MED - Terapia Integrirebuli V Kursi

gastroenterologia
\\\\ CamoTvlilTagan ra ar gamodgeba, rogorc qronikuli pankreatitis

diagnostikis kriteriumi?
\\ pankreasis fermentebis momateba duodenur SigTavsSi
\\\ pankreasis fermentebis aqtiobis momateba sisxlSi
\\\ steatorea
\\\ glukozisadmi tolerentobis moSla
\\\\ CamoTvlilidan ra warmoadgens naklebad mizanSewonils ascitiT
garTulebuli RviZlis cirozis sawyisi TerapiisaTvis?
\\\ hepatotropuli preparatis moxsna
\\\ dezintoqsikaciuri saSualebebis miRebis SezRudva
\\\ aldaqtonis daniSvna
\\ Tiaziduri Sardmdenis daniSvna
\\\\ ra moqmedeba axasiaTebs cimetidins?
\\\ ablokirebs histaminur H1 receptorebs
\\\ ablokirebs M1 qolinoreceptorebs
\\\ iniSneba dReSi erTxel
\\ ablokirebs histaminur H2 receptorebs
\\\\ CamoTvlilTagan, romeli faqtori ar uwyobs xels wylulovani
daavadebis ganviTarebas?
\\\ sisxlis I (-) jgufi
\\\ memkvidreobiTi faqtori
\\\ Tambaqos weva
\\ cximiani sakvebi
\\\\ avadmyofi mamakaci 10 weli daavadebulia kuWis wylulovani
daavadebiT, utardeboda konservatuli Terapia. Uukanaskneli 3 Tvea
awuxebs yru tkivili da simZimis SegrZneba epigastriumis SuaSi, umadoba,
rentgenologiurad avsebis defeqti kuWis mcire simrudeze, ganavlis
analizi farul sisxldenaze dadebiTia. CamoTvlilTagan, romeli
diagnozia savaraudo?
\\\ wylulovani daavadebis gamwvaveba;
\\\ wylulis penetracia;
\\ kuWis kibo;
\\\ pilorostenozi
analizi farul sisxldenaze dadebiTia. ra gamokvlevaa saWiro
diagnizis dazustebisTvis?
\\\KkuWis kompiuterul-tomografiuli gamokvleva;
\\\ kuWis wvenis fraqciuli analizi;
\\ gastrofibroskopia;
\\\ irigoskopia
1
\\\\ kuWis wylulis dros yvelaze ufro informaciuli diagnostikuri

meTodia?
\\\ rentgenologiuri gamokvleva
\\\ ganavlis analizi farul sisxldenaze
\\\ kuWis sekreciis gamokvleva
\\ endoskopia
\\\\ romeli paTologiisTvisaa damaxasiaTebeli saylapavis kedlis
gluvkunTovano nawilis atrofia , qveda sfinqteris ukmarisoba,
rentgenologiurad saylapavis Sua da qveda nawilis gaganiereba,
peristaltikis ararseboba, gastroezofaguri refluqsi?
\\\ avTvisebiani miastenia
\\\ cerebruli insulti
\\ sklerodermia
\\\ mravlobiTi sklerozi
\\\\ romel niSans eniWeba mniSvneloba traqciuli divertikulis
sadiferenciaciod cenkeris divertikulisgan?
\\\ divertikulis lokalizacia
\\\ anTebiTi procesebis da Sexorcebis arseboba
\\\ mkveTrad gamoxatuli disfagia da sakvebis regurgitacia
\\ yvela CamoTvlils
\\\\ 30 wlis mamakaci moTavsda intensiuri Terapiis ganyofilebaSi
koltebis Semcveli sisxliani RebinebiT. Semosvlamde 3-4 saaTiT adre
miuRia didi raodenobiT alkoholi, ris Semdeg ramdenjerme aRebina
uferuli Txieri masiT. naxevari saaTis win daewyo SeuCerebeli
sisxliani pirRebineba. Ra aris savaraudo diagnozi?
\\\ Tormetgoja nawlavis wyluli
\\\ mwvave pankreatiti
\\\ mwvave gastriti
\\ gastroezofagaluri lorwovani Sris naxeTqi melori-veisis
sindromi
\\\\ CamoTvlilTagan romeli mosazreba ar aris marTebuli saylapavis

motoruli funqciis darRvevis mimarTebiT?
\\ nitroglicerinis efeqrutoba stenokardiis da saylapavis difuzuri
spazmis sadiferenciaciod gamoiyeneba
\\\ saylapavis spazmuri tkivili yovelTvis ar aris dakavSirebuli
ylapvasTan
\\\ disfagia, odinofagia, hipersalivacia motorulii funqciis darRvevis
mniSvnelovani simptomebia
\\\ saylapavis spazmi SeiZleba gadavides axalaziaSi
\\\\ peptikuri wylulis sankurnalod gamoyenebuli CamoTvlili
preparatebidan romeli moqmedebs Na+K+ atf-azas daTrgunvis gziT?
\\ omeprazoli
\\\ cimetidini
2
\\\ ranitidini
\\\ bismutis preparati
\\\\ sad lokalizdeba yvelaze xSirad kuWis karcinomis metastazi?
\\ RviZlSi
\\\ peritoneumSi
\\\ filtvebSi
\\\ ZvlebSi
\\\\ 60 wlis mamakacs 2 dRea aqvs gulisreva, pirRebineba, aReniSneba
mtkivneuli warmonaqmni marjvena sazardulis areSi, romelic kargad
isinjeba. rogoria eqimis moqmedebis taqtika?
\\\ gakeTdes bariumis oyna
\\ dauyovnebliv momzaddes saoperaciod
\\\ gaukeTdes analgeziuri da Rebinebis sawinaaRmdego saSualebebi
\\\ Cautardes warmonaqmnis biofsia
\\\\ ra saxis histologiuri suraTi viTardeba kronis daavadebis dros?
\\ epiTeloidujredovani granulematozi
\\\ nawlavis kedlis makrofagebiT infiltracia
\\\ lorqovanis distrofia xaoebis atrofiiT
\\\ nawlavis kedlis eozinofiluri infiltracia
\\\\ CamoTvlilTagan rodis ar aris mosalodneli malabsorbciis
sindromis ganviTareba?
\\ mekelis divertikuli
\\\ disbaqteriozi
\\\ gastrinoma
\\\ amiloidozi
\\\\ ra saxis diarea (patofiziologiurad) viTardeba celiakiis dros?
\\\ osmosuri
\\\ sekretoruli
\\\ hipeperistaltikiT ganpirobebuli
\\ nawlavebis lorwovanis destruqciasTan dakavSirebuli
\\\\ romeli mtkicebulebaa WeSmariti kuWis da 12-goja nawlavis peptiur

