration at the time of hospitalization In accordance with the loss of liquid 2l 5l 10 l Amount of solutions necessary for the secondary rehydration in cholera is: Accordingly to the time of hospitalization In accordance with the loss of liquid 3l Every 2 hours 2 l 2l 141. A. * B. C. D. 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. * At a child is diagnosed Lambliosis. What drug is the most helpful in such case? Ornidazol Dimedrol Ursophalk Quinolones Gastrolit At I degree of dehydration the loss of liquid is: 0,1-1,0 % of body weight 2-7 % of body weight 9-11 % of body weight 6-8 % of body weight 1-3 % of body weight At I degree of dehydration the loss of liquid is: 0,5-1,5 % of body weight 6-9 % of body weight 3-6 % of body weight 5-8 % of body weight 1-3 % of body weight At intestinal аmebiasis, area of mucous membrane of bowel between ulcers: Not changed Sinusoid without edema Hyperemic, fillings out Ordinary color, fillings out Hyperemic without edema At intestinal аmebiasis, area of mucous membrane of bowel between ulcers: Not changed Grey color with edema Hyperemic, fillings in Brown color, fillings out Hyperemic with edema What “metabolic violation” will be at II degree of dehydration: Subcompensated Negative Irreversible Moderate metabolic acidosis Insignificant metabolic alkalosis At what percent of fluid loss will be II degree of dehydration? 3-6 % of body weight 6-9 % of body weight 1-3 % of body weight 0,5-2 % of body weight 2-7 % of body weight At what percent of fluid loss will be III degree of dehydration? 3-6 % of body weight Over 10 % of body weight 6-9 % of body weight D. E. 149. A. * B. C. D. E. 150. A. B. C. D. * E. 151. A. B. C. D. * E. 152. A. B. * C. D. E. 153. A. B. C. D. * E. 154. A. B. * C. D. E. 155. A. B. * C. D. E. 156. A. 4-8 % of body weight 10-15 % of body weight At what percent of fluid loss will be the II degree of dehydration? 3-6 % of body weight Over 10 % of body weight 6-9 % of body weight 4-8 % of body weight 10-15 % of body weight At what percentage of fluid loss will be IV degree of dehydration? 4-8 % of body weight 6-9 % of body weight 3-6 % of body weight Over 10 % of body weight Over 15 % of body weight At what percentage of fluid loss will be the IV degree of dehydration? 1-3 % of body weight 0,1-1 % of body weight 8-9 % of body weight Over 10 % of body weight Over 15 % of body weight Choose the universal drug given for amoebiasis from the list below. Osarsol Metronidazole Tetracycline Delagil All are correct Drug of choice for sanation of the holders of amoeba cysts can be. Monomitsin Delagil Tetracycline Furamid Ursosan Duration of therapy of primary rehydration in cholera is. 30 minutes 2 hours 6 hours 12 hours 1 days Duration of therapy of primary rehydration in cholera is: 1 hour 2 hours 12 hours 9 hours 1 day Endotoxin is not contained by shigella: Boyd 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. A. Grigor'ev-Shig Zonne Fleksner All enumerated contain Etiologic agent of dysentery is: Sh. dysentery Sh. zonnei Sh. flexneri Sh. boydii All enumerated Etiology agent of Shigellosis is: Sh. dysentery All enumerated Sh. flexneri Sh. boydii Sh. zonnei For specific therapy used for ameobiasis that adversely acts on vegetative and tissue forms of amoeba. Which group does delagil belong to: Tissue anti amoeboids Indirect anti amoeboids Direct anti amoeboids Products with universal effect Do not belong to any of these groups For specific therapy used for ameobiasis that adversely acts on vegetative and tissue forms of amoeba. Which group does metronidasol belong to: Tissue antiamoeboids Indirect antiamoeboids Direct antiamoeboids Drugss with universal effect Do not belong to any of these groups For the rehydration at dehydration shock it is necessary to conduct the permanent careful account of all losses of liquid every: 4 hrs 30 min 3 hrs 2 hrs 10 min For the rehydration in dehydration shock it is necessary to conduct the permanent careful account of all losses of liquid in each: 1 hr 30 min 4 hrs 2 hrs 5 hrs For verification of diagnosis of balantidiasis more frequently used test is: Virological researches 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. B. C. D. * E. 170. A. B. * C. D. Bacteriological examinations Roentgenologic researches Research on protozoa Ultrasound investigation How long does last health system control of convalescence after balantidiasis? 6 months 3 months 1 year 2 years 5 years How long is continuing clinical convalescence after acute amoebiasis. 3-6 months 1-3 months 6-12 months 12-18 months 18-24 months How long the incubation period last, during dysentery: 1-2 hours 2-3 days 10-15 hours 5-7 days 7-10 days How long the incubation period last during dysentery: 1-2 days 3-4 days 12-24 hours 5-7 days 14-21 days How often treatment of cyst amebae carrier should be done? Twice on a year Three times on a year One time on a year Does not treat Quarterly How to increase frequency of findings of lamblia cyst in fresh feces and vegetative forms in duodenal content? Cultivation in thermostat By the method of floatation in bilious clear soup Cultivation in anaerobic chamber By the applications of phase-contrast and lumencense microscopy with the help of methylen-orange To cultivate on a nourishing environment Immunity after carried shigellosis: Tense and species-specific Untense and type specific Lifelong and cross Untense and cross 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. Not formed Immunity after shigellosis is: Innate immunity Untense and type specific Cross and permanent Formed only after vaccination Not formed In 1 liter of Trisalt solution, the concentration of potassium chloride is: 3 g/l 1.5 g/l 1.0 g/l 2 g/l 2.5 g/l In 1 liter of Trisalt solution, the concentration of sodium bicarbonate is: 3 g/l 15 g/l 40 g/l 2 g/l 25 g/l In a different places of village found out a few cases of cholera. Who in the focus of cholera was send in an insulator? Carriers Persons contact with the patient Patients with cholera Persons with dysfunction of alimentary tract Persons with hyperthermia In a different places of settlement found out a few cases of cholera. Who in the focus of cholera was send in an infectious hospital? Carriers Persons that were in contact with the patient Patients with cholera Persons with dysfunction of alimentary tract Persons with hyperthermia In a settlement was found out a few cases of cholera. Who must be insulated? Persons with disfunction of intestine Patients with cholera Carriers Persons, were in contact with the cholera patient Persons with hyperthermia In acute intestinal amoebiasis causative agent is found in stool in which form: Tissue forms Minor vegetative form Vegetative form Cysts All listed forms In the outbreak of cholera it is necessary to carry out such measures, except: 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. B. C. D. E. * 183. A. * B. C. D. E. 184. A. * B. C. D. E. 185. Hyperchlorination of drinking water An active discovery of patients by rounds Obligatory hospitalization, inspection and treatment of patients and vibrio tests Revealing and isolation of contact persons Vaccine prophylaxis In the different places of settlement found out a few cases of cholera. Who from the contacts of cholera patient is sent in an isolation ward? Vibrio positive Patients with cholera Contact with the patient persons Persons with dysfunction of intestine Persons with high temperature In the different places of settlement found out a few cases of cholera. Who from the contacts of cholera patient is sent in an isolation ward? Vibriocarriers Persons that were in contact with the patient Persons with dysfunction of alimentary tract Persons with hyperthermia positive Contact with the patient persons In the different places of settlement it is found out a few cases of cholera. Who from such place is directed to an isolation ward? Patients with a cholera Transmitters Persons who had contact with the patient Persons with dysfunction of gastro-intestinal tract Persons who left the place on infection In the outbreak of cholera it is necessary to carry out such measures, except: Hyperchlorination of drinking water An active search of patients by rounds Obligatory hospitalization, inspection and treatment of patients and vibrio tests Revealing and isolation of contact persons Antiviral treatment In what disease during stool analysis mucous, erythrocytes, eosinophils, plasma cells and crystals Charcot-Leiden were reveals. Intestinal amoebiasis Intestinal yersiniosis Shigellosis Balantidiasis Enterohaemorrhagic esherichiosis In what disease during stool analysis mucous, erythrocytes, eosinophils, plasma cells and crystals Charcot-Leiden were reveals? Intestinal аmoebiasis Intestinal Yersiniosis Salmonellosis Giardiasis Rotaviral infection In which form during acute intestinal amoebiasis causative agent is found in stool: 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. * D. E. 190. A. * B. C. D. E. 191. A. B. * C. D. E. 192. A. * B. C. Tissue forms Small vegetative form Nothing Cysts All listed forms Intestinal amoebiasis can be characterized by such complications, ecxept: Amoeboma Intestinal bleeding Perforation of ulcers Meningitis Stricture of colon Intestinal amoebiasis can be characterized by such complications, ecxept: Liver abscess Osteomyelitis Perforation of ulcers Lungs abscess Stricture of colon Method of etiotropic therapy of cholera is. Glucocorticoids Antiviral Antibiotics Rehydration Vaccine Method of etiotropic therapy of cholera is. Non steroid anti inflammatory Antifungal Antibiotics Desintoxication Vaccine Most of vegitative forms of amoebiasis can be found in stool of: The patient with acute intestinal amoebiasis Convalescent after acute intestinal amoebiasis Defecation after use laxative Patients with chronic recurrent intestinal amoebiasis in remission stage Patients with amebic liver abscesses Mother with a child hospitalized with the diagnosis of shigellosis, typical form, moderate severity. Other family members are healthy. What measures are conducted to contact persons? Supervision 7 days. General blood analyses Supervision 7 days. Non-permanent bacteriological investigation of feces on a dysenteric group Supervision 2 weeks. Non-permanent bacteriological inspection of feces on a dysenteric group Supervision during 24 hours from the moment of detection of patient Hospitalization of contact persons on 7 day. Non-permanent blood analysis Name the cause of amoebiasis. E.histolytica L.canicola S.derby 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. 199. A. B. * S.boydii B.enterocolitica Name the cause of amoebiasis. E.histolytica L.icterohemorrhagica S.sonnei E.coli B.anthracis On еndoscopical inspection of a patient are found cysts of аmoeba. These changes are specific for what disease: Chronic intestinal аmoebiosis Acute intestinal аmoebiosis Amoeba liver abscess Heterospecific ulcerous colitis Cancer of rectum On еndoscopical inspection of a patient are found cysts of аmoeba. For what disease are these changes specific? Chronic intestinal аmoebiosis Convalescent after acute intestinal аmoebiosis Nonspecific ulcerous colitis Proctosigmoiditis Cancer of rectum Patient with cholera has bradycardia, low blood pressure, weakness. What is most important factor in the given clinical situation? Hypocalcemia Hypokaliemia Hyponatremia Hypernatremia Hyperkaliemia Patient with cholera has bradycardia, low blood pressure, weakness. What is the most important factor in the given clinical situation? Hypercalcemia Hypokaliemia Hyponatremia Hypercalcemia Hyperpotassemia Patient with cholera on a background treatment has signs of hyperkalemia. What solution must be applied for further rehydration therapy? Neohemodez Disalt Chlosalt Polyhydrid Lactasalt Patient with cholera on a background treatment has signs of hyperkalemia. What solution must be applied for further rehydration therapy? Reosorbilact Disalt 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. 205. A. B. C. D. * E. 206. A. B. C. D. E. * 207. Trisalt Isotonic solution Glucose 5% Drugs of choice for the treatment of amoebae cyst carrier: Monomycinum Delagilum Tetracyclin Furamid Ursosan Principles of treatment of patients with shigellosis. Diet Antibacterial drugs Correction of dysbacteriosis Detoxication therapy All enumerated Drugs of choice at treatment of patients with shigellosis. Probiotics Antibacterial medicines Prebiotics Sorbents All enumerated Shigella that does not contain endotoxin: Boidii Grigor'eva-Shiga Zonne Fleksneri All of mentioned contain Such concomitant diseases are importent in more protracted convalescent transmitter of shigella: HIV-infection/AIDS Chronic hepatitis Chronic pancreatitis Adenoviral infection Diabetes mellitus The balantidiasis possible complications are all, except: Hypochromic anaemia Enterorrhagia Perforation of ulcer Abscess of liver Cachexia The causal agent of amoebiasis during life cycle can be in any form except: Mature cyst Immature cyst Trophozoite Quadrinucleate cyst Spore The causative agent of amoebiasis during life cycle can be in any form except: 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. * 212. A. B. C. D. * E. 213. A. B. C. D. E. * 214. A. * B. C. Mature cyst Immature cyst Trophosoit Quadrinucleate cyst Spore The clinical forms of balatidiasis are all, except Flash rapid Acute Subclinical Chronic continues Chronic recurrent The drug of choice for treatment of the carriers of amoeba cysts can be. Doxicyclin Streptomycin Furasolidon Furamid Fluconasol The essential therapy for cholera is: Diet Antibacterial drugs Correction of dysbacteriosis Desintoxication Primary rehydration The essential therapy for cholera is. Regime Secondary rehydration Correction of dysbacteriosis Antiviral treatment Primary rehydration The inhabitant of a village, admitted with complaints about severe pain in a stomach, and diarrhea. The stool is liquid with mixtures of blood. About what disease it is possible to think? Amebiasis Rotavirus gastroenteritis Giardiasis Shigellosis Cholera The main principles of therapy for rehydration in cholera is. Determining the definitive degree of dehydration from clinical data Amount of lost liquid which was preceded at time of hospitalization Application of isotonic solution Simultaneous introduction of liquid in more than one vessel All are correct The majority of vegetative forms of Entamoeba can be found in stool from: The patients with acute intestinal amoebiasis The convalescent after acute intestinal amoebiasis Patients with amebic liver abscesses after using laxative 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. * B. C. D. E. 220. A. B. C. D. * E. 221. A. B. C. D. * E. 222. A. Patients with chronic recurrent intestinal amoebiasis in remission stage Patients with amebic liver abscesses The most important epidemiologic role at shigellosis play: Sick persons with an acute form of illnesses Sick persons with a chronic form of illnesses Sick with the latent form of illnesses Healthy carriers Children The source of agent at shigellosis is: Patient Sick cattle Sick rodents Soil Feces of patients The source of exciter at shigellosis is: Sick man Sick agricultural animals Sick birdss Environment Urine of patients What agent can cause balantidiasis. B. Coli B. Enterocolitica S. Derby S. Boydi L. Canicola What agent causes balantidiasis. B. Coli E. Coli Sh. Sonne S. Enteritidis B. Anthracis What are the clinical forms of amoebiasis, except: Enteric Skin Liver abscess Myocarditis Lung abscess What are the known clinical forms of amoebiasis: Enteric Skin Liver abscess All enumerated Lung abscess What are the stages of life-cycle of balantidium. Cyst B. C. * D. E. 223. A. * B. C. D. E. 224. A. B. C. D. E. * 225. A. B. C. * D. 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. Vegetative and spore Vegetative and cyst Spore Vegetative What clinical forms of balantidiasis are the most often. Mild Acute Subclinical Chronic Fulminant What complication is typical for balantidiasis. Intestinal bleeding Cachexia Perforated ulcer Abscess of bowel All enumerated What does belong to the group of pathogens of amoebiasis? Mycoplasma Fungi The simplest Rickettsiae Worms What does belongs to the group of pathogens of amoebiasis? Viruses Chlamydia The simplest Fungi Parasites What from the given measures is made during the secondary rehydration? Determining degree of dehydration from clinical data Amount of lost liquid, which was preceded at the time of hospitalization Application of isotonic crystalloid solutions Simultaneous introduction of liquid in a few vessels Amount of liquid loss What from the below is a complication of cholera? Collapse Infectious-toxic shock Acute renal insufficiency Dehydration shock Status typhosus What from the below mentioned drugs can be used for the treatment of primary rehydration? Lactosalt Disalt Acesalt Trisalt Chlosalt 230. A. B. * C. D. E. 231. A. * B. C. D. E. 232. A. B. 