?
Probability of fetus infection is higher if pregnant woman had acute form of toxoplasmosis at:
+late period of pregnancy
-early period of pregnancy
-it does not matter
?
The consequences for fetus are more dangerous if pregnant woman had acute form of toxoplasmosis at:
- late period of pregnancy
+early period of pregnancy
-it does not matter
?
Clinical and laboratory criteria of toxoplasmosis of newborn are:
+intracranial calcification
- congenital heart disease
-encephalitis
-thrombocytopenia
-hepatosplanomegaly
?
Probability of fetus infection is higher if pregnant woman had rubella at:
-late period of pregnancy
+early period of pregnancy
-it does not matter
?
What among the laboratory data is characterized for congenital hepatitis?
+mostly direct hyperbilirubinemia with hyperenzymeamia
-anemia with reticulocytosis
-leucopenia
-eosinophylia
-leukositosis
?
Factors that prevent infection during pregnancy:
+all answers are correct
-mucous probe in the cervix uteri
- bactericidal of amniotic fluid
-phagocytic cells in the cervix uteri wall
?
Embryo- and fetopathies can be caused by:
+all answers are correct
-hormones usage
-antibiotics usage
-viral infections
-bacterial infections
?
Genital herpes causative agent is:
-Treponema pallidum
-Sarcoptes scabiei
+Herpes simplex virus
-Cytomegalovirus hominis
-Chlamidia trachomatis
?
"Key cells" are the diagnostic criteria of:
+bacterial vaginosis
-syphilis
-cytomegaly
-chlamidiosis
-rubella
?
Treponema pallid causes:
+syphilis
-chlamidiosis
-gonorrhea
-herpes
-AIDS
?
Cytomegalovirus belongs to group:
-gram-negative microflora
- gram-positive microflora
+DNA – included viruses
- RNA – included viruses
-fungous microflora
?
Herpes simplex causative agent is:
- RNA – included viruses
+ DNA – included viruses
- transient form from viruses to bacteria
-non of answers is correct
-gram-positive microflora
?
Herpes viruses family includes about 80 viruses, among them the human viruses there are:
+8
-25
-60
-5
-15
?
Candidiasis is:
-disease of fungus etiology
-disease caused by decrease of immunity
-disease that is stipulated by local factors
+all answers are correct
?
Mature girl was born from the second pregnancy, that passed with pyelonephritis, colpitis. From the third day of life there was appearance and increase of skin icteritiousness on the background o f flaccidity, appetite decrease. In the lungs- breathing is puerile. Heart sounds are muffled. Stomach is moderately bloating. Liver is lower than border of costal margin on 3sm.
Spleen is increased on 0,5sm. Urine has beer color, stool is typical colored. Total bilirubin - 168 mkmol/l, direct - 138 mkmol/l.
What is the most probable diagnosis?
-hemolytic disease of newborns
-jaundice caused by mother’s milk
-physiologic newborns jaundice
-atresia of bile-excreting path
?
Child was born premature from the 3rd pregnancy on the 34th week of gestational period with weight of 2000g. Previous pregnancies finished with birth of dead babies. Diagnosis is toxoplasmosis. What is the most optimal treatment?
-Biseptol
-nitrofurans
+pirymethamin
-antibiotics of cephalosporin group
- aminoglycosides
?
What microorganism could cause hepatosplenomegaly and desquamation of palm, foot and perineum area skin at mature newborn with rhinitis manifestations?
-cytomegalovirus
-mycoplasma
+herpes virus
-toxoplasma
- spirochete pallid?
Boy was born from the 5th pregnancy that passed with toxicosis of I and II half, on the 33th week of gestation with weight of 1400g. First 4 pregnancies were finished with spontaneous abortions. Hydrocephalus, congenital heart disease, hepatitis, chorirhetinitis were diagnosed at this baby. What antenatal infection does the child have?
-cytomegaly
-listeriosis
-syphilis
-rubella
+toxoplasmosis
?
Boy was born with asphyxia on the 40th week from the 6th pathologic pregnancy (there was abortion threat, gestosis of I and II half), from the 3rd birth. Mother’s age is 40 years. Child’s condition is difficult, body weight – 2kg, it has signs of immaturity, symptoms of hydrocephalus. Skin is pallid, yellow, acrocyanosis. Heart sounds are deaf, rough systolic sound at all the auscultation points. Stomach is enlarge, liver is lower than border of costal margin on 3sm. Urine is concentrated, stool is light. Oculist diagnosed chorioretinitis. What is preliminary diagnosis?
+congenital toxoplasmosis
-sepsis
-congenital heart violation
-congenital hepatitis
-newborns hemolytic disease
?
Newborn child was born from the 1st pregnancy premature delivery in the gestation age of 35 weeks. On the 12th week of pregnancy child’s mother was sick: there was not prolonged temperature increase up to 37,5 C, spotted rash at extensor surface of limbs, that finished in two days without residual. Ta the 2nd day of child’s birth there is rough systolic sound on the left breast bone margin, oculist diagnosed retinopathy. What is the most probable diagnosis?
+rubella
-listeriosis
-congenital syphilis
-toxoplasmosis
-CMV- infection
?
Newborn child was born from the 1st pregnancy and premature delivery on the 35-36th weeks of gestation period. Mother was a milker. In 1 week before birth mother had catarrhal changes at epipharynx, body temperature increased up to 38-39C, fever, stomach ache, diarrhea.
Amniotic fluid was dirty, green colored. At birth the Apgar rating was 7 points, in 1 hour the child’s body temperature increased up to 39C, breathing was arrhythmic, shallow with drawing of the pliant parts of chest, 80 per min. In 1 more hour popular eruption appeared on the skin. It was small grey nodes on the mucous layer of pharynx, tonsils, palate.
