Download 1. A patient Т., 45 years old, was hospitalized at the 2nd day of

1.
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?
A.
Flu B.
Miliary tuberculosis
C.
Plaque, pulmonary form
D.
Leptospirosis
E. Sepsis
2.
Risk group of plague infection the most frequent is:
A.
Doctors B. Hunters C. Alcoholic D. Drugusers E. Prostitutes
3.
The causative agent of plague is:
A.
Yersinia pestis B. Yersinia enterocolitica C.
Yersinia pseudotuberculosis
D.
Bac. Anthraxis
E.
Pseudomonasmallei
4.
The duration of incubation period of plague is:
A.
3 to 8 days;
B.
2 to 12 days;
C. 2 to 10 days; D.
1 to 8 days.
E.
2 to 6 days;
5.
The measures of urgent prophylaxis of plague.
A.
Administration of human immunoglobulin
B.
Chlorochin (delagil) 0,25 g 2 times in week
C.
6-day’s prophylaxis with streptomycin or tetracycline
D.
In first 5 days intake antibiotics of penicillin or tetracycline origin
E.
Іnterferon
6.
To the internal-disseminated forms of plague belong:
A.
Primary-septic
B. Bubonic C. Secondary-pulmonary
D. Primary-pulmonary E.
Intestinal
7
To the localized forms of plague belong:
A.
Intestinal
B. Primary-septic
C.
Secondary-septic
D.
Primary-pulmonary
E. * Skin-bubonic
8.
Patient P., 40 years old, is a farmer. He is ill during 3 days. He complains of subfebrile
temperature, headache. There is a large edema on the left arm. There is a vesicle (0,3x0,5 cm) in the
center of it; which contains the serous and bloody liquid, painless, with considerable peripheral erythema.
What is clinical diagnose?
A.
Plague
B.
Eryzipelas
C.
Carbuncle
D.
Tularemia
E.
Anthrax
9.Patient V., appealed to the surgeon with expressed edema of left half of neck. During examination a
doctor observe a carbuncle on the lateral surface of neck and a few small bubbles near it, filled with a
rather yellow liquid. Submandibular and anterior cervical lymph nodes are enlarged and painful. What
diseases is the most credible?
A.
Anthrax
B.
Diphtheria
C.
Kvinke’soedema
D.
Plague
E.
Carbuncle of neck
10.
What form of plague is highly fatal?
A.
Sylvatic;
B.
Bubonic;
C. Septicemic; D.
Pneumonic.
E. Bubonic
and septicemic
11.
What is the main feature of septicemic plague?
A.
Massive bacteriemia
B.
Headache
C.
Pain in the abdominal
D. Throatache
E. Bleeding
12.
What is the susceptibility of human to plague?
A.
Non susceptible
B.
50 %
C.
Almost 100 % D.
10 %
E.
70 %
13.
Your mast begins to treat patients with a plague:
A.
Immediately after hospitalization
B.
Immediately after hospitalization, carrying out only material for research
C.
After raising of final diagnosis D.
After laboratory and instrumental diagnostics
14.
A boy F., 14 years old, has been hospitalized in infectious department with complaints on severe
headache, temperature increased to 40,2 °C, edema and pain in the iliac areas. Got back from Russia three
days ago, where was on hunts and eat a meat of hare, together with a father. Objectively: a face is
hyperemic, lines are sharp; the iliac lymphonoduss are enlarged, skin above them hyperemic, light,
moving is sharply painful. What is previous diagnose?
A.
Limphogranulomatosis
B. Rabbit-fever
C. Sharp festering lymphadenitis
D.
Plague
E. Anthrax
15.
A girl 13 years old, is delivered in child's infectious department with complaints of temperature
increased to 40,2 °C, headache, pain and edema in the iliac region. Family of child got back from Middle
Asia two days ago, where prepared meat of camel. Objectively: the skin of face is hyperemic, dramatic
face. In the left iliac region painful conglomerate of enlarged lymph nodes, dense and elastic in
consistency, hyperemic skin above them. What is previous diagnose?
A.
Plague
B. Sharp festering iliac lymphadenitis
C.
Reticulosis
D.
Rabbit-fever
E. Lymphogranulomatosis
16.
At the patient B., 32 years old, in 1th day of illness, temperature of body are 40 °C, delirium,
pulse 140 per 1 min, AP is 80/40 mm Rh, vomiting, petehial rash on a skin. In the iliac region painful
conglomerate of enlarged lymph nodes, dense and elastic in consistency. In anamnesis – a patient got
back from Vietnam 3 days ago. What is your previous diagnosis?
A.
Plague
B. Rabbit-fever
C. Anthrax
D. Furuncleofiliacarea E.
Pseudotuberculosis
17.
In a boy 12 years old, which got back from Mongolia with parents 5 days ago, suddenly fever
with chill, great headache, muscles pain, deliriums, face – bright red, injection of sclera, tongue is dry,
edematous, covered with white coating. In the right iliac region painful conglomerate of enlarged lymph
nodes, dense and elastic in consistency, hyperemic skin above them. What is previous diagnose?
A.
Plague, bubonic form
B. Anthrax, skinning form
C.
Rabbit-fever, bubonic form D.
Regional lymphadenitis
E. Phlegmon
18.
In infectious department delivered a patient M., 22 years old, with complaints on weakness,
dizziness, vomiting, insomnia, chills, fever, acute pain in right iliac region. It is second day of disease.
During examination: impaired consciousness, insignificant excitation, weak of cardiac sounds,
tachycardia, pulse with weak filled and tensions. In lungs changes were absent. By palpation – enlarged
spleen. Ordinary sizes liver. In the right iliac region painful conglomerate of enlarged lymph nodes, dense
and elastic in consistency, hyperemic skin above them. It is known from anamnesis that patient works as a
longshoreman in port. Put a clinical diagnosis.
A.
Plague, bubonic form
B. Anthrax, generalized form
C.
Plague, primary-pulmonary form
D.
Tuberculosis of lungs
E.
Tularemia, pulmonaryform
19.
Patient C., 41 years old, geologist, was during 2 months to in the steppes of the Astrakhan before
illness. Became ill suddenly on a 8th day after return home: temperature of body – 40,0 °C, headache,
vomiting, chill. A temperature grew, appeared a weakness, dizziness. Cardiac tones are muffled, pulse –
110 per a min, tongue is “chalky”. On the skin of right shin sharply sickly ulcer 2-3 cm, covered by a dark
scab. In a right inguinal area painful conglomerate of enlarged lymph nodes, immobile. What disease
must be suspected?
A.
Rabbit-fever
B.
Anthrax
C. Phlegmona of right shin
D.
Plague
E.
Spotted fever
20.
?Patient D., 35 years old, a cynologist, became ill suddenly. This disease begin from a chill,
severe pain in abdominal, temperature increased to 39,2 °C. Objectively: a face is puffy, pile, with small
cyanosis; a tongue is covered with white coating, as though rubbed by a chalk. Nausea, vomits, diarrhea
with the admixtures of mucus and blood. There are the cases of plague in a district. What is the previous
diagnosis?
A.
Rabbit-fever, abdominal form
B. Plague, intestinal form
C.
Cholera
D.
Salmonellosis
E. Intestinalаmoеbiasis
21.
Patient D., 40 years old, has been hospitalized on the 5th day of illness with complaints on severe
pain in a right inguinal region that forces him to adopt the forced position; temperature increased to 40
°C. By palpation – a dense uneven immobile conglomerate of enlarged lymph nodes, a skin above him is
refined, is glossy. What is the most credible diagnosis?
A.
Rabbit-fever, bubonic form
B. Anthrax, skinning form
C.
Sepsis, purulent lymphadenitis
D. Plague, bubonic form
E.
Lymphadenitis
22.
Patient D., 42 years old, hunter, became ill suddenly: temperature of body increased to 40,0 °C,
chill, sharp headache, vomiting. He was hospitalized in the 1th day of disease in severe condition:
excited, temperature of body 40,0 °C, a face is hyperemic, eyes brilliant, language is bed. Skin are moist,
clean. Breathing is vesicular, single small-vesicles moist wheezes. At deep inhalation severe pain in the
right half of thorax. BP is 90/60 mm of Rh, pulse – a 120 per a weak. A tough is dry, “chalky”. A cough
is moderate, sputum is liquid, pink, bloodily. What is previous diagnose?
A.
Q-fever
B.
Rabbit-fever
C.
Spotted fever D.
Plague E.
Whiteplague
23.
Patient G., 40 years old, complaints of rising of temperature to 39,0 °C, pain in muscles,
headache, general weakness. Became ill suddenly. The state is severe, pulse – 120/min, BP 90/50 mm of
HG, a hepatomegaly. Painful lymphatic nodes is palpated in a left inguinal area, edema of soft tissues. In
a blood leucocytes 18х106, ESR – 35 mm/hr. What is previous diagnosis?
A.
Plague, bubonic form B.
Sepsis
C. Lymphogranulomatosis
D.
Acute leucosis
E. Anthrax
24.
Patient H., 48 years old, has been hospitalized with complaints of a rise in temperature to 40,4 °C,
severe headache, shortness of breath, cough, with the liquid, bloody sputum. He arrived from India a
week ago. Breathing in lights is hyposthenic, are small quantity of moist crackles & crepitation. Tones are
weak. What diagnosis is most reliable?
A.
Yellow fever
B. Flu
C.
Plague
D. Chicken pox
E. Cholera
25.
Patient J., 23 years old, has been hospitalized in grave condition: altered level of consciousness,
temperature – 41,3 °C, package of enlarged lymphnodes are in a right iliac area, immobile, dense; very
painful and hyperemic skin. After a day there was pain in the right half of thorax, cough with a bloody
sputum. What is previous diagnosis?
A.
Anthrax. Pulmonary form
B.
Plague. Initially-pulmonary form
C.
Rabbit-fever. Pulmonary form
D. Plague. Secondary-pulmonary form
E.
Tuberculosisoflungs
26.
Severe pain appear at a patient in right iliac region ten hours ago. Temperature rose to 39,2 °C.
Objectively: poor balance, pulse is frequent. In the right iliac region painful conglomerate of enlarged
lymph nodes, dense and elastic in consistency, hyperemic skin above them. What diagnosis is most
reliable?
A.
Anthrax B. Rabbit-fever
C.
Plague
D.
Lymphogranulomatosis
E.
Acute festering lymphadenitis
27.
State of patient F., 37 years old, was severe. He had complaints of high fever, general weakness,
pain in an inguinal area. Objectively: consciousness, altered temperature, T – 41,0 °C, in a right inguinal
area package from enlarged, painful conglomerate of lymph nodes, immobile, dense, unclear, skin above
nodules was red. After a days there was pain in the right half of thorax, appeared cough with bloody
sputum. What is previous diagnosis?
A.
Tuberculosis of lungs B.
Plague, initially-pulmonary form
C.
Rabbit-fever, pulmonary form
D. Anthrax, generalized form
E.
Plague, secondary-pulmonaryform
28. What drug did use for the treatment of plague?
A.
Amoxicillin B.
Streptomycin C.
Penicillin
D.
Biseptol E. 5-NOK
29.
The rules of hospitalization of patients with plague:
A.
To separate ward
B. To ward for respiratory infections
C.
To ward boxing chamber
D.
Patient’s are not hospitalized
E.
To ward for intestinal infections
30. At the patient B., 32 years old, in 1th day of illness, temperature of body are 40 C, delirium, pulse
140 per 1 min, AP is 80/40 mm Rh, vomiting, petehial rash on a skin. In the iliac region painful
conglomerate of enlarged lymph nodes, dense and elastic in consistency. In anamnesis - a patient got back
from Vietnam 3 days ago. What is your previous diagnosis?
A.
Plague B.
Rabbit-fever
C.
Anthrax
D.
Furuncle of iliac area
E. Pseudotuberculosis
31.
In a girl in 14 years old, which got back from India 4 days ago with parents, suddenly fever
appeared, malaise, dizziness, delirium, hallucinations, severe headache, frequent vomiting, palpitation,
shortness of breath, moist cough, appeared with bloody sputum. Petehial-hemorrhagic rash widespread on
skin. In lights it is hyposthenic from both sides of breathing, paravertebral are small quantity of moist
crackles. What antibiotic is most effective?
A.
Streptomicinum
B. Oxytetraciklynum C. Monomycinum
D.
Ampicillin
E.