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. What from the below mentioned preparations cannot be used for the treatment of primary rehydration? Lactosalt Disalt Acesalt Trisalt Chlosalt What from the below mentioned preparations, can be used for the treatment of primary rehydration? Quartasalt Acesalt Chlosalt Disalt Lactosalt What from the below mentioned preparations, cannot be used for the treatment of primary rehydration? Acesalt Trisalt Cryoplasma Chlosalt Lactosalt What from the below mentioned preparations, can be used for the treatment of primary rehydration? Rehidron Acesalt Chlosalt Quartasalt Lactosalt What from the given preparations can be applied for etiotropic therapy of ameobiasis? Osarsol Metronidazol Tetracycline Delagil All are correct What group of infectious diseases balantidiasis belongs to. Intestinal Blood infection Sapronosis External coverings Respiratory What group of pathogens balantidiasis belong to. Fungi Viral Simplest Parasites Rickettsiosis What is a source of the causal agent of amoebiasis? People Cows Sheep D. 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. 243. A. * B. C. D. E. 244. A. B. C. * D. E. Pigs Camel What is an incubation period for intestinal amoebiasis: From 1 week to several months 3-5 days 4-6 days 1-2 years From 3 months to 1 year What is the incubation period for balantidiasis. 7-14 days 5-10 days 1-3 months 1-3 weeks 3-6 weeks What is the main method of taking of material for parasitological examination in case of intestinal amoebiasis. Immediately after the defecation In the next day of defecation After processing of disinfectants 1-2 hours after processing with Lugol solution 2-3 hours after processing with iron hematoxylin What is the main method of taking of material for parasitological examination in case of intestinal amoebiasis. Immediately after the defecation warm feces In the next day of defecation After processing of disinfectants After using the antibiotics 2-3 hours after defecation What is the mechanism of transmission at amoebiasis Fecal-oral Vector borne Air-dropping Wound Vertical What is the way of transmission of amoebiasis Fecal-oral Transmissive Air-droplet Parenteral By flies What is the pathological changes in intestine at balantidiasis. No changes Ulcer Hyperemia, edema Edema Hyperemia without edema 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. * 252. A. * What is the source of the causative agent of amoebiasis? Humans Cattle Birds Horses Camels What is the way of transmission at balantidiasis. By mosquitoes Food-born Air-drop Parenteral Vertical What kind of colon mucous membrane can be found between amoebiatic ulcers: Hyperemia without edema Lividity, without edema Hyperemia, edema Regular colored edema Without changes What kind of ulcers are present at аmebiasis? Fillings out sharp edges, surrounded by the area of hyperemia, are placed on the unchanged mucus membrane Smooth sharp edges, placed on a hyperemic mucus membrane Plain edges, placed on a hyperemic mucus membrane Fillings out sharp edges, placed on the unchanged mucus membrane Fillings out sharp edges, surrounded by the area of hyperemia, are placed on the changed mucus membrane What mechanism of shigella transmission? Vertical Transmissive Air-droplet Contact Fecal-oral What way of transmission at shigellosis? Fecal-oral Transmissive Air-droplet Parenteral By flies What part as a rule of lower GI tract is affected during amoebiasis, exept? The descending colon Sigmoid and rectum The ascending colon Transversal colon Small intestine What part of lower GI tract is affected with amoebiasis most often? The descending and ascending colon 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. * B. C. Sigmoid and rectum Duodenum and jejunum Transversal colon Small intestine What solutions must be applied for compensatory rehydration in cholera? Colloid Hypertensive epitonic polyionic crystalloid Isotonic crystalloid Reosorbilact Isotonic solution of glucose What solutions must be applied for compensatory rehydration in cholera? Colloid Hypertonic polyionic crystalloid Isotonic polyionic crystalloid Reosorbilact Isotonic solution of glucose What time is it necessary to complete primary rehydration at dehydration shock? 3-5 hrs 0.5 hrs 15-20 min 1.5-2 hrs 4-6 hrs What time is it necessary to complete primary rehydration at dehydration shock? 10-15 hrs 1/2 hrs 4-5 hrs 1.5-2 hrs 1 days When is it possible to discharge convalescent after аmoebiasis from the hospital? After clinical convalescence and negative results of parasitological research of excrements After clinical convalescence and three negative results of parasitological research of excrements After clinical convalescence and two negative results of parasitological research of excrements After clinical convalescence and normalization of indexes of general blood analysis After clinical convalescence, normalization of indexes of general blood analysis and two negative results of bacteriological examination of excrement When would you discharge a patient from hospital, who was diagnosed with balandiasis? After clinical convalescence and two negative results of research on protozoan of excrement After clinical convalescence and two negative results of bacteriological examination of excrement After clinical convalescence and one negative result of parasitological research of excrement After clinical convalescence and normalization of indexes of general blood analysis After clinical convalescence, normalization of indexes of general blood analysis and two negative results of bacteriological examination of excrement Which group has pathogenic agent of giardiasis belongs to The simplest Worms Rickettsiae 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. D. E. * 267. A. Mycoplasmas Chlamidia Which of antibiotics are used as etiological treatment of shigellosis: Penicillin, bicillin Furasolidon, nifuroxasid Tetracycline Aminoglycosides (kanamicin) Cephalosporins (cefazolin) Which salt solutions do not contain potassium? Trisalt Lactosalt Disalt Quartasalt Chlosalt Which salt solutions do not contain potassium? Trisalt Lactosalt Disalt Quartasalt Chlosalt Which ulcers are specific for amoebiasis: Purulent ulcers with undermining, surrounded by hyperemic zone located on the intact mucosa Smooth ulcers with undermining, located on the hyperemic mucosa Necrotic ulcers, located on the hyperemic mucosa Edematose ulcers with undermining located on the intact mucosa Small lesions on the basis of infiltration covered with white coat Who is the reservoir of the causative agent at balantidiasis. Pig Cow Sheep Goat Bear Who is the reservoir of the causative agent in balantidiasis. Pig Chicken Dog Fox Human Who must be admitted in the hospital from the focus of cholera? Carriers Patients with cholera Persons with dysfunction of intestine Contact persons All enumerated Who must be admitted in the hospital from the focus of cholera, except? Carriers 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. E. 273. A. B. C. * D. E. 274. A. B. Patients with cholera Persons with dysfunction of intestine Contact persons Persons with high temperature To the patient with the diagnosis of shigellosis antibacterial therapy is prescribed by the protracted course. What is the most frequent complication can arise up at such treatment? Infectious-toxic shock Allergic reactions Dysbacteriosis Renal insufficiency Toxic hepatitis To the patient with the diagnosis of shigellosis antibacterial therapy is prescribed by the protracted course. What is the most frequent complication can arise up at such treatment? Disseminated intravascular coagulopathy Allergic dermatitis Disbacteriosis Herpetic stomatitis Gastric ulcer Young farmer was diagnosed with balantidiasis. Drugs of choice would be all, except: Monomycin Ampicillin Aminarson Gentamicin Metronidazole Young farmer was diagnosed with balantidiasis. Drugs of choice would be: Monomycin Ampicillin Metronidazole Osarson All enumerated Young farmer was diagnosed with balantidiasis. Drugs of choice would be all, except: Bisoprolol Monomycin Ampicillin Metronidazole Osarson A Sick 18 years, hospitalized in an infectious department with diagnosis of cholera, very severe state, dehydration of IV degree. What measures are possible primarily? Oral rehydration by glucose solutions Tetracycline Intravenous stream introduction of salt solutions Proceeding the normal microflora of intestine Intravenous stream introduction of sodium chloride solution All of the following are the blood flukes except: Schistosoma japonicum Fasciola gigantica 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. D. E. * 279. A. B. C. D. E. * 280. A. B. C. D. E. * 281. A. * B. C. D. E. 282. Clonorchis sinensis Fasciola hepatica Echinococcus granulosis Alveococcosis belongs to: Nematodosis Trematodosis Cestodosis Ricketsiosis Mycosis Alveococcosis is: Bacterial infection Viral infection Protozoosis Fungal infection Helminthosis Ascaridiosis belongs to: Nematodosis Trematodosis Cestodosis Ricketsiosis Mycosis Ascaridiosis is: Bacterial infection Viral infection Protozoosis Fungal infection Helminthosis At I degree of dehydration the loss of liquid is: 0,5-1,5 % of body weight 6-9 % of body weight 3-6 % of body weight 5-8 % of body weight 1-3 % of body weight At intestinal аmebiasis, area of mucous membrane of bowel between ulcers: Hyperemic without edema Sinusoid without edema Hyperemic fillings out Ordinary color, fillings out Not changed At what percent of fluid loss will be II degree of dehydration? 3-6 % of body weight 6-9 % of body weight 1-3 % of body weight 0,5-2 % of body weight 2-7 % of body weight At what percent of fluid loss will be III degree of dehydration? A. B. C. * D. E. 283. A. B. C. D. * E. 284. A. B. C. D. * E. 285. A. * B. C. D. E. 286. A. * B. C. D. E. 287. A. B. C. * D. E. 288. A. B. C. * D. E. 289. A. B. C. D. 3-6 % of body weight Over 10 % of body weight 6-9 % of body weight 4-8 % of body weight 10-15 % of body weight At what percent of fluid loss will be IV degree of dehydration? 4-8 % of body weight 6-9 % of body weight 3-6 % of body weight Over 10 % of body weight Over 15 % of body weight B-12 deficiency is cause by which of the following: Echinococus granulosis T. saginata E. multilocularis Diphyllobothrium latum Ascaris lumbricoideus Balantidiasis is caused by: B. coli B. anthracis E. coli M. hominis B. melitensis Chyluria is the complication of lymphatic filariasis abdominal angiostrongyliasis enterobiasis trichuriasis amebiasis Cryptosporidiosis is: blood borne infection respiratory infection intestinal infection infection of external covers helminthiasis Cysticercosis belongs to: Nematodosis Trematodosis Cestodosis Ricketsiosis Mycosis Cycticercosis is: Bacterial infection Viral infection Protozoosis Fungal infection E. * 290. A. B. C. * D. E. 291. A. B. C. D. E. * 292. A. B. C. * D. E. 293. 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. Helminthosis Diphyllobothriosis belongs to: Nematodosis Trematodosis Cestodosis Ricketsiosis Mycosis Diphyllobothriosis is: Bacterial infection Viral infection Protozoosis Fungal infection Helminthosis Drug of choice for the treatment of the lymphatic filariasis is: albendazole steroids diethylcarbamazine metronidazole chloramphenicol Echinococcosis belongs to: Nematodosis Trematodosis Cestodosis Ricketsiosis Mycosis Echinococcosis is: Bacterial infection Viral infection Protozoosis Fungal infection Helminthosis Enterobiosis belongs to: Nematodosis Trematodosis Cestodosis Ricketsiosis Mycosis Enterobiosis is: Bacterial infection Viral infection Protozoosis Fungal infection Helminthosis Teniosis belongs to: Nematodosis Trematodosis C. * D. E. 298. A. B. C. D. E. * 299. A. B. C. * D. E. 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. Cestodosis Ricketsiosis Mycosis Teniosis is: Bacterial infection Viral infection Protozoosis Fungal infection Helminthosis Teniarinchosis belongs to: Nematodosis Trematodosis Cestodosis Ricketsiosis Mycosis Teniarinchosis is: Bacterial infection Viral infection Protozoosis Fungal infection Helminthosis Strongiloidosis belongs to: Nematodosis Trematodosis Cestodosis Ricketsiosis Mycosis Strongiloidosis is: Bacterial infection Viral infection Protozoosis Fungal infection Helminthosis Ancilostomosis belongs to: Nematodosis Trematodosis Cestodosis Ricketsiosis Mycosis Ancilostomosis is: Bacterial infection Viral infection Protozoosis Fungal infection Helminthosis Etiology agent of botulism is: A. B. C. * D. E. 306. A. B. C. * D. E. 307. A. 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. Campylobacter Balantidium coli Cl. botulinum Cl. perfrigens S. aureus Etiology agent of botulism is: Ch. trachomatis Escherichia coli Cl. botulinum Cl. perfrigens Rotavirus Fasciolosis belongs to: Nematodosis Trematodosis Cestodosis Ricketsiosis Mycosis Fasciolosis is: Bacterial infection Viral infection Protozoosis Fungal infection Helminthosis For the rehydration in dehydration shock it is necessary to conduct the permanent careful account of all losses of liquid in each: 4 hrs 30 hrs 3 hrs 2 hrs 5 hrs For verification of diagnosis of balantidiasis more frequently used test is: Virological researches Bacteriological examinations Roentgenologic researches Research on protozoa Ultrasound How long does last health centre system of convalescent after balantidiasis? 6 months 3 months 1 year 2 years 5 years How often treatment of amoebae cyst carrier should be done? Twice a year Three times a year One time a year D. E. 313. A. B. C. D. * E. 314. A. B. 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. Does not treat Quarterly How to increase frequency of findings of lamblias cyst in fresh feces and vegetative forms in duodenal content? Cultivation in thermostat By the method of floatation in bilious clear soup Cultivation in anaerobic chamber By the applications of phase-contrast and luminescent microscopy with the help of methylen-orange To cultivate on a nourishing environment In 1 liter of Trisalt solution, the concentration of potassium chloride is: 3 g/l 1.5 g/l 1.0 g/l 2 g/l 2.5 g/l In a settlement was found out a few cases of cholera. Who must be insulated? Persons with dysfunction of intestine Patients with cholera Carriers Persons contact with the sick patient Persons with hyperthermia In the break out of cholera it is necessary to carry out such measures, except: Hyperchlorination of drinking water An active discovery of patients by rounds Obligatory hospitalization, inspection and treatment of patients and vibrio tests Revealing and isolation of contact persons Vaccine prophylaxis In the different places of settlement found out a few cases of disease of cholera. Who from the contacts of cholera patient is sent in an insulator? Vibrio positive Patients with cholera Contact with the patient persons Persons with dysfunction of intestine Persons with high temperature Loffler syndrome at Ascariasis is due to inflitration of lung tissue by eosinophills inflitration of payer's patches by eosinophills invasion of gallblader by A.lumbricoides pathogen inflitration of liver by eosinophills none of enumerated Child, 5 years, itching in the perianal region. Most probable diagnose will be: Trichinosis Enterobiosis Ascaridosis Helminthosis Cystitis 320. A. B. * C. D. E. 321. A. B. * C. D. E. 