wylulTan mimarTebiT?
\\\ yovelTvis kavSirSia helikobaqter-piloris faqtorTan
\\\ ZiriTadaT gvxvdeba mamakacebSi
\\\ xSirad axlavs faRaraTi
\\ xasiaTdeba qronikuli morecidive mimdinareobiT
\\\\ CanoTvlilidan ra ar aris damaxasiaTebeli zolinger elisonis

sindromisTvis?
\\\ wylulebis warmoqmna kuWsa da 12-goja nawlavSi
\\\ kuWis wvenis hipersekrecia
3
\\ hiperkalcemia
\\\ steatorea
\\\\ romeli mtkicebulebaa swori zolinger-elisonis sindromis mimarT?
\\ es aris pankreasis simsivne:
\\\ es aris 12-goja nawlavis simsivne:
\\\ es aris kuWis peptiuri wyluli:
\\\ es aris qronikuli pankreatitis erT-erTi morfologiuri forma

\\ es aris gastrinmaproducirebeli simsivne:
\\\ es aris kuWis peptiuri wyluli:
\\\\ CamoTvlilidan ra ar aris damaxasiaTebeli hepatolentikuluri
degeneraciisTvis (konovalov-vilsonis daavadeba)?
\\\ nevrologiuri darRvevebi
\\\ hepatosplenomegalia
\\\ siyviTle
\\ sisxlSi ceruloplazminis donis momateba
\\\\ qronikuli pankreatitis gamwvavebisas sadiagnozod yvelaze

mniSvnelovani
laboratoriuli maCvenebeli ra aris?
\\\ leikocitozi
\\\ aminotransferazebis done
\\ sisxlSi da SardSi amilazis done
\\\ tute fosfatazis done
\\\\ CamoTvlili meTodebidan romelia yvelaze zusti araspecifiuri

wylulovni kolitis sadiagnozod?
\\\ irigoskopia
\\ kolonoskopia
\\\ nawlavuri floris Seswavla
\\\ koprologiuri gamokvleva
\\\\ CamoTvlilidan romeli daavadebisTvis ar aris damaxasiaTebeli

steatorea?
\\\ qronikuli pankreatiti
\\\ kronis daavadeba
\\\ nawlavTa amiloidozi
\\ nawlavTa polipozi
\\\\ CamoTvlilidan ra axasiaTebs qronikul anacidur gastritis?

4
\\\
\\\
\\
\\\
yabzoba
tkivili uzmoze
kuWis lorwovanis atrofia
Ramis tkivili
\\\\ axalgazrda qali xSirad iRviZebs Ramis tkivilisagan epigastriumis

areSi. savaraudo diagnozia:
\\\ kuWis kibo
\\ 12-goja nawlavis wyluli
\\\ divertikuliti
\\\ qolangiti
\\\\ avadmyofi uCivis umadobas, sakvebis, gansakuTrebiT xorceulis
SeZulebas, yru xasiaTis tkivils epigastriumis midamoSi. zogjer
aRniSnavs Rebinebas yavis naxarSis msgavsi masiT. avadmyofi Zalian
gamxdaria, aReniSneba "miwisferi" sifermkrTale. palpaciiT epigastriumis
midamoSi isinjeba momkvrivo warmonaqmni, marcxena laviwzeda areSi gadidebuli limfuri kvanZi. sisxlSi aRiniSneba anemia, maRali eds-i.
rentgenologiurad kuWSi vlindeba "avsebis defeqti". savaraudo
diagnozia:
\\\ pilorusis stenozi
\\\ kuWis polipozi
\\\ qronikuli gastriti
\\ kuWis kibo
\\\\ CamoTvlilidan ra ar aris damaxasiaTebeli RviZlis ukmarisobisTvis?

\\\ proTrombinis done mkveTrad daqveiTebulia
\\\ antihemofiluri faqtorebi mkveTrad daqveiTebulia
\\\ xSiria hemoragiuli sindromis SemTxvevebi
\\ sisxlSi aspartat- da alaninaminotransferazebis aqtioba normaluria
\\\\ avadmyofi mamakaci, 22 wlis, uCivis tkivils muclis areSi, sisxlian

ganavals, saerTo sisustes. obieqturad aRiniSneba muclis mkveTri
mtkivneuloba msxvili nawlavis mTels proeqciaze. qvemoT CamoTvlili
diagnozebidan romeli aris yvelaze metad savaraudo?
\\ araspecifiuri wylulovani koliti
\\\ kuWis wyluli
\\\\ 30wlis mamakaci Semoyvanil iqna megobrebis mier Terapiul

ganyofilebaSi koltebis Secmveli sisxliani RebinebiT. megobrebisagan
Semkrebili anamnezis Tanaxmad, pacientma miiRo didi raodenobiT
alkoholi saRamos ganmavlobaSi da ramodenimejer aRebina, sanam
daewyeboda sisxldena, romelic ukve 1 saaTia grZeldeba. am
mdgomareobis savaraudo mizezi:
5
\\\ mwvave gastritis

\\\ mwvave pankreatiti
\\\ 12-goja nawlavis wyluli
\\ gastroezofaguri lorwovani Sris naxeTqi (melori-veisis sindromi)
\\\\ ra miekuTvneba sklerodermiis gastroenterologiur gamovlinebebs?