Morphicyklinum
32. Patient К., 43 years old, hunter. The onset was acute: appeared sharp pains in right inguinal area,
which lead to extortion position of hand. Temperature raised till 39,5 C. Next day he calls the doctor who
put the diagnosis “Lymphadenitis” and directs the patient by ambulance to surgical department. Surgeon
during examination revealed woody-like tightly conglomerate of lymphatic nodes and purpose color of
skin above it. What is the most possible diagnosis?
A.
Plague, bubonic form B.
Sepsis, purulent lymphadenitis C.
Purulent lymphadenitis
D.
Тhrombosis of a. femoralis
E.
Тularemia, bubonic form
33.
Patient, 37 years old hospitalized in infections department on 3rd day from the beginning of the
disease in very severe condition. Complains of high fever and sharp general weakness, strong pain in
inguinal area. Objectively: consciousness is darkened, Т - 41 C, in right inguinal area the group of
enlarged, connected lymphatic nodes, not moveable, tightly, unclear borders, very painful, redness of skin
above them. After one day appeared pain in right side of thoracic cavity, cough with bloody sputum.
Patient is miserably, nervous. What is the primary diagnosis?
A.
Plague, secondary-lung form
B. Anthrax, generalized form
C.
Plague, primary-lung form
D.
Lung tuberculosis E. Тularemia, lung form
34. Severe pain appear at a patient in right iliac region ten hours ago. Temperature rose to 39,2 C.
Objectively: poor balance, pulse is frequent. . In the right iliac region painful conglomerate of enlarged
lymph nodes, dense and elastic in consistency, hyperemic skin above them. What diagnosis is most
reliable?
A.
Anthrax B. Tularemia C.
Plague
D.
Lymphogranulomatosis
E. Acute festering lymphadenitis
35. Ethyology of toxoplasmosis is:
A.
Sh. Flexneri
B. Toxoplasma gondii
C.
Neisseria meningitides
D. Corinebacteriumdiphtheria
36.
Ethyology of toxoplasmosis is:
A.
Virus
B. Simplest C. Bacteria
D.
Helminthes
E. Animals
37.
Patient D., 47 years old, veterinary doctor, admitted to infections department on 2nd day of
disease in quite severe condition with expressed intoxication, high temperature (40 C); general weakness,
exhausting cough with runny bloody sputum. Objectively: cyanosis of mouth, pulse 128 per minute,
mucous membranes of mouth cavity lightly hyperemic, due to significant edema of nasal and pharyngeal
mucous present impediment breathing, during lungs auscultation - dry and moist rales, in percutation areas of consolidations. Deaf heart tones, AP - 85/50 mmHg. From epidemiologic anamnesis revealed,
that patient during a week till the onset of disease work with ill animals. Part of the animals died. What is
the most possible diagnosis?
A.
Community-acquired pneumonia
B.
Anthrax, lung form
C.
Plague, lung form
D.
Atypic pneumonia (SARS)
E.
Q-fever
38.
Patient M., 30 years old, is treating ambulatory with uveitis. He complains of periodical subfebrill
temperature, headaches, weakness; he is ill during 3 years. Clinical previous diagnose.
A.
Malaria B. Brucellosis C. Toxoplasmosis D.
Amoebiasis
39.
Patient M., 30 years old, is treating ambulatory with uveitis. He complains of periodical subfebrill
temperature, headaches, weakness; he is ill during 3 years. Clinical previous diagnose.
A.
Malaria B. Brucellosis C. Toxoplasmosis D. Amoebiasis
40.
What examination should be performed to confirm the diagnosis of toxoplasmosis in pregnant
women?
A.
Bacterioscopy of blood B. Biopsy materrial from lymph nodes, muscle or tissues
C.
Immunofluorescence test D. Burne test
E.
ELISA-test
41.
What is the main mechanism of transmission of a toxoplasmosis?
A.
Airborne B. Fecal-oral C. Contact D. Transmisiv
42.
A patient W., 40 years old, veterinaryer, is ill 3 day: insignificant weakness, body temperature 38 C, at right forearm - ulcer of diameter 1,5 cm, covered by dark brown scab, surrounded by hyperemia
with small vesicles. Expressed edema of soft tissue of forearm.Enlareged and sensible lymph nodes on the
right elbow and arm pit.On the hands fresh scratches. What is the most credible diagnosis?
A.
Anthrax
B.
Eryzipelas
C.
Felinoz
D.
Staphylococcal carbuncle
E.
Tularemia, ulcerous-bubonic form
43.
Which antibiotics are use as etiological treatment of pregnant women with toxoplasmosis:
A.
Penicillin B. Metronidasol C.
Cephtriacson D.
Amikacin
44.
In a villager, on back surface of right fist appeared itching papule, in the center of which is
present swelling with ichoric content. In next 2 days develops edema of fist and forearm. On 4th day
increase of body temperature, in axillaries region of right revealed large painful lymphatic nodule. One
day before the beginning of disease, patient had contact with dead calf. What is the most possible
diagnosis?
A.
Plague, skin-bubonic form
B.
Anthrax ulcer, skin form
C.
Common carbuncle
D.
Tularemia, skin-bubonic form
E.
Sepsis
45.
Which antibiotics are use as etiological treatment of toxoplasmosis:
A.
Augmentin
B.
Tinidasol
C.
Cephtriaxon D.
Avelox
46.
Which drags are use as etiological treatment of pregnant women toxoplasmosis:
A.
Immunoglobulin specific B. Serum C.
Intron D.
Imunophan E. Vaccine
47.
A child, 8 years old, has been ill for 9 days. Complaints of weakness, headache, insomnia. A
temperature to – 38,5-39,5°C. The skin is pale. There are 3 roseolas on the skin of abdomen. A tongue is
assessed. A liver and spleen is enlarged. What disease is the most probable?
A.
Sepsis
B. Yersiniosis
C.
Infectious mononucleosis
D.
Typhoid fever
E.
Leptospirosis
48.
A patient V., 23 years old, was hospitalized on the 6th day of the disease with complaints for a
high temperature, chill, dry cough. The disease began suddenly from getting up of temperature to 39,7 °C,
chill, then a dry cough. Treated oneself as ARI, took an analgesic, antihistaminic. Objectively: state of
moderate severity, on an abdomen are single roseollas, hepatosplenomegaly, diarrhea up to 4 times
without admixtures. What is the previous diagnosis?
A.
Yersiniosis B.
Typhoid fever
C. Brill‘s disease
D.
Meningococcemia
E.
Epidemic typhus
49.
A patient was hospitalised after 4 hours of consumption of raw eggs, complaining frequent
vomiting, abdominal pain, mostly in the right iliac area and umbilical area. Objectively pale skin, dry
tongue with grey coating, hypotension, tachycardia. What tests should be carried out to confirm the
diagnosis.
A.
General blood analysis B.
Parasitological examinations
C.
Microscopic examination of stool D. Biological test E.
Coproculture
50.
A patient, 24 y/o, was hospitalized in infectious department on the 10th day of illness with
complaints about a weakness, headache, absence of appetite, cough. Objectively: temperature of body
39,5 °C, pallor of skin. On the skin of stomach and chest some roseolas were found. There is hard
breathing over the lungs with no rales. RR 20 / min. Pulse 80 /1 min. The liver edge is palpable 1 cm.
below than costal arc. The spleen is enlarged a little. What is the diagnosis?
A.
Typhoid fever B.
Flu C.
Spotted fever
D.
Brucellosis
E.
Pneumonia
51.
A woman D., 41 years, complains on diarrhea, headache, severe weakness, insomnia, dull pain in
a right iliac area. It is a 8th day of illness. At a review: Т-39,8 °C, Рs – 86/min., AP – 90/60 mm Hg. It is
dictoric pulse. Skin is pale. Single roseollas are on the abdomen. Tongue is dry, assessed by the
coverings, with the imprints of teeth on a lateral surface. Soft, dulling of percutory sound is determined in
ailleocaecal area of abdomen. Hepatosplenomegaly, positive Blumberg’s symptom, neutrophilic
leukocytosis. What diagnosis is most reliable?
A.
Typhoid fever B. Epidemic typhus
C.
Sepsis
D.
Megakaryoblastoma
E. Tuberculosis
52. At a patient G., 41 years old, was a high temperature during 8 days, severe headache, constipation.
Objectively: temperature of body 39,5 °C, pale, languid. Pulse 82 per a min, a tongue is dry, assessed by
the brown coat. An abdomen is moderato exaggerated, painful in a right ileac area. A liver + 2 cm. What
is the most credible diagnosis?
A.
Typhoid fever
B. Epidemic typhus
C. Flu
D.
Appendicitis
E.
Yersiniosis
53.
At sick P., 40 years old, the high temperature of body is marked during 8 days, great headache.
Objectively: temperature – 39,5 °C, a patient is pale, languid, adynamic. Pulse 82 per a min. A tongue is
dry, assessed a brown raid, on the skin of abdomen singles roseolas. A liver + 2 cm. What is the most
credible diagnosis?
A.
Typhoid fever
B. Spotted fever
C. Sepsis
D.
Tuberculosis
E. Brucellosis
54.
At sick, 32 years, on the 9th day of illness which began gradually, from slow growth of fever and
intoxication, appeared 3 roseols on the skin of abdomen. Objectively: pale of skin, temperature – 40,4 °C,
pulse 80 per a min, BP 100/65 mm Hg. A tongue is assessed, an abdomen is swollen, and the spleen and
liver are palpated. Inspection what disease is it needed to conduct on above all things?
A.
Spotted fever B.
Typhoid fever C.
Measles
D.
Scarlet fever
E.
Sepsis
55.
At the inspection of persons who contact with patient with typhoid fever, stick of typhoid fever
was found in urine. The reaction of Widal was negative. A patient considers himself healthy. What is
your preliminary diagnosis?
A.
Typhoid fever, latent period
B. Typhoid fever, relapse
C.
Transitory bacteriocarriers of stick of typhoid fever
D.
Chronic bacteriocarriers of stick of typhoid fever
E.
Any of the enumerated diagnoses is possible
56.
Patient 24 y.o., was hospitalized in the infectious department on the 10th day of disease with
complains of general weakness, headache, poor appetite, cough. Objectively: body temperature 39,5 °C,
pallor of skin. Adynamism. Single roseolas are present on the skin of anterior wall of the abdomen,
thorax. Liver in palpate + 1 cm below the rib angle on the midclavicular line, spleen is palpate not
significantly. What is he most possible diagnosis?
A.
Typhoid fever B. Flu
C.
Typhoidrash
D.
Brucellosis
E.
Pneumonia
57.
Patient B., 36 years old, complains for a great headache, general weakness, insomnia, fever to
39,7 °C. Fell ill gradually. Objectively: skin is pale, on a abdomen are singles roseolas. A tongue with the
imprints of teeth and white raid, edges and tag is clean. Flatulence. A liver and spleen is enlarged. Dulling
of percussive sound is in a right iliac area. Pulse 70 per a min, BP 100/60 mm Hg. In lights there are the
dissipated dry wheezes, hard breathing. Blood test: leycocytosis 3,1?109/l, RSE 25 mm/hour, eos. 0 %,
n/n 9 %, s/n 51 %, lymphs.31 %, monocyts 5 %. What is the most credible diagnosis?
A.
Typhoid fever
B. Spotted fever C.
Pneumonia
D.
Leptospirosis
E. Sepsis
58.
Patient I., 28 years old, hospitalized on the 9th day of illness with complaints about the increase
of temperature to 39,2 °C, headache, general weakness, absent of defecation. There are singles roseolas
on the abdomen, pulse 78 per a min, a liver + 2 cm. What is credible diagnosis?
A.
Sepsis B. Spotted fever
C.
Typhoid fever
D.
Brucellosis
E. Leptospirosis
59.
Patient L., 43 years old, entered to the clinic of infectious diseases with a diagnosis „fever not
clearing etiology”. He has been ill 15 days: temperature of body – 39,3 °C. Skin is pale. Pulse – 86 per a
min, satisfactory properties. BP is 110/70 mm Hg. Tongue is dry, assessed by the coverings, with the
imprints of teeth on a lateral surface. On a stomach are 10-12 roseolas to 5 mm in a diameter. A liver and
spleen is enlarged. What is the most credible diagnosis?
A.
Yersiniosis
B.
Typhoid fever
C.
Brucellosis
D.
Epidemictyphus
60.
Patient P., 45 years old, entered on consultation, with a diagnosis „fever not clearing etiology”.
