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Reason of development of congenital hypothyroidism can be all ,except:



?

Reason of development of congenital hypothyroidism can be all,except:

-agenesia of thyroid gland

-pathologies a hypothalamus

-hypopituitarism

-using of antisteroid preparations by mother during pregnancy

+protracted using by the mother of Tetracyclinum during pregnancy

?

Which of these symptoms don’t belong to the early displays of congenital hypothyroidism:

-languor, somnolence

-hoarse voice

-protracted icterus

-dryness and pallor of skin

+absence of kernels of ostification of bones of wrist

?

What is not characteristic for hypothyroidism?

-infantile proportions of skeleton

-epiphyseal disgenesis

+increased level of alkaline phosphatase

-increased level of cholesterol

- low voltage of indents on ECG

?

Control of adequacy of substitutive therapy at a hypothyroidism includes everything,

except:

-to control of neuropsychical development

+corrections of insufficiency of weight

-estimations of humidity of skin

-determination of frequency of heart rate

-determination of concentration of cholesterol in blood

?

Overdose of thyroid hormones of is manifestated

With all symptoms, except:

-diarrhea

-vomit

-polyuria

+atetosis

-tremor

?

Early symptoms of diffuse toxic goitre at children are

all, except:

-irritability

-tachycardia

-fatigueability

+decline of arterial pressure

-enlargement of thyroid gland

?

Thyrotoxicosis at children is not characterized by:

-proof tachycardia

+ciliary arrhythmia

-strengthening of cardiac tones

-accent of ІІ tone on pulmonary artery

-increase of systolic and decline of diastolic pressure

?

Hypoparathyroidism is not characterized by:

-low level of calcium in blood

-increased concentration of phosphorus in blood

-hypophosphaturia

+ hyperphosphaturia

-positive Sulkovich’s test

?

Primary hyperparathyroidism is characterized by all, except:

-hypercalcemia

-hypercalcuria

-hyperphosphatemia

-increased level of alkaline phosphatase

+decreased level of alkaline phosphatase

?

The classic symptoms of congenital hypothyroidism are formed:

+before 2-4 weeks

-before 3th month

-before 1 year

-in 1 year

-in 5 years

?

Congenital hypothyroidism is not characterized by:

-delay of growth and psychomotoric development

-languor and somnolence of child

+the protracted icterus with direct hyperbilirubinemia

-dryness and pallor of skin

-umbilical hernia, divergence of direct muscles of stomach

?

For hypothyroidism all laboratory indexes are characteristic, except:

-decline of the level of T3, T4

-increase of the level of cholesterol

+decline of the level of cholesterol

-hypoglycemia

-increase of the level of antithyroid antibodies

?

Therapy of hypothyroidism includes everything, except:

-individual selection of dose of thyroid hormones

-lifelong using of thyroid hormones

+cyclic using of thyroid hormones

-vitaminotherapy

-psychostimulators

?

Diffuse toxic goiter is characterized by all, except:

-diffuse hyperplasia of thyroid

-increased irritability, emotional instability

-eye symptoms (exophthalmus; Graefe’s, Stellwag’s, Mobius’s, Rosenbach’s symptoms)

-tachycardia

+delay of growth and sexual development

?

Changes of the cardiovascular system of patients with diffuse toxic goitre are

characterized by all transferred, except:

-increased systolic and decreased diastolic pressure

-proof tachycardia

-by the moderatory extended borders of heart to the left

-by the high and sharp indents Т and R on ECG

+by the frequent attacks of cilliary arrhythmia

?

Diffuse toxic goiter is not characterized by:

-increased level of basic metabolism

-increased level of T3, T4

+hypoglycemia

-leukopenia and neutropenia

-decreased level of cholesterol

?

The overdose of thyroid hormones shows up all symptoms, except:

-acceleration of pulse

-hyperhydrosis

-frequent urination

-tremor

+constipation

?

Diffuse toxic goitre is characterized by all symptoms of defeat

of endocrine glands, except:

-overactivity of thyroid gland

+overactivity of adrenal glands

-decline of activity of adrenal glands



-decline of activity of gonads

-violation of carbohydrate metabolism on diabetic type

?

The early symptoms of congenital hypothyroidism are all, except:

-to the somnolence and languor of child

+hyperbilirubinemia due to direct fraction

-constipation

-deep voice

-large tongue

?