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. Onchoceriasis is also known as: tropical pulmonary eosinophillia river blindness guinea worm infection African eye worm disease ricketsiosis Opisthorchosis belongs to: Nematodosis Trematodosis Cestodosis Ricketsiosis Mycosis Opisthorchosis is: Bacterial infection Viral infection Protozoosis Fungal infection Helminthosis Patien O., 29 years old, farmer appeared to a doctor with the signs of balantidiasis and was hospitalized. The best etiotropic drug is: Benzylpenicillin Gentamycin Levomycitin Monomycin Timogen Patient D., 13 y.o., hospitalized with complaints of nausea, abdominal pain, liquid emptying without pathological admixtures with an unpleasant smell, 6 times per day. The day before he had a supper with meat salad. What is a first aid? Peroral rehydration by glucose-electrolytes solutions To wash a stomach and intestine by solution of hydrocarbonate of sodium Antibacterial preparations of wide spectrum of action Renewal of normal microflora of intestine To wash a stomach and intestine by solution of permanganate of potassium Patient H., 37 y.o., appealed to the doctor on the second day of disease with complaints of the promoted fatigueability, weakness in muscles („cotton feet”), violation of sight, dryness of mouth. Works in a tourist agency, often is in the oversea business trip. Three days ago was with friends on a picnic in a forest, where ate the varied meal of the domestic making. At a review: Т-36,8 °C. Blepharoptosis. Midriasis. The reaction on light is lost. A soft palate is not changed. Defecation is absent for 2 days. What is the source of infection in this disease? The sick man Man-bacteria carrier Domestic animals Canned foods Ticks Patient I., 34 years old, entered to the infectional department. She is sick during 4 days. She complained on binocular diplopia, “rate” in front of eyes, erostomya, dysphagia, myastenia. What is previous diagnosis? Stool B. C. * D. E. F. G. H. I. J. 327. A. B. C. * D. E. 328. A. B. C. D. E. * 329. A. B. C. D. * E. 330. A. B. C. D. * E. 331. A. B. C. D. Wine Blood Vomiting mass All above it Poisoning by Belladonna Diphtherial polyneuritis Botulism Rotaviral infection Poliomyelitis Patient I., 34 years old, entered to the infectious department. She is sick during 4 days. She complained on binocular diplopia, “net” in front of eyes, xerostomya, dysphagia, myastenia. What is previous diagnosis? Poisoning by Belladonna Diphtherial polyneuritis Botulism Rotaviral infection Poliomyelitis Patient M, 32 y.o., entered clinic on 3rd day of disease with complaints of nausea, feeling of weight in abdomen, vomits, liquid stool. Then appeared clouds before eyes, doubling of objects, voice hoarse, violation of swallowing. A day before he used the dried fish. During review: state is moderate., violation of active motions like paralyses. There is also midriasis, vertical nystagmus, blepharoptosis, absent reaction of pupils on light. Tongue is dry. Flatulence of 2 stage. What methods of laboratory diagnostics are used to confirm the diagnosis? Reaction indirect hemaglutination Immunofluorescent Virology Reaction of coaglutination Reaction of neutralization (biological test) Patient M., 35 years old, who is sick during 2 days, complains on xerostomia, dysphagia. What symptom is necessary to check? The Padalra‘s symptom The Stefansky‘s symptoms The corneal symptoms The eyes symptoms. All above it Patient M., 35 years old, who is sick during 2 days, complain on herostomia, dysphagia. What symptom is necessary to check? The Padalra‘s symptom The Stefansky‘s symptoms The corneal symptoms The eyes symptoms. All above it Patient with cholera has bradycardia, low blood pressure, weakness. What is most important factor in the given clinical situation? Hypocalcemia Hypopotassium Hyponatremia Hypernatremia 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. * C. D. E. 337. A. B. C. D. E. * 338. A. * B. Hyperpotassium Patient with cholera on a background treatment has signs of hyperkalemia. What solution must be applied for futher rehydration therapy? Neohemodez Disalt Chlosalt Polyhybrid Lactosalt Patient, 32 y.o., complains of progressing muscular weakness, worsening of sight, doubling of objects, “net”, before eyes, violation of swallowing (can not swallow a hard meal), thirst. In the first day of illness single liquid stool was present without pathological admixtures, nausea. 2 days prior to beginning of disease was in guests, used an alcohol, canned mushrooms. Presence of ptosis, midriasis, anizocoria. Tones of heart are muffled. Which antibotulinic serum is it expedient to enter? Mixture of serums of types A and E for 5 thousands IU and type B 10 thousands of IU Mixture of serums of types A, B and E for 10 thousands of IU Mixture of serums of types A, B and E for 5 thousands of IU Mixture of serums of types A and E for 10 thousands IU and type B 5 thousands of IU Mixture of serums of types A and B for 10 thousands IU and type E 5 of thousand of IU Patient, 40 y.o. in 5 hours after the use in the meal of canned mushrooms of the domestic making a sharp general weakness, nausea, vomits, dryness of mucus membranes of oral cavity, doublings of objects, disorders of act of swallowing. Diagnosis? Poisoning by Belladonna Diphtherial polyneuritis Botulism Rotaviral infection Poliomyelitis Preparation of choice for the treatment of carrier of cyst of amoebae is: Monomycinum Delagilum Tetracyclin Yatrenum Ursosan Schistosomosis belongs to: Nematodosis Trematodosis Cestodosis Ricketsiosis Mycosis Schistosomosis is: Bacterial infection Viral infection Protozoosis Fungal infection Helminthosis Strongyloidosis belongs to: Nematodosis Trematodosis 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. * 344. A. B. C. D. * E. 345. A. * B. C. D. E. 346. Cestodosis Ricketsiosis Mycosis Strongyloidosis is: Bacterial infection Viral infection Protozoosis Fungal infection Helminthosis Teniarinchosis belongs to: Nematodosis Trematodosis Cestodosis Ricketsiosis Mycosis Teniarinchosis is: Bacterial infection Viral infection Protozoosis Fungal infection Helminthosis Teniosis belongs to: Nematodosis Trematodosis Cestodosis Ricketsiosis Mycosis Teniosis is: Bacterial infection Viral infection Protozoosis Fungal infection Helminthosis The balantidiasis possible complications are all, except: Hypochromic anaemia Enterorrhagia Perforation of ulcer Abscess of liver Cachexia The clinical forms of balatidiasis are all, except Lightning rapid Acute Subclinical Chronic continues Chronic recurrent The distinctive pattern of movement of filarial worms in lymphatic vessels is known as: 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. * D. E. 352. A. * B. C. D. E. 353. filaria jumping sign filaria dance sign filaria swim sign filaria escape sign filaria flying sign The most effective means of filariasis control will be: mass yatren therapy insecticidal measures against culex mosquitoes provision of underground drainage personal prophylaxix all mentioned above The patient, 45 y.o., entered clinic on the 2nd day of illness with complaints of a weakness, diplopia, dryness in mouth, constipations. 3 days ago ate the smoked pork of the domestic making. At a review: skin pale, consciousness is clear. Temperature 37,2 C, pulse 68 in 1 min, AP 120/80, pupils are widening, reaction on light slow, ptosis, horizontal nystagmus. Paresis of soft palate. A sensitiveness is normal. Meningeal signs are not present. The most effective treatment will be: Sulfanilamides Antibiotics Salts solutions Antiviral preparations Antibolutilic antitoxic serum Toxocarosis belongs to: Nematodosis Trematodosis Cestodosis Ricketsiosis Mycosis Toxocarosis is: Bacterial infection Viral infection Protozoosis Fungal infection Helminthosis Trichinellosis develops after: bite of a tick drinking of contaminated water ingestion of the infected meat bite of a dog all of the above Trichinosis belongs to: Nematodosis Trematodosis Cestodosis Ricketsiosis Mycosis Trichinosis is: 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. A. B. C. D. E. * 360. A. * B. C. Bacterial infection Viral infection Protozoosis Fungal infection Helminthosis What clinically active forms of cholera do you know? Very rapid acute for the children and elderly persons “Choleric typhoid”, acute subclinical, for the children and elderly persons Dry, very rapid, “choleric typhoid”, subclinical for the children and elderly persons Very rapid “choleric typhoid”, acute, subclinical, for the children and elderly persons Very rapid, dry, subclinical, for the children and elderly persons What from the below mentioned preparations can be used for the treatment of primary rehydration? Lactosalt Disalt Acesalt Trisalt Khlosalt What from the below mentioned preparations, can be used for the treatment of primary rehydration? Polyhybrid Acesalt Khlosalt Kvartasalt Lactosalt What from the below mentioned preparations, can be used for the treatment of primary rehydration? Acesalt Trisalt Cryoplasma Khlosalt Lactosalt What is larva currents dead larva floating larva running larva slipping larva none of the above What is the main symptom of the Trichinellosis: Rash Muscle pain Edema of eyelids Nodules in muscles All mentioned above What kind of ulcers are present at аmebiasis? Fillings out sharp edges, surrounded by the area of hyperemia, are placed on the unchanged mucus membrane Smooth sharp edges, placed on a hyperemic mucus membrane Even edges, placed on a hyperemic mucus membrane 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. D. E. 367. A. B. Fillings out sharp edges, placed on the unchanged mucus membrane Fillings out sharp edges, surrounded by the area of hyperemia, are placed on the unchanged mucus membrane What material should be taken to discharge the Cl. Botulinum? Stool Food debris Blood Vomiting mass All above it What special treatment is used in beginning of the botulism? Antibotulinum serum Disintoxication therapy Hormonal therapy Sulfonamides therapy Vaccine therapy What special treatment used in beginning of the botulism? Antibiotic therapy Disintoxication therapy Hormonal therapy Sulfonamides therapy Vaccine therapy What time is it necessary to complete primary rehydration at dehydration shock? 3-5 hrs 0.5 hrs 2-3 hrs 1-1.5 hrs 4-6 hrs When it is.possible to write reconvalensense state of аmoebiosis from permanent establishment? After clinical convalescence, in default of in incandescence of mucous, еosinophils, crystals of Charkot-Leiden and two negative results of parasitological research of excrements After clinical convalescence, in default of in incandescence of blood and three negative results of parasitological research of excrements After clinical convalescence, in default of leukocytosis and two negative results of parasitological research of excrements After clinical convalescence and normalization of indexes of global analysis of blood After clinical convalescence, normalization of indexes of global analysis of blood and two negative results of bacteriological examination of excrement When would you discharge a patient from hospital, who was diagnosed with balandiasis? After clinical recovery and two negative results of parasitological research of excrement After clinical recovery and two negative results of bacteriological examination of excrement After clinical recovery and one negative result of parasitological research of excrement After clinical recovery and normalization of indexes of global analysis of blood After clinical recovery, normalization of indexes of global analysis of blood and two negative results of bacteriological examination of excrement Which drug can be used in pregnancy in case of ascariasis? albendazole mebendazole 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. A. B. C. * D. E. 375. pyrantel pamoate ivermectin piperasin adipinat Which from the below is a complication of cholera? Collapse Infectious-toxic shock Acute renal insufficiency Dehydration shock Status typhosis Which groups of symptoms are occurs in the clinic of botulism? Vomiting, higher temperature Dysphagia, dysphonia, diplopia, Sickness, general weakness Higher temperature, diarrhea, speech dysfunction Diarrhea, vomiting dysfunction of eyesight Which groups of symptoms are occurs in the clinic of botulism? Vomiting, higher temperature Dysfunction of speech and eyesight, breath, sickness, dysphagia Sickness, general weakness Higher temperature, diarrhea, speech dysfunction Diarrhea, vomiting dysfunction of eyesight Which of the following is known as pinworm E. vermicularis A. duodenale N. americanus T. solium all of the above Which of the following is the largest intestinal helminthes in human: D. latum S. stercoralis Anisakis simplex E. vermicularis T. saginatus Which of the following species of Trichinella are distributed world wide: T.nelsoni T.spiralis T.nativa All mentioned above None Which salt solutions do not contain potassium? Trisalt Lactosalt Disalt Qudrosalt Khlosalt Who must be admitted in the hospital from the focus of cholera? 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. Carriers Patients with cholera Persons with disfunction of intestine Contact persons Persons with high temperature With the purpose of specific prophylaxis of cholera is used: Cholerogen-toxoid Vaccine Nitrofuranes Immunoprotein Antibiotics With which serum reactions it is possible to confirm the diagnosis of balantidiasis? Complement link reaction, reaction in gel precipitation, reaction of immobilization Reaction of indirect gemagglutination, immune fluorescent reaction Complement link reaction, reaction of indirect gemagglutination Complement link reaction, immune fluorescent reaction, reaction of indirect gemagglutination Complement link reaction, reaction of indirect gemagglutination Woman L, 65 y.o., became ill sharply, in 12 hours after the use in the meal of canned mushrooms of the domestic making and fried eggs fried on fat. A sharp weakness, nausea, double vomits, appeared „clouds” before eyes, disorders of swallowing. At a review: Т-36,2 C., ptosis, midriasis,anizocoria, inspiratory dyspnea. What disease is present in women? Botulism Salmonelosis Poisoning by mushrooms Sharpening of chronic cholecystitis Toxic food-borne infection Two girls came to a hospital, because they had 38 0С fever, a headache, weakness, dizziness, and a pain in epigastry and round a navel, a nausea, vomiting 3 times, excrements 4 times per a night, watery diarrhea, foamy, fetid, with mucus impurity. It is known from the history that the day before the girls ate pastries with cream which were not stored in a refrigerator. Objectively: a tongue is dry, furred by white touch, the stomach is bloated moderately, rumbles in palpation, painful in epigastry, pulse is 80 bpm, and the blood pressure is 110/70 mm mercury column. To define the diagnosis. Shigellosis Salmonellosis Food poisoning Typhoid fever Cholera Two girls came to a hospital, because they had 38 0С fever, a headache, weakness, dizziness, and a pain in epigastry and round a navel, a nausea, vomiting 3 times, excrements 4 times per a night, watery diarrhea, foamy, fetid, with mucus impurity. It is known from the history that the day before the girls ate pastries with cream which were not stored in a refrigerator. Objectively: a tongue is dry, furred by white touch, the stomach is bloated moderately, rumbles in palpation, painful in epigastry, pulse is 80 bpm, and the blood pressure is 110/70 mm mercury column. To make the treatment plan. Diet 5, regidron, polifepan, enzymes, nifuroksazyd Diet 5, regidron, polifepan, enzymes, furagin Diet 5, regidron, polifepan, enzymes Diet 5, regidron Diet 5, polifepan, enzymes, furagin 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. 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 оC, 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 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 hyperemia gum blushs. 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 E. 387. A. * B. C. D. E. 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. * Acute exudative pleuritis A normal indices of impalpable fluid losses of the adult person with 70 kg body weight is: 1000 ml per a day 500 ml per a day 700 ml per a day 1500 ml per a day 2000 ml per a day ?A pathological state which develops owing to catastrophic reduction of a circulating fluid volume and electrolytes loss is: An infectious-toxic shock An anaphylactic shock A dehydrationous shock A hemorrhagic shock All right 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 оC. 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 croupe Respiratory-sencytial 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. Crepitation can’t be find. 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 lymphonodes, 1-3 cm in a diameter, dense, elastic, enlarged, hepatospleenomegaly. Blood analysis: leukocytosis, mononuclear – 15 %. What is possible Infectious mononucleosis diagnosis? B. C. D. E. 393. A. * B. C. D. E. 394. A. * B. C. D. E. 395. A. B. * C. D. E. 396. A. * B. C. D. E. 397. A. * B. C. D. Adenoviral infection Angina Diphtheria Acute lympoleycosis 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 Enteroviral infection A patient 20 years old, complains about increasing of temperature up to 39 оC, 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 scleras. Pulse 96/min, rhythmic, tones of heart are hyposthenic. Menengial symptoms are not present. Blood analysis: leuk 9?109, е 1 %, bands 6 %, seg 51 %, lymp 35 %, mono 7 %. What is the most possible diagnosis? Ifluenza Adenovirus infection Leptospirosis Pneumonia Epidemic typhus A patient 26 years old, became sick rapidly: temperature 39.5 оC, 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 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. 