He has been ill 8 days. The disease developed gradually, appeared headache, insomnia, adynamia.
Temperature – 39,5 °C, skin is pale. Pulse – 88 per a min. A tongue on a center is assessed by the thick
grey coat. A stomach is exaggerated, grumbles in a right iliac region. A liver and spleen is enlarged on 2
cm. What is the most credible diagnosis?
A.
Typhoid fever
B. Yersiniosis C.
Epidemic typhus
D.
Adenoviral infection E.
Sepsis
61.
Patient R., 35 years old, entered to the clinic on the ninth day of illness with complaints of the
increased Т to 39,0 °C, headache, general weakness, delay of emptying, violation of sleep. At a review:
on the skin of abdomen are single roseollas, a tongue is assessed by the brown covering, Ps. 78 shots in a
min., rhythmic, a liver is enlarged for 2сm. What is reliable diagnosis?
A.
Typhoid fever B.
Leptospirosis C.
Brucellosis
D.
Sepsis
E. Tuberculosis
62.
2 men admitted in the clinic of infectious diseases, attendant of cattle farm. Both complaints on
increase of body temperature, headache, injury of skin of hands like ulcers encoated by crusty black
covering. Became ill 3 days ago. At first at the skin of hands appeared 2-3 red spots, then in the place of
spots appear bubbles, bursting with formation of the ulcers covered by a dense black scab. Around the
scab appeared inflamed red colored secondary vesicles, all is surrounded by the soft studnevidnim edema
but not painful. Patients care for the ill bull 4 days ago to illness. What is the most credible diagnosis?
A.
Plague
B.
Eryzipelas
C.
Carbuncle
D.
Anthrax
E.
Tularemia
63. A patient has the sudenly expressed edema in half face and neck. In the center of edema is the black
scab surrounded by small vesicles. Paracervicle and submandibular lymph nodes are increaseed in size.
The changes on face are not accompanied by pain. During examintaion, patient has temperature 37,5 C.
What is the most credible diagnosis?
A.
Anthrax
B.
Plague
C.
Tularemia
D.
Eryzipelas
E.
Furuncle
64.
A patient 30 years on 9th day of illness that began gradually, the slow rise of fever and
intoxication, a painless rosy rashes on the skin of the abdomen. OBJECTIVE: pale, temperature 40 ° C,
pulse 80/min, AD 100 and 65 mm RT. Art. Language is coached, stomach bubbles, enlarged spleen and
liver. For what disease you can suggest in the first place?
A.
Typhoid fever B.
Epidemic typhus C. Measles D. Scarlet fever
65.
A patient 30 years on 9th day of illness that began gradually, the slow rise of fever and
intoxication, a painless rosy rashes on the skin of the abdomen. OBJECTIVE: pale, temperature 40 ° C,
pulse 80/min, AD 100 and 65 mm RT. Art. Language is coached, stomach bubbles, enlarged spleen and
liver. For what disease you can suggest in the first place?
A.
Typhoid fever B.
Epidemic typhus C. Measles D. Scarlet fever
66.
A patient 40 years on 9th day of illness that began gradually, the slow rise of fever and
intoxication, a painless rosy rashes on the skin of the abdomen. Objective: pale, temperature 40 °C, pulse
80/min, AD 100 and 65 mm RT. Art. Language is coached, stomach bubbles, enlarged spleen and liver.
For what disease you can suggest in the first place?
A.
Typhoid fever B.
Epidemic typhus C. Measles
D.
Scarlet fever
E. Sepsis
67.
Patient I., complains of headaches, delirium. When inspection: a body temperature of 39 °C,
initiated, a person hyperemic, positive symptom Govorova-Godele, petechia rash on the trunk, limbs,
tachycardia, hypotension, hepatosplenomegaly. Drunker, drug user, living in the basement room type.
What is your preliminary diagnosis?
A.
AIDS
B. Influenza
C.
Leptospirosis
D.
Typhoidfever
E.
Epidemictyphus
68.
Patient L., 20 years old, had appendectomy on the 5th day of disease. During operation was found
an appendix with the signs of catarrhal inflammation and hyperplasia of lymphatic nodes of mesentery.
After a day his state became severe: temperature – 40 °C, with hallucinations, hepatosplenomegaly.
Single roseols elements appeared on the skin of abdominal on a 10th day. The tongue is great, covered
with grey coating, with the imprints of teeth, wound is in normal. In the analysis of blood are leucopenia,
relative lympho- and monocytosis. In anamnesis was contact with a patient with typhoid fever. What is
the most credible diagnosis?
A.
Typhoid fever, atypical form: appendicotyphoid
B.
Epidemic typhus C. Yersiniosis
D.
Pseudotuberculosis
69.
Patient L., 43 years old, entered to the clinic of infectious diseases with a diagnosis „fever not
clearing etiology”. He has been ill 15 days: temperature of body – 39,3 °C. Skin is pale. Pulse – 86 per a
min, satisfactory properties. BP is 110/70 mm Hg. Tongue is dry, assessed by the coverings, with the
imprints of teeth on a lateral surface. On a stomach are 10-12 roseolas to 5 mm in a diameter. A liver and
spleen is enlarged. What is the most credible diagnosis?
A.
Yersiniosis
B.
Typhoid fever C. Brucellosis D.
Epidemic typhus
70.
Patient P., 45 years old, entered on consultation, with a diagnosis „fever not clearing etiology”.
He has been ill 8 days. The disease developed gradually, appeared headache, insomnia, adynamia.
Temperature – 39,5 °C, skin is pale. Pulse – 88 per a min. A tongue on a center is assessed by the thick
grey coat. A stomach is exaggerated, grumbles in a right iliac region. A liver and spleen is enlarged on 2
cm. What is the most credible diagnosis?
A.
Typhoid fever B. Yersiniosis C.
Epidemic typhus
D.
Adenoviralinfection
71.
Patient Н., 28 years, entered to the clinic on the ninth day of illness with complaints of the
increased Т to 39,0 °C, headache, general weakness, delay of emptying, violation of sleep. At a review:
on the skin of abdomen are single roseollas, a tongue is assessed by the brown covering, Ps. 78 shots in a
min., rhythmic, a liver is enlarged for 2см. What is reliable diagnosis?
A.
Typhoid fever B.
Leptospirosis C.
Brucellosis D. Tuberculosis
72.
A patient concerned about attacks of fever, which are repeated every third day. There are jaundice
of sclera and skin, hepatosplenomegaly. Which of the following diagnosis is most likely?
A.
Sepsis B.
Malaria C. viral hepatitis
D.
Hemolyticanemia E. Leptospirosis
73.
During the treatment in a hospital of malaria the latest attack was happened. What is
etiotropictreatment.
A.
Antibiotics B.
Serum
C. Delagil
D.
Primachin
E.
Delagil + Primachin
74.
How prevent malaria infection?
A.
Follow the rules of personal hygiene
B. Boiling of a water
C.
Vaccination D. Chemoprophylaxis E.
Heatingof a food
75.
Indications for the appointment of hematoshizotropic antimalarial drugs:
A.
Attack of malaria
B.
Preventing of late relapse
C.
Prophylactic course after returning from malaria areas
D.
76.
A.
C.
E.
77.
A.
Ant recidive course for the reconvalescents
E.
During a check-up
Indications for the appointment of histoshizotropic antimalarial drugs:
Attack of malaria
B.
Prevention of late relapse
Complications of malaria D. Chemoprophylaxis during staying in endemic areas
During a check-up
Prevention of late relapse of malaria by:
Delagil
B. Immunoglobulin
C.
Antibiotics D. Primachin
E.
Glucocorticoids
78.
Reconvalenscents after malaria may discharged from a clinic no earlier than:
A.
After 2 weeks to complete clinical recovery
B.
After 2 weeks of the conclusion of a radical course of therapy
C.
At the conclusion of a radical course of therapy with a negative result of parazitoscopy
D.
After 3 weeks with a negative blood culture results
E.
After 3 weeks, if the negative results of planting feces
79.
Rules of hospitalization of patients with malaria:
A.
In separate room B. In the respiratory infections department
C.
In the Meltserovsky‘s box
D.
Patientsarenothospitalized
E.
In the intestinal infections department
80.
What method used for identification of malaria:
A.
Stool culture test
B. Hemoculture
C.
Microscopic assessment of blood D. Byurne test
81.
When does begin treatment of patients with a malaria?
A.
Immediately after hospitalization B. After taking of material for research
C.
After raising of final diagnosis
D. After the laboratory and instrumental result
82.
For a skin form of anthrax the most characteristically:
A.
Hyperemia
B.
Painful carbuncle
C.
Not painful carbuncle
D.
Painful noodles
E.
Vesicles and bulls
83.
A patient is disturbed by attacks fevers which repeat oneself periodically every third day. The
icterus of sclerotica and skin covers, megascopic of hepar and spleen is marked. What from the diagnoses
transferred below most credible?
A.
Viral hepatitis B.
Sepsis
C. Malaria D. Iersiniosis
E. Leptospirosis
84.
The patient concerned about attacks of fever, which are repeated every third day. There are
jaundice of sclera and skin, hepatosplenomegali. Which of the diagnoses most likely?
A.
Sepsis
B. Malaria
C.
viral hepatitis D.
Hemolyticanemia
E.
Leptospirosis
85. 26-years old man during 6 days marks the 6-8-sentinel gettings up temperatures with a strong chill,
which end with abundant then and repeat oneself regularly in a day. 6 months ago there were alike attacks
of fever during a stay in Afghanistan, from where returned 4 months back. Temperature of body 36,4C,
Ps 94 per 1 min The moderate increase of spleen and liver is marked. A diuresis suffices, wetting without
pathological changes. What disease can be suspected for a patient?
A.
Leptospirosis B.
Hemorragic fever C. Malaria D. Viral hepatitis
E. Sepsis
86.
36-year-old for 8 days, said the 6-8-hour temperature rises with a strong fever, drenching sweat
that end and are repeated regularly every day. Had similar bouts of fever in Afghanistan, where he
returned four months ago. Temperature of 39,2 C, the pulse 94 for 1 min. Abdomen on palpation is not
painful. A modest increase in liver and spleen, slight jaundice. What is the most likely diagnosis?
A.
Viral hepatitis B.
Typhoid C. Sepsis D.
Malaria E. Tuberculosis
87. Patiett is worried bouts of fever, repeated every third day. Marked jaundice sclera and skin,
hepatosplenomegaly. Which of the following most likely diagnosis?
A.
Viral hepatitis B.
Sepsis C.
Malaria D. Yersiniosis E. Leptospirosis
88. The patient was 40 years old in a week after returning home from Ethiopia worried recurrent bouts
of fever. Marked jaundice sclera and skin, hepatosplenomegaly. Which of the following most likely
diagnosis?
A.
Sepsis B.
Malaria C. Hepatitis A D.
Congenital anemia E. Leptospirosis
89.
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 diagnosis?
A.
Hemorrhagic fever with a kidney syndrome
B. Hepatitis A
C.
Escerichiosis
D. Flu
E. Leptospirosis
90.
Patient C., 17 years old, working vegetable base. Acutely ill, 2 days ago. His illness is linked to
eating dirty roots. The disease started with chills, body temperature increase to 38,1 ?C, headache, pain in
muscles and joints of all groups, weakness, nausea, Cramping in the stomach around the navel, in
epigastrium, diarrhea up to 5 times. Excrements liquid, viscous, bed smell, normal colour. Objective
inspection: scleritis, conjunctivitis, hyperemia of soft palate, “raspberry” tongue. In palpation of abdomen
- the moderate morbidity in epigastrium. What is diagnosis.
A.
Yersiniosis
B. Dysentery
C. Salmonellosis
D.
Cholera
E.
Viralhepatitis
91.
Veterinarian 57 years old, on the 3rd day of disease appealed to the doctor with complaints of
headache, high temperature, pain in gastrocnemius muscles, icterus, dark urine and diminishing of its
amount. Objectively: temperature of body is 38 °C, sclerotic big peteachia on overhead part of thorax,
hepatospleenomegaly. Most reliable preliminary diagnosis will be:
A.
Leptospirosis B.
Brucellosis
C.
Viral hepatitis
D.
Pseudotuberculosis
E.
Trichinosis
92.
At treatment of patients with leptospirosis antibiotics consider most effective:
A.
Penicillin
B.
Macrolids
C.
Cefalosporins
D.
Ftorhinolons
E.
Sul'fanilamids
93.
