Patient I., 34 years old, entered to the infectional department. She is sick during 4 days. She complained on binocular diplopia, “rate” in front of eyes, erostomya, dysphagia, myastenia. What is previous diagnosis?
Patient I., 34 years old, entered to the infectious department. She is sick during 4 days. She complained on binocular diplopia, “net” in front of eyes, xerostomya, dysphagia, myastenia. What is previous diagnosis?
Poisoning by Belladonna
Diphtherial polyneuritis
* Botulism
Rotaviral infection
Poliomyelitis
Patient M, 32 y.o., entered clinic on 3rd day of disease with complaints of nausea, feeling of weight in abdomen, vomits, liquid stool. Then appeared clouds before eyes, doubling of objects, voice hoarse, violation of swallowing. A day before he used the dried fish. During review: state is moderate., violation of active motions like paralyses. There is also midriasis, vertical nystagmus, blepharoptosis, absent reaction of pupils on light. Tongue is dry. Flatulence of 2 stage. What methods of laboratory diagnostics are used to confirm the diagnosis?
Reaction indirect hemaglutination
Immunofluorescent
Virology
Reaction of coaglutination
* Reaction of neutralization (biological test)
Patient M., 35 years old, who is sick during 2 days, complains on xerostomia, dysphagia. What symptom is necessary to check?
The Padalra‘s symptom
The Stefansky‘s symptoms
The corneal symptoms
* The eyes symptoms.
All above it
Patient M., 35 years old, who is sick during 2 days, complain on herostomia, dysphagia. What symptom is necessary to check?
The Padalra‘s symptom
The Stefansky‘s symptoms
The corneal symptoms
* The eyes symptoms.
All above it
Patient with cholera has bradycardia, low blood pressure, weakness. What is most important factor in the given clinical situation?
Hypocalcemia
Hypopotassium
Hyponatremia
Hypernatremia
* Hyperpotassium
Patient with cholera on a background treatment has signs of hyperkalemia. What solution must be applied for futher rehydration therapy?
Neohemodez
* Disalt
Chlosalt
Polyhybrid
Lactosalt
Patient, 32 y.o., complains of progressing muscular weakness, worsening of sight, doubling of objects, “net”, before eyes, violation of swallowing (can not swallow a hard meal), thirst. In the first day of illness single liquid stool was present without pathological admixtures, nausea. 2 days prior to beginning of disease was in guests, used an alcohol, canned mushrooms. Presence of ptosis, midriasis, anizocoria. Tones of heart are muffled. Which antibotulinic serum is it expedient to enter?
Mixture of serums of types A and E for 5 thousands IU and type B 10 thousands of IU
Mixture of serums of types A, B and E for 10 thousands of IU
Mixture of serums of types A, B and E for 5 thousands of IU
* Mixture of serums of types A and E for 10 thousands IU and type B 5 thousands of IU
Mixture of serums of types A and B for 10 thousands IU and type E 5 of thousand of IU
Patient, 40 y.o. in 5 hours after the use in the meal of canned mushrooms of the domestic making a sharp general weakness, nausea, vomits, dryness of mucus membranes of oral cavity, doublings of objects, disorders of act of swallowing. Diagnosis?