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 оC 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 Enteroviral infection 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, subecteric appeared. Liver +3 cm. Daily – diuresis 700 ml. What is the previous Hemorrhagic diagnosis? fever with a kidney syndrome Hepatitis A Escerichiosis 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, breakingdry cough, temperature of the body 37,4 °C. Pulse 86/min., difficult nasal breathing, insignificant serous excretions from nose. Which acute respiratory infection does the patient carry? Influenza РC-viral infection Parainfluenza Adenoviral infection Enteroviral 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 оC, headache in frontal and temporal regions, pain in eyeballs, close nose, dry cough and pain in the chest. The nose bleeding, nausea, double vomits. Objectively: conjunctivitis, hyperemia, edema, hemorrhages in mucous of otopharhynx, tachycardia. Blood pressure is low. Difficult breathing . What is the most possible diagnosis? Meningococcemia Epidemic typhus Leptospirosis Flu Typhoid fever 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. A patient C., 25 years old, fell suddenly ill. Every morning severe headache, frequent vomiting, temperature of the body is 39.9 °C. Adopted fatigue, then state got much worse. In the evening lost of consciousness. Expressed muscles pains of back and head. Positive Кеrning’s symptom. Leukocytes – 18,0?109. What is the most reliable diagnosis? Flu Epidemic typhus, typhus state Viral menigoencephalitis Sepsis, infectious-toxic shock Bacterial menigoencephalitis 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 knots: neck front and back, arm-pits and inguinal, to 1 sm in a diameter, soft, not is soldered between itself and with a surrounding cellulose. A pharynx is hyperemic, tonsills are hypertrophied and hyperemic. In lights of wheezes it is not. Breathing clean. Tones of heart are muffled. BP is 140/80 mm Hg. Ps – 80 per 1 minute. Stomach soft. A megascopic liver which comes forward on 3 cm below costal arc and spleen are palpated – soft, painless. Choose the most credible diagnosis: 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 Мeningococcemia Enteroviral infection A patient H., 22 years old, with flu was hospitalized into infectious department with the acute worsening of the common state. Consiousness is stored. The patient strangles. Pallor of skin with cynosis. Respiratory rate 50 per min, AP 80/55 mmHg, pulse 110 per a min, temperature 39.8 оC. 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 D. E. 408. A. * B. C. D. E. 409. A. B. C. * D. E. 410. A. * B. C. D. E. 411. A. B. * C. D. E. 412. A. * B. C. D. E. 413. A. 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 at 2 o’clock, the BP fell down to 40/10 mm of hg. Peripheral pulse and мeningeal signs does not concerne. What is the diagnosis of the patient? Меningococcemia, infectious-toxic shock ARVI, anaphylactic shock Measles, severe course 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 ventillation Oxygen. inhalation Infusion therapy Antibioticotherapy A patient P., 14 years old, is hospitalized in the infectious dept. in grave condition. Complaints on headache, mainly in frontal and temporal regions, superciliary arcs, vomiting on severe pain, pain on movement of eyeballs, in muscles, joints. Objectively – a patient is excited, temperature of the body 39 °C. BP 100/60 mmHg. Bradycardia was replaced by tachycardia. Tonic cramps appeared. Doubtful meningial signs. From anamnesis it is found that at home his brother has flu. What preparations must be injected? Verospiron, 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 BA the level of urea and creatinine increases. What from these preparations is not recommended to enter in such a situation? Adrenalin Prednisolone Polioniic 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 B. C. * D. E. 414. A. B. C. * D. E. 415. A. * B. C. D. E. 416. A. * B. C. D. E. 417. A. B. * C. D. E. 418. A. * B. 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 colour 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 Miliary tuberculosis Plaque, pulmonary form Leptospirosis Sepsis A patient, 20 years old, during few days complains about pharyngalgias. After supercooling the state became worse: sudden chills, increase of temperature to 40.6 °C, headache. On the skin of low extremities, trunk and buttocks there are a lot of different sizes hemorrhagic spots, acrocyanosis. Consiouness 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 adenoviral infection Choose the most possible diagnosis: 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 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. A. * B. C. 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 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 coloured 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 оC, 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 sick woman, 42 years old, complaints about temperature 39.3 °C, headache in the frontal area, pain in the eyeballs, photophobia, pain in muscles, dry cough. Became ill suddenly one day before. Objectively: state is severe. Hyperemia of the face, eyes shinny, injection of scleras. Pulse 96/min., rhythmic. Tones of heart are hypotonic. Both lungs are dissipated. Dry wheezes. Mucosa of epiglottis is hyperemic, grainy, vessels are extended. Meningeal symptoms are not present. Analysis of blood: leuk – 3?109/l, еos – 1 %, band – 6 %, seg – 51 %, lymp – 35 %, mono – 7 %. What is the most Flu possible diagnosis? 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 оC, 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, suprastain Mannitol, acetophene Lasix, analgin, ampicillin D. E. 424. A. * B. C. D. E. 425. A. B. C. D. * E. 426. A. * B. C. D. E. 427. A. * B. C. D. E. 428. A. B. * C. D. E. 429. A. B. C. * D. E. Verospiron, euphyllin, demidrol Aspirin, analgin, demidrol 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 mononuleosis 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 Amount of solutions necessary for the primary rehydration in cholera is. Accordingly to the degree of dehydration at time of hospitalization In accordance with the loss of liquid 2l 5 l| 10 l Amount of solutions necessary for the secondary rehydration in cholera is. Accordingly to the degree of dehydration at the time of hospitalization In accordance with the loss of liquid 2l 5l 10 l At a child with the clinical displays of ARVI a generilized lymphadenopathy, one-sided conjunctivitis increase of liver and spleen, is marked. Most reliable diagnosis? Infectious mononucleosis Leptospirosis Adenoviral infection Flu Pseudotuberculosis 430. A. B. C. * D. E. 431. A. B. C. D. E. * 432. A. B. C. D. * E. 433. A. B. * C. D. E. 434. A. * B. C. D. E. 435. A. B. C. * D. E. 436. A. B. C. D. * E. 437. At a child with the clinical displays of ARVI a generilized lymphadenopathy, one-sided conjunctivitis increase of liver and spleen, is marked. Most reliable diagnosis? Infectious mononucleosis Leptospirosis Adenoviral infection Flu Pseudotuberculosis At I degree of dehydration the loss of liquid is: 0,5-1,5 % of body weight 6-9 % of body weight 3-6 % of body weight 5-8 % of body weight 1-3 % of body weight At patient with pediculosis rapidly rise temperature of body up to 41.2 °C, headache, euphoria appeared in 4 days from the beginning of illness. Red colour rash on the lateral thorax and back. Titer of Rickettsia antibodies 1:640, Ig M – 89 %. What is diagnosis? Flu Enteroviral infection Brill-Zinsser disease Epidemic typhus Parainfluenza At what degree of dehydration, there will be “metabolic violation”: Subcompensated Negative Irreversible Moderate metabolic acidosis Insignificant metabolic alkalosis At what percent of fluid loss will be I degree of dehydration? -6 % of body weight 6-9 % of body weight 1-3 % of body weight 0,5-2 % of body weight 2-7 % of body weight At what percent of fluid loss will be II degree of dehydration? 3-6 % of body weight Over 10 % of body weight 6-9 % of body weight 4-8 % of body weight 10-15 % of body weight At what percentage of fluid loss will be IV degree of dehydration? 4-8 % of body weight 6-9 % of body weight 3-6 % of body weight Over 10 % of body weight Over 15 % of body weight Can the symptoms of an acute appendicitis be the complications of typhoid fever: A. * B. C. D. E. 438. A. B. C. D. E. * 439. A. B. C. * D. E. 440. A. B. C. * D. E. 441. A. B. * C. D. E. 442. A. * B. C. D. E. 443. A. B. * C. D. E. 444. A. B. * C. D. Yes No Not always Often May be Compensated dehydrationous shock develops: Rise level of toxins At a decrease of the systolic blood pressure At a hyperthermia At hypohemoglobinemia Because of the haemodynamics changes absence in peace Duration of isolation of patient with influenza complications? 4 days 7 days 10 days 17 days 20 days Duration of isolation of patient with influenza complications? 4 days 7 days 10 days 17 days 20 days Duration of therapy of primary rehydration in cholera is. 30 minutes 2 hours 6 hours 12 hours 1 days Enterorrhagia feces: Melena Fetid Does not change With mucous With billirubin How is the urgent prophylaxis of scarlet fever conducted? By vaccination Isolation of children, who had contact with a patient Using of vaccination Disinfection Non-admission of contact with carrier of B-streptococcus How is the urgent prophylaxis of scarlet fever conducted? By vaccination Isolation of children, who had contact with a patient Using of vaccination Disinfection E. 445. A. B. C. * D. E. 446. A. B. C. * D. E. 447. A. B. C. * D. E. 448. A. B. C. * D. E. 449. A. B. C. * D. E. 450. A. B. C. * D. E. Non-admission of contact with carrier of B-streptococcus In 1 liter of Trisalt solution, the concentration of potassium chloride is: 3 g/l 1.5 g/l 1.0 g/l 2 g/l 2.5 g/l In a child with the clinical display of acute respiratory viral infection observed generalized lymphadenopathy, one-sided conjunctivitis, increase of liver and spleen. What will be the most credible diagnosis? Infectious mononucleosis Leptospirosis Adenoviral infection Influenza Meningococcal infection In a child with the clinical display of acute respiratory viral infection observed generalized lymphadenopathy, one-sided conjunctivitis, increase of liver and spleen. What will be the most credible diagnosis? Infectious mononucleosis Leptospirosis Adenoviral infection Influenza Meningococcal infection In a different places of settlement found out a few cases of cholera. Who in the focus of cholera was send in an insulator? Carriers Persons contact with the patient Patients with cholera Persons with dysfunction of alimentary tract Persons with hyperthermia In a patient of 16 years old, the disease began gradually, from the catarrhal syndrome. For 2-3 days the temperature of body increase till 38,5 °C, cold, severe cough with the negligible quantity of mucous sputum, «souring» eyes. Peripheral lymph nodes are soft, painless and some enlarged. Mucous of pharynx is hyperemic, granules on posterior part of pharynx. General state is satisfactory. What is the drug of choice? Ascorbic acid Aspirin Desoxyribonucleas Remantadin Aminocapronic acid In a patient with ARVI fever develops to 40,1 °C, breathing frequency 40/min. What measures are the most effective in treatment of such complication. Minimising of body temperature Keep patient on artificial lung ventilation Oxygen inhalation Infusion therapy Antibiotic therapy| 451. A. B. C. * D. E. 452. A. B. C. D. * E. 453. A. * B. C. D. E. 454. A. B. * C. D. E. 455. A. B. C. D. E. * 456. A. B. C. * D. E. 457. A. B. C. * In a patient with ARVI fever develops to 40,1 °C, breathing frequency 40/min. What measures are the most effective in treatment of such complication. Minimising of body temperature Keep patient on artificial lung ventilation Oxygen inhalation Infusion therapy Antibiotic therapy| In a settlement was found out a few cases of cholera. Who must be insulated? Persons with disfunction of intestine Patients with cholera Carriers Persons contact with the sick patient Persons with hyperthermia In girl V., 1 year old, appeared the thump of nose, dry cough, body temperature rose till 37,5 ?C. Next day cough become attack like with the excretion of small amount of viscid sputum. Noisy breathing. Sharply expressed expiratory dyspnea, breating rate 40 times/minute. During examination: acrocyanosis and emphysematous thorax, at lungs dissipated dry and single moist rales. Tear of frenulum of tongue. What will be the preliminary diagnosis? Parainfluenza Pneumonia Influenza Respiratory-syncytial infection Whooping-cough In the blood analysis at an enterorrhagia: Leukocytosis and hyperhemoglobinemia Coagulation failure Leukocytosis Normocytosis Hyperhemoglobinemia In the break out of cholera it is necessary to carry out such measures, except: Hyperchlorination of drinking water An active discovery of patients by rounds Obligatory hospitalization, inspection and treatment of patients and vibrio tests Revealing and isolation of contact persons Vaccine prophylaxis In the different places of settlement found out a few cases of disease of cholera. Who from the contacts of cholera patient is sent in an insulator? Vibrio positive Patients with cholera Contact with the patient persons Persons with dysfunction of intestine Persons with high temperature In the different places of settlement it is found out a few cases of cholera. Who from such place is directed to an insulator? Patients with a cholera Transmitters Persons who had contact with the patient D. E. 458. A. B. C. * D. E. 459. A. * B. C. D. E. 460. A. B. C. D. * E. 461. A. * B. C. D. E. 462. A. B. C. * D. E. 463. A. B. C. D. * E. Persons with dysfunction of gastro-intestinal tract Persons who left the place on infection Method of etiotropic therapy of cholera is. Glucocorticoids Antiviral Antibiotics Rehydration Vaccine More often the dehydrationous shock develops at: Acute intestinal diseases Respiratory diseases Blood infections Diseases of investments Diseases of never system Normal potassium concentration in blood plasma: 1,5-2,0 mmol/l 2,0 mmol/l 2,5 mmol/l 3,5-5,5 mmol/l 4,5 mmol/l Normal sodium concentration in blood plasma: 135-150 mmol/l 125 mmol/l 170 mmol/l 110 mmol/l 90 mmol/l Patient 22 years old, has increase temperature of body till 37,8 °C. Treated under the supervision of district doctor with a diagnosis of influenza. On the 5th day of illness temperature remained the same; it began difficultly in opening eyes. On examination – edema on face, expressed conjunctivitis with film stratifications. Mucous pharynx is heperemia, on the back wall of gullet considerable graininess. Lymph nodes are enlarged in neck. The general state of patient is satisfactory. This disease is related to cold. What disease you suspect? Leptospirosis Infectious mononucleosis Adenoviral infection Allergic dermatitis Meningococcal infection Patient A., 28 years old, hospitalized with a previous diagnosis of flu. On the 5th day of illness, rash appeared on the trunk and internal surfaces of extremities. Temperature 41.5 °C, hyperemia of sclera, tremor of tongue, tachycardia, spleenomegaly, excitation. What is the most possible diagnosis? Measles Meningococcal infection Leptospirosis Epidemic typhus Typhoid 464. A. B. C. D. * E. 465. A. B. C. * D. E. 466. A. * B. C. D. E. 467. A. B. * C. D. E. 468. A. B. C. D. * E. Patient B., 20 years old, complains about severe headache in temples and orbits, dull ache in the trunk, dry cough. Temperature of the body 39.6 °C. Inflammatory changes of mucous membrane of oropharynx. Normal breathing in the lungs. What is the most credible diagnosis? Pneumonia Parainfluenza Respiratory micoplasma Flu Meningococcal infection Patient L., 18 years old is sick with fever till 38 °C which proceeds 5 days. he has moderate dry cough, common cold, badly opens eyes. On examination –edema on face, expressed conjunctivitis with film raids. Mucous of pharynx is hyperemic, posterior wall of pharynx is grainy. Internal organs are without pathology. What form of disease does the described picture correspond to? Viral conjunctivitis Allergic dermatitis Adenoviral infection