Daily allowance doses of penicillin at treatment of leptospirosis:
A.
2-3 million units
B.
3-12 million units C. 20 million units
D.
40 million units
E.
Over 40 millionunits
94.
For the prophylaxis of leptospirosis use:
A.
Active vaccine B.
Anavaccine
C. Toxoid
D.
All
E.
Antibiotics
95.
How long lasts the leptospirosis incubation period:
A.
2 month
B.
1-7 days
C.
7-14 days
D.
14-21 days
E. 2-3 days
96.
Vaccinations against leptosprosis perform for:
A.
All
B. Only villagers C.
Only to the habitants of endemic districts
D.
Only to the persons busy in the stock-raising E.
Itisnotconducted
97.
Violations of electrolyte balance show up at a leptospirosis:
A.
Metabolic acidosis
B.
By a metabolic alkalosis
C.
Respirator acidosis D.
By a respiratory alkalosis
98.
With the purpose of immunotherapy it is better to apply at treatment of leptospirosis:
A.
Immunodepressants
B. Antihistaminics
C. Horse whey
D.
Antileptospirosishumanimmunoprotein
E.
Antileptospirosisneatimmunoprotein
99.
A chill appeared suddenly at the workwoman of pig farm, a temperature rose to 39,9 °C, there
was a headache, nausea. On the next day appeared pain in the muscles of lower extremities, began the
nose bleeding. On the 3th day of disease, state was severe. A face is hyperemic, scleritis, subicterous of
scleras. Liver + 3 см, diuresis – 700 ml. What is the previous diagnosis?
A.
Hemorrhagic fever with a kidney syndrome
B.
Hepatitis A
C.
Yersiniosis
D.
Flu
E. Leptospirosis
100. A patient 25 years, entered infectious separation on the 3th day of disease with complaints of pain
in gastrocnemius muscles, high fever, chill. State of middle weight.Sclerotica are icterus. Mucous
membrane of soft palate is hyperaemia. A tongue is dry, assessed a brown raid. A stomach is swollen.
Liver +2 smA spleen is not megascopic. Palpation of muscles, especially gastrocnemius, painful.Wetting
dark.Excrement of ordinary color. Name the most credible diagnosis:
A.
Infectious mononucleosis B. Viral hepatitis A
C.
Malaria D. Leptospirosis
E. Iersiniosis
101. A patient 42, animal technician, fell ill sharply: chill, temperature to 40°, head pain, megalgias, is
in muscles, especially gastrocnemius. Objectively: an icterus, hemorragic rash, is expressed on a body, a
liver and spleen is megascopic, positive symptom of Pasternackogo,. Put a preliminary diagnosis. A.
Malaria
B.
Ku-fever
C.
Leptospirosis
D.
Spotted fever
E. Fever of Ebola
102. A patient I., 26 years old, delivered in a hospital on the 4th day of disease with complaints about
fever, headache, pain in gastrocnemius muscles. Works as a specialist in land-reclamation.Has a lot of
sexual contacts. Objectively: temperature – 39,7 °C. Severe common condition.Expressed icterosis of
skins and sclera.Hemorrhages in conjunctiva and sclera. There is a hemorragic rash on a skin. A liver
increased on 3 see below the costal arc, edge of spleen, the Day's diuresis 300 ml. The etiologic factor of
disease most for certain is:
A.
Rikketsii
B.
Virus of hepatitis A
C.
Leptospiry
D.
Spirokhety
E. Khlamidii
103. A patient S., 45 years old, suffering suddenly from appearance of chill and increasing of
temperature to 39,2 °C. In the evening pain appeared in a stomach and gastrocnemius muscles. In 2 days
noticed the ochrodermia of skin and sclera. Objectively: the state is severy, temperature 39,9 °C. The
tongue is covered. Moderate jaundice of the skin and sclera. There is plural petachiae on a trunk.
Superficial breathing 20 times per 1 min, pulse 102 per 1 min, AP 100/60 mm of Hg. A stomach is soft,
sickly in epigastrium, a liver on 3 cm comes from a costal arc. Daily diuresis 300 mm, urine is sadcoloured. What is preliminary diagnosis? A. Sepsis
B. Leptospirosis
C.
Influenza
D.
Hepatitis B
E.
Infectious mononucleus
104. A patient Y., 25 years old, entered infectious department on the 3rd day of disease with
complaints about headache, pain in the back, gastrocnemius muscles, high fever, chill. State is moderate.
Icteruses of the scleras. Mucous membrane of soft palate is hyperemic. Tongue is dry, assessed with
brown cover. The abdomen is swollen. Liver +2 cm, spleen is not megascopic. Painfull muscles,
especially gastrocnemius. Urine is dark, excrements ordinary color. What is the most credible diagnosis?
A.
Infectious moneuclious
B.
Hepatitis A
C. Malaria
D.
Leptospirosis
E.
Yersiniosis
105. A patient Z., 33 years old, miner, entered clinic of infectious diseases on the 7th day of disease
with complaints about a acute weakness, high temperature, pain in the muscles of feet and back, icterus,
dark color of urine, headache. Became sick sharply from a chill, temperature rises up to 40,1 °C. On a 4th
day there is an icterus, nose-bleeding, hemorrhages in sclera. Duration of fever 6 days. Diuresis is 200 ml.
What is credible diagnosis?
A.
Typhoid fever
B. Leptospirosis
C. Hepatitis A
D.
Sepsis
E.Influenza
106. A patient, 35 years, suffering sharply, complains about a headache, pain in the muscles of lower
extremities, increasing of temperature to 39,3 °C. Objectively on the 4th day of disease: the state is
severy, hyperemic face, icterosis of skin and sclera. Enlargment of liver and spleen. A diuresis is
mionectic. What is most credible diagnosis?
A.
Trichinosis
B. Hepatitis A
C.
Yersiniosis
D.
Infectiousmononucleus
E. Leptospirosis
107. Animal technician 57 years, on the 3th day of illness appealed to the doctor with complaints of
head pain, high temperature, pain in gastrocnemius muscles, small of the back, icterus, dark urine and
diminishing of its amount. Objectively: temperature 38,2°, injection of vessels of sclerotica, petechial
rash on overhead part of thorax, megascopic hepar and spleen. Most credible preliminary diagnosis?
A.
Brucellosis B.
Leptospirosis
C. Viral hepatitis
D.
Pseudotuberculosis
E. Trichinosis
108. At a patient after fishing in 2 days sharply a temperature rose to 39,5 °C, appeared pain in
muscles (especially gastrocnemicus), icterus, the amount of urine diminished. At a review hemorrhagic
rash, hepatospleenomegaly, pain of muscles of the back of head. What most credible diagnosis?
A.
Sepsis
B.
Leptospirosis C.
Poisoning by the substitute of alcohol
D.
Viralhepatitis
E. Hemorrhagic fever with a kidney syndrome
109. Farmer, 57 years old, appealed to a doctor on the 3th day of disease with complaints on headache,
high temperature, pain in the muscles, icterus of skin, dark urine and decries level of urine. Objectively:
temperature – 38,2 °C, injection of scleras, petehial rash on the overhead part of thorax,
hepatosplenomegalia. What is the most reliable previous diagnosis?
A.
Brucelosis B. Leptospirosis C.
Viral hepatitis
D.
Yersiniosis
E. Trichinosis
110. For a patient, workwoman of a pig farm, on a background of complete health a chill appeared
suddenly, a temperature rose to 39,9 °C, there was a headache, nausea. On the next day marked pains in
the muscles of lower extremities, nose-bleeding began. On the 3rd day of illness, state became more
severy. Face is hyperemic, scleritis, hyperemic scleritis. Liver +3 cm. Daily diuresis 700 ml. What is
previous diagnosis?
A.
Yersiniosis
B.
Hepatitis A C.
Hemorrhagic fever with a kidney syndrome
D.
Flu
E. Leptospirosis
111. In receiving department of infectious separation on the 3th day of illness the sick is delivered in a
grave condition with complaints of a suddenly arising up high temperature, head pain, repeated nosebleed, pains in gastrocnemius muscles. Objectively: moderate icterus of sclerotica and skins, megascopic
of hepar and spleen, oliguria. What is the most credible diagnosis?
A.
Infectious mononucleosis
B.
Viral hepatitis
C.
Iersiniosis
D.
Leptospirosis
E. Malaria
112. Man 45 years, works as on a stock-raising farm a veterinary. Delivered in an induction centre
with complaints of discoloration urine, diminishing of diuresis, fervescence to 39,3°, pain in muscles. It is
ill during 5 days: the temperature of body rose suddenly, great pains appeared in the muscles of shins,
head pain, rash on a skin, hemorrhage in a sclerotica, red color of urine. Pulse 56 per 1 mines, BP 90/60
mm Hg. Uranalysis: squirrel of a 0,99gramme/l, eras. 25-30 cylinders hyalin 8-10.Urea of blood
20,5mmol/l. What diagnosis most credible?
A.
Leptospirosis
B. Acute glomerulonephritis
C.
Urolithiasis
D. Cancerofurinarybladder
E.
Rheumatoceils
113. On the 3rd day of illness the sick is delivered in a severy condition with complaints about a
suddenly arising up high temperature, headache, repeated nose-bleed, pains in gastrocnemius muscles.
Objectively: moderate icterus of sclera and skins, hepatospleenomegaly, оliguria. What is most credible
diagnosis? A. Leptospirosis
B. Viral hepatitis
C. Influenza
D.
Infectiousmononucleosis
E.
Malaria
114. Patient 35 years, which fell ill sharply, grumbles about a head megalgia, pain in the muscles of
lower extremities, increase of temperature to 39 °C. Objectively on the 4th day of illness: state heavy.
Face of hyperaemia. Skin and sclerotica icteric. A liver and spleen is megascopic. A diuresis is mionectic.
Most credible diagnosis?
A.
Iersiniosis
B.
Hepatitis A
C.
Leptospirosis
D.
Infectiousmononucleosis
E.
Trichinosis
115. Patient 43, miner, on the 7th day of disease grumbles about a sharp weakness, high temperature,
pain in the muscles of feet and small of the back, icterus, dark color of urine, head pain. Fell ill sharply is
a chill, temperature 40°, there was a nose-bleed. A diuresis 200 ml. Credible diagnosis? A.
Malaria
B.
Typhoid
C.
Viral hepatitis
D.
Sepsis
E. Leptospirosis
116. Patient 52 years old, suffering sharply from a chill and headache, fever to 40,5 °C. On a 3rd day
of disease nausea, vomiting, dark urine appea. On a 4th day temperature falls down to 37,2 °C, but an
icterus appeared and the amount of urine decreased to 600 ml. What disease such symptoms develop
from? A.
Sepsis
B. Hemorrhagic fever with a kidney syndrome
C.
Hepatitis A
D.
Leptospirosis E.
Acuteglomerulonephritis
117. Patient A., 35 years old, became ill suddenly, complain on the high temperature, severe headache,
pain in muscles of legs. Objectively (the 4th day of disease): the state is severe, hyperemia of face, skin
and scleras are icterus, spleen and liver are enlarged, oligourhia. What is the most credible diagnosis?
A.
Yersiniosis
B.
Viral hepatitis
C. Leptospirosis
D.
Poisoning by a tetraethyllead
E. Omsk‘s hemorrhagic fever
118. Patient P., 45 years old, fell ill suddenly from appearance of chill and increase of temperature to
39,2°C. In the evening megalgias appeared in a stomach and gastrocnemius muscles. In 2 days noticed
the ochrodermia of skin and sclerotica. Objectively: the state is heavy, temperature 39,9 °C. Skin and
sclerotica moderate yellow. There is plural petechia on a trunk. Breathing is normal. FB-20/min, Pulse102/min, BP 100/60 mm Hg. A stomach is soft, sickly in an epigastrium, a liver on 3 sm comes forward
from under a costal arc. Day's diuresis 300 ml of urine of sad-coloured. What preliminary diagnosis?
A.
Sepsis
B. Leptospirosis
C. Iersiniosis
D.
Hepatitis B
E.
Infectiousmononucleosis
119. Sick, milkmaid diseased sharply, appeared great pain heads, broken, weakness, profuse sweats,
loss of appetite, dry cough, insomnia, myalgias, pain, in a lumbar area. A temperature from the first days
rose to 39-40 °C. At a review it is found out hyperemia of face, injections of sclera vessels, hyperemia of
mucous of nasopharyngs. Pulse 80 per minute. BP 90/60 mm/Hg. Lymphatic nodes are not palpable.
