Introduction into the Infectious Diseases. Infections with fecal-oral mechanism of transmission. Infections with droplet mechanism of transmission. Tests

-ray of organs of thoraxic cavity

Analysis sputum|

* Determination of viruses by the method of immunofluorescence

Biochemical blood test

What level is necessary to reduce the temperature of patient’s body with hyperthermia?

1. 
   39 °C
   
2. 
   * 38 °C
   
3. 
   37,5 °C
   
4. 
   37 °C
   
5. 
   38,5 °C
   

What level is necessary to reduce the temperature of patient’s body with hyperthermia?

1. 
   39 °C
   
2. 
   * 38 °C
   
3. 
   37,5 °C
   
4. 
   37 °C
   
5. 
   38,5 °C
   

What solutions must be applied for compensatory rehydration in cholera?

1. 
   Colloid
   
2. 
   Hypertensive epitonic polyionic crystalloid
   
3. 
   * Isotonic polyionic crystalloid
   
4. 
   Reosorbilakt
   
5. 
   Isotonic solution of glucose
   

What time is it necessary to complete primary rehydration at dehydration shock?

1. 
   3-5 hrs
   
2. 
   0.5 hrs
   
3. 
   2-3 hrs
   
4. 
   * 1-1.5 hrs
   
5. 
   4-6 hrs
   

What type of a diarrhoeia is typical for a salmonellosis?

1. 
   Osmotic
   
2. 
   Exudative
   
3. 
   * Secretory
   
4. 
   Mixed
   
5. 
   Toxic
   

Which from the below is a complication of cholera?

1. 
   Collapse
   
2. 
   Infectious-toxic shock
   
3. 
   Acute renal insufficiency
   
4. 
   * Dehydration shock
   
5. 
   Status typhosis
   

Which salt solutions do not contain potassium?

1. 
   Trisalt
   
2. 
   Lactosalt
   
3. 
   * Disalt
   
4. 
   Qudrosalt
   
5. 
   Khlosalt
   

Who must be admitted in the hospital from the focus of cholera?

1. 
   Carriers
   
2. 
   Patients with cholera
   
3. 
   * Persons with disfunction of intestine
   
4. 
   Contact persons
   
5. 
   Persons with high temperature
   

With the purpose of specific prophylaxis of cholera is used:

1. 
   * Cholerogen-toxoid
   
2. 
   Vaccine
   
3. 
   Nitrofuranes
   
4. 
   Immunoprotein
   
5. 
   Antibiotics
   

What is the entrance gate at infectious mononucleosis?

1. 
   Mucus of colon
   
2. 
   Mucus of digestive highway
   
3. 
   Epithelial mews of skin
   
4. 
   Peyer‘s plate and follicles
   
5. 
   * Mucus of nazo-pharig
   

A boy 6 years was in the close touch with a patient with diphtheria. What treatment-prophylactic measures need to be conducted, if vaccine anamnesis is unknown?

1. 
   Introduction of AWDT vaccine
   
2. 
   Antibacterial therapy
   
3. 
   Introduction of ADT-м to the toxoid
   
4. 
   * Antibacterial therapy and double introduction of ADT toxoid
   
5. 
   Antibacterial therapy and introduction of immunoprotein
   

A child 2 years carries a diphtherial croup. There was the stop of breathing on 2nd days of whey therapy. What was the reason of asphyxia?

1. 
   * Mechanical obturation by tapes
   
2. 
   Stenosis of larynx
   
3. 
   Anaphylaxis shock
   
4. 
   Whey illness
   
5. 
   Paresis of respiratory musculature
   

A diagnosis is “diphtheria of otopharynx” put to the 3-years-old child (not instiled through the refusal of parents). Family lives in a 3-room apartment, a mother does not work, a father is the director of factory. Specify the method of isolation of child.

1. 
   * Obligatory hospitalization
   
2. 
   Hospitalization after clinical testimonies
   
3. 
   Hospitalization after epidemiologys testimonies
   
4. 
   Isolation in home terms
   
5. 
   Does not need isolation
   

A new born child on 10th day of life became worse: Temperature 39.2 °C, no frequent vomiting, generalized cramps, violations of consciousness, spastic paresis of left extremities. Month prior to his birth herpes virus was present in the mother, which she did not treat. What disease is most possible?

1. 
   * Herpetic encephalitis
   
2. 
   Meningococcal meningitis
   
3. 
   Subarechnoid hemorrhage
   
4. 
   Cerebral abscess
   
5. 
   Violation of blood cerebral circulation
   

A patient came with complaints of sickly erosions on his penis. From anamnesis frequent appearance of similar rashes is found out during a year. Objectively: on a balanus are the grouped blisters and erosions, soft on palpation. What is your diagnose?

1. 
   * Recurrent herpes of ІІ type
   
2. 
   Vulvar pemphigus
   
3. 
   Primary syphyllis
   
4. 
   Shankoform pyoderma
   
5. 
   Recurrent herpes of ІІІ type
   

?A patient has herpetic meningitis. What preparation of specific therapy for viral neuro infection should be given?

1. 
   * Acyclovir
   
2. 
   Cefataxime
   
3. 
   Ceftriaxone
   
4. 
   Gentamycin
   
5. 
   Furazolidon
   

A patient has herpetic meningitis. What preparation of specific therapy for viral neuro infection should be given?

1. 
   * Acyclovir
   
2. 
   Cefataxime
   
3. 
   Ceftriaxone
   
4. 
   Gentamycin
   
5. 
   Furazolidon
   

A patient has herpetic meningitis. What preparation for specific therapy of viral neiroinfection would you appoint?

1. 
   Laziks
   
2. 
   Cefotaksim
   
3. 
   Ceftriakson
   
4. 
   * Acyclovir
   
5. 
   Prednisolon
   

A pregnant woman, 27 years (pregnancy ІІ, 8-10 weeks.), temperature of body increased. At the inspection on a TORCH-infection antibodies are found to the herpes virus, ІІ types of class IGM. What we must recommend to pregnant women?

1. 
   * To cut pregnancy
   
2. 
   To prolong the supervision
   
3. 
   Treatment with acyclovir
   
4. 
   Symptomatic treatment
   
5. 
   Appoint of alpha-fetoprotein
   

A sick 3 years old child came to the doctor with symptoms of the fever, languor, waiver of meal. A boy is capricious, temperature of body 37.9 °C. On the mucus shell of soft palate, cheeks are single vesicle hypersalivation. What is the diagnosis?

1. 
   * Herpetic stomatitis
   
2. 
   Candidosis of oral cavity
   
3. 
   Leucoplacia
   
4. 
   Follicular tonsillitis
   
5. 
   Lacunar tonsillitis
   

After the disease which was accompanied by the fever and pharyngalgias, there were an odynophagia, dysarthria, weakness and violation of motions in hands and feet, hyporeflexia, violation of sensitiveness in extremities to the polyneurotic type. What disease does it follow to think about above all things?

1. 
   Neuropathy of hypoglossus
   
2. 
   * Diphtherial polyneuropathy
   
3. 
   Neuropathy of glossopharyngeus nerve
   
4. 
   Trunk encephalitis
   
5. 
   Pseudobulbar syndrome
   

At a child 4 years on the third day of disease the widespread form of diphtheria of nasopharynx is diagnosed. Preparation of specific therapy:

1. 
   Macrolids per os
   
2. 
   Penicillin i/m
   
3. 
   Cortycosteroid
   
4. 
   * Antidiphterial serum i/v
   
5. 
   Antitoxic therapy
   

At a child 6 years with a diphtherial widespread croup the first dose of antidiphterial serum makes:

1. 
   * 40 AО
   
2. 
   15 AО
   
3. 
   20 AО
   
4. 
   80 AО
   
5. 
   60 AО
   

At a girl, 22 years old, severy form of diphtheria of otopharynx have happened. Specific treatment begun only on a 5th day from the beginning of disease. What complication of diphtheria is potentially dangerous?

1. 
   Stenotic laryngotracheitis
   
2. 
   Pneumotorax
   
3. 
   Meningoencephalitis
   
4. 
   Septicopyemia
   
5. 
   * Infectious-toxic shock
   

At a patient the dense darkly-grey raid covers tonsills is considerably megascopic and spreads for their scopes. Mucus shell bloodshot accented cyanochroic, was considerably swollen. Immediate medical measure:

1. 
   * Antidiphterial whey
   
2. 
   Punction of peritonsillar space
   
3. 
   Section of peritonsillar space
   
4. 
   Microscopic research of stroke from under tape
   
5. 
   Bacteriologic examination of stroke from under pallatum
   

At a patient the dense darkly-grey raid covers tonsills is considerably megascopic and spreads for their scopes. Mucus shell bloodshot accented cyanochroic, was considerably swollen. Immediate medical measure:

1. 
   * Antidiphterial serum
   
2. 
   Punction of peritonsillar space
   
3. 
   Section of peritonsillar space
   
4. 
   Microscopic research of stroke from under tape
   
5. 
   Bacteriologic examination of stroke from under pallatum
   

At a patient the dense darkly-grey raid covers tonsils is considerably megascopic and spreads for their scopes. Mucus shell bloodshot accented cyanochroic, was considerably swollen. Immediate medical measure:

1. 
   Ultraviolet irradiation of throat
   
2. 
   Punction of peritonsillar space
   
3. 
   Section of peritonsillar space
   
4. 
   * Introduction of antidiphterial serum
   
5. 
   Compress on a neck
   

At a patient which carried diphtheria with an incessant pharyngalgia, disartria, weakness and loss of motions; hyperreflexia, decline of sensitiveness on a polyneuritis type developed. Put a diagnose.

