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ВходInfectious mononucleosis
Список вопросов теста
Вопрос 1
What changes in peripheral blood are characteristic of infectious mononucleosis?
Варианты ответов
- neutrophilic leukocytosis;
- leukopenia with relative lymphocytosis;
- leukocytosis, lymphocytosis, monocytosis, atypical mononuclears
- leukopenia, lymphocytosis, monocytosis.
Вопрос 2
What is a specific complication of chickenpox:
Варианты ответов
- meningoencephalitis
- pneumonia
- sepsis
- artritis
Вопрос 3
Which clinical sign is most characteristic of chickenpox?
Варианты ответов
- a) Simultaneous appearance of all lesions at the same stage
- b) Presence of Koplik spots
- c) Polymorphic rash with lesions in different stages
- d) Rash limited to palms and soles
- e) Petechial rash only
Вопрос 4
Which group is at the highest risk for severe complications of chickenpox?
Варианты ответов
- a) Children aged 5–10 years
- b) Pregnant women
- c) Adults with mild fever
- d) Infants older than 1 year
- e) Vaccinated adolescents
Вопрос 5
Which complication is most commonly associated with chickenpox in children?
Варианты ответов
- a) Viral myocarditis
- b) Staphylococcal superinfection of skin lesions
- c) Acute renal failure
- d) Toxic megacolon
- e) Keratitis
Вопрос 6
What is the most characteristic location for the initial lesions in chickenpox?
Варианты ответов
- a) Palms and soles
- b) Face and scalp
- c) Buttocks
- d) Lower extremities
- e) Oral mucosa
Вопрос 7
Chickenpox rash evolves in which correct order?
Варианты ответов
- a) Papule → Macule → Vesicle → Crust
- b) Vesicle → Macule → Papule → Crust
- c) Macule → Papule → Vesicle → Crust
- d) Papule → Vesicle → Macule → Crust
- e) Macule → Vesicle → Papule → Crust
Вопрос 8
Which triad is most typical for infectious mononucleosis?
Варианты ответов
- a) Rash, arthritis, hepatomegaly
- b) Fever, pharyngitis, lymphadenopathy
- c) Jaundice, vomiting, lymphocytosis
- d) Cough, conjunctivitis, Koplik spots
- e) Severe diarrhea, rash, lymphadenopathy
Вопрос 9
Which laboratory finding is most specific for infectious mononucleosis?
Варианты ответов
- a) Neutrophilia
- b) Atypical lymphocytes
- c) Severe thrombocytopenia
- d) Elevated amylase
- e) Hypoglycemia
Вопрос 10
Which clinical sign supports the diagnosis of mononucleosis rather than influenza?
Варианты ответов
- a) High fever
- b) Fatigue
- c) Posterior cervical lymphadenopathy
- d) Myalgia
- e) Sore throat
Вопрос 11
Which test is most commonly used to confirm infectious mononucleosis?
Варианты ответов
- a) Widal test
- b) Monospot test (heterophile antibodies)
- c) Weil-Felix test
- d) VDRL test
- e) ANA test
Вопрос 12
Which age group most commonly presents with infectious mononucleosis?
Варианты ответов
- a) Infants under 1 year
- b) Preschool children
- c) Adolescents and young adults
- d) Middle-aged adults
- e) Elderly
Вопрос 13
A 7-year-old child is brought to the clinic with a generalized itchy rash that started 24 hours ago. The mother reports mild fever and malaise before the appearance of the rash. On examination, you see macules, papules, vesicles, and crusts simultaneously. The lesions are spread predominantly on the trunk and face, with some on the extremities. No lesions follow a dermatomal pattern.
What is the most likely diagnosis?
Варианты ответов
- a) Herpes zoster
- b) Allergic dermatitis
- c) Chickenpox (varicella)
- d) Measles
- Rubelle
Вопрос 14
A 19-year-old student presents with severe sore throat, fever for 5 days, and profound fatigue. On examination, she has marked posterior cervical lymphadenopathy, tonsillar exudates, and palatal petechiae. The spleen is slightly enlarged. A rapid strep test is negative.
The physician prescribes ampicillin, after which the patient develops a diffuse maculopapular rash within 24 hours.
What is the most likely underlying diagnosis?
Варианты ответов
- a) Rubella
- b) Influenza
- c) Infectious mononucleosis (EBV)
- d) Acute CMV infection
- e) Measles
Вопрос 15
A 32-year-old unvaccinated man presents with fever, diffuse vesicular rash, and shortness of breath on day 3 of illness. Examination shows multiple vesicles and crusts, and the patient is tachypneic. Chest auscultation reveals fine crackles bilaterally. Chest X-ray shows diffuse interstitial infiltrates. His oxygen saturation is 88%.
What is the most likely complication?
Варианты ответов
- a) Staphylococcal pneumonia
- b) Varicella pneumonia
- c) Aspiration pneumonia
- d)Secondary
- e) Viral myocarditis
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