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Acute and chronic respiratory diseases
1.Pregnant women often sick: + Аcute rhinitis, laryngitis, tracheitis Acute sinusitis, pharyngitis Acute bronchitis, pneumonia Acute tonsillitis Acute rhinitis, tonsillitis, pharyngitis
2.How often have upper respiratory tract ill pregnant and non-pregnant women: +Pregnant women suffer more The frequency of the disease is the same Pregnant on sick less often As a rule, pregnant women do not suffer from these diseases In pregnant dramatically increases the incidence
3.What disease is often found among pregnant women and is dangerous to the fetus +Flu Virus Cytomegalovirus infection Herpes simplex virus Bacterial infection Extra-genital chlamydia
4.If a woman is in labor and ill with acute influenza virus, what is its danger: There is not danger both mother and fetus High risk of fetal asphyxia + High risk of septic complications High risk of bleeding in the early postpartum period High risk of late postpartum hemorrhage
5.If a pregnant woman is ill flu during the first trimester of pregnancy, there is: +High risk of birth defects There is not risk the fetus High risk of down syndrome in the fetus High risk of preterm delivery in the second trimester of pregnancy High risk of premature detachment of placenta in the ii &iii trimester of pregnancy
6.Where are pregnant should be treated with uncomplicated flu: + At home In the day hospital In the infectious diseases hospital In the medical ward General Hospital In a maternity hospital
7.The pregnant lives in Almaty. She is complaining of headaches, increased body temperature during the day, chills, severe weakness, shortness of breath, muscle pain, nausea. One time there was vomit. After the examination there was diagnosis: 15-16 weeks of pregnancy. Flu. Suspected myocarditis? Where this patient should be treated: At home In the day hospital +In the infectious diseases hospital In the City General Hospital In a maternity hospital
8.The prevention of influenza and other viral respiratory infections in the Republic of Kazakhstan are regulated by Order of the Ministry of Health of the Republic of Kazakhstan №: +722
9.Note the wrong answer. The flu virus: Suppresses the immune response, incidence of flu increases Leads the aggravation of chronic diseases (if any) Leads pneumonia, otitis (sometimes turning in meningitis) Leads the defeat of the cardiovascular and central nervous system +Leads the defeat of vision including blindness
10.Where is a person vaccinated against influenza (The order MH RK № 722 of 15.09.2010): In any private medical facility In any public health facility In the establishment of an infectious + In specialized centers (grafting surgeries) for vaccination Any medical or sanatorium institutions
11.Below is a list of the main anti-influenza drugs (The order MH RK № 722 of 15.09.2010). Note the extra point: Of Antivirals Antipyretics Immunomodulatory agents Vitamins and Minerals +Drugs for the prevention of heart failure
12.At what stage of pregnancy women cannot be vaccinated against the flu: At any stage of pregnancy In the second trimester In the third trimester +In the first trimester In the eighth month of pregnancy
13.When you need immunize the population, including pregnant women, against flu (order MH RK number 722 of 15.09.2010): From September 15 to November 15 From September 1 to December 1 +From October 1 to November 15 From October 1 to December 1 From October 15 to November 30
14.Why does the pregnant women ill primary bronchitis and aggravation to chronic bronchitis (what is the mechanism) Diaphragm movement during pregnancy is limited During pregnancy there is an edema Placental lactogen increase +The bronchial mucosa swells, the movement of the diaphragm is limited During pregnancy the immune system is reduced
15.The patient with chronic obstructive bronchitis is diagnosed 6-7 weeks of pregnancy. What is the doctor's tactic: Pregnancy must be terminated It is necessary treating with antibiotics +Pregnancy should be terminated if there is evidence of pulmonary heart disease Pregnancy should be terminated if the patient has more children Pregnancy should be terminated if the patient is unable to give up smoking
16.The patient was hospitalized with a diagnosis: Pregnancy of 10 weeks. Acute bronchitis. Which antibiotic (according to the evidence-based medicine) must you assign to the patient: Ceftiraxon Ofloxacin + Ampicillin Erythromycin Tetracycline
17.Pregnant suffers from chronic bronchitis. What will happen to the fetus: Congenital heart disease +Fetal growth retardation Prenatal sepsis Malformation of the lung Neural tube defects
18.Classification of pneumonia is based on the condition of the disease and the immunological status of the patient. From the list, select the UNNECESSARY: Community-acquired pneumonia (synonyms: home, outpatient) Nosocomial pneumonia (synonyms: hospital, in-hospital) +Unspecified pneumonia Aspiration pneumonia Pneumonia in patients with severe immune deficiencies