1. 
   Hemorrhage in a brain
   
2. 
   Viral encephalitis
   
3. 
   * Diphtheria polyneuropathy
   
4. 
   Psevdobulbar syndrome
   
5. 
   Bulbar form of lateral Amiotrophic sclerosis
   

At a patient, 17 years: angina. Temperature 38,2 °C, generilised lymphadenopathy (the first multiplied neck lymphatic knots which are located along m. sternocleidomastoideus), small icterus, hepatospleenomegaly. Previous diagnosis?

1. 
   Tuberculosis of lymphatic knots
   
2. 
   Bacterial quinsy
   
3. 
   Diphtheria
   
4. 
   * Infectious mononucleosis
   
5. 
   Megacaryoblastoma
   

At how many percents of grown man does present antibodies to the virus of simple herpes?

1. 
   10-20 %
   
2. 
   20-30 %
   
3. 
   40-60 %
   
4. 
   * 80-90 %
   
5. 
   60-70 %
   

At junior nurse, who works in child’s infectious department, herpes simplex was found. What should manager of department must do?

1. 
   * Create a quarantine in the department
   
2. 
   To appoint an immunoprotein to the children
   
3. 
   Discharge all children from the department
   
4. 
   To appoint immunomodulators with a prophylactic purpose
   
5. 
   To inspect a junior nurse on a staphylococcus
   

At junior nurse, who works in child’s infectious department, herpes simplex was found. What should manager of department must do?

1. 
   * Create a quarantine in the department
   
2. 
   To appoint an immunoprotein to the children
   
3. 
   Discharge all children from the department
   
4. 
   To appoint immunomodulators with a prophylactic purpose
   
5. 
   To inspect a junior nurse on a staphylococcus
   

At maintenance of call on a house a district pediatrician put to the sick 5 years old child diagnosis “Acute lacunar tonsillitis”. Specify, who must carry out the laboratory inspection of patient and in what terms.

1. 
   Worker of SES upon receipt report
   
2. 
   A district medical sister is at once after determination of diagnosis
   
3. 
   Doctor pediatrician in 5 hours
   
4. 
   * Doctor pediatrician at once after determination of diagnosis
   
5. 
   District medical sister on a next day
   

At sick L, 35 years old, a diagnosis is set is diphtheria of pharynx, noncommunicative form. What first dose of antitoxic antidiphtheria whey is it necessary to appoint?

1. 
   120 thousand of AО
   
2. 
   80 thousand of AО
   
3. 
   * 30 thousand of AО
   
4. 
   50 thousand of AО
   
5. 
   150 thousand of AО
   

Before revaccination from diphtheria of adult persons, they are recommended:

1. 
   * To explore an immune type
   
2. 
   To use antibiotics
   
3. 
   To use antihistamines
   
4. 
   5 years after last revaccination
   
5. 
   10 years after last revaccination
   

Before revaccination from diphtheria of adult persons, they are recommended:

1. 
   * To explore an immune type
   
2. 
   To use antibiotics
   
3. 
   To use antihistamines
   
4. 
   5 years after last revaccination
   
5. 
   10 years after last revaccination
   

Complication of diphtheria of larynx:

1. 
   Myocarditis
   
2. 
   Paresis of auditory nerve
   
3. 
   Nephrosonephritis
   
4. 
   * Croup
   
5. 
   Poliomyelitis
   

Complications of 4-5th week of diphtheria:

1. 
   Encephalitis
   
2. 
   Bulbar disorders, pancreatitis, hepatitis
   
3. 
   * Poliomyelitis, myocarditis
   
4. 
   Nephrosonephritis
   
5. 
   Stenotic laryngotracheitis
   

Complications which often develop on the first week of diphtheria of otopharynx:

1. 
   Poliomyelitis
   
2. 
   Asphyxia
   
3. 
   Insufficiency of glandulars
   
4. 
   hepatospleenomegaly
   
5. 
   * Paresis of soft palate
   

Corynebacterium diphtheria:

1. 
   Contain endotoxin only
   
2. 
   * Exotoxin products
   
3. 
   Exotoxin does not product
   
4. 
   An enterotoxin products
   
5. 
   Myelotoxin products
   

Diphtheria planned vaccination begin in:

1. 
   In first days after birth of child
   
2. 
   * In 3 month age
   
3. 
   In 6-month age
   
4. 
   In 1 year
   
5. 
   In 6 years
   

Diphtheria planned vaccination begin in:

1. 
   In first days after birth of child
   
2. 
   * In 3 month age
   
3. 
   In 6-month age
   
4. 
   In 1 year
   
5. 
   In 6 years
   

Early complications of diphtheria of otopharynx:

1. 
   * Paresis of soft palate
   
2. 
   Pneumonia
   
3. 
   Asphyxia
   
4. 
   Croup
   
5. 
   Poliomyelitis
   

Especially high title of ant diptherial antitoxic antibodies testifies to:

1. 
   Recovering
   
2. 
   Acute period of diphtheria
   
3. 
   * Bacteriocarriering
   
4. 
   Forming of immunity to diphtheria
   
5. 
   About nothing does not testify
   

Especially high titre of ant diptherial antitoxic antibodies testifies to:

1. 
   Recovering
   
2. 
   Acute period of diphtheria
   
3. 
   * Bacteriocarriering
   
4. 
   Forming of immunity to diphtheria
   
5. 
   About nothing does not testify
   

For what disease are characterize changes in blood (presence of atypical mononucleares)?

1. 
   Flu
   
2. 
   * Kissing disease
   
3. 
   Measles
   
4. 
   AIDS
   
5. 
   Diphtheria
   

For what disease characterize changes in a blood (presence of lymphomonocytes and a typical mononuclears)?

1. 
   Flu
   
2. 
   * Infectious mononucleosis
   
3. 
   Measels
   
4. 
   AIDS
   
5. 
   Diphtheria
   

For what disease characterize changes in a blood (presence of lymphomonocytes and a typical mononuclears)?

1. 
   Flu
   
2. 
   * Infectious mononucleosis
   
3. 
   Measels
   
4. 
   AIDS
   
5. 
   Diphtheria
   

How mach are exist subfamilies of herpes-viruses?

1. 
   2
   
2. 
   4
   
3. 
   5
   
4. 
   6
   
5. 
   * 3
   

How mach types of herpes-viruses do you know?

1. 
   2
   
2. 
   4
   
3. 
   6
   
4. 
   * 8
   
5. 
   10
   

In an epidemic cell rationally to organize verification of the state of immunity. The Use of RUHA allows to find out persons unimmune to diphtheria during a few hours. What minimum protective titre?

1. 
   1:10
   
2. 
   1:20
   
3. 
   * 1:40
   
4. 
   1:80
   
5. 
   1:160
   

In preschool is case of disease on diphtheria. What prophylactic measures must be conducted above all things?

1. 
   Urgent hospitalization
   
2. 
   Urgent vaccination
   
3. 
   * Quarantines measures
   
4. 
   Urgent by chemical prophylactic antibiotics
   
5. 
   Introduction of antidiphterial whey
   

In preschool the registered case of diphtheria. What from the measures adopted below does not conduct to the contact children?

1. 
   * Introduction of antidiphterial whey
   
2. 
   Non-permanent is stroke from a pharynx and nose for the bacteriologic examination
   
3. 
   Daily is supervision during 7 days
   
4. 
   Determination of titres of specific antibodies
   
5. 
   At the repeated cases of disease is extraordinary revaccination diphtheria
   

In what age are infected by primary herpes more frequent?

1. 
   55-65 years
   
2. 
   5-10 years
   
3. 
   12-18 years
   
4. 
   to 6 months
   
5. 
   * 6 months – 5 years
   

Is a vaccination conducted at a kissing disease?

1. 
   Ribosom vaccine
   
2. 
   Alive vaccine
   
3. 
   Dead vaccine
   
4. 
   Chemical vaccine
   
5. 
   * On the stage of
   

Name the most reliable of kissing disease?

1. 
   * Became healthy
   
2. 
   Death
   
3. 
   Chronic form
   
4. 
   Hematological violations
   
5. 
   Changes in the nervous system
   

Patient C., 60 years old during one year has 4th relapse of Herpes zoster. Recommended treatment and relapses prophylaxis?

1. 
   * Valcyclovir
   
2. 
   Acyclovir
   
3. 
   Herpevir
   
4. 
   Proteflazid
   
5. 
   Cycloferon
   

Patient, 24 years old, with diagnosis dyphtheria was admitted to the infectious disease department. What remedy is most effective for treatment and should be used immediately?

1. 
   Antibiotics
   
2. 
   Oxygenotherapy
   
3. 
   * Antitoxic antidyphtherial serum
   
4. 
   Antipyretic drugs
   
5. 
   Sulfanilamides
   

Patient, 35 years was hospitalized with diagnosis localized diphtheria of pharynx. What is the first dose of antitoxic antidyphtherial serum?

