Acute diarrhea disease treatment [600342]
Acute diarrhea disease treatment
Compliment simplu
1. A packet of oral rehydration salts must be dissolved in :
A 200 ml water
B. 500 ml of water
C. 1000 ml water
D. 1500 ml water
E. In a volume of water corresponding to degree of dehydration
2. For oral r ehydration salt (SRO, Rehidron ) is:
A medical remedy for rehydration and maintenance of body functions in diarrhea
B. Food in case of diarrhea
C. Drug therapy
D. Remedy useful only in case of mild diarrhea
E. substituent of fluids in severe dehydration
A. The preferred solution for infusion therapy to a child with severe dehydration is
A. Reopoliglucin
B. Plasma
C. The sodium chloride isotonic solution
D. Lactated Ringer's Solution
E. Glucose solution (5-10%)
4. Child of 1.5 years old with acute diarrhea , dehyd ration pronounced, requires treatment with:
A. Oral Rehydration SRO – 100-200 ml after each liquid stool
B. Oral Rehydration SRO – 600-800 ml in 4 hours
C. infusions i/ v with Ringer's lactate solution – 100 ml / kg
D. infusions i/ v with glucose solution , sodium chloride solution , reopoliglucină
E. Fluid pause – 6 hours
5. Treatment of infants with acute diarrhea at home necessarily include :
A. Liquid in larger quantities than usualy
B. Proper nutrition ; antidiar rheal
C. Food breastfed
D. more liquid than usualy
E. added food in menu
6. In a child under 5 years with acute diarrhea , severe dehydration will occur in case of sudden
fall weight with:
A. 2-3%
B. 4-5%
C. 6-9%
D. 10-15%
E. 1-2%
7. Adverse reactions to nitrofuran are named , one is serious and irreversible :
A. Digestive disorders
B. Rash
C. Fever
D. Peripheral polyneuritis
E. Cholestatic jaundice
8. The following antiviral act on RNA viruses , with the exception :
A. Amantadine
B. Remantadine
C. Idoxuridine
D. Ribavirin
E. Interferons
9. Antibacterial drugs in acute intestinal infections in children will be administrated :
A. Intramuscular
B. Intravenous
C. Subcutaneous
D. Oral
E. Intrarahidian
10. Viral acute diarrhea in children will not be treated with :
A. Oral rehydration solution
B. Antiviral drugs
C. Antimicrobial drugs
D. Eubiotic s
E. Enzymes
11. How many hours lasts oral rehydration in case of moderate dehydration ?
A.2 hours
B.3 hours
C. 4 hours
D. 5-6 hours
E. 7-8 hours
12. Infusional therapy in acute diarrhea in infants is indicated in ca se of :
A. pronounced d ehydration , fever
B. pronounced d ehydration , angina, fever
C. diarrhea , vomiting, without clinical signs of dehydration
D. Severe dehydration , repeated vomiting , paralytic ileus
E. bloody diarrhea
13. An tibacterial therapy is indicated for:
A. Rotavirus
B. Diarrhea caused by Esch . coli enterotoxig en
C. intestinal subcompensated dismicrobism
D. Shigellosis
E. Giardiasis
14. In acute diarrheal disease with signs of moderate dehydration in a child four months old is
indicated :
A Rehidron 400-600 ml within 4 hours , divided
B. 80 ml rehidron after each liquid stool
C. Antibiotics orally
D. Fluid b reak
E. Eubiotics
Complement multiplu
1. The therapy with antibiotics in acute diarrhea in children with Campylobacter will be
performed with :
A. Penicillin
B. Gentamicin
C. Chloramphenicol
D. Erythromycin
E. Cephalosporins
2. Infusional therapy in acute diarrhea in infants is indicated in case of :
A. pronounced dehydration, fever
B. pronounced dehydration , pneumonia, fever
C. pronounced dehydration , repeated vomiting
D. persi stent diarrhea , pronounced dehydration
E. Severe dehydration , paralytic ileus
3. Cotrimoxazole (trimethoprim + sulfamethoxazole ) may be used to treat children with :
A. Cholera
B. Dysentery
C. Acute diarrhea with Esch . coli enteroinvaziv
D. Salmonellosis with dysentery picture
E. Rotavirus infection
4. Antibacterial therapy is indicated for:
A Rotavirus infection
B. Diarrhea with Esch . coli enteroinvaziv
C. Intestinal subcompensated dismicrobism
D. Shigellosis
E. Cholera
5. The mother of a young child with diarrhea treated at home, immediately should contact a
doctor if he:
A. Drink s greedy or can not drink
B. Has poor appetite
C. has bloody stools
D. has repeated vomiting
E. Has a fever (38 ° C)
6. Therapy in intestinal decompensated dismicrobism in children will include :
A. Bacteriophages
B. Enzymes
C. Antibiotics
D. Antiparasitic
E. Antiviral medication
7. Antibacterial treatment of a child with choler a may include :
A. Cotrimoxazole
B. Furazolidon
C. Tetracycline
D. Gentamicin
E. Erythromycin
8. Indications for hospitalization of children with diarrheal disease will be:
A. Acute diarrhea with signs of severe dehydratio n
B. Acute diarrhea with signs of moderate dehydration in children with severe
malnutrition
C. With no signs of acute dehydrating diarrhea , fever (38 ° C)
D. Persistent diarrhea without signs of dehydration in children after 1 year
E. Bloody diarrhea
9. Oral Rehydration in the treatment of acute diarrhea in children will not help to :
A. Stop the diarrhea
B. Prevent the dehydration
C. Decrease the duration of diarrhea
D. Reduce the stool frequency
E. Decrease the degree of dehydration
10. What are the rules for the treatment of acute diarrhea in children at home?
A. Administration of higher amounts of liquids than usual
B. Administration of antibiotics orally
C. Continue to feed the child
D. Administration of eubiotics
E. Go to the doctor if the child's condition is getting worse : he can not drink or refuses
the breast feeding ; appears bloody stool
11. The antimicrobial spectrum of chloramphenicol includes :
A Neisseria meningi tidis
B. Haemophilus influenzae
C. β hemolytic Streptococcus group A
D. Salmonella
E. Pneumocystis carinii
12. Metronidazole is indicated in children with :
A. Gram negative anaerobic infections
B. amebia sis
C. staphylococcus infection
D. Giardiasis
E. Food poisoning
13. The antimicrobial spectrum of cotrimoxazole include s:
A. Escherichia coli
B. Shigella
C. Salmonella
D. Pseudomonas aeruginosa
E. Giardia lamblia
14. Possess sensitivity to cephalosporins II-nd generation :
A. Escherichia coli
B. Pseudomonas aeruginosa
C. Shigella
D. Haemophilus influenzae
E. Enterococcus
15. Antibacterial treatment of acute intes tinal infections in children has the following purposes:
A. speeding up the c linical healing
B. decrease the degree of dehydration
C. Reduce the frequency of vomiting
D. decrease infectivity
E. Reduce time eliminat ion of the germ s
16. Drugs with antidiarrh eal action (Loperamid, Imodium ) are not indicated in children with :
A. Shigellosis
B. Salmonellosis
C. Noninfectious d iarrhea (irritable colon )
D. Campylobacteriosis
E. Intestinal dismicrobism
17. Antimicrobial therapy in food poisoning will be done in children with:
A. staphylococcus
B. Salmonella in new -born
C. Salmonella in infants
D. severe forms
E. Bacillus cereus average form
18. The volume of the oral rehydrat ion solution in children with acute diarrhea depends on:
A. Age
B The degree of dehydration
C. The etiology of the disease
D. Fever
E. Body weight
19. Oral Rehydration is not indicate in a child with acute diarrhea and:
A. Repeated vomiting
B. Moderate dehydration
C. fever (39-40 ° C)
D. Paralytic ileus (intestinal paresis )
E. Severe dehydration
20. The priorities of oral rehydration compared to infusional treatment in acute diarrhea in
children are:
A Lower cost
B. Decrease s the fever
C. The active participation of parents in the process
D. The possibility of continuing the feeding
E. Decrease the duration of diarrhea
21. Infusional rehydration in children with acute diarrhea may be complicated by :
A. Pneumonia
B. Sepsis
C. Phlebitis
D. Psychological trauma
E. Pyelonephritis
22. Endovenous rehydration in children with acute diarrhea is indicate in case of :
A. Moderate dehydrati on
B. Severe dehydration
C. Infants
D. Paralytic ileus
E. Repeated vomiting
23. Oral rehydration carried out correctly in the event of acute diarrhea in children, allows:
A. Prevention of death in intestinal infections in children
B. Reduce the number of intravenous infection
C. Prevention of hospital infections
D. Stopping the diarrhea
E. Increase the price of treatment
24. What antimicrobial drugs may be recommended for children with acute diarrheal disease
with bloody stools
A. Co-trimoxazole (Bactrim, Biseptol )
B. Furazolidone
C. Amoxicillin
D. Lincomycin
E. Penicillin
Chickenpox/Varicella
simple choice
1 The most informative cutaneous element in varicella diagnos is is:
A. Pustul e
B. Macula
C. Papule
D. Rind/crust
E. Vesicle
2 In which severe infectious disease in children the therapy with corticosteroid s is
contraindicated:
A. Measles
B. Chickenpox/Varicella
C. Mumps
D. Influenza
E. Scarlet
3 Rash in eruptive waves (bursts) appear s in:
A. Chickenpox
B. Meningococcal infection
C. Scarlet fever
D. Rubella
E. Infectious mononucleosis
4 Vesicles on mouth mucosa can appear in one of the following infections:
A. Measles
B. Chickenpox
C. Mumps
D. R ubella
E. Scarlet f ever
5 Preeruptive period of chickenpox can present :
A. Duration of 3-4 days
B. Mild general signs
C. Stomatitis
D. Angina
E. Frequent liquid stools
6. Scarlet fever -like rash during prodromal /preeruptive period can be seen in one of the
following diseases:
A. Measles
B. Rubella
C. Infectious mononucleosis
D. Scarlet f ever
E. Chickenpox
7 Cutaneous vesicular rash occurs in:
A. Measles
B. Rubella
C. Chickenpox
D. Infectious mononucleosis
E. Typhoid fever
8 Prodromal period in chickenpox can evolve with :
A. Splenomegaly
B. Frequent liquid stools
C. Stomatitis
D. Positive mening eal signs
E. Scarlet fever -like, rubella -like rash
9 Varicel la-Zoster virus can remain latent in patients who suffered from chickenpox in:
A. Dorsal spinal ganglion cells
B. Cerebrospinal fluid
C. Liver
D. Grey brain matter
E. Meningitis
10 Varicella /chickenpox has a benign evolution only in:
A. Adults
B. Teen agers
C. Immunocompetent children
D. Immunocompromised children
E. Preg nant women
11 Etiotrop t reatment in chickenpox is made with:
A. Amantadine
B. Ribavirin
C. Interferon
D. Rimantadine
E. Acyclovir
12 Corticotherapy in chickenpox is not indicated, with one except ion:
A. Pregnant women
B. Patients with severe forms
C. Infants
D. Patients with encephalitis
E. Patients with AIDS
13 Acyclovir is the election drug in:
A. Measles
B. Flu/influenza
C. Adenoviral infection
D. Rotavir us infection
E. Chickenpox
14 Infection entrance gate and primary replicat ion of Varice lla-Zoster virus is in:
A. Upper respiratory mucosa
B. Conjunctiva
C. Buccal mucosa
D. Injured skin
E. Ear
15 Chickenpox rash is more abundant on:
A. Facial skin
B. Flexor parts of the limbs
C. Extensor parts of the limbs
D. Palm and soles
E. There are no dominant areas
16 Chickenpox rash rarely appears on:
A. Trunk
B. Palms and soles
C. Upper limbs
D. The hairy part of the head
E. Muco sal layer of skin
17 Crusts after rash are formed only in:
A. Measles
B. Rubella
C. Scarlet fe ver
D. Chickenpox
E. Typhoid fever
18 "False polymorphism " of the eruptive elements is characteristic for the following disease:
A. Herpes simplex
B. Herpes zoster
C. Rubella
D. Chickenpox
E. Measles
19 Prim ary infection caused by Varicella -Zoster virus is called:
A. Herpes simplex
B. Herpes zoster
C. Cytomegalovirus
D. Infectious mononucleosis
E. Chickenpox
20. Who are mostly predisposed to develop severe haemorrhagic chickenpox? :
A. Children under 1 year
B. Children with malnutrition
C. Adults
D. Children treated long time with corticosteroids
E. Children with rickets
21 Vesicles on the buccal mucosa appear in one of the following diseases:
A. Measles
B. Mumps
C. Chickenpox
D. Rubella
E. Scarlet f ever
22 The most common co mplication of chickenpox is:
A. Meningitis
B. Encephalitis
C. Pyoderma
D. Myocarditis
E. Myelitis
multiple choice
1 In the treatment of chickenpox meningoencephalitis , the followings can be used:
A. Anti -inflammatory steroids
B. Antibiotics (int rathecal)
C. Decompressive lumbar puncture
D. Acyclovir
E. Dehydration
2 In which infectious diseases with exanthem a, eruption will evolve with crusting?
A. Chickenpox
B. Measles
C. Rubella
D. Herpes simplex
E. Herpes zoster
3 Enant hema occurs in the following diseases:
A. Mumps
B. Measles
C. Chickenpox
D. Pertussis
E. Scarlet fever
4 Vesicles in chickenpox have the following characteristics:
A. They are painful
B. They are itchy
C. They content is clear
D. Generalized (on the whole body)
E. Located deep in the skin
5. Chickenpox/V aricella prognosis is reserved for:
A. Pregnant women
B. Adults
C. Patients with HIV / AIDS
D. Preschool children
E. Infants
6 Who will be treated with acyclovir in chickenpox? :
A. Children 2 -4 yea rs
B. Patients with sepsis
C. Pregnant women
D. Patients with HIV / AIDS
E. Newborns
7 Varicella/chickenpox etiotrop treatment includes :
A. Viferon
B. Acyclovir
C. Amantadine
D. Ribavirin
E. Valacyclovir
8 Indicate chickenpox specific complicat ions ( in Varicella -Zoster virus ) :
A. Primary pneumonia
B. Encephalitis (cerebellitis)
C. Purulent meningitis
D. Hepatitis
E. Erysipelas
9.Choose chickenpox neurological complications :
A. Serous meningoencephalitis
B. Purulent meningoencephalitis
C. Polyradiculoneuropathy
D. Myelitis
E. Sclerosing panencephalitis
10 More severe forms of chickenpox/ varicella are met in :
A. Teenagers
B. Infants
C. Pregnant women
D. Preschool children
E. Patients with leukemia
11 Chickenpox diagnosis can be co nfirmed by:
A. Isolation of Varicellaa -Zoster virus (VZV) in cell culture
B. Immunofluorescence examination of the vesicular content
C. Contact with patients with herpes zoster
D. Contact with patients with herpes simplex
E. Characteristic CBC(leucocyt e formula)
12 Chickenpox prodromal period evolves in :
A. 5-7 days
B. 1-2 days
C. With headache
D. With fever
E. With diarrhea
13 Unilocular vesicles occur in:
A. Herpes simplex
B. Smallpox (Variola vera)
C. Chickenpox
D. Scabies
E. Herpes zost er
14 The chickenpox rash is characterized by :
A. Redness /erythema
B. Patches
C. Star-like b leeding with central necrosis
D. Papules
E. Vesicles
15 Generalized form in chickenpox appears in :
A. Adults
B. Children aged between 3-7 years
C. Patie nts treated with corticosteroids for more than 2 weeks
D. Neonates
E. Patients who underwent transplantation
16 Characteristic syndrome in c ongenital chickenpox include s:
A. Limb hypoplasia
B. Heart defect
C. Abnormal eye development
D. Abnormalitie s in urinary tract develop ement
E. Skin scars
17 Meningoencephalitis as a specific complication of chickenpox, appears in:
A. The first 1 -2 days of illness
B. The incubation period
C. In the 3rd – 5th day of the disease
D. In the crusting phase
E. After 3 weeks from the onset of the disease
18 Chickenpox severity signs are:
A. Intoxication degree/level
B. The number of eruptive elements
C. Age under 1 year
D. Hemorrhagic eruptions
E. In adults
19 Chickenpox exanthema is characterized by:
A. A ppears in the 1st -2nd day of the disease
B. Macules, papules, vesicles
C. Occurs in stages, from the top going down (craniocaudal) in a few days
D. Leave s pigmentation
E. Leaves crusts
20 Vesicle in varicella is:
A. With polymorphic size
B. Uniloc ular
C. Located on unaffected skin
D. Located deep in the skin
E. The content is clear
21 The exanthema with pruritus occurs in:
A. Chickenpox
B. Rubella
C. Measles
D. Allergic dermatitis
E. Scarlet fever
22 Acute stenosing laryngitis (croup) i n children occurs in:
A. Measles
B. Rubella
C. Meningococcal infection
D. Chickenpox
E. Parainfluenza
23 In the infectious meningoencephalitis is a real complication for:
A. Measles
B. Rubella
C. Scarlet fever
D. Diphtheria
E. Chickenpox
ENTERO VIRUS INFECTION
Single choice
1 Vesicles in herpangina in children with enteroviral infection are localized on:
A. Buccal mucosa
B. Tongue mucosa
C. Gums’ mucosa
D. Mucosa of the palatine arches, uvula
E. Pharyngeal mucosa
2 Cerebrospinal fluid in en teroviral meningitis presents:
A Albuminorahie between 3 and 5 g / l
B. Neutrophilic pleocytosis
C. Lymphocytic pleocytosis
D. Mixed pleocytosis
E. Low glucose level
3 Tonsilitis in enteroviral infection in children is:
A. Lacunar
B. Follicular
C. Herpetic
D. Necrotic
E. Membranous
4 What symptom is characteristic for enteroviral meningitis in children?
A. Fever
B. Productive/wet cough
C. Headache
D. Neck stiffness
E. Positive meningeal signs
5 Corticotherapy in enteroviral infections in children is indicated in:
A. Herpetic angina
B. Epidemic myalgia
C. Meningoencephalitis
D. Hepatitis
E. Diarrhea
6 Enteroviruses belong to the family:
A. Adenoviridae
B. Picornaviridae
C. Herpesviridae
D. Ortomyxoviridae
E. Paramyxoviridae
7 Which is the age of children susceptible to enteroviral infection:
A. Under 3 months
B. 1-2 years
C. 3-10 years
D. 10 -14 years
E. Above 14 years
8 The etiologic agent of herpangina is:
A. Coxsackie A virus
B. Poliovirus
C. Cytomegalovirus
D. Ep stein -Barr virus
E. Varicella -Zoster virus
9 Which statement regarding enteroviral infection in children is false?
A. The source of infection is the patients with overt, frust and asymptomatic forms, carriers of
viruses.