18.Emergency doctor has diagnosed: Pregnancy 34-35 weeks. Community-acquired pneumonia. The patient has symptoms: Tachypnea - 30 per minute. The lungs have decreased breath sounds in the lower parts of both sides; there is single, moist and finely crepitations. BP - 90 \ 55 mm Hg, pulse 96 beats\ min. Subdued heart sounds and tachycardia. In which department the patient should be hospitalized: Department of Pathology pregnant maternity The emergency and intensive department of maternity hospital Therapeutic department of General Hospital Department of Intensive Care General Hospital Department of Intensive Care Infectious Diseases Hospital
19.After the X-ray light the patient was diagnosed: 33-34 weeks of pregnancy. Community-acquired pneumonia. In order MH RK № 869 02.12.2011 is a list of key diagnostic procedures for the diagnosis of pneumonia. One of the following researches is an additional: + Сoagulogram Smear microscopy of sputum Gram-stained Cultures of sputum Biochemical analysis of blood General blood analysis
20.It is well known that pregnancy significantly increases the risk of death from varicella pneumonia. Mortality rate of 11-35%. What amount of vesicles is dangerous for the development of varicella pneumonia (Order of the Ministry of Health of the Republic of Kazakhstan № 869 dated 02.12.2011) More than 30 vesicles +More than 40 vesicles More than 60 vesicles More than 90 vesicles More than 100 vesicles
21.What time since the beginning of varicella pneumonia in pregnancy can be detected immunoglobulin M to the virus Varicella zoster (The order MH RK number 869 dated 02.12.2011) week 2 weeks 4 weeks 5 weeks +3 weeks
Newborns will have a generalized form of chicken pox, if vesicles on the skin of the mother appear in the pregnancy \ labor: A week before giving birth - immediately after birth 2 weeks before giving birth - a week after giving birth For 4-5 days before the birth - 2 days after giving birth During the 21 days prior to delivery - 21 days after birth A week before childbirth - a week after giving birth
22.Treatment varicella pneumonia in pregnancy is: Intravenous injection Acyclovir at a dose 5 mg / kg after 8 hours +Acyclovir per os 200mg 5 times a day Oseltamivir per os 75 mg twice daily Rimantadine per os according to scheme Rovamycine per os 3 ml 2 IU twice daily
23.There is а list of general principles of treatment of pneumonia in pregnancy (Order of the Ministry of Health of the Republic of Kazakhstan № 869 dated 02.12.2011). Find the extra point: Monitoring in a hospital Monitoring of blood gases: Pa2> 60-70 mm Hg, at the lowest possible level of FiO2 Monitoring of the fetus Limit the exposure tradiation and medicine +Blood pressure control
24.Antibiotic therapy of pneumonia in pregnancy associates with the possible embryotoxic effects. One of the following antibiotics little crosses the placenta: +Anti-tuberculosis agents Cephalosporins Ftorchynolons Macrolides Aminoglycosides
25.What medicine is used for treatment not-heavy bacterial pneumonia (purulent sputum, chest pain) in the I trimester of pregnancy (order MH PK number 869): Penicillins Macrolides (rovamitsin) Glycopeptides (Vancocin) Carbapenem (merapenem) +Cephalosporins
26.If a pregnant woman has an atypical bacterial pneumonia (non-productive cough, symptoms of intoxication, shortness of breath), we have tassign a cure (Order of the Ministry of Health of the Republic of Kazakhstan № 869): Macrolides (rovamitsin) Glycopeptides (Vancocin) Penicillins + Carbapenem (merapenem) Cephalosporins
27.If a pregnant woman has an atypical bacterial pneumonia (non-productive cough, symptoms of intoxication, shortness of breath), the prescription will have been (Order of the Ministry of Health of the Republic of Kazakhstan № 869): +Macrolides (Rovamicin) Glycopeptides (Vancocin) Penicillins Cephalosporins Carbapenem (Merapenem)
28.When should be the vaccination for the prevention of chickenpox women without immunity carried out: +In II and III trimester of pregnancy 3 weeks before childbirth In the II trimester of pregnancy In the I trimester of pregnancy For 1-3 months before pregnancy
29.When do you have to start antibiotic therapy if a pregnant woman has clinical symptoms of viral pneumonia (Order of the Ministry of Health of the Republic of Kazakhstan № 869 dated 02.12.2011) At the time of admission Not later than the first 4 hours after hospitalization The first 12 hours of the receipt The first day of receipt If the bacterial etiology of pneumonia is proven
30.The patient is diagnosed with influenza A. She has the following symptoms: body temperature within 38,10-40 ° C, the symptoms of intoxication. Pulse 90-120 beats / min. Systolic blood pressure less than 110 mmHg. Respiratory rate is 24\min. Dry painful cough with pain behind the breastbone. What form of the clinical course is described: Asymptomatic Mild Moderate Extremely hard form (hypertoxic) +Heavy