1. 
   * 30 000 AU
   
2. 
   50 000 AU
   
3. 
   80 000 AU
   
4. 
   120 000 AU
   
5. 
   150 000 AU
   

Rules hospitalizations of patients with a kissing disease?

1. 
   * In a room for the patients with infections of respiratory tracts
   
2. 
   Patients are not hospitalized
   
3. 
   In a separate chamber
   
4. 
   In a chamber for the patients with infections of external covers
   
5. 
   In a chamber for the patients with intestinal infections
   

Specify the correct method of introduction of whey after the method of Bezredko:

1. 
   1,0 ml of divorced 1:100 hypodermic – through 30 min. 0,1 ml of undivorced hypodermic – through 30 min. all dose of intramuscle
   
2. 
   0,1 ml of divorced 1:1 000 endermic – through 30 min. 0,1 ml of divorced 1:10 hypodermic – through 30 min. all dose of intramuscle
   
3. 
   0,1 ml of undivorced endermic – through 30 min. 0,1 ml hypodermic – through 30 min. all dose of intramuscle
   
4. 
   * 0,1 ml of divorced 1:100 endermic – through 30 min. 0,1 ml of undivorced hypodermic – through 30 min. all dose of intramuscle
   
5. 
   1,0 ml of divorced 1:10 hypodermic – through 30 min. 0,1 ml of undivorced hypodermic – through 30 min. all dose of intramuscle
   

Specify the correct method of serum introduction after the Bezredko method:

1. 
   1,0 ml of divorced 1:100 hypodermic – through 30 min. 0,1 ml of undivorced hypodermic – through 30 min. all dose of intramuscle
   
2. 
   * 0,1 ml of divorced 1:1 000 endermic – through 30 min. 0,1 ml of divorced 1:10 hypodermic – through 30 min. all dose of intramuscle
   
3. 
   0,1 ml of undivorced endermic – through 30 min. 0,1 ml hypodermic – through 30 min. all dose of intramuscle
   
4. 
   0,1 ml of divorced 1:100 endermic – through 30 min. 0,1 ml of undivorced hypodermic – through 30 min. all dose of intramuscle
   
5. 
   1,0 ml of divorced 1:10 hypodermic – through 30 min. 0,1 ml of undivorced hypodermic – through 30 min. all dose of intramuscle
   

The duration of latent period at a kissing disease are?

1. 
   * 25-50 days
   
2. 
   3-6 days
   
3. 
   1-4 weeks
   
4. 
   From a few hours to 3 days
   
5. 
   From a few days to 1-2 months
   

The exciter of diphtheria is:

1. 
   Virus of Epshtein-Barr
   
2. 
   * Bacillaof Leffler
   
3. 
   Corynebacteria ulcerans
   
4. 
   Fusiform stick
   
5. 
   Corynebacteria xerosis
   

The otolaryngologist during the review of patient marked hyperemia, considerable edema of tonsills with the grey raid on them. During the microscopy of raid it was found out sticks located under a corner to each other. What disease does it follow to think about?

1. 
   Scarlet fever
   
2. 
   Streptococcus quinsy
   
3. 
   * Diphtheria
   
4. 
   Vensan tonsillitis
   
5. 
   Staphylococcus quinsy
   

The source of infection at diphtheria is:

1. 
   * Sick people and bacillicarriers
   
2. 
   Sick agricultural animals
   
3. 
   Rodents
   
4. 
   Mosquito
   
5. 
   Aerosol of saliva and epipharyngeal mucous of patients
   

The source of infection at diphtheria is:

1. 
   * Sick people and carriers
   
2. 
   Sick agricultural animals
   
3. 
   Rodents
   
4. 
   Mosquitoes
   
5. 
   Aerosol of saliva and epipharyngeal mucous of patients
   

The source of infection at infectious mononucleosis is:

1. 
   * Sick people and carriers
   
2. 
   Sick agricultural animals
   
3. 
   Rodents
   
4. 
   Mosquitoes
   
5. 
   Aerosol of saliva and epipharyngeal mucous of patients
   

What additional inspections must be conducted to the patient with infectious mononucleosis?

1. 
   * IFA on HIV-infection, bacteriology inspection on diphtheria
   
2. 
   IFA on HIV-infection, bacteriology inspection on a rabbit-fever
   
3. 
   Bacteriology inspection on diphtheria and typhoid
   
4. 
   Reaction of Burne and Rihth-Heddlson
   
5. 
   Reaction of Paul-Bunnel and punction of lymphatic knot
   

What additional inspections must be conducted to the patient with a kissing disease?

1. 
   Reaction of Burne and Rayt
   
2. 
   ELISA test on AID, bacteriological examination on a rabbit-fever.
   
3. 
   Bacteriological examination on diphtheria and typhoid
   
4. 
   * ELISA test on AID, bacteriological examination on diphtheria
   
5. 
   Reaction of Paul-Bunnel and punction of lymphatic no
   

What additional test should hold for the patient with infectious mononucleosis?

1. 
   Burne and Wright-Hadlson‘s reactions
   
2. 
   ELISA-test, bacteriological test for tularemia
   
3. 
   Bacteriological test for diphtheria and typhoid fever
   
4. 
   * ELISA-test, bacteriological test for diphtheria
   
5. 
   Paul-Burne reaction and lymph node puncture
   

What are the possible ways of transmission of herpes-viruses?

1. 
   * Contact, air, sexual, vertical
   
2. 
   Contact, sexual, vertical
   
3. 
   Contact, air, vertical
   
4. 
   Contact, air, sexual
   
5. 
   Air, sexual, vertical
   

?What are the rules of hospitalization of patients with infectious mononucleosis?

1. 
   Patients are not hospitalized
   
2. 
   In a chamber for the infections of respiratory tracts
   
3. 
   * In a separate chamber
   
4. 
   In a chamber for the infections of external covers
   
5. 
   In a chamber for intestinal infections
   

What characteristic signs of raid at diphtheria?

1. 
   One-sided, grey-white, on-the-spot crateriform ulcers
   
2. 
   * grey-white, dense with clear edges and brilliant surface
   
3. 
   Yellow-white, fragile, perilacunar is located
   
4. 
   One-sided, yellow-white, in lacunas
   
5. 
   White, fragile, is easily taken off by a spatula
   

What complication has developed in patient with diphtheria of mouth pellicle severe form was diagnosed. On the 6th day of disease when pain in the heart region, palpitation were appeared. Pulse – 120 per 1 min, systolic noise on apex of heart. On ECG is incomplete blockade of left leg of Giss bunch?

1. 
   * Early infectious-toxic myocarditis
   
2. 
   Myocardial dystrophy
   
3. 
   Heart attack of myocardium
   
4. 
   Acute cardio-vessel insufficiency
   
5. 
   Stenosis of mitral valve
   

What complications do happen at a kissing disease?

1. 
   Insult
   
2. 
   Autoimmune diseases
   
3. 
   Contractures
   
4. 
   * Break of spleens
   
5. 
   Cirrhosis
   

What complications more often develops during 4-5th week of diphtheria:

1. 
   Encephalitis
   
2. 
   Bulbar disorders, pancreatitis, hepatitis
   
3. 
   * Poliomyelitis, myocarditis
   
4. 
   Nephrosonephritis
   
5. 
   Stenotic laryngotracheitis
   

What complications more often develops during the first week of diphtheria of otopharynx:

1. 
   Poliomyelitis
   
2. 
   Asphyxia
   
3. 
   Paratonsillitis
   
4. 
   Hepatospleenomegaly
   
5. 
   * Paresis of soft palate
   

What disease can the acute second tonsillitis be at?

1. 
   Lupus
   
2. 
   Diphtheria
   
3. 
   Rheumatism
   
4. 
   Tuberculosis
   
5. 
   * Typhoid
   

What disease is by the herpes-virus of 1th type?

1. 
   Genital herpes
   
2. 
   * L herpes
   
3. 
   Syndrome of chronic fatigue
   
4. 
   Sarcoma of Kaposi
   
5. 
   Cytomegalovirus infection
   

What disease is by the herpes-virus of 2 type?

1. 
   * Genital herpes
   
2. 
   L herpes
   
3. 
   Syndrome of chronic fatigue
   
4. 
   Sarcoma of Kaposi
   
5. 
   Cytomegalovirus infection
   

What disease is by the herpes-virus of 3 type?

1. 
   Genital herpes
   
2. 
   L herpes
   
3. 
   Syndrome of chronic fatigue
   
4. 
   * Herpes zoster
   
5. 
   Cytomegalovirus infection
   

What disease is by the herpes-virus of 3 type?

1. 
   Genital herpes
   
2. 
   L herpes
   
3. 
   Syndrome of chronic fatigue
   
4. 
   * Chicken pox
   
5. 
   Cytomegalovirus infection
   

What disease is by the herpes-virus of 4 type?

1. 
   Genital herpes
   
2. 
   L herpes
   
3. 
   Syndrome of chronic fatigue
   
4. 
   Chicken pox
   
5. 
   * Cytomegalovirus infection
   

What disease is by the herpes-virus of 5 type?

1. 
   Genital herpes
   
2. 
   * Eczema of new-born
   
3. 
   Syndrome of chronic fatigue
   
4. 
   Sarcoma of Kaposi
   
5. 
   Epshtein-Barr‘s infection
   

What disease is by the herpes-virus of 6 type?

