Children infectious diseases

*anti HCV IgМ, viral RNA

anti HЕV IgМ, viral RNA

anti HВV IgМ and HВV IgG

HBsAg, HbeAg, HbcAg, anti НВс IgM, IgG

646. 
     Name the clinical criteria of the congenital hepatitis B:
     
     1. 
        Presence of prodromal period, unexpressed jaundice, expressed cytolysis syndrome
        
     2. 
        jaundice increases quickly, catarrhal, dyspepsia syndrome,
        
     3. 
        jaundice is insignificant, satisfactory state, spleen is not enlarged, quick recovery
        
     4. 
        *jaundice from the first days of life, hepatosplenomegaly, hemorrhagic syndrome, malaise, severe disease
        
     5. 
        hepatosplenomegaly, delay of intrauterine development
        

647. 
     Name the diagnostic criteria of hepatitis B incubation period:
     
     1. 
        *High activity of hepatic-cellular enzymes, absence of clinical signs, presence of viral antigens in a blood
        
     2. 
        toxic, dyspepsia, catarrhal, astheno-vegetative syndromes
        
     3. 
        hepatomegaly, pain syndrome, high activity of hepatic-cellular enzymes
        
     4. 
        bilirubinuria, urobilinuria, discoloration of excrements
        
     5. 
        Maximal activity of hepatic-cellular enzymes, absence of clinical signs, presence of viral antigens in a blood
        

648. 
     Name the diagnostic criteria of hepatitis B prejaundice period:
     
     1. 
        Maximal activity of hepatic-cellular enzymes, absence of clinical signs, presence of viral antigens in a blood
        
     2. 
        High activity of hepatic-cellular enzymes, absence of clinical signs, presence of viral antigens in a blood
        
     3. 
        *toxic, dyspepsia, catarrhal, astheno-vegetative syndromes, hepatomegaly, pain syndrome, high activity of hepatic-cellular enzymes, presence of viral antigens in a blood
        
     4. 
        Rashes on a skin, hemorrhagic syndrome, splenomegaly, maximal activity of hepatic-cellular enzymes
        
     5. 
        hepatomegaly, pain syndrome, maximal activity of hepatic-cellular enzymes, bilirubinuria, urobilinuria, discoloration of excrements
        

649. 
     Name the laboratory criteria of hepatitis B moderate degree:
     
     1. 
        *bilirubin up to 85 mcmol/l (indirect is up to 25 mcmol/l) , aminotranspherase level 5-10 times more than norm, prothrombin index 70-80 %, normal sulemic test
        
     2. 
        bilirubin up to 85 mcmol/l (indirect is up to 25 mcmol/l), aminotranspherase level 5-10 times more than norm, prothrombin index 70-80 %
        
     3. 
        bilirubin up to 85 mcmol/l (indirect is up to 25 mcmol/l), aminotranspherase level 5-10 times more than norm, prothrombin index 70-80 %, sulemic test is considerably reduced
        
     4. 
        bilirubin is over 200 mcmol/l (indirect is over 50 mcmol/l), aminotranspherase level 15-30 times more than norm, prothrombin index less than 60 %, sulemic test is normal
        
     5. 
        bilirubin 85-200 mcmol/l (indirect is up to 50 mcmol/l), aminotranspherase level 10-15 times more than norm, prothrombin index 60-70 %, sulemic test is considerably reduced
        

650. 
     Name the laboratory criteria of hepatitis С mild severity:
     
     1. 
        bilirubin 85-200 mcmol/l (indirect is up to 50 mcmol/l), aminotranspherase level 10-15 times more than norm, prothrombin index 60-70 %
        
     2. 
        *bilirubin up to 85 mcmol/l (indirect is up to 25 mcmol/l), aminotranspherase level 5-10 times more than norm, prothrombin index 70-80 %
        
     3. 
        bilirubin up to 85 mcmol/l (indirect is up to 25 mcmol/l), aminotranspherase level 5-10 times more than norm, prothrombin index 70-80 %, sulemic test is considerably reduced
        
     4. 
        bilirubin is over 200 mcmol/l (indirect is over 50 mcmol/l), aminotranspherase level 15-30 times more than norm, prothrombin index less than 60 %, sulemic test is normal
        
     5. 
        bilirubin 85-200 mcmol/l (indirect is up to 50 mcmol/l), aminotranspherase level 10-15 times more than norm, prothrombin index 60-70 %, sulemic test is considerably reduced
        