31.What form of influenza is characterized by the following symptoms: fever up t38 ° C, moderate headache and catarrhal conditions. Pulse less than 90 beats / min. Systolic blood pressure of 115-120 mm Hg. Respiratory rate is less than 24 in min. Extremely hard form (hypertoxic) +Heavy Mild Asymptomatic Moderate
32.The patient was taken to the hospital with a pregnancy of 28-29 weeks. She’s symptoms are: body temperature 40,5 ° C, intoxication symptoms - severe headache, general aches, insomnia, delirium, anorexia, meningeal symptoms. Pulse over 120 beats / min, sometimes is arrythmic. Systolic blood pressure less than 90 mmHg. Heart sounds muffles. Respiratory rate is over 28\ min. Painful, painful cough, chest pain. Diagnosis: Pregnancy 28-29 weeks. Flu. Complete ... diagnosis: Extremely hard form (hypertoxic) Heavy +Moderate form Mild form Asymptomatic form
33.The patient in 2nd days after delivery was produced fluoroscopy. Pulmonary tuberculosis was suspected. The tactics of the doctor: Make an overview of chest radiography +Consultation of phthisiatrician Perform 3 times smear microscopy of sputum for MT Conduct a non-specific antibiotic therapy for 2 weeks Conduct microbiological testing of sputum for MT
34.If the mother has TB, the fetus has: Growth retardation +Increased risk of birth defects Usually a child is born tb patients The risk of down syndrome Increased risk of genetic diseases
35.The typical symptom of tuberculosis in pregnancy is: A woman stops gaining weight or losing weight +The clinic does not differ from non-pregnant women suffering Pleural effusion develops quickly The disease begins with hemoptysis fetal death
Особенности острых и хронических заболеваний мочевой системы у беременных. Осложнения беременности и послеродового периода. Алгоритм диагностики, лечение, профилактика. Значение скрытой бактериурии во время беременности.
36.Renal blood flow and glomerular filtration during pregnancy increase on: +10-15% 15-20% 20-30% 35-40% 40-50%
37.The cause of proteinuria and cylindruria in physiological pregnancy is: Kidney glomerular filtration reduces +Renal tubular reabsorption increases Permeability of the renal epithelium increases Reabsorption of sodium and water increases Kidney glomerular filtration increases
38.The most common causative agents of pyelonephritis in pregnancy are (Савельева Г.М. и соавторы, 2006): Coliform organisms Candida species Microbial association +Anaerobes The simplest (trichomonas)
39.Pyelonephritis often occurs in 12-15 weeks and 23-28 weeks. The reason is: Formation and the maximum development of the placenta Compression of the ureter by growing uterus + Maximum release of corticosteroids Changes the ecosystem of the vagina A gradual rise in blood pressure
40.The peculiarity of pyelonephritis in the I trimester of pregnancy is: +Worn clinical Acute course of the disease Lack of temperature response of pregnant women Lack pielourii Always have hematuria
41.The peculiarity of pyelonephritis in the II and III trimester of pregnancy is: During Acute +The lack of temperature Worn clinical Often complicated anuriey Often accompanied by hematuria
42.Which antibiotics should be prescribed for the treatment of gestational pyelonephritis in the I trimester of pregnancy: +Group penicillins Cephalosporins Nitrofurans Macrolides The aminoglycosides
43.At what stage of pregnancy can be cephalosporins, aminoglycosides, macrolides, nitrofurans, 8-hydroxyquinoline derivatives administered for treatment pyelonephritis: From 13 weeks From 15 weeks +From 24 weeks From 28 weeks From 36 weeks
44.Which antibiotic should be in the postpartum period administered cautiously, because its concentration in breast milk is very high: +Ampicillin 2nd generation cephalosporins 5th generation cephalosporins The aminoglycosides Erythromycin
45.The differential diagnosis of chronic pyelonephritis should be the following complication of pregnancy carried out with: Premature detachment of placenta +Preeclampsia Pregnancy-induced hypertension The risk of preterm birth Proteinuria in physiological pregnancy
46.If a pregnant woman has a latent (asymptomatic) bacteriuria, in 1ml. of urine has been detected: 100 000 or more bacteria 10,000 or more bacteria 50,000 or more bacteria Not less than 90,000 bacteria +Not less than 70,000 bacteria
47.The antibiotic therapy is prescribed for pregnant patients with asymptomatic bacteriuria, because it…: Does not impact on the incidence of pyelonephritis + Reduces frequency of pyelonephritis Has a toxic effect Leads to allergies Leads to the development of pyelonephritis
48.Asymptomatic bacteriuria increases the risk (Order of the Ministry of Health of the Republic of Kazakhstan № 239 dated 07.04.2010) +Premature birth, birth low weight infants, acute pyelonephritis Horionamnionit, acute glomerulonephritis, pyelonephritis High water, low water, premature birth Pre-eclampsia, premature detachment of placenta Acute polyhydramnios, premature labor, fetal distress