Influenza Rhinoviral infection Patient M., 11 years old, complains on general weakness, cough, at night suddenly temperature rose till 39,5 ?C, appeared restlessness, barking cough, noisy whistling breathing with drowing in supraand subclavicular cavities, intercostal spaces. He was in contact with the patient acute respiratory viral infection. What should recommend him the first line? Prednisolon, hot foot-baths Seduxsen, euphylin Euphylin, vitamin C Antibiotics, dimedrol Astmopen, diazolin Patient P., 14 years old, is hospitalized in the infectious department in the severe condition. Complains on expressed headache, mainly in frontal and temporal regions, supercilliary arcs, origin of vomiting appear in condition of severe pain, pains by moving the eyeballs, in muscles and joints. Objectively: patient is excited, body temperature-39 ?C. BP-100/60 mmHg. Bradycardia was replaced by tachycardia. Appeared tonic cramps. Doubtful meningeal signs. From anamnesis it is clear that his brother has flu at home. What will be your diagnosis? Influenza, typical flow Influenza with the phenomena of edema of brain Respiratory-syncytial infection Parainfluenza Adenoviral infection Patient R., 16 years old, hospitalized for 5-day illness with complaints of moderate headache in fronto-temporal region, laid nose, sore throat, pain in the left eye, rise in temperature to 38.1-38.5 °C. General condition is satisfactory. Shortness of nasal breath, mucous discharging from the nose, hyperemia of face, enlargment of the neck and submaxillary lymph glands, left foamy conjunctivitis. What is preliminary diagnosis? Influenza Infectious mononucleosis Enteroviral infection Adenoviral infection Influenza 469. A. B. * C. D. E. 470. A. B. C. D. E. * 471. A. B. * C. D. E. 472. A. B. * C. D. E. 473. A. B. C. D. E. * 474. A. B. Patient R., 26 years old, became ill sharply: temperature 39,5 °C, severe headache, mainly in frontal and temporal an area, pains in muscles and joints. Examined on the 2th days of illness: state of middle weight, skin clean, dry. Moderate hyperemia with cyanosis, pulse 120/min., rhythmic. Cardiac activity rhythmic, tones are muffled, in lights of the vesicular breathing. Stomach is without peristalsis. What is the preparation of choice for treatment of this patient? Aspirin Remalol Ampicillin|| Ascorbic acid Ribonuclease Patient with cholera has bradycardia, low blood pressure, weakness. What is most important factor in the given clinical situation? Hypocalcemia Hypopotassium Hyponatremia Hypernatremia Hyperpotassium Patient with cholera on a background treatment has signs of hyperkalemia. What solution must be applied for futher rehydration therapy? Neohemodez Disalt Chlosalt Polyhybrid Lactosalt Sick M., 22 years old, complaints about increasing of body temperature to 39 оC, headache in frontal area, pain in eyeballs, photophobia, pain in a muscles, dry cough. Became ill suddenly. The state is heavy. Objectively face is hyperemic, injection of scleras. Pulse 96 per min, rhythmic. Tones of heart are hypotonic. In the lungs – dissipated dry wheezes. Mucous membrane of oropharynx is hyperemic, grainy, vessels are extended. menengial symptoms are not present. Analysis of blood: leukocytes 3?109/L, е 1 %, band neut. 6 %, seg. neut 51 %, lymphocytes 35 %, мonocytes 7 %. What is most probable diagnosis? Measles Flu Meningococcal disease Epidemic typhus Pneumonia Sick, 52 years old, with complaints about pain in lumbar region, headache edema of chin. It is known from anamnesis that the sick suffers from obesity of ІІ degree. Recently carried heavy neurological stress and had flu. He has chronic bronchitis for 5 years, chronic gastritis for 8 years. Objectively: Temperature of the body 38.2 °C, AP – 140/90 mm Hg. It is proposed the diagnosis of acute glomerulonephritis. What transferred factors could be the reason of disease? Neuro psycologic stress Chronic bronchitis Chronic gastritis Obesity Flu The bowel perforation of the typhoid fever can appear: On 1-5 weeks of disease On 1 week of disease C. D. * E. 475. A. * B. C. D. E. 476. A. * B. C. D. E. 477. A. B. C. * D. E. 478. A. B. C. D. E. * 479. A. B. C. D. E. * 480. A. B. C. D. * E. 481. A. B. On 2 week of disease On 3 week of disease On 5 week of disease The bowel perforation of the typhoid fever is accompanied by the onset of: Protective muscle tension of a stomach Absence of respiratory excursion of a abdominal wall Pains in a stomach Disappearances of hepatic dullness of percussion All answers are right The collapse, a severe intoxication of a typhoid fever develops: On 1-2 week of disease On 3 week of disease On 4 week of disease On 4-5 week of disease On 5-6 week of disease The diarrheic syndrome and vomiting are the reason: An infectious-toxic shock An anaphylactic shock A dehydrationous shock A hemorrhagic shock All right The essential therapy for cholera is. Diet Antibacterial preparations Correction of dysbacteriosis Desintoxication Primary rehydration The hypovolemic shock develops owing to fluid loss at: A long-term fever A bleeding (a hemorrhagic shock) Vomiting and diarrheas All answers are not true All answers are true The hypovolemic shock is: І degree of dehydration ІІ degree of dehydration ІІІ degree of dehydration ІV degree of dehydration V degree of dehydration The patient P., 14 years old, is suffering from flu. He is hospitalized in infectious dept. due to worsening of his condition. He is conscious. A patient is suffocated. Pallor of skin covers with cyanosis, breathing rate 50 times/minute. BP-80/55 mmHg, pulse 110 times /minute. Body temperature-39,5 °C. Excretion of rose foamy sputum. On percussion of lungs there is tympanic sound with dullness in lower part of lung .On auscultation there is moist rales in lower posterior part of lungs. What complication of flu appeared in patient? Bronchitis Edema of brain C. * D. E. 482. A. B. C. D. E. * 483. A. B. * C. D. E. 484. A. B. C. * D. E. 485. A. B. C. * D. E. 486. A. B. * C. D. E. 487. A. B. C. D. * E. 488. A. B. C. * Pneumonia Edema of lungs infectious-toxic shock The peritonitis of the typhoid is accompanied by the onset of: Stefanskyy's symptom Mayo-Robson's symptom Voskresensky symptom Krymov's symptom Guarding symptom The subcompensated dehydrationous shock develops at: A diastolic and systolic blood pressure boost A decrease of the systolic blood pressure A diastolic blood pressure decrease A diastolic blood pressure boost A systolic blood pressure boost The typhoid fever enterorrhagia is characterised with: A normal pulse A bradycardia A tachycardia An alternating pulse An asystole To the district doctor a patient, complaints on abundant excretions from a nose, moderate headache, hearing loss, perversion of taste. On examination – dry of skin, nose excoriation, in a pharynx – mild hyperemia. Temperature of body is subfebrile. Pathological changes of internal organs are absent. Which acute respiratory viral infection carries the patient? Adenoviral infection Parainfluenza Rhinoviral infection РC-infection Influenza Typhoid fever bleedings appears: On 5-6 week of disease On 3-4 week of disease On 1-2 week of disease On 2 week of disease On 1 week of disease Typhoid fever bleedings are accompanied with: Body temperature decrease and pulse decrease Body temperature increase and pulse increase The temperature does not change Body temperature decrease and pulse increase Body temperature increase and pulse decrease ?Virus causing hemorrhagic cystitis, diarrhea and conjunctivitis: RSV Rhinovirus Adenovirus D. E. 489. A. B. C. * D. E. 490. A. * B. C. D. E. 491. A. B. C. D. E. * 492. A. B. * C. D. E. 493. A. * B. C. D. E. 494. A. B. C. * D. E. 495. A. B. C. * D. E. 496. A. Rotavirus Flu ?Virus causing hemorrhagic cystitis, diarrhea and conjunctivitis: RSV Rhinovirus Adenovirus Rotavirus Flu What clinically active forms of cholera do you know? Very rapid acute for the children and elderly persons “Choleric typhoid”, acute subclinical, for the children and elderly persons Dry, very rapid, “choleric typhoid”, subclinical for the children and elderly persons Very rapid “choleric typhoid”, acute, subclinical, for the children and elderly persons Very rapid, dry, subclinical, for the children and elderly persons What from is the given measures during the secondary rehydration? Determining degree of dehydration from clinical data Amount of lost liquid, which was preceded at the time of hospitalization Application of isotonic crystalloid solutions Simultaneous introduction of liquid in a few vessels Amount of liquid loss What from the below mentioned preparations can be used for the treatment of primary rehydration? Lactosalt Disalt Acesalt Trisalt Khlosalt What from the below mentioned preparations, can be used for the treatment of primary rehydration? Polyhybrid Acesalt Khlosalt Kvartasalt Lactosalt What from the below mentioned preparations, can be used for the treatment of primary rehydration? Acesalt Trisalt Cryoplasma Khlosalt Lactosalt What is conduct specific passive immunnoprophylaxis of flu? Living antenuated vaccine Inactive parenteral vaccine By an immunoprotein Remantadin Antibiotics of wide spectrum of action| What is conduct specific passive immunnoprophylaxis of flu? Living antenuated vaccine B. C. * D. E. 497. A. B. C. D. * E. 498. A. B. C. D. * E. 499. A. B. * C. D. E. 500. A. B. * C. D. E. 501. A. B. C. * D. E. 502. A. B. C. D. * E. 503. A. B. C. * D. E. Inactive parenteral vaccine By an immunoprotein Remantadin Antibiotics of wide spectrum of action| What laboratory and instrumental examinations are needed for confirming the diagnosis of flu? Complete analysis of blood -ray of organs of thoraxic cavity Analysis sputum| Determination of viruses by the method of immunofluorescence Biochemical blood test What laboratory and instrumental examinations are needed for confirming the diagnosis of flu? Complete analysis of blood -ray of organs of thoraxic cavity Analysis sputum| Determination of viruses by the method of immunofluorescence Biochemical blood test What level is necessary to reduce the temperature of patient’s body with hyperthermia? 39 °C 38 °C 37,5 °C 37 °C 38,5 °C What level is necessary to reduce the temperature of patient’s body with hyperthermia? 39 °C 38 °C 37,5 °C 37 °C 38,5 °C What solutions must be applied for compensatory rehydration in cholera? Colloid Hypertensive epitonic polyionic crystalloid Isotonic polyionic crystalloid Reosorbilakt Isotonic solution of glucose What time is it necessary to complete primary rehydration at dehydration shock? 3-5 hrs 0.5 hrs 2-3 hrs 1-1.5 hrs 4-6 hrs What type of a diarrhoeia is typical for a salmonellosis? Osmotic Exudative Secretory Mixed Toxic 504. A. B. C. D. * E. 505. A. B. C. * D. E. 506. A. B. C. * D. E. 507. A. * B. C. D. E. 508. A. B. C. D. E. * 509. A. B. C. D. * E. 510. A. * B. C. D. E. Which from the below is a complication of cholera? Collapse Infectious-toxic shock Acute renal insufficiency Dehydration shock Status typhosis Which salt solutions do not contain potassium? Trisalt Lactosalt Disalt Qudrosalt Khlosalt Who must be admitted in the hospital from the focus of cholera? Carriers Patients with cholera Persons with disfunction of intestine Contact persons Persons with high temperature With the purpose of specific prophylaxis of cholera is used: Cholerogen-toxoid Vaccine Nitrofuranes Immunoprotein Antibiotics What is the entrance gate at infectious mononucleosis? Mucus of colon Mucus of digestive highway Epithelial mews of skin Peyer‘s plate and follicles Mucus of nazo-pharig A boy 6 years was in the close touch with a patient with diphtheria. What treatment-prophylactic measures need to be conducted, if vaccine anamnesis is unknown? Introduction of AWDT vaccine Antibacterial therapy Introduction of ADT-м to the toxoid Antibacterial therapy and double introduction of ADT toxoid Antibacterial therapy and introduction of immunoprotein A child 2 years carries a diphtherial croup. There was the stop of breathing on 2nd days of whey therapy. What was the reason of asphyxia? Mechanical obturation by tapes Stenosis of larynx Anaphylaxis shock Whey illness Paresis of respiratory musculature 511. A. * B. C. D. E. 512. A. * B. C. D. E. 513. A. * B. C. D. E. 514. A. * B. C. D. E. 515. A. * B. C. D. E. 516. A. B. C. D. * E. 517. A diagnosis is “diphtheria of otopharynx” put to the 3-years-old child (not instiled through the refusal of parents). Family lives in a 3-room apartment, a mother does not work, a father is the director of factory. Specify the method of isolation of child. Obligatory hospitalization Hospitalization after clinical testimonies Hospitalization after epidemiologys testimonies Isolation in home terms Does not need isolation A new born child on 10th day of life became worse: Temperature 39.2 °C, no frequent vomiting, generalized cramps, violations of consciousness, spastic paresis of left extremities. Month prior to his birth herpes virus was present in the mother, which she did not treat. What disease is most possible? Herpetic encephalitis Meningococcal meningitis Subarechnoid hemorrhage Cerebral abscess Violation of blood cerebral circulation A patient came with complaints of sickly erosions on his penis. From anamnesis frequent appearance of similar rashes is found out during a year. Objectively: on a balanus are the grouped blisters and erosions, soft on palpation. What is your diagnose? Recurrent herpes of ІІ type Vulvar pemphigus Primary syphyllis Shankoform pyoderma Recurrent herpes of ІІІ type ?A patient has herpetic meningitis. What preparation of specific therapy for viral neuro infection should be given? Acyclovir Cefataxime Ceftriaxone Gentamycin Furazolidon A patient has herpetic meningitis. What preparation of specific therapy for viral neuro infection should be given? Acyclovir Cefataxime Ceftriaxone Gentamycin Furazolidon A patient has herpetic meningitis. What preparation for specific therapy of viral neiroinfection would you appoint? Laziks Cefotaksim Ceftriakson Acyclovir Prednisolon A pregnant woman, 27 years (pregnancy ІІ, 8-10 weeks.), temperature of body increased. At the inspection on a TORCH-infection antibodies are found to the herpes virus, ІІ types of class IGM. What we must recommend to pregnant women? A. * B. C. D. E. 518. A. * B. C. D. E. 519. A. B. * C. D. E. 520. A. B. C. D. * E. 521. A. * B. C. D. E. 522. A. B. C. D. E. * 523. A. * B. To cut pregnancy To prolong the supervision Treatment with acyclovir Symptomatic treatment Appoint of alpha-fetoprotein A sick 3 years old child came to the doctor with symptoms of the fever, languor, waiver of meal. A boy is capricious, temperature of body 37.9 °C. On the mucus shell of soft palate, cheeks are single vesicle hypersalivation. What is the diagnosis? Herpetic stomatitis Candidosis of oral cavity Leucoplacia Follicular tonsillitis Lacunar tonsillitis After the disease which was accompanied by the fever and pharyngalgias, there were an odynophagia, dysarthria, weakness and violation of motions in hands and feet, hyporeflexia, violation of sensitiveness in extremities to the polyneurotic type. What disease does it follow to think about Neuropathy of hypoglossus above all things? Diphtherial polyneuropathy Neuropathy of glossopharyngeus nerve Trunk encephalitis Pseudobulbar syndrome At a child 4 years on the third day of disease the widespread form of diphtheria of nasopharynx is diagnosed. Preparation of specific therapy: Macrolids per os Penicillin i/m Cortycosteroid Antidiphterial serum i/v Antitoxic therapy At a child 6 years with a diphtherial widespread croup the first dose of antidiphterial serum makes: 40 AО 15 AО 20 AО 80 AО 60 AО At a girl, 22 years old, severy form of diphtheria of otopharynx have happened. Specific treatment begun only on a 5th day from the beginning of disease. What complication of diphtheria is potentially dangerous? Stenotic laryngotracheitis Pneumotorax Meningoencephalitis Septicopyemia Infectious-toxic shock At a patient the dense darkly-grey raid covers tonsills is considerably megascopic and spreads for their scopes. Mucus shell bloodshot accented cyanochroic, was considerably swollen. Immediate medical measure: Antidiphterial whey Punction of peritonsillar space C. D. E. 524. A. * B. C. D. E. 525. A. B. C. D. * E. 526. A. B. C. * D. E. 527. A. B. C. D. * E. 528. A. B. C. D. * E. 529. A. * B. C. D. E. Section of peritonsillar space Microscopic research of stroke from under tape Bacteriologic examination of stroke from under pallatum At a patient the dense darkly-grey raid covers tonsills is considerably megascopic and spreads for their scopes. Mucus shell bloodshot accented cyanochroic, was considerably swollen. Immediate medical measure: Antidiphterial serum Punction of peritonsillar space Section of peritonsillar space Microscopic research of stroke from under tape Bacteriologic examination of stroke from under pallatum At a patient the dense darkly-grey raid covers tonsils is considerably megascopic and spreads for their scopes. Mucus shell bloodshot accented cyanochroic, was considerably swollen. Immediate medical measure: Ultraviolet irradiation of throat Punction of peritonsillar space Section of peritonsillar space Introduction of antidiphterial serum Compress on a neck At a patient which carried diphtheria with an incessant pharyngalgia, disartria, weakness and loss of motions; hyperreflexia, decline of sensitiveness on a polyneuritis type developed. Put a diagnose. Hemorrhage in a brain Viral encephalitis Diphtheria polyneuropathy Psevdobulbar syndrome Bulbar form of lateral Amiotrophic sclerosis At a patient, 17 years: angina. Temperature 38,2 °C, generilised lymphadenopathy (the first multiplied neck lymphatic knots which are located along m. sternocleidomastoideus), small icterus, hepatospleenomegaly. Previous diagnosis? Tuberculosis of lymphatic knots Bacterial quinsy Diphtheria Infectious mononucleosis Megacaryoblastoma At how many percents of grown man does present antibodies to the virus of simple herpes? 