Overdose of thyroxin at a hypothyroidism is characterized by all, except:

-tachycardia

-vomit, diarrhea

-polyuria

-tremor

+low blood pressure

?

The most important for diagnostics of hypothyroidism is research of:

-thyrotropine in plasma of blood (TTH)

+triiodothyronine and thyroxin (T3 and T4)

-cholesterol

-alkaline phosphatase

-bone age

?

From what age the symptoms of congenital hypothyroidism begin clinically to show up:

-from 3 months

+at birth

-from 6 months

-from 1 year

-from 5

?

For what disease symptoms of hypothyroidism are characteristic:

-chondrodystrophies

+hypophysal dwarfism

-adrenogenital syndrome

-Adisson’s disease

-pheochromocytoma

?

The basic indexes of biochemical violations at a hyperparathyroidism are all, except:

-hypercalcemia

-hyperphosphatemia

-hypercalcuria

-hyperphosphaturia

+hypophosphaturia

?

What is not characteristic for congenital hypothyroidism?

-somnolence

-insufficient increase of weight

+hyperreflexia

-protracted icterus

-melanoleukoderma

?

Control of adequacy of substitutive therapy at a hypothyroidism includes everything, except:

-control of neuropsychical development

-control of height parameters

+control of immunogramm

-control of heart rate

-control of concentration of cholesterol in blood

?

Congenital hypothyroidism in new-born is characterized by:

+protrached conjugational icterus

-big weight at birth

-polyuria, polydipsia

-symptom of neuroreflective hypererethism

-diarrhea

?

Congenital hypothyroidism at infancy children is characterized by:

+delay of psychoemotional development

-hyperhydrosis

-acromegaly

-passing in psychoemotional development

-tachycardia

?

Acquired hypothyroidism is characterized by:

+somnolence, decline of mental activity

-obesity

-passing is psychoemotional development

-acromegaly

-tachycardia

?

Enlargement of thyroid gland (Hashimoto’s disease), in the first turns, is caused:

+by lymphocytal thyroiditis

-by therapy with preparations which contain iodine

-by influence of pathogenic factors during pregnancy

-by the surplus receipt of iodine with meal

-by the insufficient receipt of iodine with meal

?

The most frequent disease of thyroid gland for children and teenagers is:

+ lymphocytal thyroiditis

-congenital hypothyroidism

-acquired hypothyroidism

-acquired hyperthyroidism

-subacute thyroiditis

?

Development of lymphocytal thyroiditis (Hashimoto’s disease) is determined:

+by autoimmune mechanism

-by the insufficient receipt of iodine with a meal

-by therapy with preparations which contain iodine

-by the surplus receipt of iodine with meal

-by influence of pathogenic factors during pregnancy

?

The clinicodiagnostic sign of lymphocytal thyroiditis is:

+peak of morbidity in teens

-peak of morbidity for the children of early age

-diminishing of volume of thyroid tissue

-gradual development of hyperthyroidism

-peak of morbidity for the infancy children

?

The most frequent of reasons of hyperthyroidism development is:

+diffuse toxic goiter

-toxic nodal goiter

-purulent thyroiditis

-cancer of thyroid gland

-tumours of parathyroid glands

?

The clinicodiagnostic sign of diffusive toxic goiter (Graves’ disease) is:

+emotional instability, increased motive activity, exophthalmus

-peak disease infancy

-somnolence, languor

-decline of T4 and T3, increase of TTH

-increase of level of cholesterol is in the whey of blood

?

The clinicodiagnostic signs of hypoparathyroidism are all, except:

+signs of cardiac insufficiency, increase of pressure, muscular hypotonia

-pains in muscles and painful cramps

-numbness, constraint, tingling in bones and feet

-dry, scaly skin

-convulsive syndrome

?

Hypothyroidism is characterized by all, except:

+increased level of alkaline phosphatase

-decline of level of T3 and T4

-increased level of TTH

-increased level of cholesterol

-decreased level of alkaline phosphatase

?

Diffuse toxic goiter is not characterized by:

+delay of growth and sexual development

-diffuse hyperplasia of thyroid gland

-increased crabbiness, emotional instability

-eye symptoms (exophthalmus; Graefe’s, Stellwag’s, Rosenbach’s, Mobius’s symptoms)

-tachycardia

?

Increase of TTH and decline of T3, T4 characterises:

+hypothyroidism

-euthyrosis

-Graves disease

-sporadic goiter

-Hashimoto’s disease

?

