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1 module topics. 30 questions/ 30 min

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08.10.2020. Тест. Дошкольное образование, Дошкольникам
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All selfwork and practical classes topics were included

Список вопросов теста

Вопрос 1

Choose the feature that is not characteristic for iron deficiency:

 

Варианты ответов
  • increased serum iron levels
  • hypochromic anemia
  • evolution of iron deficiency is mostly asymptomatic
  • usually children with iron deficiency are fed mostly with cow’s milk and buckwheat porridge
Вопрос 2

Indicate the type of anemia that is not microcytic and hypochromic:

 

Варианты ответов
  • Anemia of chronic diseases
  • Hemolytic anemia due to insufficiency of  glucoso-6-phosphatdehydrogenase
  • Beta-thalassemia  minor
  • Iron  deficiency anemia
Вопрос 3

Choose the factor that increase the iron absorption from oral iron supplements:

 

Варианты ответов
  • acidity of gastric juice;
  • activity of salivary amylase;
  • secretory function of the stomach;
  • characteristics of iron from oral iron supplementation preparations
Вопрос 4

Choose the laboratory result that is not characteristic for iron deficiency anemia:

 

Варианты ответов
  • decreased total iron-binding capacity
  • decreased MCHC (Mean Corpuscular Hemoglobin Concentration) in red blood cells
  • decreased serum ferritin level
  • decreased serum iron level
Вопрос 5

Which of the following is NOT a cause of Microcytic Anemia?

 

Варианты ответов
  • Lead Poisoning
  • Pancytopaenia
  • Iron Deficiency Anemia
  • Anaemia of chronic disease
Вопрос 6

The lab reports for a patient with low MCV show high serum ferritin and low TIBC.  What is the most likely cause for this patient's anaemia?

 

Варианты ответов
  • Hemoglobinopathy
  • Thallassemia
  • Anemia secondary to inflammation
  • Fe deficiency
Вопрос 7

Fe is absorbed in the

 

Варианты ответов
  • Stomach
  • Duodenum
  • Jejunum
  • Ileum
Вопрос 8

Where is most non-haeme iron found in the body?

 

Варианты ответов
  • Stored in liver
  • Free in plasma
  • Bound to transferrin
  • Bound to IF
Вопрос 9

Select the following that enhance Fe absorption (select all that apply)

 

Варианты ответов
  • Calcium
  • Phylate (bran)
  • Polyphenols (tea)
  • Citric acid
Вопрос 10

Which of the following is not an etiology of Fe deficiency anemia?

 

Варианты ответов
  • Decreased intake
  • Malabsorption
  • Infection
  • Increased requirement
Вопрос 11

All of the below are the main forms of gestosis in early terns of pregnancy EXCEPT:

Варианты ответов
  • severe vomiting
  • moderate vomiting
  • severe anemia
  • hypersalivation
Вопрос 12

How many times a day the patient with mild vomiting complaints of vomiting?

Варианты ответов
  • 2-4 times a day
  • 4-6 times a day
  • 6-8 times in 3 days
  • 8-10 times a day
Вопрос 13

How many times a day the patient with severe vomiting complaints of vomiting?

Варианты ответов
  • 2-4 times a day
  • 4-6 times a day
  • 6-10 times in 3 days
  • more than 10 times a day
Вопрос 14

All of the below are the main signs of moderate vomiting EXCEPT:

Варианты ответов
  • tachycardia
  • increasing of the temperature
  • normal diuresis
  • acetonuria
Вопрос 15

With all of the above diseases should you differentiate hyperemesis gravidarum EXCEPT?

Варианты ответов
  • gastroenteritis
  • hepatitis
  • fatty liver of pregnancy
  • bronchial asthma
Вопрос 16

All of the following belong to the anti-emetics drugs which have been used in early gestosis

Варианты ответов
  • promethazine
  • prochlorperazine
  • niphedipine
  • metoclopramide
Вопрос 17

Metoclopramide’ anti-emetic properties apparently result from:

Варианты ответов
  • increasing of estrogenes
  • increasing of chorionic gonatotropine hormone
  • central antagonism of dopamine receptors
  • decreasing of chorionic gonatotropine hormone
Вопрос 18

Which drug should prescribed for decreasing of hypersalivation?

Варианты ответов
  • atropine sulfatis
  • natrii benzoates
  • niphedipine
  • sodium chloride
Вопрос 19

What is the best management of pregnancy in the case of acute fatty liver?

