Tests
1. What is the causative agent of pertussis?
A. The Bordet-Gengou bacillus
B. Corynebacterium diphtheria
C. The Flexnery bacillus
D. The Kochae bacillus
E. The Pfayferae bacillus
2. Children do not suffer from pertussis:
A. At any age
B. At age under 3 years
C. Being newborn
D. At age 10-18
E. At age from 3 to 10 years
3. What is the duration of the pertussis incubation period?
A. 3-15 days
B. 1-3 days
C. 3-7 days
D. 7-10 days
E. 15-21 days
4. What is the duration of quarantine period for pertussis patients?
A. 30 days from the onset of the disease
B. 10 days from the onset of the disease
C. 20 days from the onset of the disease
D. 10 days from the beginning of coughing fits
E. 20 days from the beginning of coughing fits
1.
A.
B.
C.
D.
E.
What is leading factor in the pathogenesis of pertussis?
Toxin
Bacillus
Metabolism products
Antigemic complex
Sensibilizing substances
2.
A.
B.
C.
D.
E.
What is the cause of convulsions in patients with pertussis?
Hypoxemia
Bacteremia
Toxemia
Sensibilization
Liquor’s hypertension
3.
A.
B.
C.
D.
E.
Hematological parameters in pertussis are all following ones, except:
Hyperleukocytosis with shift to the left
Hyperleukocytosis
Lumphocytosis
Monocytosis
ESR is normal
4. What factors don’t determine severity of pertussis?
A.
B.
C.
D.
E.
Severe toxemia
The frequency of coughing fits
Duration of coughing fits
Complications
Apnoea.
9. What peculiarities are not typical for children of the 1 st year of life?
A. Atypical paroxysms of coughing
B. The incubation period is shorter
C. The catarrhal stage is shorter
D. Respiratory complications are more frequent
E. The fits of coughing often cause apnoea
10. What peculiarities are not typical for older children?
A. Severe form
B. Mild form
C. Moderate form
D. An abortive form
E. Respiratory complications are more seldom
11. What are the symptoms of pertussis?
A. All listed
B. Temperature is subfebrile, or even normal
C. Paroxysms of coughting
D. Whoops
E. Transparent mucus
12. What has great importance for diagnostics of pertussis in mild form?
A. Agglutination and complement-fixation reactions
B. Bacteriological tests
C. Virusological tests
D. Hematological test
E. All listed
13. What aren’t respiratory complications in children with pertussis?
A. Laryngitis
B. Bronchitis
C. Bronchopneumonia
D. Emphysema
E. Pneumotorax
14. What aren’t central nervous system complications in children with pertussis?
A. Menigoencephalitis
B. Epileptiform convulsions
C. Apnoea
D. Hypoxemical encephalopatia
E. Subarahnoid hemorrhage
15. Main thing in treatment of pertussis is:
A. Regimen, nursing and aerotherapy
B. Application of antibiotics
C. Oxygen therapy
D. Aminazine
E. All methods are equally important
16. In children under 1 year for treatment of pertussis one need not to apply:
А. Amicacin
В. Ampicillin
С. Cephtriacson
D. Erythromycin
Е. Levomicetin
19. Vaccination against pertussis is carried out in the age of:
А.3-6 of months
В.6-9 of months
С.9-12 of months
D.12-15 of months
Е.15-18 of months
20. In children with mild form of pertussis it is not necessary to apply:
А. Levomicetin
В. Corticosteroids
С. Aminazine
D. Gamma-globulin
Е. All listed above
21. The duration of immunity after pertussis makes:
А.2-3 years
В.5-7 years
С.8-10 years
D. Some months.
Е. For life
22. Maximum duration of catarrhal stage of pertussis makes:
А.3 days
В.7 days
С.14 days
D.21 day
Е. Indefinite period of time
INFLUENZA
1. For the express-diagnostics of influenza one must use:
А. Thick drop of blood
В. Direct immunofluorescent assay
C. Serological tests
D. Virology methods
Е. PCR method
2. What preparation is not used for influenza prevention:
А. Remantadin
В. Oxsoline ointment
С. Specific anti-influenza gamma globulin
D. Leukocytic interferon
Е. Ribovirin
3. What sort of viruses is the activator of an influenza:
A. Paramixovirus
B. Ortomixovirus
C. Picornovirus
D. Adenovirus
E. Enterovirus
4. Main antigen of an influenza B is:
A. HBsAg
B. HBeAg
C. HBcorAg
D. All answers are incorrect
E. All answers are correct
5. Which symptom is specific for the influenza:
А. Significant
B. Bronchitis
С. Acute laringotracheitis
D. Mezadenitis
Е. All answers are correct.
6. Which preparations can one use in treatment of an influenza:
А. Remantadin
В. Intron
С. Valtrex
D. Zovirax
Е. All answers are correct
CROUP
1. At what age do croup develop more often in children:
А. Under 6 months
В. From 3 months till 3 years
С. From 3 till 7 years
D. From 7 till 12 years
Е. At any age
2. Basic differential diagnostic criteria of virus croup are all ones except:
А. Sudden beginning
В. Catarrh
С. Early age of the child
D. Absent of aphonie
Е. Prolonged course
Acute respiratory virus infection
(ARVI)
1. Which of viruses are DNA-containing:
A. Virus of an influenza
B. Virus of an parainfluenza
C. Adenovirus
D. Respiratory syncytial virus
E. Reovirus
2. For which acute respiratory virus infection probability of croup development is small:
A. Influenza
B. Parainfluenzal Infection
C. Respiratory Syncytial Infection
D. Rhinoviral Infection
E. Adenoviral Infection
3. For which acute respiratory virus infection probability of croup development is the greatest:
A. Influenza
B. Parainfluenzal Infection
C. Respiratory Syncytial Infection
D. Rhinoviral Infection
E. Adenoviral Infection
4. Pharyngoconjunctival fever is the form of:
A. Influenza
B. Parainfluenzal Infection
C. Respiratory Syncytial Infection
D. Rhinoviral Infection
E. Adenoviral Infection
5. For which acute respiratory virus infection is prolonged course typical:
A. Influenza
B. Parainfluenzal Infection
C. Respiratory Syncytial Infection
D. Rhinoviral Infection
E. Adenoviral Infection
6. For which acute respiratory virus infection is lacunar tonsillitis typical:
A. Influenza
B. Parainfluenzal Infection
C. Respiratory Syncytial Infection
D. Rhinoviral Infection
E. Adenoviral Infection
7. Hypertermia and convulsive syndromes most frequently develop in:
A. Influenza
B. Parainfluenzal Infection
C. Respiratory Syncytial Infection
D. Rhinoviral Infection
E. Adenoviral Infection
8. What syndrome is the most typical manifestation of the respiratory syncytial infection in
children of the first months of life:
А. Catarrh of the upper air passages
В. Croup
С. Bronchiolitis
Д. Pneumonia
Е. Bronchitis
9. What preparations can one use in treatment of an adenoviral infection:
А. Remantadin
В. Desoxyribonucleaze
С. Ribonucleaze
D. Valtrex
Е. Herpevir
10. The form of an adenoviral infection is not:
А. Pharyngoconjunctival fever
В.Tonsilopharingitis
С. Keratoconjunctivitis
D. Mesadenitis
Е. Herpangina
Meningococcal infection
1. The causative agent of a meningococcal infection is:
А. Bacterium
В. Viruses
С. Mushrooms
D. Chlamidias
Е. Riccetsias
2. Material for bacteriological tests for diagnosis of a meningococcal infection concerns all,
except for:
А. Feces
В. Slime from nasopharyngeal
С. Blood
D. Cerebrospinal fluid
Е. Elements of a rash.
3. For a meningococcal infection are characteristic all changes of peripheral blood, except for:
А. Neutrophylosis
В. Lymphhocytosis
С. Hematological shift to the left
D. Leukocytosis
Е. Increased ESR
4. Typical manifestation of meningococcemia is:
А. Large bullae
В. Vesicles
С. Hemorrhagic rash
D. Macular rash
Е. Papular rash.
5. The typical symptom of a meningococcal nasopharyngitis is:
А. High temperature
В. Headache
С. Repeated vomiting
D. Catarrh of the nasopharynx.
Е. All answer are correct
6. For the diagnosis of a meningococcal meningitis is necessary to select meningococcies
А. Only from cerebrospinal fluid
В. Only from blood
С. Only from nasopharyngeal’s slime
D. Only from elements of a rash
Е. All answer are correct
7. To rare forms of a meningococcal infection concerns all, except for:
А. Otitis
В. Artritis
С. Iridocyklitis
D. Pneumonia
Е. Endocarditis
8. A mandatory laboratory research for diagnosis of meningitisis:
А. Common analysis of feces
В. Common analysis of blood
C. Common analysis of urinae
D. Common analysis of cerebrospinal fluid
Е. Analysis nasopharyngeal’s slime
9. Main changes of cerebrospinal fluid from purulent meningitis is:
А. Neutrophilosis cytosis
В. Lymphocytosis cytosis
С. Eosinophylosis cytosis
D. Monocytosis cytosis
Е. Erytrocytis
10. Main changes of cerebrospinal fluid from serous meningitis is:
А. Neutrophilosis cytosis
В. Lymphocytosis cytosis
С. Eosinophylosis cytosis
D. Monocytosis cytosis
Е. Erytrocytis
11. Biochemical tags of purulent meningitis are all parameters, except for:
A. Reduced contents chlorides in cerebrospinal fluid
B. Increased contents of fiber in cerebrospinal fluid
C. Positive response Pandi
D. Reduced contents of glucoses in cerebrospinal fluid
E. Neutrophilosis cytosis
12. Clinical tags of meningitis are all, except for:
А. The hemorrhagic rash
В. High toxemia
С. Repeated vomiting
D. Headache
Е. Kernig's and Brudzinsky’s sings
13. The urgent help from the septic forms of a meningococcal infection before hospitalization is
immediate introduction:
A. Steroid hormones
В. Antibiotics
С. Hemostatic mixture
D. Heparin
Е. Cardiac glucosides
14. For treatment of meningococcal meningitis are applied all antibiotics except for:
А. Ampiccilin
В. Cephtriaxon
С. Penicilin
D. Cephasolin
Е. Ltvomicetin-sukcinat
15. For differential diagnostics of meningococcy and pneumococcy meningitis is necessary:
А. Bacteriological research of cerebrospinal fluid
В. Biochemical research of cerebrospinal fluid
С. Viruslogy research of cerebrospinal fluid
D. Epidemiology anamnes
Е. Bacterioscopical research of cerebrospinal fluid
16. For differential diagnostics of meningococcy and HIB meningitis is necessary:
А. Bacteriological research of cerebrospinal fluid
В. Biochemical research of cerebrospinal fluid
С. Viruslogy research of cerebrospinal fluid
D. Epidemiology anamnes
Е. Bacterioscopical research of cerebrospinal fluid
17. For tuberculous meningitis are characteristic all changes of cerebrospinal fluid, except for:
А. Positive response Pandi
В. Positive response Nonna-Apelta
С. Lowered contents of glucoses
D. Lowered contents of fiber
Е. Lymphocytosis cytosis
18. Clinical symptoms of tuberculous meningitis are all listed, except for:
А. Unrestrained vomiting
В. Persistent headache
С. Elevation of temperature
D. Kernig's and Brudzinsky’s sings
Е. Fibrin film in cerebrospinal fluid
19. For tuberculous meningitis are characteristic all changes of cerebrospinal fluid, except for:
А. Increased contents of fiber
В. Neutrophilosis cytosis
С. Lowered contents of glucoses
D. Positive response Pandi
Е. Positive response Nonna-Apelta
20. For treatment septic forms of a meningococcal infection penicillin should be administered in
the dosage of 300-400 units per kilogram of body weight. It is explained:
А. Low bioavailability of the penicillin in cerebrospinal fluid
В. Severe form of a meningococcal infection
С. Stability of a menigococcus outside the organism
D. Shape form of a menigococcus
Е. Size of a menigococcus
21. The most important diagnostic ad for diagnosis of meningism is:
А. Absence of neutrophilosis cytosis
В. Increased of fiber in cerebrospinal fluid
С. Normal contents of glucoses in cerebrospinal fluid
D. Absence of changes in cerebrospinal fluid
Е. Absence of lymphocytosis cytosis
22. For differentiation of meningitis and meningism is necessary:
А. Viruslogy research of cerebrospinal fluid
В. Common analysis of blood
С. Bacterioscopical research of cerebrospinal fluid
D. Bacteriological research of cerebrospinal fluid
Е. Common analysis of cerebrospinal fluid
23. Clinical manifestations of neurotoxicosis includes all clinical syndromes, except for:
А. Hemorrhagic
В. Hyperthermia
С. Meningeal
D. Convulsive
Е. Toxic encephalopathy
24. The most significant clinical symptom of neurotoxicosis is:
А. Clonic and tonic convulsions
В. Increased temperature up to 39-40oC
С. Disorders blood circulation
D. Disorders in breath
Е. All answer are correct
25. Pneumococcal meningitis concerns all, except for:
А. Lymphocytosis cytosis
В. Acute beginning
С. Neutrophilosis cytosis
D. Severe form
Е. Persistence to etiotropic therapy
26. What are normally absent in the cerebrospinal fluid?
А. Chloridae
В. Lymphocyts
С. Fiber
D. Glucosae
Е. Neutrophiles
27.Differentiation of meningitis from meningism is based on:
А. Research of a cerebrospinal fluid
В. Development of meningeal symptoms
С. Headache
D. Elevation of temperature
Е. Availability repeated vomiting
28. What syndromes are characteristic for meningitis at children of the 1-st year of life:
А. Toxicosis
В. Meninfeal
С. Convulsive
D. Licvorae-hyperthensial
Е. All answer are correct
29. Clinical tags of hypertermia for neurotoxicosis are:
А. Toxicosis
В. Increased temperature up to 39-40oC
С. Tachycardia up to 180-200 beats per min.