49.All pregnant women should be screened urine (seeding midstream urine) for asymptomatic bacteriuria (Order MH RK number 239 of 07/04/2010): 1 time when registering During the registration and gestational age of 30-32 weeks 3 times: when registering in the 30-32 weeks of pregnancy, a week before the birth 1 time in 37 weeks gestation or later 1 every 23-28 weeks of gestation
50.For the treatment of asymptomatic bacteriuria can be used (Order MH RK number 239 of 07/04/2010): Erythromycin or other macrolides Penicillin The aminoglycosides Ampicillin, Cephalosporins 1st generation Sulfonamides
51.The duration of antibiotic therapy for asymptomatic bacteriuria in pregnancy (Order of the Ministry of Health of the Republic of Kazakhstan № 239 dated 07.04.2010) is: +4-day course 7-day course single dose 3-days course 5-day course
52.Pyelonephritis can cause severe obstetric complications. This list does not include: Pre-eclampsia Placental insufficiency Septicemia and pyosepticemia Toxic shock Hemorrhagic insult
53.Which of instrumental studies has adverse effects on the fetus: Renal ultrasound +Doppler sonography of renal vessels Ureteral catheterization Cystoscopy Renal scintigraphy
54.The etiology of glomerulonephritis is: Escherichia coli Staphylococcus Proteus Hemolytic Streptococcus +Association of microbes
55.Glomerulonephritis often occurs after: +Angina, flu Pharyngitis, acute respiratory Acute cystitis Is a complication of pyelonephritis Inflammatory diseases of the pelvic organs
56.The most probable complication of pregnancy in glomerulonephritis is: Wasting, fetal hypoxia Fetal death The early development of pre-eclampsia +The development of cardio-renal failure Bleeding during pregnancy
57.Treatment of acute glomerulonephritis begins with: +Corticosteroids Antibiotics Antihistamine drugs Immunomodulator Antispasmodics
58.If the patient is ill with glomerulonephritis, pregnancy will be possibled after: Year 2-3 years 3-5 years 6-7 years 8-9 years
Герпетическая генитальная инфекция. Цитомегаловирусная инфекция. Алгоритм диагностики, тактика ведения беременных.
Герпес 59.The herpes simplex virus can infect women’s’: +Vagina, vulva, urethra, cervix, rectum Vagina, cervix, rectum, vulva Vulva, urethra, rectum Vulva, cervix, urethra Rectum, vulva, vagina
60.The disease is caused by the herpes simplex virus, often occurs : +Acutely Subacute Asymptomatic In a chronic form As a recurrent infection in vulva
61.The risk of neonatal herpes in the world today is: +Low Insignificant High Very high No risk
62.An important role in a viremia with herpes belongs (А.Ф. Пухнер, В.И. Козлова, 2010): Red blood cells and white blood cells Lymphocytes and leucocytes +Platelets and leucocytes Monocytes and neutrophils Eozinofilly
63.The role of red blood cells in chronic herpes infection is (А.Ф. Пухнер, В.И. Козлова, 2010): They are a temporary carrier of the virus In the red blood cells the virus replicates They inactivate the virus +Provides constant of virus The virus prolongs the life of red blood cells
64.The role of leucocytes in chronic herpes infection is: +They fix, but do not inactivate the herpes virus They inactivate herpes virus They lyse the herpes virus They phagocytose virus and reproduce them They rapidly are destroyed by virus
65. How the smear does look like in herpetic infection: Are identified the mast cells Are identified the "key cells" Are identified the "naked" nucleus +Are identified the small cells with altered nuclei Are revealed giant cells with intranuclear inclusions
66. The "Gold standard" for diagnosis of herpes virus is: + Virus isolation in cell culture Infection of chick embryo PCR ELISA Cytological research of smear
67.Herpes simplex virus type II infects: Mucosae of the urogenital tract Mucosa of the gastrointestinal tract The eyes Bronchial mucosa +Vascular endothelium
68.Herpes simplex virus type II are often transferred by: +Air - borne Sexual transmission The contact (through kissing, toys, household items) The vertical path (of organs located below the upper) Postnatally (after labor)
69.Herpes simplex virus type I most often affects: +Vascular endothelium Mucosa of the gastrointestinal tract Skin and eye mucosa, lips, nose, Bronchial mucosa Mucosae of the urogenital tract
70.The incubation period of herpes simplex virus is the average: 2-3 days +2-14 days 14-21 days 14-30 days From 1 t3 months
71.Herpes simplex virus type II can be isolated from patient ‘s: content of vesicles, vaginal secretions, semen contents of vesicles, saliva +tears, saliva bronchial washings, the contents of the vesicles. saliva contents of vesicles
72.The prevalence of carriers of the herpes virus in Kazakhstan: High + Very High Low Very low Average
