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?
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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