\\ refluqs-ezofagiti
\\\ pankreatiti
\\\ naRvlis buStis kalkulozi
\\\\ kuWis wyluli yvelaze xSirad lokalizebulia:
\\\ kardiul nawilSi
\\\ fundusSi
\\ mcire simrudeze
\\\ did simrudeze
\\\\ yvela qvemoT CamoTvlilidan ra ar aris damaxasiaTebeli 12-goja

nawlavis gaurTulebeli wylulisaTvis?
\\\ mSieri tkivili
\\\ sezonuri tkivili
\\ Rebineba, pirnaReb masaSi wina dRis miRebuli sakvebis nawilakebis
arsebobiT
\\\ tkivilis gaZliereba sakvebis miRebidan 2-3 saaTis Semdeg
\\\\ ra aris damaxasiaTebeli 12-goja nawlavis wylulovani
daavadebisaTvis?
\\ Ramis tkivili
\\\ aqilia
\\\ cximiani sakvebis autanloba
\\\ boyini laye kvercxis suniT
\\\\ ra aris damaxasiaTebeli kronis daavadebisaTvis?
\\ arakazeozuri granulomatozi
\\\ kazeozuri granulomatozi
\\\ dazianebuli nawlavis kedlis gaTxeleba
\\\ swori nawlavis anTeba
\\\\ romel daavadebasTan atareben kuWis kardiuli nawilis wylulis
diferenciul diagnozs?
\\\ qolecistitTan
\\ stenokardiasTan
\\\ pnevmoniasTan
\\\ plevritTan
\\\\ CamoTvlilidan romeli warmoadgens qronikuli pankreatitis yvelaze
xSir mizezs?
\\\ virusuli infeqcia
6
\\\ biliaruli paTologia

\\\ cilis deficiti dietaSi
\\ alkoholuri intoqsikacia
\\\\ tkivilis rogori iradiaciaa damaxasiaTebeli qronikuli
qolecistitisaTvis?
\\ marjvena mxarSi, beWSi, laviwSi
\\\ marcxena mxarSi, beWSi, laviwSi
\\\ marjvena fexSi
\\\ marjvena hipogastriumis midamoSi
\\\\ qronikuli gastritis diagnostikaSi qvemoTmoyvenilidan romel
meTods eniWeba wamyvani mniSvneloba?
\\\ rentgenologiur gamokvlevas
\\\ fibrogastroskopias
\\\ eqsfoliaciur citodiagnostikas
\\ fibrogastroskopias biofsiiT da masalis morfologiuri SeswavliT
.
\\\\ qvemoT moyvanili gamokvlevebidan romels unda mieces upiratesoba
araspecifiuri wylulovani kolitis dasadgenad?
\\\ irigoskopias
\\ kolonoskopias
\\\ nawlavis floris Seswavlas
\\\ D-qsilozis testis warmoebas
\\\\ ra aris damaxasiaTebeli qronikuli qolecistitisaTvis?
\\\ mSieri tkivili
\\\ aqilia
\\ cximiani sakvebis autanloba
\\\\ ra aris qronikuli aqtiuri hepatitis ZiriTadi ganmasxvavebeli
niSani qronikuli hepatitebis sxva formebisagan?
\\\ RviZlis fermentebis donis momateba
\\ histologiuri cvlilebebi
\\\ hepatomegalia
\\\ siyviTle
\\\\ RviZlis qronikuli daavadebebidan romeli warmoadgens
imunodepresoruli Terapiis dawyebis klinikur Cvenebas?
\\\ qronikuli hersistiuli hepatiti
\\ qronikuli aqtiuri hepatiti
\\\ biliaruli cirozi
\\\ RviZlis simsivne
\\\\ avadmyofs, romelsac aqvs heqtiuri cxeleba, hepatomegalia,
neitrofiluri leikocitozi marcxniv gadaxriT da toqsiuri
marcvlovnebiT, savaraudod ra daavadeba aqvs?
\\\ mwvave virusuli hepatiti
\\\ qronikul hepatiti
\\ RviZlis abscesi
7
\\\ cirozi
\\\\ RviZlismiero komis saSiSroebis dros dietaSi ra unda SevzRudoT?
\\ cilebi
\\\ cximebi
\\\ naxSirwylebi
\\\ siTxeebi
\\\\ CamoTvlilTagan, romeli paTologia
cirozis garTulebas?
\\\ sisxldena varikozuli venebidan
\\\ koma
\\\ RviZlis kibo
\\ qolecistiti
ar warmoadgens RviZlis
\\\\ CamoTvlilTagan, romeli organos kibos erT-erT adreul simptoms

warmoadgens hiperglikemia da glukozuria?
\\\ naRvlis buStis
\\\ pankreasis tanis
\\ pankreasis kudis
\\\ nawlavis
\\\\ CamoTvlilTagan, romeli simptomis arseboba ar aris damaxasiaTebeli
hemolizuri siyviTlisaTvis?
\\\ arapirdapiri bilirubinis momateba sisxlSi
\\ osteoporozi
\\\ anemia
\\\ splenomegalia
\\\\CamoTvlilTagan romeli warmoadgens RviZlis mikronoduluri

cirozis uxSires eTiologiur faqtors?
\\\ hepatiti A
\\\ hepatozi B
\\ alkoholizmi
\\\ hepatiti B/D
\\\\ CamoTvlilTagan ra ar miekuTvneba vilsonis daavadebis diagnostikur
maCvenebels?
\\\ SardSi spilenZis maRali koncentracia
\\\ kaizer-fleSneris rgolis arseboba
\\\ sisxlSi ceruloplazminis dabali done
\\ sisxlis SratSi SardmJavas maRali done
\\\\ 23 wlis mamamkaci moTavsda klinikaSi hiperbilirubinemiis gamo. Aar
swuxs, fizikaluri da laboratoruli gamokvleviT sayuradReboa
mxolod bilirubinis maCveneblebi totaluri bilirubini 3,5mg%,
pirdapiri bilirubini 0,4 mg%. ra aris savaraudo diagnozi?
\\\ dabin-jonsonis sindromi
\\ Jilberis sindromi
8
\\\ krigler-naiaris sindromi