73.Is it necessary to examine a pregnant for the presence of herpes virus: +No, because the results do not affect the tactics of Requires pregnant while taking on record Requires up to 2 weeks before giving birth Requires the third trimester of pregnancy Required if a pregnant woman appeared clinical manifestations of infection
74.In which cases is there high risk neonatal herpes infection: The primary infection of the mother before delivery (up to 2 weeks before delivery) +Recurrent infection during pregnancy The carrier of the herpes virus The primary infection of the future father of the baby, when the mother is pregnant The primary infection of the mother at any stage of pregnancy
75.When does during herpes infection raise the question of operative delivery (because the risk of infection a child is 30-50 %) (order of Ministry of Health of the Republic of Kazakhstan № 239 of 07.04.10.): +The primary infection of the mother at any stage of the pregnancy The primary infection of the mother in 2 weeks before labor The primary infection of the mother in 3d trimester of the pregnancy The primary infection of the mother in 3d trimester of the pregnancy Recurrence of the disease in any stage of the pregnancy
76.What medicine is used to treat severe forms of herpes in the pregnancy: +Licorice (Glycyrrhiza glabra) Garlic Acyclovir Olive Leaf Extract Ehinoceya
77.One month old baby has the body temperature 40, the sharp pain in the mouth, salivation, mucous of gums and cheeks hyperemized, bubble elements. Your diagnosis is: Thrush +Stomatitis Herpes infection of the mucous Enterovirus infection Stevens-Jones’s syndrome
CMV infection
78.At postnatal CMV infection the incubation period is: From 3 to 8 weeks From 1 to 2 weeks +From 2 to 3 weeks From 1 month. up to 3 months From 3 months. up to 5 months
79.What is the percentage of the population infected with CMVI each year: 1-2% 5-6% +3-4% 8-9% 10-11%
80.Which week of the life of newborn babies of women suspected to CMV is the virus determined in urine, saliva or secretions from the throat: +1-2 nd week of life 3 weeks of life 1 weeks of life 2 weeks of life 4 weeks of life
81.What methods of CMV infection threaten to the life and health of the child: + Prenatal Intrapartum (if the mother endocervicitis) Failure of personal hygiene compliance of an infected mother (hand washing after using lavatory) By saliva (by kissing of an infected adult) Through breastfeeding
82.What group of viruses does cytomegalovirus (CMV) refer to: +Retroviruses Herpes viruses Rhabdovirus Baculovirus Paramyxovirus
83.The most informative material for the verification of CMVI in a patient is: +Urine Blood Saliva Sputum, swabs from the throat Scrapes and discharge from the genital tract
84. 7 days-old child. Cytomegalovirus infection (CMVI) was diagnosed on the basis of clinical and laboratory data. Parents have been examined. A similar infection was revealed in the mother. Child is infected: During the labor +Immediately after birth During the gestation (in utero) During the first breastfeeding In the first days after birth
85.What congenital disease of the fetus is often caused by CMVI (Ailamazyan, 2007) Disorder of a central nervous system Vision Impairment +Hearing Hip dysplasia Gonadal dysgenesis in girls and boys
86.What is Cytotect, which is used for the treatment of cytomegalovirus infection in the newborn: Antibiotic Antiviral drug + Immunoglobulin Non-steroidal anti-inflammatory drug Antifungals
87.Indications for termination of pregnancy in the early period of cytomegalovirus infection: + Primary CMVI in pregnant Connection of other viral infections Media CMVI The long history of the disease Immunosuppressive condition of the pregnant
88.The source of the infection of cytomegalovirus infection can be: Infected with HIV (human) A sick man during acute phase of illness +The patient with lathen form of CMVI A sick pet Pet - a virus carrier
89.What is the course of CMVI during primary infection of humans with immunosuppression:
90.With what disease there is no need to carry out differential diagnostics of CMVI: +Listeria Chickenpox Toxoplasmosis Herpes infection Infectious mononucleosis
91.What complication of childbirth is most common in women with cytomegalovirus infection: Metroendometritis Mastitis Sepsis Diffuse purulent peritonitis Parametritis
92.Please rate the result of ELISA for TORCH-infection (toxoplasmosisrubella cytomegalovirusherpes) Jg G-, JgM : Acute infection The early phase of acute infection Acute exacerbation of chronic infection or The state of immunity The lack of immunity
93.Please rate the result of ELISA for TORSN infection (toxoplasmosisrubella cytomegalovirusherpes) Jg G, JgM -:
Generalised acute infection
94.The signs, allowing to suspect a congenital CMV infection, are: Abnormalities in the baby's condition at birth Combinations of neurological symptoms with hepatosplenomegaly and protracted pneumonia +The wave protracted illness The presence of atypical in peripheral blood mononuclear cells The combination of all symptoms
ONCOGENIC INFECTION. HIV.