651. 
     Name the laboratory criteria of severe hepatitis B:
     
     1. 
        bilirubin up to 85 mcmol/l (indirect is up to 25 mcmol/l), aminotranspherase level 5-10 times more than norm, prothrombin index 70-80 %, normal sulemic test
        
     2. 
        bilirubin up to 85 mcmol/l (indirect is up to 25 mcmol/l), aminotranspherase level 5-10 times more than norm, prothrombin index 70-80 %, sulemic test is considerably reduced
        
     3. 
        bilirubin 85-200 mcmol/l (indirect is up to 50 mcmol/l), aminotranspherase level 10-15 times more than norm, prothrombin index 60-70 %, sulemic test is considerably reduced
        
     4. 
        bilirubin is over 200 mcmol/l (indirect is over 50 mcmol/l), aminotranspherase level 15-30 times more than norm, prothrombin index less than 60 %, sulemic test is normal
        
     5. 
        *bilirubin is over 200 mcmol/l (indirect is over 50 mcmol/l), aminotranspherase level 15-30 times more than norm, prothrombin index less than 60 %, sulemic test is considerably reduced
        

652. 
     Name the terms of hepatitis B active prophylaxis according the Ukrainian vaccination schedule.
     
     1. 
        First 12 hours of life, 1, 3, 5 months
        
     2. 
        *First 12 hours of life, 1, 6 months
        
     3. 
        First 12 hours of life, 1, 6, 12 months
        
     4. 
        3-5 days, 7, 14 years
        
     5. 
        3, 4, 5 months, revaccination in 18 months
        

653. 
     Name the ways of hepatitis B virus transmission.
     
     1. 
        parenteral, transmissive, domestic
        
     2. 
        Food, water, domestic, sexual
        
     3. 
        *parenteral, vertical, sexual, domestic
        
     4. 
        parenteral, transplacental, domestic
        
     5. 
        parenteral, transplacental, transmissive
        

654. 
     Name the ways of hepatitis C virus transmission.
     
     1. 
        Food, water, domestic, sexual
        
     2. 
        parenteral, transmissive, domestic
        
     3. 
        parenteral, transplacental, domestic
        
     4. 
        *parenteral, vertical, sexual, domestic
        
     5. 
        parenteral, transplacental, transmissive
        

655. 
     The immunity against Rotaviruses is mainly conditioned by:
     
     1. 
        Ig M and Ig G
        
     2. 
        *Ig A and interferon
        
     3. 
        Ig G and interferon
        
     4. 
        Ig E and interferon
        
     5. 
        Ig D and Ig G
        

656. 
     The main value in acute intestinal infection verifying has:
     
     1. 
        complete blood test
        
     2. 
        coprological method
        
     3. 
        serological test
        
     4. 
        blood culture
        
     5. 
        *fecal culture
        

657. 
     The deficit of body weight in 3rd degree malnutrition is:
     
     1. 
        Up to 5%
        
     2. 
        5-10%
        
     3. 
        11-20%
        
     4. 
        21-30%
        
     5. 
        *Over 30%
        

658. 
     The deficit of body weight in malnutrition of 1st degree is:
     
     1. 
        Up to 5%
        
     2. 
        5-10%
        
     3. 
        *11-20%
        
     4. 
        21-30%
        
     5. 
        Over 30%
        

659. 
     The diagnosis of chronic hepatitis С is established if the disease's duration is:
     
     1. 
        More than 2 months
        
     2. 
        More than 3 months
        
     3. 
        More than 4 months
        
     4. 
        More than 5 months
        
     5. 
        *More than 6 months
        

660. 
     The malnutrition degree in infant can be measured by the thickness of skin fold:
     
     1. 
        *at umbilical level
        
     2. 
        subscapularly
        
     3. 
        on the inner surface of the thigh
        
     4. 
        on the outer surface of the thigh
        
     5. 
        on the outer surface of the shoulder
        

661. 
     The what is typical for the unicteric form of viral hepatitis A?
     
     1. 
        absence of changes of excrements, urine, bilirubin level
        
     2. 
        Level of aminotranspherase is normal, increase of bilirubin level
        
     3. 
        *the increase of aminotranspherase activity, absence of jaundice
        
     4. 
        jaundice, increase of enzymes activity
        
     5. 
        There is no right answer
        

662. 
     The pre-jaundice period of viral hepatitis A is characterized by the increase of:
     
     1. 
        Indirect bilirubin, tymol test
        
     2. 
        Cholesterol, ALAT
        
     3. 
        tymol test, alkaline phosphatase
        
     4. 
        cholesterol, beta-lipoproteins, indirect bilirubin
        
     5. 
        *ALAT, ASAT, direct bilirubin
        

663. 
     Name the source of dysentery infection.
     
     1. 
        Patients with dysentery;
        
     2. 
        Patients and carriers;
        
     3. 
        *Carriers;
        
     4. 
        Small rodents.
        
     5. 
        Insects.
        

664. 
     When does it follow to expect clinical signs of disease at contacts in the focus of shigellosis (latent period course)?
     
