Systemic scleroderma

Part "zoning" the building foci of inflammation. In the center of necrosis with the threads of the fungus*

Characteristic abscess. On the periphery of the centers of a productive inflammation (granulation tissue with giant multinucleated cells)*

Fibrosis over time*

Effected areas of Inflammation do not have defined boundaries. The filaments are arranged fanlike fungi from the center of the hearth

It is the characteristic fibrinoid necrosis. On the periphery of granulation tissue

Over pockets dissolve and undergo metaplasia

2973.What happens in the lungs during recovery from acute pneumonia

1. 
   The disappearance of the pathogen*
   
2. 
   Resorption, fusion and rejection of exudate*
   
3. 
   Regeneration of lung tissue*
   
4. 
   Persistension of Pathogen
   
5. 
   The Development of emphysema
   
6. 
   Webs Readily undergo necrosis
   

2974.Name pulmonary complication of pneumonia

1. 
   Suppuration lung tissue with abscess formation*.
   
2. 
   Cornification*
   
3. 
   Plevritis (including empyema)*
   
4. 
   Lung Heart
   
5. 
   Thrombosis Veins of the lower extremities
   
6. 
   Encefalopaties
   

2975.Find another name focal pneumonia

1. 
   Bronchopneumonia*
   
2. 
   Bronchial pneumonia*
   
3. 
   Bronchogenic pneumonia*
   
4. 
   Pleuropneunomia
   
5. 
   Plevral Pneumonia
   
6. 
   Pleurogenous Pneumonia
   

2976.What kind of bronchopneumonia varies depending on the size of the effected area

1. 
   Miliary, acinar*
   
2. 
   Lobular, segmental*
   
3. 
   Polysegmental*
   
4. 
   Equity
   
5. 
   Macrofocal
   
6. 
   Small focal
   

2977.List the 3 basic signs of cirrhosis:

1. 
   proliferation of connective tissue in the lobules*
   
2. 
   Education regeneration sites*
   
3. 
   severe disturbance of liver function*
   
4. 
   gepatomegaliya
   
5. 
   gipersplenizm
   
6. 
   periholetsistit
   

2978.3 Specify the main causes of splenomegaly:

1. 
   portal hypertension*
   
2. 
   connectiv tissue proliferation*
   
3. 
   hyperplasia retikulogistiolimfotsitarnyh elements*
   
4. 
   portalnaya hypotension
   
5. 
   gipoalbuminemiya
   
6. 
   gipersplenizm
   

2979.List the 3 main features of hypersplenism:

1. 
   anemia*
   
2. 
   leukopenia*
   
3. 
   splenomegaly*
   
4. 
   eritrotsitoz
   
5. 
   leykotsitoz
   
6. 
   the acceleration of ESR
   

2980.Describe the three main syndromes of liver cirrhosis:

1. 
   portal hypertension*
   
2. 
   asthenovegetative*
   
3. 
   dyspeptic*
   
4. 
   nefrotichesky
   
5. 
   hypertensive
   
6. 
   stenokarditichesky
   

2981.List 3 early symptoms of portal hypertension:

1. 
   flatulence*
   
2. 
   dyspeptic disorders*
   
3. 
   veins of the abdominal wall*
   
4. 
   ponosy
   
5. 
   otryzhka
   
6. 
   heartburn
   

2982.3 Describe the clearest manifestation of portal hypertension:

1. 
   ascites*
   
2. 
   varicose veins of the esophagus, stomach and veins gemorraidalnye*
   
3. 
   bleeding from the gastrointestinal tract*
   
4. 
   oteki the lower extremities
   
5. 
   Varicose veins
   
6. 
   nosovye bleeding
   

2983.3 Specify the main syndrome of hepatocellular insufficiency:

1. 
   bleeding diathesis*
   
2. 
   jaundice*
   
3. 
   hepatic encephalopathy*
   
4. 
   giperfermentemiya
   
5. 
   hemolytic
   
6. 
   portalnoy hypertension
   

2984.List the 3 main points during liver cirrhosis

1. 
   Activity of liver pathology*
   
2. 
   severity of hepatocellular insufficiency*
   
3. 
   development of portal hypertension*
   
4. 
   a activity of the pathological process in the spleen
   
5. 
   vyrazhennost spleencell insufficiency
   
6. 
   development of hypersplenism
   

2985.List 3 main laborotnyh sign cholestasis biliary cirrhosis:

1. 
   hyperbilirubinemia*
   
2. 
   a significant increase in the total lipids, phospholipids and cholesterol*
   
3. 
   increase alkaline phosphatase activity*
   
4. 
   gipoholesterinemiya
   
5. 
   HBsAgEmiya
   
6. 
   Increase transaminases
   

2986.Describe the main histological features on biopsy data biliary cirrhosis:

1. 
   destructive changes interlobular bile ducts*
   
2. 
   cholestasis, especially not the periphery of lobules*
   
3. 
   Expanding the intrahepatic bile ducts*
   
4. 
   lestnichnye necrosis of hepatocytes
   
5. 
   periportalny
   
6. 
   bulyzhnye necrosis of hepatocytes
   

2987.What are the major etiological factors of liver cirrhosis:

1. 
   hepatitis*
   
2. 
   drinks*
   
3. 
   toxins and drugs*
   
4. 
   diabetes
   
5. 
   hr. gastritis
   
6. 
   hr. enteritis
   

2988.List the three main morphological changes leading to cirrhosis of the liver:

1. 
   hepatocyte necrosis *
   
2. 
   connective tissue activating *
   
3. 
   regeneration of liver cells*
   
4. 
   distrofiya hepatocytes
   
5. 
   Kupffer cells distrofiya
   
6. 
   gipotrofiya liver cells
   

2989.Identify key factor for the development of ascites:

1. 
   portal hypertension*
   
2. 
   hypoalbuminemia*
   
3. 
   hyperaldosteronism*
   
4. 
   portalnaya hypotension
   
5. 
   giperalbuminemiya
   
6. 
   gipoaldosteronizm
   

2990.3 Specify the major complications of cirrhosis:

1. 
   bleeding from the gastrointestinal tract*
   
2. 
   hepatic coma*
   
3. 
   hepatorenal syndrom*e
   
4. 
   nosovye bleeding
   
5. 
   krovoizliyaniya brain
   
6. 
   ischemic stroke
   

2991.Name the 3 main clinical forms of liver cirrhosis:

1. 
   Portal*
   
2. 
   Postnecrotic*
   
3. 
   biliary*
   
4. 
   periportalny
   
5. 
   splenomegalichesky
   
6. 
   giperholesterinemichesky
   

2992.List 3 main complaints of patients with biliary cirrhosis:

1. 
   jaundice*
   
2. 
   pruritus*
   
3. 
   bleeding*
   
4. 
   pallor
   
5. 
   rozeoleznaya rash
   
6. 
   kandilomy
   

2993.What are the main groups of drugs in hepatic coma:

1. 
   glutamic acid, ornitsetil to neutralize the ammonia has vsasavshegosya*
   
2. 
   plus vitamin B and C, lipoic acid, potassium supplements to improve the exchange of liver cells*
   
3. 
   lactulose, Normase
   
4. 
   glyukokortikosteroidy
   
5. 
   essentsiale
   
6. 
   nesteroidnye antiinflammatory drugs
   

2994.What are the main causes of hepatic coma:

1. 
   liver necrosis caused by hepatotoxic substances and drugs*
   
2. 
   Multiple Porto kovalnye anastomoses*
   
3. 
   bleeding from esophageal varices and gastric*
   
4. 
   obostrenie chronic gastritis
   
5. 
   obostrenie hr.kolita
   
6. 
   obostrenie hr.enterita
   

2995.Specify the stage of hepatic coma:

1. 
   I stage confusion*
   
2. 
   II stage sopor*
   
3. 
   III stage the actual coma*
   
4. 
   I Stage actually coma
   
5. 
   II Stage supor
   
6. 
   III Stage a stupor
   

2996.I hepatic coma stage 3 includes the following features:

1. 
   confusion*
   
2. 
   apathy, lethargy, alternating excitation*
   
3. 
   liver breath*
   
4. 
   is a positive Babinski
   
5. 
   Record acetone breath
   
6. 
   tonicheskie seizures
   

2997.The etiology of primary biliary cirrhosis:

1. 
   Bakterialnaya and viral infection.
   
2. 
   AIDS.
   
3. 
   Genetic factors. *
   
4. 
   Zloupotreblenie Alcohol.
   
5. 
   Drugs. *
   
6. 
   Purulent destructive cholangitis*
   

2998.Treatment of alcoholic cirrhosis:

1. 
   Excluding alcohol. *
   
2. 
   escaping Smoking.
   
3. 
   Ursodeoxycholic acid. *
   
4. 
   A nicotinic acid.
   
5. 
   Multivitamins. *
   
6. 
   Antioksidanty
   

2999.Clinic syndrome of ulcerative colitis:

1. 
   organ damage*
   
2. 
   cholestatic
   
3. 
   hypertension
   
4. 
   resorbtive necrosing
   
5. 
   dispeptic
   
6. 
   disuric
   

3000.What are the 3 main forms of ulcerative colitis:

1. 
   Acute*
   
2. 
   chronic*
   
3. 
   relapsing*
   
4. 
   sub acute
   
5. 
   latent
   
6. 
   creeping