1. 
   Genital herpes
   
2. 
   * Eczema of new-born
   
3. 
   Syndrome of chronic fatigue
   
4. 
   Sarcoma of Kaposi
   
5. 
   Epshtein-Barr‘s infection
   

What disease is by the herpes-virus of 7 type?

1. 
   Genital herpes
   
2. 
   Eczema of new-born
   
3. 
   * Syndrome of chronic fatigue
   
4. 
   Sarcoma of Kaposi
   
5. 
   Epshtein-Barr‘s infection
   

What disease is by the herpes-virus of 8 type?

1. 
   Genital herpes
   
2. 
   Eczema of new-born
   
3. 
   Syndrome of chronic fatigue
   
4. 
   * Sarcoma of Kaposi
   
5. 
   Epshtein-Barr‘s infection
   

What family does the exciter of kissing disease belong to?

1. 
   * Family of herpes virus
   
2. 
   Family of pox virus
   
3. 
   Family of retro virus
   
4. 
   Family of reo virus
   
5. 
   Family of toga virus
   

What from the following symptoms are not characteristic of infectious mononucleosis?

1. 
   Fever
   
2. 
   * Defeat of kidneys
   
3. 
   Lymphadenopathy
   
4. 
   Tonsillitis
   
5. 
   Increasing of liver and spleen
   

What from the following symptoms are not characteristic of infectious mononucleosis?

1. 
   Fever
   
2. 
   * Defeat of kidneys
   
3. 
   Lymphadenopathy
   
4. 
   Tonsillitis
   
5. 
   Increasing of liver and spleen
   

What group of infections does infectious mononucleosis behave to?

1. 
   Zoonoz
   
2. 
   Sapronosis
   
3. 
   Antropozoonoz
   
4. 
   * Antroponoz
   
5. 
   Sapronoz+antroponoz
   

What group of infectious diseases by L. Gromashevsky classification diphtheria belong to?

1. 
   External covers
   
2. 
   Blood
   
3. 
   Intestinal
   
4. 
   * Respiratory ways
   
5. 
   Transmissive
   

What group of infectious diseases diphtheria belong to?

1. 
   Sapronosis
   
2. 
   Zoonosis
   
3. 
   * Anthroponosis
   
4. 
   Zooanthroponosis
   
5. 
   A group is not certain
   

What group of infectious diseases infectious mononucleosis belong to?

1. 
   Sapronosis
   
2. 
   Zoonosis
   
3. 
   * Anthroponosis
   
4. 
   Zooanthroponosis
   
5. 
   A group is not certain
   

What is characteristic signs of raid at diphtheria?

1. 
   One-sided, grey-white, on-the-spot crateriform ulcers
   
2. 
   * Grey-white, dense with clear edges and brilliant surface
   
3. 
   Yellow-white, fragile, perilacunar is located
   
4. 
   One-sided, yellow-white, in lacunas
   
5. 
   White, fragile, is easily taken off by a spatula
   

What is early complications of diphtheria of otopharynx:

1. 
   * Paresis of soft palate
   
2. 
   Pneumonia
   
3. 
   Asphyxia
   
4. 
   Croup
   
5. 
   Poliomyelitis
   

What is immediately investigation in suspicious of diphtheria:

1. 
   Strokes with tonsills, nose or other areas for the exposure of diphtherial stick
   
2. 
   IFA
   
3. 
   * Microscopy (painting for Neiser)
   
4. 
   Haemoculture
   
5. 
   RDHA with a diphtherial diagnosticum
   

What is main complication of diphtheria of larynx:

1. 
   Myocarditis
   
2. 
   Paresis of auditory nerve
   
3. 
   Nephrosonephritis
   
4. 
   * Croup
   
5. 
   Poliomyelitis
   

What is material for the bacteriologic examination in time to suspicion on diphtheria?

1. 
   Excrement
   
2. 
   Blood
   
3. 
   Urine
   
4. 
   * Mucus from the area of defeat
   
5. 
   Neurolymph
   

What is mechanism of transmission of Corynebacterium diphtheria?

1. 
   Vertical
   
2. 
   Transmissive
   
3. 
   * Air-drop
   
4. 
   Contact
   
5. 
   Parenteral
   

What is recommended treatment and relapses prophylaxis of Herpes zoster?

1. 
   * Valcyclovir
   
2. 
   Acyclovir
   
3. 
   Herpevir
   
4. 
   Proteflazid
   
5. 
   Cycloferon
   

What is seasonal character of diphtheria?

1. 
   Spring-summer
   
2. 
   Summer-autumn
   
3. 
   * Autumn-winter
   
4. 
   Winter-spring
   
5. 
   Spring-autumn
   

What is the mechanism of transmission of herpetic infection?

1. 
   Fecal-oral
   
2. 
   * Air
   
3. 
   Contact
   
4. 
   Vertical
   
5. 
   Transmisiv
   

What is the exciter of diphtheria:

1. 
   Virus of Epshtein-Barr
   
2. 
   * Leffler Bacillus
   
3. 
   Corynebacteria ulcerans
   
4. 
   Fusiform stick
   
5. 
   Corynebacteria xerosis
   

What is the exciter of kissing disease:

1. 
   Virus small pox
   
2. 
   Virus of simple herpes
   
3. 
   * Virus of Epshteyn-Barr
   
4. 
   Cytomegalovirus
   
5. 
   Virus of flu
   

What is the most diagnostic method for infectious mononucleosis?

1. 
   Common analysis of excrement
   
2. 
   Common analysis of urine
   
3. 
   * Common blood test
   
4. 
   Blood is on a drop
   
5. 
   Stroke of blood
   

What is the properties of сorynebacterium diphtheria:

1. 
   Contain endotoxin only
   
2. 
   * Exotoxin products
   
3. 
   Exotoxin does not product
   
4. 
   An enterotoxin products
   
5. 
   Myelotoxin products
   

What is transmissive factors in diphtheria?

1. 
   Blood
   
2. 
   Water
   
3. 
   * Saliva
   
4. 
   Urine
   
5. 
   Exrements
   

What laboratory examination is compulsory to do for the patient with signs of tonsillit?

1. 
   Isolation of hemolytic streptococcus from the throat mucosa
   
2. 
   Biochemical blood analysis
   
3. 
   X-ray examination
   
4. 
   * Smear from nose and pharynx
   
5. 
   Immune-enzyme analysis
   

What material it’s necessary to take for bacteriologic examination in suspicion on diphtheria?

1. 
   Excrement
   
2. 
   Blood
   
3. 
   Urine
   
4. 
   * Mucous
   
5. 
   Neurolymph
   

What mechanism of transmission of Corynebacterium diphtheria?

1. 
   Vertical
   
2. 
   Transmissive
   
3. 
   * Air-drop
   
4. 
   Contact
   
5. 
   Parenteral
   

?What medical measures are primary in diphtheria of pharynx, widespread form?

1. 
   ntroduction of non steroid and ant inflammatory drugs
   
2. 
   ntroduction of antibiotics
   
3. 
   * ntroduction of ant diphtheria serum
   
4. 
   ntroduction of glucocorticoids
   
5. 
   isintoxication therapy
   

What symptom is not characterized for a kissing disease?

1. 
   Generalized lymphadenopathy
   
2. 
   * Total flatulence
   
3. 
   Tonsillitis
   
4. 
   Hepatolienal syndrome
   
5. 
   Rash
   

What symptoms do not characterize for infectious mononucleosis?

1. 
   Increased of temperature
   
2. 
   * Defeat of
   
3. 
   Lymphadenopathy
   
4. 
   Tonsillitis
   
5. 
   Increase of liver and spleen
   

What the most possible complication occurs during infectious mononucleosis?

1. 
   Meningitis
   
2. 
   autoimmune alopecia
   
3. 
   encephalitis
   
4. 
   * Splenic rupture
   
5. 
   Obstruction of respiratory tract
   

What the most possible complication occurs during infectious mononucleosis?

1. 
   Meningitis
   
2. 
   Autoimmune alopecia
   
3. 
   Encephalitis
   
4. 
   * Splenic rupture
   
5. 
   Obstruction of respiratory tract
   

What ways of transmission does characterize for infectious mononucleosis?

1. 
   Alimentarniy
   
2. 
   Transfuziv
   
3. 
   Sexual
   
4. 
   * Air
   
5. 
   Contact
   

С. Antibiotics, hepatoprotectors, antihistamines

1. 
   * Antibiotics, preparations of interferon, hepatoprotectors
   
2. 
   Antihistamines, antiherpetic preparations, hepatoprotectors
   
3. 
   Antibiotics, antihistamines, antiherpetic preparations
   
4. 
   Vitamins, antibiotics, preparations of interferon
   

A 24 y/o man .was seen by a doctor on the 2d day of illness with complaints about a fever up-to 38,1 °C, painful swallowing, malaise. On the skin of trunk and extremities, especially in natural folds, point rash on hyperemic background was faund. The nasolabial triangle was white with no rash. Enantema on a soft palate, and purulent exudates on tonsils were observed. A few enlarged and painful submandibular lymph nodes were palpated. What is the most probable diagnosis?