     1. 
        Through 1-2 hours.
        
     2. 
        From 1 to 2 days.
        
     3. 
        *From 1 to 7 days.
        
     4. 
        Till 1 month.
        
     5. 
        From 1 to 3 months.
        

665. 
     The source of infection at viral hepatitis A is:
     
     1. 
        patient and animal
        
     2. 
        *ill person
        
     3. 
        man, carrier and patient
        
     4. 
        animal and carrier
        
     5. 
        insects
        

666. 
     The subclinical viral hepatitis A form is characterized by:
     
     1. 
        Insignificant jaundice of skin, the base phosphatase increased
        
     2. 
        subfebrile temperature, dark urine, colorless excrements
        
     3. 
        Brief jaundice, increase of tymol test
        
     4. 
        hemorrhagic syndrome
        
     5. 
        *clinical displays are absent, ALAT, ASAT are raised
        

667. 
     The thickness of skin fold at the navel is 0,2 cm, that is typical for:
     
     1. 
        *3rd degree malnutrition
        
     2. 
        2nd degree malnutrition
        
     3. 
        1st degree malnutrition
        
     4. 
        eutrophya
        
     5. 
        paratrophya
        

668. 
     The thickness of skin fold at the navel is 0,6 cm, that is typical for:
     
     1. 
        3rd degree malnutrition
        
     2. 
        *2nd degree malnutrition
        
     3. 
        1st degree malnutrition
        
     4. 
        eutrophya
        
     5. 
        paratrophya
        

669. 
     The thickness of skin fold at the navel is 1 cm, that is typical for:
     
     1. 
        3rd degree malnutrition
        
     2. 
        2nd degree malnutrition
        
     3. 
        *1st degree malnutrition
        
     4. 
        eutrophya
        
     5. 
        paratrophya
        

670. 
     At the children of what age group dysentery occurs more frequent?
     
     1. 
        0-12 months
        
     2. 
        1-2 years
        
     3. 
        *2-7 years
        
     4. 
        7-10 years
        
     5. 
        10-14 years
        

671. 
     What from the enumerated serological tests should be done to reveal antibodies to typhoid fever?
     
     1. 
        brake of hemagglutination
        
     2. 
        precipitation
        
     3. 
        complement binding
        
     4. 
        *passive hemagglutination
        
     5. 
        agglutination
        

672. 
     To what family does Escherichia belong?
     
     1. 
        Micrococcaceae
        
     2. 
        *Enterobacteriaceae
        
     3. 
        Neisseriaceae
        
     4. 
        Vibrionaceae
        
     5. 
        Korynebacteriaceae
        

673. 
     Variants of prodromal period at viral hepatitis A:
     
     1. 
        Convulsive, dyspepsia
        
     2. 
        *Dyspepsia, astenic, catarrhal
        
     3. 
        Catarrhal, hemorrhagic
        
     4. 
        hepatolienal, convulsive
        
     5. 
        There is no right answer
        

674. 
     Virus of hepatitis A in the human organism is contained in:
     
     1. 
        Feces
        
     2. 
        Blood and urine
        
     3. 
        Blood and bile
        
     4. 
        Tears and saliva
        
     5. 
        *Blood, feces, urine
        

675. 
     Way of viral hepatitis A transmission is:
     
     1. 
        Contact-domestic
        
     2. 
        air-droplet
        
     3. 
        *fecal-oral
        
     4. 
        All answers are correct
        
     5. 
        There is no right answer
        

676. 
     What antigens does the E. coli have?
     
     1. 
        *O-, K- and H-antigens.
        