Liver and spleen also not palpable. About what disease is it possible to think?
A.
Typhoid fever
B. Epidemic typhus
C.
Leptospirosis
D.
Brucellosis
E. Flu
120. The patient 33 years, miner, entered clinic of infectious diseases on the 7th day of disease with
complaints of a sharp weakness, high temperature, pain in the muscles of feet and small of the back,
icterus, dark color of urine, head pain. Fell ill sharply from a chill, temperatures 40°. On a 4th day is an
icterus, nose-bleed, hemorrhage in a sclerotica. Duration of fever 6 days. A diuresis 200 ml. Credible
diagnosis? A. Leptospirosis
B.
Typhoid
C. Hepatitis A
D.
Sepsis
E. Iersiniosis
121. 258.
In patient present sharp manifested edema of half of the face and neck. In the center of
edema black scab, surrounded by small vesicles. Enlargement of submandibular and anterior neck
lymphatic nodes. Changes on the face are not connected with pain. Temperature during a review 39 ?C.
What is the most possible diagnosis?
A.
Plague
B.
Anthrax C. Tularemia D. Erysipelas E. Furuncleoftheface
122. The patient, aged 35, fell ill acutely complained of intense headache, pain in the muscles of the
lower extremities, increasing the temperature to 39,3 C. Objectively, on the 4th day of illness: a serious
condition, hyperemic face, the skin and the sclera icteric. Enlarged liver and spleen. Urine output is
reduced. The most likely diagnosis?
A.
Trichinosis
B.
Hepatitis A C.
Yersiniosis
D.
Kissing disease E.
Leptospirosis
123. A female M., 24 years old came to the doctor with long-lasting fever, night sweat. Over the past
three months, weight reduced by 7 kg. Low intention for sex. Objective examination found an increasing
of all lymph nodes, hepatolienal syndrome. In the blood: Leucocyte – 2,2?109. What disease should be
suspected?
A.
HIV infection B.
Lymphogranulomatosis
C.
Tuberculosis D.
Infectious mononucleosis
E.
Sepsis
124. For today the effective methods of protection from HIV are:
A.
Vaccination and immunoprotein B. Chemoprophylactic
C.
Isolation of patients
D.
Safe sex and prevention of drug addiction
E.
Disinfection
125. Genetic errors at replication of HIV is:
A.
Negative B. Rare
C.
Frequently enough
D.
Extraordinarily frequent
E.
Virions type one genetically changeable and second – no
126. How many types of HIV are known?
A.
One
B.
Two
C. Three D.
Four E.
Five
127. Immediately after a contact with blood and other biological liquids it is necessary to wash the
muddy areas of skin with water and soap and to begin a postcontact prophylaxis, antiretroviral
preparations not later than
A.
24-36 hrs B. 36-48 hrs C. 48-60 hrs D. 60-72 hrs E. 72-86 hrs
128. In the order of diminishing of probability of infection of HIV the transferred ways take place in
such sequence:
A.
Sexual contact, contaminated blood transfusion, operation of tattoo, from breast milk,
transplacental transmission
B.
Contaminated blood transfusion, transplacental transmission, sexual contact, operation of tattoo,
postnatal from mother milk
C.
Transplatsental transmission, contaminated blood transfusion, postnatal from breast milk, sexual
contact, operation of tattoo
D.
Contaminated blood transfusion, transplacental transmission, sexual contact, postnatal from
breast milk, operation of tattoo
E.
Contaminated blood transfusion, sexual contact, transplacent transmission, operation of tattoo,
postnatal from breast milk
129. Name the most dangerous parenteral way of infection of HIV/AIDS?
A.
Infusion of donor blood and its preparations
B.
Transplantation of organs
C.
Injections of medications
D.
Diagnosticmanipulations
E.Intravenousintroductionofdrugs
130. In patient present sharp manifested edema of half of the face and neck. In the center of edema
black scab, surrounded by small vesicles. Enlargement of submandibular and anterior neck lymphatic
nodes. Changes on the face are not connected with pain. Temperature during a review 39 ?C. What is the
most possible diagnosis?
A.
Plague
B.
Anthrax
C.
Tularemia
D.
Erysipelas
E.
Furuncle of the face
131. The experts of WHO consider suspicious in relation to AIDS:
A.
Loss of weight (3 % and more)
B. Loss of weight (5 % and more)
C.
Loss of weight (6 % and more)
D.
Loss of weight (9 % and more)
E.
Loss of weight (10 % and more)
132. The sick grumbles about the prolonged cough, more than half-year, rising temperature of body to
38 °C, enlargement of peripheral lymphnode, frequent herpetic wide-spread pouring out with
considerable lowering of body mass. In іmmunogram correlation of T-helper to T-suppression is 0,3. It
takes place because infestant:
A.
Infects cells with the receptors of CD22
B.
Induces proliferation of Т-helpers
C.
Induces proliferation of T-suppressors
D.
Infects cells from receptor CD8
E.
Infects cells from receptor CD4
133. To what cells of blood the human immunodeficiency virus has most affected:
A.
Thrombocytes
B. T-suppressor-cell
C.
Т-killer
D.
T-helper
E.
Leucocytes
134. What cell of human body can HIV get into?
A.
Redcorpuscles
B.
Neutrophilic leucocytes C. Monocyte
D.
T-lymphocte-killer
E. T-cell helper
135. What cells are main target for HIV?
A.
T-suppressor-cell
B.
Т-kіller
C. Т-helper
D.
D-cells
E.
0-cells
136. What disease is occupied by the second place after frequency of the first defects at AIDS?
A.
Sarcoma Kaposhi's B.
Pneumocystis pneumonia
C.
Meningitis D. Encephalitis E.
Lymphadenomasofcerebrum
137. what family of viruses does an exciter of HIV/AIDS belong to?
A.
Orto- and paramyxovirus B. Rabdovirus C.
Retrovirus
D.
Herpesvirus
E. Reovirus
138. What group of infectious diseases an exciter of HIV infection/AIDS belong to by L.
Gromashevskij classification?
A.
Intestinal infection B. Infections of respiratory tract
C.
Blood infection
D. Infection of external covers
E.
Behave to all indicated groups
139. A patient, 28 years old, grumbles about the enlargement of lymphnodes during half-year, making
progressive weakness, sweating, periodic fever upto 38 °C. Decreased feed, seborhic dermatitis is widespread, the enlargement of neck, axillary and inguinal lymph nodes with diameter 2-2.5cm and unpainful.
What research is necessary for diagnosis?
A.
Biopsy of lymphnode
B. Hemanalysis on sterility
C.
Analysis in the presence of antibodies to HIV D.
Sternal puncture
E.
Analysis in the presence of antibodies to the Epstein-Bar virus
140. A 37 years old patient, 2 days ago a spot on a hand appeared, which for days grew into pustule
with a black bottom, painless at touch, with the crown of daughters vesicles on periphery. There are
painless edema on a hand and shoulder. Temperature rise to 39.0 °C, dizziness appeared. Pulse – 100
beats per min, AP – 95/60 mm Hg. BR – 30 per a minute. What is the most possible diagnosis?
A.
Anthrax
B. Plague
C.
Tularemia
D.
Brucellosis E.
Herpes
141. A sick of 18 years, grumbles about an obtructive cough for 6 months, fever to 38 °C, enlargment
of lymphatic nodes, frequent herpetic wide-spread pouring out, considerable lowering of mass of body. In
immunogram correlation of CD4 to CD8 is 0.5. It takes place because of
A.
Aninfestant infects cells with the receptors of CD4
B.
Induces proliferation of Т-helper
C.
Induces proliferation of T-suppressor-cell
D.
Infects macrophagal cell
E. Stimulates the synthesis of leukotriene
142. A woman M., 24, appealed to the doctor in connection with the protracted fever, sweating at
night. For the last three months became thin on 7 kg. On objective research the increase of all groups of
lymphatic nodes, hepatospleen syndrome is found. In blood: Leu – 2,2x109, anaemia. What disease must
be suspected?
A.
HIV infection
B. Megakaryoblastoma C.
Tuberculosis
D.
Infectious mononucleosis
E.Sepsis
143. For a man 29 years, half-year ago there was a positive reaction on HIV. Last 2 months complaints
about general weakness, somnolence, pain of chest, during 3 weeks developed anxiety, fear and
depression. Disorders of memory and aphasia, untidiness appeared 5 days ago. To set a diagnosis.
A.
Dementsia at AIDS B.
Somatoform depression C.
Organic psychic syndrome
D.
Anxiously depressed syndrome of HIV infection
E.
Patient has encephalopathy (AIDS-related complex)
144. For a man with 29 years, it was half-year ago discovered positive reaction on HIV. Last 3 months
complaints about general weakness, fatigueability, somnolence, pain of chest. Last 3 weeks with anxiety,
fear, depression, disorders of memory and aphasia, untidiness appeared 5 days ago. What does it need to
take for treatment?
A.
Acylovir
B.
Cerebroprotector
C.
Antidepressants
D. Neuroleptic E. Zidovudin, didanosin
145. For a patient I., 37 years, during 3 months deceleration of muscular and motive reactions, names,
addresses and cognitive memory functions were violated. A constraint, somnolence appeared and
untidiness developed, indifferent attitude toward circumferential state. Loss of weight 12 kg.At
examination generalisedlymyphadenopathy. Put a clinical diagnosis:
A.
Tuberculosis
B.
Herpetic encephalitis
C.
AIDS
D.
Syphillis
E.
Lympholeucosis
146. HIV positive patient, 28 years, in the past with IV drug addiction, grumbles about short breathing,
unproductive cough, fever with 37,5 °C during 2 months. Objectively: skin is pale, in lung the
hyposthenic breathing, especially in lower lobe, short breathing with 24 /min.
Roentgenologicchromophilic bilateral infiltrations as “wings of butterfly”. Pick up the most effective
treatment:
A.
Antibacterial preparations. Inhibitors of transcriptase
B.
Inhibitors of proteases. Inhibitors of transcriptase
C.
Transplantation of marrow. Inhibitors of transcriptase
D.
Antiviral gamut-globulin. Vitamins of group A, C. Inhibitors of proteases
E.
Inhibitors of proteases.Inhibitors of transcriptase. Antibacterial drugs
147. Patient 28 years, delivered in an infectious separation with ambulance in a grave condition. At
examination: temperature of body 38,5 °C a patient is exhausted, put on the bed, skin covers pale, in the
area of peripheral veins are tracks of injections. In an oral cavity are plenty of carious teeth, many raids
on mucus cell.Determined enlarged submandibular, supraclavicular and axillary lymph nodes, painless
not fixed with subject. In lung, breathing is vesicular, breathing frequency is 30/min, pulse 92/min, BP
100/60. Tones of heart are muffled, rhythmic and found hepatospleenomegaly.Your diagnosis?
A.
Megakaryoblastoma
B. Herpetic encephalitis
C.
AIDS
D. Syphillis E.
Lympholeucosis
148. Patient A., 26 year, grumbles about the increase of lymphnode on a neck during half-year, making
progress weakness, sweating and periodic getting up of temperature of body to 38,3 °C. Loss of weight,
seborrhic dermatitis is wide-spread, the enlarged painless neck, axillary and sub mandibular lymph node
by 2-2,5cm. What research is necessary to appoint?
A.
Analysis in the presence of antibodies to CMV
B.
A biopsy of lymphatic node for the exposure of cells of varicella-zooster
C.
Analysis in the presence of antibodies to HIV
D.
Analysis in the presence of antibodies to HIV
E.
Analysis in the presence of antibodies to Epstein-Barr virus
149. Patient O, 18 years, over 4 months grumble about obtructive cough, fervescence to 38 °C,
treatment concerning interstitial pneumonia, did not give an effect. There were a few episodes of the
wide-spread herpetic pouring out, mass of body reduced. Research of immunogram more reliable finding
A.
Increase of number of CD4-lymphocyte
B.
Increase of immunoregulatory index of CD4/ CD8
C.
Decrease of number of CD4-lymphocyte
D.
Decrease of number of CD8-lymphocyte
E.
Increase of indexes of hypersensitiveness of slow type
150. Patient P., 21 year,complaint about diarhhea that lasts for one and half months, changes
sometimes, on emptying there are admixtures of blood and mucous, loss of body mass with 13 kg,
weakness, subfebrile temperature of body, recurrent herpes. It is discovered generalised
lymphadenopathy, increase of liver size on 2 cm. Blood test: Er 4,4.1012 g/l, Hb 115 g/l, ESR – 15
mm/hr, L 10,0.109 g/l, е 2 %, b 6 %, n 61 %, s 17 %, m 3 %, atypical mononuclears 6 %. What is most
credible diagnosis?
