A *Cererbrovascular dementia
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A Influenzal meningoencephalitis B Bacterial meningoencephalitis C Subarachnoidal hemorrhage D Brain hemorrhage E Ischemic stroke
Girl of 15-th years during a day once or twice suddenly hardens on 5-15 sec, erecting a look upwards, irresponsive on an address to it. After an attack does not realize that happened with it. For the last year for a girl memory was worsened, success went down at school. On EEG convulsive activity is registered by frequency of 3/sec. What diagnosis is most reliable? A Absanse B Adversive attacks C Sinkope D Neuroticlike state E Transitory ischemic attack
The man of 74 years complains of periodic disorientation, violation of speech, loss of memory on current events, slow gait. It is ill about 5 years. Objectively: speech with dysarthria, mimic is poore, hunched carriage. Tendon reflexes is S>D, symptom Babinskogo from 2th sides, symptoms of oral automatism, muscular tone is promoted on a plastic type. In a pose Romberg’s is unsteady, nistagm is horizontal. What diagnosis is most reliable ? A Dyscirculatory encephalophaty B Illness of Parkinson’s C Meningoencephalitis D Encephalomielitis E --
A man is 57 years old delivered in a neurological department with complaints on the weakness of left arm, feet, head pain, prolapsus of right age, doubling. Problem start gradually during some the times after nervous overloads. Objectively: stunning, speech is stored, going away cross-eye of left eye, ptosis of right eyelid, diplopia. Force of muscles in left extremities is reduced. Tendon reflexes on the left higher. What from the transferred diagnoses is most reliable ? A Ischemic stroke B Brain hemorrhage C Meningoencephalitis D Miasteniya E Sausage-poisoning
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A lumbar puncture B Examination of fundus C Ultrasonic Doppler D EEG E CT 24
A Vibration disease B polyneuritis C Raynaud's disease D Syringomyelia E Deforming arthrosis 25
A CT B Contrast angiography C Ultrasonic Doppler D Survey of coagulating properties of blood E Ehoentsefaloskopiya 26
A Bacterial meningitis B Typhus, typhoid mill C Viral meningoencephalitis D sepsis, an infectious-toxic shock E Influenza, gipertoksicheskaya form 27
A Subarachnoid hemorrhage
28 Female 52 years complains of bias to the right person. Pain in 2 days ago after hypothermia. The temperature rose to 38.2 C. OBJECTIVE: marked facial asymmetry.Left frontal folds smoothed. The left palpebral fissure wider than the right and not closed.Flattened left nasolabial fold. Omitted corner of his mouth. Another pathology was not detected. In the blood: Leuk .- 10,0 x10 * 9 / L, ESR - 20 mm / hour. What is the most likely diagnosis? A * Neuritis of the facial nerve B prosoponeuralgia C Gemikraniya (migraine) D Ischemic stroke E brain tumor 29 The patient was 43 years complains of recurrent bouts of pain in the right half of the face. During the attack marked spasm of mimic muscles of the right half face, the skin on that side of his face redden. Analysis of blood without pathology. Was diagnosed with trigeminal neuralgia on the right. Which drug is most expedient to appoint? A * Finlepsin B Prednisolone C Actovegin D Analgin E Indomethacin 30 Woman 62 years after the lifting felt a sharp pain in the lumbar region, buttocks, posterior-lateral surface of the right thigh, the outer surface of the right lower leg and dorsum of the foot. Objective: weak tibialis anterior muscle, long extensor muscle of thumb, short extensor muscle of fingers of the right foot. Reduced ankle reflex on the right. Positive symptom Lassega. What is the most informative research methods for the diagnosis of discogenic compression of L5 root?: A * Magnetic Resonance Imaging B X-ray of the spine C Electromyography D Angiography E Lumbar puncture 31
A CT scan of the lumbar spine B X-ray of the pelvic bones C Lumbar puncture D Elektromiografiya E Ultrasound kidney 32
A status epilepticus B epileptic seizure C epileptic reaction D vegetative crises E syncopal attack 33
A Intensive care unit B Neurology department C Surgery department D Therapeutic department E Psychiatric Unit 34