Acquired hypothyroidism is characterized by all, except:

-delay of ripening of skeleton

- presence of antithyroid antibodies

-decline of concentration of T3 and T4

-increase of level of cholesterol

+delay of psychomotoric development

?

Normal level of TTH is:

+1,5-20 mcED/ml

-0,5 mcED/ml

-2-4 nmole/l

-110-225 nmole/l

-45-50 nmole/l

?

Normal level of T3 is:

-50-100 mcED/ml

+2-4 nmole/l

-10-30 nmole/l

-0,5-1 nmole/l

-110-200 nmole/l

?

Normal level of T4 is:

-50-100 mcED/ml

-2-4 nmole/l

-10-30 nmole/l

-0,5-1 nmole/l

+110-200 nmole/l

?

L-tyroxin to the children less than 1 year is prescribed in a dose:

+3-5 mcg/kg/day

-3-5 mg/kg/day

-10-15 mcg/kg/day

-30-40 mcg/kg/day

-30-40 mg/kg/day

?

The initial dose of mercasolil for treatment of thyrotoxicosis is:

+30-40 mg/kg/day

-30-40 mcg/kg/day

-3-5 mcg/kg/day

-10-15 mcg/kg/day

-2,5-5 mg/kg/day

?

Maintaining dose of mercasolil for treatment of thyrotoxicosis is:

-30-40 mg/kg/day

-30-40 mcg/kg/day

-3-5 mg/kg/day

-10-15 mcg/kg/day

+2,5-5 mg/kg/day

?

An initial dose of propilthyouracil for treatment of thyrotoxicosis in new-born

is:

+150-300 mg/м2/day

-30-40 mg/kg/day

-30-40 mcg/м2/day

-150-300 mcg/kg/day

-3-5 mg/kg/day

?

Duration of treatment with thyrostatic preparations in maintaining doses is:

+2 years

-2 weeks

-2 months

-6 months

-5 years

?

The Graefe’s symptom is characterized by:

+baring of area sclerotica above a iris at a look downward

-baring of area sclerotica above a iris at a look upward

-liquid cilliary never

-tremor never

-by violation of convergence

?

The Kokher’s symptom is characterized by:

-baring of area sclerotica above a iris at a look downward

+baring of area sclerotica above a iris at a look upward

-liquid cilliary never

-by violation of convergence

-by lymphoid infiltration of conjunctiva never

?

The Mobius’s symptom is characterized by:

-baring of area sclerotica above a iris at a look downward

-baring of area sclerotica above a iris at a look upward

-tremor of eyelids

+by violation of convergence

-by lymphoid infiltration of conjunctiva of eyelids

?

The Stellwag’s symptom is characterized by:

-baring of area sclerotica above iris at a look upward

+rear blinking of eyelids

-tremor of eyelids

-by violation of convergence

-by lymphoid infiltration of conjunctiva of eyelids

?

The Rosenbach’s symptom is characterized by:

-baring of area sclerotica above a iris at a look downward

- rear blinking of eyelids

+ tremor of eyelids

-by violation of convergence

-by lymphoid infiltration of conjunctiva of eyelids

?

The Graves’ oculopathy is characterized by:

-baring of area sclerotica above a iris at a look downward

-baring of area sclerotica above a iris shell at a look upward

- rear blinking of eyelids

- tremor of eyelids

+by lymphoid infiltration of conjunctiva eyelids

?

Development of what goiter is related to the inherited defects of apsorption and organization

of the iodine and provoked the deficit of endogenous iodides and other oligoelementss

in soil:

+endemic

-sporadic

-juvenile

-autoimmune

-Graves’ disease

?

Development of what goiter is related to the inherited defects of apsorption and organization

of the iodine and is provoked by protrached using of Sulfanilamidums:

-endemic

+sporadic

-juvenile

-autoimmune

- Graves’ disease

?

Development of what goiter is related to the inherited defects of apsorption and organization

of the iodine and is provoked by sexual development:

-endemic

-sporadic

+juvenile

-autoimmune

- Graves’ disease

?

By sight and palpatory thyroid gland is enlarged, but it is inside

m. sterno-cleudo-mastoideus. It characterizes goiter of:

+ІІІ degree

-I degree

-ІІ degree

-ІV degree

-V degree

?

A palpatory increase of thyroid gland is characteristically for a goiter:

-ІІІ degree

+I degree

-ІІ degree

-ІV degree

-V degree

 


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