D. Cyanosis, cold limbs
Е. All answer are correct
30. For treatment of hypertermia syndrome is necessary application all, except for:
А. Antibiotics
В. Physical cooling
С. Steroid hormones
D. Neuroleptics
Е. Detoxication therapy
31. The meningeal symptoms concerns all, except for:
А. Symptom of Kernig
В. Symptom of Brudzinsky
С. Symptom of Lessasha
D. Symptom of Lasega
Е. Typical posture: patient is lying on his side with tossed back head
32.When does doctor oblige meningeal symptoms at the child?
А. Development of toxicosis
В. Clonic and tonic convulsions
С. Violation of consciousness;
D. Repeated vomiting
Е. All answer are correct
33. For treatment of edema a brain is necessary all, except for:
А. Steroid hormones
В. Dehydratation therapy
С. Antibiotics;
D. Oxygenotherapy
Е. Albumin, plasma of blood
34. A preparation of choice for treatment of edema of a brain is Dexametason. It is explained:
A. High bioavailability of a preparation;
B. High activity of a preparation;
C. Ability to кумуляции in ликворе;
D. Absence of mineralcorticodae activity;
E. Slow period of half-leadingout
Measles
1. The mechanism of transference of a virus measles is:
А. Fecal-oral
В. Transmision
С. Aeriel-droplet
D. Parenteral
Е. Fecal-oral and aeriel-droplent, fecal-oral
2. The pathogenic agent causing measles is:
А. Bacterium
В. Virus
С. Ricetsia
D. Vibrios
Е. Chlamidia
4. All periods of measles are charactering , except for:
А. Incubation period
В. Catarrhal period
С. Period of a rash
D. Period of pigmentation of the rash
Е. Period of desquamentes of the rash.
5. A typical initial symptom of measles:
А. Murson’s symptom
В. Pastia’s symptom
С. Filatov-Koplic’s symptom
D. Gorner’s symptom
Е. A typical initial symptoms of measles are not present
6. For catarrhal period of measles are characteristic all symptoms, except for:
А. Fever
В. Enanthema
С. Rinitis
D. Exanthema
Е. Poliadenopatia
7. The average incubation period for measles is:
А. 7-20 days
В. 9-21 days
С. 4-14 days
D. 11-21 days.
Е. 5-7 days
8. The catarrhal stage of measles can resemble:
А. Adenoviral Infection
В. Meningococcal Infection
С. Scarlet Fever
D. Rubella
Е. Pertussis
9.Which kind elements of exanthema are characteristic for measles:
А. Maculopapules
В. Papules
С. Roseolas
D. Vesicles
Е. Hemorrhagic
10. What are characteristics of a rash of measles?
А. The rash appears within 2 hours after onset of the illness
В. Polimorphism of its elements
С. On the first day rash rapidly spreads over the whole face, neck, on the second day rash
rapidly spreads over the trunk and on the third day covers the limbs
D. Rash localizations on the lateral parts of the trunk
Е. Reddened skin
11. Complications of measles may be, except for:
А. Pnevmonia
В. Colitis
С. tncephalitis
D. Laringitis
Е. Nephritis
12. Rash of measles to differentiate with all diseases except for:
A. Meningococcal Infection
B. Scarlet Fever
C. Rubella
D. Enteroviral Infections
Е. With all rashes
13. The patients with measles are isolated for:
А. 5 day from the moment of last of a rash
В. 5 day from the moment of appearance of a rash
С. From the moment of pigmentation of a rash
D.10 day from the moment of appearance of a rash
Е. 5 day from a beginning of disease
14. The patients with pnevmonia (one the most common complications in measles) are isolated
for:
А. 5 day from the moment of last of a rash
В. 5 day from the moment of appearance of a rash
С. From the moment of pigmentation of a rash
D.10 day from the moment of appearance of a rash
Е. 5 day from a beginning of disease
15. Who isn’t ill for measles:
А. From the 1 year about the 3 years of life
В. First 3 months of life
С. All peoples may be ill
D. Adults
Е. Schoolchildren
16. The catarrhal period of measles usually lasts :
А. 1-2 days
В. 3-4 days
С. Up to 7of days
D. 8-10 days
Е. 10-14 days
17. Belsky-Filatov-Koplik’s spots can be seen:
А. In incubation period
В. In the first day of the catarrhal period of measles
С. 1-2 days before a beginning of eruptive stage
D. In eruptive stage
Е. In period of pigmentation of a rash
18. Atypical forms of measles are:
А. Abortive
В. Mitigate
С. Rudementary
D. Measles with a toxic
Е. All listed
19. Measles cases are hospitalized:
А. Severe forms of measles
В. Home conditions are unsatisfactory
С. Availability of complications
D. When epidemiological signs are present
Е. All listed
20. The antimeasles vaccine is to immunize infants in the age of :
А. 3 months
В. 12-15 months
С. 3-year
D. 6-year
Е. Specific prevention of measles has not devised
21. The basic means of prophylaxis of measles in epidemic focus are:
А. Current disinfection
В. Antibiotic therapy for all children
С. Use leucocytic interferon
D. Early revealing and isolation of the patients with measles
Е. All listed
22. What epidemiologicfl of a measure are necessary for conducting in the epidemic focus of
measles?
А. General disinfection
В. Preventive treatment of contact children by antibiotics
С. Preventive treatment of contact children by antiviral medications
D. Introduction to contact children normal gamma-globulin
Е. All listed
23. Normal gamma-globulin is only used for prophylactic purposes in children:
А. All contact with the masles patients
В. Who have not measles and have not active immunization against measles
С. Infants under 3 months age
D. Contact with catarrh of the upper respiratory tract
Е. Normal gamma-globulin is not carried out
24. What methods of diagnostics of measles is most informative:
А. PCR
В. Serologic
С. Immunofluorencence
D. HAIT, CFT
Е. Hematology
25. Mitigated form of measles is encountered develops at:
А. Children who underwent serum prophylactic immunization
В. In children under 4 months
С. Infants and preschool children
D. Unimmunized persons
Е. Adult
26. Main method of diagnostics of mitigated form of measles
А. Clinical-epidemilogical
В. Hematology
С. Bacteriology
D. Serologic
Е. X-ray examination
27. A doctor diagnose the measles at the 4 th years child. What are his tactics? :
А. Hospitalization of the patient with measles
В. Isolation at home of the patient with measles
С. Laboratory investigation for all contact
D. Enters of normal gamma-globulin to all members of family
Е. Isolation for all members of family
28. In plan of treatment of the patient with measles enters all, except for:
А. Fresh and clean air
В. Vitamins of group B,C
С. Plentyful fluid (1-2 liter per day)
D. Antibiotics
Е. Antihistamine medications
29. Features of current of mitigated measles are all listed, except for:
А. Easy current
В. Absence of complications
С. Absence catarrh of the upper respiratory tract
D. Fever and toxemia
Е. Absence of Filatov-Koplic’s spots
30. The antibiotics are necessary given for patients with measles in case:
А. Development of pnevmonia
В. All patients
С. With mitigated measles
D. Development of encephalopathy
Е. Development of serous meningitis
31. Revaccination against of measles is carried out in the age of:
А. 3 years
В. 4 years
С. 5 years
D. 6-7 years
Е. Is not carried out
Rubella
1. The typical symptom of rubella is:
A. Pink papuls
B. Large maculopapular elements of the rash
C. Swelling of the post-auricular, cervical, suboccipital lymph nodes
D. All answers are correct
E. All answers are incorrect
2. Dissociation of children, contact to patient with rubella is carried out on:
A. 7 days
B. 10 days
C. 17 days
D. 21 days
E. Is not carried out
3. Vaccination against rubella is carried out in the age of:
A. 3 mouths
B. 6 mouths
C. 12-15 mouths
D. 18 mouths
E. The vaccine is not developed
4. The most informative laboratory method of diagnostics of rubella is:
A. Virusology research
B. Bacteriological research
C. erologic test
D. Immunofluorescence test
E. All answers are correct
Varicella
1. For varicella is not typical clinic manifestations:
А. Acute beginning
В. Increase of the temperature
С. Polymorphic rash (maculopapular, vesicles)