10-20 % 20-30 % 40-60 % 80-90 % 60-70 % At junior nurse, who works in child’s infectious department, herpes simplex was found. What should manager of department must do? Create a quarantine in the department To appoint an immunoprotein to the children Discharge all children from the department To appoint immunomodulators with a prophylactic purpose To inspect a junior nurse on a staphylococcus 530. A. * B. C. D. E. 531. A. B. C. D. * E. 532. A. B. C. * D. E. 533. A. * B. C. D. E. 534. A. * B. C. D. E. 535. A. B. C. D. * E. 536. A. B. C. * D. E. At junior nurse, who works in child’s infectious department, herpes simplex was found. What should manager of department must do? Create a quarantine in the department To appoint an immunoprotein to the children Discharge all children from the department To appoint immunomodulators with a prophylactic purpose To inspect a junior nurse on a staphylococcus At maintenance of call on a house a district pediatrician put to the sick 5 years old child diagnosis “Acute lacunar tonsillitis”. Specify, who must carry out the laboratory inspection of patient and in what terms. Worker of SES upon receipt report A district medical sister is at once after determination of diagnosis Doctor pediatrician in 5 hours Doctor pediatrician at once after determination of diagnosis District medical sister on a next day At sick L, 35 years old, a diagnosis is set is diphtheria of pharynx, noncommunicative form. What first dose of antitoxic antidiphtheria whey is it necessary to appoint? 120 thousand of AО 80 thousand of AО 30 thousand of AО 50 thousand of AО 150 thousand of AО Before revaccination from diphtheria of adult persons, they are recommended: To explore an immune type To use antibiotics To use antihistamines 5 years after last revaccination 10 years after last revaccination Before revaccination from diphtheria of adult persons, they are recommended: To explore an immune type To use antibiotics To use antihistamines 5 years after last revaccination 10 years after last revaccination Complication of diphtheria of larynx: Myocarditis Paresis of auditory nerve Nephrosonephritis Croup Poliomyelitis Complications of 4-5th week of diphtheria: Encephalitis Bulbar disorders, pancreatitis, hepatitis Poliomyelitis, myocarditis Nephrosonephritis Stenotic laryngotracheitis 537. A. B. C. D. E. * 538. A. B. * C. D. E. 539. A. B. * C. D. E. 540. A. B. * C. D. E. 541. A. * B. C. D. E. 542. A. B. C. * D. E. 543. A. B. C. * D. E. 544. A. B. * C. Complications which often develop on the first week of diphtheria of otopharynx: Poliomyelitis Asphyxia Insufficiency of glandulars hepatospleenomegaly Paresis of soft palate Corynebacterium diphtheria: Contain endotoxin only Exotoxin products Exotoxin does not product An enterotoxin products Myelotoxin products Diphtheria planned vaccination begin in: In first days after birth of child In 3 month age In 6-month age In 1 year In 6 years Diphtheria planned vaccination begin in: In first days after birth of child In 3 month age In 6-month age In 1 year In 6 years Early complications of diphtheria of otopharynx: Paresis of soft palate Pneumonia Asphyxia Croup Poliomyelitis Especially high title of ant diptherial antitoxic antibodies testifies to: Recovering Acute period of diphtheria Bacteriocarriering Forming of immunity to diphtheria About nothing does not testify Especially high titre of ant diptherial antitoxic antibodies testifies to: Recovering Acute period of diphtheria Bacteriocarriering Forming of immunity to diphtheria About nothing does not testify For what disease are characterize changes in blood (presence of atypical mononucleares)? Flu Kissing disease Measles D. E. 545. A. B. * C. D. E. 546. A. B. * C. D. E. 547. A. B. C. D. E. * 548. A. B. C. D. * E. 549. A. B. C. * D. E. 550. A. B. C. * D. E. 551. A. * B. C. AIDS Diphtheria For what disease characterize changes in a blood (presence of lymphomonocytes and a typical mononuclears)? Flu Infectious mononucleosis Measels AIDS Diphtheria For what disease characterize changes in a blood (presence of lymphomonocytes and a typical mononuclears)? Flu Infectious mononucleosis Measels AIDS Diphtheria How mach are exist subfamilies of herpes-viruses? 2 4 5 6 3 How mach types of herpes-viruses do you know? 2 4 6 8 10 In an epidemic cell rationally to organize verification of the state of immunity. The Use of RUHA allows to find out persons unimmune to diphtheria during a few hours. What minimum protective titre? 1:10 1:20 1:40 1:80 1:160 In preschool is case of disease on diphtheria. What prophylactic measures must be conducted above all things? Urgent hospitalization Urgent vaccination Quarantines measures Urgent by chemical prophylactic antibiotics Introduction of antidiphterial whey In preschool the registered case of diphtheria. What from the measures adopted below does not conduct to the contact children? Introduction of antidiphterial whey Non-permanent is stroke from a pharynx and nose for the bacteriologic examination Daily is supervision during 7 days D. E. 552. A. B. C. D. E. * 553. A. B. C. D. E. * 554. A. * B. C. D. E. 555. A. * B. C. D. E. 556. A. B. C. * D. E. 557. A. * B. C. D. E. 558. A. * B. C. D. Determination of titres of specific antibodies At the repeated cases of disease is extraordinary revaccination diphtheria In what age are infected by primary herpes more frequent? 55-65 years 5-10 years 12-18 years to 6 months 6 months – 5 years Is a vaccination conducted at a kissing disease? Ribosom vaccine Alive vaccine Dead vaccine Chemical vaccine On the stage of Name the most reliable of kissing disease? Became healthy Death Chronic form Hematological violations Changes in the nervous system Patient C., 60 years old during one year has 4th relapse of Herpes zoster. Recommended treatment and relapses prophylaxis? Valcyclovir Acyclovir Herpevir Proteflazid Cycloferon Patient, 24 years old, with diagnosis dyphtheria was admitted to the infectious disease department. What remedy is most effective for treatment and should be used immediately? Antibiotics Oxygenotherapy Antitoxic antidyphtherial serum Antipyretic drugs Sulfanilamides Patient, 35 years was hospitalized with diagnosis localized diphtheria of pharynx. What is the first dose of antitoxic antidyphtherial serum? 30 000 AU 50 000 AU 80 000 AU 120 000 AU 150 000 AU Rules hospitalizations of patients with a kissing disease? In a room for the patients with infections of respiratory tracts Patients are not hospitalized In a separate chamber In a chamber for the patients with infections of external covers E. 559. A. B. C. D. * E. 560. A. B. * C. D. E. 561. A. * B. C. D. E. 562. A. B. * C. D. E. 563. A. B. C. * D. E. 564. A. * B. C. D. In a chamber for the patients with intestinal infections Specify the correct method of introduction of whey after the method of Bezredko: 1,0 ml of divorced 1:100 hypodermic – through 30 min. 0,1 ml of undivorced hypodermic – through 30 min. all dose of intramuscle 0,1 ml of divorced 1:1 000 endermic – through 30 min. 0,1 ml of divorced 1:10 hypodermic – through 30 min. all dose of intramuscle 0,1 ml of undivorced endermic – through 30 min. 0,1 ml hypodermic – through 30 min. all dose of intramuscle 0,1 ml of divorced 1:100 endermic – through 30 min. 0,1 ml of undivorced hypodermic – through 30 min. all dose of intramuscle 1,0 ml of divorced 1:10 hypodermic – through 30 min. 0,1 ml of undivorced hypodermic – through 30 min. all dose of intramuscle Specify the correct method of serum introduction after the Bezredko method: 1,0 ml of divorced 1:100 hypodermic – through 30 min. 0,1 ml of undivorced hypodermic – through 30 min. all dose of intramuscle 0,1 ml of divorced 1:1 000 endermic – through 30 min. 0,1 ml of divorced 1:10 hypodermic – through 30 min. all dose of intramuscle 0,1 ml of undivorced endermic – through 30 min. 0,1 ml hypodermic – through 30 min. all dose of intramuscle 0,1 ml of divorced 1:100 endermic – through 30 min. 0,1 ml of undivorced hypodermic – through 30 min. all dose of intramuscle 1,0 ml of divorced 1:10 hypodermic – through 30 min. 0,1 ml of undivorced hypodermic – through 30 min. all dose of intramuscle The duration of latent period at a kissing disease are? 25-50 days 3-6 days 1-4 weeks From a few hours to 3 days From a few days to 1-2 months The exciter of diphtheria is: Virus of Epshtein-Barr Bacillaof Leffler Corynebacteria ulcerans Fusiform stick Corynebacteria xerosis The otolaryngologist during the review of patient marked hyperemia, considerable edema of tonsills with the grey raid on them. During the microscopy of raid it was found out sticks located under a corner to each other. What disease does it follow to think about? Scarlet fever Streptococcus quinsy Diphtheria Vensan tonsillitis Staphylococcus quinsy The source of infection at diphtheria is: Sick people and bacillicarriers Sick agricultural animals Rodents Mosquito E. 565. A. * B. C. D. E. 566. A. * B. C. D. E. 567. A. * B. C. D. E. 568. A. B. C. D. * E. 569. A. B. C. D. * E. 570. A. * B. C. D. E. 571. A. B. C. * D. E. 572. A. B. * Aerosol of saliva and epipharyngeal mucous of patients The source of infection at diphtheria is: Sick people and carriers Sick agricultural animals Rodents Mosquitoes Aerosol of saliva and epipharyngeal mucous of patients The source of infection at infectious mononucleosis is: Sick people and carriers Sick agricultural animals Rodents Mosquitoes Aerosol of saliva and epipharyngeal mucous of patients What additional inspections must be conducted to the patient with infectious mononucleosis? IFA on HIV-infection, bacteriology inspection on diphtheria IFA on HIV-infection, bacteriology inspection on a rabbit-fever Bacteriology inspection on diphtheria and typhoid Reaction of Burne and Rihth-Heddlson Reaction of Paul-Bunnel and punction of lymphatic knot What additional inspections must be conducted to the patient with a kissing disease? Reaction of Burne and Rayt ELISA test on AID, bacteriological examination on a rabbit-fever. Bacteriological examination on diphtheria and typhoid ELISA test on AID, bacteriological examination on diphtheria Reaction of Paul-Bunnel and punction of lymphatic no What additional test should hold for the patient with infectious mononucleosis? Burne and Wright-Hadlson‘s reactions ELISA-test, bacteriological test for tularemia Bacteriological test for diphtheria and typhoid fever ELISA-test, bacteriological test for diphtheria Paul-Burne reaction and lymph node puncture What are the possible ways of transmission of herpes-viruses? Contact, air, sexual, vertical Contact, sexual, vertical Contact, air, vertical Contact, air, sexual Air, sexual, vertical ?What are the rules of hospitalization of patients with infectious mononucleosis? Patients are not hospitalized In a chamber for the infections of respiratory tracts In a separate chamber In a chamber for the infections of external covers In a chamber for intestinal infections What characteristic signs of raid at diphtheria? One-sided, grey-white, on-the-spot crateriform ulcers grey-white, dense with clear edges and brilliant surface C. D. E. 573. A. * B. C. D. E. 574. A. B. C. D. * E. 575. A. B. C. * D. E. 576. A. B. C. D. E. * 577. A. B. C. D. E. * 578. A. B. * C. D. E. 579. A. * B. C. Yellow-white, fragile, perilacunar is located One-sided, yellow-white, in lacunas White, fragile, is easily taken off by a spatula What complication has developed in patient with diphtheria of mouth pellicle severe form was diagnosed. On the 6th day of disease when pain in the heart region, palpitation were appeared. Pulse – 120 per 1 min, systolic noise on apex of heart. On ECG is incomplete blockade of left leg of Giss bunch? Early infectious-toxic myocarditis Myocardial dystrophy Heart attack of myocardium Acute cardio-vessel insufficiency Stenosis of mitral valve What complications do happen at a kissing disease? Insult Autoimmune diseases Contractures Break of spleens Cirrhosis What complications more often develops during 4-5th week of diphtheria: Encephalitis Bulbar disorders, pancreatitis, hepatitis Poliomyelitis, myocarditis Nephrosonephritis Stenotic laryngotracheitis What complications more often develops during the first week of diphtheria of otopharynx: Poliomyelitis Asphyxia Paratonsillitis Hepatospleenomegaly Paresis of soft palate What disease can the acute second tonsillitis be at? Lupus Diphtheria Rheumatism Tuberculosis Typhoid What disease is by the herpes-virus of 1th type? Genital herpes L herpes Syndrome of chronic fatigue Sarcoma of Kaposi Cytomegalovirus infection What disease is by the herpes-virus of 2 type? Genital herpes L herpes Syndrome of chronic fatigue D. E. 580. A. B. C. D. * E. 581. A. B. C. D. * E. 582. A. B. C. D. E. * 583. A. B. * C. D. E. 584. A. B. * C. D. E. 585. A. B. C. * D. E. 586. A. B. C. D. * E. 587. A. * Sarcoma of Kaposi Cytomegalovirus infection What disease is by the herpes-virus of 3 type? Genital herpes L herpes Syndrome of chronic fatigue Herpes zoster Cytomegalovirus infection What disease is by the herpes-virus of 3 type? Genital herpes L herpes Syndrome of chronic fatigue Chicken pox Cytomegalovirus infection What disease is by the herpes-virus of 4 type? Genital herpes L herpes Syndrome of chronic fatigue Chicken pox Cytomegalovirus infection What disease is by the herpes-virus of 5 type? Genital herpes Eczema of new-born Syndrome of chronic fatigue Sarcoma of Kaposi Epshtein-Barr‘s infection What disease is by the herpes-virus of 6 type? Genital herpes Eczema of new-born Syndrome of chronic fatigue Sarcoma of Kaposi Epshtein-Barr‘s infection What disease is by the herpes-virus of 7 type? Genital herpes Eczema of new-born Syndrome of chronic fatigue Sarcoma of Kaposi Epshtein-Barr‘s infection What disease is by the herpes-virus of 8 type? Genital herpes Eczema of new-born Syndrome of chronic fatigue Sarcoma of Kaposi Epshtein-Barr‘s infection What family does the exciter of kissing disease belong to? Family of herpes virus B. C. D. E. 588. A. B. * C. D. E. 589. A. B. * C. D. E. 590. A. B. C. D. * E. 591. A. B. C. D. * E. 592. A. B. C. * D. E. 593. A. B. C. * D. E. 594. A. B. * C. D. E. Family of pox virus Family of retro virus Family of reo virus Family of toga virus What from the following symptoms are not characteristic of infectious mononucleosis? Fever Defeat of kidneys Lymphadenopathy Tonsillitis Increasing of liver and spleen What from the following symptoms are not characteristic of infectious mononucleosis? Fever Defeat of kidneys Lymphadenopathy Tonsillitis Increasing of liver and spleen What group of infections does infectious mononucleosis behave to? Zoonoz Sapronosis Antropozoonoz Antroponoz Sapronoz+antroponoz What group of infectious diseases by L. Gromashevsky classification diphtheria belong to? External covers Blood Intestinal Respiratory ways Transmissive What group of infectious diseases diphtheria belong to? Sapronosis Zoonosis Anthroponosis Zooanthroponosis A group is not certain What group of infectious diseases infectious mononucleosis belong to? Sapronosis Zoonosis Anthroponosis Zooanthroponosis A group is not certain What is characteristic signs of