B. It is transmitted by direct ly, through air and by digestive way.
C. It is transmitted through indirect contact.
D. It is transmitted transplacental.
E. It is transmitted parenterally .
10 Which statement regarding the clinical manifectation of enteroviral infection is not correc t?
A. Acute onset, fever, headache, repeated vomiting
B. Hyperemia of the skin (face, neck, trunk), injected sclerae
C. Mucosal hyperemia, fine granulation on the tonsillar pillars and uvula
D. Hemorrhagic rash with irregular borders, with necrosis
E. Lymph nodes are slightly increase, painless
11 For the paralytic form of enteroviral infection in children is characteristic:
A. Paralysis occurs suddenly, unexpectedly
B. The paralysis is flaccid
C. Low muscle tonus
D. Tendinous reflexes are exagger ated
E. Unchanged sensitivity
12 One of the statements about enteroviral meningitis in children is wrong:
A. Acute onset with sudden fever (39.0 to 40.0 ° C)
B. Headache, vomiting, repeated seizures
C. Positive meningeal signs
D. Pleocytosis (200 -300 cells / mm 3)
E. Reduced glucose level
13 Specify the incorrect statement about herpangina in children.
A. It develops in combination with other clinical forms.
B. Vesicle forms in the first days of illness, 1 -2 mm in diameter.
C. The vesicles ar e localized on tonsillar pillars, uvula, tonsils.
D. Vesicles are located on the cheek mucosa, gums, soft palate and hard palate
E. Vesicles ulcerate quickly, forming shallow erosions with healing in 2 -5 days.
14 One of the statements about intestinal form in enteroviral infection in children is wrong:
A. Is characteristic for older children and adolescents
B. Acute onset of fever
C. Associated with catarrhal syndrome
D. Diarrhea (5 -10 times / day), aqueous, undigested
E. Colitis is characteristic
15 Specify the incorrect statement regarding laboratory diagnosis in enteroviral infection:
A Lumbar puncture
B. Virological tests (CSF, oropharyngeal secretions, stool)
C. Blood culture
D. Indirect haemagglutination reaction
E. Complement fixation rreaction
16 Which statement about acute hemorrhagic conjunctivitis in enteroviral infection in children is
wrong?:
A. Acute onset in combination with other clinical forms
B. Pronounced eye pain, lacrimation, photophobia
C. Eyelid edema, pronounced con junctival hemorrhage
D. Serous and purulent elimination
E. Fibrinous membranes on conjunctiva
17 Specify the incorrect indication in the treatment of uncomplicated enteroviral infection:
A. Antibiotics
B. Analgesics
C. Antipyretics
D. Antiinflammator y
E. Antihystaminics
18 Specify the incorrect statement regarding congenital enteroviral infection:
A. Birth defects occur when enteroviral infection appears in the first months of pregnancy
B. Death or congenital infection occur when enteroviral infe ction appears in the last months of
pregnancy.
C. Myocarditis, encephalomyocarditis, encephalomyelitis, hepatitis are the manifestations for
intrauterine infection with enterovirus.
D. Clinical signs are detected at birth or in the first days of life.
E. The disease evolution is favorable.
19 Specify the incorrect statement concerning enteroviral infection in neonates and infants:
A. They are asymptomatic or severe generalized forms
B. Mild evolution in children from mothers with IgG specific antibo dies to enteroviruses
C. Severe evolution in children from mothers with IgG antibodies specific to enteroviruses
D. Severe evolution premature babies
E. Severe evolution in children with severe CNS disease and other developmental abnormalities
multiple choice
1 The characteristic symptoms of paralytic form in enteroviral infection in children are:
A. Paralysis installs suddenly, unexpectedly
B. Muscle weakness
C. Flaccid paralysis
D. Exaggerated tendinous reflexes
E. Seizures
2 Clinical signs of enteroviral herpangina in children are:
A. Fever
B. Sore throat
C. Whitish deposits on the tonsils
D. Filatov -Koplik sign
E. Vesicles, erosions on the palatine arches, uvula
3 Epidemic enterovirus myalgia in children is characterized by:
A. Muscle weakness
B. The duration of a painful crisis from 30 seconds to several minutes
C. Abolished tendinous reflexes
D. Strong, durable thoracic and abdominal muscle pain
E. Fever (38.0 to 40.0 ° C)
4. Enteroviral infection in neonates and infants may enco unter the following clinical forms:
A. Abdominal form
B. Epidemic myalgia
C. Encephalomyocarditis
D. Enteroviral exanthems
E. Paralytic form
5. The clinical forms that predominantly affect the nervous system in enteroviral infection in
children are:
A. Myelitis
B. Meningitis
C. Polyradiculoneuropathy
D. Encephalitis
E. Paralytic form
6 Congenital enteroviral infection in newborns is manifested by:
A. Mesadenitis
B. Myocarditis
C. Encephalomyocarditis
D. Hepatitis
E. Pancreatitis
7 Entero viral encephalomyocarditis’ therapy in newborns include:
A. Antivirals
B. Analgesics
C. Anticonvulsants
D. Corticosteroids
E. Cardiac glycosides
8 Specify the correct statements regarding enteroviral infection in newborns:
A. Manifest clinical sign s
B. Epidemic myalgia
C. Common bacterial complications
D. Trenant evolution
E. Intestinal dysfunction
9 The fundamental clinical syndromes in children with enteroviralinfections are:
A. Pneumonia
B. Herpetic angina
C. Diarrhea
D. Meningitis
E. Ne urotoxicosis
10 Herpetic tonsilitis in children can be caused by:
A Herpes simplex type I virus
B. Coxsackie A virus
C. Varicella -Zoster virus
D. ECHO Viruses
E. Coxsackie B virus
11 Herpetic tonsilitis in children is characterized by:
A Sudden onse t of fever, sore throat
B. Vesicular eruptions on the palatine arches, uvula
C. Small vesicles with a diameter of 1 -2 mm, leaving small ulcerations
D. Pseudomembranous deposits on tonsils
E. Vesicles on the buccal mucosa, tongue
12 The clinical form s of enteroviral infection that affect mostly the mucous membranes and skin
in children are:
A. Enteroviral fever
B. Herpangina
C. Myocarditis
D. Enteroviral exanthema
E. Catarrhal form
13 The clinical forms of enteroviral infection that affect mostly the muscles in children are:
A. Epidemic myalgia
B. Myocarditis
C. Encephalomyocarditis in newborns
D. Herpangina
E. Serous meningitis
14 The consequences of enteroviral uveitis in children are:
A. Iris dystrophy (III -IV gr.)
B. Uveal cataract
C. Subatrophy of the eyeball
D. Dyplopia
E. Strabismus
15 Cerebrospinal fluid in enteroviral meningitis is:
A. Hypertensive
B. Slightly increased albumin level
C. Cloudy
D. Neutrophilic pleocytosis
E. Lymphocytic pleocytosis
16 Laboratory diagnost ic tests in enteroviral infection are:
A. Bacteriological
B. Virology
C. Immunofluorescence assay
D. CBC
E. Serological
17 Enteroviral serous meningitis in children is characterized by:
A. Acute onset of fever (39.0 to 40.0 ° C)
B. Headache, repea tedly vomiting
C. Positive meningeal signs
D. Hemorrhagic rash on legs
E. Signs of severe dehydration
18 Enteroviral exanthema in children has the following characteristics:
A. Polymorphic rash
B. Scarlet -like rash
C. Rubella -like rash
D. Pustules
E. Vesicles
19 Primary location and accumulation of enteroviruses happens in:
A. Mucous membranes of the upper airways
B. Meninges
C. Peripheral lymph nodes
D. Mucous membranes of the digestive tract
E. Mucous membranes of the lower airways
20 Speci fy the clinical signs of enteroviral encephalomyocarditis in newborns:
A. Hyperthermia, drowsiness, vomiting, anorexia
B. Tachycardia, arrhythmia, deafened heart sounds, systolic murmur
C. Dyspnea, cyanosis
D. Splenomegaly
E. Signs of severe dehydratio n
21 Specify the correct statements regarding enteroviral encephalomyocarditis :
A. It is caused by Coxsackie B viruses
B. It is common in newborns and infants in the first months of life.
C. Transmission of infection may be transplacental.
D. Mild ev olution.
E. Fatal cases are not recorded.
22 Specify the correct statements about enteroviral fever in children.
A. It is the rarest clinical form of enteroviral infection.
B. It is the most common clinical form of enteroviral infection.
C. It can be caused by different serotypes of Coxsackie and ECHO viruses.
D. Acute onset with fever, headache, mild respiratory signs; the disease lasts for 2 -4 days.
E. Clinical diagnosis is easy.
23 Specify the correct statements about intestinal form of enterovi ral infection in children.
A. It is characteristic for infants.
B. The onset is acute, with fever and respiratory catarrh.
C. Simultaneously diarrhea (5 -10 times / day), aqueous undigested stools appear.
D. Colitis is characteristic.
E. The disease la sts 2-4 days.
24 The virology method in enteroviral infection tests:
A. Sputum
B. Cerebrospinal fluid
C. Oropharyngeal secretions
D. Faeces
E. Urine
25 Clinical signs characteristic for all clinical enteroviral infections children are:
A. Acute on set with sudden fever (39.0 to 40.0 ° C)
B. Headache, dizziness, weakness, loss of appetite, repeatedly vomiting
C. Skin (face, neck, trunk) hyperemia, injected sclerae
D. False membranes on the tonsils
E. Swelling of the cervical lymph nodes, pain
26 Specify the correct statements regarding herpetic angina in enteroviral infetions in children.
A. Small vesicles/blisters appear on tonsils, tonsillar pillars, uvula, with a redness area
around.
B. vesicles/blisters appear on the cheeks, gums, soft pa late and hard palate.
C. Edema of oral mucosa is, eritematous.
D. Vesicles ulcerate quickly, forming shallow erosions.
E. Erosions heal completely in 2 -5 days.
27 Specify false statements on the intestinal form of enteroviral infection.
A. It is char acteristic mainly for infants
B. Acute onset with fever, respiratory catarrh
C. Tenesmus, false calls
D. It is characteristic for older children
E. Mucosanguineous stools
28 Specify the correct statements regarding enteroviral infections:
A. Children ’s responsiveness is high.
B. They are very contagious and can easily spread to collectives of children.
C. Children under 3 months have transplacental immunity.
D. Maximum morbidity is recorded in winter.
E. There is crossed immunity.
29 Specify the correct statements regarding hepatitis in enteroviral infections:
A. It’s frequently detected
B. Appears on background of fever, skin, oropharyngeal mucosa hyperemia, headache,
vomiting
C. Hepatomegaly, jaundice
D. Mild evolution
E. Trenant or chronic evolution
THE FLU (Influenza)
simple choice
1. The common syndromes in influenza in young children are the following with one exception:
A. The croup
B. Rash
C. Neuro -toxic
D. Hemorrhagic
E. Bronchial
2 Which of the listed influenza complications aren’t common in children?
A. Pneumonia
B. Neuritis of the trigeminal nerve
C. Sinusitis
D. Otitis
E. Purulent laryngotracheitis
3 What symptom isn’t characteristic for severe influenza in children?
A. Convulsive
B. Hyperthermia
C. Loss of consc iousness
D. Membranous deposits on tonsils
E. Pathological sleepiness (lethargic sleep)
4 The most severe flu syndrome in children is:
A. Bronchial
B. Segmentary pulmonary edema
C. Neurotoxicosis
D. Abdominal
E. Respiratory
5 Rimantadine, the ant iviral medication is indicated for:
A. Chickenpox
B. Rotavirus
C. Measles
D. Flu
E. Rubella
6 Which of the following antivirals is not indicated in flu?
A. Arbidol
B. Rimantadine
C. Gancyclovir
D. Oseltamivir
E. Flu immunoglobulin
7 Influenz a treatment in children includes the following, with one exception:
A. Etiological therapy
B. Symptomatic medication
C. Antibiotic therapy in complications
D. Hemodialysis
E. Pathogenic therapy
8 Which respiratory disease can arise without fever?
A. Adenovirus infections
B. Parainfluenza
C. Pertussis
D. Respiratory syncytial virus infection
E. Influenza
9. The elected medication of febrile seizures in children is:
A. Diazepam
B. Prednisolone
C. Paracetamol
D. Diphenhydramine
E. Hydrocorti sone
10 Neurological complications of influenza in older children are the listed, with one exception:
A. Cranial nerve palsy
B. Encephalitis
C. Neuralgia
D. Polyradiculoneuropathy
E. Purulent meningitis with ependimatitis
11 Influenza in children requires differentiation from the following diseases, with one exception:
A. Parainfluenza
B. Rubella
C. Typhoid fever
D. Meningococcal infection
E. Adenovirus infection
12 Antibiotic therapy is indicated in the following cases, with one exception:
A. Pneumonia
B. In preventing encephalitis
C. Otitis
D. Sinusitis
E. Outbreaks of bacterial infections
13 Which statement excludes a key moment for the flu in children?
A. It is a highly contagious disease.
B. Is caused by influenza virus.
C. Evol ves cytolysis syndrome.
D. Evolves with general intoxication signs.
E. Evolves with discrete catarrhal signs.
14 Clinical manifestations of influenza in infants are characterized by the following, with one
exception:
A. Slow onset with low grade fever
B. Punctiform roseola
C. Develops septic complications
D. Discrete respiratory catarrhal signs (runny nose, cough)
E. Increased lethality
15 Indications for hospitalization of children with influenza are, with one exception:
A. Patients with severe, hypertoxic forms of the disease
B. Typical and mild forms in children older than one year
C. Complicated forms
D. Infants with influenza
E. Other disease background
16 In which ARI(acute respiratory infections) the toxic general symptoms dominate at onset?
A. Parainfluenza
B. Influenza
C. The infection with respiratory syncytial virus
D. Rinovirus infection
E. Mycoplasma infection
17 Indicate the ARI where the catarrhal respiratory syndrome is discrete at onset:
A. Adenovirus infection
B. Infl uenza
C. Parainfluenza
D. Rinovirus infection
E. Respiratory syncytial virus infection
Multiple choice
1. Influenza in children: in what age category the morbidity and complication rate is increased?
A. Infants
B. Toddlers (1 -3 years)
C. Patients wi th chronic diseases (heart malformations, asthma, etc.)
D. Students/pupils
E. Adolescents
2 Which of the listed pathogenetic stages are present in influenza?
A. Attachment and penetration of the virus in the epithelial cells of the respiratory mucosa
B. Viral Replication
C. Virusemia
D. Digestive stage
E. Carriage status
3 The symptoms of influenza in children during the manifestation stage are:
A. Malaise
B. Myalgia (feeling of "crushing")
C. Angina, lymphadenopathy
D. Signs of respiratory cat arrh
E. Vesicles, erosions on uvula, palatine arches
4. In the etiotropic treatment of influenza in children the following medicines can be used:
A. Acyclovir
B. Algirem
C. Rimantadine
D. Arbidol
E. Gancyclovir
5 When should Rimantadine be admini stered in children with influeza?
A. The mild and severe forms within 48 hours
B. Children older than 7 years
C. In hypertoxice forms
D. In bacterial complications
E. Prophylactic
6. Influenza in children: the prognosis is reserved for the following cases:
A. Bacterial complications, superinfection
B. Malnutrition, young age(infants)
C. Chronic diseases, moderate, immunocompromised children
D. Typical forms
E. Preseason immunized patients
7 The syndromes characteristic for hypertoxic form of in fluenza in children are:
A. Neuro -toxic
B. Hemorrhagic
C. Electrolyte imbalance
D. Hyperthermia
E. Cholestatic
8 Influenza diagnosis in children can be confirmed by:
A. Epidemiological data
B. Bacteriological examination
C. Clinical examination
D. USG internal organs
E. Serological
9. It’s uncommon for influenza in children:
A. Exanthema
B. Cough
C. Filatov -Koplik sign
D. Signs of major intoxication
E. Generalized lymphadenopathy
10 Which of the listed signs indicate the onset of influenza infection in children?:
A. Fever (39 -40șC)
B. Chills
C. "raspberry" tongue
D. Swelling of the salivary glands
E. Headache, sweating, asthenia
11 Children’s appearance suffering from influenza attests:
A. Lacrimation, light photophobia
B. Injected sclera
C. Flushed and wet face
D. Carmine lips
E. Sunken eyes
12 The manifest period in influenza in children can attest:
A. Discrete catarrhal respiratory syndrome
B. Myalgia, back pain
C. General symptoms of intoxication
D. Stomatitis
E. Scarlet -like rash
13 CBC in influenza in children presents:
A. Leukopenia
B. Neutropenia
C. Monocytosis
D. Lymphocytosis
E. Increased ESR
14 Which influenza complications are rarer seen in children than in adults?
A. Bronchopneumonia
B. Myocarditis
C. Glomerulonephritis
D. Pyelonephritis
E. Sinusitis, otitis
15 Pneumonia in children as a complication of influenza is characterized by:
A. Intercostal indrawing
B. Cough
C. Fast breathing
D. Cyanosis, acrocyanosis
E. Chest wall indrawing
16 The consequences of influenza in children are:
A. Complete healing
B. Lethal ending
C. Definitive palsy
D. Astheno -vegetative syndrome in recovery
E. Chronic influenza virus portation
17 Indicate the manifestation of croup syndrome in influenza in childre n:
A Wet cough with abundant elimination
B. Inspiratory dyspnea
C. Hoarse voice
D. Afebrile state
E. Barking, rough cough
18 Laboratory tests specific for influenza virus are:
A. Immunofluorescence
B. Virology
C. Bacteriological
D. Serologic
E. Intradermic reaction
19 Serological diagnosis of influenza includes the following reactions:
A. Hemagglutination inhibition test
B. Agglutination
C. Compleme nt fixation test
D. The neutralization test
E. ELIZA
20 For isolation of influenza in children at onset the samples are taken from:
A. Nasopharyngeal washings
B. Nasal secretions
C. Blood
D. Urine
E. Faeces
21 In influenza in children paracetamol is indicated for the purpose of:
A. Fever elimination
B. Prevent complications
C. Lessen headache
D. Decrease muscle pain
E. Ease cough
22 The main signs of the broncho -obstuctive syndrome in children are:
A. Inspiratory dyspnea
B. Nonproductive cou gh
C. Expiratory dyspnea
D. Perioral cyanosis
E. Barking cough
23 Hemorrhagic syndrome is manifested in children with influenza virus by:
A. Epistaxis
B. Maculo -papulous rash
C. Angioma, gum bleeding
D. DIC Syndrome
E. Hemorrhagic rash on face and mucous membranes
24 The catarrhal syndrome in influenza virus in children occurs within 1 -2 days after onset and is
manifested by:
A Stuffy nose
B. Poor serous nasal eliminations
C. Spasmodic cough
D. Abundant rhinorrhoea
E. Dry cough
25 List the a typical forms of influenza virus in children:
A. Hypertoxic
B. Frust
C. Nonicteric
D. Subclinical
E. Dyspeptic
26 Which statements about rimantadine are false?
A. It is effective against herpes virus
B. It is effective in the treatment and prevent ion of influenza type A virus
C. It is effective in the prophylaxis of influenza type B virus
D. Can be administered in infants
E. It is contraindicated in patients with epilepsy
27 Select the common symptoms for influenza and typhoid fever in the acute period of the
disease:
A. Hepatosplenomegaly
B. Fever
C. Padalca symptom
D. Headache, adynamia
E. Severe intoxication
28 Influenza in infants has a severe course:
A. While breastfeeding
B. Viral -bacterial overgrowth
C. Purulent complications
D. Po or life condition/ambiance
E. Unfavorable premorbid
29 Indicate the specific complications of influenza in children:
A. Reye Syndrome
B. Rectal prolapse
C. Encephalitis
D. Lingual frenulum ulcer
E. Polyradiculoneuropathy
Herpes infection
Single choice
1 Herpetic stomatitis (gingivostomatitis) in young children is characterized by:
A. Angina with purulent deposits
B. Flushing, vesicles/blisters and erosions in the mouth, accompanied by pain and
profuse salivation
C. Pustular eruptions on the mouth mucosa, fever
D. Pronounced respiratory catarrhal signs
E. Small isolated formations (as grain meal), white to yellowish with
red halo of the cheek mucosa
2 Herpes HSV -1 infection is rarely manifested by:
A. Herpetic gingivostomatitis
B. Herpe s angina
C. Herpetic keratoconjunctivitis
D. Herpes labialis
E. Herpetic vulvovaginitis
3 Pain in the areas where the characteristic eruptive elements will appear are common for:
A. Meningococcemia
B. Rubella
C. Yersiniosis
D. Measles
E. Herpes zos ter
4 Vesicles/blisters on the mouth can occur in:
A. Measles
B. Herpetic gingivostomatitis
C. Mumps
D. Rubella
E. Scarlet Fever
5 Differential diagnosis of the shingles rash(herpes zoster) is made with:
A. Measles exanthema
B. Scarlet fever exa nthema
C. Herpes simplex
D. Stafilodermia
E. Erysipelas
6 Find the wrong statement about the neurological involvement in herpes infection:
A. Various
B. Serous meningitis
C. The most severe clinical form is herpes encephalitis.
D. In case of herpe s encephalitis, fever, seizures, impaired consciousness, paresis are common.
E. CSF shows pleocytosis with predominance of neutrophils, and low glucose level.
7 Find the wrong statement about herpes infection.
A It is one of the most widespread infecti ons.
B. It can affect domestic animals.
C. It is caused by herpes simplex virus types 1 and 2.
D. It is one of the indicators of HIV / AIDS.
E. It affects mainly epithelial tissue.
8 Find the wrong version. Herpes affects:
A. Genital mucosa
B. The distal segment of the colon
C. Buccal mucosa
D. The skin
E. The central nervous system
9 Find the wrong version about herpes infection. Typical clinical forms of herpes infection are:
A. Herpes labialis or perioronasal
B. Oftalmoherpes
C. Encephali tis
D. Distal ulcerative colitis
E. Gingivostomatitis
10 Find the incorrect statement about herpes infection.
A. Transmission of herpes infection occurs by air, by direct path, genital contact, by inoculation,
transplacental and through transfusion.
B. Infection with the HSV type I is produced, usually in childhood and progresses
predominantly (90% cases) asymptomatic or subclinically (9%).
C. Neonatal herpes transmission may be transplacental, while passing through birth ways or from
surrounding per sons (including medical staff) who suffer from herpes.
D. Infection with herpes type 2 occurs in adolescence, the incidence correlates directly with
sexual activity.
E. Herpes infection affects only older people.
11 Find the wrong statement about herpe s infection. Etiologic treatment in
herpes infection allows:
A. Reduction of clinical events in primary infection with herpes virus
B. Reducing the risk of relapse after a first episode of herpes
C. Decreasing the contagiousity of the patients
D. Reduc ing the frequency of complications
E. Complete removal of the herpes virus from the body
12 For herpetic gingivostomatitis treatment in children should not be used:
A. Acyclovir. Virolex local ointment
B. Antiseptic solutions
C. Antibiotics
D. Oils (sea buckthorn, rosehip, postcards), locally, during the recovery period
E. Acyclovir, orally
13 Cutaneous herpes infection is not characterized by:
A. Herpetic vesicular eruptions on the lips, mouth, nose, skin etc.
B. Moderate local pain
C. Hepatosp lenomegaly
D. Microscopic examination reveals polynuclear giant cells and intranuclear inclusions in the
samples taken from the lesions
E. Fever
14 What isn’t necessary for the diagnosis of herpetic meningoencephalitis ?:
A Typical neurological symp toms of acute primary encephalitis (meningoencephalitis)
B. Moderate lymphocytic pleocytosis (20 -500×106 / l) accompanied by CSF protein level up to
1.5-2.0 g / l
C. The detection of herpes virus antigens and viral DNA in CSF and blood
D. Contact with a person with clinical manifestations of cutaneous herpes
E. Examination and detection of IgM and IgG antiherpetic antibodies type 1, 2 in the serum
15 Find the false statement on herpetic encephalitis in children.
A Herpetic encephalitis is characteri zed by severe course and high lethality.
B. The prognosis of herpetic encephalitis is always severe.
C. The lethality is lower in early treatment with acyclovir.
D. 50% of survivors after herpetic encephalitis remain with serious neurological sequelae.
E. Herpetic encephalitis can affect only newborns.
16 The most effective treatment of herpes infection is with:
A. Viferon
B. Acyclovir
C. Gancyclovir
D. Rimantadine
E. Ribavirine
multiple choice
1.The basic elements in herpes virus pathogenesis are:
A. Viral latency
B. Viral reactivations
C. Cell immunosuppression
D. Young forms of leukocytes appear (Turck cells)
E. Interstitial edema of glandular tissue (salivary glands, pancreas, testis)
2 Depending on the affected area, herpes infection (HI) can be manifested:
A. Mucocutaneously
B. Urogenital
C. Articular (in the joints)
D. Intestinal
E. Neurological
3 Clinically, herpes infection (HI) can evolve as:
A. Primary herpes infection
B. Recurrent (reactivation) herpes
C. Latent HI
D. C yclic uncomplicated HI
E. Complicated HI with allergic involvement
4 Etiologic diagnosis of herpes infection includes:
A. Virological examination
B. Immunoenzymatic assays
C. Detection of the viral genome by polymerase chain reaction (PCR)
D. Bacteriol ogical examinations
E. Biochemical tests
5. CSF in herpetic meningoencephalitis is:
A. Cloudy
B. Xantocrom
C. Clear
D. Slightly opalescent
E. Hypertensive
6 In herpetic encephalitis, the etiological diagnosis is based on:
A. Brain MRI
B. Virolo gical examination of cerebrospinal fluid(CSF)
C. Detection of herpes virus DNA by polymerase chain reaction (PCR) in CSF
D. Bacteriological examination of cerebrospinal fluid (CSF)
E. Immunoenzymatic assays
7 Herpetic stomatitis (gingivostomatitis) in ch ildren is characterized by:
A. Pain in the mouth, accompanied by profuse salivation
B. Erosive vesicular rash, redness and swelling of the oral and oropharyngeal mucosa
C. Purulent deposits on the tonsils
D. Painful cervical adenitis
E. Deep/profuse ul cerations
8 The treatment of herpetic meningoencephalitis includes:
A. NSAIDs
B. Antibiotics (intrathecal)
C. Detoxication and dehydration treatment
D. Acyclovir
E. Virolex
9 The clinical picture of cutaneous herpes simplex is characterized by:
A. Pronounced catarrhal signs
B. Itching, pain, "burning" in the area of affected skin
C. Disseminated pustular eruptions
D. Vesiculous eruptions in groups
E. Vesicles break and leave erosions
10 Choose the CSF changes in herpetic meningoencephalitis:
A. Clear CSF
B. Slightly opalescent CSF
C. CSF with moderate lymphocytic pleocytosis
D. Reduced glucose level in CSF
ESignificantly increased glucose level in CSF
11 The most common ways of herpes transmission in newborns (neonatal herpes) are:
A. Tran splacental
B. Transmission by contaminated objects (handkerchiefs, underwear, gynecological
instruments)
C. Transmission through direct contact with a mucocutaneous ulcerated herpes lesion
(through birth ways)
D. Blood, plasma transfusion
E. Transmissio n through saliva
12 In the treatment of herpetic gingivostomatitis in children the followings are used:
A. Immunomodulatory drugs
B. Acyclovir ointment or virolex
C. Antiseptic solutions
D. Wide -spectrum antibiotics
E. Acyclovir orally
13 Genera lized herpetic infection:
A. Appears in neonates and patients with HIV / AIDS.
B. The prognosis is frequently favorable.
C. Has a severe evolution.
D. Requires intravenous treatment with high -dose acyclovir.
E. Diagnosis is based on clinical data, wit hout etiology confirmation.
14 Herpetic encephalitis:
A. It is one of the most severe clinical forms of herpes infection.
B. It affects people of all ages.
C. It has an acute onset, with hyperthermia, vomiting, seizures, abnormal consciousness.
D. Th e clinical picture usually is dominated by signs of cerebellum impairment.
E. It is always accompanied by skin sores or mucous membranes.
15 Differential diagnosis of herpetic encephalitis is made with:
A. Rotavirus infection
B. Encephalitis in influe nza
C. Infectious mononucleosis
D. Tuberculous meningo -encephalitis
E. Encephalitis in measles
16 Herpetic skin eruptions:
A. Represent multiple disseminated pustules.
B. Are represented by vesicles filled with clear fluid.
C. Are preceded by burning or itching of skin.
D. Occur simultaneously in groups.
E. Represents maculopapulous elements, with a tendency to confluence.
17 The diagnosis of cutaneous herpes infection is established based on:
A Bacteriological investigation
B.Objective examinat ion (vesicular rash localized in groups)
C. CBC
D. Subjective data – burning or itching of skin, which precedes the rash appearance
E. Virological investigations
18. For herpes infection is characteristic:
A. Interstitial edema of glandular tissue (sa livary glands, pancreas, testicle)
B Superficial cutaneous -mucosal cell damage
C. Specific rash as a result of fluid accumulation and the formation of unicameral vesicles
D. Erosions and inflammatory signs of the distal intestinal mucosa of the colon
E. Acute viral encephalitis syndrome with signs of necrosis, frequently in temporo -occipital
area and serious consequences
19 For virological (cultivation cell) detection of herpes virus will be collected:
A Scraping of the conjunctiva
B. Bile secret ions
C. Cerebrospinal fluid
D. Urine
E. Liquid from vesicles
20 Clinical forms of mucocutaneous herpes are:
A. Rozenberg Erythema
B. Herpes labialis
C. Eczema herpeticum (Kaposi -Juliusberg)
D. Layell Syndrome
E. Herpetic gingivostomatitis
21. Her pes infection relapses will occur in case of:
A. Unjustified treatment with antibiotics
B. Exertion
C. Stress, acquired immunodeficiency
D. Hypothermia
E. Use of salt in an excessive amount
22 Hystomorfologic changes in herpes infection are characte rized by:
A. Superficial mucocutaneous cells
B. Change of hepatic lobe architectonique with hepatocellular damage and degeneration
C. Encephalitis – perivascular inflammation with hemorrhagic necrosis
D. Polynuclear giant cells
E. Catarrhal colitis fo llowed by fibrinoid inflammation and ulcerations
23 For differential diagnosis of herpes zoster and cutaneous herpes simplex is important:
A. Chickenpox in history
B. Unilateral eruption limited to the skin area corresponding to a posterior nerve root
C. Superficial erosions after vesicles break
D. Intense local pain where eruption will occur
E. Specific herpetic eruptions in groups, with fluid accumulation and unicameral vesicle
formation
24 Acyclovir should not be used orally in the following c linical forms of herpes:
A. Herpes labialis
B. Herpetic encephalitis
C. Neonatal herpes
D. Herpetic gingivostomatitis
E. Herpatic generalized infection
25 Etiologic treatment of herpes simplex virus infection includes:
A. Acyclovir
B. Penicillin
C. Valacyclovir
D. Famciclovir
E. Tetracycline
26 It is necessarily to indicate intravenous Acyclovir in:
A. Herpetic encephalitis
B. Herpes labialis
C. Herpetic gingivostomatitis
D. Generalized herpes infection
E. Neonatal Herpes
27 Choose the correct statements about herpes infection.
A. We distinguish congenital and acquired forms.
B. Herpes infection affects especially the joints.
C. The most common clinical form of herpes infection in children is herpetic
gingivostomatitis.
D. Herpetic e ncephalitis is one of the most severe clinical forms of herpes infection.
E. Herpes labialis is a rare form.
Meningococcal infection
Single choise
1. What is the difference between meningococcal nasopharyngitis and viral nasopharyngitis in
children?
A. Fever
B. Nasal obstruction
C. Cough
D. Leukocytosis
E. Leukopenia
2. The diagnosis of meningococcal rhinopharyngitis in children is based on:
A. Clinical signs
B. Changes in blood count
C. Isolation of meningococcal bacterya in rhinopharyngeal d rip
D. Analysis of cerebrospinal fluid
E. Rhinoscopy
3. Prehospital emergency care in meningococcal infection and toxic -infectious shock in
children always include:
A. Antipyretics
B. Anticonvulsants
C. Corticosteroids
D. Diuretics
E. Endovenous infusions
4. Indicate the recommended antibiotic in meningococcal infection in children at the prehospital
stage:
A. Ceftazidime
B. Chloramphenicol
C. Amoxicillin
D. Ofloxacin
E. Tobramycin
5. The most common heart disorder in meningococcal infec tion in children is:
A. Mitral valve prolapse
B. Myocarditis
C. Endocarditis
D. Pericarditis
E. Conductivity disorders
6. Indicate the age when meningococcal infection occurs most frequently:
A. Infant/suckling
B. Newborn
C. Toddler (1 -3 years)
D. Adolescent (14 -18 years)
E. Primary school pupils
7. Meningococcal infection in young children develops most frequently in clinical form:
A. meningitis, meningoencephalitis
B. meningococcemia
C. meningitis and meningococcemia
D. polyradiculoneuro pathy
E. Pneumonia
8. Meningococcal meningitis inflammation of the meninges infant is:
A. erythematosus
B. fibrinous
C. purulent
D. croup type
E. ulceronecrotic
9. Infant meningococcal meningitis diagnosis can be confirmed only by:
A. Presence po sitive meningeal signs
B. Bulging fontanelle
C. Positive Lesaje Symptom
D. Analysis of cerebrospinal fluid
E. Analysis of cerebrospinal fluid and isolation of Neisseria meningitidis
10. Meningococcal infection in infants. The most common sign that ind icates the meningitis is:
A. Kernig
B. Brudzinski
C. Lesaje
D. Neck stiffness
E. Babinski
11. The meningococcus in the bacterioscopy of cerebrospinal fluid in meningococcal meningitis
is presented as:
A Gram -positive diplococcus with extracellular location
B. Gram -negative diplococcus situated intra – and extracellular
C. Encapsulated gram -positive diplococcus
D. Gram -negative bacillus
E. Gram -positive bacillus
12. The transportation of the child with meningococcal infection is forbidden if he h as:
A. Toxic shock syndrome, gr. I
B. Acute cerebral edema, gr. II, III
C. Meningococcemia
D. Meningitis and meningococcemia
E. Meningococcemia and arthropathy
13. Among the possible sequelae of purulent meningitis, the most common in children is:
A. Hydrocephaly
B. Epileptiform seizures
C. Intracranial hypertension
D. Psychomotor retardation
E. Paresis, spastic paralysis
14. Suspicious clinical signs for infant meningitis include:
A. Fever
B. Repeated vomiting
C. Fever, repeated vomiting, agitation, inconsolable cry
D. Refusing feeds
E. Diarrhea
15. What is recommended in a suspected meningococcal infection (generalized form) in
children?