\\\ rotoris sindromi
\\\\ RviZlis qronikuli daavadebebidan romelia glukokortikoidebis
daniSvnis Cveneba?
\\ qronikuli autoimunuri hepatitis
\\\ hepatocelularuli karcinoma
\\\ vilsonis daavadeba
\\\\ CamoTvlilTagan romeli mosazreba ar aris marTebuli RviZlis mwvave
ukmarisobis sindromisTvis?
\\\ Tirkmlebis ukmarisoba viTardeba daaxloebiT 50%-Si
\\ klinikuri simZimis dadgenisTvis gadamwyvetia transaminazebis
gansazRvra sisxlSi
\\\ xangrZlivdeba proTrombinis da Tromboplastinis dro
\\\ avadmyofTa gardacvlis mizezTa 80% modis tvinis SeSupebaze
\\\\ romeli fermentis meSveobiT warmoiSoba koniugirebuli

(SekavSirebuli) bilirubini RviZlis ujredebSi?
\\ glukuroniltransferazisB
\\\ leicinaminopeptidazis
\\\ mJave fosfatazis
\\\ nukleotidazas
\\\\ CamoTvlilidan romeli metaboluri darRvevebis mizeziT ar xdeba
sisxlSi arakoniugirebuli (Tavisufali) bilirubinis Semcvelobis
mateba?
\\\ bilirubinis Warbi warmoqmnis
\\\ RviZlis mier bilirubinis koniugirebis daqveiTebas
\\\ hepatocitebSi glukuroniltransferazis naklebobisa
\\ RviZlis mier bilirubinis koniugirebis gaZlierebisa
\\\\ 42 wlis pacient qals aReniSneba megaloblasturi hiperqromuli
anemia. ra aris amis uSualo mizezi?
\\\ rkinis deficiti;
\\ ciankobalaminis deficiti;
\\\ transferinis ukmarisoba;
\\\ kuWis lorwovanis malignizirebis dawyeba
\\\\ romeli organos simsivnea gastrinoma?
\\\ kuWis
\\ pankreasis
\\\ saylapavis
\\\ 12-goja nawlavis
\\\\ ra aris colinger-elisonis sindromi?

\\\ kuWis simsivne
\\ pankreasis somsivne
\\\ peptiuri wyluli
\\\ qronikuli pankreatitis gamwvaveba
\\\\ ra ewodeba uzmod aRebul kuWis wvens?
\\ bazaluri
\\\ postprandialuri
\\\ stimulirebuli
\\\ normaluri
\\\\ CamoTvlilTagan romeli preparatia histamin H2 receptorebis

blokatori?
\\\ omerprazoli
\\\ lansoprazoli
\\\ de noli
\\ cimetidini
\\\\ CamoTvlilTagan romeli preparatia kuWis protonuli tumbos
inhibitori?
\\\ vikairi
\\ lansoprazoli
\\\ de noli
\\\ cimetidini
\\\\ ras eniWeba mniSvneloba pikis fsevcdocirozis (RviZlis)
ganviTarebaSi?
\\\ gulis ukmarisobas
\\ adgeziur perikardits
\\\ Rru venebis Tromboza
\\\ rkinis momatebul koncentracias sisxlSi
\\\\ ris Sedegia RviZlis kardialuri cirozi?
\\\ mwvave perikarditis
\\ gulis qronikuli ukmarisobis
\\\ revmatizmis
\\\ gulis aortaluri mankis
\\\\ romel preparats ar axasiaTebs kuWis lorwovanis gamaRizianebeli
moqmedeba?
\\\ indometacins
\\\ prednizolons
\\ gastrocepins
\\\ aspirins
\\\\ kuWis romeli funqciuri mdgomareobisTvisaa damaxasiaTebeli
yabzoba?
\\\ hipoacidurisTvis
10
\\\ anacidurisTvis
\\ hiperacidurisTvis
\\\ aqiliisTvis
\\\\ romeli preparati gamoiyeneba kuWis sekreciis fraqciuli wesiT
gamokvlevisas?
\\\ vikairi
\\ histamini
\\\ kalciumis qloridi
\\\ magniumis sulfati
\\\\ romeli preparati gamoiyeneba naRvlis wvenis gamokvlevisas?
\\\ no-Spa
\\\ histamini
\\\ baralgini
\\ magniumis sulfati
\\\\ ra SemTxvevaSi viTardeba demping-sindromi?
\\\ ulcerorafiis Semdgom
\\\ kuWidan xSiri sisxldenis SenTxvevaSi
\\ kuWis rezeqciis Semdeg
\\\ qronikuli pankreatitis dros
\\\\ rogoria kuWis wvenis pH 12-goja nawlavis wylulis dros?
\\\ momatebuli
\\ daqveiTebulia
\\\ ar icvleba
\\\ xan momatebuli, xan daqveiTebuli.
\\\\ CamoTvlilTagan ra ar gamodgeba qronikuli pankreatitis

diagnostikis kriteriumad?
\\ pankreasis fermentebis momateba duodenur SigTavsSi
\\\ pankreasis fermentebis aqtiobis momateba
\\\ sisxlSi amilazis donis momateba
\\\ glukozisadmi tolerentobis moSla