D. Increase of a liver
Е. Forming flat brown crusts
2. What is mechanism of transfer of varicella?
А. Air-droplet
В. Alimentary
С. Contact
D. Parenteraly
Е. All answers are correct
3. What rash are typical for varicella?
А. Vesicles
В. Maculopapular
С. Roseolae
D. Pustulae
Е. Hemorrhagic
4. Who is source of an infection from varicella?
А. Patient with varicella
В. Contact to patient with varicella
С. Reconvalescent
D. All answers are correct
Е. All answers are incorrect
5. Select symptoms, characteristic for bullous form of varicella:
А. Hemorrhagic the contents of vesicles
В. Defeat of internal bodies
С. Necrotic scabs
D. Large bubbles with muddy contents
Е. All answers are correct
6. What group is the virus of varicella?
А. Herpes zoster virus
В. Picorno-virus
С. Enterovirus
D. Paramiksovirus
Е. Ortomiksovirus
7. Source gate for varicella is:
А. Respiratory trakt
В. Konjunctivae
С. Skin
D. Gastro-intestinal tract
Е. All answers are correct
8. What is specific complication of varicella
А. Meningoencephalitis
В. Mielitis
С. Miocarditis
D. Nephritis
Е. All answers are correct
9. What does antiepidemiological measures are carried out in the epidemic focus of varicella:
А. Final disinfection
В. Current disinfection
С. Active immunization
D. Passive immunization
Е. Preventive purpose of antibiotics
10. What preparation is necessary administered for treatment of the several forms of varicella?
А. Penicillin
В. Prednisolon
С. Acyclovir
D. Intron
Е. Trexil
11. What department of the nervous system is more often amazed for varicella encephaltis:
А. Shell of a brain
В. Peripheral nervous fibres
С. Medylla
D. Cortex of a head brain
Е. Hypotalamus
12. What is duration of the incubation period for varicella?
A. 7-21 days
B. 8-21 days
C. 11-21 days
D. 2-21 days
E. 9-17 days
13. The patient with varicella is not infectious:
A. For the 5-th day after appearance of a rash
B. For the 5-th day from a beginning of disease
C. For the 5-th day after disappearance of clinical manifastation
D. For the 5-th day after disappearance of a rash
E. For the 5-th day after normalization of the temperature
14. What preparation is contra-indicated treatment of the typical forms of varicella:
А. Penicillin
В. Prednisolon
С. Acyclovir
D. Intron
Е. Trexil
Scarlet fever
1. What is pathogen of scarlet fever:
А. Staphylococcus
В. Pneumococcus
С. Paramixovirus
D. Streptococcus
Е. Reovirus
2. What lines of pathogenesis of scarlet fever are incorrectly:
А. Toxic
В. Septic
С. Allergic
D. Immunology
Е. All answer are correctly
3. What rash is typical for scarlet fever?
А. Minute-rosellas of 1-2 mm diameter
В. Vesicles
С. Pusteles
D. Hhemorrhagic
Е. Maculopapules
4. Fylatov’s sing for scarlet fever is:
А. Regional lymphadenitis
В. Tonsillitis
С. Enanthem
D. Desquamation
Е. The area around the mouth is pale
5. Which changes of a skin are typical for скарлатины:
А. Pale, dry
В. Pale, damp
С. Red, dry
D. Red, damp
Е. Is not changed
6. A source of an infection for scarlet fever can be:
А. Patient with scarlet fever
В. Patient with streptococcal tonsillitis
С. Patient with erysipelas
D. Patient with streptodermia
Е. All answer are correct
7. Forms of streptococcal infection are all, except for:
А. Scarlet fever
В. Erysipelas
С. Streptodermia
D. Tonsillitis
Е. Nephritis
8. What is not characteristic for a scarlet fever rash?
А. Rash usually remains 10-12 days
В. The rash is more intense in skin folds
С. The area around the mouth is pale
D. Cheeks are red
Е. Rash are located on red skin
9. What symptom is typical for scarlet fever?
А. Muson’s
В. Fylatov’s
С. Pastia’s
D. All answers are correct
Е. All answers are incorrect
10. For the septic form of scarlet fever is not characteristic:
А. Necrotic tonsillitis
В. Necrotic lymphadenitis
С. Otitis
D. Synovitis
Е. All answers are correct
11. Current of scarlet fever can be:
А. Smooth
В. Complicated,
С. With allergic waves
D. With allergic waves and complications
Е. All answers are correct
12. What kinds of tonsillitisdon are not characteristic for scarlet fever?
А. Simanovsky-Vincent’s
В. Necrotic
С. Follicular
D. Lacunar
Е. Katarrhal
13. Complication of scarlet fever are all, except for:
А. “Scarlatinal heart”
В. Synovitis
С. Otitis
D. Myocarditis
Е. Nephritis
14. Scarlet fever is necessary to differentiate from following diseases, except for:
А. An infections of staphylococcal etiology
В. Allergic rash
С. Pseudo-tuberculosis
D. Rubella
Е. Varicella
15. Which antibiotic is necessary administered for treatment of scarlet fever?
А. Gentamicin
В. Biseptol
С. Penicillin
D. Levomicetin
Е. Polimiksin
16. When does begin desquamation in the patients with scarlet fever?
А. In the first days of disease
В. For 3-4 days of disease
С. For 5-7 days of disease
D. On the second week of disease
Е. On the 3-rd week of disease
17. Children who had contacts with the patient with scarlet fever should be observed for:
В. 3 days
А. 5 days
С. 7 days
D. 11 days
Е. 21 days
18. When does develop late allergic comlication in the patients with scarlet fever?
А. At the end of the first week of disease
В. On the second week of disease
С. On the 3-rd week of disease
D. On the 5-th week of disease
Е. Term of disease has not significance
19. For treatment of scarlet fever is necessary administer all preparations, except for:
А. Prednisolon
В. Penicillin
С. Vitamins
D. Klaritin
Е. Detoxication therapy
20. A 7-year old child presents with toxemia, lowered fever, tachycardia, dull heat sounds,
sometimes extrasystole appears, enlarged liver. 2 weeks earlier he had a scarlet fever. What did
complication develop in the patient?
А. "Scarlatinal heart"
В. Pericarditis
С. Endocarditis
D. Myocardiodistrophia
Е. Myocarditis
21. The septic syndrome in the patient with scarlet fever includes:
А. "Raspberry tongua"
В. Fylatov’s symptom
С. Tonsillitis
D. Pastia’s symptom
Е. Rash
22. Criterions of the statement of the patient with scarlet fever from infection hospital are all
transferred, except for:
А. Negative result of a bacteriological research on streptococcus
В. Normalization of a general state of the patient
С. Absence of manifestations of tonsillitis
D. Absence of complications
Е. Normalization of the common analysis of blood
23. For typical form of scarlet fever is characteristic all, except for:
А. Tonsillitis
В. Regional lymphadenitis
С. Rash
D. Fever
Е. Cough
24. What changes of blood are not characteristic for scarlet fever?
А. Leukocytosis
В. Neutrophylosis
С. Lymphocytosis
D. Accelerated ESR
Е. All answers are correct
25. What is necessary administer for treatment of the septic form of scarlet fever?
А. Prednisolon
В. Diklophenak
С. To increase a doze of antibiotics
D. Vitamins
Е. All answers are correct
26. The rash in the patient with scarlet fever is more intense on:
A. Stomach
B. The area around the mouth is pale
C. Lips
D. Skin folds such as the axillar,cubital,inguinal,popliteal
E. Has not the tendency to a condensation
27. What are not extrabuccal forms of scarlet fever?
А. Bern
В. Subclinical
С. Injuru
D. Puerperal
Е. All answers are correct
28. Atypical forms of scarlet fever are all, except for:
А. Subclinical
В. Erased
С. Extrabuccal
D. Hypertoxic
Е. Septic
ENTEROVIRAL INFECTIONS
1. The outbreaks of the enteroviral infections are observed:
А. Summer-autumn
В. Autumn-winter
С. Winter-spring
D. Winter
Е. Has not precise seasonal prevalence
2. What from the listed diseases are not the forms of the enteroviral infections :
А. Herpangina
В. Epidemic pneumonia
С. Epidemic myalgia
D. Epidemic exanthema
Е. Serous meningitis
3. The mechanism of transmission of the enteroviral infections is:
А. Only air-droplet
В. Only fecal-oral
С. Only parenteral
D. Air-droplet and fecal-oral
Е. Parenteral and fecal-oral
4. Select the clinical forms of the enteroviral infections :
А. Herpangina
B.. Epidemic myalgia
C. Epidemic exanthema
D. Serous meningitis
E. All answers are correct
5. What clinical symptoms allow to diagnose of herpangina:
А. Fever up to 39-40oC
В. Enlarged of tonsils
С. Membranes on tonsils
D. Vesicles on tonsils, soft and hard palate
E. All answers are correct
6. What group of viruses is the virus of epidemic myalgia of?
А. Herpes-viruses
В. Paramixoviruses
С. Retroviruses
D. Reoviruses
Е. Enteroviruses
7. What group of viruses is the virus of herpangina of?
А. Herpes-viruses
В. Paramixoviruses
С. Retroviruses
D. Reoviruses
Е. Enteroviruses
8. What of laboratory methods are not applied for diagnostics of the enteroviral infections:
А. Selection of a virus from nasopharynx
В. Selection of a virus from feces
С. Selection of a virus from spinal fluid
D. Serologic
Е. Bacteriological
Acute Epidemic Poliomyelitis
1. Indicate features of the causative agent of Acute Epidemic Poliomyelitis:
А. Stability in an environment
В. Not stability in an environment
С. Fast fails under effect of solar light
D. Fast fails for want of low temperatures
Е. All answers are correct
2. For paralytic form of the Acute Epidemic Poliomyelitis is characteristic all, except for:
А. Loss of reflexer
В. Hypotonia
С. Muscular weakness
D. Asymmetrical of paralysis
Е. Violation of sensitivity
3. Paralitic forms of the Acute Epidemic Poliomyelitis are:
A. Meningeal
В. Spinal
С. Bulbar
D. Pontine
Е. All answers are correct
4. For diagnosis of the Acute Epidemic Poliomyelitis is necessary:
А. Examination of spinal fluid
В. To make myographia
С. Select of polyovirusis from feces
D. Sera obtained during the first days of the disease
Е. All answers are correct
6. The patient with an acute languid paralysis should be directed:
А. In neurogical department
В. In infectious department
С. In therapy department
D. Can be kept at home
Е. All answers are correct
8. When does the vaccination against of the Acute Epidemic Poliomyelitis begin?
А. In 3-5 day time
В. In 3 month
С. In 6 month
D. Per 1 year
Е. Per 1,5 years
9.The Acute Epidemic Poliomyelitis is necessary to differentiate from following diseases:
А. Peter’s diseases
В. Gien-Barre’s syndrom
С. Myelitis
D. Paralysis of the facial nerve
Е. All answers are correct
Viral hepatitis
1. The infectious source of viral hepatitis A is:
А. A sick human
В. An infectious blood
С. A sick insects
D. A sick animal
Е. All answers are correct
2. What is duration of incubative period of viral hepatitis A?
А. 2 -7 days
В. 7 - 14 days
С. 14 - 45 days
D. 14 - 21 days
Е. 2 -6 months
3. What variants of prodromal period is not characteristic for viral hepatitis A?
А. Artralgical
В. Dyspeptic
С. Catarrhal
D. Asteno-vegetativ
Е. Mixed
The basic marker for the primary viral hepatitis A diagnosis is:
A. Anti-HAV IgM
B. Anti-HBsAg IgM
C. Anti-HCV IgM
D. Anti-HDV IgM
E. Anti-HBеAg IgM
5. What changes in biochemical parameters are most typical for anicteric form of viral hepatitis
A?
А. Hyperbilirubinemia
В. Higher activity of the ALT, AST
С. Higher activity of the GGT`
D. Higher concentration of lipoproteins
Е. All answers are correct
6. The duration of prodromal period for typical form of viral hepatitis is:
А. 1-3 days
В. 4-7 days
С. 8-14 days
D. 15-20 days
Е. More than 20 days
7.In what age group most frequently does viral hepatitis A meet?
А. 0-1 years
В. 1-3 years
С. 4-6 years
D. 7-14 years
Е. 15-18 years
8. A main treatment of easy forms viral hepatitis A is:
А. Basic therapy
В. Hepatoprotectors
С. Infusion therapy
D. Cholagogue drugs
Е. Glucocorticosteroid therapy
9.The main biochemical criteria of severity for viral hepatitis A is:
А. Hyperbilirubinemia
В. Higher activity of the ALT, AST
С. Higher activity of the GGT`
D. Higher concentration of lipoproteins
Е. All answers are correct
10. What are prognosis of viral hepatitis A?
А. Recovery
В. Chronic viral hepatitis
С. Cyrosis of a liver
D. Malignant form
Е. All answers are correct
11. What is mechanism of transfer of viral hepatitis B?
А. Parenterally
В. Air-droplet
С. Alimentary
D. Contact-household
Е. All answers are correct
12. What markers are characteristic for viral hepatitis B in acute period:
A. HBsAg, HbеAg
B. Анти-HBcor IgM
C. Анти-HBs IgM
D. Анти-HBеIgM
E. All answers are correct
13. What from variants of prodromal period are not characteristic for viral hepatitis B:
А. Artralgical
В. Dyspeptic
С. Catarrhal
D. Asteno-vegetativ
Е. Mixed
14. A main treatment of easy forms viral hepatitis B is:
А. Basic therapy
В. Hepatoprotectors
С. Infusion therapy
D. Recombinant leukocyte interferon
Е. Glucocorticosteroid therapy
15. Symptoms of the malignity form of viral hepatitis B :
А. Hyperbilirubinemia
В. Lowering of protrombin
С. Bilirubin -enzyme dissociation
D. Decrease of sizes of a liver
Е. All answers are correct
16. In the light form of viral hepatitis B f the bilirubin levels:
А. Up to 20,5 мcmоle/L
В. Up to 85 мcmоle/L
С. From 85 up to 200 мcmоle/L
D. More than 200 мcmоle/L
Е. All answers are correct
17. In the averagely-several form of viral hepatitis B the bilirubin levels:
А. Up to 20,5 мcmоle/L
В. Up to 85 мcmоle/L
С. From 85 up to 200 мcmоle/L
D. More than 200 мcmоle/L
Е. All answers are correct
18. In the sever form of viral hepatitis B the bilirubin levels:
А. Up to 20,5 мcmоle/L
В. Up to 85 мcmоle/L
С. From 85 up to 200 мcmоle/L
D. More than 200 мcmоle/L
Е. All answers are correct
19. What is duration of incubative period of viral hepatitis B?
А. 2 -7 days
В. 7 - 14 days
С. 14 - 45 days
D. 14 - 21 days
Е. 2 -6 months
20. Epidemiological feature of viral hepatitis B is:
А. Absence of seasonal prevalence of disease
В. Short incubative period
С. Contact to the patient with viral hepatitis B
D. Contact with animal
Е. Violation of the sanitary-hygienic regimen
21. What is leading the pathogenesis factor in development icterus for light an averagely-several
forms of viral hepatitis B?
А. Violation of grab of bilirubin to hepatic cells from blood
В. Violation of conjugative of bilirubin
С. Violation of excrexcia of bilirubin from hepatic cells
D. Increased of hemolis
Е. All answers are correct
1. What laboratory methods is more important for the diagnosis of viral hepatitis B?
А. Higher activity of the ALT
В. Leveling of protein
С. Higher of thymol test
D. Leveling of cholesterol
Е. Lowering of protrombin
2. The earliest symptom of the malignity form of viral hepatitis B is:
А. Psychomotor excitement
В. Fever
С. Anuria
D. Hypothermia
Е. Deep sleep
What changes of urine are typical for viral hepatitis B?