A. Cultures of CSF
B. BCs (hemoculture)
C. Cultures from the nasopharynx
D. CBC
E. All of the lis ted
16. In a meningococcal infection in children, usually the rash is localized:
A. Thorax
B. Face
C. Buttocks and legs
D. Bucal mucosa
E. Sclera
17. Exanthema in meningococcemia in children is:
A. Bleeding, starlike
B. Vesicles
C. Crusts
D. Pa tches and confluent papules
E. Red or purple spots (roseolas)
18. The meningococcal infection in infants, differs from older children and adults by more often
development of:
A. Acute cerebral edema
B. Ventricular collapse (acute cerebral hypotension )
C. Toxic -infectious shock
D. Cardiorespiratory insufficiency/arrest
E. Acute renal failure
19. Sensory deafness in children is more common after meningitis caused by:
A. H. influenzae
B. Pneumococcus
C. Staphylococcus
D. Meningococcus
E. Gram -nega tive bacillus
20. Which investigations are primarily performed in suspected meningitis in children?
A. EEG
B. Computed tomography (CT)
C. Lumbar Puncture
D. Skull X -ray
E. Electrocardiogramma
Multiple choise
1. Cerebrospinal fluid bacterioscopy and blood thick droplet allow
early etiological diagnosis of meningococcal infection in children. Meningococcus, unlike to
pneumococcus is:
A. Gram -negative
B. Gram -positive
C. Situated intra -and extracellular
D. Non -capsulate
E. Capsulate
2. Meningococ cus is sensitive to the following antibiotics:
A. Penicillin
B. Tetracycline
C. Erythromycin
D. Chloramphenicol
E. Cefriaxon
3. The transportation of a child with generalized meningococcal infection to the hospital
is forbidden without pre -hospital medical assistance in:
A. Acute cerebral edema
B. Seizures
C. Toxic -infectious shock
D. Meningitis
E. Meningococcemia
4. The onset of the generalized meningococcal infection in infants is manifested by:
A. Fever
B. Respiratory signs (airways’ invo lvement)
C. Repeated vomiting, diarrhea
D. Positive meningeal signs
E. Constipation
5. Meningococcemia in children can be presented in the following forms:
A. Moderate
B. Severe
C. Fulminant
D. Chronic
E. Persistent
6. Meningococcal meningitis in infants is often associated with:
A. Encephalitis
B. Ependimatitis
C. Pyelonephritis
D. Meningococcemia
E. Otitis media
7. The onset rush in meningococemiei in infants is presented by:
A. Patches (bleeding, hemorrhagic)
B. Papules
C. Vesicles
D. Rozeola
E. Petechiae
8. The rash in meningococcemia in children can not be:
A. Patches (bleeding, hemorrhagic)
B. Petechiae
C. Erythema nodosum
D. Vesicles
E. Pustules
9. The rash in meningococcemia in children is:
A. Maculopapular, confluen t
B. Punctiform roseolas on a hyperemiated skin
C. Hemorrhagic starlike eruptions with central necrosis
D. Situated on the legs and thighs
E. Hemorrhagic without central necrosis
10. Rash in meningococcemia in children occurs:
A. Simultaneously
B. In stages (during 3 days)
C. On the 1st -2nd day of the disease
D. On the 4th day
E. In severe forms it spreads centripetal on skin and mucosa
11. Central nervous system disorders caused by meningococcus in infants are:
A. Meningitis
B. Subarachnoid hemorrhage
C. Meningoencephalitis
D. Ependimatitis
E. Ischemic cerebral stroke
12. Pathogenic factors in meningococcal infection in children are:
A. Infectious
B. Autoimmune
C. Toxic
D. Allergic
E. Hereditary
13. Name the rare clinical forms of meningococcal infection in children listed as separate forms:
A. Tonsillitis
B. Endo -, myo -pericarditis
C. Iridocyclitis, iridocyclochorioiditis
D. Mono -, polyarthritis
E. Laryngotracheitis
14. The clinical features of meningococcal infection in in fants are:
A. The onset with acute respiratory signs and / or diarrhea
B. Pneumonia, frequently
C. Dissociated meningeal siigns
D. Tense or bulging anterior fontanelle
E. Cerebral focal signs
15. The clinical forms of a generalized meningococcal infec tion in children are:
A. Septicopyemia
B. Meningitis
C. Meningococcemia
D. Pneumonia
E. Meningitis and meningococcemia
16. The possible emergencies in meningococcal infection in children are:
A. Acute cerebral edema
B. Suppurative lymphadenitis
C. Toxic -infectious shock
D. Peritonsillitis
E. Acute renal failure
17. Which complications occur in early stage of meningococcal infection in children?
A. Acute renal failure
B. Hydrocephaly
C. Massive skin necrosis
D. Deafness, strabismus, blindn ess
E. Ependimatitis
18. Meningeal position ("gun cock") in meningococcal meningitis
is seen frequently:
A. In infants
B. In older children
C. 1st -2nd day of the disease
D. In case of delayed antibiotic therapy
E. In the presence of encephalitis
19. Purulent meningitis in infants is characterized by dissociated meninigeal signs.
What signs are the most common?
A. Kernig
B. Brudzinski
C. Lesage
D. Neck stiffness
E. Head in retroflexion
20. Suspicious clinical signs of meningitis in infant s include:
A. Fever
B. Vomiting and liquid stools without pathological adding
C. Psychomotor agitation
D. Encephalic scream
E. Refusing feeds
21. The eruptions in meningococcal infection in infants, has the following character:
A. Maculas
B. Rose ola
C. Vesicles
D. Bleeding/hemorrhagic with central necrosis
E. Pustules
22. Which are the complications of delayed treatment of meningococcal meningitis
(meningoencephalitis) in infants?
A. Hydrocephalus
B. Pyocephalus
C. Paresis, paralysis
D. Pyelonephritis
E. Pyoderma
23. Indicate the most important clinical signs that mark the presence of III degree toxic –
infectious shock in meningococcal infection in children:
A. Fever
B. Consciousness disorders
C. Hepatic coma
D. Hypotonia (state col lapse), absence of pulse
E. Anuria
24. The meningococcal infection’s rash in infants, is presented by:
A. Maculas
B. Papules
C. Pustules
D. Punctiform roseolas and skin hyperemia
E. Hemorrhages with central necrosis
25. Meningococcal infection in i nfants has a poorer prognosis in:
A. Fulminant form of the disease
B. Acute cerebral edema
C. Pneumonia
D. Meningoencefalitis
E. Nasopharyngitis
26. Meningococcemia in infants requires differentiation from:
A. Measles
B. Rubella
C. Sepsis
D. Chi ckenpox
E. Herpes zoster
27. Hematoencephalic barrier’s permeability may increase under the influence of:
A. Low temperature
B. Craniocerebral trauma
C. Radiation
D. Chemical toxins
E. Antibiotics
28. The acute bacterial meningitis in children CSF is:
A. Blood in the cerebrospinal fluid
B. Purulent
C. Clear
D. Opalescent
E. Hypertensive
29. Acute cerebral edema in children with meningococcal infection is treated by:
A. Corticosteroids
B. Antibiotics
C. Diuretics
D. Antivirals
E. Antipar asitics
30. Differential diagnosis of acute bacterial meningitis in infants is made with:
A. Dysentery
B. ARVI syndrome associated with neurotoxicosis
C. Infectious mononucleosis
D. Enteroviral meningitis
E. Craniocerebral trauma
31. The onset sign s of meningitis in infancy are:
A. General intoxication
B. Digestive
C. Meningeal
D. Catarrhal signs
E. Lymphadenopathy
32. Suspicious signs of meningitis in newborns are:
A. Seizures
B. Capping eyes
C. Hepatosplenomegaly
D. Muscular hypertonici ty
E. Bulging of anterior fontanelle
MUMPS
simple choice
1 Which of the following symptoms can be observed in mumps?
A. Pronounced catarrhal signs
B. Swelling of the submaxillary lymph nodes
C. Lacunar tonsilitis
D. Swelling of the salivary glands
E. Pharyngeal edema
2 Which of the following changes in the mucous membranes of the mouth and throat occurs the
mumps?
A. Aphthous stomatitis
B. Follicular tonsilitis
C. "Raspberry" tongue
D. Enanthema
E. Mursou sign
3 Cerebrospinal fluid in mumps m eningitis shows:
A. Albuminorachy 3 -5 g / l
B. Neutrophilic pleocytosis
C. Lymphocytic pleocytosis
D. Mixed pleocytosis
E. Increased glucorachy
4 A common mumps complication is:
A. Follicular tonsilitis
B. Purulent meningitis
C. Purulent otitis
D. Rheumatism
E. Neuritis of the n. acoustic
5 The swelling of the parotid gland in mumps it is not:
A. Bilateral
B. Flabby , elastic
C. Slightly painful
D. Accompanied by fever
E. Associated with skin redness
6 Mumps is caused by:
A. Bacteria
B. Rikettsia
C. Protozoa
D. Viruses
E. Mycoplasmas
7 Which symptom is not characteristic for meningitis in mumps?
A. Fever
B. Pronounced catarrhal signs
C. Headache
D. Neck stiffness
E. Positive meningeal signs
8 Mursou sign is frequently observed in:
A. Scarlet fever
B. Chickenpox
C. Measles
D. Mumps
E. Rubella
9 Congenital mumps is manifested by:
A. Polycystic kidney disease
B. Coarctation of the aorta
C. Cataract
D. Biliary atresia
E. Endocardial fibroelastosis
10 Treatment of mumps in children includes the following except:
A. Bed rest
B. Antipyretics
C. Ferments
D. Antibiotics
E. Diet
11 Etiologic treatment of mumps infection is made with:
A. Lamivudine
B. Immunoglobuline
C. Zovirax
D. Ampicillin
E. No etiologic treatme nt exists
12 Mumps orchitis therapy in children does not include:
A. Strict bed regime
B. Corticosteroids
C. Insulin and antidiabetic sulfonamides
D. Diuretics
E. Analgesics
13The parotitis in mumps is:
A. Bilateral, tough elastic, sensitive to to uch, positive Mursou sign, painful on chewing
B. One -sided, hard, painful
C. Bilateral, very hard, painful, purulent discharges from Stenon channel
D. Bilateral, elastic, altered general condition
E. Bilateral, elastic, painless, crepitation
14 What symptoms can be observed in mumps?
A Pharyngeal edema
B. Lacunar angina
C. Swelling of the submaxillary lymph nodes
D. Pronounced catarrhal signs
E. Swelling of the salivary glands
15 Mumps virus has tropism to:
A. The lymphatic system
B. Dermatotr opism
C. Glandular system, central nervous system
D. Lymphoreticular systems, endothelial, respiratory, less gastrointestinal system, central
nervous system
E. The respiratory system, central nervous system
16 Mumps virus is localized in the following organs except:
A. Salivary glands
B. Testicles
C. Pancreas
D. The central nervous system
E. Skeletal system
17 Symptoms of the onset of mumps do not include:
A. Acute onset with fever
B. Headache
C. Pain in chewing
D. Feeling painful tension of the parotid lodge
E. Generalized vesiculo -bullous eruption
18 Identify the incorrect statement about mumps infection.
A. The highest recorded incidence is in winter and spring.
B. With the maximum frequency recorded in infants.
C. Favorable outcome.
D. Parotid involvement in 50% of cases.
E. Acute onset with mild fever, pain in the retropharyngeal space, anorexia.
multiple choice
1 Mumps submaxilitis needs to be differentiated from the following diseases:
A. Scarlet fever
B. Infectious mononucleos is
C. Submandibular adenitis
D. Quincke edema
E. Measles
2 The swelling in mumps is:
A. Always bilateral
B. Pasty, elastic
C. Slightly painful
D. Skin is unchanged
E. Skin hyperemia
3 Orchitis in parotid infection (mumps) is characterized by:
A. Always bilateral
B. More often unilateral
C. Sharp pain in testicle
D. Swelling of the testicles
E. Fluctuation
4 Glucocorticoids can be administered in mumps in:
A. Severe glandular form
B. In young children
C. Orchitis
D. Encephalitis
E. Mumps with moderate pancreatitis
5 Which of the following signs are not specific for mumps ?
A. Fever
B. Swelling of the salivary glands
C. Tough consistency, painful parotid glands
D. Leukocytosis with neutrophilia
E. Hyperemia of the skin
6 Choose the important signs in the diagnosis of mumps pancreatitis:
A. Pronounced headache
B. Pain in the abdomen (epigastrium or "belt"shape pain)
C. Fever
D. Constipation or diarrhea
E. Amilasurie, amylasemia
7 Swelling of both salivary glands occurs in:
A Sa livary lithiasis
B. Mumps
C. Toxic parotitis
D. Mikulicz syndrome
E. Suppurative parotitis
8 The glands swelling in mumps has the following features:
A. Always unilateral
B. It produces pain in chewing
C. Has pasty consistency
D. Pain in touch
E. Abundant salivary secretion
9 Orchitis in mumps must be distinguished from:
A. Gonococcal orhoepididimitis
B. Varicocele
C. Inguinal hernia
D. Fenicular cordis tumor
E. Coxsackie virus orchitis
10 Extrasalivatory involvements in mumps are:
A. Tonsil litis
B. Orchitis
C. Meningitis
D. Pancreatitis
E. Cervical adenitis
11 The swelling in mumps is:
A. Pasty elastic
B. Bilateral or unilateral
C. Moderately painful
D. Accompanied by a fever
E. With skin hyperemia
12 For virological research in m umps infection is collected:
A. Bile
B. Saliva
C. Blood
D. Stool
E. Cerebrospinal fluid
13 Mark mumps infection peculiarities in infants under 1 year:
A. Is rare
B. More often accompanied by meningitis
C. More commonly it affects the parotid gland s
D. Favorable evolution/outcome
E. High lethality
14. In moderate gravity of mumps pancreatitis are indicated:
A. Intravenous infusions
B. Corticosteroids
C. Ferments
D. Strict bed regime
E. Diet no. 5
15 The impairment of submaxillary glands in mumps infection:
A. It is characterized by moderate pain swollen submaxillary glands.
B. It is accompanied by congestion and swelling of Wharton duct orifice.
C. More commonly associated with the impairment of the parotid gland.
D. It is often unilater al.
E. It is treated with metronidazole.
16 Identify the correct statements about mumps orchitis.
A. Orchitis in mumps occurs frequently between 14 and 17 years old children.
B. It usually occurs after 4 -5 days after the onset of mumps.
C. The testic le is swollen and painful, and the scrotum is edematous with hyperemia.
D. It is always bilateral.
E. It starts slow.
17 Mumps meningitis is characterized by:
A. Fever, headache, vomiting
B. Meningeal signs are very pronounced
C. Purulent cerebrospi nal fluid
D. Clear cerebrospinal fluid
E. Lymphocytic pleocytosis (200 -2000 cells in 1 mcl)
18 In which cases corticosteroids won’t be used in mumps:
A. Mumps encephalitis
B. Mumps orchitis
C. Sublinguitis
D. Mumps pancreatitis (moderate form)
E. Mumps meningitis (moderate form)
19 Biopsy in mumps orchitis testis reveal:
A. Inflammation of germ cells
B. Lymphoplasmacytic cell infiltrate
C. Marked interstitial edema with serofibrinous exudate
D. Multinucleated giant cells
E. Pronounced epithel ial scaling
20 Specify histological aspects which may occur in the central nervous system
in mumps infection:
A Lymphoplasmacytic cellular infiltrate predominantly perivascular
B. Subarachnoid haemorrhage
C. Changes of acute aseptic meningitis (lymph ocytic) in mumps meningitis
D. Neural injury in mumps encephalitis
E. Babes -Negri corpuscles in 30% of neurons
21 Extrasalivatory rare localizations of mumps infection include:
A. Oophoritis
B. Submaxilitis
C. Dacrioadenitis
D. Mastitis
E. Orchit is
22 Impaired sublingual glands in mumps infection are characterized by:
A. Rarely isolated form
B. Moderate pain and swelling of the sublingual glands
C. Often associated with submaxilitis or parotitis
D. Pronounced catarrhal signs
E. Usually bilate ral
23. Mumps in children may encounter the following syndromes:
A. Pancreatitis
B. Meningitis
C. Orchitis
D. The syndrome of disseminated intravascular coagulation
E. Shortness of breath
24 Mump meningitis primarily should be distinguished from:
A Tuberculous meningitis
B. Enteroviral meningitis
C. Meningococcal meningitis
D. Herpetic meningitis
E. Pneumococcal meningitis
25 Which statements are true about mumps infection?
A. Incubation is 11 -21 days.
B. Patients present congestion and swell ing of the Stenon channel orifice .
C. Most affected age group is between 1 and 3 years.
D. Submaxilitis in mumps should be distinguished from submaxillary adenitis.
E. Doesn’t have lasting immunity.
26. Mumps orchitis is characterized by the followi ngs, except:
A. Fever
B. Pronounced inguinal adenitis
C. Testicular swelling
D. Fluctuation
E. Splenomegaly
27 Which statements about mumps prognosis/outcome in children is true?
A. The prognosis is good; fatalities (through encephalitis) are except ional.
B. The evolution is more severe than in adults.
C. The prognosis is unfavorable; fatalities (through encephalitis) are common.
D. Deafness may be sequel of n. Acoustic. neuritis
E. Sterility/ infertility may be the result of bilateral orchitis.
PARAINFLUENZA
simple choice
1 Parainfluenza viruses most commonly affect the mucosa:
A. Nose
B. Pharynx
C. Tonsils
D. Larynx
E. Bronchial
2 Children of which age group are mostly affected by parainfluenza viruses?
A. Newborns
B. Infants
C. Stud ents/pupils
D. Adolescents
E. Toddlers
3 What symptom is considered the main"satellite" of parainfluenza virus iinfection in children?
A Generalized lymphadenopathy
B. Lacunar tonsillitis
C. Barking cough
D. Splenomegaly
E. Fever
4 Which acute re spiratory infection often evolutes with croup syndrome?
A. Influenza/Flu
B. Parainfluenza
C. Adenovirus infection
D. Rinovirus infection
E. Mycoplasma infection
5 Primary, acute stenosing laryngitis in children occurs more frequently in:
A. Measles
B. Rubella
C. Meningococcal infection
D. Parainfluenza
E. Pertussis
multiple choice
1 Which statements are correct concerning parainfluenza viruses in children?
A low -grade fever or fever (38,5șC), 3 -5 days
B. Conjunctiva involvement
C. Signs of m oderate general toxicity
D. Larynx involvement (croup syndrome)
E. Liver, spleen involvement
2 The catarrhal syndrome in children with parainfluenza viruses is manifested by:
A. Dry, noisy cough
B. Sore throat, stuffy nose
C. Runny nose, serous
D. Excruciating chest pain
E. Crackles, wet small bullous in lungs
3 In typical parainfluenza virus infection, the most common manifestations are:
A. Fever (38 -39șC), moderate intoxication
B. Laryngeal stenosis
C. Respiratory catarrhal signs
D. Cervica l edema
E. Rash
4. Characteristic symptoms of laryngeal stenosis in parainfluenza virus infection are:
A. Membranous deposits on tonsils
B. Slow onset
C. Barking cough
D. Inspiratory dyspnea
E. Intercostal indrawing
5. Parainfluenza virus infecti on in children can trigger the following complications:
A. Pneumonia
B. Hepatitis
C. Hemolytic anemia
D. Otitis
E. 5-6 days of illness – laryngeal stenosis (croup late)
6. Parainfluenza virus infection should be distinguished from:
A. Laryngeal diph theria
B. Foreign body in larynx
C. Pertussis
D. Meningitis
E. Mumps
7. Possible syndromes in parainfluenza virus infection in children are:
A. Bronchial
B. The croup
C. Catarrhal
D. Lymphadenopathy
E. Rash
ADENOVIRUS INFECTION
simple choic e
1 Which group of lymph nodes are predominantly affected in children with adenoviral infection?
A. Occipital
B. Diaphragmal
C. Cervical
D. Submaxillary
E. Inguinal
2. The most characteristic symptom in children with adenoviral infection is:
A. Ski n hives
B. Nosebleeds
C. Hypertension
D. Membranous conjunctivitis
E. Pulmonary emphysema
3 Adenoviral infection in infants differs from other respiratory viral infections by:
A. Dry cough
B. Diarrhea
C. "geographical" tongue
D. Toxic infectious shock
E. Pancreatitis
4. The clinical picture of adenoviral infection is manifested by the followings except:
A. Prolong fever
B. Signs of moderate general toxicity
C. Respiratory signs
D. Lymphadenopathy
E. Bleeding rash
5 What symptoms confirm th e adenoviral infection and aren’t found in infectious
mononucleosis?
