A *Cererbrovascular dementia
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A. Major epileptic seizure B. Fainting C. Absence D. Vegetatic crisis E. Episode of hysteria
59 On the 5-th day of the respiratory disease a 24 y.o. man has developed progressive headaches systemic dizziness, feeling of seeing double, paresis of mimic muscles on the right, choking while swallowing. Acute viral encephalitis has been diagnosed. What is the main direction of urgent therapy? A. Zovirax B. Glucocorticoids C. Hemodesis D. Lasix E. Ceftriaxon 60 A 14 y.o. child suffers from of vegetovascular dystonia of pubertal period. He has developed sympathoadrenal crisis. What medicine should be used for crisis reduction? A. Obsidan B. Euphyline C. Corglicone D. Amisyl E. No-shpa 61 A 70 y.o. male patient with mild headaches complains of speech disorder, weakness in right limbs. There was a history of miocardial infarction and arrhythmia. On nu eroligical examination there are elements of motor aphasia, central paresis of VII and XII cranial nerves pairs on the right side, cental type of hemiparesis and hemihyperesthisia on the same side. What is the most probable diagnosis? A. Ischemic stroke B. Hemorrhagic stroke C. Cerebral tumor D. Epidural hematoma E. Transitory ischemic attack
A 60 y.o. patient complains of having passing reduction of strength in his left extremities for a month. Some time later he has got persistent weakness of extremities in the mornings. Objectively: AP- 140/90 mm Hg, conscious, central paresis of the VII and XII pair of left-side cranial nerves, central hemiparesis and hemihyperesthesia also on the left side. What medicines should be chosen for the differentiated treatment of the patient? A. Anticoagulants B. Diuretics C. Hypotensive D. Corticosteroids E. Hemostatics
The disease of a 21 y.o. patient began with raise of temperature up to 39,00С, headache, chill, repeated vomiting. Rigidity of occipital muscles is determined. The analysis of liquor revealed: cytosis - 1237 in 1 ml, including: 84% of neutrophils, 16% of lymphocytes. On bacterioscopy: gram-negative cocci are found in liquor. What is the most probable disease? A. Meningococcal infection: purulent meningitis B. Meningococcal infection: serous meningitis C. Serous meningitis D. Secondary purulent meningitis E. Infectious mononucleosis
A 54 y.o. man was admitted to the hospital with complaints of sudden intense headache in occipital region and vomiting. In the medical hystory: moderate arterial hypertension, the patient was taking hydrochlorothiazide. Three days ago he consulted a therapeutist about intense headache that was suppressed by an analgetic. Objectively: consciousness is confused, left pupil is mydriatic. Evident photophobia and tension of neck muscles. Left-side hemiparesis with increased muscle tonus and reflexes. Body temperature is low, rash is absent. AP- 230/130 mm Hg, Ps- 50 bpm, BR- 12/min. What is your preliminary diagnosis? A. Acute subdural hematoma B. Migraine D. Myasthenia E. Disseminated sclerosis 65 A 47 y.o. woman complains of having paroxysmal headaches for the last 5 years. The pain is one-sided, intense, localised in frontal region of head, accompanied by nausea and stomach discomfort, begins one of a sudden. Onset is usually preceded by vision reduction. Anamnesis gives evidence of periodical AP rise, but at the moment the woman doesn't take any medicines. Inbetween the onsets of headache her state is satisfactory. Objectively: high-calorie diet (body weight index - 29), AP- 170/95 mm Hg. Neurologic state has no pecularities. What is the most probable diagnosis? A. Migraine B. Hypertensive encephalopathy C. Epilepsy D. Chronic subdural hematoma E. Benign intracranial hypertension 66 A 38 y.o. patient lifted a heavy object that resulted in pain in the lumbar part of spine irradiating to the posterior surface of his left leg. The pain increases during changing body position and also in the upright position. Examination revealed positive symptoms of tension. What is the preliminary diagnosis? A. Pathology of intercostals disks B. Polyneuritis C. Myelopathy D. Spinal cord tumor E. Arachnomyelitis
A 75 y.o. woman with coronary heart disease constantly takes warfarin. She was taken to the acute care department with complaints of sudden sensation of weakness in the left half of her body and eyeball deviation to the left. What examination of the patient will be a primary task? A. Computer tomography of brain B. Ultrasonic examination of carotid arteries C. Magnetic resonance tomography of brain D. Electroencephalogram E. Spinal punction 68 A 43 y.o. patient complains of periodical pain attacks in the right half of her face. The attack is characterized by spasm of mimetic muscles of the right face's half, reddening of skin on this side. Blood has no pathologies. She was diagnosed with right-sided trifacial neuralgia. What medication should be prescribed? A. Finlepsin B. Actovegine C. Indometacin D. Prednisolone E. Analgine
A 7 y.o. girl has mild form of varicella. Headache, weakness, vertigo, tremor of her limbs, ataxia, then mental confusion appeared on the 5th day of illness. Meningeal signs are negative. Cerebrospinal fluid examination is normal. How can you explain these signs? A. Encephalitis B. Meningoencephalitis C. Myelitis D. Meningitis E. Neurotoxic syndrome 70 Male 25 years old, who is sick for 4 years with multiple sclerosis, complaining about increased unsteadiness, weakness of lower extremities, urine retention. OBJECTIVE: Central tetraparesis. Cerebellar ataxia, dysfunction of pelvic organs. What is the most useful therapy in this case? A.Glucocorticoid B.Antibiotics C.Nootropics D.desensitization E.Vitamins Yüklə 263,31 Kb. Dostları ilə paylaş:
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