A.
Shigellosis
B.
AIDS
C.
Infectious mononucleosis
D.
Salmonellosis
E.
Ameobiasis
151. Sick 28 years, admit on neareast hospital with complaints of weakness, coughing, producing
serosal sputum, mass in breasts, short breathing, chills at night, fever, pain in joints, rise of white color on
mucus cavities of mouth. For 5 months the sick became thin on 12 kg, with appetite diminished, it
become hard to swallow hard food. At examination: on the soft palate to the back wall| of glottis rise of
white color and lymphadenopathy. Above the lungs, from the corner of shoulder-blade, dulling percutory
sound.Hepatosplenomegaly present. In blood: anemia, leucocytosis, immature change in blood with
myelocytelymphopenia, ESR of 60 mm/hr. Your diagnosis?
A.
Visceral leshmaniasis
B.
HIV infection.Pneumocystis pneumonia. Candidiasis of glottis
C.
HIV infection. Pneumococal pneumonia. Candidiasis of glottis
D.
Megakaryoblastoma
E.
HIV infection. Pneumococal pneumonia.Gonococcal arthritis. Candidiasis of glottis
152. Sick O., 25 years, during a month disturb with considerable fatigue ability, fever up to 39 °C
profuse sweating, lethargy. Objectively: all groups of peripheral lymphatic node are enlarged, candidiasis
of oral cavity, herpetic pouring out with megascopic on lips. In the global analysis of blood: leucocytes
3,3?109 g/l, ESR – 15m/hr, B-lymphocyte 12 %, a decline of CD4 to 600/mm. Most credible diagnosis
is?
A.
Herpetic infection
B.
Malaria
C.
Urogenital chlamydia D.
HIV/AIDS E.
Acute brucellosis
153. A female M., 24 years old came to the doctor with long-lasting fever, night sweat. Over the past
three months, weight reduced by 7 kg. Low intention for sex. Objective examination found an increasing
of all lymph nodes, hepatolienal syndrome. In the blood: Leucocyte – 2,2?109. What disease should be
suspected?
A.
HIV infection
B.
Lymphogranulomatosis
C.
Tuberculosis
D.
Infectious mononucleosis
E.
Sepsis
154. The sick grumbles about the prolonged cough, more than half-year, rising temperature of body to 38
C, enlargement of peripheral lymphnode, frequent herpetic wide-spread pouring out with considerable
lowering of body mass. In іmmunogram correlation of T-helper to T-suppression is 0,3. It takes place
because infestant:
A.
Infects cells with the receptors of CD22 B. Induces proliferation of Т-helpers
C.
Induces proliferation of T-suppressors
D.
Infects cells from receptor CD8
E.
Infects cells from receptor CD4
155. When do the plan caesarian section of HIV infected pregnant conducted with the purpose for
decreasing of the risk of infecting the fetus?
A.
In 36 weeks
B. In 37 weeks
C.
In 38 weeks
D.
In 39 weeks
E.
In 40 weeks
156. 256.
A 37 years old patient, 2 days ago a spot on a hand appeared, which for days grew into
pustule with a black bottom, painless at touch, with the crown of daughters vesicles on periphery. There
are painless edema on a hand and shoulder. Temperature rise to 39.0 °C, dizziness appeared. Pulse – 100
beats per min, AP – 95/60 mm Hg. BR – 30 per a minute. What is the most possible diagnosis?
A.
Anthrax
B.
Plague
C.
Tularemia
D.
Brucellosis
E. Herpes
157. HIV-positive patients, 28 years old, a former injecting drug user, complained of shortness of
breath, nonproductive cough, temperature rise up to 37,5 °C for 2 months. Objective: pale skin, lungs
auscultated respiratory depression, especially in lowback, dyspnea 24 for 1 min. Radiographically
bilateral infiltrates in the form of “butterfly wings”. Choose the most effective approaches to treatment:
a.
Antbacterial drugs. Transcriptase inhibitors
b.
Protease inhibitors. Transcriptase inhibitor
c.
Bone marrow transplant. Transcriptase inhibitors
d.
Antiviral gamma globulin. Vitamins B, C. Protease Inhibitors
E.
Protease inhibitors.Transcriptase inhibitors. Antibacterial drugs
158. Student 20 years during the month has been concerned a significant fatigue, increased body
temperature 39 °C, profuse perspiration, emaciation. Objective: increasing of all peripheral lymph
nodes, oral candidiasis, herpes on lips. General blood analysis: leukocytes 3.3 x 109 / l, ESR 15 mm/hour,
B-lymphocytes 12%. What additional test is helpful in diagnosis?
a.
Biological assay in guinea pigs
b.
Determination of the number of T-lymphocytes
c.
Determination by IFA antibodies in response to antigens or RIA HIV
d.
Burne test
e.
Leukocyte migration inhibition test
159. Patient 18 years intravenous drugs user, complaints of a cough lasting more than 4 months,
Increasing of body temperature to 38 °C, treatment of “interstitial pneumonia” is not effective. There
have been several episodes of widespread herpes, decreasing of body weight. The study will identify all
immunograms authentic:
a.
Increasing of T4-helper lymphocytes
b. Increase immunoregulatory index T4/T8
c.
Decrease the number of T4-helper lymphocytes
d.
Increase the absolute number of T lymphocytes
e.
Improving performance of delayed-type hypersensitivity
160. Young woman was admitted to the infectious department. Became ill 3 days ago. An itching node
appeared on the neck. She continued to work, her state became worse on the eve of hospitalization, body
temperature – 38,1?C, edema at neck and upper part of thorax, with serous-hemorrhagic excretions, not
painful. No animal disease was registered during the last year in diary form,where she works. What
diagnosis is it necessary to suspect?
A.
Tularemia
B. Skin leishmaniosis
C.
Anthrax
D.
Plague, skin-bubonic form
E.
Furuncle
161. Patient B., 28, a prostitute, 2 years living in the Middle East. Admitted to hospital with
complaints of weakness, cough, sputum gray, burning in the chest, shortness of breath, night chills, fever,
sweating, pain in the joints. Patients lost of weight near 12 kg during 5 months, decreased appetite. On
examination: the soft palate, temples, back of the throat covered by white raids.
Lymphadenopathy.Hepatosplenomegaly. In the blood: anemia, leukocytosis, shift formula to myelocytes,
lymphopenia, ESR 60 mm/hour. Your diagnosis?
a.
Visceral leishmaniasis
b.
HIV infection. Pneumocystpneumoniа. Esophageal candidiasis
c.
Brucellosis d. Lymphogranulomatosis e.
Esophageal carcinoma
162. 28 years old patient complaints of increasing of lymph nodes during six months, progressive
weakness, sweating, recurrent fevers to 38 °C. During several years has used drugs intravenously.
Malnutrition, widespread seborrheic dermatitis, painless palpable enlarged cervical, axillary and inguinal
lymph nodes of up to 2-2.5 cm What research is to assign at first?
a.
Lymph node biopsy b. Blood cultures
c.
Blood test for antibodies to HIV d. Sternum puncture
e.
Examination of blood for antibodies to the Epstein-Barr virus
163. Basic mechanism of transmission of Lime disease:
A.
Air-drop B. Contact
C. Transmissive D.
Fecal-oral
164. Basic vector of Lime disease:
A.
Tick B.
Mosquito C. Flea D.
Mosquito
165. Citizen A., take participence in a business geologic expedition. Area is endemic according to
Laim-borreliosis. How to prevent possible infection?
A.
Individual protecting from ticks
B.
Urgent antibiotic prophylaxis
C.
Vaccination
D.
Using of specific immunoglobuline
166. Confirm diagnosis of haemorrhagic fever with kidneys syndrome by a way of:
A.
Only virological methods
B. Only bacteriological methods
C.
Bacteriological and serum methods
D. Virologicandserummethods
167. Confirm the diagnosis of Congo hemorrhagic fever by a way of:
A.
Only virological methods
B.
Only bacteriological methods
C.
Bacteriological and serum methods
D.
Proper epidemiological information
E.
Virologic and serum methods
168. Confirm the diagnosis of Ebola fever by a way of:
A.
Growth of viruses on chicken embryons
B.
Only bacteriological methods
C.
Bacteriological and serum methods
D.
Proper epidemiological information
E.
Selection of virus on the Vero culture
169. Confirm the diagnosis of Lassa hemorrhagic fever by a way of:
A.
Only virological methods
B.
Only bacteriological methods
C.
Bacteriological and serum methods
D.
Proper epidemiological information
E.
Virologic and serum methods
170. Confirm the diagnosis of Marburg fever by a way of:
A.
Growth on chicken embryos
B. Only bacteriological methods
C.
Bacteriological and serum methods
D. Proper epidemiologys information
E.
Selection of virus on the Vero culture
171. Confirm the diagnosis of Omsk fever by a way of:
A.
Growth of virus on chicken embryons
B.
Only bacteriological methods
C.
Bacteriological and serum methods
D. Properepidemiologicalinformation
E.
Selection of virus on the Vero culture
172. For confirmation of diagnosis of hemorragic fever with a kidney syndrome use:
A.
Bacteriological method
B.
Virological method
C.
Reaction of immunofluorescence
D. Reaction of braking of hemagglutination
E.
Research of blood drop under a microscope
173. For confirmation of yellow fever diagnosis use:
A.
Bacteriological analysis of blood
B.
Bacteriological examination of urine
C.
Virologicalhemanalysis
D.
Biochemical blood test
E.
Globalanalysisofblood
174. For the initial period of the Congo hemorrhagic fever not characteristically:
A.
Fever
B.
Pains in joints and muscles
C.
Severe pain of head
D. Oliguria
E. Dizziness
175. General view of patient with the hemorrhagic fever with a kidneys syndrome:
A.
Skinning covers
B.
Pallor of nasolabial triangle, hyperemia of neck and overhead half of trunk
C.
Hyperemia of person, scleritis, conjunctivitis
D.
Grayish color of person
E. Icteric color of skin
176. Hemograme in the second period of yellow fever:
A.
Leukocytosis
B. Normal global analysis of blood
C.
Leukopenia, neutropenia
D. Leukopenia, neutrophilosis
E.
Leukocytosis, lymphomonocytosis
177. How long the rash is present in case of haemorrhagic fever with kidneys syndrome?
A.
During all feverish period
B.
Before the reconvalescense
C.
Before development of clinical features of kidneys insufficiency
D.
Duringwholedisease
178. In most patients with Congo hemorrhagic fever temperature curve is:
A.
Wunderlich type
B.
Botkin type
C. Undulating
D.
Intermittent
E. Two-humped
179. In the global analysis of blood in case of Congo hemorrhagic fever not characteristically:
A.
Leukocytosis
B.
Leukopenia
C.
Neutropenia
D.
Thrombocytopenia
E. Increasing of ESR
180. In the global analysis of blood: leucopenia, neutropenia, increasing of ESR. Intensive therapy
without any effect and a patient died. Credible diagnosis?
A.
Viral hepatitis
B.
Leptospirosis
C.
Yellow fever
D.
Crimean fever
E. Malaria
181. Patient V., appealed to the surgeon with expressed edema of left half of neck. During examination
a doctor observe a carbuncle on the lateral surface of neck and a few small bubbles near it, filled with a
rather yellow liquiD. Submandibular and anterior cervical lymph nodes are enlarged and painful. What
diseases is the most credible?
A.
Carbuncle of neck
B.
Anthrax
C. Plague
D.
Diphtheria
E.
Skinleishmaniosis
182. Phage symptom in case of yellow fever is:
A.
Pain in right iliac area
B. Enanthema on a soft palate
C.
Replacement of tachicardia on expressed bradicardia
D.
Hemorrhagesin a conjunctiva
E. Yellowhands
183. Specific prevention of Crimean-Congo haemorrhagic fever are:
A.
Vaccine and human immunoglobulin
B.
Serum
C.
Serum and human immunoglobulin
D
Antibacterial drugs
184. The period of polyuria at haemorrhagic fever with kidneys syndrome is a sign of:
A.
Recovering
B.
Chronic process
C.
Unfavorable flow of illness
D.
Development of complications
E.
