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Infection disease

  1. Etiology agent of botulism is:
  1. Ch. trachomatis
  2. * Cl. botulinum
  3. Cl. perfrigens
  4. Rotavirus
  5. What special treatment is used in beginning of the botulism?
  6. * Antibotulinum serum
  7. Disintoxication therapy
  8. Hormonal therapy
  9. Sulfonamides therapy
  10. Which groups of symptoms are occurs in the clinic of botulism?
  11. Vomiting, higher temperature
  12. * Dysphagia, dysphonia, diplopia,
  13. Sickness, general weakness
  14. Higher temperature, diarrhea, speech dysfunction
  15. Which groups of symptoms are occurs in the clinic of botulism?
  16. Vomiting, higher temperature
  17. * Dysfunction of speech and eyesight, breath, sickness, dysphagia
  18. Higher temperature, diarrhea, speech dysfunction
  19. Diarrhea, vomiting dysfunction of eyesight
  20. Woman L, 65 y.o., became ill sharply, in 12 hours after the use in the meal of canned mushrooms of the domestic making and fried eggs fried on fat. A sharp weakness, nausea, double vomits, appeared „clouds” before eyes, disorders of swallowing. At a review: Т-36,2 C., ptosis, midriasis,anizocoria, inspiratory dyspnea. What disease is present in women?
  21. * Botulism
  22. Salmonelosis
  23. Poisoning by mushrooms
  24. Toxic food-borne infection
  25. Patient I., 34 years old, entered to the infectious department. She is sick during 4 days. She complained on binocular diplopia, “net” in front of eyes, xerostomya, dysphagia, myastenia. What is previous diagnosis?
  26. Diphtherial polyneuritis
  27. * Botulism
  28. Rotaviral infection
  29. Poliomyelitis
  30. Patient M, 32 y.o., entered clinic on 3rd day of disease with complaints of nausea, feeling of weight in abdomen, vomits, liquid stool. Then appeared clouds before eyes, doubling of objects, voice hoarse, violation of swallowing. A day before he used the dried fish. During review: state is moderate., violation of active motions like paralyses. There is also midriasis, vertical nystagmus, blepharoptosis, absent reaction of pupils on light. Tongue is dry. Flatulence of 2 stage. What methods of laboratory diagnostics are used to confirm the diagnosis?
  31. Reaction indirect hemaglutination
  32. Immunofluorescent
  33. Reaction of coaglutination
  34. * Reaction of neutralization (biological test)
  35. Patient M., 35 years old, who is sick during 2 days, complains on xerostomia, dysphagia. What symptom is necessary to check?
  36. The Padalra‘s symptom
  37. The Stefansky‘s symptoms
  38. The corneal symptoms
  39. * The eyes symptoms.
  40. Patient, 40 y.o. in 5 hours after the use in the meal of canned mushrooms of the domestic making a sharp general weakness, nausea, vomits, dryness of mucus membranes of oral cavity, doublings of objects, disorders of act of swallowing. Diagnosis?
  41. Poisoning by Belladonna
  42. Diphtherial polyneuritis
  43. * Botulism
  44. Rotaviral infection
  45. The patient, 45 y.o., entered clinic on the 2nd day of illness with complaints of a weakness, diplopia, dryness in mouth, constipations. 3 days ago ate the smoked pork of the domestic making. At a review: skin pale, consciousness is clear. Temperature 37,2 C, pulse 68 in 1 min, AP 120/80, pupils are widening, reaction on light slow, ptosis, horizontal nystagmus. Paresis of soft palate. A sensitiveness is normal. Meningeal signs are not present. The most effective treatment will be:
  46. Sulfanilamides
  47. Salts solutions
  48. Antiviral preparations
  49. * Antibolutilic antitoxic serum
  1. A persons 28 y.o., became ill sharply, when a chill, feeling of heat, increase body temperature to 38,5 °C, spastic pain in a left hypogastria area, frequent liquid stool. The excrements have the appearance of bloody-mucous mass (lumps of mucus with the blood). At palpation: abdomen is painful in its left half, a spastic sigmoid colon. What is the previous diagnosis?
  1. Escherichiosis
  2. * Shigellosis
  3. Balanthidiasis
  4. Acute intestinal infection
  1. Mother with a child hospitalized with the diagnosis of shigellosis, typical form, moderate severity. Other family members are healthy. What measures are conducted to contact persons?
  1. Supervision 7 days. General blood analyses
  2. * Supervision 7 days. Non-permanent bacteriological investigation of feces on a dysenteric group
  3. Supervision 2 weeks. Non-permanent bacteriological inspection of feces on a dysenteric group
  4. Supervision during 24 hours from the moment of detection of patient
  1. The inhabitant of a village, admitted with complaints about severe pain in a stomach, and diarrhea. The stool is liquid with mixtures of blood. About what disease it is possible to think?
  1. Amebiasis
  2. Rotavirus gastroenteritis
  3. Giardiasis
  4. * Shigellosis
  5. What mechanism of shigella transmission?
  6. Transmissive
  7. Air-droplet
  8. Contact
  9. * Fecal-oral
  10. Which of antibiotics are used as etiological treatment of shigellosis:
  11. Penicillin, bicillin
  12. * Furasolidon, nifuroxasid
  13. Aminoglycosides (kanamicin)
  14. Cephalosporins (cefazolin)
  1. A patient was hospitalised after 4 hours of consumption of raw eggs, complaining frequent vomiting, abdominal pain, mostly in the right iliac area and umbilical area. Objectively pale skin, dry tongue with grey coating, hypotension, tachycardia. What tests should be carried out to confirm the diagnosis.
  1. Parasitological examinations
  2. Microscopic examination of stool
  3. Biological test
  4. * Coproculture
  1. Emergency ambulance deliveredin infectious hospital girl N., 17 years old, complaining of headaches, expressed general weakness, pain in epigastrium, repeated vomiting, diarrhea to 8 times a day greenish color. She was used 2 raw chicken eggs. Body temperature 39 °C, the tongue covered with white coat, moderately cramps, pain in abdomen and sigmoid area. The most likely diagnosis.
  1. Acute appendicitis
  2. Crohn’s disease
  3. Shigellosis
  4. * Salmonellosis
  1. 3 patients were delivered with symptoms of fever, diarrhea and vomiting. Excrements are dark-green, without any pathological changes. All patients together took part in the preparation of food and have used eggs, meat, salad. The most likely diagnosis.
  1. Cholera
  2. Botulism
  3. * Salmonellosis
  4. Shigellosis
  1. Salmonella is classified by:
  1. * O-antigen and H-antigen
  2. H-antigen and Vi-antigen
  3. O-antigen, H-antigen and Vi-antigen
  4. O-antigen, H-antigen, Vi-antigen and HBsAg
  1. The kind of immunity after salmonellosis.
  1. Passive
  2. Not formed
  3. Short term
  4. * Type specific
  1. The source of the causative agent of salmonellosis is:
  1. Sick person
  2. * Farm animals
  3. Environment
  4. Stool of patients
  1. What group of infectious diseases salmonellosis belong to?
  1. * Zoonosis
  2. Antroponosis
  3. Zooantroponosis
  4. The group is not defined
  1. Which season is prevalence for salmonellosis.
  1. Only spring months
  2. Autumn
  3. Winter
  4. * Summer-autumn
  1. Two girls came to a hospital, because they had 38 0С fever, a headache, weakness, dizziness, and a pain in epigastry and round a navel, a nausea, vomiting 3 times, excrements 4 times per a night, watery diarrhea, foamy, fetid, with mucus impurity. It is known from the history that the day before the girls ate pastries with cream which were not stored in a refrigerator. Objectively: a tongue is dry, furred by white touch, the stomach is bloated moderately, rumbles in palpation, painful in epigastry, pulse is 80 bpm, and the blood pressure is 110/70 mm mercury column. To define the diagnosis.