\\ cilebi
\\\ cximebi
\\\ Saqari
\\\ siTxeebi
\\ lansoprazoli
\\\ cimetidini
11
\\\ ranitidini
\\\\ kuWis peptiuri wylulis romeli garTuleba ar moiTxovs gadaudebel
qirurgiul Carevas?
\\\ perforacia
\\\ masiuri sisxldena, romelic ar eqvemdebareba hemostatikebiT
mkurnalobas
\\ pilorostenozi

daavadebisaTvis?
\\ Ramis tkivili
\\\ aqilia
\\\ kuWis sekretoruli funqciis daTrgunva
\\\ buasili
\\\ qolecistitTan
\\ stenokardiasTan
\\\ pnevmoniasTan
\\\ mWvave qolecistitTan

maCvenebels?
\\ hiperurikemia

\\\ irigoskopias
\\ kolonoskopias
\\\ kompiuterul tomografias
\\\\ CamoTvlilTagan romelia qronikuli pankreatitis diagnostikis
kriteriumi?
12
\\\ pankreasis fermentebis momateba duodenur SigTavsSi

\\ pankreasis fermentebis aqtiobis momateba sisxlSi da steatorea
\\\ kreatinfosfokinazis mateba sisxxlSi
\\\ hipoglikemia
\\\\ CamoTvlilidan ra warmoadgens naklebad mizanSewonils ascitiT
garTulebuli RviZlis cirozis sawyisi TerapiisaTvis?
\\\ hepatotropuli preparatis moxsna
\\\ dezintoqsikaciuri saSualebebis miRebis SezRudva
\\\ veroSpironis daniSvna
\\ Tiaziduri Sardmdenis daniSvna
\\\\ ra moqmedeba axasiaTebs cimetidins?
\\\ iwvws aqlorhidrias
\\ ablokirebs histaminur H2 receptorebs
\\\\ CamoTvlilTagan, romeli faqtori ar uwyobs xels kuWis peptiuri

wylulis ganviTarebas?
\\\ sisxlis I (-) jgufi
\\\ memkvidreobiTi faqtori
\\\ Tambaqos weva
\\ cximiani sakvebi
analizi farul sisxldenaze dadebiTia. CamoTvlilTagan, romeli
diagnozia savaraudo?
\\\ wylulovani daavadebis gamwvaveba;
\\\ wylulis perforacia
\\ kuWis kibo;
\\\ pilorostenozi
\\\\ kuWis wylulis dros yvelaze ufro informaciuli diagnostikuri

meTodia?
\\\ rentgenologiuri gamokvleva
\\\ kompiuteruli tomografia
\\\ kuWis sekreciis gamokvleva
\\ endoskopia
\\\\ romeli paTologiisTvisaa damaxasiaTebeli saylapavis kedlis

gluvkunTovano nawilis atrofia , qveda sfinqteris ukmarisoba,
rentgenologiurad saylapavis Sua da qveda nawilis gaganiereba,
peristaltikis ararseboba, gastroezofaguri refluqsi?
13
\\\
\\\
\\
\\\
avTvisebiani miastenia
cerebruli insulti
sklerodermia
qronikuli ezofagiti
\\\\ romel niSans eniWeba mniSvneloba traqciuli divertikulis

sadiferenciaciod cenkeris divertikulisgan?
\\\ divertikulis lokalizacia
\\\ anTebiTi procesebis da Sexorcebis arseboba
\\\ sakvebis regurgitacia
\\ yvela CamoTvlils
\\\\ 30 wlis mamakaci moTavsda intensiuri Terapiis ganyofilebaSi
koltebis Semcveli sisxliani RebinebiT. Semosvlamde 3-4 saaTiT adre
miuRia didi raodenobiT alkoholi, ris Semdeg ramdenjerme aRebina
uferuli Txieri masiT. naxevari saaTis win daewyo SeuCerebeli
sisxliani pirRebineba. Ra aris savaraudo diagnozi?
\\\ Tormetgoja nawlavis wyluli
\\\ kuWis peptiuri wyluli
\\\ mwvave gastriti
\\ gastroezofagaluri lorwovani Sris naxeTqi melori-veisis
sindromi

\\ omeprazoli
\\\ cimetidini
\\\ de_noli
\\\\ sad lokalizdeba yvelaze xSirad kuWis karcinomis metastazi?
\\ RviZlSi
\\\ peritoneumSi
\\\ filtvebSi
\\\ saylapavSi

\\\ nawlavis kedlis makrofagebiT infiltracia
\\\ lorwovanis distrofia xaoebis atrofiiT
\\\ nawlavis kedlis cximovani infiltracia
\\ epiTeloidujredovani granulematozi
\\\\ CamoTvlilTagan rodis
ganviTareba?
\\\ mekelis divertikuli
\\ disbaqteriozi
\\\ Saqriani diabeti
\\\ kuwis wyluli
aris mosalodneli malabsorbciis sindromis
14
\\\\ ra saxis diarea (patofiziologiurad) viTardeba celiakiis dros?

\\\ osmosuri
\\\ neirogenuli
\\\ hipeperistaltikiT ganpirobebuli
\\ nawlavebis lorwovanis destruqciasTan dakavSirebuli
\\\\ romeli mtkicebulebaa WeSmariti kuWis da 12-goja nawlavis peptiur

wylulTan mimarTebiT?
\\\ yovelTvis kavSirSia helikobaqter-piloris faqtorTan
\\\ ZiriTadaT gvxvdeba mamakacebSi
\\\ xSirad gvxvdeba qalebSi
\\ xasiaTdeba qronikuli morecidive mimdinareobiT
\\\\ CanoTvlilidan ra ar aris damaxasiaTebeli zolinger elisonis
sindromisTvis?
\\\ wylulebis warmoqmna kuWsa da 12-goja nawlavSi
\\\ kuWis wvenis hipersekrecia
\\ hiperkalcemia
\\\ peptiuri wylulis ganviTareba
\\ es aris pankreasis simsivne:
\\\ es aris kuWis simsivne:

\\ es aris gastrinmaproducirebeli simsivne:
\\\ es aris kuWis kibo:
\\\\ CamoTvlilidan ra ar aris damaxasiaTebeli hepatolentikuluri
degeneraciisTvis (konovalov-vilsonis daavadeba)?
\\\ nevrologiuri darRvevebi
\\\ hepatosplenomegalia
\\\ splenomegalia
\\ sisxlSi ceruloplazminis donis momateba
\\\\ qronikuli pankreatitis gamwvavebisas sadiagnozod yvelaze

mniSvnelovani
laboratoriuli maCvenebeli aris:
\\\ leikocitozi
\\\ aminotransferazebis done
15
\\ sisxlSi da SardSi amilazis done

\\\ mJave fosfatazis done
\\\\ CamoTvlili meTodebidan romelia yvelaze zusti araspecifiuri

wylulovni kolitis sadiagnozod?
\\\ irigoskopia
\\ kolonoskopia
\\\ kompiuteruli tomografia
\\\ koprologiuri gamokvleva
\\\\ CamoTvlilidan romeli daavadebisTvis ar aris damaxasiaTebeli

steatorea?
\\\ nawlavTa amiloidozi
\\ msxvili nawlavis polipozi
\\\\ CamoTvlilidan ra axasiaTebs qronikul anacidur gastritis?

\\\ yabzoba
\\\ gulisreva
\\ kuWis lorwovanis atrofia
\\\ Ramis tkivili
\\\\ axalgazrda qali xSirad iRviZebs Ramis tkivilisagan epigastriumis

areSi. savaraudo diagnozia:
\\\ kuWis kibo
\\ 12-goja nawlavis wyluli
\\\ qolecistiti
\\\ qolangiti
\\\\ avadmyofi uCivis umadobas, sakvebis, gansakuTrebiT xorceulis
SeZulebas, yru xasiaTis tkivils epigastriumis midamoSi. zogjer
aRniSnavs Rebinebas yavis naxarSis msgavsi masiT. avadmyofi Zalian
gamxdaria, aReniSneba "miwisferi" sifermkrTale. palpaciiT epigastriumis
midamoSi isinjeba momkvrivo warmonaqmni, marcxena laviwzeda areSi gadidebuli limfuri kvanZi. sisxlSi aRiniSneba anemia, maRali eds-i.
rentgenologiurad kuWSi vlindeba "avsebis defeqti". savaraudo
diagnozia:
\\\ kuWis wyluli
\\\ kuWis polipozi
\\\ qronikuli gastriti
\\ kuWis kibo
\\\\ CamoTvlilidan ra ar aris damaxasiaTebeli RviZlis ukmarisobisTvis?
\\\ proTrombinis done mkveTrad daqveiTebulia
\\\ antihemofiluri faqtorebi mkveTrad daqveiTebulia
16
\\\ encefalopaTia
\\ sisxlSi aspartat- da alaninaminotransferazebis aqtioba normaluria
\\\\ avadmyofi mamakaci, 22 wlis, uCivis tkivils muclis areSi, sisxlian

ganavals, saerTo sisustes. obieqturad aRiniSneba muclis mkveTri
mtkivneuloba msxvili nawlavis mTels proeqciaze. qvemoT CamoTvlili
diagnozebidan romeli aris yvelaze metad savaraudo?
\\ araspecifiuri wylulovani koliti
\\\ kuWis wyluli
\\\ colinger_elisonis sindromi
\\\\ kuWis wyluli yvelaze xSirad lokalizebulia:

\\\ kardiul nawilSi
\\\ fundusSi
\\ mcire simrudeze
\\\ lokalizacias mniSvneloba ar aqvs
\\\\ qvemoT CamoTvlilidan ra ar aris damaxasiaTebeli 12-goja nawlavis
gaurTulebeli wylulisaTvis?
\\\ mSieri tkivili
\\\ sezonuri tkivili
\\ Rebineba, pirnaReb masaSi wina dRis miRebuli sakvebis nawilakebis
arsebobiT
\\\ Ramis tkivili

daavadebisaTvis?
\\ mSieri tkivili
\\\ aqilia
\\\ dazianebuli nawlavis kedlis atrofia
\\\ swori nawlavis anTeba
\\\ qolecistitTan
\\ stenokardiasTan
\\\ pnevmoniasTan
\\\ pankreatitTan
17

xSir mizezs?
\\\ kuWis wyluli
\\\\ tkivilis rogori iradiaciaa damaxasiaTebeli qronikuli
qolecistitisaTvis?
\\ marjvena mxarSi, beWSi, laviwSi
\\\ marcxena mxarSi, beWSi, laviwSi
\\\ marjvena fexSi
\\\ marcxena epigastriumis midamoSi
\\\\ qronikuli gastritis diagnostikaSi qvemoTmoyvanilidan romel
meTods eniWeba wamyvani mniSvneloba?
\\\ rentgenologiur gamokvlevas
\\\ fibrogastroskopias
\\\ komliuterul tomografias
\\ fibrogastroskopias biofsiiT da masalis morfologiuri SeswavliT
.
\\\ irigoskopias
\\ kolonoskopias
\\\ komliuterul tomografias
\\\\ ra aris damaxasiaTebeli qronikuli qolecistitisaTvis?

\\\ mSieri tkivili
\\\ aqilia
\\ cximiani sakvebis autanloba
\\\ faRaraTi
\\\\ ra aris qronikuli aqtiuri hepatitis ZiriTadi ganmasxvavebeli
niSani qronikuli hepatitebis sxva formebisagan?
\\\ RviZlis fermentebis donis momateba
\\ histologiuri cvlilebebi
\\\ splenomegalia
\\\ siyviTle
imunodepresoruli Terapiis dawyebis klinikur Cvenebas?
\\\ qronikuli hersistiuli hepatiti
\\ qronikuli aqtiuri hepatiti
18
\\\\ avadmyofi mamakaci, aReniSneba heqtiuri cxeleba, hepatomegalia,