А. Dark urine
В. Leveling of protein
С. Leucocyturia
D. Erytrocyturia
Е. All answers are correct
How long does patient (convalescents viral hepatitis A) must be under the supervision of these
local doctors?
А. Up to 1 month
В. Up to 3 month
С. Up to 6 мес.
D. More than 1 year
Е. About the 2 years
26. How long does patient (convalescents viral hepatitis B) must be under the supervision of
these local doctors?
А. Up to 1 month
В. Up to 3 month
С. Up to 6 мес.
D. Till 1 year
Е. More then 2 years
27.What is specific methods of diagnostics of viral hepatitis?
А. Definition of markers of viral hepatitis
В. Definition of activity АLТ
С. Definition of activity АSТ
D. Definition of protrombin
Е. All answers are correct
After the viral hepatitis C should be viewed as:
А. Chronic hepatitis C
В. Hyperbilirubinemia
С. Enlargement of liver
D. Pancreatitis
Е. Toxic hepatic dystrophy
29. What is markers of the viral hepatitis D?
A. Anti-HDV IgM
B. Anti-HBsAg IgM
C. Anti-HAV IgM
D. Anti-HCV IgM
E. Anti-HBc IgM
28.
Typical clinical manifestations of the viral hepatitis D are:
А. Preicteric phase is short
В. Sings of toxemia are severe
С. Hepatosplenomegaly
D. Increasing jaundice
Е. All answers are correct
Diphtheria
1. What group of microorganisms is pathogenic agent for diphtheria?
А. Corinobacterium
В. Bifidobacterium
С. Riccetsia
D. Yersinia
Е. Listeria
2. What does clinical forms of diphtheria meet most frequently:
А. Tonsillar diphtheria
В. Nasal diphtheria
С. Diphtheria of the eye
D. Diphtheria of nasopharynx
Е. Diphtheria of skin
3. Mucous membrane of oropharynx is:
А. Stratified epithelium
В. Cylindrical epithelium
С. Cubic epithelium
D. Single-layer columnar epithelium
Е. All answer are correct
6. Where does cruposis form of fibrinosis inflammation develop for diphtheria?
А. In larynx
В. On tonsils
С. On uvula
D. On the soft sky
Е. In nose
5. What symptoms are characteristic for diphtheria?
А. Toxemia
В. Regional lymphadenitis
С. Fibrinous membranes on the tonsils
D. Hyperemia of oropharyngeal mucous
Е. All answer are correct
6. Main kind of therapy is main for want of the several forms of diphtheria is:
А. Introduction diphtheria antitoxin
В. Introduction of antibiotics
С. Detoxification therapy
D. Antihistamine therapy
Е. Corticosteroid therapy
7. The main factor of severity from patients with diphtheria is:
А. Severity toxemia and intensity of local inflammation process
В. Character of fibrinous membranes
С. Intensity of local inflammation process
D. Severity toxemia
Е. All answers are correct
8. Duration of the indicate for diphtheria is:
А. From 2 till 7 days
В. From 7 till 14 days
С. From 9 till 17 days
D. From 17 till 21 days
Е. From 14 till 45 days
9. Diphtheria is necessary first of all to differentiate from following diseases:
А. Meningococcal infection
В. Measles
С. Lacunar tonsillitis
D. Mumps
Е. Varicella
10.Great significance in the diagnosis of diphtheritic infection is:
А. Bacteriological test on ВL
В. Hemoculture
С. Widal’s test
D. PCR
Е. All answers are correct
11. For vaccination against diphtheria is used:
А. Diphtheria bacilli
В. Killer diphtheria bacilli
С. Diphtheria toxin
D. Diphtheria anatoxin
Е. All answers are correct
12. Patients who excrete the pathogen of diphtheria must be discharged from the hospital if they
are:
А. Negative cultures of two samples obtained at least 48 hours after completion of antimicrobial
therapy
В. Absence of clinical manifestations
С. Absence of the complaints
D. Absence of changes on tonsils
Е. Stay in hospital more than 7 days
13. What complication is characteristic for diphtheria?
А. Endocarditis
В. Myocarditis
С. Myocardiodystrophia
D. Meningitis
Е. Sepsis
14. Vaccination with APDT vaccine is administered from the age of:
А. 2 month
В. 3 month
С. 6 month
D. 12 month
Е. 18 month
15.What is necessary doing in focus of diphtheria?
А. Bacteriological tests from nose and tonsils of all contact
В. Bacteriological tests from nose of all contact
С. Bacteriological tests from nose and tonsils only to children
D. Bacteriological tests from tonsils of all contact
Е. All answers are incorrect
16. A leading part in pathogenesis of diphtheria is:
А. Bacteriemia
В. Sensibilisation
С. Toxemia
D. Violation of hemostats
Е. All answers are correct
17. Diphtheria of eye is necessary to differentiate from following diseases:
А. Parainfluenzal infection
В. Influenza
С. Rhinoviral infection
D. Respiratory Syncytial infection
Е. Adenoviral infection
18. Dosage of antidiphtheritie serum for treatment of the mild form of tonsillar diphtheria:
A. 10-20 thousand unitis
B. 30-40 thousand unitis
C. 50-80 thousand unitis
D. 90-120 thousand unitis
E. 120-150 thousand unitis
19. Dosage of antidiphtheritie serum for treatment of the moderately severe form of tonsillar
diphtheria:
A. 10-20 thousand unitis
B. 30-40 thousand unitis
C. 50-80 thousand unitis
D. 90-120 thousand unitis
E. 120-150 thousand unitis
20. Dosage of antidiphtheritie serum for treatment of the mild severe form of tonsillar diphtheria:
A. 10-20 thousand unitis
B. 30-40 thousand unitis
C. 50-80 thousand unitis
D. 90-120 thousand unitis
E. 120-150 thousand unitis
21. Dosage of antidiphtheritie serum for treatment of the hypertoical form of tonsillar diphtheria:
A. 10-20 thousand unitis
B. 30-40 thousand unitis
C. 50-80 thousand unitis
D. 90-120 thousand unitis
E. 120-150 thousand unitis
22. To treatment of diphtheria is not applied:
A. Ampicillin
B. Erytromicin
C. Sumamed
D. Levomicetin
E. Rifampicin
23. To treatment of lacunar tonsillitis is not applied:
A. Ampicillin
C. Erytromicin
C. Sumamed
D. Levomicetin
E. Penicillin
Mumps (Epidemic Parotitis)
1. What is pathogen of the epidemic parotitis?
A. Bacterium
B. Riccetsia
C. Mushrooms
D. Chlamidia
E. Viruses
2. Duration of infectious period for parotitis infection:
A. Till 5 days
B. Till 9 days
C. Till 12 days
D. Till 21 days
E. Till 24 days
3. Complication of the epidemic parotitis is:
A. Meningitis
B. Pancreatitis
C. Orchitis
D. Encephalitis
E. Submaxillitis
4. Virus of the epidemic parotitis develops to all organs, except for:
A. Parotit gland
B. Pancreas
C. Nervous system
D. Liver
E. Testes
5. The main mechanism of transfer of the epidemic parotitis is:
A. Parenteral
B. Fecal-oral
C. Aerial-droplet
D. Alimentery
E. All answers are correct
6. What isn’t characterized for acute serous meningitis from the epidemic parotitis?
A. Elevation of temperature
B. Headache
C. Rush
D. Frequent vomiting
E. Meningeal symptoms
7. What additional methods of research should be conducted for diagnois of pancreatitis?
A. Hemoculture
B. Diastase of the blood
C. Creatinin of the blood
D. Bilirubin of the blood
E. Glucose of the blood
8. What changes of spinal fluid characteristic for acute serous meningitis from the epidemic
parotitis?
A. Elevated of pressure
B. Transparent of spinal fluid
C. Lymphocytes cytosis
D. Elevated of glucose
E. Protein content are normal
9. For treatment of orchitis from the epidemic parotitis is necessary to administered:
A. Penicillin
B. Prednizolon
C. Lasix
D. Dimedrol
E. Pyracetam
10. For vaccination against the epidemic parotitis is used:
A. Alive weakened vaccine
B. Killer vaccine
C. Anatoxin
D. Immunoglobulin
E. Interpheron
11. A typical symptom from the epidemic parotitis is:
A. Murson’s symptom
B. Grefe’s symptom
C. Pastia’s symptom
D. Koplic’s symptom
E. Fylatov’s symptom
The patients with the epidemic parotitis should be hospitalization in infectious department when
they are have got following symptoms, except for:
A. Several toxemia
B. Meningitis
C. Pancreatitis
D. Orchitis
E. Submaxillitis
13. In the 1-st year of life children the epidemic parotitis has:
A. Mild form
B. Moderatelly form
C. Sever form
D. With complications
E. As a rule they aren’t sick
14. The epidemic parotitis is necessary to differentiate from following diseases:
A. Secondary parotitis
B. Toxic parotitis
C. Cervical lymphadenitis
D. Tuberulous meningitis
E. All answers are correct
Infectious mononucleosis
1. What group of microorganisms is pathogenic agents of the infectious mononucleosis?
А. Bacterium
В. Viruses
С. Mushrooms
D. Riccetsia
Е. Chlamidia
2. What symptoms are not characteristic for nasopharingitis at the patients with the infectious
mononucleosis?
А. Appearance of copious watery discharge from the nose
B. Difficulty of nasal breathing
С. Lacunar tonsillitis
D. Follicular tonsillitis
Е. Catarrhal tonsillitis
3. For tonsillitis from the infectious mononucleosis are characteristic all following changes in
analysis of blood, except for:
А. Leucocytosis
B. Increased of ESR
C. Atypical mononuclear cells
D. Lymphocytosis
Е. Neutrophilosis with shift to the left.
4. Serologic tests for diagnostics of the infectious are all, except for:
А. Paul-Bunnel’s test
В. Bayera’s test
С. Tomchek’s test
D. Davidson’s test
Е. Wasserman’s test
5. Clinical symptoms of the infectious mononucleosis are all, except for:
А. Fever
В. Tonsillitis
С. Hepatosplenomegaly
D. Pneumonia
Е. Lymphoadenopatia
6. Clinical symptom of the infectious mononucleosis can be exanthema as:
А. Pustulae
В. Bullae
С. Maculopapules
D. Hemorrhagic rash
Е. Vesicles
7. For treatment of the infectious mononucleosis is not administered:
A. Ampicillin
B. Cephazolin
C. Sumamed
D. Prednizolon
E. Penicillin
8. What changes of lymphnodes can be revealed at the patient with the infectious
mononucleosis?
A. Enlarged
B. Moderately painful
C. The skin over the lymph nodes does non change
D. Edema of the adipose tissue may be present at the same time
E. All answers are correct
9. Who must go through prophylactic medical follow up examination?
А. Patients with measles
В. Patients with rubella
С. Patients with infectious mononucleosis
D. Patients with ARVI
Е. Patients with varicella
10. How many are atypical mononuclears in peripheral blood of patients with infectious
mononucleosis?
А. 1-3 %
В. 3-5 of %
С. 5-10 of %
D. Reach of 10 %
Е. All answers are correct
11. What group of blood cells are atypical mononuclears cells?
А. Epsinophiles
В. Neutrophiles
С. Lymphocytes which similar monocytes
D. Erythrocytes
12. How long do patients with infectious mononucleosis must go through prophylactic medical
follow up examination
А. 1 month
В. 3 months
С. 6 months
D. 1years
Е. 2 years
Escherichiosis
1. Who is source of infection in escherichiosis?
A. Sick human
B. Home animal
C. Bird
D. Insect
E. All answers are correct
2.
A.
B.
C.
D.
E.
The incubate period for escherichiosis has a duration:
2-3 days
1-7 days
5-15 days
10-15 days
14-21 days
3. What immunity is formed in patients with escherichiosis?
A. Unstable typespecifical
B. Proof typespecifical
C. Common for all types unstable
D. Common for all types proof
E. Proof antitoxic
4. For enterotoxicosis form of the escherichiosis is characteristic all symptoms, except for:
A. Watery orange stools
B. Vomiting
C. Tenesmus
D. Pain in a stomach
E. Toxicosis
5. For enteroinvasiv form of the escherichiosis is characteristic all symptoms, except for:
A. Watery orange, contain mucus, blood stools
B.Vomiting
C.Tenesmus
D. Pain in a stomach
E. Absence toxicosis
6. What changes in blood are characteristic for escherichiosis?
A. Neutrophilosis with shift to the left
B. Lymphocytosis
C. Eosinophylia
D. Leucopenia
E. Anemia
7. Main methods of diagnostics of escherichiosis is:
A. Bacteriological research of feces
B. Bacteriological research of blood
C. Bacterioscopy research of feces
D. Bacterioscopy research of blood
E. Serologic test
8. What preparations is necessary to administered for treatment of escherichiosis at children?
A.