1. 
   * Scarlet fever
   
2. 
   Rubella
   
3. 
   Measles
   
4. 
   Enteroviral infection
   
5. 
   Flu
   

A 24.y/o man was seen by a doctor on the 2d day of illness with complaints about subfebrile temperature, and insignificant catarrhal phenomena. On the skin of trunk and extremities spotted-papular elements of rash without a tendency to congregate was observed. The mucous membrane of oro-pharinx was not changed. A few enlarged and painful cervical lymph nodes were found. What is the diagnosis?

1. 
   Scarlet fever
   
2. 
   * Rubella
   
3. 
   Measles
   
4. 
   Enteroviral infection
   
5. 
   Flu
   

A 24.y/o patient was seen by a doctor on the 2d day of illness with complaints about a fever up-to 38 °C, headache, and malaise. On the skin of hairy part of head, runk and extremities vesicular rash with red hallow was found. Also some vesicular elements were found on the mucous membrane of pharynx. Lymph nodes were not palpable. What is the most probable diagnosis?

1. 
   Scarlet fever
   
2. 
   Rubella
   
3. 
   Measles
   
4. 
   * Chicken-pox
   
5. 
   Herpetic infection
   

A 4 years old child complains about: cough, temperature of body 38,1 °C. Skin without rashes. Conjunctiva hyperemic. Exanthema on skin. On mucous of cheeks there are points of hyperemia gum blushs. In lungs difficult breathing. What is the most possible diagnosis?

1. 
   Scarlet fever
   
2. 
   Rubella
   
3. 
   * Measles
   
4. 
   Enteroviral infection
   
5. 
   Flu
   

A child 10 years old presents with temperature 38 °C, renitis, conjunctivitis, moist cough. On the mucous membrane of cheeks, lips, gums there are greyish-white points, reminding a farina. What is the diagnosis?

1. 
   * Measles
   
2. 
   Adenoviral infection
   
3. 
   URTI
   
4. 
   Enteroviral infection
   
5. 
   Infectious mononucleosis
   

A normal indices of impalpable fluid losses of the adult person with 70 kg body weight is:

1. 
   * 1000 ml per a day
   
2. 
   500 ml per a day
   
3. 
   700 ml per a day
   
4. 
   1500 ml per a day
   
5. 
   2000 ml per a day
   

?A pathological state which develops owing to catastrophic reduction of a circulating fluid volume and electrolytes loss is:

1. 
   An infectious-toxic shock
   
2. 
   An anaphylactic shock
   
3. 
   * A dehydrationous shock
   
4. 
   A hemorrhagic shock
   
5. 
   All right
   

A patient is sick with meningococcal meningitis. He take a massive dose of penicillin. 4 days temperature of body 36,6-36,8 °C. Meningeal signs are negative. When is it possible to stop the antibiotic therapy.

1. 
   * At a cytosis in a CSF 100 and less, lymphocytes prevail
   
2. 
   After 10 days from the beginning antibiotic therapy
   
3. 
   After 7 days from the beginning antibiotic therapy
   
4. 
   At a cytosis 100 and less, neutrophil prevail
   
5. 
   From 6 days from the beginning antibiotic
   

A patient with meningococcal meningitis gets penicillin during 7 days. The temperature of body is normal 4 days. Meningeal signs are negative. When is it possible to stop the antibiotic therapy.

1. 
   In default of leucocytosis displacement in blood
   
2. 
   * At a cytosis in a neurolymph 100 and less, lymphocyte prevail
   
3. 
   At a cytosis in a neurolymph 100 and less, neutrophil prevail
   
4. 
   At a cytosis in a neurolymph 150, lymphocyte prevail
   
5. 
   At once immediately
   

A patient with meningococcal meningitis gets penicillin during 7 days. Last 4 days temperature of body is normal. Meningeal signs are absent. When is it possible to abolish an antibiotic?

1. 
   * At cytosis in liquor 100 and less, lymphocytes prevails
   
2. 
   At absence of leukocytosis and stab-nucleus shift in a blood
   
3. 
   At cytosis in liquor 100 and more less, neutrophils prevails
   
4. 
   At cytosis in liquor 150, lymphocytes prevails
   
5. 
   At once
   

A patient’s temperature is 40 °C. There are olso deep and unproductive cough, photophobia, face puffiness whitish points on the mucous membrane of cheeks opposite molar teeth. What is the most possible diagnosis?

1. 
   Tuberculosis
   
2. 
   Meningococcemia
   
3. 
   * Measles
   
4. 
   Enteroviral infection
   
5. 
   Staphylococcus sepsis
   

All are the clinical signs of measles except:

1. 
   Acute beginning of high fever
   
2. 
   * Icterus
   
3. 
   Maculo-papular rash
   
4. 
   Sequential appearance of rash
   
5. 
   Scaling
   

All are the clinical signs of measles EXEPT:

1. 
   Acute beginning of high fever
   
2. 
   * Icterus
   
3. 
   Maculo-papular rash
   
4. 
   Sequential appearance of rash
   
5. 
   Scaling
   

All are the clinical signs of measles EXEPT:

1. 
   Acute beginning of high fever
   
2. 
   * Icterus
   
3. 
   Maculo-papular rash
   
4. 
   Sequential appearance of rash
   
5. 
   Scaling
   

Among the students of school 2 cases of generalized form of meningococcal infection are registered. What preparation does it follow to enter to the contact persons with the purpose of urgent prophylaxis?

1. 
   Normal immune globulin
   
2. 
   Leukocytic interferon
   
3. 
   * Meningococcal vaccine
   
4. 
   Meningococcal anatoxin
   
5. 
   Bacteriophage
   

And. 5 days after the isolation of the last patient

1. 
   11 days
   
2. 
   21 day
   
3. 
   10 days
   
4. 
   No need for quarantine
   
5. 
   * 5 days after isolation of the last child
   

And. 5 days after the isolation of the last patient

1. 
   11 days
   
2. 
   21 day
   
3. 
   10 days
   
4. 
   No need for quarantine
   
5. 
   * 5 days after isolation of the last child
   

Can the symptoms of an acute appendicitis be the complications of typhoid fever:

1. 
   * Yes
   
2. 
   No
   
3. 
   Not always
   
4. 
   Often
   
5. 
   May be
   

Compensated dehydrationous shock develops:

1. 
   Rise level of toxins
   
2. 
   At a decrease of the systolic blood pressure
   
3. 
   At a hyperthermia
   
4. 
   At hypohemoglobinemia
   
5. 
   * Because of the haemodynamics changes absence in peace
   

Enterorrhagia feces:

1. 
   * Melena
   
2. 
   Fetid
   
3. 
   Does not change
   
4. 
   With mucous
   
5. 
   With billirubin
   

Etiology agent of meningitis is:

1. 
   * Neisseria meningitides
   
2. 
   Entamoeba histolytica
   
3. 
   Vibro cholerae
   
4. 
   Clostridium botulinum
   
5. 
   Campylobacter pylori
   

?Etiology agent of meningitis is:

1. 
   * Neisseria meningitides
   
2. 
   Entamoeba histolytica
   
3. 
   Vibrio cholerae
   
4. 
   Clostridium botulinum
   
5. 
   Campylobacter pylori
   

For how long a patient with complicated form of measles should be isolated:

1. 
   For 4 days from the beginning of rash
   
2. 
   For 7 days from the beginning of rash
   
3. 
   * For 10 days from the beginning of rash
   
4. 
   For 17 days from the beginning
   
5. 
   For 20 days from the beginning of illness
   

For how long a patient with complicated form of measles should be isolated:

1. 
   For 4 days from the beginning of rash
   
2. 
   For 7 days from the beginning of rash
   
3. 
   * For 10 days from the beginning of rash
   
4. 
   For 17 days from the beginning
   
5. 
   For 20 days from the beginning of illness
   

For how long a patient with complicated form of measles should be isolated:

1. 
   For 4 days from the beginning of rash
   
2. 
   For 7 days from the beginning of rash
   
3. 
   * For 10 days from the beginning of rash
   
4. 
   For 17 days from the beginning
   
5. 
   For 20 days from the beginning of illness
   

For the treatment of acidosis at meningococcal meningitis is better to use.

1. 
   10-20 % glucose solution
   
2. 
   10 % chloride solution
   
3. 
   * 4 % sodium bicarbonate solution
   
4. 
   Albumen
   
5. 
   Concentrated dry plasma
   

For the treatment of acidosis at meningococcal meningitis is better to use.

1. 
   10-20 % glucose solution
   
2. 
   10 % chloride solution
   
3. 
   * 4 % sodium bicarbonate solution
   
4. 
   Albumen
   
5. 
   Concentrated dry plasma
   

How is it possible to specify the diagnosis of meningococcal meningitis.

1. 
   Meningitis is primary
   
2. 
   Presence of a lot of cells in the CSF
   
3. 
   Presence of gram-negative diplococcus in CSF
   
4. 
   Meningococes from the throat
   
5. 
   * All the above
   

How is it possible to specify the diagnosis of meningococcal meningitis.

1. 
   Meningitis is primary
   
2. 
   Presence of a lot of cells in the CSF
   
3. 
   Presence of gram-negative diplococcus in CSF
   
4. 
   Meningococes from the throat
   
5. 
   * All the above
   

In patients with intensive head acke, nausea, pain in a neck and lumbar area, expressed meningeal symptoms; light, tactile, pain hyperesthesia what method of inspection is most informing?