A. Generalized adenopathy
B. Angina
C. Nasal obstruction
D. Hepatosplenomegaly
E. Conjunctivitis
6 Reproduction of adenoviruses is not possible in:
A. Bronchial mucosa
B. Lymphat ic tissue
C. Renal parenchyma, liver
D. Upper respiratory mucosa
E. Genital mucosa
multiple choise
1 Adenoviruses enter the child’s body through:
A. Injured skin
B. Mucous membranes of the digestive tract
C. Mucous membranes of the respiratory tract
D. Blood
E. Conjunctiva
2 Adenoviruses affect glandular tissue, in the following way:
A. Mesenteric lymphadenitis
B. Tonsillitis
C. Adenoiditis
D. Parotitis
E. Pancreatitis
3 What adenoviral infection complications are more common in childre n?
A. Sinusitis
B. Pancreatitis
C. Otitis
D. Pneumonia
E. cervical lymphadenitis
4 Faringo -conjunctival fever in adenoviral infection in children is manifested by:
A. Prolonged fever, ondulant
B. Positive meningeal signs
C. Granular pharyngitis
D. Follicular conjunctivitis
E. "raspberry" tongue
5 Indicate adenoviral infection syndromes in children:
A. Cholestatic
B. Catarrhal respiratory signs
C. Pseudomembranous conjunctivitis
D. Faringo -conjunctival fever
E. Aphthous stomatitis
6 Adenovir al infection differential diagnosis in children is made with:
A. Enterovirus herpes angina
B. Diphtheric angina
C. Herpetic keratitis
D. Pertussis
E. Helminthiasis
7 Adenoviral infection basic clinical symptoms are:
A. Fever
B. Respiratory catarrhal signs, abundant secretions
C. Pronounced headache
D. Red dermographism
E. Conjunctivitis
8 Which are the particularities of adenoviral infection infants:
A. Nasal Obstruction
B. Catarrhal conjunctivitis
C. Diarrhea
D. Disorders of sweat gland functi on
E. Rash, roseola -like
9 The landmark signs of adenoviral infection in children are:
A. “belt”pains, repeated vomiting
B. Subacute onset of progressive respiratory catarrh
C. Signs of moderate general toxicity
D. Dry cough
E. Exudative character of inflammation
10 The home treatment of children with adenoviral infection consist of:
A. Dezoxyribonucleoza (0.05% drops) – nose and eyes
B. Paracetamol in case of fever (38 ° C and more)
C. Hot drinks
D. Rimantadine
E. Metronidazole
Pertussis ( whooping cough)
simple choice
1. Which of the following indications for pertussis is wrong:
A. Diet
B. Oxygen therapy, fresh air
C. Antibiotics (erythromycin, ampicillin)
D. Antitussives
E. Neuroleptics and sedatives
2 Which of the following indi cations in case of apnea in pertussis is wrong?
A. Oxygen therapy
B. Assisted breathing
C. Sedatives, neuroleptics
D. Postural drainage
E. Respiratory analeptics
3 The catarrhal period in pertussis is manifested by the followings except:
A. Fever
B. Rhinitis
C. No signs of general intoxication
D. Usual cough
E. Feverish
4 Diagnosis confirmation in pertussis is based on the method of:
A. Virological examination
B. Bacteriological examination
C. Bacterioscopic examination
D. Serological examinati on
E. Radioimmunoassay
5 Cough episodes in pertussis are characterized by:
A. Vomiting at the end of access/episode
B. Short, jerky/spastic expiratory episodes
C. Periods/pauses
D. Difficult expectoration
E. All of the above
6 Convulsive period in p ertussis is characterized by:
A. Fever
B. Maculopapulous rash
C. Splenomegaly
D. Bouts/episodes of coughing
E. Diarrhea
7 The main complication of pertussis is
A. Nonsuppurative arthritis
B. Aphthous stomatitis
C. Pneumonia
D. Septicemia
E. Intestinal perforation
8 Which of the following concerning the pathogenesis of pertussis is false?
A. Hemodynamic disorders
B. Disorders of the respiratory rhythmus
C. Venous stasis in the pulmonary circulation
D. Increased blood permeability
E. Inf lammation of the intestinal mucosa with ulceration
9 For the initial period of pertussis isn’t characteristic:
A Slow onset, low grade fever
B. Rash
C. Mild cough
D. Bronchitis
E. Conjunctivitis
10 The onset of the disease in pertussis is:
A. Acu te, with fever
B. With manifest catarrhal signs
C. With pronounced general intoxication
D. Slow, with symptoms of respiratory catarrhal signs
E. Vomiting, diarrhea
11 Coughing’s character in pertussis may be:
A. Stridor -like
B. In episodes, with pau ses
C. Tracheobronchial
D. Barking
E. Excruciating
12 Fever in pertussis may be:
A. Continuous
B. Ondulant/Curling
C. Feverish
D. Irregular
E. Remittent
13 CBC in children with pertussis is characterized by:
A. Leukocytosis with neutrophilia
B. Leukocytosis with lymphocytosis
C. White blood cell with left shift/deviation
D. Eosinophilia
E. Accelerated ESR
14 Oropharyngeal manifestations in pertussis:
A. Aphthous stomatitis
B. "Geographical" tongue
C. Lingual frenulum ulceration
D. "Raspb erry" tongue
E. Saburral tongue
15 The most common complication in pertussis is:
A. Meningitis
B. Enterocolitis
C. Bronchopneumonia
D. Otitis
E. Urinary infection
16 In children under 1 year pertussis evolves:
A. With frust, mild forms
B. With c ontinuous fever
C. With whooping, prolonged cough, apnea
D. With manifest dehydration
E. Leukocytosis, neutrophilia, accelerated ESR
17 Bordetella pertussis may be isolated most frequently:
A. In the 1 -2 weeks of spasmodic period
B. In the 3 -4 weeks of spasmodic period
C. In the 5 -6 weeks of spasmodic period
D. During catarrhal period
E. After 6 weeks
multiple choice
1 Spasmodic period in pertussis is manifested by:
A. Neurotoxicosis
B. Bleeding in the sclerae
C. Stomatitis
D. Coughing bouts /e pisodes
E. Pauses
2 Peculiarities in pertussis in infants include:
A. Apnea
B. Bouts of cyanosis
C. Menningeal signs
D. Rash
E. Similar manifestations to coughing episodes
3 The diagnosis of pertussis is based on:
A. Signs of intoxication
B. Fever
C. Atelectasis
D. Pronounced leukocytosis, lymphocytosis
E. Spasmodic cough
4 CBC in pertussis presents:
A. Leukocytosis
B. Neutrophil drift to the left
C. Eosinophilia
D. Lymphocytosis
E. Normal ESR
5. During catarrhal period of pertussis can be observed:
A. Pronounced jaundice
B. Mild cough, nocturne
C. Body temperature 37 -37,5șC
D. Pale skin
E. Nausea, vomiting
6 Patient’s facies/appearance in pertussis is characterized by:
A. Diffuse swelling
B. Dry, hyperemiated lips
C. Eyelid ede ma
D. Periorally cyanosis
E. Injected conjunctiva
7 In pathogenesis of pertussis occurs:
A. Excitation of the respiratory center
B. Excitation of the vomiting center
C. Electrolyte disorders
D. Hemodynamic disorders in the CNS
E. Bacteremia
8 Dif ferential diagnosis in pertussis is made with:
A. Pharyngeal diphtheria
B. ARI(acute respiratory infections)
C. Parapertussis
D. Pulmonary mucoviscidosis /cystic fibrosis
E. Chickenpox
9 In which period of the disease, coccobacillus Pertussis can b e identified in oropharyngeal
secretions?
A. The last days of the incubation period
B. Catarrhal period
C. Spasmodic period (first day)
D. Spasmodic period (weeks 3 -4)
E. In all periods
10 Pertussis in vaccinated children evolves:
A. Atypical
B. No spasmodic coughing episodes/fits
C. With common complications
D. With mild, prolonged cough
E. Neutrophilic hyperleukocytosis
11 Criteria for severity in pertussis are:
A. Bouts/episodes of coughing with pauses, in 2 -3 cases
B. The respiratory insuf ficiency degree
C. Duration of coughing
D. Common complications
E. All of the listed
12 Specific pertussis complications are:
A. Emphysema
B. Pulmonary atelectasis
C. Maxillary sinusitis
D. Lingual frenulum ulceration
E. Meningitis
13The etiolo gic treatment in pertussis includes:
A. Erythromycin
B. Penicillin
C. Neomycin
D. Ampicillin
E. Cephalosporins
14 Pertussis bout/episode can be triggered by:
A. Overnutrition
B. Tracheobronchial excitation
C. Finding in cool air
D. Anger, emotion s
E. Auditive excitations
15 Peculiarities of the whooping cough episode in infants are:
A. Repeated pauses/stops
B. Fever
C. Apnea
D. Abundant, liquid rhino -pharyngeal secretions
E. Glottic spasm, cyanosis
16 The appearance of children with pertus sis is:
A Diffuse swelling
B. Eyelid edema
C. "Slapped" face
D. Conjunctival haemorrhages
E. Normal face
17 Differential diagnosis in pertussis during catarrhal period is made with:
A. Influenza
B. Scarlet fever
C. Measles
D. Meningococcal meningitis
E. Adenovirus infection
18 Peculiarities of pertussis in vaccinated children are:
A. Prolonged fever
B. Frust or asymptomatic evolution
C. Dyspeptic signs
D. Prolonge d cough with mild episodes
E. No complications
19 Which of the following sequelae can be seen in pertussis?:
A. Bronchiectasis
B. Pulmonary emphysema
C. Hepatomegaly
D. Paresis, paralysis
E. Psychological disorders (mental deficiency)
20 Differen tial diagnosis in pertussis is made with:
A. Thymomegaly
B. Enterovirus infection
C. Cystic fibrosis
D. Tuberculosis of the lymth nodes
E. Laryngeal diphtheria
21 Similar cough bouts to pertussis can occur in:
A. Rubella
B. Cystic fibrosis
C. Chickenpox
D. Adenovirus infect ion
E. SR -virus infection
22 Evolutionary peculiarities of pertussis in infants include:
A. Frequent episodes, apnea
B. Extended catarrhal period
C. Severe complications
D. Diarrhea and frequent vomiting
E. Bouts of sneezing
23 Catarrhal period of pertussis is manifested by:
A. Vomiting, diarrhea
B. Usual cough
C. Normal body temperature or feverish
D. Unaffected general condition
E. Acute onset with general intoxication signs
24. Bronchopulmonary tract changes in pertussis are:
A. Lung pert ussis
B. Polysegmental pneumonia
C. Bronchitis, bronchiolitis
D. Abcedant pneumonia
E. Pulmonary atelectasis
25 The most affected systems in pertussis are:
A. Digestive system
B. Respiratory system
C. Central nervous system
D. Urinary system
E. Car diovascular system
26 For the early diagnosis of pertussis will be considered:
A Slightly spastic character, mainly nocturnal cough
B. Cough which is rebellious to treatment
C. Unchanged general condition
D. Fever, pronounced general intoxication
E. Vomiting, diarrhea
27. Pertussis diagnosis is established as a result of the following labratory investigations:
A. Bacterioscopic postnasal drip
B. Isolation of the causative agent of nasopharynx
C. Blood culture
D. Serological methods
E. White bloo d count
28 The appearance of the patient during spasmodic coughing is:
A. Scowling face
B. Out projected tongue
C. Hippocratic facies
D. Abundant salivation
E. Risus sardonicus
29 The indications for hospitalization of the patients with pertussis are :
A. Typical mild and moderate forms
B. Severe forms
C. Complications
D. Vaccinated children
E. Children younger than 2 years from disadvantaged families
30 The treatment of severe pertussis includes:
A. Antibiotics
B. Sedatives
C. Ferments
D. O xygen therapy
E. Excitant medications of the respiratory center
31 Treatment methods in pertussis include:
A. Diet
B. Antibiotic therapy
C. Syndromal therapy
D. Oxygen therapy
E. Rehydration therapy
poliomyelitis
simple choice
1. In poliomyelitis in children, neuraxis inflammatory lesions include:
A. Edema
B. Cell infiltration with lymphocytes
C. Cell infiltration with plasm ocytes
D. Hyperemia
E. All of the listed
2. For p reparalytic stage in poliomyelitis is not characteristic:
A. Fever returning
B. Loss of consciousness
C. Myalgia, arthralgia
D. Cutaneous h yperesthesia
E. Mening eal syndrome
3 In the evolution of paralytic forms of polio myelitis are the following periods, with one
except ion:
A. Preparalytic period
B. Paralytic period
C. The retrocession of paralysis
D. Sequelae (residual) period
E. Preeruptiv e period
4 What symptom doesn’t characteri ze the pontine form of poliomyelitis ?
A. Lagophthalmos
B. Drooping of corner of mouth
C. Face asymmetr y
D. Uncontrolled tearing
E. Normal sensitivity
5. In polio myelitis , flaccid paralysis occur during the period of :
A. Prodromal period
B. Preparalytic period
C. Retrocession of the disease/recovery period
D. Paralytic period
E. The sequelae period
6 Poliomyelitis with severe centra l nervous system involvement is called:
A. Atypical
B. Abort ive
C. Non paral ytic
D. Unapparent
E. Meningeal
7 Polio myelitis in children during paralytic period , must be differentiated from the following
diseases except:
A. Meningitis
B. Craniocerebr al trauma
C. Guillain -Barre syndrome
D. Transverse myelitis
E. Neurotoxico sis
8. During which period occurs the first fever ascension in p oliomyelitis in children? :
A. Latent period
B. "M ajor illness "
C. Prodromal period
D. The sequelae period
E. Rec overy period
9 Cerebrospinal fluid in poliomyelitis s hows :
A. Neutrophilic pleocytosis
B. Increased albuminorachy
C. Low g lucora chy
D. Very increased lymphocytic pleocytosis
E. Mixed pleocytosis
10 The lasting sequelae in p aralytic poliomyelitis ca n be i mproved by following treatments,
excepting :
A. Orthopaedic treatment
B. Surgery
C. Treatment with antivirals
D. Physiotherapy
E. Kinetot herapy
11 Which statement regarding polio myelitis eradication is not correct?
A. Vaccination with OPV over 95% of children
B. Provid ing additional doses of OPV in the National Immunization Day
C. Establish vaccination "from house to house" campaigns in areas at high risk of
polio myelitis
D. Vaccination with 3 doses of OPV of children under one year
E. Im mediate reporting of all acute flaccid paralysis cases
12 The diagnosis of poliomyelitis can be confirmed by isolation of polio virus from the
following biological materials, except:
A. Faeces
B. Nasopharyngeal lavages
C. Blood
D. Urine
E. Cerebros pinal f luid
13 Most commonly affected muscles in polio myelitis are :
A. Deltoid
B. Chines /back muscles
C. Tibialis anterior and posterior
D. Spinal and paravertebral muscles
E. All of the above
14 Temperature curve with two humps (ascension) of "dro medary" is registered in:
A. Rubella
B. Chickenpox
C. Poliomyelitis
D. Diphtheria
E. Pertussis
15 Which statement is false regarding poliomyelitis ?
A. The causative agent is n’t a virus
B. Affects children
C. A bdominal and respiratory syndromes are poorly expressed
D. Doesn’ t leave sequelae
E. Flaccid paralysis followed by muscle atrophy
16 In which disease the flaccid paralysis are distal and symmetrical?
A. Poliomyelitis
B. Traumatic neuritis
C. Transverse myelitis
D. Guillain -Barre syndr ome
E. Enteroviral infection with Coxackie virus
multiple choice
1 Polio myelitis is also called:
A. Infantile palsy
B. Infection with enterovirus type 70
C. Heine -Medin disease
D. Guillain -Barre syndrome
E. Acute epidemic poliomyelitis
2 The pathoge nesis of poliomyelitis distinguish es the following stages:
A. Digestive (incubation period)
B. Viremia (prodromal period)
C. Of viral persisten ce
D. Of invasion
E. Of bacterial c omplications
3 The e volution of typical poliomyelitis includes the fo llowing periods:
A. Preparalytic period
B. Eruptive period
C. Paralytic period
D. Convulsive period
E. Of incomplete recovery of paralysis
4 Poliomyelitis paralysis are:
A. Symmetrical
B. Appear gradually
C. Asymmetric
D. Flaccid
E. Don’t progress after 2 -3 days after the onset
5. Polio virus commonly affects the motor neurons (analyzers) of:
A. Anterior horns of the spinal cord
B. Posterior horns of the spinal cord
C. Brainstem
D. Cortex
E. Hypothalamus
6 Poliomyelitis paralytic form migh t result in:
A. Pneumonia
B. Paralysis of the muscles (intercostal, diaphragm)
C. Disability
D. Death
E. Renal failure
7 In polio myelitis, the spinal form is manifested by:
A. Acute onset of paralysis during 1 -48 hours
B. Asymmetric palsy
C. Limbs paralysis (very often)
D. Lack of s ensibility
E. Lack of pain syndrome in the extremities
8 Poliomyelitis develops flaccid paralysis of:
A. Upper and lower limbs
B. Facial nerve
C. Intercostal and diaphragm nerves
D. Larynx
E. Glottis
9 What labor atory tests confirm poliomyelitis diagnosis?
A Genomic analysis of viral strains of polio virus
B. Neutralization reaction
C. Agglutination reaction
D. Complement fixation
E. Immunofluorescence assay
10 List the diseases that must be differentiat ed wit h paralytic poliomyelitis :
A. Acute transverse myelitis
B. Guilland -Barre syndrome
C. Palsy caused by ECHO, Coxsackie viruses
D. Perinatal encephalopathy
E. Pertussis
11 Indicate nonparalytic forms in poliomyelitis:
A. Asymptomatic or unapparent for ms
B. Abortive form
C. Meningeal form
D. Arthralgi c form
E. Anginal form
12. Poliomyelitis can trigger complications such as:
A. Spleen r upture
B. Pulmonary: pulmonary edema, atelectasis
C. Cardiovascular myocarditis
D. Digestive: gastric atony, paral ytic ileus
E. Haemolytic anemia
13 Retrocession and recovery of paralysis in poliomyelitis:
A. Begins after 10 to 14 days after the onset
B. Begin s in the onset of minor illness
C. Can leave different definitive sequelae
D. It lasts from a few months up to 2 -3 years
E. It ends with complete healing in all cases
14 In the treatment of poliomyelitis are indicated:
A. Corticosteroid therapy
B. Symptomatic therapy
C. Anticholinesterase mediators (proserine, galantamine)
D. Etiological treatment
E. Kinetotherapy
15 Which statements represent the key moments of polio myelitis ?
A. It is caused by a highly contagious virus that is transmitted by the fecal -oral route.
B. There are specific methods of prevention.
C. For each case of polio paralysis th ere are about 100 infected people with polio, which
don’t develop signs of the disease.