  1. Shigellosis
  2. * Salmonellosis
  3. Food poisoning
  4. Typhoid fever
  1. Patient D., 13 y.o., hospitalized with complaints of nausea, abdominal pain, liquid emptying without pathological admixtures with an unpleasant smell, 6 times per day. The day before he had a supper with meat salad. What is a first aid?
  1. * To wash a stomach and intestine by solution of hydrocarbonate of sodium
  2. Antibacterial preparations of wide spectrum of action
  3. Renewal of normal microflora of intestine
  4. To wash a stomach and intestine by solution of permanganate of potassium
  1. Patient H., 37 y.o., appealed to the doctor on the second day of disease with complaints of the promoted fatigueability, weakness in muscles („cotton feet”), violation of sight, dryness of mouth. Works in a tourist agency, often is in the oversea business trip. Three days ago was with friends on a picnic in a forest, where ate the varied meal of the domestic making. At a review: Т-36,8 °C. Blepharoptosis. Midriasis. The reaction on light is lost. A soft palate is not changed. Defecation is absent for 2 days. What is the source of infection in this disease?
  1. The sick man
  2. Man-bacteria carrier
  3. * Domestic animals
  4. Canned foods
  1. Patient I., 34 years old, entered to the infectional department. She is sick during 4 days. She complained on binocular diplopia, “rate” in front of eyes, erostomya, dysphagia, myastenia. What is previous diagnosis?
  1. Stool
  2. Wine
  3. * Blood
  4. Vomiting mass
  1. A Pakistani, 30 years old, is severely ill: with the complains of frequent diarrhea like rice water. Objectively: body temperature 35,4°C, skin of peripheral parts of the body cold to the touch, acrocyanosis, xerostomia, sharply decreased skin elasticity and turgor. What should be done to assess the degree of dehydration.
  1. Measurement of central venous pressure
  2. Determination of urea and creatinine in blood
  3. Plain X-ray film of abdomen
  4. * Determination of specific gravity of blood plasma
  1. Disease started acutely with the complains of heavy watery diarrhea, vomiting, cramps in the lower extremities. Objectively: slow voice, shunken eyes, quick pulse, low blood pressure, decrease of urination, weak cardiac sounds. In liver and spleen no changes. Put the correct diagnosis.
  1. Salmonellosis
  2. Dysentery
  3. * Cholera
  4. Typhoid fever
  5. What solutions must be applied for compensatory rehydration in cholera?
  6. Hypertensive epitonic polyionic crystalloid
  7. * Isotonic polyionic crystalloid
  8. Reosorbilakt
  9. Isotonic solution of glucose
  10. For the rehydration at dehydration shock it is necessary to conduct the permanent careful account of all losses of liquid every:
  11. 4 hrs
  12. 30 min
  13. 3 hrs
  14. * 2 hrs
  15. The essential therapy for cholera is:
  16. Antibacterial drugs
  17. Correction of dysbacteriosis
  18. Desintoxication
  19. * Primary rehydration
  20. What from the given measures is made during the secondary rehydration?
  21. Amount of lost liquid, which was preceded at the time of hospitalization
  22. Application of isotonic crystalloid solutions
  23. Simultaneous introduction of liquid in a few vessels
  24. * Amount of liquid loss
  25. What from the below is a complication of cholera?
  26. Infectious-toxic shock
  27. Acute renal insufficiency
  28. * Dehydration shock
  29. Status typhosus
  30. What from the below mentioned drugs can be used for the treatment of primary rehydration?
  31. Disalt
  32. Acesalt
  33. * Trisalt
  34. Chlosalt
  35. What from the below mentioned preparations cannot be used for the treatment of primary rehydration?
  36. Lactosalt
  37. * Disalt
  38. Acesalt
  39. Trisalt
  40. Chlosalt
  41. What from the below mentioned preparations, can be used for the treatment of primary rehydration?
  42. * Quartasalt
  43. Chlosalt
  44. Disalt
  45. Lactosalt
  46. What from the below mentioned preparations, cannot be used for the treatment of primary rehydration?
  47. Acesalt
  48. Trisalt
  49. * Cryoplasma
  50. Chlosalt
  51. What solutions must be applied for compensatory rehydration in cholera?
  52. Colloid
  53. Hypertensive epitonic polyionic crystalloid
  54. * Isotonic crystalloid
  55. Reosorbilact
  56. A Sick 18 years, hospitalized in an infectious department with diagnosis of cholera, very severe state, dehydration of IV degree. What measures are possible primarily?
  57. Oral rehydration by glucose solutions
  58. * Intravenous stream introduction of salt solutions
  59. Proceeding the normal microflora of intestine
  60. Intravenous stream introduction of sodium chloride solution
  61. At I degree of dehydration the loss of liquid is:
  62. 6-9 % of body weight
  63. 3-6 % of body weight
  64. 5-8 % of body weight
  65. * 1-3 % of body weight
  66. At what percent of fluid loss will be II degree of dehydration?
  67. * 3-6 % of body weight
  68. 6-9 % of body weight
  69. 1-3 % of body weight
  70. 2-7 % of body weight
  71. At what percent of fluid loss will be III degree of dehydration?
  72. 3-6 % of body weight
  73. Over 10 % of body weight
  74. * 6-9 % of body weight
  75. 4-8 % of body weight
  76. In 1 liter of Trisalt solution, the concentration of potassium chloride is:
  77. 3 g/l
  78. 1.5 g/l
  79. * 1.0 g/l
  80. 2 g/l
  81. The hypovolemic shock is:
  82. І degree of dehydration
  83. ІІ degree of dehydration
  84. ІІІ degree of dehydration
  85. * ІV degree of dehydration
  86. Patient, 32 y.o., complains of progressing muscular weakness, worsening of sight, doubling of objects, “net”, before eyes, violation of swallowing (can not swallow a hard meal), thirst. In the first day of illness single liquid stool was present without pathological admixtures, nausea. 2 days prior to beginning of disease was in guests, used an alcohol, canned mushrooms. Presence of ptosis, midriasis, anizocoria. Tones of heart are muffled. Which antibotulinic serum is it expedient to enter?
  87. Mixture of serums of types A, B and E for 10 thousands of IU
  88. Mixture of serums of types A, B and E for 5 thousands of IU
  89. * Mixture of serums of types A and E for 10 thousands IU and type B 5 thousands of IU
  90. Mixture of serums of types A and B for 10 thousands IU and type E 5 of thousand of IU
  91. The subcompensated dehydrationous shock develops at:
  92. A systolic blood pressure boost
  93. A diastolic blood pressure boost
  94. A diastolic blood pressure decrease
  95. * A decrease of the systolic blood pressure
  1. About what does the diagnostic titre of reaction of Vі-haemaglutination testify?
  1. * About typhoid bacterial-carrier
  2. About the period of height of the epidemic typhus
  3. About meningococcaemia
  4. About a malaria
  5. At the typical form of typhoid fever temperature of body rises to 37-37,5 °C. How is such temperature curve named?
  6. The temperature curve as Vunderlihs
  7. * The subfebrile temperature curve
  8. Temperature curve as Kildushevsky
  9. Temperature curve as Ellers
  10. Convalescent of typhoid fever may be discharged from clinic after:
  11. * 21-th day of normal temperature of body and 3-multiple negative bacteriologic examination of excrements and urine
  12. Normalization of rectoscopic picture and decreasing of titre of antibodies in RNGA
  13. 3-th day of normal temperature of body and 2-multiple negative bacteriologic examination of excrements and urine
  14. 14-th day of normal temperature of body and 2-multiple negative bacteriologic examination of excrements and urine