Niphuroxasid
B. Penicillin
C. Erytromicin
D. Tetraciclin
E. Nistatin
9. Who more often ills for enteropathogen form of the escherichiosis?
A. Children from 6 month till 2 years
B. Children from 3 up to 12 month.
C. 2-4 years old children
D. 5-7 years old children
E. 8-14 years old children
10. Term of dispancery observation of children who had been ill of escherichiosis
A.
1 month
B. 3 month
C. 6 month
D. 9 month
E. 12 month
.
Salmonellosis
1. The main rout of salmonellosis at children 1 year old of life is:
A. Contact-household
B. Food
C. Water
D. Air-droplet
E. Parenteraly
2. What epidemically measure are necessary conduct in the focus of salmonellosis?
A. Isolation and treatment of the patient with salmonellosis
C. Isolation and treatment of contact children
C. Preventive treatment of contact children by antibiotics
D. Preventive treatment of contact children by bacteriofag
E. Introduction to contact children by immunoglobulin
3.
A.
B.
C.
D.
E.
What is possible to catch of salmonellosis?
Eating meat
Eating cream cakes
Eating dairy products
Eating eggs
All answers are correct
4. Main methods of diagnostics of salmonellosis is:
A. Bacteriological research of feces
B. Bacteriological research of blood
C. Bacterioscopy research of feces
D. Bacterioscopy research of blood
E. Serologic test
5.
A.
B.
C.
D.
E.
The incubate period for salmonellosis has a duration:
From 2-3 hours to 5-7 days
3-5 days
5-9 days
9-14 days
All answer are incorrect
6.
A.
B.
C.
D.
E.
Acute current of salmonellosis has a duration:
Up to 1 week
Up to 2 weeks
Up to 3 weeks
Up to 4 weeks
Up to 6 weeks
7.
A.
B.
C.
D.
E.
What symptoms are characteristic for colitis form of salmonellosis?
Abdominal cramps
Tenesmus
Hardening of sigmoid colon
Feces contain mucus, blood
All answer are correct
8.
A.
B.
C.
D.
E.
For gastroenteritis form of salmonellosis are characteristic all symptoms, except for:
Greenish stool
Vomiting
Diarrhea
Pain in a stomach
Feces contain of mucus and blood
9. Pathogen of salmonellosis is:
A.
Bacterium
B. Virus
C. Riccetsia
D. Vibrion
E. Chlamidia
10. To what external factors is salmonella more sensitive?
A. High temperature (100oC)
B. Cooling up to 1-4oC
C. Operation of solar light
D. Operation 10 % of solution of the salt
E. All answer are correct
11. Septic form of salmonellosis most frequent meets at:
A. Children 1 year old of life
B. Children 2-3 years
C. Children 4-5 years
D. Children 6-7 years
E. Children 8-10 years
12. What does clinical form of salmonellosis most frequently meets at children?
A. Gastrointestinal
B. Typhus-like
C. Septic
D. Asymptomatic
E. Subclinical
13. Term of dispancery observation of children who had been ill of salmonellosis is:
A.
1 month
B. 3 month
C. 6 month
D. 9 month
E. 12 month
14. How many do you have to made bacterilogical examination in the patients with
salmonellosis after 2 days when the antibacterial therapy is finished?
A. Once
B. Twice
C. 3 times
D. 5 times
E. All answer are correct
15. What does symptom most frequently meeting to the typhus-like form of salmonellosis?
A. Gepatosplenomegalia
B. Tenesmus
C. Spasm of the sigmoid colon
D. Headache
E. All answer are correct
16. General source of infection in salmonellosis are:
A. Various animal
B. Sick people
C. Bacilli carriers
D. Meat of animals
E. All answers are correct
Shigellosis
1. What immunity is formed in patients with shigellosis?
A. Unstable typespecifical
B. Proof typespecifical
C. Common for all types unstable
D. Common for all types proof
E. Proof antitoxic
2. More often children are sick of shigellosis?
A. Till 1 year
B. Till 2 years
C. Till 3 years
D.
Pre-school age
E. School age
3. How many do you have to made bacterilogical examination in the patients with shigellosis
after 2 days when the antibacterial therapy is finished?
A.
Once
B. Twice
C. 3 times
D. 5 times
E. All answer are correct
4. Term of dispancery observation of children who had been ill of shigellosis is
A.
1 month
B. 3 month
C. 6 month
D. 9 month
E. 12 month
5. What does clinical form of shigellosis most frequently meets at children of the 1-st year of
life?
A. Dyspepsiae
B. Asymptomatic
C. Septic
D. Subclinical
E. All answer are incorrect
6. The incubate period for shigellosis is:
A. 1-3 days
B.
1-7 days
C. 1-10 days
D. 1-15 days
E. 1-21 days
7. Main source of infection in shigellosis are:
A. Various animal
B. Sick people
C. Bird
D. Home animal
E. All answers are correct
8. Main methods of diagnostics of shigellosis is:
A. Bacteriological research of feces
B. Bacteriological research of blood
C. Bacterioscopy research of feces
D. Bacterioscopy research of blood
E. Serologic test
9. What is term of acute current of shigellosis?
A. Till 7 days
B. Till 10 days
C.
Till 14 days
D. Till 20 days
E. Till 30 days
10. What changes in blood are characteristic for shigellosis?
A. Neutrophilosis with shift to the left
B. Lymphocytosis
C. Eosinophylia
D. Leucopenia
E. Anemia
11. The main rout of shigellosis at children 1 year old of life is:
A. Contact-household
B. Food
C. Water
D. Air-droplet
E. Parenteraly
12. Typical form of shigellosis are characteristic all symptoms, except for:
A. Abdominal painful cramps in dification
B. Spasm of the sigmoid colon
C. Watery orange stools
D. Tenesmus
E. All answers are correct
13. Etiotropic therapy of shigellosis is:
A. Bacteriophag
B. Interpheron
C. Penicillin
D. Nistatin
E. Metronidazol
14. What epidemically measure are necessary conduct in the focus of shigellosis?
A. Isolation and treatment of the patient with shigellosis
F. Isolation and treatment of contact children
C. Preventive treatment of contact children by antibiotics
D. Preventive treatment of contact children by bacteriofag
E. Introduction to contact children by immunoglobulin
15. To what external factors is shigella more sensitive?
A. High temperature (100oC)
B. Cooling up to 1-4oC
C. Operation of solar light
D. Operation 10 % of solution of the salt
E. All answer are correct
Question № 1
The child of the 5 years old was treated in out-patient with diagnosis ARVI during 3 days. For
the 4-th day on a face and neck have appeared pink maculopapular rush, whitish spots
surrounded by a narrow band of hyperemia on the buccal mucosa on the line of opposition of the
molar teeth.
The most probably diagnosis is:
A. Rubella
B. Measles
C. Scarlet fever
D. Varicella
E. Yersinisis
Question № 2
The child of the 6 years old was admitted to a hospital on the 8-th day of illness. During 10 days
the temperature was in limits 38-39,4оС. Physical examination: a general state severe, pale, on a
skin of a trunk – the single rosella elements. The tongue coated of dirty-brown film with prints of
teeth. Bradicardia , moderate meteorism, enlargement of the liver and spleen, decrease of
percussion sound in the right iliac fossa.
Deliver the preliminary diagnosis.
A. Pseudo-tuberculosis.
B. Meningococcal infection.
C. Typho-paratiphoid disease.
D. The septic form of salmonellosis
E. Infectious mononucleosis.
Question № 3
The girl of the 2 years old was ill acutely from increase of temperature up to 39ОС and
appearance on a skin hemorrhage elements of a rash, which fast was increased in sizes. Physical
examination: the state is severe, skin is pale, marble, cold to the touch, hemorrhagic rush, arterial
pressure is reduced, oligouria, tachycardia. A doctor has exhibited the diagnosis meningococcemia, infective-toxic shock II degree.
What urgent help should a doctor conduct before the admittance of the patient at the in-patient
department?
A. Introduction of euphyllin.
B. Introduction of large dosages of steroid hormones.
C. Introduction of penicillin.
D. Introduction of contrical.
E. Introduction of heparin.
Question № 4
The diphtheria carrier complained of elevating of the temperature up to 38ОС, pain in a throat.
What result of a laboratory test will indicate not diphtheria carrier, but diphtheria,?
A. Normal contents of specific antibodies.
B. Increase subtitle of specific antibodies in dynamics.
C. Low subtitle of specific antibodies.
D. Positive bacteriological test on BL.
E. Negative bacteriological test on ВL.
Question № 6
The child was born from the first pregnancy in time, with weight of a body 3500. In 36 week of
pregnancy the mother was ill virus hepatitis. In the age of the 3-rd months the child was ill from
appearance vomiting, loss of appetite. Then has appeared of icteric scleras and skin, dark urine,
and discolored excrements. The liver + 3 sm, the lien + 1 sm, in blood – common bilirubin-160
mkmole/L, associated-120 mkmole/L, ALT-8 mmole/L.
What from the listed diagnoses is most probably?
A. Cytamegalovirus hepatitis.
B. Virus hepatitis А.
C. Virus hepatitis В.
D. Virus hepatitis С.
E. Bile duct atresia.
Question № 7
At the newborn child was diagnosed of staphylococci sepsis.
What investigations will confirm the diagnosis?
A. Hemoculture.
B. Sterility of blood.
C. Agglutination test 1:100.
D. General analysis of blood.
E. Stool and urine culture.
Question № 8
At the child of the 3 years old with clinic of influenza, general toxemia, instability hemodinamics
a doctor of the first aid have diagnosed ITS II degree.
What kind of treatment necessary to apply first of all before the admittance of the patient at the
in-patient department?
A. Oxygen therapy.
B. Infusion therapy.
C.Hemodialys
D. Introduction of antibiotics.
E. Introduction of steroid hormones.
Question № 9
The child of the 5 month is sick for the 5 days. Complaints: the temperature 38-39оС, vomiting
2-3 times per day, diarrhea, anorexia. Physical examination: the baby became restless, weakened,
turgor of tissue is decreased. Stool 10 times per day, watery, orange color, contain mucus.
What diagnosis is most probably?
A. Shigellosis.
B. Salmonellosis.
C. Escherichiosis.
D. Rotaviral infection.
E. Cholera.
Question № 10
At the child of the 8 years old, who was vaccinated against diphtheria, the diseases has an acute
onset with fever up to 39-40оС, weakness, headache, pain in throat. A doctor has exhibited the
diagnosis quinsy.
What antibiotic is not applied for treatment of this disease?
A. Ampicillin.
B. Cephasolin.
C. Azitromicin.
D. Gentamicin.
E. Penicillin.
Question № 10
At the child of the 8 years old, who was vaccinated against diphtheria, the diseases has an acute
onset with fever up to 39-40оС, weakness, headache, pain in throat. A doctor has exhibited the
diagnosis quinsy.
What antibiotic is not applied for treatment of this disease?
A. Ampicillin.
B. Cephasolin.
C. Azitromicin.
D. Gentamicin.
E. Penicillin.
Question № 11
The child of the 5 years was ill acutely, with fever up to 39-40оС, weakness, headache,
abdominal pain, vomiting, stool 8 times per day, waterly. By the third day of illness: symptoms
of toxemia, skin is pale, dry, the turgor is weak. The abdomen is pain, spasmodic and tens
sigmoid colon in found on palpation. Stool 12 times per day and contain mucus and blood only.
What is preliminary diagnosis?
A. Shigellosis.
B. Salmonellosis.
C. Escherichiosis.
D.Rotaviral infection.
E. Enteroviral infections.
Question № 12
At the child of the 5 years old with clinical picture of quinsy for the 3-rd day of illness an
assistant laboratory have defined 42 % atypical mononuclear cells in the general analysis of
blood. A doctor diagnosed infectious mononucleosis.
Which antibiotic is contra-indicated to the patient?
A. Ampicillin.
B. Cephasolin.
C. Azitromicin.
D. Cephtriaxon.
E. Penicillin.
Question № 13
At the child of the 8 month is staying in the in-patient department with an acute intestinal
infection. Physical examination: skin is pale, dry, turgor of tissue is decreased, severe thirst,
tachycardia, oliguria. Laboratory investigation: hematocrit- 0,62, K+ of blood - 4,8 mkmole/L,
Na+ of blood - 166 mkmole/L.