95.The maximum incidence of genital HPV infection (human papilloma virus) is noted in the age group: From 18 to 28 years From 21 to 30 years From 25 to 35 years +From 30 to 45 years After 45 years
HIV \ AIDS
96.In HIV-infected women are the most dangerous complication of pregnancy is:
97.The first sign of HIV infection of the child is:
98. Appointment of antiviral drugs to pregnant women reduce the risk of fetal infection up to: 1-2% 10-50% +20-30% 80% 5-10%
99.HIV infection is an indication for cesarean delivery in the following case: She did not receive antiviral treatment during pregnancy 1. In any case When extragenital pathology in mothers In acute viral infection in razhenitsy +Has received antiviral prparaty during pregnancy
100.What is the percent of incidence of AIDS at HIV infected child till 5 years +In 50% of cases In 60% of cases In 70% of cases In 80% of cases In 90% of cases
101.Maternal antibodies to HIV disappear in the child (positive results are negative) +By 6-12 months By 12, sometimes by 15 months By 6 months By 18 months By 24 months
The newborn is infected with HIV in utero. Which symptoms characterize the disease: Hypotrophy hepatomegaly and splenomegaly Neurological disorders +Recurrent infections HIV is characterized by all the symptoms
What disease is a manifestation of Kaposi's sarcoma: Dermatitis Candidiasis + AIDS Malignant tumor Pyoderma
106/Select the aetiology of pneumonia, the most typical for HIV - infection: Staphylococcal + Pneumocystis Pneumococcal Viral Candida
Methods of transmission of HIV infection: Transfusion Sexual transplacental (from mother tfetus) Intrapartum + All transmission characteristic of HIV infection
What incubatory period is observed at AIDS:
Risk factors for HIV transmission from mother to child during childbirth does not apply: Low maternal viral load High maternal viral load Sexually transmitted infections + Malnutrition of the pregnant Invasive diagnostic manipulations
110Risk factors for HIV transmission from mother to child during childbirth does not include:
HIV can not be transmitted from mother to child: During pregnancy During labor During breastfeeding + At the care of the newborn During the cesarean
What is the antiretroviral prophylaxis: A long course of anti-retroviral drugs A short course of antiretroviral drugs Directed to the treatment of HIV / AIDS mother Prevention the transmission’s risk of HIV from mother to child + Prescription of antiviral drugs during pregnancy, labor and to the newborn immediately after birth
Chlamydiosis, ureaplasmosis
113During pregnancy, the treatment of urogenital chlamydiosis now is preferably carried out by: Erythromycin + Azithromycin Clarithromycin Amoxicillin Clindamycin
The medicine of choice in the presence of atypical pathogens (mycoplasma, chlamydia) is: Erythromycin +Metronidazole Gentamicin Carbenicillin Cefuroxime
Mainly sexual way of transmission is typical: For Chlamydia For the herpes simplex virus For Trichomonas + For chlamydia and trichomonas For the herpes simplex virus and Trichomonas
What complications happen during pregnancy and labor during chlamydial infection: Spontaneous abortions Premature discharge of amniotic fluid Premature birth The birth of children with low birth weight + All complications
117 A newborn baby admitted to the hospital with suspicion on intrauterine chlamydia. What research needs to be done to him: Throat swab to determine chlamydia + Blood for chlamydial antibodies of classes M and G Bacterial stool cultures Blood cultures for chlamydia A study of cerebrospinal liquor
Chlamydial conjunctivitis is diagnosed in the newborn. What groups of lymph nodes are enlarged: Generalized lymphadenopathy The increase in anterior cervical lymph nodes The increase in occipital lymph nodes + The increase in parotid lymph nodes The increase in posterior cervical lymph nodes
Child was born by a woman which is sick with urogenital chlamydiosis. To prevent the development of chlamydiosis he needs: Emergency vaccination of newborn with antichlamydial vaccine Preventive gentamicin therapy + Treatment of the mother, hygiene compliance Prescription to the child Cycloferonum Any preventive action shouldn't be carried out
120What are the clinical features of genital chlamydiosis: The tendency to chronic and recurrent course The primary lesion of the fallopian tubes and cervix The high frequency of reproductive disorders Resistance to antibiotics + For genital chlamydia all the features are typical
121 Mycoplasma is: + Bacteria Viruses Mushrooms Protozoydy Occupies an intermediate position between bacteria, viruses and fungi
122Newborns mycoplasmosis is manifested in the form of: Omphalitis Streptoderma Congenital vesicle Infectious erythema + Pneumonia
123On radiographs of newborn suffering from mycoplasmosis, specific symptom is: Double-sided interior lobar pneumonia Double-sided interior lobar pneumonia + Double-sided shallow focal, sometimes confluent pneumonia pleuropneumonia Pleurisy
124Select a drug for the treatment of mycoplasmosis of the newborn from the following list: Cephalosporins Tetracycline + Erythromycin Antifungal preparations Ampicillin
125What pathology develops at a congenital rubella: + Eye Defects Neural Tube Defects Urinary tract defects Defects of the skeletal system Defects liver
Select a drug for the treatment of congenital rubella: Cephalosporins Erythromycin Antifungal preparations Tetracycline + Nonspecific treatment
