Forms and methods of self-control

Tests:

1. 35 years old patient complained of itchy nose and eyes, runny nose, sneezing attacks, nasal congestion, watery eyes in June - September. Ill since childhood. OBJECTIVE: nasal breathing violated vesicular breathing in the lungs. In the overall analysis of blood eosinophils - 8% JgE - 248 IU / ml. In a smear of nasal cytology: eosinophils cover the entire field of view. What is the most likely diagnosis?

A. bronchial asthma

B. vasomotor rhinitis

C. Tsilorichesky allergic rhinitis

D. polynosis

E. polypoid rhinosinusitis

2. Female 43 years complains of skin rashes torso, accompanied scabies, swelling of the face. Two days ago, suffered flu, took paracetamol. Objectively: swelling of the face. On the skin of the trunk abundant urticarial rashes, traces of scratching. Blood test: eosinophils - 6%, JgE - 186 IU / ml. What could be the preliminary diagnosis?

A. atopic dermatitis

B. drug allergy

C. angioedema

D. Contact-allergic dermatitis

E. urticaria

3. Patient 24 years old, complains of attacks of breathlessness, sneezing that occur in contact with feather pillows, dyspnea on exertion. In the history - the disease since childhood. Periodically takes suprastini. In the blood test: basophils - 2%. In the overall analysis of sputum: spiral Kurshmana, Charcot-Leyden crystals and eosinophils cover the entire field of view. In spirogram: mild obstructive breach. BMT with ventalini - positive. What is the most likely diagnosis?

A. COPD

B. Bronchial asthma and allergic rhinitis

C. polynosis

D. allergic alveolitis

E. bronchopulmonary aspergillosis

Situational tasks

1. 26 years old patient complains of availability rash, itchy skin, insomnia. Ill since childhood. Believes that the disease started after eating eggs. Objectively: the skin of the body, especially in the chest and neck, seen-papular erythematous rash elements. In a blood test: eosinophils - 7%; JgE - 211 IU / ml. Subsequent research has found JgE specific to the protein of chicken eggs - 18 IU / ml. What is the most likely diagnosis? What additional research is needed to appoint? Your tactics of treatment of the patient?

2. Patient 18 years, complains of feeling short of breath, severe weakness, malaise, dizziness, which appeared after the injection of ceftriaxone. Objectively: the patient is excited, pale skin, acrocyanosis, BH 24 per minute, lungs, vesicular breathing. HR - 120 beats per minute. BP - 80/20 mmHg. What is the most likely diagnosis? What additional research is needed to appoint? Your tactics of treatment of the patient?

Дата добавления: 2015-11-16