What kind of dehydration was developed at the child?
A. Solt-deficiency.
B. Isotonic .
C. Water- deficiency.
D. Dehydration is not present.
E. On offered data it is impossible to tell about kind of dehydration.
Question № 14
10 children from a kindergarten were sick in 3 hours after breakfast. They have ate a cake,
except for main meal. The diseases began with fever up to 39-40оС, weakness, headache,
abdominal pain, vomiting. In hospital after undertaking of the detoxic therapy the state of the
patients was improved.
What diagnosis is most probably?
A. Staphylococcal enterocolitis.
B. Salmonellosis.
C. Escherichiosis.
D.Rotaviral infection.
E. Food poisoning
Question № 15
The boy of the 7 years, in 3 days after bathing in the dirty pond was ill. The disease has an abrupt
onset with frequently passed stools without abdominal pain and tenesmus. The feces are clear
and without odor, contain flecks of mucus that impart a “rice-water” appearance, the temperature
is 35,8оС, skin dry, elasticity is reduced, turgor is lost.
What diagnosis is most probably?
A. Shigellosis.
B. Salmonellosis.
C. Escherichiosis.
D.Rotaviral infection.
E. Cholera.
Question № 16
The woman of the 33 years, I pregnancies, I birth, has given birth the girl for 38 weeks of
pregnancy, weight 2500. At newborn: meningitis, encephalitis, hepatolienal syndrome. The
mother suffered herpetic infection during pregnancy.
What from the transferred analyses will be confirmed the diagnosis at newborn?
A. Definition of subtitle of antibodies to HSV at the child.
B. Definition of subtitle of antibodies to HSV at the child and mother.
C. Comparative research of subtitle of antibodies to HSV at the child and mother and child.
D. Definition of HSV DNA by PCR in blood of the mother.
E. Definition of HSV DNA by PCR in cerebrospinal fluid of the mother.
Question № 17
The child of the age 3 years was admitted to a hospital in 2-nd day of a rash with a diagnosis:
Measles, typical moderately form.
What treatment is it necessary to the patient?
A. Anntibiotics
B. Detoxication therapy
C. Desensibilication therapy and vitamins
D. Steroid therapy
E. Oxygen therapy
Question № 18
At the child of the 4 months the diseases is accompanied with high temperature, general restless,
vomiting, convulsions, hyperesthesia of the skin, positive meningeal symptoms. In lumbar
puncture spinal fluid flows under increased pressure, turbit.
What diagnosis is most probably?
A. Serous meningitis.
B. Neurotoxicosis.
C. Toxic encephalopatia.
D.Hydrocephalus.
E. Purulent meningitis.
Question № 19
At the girl of 13 years in 5 days are marked increase of temperature up to 39ОС, weakness,
slackness, dormancy. For 5 days of illness objectively it is marked: hyperthermia 39,8ОС,
slackness, sleepless, prostration, appearing of roseola on the skin of abdomen, the tongue is dry
with coat and prints from teeth, increase of a liver, bradicardia.
The most probably diagnosis:
A. Malaria.
B. Yersiniosis.
C. Pseudo-tuberculosis.
D. Influenza.
E.Typhoid fever.
Question № 20
The child of the 6 years is staying in clinic 3 days with the diagnosis: Virus hepatitis A, icteric
mild form.
What the antiviral therapy is the most acceptable to this patient?
A. Introduction of laferon.
B. Introduction of intron.
C. Introduction of ganciclovir.
D. Introduction of ribovirin.
E. The antiviral therapy is not required.
Question № 21
At the child of three years in the two weeks is marked fever up to 38,5-39оС, congested nose,
weakness. Objectively: lacunar quinsy, enlarged lymph nodes, a liver + 5sm, a lien+ 8 sm.
What disease is most probably?
A. Acute lycemia.
B. Infectious mononucleosis.
C. Acute lympholycemia.
D. Diphtheria.
E. Adenoviral infection.
Question № 22
In a kindergarten at the child a doctor diagnosed epidemic parotitis.
What from the transferred measures are necessary for conducting after isolation of the patient?
A. To impose quarantine in group of a children's garden for 21 days.
B. To conduct final disinfection.
C. To impose quarantine for all children's garden for 21 days
D. To give gammaglobulin to contact persons.
E. To immunized contact persons by a vaccine.
Question № 23
In decoding of an etiology acute intestinal infections were caused conditionally - pathogenically
microorganisms, the main is:
A. Clinical data.
B. Epidemiological data.
C. Serological methods of a research.
D. Bacteriological methods of a research.
E. All listed methods.
Question № 24
At the child of the 8 months with the ARVI, for the 2-nd day of illness a state has worsened:
hyperthermia, vomiting, clonic and tonic convulsions. Objectively: stiffness of the occupital
muscles, the positive symptoms of Kernigan. In lumbar puncture spinal flows under increased
pressure, but one is unchanged.
What complication of the ARVI was developed at the child?
A. Meningitis.
B. Neurotoxicosis.
C. Encephalitis.
D. Infective-toxic shock.
E. Subarachoidal blooding.
Question № 25
The child with measles will be infectious thoroughly:
A. 5-th day after the latter elements of rash.
B. 5-th day from a beginning of disease.
C. 5-th day after ending disease.
D. 5-th day from a beginning of the rash.
E. 5-th day after appearance pigmentation.
Question № 26
At the child of the 5 years with salmonelosis, which have received complex treatment was
generated carriage of salmonellas.
What is therapy the most effective?
A. Immunotherapy.
B. Antibacterial therapy.
C. Antitoxic therapy.
D. Enterosorbents.
E. Passive immunization.
Question № 27
The child of the 6 years sick in 3 days. An intoxication is considerable, the fibrinosis membranes
are grayish-white, located on the tonsils, an edema of the neck.
The diagnosis "Diphtheria of the tonsils. Widespread several form.” What doze of
antidiphtheritic serum is requisite to the patient?
A. 50 thousand units
B. 80 thousand units
C. 120 thousand units
D. 250 thousand units
E. 300 thousand units
Question № 28
The child of the two years was ill suddenly with fever, myalgias, weakness, and headache. In 7
hours the rash has appeared on legs and buttock.A state of the child is heavy, multiple
hemorrhage into skin, cyanosis, falling of the arterial pleasure , the pulse is rapid. The minigeal
signs are not present.
What express method of diagnostics will meningococcal etiology of disease confirm?
A. Lumbar puncture.
B. Common analysis of blood.
C. Bacteriological test.
D. Hemoculture.
E. Method "of a thick drop ".
Question № 29
Young woman gave birth to the child with inherent ugliness: defect of heart, cataract,
microcephalic hydrocephalus, deafness. From anamnesis we are known, that on the 12-th week
of pregnancy the mother had been ill with any virus disease.
What congenital infection is possible in the child?
A. Toxoplasmosis.
B. Cytomegalovirus infection.
C. Chlamydeous.
D. Rubella.
E. Measles.
Question № 30
The child of the 1,5 years sick in the 5 day with fever up to 38-39оС, vomiting, abdominal pain,
diarrhea up to 7-8 times per day, catarrhal signs, herpangina. Bacteriological tests for acute
intestinal infections are negative.
What disease is possible?
A. Enteroviral infection.
B. Adenoviral infection.
C. Rotaviral infection.
D. Staphylococcal infection.
E. Dysbacteriosis.
Question № 31
The child of the 3 years wasn't given vaccination against pertusis within the 1-st year of life. It
was connected with a perinatal encephalopatia.
When will the vaccination be given in this child?
A. After 3 years.
B. After 4 years.
C. After 5 years.
D. After 6 years.
E. It won't de done in general
Question № 32
For treatment of the meningococcal meningitis we use the high daily dozes of penicillin. That is
explained:
A. Low sensitivity of the meningococcal to penicillin.
B. Heavy current of illness
C. Bad penetration penicillin in spinal fluid
D. Preventive maintenance of the edema of a brain
E. Preventive maintenance of the ITS.
Question № 33
The child of the 3-rd years was ill acute with fever, vomiting. Objectively: Kernig’s and
Brudzinsky’s signs are positive, clonic and tonic convulsion.
What manipulation is necessary for confirmation of the diagnosis?
A. Lumbar puncture.
B. Sternal puncture.
C. Pleural puncture.
D. Abdominal puncture.
E. Venal puncture.
Question № 34
The child of the 2 years was ill acutely with high fever, several headache, adinamia, sleepiness,
muscular pain, a dry cough. Objectively: the fauces and posterior and lateral walls of the pharynx
are hyperemic, laryngitis. Kernig’s and Brudzinsky’s signs are negative. Epidemiology
anamnesis: three patients in family have got similar clinical picture.
What diagnosis is most probable?
А. Adenoviral infection.
В. Influenza.
C. Measles.
D. Typhoid fever.
E. Meningococcal infection.
Question № 35
The child of the 1 year was ill acutely with high fever, vomiting, hyperesthesia of the skin,
hemorrhagic rash on the buttocks and lower extremities. He is lying on his side with head tossed
back and legs flexed to the abdomen. The most probable diagnosis is:
A. Influenza, toxic form.
B. Tuberculosis meningitis.
C.ARVI. Neurotoxicosis.
D. Meningococcal infection.
E. Sepsis.
Question № 36
The child of the 7 months was ill acutely with high fever, general toxemia, mental disturbances,
stiffness of the occipital muscles and hemorrhagic rush with macular lesions. The most probably
diagnosis:
A. Meningococcal infection.
B. Sepsis. Septicemia.
C. Hemorrhagic vasculit.
D. Influenza, hypertoxic form.
E. Measles.
Question № 37
Acute beginning of disease, elevation temperature up 39-40оС, weakness, headache, muscular
pain, catarrh of the respiratory tract, maculopapular rash has enabled to suspect at the child
enteroviral infection.
What results of additional methods of an investigation will confirm the diagnosis?
A. Increasing of the specific antibodies 4 times.
B. High titer of the specific antibodies.
C. Selection of the virus from blood.
D. Definition of the IgG in blood of the patient.
E. Selection of the virus from feces.
Question № 38
At the child of the 3 years with the acute peripheral paralysis (hypotonia, muscular weakness,
loss of reflex) of the lower limb is suspected the diagnosis of the poliomyelitis.
What investigation is it necessary to nominate for confirmation of the diagnosis?
A. Survey of a neurology.
B. Common analysis of blood.
C. Electromiographia.
D. Feces and nasopharyngeal washings for poliovirus.
E. Echoencephalographia.
Question № 39
The child was ill acutely with vomiting, frequently stools without abdominal pain and tenesmus.
The feces are clear, like “rise-water”. Objectively: state of the patient is several, skin is pale, dry,
turgor is reduced. Temperature of a body is 35,8оС. Meningeal signs are negative.
From listed to select the correct diagnosis:
A. Escherichiosis.
B. Salmonellosis.
C. Rotaviral infection.
D. Cholera.
E. Enteroviral infection.
Question № 40
Main means of preventive maintenance of the measles among children is:
A. Introduction of the antimissiles immunoglobulin.
B. Duly dissociation contact.
C. Vaccination.
D. Application of the interpheron.
E. Vitamin therapy.
Question № 41
At the child of the 3 years, with stenosic breath, soundless cough, ansonority voice, symptoms of
respiratory insufficiency, increase of the temperature up 38,50C is suspected of virus croup.
What from the listed diseases, first of all, it is necessary to differentiate this disease with?
A. Respiratory syncytial infection.
B. Laryngeal diphtheria.
C. Parainfluenzal infection.
D. Bronchitis
E. Pneumonia
Question № 42
At the child of the 4 years was diagnosed scarlet fever, several form. For the third day of illness:
high fever, necrotic tonsillitis, purulent lymphadenitis. What form of the scarlet fever has got this
patient?
A. Toxic form of the scarlet fever.
B. Extrabuccal form of the scarlet fever.
C. Hypertoxic form of the scarlet fever.
D. Septic form of the scarlet fever.
E. Subclinical form of the scarlet fever.
Question № 43
The child up to 10 months wasn’t vaccinated of the АPDT. From 10 months he was vaccinated
three times (in 10, 11, 12 months).
When is it necessary to conduct revaccination?
A. At the age of 1,5 years.
B. At the age of 2 years.
C. At the age of 2,5 years.
D. Revaccination is not conducted.
E. At the age of 5 years
Question № 44
At the child of the 2 years: the temperature 39оС, several headache, vomiting, positive meningeal
signs; in spinal fluid –neutrophil’s pleocytosis.