  15. Duration of incubation period at typhoid fever?
  16. 30-45 days
  17. 3-7 days
  18. From a few hours to 2-3 days
  19. * 9-21 day
  20. Entrance of causative agent at typhoid fever?
  21. Mucous membrane of amygdales
  22. Mucous membrane of nasopharynx
  23. Epithelial cells of skin
  24. * Mucous membrane of digestive tract
  25. Enumerate the basic factors of pathogen activity of typhoid bacteria?
  26. Exotoxin
  27. * Vi-antigen and endotoxin
  28. Enzymes of pathogenicity
  29. Endotoxin
  30. Site of causative agent entrance at typhoid fever?
  31. * Mucous membrane of small intestine
  32. Mucous membrane of nasopharynx
  33. Mucous membrane of genital organs
  34. Mucous membrane of esophagus
  35. The part of reproduction of typhoid bacterium in the organism of human is:
  36. Stomach
  37. * Lymphatic formations of colon
  38. Blood
  39. Mucous membrane of colon
  40. What changes in general blood analysis are characteristic for typhoid fever?
  41. * Leucopenia, aneosinophilia, lympho-, monocytosis, increasing ESR
  42. Leucocytosis, hypoeosinophilia, thrombocytosis, decreasing ESR
  43. Hyperchromic anaemia, leucocytosis, appearance of young forms, increasing ESR
  44. Leucopenia, lymphopenia, thrombocytosis, increasing ESR
  45. What does the diagnostic titre of reaction of Vі-haemaglutination testify to?
  46. * About typhoid bacterial-carrier
  47. About the period of height of the epidemic typhus
  48. About meningococcaemia
  49. About a malaria
  50. What from the adopted ways of transmission is characteristic for typhoid?
  51. * Alimentary
  52. Contact
  53. Air-drop
  54. Vertical
  55. When is it possible to abolish etiotropic drugs in a patient with typhoid fever?
  56. After normalization of sizes of liver and spleen
  57. After disappearance of roseollas
  58. In 10 days after disappearance of roseollas
  59. * After the 10th day of normal body temperature
  60. When there can be such specific complication of typhoid fever, like to intestinal bleeding?
  61. On the 4th week of illness
  62. * On the 3d week of illness
  63. After stopping the antibiotic therapy
  64. On the any week of illness
  65. A woman who came back from a tour trip, the next day called emergency help. It is known from the anamnesis, that within a week the temperature of body was moderately high. Complains of bad sleep and bad appetite, pain in the stomach. During the assessment of the sick it is found out roseolas on the pale skin of breasts and abdomen. Pulse is normal, temperature of body 38,2 °C, hepatospleenomegaly. What is your previous diagnosis?
  66. * Typhoid fever
  67. Epidemic typhus
  68. Enteroviral infection
  69. Leptospirosis
  1. A child, 8 years old, has been ill for 9 days. Complaints of weakness, headache, insomnia. A temperature to – 38,5-39,5°C. The skin is pale. There are 3 roseolas on the skin of abdomen. A tongue is assessed. A liver and spleen is enlarged. What disease is the most probable?
  1. Yersiniosis
  2. Infectious mononucleosis
  3. * Typhoid fever
  4. Leptospirosis
  1. A patient V., 23 years old, was hospitalized on the 6th day of the disease with complaints for a high temperature, chill, dry cough. The disease began suddenly from getting up of temperature to 39,7 °C, chill, then a dry cough. Treated oneself as ARI, took an analgesic, antihistaminic. Objectively: state of moderate severity, on an abdomen are single roseollas, hepatosplenomegaly, diarrhea up to 4 times without admixtures. What is the previous diagnosis?
  1. * Typhoid fever
  2. Brill‘s disease
  3. Meningococcemia
  4. Epidemic typhus
  1. A patient, 24 y/o, was hospitalized in infectious department on the 10th day of illness with complaints about a weakness, headache, absence of appetite, cough. Objectively: temperature of body 39,5 °C, pallor of skin. On the skin of stomach and chest some roseolas were found. There is hard breathing over the lungs with no rales. RR 20 / min. Pulse 80 /1 min. The liver edge is palpable 1 cm. below than costal arc. The spleen is enlarged a little. What is the diagnosis?
  1. * Typhoid fever
  2. Spotted fever
  3. Brucellosis
  4. Pneumonia

65.A woman D., 41 years, complains on diarrhea, headache, severe weakness, insomnia, dull pain in a right iliac area. It is a 8th day of illness. At a review: Т-39,8 °C, Рs – 86/min., AP – 90/60 mm Hg. It is dictoric pulse. Skin is pale. Single roseollas are on the abdomen. Tongue is dry, assessed by the coverings, with the imprints of teeth on a lateral surface. Soft, dulling of percutory sound is determined in a illeocaecal area of abdomen. Hepatosplenomegaly, positive Blumberg’s symptom, neutrophilic leukocytosis. What diagnosis is most reliable?

  1. * Typhoid fever
  2. Sepsis
  3. Megakaryoblastoma
  4. Tuberculosis

66.At a patient G., 41 years old, was a high temperature during 8 days, severe headache, constipation. Objectively: temperature of body 39,5 °C, pale, languid. Pulse 82 per a min, a tongue is dry, assessed by the brown coat. An abdomen is moderato exaggerated, painful in a right ileac area. A liver + 2 cm. What is the most credible diagnosis?

  1. * Typhoid fever
  2. Epidemic typhus
  3. Appendicitis
  4. Yersiniosis

67.At sick P., 40 years old, the high temperature of body is marked during 8 days, great headache. Objectively: temperature – 39,5 °C, a patient is pale, languid, adynamic. Pulse 82 per a min. A tongue is dry, assessed a brown raid, on the skin of abdomen singles roseolas. A liver + 2 cm. What is the most credible diagnosis?

  1. * Typhoid fever
  2. Sepsis
  3. Tuberculosis
  4. Brucellosis

68.At sick, 32 years, on the 9th day of illness which began gradually, from slow growth of fever and intoxication, appeared 3 roseols on the skin of abdomen. Objectively: pale of skin, temperature – 40,4 °C, pulse 80 per a min, BP 100/65 mm Hg. A tongue is assessed, an abdomen is swollen, and the spleen and liver are palpated. Inspection what disease is it needed to conduct on above all things?

  1. * Typhoid fever
  2. Measles
  3. Scarlet fever
  4. Sepsis
  1. A sick entered permanent establishment with complaints about general weakness, increase of temperature, pain in throat. Objectively: the mucus cell of retropharynx is bright red, on oral cavity are raids of gum-blush, taken off easily, discovered enlargement of all groups of lymphnode, 2-3cm in a diameter, dense, elastic little painful, not soldered between itself. Liver is enlarged on 3cm, spleen – on 2cm. In blood present leucocytosis and lymphomonocytosis. What is probable diagnosis?
  1. * Infectious mononucleosis
  2. Diphtheria
  3. Acute leukosis
  4. Adenovirus infection
  1. What additional inspections must be conducted on patient with infectious mononucleosis?
  1. IFA on HIV and test on rabbit-fever
  2. Bacterioscopy on diphtheria and typhoid
  3. Reaction of Paulya-Bunnelya and puncture of lymphatic node
  4. * Ig M and IgG to infectious mononucleosis
  1. What additional inspections must be conducted on patient with infectious mononucleosis?
  1. IFA on HIV and test on rabbit-fever
  2. Bacterioscopy on diphtheria and typhoid
  3. * IFA on HCV
  4. Reaction of Byurne and puncture of lymphatic node
  1. What additional inspections must be conducted on patient with infectious mononucleosis?
  1. IFA on HIV and test on rabbit-fever.
  2. Bacterioscopy on diphtheria and typhoid.
  3. * IFA on HIV and bacterioscopy on diphtheria.
  4. Reaction of Paulya-Bunnelya and puncture of lymphatic node.
  1. A patient 18 years old, with complaints about headache, pharyngalgia, weakness, high temperature. Objectively: all groups of lymphonodes, 1-3 cm in a diameter, dense, elastic, enlarged, hepatospleenomegaly. Blood analysis: leukocytosis, mononuclear – 15 %. What is possible diagnosis?