Варианты ответов
  • infusion therapy
  • pregnancy interrupting
  • vitamins
  • sedative drugs
Вопрос 20

The patient with severe vomiting should pass all of the below laboratory analysis EXCEPT:

Варианты ответов
  • urine
  • level of thrombocytes
  • hematocrite
  • feces
Вопрос 21
  1. M., 28 years old, para 2. Full term of pregnancy. Initiation of labor was 8 hours ago. Uterine contractions are every 3 minutes and lasts 35-40 seconds. The membranes ruptured 20 minutes ago. Pelvic sizes: 25,28,31,20. Fetal head rate 132 per minute with satisfactory characteristics. Probable fetal weight is 3000 g. Vaginal results: the cervix is completely dilated. The amniotic sac is absent. Fetal head is in 0 station. Sagittal suture is in the right oblique diameter of pelvic inlet. Anterior fontanel is located to the right side anteriorly and posterior fontanel is near sacral region to the left side. Define is the diagnosis?
Варианты ответов
  • a) Labour 2, at term, II period of labour. Longitudinal lie, Sinciput vertex presentation, II position, posterior visus
  • b) Labour 2, at term, II period of labour. Longitudinal lie, Sinciput vertex presentation, II position, anterior visus
  • c) Labour 2, at term, I period of labour. Longitudinal lie, Sinciput vertex presentation, II position, anterior visus
  • d) Labour 2, at term, I period of labour. Longitudinal lie, Sinciput vertex presentation, II position, anterior visus
Вопрос 22

The 26-year old woman had the second for the last 2 years labor with oxytocin administration. The child’s weight - 4080 g. After the placental birth there was a severe bleeding, signs of  hemorrhagic shock. Despite the introduction of contractive agents, and absence of any uterus cervix and the vagina injuries, the bleeding proceeds. Choose the most probable cause of bleeding.

Варианты ответов
  • a) Atony of the uterus
  • b) Injuries of cervix of the uterus
  • c) Uterine rupture
  • d) Delay of the part of placenta
  • e) Hypotonia of the uterus
Вопрос 23
  1. What is the reason of the early gash of amniotic fluid in breech presentation?
Варианты ответов
  • a) absence of the girdle of contact
  • b) lost tonus of lower segment
  • c) the abnormal tonus of uterus
  • d) arrested fetal shoulders
Вопрос 24

A 36 yr old G1P0 at 35 weeks gest presents with several days H/O generalised malaise, anorexia, nausea and emesis and abd. discomfort. She has loss of apetite and loss of several pounds wt in 1 week. Fetal
movements are good. There is no headache, visual changes, no vaginal bleeding, no regular uterine contractions or rupture of membranes. She is on prenatal vitamins. No other medical problem. On exam she is mild jaundiced and little confused. Her temp is 100 degree F, PR- 70, BP- 100/62, no significant edema, appears dehydrated. FHR is 160 and is nonreactive but with good variability. Her WBC- 25000, Hct- 42.0, platelets- 51000, GLUCOSE-43, Creatinine- 2.0, fibrinogen- 135, PT/PTT- 16/50, S. Ammonia level- 90 micromol/L. Urine is 3+ Proteins with large amount of ketones. What is the the recommened treatment for this patient.

Варианты ответов
  • Immediate delivery
  • Cholecystectomy
  • Intravenous diphenhydramine
  • MgSO4 therapy
  • Bed rest and supportive measures since this condition is self limiting
Вопрос 25

37 weeks primi with uterine contraction for 10
hours, cervix is 1 cm dilated and poorly effaced
management is:

Варианты ответов
  • Cesarean section
  • Amniotomy
  • Oxytocin drip
  • Sedation and wait
Вопрос 26

Commonest cause of nonengagement at term, in
primi is:

Варианты ответов
  • CPD
  • Hydramnios
  • Brow presentation
  • Breech
Вопрос 27

Which of the following sets of condition is attributed to normal physiology of puerperium?

Варианты ответов
  • Tachycardia and weight gain
  • Retention of urine, constipation and weight gain
  • Constipation, tachycardia and retentio of urine
  • Retention of urine and constipation
Вопрос 28

At 28 weeks on USG-(TVS) a G2P1 female was detected as having major placenta previa. A confirm- atory scan should be performed:

Варианты ответов
  • At 34 weeks
  • At onset of labor
  • At 36 weeks
  • At 32 weeks
Вопрос 29

M/C cause of APH is:       

Варианты ответов
  • Placenta previa
  • Abruptio placenta
  • Vasa previa
  • Placenta accreta
Вопрос 30

Which of the following features indicates thepresence of heart disease in pregnancy and whichis not seen in normal pregnancy?

Варианты ответов
  • Exertional dyspnea
  • Distended neck veins
  • Systemic hypotension
  • Pedal edema
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