raid at diphtheria? One-sided, grey-white, on-the-spot crateriform ulcers Grey-white, dense with clear edges and brilliant surface Yellow-white, fragile, perilacunar is located One-sided, yellow-white, in lacunas White, fragile, is easily taken off by a spatula 595. A. * B. C. D. E. 596. A. B. C. * D. E. 597. A. B. C. D. * E. 598. A. B. C. D. * E. 599. A. B. C. * D. E. 600. A. * B. C. D. E. 601. A. B. C. * D. E. 602. A. B. * C. What is early complications of diphtheria of otopharynx: Paresis of soft palate Pneumonia Asphyxia Croup Poliomyelitis What is immediately investigation in suspicious of diphtheria: Strokes with tonsills, nose or other areas for the exposure of diphtherial stick IFA Microscopy (painting for Neiser) Haemoculture RDHA with a diphtherial diagnosticum What is main complication of diphtheria of larynx: Myocarditis Paresis of auditory nerve Nephrosonephritis Croup Poliomyelitis What is material for the bacteriologic examination in time to suspicion on diphtheria? Excrement Blood Urine Mucus from the area of defeat Neurolymph What is mechanism of transmission of Corynebacterium diphtheria? Vertical Transmissive Air-drop Contact Parenteral What is recommended treatment and relapses prophylaxis of Herpes zoster? Valcyclovir Acyclovir Herpevir Proteflazid Cycloferon What is seasonal character of diphtheria? Spring-summer Summer-autumn Autumn-winter Winter-spring Spring-autumn What is the mechanism of transmission of herpetic infection? Fecal-oral Air Contact D. E. 603. A. B. * C. D. E. 604. A. B. C. * D. E. 605. A. B. C. * D. E. 606. A. B. * C. D. E. 607. A. B. C. * D. E. 608. A. B. C. D. * E. 609. A. B. C. D. * E. 610. A. Vertical Transmisiv What is the exciter of diphtheria: Virus of Epshtein-Barr Leffler Bacillus Corynebacteria ulcerans Fusiform stick Corynebacteria xerosis What is the exciter of kissing disease: Virus small pox Virus of simple herpes Virus of Epshteyn-Barr Cytomegalovirus Virus of flu What is the most diagnostic method for infectious mononucleosis? Common analysis of excrement Common analysis of urine Common blood test Blood is on a drop Stroke of blood What is the properties of сorynebacterium diphtheria: Contain endotoxin only Exotoxin products Exotoxin does not product An enterotoxin products Myelotoxin products What is transmissive factors in diphtheria? Blood Water Saliva Urine Exrements What laboratory examination is compulsory to do for the patient with signs of tonsillit? Isolation of hemolytic streptococcus from the throat mucosa Biochemical blood analysis X-ray examination Smear from nose and pharynx Immune-enzyme analysis What material it’s necessary to take for bacteriologic examination in suspicion on diphtheria? Excrement Blood Urine Mucous Neurolymph What mechanism of transmission of Corynebacterium diphtheria? Vertical B. C. * D. E. 611. A. B. C. * D. E. 612. A. B. * C. D. E. 613. A. B. * C. D. E. 614. A. B. C. D. * E. 615. A. B. C. D. * E. 616. A. B. C. D. * E. 617. A. * Transmissive Air-drop Contact Parenteral ?What medical measures are primary in diphtheria of pharynx, widespread form? ntroduction of non steroid and ant inflammatory drugs ntroduction of antibiotics ntroduction of ant diphtheria serum ntroduction of glucocorticoids isintoxication therapy What symptom is not characterized for a kissing disease? Generalized lymphadenopathy Total flatulence Tonsillitis Hepatolienal syndrome Rash What symptoms do not characterize for infectious mononucleosis? Increased of temperature Defeat of Lymphadenopathy Tonsillitis Increase of liver and spleen What the most possible complication occurs during infectious mononucleosis? Meningitis autoimmune alopecia encephalitis Splenic rupture Obstruction of respiratory tract What the most possible complication occurs during infectious mononucleosis? Meningitis Autoimmune alopecia Encephalitis Splenic rupture Obstruction of respiratory tract What ways of transmission does characterize for infectious mononucleosis? Alimentarniy Transfuziv Sexual Air Contact A 24 y/o man .was seen by a doctor on the 2d day of illness with complaints about a fever up-to 38,1 °C, painful swallowing, malaise. On the skin of trunk and extremities, especially in natural folds, point rash on hyperemic background was faund. The nasolabial triangle was white with no rash. Enantema on a soft palate, and purulent exudates on tonsils were observed. A few enlarged and painful submandibular lymph nodes were palpated. What is the most probable diagnosis? Scarlet fever B. C. D. E. 618. A. B. * C. D. E. 619. A. B. C. D. * E. 620. A. B. C. * D. E. 621. A. * B. C. D. E. 622. A. * B. C. D. E. 623. A. Rubella Measles Enteroviral infection Flu A 24.y/o man was seen by a doctor on the 2d day of illness with complaints about subfebrile temperature, and insignificant catarrhal phenomena. On the skin of trunk and extremities spotted-papular elements of rash without a tendency to congregate was observed. The mucous membrane of oro-pharinx was not changed. A few enlarged and painful cervical lymph nodes were found. What is the diagnosis? Scarlet fever Rubella Measles Enteroviral infection Flu A 24.y/o patient was seen by a doctor on the 2d day of illness with complaints about a fever up-to 38 °C, headache, and malaise. On the skin of hairy part of head, runk and extremities vesicular rash with red hallow was found. Also some vesicular elements were found on the mucous membrane of pharynx. Lymph nodes were not palpable. What is the most probable diagnosis? Scarlet fever Rubella Measles Chicken-pox Herpetic infection A 4 years old child complains about: cough, temperature of body 38,1 °C. Skin without rashes. Conjunctiva hyperemic. Exanthema on skin. On mucous of cheeks there are points of hyperemia gum blushs. In lungs difficult breathing. What is the most possible diagnosis? Scarlet fever Rubella Measles Enteroviral infection Flu A child 10 years old presents with temperature 38 °C, renitis, conjunctivitis, moist cough. On the mucous membrane of cheeks, lips, gums there are greyish-white points, reminding a farina. What is the diagnosis? Measles Adenoviral infection URTI Enteroviral infection Infectious mononucleosis A normal indices of impalpable fluid losses of the adult person with 70 kg body weight is: 1000 ml per a day 500 ml per a day 700 ml per a day 1500 ml per a day 2000 ml per a day ?A pathological state which develops owing to catastrophic reduction of a circulating fluid volume and electrolytes loss is: An infectious-toxic shock B. C. * D. E. 624. A. * B. C. D. E. 625. A. B. * C. D. E. 626. A. * B. C. D. E. 627. A. B. C. * D. E. 628. A. B. * C. D. E. 629. A. B. * C. D. E. 630. An anaphylactic shock A dehydrationous shock A hemorrhagic shock All right A patient is sick with meningococcal meningitis. He take a massive dose of penicillin. 4 days temperature of body 36,6-36,8 °C. Meningeal signs are negative. When is it possible to stop the antibiotic therapy. At a cytosis in a CSF 100 and less, lymphocytes prevail After 10 days from the beginning antibiotic therapy After 7 days from the beginning antibiotic therapy At a cytosis 100 and less, neutrophil prevail From 6 days from the beginning antibiotic A patient with meningococcal meningitis gets penicillin during 7 days. The temperature of body is normal 4 days. Meningeal signs are negative. When is it possible to stop the antibiotic therapy. In default of leucocytosis displacement in blood At a cytosis in a neurolymph 100 and less, lymphocyte prevail At a cytosis in a neurolymph 100 and less, neutrophil prevail At a cytosis in a neurolymph 150, lymphocyte prevail At once immediately A patient with meningococcal meningitis gets penicillin during 7 days. Last 4 days temperature of body is normal. Meningeal signs are absent. When is it possible to abolish an antibiotic? At cytosis in liquor 100 and less, lymphocytes prevails At absence of leukocytosis and stab-nucleus shift in a blood At cytosis in liquor 100 and more less, neutrophils prevails At cytosis in liquor 150, lymphocytes prevails At once A patient’s temperature is 40 °C. There are olso deep and unproductive cough, photophobia, face puffiness whitish points on the mucous membrane of cheeks opposite molar teeth. What is the most possible diagnosis? Tuberculosis Meningococcemia Measles Enteroviral infection Staphylococcus sepsis All are the clinical signs of measles except: Acute beginning of high fever Icterus Maculo-papular rash Sequential appearance of rash Scaling All are the clinical signs of measles EXEPT: Acute beginning of high fever Icterus Maculo-papular rash Sequential appearance of rash Scaling All are the clinical signs of measles EXEPT: A. B. * C. D. E. 631. A. B. C. * D. E. 632. A. B. C. D. E. * 633. A. B. C. D. E. * 634. A. * B. C. D. E. 635. A. B. C. D. E. * 636. A. * B. C. D. E. 637. A. * B. C. Acute beginning of high fever Icterus Maculo-papular rash Sequential appearance of rash Scaling Among the students of school 2 cases of generalized form of meningococcal infection are registered. What preparation does it follow to enter to the contact persons with the purpose of urgent prophylaxis? Normal immune globulin Leukocytic interferon Meningococcal vaccine Meningococcal anatoxin Bacteriophage And. 5 days after the isolation of the last patient 11 days 21 day 10 days No need for quarantine 5 days after isolation of the last child And. 5 days after the isolation of the last patient 11 days 21 day 10 days No need for quarantine 5 days after isolation of the last child Can the symptoms of an acute appendicitis be the complications of typhoid fever: Yes No Not always Often May be Compensated dehydrationous shock develops: Rise level of toxins At a decrease of the systolic blood pressure At a hyperthermia At hypohemoglobinemia Because of the haemodynamics changes absence in peace Enterorrhagia feces: Melena Fetid Does not change With mucous With billirubin Etiology agent of meningitis is: Neisseria meningitides Entamoeba histolytica Vibro cholerae D. E. 638. A. * B. C. D. E. 639. A. B. C. * D. E. 640. A. B. C. * D. E. 641. A. B. C. * D. E. 642. A. B. C. * D. E. 643. A. B. C. * D. E. 644. A. B. C. D. E. * 645. A. Clostridium botulinum Campylobacter pylori ?Etiology agent of meningitis is: Neisseria meningitides Entamoeba histolytica Vibrio cholerae Clostridium botulinum Campylobacter pylori For how long a patient with complicated form of measles should be isolated: For 4 days from the beginning of rash For 7 days from the beginning of rash For 10 days from the beginning of rash For 17 days from the beginning For 20 days from the beginning of illness For how long a patient with complicated form of measles should be isolated: For 4 days from the beginning of rash For 7 days from the beginning of rash For 10 days from the beginning of rash For 17 days from the beginning For 20 days from the beginning of illness For how long a patient with complicated form of measles should be isolated: For 4 days from the beginning of rash For 7 days from the beginning of rash For 10 days from the beginning of rash For 17 days from the beginning For 20 days from the beginning of illness For the treatment of acidosis at meningococcal meningitis is better to use. 10-20 % glucose solution 10 % chloride solution 4 % sodium bicarbonate solution Albumen Concentrated dry plasma For the treatment of acidosis at meningococcal meningitis is better to use. 10-20 % glucose solution 10 % chloride solution 4 % sodium bicarbonate solution Albumen Concentrated dry plasma How is it possible to specify the diagnosis of meningococcal meningitis. Meningitis is primary Presence of a lot of cells in the CSF Presence of gram-negative diplococcus in CSF Meningococes from the throat All the above How is it possible to specify the diagnosis of meningococcal meningitis. Meningitis is primary B. C. D. E. * 646. A. * B. C. D. E. 647. A. B. * C. D. E. 648. A. B. * C. D. E. 649. A. B. * C. D. E. 650. A. B. * C. D. E. 651. A. B. * C. D. E. 652. A. B. * Presence of a lot of cells in the CSF Presence of gram-negative diplococcus in CSF Meningococes from the throat All the above In patients with intensive head acke, nausea, pain in a neck and lumbar area, expressed meningeal symptoms; light, tactile, pain hyperesthesia what method of inspection is most informing? Lumbar puncture Computer tomography Electroencephalography Transcranial dopplerography Echoencephalography In the blood analysis at an enterorrhagia: Leukocytosis and hyperhemoglobinemia Coagulation failure Leukocytosis Normocytosis Hyperhemoglobinemia In the kindergarden a child had a meningococcal infection. She was immediately hospitalized. After clinical convalescence in child sowed meningococcus. To which category can the carrier (child) of pathogen belongs? 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 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| benzyl penicillin be administered at meningococcal meningitis? From a calculation 100-300 thousands unit on 1 kg of mass of body on days From a calculation 200-500 thousands unit on 1 kg of mass of body on days From a calculation 500-700 thousands unit on 1 kg of mass of body on days From a calculation 700-900 thousands unit on 1 kg of mass of body on days Regardless of mass of body In what dose should| benzyl penicillin be administered at meningococcal meningitis? From a calculation 100-300 thousands unit on 1 kg of mass of body on days From a calculation 200-500 thousands unit on 1 kg of mass of body on days C. D. E. 653. A. B. * C. D. E. 654. A. B. * C. D. E. 655. A. B. * C. D. E. 656. A. B. C. D. E. * 657. A. B. C. D. E. * 658. A. B. C. D. E. 659. From a calculation 500-700 thousands unit on 1 kg of mass of body on days From a calculation 700-900 thousands unit on 1 kg of mass of body on days Regardless of mass of body Measures of urgent prophylaxis for unvaccinated children who have never been ill with measles in case of exposure to an ill with measles Separation from the source Vaccination Administration of antibiotics Disinfection Does not exist Measures of urgent prophylaxis for unvaccinated children who have never been ill with measles in case of exposure to an ill with measles: Separation from the source Vaccination Administration of antibiotics Disinfection Does not exist Measures of urgent prophylaxis for unvaccinated children who have never been ill with measles in case of exposure to an ill with measles Separation from the source Vaccination Administration of antibiotics Disinfection Does not exist Measures of urgent prophylaxis of measles for contacts which have never been ill, but were vaccinated against measles Separation from the source Vaccination Use of antibiotics Use of immunoglobulin No need to conduct Measures of urgent prophylaxis of measles for contacts which have never been ill, but were vaccinated against measles Separation from the source Vaccination Use of antibiotics Use of immunoglobulin No need to conduct Measures of urgent prophylaxis of measles for people who had been ill with measles, but never have been vaccinated Separation from the ill Vaccination Use of immunoglobulin Use of antibiotics No need to conduct Measures of urgent prophylaxis of measles for people who had been ill with measles, but never have been vaccinated: A. B. C. D. E. * 660. A. B. C. D. E. 661. A. B. C. * D. E. 662. A. B. C. * D. E. 663. A. B. C. D. E. 664. A. B. C. D. E. * 665. A. B. C. D. E. 666. A. * B. C. Separation from the ill Vaccination Use of immunoglobulin Use of antibiotics No need to conduct Measures of urgent prophylaxis of measles for people who had been ill with measles, but never have been vaccinated Separation from the ill Vaccination Use of immunoglobulin Use of antibiotics No need to conduct Meningococemia and DIC-syndrome require above all things. dministration of diuretics Administration of analgesic Administration of heparin Administration of vitamins Administration of antihistaminic preparations Meningococсemia and DIC-syndrome require above all things. Administration of diuretics Administration of analgesic Administration of heparin Administration of vitamins Administration of antihistaminic preparations Methods of specific prophylaxis of scarlet fever: Isolation of ill Vaccination Use of antibiotics Disinfection Does not exist Methods of specific prophylaxis of scarlet fever: Isolation of ill Vaccination Use of antibiotics Disinfection Does not exist Methods of specific prophylaxis of scarlet fever: Isolation of ill Vaccination Use of antibiotics Disinfection Does not exist More often the dehydrationous shock develops at: Acute intestinal diseases Respiratory diseases Blood infections D. E. 667. A. B. C. D. * E. 668. A. * B. C. D. E. 669. A. * B. C. D. E. 670. A. B. C. * D. E. 671. A. B. C. * D. E. Diseases of investments Diseases of never system Normal potassium concentration in blood plasma: 1,5-2,0 mmol/l 2,0 mmol/l 2,5 mmol/l 3,5-5,5 mmol/l 4,5 mmol/l Normal sodium concentration in blood plasma: 135-150 mmol/l 125 mmol/l 170 mmol/l 110 mmol/l 90 mmol/l Patient ?. 