A * Magnetic Resonance Imaging B X-ray of the spine C Electromyography feet D Reovasography feet E - 35 Patient 37 years old hospitalized in the intensive care unit due to the repeated every half hour tonic-clonic seizures. Patient between seizures in mind did not come. BP- 120/90 mm. Hg, PS-100/min.Yesterday evening he was at a wedding, drinking alcohol. 5 years ago suffered a closed head injury, brain contusion, and then appeared single seizures with loss of consciousness, but the patient did not take anti-epileptic medication. Which drug should first be introduced for first aid? A * Diazepam B Magnesium sulfate C Oxybutyrate sodium D Aminazin E Thiopental sodium 36
A * syncope B epileptic seizure C Minor ischemic stroke D Transient ischemic attack E Vagoinsulyarny crisis 37
A Electroencephalography
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A * convulsive form of coordination neurosis B neuralgic form of coordination neurosis
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A Diclofenac B Aspirin C Analgin D Novocaine E Spazmalgon 40
A * sympathoadrenal crisis (panic attacks) B vago insular crisis C hypotonic crisis D hyperglycemic coma E epileptic seizure 41 Patient had resection of the stomach. During the operation, the left upper extremity patient was assigned and fixed to the operating table for anesthetic management.Postoperatively, the patient developed a dysfunction of the upper extremity in the form of "hanging" brush. Violation of any anatomical structure led to the emergence of this symptom? A radial nerve B axillary nerve C ulnar nerve D median nerve E Muscle-cutaneous nerve 42 In travpunkt asked the patient to the trauma glass bottom third of the forearm. OBJECTIVE: broken flexion IV and V fingers, reduced sensitivity of the inner surface of the back and palm of the hand and finger IV. What nerve is injured? A * ulnar B radial C Median
E axillary 43 The patient 38 years after the lifting came a pain in the lumbar spine with radiation to the back of his left leg. The pain increases when the position of the body and in an upright position. The examination revealed the positive symptoms of tension. What preliminary diagnosis can be made to the patient? A * Pathology of the intervertebral discs B Spinal cord tumor C arahnomielit D polyneuritis E myelopathy 44
infant does not produce active abduction, rotation and flexion of the shoulder joint.Range of motion in the elbow is limited, and in the radiocarpal joint and joints of fingers saved. Diagnosis? A * Upper brachial plexus palsy. B Lower brachial plexus palsy. C fracture of the clavicle. D fracture of the humerus. E Congenital contracture of the shoulder joint. 45 To the hospital a patient appealed with complaints about violation pain and haptic to the sensitiveness, pain in the eventual phalanxes of fingers, that arises up after work. On an enterprise he works with mechanical devices. What pathology is necessary to be suspected? A * Oscillation illness B Decompression sickness C Murmur illness D Signs of overstrain E Hypovitaminosis of vitamin of B_1 46 Analysing the results of periodic physical examination workers-polish of artistic glass was educed, that at 40% workers with the protracted experience in age 30-45 years neuritis of ulnar is set nerve, at 21% is vegetative-sensible полиневрит, at 12% - Vegetomiofascitis overhead extremities. Workers polish wares by means of revolved abrasive disk. To the action of what unfavorable factor data are related pathologies? A Vibration B the Unfavorable microclimate C Dust D Murmur
E Electromagnetic leakage field 47 A driver repaired a machine in the closed garage, whereupon appealed with by complaints about a headache, dizziness, nausea, muscular weakness, somnolence., at examination, making more frequent of pulse, breathings, excitation is marked, hypertension, craze of pursuit. Most credible diagnosis A *Intoxication by the oxide of carbon B Intoxication by the ethylated petrol C Posttraumatic encephalopathy D the Hypertension stroke E Astheeia-vegetative syndrome 48 At the machine-building plant, stripping of founding is conducted with a help fitting machines which are the source of local vibration. What most effective prophylactic measures for warning of her harmful influence on the organism of working? A *the use of gloves which extinguish a vibration B of realization of previous and periodic physical examinations C massage of racemes of hands D acceptance of warm baths for hands E realization of sanitary-educational work among workers 49 On physical examination the machinist of port faucet produced complaints on dizziness, nausea, feeling of pressure on ear-drums, chills tremor, motion in area of