D. The only method recommended for the prevention of disease is vaccination.
E. There are specific methods of treating polio.
16 Acute flaccid paralysis, alike to those in poliomyelitis, can be trigger ed by the infections:
A. Coxsackie B virus
B. ECHO virus
C. Enterovirus type 70
D. Nontoxigen Corynebacterium diphtheriae mitis
E. Neisseria meningitidis
17 The main c linical symptoms of preparalytic polio phase are:
A. Fever, headache
B. Spontaneous muscle pains
C. Positive meningeal signs
D. Paralysis of cranial nerves
E. Loss of consciousness
18 The most common variants of paralytic polio in children are:
A. Spinal form
B. Polyencephalitic form
C. Bulba r form
D. Mixed forms
E. Form with peripheral type of facial paralysis
19 In bulbospinal poliomyelitis, which of the listed worse n the prognosis?
A. Respiratory failure
B. Cardiovascular insufficiency
C. Bacterial superinfection in decubitus lesions
D. Liver failure
E. Intestinal compensated dysbiosis
20 The p eculiarities of poliomyelitis in infants are:
A. Severe forms
B. Do not leave sequelae
C. Bulbar and polyencephalitic forms are common
D. Frequent sequelae, disability
E. Frequent abort ive form
21 In which diseases paralysis occur within the first 1 -4 days after the onset?
A. Poliomyelitis
B. Guillain -Barre syndrome
C. Traumatic neuritis
D. Demyelinating neuritis
E. Transverse myelitis
22 The diagnosis of subclinical polio is based on :
A. Epidemiological data
B. Serological tests
C. Virological investigation of the faeces
D. Present meningeal signs
E. Sequelae appearance
RUBELLA
Single choice
1 Name the dominant and persistent sign in rubella:
A. Fever
B. Enanthema
C. Polyade nopathy
D. Exanthema
E. Respiratory catarrhal signs
2 Leukopenia, lymphocytosis, plasmocytosis and Turck cells are common for:
A. Measles
B. Rubella
C. Scarlet fever
D. Chickenpox
E. Infectious mononucleosis
3 Rubella’s pathognomonic syndrome i s:
A. Catarrhal
B. Polyadenopathy
C. Hepatosplenomegaly
D. Neurotoxicosis
E. Hemorrhagic
4 The rash in measles is characterized by:
A. Small, pink maculas, low intensity, no confluence
B. Punctiform desquamation
C. Vesicles
D. Pustules
E. Petech iae and necrosis
5 Rubella is caused by:
A. Bacteria
B. Enteroviruses
C. Togaviridae RNA viruses
D. Mycoplasma
E. Candida
6 Exanthema in rubella is:
A. Rough, confluent
B. Macular, discrete, on extensor parts of the limbs, buttocks
C. Micromac ular, mostly in skin folds
D. Maculopapulous, vesiculous
E. Desquamative/scaling
7 The eruption in measles occurs:
A. During 3 days with further pigmentation
B. In one day, disappears without leaving traces in 2 -3 days
C. In few hours, it’s hemorr hagic
D. In bursts, vesicles/blisters
E. In one day, disappears in 4 -5 days with desquamation
8 Acquired rubella’s prodromal period is more evident, with a modified general condition in:
A. Newborns
B. Infants
C. Students/pupils
D. Adolescents and adults
E. Children of 1 -3 years
9 Specify the infectious disease where the generalized lymphadenopathy is " the first and
The last sign of the disease ":
A. Measles
B. Scarlet
C. Pertussis
D. Rubella
E. Chickenpox
10 Progressive panencephalitis is rarely a complication of:
A. Scarlet
B. Chickenpox
C. Mumps
D. Serous enteroviral meningitis
E. Rubella
11 Rubella’s evolution is more severe in:
A. Infants
B. Preschool children (toddlers)
C. Pupils
D. Boys
E. Adults
12 Deafness is the onl y manifestation that can occur after intrauterine infection with:
A. Scarlet fever
B. Chickenpox
C. Rubella
D. Mumps
E. Enteroviral infection
13 In maternal viremia, Rubella virus can be isolated from the fetus in:
A. Blood
B. Cerebrospinal fluid
C. Urine
D. Any tissue or organ
E. Brain
14 The calendar of the development of rubella’s malformations depends on:
A The period of the pregnancy
B. Evolution of rubella in pregnant women
C. The general condition of the pregnant woman
D. The virulenc e of the virus
E. Treatment
15 Hearing disorders in congenital rubella occur when rubella occurs:
A. 1st month of pregnancy
B. 2nd and 3rd month of pregnancy
C. One month before pregnancy
D. At 16 -20 weeks of pregnancy
E. A month before birth
16 Rubella virus is:
A. Neurotropic
B. Dermotropic
C. Epitheliotropic
D. Pneumotropic
E. Lymphotropic
17 The most common and constant sign of rubella is
A. Fever
B. Adenopathy
C. Conjunctivitis
D. Exanthema
E. Respiratory catarrhal signs
18 Rube lla is not accompanied by:
A. Tonsilitis with membranous deposits
B. Moderate fever
C. Light pharyngitis
D. Exanthema
E. Polyadenopathy
19 Rubella’s eruption won’t be:
A. Micromaculous, pink
B. Mostly on the extensor parts
C. Vesiculous
D. With no further pigmentation
E. Without scaling
20. Which of the followings are seen in Rubella?:
A. Langhance Cells
B. Turck cells
C. "Owl eye" cells
D. Atypical lymphocytes
E. Erythroblasts
21 Identify the incorrect statement concerning adenopathy in rubella.
A. Occipital lymph nodes are the most affected.
B. Affected lymph nodes are resilient and tenderness/slightly sensitive.
C. Suppuration of lymph nodes is frequent.
D. Adenopathy occurs 4 -10 days before the eruption.
E. Lymph node swelling ma y persist for 2 -6 weeks after the eruption appears.
22. Rubella’s enanthema is presented by:
A. White micropapules on a background of hyperemia the soft palate
B. Petechiae on the soft palate
C. Microvesicles on gum
D. Microulcerations of the kips
E. Sublingual microabscesses
23. Rubella’s complications can be the following except:
A. Fulminant hepatitis
B. Purulent arthritis
C. Thrombocytopenic purpura
D. Encephalitis
E. Progressive panencephalitis in rubella
24. What is indicated when rube lla appears in the 1st trimester of pregnancy:
A. Rubella vaccination
B. Medical abortion
C. Antibiotic therapy
D. Corticotherapy
E. Antivirals
25 In which months of pregnancy associated with rubella do the ocular malformations in newborns
appear?
A. 1st
B. 4th
C. 5th
D. 6th
E. 7th
26 Blood build in rubella is characterized by:
A. Leukocytosis
B. Leukopenia, plasmocitosis, Turck cells
C. Leukopenia
D. Leucopenia with lymphocytosis
E. Leukocytosis with lymphocytosis
Multiple choice
1 Rubella arthritis has the following features:
A Occurs in the 2nd or 3rd day of the disease.
B. Involves small joints.
C. It is accompanied by swelling, edema, erythema.
D. It has a suppurative character.
E. It is seen more frequently in females.
2 Intrauterine rubella infection can lead to:
A Miscarriage
B. Stillbirth
C. Birth of a healthy child
D. The birth of a child with vesicular rash, skin scars
E. The birth of a child with myocardial fibroelastosis
3. Neurological disorders in conge nital rubella are:
A. Microcephaly
B. Serous meningitis
C. Purulent meningitis
D. Encephalitis
E. Myelitis
4 Rubella in adolescents differs from adults by:
A Easy course
B. The course is more severe than in children
C. Abundant macular rash and / or bleeding
D. Prolonged prodromal period
E. Afebrile
5 Congenital giant cell hepatitis can be determined in:
A. Rubella
B. Chickenpox
C. Herpetic infection
D. Flu
E. Mycoplasmosis
6 Which infectious diseases in children can lead to a secondary encephalitis of an infectious -allergic
type?
A. Measles
B. Meningococcal infection
C. Enteroviral infection
D. Rubella
E. Chickenpox
7 Exanthema occurs in a single wave eruption in the following diseases:
A. Scarlet fever
B. Meningococcal infectio n
C. Rubella
D. Herpetic infection
E. Toxic -allergic dermatitis
8 Arthritis in rubella is characterized by:
A. Affects large joints, particularly the hip, the femoral
B. Affect the small joints
C. Joint and periarticular pain and swelling
D. Appe ars while eruption or immediately after it
E. Higher frequency in males
9 The differential diagnosis of rubella is made with:
A. Infectious mononucleosis
B. Varicella
C. Enteroviral infection
D. Measles
E. Mumps
10 Rubella associated with pregnancy :
A. It can be followed by miscarriage.
B. It can cause premature birth.
C. Determines the onset of neonatal diabetes insipidus.
D. Determines cardiac malformations.
E. Determines the myocardial fibroelastosis.
11. Rubella’s ocular complications ca n be the following except:
A. Purulent conjunctivitis
B. Corneal ulcer
C. Glaucoma
D. Cataracts
E. Panophtalmitis
12 Identify the correct statements regarding adenopathy in rubella:
A. Laterocervical and occipital lymph nodes are mostly affected.
B. Lymph nodes are elastic, tender/slightly sensitive.
C. Suppuration occurs frequently.
D. Lymph node swelling may persist for 2 -6 weeks after eruption’s onset.
E. Lymph nodes are tough, adherent, with redness, pain.
13. Rubella (in children), the er uption is not:
A. Hives/urticarial
B. Round micromaculas
C. Pustules
D. Microvesicles
E. Miliary eruptions
14. Which of the followings aren’t common in rubella ?:
A. Pastia sign
B. Adenopathy
C. Diarrhea
D. Exanthema
E. Filatov -Koplik sign
15 P rogressive panencephalitis in rubella is not be associated with:
A. High antirubella antibody titers in the serum and CSF
B. Low antirubella antibody titers in the serum and CSF
C. High proteinuria
D. High titers of antimitochondrial antibodies in serum and CSF
E. High titers of antinuclear antibodies in the serum and CSF
16 Which of the following syndromes are characteristic for rubella?:
A. Respiratory catarrhal signs
B. Exanthema
C. Hemorrhagic
D. Polyadenopathy
E. Respiratory failure
17.Whic h of the listed congenital malformations are most common in congenital rubella?:
A. Cataracts
B. Renal abnormalities
C. Esophageal atresia
D. Heart defects
E. Deafness
18. Name 3 infectious diseases commonly characterized by generalized polyadenopat hy:
A. Scarlet fever
B. Infectious mononucleosis
C. Rubella
D. Adenovirus infection
E. Chickenpox
19. Which diseases should be differentiated from rubella in children?
A. Mitigated measles
B. Meningococcemia
C. Infectious mononucleosis
D. Scarlet
E. Pertussis
20. Exanthema in rubella is:
A. Rough, confluent
B. Macular, discreet on extensor parts of the limbs, buttocks
C. With no further pigmentation
D. Maculopapulous, confluent
E. Desquamating/scaling
21 Choose the common signs for measl es and rubella:
A. Pharyngitis erythematous
B. Enanthema
C. Exanthema
D. Hepatosplenomegaly
E. Polyadenopathy
22 Indicate the common complications of rubella:
A. Aphthous stomatitis
B. Arthritis
C. Thrombocytopenia
D. Purulent meningitis
E. Ence phalitis
23 The swelling of the lymph nodes in rubella occurs, especially in:
A. Occipital
B. Auricular
C. Laterocervical
D. Submandibular
E. Cubital
24 Rubella’s course in children is mostly:
A. Mild
B. Moderate
C. Severe
D. Lethality is excep tional
E. Frequent with complications
25 The prodromal period in rubella is characterized by:
A. A duration of 3 -4 days
B. Fever (39 -40 ° C), biphasic type
C. Discrete catarrhal signs
D. Swelling of lymph nodes
E. Fever (37,5 -38,5șC)
26 Describe the lymph nodes in rubella:
A. They are swollen
B. Pain on palpation (tenderness)
C. Loose
D. Without suppuration
E. With skin redness
27 Positive diagnosis of rubella is based on:
A. Clinical symptoms
B. Bacteriological examination
C. Epidemiolog ical data
D. Serological tests
E. Bilirubinemia
28 Indicate specific laboratory methods for rubella:
A. Bacteriology
B. Serology
C. Virology
D. Bacterioscopic
E. Immunofluorescence
RUJEOLA
Measles
Complement simplu
Single choice
1. The measles in infants isn’t characterized by:
A. Poor/slightly rash
B. Abundant macro -maculopapular rash
C. Common complications
D. Unsettled immunity
E. Filatov -Koplik sign (rarely)
2. The specific measles’ neurological complication is:
A.Serous meningitis
B.Purulent meningitis
C.Peripheral neuropathies
D. Serous meningoencephalitis
E. Purulent meningoencephalitis
3. Subacute sclerosing panencephalitis (Dawson) can be found in:
A. Scarlet
B. Measles
C. Rubella
D. Chickenpox
E. Poliomyelitis
4. Temperatur e curve in measles is:
A. Undulant
B. Biphasic
C. Intermittent
D. In plateau
E. Febrile episodes
5. Filatov -Koplik sign is pathognomonic in:
A. Rubella
B. Scarlet
C. Chickenpox
D. Measles
E. Infectious mononucleosis
6. Which of the eruptions listed be low may appear in measles?
A. Petechiae
B. Vesicles
C. Pustules
D. Macules, papules
E. Punctiform micromacules
7. Measles exanthema is characterized by:
A. Occurs on 1 -2 day of illness
B. It appears from the bottom and goes up (first on the legs)
C. It has a craniocaudal appearance within 24 hrs
D. It has a craniocaudal appearance during 3 days
E. Doesn’t leave pigmentation
8. Mitigated measles appears in:
A. Children immunized against measles
B. Infants
C. Adults
D. Children, after administration of m easles immunoglobulin
E. Patients treated with immunosuppressive drugs
9. Patients with measles won’t be hospitalized if:
A. Severe evolution
B. Early complications
C. Mitigated measles
D. Age group 4 -5 years
E. Unfavorable patient history
10. Erupt ions’ pigmentation occurs in the following infectious disease
with exanthema:
A. Rubella
B. Scarlet
C. Chickenpox
D. Measles
E. Enteroviral infection
11. The eruptive pigmentation and furfuraceous desquamation can
appear in:
A. Scarlet
B. Rubella
C. Chickenpox
D. Enteroviral infection with exanthema
E. Measles
12. Measles virus replication followed by primary viremia occurs in:
A. The central nervous system
B. Gastrointestinal tract
C. Conjunctival mucosa
D. The reticuloendothelial system
E. Respirat ory tract lining epithelium
13. Multinucleated giant cells in the mucosa and dermis are formed in:
A. Measles
B. Scarlet
C. Allergic dermatitis
D. Chickenpox
E. Pseudotuberculosis
14. Giant cell in pneumonia may occur in:
A. Scarlet
B. Rubella
C. Mump s
D. Measles
E. Flu
15. Which clinical sign doesn’t characterize measles?
A. Conjunctivitis
B. Gingivostomatitis
C. Fever
D. Membranous angina
E. Maculopapular rash
16. The measles rash may be the following, except:
A. Maculopapular
B. Hemorrhagic
C. Punctiform rozeola -like
D. Confluent
E. With further pigmentation
17. One of these signs is characteristic for measles:
A. Eyelid edema
B. Cough
C. Gingivitis, stomatitis
D. Maculopapular rash
E. Hepatosplenomegaly
18. Doesn’t appear in m easles:
A. Leukopenia
B. Neutropenia
C. Lymphocytosis
D. Atypical lymphomonocites
E. Normal ESR
19. The measles prodromal period is characterized by the following
signs, except:
A. Maculopapular rash, abundant on the face, neck
B. Conjunctivitis
C. Filatov -Koplik sign
D. Gingivitis
E. Cough
20. The “cried face” appearance occurs in:
A. Scarlet
B. Rubella
C. Measles
D. Chickenpox
E. Pertussis
21. Filatov -Koplik sign in measles appears in:
A. The incubation period
B. 1st or 2nd day of the disease
C. 4th – 5th day of the disease
D. Pigmentation period
E. Convalescence period
Complement multiplu
Multiple choice
1. Measles exanthema is characterized by:
A. Appears in the 1st-2nd day of the disease
B. Abundant maculas, papulas
C. Appears gradually, during 3 days
D. Pigmentation
E. Localized more in the flexor parts of the body, folds
2. Children with measles are hospitalized if:
A. Severe evolution of the disease
B. Early complications
C. Mitigated measles
D. Favorable evoluti on
E. Unfavorable patient history
3. In infants, measles has the following features:
A. Slight coriza signs
B. Filatov -Koplik sign, frequently
C. Slight maculopapular rash
D. Complications (rarely)
E. Unsettled immunity
4. The common signs in measl es and adenoviral infection are:
A. Stomatitis, gingivitis
B. Fever
C. Inflammation signs of the airways
D. Conjunctivitis
E. Abundant maculopapular eruptions
5. Measles exanthema has the following characteristics:
A. It’s maculovesiculous
B. Abundant
C. Confluent
D. No pigmentation during recovery period
E. Desquamative/scaling
6. Early measles complications are:
A. Stomatitis
B. Pneumonia
C. Stenosing laryngotracheitis ("false" croup)
D. Toxic nephrosis
E. Acute pancreatitis
7. Severe measles is characterized by:
A. Abundant maculopapular rash
B. Strong dyspnea
C. Hyperthermia
D. Hemmorhagic rash
E. Pronounced catarrhal signs
8. The common signs for measles and allergic eruptions are:
A. Fever
B. Maculopapular rash (frequent)
C. Respiratory signs
D. Stomatitis, gingivitis
E. Polyadenopathy
9. Filatov -Koplik sign in measles is distinguished by:
A. Appears in 1st- 2nd day of the disease and persists 2 -3 days
B. Appears in 4th – 5th day of the disease and persists for 4 -5 days
C. It is whi te on the cheek mucosa
D. It is the red on soft palate
E. The spots aren’t confluent
10. Mitigated measles is characterized by:
A. Major intoxication signs
B. Slight/poor maculopapular rash
C. Poor coriza/catarrhal signs
D. Frequent complications
E. The absence of lethality
11. Measles in infants evoluates with:
A. Pronounced catarrhal period
B. Abundant, confluent maculopapular rash
C. Discreet and short -termed rash
D. The absence of Filatov -Koplik sign
E. Frequent complications
12. Indicate measle s’ clinical periods:
A. Prodromal (preeruptive)
B. Rash/eruptive
C. The incubation period
D. Spasmodic period
E. Convalescence (pigmentation, desquamation)
13. Mitigated measles is characterized by:
A. Signs of major intoxication
B. Discrete maculopapul ar rash
C. Pronounced catarrhal signs
D. The absence of complications
E. The absence of lethality
14. Indicate the complications of measles:
A. Laryngotracheitis
B. Pneumonia
C. Glomerulonephritis
D. Erysipelas
E. Meningoencephalitis
15. The enantema appears in:
A. Diphtheria
B. Scarlet
C. Measles
D. Pertussis
E. Rubella
16. Name 3 signs, common fot both, measles and influenza:
A. Fever
B. Enantema
C. Rhinitis
D. Abdominal pain
E. Cough
17. Measles conjunctivitis is characterized by:
A. Appears i n 3rd – 4th day of the disease
B. Hyperemiated conjunctiva
C. Eyelid edema
D. Photophobia, lacrimation
E. Fibrinous membranes on the conjunctiva
18. The indications for treatment with antibiotics in measles are:
A. Pronounced intoxication
B. Favorable evolution
C. Pneumonia
D. Encephalitis
E. Small age (under 2 years)
19. Typical catarrhal respiratory signs in measles are manifested by:
A. Laryngitis (laryngotracheitis), sometimes stenosing
B. Serous rhinitis with runny nose
C. Dry cough, sometimes painful, barking
D. Poor/slightly pronounced
E. Deposits on the tonsils
20. Manifest period (eruptive/rash) in measles is manifested by:
A. Fever
B. The progress of catarrhal signs
C. Maculopapular rash
D. Hepatosplenomegaly
E. Generalized lymphadenopath y
21. For which infectious diseases, meningoencephalitis is a common
complication?
A. Measles
B. Rubella
C. Scarlet
D. Diphtheria
E. Chickenpox
22. Prodromal period (invasion) in measles is characterized by:
A Moderate fever
B. Maculopapular rash on th e face, neck
C. Dry cough
D. Rhinitis
E. Hepatomegaly
23. A serious complication specific for measles as encephalitis, may
occur:
A. During preeruptive period
B. After 2 -5 days of the rash appearance
C. During the incubation
D. During pigmentation
E. In the 3rd- 4th week of convalescence
24. Subacute sclerosing panencephalitis (SSPE) is a rare complication
of measles that is
manifested by:
A. Appears after 6 months -18 years after recovery
B. Appears after 1 month of the onset of measles
C. Favorable e volution
D. Progressive and irreversible evolution
E. High lethality
25. Measles ethyology can be confirmed by:
A. Measles virus blood isolation
B. Identification of measles antigen in tissues
C. Marked leukopenia
D. Relative lymphocytosis
E. Detection of the specific antibodies in serum reactions
26. Mild measles is noticed in patients:
A. aged between 15 -20 years
B. who receiving immunoglobulin in the early days of the incubation
period
C. infants
D. who were receiving blood transfusions, plasma duri ng incubation
period
E. who are immunocompromised
27. Filatov -Koplik sign in measles appears on:
A. cheek skin
B. buccal mucosa
C. lower lip mucosa
D. caruncula lacrimalis
E. eye conjunctiva
28. The convalescence period in measles is accompanied by:
A. Skin pigmentation
B. Hepatomegaly
C. Furfuraceous desquamation
D. Intestinal dismicrobism
E. Compromised immunity
29. Furfuraceous desquamation appears after:
A. Rubella
B. Chickenpox
C. Measles
D. Scarlet
E. Allergic rash
30. Bronchopneumonia is a re al complication for:
A. Measles
B. Rubella
C. Scarlet
D. Pertussis
E. Flu
31. The viral entry for measles is through:
A. nasal mucosa
B. pharyngeal mucosa
C. gastrointestinal mucosa
D. conjunctiva
E. intact skin
32. Hemmorhagic rash may occur in:
A. Me asles
B. Rubella
C. Scarlet
D. Typhoid fever
E. Meningococcal infection
33. Measles rush can be:
A. Miliary
B. Roseola -like
C. Bullous
D. Hemmorhagic with center necrosis
E. Maculopapular(poor)
34. Measles complications are:
A .purulent otitis
B. purule nt meningitis
C. early croup
D. Interstitial pneumonia
E. encephalitis
35. Specific respiratory complications in measles include:
A. Interstitial pneumonia
B. Giant cell pneumonia
C. Emphysema
D. Atelectasis
E. Capillary bronchitis (bronchiolar enantema )
Salmonellosis
1. Hospital strains of Salmonella are:
a. sensitive to antibiotics
b. susceptible to disinfectants
c. weakly virulent
d. persistent in the environment for a long time
e. conditional pathogenic
2. Salmonellosis in infants develops predominantly in the for m
a. gastritis
b. gastroenteritis
c. enterocolitis
d. frust form
e. typhoid
3. Specific to salmonellosis is considered intestinal wall infiltration with:
a. macrophages
b. lymphocytes
c. neutrophils
d. phagocytes
e. ferments hydrolytic
4. The most common complication in salmonellosis i n children is :
a. toxic syndrome
b. intestinal dismicrobism
c. anemia
d. poly – lymphadenopathy
e. chronic hepatitis
5. Antibiotics should be administered parenteral to children in :
a. Shigellosis
b. Salmonellosis (generalized form)
c. staph iloccocal food poisoning
d. rotavirus i nfection
e. cholera
6. Write most common syndrome of salmonellosis in young children ”
a. colitis
b. enterocolitis
c. gastroenteritis
d. gastroenteritis
e. neurotoxic syndrome
7. Bloody diarrhea in infants is caused mainly by :
a. shigella
b. salmonella
c. Proteus vulgaris
d. entero bacter
e. vibrio cholerae
8. Diagnosis of typhoid form of salmonellosis is confirmed by :
a. biochemical tests
b. chest radiograph y
c. blood cultures, coprocultures, urine cultures,
d. ultrasound of internal organs
e. copro grama
9. Nosocomial salmonellosis in children at this stage is determined by :
a. Salm. Enteritidis
b. Salm. Typhimurium
c. Salm. Heidelberg
d. Salm. Wirchov
e. Salm. Iawa
10. Conditions favoring hospital outbreak of salmonellosis:
a. Lack of car boxed, failing health system
b. Transferring groundless sick a salon to another
c. Lack of a bacteriological laboratory examination on admission of children to hospital
d. Washing linen sick children with that of children without bowel dysfunction
e. All above are true
11. Young children are more often infected with salmonellosis contact than by food, on the
following bases:
a. An important role is played by the peculiarities of the body (low doses causes severe
forms, generalized)
b. Infants are most active eliminators Salmonella
c. Infants are to eliminate germs a long time
d. Intensive use sometimes groun dless, of antibiotics in the treatment of infants
e. All above are true
12. Salmonellosis in children over 2 years:
a. The most common forms are subtle and unapparent
b. Evolution is easy, short
c. Signs of intoxication missing
d. No complications
e. All a bove are true
13. Factors th at favor the onset of salmonellosis in children:
a. Peculiarities in pathogenesis
b. Child’s age
c. Status of resistance and responsiveness of child
d. iIntestinal dysmicrobism
e. All above are true
14. Haematological changes characteristic for salmonellosis in children are:
a. Leukocytosis, neutrophilia, accelerated ESR
b. Leukocytosis, lymphocytosis
c. ESR unchanged
d. Anemia
e. Leukocytosis, eosinophilia
15. Specific complications of severe salmonellosis in young children:
a. Intestinal b leeding
b. bowel perforat ion with peritonitis
c. anus prolapse
d. intestinal dismicrobism
e. All above are true
16. Which statement concerning the typhoid salmonellosis in children is not correct?
a. Acute onset of fever, signs of intoxication
b. hepatosplenomegaly
c. Moderate or absent bowel dys function
d. Tachycardia, then bradycardia
e. High blood pressure
17. For bacteriological examination in Salmonellosis are not collected:
a. nasopharyngeal secretions
b. vomiting, gastric lavage
c. suspected food
d. blood
e. urine
18. Identify the incorrect statement about the par ticularities of salmonellosis in infants:
a. Prevail the gastroenteritis
b. usually appear generalized forms
c. Possible late relapse in convalescence
d. Salmonella porting long
e. Common complications
19. The differential diagnosis of salmonellosis in infants ( gastroe nteritis) is made with:
a. Shigellosis
b. staph ilococcal infection
c. Klebsiella
d. campylobacteriosis
e. All above are true
20. Treatment of salmonellosis in children include the following except:
a. Oral rehydration or infusions
b. Diet
c. Antidiarrheal medication
d. Antibio tics in generalized forms orally and parenterally
e. Enzymes
Complement multiplu
1. Etiologic treatment of salmone lla in children can be made with:
A. Gentamicin
B. Levomicetin
C. Cephalosporins
D. Penicillin
E. Erythromycin
2. Indicate the principles in treatment of generalized form of salmonellosis in children:
a. food pause
b. Antibiotics
c. Antidiarrh eals
d. Oral rehydration or infusions
e. Correction of electrolyte disturbances
3. Septic form of salmonellosis in children is characterizes by:
a. Incidence in young children
b. Continuous or intermittent fever
c. Septicopyemia
d. Benign evolution
e. Install a lasting immunity
4. Food poisoning in children can be caused by:
a. Staphylococcus
b. Klebsiella
c. Escherichia
d. Salmonella
e. Streptococcus
5. Salmonellosis, typhoid form is characterized by:
a. Affects y oung children
b. serious dyspeptic phenomenon at the onset
c. moderate bowel dysfunction
d. Sustainable symptoms of poisoning
e. Hepatosplenomegaly in onset
6. Clinical manifestations of salmonellosis in young children include:
a. Catarrhal signs
b. Repeated vomiting
c. Prevail the gastroenteritis
d. Liquid stools , greenish with mucus
e. Positive meningeal signs
7. Invasive diarrhea in children can be caused by:
a. Shigella
b. Salmonella
c. Enteroinvaziv Escherichia coli
d. Rotavirus
e. Vibrio cholerae
8. Salmonellosis in i nfants sh ould be differentiated with:
a. Escherichiosis with Esch. coli enteroinvasiv
b. Klebsiela
c. Acute appendicitis
d. Cholera
e. Intussusception
9. Nosocomial Salmonellosis is characterized by:
a. Sensitive Salmonella to disinfectant products
b. spread quickly
c. severe evolution
d. High lethality
e. affects especially infants and newborns
10. Septic Salmonellosis affects more frequently:
a. Newborns
b. Premature
c. Preschoolers
d. Infants fed artificial
e. Children of school age
11. Diagnosis of salmonellosis, subclinical form , is determined based o n:
a. Clinical and epidemiological data
b. Clinical
c. Coprogramma
d. Detection of Salmonella in stool cultures
e. The increase titers of specific antibody
12. Carriage of salmonella in children is determined based on:
a. Bearing the salmonellosis in anamnesis
b. Repeated det ection of Salmonella in faeces
c. Growth titers of specific antibodies
d. Changes in blood counts
e. Pathological changes of intestine
13. Specify the correct statements about salmonellosis:
a. Animals are the main reservoir of infection.
b. Sources of infection are sick persons and Salmonella carriers.
c. Incidence is highest in neonates and infants.
d. Incidence is higher in adults than in children.
e. Morbidity increases in winter -spring period.
14. Salmonellosis, gastroenteritis in young children manifest clinically by:
a. Onset w ith gastroenteritis syndrome then colitic syndrome
b. Unique rozeola e in 5-9 day of disease
c. Sigmoid spasm, sensitive to touch
d. Liquid stools, abundant, greenish mucus, blood and fetid odor
e. Symptom Padalca positive
15. Select laboratory tests useful for the differential diagnosis of salmonellosis with
escherichiosis in infants:
a. Bacteriological test of stools and vomit
b. Blood culture
c. Immunofluorescent examination
d. Hematocrit level
e. Ionogra mma
16. Salmonella long-term carriers locations :
a. Joints
b. The lungs
c. Gall bladder
d. Spleen
e. Lymph nodes
17. Stools in typical salmonellosis in children are:
a. frequent
b. Poor
c. Abundant
d. Liquids, green, fetid, with mucus
e. The amount of stools is reduced gradually , drops of blood appear
18. Gastroenteritis in salmonellosis in children is represented by :
a. is more common in older children
b. pronounced signs of intoxication and dehydration
c. diffuse abdominal pain, flatulence
d. liquid stools, abundant, foamy, greenish, fetid
e. Muscular defans, positive Sceotkin -Blumberg symptom
Shigellosis
1. Inflammati on of intestinal mucous membrane in Shigellosis in young children is:
a. erythematous, follicular
b. fibrinous
c. erosive
d. ulcerative
e. polyposis
2. At this stage, the only specific complication in infant, in Shigellosis is:
a. bowel perforation
b. intestin al bleeding
c. prolapsing of the anus
d. pneumonia
e. pyelonephritis
3. In acute Shigellosis most characteristic syndrome in infants is:
a. colitis
b. enterocolitis
c. gastroenteritis
d. neurotoxicosis
e. dehydration
4. Stool character in Shigellosis is:
a. porridge with mucus
b. abun dant, greenish with mucus
c. sanguinolent, mucous
d. liquid, undigested, white
e. aqueous, bright yellow color , poorly digested , with little mucus
5. Inapparent form of Shigellosis is different from portage of the shighellosis by:
a. fever
b. leukocytosis , neutrophilia
c. increasing titers of specific antibodies in RHAI
d. Frequent stools , sanguinolent
e. Liquid stool with mucus
6. Diarrhea with sanguinolent stools in children is most commonly caused by:
a. Shigellosis
b. Enteropathogenic Escherichia coli
c. Enterotoxigenic Escherichia coli
d. Salmonella
e. Viruses
7. Choose the most common syndrome in Shigellosis in children under the age of one year:
a. hypokalemia
b. respiratory
c. bloody stool
d. enterocolitis
e. dehydration
8. What types of Shigella produce exotoxin?
a. Sh. Sonnei
b. Sh. Flexneri
c. Sh. Boydii
d. Sh. Grigoriev -Shigae
e. Sh. Lardge -Sachs
9. At what age children are more commonly affected by Shigellosis:
a. till 6 months
b. 6-12 months
c. 1-3 years
d. 3-7 years
e. 7-14 years
10. Morphological lesions in Shigellosis, at children are located in:
a. stomach
b. liver
c. pancreas
d. duodenum
e. colon and ileum
11. For rudimentary form of Shigellosis is not characteristic:
a. normal temperature
b. moderate signs of intoxication
c. moderate abdominal pain
d. liquid stools or porridge stool, with mucus (1-2 times a day)
e. positive stool analysis
12. The diagno sis of Shigellosis is confirmed by
a. positive stool culture
b. blood culture
c. urine culture
d. biochemical tests
e. ultrasonography of abdominal organs
13. Evolution of Shigellosis in children at this stage:
a. prevailing of the mild and rudimentary form
b. predominant sev ere forms
c. frequent complications
d. slow and chronic evolution
e. increased lethality
14. For intussusception unlike Shigellosis in children is not characteristic:
a. sudden onset
b. fever (38.0 -39.0)
c. abdominal cramps
d. amount of stools is reduced to zero gradually
e. rectal examination indicates blood
15. For acute appendicitis in children unlike Shigellosis is not characteristic:
a. sudden onset
b. fever (39.0 -40.0)
c. dry tongue with white deposit
d. pain in the right iliac region
e. liquid or porridge stools
16. Treatment of Shigellosis in children at home does not include:
a. oral rehydration
b. diet
c. antibiotics
d. corticosteroids
e. eubiotic
17. Antibiotics in the treatment of Shigellosis in children are used in:
a. carriers of shigelae
b. asymptomatic form
c. rudimentary form
d. dyspeptic form
e. average form or severe form with blood stool
18. In children with shighellosis is not used for treatment:
a. antibiotics
b. digestive enzymes
c. antidiarrheal
d. eubiotic
e. vitamins
19. For dyspepsia in children unlike Shigellosis is not characteristic:
a. fever
b. abundant stools, poorly dige sted ,without pathological inclusions
c. absence of distal colitis
d. short term bowel dysfunction
e. intestinal dysfunction disappears with proper nutrition.