Poisoning by Belladonna
Diphtherial polyneuritis
* Botulism
Rotaviral infection
Poliomyelitis
Preparation of choice for the treatment of carrier of cyst of amoebae is:
Monomycinum
Delagilum
Tetracyclin
* Yatrenum
Ursosan
Schistosomosis belongs to:
Nematodosis
* Trematodosis
Cestodosis
Ricketsiosis
Mycosis
Schistosomosis is:
Bacterial infection
Viral infection
Protozoosis
Fungal infection
* Helminthosis
Strongyloidosis belongs to:
* Nematodosis
Trematodosis
Cestodosis
Ricketsiosis
Mycosis
Strongyloidosis is:
Bacterial infection
Viral infection
Protozoosis
Fungal infection
* Helminthosis
Teniarinchosis belongs to:
Nematodosis
Trematodosis
* Cestodosis
Ricketsiosis
Mycosis
Teniarinchosis is:
Bacterial infection
Viral infection
Protozoosis
Fungal infection
* Helminthosis
Teniosis belongs to:
Nematodosis
Trematodosis
* Cestodosis
Ricketsiosis
Mycosis
Teniosis is:
Bacterial infection
Viral infection
Protozoosis
Fungal infection
* Helminthosis
The balantidiasis possible complications are all, except:
Hypochromic anaemia
Enterorrhagia
Perforation of ulcer
* Abscess of liver
Cachexia
The clinical forms of balatidiasis are all, except
* Lightning rapid
Acute
Subclinical
Chronic continues
Chronic recurrent
The distinctive pattern of movement of filarial worms in lymphatic vessels is known as:
filaria jumping sign
* filaria dance sign
filaria swim sign
filaria escape sign
filaria flying sign
The most effective means of filariasis control will be:
mass yatren therapy
insecticidal measures against culex mosquitoes
provision of underground drainage
* personal prophylaxix
all mentioned above
The patient, 45 y.o., entered clinic on the 2nd day of illness with complaints of a weakness, diplopia, dryness in mouth, constipations. 3 days ago ate the smoked pork of the domestic making. At a review: skin pale, consciousness is clear. Temperature 37,2 C, pulse 68 in 1 min, AP 120/80, pupils are widening, reaction on light slow, ptosis, horizontal nystagmus. Paresis of soft palate. A sensitiveness is normal. Meningeal signs are not present. The most effective treatment will be:
Sulfanilamides
Antibiotics
Salts solutions
Antiviral preparations
* Antibolutilic antitoxic serum
Toxocarosis belongs to:
* Nematodosis
Trematodosis
Cestodosis
Ricketsiosis
Mycosis
Toxocarosis is:
Bacterial infection
Viral infection
Protozoosis
Fungal infection
* Helminthosis
Trichinellosis develops after:
bite of a tick
drinking of contaminated water
* ingestion of the infected meat
bite of a dog
all of the above
Trichinosis belongs to:
* Nematodosis
Trematodosis
Cestodosis
Ricketsiosis
Mycosis
Trichinosis is:
Bacterial infection
Viral infection
Protozoosis
Fungal infection
* Helminthosis
What clinically active forms of cholera do you know?
* Very rapid acute for the children and elderly persons
“Choleric typhoid”, acute subclinical, for the children and elderly persons
Dry, very rapid, “choleric typhoid”, subclinical for the children and elderly persons
Very rapid “choleric typhoid”, acute, subclinical, for the children and elderly persons
Very rapid, dry, subclinical, for the children and elderly persons
What from the below mentioned preparations can be used for the treatment of primary rehydration?
Lactosalt
* Disalt
Acesalt
Trisalt
Khlosalt
What from the below mentioned preparations, can be used for the treatment of primary rehydration?
* Polyhybrid
Acesalt
Khlosalt
Kvartasalt
Lactosalt
What from the below mentioned preparations, can be used for the treatment of primary rehydration?
* Fillings out sharp edges, surrounded by the area of hyperemia, are placed on the unchanged mucus membrane
Smooth sharp edges, placed on a hyperemic mucus membrane
Even edges, placed on a hyperemic mucus membrane
Fillings out sharp edges, placed on the unchanged mucus membrane
Fillings out sharp edges, surrounded by the area of hyperemia, are placed on the unchanged mucus membrane
What material should be taken to discharge the Cl. Botulinum?
Stool
Food debris
Blood
Vomiting mass
* All above it
What special treatment is used in beginning of the botulism?
* Antibotulinum serum
Disintoxication therapy
Hormonal therapy
Sulfonamides therapy
Vaccine therapy
What special treatment used in beginning of the botulism?
* Antibiotic therapy
Disintoxication therapy
Hormonal therapy
Sulfonamides therapy
Vaccine therapy
What time is it necessary to complete primary rehydration at dehydration shock?