When it is necessary to do monitoring after treatment of urogenital mycoplasmosis and ureaplasmosis: After 1 month After 2 months + After 3 months After 4 months After 5 months
The causative agent of a mycoplasma infection is: +Fungi Bacteria Viruses The simplest Protozoid
129The causative agent of Mycoplasma infection does not sensitive to: Tetracycline Erythromycin + Penicillins Ampicillin Ceftriaxone
Clinical form of mycoplasma infection is: Acute Respiratory Diseases Acute pneumonia Abacterial urethritis Meningitis form + There are all forms
What symptom is accompanied by mycoplasma pneumonia: Increase of liver Splenic enlargement Enlargement of the lymph nodes in the neck Abdominal pain, nausea, vomiting in the initial period + There are all symptoms
What symptom isn't typical for a respiratory mycoplasma: Obsessive unproductive cough Moderate intoxication lymphadenopathy Prolonged high fever The lengthy manifestation of bronchial obstruction
VIRAL HEPATITIS
Pregnant women get sick with hepatitis "A" in comparison non-pregnant: Much more often Much less often Significantly sharply Leads death + Does not differ
134 Maternal mortality in viral hepatitis "E" in comparison the mortality among non-pregnants is: Equally Below +Above Much more often Does not differ
135 If the pregnant women with viral hepatitis has jaundice, the leading symptoms will be: Intoxication +Dyspeptic phenomena Pain in the liver Catarrhal syndrome Amnestic syndrome
The most severe viral hepatitis occurs during pregnancy: In I-trimester In II-trimester + In III-trimester Before labor In one month before the labor
Viral hepatitis 'E' in pregnancy may be complicated by: Renal insufficiency Diseases of the cardiovascular system + Acute massive hepatic necrosis CNS lesions Diseases of the gastrointestinal tract
Informative biochemical test in the prodromal stage of viral hepatitis A is: Total bilirubin The protein fraction of blood + Enzymes ALT, AST Enzyme ALT Cholesterol
Reliable criteria of hepatitis B virus replication in the organism is: HBsAg carrier state Anti-HBs and HBsAg + HBeAg and antibodies - HBAg of IgM HBeAg and anti - HBcAg class IgG Anti-Hbe antibodies
Нow chronic viral hepatitis affects pregnancy: Does not affect Worsens the pregnancy +The health of the pregnant woman improves Causes premature labor Causes pre-eclampsia
141How to prevent transmission of HCV from mother to fetus during pregnancy: + Avoid invasive prenatal diagnostic procedures (cordocentesis, chorionic villus sampling, etc.) Treat with with antiviral drugs To increase immunity Treat with vitamins Treat with hepatoprotectors
What is the term of the first dose of HBV vaccine for newborns in RK: +1-2 days 3-4 days 6-7 days 9-10 days 11-12 days
What is the term of the second dose of HBV vaccine for newborns in RK: 12 months 1 month +2 months 6 months 14 months
What is the term of the third dose of HBV vaccine for newborns in RK: 3 years 7 years 45 days +4 months 8 months
145What kind of treatment is recommended for acute hepatitis "B" during the pregnancy: + Diet, correction of fluid and electrolyte balance, bed rest Nutricion Ribavirin Lamivudine Prednisolone
146 Where the labor is should take place, if HBsAg is founded in the woman’s blood: In the physiological department + In the isolated chamber In the gynecological department In the postpartum department In the neonatal department
The latent period for hepatitis "A" is: +15-45 days 10-15 days 20-25 days 50-60 days 5-10 days
How many percent HbsAg identification in milk of the infected women takes place: +50% 60% 70% 40% 30%
listeriosis Listeriosis is an infectious disease caused by: + Bacteria Viruses The simplest It occupies a middle position between bacteria and viruses Fungus
Often fetus is infected listeriosis from the mother by: Blood-placental +When passing through the birth canal Swallowing amniotic fluid During breast-feeding After delivery, by contact
151 "The gold standard" for detection of listeriosis is: ELISA PCR Bacterioscopy + Bacteriological seeding IFA (immunofluorescence)
Listeria is detected in pregnant woman. What antibiotic do you have to assign: Erythromycin + Ampicillin Ofloxacin Tetracycline Metroridazol
Where the material is taken for screening listeriosis in newborn: Throat swab A smear of eye conjunctiva + Meconium Amniotic fluid at birth A smear of placental
A few days before labor pregnant woman complains for fever, back pain, lower back pain, frequent mocheispuskaine, and diarrhea. Probably that infection is: Acute respiratory infection The non-specific infection (staphylococcus, streptococcus, etc.) + Listeriosis Chlamydia Gonorrhea
155Listeriosis should be treated; + Ampicillin in with gentamicin Metronidazole Dalacyn Ceftriaxone Rifampicin
RUBELLA Rubella virus can be detected: In the blood in the urine In the feces In the discharge from the nose + All are characteristic of rubella
The rubella at pregnant women can give complication: Not developing pregnancy Intrauterine fetal death Spontaneous miscarriage Preterm labor and stillbirth all complications
158Malformations of the fetus in early pregnancy may be caused by: Rubella Tuberculosis Chickenpox Infectious hepatitis Listeriosis
Fetal and pregnancy pathology
Screening of the fetus during pregnancy is not carried out in: 8-14 weeks 20-24 weeks 36-38 weeks 41-42 weeks +5-6 weeks.
