Indicate the daily dose of benzylpenicillin to the child of 9 months with meningococcal meningitis:
100 000 IU/kg
150 000 IU/kg
*300 000 IU/kg
500 000 IU/kg
600 000 IU/kg
Indicate the daily dose of benzylpenicillin to the child of 3 years with meningococcal meningitis:
100 000 IU/kg
*200 000 IU/kg
300 000 IU/kg
500 000 IU/kg
600 000 IU/kg
Indicate the daily dose of cefotaxim to the child of 2 years with meningococcal meningitis:
50 mg/kg
100 mg/kg
150 mg/kg
*200 mg/kg
250 mg/kg
Indicate the daily dose of ceftriaxon to the child of 5 years with meningococcal meningitis:
50 mg/kg
*100 mg/kg
150 mg/kg
200 mg/kg
250 mg/kg
Indicate the daily dose of chloramphenicol to the child of 2 years with meningococcal meningitis:
10 mg/kg
20 mg/kg
30 mg/kg
50 mg/kg
*100 mg/kg
Indicate the specific signs of respiratory-catarrhal form of enteroviral infection («summer flu»)
*Cold, dry cough, hyperemia of the face, pharynx, and conjunctivitis. Duration of disease is 1-3 days.
Cold, dry cough, conjunctivitis, expressed pallor of skin. Duration of disease is 1-3 days.
Febrile temperature, barking cough, hyperemia of pharynx, conjunctivitis. Duration of disease is 5-7 days.
Hyperthermia to 39-40 С, paroxysmal dry cough, hyperemia of the face, pharynx. Duration of disease is 6-10 days.
Cold, intensive moist cough, hyperemia of pharynx, otitis. Duration of disease is for 2 weeks
Indicate the typical features of enteroviral diarrhea.
*Absence of considerable intoxication, diarrhea is on the background of the catarrhal phenomena, positive epidemiology data
Intoxication, watery diarrhea with green admixtures on a background of subfebrile temperature
Presence of the catarrhal phenomena, emptying frequent, liquid, yellow with the admixtures of mucus
Absence of intoxication, diarrhea, stomach-aches, febrile temperature
The displays of intoxication are not considerable, emptying of green color, is accompanied by tenesms and severe stomach-aches
Indicate the way of polio-vaccine introduction at the third vaccination and next revaccinations.
*Through a mouth
Subcutaneously
Intracutaneously
Intramuscularly
Endonasaly
In which illness myositis could develop?
*Enteroviral infections.
Influenza.
Herpetic infection.
Salmonellosis.
Typhoid fever.
Lumbar puncture is indicated in case of:
Comma of 3rd degree
Collapse
*Presence of meningeal symptoms
Hyperthermia of unknown origin
Medical tactic at enteroviral infection is:
*The changes of diet are not needed. Gamma-globulin and RNA-element is specific treatment.
Diet. Only pathogenetic and symptomatic treatment.
Specific treatment is not present. Antibiotics and symptomatic treatment.
Diet. Purpose of antiviral and pathogenetic therapy.
A diet is not appointed. Antibiotics and dehydration treatment.
More frequent entrance gate (atrium) at Enteroviral infection is:
*Mucus membranes of the pharynx and intestine
Wound surface
Mucus membranes of the upper respiratory tracts and stomach
Mucus membranes of the intestine
Lymphatic and blood circulatory system
More frequent purulent meningitis occurs at:
*new-born
infants
1-3 years old children
elder children
out of dependence on age
Name the dose of sodium oxybutirati for treatment of convulsive syndrome:
40-60 mg/kg
50-70 mg/kg
*50-100 mg/kg
70-100 mg/kg
100-120 mg/kg
Name the evidence to abolish antibiotics at purulent meningitis:
*after decrease of pleocytosis to 50 cells
after complete liquor sanation
after normalization of temperature and acute phase indexes of blood
after disappearance of meningeal symptoms
after negative CSF culture
Name the incorrect assertion about the epidemiology of poliomyelitis:
*More likely older children are infected
The only source of infection is a sick person or a virus carrier
The virus is excreted from the nasopharyngeal or intestinal contents
In nasopharynx virus stay not more than 1-2 weeks
Virus secretion with faces may take several weeks
Pathogenesis of Meningococcemia:
*entering of Meningococcus with the flow of blood in different organs and tissues
entering of Meningococcus through lymphatic vessels in different organs and tissues
Penetration of Meningococcus in the mucus membrane of nasopharynx
Penetration of Meningococcus over the blood-brain barrier
Penetration of Meningococcus in the mucus membrane of respiratory tract
Patients by what form of Meningococcal infection are the most dangerous in the epidemiology relation?