What is start’s antibiotic therapy?
A. Cephtriaxon.
B. Penicilin.
C. Cephazolin.
D. Polymicsin.
E. Levomicitin
Question № 45
At the child of the 12 years diseases begins with weakness, bad appetite. Objectively: subicteric
scleras, the liver +2sm. In blood – anti-HAV IgM. What kind of treatment is it necessary to the
patient?
A. Interpferonotherapy.
B. Basic therapy.
C. Glucocorticoid therapy.
D. Infusion therapy.
E. Antiviral therapy.
Question № 46
At the child of the 7 years in infectious hospital was diagnosed acute dysentery clinical.
Bacteriological test of the feces: is selected EIEC O124.
From listed to select the correct diagnosis:
A. Dysentery
B. Campilobacteriosis.
C. Salmonellosis.
D. Enterobiosis.
E. Escherichiosis.
Question № 47
The child of the 5 years was ill acutely with rise of temperature, appearance of a rash as
maculopapuls, vesicles and brown crusts on a face, scalp, trunk and limbs. The most probably a
diagnosis is?
A. Scarlet fever.
B. Varicella.
C. Streptodermia.
D. Measles.
E. Impetigo.
Question № 48
At the child of the 4 months with virus hepatitis for the third day of illness: several intoxication,
hemorrhagic syndrome, temperature rises to 390C, adinamia followed by excitement, vomiting,
decreasing liver. Laboratory: common bilirubin is 280 mkmole/l (unassociated – 160mkmole/l),
ALT is 2.8 mmole/l, the protrombin index is 30%.
What from the listed syndromes is leading at the child?
A. Acute hepatic insufficiency.
B. DIC-syndrome.
C. Hepatic-renal insufficiency.
D. Acute renal insufficiency.
E. Chronic hepatic insufficiency.
Question № 49
The child of the 9 years was ill acutely with increase of temperature up to 40ОС in five days.
Objectively: sleepiness, the headache, exanthema on skin of a face, trunk, especially on the
hands and feet (“gloves” and “socks” signs. Liver +2sm, lien +1sm.
What is disease at this child?
A. Enteroviral infection.
B. Infectious mononucleosis.
C. Yersiniosis.
D. Scarlet fever.
E. Typhoid fever.
Question № 50
The child of the 12 years was ill acutely with increase of temperature up to 40оС, pain in a throat,
weakness, edema of neck. Objectively: several intoxication, congestive hyperemia, grayishwhite, wide-spread, cannot be removed membranes on tonsils, enlarged and painful cervical
lymph nodes, edema of neck to the clavicles. Is suspected diphtheria.
What laboratory investigation will confirm the diagnosis?
A. Bacteriological test on BL.
B. Hemoculture.
C. Bacterioscopy of mucous.
D. Blood test.
E. Response of Paul-Bunuel.
Question № 51
At the department of the pathology of newborn at 8 children was appeared simultaneously
clinical of an acute intestinal infection. From feces of all children is selected salmonella infantis.
To liquidate intrahospital flare of the salmonellosis it is necessary first of all:
A. To transfer all patients with an acute intestinal infection in infectious department or hospital.
B. To discharge all patients with an acute intestinal infection on out-patient treatment.
C. To prescribe to all patients with an acute intestinal infection antibiotics in conditions this
department.
D. To transfer all children, without clinic of the acute intestinal infection in other departments of
hospital.
E. To prescribe to all patients with an acute intestinal infection bifidumbacterin in conditions this
department.
Question № 52
At the child of the 3 years was ill in 2 days. The temperature is 38,5С, hoarsened of a voice,
rough cough and hypoxia. Is diagnosed stenosing laringotracheitis. The child is admitted to a
hospital.
What investigation is necessary first of all for the patients with such disease?
A. Blood test.
B. Blood on viruses.
C. Feces on viruses.
D. Bacteriological test on meningococcal.
E. Bacteriological test on BL.
Question № 53
At the child of the 7 years in 10 days were marked weakness, bad appetite, dark urine and
jaundice. Epidemiology anamnesis: 4 months ago this patient was operated at department of
purulent surgery. Objectively: skin and scleras are icteric, liver + 2,5 sm. Common bilirubin is 60
mkmole/l; unassociated - 40 mkmole/l; АЛТ - 7 mmole/l; timol test - 2 un.
What from the listed diagnoses is most probably?
A. Viral hepatitis А.
B. Viral hepatitis В.
C. Viral hepatitis С.
D. Viral hepatitis Е.
E. Viral hepatitis Д.
Question № 54
At the child of the 5 years was diagnosed the typical form of scarlet fever.
What from listed antibiotics is more effective for treatment this patient?
A. Levomicetin.
B. Gentamicin.
C. Biseptol.
D. Polymicsin.
E. Penicillin.
Question № 55
At the child of the 10 months was diagnosed the typical form of pertusis. He had got several
paroxysms of coughing. Objectively: adinamia, disturbed sleep, mental confusion.
What from listed is the main reason of a defeat of the nervous system in this case?
A. Hypoproteinemia.
B. Hypokaliemia.
C. Hypoglicemia.
D. Several toxicosis.
E. Hypoxia.
Question № 56
The child of the 3 years was ill acutely with increasing of the temperature up to 37.3оС,
weakness, selections from a nose, appearing on all body of the papules rash in time. Objectively:
catarrh of the upper respiratory tract, in the hard sky – enanthema, swelling of the suboccipital
lymph nodes.
What diagnosis is most probably?
A. Measles.
B. Scarlet fever.
C. Infectious mononucleosis.
D. Rubella.
E. Yersiniosis
Question № 57
What the etiological form of the acute viral hepatitis with parenteral way of infection, despite of
easy current, is forming of chronic hepatitis at half of the patients?
A. Viral hepatitis А.
B. Viral hepatitis B.
C. Viral hepatitis C.
D. Viral hepatitis D.
E. Viral hepatitis E.
Question № 58
At the child with weight of 10 kg is diagnosed purulent meningitis. This child was administered
of large doze of penicillin.
What scheme of antibiotic therapy is necessary?
A. Of 100000 units 4 times per day
B. Of 300000 units 5 times per day
C. Of 1000000 units 4 times per day
D. Of 500000 units 6 times per day
E. Of 100000 units 6 times per day
Question № 59
The child of the 10 years, was ill acutely from rise of temperature up to 37,8ОС, weakness, loses
of appetite. Objectively: general state of an average degree. A skin is not dry, turgor of tissue is
normal. Tenderness and hardened sigmoid colon is found on abdominal palpation. Stools occur 6
times daily, retain stercoral character having addition of mucus. The symptoms of dehydratation
are not present..
What antibiotics is it necessary to administer to the patient?
A. Ampicillin.
B. Levomicetin.
C. Erytromicin
D. Cephasolin.
E. The antibiotics are not necessary.
Question № 60
The child of the 1,5 years was ill acutely with increasing of the temperature and catarrh of the
upper respiratory tract. Objectively: hoarsened of a voice, rough cough and symptoms of the
hypoxia. Is diagnosed virus croup. What additional investigation is it necessary to confirmation
of this diagnosis?
A. Rentgenographia.
B. Blood on viruses.
C. Feces on viruses.
D. Bronchscopia.
E. Laryngoscopia.
Question № 61
At the child of the 3 years after overcooling on lips and around of a mouth have been appeared a
small vesicles in groups. Subjective sensations are itch, pain and burning pain. The general
common state is not infringed.
What from the listed diagnoses is most correct?
A. Impetigo.
B. Varicella.
C. Enteroviral infection.
D. Herpes zoster.
E. Herpes simplex.
Question № 62
The child of the 3-rd years was ill acutely with increasing of the temperature up to 38ОС, rhinitis,
weakness, cough, conjunctivitis. Objectively: the pharynx is hyperemic, lymphatic nodes are
enlarge, the tonsils are rather enlarged, the conjunctiva and eyelids look hyperemic, granular,
edema of the eyelids. The liver +2 sm, lien +1 sm. What diagnosis is most probable?
A. Adenoviral infection
B. Reoviral infection.
C. Enteroviral infection.
D. Rhonoviral infection.
E. Infectious mononucleasis.
Question № 63
The child of the 5 years was ill acutely: temperature 39-40оС, vomiting, headache, pain in a
throat, abdominal pain. Objectively: the pharynx is hyperemic, vesicular on the soft palate,
uvula, tonsils, pharyngeal wall, and occasionally the posterior buccal surfaces is surrounded by
an erythematous ring that varies in size up to 10 mm in diameter. The major site of the lesions is
the anterior tonsillar pillars. Stools are watery without blood or fecal leukocytes 3-4 times per
day. Positive meningeal signs. In spinal fluid – 200 lymphocitis in 1 mkl. Bacteriolodical tests of
the feces are negative.
What diagnosis is most probable?
A. Adenoviral infection.
B. Herpes simplex.
C. Varicella.
D. Rotaviral infection.
E. Enteroviral infection.
Question № 64
In the child’s house in the winter within a week were ill 10 children: temperature 37,5-38оС,
vomiting, weakness, loss of the appetite. Objectively: catarrh of the upper respiratory tract, stools
occur 6 to 10 times daily are watery, dehydration of the 1 degree.
What diagnosis is most probable?
A. Dysentery.
B. Salmonellosis.
C. Adenoviral infection.
D. Rotaviral infection.
E. Enteroviral infection.
Question № 65
At the girl of the 3years in 14 days after transferred of the scarlet fever has ben appeared
macrohematuria, arterial pressure is180/120, edema on lower limbs. Daily diuresis is 200ml.
What complication has got this patient?
A. Hypertonic illness.
B. Acute pielonephritis.
C. Hydronephrosis.
D. Glomerulonephritis.
E. Hemolytic and uremic syndrome
Question № 66
At the child of the 6 years within a week: temperature 37,5-38,0оС, weakness, pain in a throat.
Objectively: moderately toxicosis, lacunar tonsillitis, hepatosplenomegalia, polyadenopatia. Is
suspected infectious mononucleosis.
What minimum quantity of the atypical mononuclear in blood test will confirm this diagnosis?
A. More than 5%.
B. More than 10%.
C. More than 20%.
D. More than 30%.
E. More than 40%.
Question № 67
The child of the 6 months was admitted to the hospital for the 3-rd day of illness. During this
days: the temperature is 38,0оС, vomiting - 2-3 times per day, stools - 8-10 times, liquid, bright
yellow color. Objectively : general condition is worse, the baby is restless, weaknees, body
weight decreases rapidly, the skin and the mucous membranes are dry, turgor of tissue is
decreases. Stools up to 12 times per day containe much orange water. are wetted. Blood test:
leucocytosis, neutrophilosis.
What diagnosis is most probable?
A. Dysentery.
B. Cholera.
C. Rotaviral infection.
D. Enteroviral infection.
E. Escherichiosis.
Question № 68
At the fortnight child with pyodermia has been amplified of the toxicosis, temperature was
increased, has been appeared vomiting, stools occur 6 times daily, watery with mucus and blood.
Bacteriological tests on dysentery, salmonellosis, eschirichiosis are negative.
What diagnosis is most probable?
A. Dysentery.
B. Salmonellosis.
C. Intestinal infection of staphylococcal etiology
D. Eschirichiosis.
E. Rotaviral infection.
Question № 69
The child of the 6 years is sick within four days. The disease begins acutely, with intoxication,
vomiting, weakness, then has been appeared dark urine and discolored feces, icteric mucous
membrane and scleras. Epidemiology anamnesis: in group of a children's garden there are cases
of viral hepatitis.
What diagnosis is most probable?
A. Viral hepatitis В.
B. Cholecistitis
C. Viral hepatitis С.
D. Viral hepatitis А.
E. Viral hepatitis D.
Question № 70
At the child of the 5 years: the temperature is 38-39оС, dry cough, headache, weakness, rhinitis.
Epidemiology anamnesis: contact to the patient by influenza.
What investigation can confirm influenza in this patient?
A. Serologic test once
B. Virological test of blood.
C. Serologic test twice.
D. Bacteriological test.
E Virological test of feces.
тки.
Question № 71
The child of the 4-th years suddenly has ceased to stand on the right foot. Objectively:
temperature is normal, hypotonia, muscular weakness, loss of reflexes, but the sensitivity is
saved.
What is previously diagnosis?
A. Acute languid paralysis.
B. Myasthenia.
C. Enteroviral infection.
D. Acute poliomyelitis.
E. Syndrome by Gienna-Barre.
Question № 72
The child of the 5 years was ill in 3 days: temperature up to 38ОС, cough, rhinitis, pharingitis, the
meninengeal symptoms are negative. The second child from this family is at hospital with
meningococcal infection, meningococcemia, purulent meningitis in 7 days.