1. 
   * Lumbar puncture
   
2. 
   Computer tomography
   
3. 
   Electroencephalography
   
4. 
   Transcranial dopplerography
   
5. 
   Echoencephalography
   

In the blood analysis at an enterorrhagia:

1. 
   Leukocytosis and hyperhemoglobinemia
   
2. 
   * Coagulation failure
   
3. 
   Leukocytosis
   
4. 
   Normocytosis
   
5. 
   Hyperhemoglobinemia
   

In the kindergarden a child had a meningococcal infection. She was immediately hospitalized. After clinical convalescence in child sowed meningococcus. To which category can the carrier (child) of pathogen belongs?

1. 
   Convalescent, chronic
   
2. 
   * Convalescent, acute
   
3. 
   Healthy
   
4. 
   Immune in vaccinated
   
5. 
   Immune in those, that had infection
   

In what daily interval should the dose of benzylpenicillin at meningococcal meningitis administered.

1. 
   2 hrs
   
2. 
   * 4 hrs
   
3. 
   6 hrs
   
4. 
   5 hrs
   
5. 
   8 hrs
   

In what daily interval should the dose of benzylpenicillin at meningococcal meningitis administered.

1. 
   2 hrs
   
2. 
   * 4 hrs
   
3. 
   6 hrs
   
4. 
   5 hrs
   
5. 
   8 hrs
   

In what dose should| benzyl penicillin be administered at meningococcal meningitis?

1. 
   From a calculation 100-300 thousands unit on 1 kg of mass of body on days
   
2. 
   * From a calculation 200-500 thousands unit on 1 kg of mass of body on days
   
3. 
   From a calculation 500-700 thousands unit on 1 kg of mass of body on days
   
4. 
   From a calculation 700-900 thousands unit on 1 kg of mass of body on days
   
5. 
   Regardless of mass of body
   

In what dose should| benzyl penicillin be administered at meningococcal meningitis?

1. 
   From a calculation 100-300 thousands unit on 1 kg of mass of body on days
   
2. 
   * From a calculation 200-500 thousands unit on 1 kg of mass of body on days
   
3. 
   From a calculation 500-700 thousands unit on 1 kg of mass of body on days
   
4. 
   From a calculation 700-900 thousands unit on 1 kg of mass of body on days
   
5. 
   Regardless of mass of body
   

Measures of urgent prophylaxis for unvaccinated children who have never been ill with measles in case of exposure to an ill with measles

1. 
   Separation from the source
   
2. 
   * Vaccination
   
3. 
   Administration of antibiotics
   
4. 
   Disinfection
   
5. 
   Does not exist
   

Measures of urgent prophylaxis for unvaccinated children who have never been ill with measles in case of exposure to an ill with measles:

1. 
   Separation from the source
   
2. 
   * Vaccination
   
3. 
   Administration of antibiotics
   
4. 
   Disinfection
   
5. 
   Does not exist
   

Measures of urgent prophylaxis for unvaccinated children who have never been ill with measles in case of exposure to an ill with measles

1. 
   Separation from the source
   
2. 
   * Vaccination
   
3. 
   Administration of antibiotics
   
4. 
   Disinfection
   
5. 
   Does not exist
   

Measures of urgent prophylaxis of measles for contacts which have never been ill, but were vaccinated against measles

1. 
   Separation from the source
   
2. 
   Vaccination
   
3. 
   Use of antibiotics
   
4. 
   Use of immunoglobulin
   
5. 
   * No need to conduct
   

Measures of urgent prophylaxis of measles for contacts which have never been ill, but were vaccinated against measles

1. 
   Separation from the source
   
2. 
   Vaccination
   
3. 
   Use of antibiotics
   
4. 
   Use of immunoglobulin
   
5. 
   * No need to conduct
   

Measures of urgent prophylaxis of measles for people who had been ill with measles, but never have been vaccinated

1. 
   Separation from the ill
   
2. 
   Vaccination
   
3. 
   Use of immunoglobulin
   
4. 
   Use of antibiotics
   
5. 
   No need to conduct
   

Measures of urgent prophylaxis of measles for people who had been ill with measles, but never have been vaccinated:

1. 
   Separation from the ill
   
2. 
   Vaccination
   
3. 
   Use of immunoglobulin
   
4. 
   Use of antibiotics
   
5. 
   * No need to conduct
   

Measures of urgent prophylaxis of measles for people who had been ill with measles, but never have been vaccinated

1. 
   Separation from the ill
   
2. 
   Vaccination
   
3. 
   Use of immunoglobulin
   
4. 
   Use of antibiotics
   
5. 
   No need to conduct
   

Meningococemia and DIC-syndrome require above all things.

1. 
   dministration of diuretics
   
2. 
   Administration of analgesic
   
3. 
   * Administration of heparin
   
4. 
   Administration of vitamins
   
5. 
   Administration of antihistaminic preparations
   

Meningococсemia and DIC-syndrome require above all things.

1. 
   Administration of diuretics
   
2. 
   Administration of analgesic
   
3. 
   * Administration of heparin
   
4. 
   Administration of vitamins
   
5. 
   Administration of antihistaminic preparations
   

Methods of specific prophylaxis of scarlet fever:

1. 
   Isolation of ill
   
2. 
   Vaccination
   
3. 
   Use of antibiotics
   
4. 
   Disinfection
   
5. 
   Does not exist
   

Methods of specific prophylaxis of scarlet fever:

1. 
   Isolation of ill
   
2. 
   Vaccination
   
3. 
   Use of antibiotics
   
4. 
   Disinfection
   
5. 
   * Does not exist
   

Methods of specific prophylaxis of scarlet fever:

1. 
   Isolation of ill
   
2. 
   Vaccination
   
3. 
   Use of antibiotics
   
4. 
   Disinfection
   
5. 
   Does not exist
   

More often the dehydrationous shock develops at:

1. 
   * Acute intestinal diseases
   
2. 
   Respiratory diseases
   
3. 
   Blood infections
   
4. 
   Diseases of investments
   
5. 
   Diseases of never system
   

Normal potassium concentration in blood plasma:

1. 
   1,5-2,0 mmol/l
   
2. 
   2,0 mmol/l
   
3. 
   2,5 mmol/l
   
4. 
   * 3,5-5,5 mmol/l
   
5. 
   4,5 mmol/l
   

Normal sodium concentration in blood plasma:

1. 
   * 135-150 mmol/l
   
2. 
   125 mmol/l
   
3. 
   170 mmol/l
   
4. 
   110 mmol/l
   
5. 
   90 mmol/l
   

Patient ?. 27 years old, was admited on the 4th day of illness with the diagnosis of viral URTI, and allergic dermatitis”. The patient felt ill suddenly with increase of temperature up-to 38 °C, headache, sore throat, and intensive cough. On the 3d day rash appeared on the skin of neck and face. Patient was taking aspirin in order to decrease the temperature. Objectively: temperature of body 38,8 °C. The face of patient looks puffy. Signs of conjunctivitis, and renitis were observed. On the skin of neck face and chest there was intensive papular rash, without itch. Mucous membrane of oropharynx was brightly hyperemic. Submandibular and frontal neck lymph nodes were enlarged. The liver and spleen were not palpable. What is the diagnosis?

1. 
   * Measles
   
2. 
   Allergic dermatitis
   
3. 
   Infectious mononucleosis
   
4. 
   Rubella
   
5. 
   Scarlet fever
   

Patient A 24y/o. Appealed on the 5th day of illness with complaints about cough, malaise, fever up-to 38,1 °C. On face and behind the ears maculo-papular rash, appeared a day ago, and other areas of skin are without rash. Conjunctiva is hyperemic. Enantema on a soft palate, on the mucous membrane of cheeks are whitish points with the halo of hyperemia. There is the hard breathing in the lungs. Most credible diagnosis is

1. 
   Scarlet fever
   
2. 
   German measles
   
3. 
   * Measles
   
4. 
   Enteroviral infection
   
5. 
   Flu
   

?Sick C., 8 years, appealed to the infectious hospital on the second day of disease with complaints about a pharyngalgia at swallowing, increase of temperature. Objectively: temperature 38,6 °C, sharp hyperemia of soft palate, tonsills, filling out, loose, on both there are festering stratifications which are taken off by a spatula. Megascopic sickly submandibular lymphonoduses are palpated. Pulse – 114 per a min. Present roseol-papular pouring out on all body. Pastia‘s symptom is positive. It is known from epidemogical anamnesis, that its comrade had alike symptoms. It is not found out the change from the side of other organs. What previous diagnosis can be suspected?

1. 
   Lacunar quinsy
   
2. 
   Diphtheria of pharynx
   
3. 
   * Scarlet fever
   
4. 
   Flu
   
5. 
   Infectious mononucleosis
   

Sick C., 8 years, appealed to the infectious hospital on the second day of disease with complaints about a pharyngalgia at swallowing, increase of temperature. Objectively: temperature of body – 38,6 °C, sharp hyperemia of soft palate, tonsills, filling out, loose, on both there are festering stratifications which are taken off by a spatula. Palpated megascopic, sickly submandibular lymphonoduses. Pulse – 114 shots per min. Present roseol-papular pouring out on all body. Pastia symptom is positive. It is known from epid anamnesis, that at its comrade were alike symptomes. It is not found out the change from the side of other organs. What previous diagnosis can be suspected?