  1. * Infectious mononucleosis
  2. Angina
  3. Diphtheria
  4. Acute lympoleycosis
  1. What is the entrance gate at infectious mononucleosis?
  1. Mucus of digestive highway
  2. Epithelial mews of skin
  3. Peyer‘s plate and follicles
  4. * Mucus of nazo-pharig
  1. At a patient, 17 years: angina. Temperature 38,2 °C, generilised lymphadenopathy (the first multiplied neck lymphatic knots which are located along m. sternocleidomastoideus), small icterus, hepatospleenomegaly. Previous diagnosis?
  1. Bacterial quinsy
  2. Diphtheria
  3. * Infectious mononucleosis
  4. Megacaryoblastoma
  1. For what disease characterize changes in a blood (presence of lymphomonocytes and a typical mononuclears)?
  1. * Infectious mononucleosis
  2. Measels
  3. AIDS
  4. Diphtheria
  1. What the most possible complication occurs during infectious mononucleosis?
  1. Meningitis
  2. encephalitis
  3. * Splenic rupture
  4. Obstruction of respiratory tract
  1. A patient 17 years old, became suddenly ill: temperature rose to 40,3 °C. Severe headache, motive excitation, frequent vomiting, tremor of fingers of extremities. Hemorrhagic spots of round form and different sizes, more frequently as stars, mainly on buttocks and trunk. Meningeal signs are positive. What is the most possible diagnosis?
  1. Flu with a hemorrhagic syndrome
  2. * Meningococcal infection
  3. Measles
  4. Leptospirosis
  5. A patient K., 23 years old, with 3 days of moderate illness, with high temperature of body to 40.0 °C, headache and petechial rash on skin, is hospitalized. After introduction of penicillin at 2 o’clock, the BP fell down to 40/10 mm of hg. Peripheral pulse and мeningeal signs does not concerne. What is the diagnosis of the patient?
  6. * Меningococcemia, infectious-toxic shock
  7. Measles, severe course
  8. Epidemic typhus, severe course
  9. Scarlet fever, severe course
  10. A patient P., 14 years old, is hospitalized in the infectious dept. in grave condition. Complaints on headache, mainly in frontal and temporal regions, superciliary arcs, vomiting on severe pain, pain on movement of eyeballs, in muscles, joints. Objectively – a patient is excited, temperature of the body 39 °C. BP 100/60 mmHg. Bradycardia was replaced by tachycardia. Tonic cramps appeared. Doubtful meningial signs. From anamnesis it is found that at home his brother has flu. What preparations must be injected?
  11. * Mannitol, paracetamol, prednisolone, euphyllin
  12. Analgin, dimedrol, aspirin, ampicillin
  13. Mannitol, aspirin
  14. Lasix, analgin, ampicillin
  15. A sick 19 years old, fell ill rapidly, when a temperature rose to 39,2 °C, coughing appeared, closed nose. Pains in muscles and joints. On the 3rd day of disease, shallow spots on the trunk appeared, extremities with hyperemia and edematous feet. Generalized lymphadenopathy, hyperemia of cheeks, enlargement of the liver were found out. What is previous diagnosis?
  16. * Pseudotuberculosis
  17. Flu
  18. Infectious mononucleosis
  19. Herpetic infection
  20. The patient P., 14 years old, is suffering from flu. He is hospitalized in infectious dept. due to worsening of his condition. He is conscious. A patient is suffocated. Pallor of skin covers with cyanosis, breathing rate 50 times/minute. BP-80/55 mmHg, pulse 110 times /minute. Body temperature-39,5 °C. Excretion of rose foamy sputum. On percussion of lungs there is tympanic sound with dullness in lower part of lung .On auscultation there is moist rales in lower posterior part of lungs. What complication of flu appeared in patient?
  21. Edema of brain
  22. * Pneumonia
  23. Edema of lungs
  24. infectious-toxic shock
  25. A boy 6 years was in the close touch with a patient with diphtheria. What treatment-prophylactic measures need to be conducted, if vaccine anamnesis is unknown?
  26. Antibacterial therapy
  27. Introduction of ADT-м to the toxoid
  28. * Antibacterial therapy and double introduction of ADT toxoid
  29. Antibacterial therapy and introduction of immunoprotein
  30. A child 2 years carries a diphtherial croup. There was the stop of breathing on 2nd days of whey therapy. What was the reason of asphyxia?
  31. * Mechanical obturation by tapes
  32. Stenosis of larynx
  33. Anaphylaxis shock
  34. Paresis of respiratory musculature
  35. A diagnosis is “diphtheria of otopharynx” put to the 3-years-old child (not instiled through the refusal of parents). Family lives in a 3-room apartment, a mother does not work, a father is the director of factory. Specify the method of isolation of child.
  36. * Obligatory hospitalization
  37. Hospitalization after clinical testimonies
  38. Hospitalization after epidemiologys testimonies
  39. Isolation in home terms
  1. At a child 4 years on the third day of disease the widespread form of diphtheria of nasopharynx is diagnosed. Preparation of specific therapy:
  1. Penicillin i/m
  2. Cortycosteroid
  3. * Antidiphterial serum i/v
  4. Antitoxic therapy
  1.  At a girl, 22 years old, severy form of diphtheria of otopharynx have happened. Specific treatment begun only on a 5th day from the beginning of disease. What complication of diphtheria is potentially dangerous?
  1. Pneumotorax
  2. Meningoencephalitis
  3. Septicopyemia
  4. * Infectious-toxic shock
  1.  At a patient the dense darkly-grey raid covers tonsills is considerably megascopic and spreads for their scopes. Mucus shell bloodshot accented cyanochroic, was considerably swollen. Immediate medical measure:
  1. * Antidiphterial whey
  2. Punction of peritonsillar space
  3. Microscopic research of stroke from under tape
  4. Bacteriologic examination of stroke from under pallatum
  1.  At a patient the dense darkly-grey raid covers tonsils is considerably megascopic and spreads for their scopes. Mucus shell bloodshot accented cyanochroic, was considerably swollen. Immediate medical measure:
  1. Ultraviolet irradiation of throat
  2. Punction of peritonsillar space
  3. Section of peritonsillar space
  4. * Introduction of antidiphterial serum
  1. At a patient which carried diphtheria with an incessant pharyngalgia, disartria, weakness and loss of motions; hyperreflexia, decline of sensitiveness on a polyneuritis type developed. Put a diagnose.
  1. Hemorrhage in a brain
  2. Viral encephalitis
  3. * Diphtheria polyneuropathy
  4. Psevdobulbar syndrome
  5. Corynebacterium diphtheria:
  6. Contain endotoxin only
  7. * Exotoxin products
  8. An enterotoxin products
  9. Myelotoxin products
  10. In preschool is case of disease on diphtheria. What prophylactic measures must be conducted above all things?
  11. Urgent hospitalization
  12. * Quarantines measures
  13. Urgent by chemical prophylactic antibiotics
  14. Introduction of antidiphterial whey
  15. Patient, 24 years old, with diagnosis dyphtheria was admitted to the infectious disease department. What remedy is most effective for treatment and should be used immediately?
  16. Antibiotics
  17. * Antitoxic antidyphtherial serum
  18. Antipyretic drugs
  19. Sulfanilamides
  20. Patient, 35 years was hospitalized with diagnosis localized diphtheria of pharynx. What is the first dose of antitoxic antidyphtherial serum?