What does pediatrician have to do in this situation?
A. Prescribe interferon.
B. Prescribe penicillin.
C. Prescribe erythromycin.
D. Bacteriological test on meningococc from rhinopharinx.
E. To admit of the patient to an infectious hospital.
Question № 73
At the child of the 5 years with acute viral hepatitis, several form was admitted to infection
hospital. Epidemiological anamnesis: parenteral manipulations were not present in last 6 months.
In blood are not revealed HBsAg, anti-HBs Ig M, anti - HAV Ig M, anti - HCV IgM.
What diagnosis is most probable?
A. Viral hepatitis А.
B. Viral hepatitis В.
C. Viral hepatitis С.
D. Viral hepatitis Е.
E. Viral hepatitis D.
Question № 74
At the child of the 9 years has been appeared red, round elements of the rast on the extensor
surface of the limb, back, buttocks, abdomen and chest within a few hours. The rust lasts 2 days
and disappears rapidly without leaving any pigmentation. Suboccipital lymph nodes are
increased.
What diagnosis is most probably?
A. Measles.
B. Scarlet fever.
C. Infectious mononucleosis.
D. Yersiniosis.
E. Rubella.
Question № 75
The child of the 10 years with meningococcal meningitis has been received the antibiotic therapy
in 7. The state was stabilized, symptoms of toxicosis, meningeal signs are absent. Is conducted
control lumbar puncture.
What is result of research of the spinal fluid for cancel antibiotics?
A. Cytosis is lower than 150 cells, lymphocytes.
B. Cytosis is lower than 150 cells, neutrophilosis
C. Cytosis is lower than 100 cells, lymphocytes
D. Cytosis is lower than 100 cells, neutrophilosis
E. The cerebrospinal fluid is unchanged.
Question № 76
At the child of the 4 years with varicella for 5 day from a beginning of the rush have been
appeared dizziness, uncertainly when walking. Objectively: instability in a Romberg’s pose, nonexecution of the coordination tests, nistagm.
What complication of the varicella is most probably?
A. Poliradiculonevritis.
C. Encephalitis.
D. Neuvrotoxicosis.
E.Encephalopatia.
Question № 77
At the girl of the 3 years the doctor diagnosed of the acute intestinal infection. Objectively:
stools occur up to 15 times daily, vomiting – 8 times, the skin and the mucous membranes are
dry, turgor of tissue is decreased, oligouria. What from listed syndromes is leading in this case?
A. Acute liver insufficiency.
B. Acute renal insufficiency.
C. Toxicosis with dehydration.
D. Infective-toxic shock.
E. Neuvrotoxicosis.
Question № 78
The pregnant woman on the 8-th week of pregnancy had contact to the patient with rubella. She
was not immunized against rubella, the point data about transferred rubella in last are not
present.
What investigation is necessary for determine of the right diagnosis?
A. Serological test.
B. Direct immunofluorecent.
C. Virologist test of blood
D. Virologist test of feces.
E. RNA of rubella.
Question № 79
At the children’s department has been stayed a patient with pertusis.
What preventive measures are necessary to conduct at concerning of this patient?
A. To discharged from children’s department.
B. To transferred in separate chamber.
C. To transfer at the infectious department.
D. To prescribe antibiotics and to keep at children’s department.
E. To prescribe immunoglobulin and to keep in children’s department.
Question № 80
Meningism and meningitis can be accompanied of the toxicosis, headache, vomiting, meningeal
symptoms.
For their differentiation it is necessary to conduct:
A. Bacteriological test of the spinal fluid.
B. General analysis of the spinal fluid.
C Bacterioscopic test of the spinal fluid.
D Virologist test of the spinal fluid.
E. All researches are equally necessary.
Question № 81
At the child of the 12 years are presented weakness, decrease of appetite. Objectively: subicteric
scleras, increase of a liver up to 2 sm. In blood are detected HBs Ag.
What kind of treatment is it necessary to the patient?
A. Interpheronotherapy.
B. Basic therapy
C. Steroid therapy
D. Infusion therapy
E. Antiviral therapy.
Question № 82
The child of the 3 years within the last 2 weeks is disturbed with dry persistent cough, which in
the last days has become more often, paroxysmal. During an attack the face of the child become
red, the tongue is forcibly protruded to the limit and its tip curves upward, sometimes at the
attack – vomiting.
What diagnose is most probably?
A. Acute pneumonia.
B.ARVI.
C. Acute bronchitis.
D. Acute laringitis.
E. Pertusis.
Question № 83
At the girl of the 5 years in 2 weeks after transferred scarlet fever have been appeared pains in
heart, extension of boundaries of heart to the left, the deaf tones, systolic noise on a top.
What complication of the scarlet fever has this child got?
A. Miocarditis.
B. Pericarditis.
C. Miocardiodistrophia.
D. Pancarditis.
E. «Scalatinal heart».
Question № 84
At the child of the 5 years, who has contact with the patient with a meningococcal infection was
revealed: headache, painful swallowing, subfebrile temperature, hyperemia of the
nasopharyngeal mucosa and hyperplasia of lymphoid nodes, rhinitis.
What method is it possible to confirm the diagnosis " Meningococcal nasopharingitis"?
A. Bacteriological test of slime from nasopharinx.
B. Bacteriological test of blood.
C. Bacteriological test of feces.
D. Serological test.
E. All listed methods.
Question № 85
At the child of the 5 years: the temperature is 39оС, pain in a throat, the rash. Elements of rash
are roseolas, cheeks are red, and the area around the mouth is pale, rash more intense in the skin
falds. Lacunars tonsillitis, “raspberry tongue”.
What diagnose is most probably?
A. Scarlet fever.
B. Rubella.
C. Allergic rash.
D. Measles.
E. Pseudo-tuberculosis
Question № 86
At the three-years child with osteomielitis: temperature was raised up to 39ОС, repeated
vomiting, stools occur up to8 times daily with impurity of slime and blood, from feces is selected
staphylococci.
What investigation is necessary to conduct for confirmation of the diagnosis "Staphylococcal
enterocolitis "?
A. Agglutination test with titer of specific antibodies 1:100 and higher.
B. Bacteriological test of urine.
C. Agglutination test with titer of specific antibodies 1:10.
D. Blood on the sterility.
E. Blood on hemoculture.
Question № 87
The child of the 4 years has been admitted to the hospital for 4 day from a beginning of disease.
He was treated of the erythromycin concerning quinsy. He was vaccination with APDT vaccine.
Bacteriological test: is selected C. diphtheria gravis, toxigen culture. Objectively: a common
state is satisfactory. In oropharigeas - moderate hyperemia of mucous membrane, membranes are
not present.
What doze of the ADS is necessary to prescribe to the patient?
A. 50 thousand unitis.
B. 80 thousand unitis.
C.ADS is not introduced.
D. 120 thousand unitis
E. 250 thousand unitis
Question № 88
The child of the 6 months was vaccination with APDT. He has not of contra-indications to
vaccination.
When it is necessary to conduct of the revaccination?
A. In 1,5-2 years after vaccination.
B. In 10 months after the completed vaccination.
C. In 1 year after the completed vaccination.
D. Per 2 years after the completed vaccination.
E. In 3 years after the completed vaccination.
Question № 89
The doctor of first aid has diagnosed at the child 10 months a meningococcal infection,
meningococcemia. What antibiotic is necessary to introduce to the patient before admission to
the hospital?
A. Penicillin
B. Gentamicine
C. Levomicetin-succinat
D. The introduction of antibiotics is contra-indicated
E. Cepasolin
Question № 90
At the child with meningococcemia are revealed hemorrhagic on a skin, thrombocytopenia,
increased speed of a coagulation of blood.
The main reason of these symptoms is:
A. Dissemination intravascular coagulation.
B. Defeat of the vascular wall by immune complexes.
C. Hemorrhagic syndrome owing to liver insufficiency.
D. Toxic defeat of a marrow.
E. Inherent defect of the hemostats’ system.
Question № 91
At the boy of the 4 months with a purulent meningitis, the common state has worsened for 2 day
- has lost consciousness, were developed clonic and tonic convulsions, the symptom of Grephe is
positive, has appeared nistagm.
What syndrome has complicated of the current of the purulent meningitis?
A. Edema of a brain.
B. Tumor of a brain.
C. Infective-toxic shock.
D. DIC-syndrome.
E. Neurotoxicosis.
Question № 92
At the child of the 11 years: the temperature is 38-39оС, weakness, pain in a throat. Objectively:
bright hyperemia of mucous membrane, hypertrophia of the tonsils, yellowish-white liquid pus
in lacunas are removed easily, enlarged of cervical lymph nodes.
Your preliminary diagnosis is:
A. Tonsillar diphtheria.
B. Necrotic tonsillitis.
C. Lacunar tonsillitis.
D. Infectious mononucleosis.
E. Simanosky-Vincent’s diseases.
Question № 93
The child of the 6 years was ill acutely 2 days back. Temperature was increased up to 37,5ОС,
stools up to 4 times. Objectively: active, a skin and mucous pure, damp. A stomach is soft,
painless.
What antibiotic is more preferable?
A. The antibiotic therapy is not necessary.
B. Cephtriaxon
C. Gentamicin
D. Ampicillin
E. Levomicetin
Question № 94
The child of the 2 years is sick ARVI in 2 days. Night has been developed an attack of rough,
barking, loud cough, which was accompanied by a stenosis breath, Objectively: increase of
temperature of a body up to 38,5ОС, conjunctivitis, nasopharyngitis. Laryngoscopy: hyperemia
and edema of mucosa under the vocal ligaments.
Your preliminary diagnosis is:
A. Acute bronchitis.
B. Pertusis.
C.Stenosing laringotracheitis.
D. Bronchiolitis.
E. Diphtheritic croup.
Question № 95
The new-born child is discharged from an obstetric department for the 6-th day. In the obstetric
department were cases of salmonellosis. For 10 days of his life: temperature increased up to
39ОС, repeated vomiting. Objectively: a common state is severe, skin is pale and dry,
acrocyanosis, tachycardia, turgor and elasticity of tissue are decrease, anyria, enlarged of the
liver. Stools are dark green, liquid with mucus, blood. In 3 days were developed the symptoms of
pneumonia and purulent meningitis.
For confirmation of the septic form of salmonellosis is necessary:
A. To select of salmonella from feces.
B. To select of salmonella from blood.
C. To select of salmonella from urine.
D. To select from any of the listed biomaterials.
E. Agglutination test with titer of specific antibodies 1:100.
Question № 96
At the boy of the 12 years is suspected typhoid fever.
What additional laboratory investigation is necessary to conduct for confirmation of this
diagnosis?
A. Agglutination test.
B. Blood on sterile.
C. Stool culture.
D. Hemoculture.
E. Liver’s test.
Question № 97
The child of the 6 years was contacted with patient with measles. Term of the revaccination
against measles has approached.
Taking into account epidemiology anamnesis, this measure is necessary to conduct:
A. Immediately.
B. Through 1 month.
C. Through 2 months.
D. After expiry of the term of quarantine on measles
E. To not conduct in general.
Question № 98
The child of the 2 years already third time for last 6 months is sick of the severe form of the
varicella. Objectively: hypotrophia, general lymphoadenopatia, hepatosplenomegalia, plentiful of
a varicella’s rash. Anamnesis of life: mother is 20 years old, drug addict and prostitute.
The most probably reason of such state of the child is:
A. Malignant form of the varicella.
B. Bad nursing.
C. Syndrome of the malabsorbsia.
D. Incorrect treatment.
E. AIDS.
Question № 99
The child of the 7 years was ill from rise of temperature up to 38,5ОС, appearance of weakness,
headache. For the next day have been detected swelling of the parotid gland, the swelling
obliterates the fosa retromaxillaris, the centre of the swelling is elastic-solid on palpation and
painful when pressed. The skin over the inflamed gland is tense and normal color. On the side of
internal bodies of pathology is not revealed.
What from the listed diagnoses is most probably?
A. Toxic parotitis.
B. Cervical lymphadenitis.
C. Purulent parotitis.
D. Epidemic parotitis.
E. Autoimmune parotitis.
Question № 100
At the child of the 5 months is diagnosed meningococcal infection, meningococcemia, ITS II
degree.
What minimum start doze of steroid is necessary to conduct (on prednizolon)?
A. 3 mg/kg.
B. 5 mg/kg.
C. 10 mg/kg.
D. 20 mg/kg.
E. 30 mg/kg.