1. 
   lacunar quinsy
   
2. 
   Diphtheria of pharynx
   
3. 
   Infectious mononucleosis
   
4. 
   Flu
   
5. 
   * Scarlet fever
   

Source of meningitis is:

1. 
   Animals
   
2. 
   Birds
   
3. 
   Fish
   
4. 
   Pediculus humanus
   
5. 
   * People
   

Source of meningitis is:

1. 
   Animals
   
2. 
   Birds
   
3. 
   Fish
   
4. 
   Pediculus humanus
   
5. 
   * People
   

Term of contagious period of patient diagnosed with uncomplicated form of measles

1. 
   Until clinical recovery
   
2. 
   After rash starts disappearing
   
3. 
   Before appearance of rash
   
4. 
   * 4 days from the beginning of rash
   
5. 
   10 days from the beginning of illness
   

Term of contagious period of patient diagnosed with uncomplicated form of measles

1. 
   Until clinical recovery
   
2. 
   After rash starts disappearing
   
3. 
   Before appearance of rash
   
4. 
   * 4 days from the beginning of rash
   
5. 
   10 days from the beginning of illness
   

Term of contagious period of patient diagnosed with uncomplicated form of measles

1. 
   Until clinical recovery
   
2. 
   After rash starts disappearing
   
3. 
   Before appearance of rash
   
4. 
   * 4 days from the beginning of rash
   
5. 
   10 days from the beginning of illness
   

The bowel perforation of the typhoid fever can appear:

1. 
   On 1-5 weeks of disease
   
2. 
   On 1 week of disease
   
3. 
   On 2 week of disease
   
4. 
   * On 3 week of disease
   
5. 
   On 5 week of disease
   

The bowel perforation of the typhoid fever is accompanied by the onset of:

1. 
   * Protective muscle tension of a stomach
   
2. 
   Absence of respiratory excursion of a abdominal wall
   
3. 
   Pains in a stomach
   
4. 
   Disappearances of hepatic dullness of percussion
   
5. 
   All answers are right
   

The collapse, a severe intoxication of a typhoid fever develops:

1. 
   * On 1-2 week of disease
   
2. 
   On 3 week of disease
   
3. 
   On 4 week of disease
   
4. 
   On 4-5 week of disease
   
5. 
   On 5-6 week of disease
   

The diarrheic syndrome and vomiting are the reason:

1. 
   An infectious-toxic shock
   
2. 
   An anaphylactic shock
   
3. 
   * A dehydrationous shock
   
4. 
   A hemorrhagic shock
   
5. 
   All right
   

The hypovolemic shock develops owing to fluid loss at:

1. 
   A long-term fever
   
2. 
   A bleeding (a hemorrhagic shock)
   
3. 
   Vomiting and diarrheas
   
4. 
   All answers are not true
   
5. 
   * All answers are true
   

The hypovolemic shock is:

1. 
   І degree of dehydration
   
2. 
   ІІ degree of dehydration
   
3. 
   ІІІ degree of dehydration
   
4. 
   * ІV degree of dehydration
   
5. 
   V degree of dehydration
   

The peritonitis of the typhoid is accompanied by the onset of:

1. 
   Stefanskyy's symptom
   
2. 
   Mayo-Robson's symptom
   
3. 
   Voskresensky symptom
   
4. 
   Krymov's symptom
   
5. 
   * Guarding symptom
   

The subcompensated dehydrationous shock develops at:

1. 
   A diastolic and systolic blood pressure boost
   
2. 
   * A decrease of the systolic blood pressure
   
3. 
   A diastolic blood pressure decrease
   
4. 
   A diastolic blood pressure boost
   
5. 
   A systolic blood pressure boost
   

The typhoid fever enterorrhagia is characterised with:

1. 
   A normal pulse
   
2. 
   A bradycardia
   
3. 
   * A tachycardia
   
4. 
   An alternating pulse
   
5. 
   An asystole
   

Typhoid fever bleedings appears:

1. 
   On 5-6 week of disease
   
2. 
   * On 3-4 week of disease
   
3. 
   On 1-2 week of disease
   
4. 
   On 2 week of disease
   
5. 
   On 1 week of disease
   

Typhoid fever bleedings are accompanied with:

1. 
   Body temperature decrease and pulse decrease
   
2. 
   Body temperature increase and pulse increase
   
3. 
   The temperature does not change
   
4. 
   * Body temperature decrease and pulse increase
   
5. 
   Body temperature increase and pulse decrease
   

What antibiotics preparations of choice of etiotropic therapy at a meningococcal infection.

1. 
   * Benzylpenicillin and it derivatives
   
2. 
   Gentamycin
   
3. 
   Cefazolin
   
4. 
   Sulfolamide
   
5. 
   Ciprofloxacin
   

What antibiotics preparations of choice of etiotropic therapy at a meningococcal infection.

1. 
   * Benzylpenicillin and it derivatives
   
2. 
   Gentamycin
   
3. 
   Cefazolin
   
4. 
   Sulfolamide
   
5. 
   Ciprofloxacin
   

What are the anti epidemic measures in regards to people who were in contact with chicken-pox patient:

1. 
   * Separation and limit of contacts with others
   
2. 
   Vaccination
   
3. 
   Use of antibiotics
   
4. 
   Disinfection
   
5. 
   Does not exist
   

What are the anti epidemic measures in regards to people who were in contact with chicken-pox patient:

1. 
   * Separation and limit of contacts with others
   
2. 
   Vaccination
   
3. 
   Use of antibiotics
   
4. 
   Disinfection
   
5. 
   Does not exist
   

What are the anti epidemic measures in regards to people who were in contact with chicken-pox patient:

1. 
   * Separation and limit of contacts with others
   
2. 
   Vaccination
   
3. 
   Use of antibiotics
   
4. 
   Disinfection
   
5. 
   Does not exist
   

What are the rules at taking of smear material on the discovery of meningococal infection?

1. 
   The taken away material at drawing out must not touch only mucus shell of cheeks and tongue
   
2. 
   The taken away material at drawing out must not touch only teeth and tongue
   
3. 
   The taken away material at drawing out must not touch only teeth, mucus shell of cheeks
   
4. 
   * The taken away material at drawing out must not touch teeth, mucus shell of cheeks and tongue
   
5. 
   The taken away material at drawing out can touch teeth, mucus shell of cheeks and tongue
   

What are the rules at taking of smear material on the discovery of meningococal infection?

1. 
   The taken away material at drawing out must not touch only mucus shell of cheeks and tongue
   
2. 
   The taken away material at drawing out must not touch only teeth and tongue
   
3. 
   The taken away material at drawing out must not touch only teeth, mucus shell of cheeks
   
4. 
   * The taken away material at drawing out must not touch teeth, mucus shell of cheeks and tongue
   
5. 
   The taken away material at drawing out can touch teeth, mucus shell of cheeks and tongue
   

What clinical form of meningococcal infection more often may happened?

1. 
   Meningococcemia
   
2. 
   Meningitis
   
3. 
   Meningoencephalitis
   
4. 
   * Nasopharengitis
   
5. 
   Pneumonia
   

What group of infectious diseases measles belong to:

1. 
   Intestinal
   
2. 
   Blood
   
3. 
   * Respiratory
   
4. 
   Transmissive
   
5. 
   External covers
   

What group of infectious diseases meningococcal infection belong to:

1. 
   Intestinal
   
2. 
   Blood
   
3. 
   * Respiratory
   
4. 
   Transmissive
   
5. 
   External covers
   

What group of infectious diseases scarlet fever belong to:

1. 
   Intestinal
   
2. 
   Blood
   
3. 
   * Respiratory
   
4. 
   Transmissive
   
5. 
   External covers
   

What is duration of contagious period for a patient with epidemic parotitis?

1. 
   21 days
   
2. 
   First week of illness
   
3. 
   First 10 days from the beginning of disease
   
4. 
   Whole period of clinical symptoms
   
5. 
   * First 9 days of disease.
   

What is duration of contagious period for a patient with epidemic parotitis?

1. 
   21 days
   
2. 
   First week of illness
   
3. 
   First 10 days from the beginning of disease
   
4. 
   Whole period of clinical symptoms
   
5. 
   * First 9 days of disease.
   

What is duration of contagious period for a patient with epidemic parotitis?

1. 
   21 days
   
2. 
   First week of illness
   
3. 
   First 10 days from the beginning of disease
   
4. 
   Whole period of clinical symptoms
   
5. 
   * First 9 days of disease.
   

What is duration period of supervision after ill with scarlet fever?

1. 
   * 7 days from time of contact
   
2. 
   21 day
   
3. 
   Till patient’s rash is present
   
4. 
   Till patient is discharged from permanent establishment
   
5. 
   Not conducted
   

What is duration period of supervision after ill with scarlet fever?

1. 
   * 7 days from time of contact
   
2. 
   21 day
   
3. 
   Till patient’s rash is present
   
4. 
   Till patient is discharged from permanent establishment
   
5. 
   Not conducted
   

What is duration period of supervision after scarlet fever?