In late pregnancy, the maximum amount of amniotic fluid is: 950,0 ml. 1000,0 ml. 500,0 ml. -1500.0 +1500,0 ml over 2000 ml
161What is NOT a protective action in the prevention of infections: Hand washing and use of gloves Disinfection, washing and sterilization (or deep disinfection) tools Use an antiseptic solution for skin prior tinjection Cleaning tools running water Autoclaving
162The main criterion for ultrasound fetal death is the absence of fetal heart rate Lack of physical activity of the fetus Lack of fetal respiratory activity Change in brain structures Abdomen of the fetus
163What factors contribute to the development of chronic placental insufficiency during pregnancy: Anemia Anatomically narrow pelvis Infectious diseases Lateral position of the fetus Varicose veins of the lower extremities
In late pregnancy, the maximum amount of amniotic fluid is: 950,0 ml. 1000,0 ml. 500,0 ml. -1500.0 + 1500,0 ml over 2000 ml Which method does the fetus often get an infection: Transplacental Upward Down With sperm Mixed
166The main clinical signs of fetal growth retardation is: Stop of growth of height uterine fundus Stop of growth of the abdomen Stop of dynamic growth of the pregnant Stop of dynamic growth of weight pregnant The absence of changes in pregnant
The damaging effect of infection on the embryo mainly depends on: Gestational age Kind of infection Number of microbes Method of infection Virulence of the pathogen agent
When do they say that there is a newborn’s TORCH-syndrome: +If diagnosed toxoplasmosis If diagnosed cytomegalovirus If rubella is found If detected herpes simplex virus If there is not clear etiological diagnosis
Bacterial vaginosis, candidiasis, toxoplasmosis
In a study of patients there were found: pH of vaginal discharge more than 4.5, congestion of the vaginal mucosa, a positive amine test, microscopic examination of vaginal discharge - "key cells". The diagnosis is: + Bacterial Vaginosis Non-specific vaginitis Candida vaginitis Trichomonas vaginitis Vaginitis caused by a foreign body in the vagina
Choose the medicine for the treatment of vulvovaginal trihomonus: Clotrimazole Gyno-travogen, gyno-pevaril Fazizhin Diflucan +Metronidosol
For culture isolation Trichomonas vaginalis they use special liquid culture. The material is taken from: Uretra Cervical canal Rectum +Posterior vaginal fornix Uterus
How often women have asymptomatic candidiasis: +10% 20% 30% 35% 40%
The leading symptom of vaginal candidiasis is:
Brucellosis, toxoplasmosis
Brucella penetrates in the human body through:
Widely using in the RK method for diagnosis of brucellosis is:
176. The pregnancy in patients with brucellosis is often complicated (the reason – inflammatory changes in the mucosa of the uterus)
+ Placenta previa
177Mark the most common complication of pregnancy in brucellosis:
178.What disease have to differentiate an acute brucellosis:
179.Toxoplasmosis most often infects:
180.The incubation period of toxoplasmosis is:
ВЕНЕРИЧЕСКАЯ ЛИМФОГРАНУЛЕМА The causative agent of lymphogranuloma venereum is one of the varieties (serotypes):
Venereal granuloma has a chronic course, which is divided in the following periods: + The primary, secondary, tertiary
Commonly used methods for diagnosing lymphogranuloma venereum is: Microbiological
Date: 2015-01-29; view: 1032
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