neitrofiluri leikocitozi marcxniv gadaxriT da toqsiuri
marcvlovnebiT, savaraudod ra daavadeba aqvs?
\\\ qronikul hepatiti
\\ RviZlis abscesi
\\\ cirozi
\\\\ RviZlismieri komis saSiSroebis dros dietaSi
\\ cilebi
\\\ cximebi
\\\ naxSirwylebi
\\\ tkbileuli
\\\\ CamoTvlilTagan, romeli paTologia
cirozis garTulebas?
\\\ sisxldena varikozuli venebidan
\\\ koma
\\\ RviZlis kibo
\\ pankreatiti
unda SevzRudoT:
ar warmoadgens RviZlis
\\\\ romeli organos kibos erT-erT adreul simptoms warmoadgens

hiperglikemia da glukozuria?
\\\ naRvlis buStis
\\\ pankreasis tanis
\\ pankreasis kudis
\\\ kuWis
\\\\ CamoTvlilTagan, romeli simptomis arseboba ar aris damaxasiaTebeli

hemolizuri siyviTlisaTvis?
\\\ arapirdapiri bilirubinis momateba sisxlSi
\\ arapirdapiri bilirubinis momateba sisxlSi
\\\ anemia
\\\ splenomegalia
\\\\ RviZlis mikronoduluri cirozis uxSires eTiologiur faqtoria:

\\\ hepatiti A
\\\ hepatozi B
\\ alkoholizmi
\\\ hepatiti B/D
maCvenebels?
\\ sisxlis SratSi SardmJavas maRali done
19
\\\\ 29 wlis mamamkaci moTavsda klinikaSi hiperbilirubinemiis gamo. Aar

swuxs, fizikaluri da laboratoruli gamokvleviT sayuradReboa
mxolod bilirubinis maCveneblebi totaluri bilirubini 3,5mg%,
pirdapiri bilirubini 0,4 mg%. ra aris savaraudo diagnozi?
\\\ dabin-jonsonis sindromi
\\ Jilberis sindromi
\\\ krigler-naiaris sindromi
\\\ vilsonis daavadeba
\\\\ RviZlis qronikuli daavadebebidan romelia glukokortikoidebis
daniSvnis Cveneba?
\\ qronikuli autoimunuri hepatiti
\\\ hepatocelularuli karcinoma
\\\ qronikuli persistirebadi hepatiti
\\\\ CamoTvlilTagan romeli mosazreba ar aris marTebuli RviZlis mwvave
ukmarisobis sindromisTvis?
\\\ Tirkmlebis ukmarisoba viTardeba daaxloebiT 50%-Si
\\ klinikuri simZimis dadgenisTvis gadamwyvetia transaminazebis
gansazRvra sisxlSi
\\\ xangrZlivdeba proTrombinis da Tromboplastinis dro
\\\ xSiria encefalopaTia
\\\\ romeli fermentis meSveobiT warmoiSoba koniugirebuli

(SekavSirebuli) bilirubini RviZlis ujredebSi?
\\ glukuroniltransferazisB
\\\ leicinaminopeptidazis
\\\ mJave fosfatazis
\\\ tute fosfatazis
\\\\ romeli metaboluri darRvevebis mizeziT ar xdeba sisxlSi

arakoniugirebuli (Tavisufali) bilirubinis Semcvelobis mateba?
\\\ bilirubinis Warbi warmoqmnis
\\\ RviZlis mier bilirubinis koniugirebis daqveiTebas
\\\ hepatocitebSi glukuroniltransferazis naklebobisa
\\ RviZlis mier bilirubinis koniugirebis aqtivaciis
\\\\ 42 wlis pacient qals aReniSneba megaloblasturi hiperqromuli
anemia. ra aris amis uSualo mizezi?
\\\ rkinis deficiti;
\\ ciankobalaminis deficiti;
\\\ transferinis ukmarisoba;
\\\ sisxldena kuWidan
\\\\ romeli organos simsivnea gastrinoma?
\\\ kuWis
20
\\ pankreasis
\\\ RviZlis
\\\ 12-goja nawlavis
\\\\ ra aris colinger-elisonis sindromi?

\\\ kuWis simsivne
\\ pankreasis somsivne
\\\ peptiuri wyluli
\\\ RviZlis simsivne
\\\\ ra ewodeba uzmod aRebul kuWis wvens?
\\ bazaluri
\\\ postprandialuri
\\\ stimulirebuli
\\\ aqlorhidriuli
\\\\ CamoTvlilTagan romeli preparatia histamin H2 receptorebis

blokatori?
\\\ omerprazoli
\\\ lansoprazoli
\\\ de noli
\\ famotidini
\\\\ CamoTvlilTagan romeli preparatia kuWis protonuli tumbos
inhibitori?
\\\ vikairi
\\ lansoprazoli
\\\ de noli
\\\ famotidini
\\\\ ras eniWeba mniSvneloba pikis fsevcdocirozis (RviZlis)
ganviTarebaSi?
\\\ gulis ukmarisobas
\\ adgeziur perikardits
\\\ Rru venebis Trombozs
\\\ rkinis daqviTebul koncentracias sisxlSi
\\\\ ris Sedegad viTardeba RviZlis kardialuri cirozi?
\\\ mwvave perikarditis
\\ gulis qronikuli ukmarisobis
\\\ gulis iSemiuri daavadebis
\\\ gulis aortaluri mankis
\\\\ romel preparats ar axasiaTebs kuWis lorwovanis gamaRizianebeli
moqmedeba?
\\\ arasteroidul antianTebiT sasualebebs
\\\ prednizolons
\\ kuWis protonuli tumbos inhibitorebs
21
\\\ aspirins
\\\\ kuWis romeli funqciuri mdgomareobisTvisaa damaxasiaTebeli
yabzoba?
\\\ hipoacidurisTvis
\\\ anacidurisTvis
\\ hiperacidurisTvis
\\\ aqlorhidriisTvis
\\\\ romeli preparati gamoiyeneba kuWis sekreciis fraqciuli wesiT
gamokvlevisas?
\\\ vikairi
\\ pentagastrini
\\\ kalciumis qloridi
\\\ magniumis sulfati
\\\\ romeli preparati gamoiyeneba naRvlis wvenis gamokvlevisas?
\\\ aspirini
\\\ histamini
\\\ baralgini
\\ magniumis sulfati
\\\\ ra SemTxvevaSi viTardeba demping-sindromi?
\\\ ulcerorafiis Semdgom
\\\ kuWidan xSiri sisxldenis SenTxvevaSi
\\ kuWis rezeqciis Semdeg
\\\ mwvave pankreatitis dros
\\\\ rogoria kuWis wvenis pH 12-goja nawlavis wylulis dros?
\\\ momatebuli
\\ daqveiTebulia
\\\ pH aris 8 ze meti
\\\ xan momatebuli, xan daqveiTebuli.