27 years old, was admited on the 4th day of illness with the diagnosis of viral URTI, and allergic dermatitis”. The patient felt ill suddenly with increase of temperature up-to 38 °C, headache, sore throat, and intensive cough. On the 3d day rash appeared on the skin of neck and face. Patient was taking aspirin in order to decrease the temperature. Objectively: temperature of body 38,8 °C. The face of patient looks puffy. Signs of conjunctivitis, and renitis were observed. On the skin of neck face and chest there was intensive papular rash, without itch. Mucous membrane of oropharynx was brightly hyperemic. Submandibular and frontal neck lymph nodes were enlarged. The liver and spleen were not palpable. What is the diagnosis? Measles Allergic dermatitis Infectious mononucleosis Rubella Scarlet fever Patient A 24y/o. Appealed on the 5th day of illness with complaints about cough, malaise, fever up-to 38,1 °C. On face and behind the ears maculo-papular rash, appeared a day ago, and other areas of skin are without rash. Conjunctiva is hyperemic. Enantema on a soft palate, on the mucous membrane of cheeks are whitish points with the halo of hyperemia. There is the hard breathing in the lungs. Most credible diagnosis is Scarlet fever German measles Measles Enteroviral infection Flu ?Sick C., 8 years, appealed to the infectious hospital on the second day of disease with complaints about a pharyngalgia at swallowing, increase of temperature. Objectively: temperature 38,6 °C, sharp hyperemia of soft palate, tonsills, filling out, loose, on both there are festering stratifications which are taken off by a spatula. Megascopic sickly submandibular lymphonoduses are palpated. Pulse – 114 per a min. Present roseol-papular pouring out on all body. Pastia‘s symptom is positive. It is known from epidemogical anamnesis, that its comrade had alike symptoms. It is not found out the change from the side of other organs. What previous diagnosis can be suspected? Lacunar quinsy Diphtheria of pharynx Scarlet fever Flu Infectious mononucleosis 672. A. B. C. D. E. * 673. A. B. C. D. E. * 674. A. B. C. D. E. * 675. A. B. C. D. * E. 676. A. B. C. D. * E. 677. A. B. C. D. * E. 678. A. B. C. D. * Sick C., 8 years, appealed to the infectious hospital on the second day of disease with complaints about a pharyngalgia at swallowing, increase of temperature. Objectively: temperature of body – 38,6 °C, sharp hyperemia of soft palate, tonsills, filling out, loose, on both there are festering stratifications which are taken off by a spatula. Palpated megascopic, sickly submandibular lymphonoduses. Pulse – 114 shots per min. Present roseol-papular pouring out on all body. Pastia symptom is positive. It is known from epid anamnesis, that at its comrade were alike symptomes. It is not found out the change from the side of other organs. What previous diagnosis can be suspected? lacunar quinsy Diphtheria of pharynx Infectious mononucleosis Flu Scarlet fever Source of meningitis is: Animals Birds Fish Pediculus humanus People Source of meningitis is: Animals Birds Fish Pediculus humanus People Term of contagious period of patient diagnosed with uncomplicated form of measles Until clinical recovery After rash starts disappearing Before appearance of rash 4 days from the beginning of rash 10 days from the beginning of illness Term of contagious period of patient diagnosed with uncomplicated form of measles Until clinical recovery After rash starts disappearing Before appearance of rash 4 days from the beginning of rash 10 days from the beginning of illness Term of contagious period of patient diagnosed with uncomplicated form of measles Until clinical recovery After rash starts disappearing Before appearance of rash 4 days from the beginning of rash 10 days from the beginning of illness The bowel perforation of the typhoid fever can appear: On 1-5 weeks of disease On 1 week of disease On 2 week of disease On 3 week of disease E. 679. A. * B. C. D. E. 680. A. * B. C. D. E. 681. A. B. C. * D. E. 682. A. B. C. D. E. * 683. A. B. C. D. * E. 684. A. B. C. D. E. * 685. A. B. * C. D. E. 686. A. B. On 5 week of disease The bowel perforation of the typhoid fever is accompanied by the onset of: Protective muscle tension of a stomach Absence of respiratory excursion of a abdominal wall Pains in a stomach Disappearances of hepatic dullness of percussion All answers are right The collapse, a severe intoxication of a typhoid fever develops: On 1-2 week of disease On 3 week of disease On 4 week of disease On 4-5 week of disease On 5-6 week of disease The diarrheic syndrome and vomiting are the reason: An infectious-toxic shock An anaphylactic shock A dehydrationous shock A hemorrhagic shock All right The hypovolemic shock develops owing to fluid loss at: A long-term fever A bleeding (a hemorrhagic shock) Vomiting and diarrheas All answers are not true All answers are true The hypovolemic shock is: І degree of dehydration ІІ degree of dehydration ІІІ degree of dehydration ІV degree of dehydration V degree of dehydration The peritonitis of the typhoid is accompanied by the onset of: Stefanskyy's symptom Mayo-Robson's symptom Voskresensky symptom Krymov's symptom Guarding symptom The subcompensated dehydrationous shock develops at: A diastolic and systolic blood pressure boost A decrease of the systolic blood pressure A diastolic blood pressure decrease A diastolic blood pressure boost A systolic blood pressure boost The typhoid fever enterorrhagia is characterised with: A normal pulse A bradycardia C. * D. E. 687. A. B. * C. D. E. 688. A. B. C. D. * E. 689. A. * B. C. D. E. 690. A. * B. C. D. E. 691. A. * B. C. D. E. 692. A. * B. C. D. E. 693. A. * B. C. D. E. 694. A tachycardia An alternating pulse An asystole Typhoid fever bleedings appears: On 5-6 week of disease On 3-4 week of disease On 1-2 week of disease On 2 week of disease On 1 week of disease Typhoid fever bleedings are accompanied with: Body temperature decrease and pulse decrease Body temperature increase and pulse increase The temperature does not change Body temperature decrease and pulse increase Body temperature increase and pulse decrease What antibiotics preparations of choice of etiotropic therapy at a meningococcal infection. Benzylpenicillin and it derivatives Gentamycin Cefazolin Sulfolamide Ciprofloxacin What antibiotics preparations of choice of etiotropic therapy at a meningococcal infection. Benzylpenicillin and it derivatives Gentamycin Cefazolin Sulfolamide Ciprofloxacin What are the anti epidemic measures in regards to people who were in contact with chicken-pox patient: Separation and limit of contacts with others Vaccination Use of antibiotics Disinfection Does not exist What are the anti epidemic measures in regards to people who were in contact with chicken-pox patient: Separation and limit of contacts with others Vaccination Use of antibiotics Disinfection Does not exist What are the anti epidemic measures in regards to people who were in contact with chicken-pox patient: Separation and limit of contacts with others Vaccination Use of antibiotics Disinfection Does not exist What are the rules at taking of smear material on the discovery of meningococal infection? A. B. C. D. * E. 695. A. B. C. D. * E. 696. A. B. C. D. * E. 697. A. B. C. * D. E. 698. A. B. C. * D. E. 699. A. B. C. * D. E. 700. A. B. C. D. E. * 701. A. B. C. D. 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 are the rules at taking of smear material on the discovery 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 clinical form of meningococcal infection more often may happened? Meningococcemia Meningitis Meningoencephalitis Nasopharengitis Pneumonia What group of infectious diseases measles belong to: Intestinal Blood Respiratory Transmissive External covers What group of infectious diseases meningococcal infection belong to: Intestinal Blood Respiratory Transmissive External covers What group of infectious diseases scarlet fever belong to: Intestinal Blood Respiratory Transmissive External covers What is duration of contagious period for a patient with epidemic parotitis? 21 days First week of illness First 10 days from the beginning of disease Whole period of clinical symptoms First 9 days of disease. What is duration of contagious period for a patient with epidemic parotitis? 21 days First week of illness First 10 days from the beginning of disease Whole period of clinical symptoms E. * 702. A. B. C. D. E. * 703. A. * B. C. D. E. 704. A. * B. C. D. E. 705. A. * B. C. D. E. 706. A. B. C. * D. E. 707. A. B. C. * D. E. 708. A. B. C. * D. E. 709. A. * B. First 9 days of disease. What is duration of contagious period for a patient with epidemic parotitis? 21 days First week of illness First 10 days from the beginning of disease Whole period of clinical symptoms First 9 days of disease. What is duration period of supervision after ill with scarlet fever? 7 days from time of contact 21 day Till patient’s rash is present Till patient is discharged from permanent establishment Not conducted What is duration period of supervision after ill with scarlet fever? 7 days from time of contact 21 day Till patient’s rash is present Till patient is discharged from permanent establishment Not conducted What is duration period of supervision after scarlet fever? 7 days from time of contact 21 days Till patient’s rash is present Till patient is discharged from permanent establishment Not conducted What is seasonal character of meningococcal infection? Summer-autumn Autumn-winter Winter-spring Winter Summer What is seasonal character of meningococcal infection? Summer-autumn Autumn-winter Winter-spring Winter Summer What is seasonal character of scarlet fever? Summer-autumn Autumn-winter Winter-spring Winter Summer What is taken for serum research for confirmation of meningococcal infection? Blood Mucus C. D. E. 710. A. * B. C. D. E. 711. A. B. C. D. * E. 712. A. B. C. D. * E. 713. A. B. C. D. * E. 714. A. B. * C. D. E. 715. A. B. C. D. * E. 716. A. B. C. D. * E. 717. Urine CSF Saliva What is taken for serum research for confirmation of meningococcal infection? Blood Mucus Urine CSF Saliva What is the duration of contagious period for a patient diagnosed with scarlet fever? 10 days from the beginning of illness Until patient is discharged from the hospital Until rash is present Till the 22d day from the beginning of illness Not contagious What is the duration of contagious period for a patient diagnosed with scarlet fever? 10 days from the beginning of illness Until patient is discharged from the hospital Until rash is present Till the 22nd day from the beginning of illness Not contagious What is the duration of contagious period for a patient diagnosed with scarlet fever? 10 days from the beginning of illness Until patient is discharged from the hospital Until rash is present Till the 22d day from the beginning of illness Not contagious What is the duration of quarantine in child's establishment in case of rubella? 11 days 21 day 10 days No need for quarantine 5 days after isolation of the last child What is the mechanism of transmission of measles? Fecal-oral Contact Transmissive Air-drop Vertical What is the mechanism of transmission of meningococcal infection? Fecal-oral Contact Transmissive Air-drop Vertical What is the mechanism of transmission of scarlet fever? A. B. C. D. * E. 718. A. B. C. * D. E. 719. A. B. C. * D. E. 720. A. * B. C. D. E. 721. A. * B. C. D. E. 722. A. B. C. D. * E. 723. A. B. C. D. * E. 724. A. B. C. Fecal-oral Contact Transmissive Air-drop Vertical What is used as specific prophylaxis in the period of epidemic spreading of meningococcal infection. Immun globulin Serum Vaccine Anatoxin Nothing What is used as specific prophylaxis in the period of epidemic spreading of meningococcal infection. Immune globulin Serum Vaccine Anatoxin Nothing What laboratory methods should be taken to discharge meningitis? Lumbar puncture Serologic detection Urine examination Coprograma Biopsy of tissues What laboratory methods should be taken to discharge meningitis? Lumbar puncture Serologic detection Urine examination Coprograma Biopsy of tissues What measures are conducted in the place of meningococcal infection? Supervision during 2 weeks Phagoprophylaxis Immunization Bacteriological inspection of contact Chemoprophylaxis What measures are conducted in the place of meningococcal infection? Supervision during 2 weeks Phagoprophylaxis Immunization Bacteriological inspection of contact Chemoprophylaxis What measures should be taken in regards to persons, who were in contact with a patient diagnosed with epidemic parotitis? Observation after contact people during a maximal length of incubation period Quorantin in child's establishment Isolation of people who were in contact with ill from 11th to the 21t day of illness D. E. * 725. A. B. C. D. E. * 726. A. B. C. D. E. * 727. A. B. C. D. E. * 728. A. B. C. * D. E. 729. A. B. C. * D. E. 730. A. B. C. * D. E. 731. A. B. C. * Isolation of children up to 10 years old, who were not ill with epidemic parotitis, for 21 day from a moment of contact All above enumerated What measures should be taken in regards to persons, who were in contact with a patient diagnosed with epidemic parotitis? Observation after contact people during a maximal length of incubation period Quorantine in child's establishment Isolation of people who were in contact with ill from 11th to the 21th day of illness Isolation of children up to 10 years old, who were not ill with epidemic parotitis, for 21 day from a moment of contact All above enumerated What measures should be taken in regards to persons, who were in contact with a patient diagnosed with epidemic parotitis? Observation after contact people during a maximal length of incubation period Quorantin in child's establishment Isolation of people who were in contact with ill from 11th to the 21t day of illness Isolation of children up to 10 years old, who were not ill with epidemic parotitis, for 21 day from a moment of contact All above enumerated What syndrome may appear in severe meningococcemia? Paul-Bunnel Plaut-Vincent Jarish-Gersgeimer Gien-Barre Waterhause-Friedrichsen 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? 23-40 °C 35-43 °C 35-37 °C 23-35 °C 37-39 °C What type of a diarrhoeia is typical for a salmonellosis? Osmotic Exudative Secretory Mixed Toxic When does the laboratory give the results of bacteriological examination of smear from throat? On 2th days On 3th days On 4th days D. E. 732. A. B. C. * D. E. 733. A. B. C. D. E. * 734. A. B. C. D. E. * 735. A. B. C. D. E. * 736. A. B. C. D. E. * 737. A. B. C. D. E. * On 5th days On 6th days When does the laboratory give the results of bacteriological examination of smear from throat? On 2th days On 3th days On 4th days On 5th days On 6th days When patient refered to the doctor with such complaints: prodromal respiratory illness, sore throat, fever, headache, stiff neck, vomiting, confusion, irritability what is previous diagnosis. What main methods can confirm the diagnosis? Epidemic typhys. ELISA-test Hemorrhagic fever. ELISA-test Leptospirosis. Lumbar puncture. Typhoid fever. ELISA-test Meningococcal infection. Lumbar puncture 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 rovamicin From gentamycin From ciprofloxacin From ceftriaxon 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 ciprofloxacin From gentamycin From acyclovir From chloramphenicol Wich of these symptoms are often present in patients with meningitis? Algor, high temperature, headache Profuse watery diarrhea, vomiting, dehydratation, muscular cramps Abdominal pain, diarrhea, constipation, flatulence Headache, dry cough, algor Prodromal respiratory illness or sore throat, fever, headache, stiff neck, vomiting, confusion, irritability Witch of these symptoms are often present in patients with meningitis? Algor, high temperature, headache Profuse watery diarrhea, vomiting, dehydratation, muscular cramps Abdominal pain, diarrhea, constipation, flatulence Headache, dry cough, algor Prodromal respiratory illness or sore throat, fever, headache, stiff neck, vomiting, confusion, irritability