In the total blood analysis: er. 5,6õ10^12/l,
Íâ 210 g/l, l..30õ10^9/l, stab.5%, s.53%, lymf. 22%, ì. 20%, ESR 25 mm/hour.
What is the most probable diagnosis?
+listeriosis
-congenital syphilis
-toxoplasmosis
-CMV- infection
-herpes virus infection
?
Child was born from the 3rd physiologic pregnancy. First 2 pregnancies was finished with birth of dead babies. This delivery was the first, urgent, physiological. The child was born with 9-10 points by the Apgar scale. Body weight was 3600g, lengthy was 51 sm, head circumference was 38 sm. The head is the round shape, large crown is 4õ5 sm, sagital suture’s width is 1sm. The child’s condition is difficult from the first days of life. Child often regurgitates. Weight loss is 560g. Periodically there is temperature increase, tonic- clonic convulsions, limbs tremor. Muscle tonus is increased. Reaction on the external stimulus is weak. Icteritiousness of skin appeared from the 2nd day of life. Liver is on the level of navel, spleen is lower than costal arc on 2sm. Oculist diagnosed chorioretinitis.
What is the most probable diagnosis?
-congenital syphilis
+toxoplasmosis
-CMV- infection
-herpes virus infection
-chlamidiosis
?
Child was born from the 1st pregnancy, that passes without changes. Mother was not registered, she was not examined. Delivery was on 38-39th weeks. Child’s weight was 2200g, length was 46sm. At the 5th day of life vesicles with dirty content appeared on the skin of face, palms, foot, its diameter was 5mm. It was slim red line around vesicles. In 1 day, some vesicles blow out, and erosions appeared on its place, in 1 more day laminar desquamation of palms and foot skin.
Skin around mouth, nose and eyelids was pallid brown color, it is covered by small fractures, it is glare on the palm and foot, with red-blue tinge.
Breathing through nose is difficult. In lungs there is crepitation on the background of rough breathing. Liver is lower the costal arc on 5sm, it is dense. Spleen is enlarge on 2 sm.
What is the most probable diagnosis?
-listeriosis
+congenital syphilis
-toxoplasmosis
-herpetic infection
-chlamidiosis
?
Child was born on the 8th month of pregnancy. He had microcephalus, cataract, heart violations. Child’s mother was sick on the 2nd month of pregnancy: she had not prolonged temperature increase up to 37,5C, enlarged lymph nodes and spotted skin rash on face, trunk and limbs, it passed without residuals. What disease did mother have during pregnancy?
-herpetic infection
-toxoplasmosis
-cytomegalovirus infection
+rubella
-chlamidia infection
?
Consequences of infection fetopathies can be everything, except:
+miscarriage on the early period
-intrauterine growth retardation
-prematurity
-congenital growth violations
-plural disembryogenesis stigmas
-chronic fetoplacental insufficiency
?
Consequences of infection embryopathies can be everything, except:
+ chronic fetoplacental insufficiency
-stillbirth
- miscarriage on the early period
- congenital growth violations
?
Determination cells “owl’s eyes” in the liquor by cytological method is typical for:
+CMV- infection
-herpes-infection
-toxoplasmosis
-congenital syphilis
-listeriosis
?
Lymphadenopathy is typical for generalized form of:
- CMV- infection
-herpes-infection
+ congenital syphilis
-rubella
-chlamidiosis
?
Lymphadenopathy is typical for generalized form of:
- CMV- infection
-herpes-infection
+listeriosis
-rubella
-chlamidiosis
?
Hemorrhagic rash is characteristic for:
+viral hepatitis B
-chlamidiosis
-CMV- infection
-herpes- infection
-congenital syphilis
?
Petechial rash is characteristic for:
- viral hepatitis B
-chlamidiosis
+CMV- infection
-herpes- infection
-congenital syphilis
?
Papular- petechial rash is characteristic for:
- viral hepatitis B
-chlamidiosis
-CMV- infection
+listeriosis
-rubella
?
Intracranial calcifications are the typical sign of:
+toxoplasmosis
-chlamidiosis
-CMV- infection
-herpes- infection
-congenital syphilis
?
Syndrome of breathing violation and pneumonia are characteristic for:
-toxoplasmosis
+ chlamidiosis
-CMV- infection
-herpes- infection
-congenital syphilis
?
Roentgenological research of skull flat bones is necessary in case of suspicion on:
- chlamidiosis
-CMV- infection
-herpes- infection
+ congenital syphilis
-listeriosis
?
Roentgenological research of chest organs is necessary in case of suspicion on:
- toxoplasmosis
+chlamidiosis
- CMV- infection
-herpes- infection
- congenital syphilis
?
Syphilis treatment is carrying by the scheme:
+50 000 UA/kg 3 times a day intramuscularly during 7-28 days
-200 000 UA/kg 6 times a day intramuscularly during 7 days
-100 000 UA/kg 6 times a day intramuscularly during 21days
-150 000 UA/kg 3 times a day intramuscularly during 7-28 days
-200 000 UA/kg 3 times a day intramuscularly during 21 days
?
Lethality in case of generalized form of congenital herpetic infection is:
-20%
-30%
-50%
-70%
+90%
?
Lethality in case of herpetic infection with mostly injury of CNS is:
-20%
-30%
+50%
-70%
-90%
?
Lethality in case of herpetic infection with mostly injury of skin and mucous layers is:
+18%
-20%
-30%
-50%
-90%
?
Risk of fetus infection increases in 5 times if his mother has:
+acute CMV- infection during pregnancy
- recidivation or exacerbation of latent CMV- infection during pregnancy
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