bowels, difficulty in breathing, cough. Works executed on height of, related to nervously-emotional tension. On workers operate vibration: general and local, murmur, infra-sound, steam-disengaging in summer cooling the winter microclimate. With the action of what factor you do you link the complaints of worker? A *Vibration B Murmur C Infra-sound D Tension of labour E of Work on height of 50 Workers of laboratory on making of measuring devices (manometers, thermometers and others like that) grumble about metallic taste in to the mouth, stomatitis, dyspepsia phenomena, parahypnosis, shaky gait, fall-off of cardiac activity. Specify reason of origin of this poisoning. A * Mercury. B Lead. C Manganese. D Toluene. E Tetraethyllead. 51 A 52 y.o. man has recurrent transient ischemic attacks. Auscultation of the carotid arteries detects murmur. What diagnostic method is necessary to apply first? A. Ultrasound dopplerography B. Cerebral angiography C. MRI of the brain D. Electroencephalography E. CT of the brain 52 A patient, aged 16, complains of headache, mainly in the frontal and temporal areas, superciliary arch, appearing of vomiting at the peak of headache, pain during the eyeballs movement, joint's pain. On examination: excited, t0- 390С, Ps- 110/min. Tonic and clonus cramps. Uncertain meningeal signs. What is the most likely diagnosis? A. Influenza with cerebral edema manifestations B. Adenovirus infection C. Respiratory syncytial virus D. Influenza, typical disease duration E. Parainfluenza 53.
A full-term new-born suffered ante- and intranatal hypoxia, was born in asphyxia (Apgar score 2-5 points). After birth baby's excitation is progressing, occurs vomiting, nystagmus, spasms, squint, spontaneous Babinski and Moro's reflexes. What is the most probable location of the intracranial haemorrhage in this case? A. Subarachnoid hemorrhages B. Haemorrhages in ventricles of brain C. Subdural hemorrhages D. Small hemorrhages in brain tissue E. Periventricular hemorrhages 54. Male 30 y.o., noted growing fingers and facial scull, changed face. Complains of poor eyesight, weakness, skin darkening, loss of body weight. X-ray shows broadening of sella turcica, thinning of tuberculin sphenoidale, signs of increased intracranial pressure. What diagnosis can you make? A. Adenoma of hypophysis B. Tumor of pondo-cerebellar corner C. Adrenal gland tumor D. Encephalitis of truncus E. Optico - hiasmatic arachnoiditis 55.
A newborn aged 3 days with hyperbilirubinemia (428 mkmol/L) developed following disorders. From beginning there were severe jaundice with poor suckling, hypotomia and hypodynamia. Little bit later periodical excitation, neonatal convulsions and neonatal primitive reflexes loss are noted. Now physical examination reveals convergent squint, rotatory nystagmus and setting sun eye sign. How to explain this condition? A. Encephalopathy due to hyperbilirubinemia B. Spastic cerebral palsy C. Hydrocephalus D. Skull injury E. Brain tumour 56. During intramuscular DTP vaccination in clinic, a 3 m.o. child developed signs of laryngospasm, paleness of skin, cyanosis of lips, "cock cry", stop of respiration, tension of the whole body with overturned backward head. Allergological history of the child is not complicated. What is the most probable diagnosis? A. Spasmophilia, tonic spasms B. Meningoencephalitic reaction, clonic and tonic spasms C. Meningism, clonic and tonic spasms D. Cerebral haemorrhage, tonic spasms E. Anaphylactic shock, clonic spasms
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A 65 y.o. woman complains of complicated mouth opening following foot trauma 10 days ago. Next day she ate with difficulties, there were muscles tension of back, the back of the head and abdomen. On the third day there was tension of all muscle groups, generalized convulsions every 10-15 min. What is the most probable diagnosis? A. Tetanus B. Tetania C. Meningoencephalitis D. Hemorrhagic stroke E. Epilepsy 58. Ambulance was called to a 48 y.o. man. From the words of relatives he has had three episodes of lost consciousness and attacks during the day. On examination: the following fit is observed: patient is unconscious, fell on the floor, tonic and then clonic convuesions of trunk and extremities happened. The attack lasted for 4 minute, ended by involuntary urination. What type of attack was observed? Yüklə 263,31 Kb. Dostları ilə paylaş:
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