3-5 hrs
0.5 hrs
2-3 hrs
* 1-1.5 hrs
4-6 hrs
When it is.possible to write reconvalensense state of аmoebiosis from permanent establishment?
* After clinical convalescence, in default of in incandescence of mucous, еosinophils, crystals of Charkot-Leiden and two negative results of parasitological research of excrements
After clinical convalescence, in default of in incandescence of blood and three negative results of parasitological research of excrements
After clinical convalescence, in default of leukocytosis and two negative results of parasitological research of excrements
After clinical convalescence and normalization of indexes of global analysis of blood
After clinical convalescence, normalization of indexes of global analysis of blood and two negative results of bacteriological examination of excrement
When would you discharge a patient from hospital, who was diagnosed with balandiasis?
* After clinical recovery and two negative results of parasitological research of excrement
After clinical recovery and two negative results of bacteriological examination of excrement
After clinical recovery and one negative result of parasitological research of excrement
After clinical recovery and normalization of indexes of global analysis of blood
After clinical recovery, normalization of indexes of global analysis of blood and two negative results of bacteriological examination of excrement
Which drug can be used in pregnancy in case of ascariasis?
albendazole
mebendazole
pyrantel pamoate
ivermectin
* piperasin adipinat
Which from the below is a complication of cholera?
Collapse
Infectious-toxic shock
Acute renal insufficiency
* Dehydration shock
Status typhosis
Which groups of symptoms are occurs in the clinic of botulism?
Vomiting, higher temperature
* Dysphagia, dysphonia, diplopia,
Sickness, general weakness
Higher temperature, diarrhea, speech dysfunction
Diarrhea, vomiting dysfunction of eyesight
Which groups of symptoms are occurs in the clinic of botulism?
Vomiting, higher temperature
* Dysfunction of speech and eyesight, breath, sickness, dysphagia
Sickness, general weakness
Higher temperature, diarrhea, speech dysfunction
Diarrhea, vomiting dysfunction of eyesight
Which of the following is known as pinworm
* E. vermicularis
A. duodenale
N. americanus
T. solium
all of the above
Which of the following is the largest intestinal helminthes in human:
Which of the following species of Trichinella are distributed world wide:
T.nelsoni
T.spiralis
T.nativa
* All mentioned above
None
Which salt solutions do not contain potassium?
Trisalt
Lactosalt
* Disalt
Qudrosalt
Khlosalt
Who must be admitted in the hospital from the focus of cholera?
Carriers
Patients with cholera
* Persons with disfunction of intestine
Contact persons
Persons with high temperature
With the purpose of specific prophylaxis of cholera is used:
* Cholerogen-toxoid
Vaccine
Nitrofuranes
Immunoprotein
Antibiotics
With which serum reactions it is possible to confirm the diagnosis of balantidiasis?
* Complement link reaction, reaction in gel precipitation, reaction of immobilization
Reaction of indirect gemagglutination, immune fluorescent reaction
Complement link reaction, reaction of indirect gemagglutination
Complement link reaction, immune fluorescent reaction, reaction of indirect gemagglutination
Complement link reaction, reaction of indirect gemagglutination
Woman L, 65 y.o., became ill sharply, in 12 hours after the use in the meal of canned mushrooms of the domestic making and fried eggs fried on fat. A sharp weakness, nausea, double vomits, appeared „clouds” before eyes, disorders of swallowing. At a review: Т-36,2 C., ptosis, midriasis,anizocoria, inspiratory dyspnea. What disease is present in women?
* Botulism
Salmonelosis
Poisoning by mushrooms
Sharpening of chronic cholecystitis
Toxic food-borne infection
Two girls came to a hospital, because they had 38 0С fever, a headache, weakness, dizziness, and a pain in epigastry and round a navel, a nausea, vomiting 3 times, excrements 4 times per a night, watery diarrhea, foamy, fetid, with mucus impurity. It is known from the history that the day before the girls ate pastries with cream which were not stored in a refrigerator. Objectively: a tongue is dry, furred by white touch, the stomach is bloated moderately, rumbles in palpation, painful in epigastry, pulse is 80 bpm, and the blood pressure is 110/70 mm mercury column. To define the diagnosis.
