Child diseases 3

1. What type of a diarrhea is typical for a salmonellosis?

      1. Osmotic   2. Exudative  3.  Secretory    4. Mixed     5. Toxic

2. A 4 years old child complains about: cough, temperature of body 38,1 °C. Skin without rashes. Conjunctiva hyperemic. Exanthema on skin. On mucous of cheeks there are points of hyperemia gum blushs. In lungs difficult breathing. What is the most possible diagnosis?

      1. Scarlet fever    2. Rubella  3.  Measles   4. Enteroviral infection   5. Flu

3. Etiology agent of meningitis is:

      1.Neisseria meningitides    2.Entamoeba histolytica    3.Vibro cholerae   4.Clostridium botulinum          

      5. Campylobacter pylori

4. How is it possible to specify the diagnosis of meningococcal meningitis.

    1. Meningitis is primary  2. Presence of a lot of cells in the CSF  3. Presence of gram-negative diplococcus in CSF

     4. Meningococes from the throat     5.  All the above

5. 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?

     1.  Lumbar puncture     2. Computer tomography  3. Electroencephalography  4. Transcranial dopplerography            

     5. Echoencephalography

6. What are the anti epidemic measures in regards to people who were in contact with chicken-pox patient:

      1.  Separation and limit of contacts with others  2. Vaccination    3. Use of antibiotics  4. Disinfection    

      5. Does not exist

7. 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. Dysbacteriosis    4.  Salmonellosis    5. Shigellosis

8. 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?

      1.  Measles     2. Adenoviral infection  3.URTI     4. Enteroviral infection   5. Infectious mononucleosis

9. For how long a patient with complicated form of measles should be isolated:

      1. For 4 days from the beginning of rash    2. For 7 days from the beginning of rash  

      3. For 10 days from the beginning of rash          4. For 17 days from the beginning                         

      5. For 20 days from the beginning of illness

10. Measures of urgent prophylaxis for unvaccinated children who have never been ill with measles in case of exposure to an ill with measles

      1.Separation from the source  2. Vaccination  3.Administration of antibiotics  4.Disinfection  5.Does not exist

11. What antibiotics preparations of choice of etiotropic therapy at a meningococcal infection.

      1. Benzylpenicillin and it derivatives     2. Gentamycin   3. Cefazolin    4. Sulfolamide    5. Ciprofloxacin

12. Term of contagious period of patient diagnosed with uncomplicated form of measles

      1. Until clinical recovery      2. After rash starts disappearing    3. Before appearance of rash

      4. 4 days from the beginning of rash    5. 10 days from the beginning of illness

13. Patient D., 13 y.o., hospitalized with complains of nausea, переймоподібні abdominal pains, liquid emptying without pathological admixtures with an unpleasant smell 6 times per day. The day before had a supper by meat salad. What is a first aid?

      1. To wash a stomach and intestine by solution of hydrocarbonate of sodium         

      2. Peroral rehydratation by glucose-electrolytes solutions    

      3. Antibacterial preparations of wide spectrum of action   

      4. Renewal of normal microflora of intestine (probiotics)    5. To give sorbent in a dose 30 mg

14. 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?

      1. Localized diphtheria of oropharynx     2. Whooping-cough    3 .Parainfluenza, false croup        

      4. Bronchopneumonia     5. Adenoviral infection

15. A child of age 2 years has temperature of body 37.3 °C, cold, hoarse voice “barking cough” appeared suddenly the anxiety, shortness of breath, appeared with participation of auxiliary muscles. Supposed diagnosis?

      1. Parainfluenza, false croup     2. Diphtheria croup   3. Allergic laryngitis, croup   4. Flu, laryngitis          

      5. Acute exudative pleuritis

16. A patient of 5 years old, which treated at home on an occasion of flu by aspirin, calcium gluconatis, on the second day from the beginning of disease “coffee grounds” vomiting appeared, melena. What complication arises?

    1. Neurotoxicosis    2. Pneumonia  3. Hemorrhagic syndrome   4. Infectious-toxic   5. Bowel obstruction

17. 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?

     1. Introduction of AWDT vaccine  2. Antibacterial therapy    3. Introduction of ADT-м to the toxoid

     4. Antibacterial therapy and double introduction of ADT-м to the toxoid        

     5. Antibacterial therapy and introduction of immunoprotein

18. In order to prevent salmonellosis should be.

      1. Disinfection  2. Vaccination   3. Chemoprophylaxis   4. Sanitary and epidemiological control over food   

     5. All these measures are not undertaken

19. What changes in a peripheral blood are typical for Rubella?

1. 1. 1. leucopenia, lymphocytosis, plasmocytosis
      2. leucopenia, lymphomonocytosis
      3. leucocytosis, lymphocytosis, appearance of atypical mononuclear cells
      4. leucocytosis, neutrophilia
      5. leucopenia, plasmocytosis, anemia

20.  Indicate the term of patient's contagiousness at acquired Rubella.
    1. 1.  
       2.  
       3.  
       4.  

21. What is the duration of exanthema period at measles?

22. Enumerate atypical forms of measles.

23. What is the term of patient isolation at acquired Rubella?

24. What changes on oral mucosa are typical for rubella?

25. Indicate an express method of Meningococcemia diagnostics.