Complete convalescence
185. The source of infection of Omsk‘s hemorrhagic fever are muskrat, water rats and other rodents.
Who are the carriers?
A.
Bee and flea
B.
Pliers and flea
C.
Mosquitoes
D.
Fly
E. Pliersandmosquitoes
186. Those who have been in contact with sick haemorrhagic fevers, as well as those who had bite by
the ticks in endemic areas are introducing:
A.
Specific vaccine
B.
The specific immunoglobulin in doses of 10-15 ml vaccine
C.
The specific immunoglobulin in doses of 10-15 ml
D.
The specific immunoglobulin in doses 5-7,5 ml
187. To you, as to the graduating student of medical university, is possibly to work upon termination
of studies in Crimea. What endemic ticks infections is in this territory?
A.
Crimean hemorrhagic fever, tick encephalitis, Q-fever
B.
Crimean hemorrhagic fever, malaria, epidemic typhus
C.
Tick encephalitis, Ebola fever, Lassa fever, Crimean hemorrhagic fever
D.
Q-fever, spotted fever, leptospirosis
E.
Q-fever, Crimean hemorrhagic fever, psittacosis, tick encephalitis
188. What changes in biochemical blood test inherent for haemorrhagic fever with kidneys syndrome?
A.
Increase level of urea and bilirubin
B. The level of urea and kreatinine falls
C.
The level of kreatinine grows and urea falls
D.
The level of urea grows and kreatinine falls
E.
The level of urea and kreatinine grows
189. What changes in haemogram inherent Congo hemorrhagic fever?
A.
Normochomicanaemia, leucocytosis mononuclear
B.
Erythrocytosis, lymphocytosis
C.
Hypochromic anemia, erythrofilosis
D.
Hypochromic anemia, neutrofilosis
E.
Hyperchromic anemia, neutrofilosis
190. What changes in haemogram inherent for haemorrhagic fever with kidneys syndrome?
A.
Normochromic anaemia, leucocytosis with atypical mononucleosis, thrombocytopenia
enhanceable ESR
B.
erythrocytosis, lymphocytosis,ESR is enhanceable
C.
Normochromic anaemia, leucopenia with neutrophylosis, thrombocytopenia enhanceable ESR
D.
Hypochromic anaemia, leucocytosis with neutrophylosis, thrombocytopenia enhanceable ESR
E.
Hyperchromicanaemia, leucocytosis with neutrophylosis, thrombocytopenia mionectic ESR
191. What is typical for the Lassa hemorrhagic fever:
A.
Effect of cardiovascular system
B. Development of acute hepatic insufficiency
C.
Hundred-per-cent lethality
D.
Defeat of breathing organs
E.
Development of paresis and paralysis
192. What rashes in case of haemorrhagic fevers with kidneys syndrome?
A.
Roseola
B.
Maculo-papular
C. Punctuate
D.
Petechial
E. Rashes is not characteristic
193. What rashes present in case of Congo hemorrhagic fever?
A.
Roseola
B. Maculo-papular
C.
Punctulate
D.
Petechial
E.
Rashes not is characteristic
194. What temperature of the body is typical for the paralytic period?
A.
Hyperpyrexia
B. Hypothermia
C. High
D.
Normal
E.
Subfebril
195. Whatever complication meets at the yellow fever:
A.
Liver insufficiency
B.
Kidney insufficiency
C.
Infectious-toxic shock
D.
Myocarditis
E. Edemaoflungs
196. Patient D., appealed to the surgeon with expressed edema of left half of neck. During examination
a doctor observe a carbuncle on the lateral surface of neck and a few small bubbles near it, filled with a
rather yellow liquiD. Submandibular and anterior cervical lymph nodes are enlarged and painful. What
diseases is the most credible?
A.
Carbuncle of neck
B. Anthrax
C.
Plague
D. Diphtheria
E.
Skinleishmaniosis
197. Who is the source of the causal agent in the Crimean-Congo haemorrhagic fever?
A.
Rodents, cattle, birds
B.Iksod and gamazov mites
C.
Rodents, cattle, birds, sick people
D. The sick man, reconvalenc, bacteriocarries
E.
Rodents, cattle, birds, sick people, bacteriocarries
198. Patient B., appealed to the surgeon with expressed edema of left half of neck. During examination
a doctor observe a carbuncle on the lateral surface of neck and a few small bubbles near it, filled with a
rather yellow liquiD. Submandibular and anterior cervical lymph nodes are enlarged and painful. What
diseases is the most credible?
A.
Carbuncle of neck
B.
Anthrax
C. Plague
D.
Diphtheria
E.
Skinleishmaniosis
199. An initial period at the hemorrhagic fever with a kidneys syndrome lasts:
A.
Few hours
B. Day
C.
To three days
D.
Week
E.
Two weeks
200. At an objective examination for the Congo hemorrhagic fever character:
A.
Mucosal hyperemia of person
B.
Pallor of person
C.
Puffiness of person
D. Ochrodermia of person
E.
Exanthemaonface
201. For confirmation of diagnosis of hemorrhagic fever with a kidney syndrome use:
A.
Bacteriological method
B.
Virological method
C.
Reaction of immunofluorescence
D.
Reaction of braking of hemagglutination
E.
Research of blood drop under a microscope
202. For confirmation of yellow fever diagnosis use:
A.
Bacteriological analysis of blood
B.
Bacteriological examination of urine
C.
Virologicalhemanalysis
D.
Biochemical blood test
E.
Globalanalysisofblood
203. General view of patient with the hemorrhagic fever with a kidneys syndrome:
A.
Skinning covers
B.
Pallor of nasolabial triangle, hyperemia of neck and overhead half of trunk
C.
Hyperemia of person, scleritis, conjunctivitis
D.
Grayish color of person
E.
Icteric color of skin
204. ?Hemograme in the second period of yellow fever:
A.
Leukocytosis
B.
Normal global analysis of blood
C.
Leukopenia, neutropenia
D.
Leukopenia, neutrophilosis
E.
Leukocytosis, lymphomonocytosis
205. A patient W., 34 years old, stay sick during few weeks: insignificant weakness, body temperature
– 38,3 °C, at right forearm – 2 ulcers of diameter 1,5 cm, covered by scab with pus under it, surrounded
by infiltration. What is the most credible diagnosis?
A.
Eryzipelas
B.
Tularemia, ulcerous-bubonic form
C.
Skin leishmaniosis
D.
Staphylococcal carbuncle
E.
Anthrax
206. The period of polyuria at haemorrhagic fever with kidneys syndrome is a sign of:
A.
Recovering
B.
Chronic process
C.
Unfavorable flow of illness
D.
Developmentofcomplications
E.
Completeconvalescence
207. What changes in biochemical blood test inherent for hemorrhagic fever with kidneys syndrome?
A.
Increase level of urea and bilirubin
B.
The level of urea and kreatinine falls
C.
The level of kreatinine grows and urea falls
D.
The level of urea grows and kreatinine falls
E.
The level of urea and kreatinine increase
208. What changes in blood analysis inherent at Congo hemorrhagic fever?
A.
Normochromic anaemia, leucocytosis mononuclear
B.
Erythrocytosis, lymphocytosis
C.
Hypochromic anemia, erythrophilosis
D.
Hypochromic anemia, neutrophilosis
E.
Hyperchromic anemia, neutrophilosis
209. What changes in blood analysis inherent for hemorrhagic fever with kidneys syndrome?
A.
Normochromic anaemia, leucocytosis with atypical mononucleosis, thrombocytopenia increased
ESR
B.
erythrocytosis, lymphocytosis,ESR is increased
C.
Normochromic anaemia, leucopenia with neutrophylosis, thrombocytopenia increased ESR
D.
Hypochromic anaemia, leucocytosis with neutrophylosis, thrombocytopenia increased ESR
E.
Hyperchromicanaemia, leucocytosis with neutrophylosis, thrombocytopenia mionectic ESR
210. What complication is meet at the yellow fever:
A.
Liverinsufficiency
B.
Kidney insufficiency
C.
Infectious-toxic shock
D.
Myocarditis
E.
Edema of lungs
211. What does include a specific prophylaxis at a rabbit-fever?
A.
Tetracyclin
B.
Doxycyclin
C.
Vaccination by a living attenuated vaccine
D.
Bakteriofag
E.
Vaccination by a chemical attenuated vaccine
212. What is typical for the Lassa hemorrhagic fever:
A.
Effect of cardiovascular system
B.
Development of acute hepatic insufficiency
C.
Hundred-per-cent lethality
D.
Defeat of breathing organs
E.
Development of paresis and paralysis
213. A patient 25 years old, who returned from the Far East, suddenly increased body temperature to
39 ?C, a pain in backbone, reddening skin type «hood», single hemoragies on the skin. After 3 days,
along with declining fever, weakness, thirst, decreased diuresis to 300 ml, decreased blood pressure.
Much pronounced Pasternatskyj‘s symptom. What is the most likely diagnosis?
A.
Leptospirosis
B.
Typhus
C.
Haemorrhagic fever Crimean-Congo
D.
Acuteglomerulonephritis
E.
Haemorrhagic fever with renal syndrome
214. A 30-year-old resident of Peru brought to the hospital at the 4th day of illness, there was vomiting
with blood, nose bleeding, icteric skin, petehii. In urine revealed erythrocytes protein. Volume of urine
decreased. What is the preliminary diagnosis?
A.
Yellow fever
B.
Dengue Fever
C.
Malaria
D.
Lassa fever
E.
Ebola fever
215. A patient 26 years entered permanent establishment in 3 weeks upon termination of reaping. The
state is heavy, chronotaraxis and space, high fever to 40 °С, on a skin petechial and еchimosis, on the
back linear hemorrhages, sanguifluousness from a nose and gums, there was vomit by “coffee-grounds”.
Pasternatsky symptom is sharply positive. At the laboratory inspection: neutrophilic leukocytosis,
thrombocytes – 100 thousand in 1 ml, hematocrit – 0,55, day's amount of urine 70 ml, protienuria,
еrythrocyturia. What disease does it follow to suspect?
A.
Hemorragic fever with a kidney syndrome
B.
Leptospirosis, anicteric form
C.
Salmonellosis, septic form
D.
Lassahemorragicfever
E.
Crimeanhemorragicfever
216. A patient, 39 years old, became ill sharply 3 days ago after return from Jamaica. Complains on a
high temperature, severe headache, nausea, vomit by “coffee- brown”, pain in the muscles and joints.
Objectively: temperature 39,9 °C, face swelling, red, conjunctivitis, photophobia. Rashes.Scleritis, and
skin are yellow, petachial rash, acrocyanosis. A liver is megascopic to 3 сm, painful. Tachycardia,
hypotension.In hemogrameare leukopenia, thrmbocytopenia. Describe the most likely diagnosis.
A.
Yellow fever
B.
Viral hepatitis B
C.
Malaria
D.
Leptospirosis
E.
Hemorragic fever with a kidney syndrome
217. A patient, habitant of Nigeria, grumbles about the increase of temperature, general weakness.
Gradually a temperature rose to 38,9 °С, pain of head increased, pains appeared in muscles, nausea,
conjunctivitis. On a 3th day necrotizing ulcer pharyngitis developed. Ulcers appeared on a soft palatine
tonsils. The groups of lymphatic nodes of neck were multiplied. The state got worse. Stomach-aches
joined, vomit, diarrhea, pain in a thorax, cough. Relative bradycardia. About what disease is it possible to
think?
A.
Flu
B.
Typhoid fever
C.
Hemorrhagic fever
D.
Quinsy
E.
Spottedfever
218. A woman, a resident of Nigeria, became ill sharply. Appeared a chill, repeated vomiting, body
temperature had risen to 39,7 °C. A patient is excited. Hyperemia and puffiness was marked of face,
expressed sclerite, hyperemia of mycoses mouth cavity. Pulse 130 per 1 min. The icterus of skin and
sclera appeared on a 3th day, hemorrhages on a skin. A liver and spleen is enlarged. After the brief
improvement in the 5th day of illness the state became worse sharply. A temperature again rose to 39,9
°C. Raves. An icterus grew sharply. Vomit moderate. Vomiting and feces of black color.Nose
bleeding.Petechial enanthema.Tahycardia changed on bradycardia. Blood pressure 80/50 mm/hg.
Olyguria.
A.
Viral hepatitis A
B.
Leptospirosis
C.
Yellow fever
D.
Crimean fever
E.
