4 курс 2 вариант
Список вопросов теста
Вопрос 1
Which of the following is a stimulus for closure of ductus arteriousus?
Варианты ответов
- Increased O2 tension
- Hypoxia
- Prematurity
- Hypercapnia
Вопрос 2
The heart lesion not found in congenital rubella infection is
Варианты ответов
- ASD
- VSD
- PDA
- PS
Вопрос 3
A premature infant is born with a patent ductus arteriosus. Its closure can be stimulated by administration of:
Варианты ответов
- Prostaglandin analogue
- Estrogen
- Anti- estrogen compounds
- Prostaglandin inhibitors
Вопрос 4
Which of the following syndromes is best associated with congenital heart disease?
Варианты ответов
- Lesch-Nyhan syndrome
- Rasmussen syndrome
- Holt-Oram syndrome
- Leopard syndrome
Вопрос 5
A neonate has recurrent attacks of restlessness, irritability and diaphoresis on feeding. Cardiac auscultation reveals a nonspecific murmur. He is believed to be at risk for M.L.Likely diagnosis here is:
Варианты ответов
- ASD
- VSD
- TOF
- Anomalous coronary artery
Вопрос 6
A 29-day-old child presents with features of congestive cardiac failure and left ventricular hypertrophy. Auscultation shows a short systolic murmur. Most likely diagnosis is:
Варианты ответов
- Rheumatic fever
- Tetralogy of Fallot
- Transposition of great arteries
- Ventricular septal defect
Вопрос 7
A newborn baby develops cyanosis on day three of life. On auscultation, there is a systolic murmur .Echocardiogaphy reveals a cyanotic heart disease in the baby. Which one of the following drugs can be administered to prolong the life of the baby pending intervention?
Варианты ответов
- Indomethacin
- Ibuprofen
- Prostaglandin E1
- Propanolol
Вопрос 8
A two-year-old boy presented with episodes of becoming dusky. On examination, ther was central cyanosis and clubbing. There was no pallor, oedema or respiratory distress. The heart was normal sized with a parasternal heave. A systolic thrill was palpable over the left middle sternal border. First heart sound was normal and only the aortic component was audible in the second heart sound. Liver was not enlarged. What would be the likely diagnosis?
Варианты ответов
- Congenital methemoglobinemia
- Eisenmenger syndrome
- Aortic stenosis
- Tetralogy of Fallot
Вопрос 9
Among the diseases of the urinary system in children, the most common are:
Варианты ответов
- acute post-streptococcal glomerulonephritis
- . lipoid nephrosis
- chronic glomerulonephritis
- the infection of urinary system and pyelonephritis
- tubulopathy
Вопрос 10
Differential diagnosis of acute pyelonephritis should first be performed with:
Варианты ответов
- acute post-streptococcal glomerulonephritis
- urinary tract infection
- urinary tract infection
- exacerbation of chronic glomerulonephritis
- reflux-nephropathy
Вопрос 11
Which of the following signs do You consider most important for the differential diagnosis between pyelonephritis and lower urinary tract infection?
Варианты ответов
- presence of leukocyturia and bacteriuria
- abdominal pain
- frequent urination
- the appearance of nocturnal enuresis
- the decrease in relative density of urine
Вопрос 12
Acute glomerulonephritis is more common at the age of:
Варианты ответов
- From 1 year to 3 years
- 4-5 years of life
- 6-7 years of life
- 8-9 years of life
- older than 10-12 years
Вопрос 13
Which of the following symptoms in acute glomerulonephritis are not extrarenal:
Варианты ответов
- symptoms of intoxication
- edematous syndrome
- changes in the color of urine – redness of it
- hypertension syndrome
- changing the eyeground
Вопрос 14
In children of early and preschool age acute glomerulonephritis occurs more often:
Варианты ответов
- with hypertension syndrome
- with visual impairment
- with changes in the fundus
- with nephrotic syndrome
- with pronounced isolated hematuria
Вопрос 15
Which of the following diseases can not differentiate acute glomerulonephritis?:
Варианты ответов
- with rapidly progressing glomerulonephritis
- with dysmetabolic nephropathies
- with nighttime urinary incontinence
- with interstitial nephritis
- with thrombocytopathies
Вопрос 16
What protein content in the blood can be considered medium-severe in hypoalbuminemia in children with nephrotic syndrome ?:
Варианты ответов
- . albumin level within 30 g / l
- the level of albumin in the range of 20 - 25 g/l
- the level of albumin in the range of 20 to 15 g/l
- the level of albumin within 15 - 10 g/l
- the level of albumin in the range of < 10 g/l
Вопрос 17
Nosocomial hospital pneumonia is more often caused by: a) pneumococcus; b) Staphylococcus; C) Legionella; d) Mycoplasma; e) gram-negative flora. Choose the correct combination of responses:
Варианты ответов
- b,e
- a,d
- b,d
- c,d
Вопрос 18
Treatment of pneumonia caused by Legionella is carried out:
Варианты ответов
- kefzol;
- tetracycline;
- erythromycin;
- gentamicin.
- penicillin;
Вопрос 19
Pneumonia is considered nosocomial (hospital) if it is diagnosed:
Варианты ответов
- on admission to the hospital;
- 2-3 days or more after hospitalization
- after discharge from the hospital.
Вопрос 20
In what cases may develop pneumocystic pneumonia: a) the condition after kidney transplantation; b) chronic alcoholism; C) AIDS; d) primary immunodeficiency; e) acute leukemia with neutropenia. Choose the correct combination of responses:
Варианты ответов
- all options are correct;
- a,c,d
- a, b, c
- b,d,e
Вопрос 21
Clinical manifestations of facies nefritica are: a) facial edema; b) acrocyanosis; C) hemorrhagic rash on the face; d) paleness of the skin; e) swelling of the neck veins. Choose the correct combination of responses:
Варианты ответов
- a, b, d;
- a,d
- c,d,e
- a,c
Вопрос 22
What signs are characteristic of acute glomerulonephritis: a) isostenuria; b) an increase in the density of urine; C) an alkaline reaction of urine; d) an increase in neutrophils in the urine; e) an increase in lymphocytes in the urine. Choose the correct combination of responses:
Варианты ответов
- a, b
- b,c
- a,d
- d,e
- a,c
Вопрос 23
What immunological changes are observed in post-streptococcal glomerulonephritis? a) high titers of antibodies to Streptococcus antigens; b) increased titer of renal autoantibodies; C) presence of antinuclear antibodies; d) low level of complement; e) high level of complement. Choose the correct combination of responses:
Варианты ответов
- a,d
- a,c
- c,d
- b,e
Вопрос 24
What are the indications for the appointment of glucocorticoids in acute glomerulonephritis:
Варианты ответов
- edema;
- presence of nephrotic syndrome without pronounced hematuria and hypertension
- arterial hypertension;
- gross hematuria.
Вопрос 25
Name the complications of acute glomerulonephritis: a) oligoanuria in the acute phase of the disease with the development of OPN; b) massive renal bleeding; C) eclampsia; d) thromboembolic syndrome; e) acute left ventricular failure. Choose the correct combination of responses:
Варианты ответов
- a, b, c
- a,c,e
- a, b, d;
- d,e