  21. * 30 000 AU
  22. 80 000 AU
  23. 120 000 AU
  24. 150 000 AU
  25. What characteristic signs of raid at diphtheria?
  26. * grey-white, dense with clear edges and brilliant surface
  27. Yellow-white, fragile, perilacunar is located
  28. One-sided, yellow-white, in lacunas
  29. White, fragile, is easily taken off by a spatula
  30. What complication has developed in patient with diphtheria of mouth pellicle severe form was diagnosed. On the 6th day of disease when pain in the heart region, palpitation were appeared. Pulse – 120 per 1 min, systolic noise on apex of heart. On ECG is incomplete blockade of left leg of Giss bunch?
  31. * Early infectious-toxic myocarditis
  32. Myocardial dystrophy
  33. Heart attack of myocardium
  34. Acute cardio-vessel insufficiency
  35. What is the exciter of diphtheria:
  36. * Leffler Bacillus
  37. Corynebacteria ulcerans
  38. Fusiform stick
  39. Corynebacteria xerosis
  40. A 24 y/o man .was seen by a doctor on the 2d day of illness with complaints about a fever up-to 38,1 °C, painful swallowing, malaise. On the skin of trunk and extremities, especially in natural folds, point rash on hyperemic background was found. The nasolabial triangle was white with no rash. Enantema on a soft palate, and purulent exudates on tonsils were observed. A few enlarged and painful submandibular lymph nodes were palpated. What is the most probable diagnosis?
  41. * Scarlet fever
  42. Rubella
  43. Measles
  44. Enteroviral infection
  45. A patient is sick with meningococcal meningitis. He take a massive dose of penicillin. 4 days temperature of body 36,6-36,8 °C. Meningeal signs are negative. When is it possible to stop the antibiotic therapy.
  46. * At a cytosis in a CSF 100 and less, lymphocytes prevail
  47. After 10 days from the beginning antibiotic therapy
  48. After 7 days from the beginning antibiotic therapy
  49. At a cytosis 100 and less, neutrophil prevail
  50. Among the students of school 2 cases of generalized form of meningococcal infection are registered. What preparation does it follow to enter to the contact persons with the purpose of urgent prophylaxis?
  51. Leukocytic interferon
  52. * Meningococcal vaccine
  53. Meningococcal anatoxin
  54. Bacteriophage
  55. In patients with intensive head acke, nausea, pain in a neck and lumbar area, expressed meningeal symptoms; light, tactile, pain hyperesthesia what method of inspection is most informing?
  56. * Lumbar puncture
  57. Electroencephalography
  58. Transcranial dopplerography
  59. Echoencephalography
  60. Sick C., 8 years, appealed to the infectious hospital on the second day of disease with complaints about a pharyngalgia at swallowing, increase of temperature. Objectively: temperature 38,6 °C, sharp hyperemia of soft palate, tonsills, filling out, loose, on both there are festering stratifications which are taken off by a spatula. Megascopic sickly submandibular lymphonoduses are palpated. Pulse – 114 per a min. Present roseol-papular pouring out on all body. Pastia‘s symptom is positive. It is known from epidemogical anamnesis, that its comrade had alike symptoms. It is not found out the change from the side of other organs. What previous diagnosis can be suspected?
  61. Lacunar quinsy
  62. Diphtheria of pharynx
  63. * Scarlet fever
  64. Infectious mononucleosis
  65. A 23 years old person, became ill sharply: fever 38.2 °C, moderate diffuse pharyngalgia at swallowing, pain and itching in the right eye. Objectively: tonsillitis, pharyngitis, conjunctivitis. What is previous diagnosis?
  66. * Adenoviral infection
  67. Enteroviral infection
  68. Parainfluenza
  69. Acute respiratory infection
  70. A 25 years old patient, fell ill rapidly, with chills and temperature rose to 39,9 оC, headache appeared in frontotemporal regions, pain in eyeballs, dull pain in all trunk, closed nose. Dry cough after 2 days of illness, there was nose bleeding. Objectively: hyperemia with sputum, isolated petechial rash and shallow grittiness of soft palate. Difficult breathing in lungs. What is the most possible diagnosis?
  71. Adenoviral infection
  72. Typhoid fever
  73. * Flu
  74. Epidemic typhus
  75. A 4 years old child complains about: cough, temperature of body 38.1 °C. Conjunctiva is hyperemic. On mucous of cheeks there are points of hyperemia gum blushs. Weaken breathing in the lungs. What is the most possible diagnosis?
  76. Scarlet fever
  77. Rubella
  78. * Measles
  79. Flu
  80. A child 3 years old is found in the grave condition – naughty, forced breathing, dry «barking» coughing, voice is hoarse, perioral cyanosis. The third day, temperature of body is subfebrile, mild common cold. In lungs single dry wheezes can be heard. Moderate tachycardia. For which disease these symptoms are characteristic?
  81. Localized diphtheria of oropharynx
  82. * Parainfluenza, false croup
  83. Bronchopneumonia
  84. Adenoviral infection
  85. A patient 14 years old, hospitalized in the infectious department in severe condition with considerable headache mainly in frontal and temporal area, pain in eyeballs, in muscles and joints. Objectively: patient is excited, temperature of the body is 39 оC. Bradycardia changed by tachycardia. Muscles tonic and clonic cramps. Positive meningeal signs. It is found in epidemic anamnesis, his brother is also sick. What is your diagnosis?
  86. * Flu with pneumonia and edema of brain
  87. Parainfluenza, false croupe
  88. Respiratory-sencytial infection
  89. Adenoviral infection, pneumonia
  90. A patient 17 years, 11th class student, were a lot of cases of ARI (acute respiratory infection) have happened, appealed to a doctor in clinic at 3rd day of disease with complaints of chills, general weakness, a moderate sore throat, running nose, swelling of face, watering from eyes Objective examination: minor palatal hyperemia brackets and tonsillitis, on a background of moderate edema of tissues. Conjunctivitis. During palpation not painful enlarged inframaxillary lymph nodes, and enlarged neck lymph nodes were found. Crepitation can’t be find. Liver and spleen moderately increased. What is the most likely diagnosis?
  91. Diphtheria
  92. * Adenoviral infection
  93. Meningococcal nasopharyngitis
  94. Infectious mononucleosis
  95. A patient 20 years old fell ill rapidly with increasing of temperature to 39.9 °C. complains about headache in frontotemporal region, pain in eyeballs, dull ache in whole trunk, closed nose, scrapes in the throat, dry cough. There was nose-bleeding. What diagnosis is most possible?
  96. * Influenza
  97. Adenoviral infection
  98. Parainfluenza
  99. RS-infection
  100. A patient 26 years old, became sick rapidly: temperature 39.5 оC, severe headache, mainly in frontal and temporal areas, pain in muscles and joints. Examined on the 2nd day of illness: state of middle weight, skin is clean. Moderate hyperemia with cyanosis, pulse 120 per min, rhythmic. Heart activity is rhythmic, tones are muffled, in lungs there is vesicular breathing. What is the treatment of this patient?
  101. * Remantadin
  102. Ampicillin
  103. Ascorbic acid
  104. Ribonuclease
  105. A patient 27 years old, entered clinic on the 4th day of illness with a diagnosis ARVI, allergodermia. Fell ill with the rise of temperature to 38,0 °C, headache, hyperemia of the throat, then barking cough appeared. On the 3rd day rash appeared on the skin and neck. Was treated by aspirin. Objectively: temperature 38.8 °C. Face is puffy, conjunctivitis. On the skin of neck and upper part of chest is abundant red-papular rashes as rings which does not itch. Mucosa of epiglottis is brightly hyperemic. Submandibular and neck lymphadenitis. Liver and spleen were not enlarged. What is your diagnosis?
  106. * Measles
  107. Allergic dermatitis
  108. Infectious mononucleosis
  109. Scarlet fever
  110. A patient A., 30 years old, on the 4th day of illness a district doctor marked such subjective and objective data: insignificant indisposition, mild headache, hoarseness of voice, itching in throat, breakingdry cough, temperature of the body37,4 °C. Pulse 86/min., difficult nasal breathing, insignificant serous excretions from nose. Which acute respiratory infection does the patient carry?