*Meningococcal nasopharyngitis
Meningococcal carrying
Meningococcal meningitis
Meningococcemia
Meningococcal encephalitis
Prescribe an antibiotic to the child with meningococcal meningitis in case of his allergy on penicillin:
erythromycin
cefasolin
ampicillin
*chloramphenicol
gentamicin
Select a symptom that is not characteristic for decompensated infectious-toxic shock:
*Pale skin.
Acrocyanosis.
Venous stasis.
Violation of consciousness.
Bradycardia.
Select a symptom that is not characteristic for decompensated infectious-toxic shock:
*Excitation.
Acrocyanosis.
Total cyanosis.
Bradycardia.
Reduction of blood pressure.
Select a symptom that is not characteristic for decompensated infectious-toxic shock:
*Hyperthermia.
Acrocyanosis.
Total cyanosis.
Venous stasis.
Violation of consciousness.
Select a symptom that is not characteristic for decompensated infectious-toxic shock:
*Tachycardia
Venous stasis.
Violation of consciousness.
Bradycardia.
Reduction of blood pressure.
Select the most typical features of paralysis in poliomyelitis:
*Proximal.
Symmetrical
Hypertension of muscles.
Hyperrephlexia.
Violation of sensitivity.
The basic difference of encephalitis from the encephalitic reaction is:
Brief loss of consciousness
Brief clonic-tonic cramps
*Output without organic cerebral defect
Instable paralysis or paresis
Violation of consciousness
The children of what age most often have poliomyelitis?
*before 7 years
in the first months of life
in the first year of life
in school age
in 15-17 years
The damage of the motoneurons in the spinal form of acute poliomyelitis is characterized by all, except:
*Signs of muscle atrophy appear in the first days of illness
Acute paralysis, roughly, the period of their growth takes from several hours to 1-2 days
Paralysis develops asymmetrically
Characteristic pain (spontaneous pain in the extremities and back, the positive symptoms of tension)
Sensory disturbances, pelvic disorders, pyramidal signs are absent
The differential diagnosis of polio acute paralytic form must be done with the following diseases except:
*Rabies
Encephalitis
Infection polyradiculoneuritis
Myopathy
Myelitis
The enterovirus genus includes various representatives, except:
*Hepatitis E Virus
Poliomyelitis
Coxsackie viruses group A and B
The ECHO viruses
Hepatitis A Virus
What is the entrance gate (atrium) for poliomyelitis virus?
*Through a mouth
Through the mucus surfaces of eyes
Through a wound surface
Through mother's milk
Through placenta
The most frequent form of encephalitic reaction in children of early age is:
*Cramps
Delirium
Violation of consciousness
Violation of CSF dynamics
Sopor
The most frequent form of encephalitic reaction in children of senior age is:
Cramps
*Delirium
Violation of consciousness
Violation of CSF dynamics
Sopor
The source of infection at Enteroviral infection is:
*Sick man or virus carrier
Rodents
Flies and mosquitoes
Food
Articles of care
The source of Meningococcal infection is:
*Sick man and healthy transmitter
Sick people and animals
Sick people
Healthy transmitters of infection
Sick animals
Name the way of agent transmission at Meningococcal infection.
*Air-droplet
orally-fecal
Contact-domestic
Water and domestic
transmissive
What agent most often causes meningitis at the children of early age?
*meningococcus
pneumococcus
Haemophilus influenza
Staphylococcus
Streptococcus
What antibiotic is applied in case of infectious-toxic shock in Meningococcal meningitis?
*chloramphenicol
ampicillini thryhidratis
benzylpenicillin
ciprofloxacin
cefotaxim
What antibiotic must be applied on the prehospital stage of Meningococcal meningitis treatment without the infectious-toxic shock?
*chloramphenicol
ampicillini thryhidratis
rifampicin
ciprofloxacin
benzylpenicillin
What anticonvulsive preparation has the most suppressive action on the respiratory center?
seduxen
*sodium oxybutirati
hexenal
droperydol
magnesium sulfate
What are the most typical places of rash localization at meningococcemia?
*Legs.
Face.
Neck.
Chest.
Hands.
What are the most typical places of rash localization at meningococcemia?
*Buttocks.
Face.
Head.
Chest.
Hands.
What are the symptoms of compensated infectious-toxic shock?
*Pale skin.
Oliguria.
Hypothermia.
Loss of consciousness.
Reduction of blood pressure.
What are the symptoms of compensated infectious-toxic shock?
*Hyperthermia.
Oliguria.
Hypothermia.
Loss of consciousness.
Reduction of blood pressure.
What are the symptoms of compensated infectious-toxic shock?
*Tachycardia.