     2. 
        O-, Vi-antigens.
        
     3. 
        O-, H-antigens.
        
     4. 
        O-, K-antigens.
        
     5. 
        O-antigens.
        

677. 
     What is the average duration of hepatitis B incubation period?
     
     1. 
        3-6 weeks
        
     2. 
        2-3 months
        
     3. 
        6-26 weeks
        
     4. 
        *13-16 weeks
        
     5. 
        20-22 weeks
        

678. 
     What is the average duration of hepatitis C incubation period?
     
     1. 
        3-6 weeks
        
     2. 
        2-3 months
        
     3. 
        6-26 weeks
        
     4. 
        13-16 weeks
        
     5. 
        *20-22 weeks
        

679. 
     What is basis therapy at viral hepatitis A?
     
     1. 
        *Regime and diet
        
     2. 
        Regime and enterosorption
        
     3. 
        glucocorticoids
        
     4. 
        detoxication therapy
        
     5. 
        vitamin therapy
        

680. 
     What conditions are unfavorable for choleric vibrio:
     
     1. 
        Drying
        
     2. 
        Heat
        
     3. 
        *Disinfectants
        
     4. 
        Soil water
        
     5. 
        Stay in the soil
        

681. 
     What diet is appointed at viral hepatitis A?
     
     1. 
        3
        
     2. 
        *5-5а
        
     3. 
        9
        
     4. 
        10
        
     5. 
        15
        

682. 
     What disease severity is characteristic for hepatitis С in an acute period?
     
     1. 
        *mild, asymptomatic
        
     2. 
        moderate
        
     3. 
        moderate, severe
        
     4. 
        severe, fulminant
        
     5. 
        fulminant
        

683. 
     What diseases does it follow to differentiate the congenital hepatitis С with?
     
     1. 
        Hepatitis A, Е, biliary dyskinesia
        
     1. 
        *sepsis, biliary atresia, TORCH-infections, massive hemorrhages
        
     2. 
        sepsis, pseudotuberculosis, infectious mononucleosis
        
     3. 
        Gilbert syndrome, leptospirosis, hemolytic anemia
        
     4. 
        hemolytic disease of new-born, hepatitis Delta, cholecystitis.
        

684. 
     What does the character of hepatitis B duration depend on?
     
     1. 
        From mechanism and way of virus transmission
        
     2. 
        From character of genetically definite immune answer
        
     3. 
        *From a dose and infectiousness of virus, character of the organism immune answer
        
     4. 
        From duration of latent period
        
     5. 
        From duration of prejaundice period
        

685. 
     What dose of prednisone is appointed to the infants with unfavorable premorbid background in case of viral hepatitis A?
     
     1. 
        *2-3 mg/kg
        
     2. 
        4-5 mg/kg
        
     3. 
        5-10 mg/kg
        
     4. 
        0.5-1 mg/kg
        
     5. 
        1-2 mg/kg
        

686. 
     What is the duration of patient's dispensarization in case of severe hepatitis B?
     
     1. 
        6 months with examination and laboratory investigation in 7 days, 1, 3, 6 months
        
     2. 
        9 months with examination and laboratory investigation in1, 3, 6, 9 months
        
     3. 
        *12 months with examination and laboratory investigation in 1, 3, 6, 9, 12 months
        
     4. 
        2 years with examination and laboratory investigation in 1, 3, 6, 9, 12, 18, 24 months
        
     5. 
        3 years with examination and laboratory investigation in 1, 3, 6, 9, 12, 18, 24, 36 months
        

687. 
     What is the duration of severe hepatitis B base therapy?
     
     1. 
        10 days
        
     2. 
        14 days
        
     3. 
        21 day
        
     4. 
        *30 days
        
     5. 
        45 days
        

688. 
     What is the duration of the bed regime at moderate hepatitis B?
     
     1. 
        *1 week
        
     2. 
        2 weeks
        
     3. 
        3 weeks
        
     4. 
        4 weeks
        
     5. 
        6 weeks
        

689. 
     What features of acute dysentery are typical for infants?
     
     1. 
        Continuously relapsed course.
        
     2. 
        Absence of inflammation signs at sigmoscopy.
        
     3. 
        Watery stools.
        
     4. 
        Repeated vomits.
        
     5. 
        *Metheorysm and absence of tenesms.
        