  111. Influenza
  112. * РC-viral infection
  113. Parainfluenza
  114. Adenoviral infection
  115. A patient becomes sick very fast: chills, increasing of temperature to 40,1 оC, headache in frontal and temporal regions, pain in eyeballs, close nose, dry cough and pain in the chest. The nose bleeding, nausea, double vomits. Objectively: conjunctivitis, hyperemia, edema, hemorrhages in mucous of otopharhynx, tachycardia. Blood pressure is low. Difficult breathing . What is the most possible diagnosis?
  116. Meningococcemia
  117. Epidemic typhus
  118. Leptospirosis
  119. * Flu
  120. A patient C., 25 years old, fell suddenly ill. Every morning severe headache, frequent vomiting, temperature of the body is 39.9 °C. Adopted fatigue, then state got much worse. In the evening lost of consciousness. Expressed muscles pains of back and head. Positive Кеrning’s symptom. Leukocytes – 18,0?109. What is the most reliable diagnosis?
  121. Epidemic typhus, typhus state
  122. Viral menigoencephalitis
  123. Sepsis, infectious-toxic shock
  124. * Bacterial menigoencephalitis
  125. A patient C., was hospitalized on the 2nd day of illness with complaints about hoarseness of voice, rough barking cough, labored breathing. Objectively: the state is severe, uneasy, pallor, temperature 37.1 °C, BR 30/min., breathing is noisy, can hear from the distance, with participation of auxiliary musculature. Which viruses could cause development of similar state?
  126. Rhino virus
  127. Influenza virus
  128. Adenovirus
  129. * Parainfluenza virus
  130. A patient with temperature of body 40.0 °C, nonproductive cough, photophobia, puffiness of face, dots on gums, blushes on the mucus of cheeks your diagnosis?
  131. Меningococcemia
  132. * Measles
  133. Enteroviral infection
  134. Staphylococcal sepsis
  135. A sick 15 years old, 3rd day of illness. On the background the catarrhal pneumonia, weakness in hands appeared, double vision, cross-eye. Voice is weak. Palatoplegia and extended extremities. Pulse 90/min. AP 130/90 mm Hg .What is your previous diagnosis?
  136. Diphtheria
  137. * Poliomyelitis
  138. Epidemic encephalitis
  139. Enteroviral infection
  140. A sick explorer of train, 39 years old is hospitalized on the 4th day of illness with complaints about headache, weakness, dizziness, chills, insomnia, fever. The person is hyperemic, conjunctivitis. On the transitional fold of conjunctiva there is a single rash. On the skin of trunk, thorax, stomach, extremities there are abundant red coloured rashes. Tachycardia. AP 100/60 mm of Hg. Tremor of tongue. Liver and spleen were enlarged. Stool fistula is detained. What is the most reliable diagnosis?
  141. * Epidemic typhus
  142. Typhoid
  143. Flu
  144. Меnigococcemia
  145. A sick person, 45 years old, was hospitalized after 2 days of disease. On Sunday he came back from India (sailor). Complains about increasing of temperature to 41 оC, severe headache, shortness of breath, cough, with sputum. Objectively: pallor, cyanosis of mucous, tachycardia. Breathing is weaken, crackles in the lower-back parts of the lungs, crepitation. What is the possible diagnosis?
  146. * Flu complicated by pneumonia
  147. Miliary tuberculosis
  148. Plague, pulmonary form
  149. Leptospirosis
  150. At patient with pediculosis rapidly rise temperature of body up to 41.2 °C, headache, euphoria appeared in 4 days from the beginning of illness. Red colour rash on the lateral thorax and back. Titer of Rickettsia antibodies 1:640, Ig M – 89 %. What is diagnosis?
  151. Flu
  152. Enteroviral infection
  153. Brill-Zinsser disease
  154. * Epidemic typhus
  155. At patient with pediculosis rapidly rise temperature of body up to 41.2 °C, headache, euphoria appeared in 4 days from the beginning of illness. Red colour rash on the lateral thorax and back. Titer of Rickettsia antibodies 1:640, Ig M – 89 %. What is diagnosis?
  156. Flu
  157. Enteroviral infection
  158. Brill-Zinsser disease
  159. * Epidemic typhus
  160. In a child with the clinical display of acute respiratory viral infection observed generalized lymphadenopathy, one-sided conjunctivitis, increase of liver and spleen. What will be the most credible diagnosis?
  161. Infectious mononucleosis
  162. Leptospirosis
  163. * Adenoviral infection
  164. Meningococcal infection
  165. In girl V., 1 year old, appeared the thump of nose, dry cough, body temperature rose till 37,5 ?C. Next day cough become attack like with the excretion of small amount of viscid sputum. Noisy breathing. Sharply expressed expiratory dyspnea, breating rate 40 times/minute. During examination: acrocyanosis and emphysematous thorax, at lungs dissipated dry and single moist rales. Tear of frenulum of tongue. What will be the preliminary diagnosis?
  166. * Parainfluenza
  167. Pneumonia
  168. Influenza
  169. Respiratory-syncytial infection
  170. Patient 22 years old, has increase temperature of body till 37,8 °C. Treated under the supervision of district doctor with a diagnosis of influenza. On the 5th day of illness temperature remained the same; it began difficultly in opening eyes. On examination – edema on face, expressed conjunctivitis with film stratifications. Mucous pharynx is heperemia, on the back wall of gullet considerable graininess. Lymph nodes are enlarged in neck. The general state of patient is satisfactory. This disease is related to cold. What disease you suspect?
  171. Leptospirosis
  172. Infectious mononucleosis
  173. * Adenoviral infection
  174. Meningococcal infection
  175. Patient A., 28 years old, hospitalized with a previous diagnosis of flu. On the 5th day of illness, rash appeared on the trunk and internal surfaces of extremities. Temperature 41.5 °C, hyperemia of sclera, tremor of tongue, tachycardia, spleenomegaly, excitation. What is the most possible diagnosis?
  176. Measles
  177. Meningococcal infection
  178. Leptospirosis
  179. * Epidemic typhus
  180. Patient P., 14 years old, is hospitalized in the infectious department in the severe condition. Complains on expressed headache, mainly in frontal and temporal regions, supercilliary arcs, origin of vomiting appear in condition of severe pain, pains by moving the eyeballs, in muscles and joints. Objectively: patient is excited, body temperature-39 ?C. BP-100/60 mmHg. Bradycardia was replaced by tachycardia. Appeared tonic cramps. Doubtful meningeal signs. From anamnesis it is clear that his brother has flu at home. What will be your diagnosis?
  181. Influenza, typical flow
  182. * Influenza with the phenomena of edema of brain
  183. Respiratory-syncytial infection
  184. Parainfluenza
  185. Patient R., 26 years old, became ill sharply: temperature 39,5 °C, severe headache, mainly in frontal and temporal an area, pains in muscles and joints. Examined on the 2th days of illness: state of middle weight, skin clean, dry. Moderate hyperemia with cyanosis, pulse 120/min., rhythmic. Cardiac activity rhythmic, tones are muffled, in lights of the vesicular breathing. Stomach is without peristalsis. What is the preparation of choice for treatment of this patient?
  186. * Remalol
  187. Ampicillin||
  188. Ascorbic acid
  189. Ribonuclease
  190. To the district doctor a patient, complaints on abundant excretions from a nose, moderate headache, hearing loss, perversion of taste. On examination – dry of skin, nose excoriation, in a pharynx – mild hyperemia. Temperature of body is subfebrile. Pathological changes of internal organs are absent. Which acute respiratory viral infection carries the patient?
  191. Parainfluenza
  192. * Rhinoviral infection
  193. РC-infection
  194. Influenza
  195. A new born child on 10th day of life became worse: Temperature 39.2 °C, no frequent vomiting, generalized cramps, violations of consciousness, spastic paresis of left extremities. Month prior to his birth herpes virus was present in the mother, which she did not treat. What disease is most possible?