Oliguria.
Hypothermia.
Loss of consciousness.
Reduction of blood pressure.
What are the symptoms of compensated infectious-toxic shock:
*Excitation.
Oliguria.
Hypothermia.
Unconsciousness.
Reduction of blood pressure.
What are the typical clinical signs of Enteroviral infection?
*Hyperemia the face and neck, sometimes with appearance of the maculo-papulous rashes
Sings of conjunctivitis and rhinitis
Presence of papulous rashes and itch
Hectic temperature and signs of intoxication
Meningeal signs
What clinical signs are not typical for ependymatitis?
Increasing disorders of consciousness
Violation of muscular tone by the type of decerebration rigidity
Tonic cramps
Marasmus, that progresses
*stabile hyperthermia
What complication is characteristic for staphylococcal meningitis?
Damage of auditory nerve
Neuritis of facial nerve
*Abscess of brain
Hydrocephalus
Paresis of soft palate
What complication is the most characteristic for meningococcal meningitis?
Damage of auditory nerve
Neuritis of facial nerve
Abscess of brain
*Hydrocephalus
Paresis of soft palate
What does not belong to criteria of the vaccine associated paralytic polio?
*Vaccine associated paralytic polio (after oral vaccine) is most often associated with type I polio virus
The onset of illness later than 4th and no later than 30th day after receiving the vaccine. To contacts with vaccinated this period is extended to 60-day.
Development of flaccid paresis and paralysis without violating sensitivity with persistent (after 2 months) residual effects
Lack of the disease progression
Isolation of vaccine strain polio virus and a 4-fold increase of type-specific antibodies
What does the decrease of sugar in CSF in case of meningococcal meningitis point on?
The etiology of disease
Presence of bacteria in a blood
*Protracted course of disease
Development of ventriculitis
Presence of complications
What dose of penicillin is used in meningococcemia treatment in children?
*300 thousand units / kg
50 thousand units / kg
100 thousand units / kg
1 million IU / kg
200 thousand units / kg
What dose of penicillin is used in meningococcemia treatment in children?
*400 thousand units / kg
150 thousand units / kg
100 thousand units / kg
600 thousand units / kg
200 thousand units / kg
What dose of prednisolone is entered at Meningococcemia without the sings of infectious-toxic shock?
*5 mg/kg
10 mg/kg
15 mg/ kg
20 mg/kg
25 mg/kg
What dose of prednisolone is entered at Meningococcemia with the sings of infectious-toxic shock?
*10 - 20 mg/kg
5 - 10 mg/kg
15 - 20 mg/kg
20 - 25 mg/kg
2 - 5 mg/kg
What epidemiology information confirm the diagnosis of enteroviral infection
*Presence of group diseases or flashes, the sick children have herpangina, myalgia, and meningitis
Presence of group diseases, the sick children have diarrhea, fever, meningitis
Presence of flashes, the sick children have herpangina, carditis, and diarrhea
Presence of group diseases or flashes, the sick children have severe toxic syndrome, meningitis
Presence of periodic flashes, the sick children have herpangina, arthritis, and diarrhea
What from enumerated is not characteristically for purulent meningitis at infants?
Cramps
Repeated vomit
*Expressed meningeal symptoms
Hyperesthesia
Bulging of large fontanel
What from enumerated is not characteristically for subdural effusion?
Hectic temperature
Location behind the large fontanel
Symptoms of intracranial hypertension
*Worsening of CSF indexes
All enumerated is incorrect
What from this indicates on the «central» origin of vomiting?
*Vomits without nausea
Vomits, that repeats oneself
Vomits which brings facilitation
Vomits on a background of a high temperature
Vomits, that is accompanied by head ache
What from this is correct?
*Enterovirus damage muscles, heart, mucus membrane of intestine and nervous system
Enterovirus damage lungs, heart, mucus membrane of intestine and liver
Enterovirus damage muscles, heart, mucus membrane of intestine and nervous system
Enterovirus damage lungs, heart, mucus membrane of intestine and liver
Enterovirus damage muscles, heart, bone fabric and lights
What from vegetative violations is not typical for tubercular meningitis?
Increased sweating
The Trousseau’s spots
Stable red dermographism
*White dermographism
Changes of cardiac rhythm
What does include prophylactic orthopedic regime for a patient with poliomyelitis?
*bed regime, thermal procedures, dosed massage of the damaged muscles
bed regime, physical therapy procedures, massage of the damaged muscles
half bed regime, electro- and thermal procedures, massage of the damaged muscles
half bed regime, electro- and thermal procedures, medical physical education
half bed regime, physical therapy procedures, medical physical education
What is the characteristic pose of children who has poliomyelitis?