690. 
     What from the pointed representatives of the E.coli usually cause the disease in infants?
     
     1. 
        E.coli, that belong to normal microbiocynosis of intestine
        
     2. 
        *enteropathogenic E.coli
        
     3. 
        enteroaggregative E.coli
        
     4. 
        enteroinvasive E.coli
        
     5. 
        enterohemolytic E.coli
        

691. 
     What hepatitis С typical consequences do you know?
     
     1. 
        liver fibrosis, chronic hepatitis
        
     2. 
        recovery with complete renewal of liver structure and function
        
     3. 
        damage of biliary system and liver
        
     4. 
        recovery with a defect (remaining fibrosis)
        
     5. 
        *Chronic hepatitis, liver cirrhosis, hepatocellular carcinoma
        

692. 
     What seasonality is typical for viral hepatitis A?
     
     1. 
        spring-summer
        
     2. 
        *summer-autumn
        
     3. 
        winter-spring
        
     4. 
        autumn-winter
        
     5. 
        seasonality is not typical
        

693. 
     What features are typical for the hepatitis B virus?
     
     1. 
        *DNA-containing virus from hepadnavirus family, 42-52 nm;
        
     2. 
        RNA-containing virus from enterovirus family, 27-30 nm;
        
     3. 
        Virus from flavivirus family, 22-60 nm;
        
     4. 
        virus 35-37 nm with small RNA and shell of the HB virus;
        
     5. 
        virus-like particle of spherical form, 27 nm.
        

694. 
     What specific method of diagnostics is needed to prove viral hepatitis A?
     
     1. 
        *presence of anti HAV ІgM and anti HAV IgG in the blood
        
     2. 
        Increase of aminotranspherase level
        
     3. 
        Increase of bilious pigments in the urine
        
     4. 
        Increase of tymol test
        
     5. 
        hyperbilirubinemia
        

695. 
     What treatment is appointed at the moderate form of viral hepatitis A?
     
     1. 
        Base therapy
        
     2. 
        *Base therapy, detoxication therapy
        
     3. 
        diet + enterosorption
        
     4. 
        glucocorticoids
        
     5. 
        hepatoprotectors
        

696. 
     What is the volume of desiccation therapy at the moderate form of viral hepatitis A?
     
     1. 
        *40-50 ml/kg per day
        
     2. 
        50-100 ml/kg per day
        
     3. 
        150-200 ml/kg per day
        
     4. 
        200-300 ml/kg per day
        
     5. 
        300-350 ml/kg per day
        

697. 
     What is the volume of detoxication therapy at the severe form of viral hepatitis A?
     
     1. 
        *50-100 ml/kg per day
        
     2. 
        150-200 ml/kg per day
        
     3. 
        200-300 ml/kg per day
        
     4. 
        All answers are correct
        
     5. 
        A right answer is not present
        

698. 
     When does it follow to give choleretics at hepatitis B, moderate degree?
     
     1. 
        From the 1st day of jaundice period
        
     2. 
        From the 2nd week of jaundice period
        
     3. 
        *From the 3rd week of jaundice period
        
     4. 
        From the 4th week of jaundice period
        
     5. 
        Does not need to give
        

699. 
     Which state is the most convenient to measure malnutrition in infant?
     
     1. 
        Trophic Index
        
     2. 
        Mass-growth coefficient
        
     3. 
        The thickness of skin folds at the navel level
        
     4. 
        *Lack of body weight (%)
        
     5. 
        The distribution of subcutaneous fat in body areas
        

700. 
     Who is the source of the hepatitis B infection?
     
     1. 
        patients with acute and chronic forms of disease
        
     2. 
        transmitters of superficial antigen
        
     3. 
        patients with acute and chronic forms, healthy transmitters of core antigen
        
     4. 
        *patients with acute and chronic forms, healthy transmitters of superficial antigen
        
     5. 
        patients with acute and chronic forms, healthy transmitters of infectiousness antigen
        

701. 
     Who is the source of the hepatitis С infection?
     
     1. 
        patients with acute and chronic forms of disease
        
     2. 
        transmitters of superficial antigen
        
     3. 
        *carriers, patients with acute and chronic forms
        
     4. 
        patients with acute and chronic forms, healthy transmitters of core antigen
        
     5. 
        patients with acute and chronic forms, healthy transmitters of infectiousness antigen
        

702. 
     With appearance of jaundice at patients with viral hepatitis A:
     
     1. 
        their condition worsened
        
     2. 
        *their condition becomes better
        
     3. 
        the sizes of liver diminish
        
     4. 
        the temperature of body rises
        
     5. 
        hemorrhagic rash appears
        

703. 
     Indicate age, when revaccination against tuberculosis is made:
     
     1. 
        1 year
        
     2. 
        2 years
        
     3. 
        *7 years
        
     4. 
        11 years
        
     5. 
        18 years
        

704. 
     Indicate age, when revaccination against tuberculosis is made:
     
     1. 
        1 year
        
     2. 
        2 years
        
     3. 
        6 years
        
     4. 
        11 years
        
     5. 
        *14 years