  196. * Herpetic encephalitis
  197. Subarechnoid hemorrhage
  198. Cerebral abscess
  199. Violation of blood cerebral circulation
  200. A patient came with complaints of sickly erosions on his penis. From anamnesis frequent appearance of similar rashes is found out during a year. Objectively: on a balanus are the grouped blisters and erosions, soft on palpation. What is your diagnose?
  201. * Recurrent herpes of ІІ type
  202. Vulvar pemphigus
  203. Primary syphyllis
  204. Shankoform pyoderma
  205. A patient has herpetic meningitis. What preparation of specific therapy for viral neuro infection should be given?
  206. * Acyclovir
  207. Ceftriaxone
  208. Gentamycin
  209. Furazolidon
  210. A sick 3 years old child came to the doctor with symptoms of the fever, languor, waiver of meal. A boy is capricious, temperature of body 37.9 °C. On the mucus shell of soft palate, cheeks are single vesicle hypersalivation. What is the diagnosis?
  211. * Herpetic stomatitis
  212. Candidosis of oral cavity
  213. Leucoplacia
  214. Follicular tonsillitis
  215. A 24.y/o man was seen by a doctor on the 2d day of illness with complaints about subfebrile temperature, and insignificant catarrhal phenomena. On the skin of trunk and extremities spotted-papular elements of rash without a tendency to congregate was observed. The mucous membrane of oro-pharinx was not changed. A few enlarged and painful cervical lymph nodes were found. What is the diagnosis?
  216. Scarlet fever
  217. * Rubella
  218. Measles
  219. Enteroviral infection
  220. A 24.y/o patient was seen by a doctor on the 2d day of illness with complaints about a fever up-to 38 °C, headache, and malaise. On the skin of hairy part of head, runk and extremities vesicular rash with red hallow was found. Also some vesicular elements were found on the mucous membrane of pharynx. Lymph nodes were not palpable. What is the most probable diagnosis?
  221. Scarlet fever
  222. Rubella
  223. Measles
  224. * Chicken-pox
  225. A child 10 years old presents with temperature 38 °C, renitis, conjunctivitis, moist cough. On the mucous membrane of cheeks, lips, gums there are greyish-white points, reminding a farina. What is the diagnosis?
  226. * Measles
  227. Adenoviral infection
  228. URTI
  229. Enteroviral infection
  230. Measures of urgent prophylaxis for unvaccinated children who have never been ill with measles in case of exposure to an ill with measles
  231. Separation from the source
  232. * Vaccination
  233. Administration of antibiotics
  234. Disinfection
  235. Patient A 24y/o. Appealed on the 5th day of illness with complaints about cough, malaise, fever up-to 38,1 °C. On face and behind the ears maculo-papular rash, appeared a day ago, and other areas of skin are without rash. Conjunctiva is hyperemic. Enantema on a soft palate, on the mucous membrane of cheeks are whitish points with the halo of hyperemia. There is the hard breathing in the lungs. Most credible diagnosis is
  236. Scarlet fever
  237. * Measles
  238. Enteroviral infection
  239. Flu
  1. What is incubation period for hepatitis A:
  1. * 45 days
  2. 180 days
  3. 360 days
  4. 90 days
  1. What is incubation period for hepatitis B:
  1. 45 days
  2. * 180 days
  3. 360 days
  4. 90 days
  1. What is transmissive factor for hepatitis A:
  1. Blood
  2. Semen
  3. * Water
  4. Air
  1. What laboratory and instrumental examinations are needed for confirming the diagnosis of viral hepatitis.
  1. Complete analysis of blood
  2. Ultrasound of abdominal region
  3. Determination of activity of aminotransferase
  4. * Determination of antigen of viruses
  1. When is interferon therapy effective in the the patient.
  1. Normalization of activity of ALaT upon completion of course of therapy
  2. Disappearance of icterus
  3. Normalization of the size of liver
  4. * The markers of viral replication, are determined upon completion of course of therapy
  1. Combinations of loss of body mass, sweating, recurrent аpthus stomatitis and girdle herpes and lymphadenopathy, allowed a physician to assume HIV-infection. It can be discovered at an additional inspection:
  1. * Diminished correlation of CD4/CD8 lymphocyte
  2. Change of neutrophil formula to the left
  3. Increased correlation of T8/T4 lymphocyte
  4. Diminished correlation of T8/T4 of lymphocyte
  1. For today the effective methods of protection from HIV are:
  1. Vaccination and immunoprotein
  2. Chemoprophylactic
  3. Isolation of patients
  4. * Safe sex and prevention of drug addiction
  1. Name the most dangerous parenteral way of infection of HIV/AIDS?
  1. * Infusion of donor blood and its preparations
  2. Transplantation of organs
  3. Diagnostic manipulations
  4. Intravenous introduction of drugs
  1. Name the source of HIV infection/AIDS?
  1. * Human
  2. Warm-blooded animal
  3. Poultries
  4. Amphibious
  1. On a background of prolonged treatment for HIV patient, appeared ulcer on the mucous cell of mouth. At an objective examination doctor have found out erosions on the mucous, hyperemic and filling out mucus cell of oral cavity, tongue without raid, with a smooth surface. About what complication is possible to think?
  1. Acute herpes
  2. Stevens-Johnson syndrome
  3. * Candidos stomatitis
  4. Layel syndrome
  1. The sick grumbles about the prolonged cough, more than half-year, rising temperature of body to 38 °C, enlargement of peripheral lymphnode, frequent herpetic wide-spread pouring out with considerable lowering of body mass. In іmmunogram correlation of T-helper to T-suppression is 0,3. It takes place because infestant:
  1. Infects cells with the receptors of CD22
  2. Induces proliferation of Т-helpers
  3. Infects cells from receptor CD8
  4. * Infects cells from receptor CD4
  1. To what cells of blood the human immunodeficiency virus has most affected:
  1. Thrombocytes
  2. T-suppressor-cell
  3. Т-killer
  4. * T-helper
  1. What disease is occupied by the second place after frequency of the first defects at AIDS?
  1. * Sarcoma Kaposhi′s
  2. Meningitis
  3. Encephalitis
  4. Lymphadenomas of cerebrum
  1. What group of infectious diseases hepatitis A belong to:
  1. External covers
  2. * Intestinal
  3. Blood
  4. Transmissive
  1. What group of infectious diseases hepatitis B belong to:
  1. * External covers
  2. Intestinal
  3. Blood
  4. Wound
  1. What group of infectious diseases hepatitis C belong to:
  1. * External covers
  2. Intestinal
  3. Blood
  4. Transmissive
  1. What group of infectious diseases hepatitis D belong to:
  1. * External covers
  2. Intestinal
  3. Blood
  4. Transmissive
  1. What group of infectious diseases hepatitis E belong to:
  1. External covers
  2. * Intestinal
  3. Blood
  4. Transmissive
  1. What clinical features of Kaposhi sarcoma in patients with AIDS?
  1. * Will strike the persons of young and middle age
  2. Primary elements appear on a head and trunk
  3. Pouring out with necrosis and ulceration
  4. A sarcoma metastasis | in internal and marked high lethality
  1. The basic way of transmission of exciter HIV infections/AIDS are such:
  1. Aerogene
  2. Alimentary
  3. * Parententeral
  4. Bite of mosquito
  1. Immediately after a contact with blood and other biological liquids it is necessary to wash the muddy areas of skin with water and soap and to begin a postcontact prophylaxis, antiretroviral preparations not later than
  1. * 24-36 hrs
  2. 48-60 hrs
  3. 60-72 hrs
  4. 72-86 hrs
  1. Name the most dangerous parenteral way of infection of HIV/AIDS?
  1. * Infusion of donor blood and its preparations
  2. Injections of medications
  3. Diagnostic manipulations
  4. Intravenous introduction of drugs
  5. Patien O., 29 years old, farmer appeared to a doctor with the signs of balantidiasis and was hospitalized. The best etiotropic drug is:
  6. Gentamycin
  7. Levomycitin
  8. * Monomycin
  9. Timogen
  10. A child is diagnosed with giardiasis. What preparation is it more expedient to apply for treatment?
  11. Ursohol
  12. Delagil
  13. * Ornidazol
  14. Tetracyclin
  15. A patient complaints of severe abdominal pain, smelly watery diarrhea with secretion of blood. What kind of disease might be considered previously.