Complimentul multiplu
1. Clinical features and evolving of Shigellosis in infants and young children are t he
following:
a. predominance of toxic syndrome
b. predominance of diarrheal syndrome
c. presence of signs equivalents to tenesmus
d. hemocolita frequency
e. incoercible vomiting
2. Indicate peculiarities of ulcerative syndrome in young children.
a. obvious tenesmus
b. tenesmus equivalents
c. sigmoid spasm not in all cases
d. abundant stools, undigested, greenish with mucus and blood streaks
e. incoercible vomiting
3. General criteria of severity in Shigellosis in young children are:
a. metabolic disorders
b. cardiovascular disorders
c. hepatosplenomegaly
d. respiratory syndrome
e. severe dehydration
4. In Shigellosis in children the specific complications are:
a. stomatitis
b. intussusception
c. rectal prolapse
d. pneumonia
e. intestinal dismicrobism
5. Non specific complications in Shigellosis in children are:
a. Rectal prolapse
b. Intussuspection
c. Pneumonia
d. otitis media
e. urinary infection
6. The pathologenetic peculiarities in Shigellosis in toddlers are:
a. central nervous system in toxemia suffer less
b. prevail the intestinal diseases – invasive diarrhea
c. destructive phenomenon occurring in colon
d. ordinary with colon is affected the small intestine (enterocolitis)
e. severe dehydration occurs frequently
7. Dyspeptic form of shigellosis in infants is characterized by:
a. Sudden onset
b. gradual onset, slowly
c. watery, frothy, undi gested stool without mucus and blood streaks
d. no vomiting
e. moderate fever
8. Shigellosis in children can achieve these atypical forms:
a. choleriform
b. dyspeptic
c. inapparent (asymptomatic)
d. toxic form
e. typhoid
9. Invasive diarrhea in children is recorded in:
a. Shigel losis
b. salmonellosis
c. escherichiosis with enteroinvazive E. coli
d. rotavirus
e. cholera
10. Shigellosis in children:
a. is produced frequently by Sh. Gregory -Shigae
b. prevailing mild and frust forms
c. complications are exceptional
d. increased lethality
e. illness lasts 2 -5 days
11. Digestive syndrome in Shigellosis in children is manifested by :
a. nausea and repeated vomiting
b. epigastric pain
c. abdominal pain, spasm, diffuse
d. abundant stools with mucus, sometimes streaked with blood
e. sigmoid spasm in about one third of the cases ,
12. Pathological lesions in Shigellosis in infants are located :
a. stomach
b. duodenum
c. ileum and colon
d. sigmoid colon
e. rectum
13. Erythematous inflammation of the rectosigmoid in Shigellosis in infants is characterized
by:
a. mucosal hyperemia, edema
b. leukocyte infi ltration
c. bloody secretions, with intestinal and glandular epithelial desquamation
d. fibrinous exudate from the inflamed areas
e. superficial and deep ulcers in submucosal and muscular layer
14. Easy form in Shigellosis in children is characterized by :
a. Acute , sudden, brutal onset,
b. low-grade, short fever (37.5 -38)
c. Unique vomiting or absens of vomiting
d. Stools 5 -10 times in a day, with mucus
e. pronounced signs of dehydration
15. Mild form in Shigellosis in children is characterized by :
a. Fever (38 -39) with duration 2 -4 days
b. somnolence, asthenia, adinamia
c. repeated vomiting, poor appetite
d. poor stools 10 -20 times per day, with mucus and blood streaks
e. Signs of severe dehydration
16. Severe form in Shigellosis in children is characterized by:
a. Most frequent form
b. High fever (39-40°C)
c. seizures
d. vomiting absent
e. moderate or severe signs of dehydration
17. Dyspeptic form in Shigellosis in children is characterized by :
a. is found only in children in the first year of life
b. gradual , slowly onset
c. low-grade fever (37.5 -38 C)
d. Liquid s tool, undigested, without mucus and blood streaks
e. beant or rezilent anus
18. The clinical form food poisoning in Shigellosis in children is characterized by :
a. Shigellosis flexneri is characteristic
b. gradual , slowly onset
c. progressive signs of intoxication
d. is trigger ed in case of infection through contaminated food
e. Cardiovascular failure up to a state of collapse
19. Hypertoxic form in Shigellosis in children is characterized by :
a. is common
b. toxi-infectious shock
c. affecting the central nervous and cardiovascular system
d. loss of consciousness
e. prevalence of colitic syndrome
20. Asymptomatic (inapparent) form in Shigellosis in children is characterized by :
a. Absens of clinical signs
b. Liquid stool s (5-10 times/day ) with faeces and mucus
c. positive coprocultures
d. abdomin al cramps, tenesmus
e. increase the specific antibody titer for 4 times and more
21. Rudimentary form in Shigellosis in children is characterized by :
a. moderate signs of intoxication
b. stool frequency 1 -2 times / day
c. stools liquid or poridge, with mucus
d. positive coprocultures
e. signs of moderate dehydration
22. The evolution in Shigellosis in children depends on :
a. child's age
b. antecedent
c. epidemiological history
d. late and insufficient treatment
e. clinical cure coincides with intestinal mucosa repair
23. Trenant form in Shigellosis in children m eets in:
a. weak children in case of delayed treatment
b. in mixed infections
c. in case of superinfection viral and/or bacterial
d. severe form in onset
e. increased lethality
24. To obtain a high index of positivity of coproculture in Shigellosis , the collection of
pathological product is made in certain conditions :
a. early, in disease onset
b. before the administration of antibiotics
c. during antibiotic treatment
d. pathological blood areas
e. seeding immediately in enrichment and selective media
25. Microscopic examination of s tools in Shigellosis in children shows:
a. leukocytes polynucleate
b. red blood cells
c. mucus
d. yeasts
e. protozoa r
26. In Shigellosis occur these hematological changes :
a. lymphocytosis
b. leukocytosis
c. blood neutrophils drift left
d. atypical mononuclea r
e. accelerated ESR
27. Laboratory diagnosis of Shigellosis includes:
a. Indirect hemagglutination reaction
b. Stool culture
c. blood culture
d. urine culture
e. immunofluorescence reaction
28. Indications for hospitalization of children with Shigellosis :
a. mild (inapparent, f ruste ) form
b. severe forms with fever, repeated vomiting, bloody stools
c. treated at home without improvement for 2 days
d. children from the closed collective
e. convalescent period
29. In the antimicrobial treatment of Shigellosis in children can be used :
a. Co-trim axazol
b. Penicillin
c. Erythromycin
d. Amoxicillin
e. Nalidixic acid (Nevigramon)
30. Symptomatic treatment in Shigellosis in children include :
a. Anti-vomiting medication
b. antidiarrheal treatment
c. antispasmodic medication
d. digestive enzymes
e. antipyretics
Syncytial respiratory virus infection (SR -virus)
Single choice
1 SR -virus infection has a severe evolvement in:
A. Infants
B. Preschool children
C. School age children
D. Adolescents
E. Young children/toddlers (1 -3 years)
2 SR -virus has affinity to:
A. Upper airways
B. Lower airways
C. Urogenital tract
D. Digestive tract
E. Cardiovascular system
3 The clinical picture in SR -virus infection in children includes the followings except:
A Strong cough
B. Feverish
C. Spasmodic cough in episodes with whoopi ng
D. Difficult nasal breathing
E. Dyspnea, mainly expiratory
4 Severe forms of SR -infection are determined by:
A. Cardiovascular insufficiency
B. Respiratory failure
C. Adrenal insufficiency
D. Renal failure
E. Hepatic failure
5 The prognosis in SR-virus infection is favorable in:
A. Infants
B. Immunosuppressed children
C. Neonates
D. School age children
E. Children with congenital heart disease
6 Treatment of SR -virus infection (severe form) includes:
A. Symptomatic
B. Antivirals
C. Hosp italization and intensive therapy
D. Multivitamins
E. Choleretics
7 SR -virus infection needs to be differentiated from the following diseases except:
A. Pertussis
B. Meningococcal infection
C. Adenoviral infection
D. Mycoplasma infection
E. Flu
multiple choise
1 SR -virus infection is manifested by:
A. Malignant fever
B. Persistent cough, with episodes/entrances, sustainable
C. Discrete catarrhal signs
D. Expiratory dyspnea, intercostal spaces indrawing
E. Lymphadenopathy
2. SR -virus in fection in infants is triggered by:
A. Eruptive syndrome
B. Bronchial syndrome
C. Myelitis
D. Pneumonia
E. Bronchiolitis
3 List the diseases that need to be differentiated from SR -virus infection:
A. Adenoviral infection
B. Pertussis
C. Mycoplasma infection
D. Herpes simplex
E. Mumps
4 SR -virus infection in neonates and premature infants is manifested by:
A Sudden onset
B. Gradually onset with normal or low grade fever Tș
C. Persistent cough, in episodes
D. Persistent vomiting
E. Early comp lications (pneumonia)
5 Characteristic clinical features of SR -virus infection are:
A. Nasal abundant eliminations
B. Persistent, painful cough
C. Bilateral conjunctivitis
D. Fever or feverish
E. Expiratory dyspnea, tachypnea
6. CBC in SR -virus inf ection in children can attest:
A. Leukocytosis
B. Lymphopenia
C. Leukopenia
D. Lymphocytosis
E. Normal or slightly increased ESR
7 Clinical signs specific for RS -virus infection in children are:
A Subacute onset with low grade fever
B. Myalgia
C. Moderate respiratory catarrh
D. Rapid onset of respiratory failure
E. Skin rash
8 What symptoms are characteristic of bronchiolitis in SR -virus infection in children?
A. Pronounced dyspnea
B. On percution – "box" sound
C. crackles
D. Cyanosis, acrocy anosis
E. “Two tone”cough
9 Pre -hospital emergency therapy in severe forms of infection with RS virus, includes:
A. Oxygen therapy
B. Bronholitic (salbutamol)
C. Antiviral
D. Antibiotics
E. Polivitamins
10Which conditions are an indications for u rgent hospitalization in patients with SR virus
infection?
A. Shortness of breath – more than 60 breaths per minute
B. Episodes of asphyxia, syncope
C. Chest wall indrawing
D. Moderate catarrhal signs
E. Frequent dry cough
11 Principles of treatment in severe form of SR -virus infection are:
A. Immediate hospitalization in ICU
B. Eubiotics
C. Enzymotherapy
D. Quick action broncholytics
E. Prednisolone
VIRAL HEPATITIS
Simple choice
1 Anicteric form of h epatitis A virus in children is characterized b y:
A. Poorly pronounced jaundice
B. Slightly increased b ilirubin , with predominance of conjugated fraction
C. Increased ALT values
D. Pronounced catarrhal signs
E. Rash
2. Frust form of hepatitis A in children includes one of the following signs:
A. Prono unced/severe intoxication
B. Pronounced jaundice
C. Hemorrhagic r ash
D. Arthralgia
E. Hepatomegaly
3 Which clinical sign is not characteristic for the malignant form of viral hepatitis in children?
A. Adynamia , agitation, seizures
B. Pronounced hepatome galy
C. Repeated vomiting, regurgitation
D. Pronounced j aundice
E. Hemorrhagic syndrome
4 Which statement regarding congenital viral hepatitis is not correct?
A. Moderate s igns of intoxication
B. Insignificant h epatomegaly
C. Frequently hemorrhagic sy ndrome
D. Hyperbilirubinemia with predominance of unconjugated fraction
E. ALT and F-1-phosphate aldolase activity slightly elevated
5 Malignan t form in viral hepatitis in children occurs most often in:
A. HAV
B. HCV
C. HBV
D. HEV
E. Hepatitis in CMV( cytomegalovirus ) infection
6 The most important infectivity marker of HBV in a sick child is:
A. HBsAg
B. HBcAg
C. HBeAg
D. Anti -HBe Ag antibodies
E. Anti -Hbc Ag antibodies
7 Acute hepatic encephalopathy in viral hepatitis in children usually result s in:
A. Recovery
B. Incomplete recovery
C. Chronic hepatitis
D. Lethal outcome
E. Liver postnecrotic cirrhosis
8 Acute hepatic encephalopathy in viral hepatitis occurs more frequently in:
A. Newborns
B. Infants
C. Preschool children
D. Adults
E. School age c hildren
9 In case of acute hepatic encephalopathy in children, one of the followings is not missing:
A. Tonic- clonic seizures
B. Hematemesis
C. Clear conscience
D. Tachypnea
E. Oliguria
10 The most informative biochemical test in acute hepatic encephalo pathy in children is:
A. H ypertransamina semia
B. Hyperbilirubinemia
C. Elevated β-lipoproteins
D. Prothrombinemia less than 40%
E. Small values of tymol test
Multiple choice
1 Viral hepatitis in infants are usually produced by:
A. Hepatitis A virus
B. Hepatitis B virus
C. Hepatitis C virus
D. Hepatitis D virus
E. Hepatitis E virus
2. Severe form of hepatitis B in children include s:
A. Progressive jaundice
B. Bleeding episodes
C. Hepatomegaly, tenderness liver
D. Moderate intoxication
E. Repeated seizures
3 Major clinical criteria of severity in viral hepatitis in children are:
A. Pronounced intoxication
B. Progressive jaundice
C. Moderate hepatomegaly
D. Exanthema
E. Hemorrhagic syndrome
4 During the prodrome of HAV in children, the differential diagnosis is made with:
A. AVRI (acute viral respiratory infections)
B. Allergic c onditions
C. Food poisoning
D. Rheumatism
E. Appendicitis
5 The c onsequences of HBV in children can be :
A. Complete recovery/healing
B. Chronicization
C. Lethality
D. Acute necrotizing pancreatitis
E. Chronic kidney disease
6 Prodrome period in HVA in c hildren is characterized by:
A. Lasts 3 -5 days
B. Fever in 60% of cases
C. Arthralgia
D. Abdominal pain
E. Rash
7 What are the peculiarities of HAV in children comparing to adults?
A. More severe e volution
B. Frequently adenopathy
C. More pronounced hepa tomegaly
D. The anicteric forms are common
E. Shorter jaundice duration
8 Which of clinical and paraclinical parameters listed below are indicative of immediately severe
prognosis in acute viral hepatitis evolution?
A. Pronounced h epatomegaly
B. Splenome galy
C. Progressive reducing of liver size
D. The presence of hemorrhagic syndrome
E. HBsAg rapidly decreasing titer
9 Corticosteroid therapy is not indicated in children with acute viral hepatitis in:
A. Severe HBV i n infant s
B. Severe HEV
C. Malignant form of HBV
D. Severe HAV
E. Mild form of hepatitis B + chickenpox
10 Elevated thymol test values ar e noticed in :
A. HAV
B. HBV
C. HCV
D. HDV
E. HEV
11 Alpha -interferons are indicated in severe forms of:
A. HBV
B. HEV
C. HCV
D. HAV
E. HDV
12 Hepatosplen omegaly in newborns is recorded in:
A. Congenital Rubella
B. Congenital Toxoplasmosis
C. Congenital HBV
D. Jilbert Syndrome
E. Hemolytic jaundice
13 Bilirubinemia wit h predominance of conjugated bilirubin fraction in newborns will be in:
A. Physiologic ja undice
B. Hemolytic jaundice
C. Congenital HBV
D. Biliary atresia
E. Crigler -Najjar syndrome
14 Choose three indices that characterize hepatic cytolysis:
A. Serum Bilirubin
B. ALT
C. ASAT
D. Gammaglobulins
E. Fructose -1-phosphate aldolase
15 In malignant form of HBV in children the most common complications are:
A. Cerebral edema
B. Severe dehydration
C. Renal failure
D. Respiratory failure
E. Massive gastrointestinal bleeding
16 The most characteristic biochemical tests in acute hepatic encephalopathy i n children with
HBV are:
A. Bilirubin (200 mmol / l and more)
B. Prot hrombinemia 50 -60%
C. Prothrombinemia under 40%
D. Low levels of sublimate test
E. Hypertransamina semia
17 Main c linical signs of acute hepatic encephalopathy in children are:
A. Liver odor ('raw liver')
B. "Coffee ground" vomiting
C. Oliguria
D. Splenomegaly
E. Moderate intoxication/ poisoning
18. Malignant form of viral hepatitis in children is characteri zed by :
A. It is caused most frequently by hepatitis B and D viruses
B. Occurs mo re often in hepatitis C
C. It was often seen in infants before HBV vaccination
D. It is manifested in the first two weeks of the disease onset
E. The prognosis is favorable
19 For severe form of hepatitis B in children, the followings are typical:
A. Prog ressive jaundice
B. Bleeding episodes
C. Hepatomegaly, tenderness liver
D. Mild/moderate (poorly pronounced) i ntoxication
E. Repeated seizures , convulsive status
20 Major clinical criteria of severity in hepatitis B in small children are:
A. Splenomega ly
B. Progressive jaundice
C. Diarrhea
D. Sleep disorders, repeated vomiting
E. Hemorrhagic syndrome
21 Consequences of HBV in children include:
A. Complete recovery/healing
B. Chronicization
C. Death
D. Liver abscess
E. Paresthesias and flaccid paralysi s
22 What serological markers are requested for confirmation of hepatitis C infection ?
A. Anti -HCV
B. HCV RNA
C. Anti -HCV IgM
D. Determination of anti- smooth muscles antibod ies
E. ALT, AST
23 Indicate extrahepatic manifestations in acute hepatitis B:
A. Interstitial pneumonia
B. Membranous glomerulonephritis
C. Poliarteritis nodosa
D. Stenosing laryngitis
E. Aplastic anemia
24 The markers of hepatitis B virus infection are:
A. HBsAg
B. HBeAg
C. Anti -CMV
D. Anti -HBc IgM
E. Anti -HCV
25. In preicteric period of HVA in children may occur:
A. Digestive syndrome
B. Pseudor heumatic syndrome
C. Eruptive syndrome
D. Psudoinfluenza syndrome
E. Atypical manifestations simulating acute abdomen
26 Liver cell failure syndrome is characterized by:
A. Hypoprothro mbinemia
B. Hypofibrinogenemia
C. Hypoalbuminemia
D. H ypertransamina semia
E. Elevated serum level of β -lipoproteins
27 Allergic rash in preicteric period may be seen in :
A. HAV
B. HBV
C. HCV
D. HDV
E. HEV
28 Severe form of HAV in children is treated with:
A. Bed regime during the state period
B. Diet
C. Infusion therapy
D. Corticosteroids
E. Antivirals
29 Hepatitis A consequences in children include:
A. Complete healing and recovery of the liver function
B. Healing with a small histomorphologic defect – "fibrosis"
C. Chronic ization
D. Cirrhosis of the liver
E. Complications of biliary tract and gastroduodenitis
30 Vif eron is indicated for:
A. HBV severe form
B. HBV malignant form
C. HCV chronic active form
D. HBV chronic active form
E. HEV
31 The p eculiarities of HDV -coinfection in children are:
A. Before starting HBV vaccination it was often in infants
B. Frequently favorable prognosis
C. Frequent severe and malignant forms
D. High lethality
E. High risk of chronic ization
32 Evolution of HAV in child ren is characterized by:
A. Often mild forms
B. Rarely severe forms
C. Fulminating forms are exceptional
D. High lethality
E. Unfavorable prognosis
33 Peculiarities of HBV in infants:
A. Short or absent preicteric period
B. H epatosplenomegaly is more pronounced than in older children
C. Severe and moderate forms – most frequent
D. Poor signs of intoxication –
E. Convalescence /recovery period – short
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