Shigellosis
* Salmonellosis
Food poisoning
Typhoid fever
Cholera
Two girls came to a hospital, because they had 38 0С fever, a headache, weakness, dizziness, and a pain in epigastry and round a navel, a nausea, vomiting 3 times, excrements 4 times per a night, watery diarrhea, foamy, fetid, with mucus impurity. It is known from the history that the day before the girls ate pastries with cream which were not stored in a refrigerator. Objectively: a tongue is dry, furred by white touch, the stomach is bloated moderately, rumbles in palpation, painful in epigastry, pulse is 80 bpm, and the blood pressure is 110/70 mm mercury column. To make the treatment plan.
A 23 years old person, became ill sharply: fever 38.2 °C, moderate diffuse pharyngalgia at swallowing, pain and itching in the right eye. Objectively: tonsillitis, pharyngitis, conjunctivitis. What is previous diagnosis?
A 25 years old patient, fell ill rapidly, with chills and temperature rose to 39,9 оC, headache appeared in frontotemporal regions, pain in eyeballs, dull pain in all trunk, closed nose. Dry cough after 2 days of illness, there was nose bleeding. Objectively: hyperemia with sputum, isolated petechial rash and shallow grittiness of soft palate. Difficult breathing in lungs. What is the most possible diagnosis?
Leptospirosis
Adenoviral infection
Typhoid fever
* Flu
Epidemic typhus
A 4 years old child complains about: cough, temperature of body 38.1 °C. Conjunctiva is hyperemic. On mucous of cheeks there are points of hyperemia gum blushs. Weaken breathing in the lungs. What is the most possible diagnosis?
Scarlet fever
Rubella
* Measles
Herpetic infection
Flu
A child 10 years old with temperature 38,0 °C, conjunctivitis, moist cough, hyperemia of the mucous membranes of cheeks and lips. Gums are pallor. What is your diagnosis?
* Measles
Adenoviral infection
Acute respiratory viral infection
Enteroviral infection
Infectious mononucleosis
A child 3 years old is found in the grave condition – naughty, forced breathing, dry «barking» coughing, voice is hoarse, perioral cyanosis. The third day, temperature of body is subfebrile, mild common cold. In lungs single dry wheezes can be heard. Moderate tachycardia. For which disease these symptoms are characteristic?
Localized diphtheria of oropharynx
Whooping-cough
* Parainfluenza, false croup
Bronchopneumonia
Adenoviral infection
A child of age 2 years has temperature of body 37.3 °C, cold, hoarse voice “barking cough” appeared suddenly the anxiety, shortness of breath, appeared with participation of auxiliary muscles. Supposed diagnosis?
* Parainfluenza, false croup
Diphtheria croup
Allergic laryngitis, croup
Flu, laryngitis
Acute exudative pleuritis
A normal indices of impalpable fluid losses of the adult person with 70 kg body weight is:
?A pathological state which develops owing to catastrophic reduction of a circulating fluid volume and electrolytes loss is:
An infectious-toxic shock
An anaphylactic shock
* A dehydrationous shock
A hemorrhagic shock
All right
A patient 14 years old, hospitalized in the infectious department in severe condition with considerable headache mainly in frontal and temporal area, pain in eyeballs, in muscles and joints. Objectively: patient is excited, temperature of the body is 39 оC. Bradycardia changed by tachycardia. Muscles tonic and clonic cramps. Positive meningeal signs. It is found in epidemic anamnesis, his brother is also sick. What is your diagnosis?
* Flu with pneumonia and edema of brain
Flu, typical course
Parainfluenza, false croupe
Respiratory-sencytial infection
Adenoviral infection, pneumonia
A patient 17 years old, became suddenly ill: temperature rose to 40,3 °C. Severe headache, motive excitation, frequent vomiting, tremor of fingers of extremities. Hemorrhagic spots of round form and different sizes, more frequently as stars, mainly on buttocks and trunk. Meningeal signs are positive. What is the most possible diagnosis?