1. 
   * 7 days from time of contact
   
2. 
   21 days
   
3. 
   Till patient’s rash is present
   
4. 
   Till patient is discharged from permanent establishment
   
5. 
   Not conducted
   

What is seasonal character of meningococcal infection?

1. 
   Summer-autumn
   
2. 
   Autumn-winter
   
3. 
   * Winter-spring
   
4. 
   Winter
   
5. 
   Summer
   

What is seasonal character of meningococcal infection?

1. 
   Summer-autumn
   
2. 
   Autumn-winter
   
3. 
   * Winter-spring
   
4. 
   Winter
   
5. 
   Summer
   

What is seasonal character of scarlet fever?

1. 
   Summer-autumn
   
2. 
   Autumn-winter
   
3. 
   * Winter-spring
   
4. 
   Winter
   
5. 
   Summer
   

What is taken for serum research for confirmation of meningococcal infection?

1. 
   * Blood
   
2. 
   Mucus
   
3. 
   Urine
   
4. 
   CSF
   
5. 
   Saliva
   

What is taken for serum research for confirmation of meningococcal infection?

1. 
   * Blood
   
2. 
   Mucus
   
3. 
   Urine
   
4. 
   CSF
   
5. 
   Saliva
   

What is the duration of contagious period for a patient diagnosed with scarlet fever?

1. 
   10 days from the beginning of illness
   
2. 
   Until patient is discharged from the hospital
   
3. 
   Until rash is present
   
4. 
   * Till the 22d day from the beginning of illness
   
5. 
   Not contagious
   

What is the duration of contagious period for a patient diagnosed with scarlet fever?

1. 
   10 days from the beginning of illness
   
2. 
   Until patient is discharged from the hospital
   
3. 
   Until rash is present
   
4. 
   * Till the 22nd day from the beginning of illness
   
5. 
   Not contagious
   

What is the duration of contagious period for a patient diagnosed with scarlet fever?

1. 
   10 days from the beginning of illness
   
2. 
   Until patient is discharged from the hospital
   
3. 
   Until rash is present
   
4. 
   * Till the 22d day from the beginning of illness
   
5. 
   Not contagious
   

What is the duration of quarantine in child's establishment in case of rubella?

1. 
   11 days
   
2. 
   * 21 day
   
3. 
   10 days
   
4. 
   No need for quarantine
   
5. 
   5 days after isolation of the last child
   

What is the mechanism of transmission of measles?

1. 
   Fecal-oral
   
2. 
   Contact
   
3. 
   Transmissive
   
4. 
   * Air-drop
   
5. 
   Vertical
   

What is the mechanism of transmission of meningococcal infection?

1. 
   Fecal-oral
   
2. 
   Contact
   
3. 
   Transmissive
   
4. 
   * Air-drop
   
5. 
   Vertical
   

What is the mechanism of transmission of scarlet fever?

1. 
   Fecal-oral
   
2. 
   Contact
   
3. 
   Transmissive
   
4. 
   * Air-drop
   
5. 
   Vertical
   

What is used as specific prophylaxis in the period of epidemic spreading of meningococcal infection.

1. 
   Immun globulin
   
2. 
   Serum
   
3. 
   * Vaccine
   
4. 
   Anatoxin
   
5. 
   Nothing
   

What is used as specific prophylaxis in the period of epidemic spreading of meningococcal infection.

1. 
   Immune globulin
   
2. 
   Serum
   
3. 
   * Vaccine
   
4. 
   Anatoxin
   
5. 
   Nothing
   

What laboratory methods should be taken to discharge meningitis?

1. 
   * Lumbar puncture
   
2. 
   Serologic detection
   
3. 
   Urine examination
   
4. 
   Coprograma
   
5. 
   Biopsy of tissues
   

What laboratory methods should be taken to discharge meningitis?

1. 
   * Lumbar puncture
   
2. 
   Serologic detection
   
3. 
   Urine examination
   
4. 
   Coprograma
   
5. 
   Biopsy of tissues
   

What measures are conducted in the place of meningococcal infection?

1. 
   Supervision during 2 weeks
   
2. 
   Phagoprophylaxis
   
3. 
   Immunization
   
4. 
   * Bacteriological inspection of contact
   
5. 
   Chemoprophylaxis
   

What measures are conducted in the place of meningococcal infection?

1. 
   Supervision during 2 weeks
   
2. 
   Phagoprophylaxis
   
3. 
   Immunization
   
4. 
   * Bacteriological inspection of contact
   
5. 
   Chemoprophylaxis
   

What measures should be taken in regards to persons, who were in contact with a patient diagnosed with epidemic parotitis?

1. 
   Observation after contact people during a maximal length of incubation period
   
2. 
   Quorantin in child's establishment
   
3. 
   Isolation of people who were in contact with ill from 11th to the 21t day of illness
   
4. 
   Isolation of children up to 10 years old, who were not ill with epidemic parotitis, for 21 day from a moment of contact
   
5. 
   * All above enumerated
   

What measures should be taken in regards to persons, who were in contact with a patient diagnosed with epidemic parotitis?

1. 
   Observation after contact people during a maximal length of incubation period
   
2. 
   Quorantine in child's establishment
   
3. 
   Isolation of people who were in contact with ill from 11th to the 21th day of illness
   
4. 
   Isolation of children up to 10 years old, who were not ill with epidemic parotitis, for 21 day from a moment of contact
   
5. 
   * All above enumerated
   

What measures should be taken in regards to persons, who were in contact with a patient diagnosed with epidemic parotitis?

1. 
   Observation after contact people during a maximal length of incubation period
   
2. 
   Quorantin in child's establishment
   
3. 
   Isolation of people who were in contact with ill from 11th to the 21t day of illness
   
4. 
   Isolation of children up to 10 years old, who were not ill with epidemic parotitis, for 21 day from a moment of contact
   
5. 
   * All above enumerated
   

What syndrome may appear in severe meningococcemia?

1. 
   Paul-Bunnel
   
2. 
   Plaut-Vincent
   
3. 
   Jarish-Gersgeimer
   
4. 
   Gien-Barre
   
5. 
   * Waterhause-Friedrichsen
   

What temperature terms is it needed for cultivation of meningococcal on artificial mediums?

1. 
   23-40 °C
   
2. 
   35-43 °C
   
3. 
   * 35-37 °C
   
4. 
   23-35 °C
   
5. 
   37-39 °C
   

What temperature terms is it needed for cultivation of meningococcal on artificial mediums?

1. 
   23-40 °C
   
2. 
   35-43 °C
   
3. 
   * 35-37 °C
   
4. 
   23-35 °C
   
5. 
   37-39 °C
   

What type of a diarrhoeia is typical for a salmonellosis?

1. 
   Osmotic
   
2. 
   Exudative
   
3. 
   * Secretory
   
4. 
   Mixed
   
5. 
   Toxic
   

When does the laboratory give the results of bacteriological examination of smear from throat?

1. 
   On 2th days
   
2. 
   On 3th days
   
3. 
   * On 4th days
   
4. 
   On 5th days
   
5. 
   On 6th days
   

When does the laboratory give the results of bacteriological examination of smear from throat?

1. 
   On 2th days
   
2. 
   On 3th days
   
3. 
   * On 4th days
   
4. 
   On 5th days
   
5. 
   On 6th days
   

When patient refered to the doctor with such complaints: prodromal respiratory illness, sore throat, fever, headache, stiff neck, vomiting, confusion, irritability what is previous diagnosis. What main methods can confirm the diagnosis?

1. 
   Epidemic typhys. ELISA-test
   
2. 
   Hemorrhagic fever. ELISA-test
   
3. 
   Leptospirosis. Lumbar puncture.
   
4. 
   Typhoid fever. ELISA-test
   
5. 
   * Meningococcal infection. Lumbar puncture
   

Which preparation has a bacteriostatic action, and is more expedient to begin etiotropic therapy in the case of infectious toxic shock.

1. 
   From benzylpenicillin and its derivatives
   
2. 
   From rovamicin
   
3. 
   From gentamycin
   
4. 
   From ciprofloxacin
   
5. 
   * From ceftriaxon
   

Which preparation has a bacteriostatic action, and is more expedient to begin etiotropic therapy in the case of infectious toxic shock.

1. 
   From benzylpenicillin and its derivatives
   
2. 
   From ciprofloxacin
   
3. 
   From gentamycin
   
4. 
   From acyclovir
   
5. 
   * From chloramphenicol
   

Wich of these symptoms are often present in patients with meningitis?

1. 
   Algor, high temperature, headache
   
2. 
   Profuse watery diarrhea, vomiting, dehydratation, muscular cramps
   
3. 
   Abdominal pain, diarrhea, constipation, flatulence
   
4. 
   Headache, dry cough, algor
   
5. 
   * Prodromal respiratory illness or sore throat, fever, headache, stiff neck, vomiting, confusion, irritability
   

Witch of these symptoms are often present in patients with meningitis?

1. 
   Algor, high temperature, headache
   
2. 
   Profuse watery diarrhea, vomiting, dehydratation, muscular cramps
   
3. 
   Abdominal pain, diarrhea, constipation, flatulence
   
4. 
   Headache, dry cough, algor
   
5. 
   * Prodromal respiratory illness or sore throat, fever, headache, stiff neck, vomiting, confusion, irritability