  16. Amoebiasis
  17. Rotaviral gastroenteritis
  18. Giardiasis
  19. * Balantidiasis
  20. During acute intestinal amoebiosis in feces will be:
  21. Small vegetative form, pre-cystic
  22. Small vegetative and cystic shape
  23. Tissue and pre cystic forms
  24. * Large vegetative form
  25. Drug of choice for sanation of the holders of amoeba cysts can be.
  26. Monomitsin
  27. Tetracycline
  28. * Furamid
  29. Ursosan
  30. For verification of diagnosis of balantidiasis more frequently used test is:
  31. Virological researches
  32. Bacteriological examinations
  33. Roentgenologic researches
  34. * Research on protozoa
  35. How long does last health system control of convalescence after balantidiasis?
  36. 6 months
  37. 3 months
  38. * 1 year
  39. 2 years
  40. How long is continuing clinical convalescence after acute amoebiasis.
  41. 3-6 months
  42. 1-3 months
  43. * 6-12 months
  44. 12-18 months
  45. How to increase frequency of findings of lamblia cyst in fresh feces and vegetative forms in duodenal content?
  46. Cultivation in thermostat
  47. By the method of floatation in bilious clear soup
  48. Cultivation in anaerobic chamber
  49. * By the applications of phase-contrast and lumencense microscopy with the help of methylen-orange
  50. On еndoscopical inspection of a patient are found cysts of аmoeba. These changes are specific for what disease:
  51. * Chronic intestinal аmoebiosis
  52. Acute intestinal аmoebiosis
  53. Amoeba liver abscess
  54. Heterospecific ulcerous colitis
  55. What are the stages of life-cycle of balantidium.
  56. Cyst
  57. * Vegetative and cyst
  58. Spore
  59. Vegetative
  60. What clinical forms of balantidiasis are the most often.
  61. * Mild
  62. Acute
  63. Subclinical
  64. Chronic
  65. What group of infectious diseases balantidiasis belongs to.
  66. * Intestinal
  67. Blood infection
  68. Sapronosis
  69. Respiratory
  70. What group of pathogens balantidiasis belong to.
  71. Fungi
  72. Viral
  73. * Simplest
  74. Parasites
  75. What is a source of the causal agent of amoebiasis?
  76. * People
  77. Cows
  78. Sheep
  79. Camel
  80. What is an incubation period for intestinal amoebiasis:
  81. * From 1 week to several months
  82. 3-5 days
  83. 4-6 days
  84. From 3 months to 1 year
  85. What is the incubation period for balantidiasis.
  86. 7-14 days
  87. 5-10 days
  88. * 1-3 weeks
  89. 3-6 weeks
  90. What is the main method of taking of material for parasitological examination in case of intestinal amoebiasis.
  91. * Immediately after the defecation
  92. After processing of disinfectants
  93. 1-2 hours after processing with Lugol solution
  94. 2-3 hours after processing with iron hematoxylin
  95. What is the pathological changes in intestine at balantidiasis.
  96. Ulcer
  97. * Hyperemia, edema
  98. Edema
  99. Hyperemia without edema
  100. What kind of ulcers are present at аmebiasis?
  101. * Fillings out sharp edges, surrounded by the area of hyperemia, are placed on the unchanged mucus membrane
  102. Smooth sharp edges, placed on a hyperemic mucus membrane
  103. Fillings out sharp edges, placed on the unchanged mucus membrane
  104. Fillings out sharp edges, surrounded by the area of hyperemia, are placed on the changed mucus membrane
  105. What part of lower GI tract is affected with amoebiasis most often?
  106. * The descending and ascending colon
  107. Sigmoid and rectum
  108. Duodenum and jejunum
  109. Transversal colon
  110. Which ulcers are specific for amoebiasis:
  111. * Purulent ulcers with undermining, surrounded by hyperemic zone located on the intact mucosa
  112. Smooth ulcers with undermining, located on the hyperemic mucosa
  113. Necrotic ulcers, located on the hyperemic mucosa
  114. Edematose ulcers with undermining located on the intact mucosa
  115. Who is the reservoir of the causative agent at balantidiasis.
  116. * Pig
  117. Cow
  118. Sheep
  119. Goat
  120. Alveococcosis belongs to:
  121. Nematodosis
  122. Trematodosis
  123. * Cestodosis
  124. Ricketsiosis
  125. Ascaridiosis belongs to:
  126. * Nematodosis
  127. Trematodosis
  128. Cestodosis
  129. Ricketsiosis
  130. Cryptosporidiosis is:
  131. blood borne infection
  132. respiratory infection
  133. * intestinal infection
  134. infection of external covers
  135. Diphyllobothriosis belongs to:
  136. Nematodosis
  137. Trematodosis
  138. * Cestodosis
  139. Ricketsiosis
  140. Drug of choice for the treatment of the lymphatic filariasis is:
  141. steroids
  142. * diethylcarbamazine
  143. metronidazole
  144. chloramphenicol
  145. Echinococcosis belongs to:
  146. Nematodosis
  147. Trematodosis
  148. * Cestodosis
  149. Ricketsiosis
  150. Enterobiosis belongs to:
  151. * Nematodosis
  152. Trematodosis
  153. Cestodosis
  154. Ricketsiosis
  155. Teniosis belongs to:
  156. Nematodosis
  157. Trematodosis
  158. * Cestodosis
  159. Ricketsiosis
  160. Opisthorchosis belongs to:
  161. Nematodosis
  162. * Trematodosis
  163. Cestodosis
  164. Ricketsiosis
  165. Patien O., 29 years old, farmer appeared to a doctor with the signs of balantidiasis and was hospitalized. The best etiotropic drug is:
  166. Benzylpenicillin
  167. Gentamycin
  168. Levomycitin
  169. * Monomycin
  170. Preparation of choice for the treatment of carrier of cyst of amoebae is:
  171. Monomycinum
  172. Delagilum
  173. Tetracyclin
  174. * Yatrenum
  175. Schistosomosis belongs to:
  176. Nematodosis
  177. * Trematodosis
  178. Cestodosis
  179. Ricketsiosis
  180. Trichinellosis develops after:
  181. bite of a tick
  182. drinking of contaminated water
  183. * ingestion of the infected meat
  184. drinking of contaminated milk
  185. Trichinosis belongs to:
  186. * Nematodosis
  187. Trematodosis
  188. Cestodosis
  189. Ricketsiosis
  190. For verification of diagnosis of balantidiasis more frequently used test is:
  191. Virological researches
  192. Bacteriological examinations
  193. Roentgenologic researches
  194. * Research on protozoa
  195. How often treatment of amoebae cyst carrier should be done?
  196. * Twice a year
  197. Three times a year
  198. One time a year
  199. Quarterly
  200. How to increase frequency of findings of lamblias cyst in fresh feces and vegetative forms in duodenal content?
  201. Cultivation in thermostat
  202. By the method of floatation in bilious clear soup
  203. Cultivation in anaerobic chamber
  204. * By the applications of phase-contrast and luminescent microscopy with the help of methylen-orange
  205. Onchoceriasis is also known as:
  206. tropical pulmonary eosinophillia
  207. * river blindness
  208. African eye worm disease
  209. ricketsiosis