Malaria
219. At 25 years sick, which got back from Far East, suddenly temperature of body rose up to 39,9 °С,
pain appeared, rash as a “jacket”, single hemorrhages on a skin. In 3 days weakness, thirst, grew together
with the decline of fever, diminished to 300 ml diuresis, the arteriotony went down. Considerably
expressed Pasternatsky symptom. What is most credible diagnosis?
A.
Hemorrhagic fever with a kidney syndrome
B.
Congo-Crimea hemorrhagic fever
C.
Epidemic typhus
D.
Glomerulonephritis
E.
Leptospirosis
220. At a boy 10 years, which lives in Transcarpathia, on the 4th day of fever appeared painless
hemorrhegicpetachial rushes, sometimes in the form of red and purple stripes with overwhelming
localization on a neck, thorax, in the axillary, above collar-bones. On hyperemic mucus of oro-pharing
point hemorrhages, bleeding from a nose. In lungs was hard breathing, tones of the heart deaf,
bradicardia, swelling and stomach-ache, enlarged a liver and spleen. Oliguria, proteinuria, hematuria,
cylindruria. In blood neutrophilic leukocytosis, thrombocytopenia, accelerated ESR. What diagnose is
previous the most reliable.
A.
Meningococcal infection
B.
Hemorragic fever
C.
Rheumatoceils
D.
Leptospirosis
E.
Thrombocytopenicpurpura
221. At a resident of Colombia on the 3th day of illness was a high temperature, head pain, marked
pains in back and extremities appear. At the inspection: face is hyperemic, edema, scleritis. Tongue is
assessed by the white coats, pulse frequent. Abdomen is soft, sickly in a еpigastric area. 7 days ago got
back from forests. What is previous diagnosis?
A.
Ebola fever
B.
Dengue fever
C.
Hemorrhagic fever with a kidney syndrome
D.
Lassa fever
E.
Yellow fever
222. At one of holiday-makers ashore lake in 6 days did a temperature rise to 38,5°C, head pain, pain,
appeared in muscles, sweating. In 3 days there was the sickly slight swelling in an inguinal area. At
examination in an inguinal area found out a dense, mobile, moderate sickly lymphonodus to 5 sm in a
diameter. A skin above him is not changed. What diagnosis is most credible?
A.
Leptospirosis
B.
Iersiniosis
C.
Infectious mononucleosis
D.
Rabbit-fever
E.
Acute lymphadenitis
223. At two nurses which care for the patients with fever from southern Sudan in a hospital, appeared
a fever, headache, pain in muscles, joints, stomach, general weakness and diarrhea. On the 4th day of the
disease maculo-papular rash appeared on a body, on a 5th day was the bloody vomiting, melena,
hypotension, and deafness of cardiac tones. The condition was extremely heavy. Put a previous diagnose.
A.
Leptospirosis
B.
Spotted fever
C.
Dengue fever
D.
Ebola-fever
E.
Malaria
224. At workers laboratories, which looked after after marmosets which were brought from Uganda,
great pain appeared heads, myalgias, dryness in a mouth cavity, nausea, vomits, frequent watery
emptying, afterwards pains joined in the area of lower ribs which increased at a cough. On the 4th day of
disease a hemorragic syndrome appeared are hemorrhages in a conjunctiva, sanguifluousness of gums,
blood in vomiting. maculo-papular pouring out on a trunk. Credible diagnosis?
A.
Lassa fever
B.
Marburg fever
C.
Leptospirosis
D.
Ebola fever
E.
Crimeanfever
225. Sick person 34 years old, became ill suddenly – rose temperatures of body, vomiting. Patient
disturbs pain in a head, back, joints, and bones. Hyperemia and puffiness of face and neck, eyes are
poured by a blood. Patient is excited. The yellow colouring of skin and scleras appeared on the 3th day of
illness, point hemorrhages on a skin, liver and spleen was multiplied. What diagnosis is most credible?
A.
Yellow fever
B.
Congo-Crimea hemorrhagic fever
C.
Hemorrhagic fever with a kidneys syndrome
D.
Lassafever
E.
Ebolafever
226. Patient E., 43 years old, hunter, often drank water from springs during hunts on hare. Became ill
sharply in 2 days: chill, high temperature, pharyngalgia at swallowing. Objectively: mucus of oro-pharing
not sharply hyperemic, on right tonsil dense grayish-yellow raid. In the right part of neck enlarged lymph
nodes like to eggs, not painful, mobile, temperature – 38 °C. What is previous diagnose?
A.
Diphtheria
B.
Plague
C.
Rabbit-fever
D.
Tonsillitis
E.
Lymphogranulomatosis
227. Phage symptom in case of yellow fever is:
A.
Pain in right iliac area
B.
Enanthema on a soft palate
C.
Replacement of tachicardia on expressed bradicardia
D.
Hemorrhagesin a conjunctiva
E.
Yellowhands
228. A patient 26 years entered permanent establishment in 3 weeks upon termination of reaping. The
state is heavy, chronotaraxis and space, high fever to 40 C, on a skin petechial and еchimosis, on the back
linear hemorrhages, sanguifluousness from a nose and gums, there was vomit by “coffee-grounds”.
Pasternatsky symptom is sharply positive. At the laboratory inspection: neutrophilic leukocytosis,
thrombocytes - 100 thousand in 1 ml, hematocrit - 0,55, day's amount of urine 70 ml, protienuria,
еrythrocyturia. What disease does it follow to suspect?
A.
Hemorragic fever with a kidney syndrome
B.
Leptospirosis, anicteric form
C.
Salmonellosis, septic form
D.
Lassa hemorragic fever
E.
Crimean hemorragic fever
229. A patient, 39 years old, became ill sharply 3 days ago after return from Jamaica. Complains on a
high temperature, severe headache, nausea, vomit by “coffee-brown”, pain in the muscles and joints.
Objectively: temperature 39,9 C, face swelling, red, conjunctivitis, photophobia. Rashes.Scleritis, and
skin are yellow, petachial rash, acrocyanosis. A liver is megascopic to 3 сm, painful. Tachycardia,
hypotension.In hemogrameare leukopenia, thrmbocytopenia. Describe the most likely diagnosis.
A.
Yellow fever
B.
Viral hepatitis B
C.
Malaria
D.
Leptospirosis
E.
Hemorragic fever with a kidney syndrome
230. A patient, habitant of Nigeria, grumbles about the increase of temperature, general weakness.
Gradually a temperature rose to 38,9 C, pain of head increased, pains appeared in muscles, nausea,
conjunctivitis. On a 3th day necrotizing ulcer pharyngitis developed. Ulcers appeared on a soft palatine
tonsils. The groups of lymphatic nodes of neck were multiplied. The state got worse. Stomach-aches
joined, vomit, diarrhea, pain in a thorax, cough. Relative bradycardia. About what disease is it possible to
think?
A.
Flu
B.
Typhoid fever
C.
Hemorrhagic fever
D.
Quinsy
E.
Spotted fever
231. At workers laboratories, which looked after after marmosets which were brought from Uganda,
great pain appeared heads, myalgias, dryness in a mouth cavity, nausea, vomits, frequent watery
emptying, afterwards pains joined in the area of lower ribs which increased at a cough. On the 4th day of
disease a hemorragic syndrome appeared are hemorrhages in a conjunctiva, sanguifluousness of gums,
blood in vomiting. maculo-papular pouring out on a trunk. Credible diagnosis?
A.
Lassa fever
B.
Marburg fever
C.
Leptospirosis
D.
Ebola fever
E.
Crimean fever
232. In a serviceman, who acted to permanent establishment, set previous diagnosis of especially
dangerous hemorrhagic fever. What from the transferred terms of latent period does follow at
determination of duration of primary disease measures?
A.
6 days
B.
10 days
C.
40 days
D.
21 day
E.
72 hours
233. In ambulance delivered a girl 14 years, which became ill 6 days ago from appearance of weakness,
increase body temperature to 39,3 C, enanthema appeared on the skin and mucouses and had hemorragic
character, icterus, nasal bleeding, increases of liver and spleen. 2 weeks ago got back from a festival in
Brazil. What infectious pathology should be eliminated first?
A.
Yellow fever
B.
Q-fever
C.
Dengue fever
D.
Malaria
E.
Viral hepatitis
234. The soldier, who arrived on vacation from Sierra Leone, was taken to hospital in connection with
the febrile illness. Suspected Lassa fever. What kind of laboratory indicators are characteristic for this
disease?
A.
The decline in serum indicators KFK and LDG
B.
ESR greater after 60 mm/hour
C.
Neutrophiil in liquor
D.
Elevated levels of alkaline phosphatase in the serum
E.
High proteinuria
235. What changes in haemogram inherent for haemorrhagic fever with kidneys syndrome?
A.
Normochromic anaemia, leucocytosis with atypical mononucleosis, thrombocytopenia
enhanceable ESR
B.
erythrocytosis, lymphocytosis,ESR is enhanceable
C.
Normochromic anaemia, leucopenia with neutrophylosis, thrombocytopenia enhanceable ESR
D.
Hypochromic anaemia, leucocytosis with neutrophylosis, thrombocytopenia enhanceable ESR
E.
Hyperchromicanaemia, leucocytosis with neutrophylosis, thrombocytopenia mionectic ESR
236. For anthrax carbuncle the most characteristically:
A.
Ulcer with a festering bottom, roller on periphery and insignificant area of edema
B.
Ulcer with hyperemia on periphery without an edema
C.
Ulcer with a black scab, black color, second vesicles and area of edema around of ulcer
D.
Ulcer with a festering bottom, roller on periphery, second vesicles and area of edema
E.
Ulcer with serosis-hemorrhagic exudates, painful, with the area of edema around of ulcer
237. For anthrax most characteristically:
A.
Change of stool
B.
Icterus of skin
C.
Catarrhal phenomena
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.
245.
A.
B.
C.
D.
E.
246.
A.
B.
C.
Meningealphenomena
Change of skin
For the pulmonary form of anthrax characteristically:
Foamy sputum with blood
Glassy sputum with blood
Foamy sputum without blood
Foamy green sputum
Like to «ferruginous» sputum
For treatment of anthrax us:
Sulfanilamids
Nitrofurans
Hormones
Antiviralfacilities
Antibiotics
It is necessary to appoint for successful treatment of anthrax:
Antyanthrax immunoglobulin and penicillin
Antyanthrax immunoglobulin and prednizolon
Antyanthrax immunoglobulin and vyrolex
Antyanthrax immunoglobulin and vermox
Antyanthraximmunoglobulinanddelagil
Specify the measures of urgent prophylaxis of anthrax.
Anti-anthrax immunoglobulin
Penicillinum or tetracyclinum during 5 days
Vaccination
Medicalsupervision
Biseptolum 5 days
The basic clinical display of a skin form of anthrax is:
Hyperemic of skins
Vesiculs
Ulcer
Phlegmon
Abscess
The diagnostic reaction of anthrax is:
Rayt‘s reaction
Vidal‘s reaction
Reaction of term precipitation of Askoly
Paul-Bunnel‘sreaction
Reactionofagglutination-lysis
The etiological factor of anthrax is:
Salmonella thyphi
Erysipelothrixrhysiopothiac
Bacillus anthracis
Rickettsiosissibirica
Toxocaracanis
The source of infection of anthrax is more frequent than:
People
Birds
Home animals
Rodents
Fly
What anthrax prophylactic measures are entertained by farm workers?
Vitamin therapy
Immunization by inactivated vaccine
Formulated vaccine
D.
Immunization by live vaccine
E.
Antibiotictherapy
247. What material is necessary take for diagnosis of anthrax:
A.
Spinal liquid
B.
Urine
C.
Saliva
D.
Content of carbuncle
248. What specific test is used for anthrax diagnostic?
A.
Compliment fixation test
B.
Indirect hemaglutination test
C.
Coetaneous test with antraxin
D.
Hemaglutination test
E.
RIFA withanthraxantigen
249. With what diseases it is necessary to differentiate anthrax:
A.
Leptospirozis
B.
Typhoid fever
C.
Dermatitis
D.
Carbuncle
E.
Meningococcalinfection
250. A patient B., 43 years old, stay sick during few weeks: insignificant weakness, body temperature
– 38,4 °C, at right forearm – 2 ulcers of diameter 1,5 cm, covered by scab with pus under it, surrounded
by infiltration. What is the most credible diagnosis?
A.
Eryzipelas
B.
Tularemia, ulcerous-bubonic form
C.
Skin leishmaniosis
D.
Staphylococcal carbuncle
E.
Anthrax