INFECTIOUS DISEASES 7-sem/ AIR-DROPLET AND INTESTINAL INFECTIONS.

In girl V., 1 year old, appeared the stuffiness in 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, breathing 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?

Infants younger than 3 month of age with suspected pertussis usually are admitted to hospital, as are many between 3 and 6 month of age unless witnessed paroxysms are not severe, as well as are patients of any age if significant complications occur. Typical paroxysms that are not life threatening have the following feature:

A 65-year-old woman who is severely immunocompromised comes to the office because she has had lancinating pain on one side of her abdomen for the past 3 days. Physical examination shows a few vesicles which the patient says were not present until today. Herpes zoster infection is suspected. Which of the following drugs is the most appropriate treatment for this patient to decrease the duration of this infection? 

When vibrio cholerae is ingested, the last thing that happens is:

A 21-year-old patient became acutely ill: a temperature of 38.8 ° C; sore throat. On examination, the pharynx is hyperemic, on the tonsils are whitish, striated with a spatula, all groups of lymph nodes, especially the cervical ones, are up to 3-4 cm in diameter. Enlarged liver and spleen. Against the background of unchanged skin, a small-spotted rash. Blood test: leukocytosis, lymphomonocytosis, ESR 38 mm / h, platelets 220x109 / l. Select the appropriate diagnosis:

In viral hepatitis, some biochemical tests reflect cytolysis:

Contraindications for the use of anticoagulants in patients with COVID-19 is?

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; began difficultness in opening eyes. On examination – edema on face, expressed conjunctivitis. Mucous of pharynx is hyperemic. Lymph nodes are enlarged in neck. The general state of patient is satisfactory. This disease is related to cold. What disease you suspect?

Echocardiography should be performed in critically ill infants with pertussis to detect presence of:

30-year-old woman who presents to dermatology clinic with a red rash. She has been feeling unwell for the last 6 days with fever, myalgias, cough and sore throat. She also reports some tender lymph nodes on her neck. She has taken ibuprofen for the myalgias and fever, which has helped.A rash started on her face yesterday and is now spreading to her neck and trunk. Based on the history and skin exam, what is the most likely diagnosis?

The patient, 32 years old, has been hospitalized for 2 weeks for the jaundice form of acute hepatitis C. against the background of detoxification therapy during the disease, positive dynamics was noted: weakness decreased, appetite appeared, jaundice of the skin and sclera became smaller, feces turned brown. When should antiviral therapy be started in patients with acute hepatitis C?

Hand-foot-mouth disease is one of the more distinctive rash syndromes, it is most frequently caused by?                                                                                                                          

Which of the following is most likely cause of a child presenting with fever and diarrhea?

For chronic bacterial carriage of salmonella, the following is prescribed:

The most reliable method of laboratory diagnosis of typhoid fever in the first week of illness is

Character of stool with salmonellosis:

The first priority measure when providing for patient with moderate foodborne toxic infection is:

Repeated penetration of typhoid bacteria into the lumen of the small intestine occurs:

Characteristic of abdominal pain due to cholera?

The first cramps during dehydration, muscle cramps in the limbs, may already appear.

The development of diarrhea in cholera occurs as a result.

Name a possible pathological change in the bronchopulmonary system in whooping cough?

Edema of the subcutaneous tissue of the neck, extending below the clavicles, is characteristic of:

Which of the following statements is true regarding the rash relating to this infection?

A 28-yr-old woman who is at 11 weeks’ gestation comes to the clinic for physical examination and to receive appropriate vaccinations prior to beginning a job at a daycare center. The patient’s medical and immunization records are unavailable. Which of the following is the most appropriate next step with regard to administering this patient the measles, mumps, and rubella vaccine? 

If a patient comes to the office with symptoms that are suspicious for herpes zoster oticus, which of the following is the most appropriate initial step in diagnosis?

The most common causes of death in diphtheria?

A 9-year-old girl was taken to the clinic, she has a headache, fever, chills, rash on her neck, chest and armpit, she has a sore throat for the last 2 days, BP 115/70. A physical examination reveals a generalized erythromatous rash. What is the probable diagnosis?

Patient D., 25 years old, was admitted to the infectious diseases hospital on the second day of the disease with complaints of cramping pains in the lower abdomen on the left, frequent scanty stools, severe weakness, nausea, and repeated vomiting. Objectively: Tongue is obstructed, pharynx without pathology. The abdomen is soft, painful more on the left along the descending part of the colon. Liver, spleen not enlarged. The stool in the emergency room is sparse with mucus and an admixture of blood, odorless. Sigma is cramped. Make a preleminary diagnosis.       

Indicate clinical signs that are not characteristic of meningococcemia.