\\ cilebi
\\\ cximebi
\\\ Saqari
\\\ naxSirwylebi

\\ lansoprazoli
\\\ cimetidini
\\\ ranitidini
\\\ famotidini
22
\\\\ kuWis peptiuri wylulis romeli garTuleba ar moiTxovs gadaudebel

qirurgiul Carevas?
\\\ perforacia
\\\ masiuri sisxldena, romelic ar eqvemdebareba hemostatikebiT
mkurnalobas
\\ pilorostenozi
\\\ malignizacia

daavadebisaTvis?
\\ Ramis tkivili
\\\ aqlorhidria
\\\ kuWis sekretoruli funqciis daTrgunva
\\\ dazianebuli nawlavis kedlis atrofia
\\\ qolecistitTan
\\ stenokardiasTan
\\\ pnevmoniasTan
\\\ mwvave apendicitTan

maCvenebels?
\\\ sisxlSi rkinis dabali done
\\ hiperurikemia
\\\\ qvemoT moyvanili gamokvlevebidan romels unda mieceT upiratesoba

\\\ irigoskopias
\\ kolonoskopias
\\\ ganavlis anlizs
\\\ kompiuterul tomografias
#153
23
\\\\ CamoTvlilidan ra axasiaTebs saylapavis kibos:

\\\ disfagia
\\\ tkivili saylapavis areSi
\\\ naxvelSi sakvebis narCenebis arseboba
\\ yvela CamoTvlili
\\\\ CamoTvlilidan ra SeiZleba ar iyos mwvave gastritis mizezi:
\\\ alkoholi
\\\ Termuli faqtori
\\\ qimiuri faqtori
\\ neirogenuli faqtori
\\\\demping-sindromisaTvis damaxasiaTebelia yvela CamoTvlili, garda

erTisa:
\\ naRvlovani Rebineba
\\\ Wamis Semdeg gamoxatuli sisuste
\\\hipoglikemiis ganviTareba Wamidan daaxloebiT 2sT-is Semdeg
\\\sisxlZarRvovani da neirofsiqiuri darRvevebi
\\\ naxSirwylebis autanloba
\\\\
cimetidinis gamoiyeneba peptiuri wylulis samkurnalod
mizanSewonilia, radgan es preparati:
\\\ iniSneba dReSi erTxel
\\ ablokirebs H2 histaminur receptorebs
\\\\ qvemoT CamoTvlili mtkicebebidan romelia WeSmariti kuWis

wylulovan daavadebasTan
dakavSirebiT:
\\ Tan axlavs mJavis momatebuli sekrecia
\\\ ganviTareba ar aris dakavSirebuli stresuli situaciis
zemoqmedebasTan
\\\ xSiradaxlavs faRaraTi
\\\ uxSiresad gvxvdeba 60-70 wlis asakSi
\\\\ qvemoT CamoTvlili preparatebidan romlis daniSvna moqmedebs

keTilsaimedod qronikuli pankreatitis prognozze:
\\\ cimetidini
\\ trasiloli
\\\ antibiotiki
\\\ qolinolizuri saSualebebi
24
\\\\ sklerodermiis gastroenterologiur gamovlinebebs miekuTvneba:

\\ refluqs-ezofagiti
\\\ pankreatiti
\\\ naRvlis buStis kalkulozi
\\\\ gregersenis dadebiTi reaqcia, Tu mas Tan axlavs wonis daqveiTeba,

yvelaze xSirad gvxvdeba:
\\\ qronikuli gastritis dros
\\\ kuWis funqciuri moSlilobisas
\\ kuWis kibos dros
\\\ saylapavis xvrelis Tiaqris dros
\\\\ ra saxis anemia ar aris damaxasiaTebeli qronikuli enteritisaTvis:
\\\ rkinadeficituri
\\\ B12 deficituri
\\ hemolizuri
\\\ arc erTi CamoTvlilTagan
\\\\ ra daavadebebTan aris saWiro araspecifiuri wylulovani kolitis

diferencialuri diagnosis gatareba:
\\\qronikul enteritTan
\\\smxvili nawlavis kibosTan
\\\ kronis daavadebasTan
\\ yvela YCamoTvlilTan
\\\\ CamoTvlili preparatebidan romeli ar gamoiyeneba qronikuli

gastritebis samkurnalod:
\\\ vikalini
\\\ atropini
\\\ de-noli
\\ indometacini
xSir mizezs:
\\\ cilis deficit dietaSi
25
\\\\ RviZlismieri komis mizezi ciroziT avadmyofebSi SeiZleba iyos:

\\\ saylapavis varikozuli venebidan sisxldena
\\\ Tiaziduri Sardmdenebis miReba
\\\ barbituratebis xangrZlivi miReba
\\ yvela CamoTvlili
\\\\ msxvili nawlavidan sisxldenis dros sisxldenis adgilis

dasadgenad qvemoT CamoTvlili meTodebidan yvelaze ufro
informaciulia:
\\\ nawlavebis Cveulebrivi rentgenologiuri gamokvleva
\\\ nawlavebis rentgenologiuri gamokvleva ormagi kontrastirebiT
\\ kolonoskopia
\\\ seleqciuri visceraluri arteriografia
\\\\ qvemoT CamoTvlilidan romeli ufro mniSvnelovania qronikuli

pankreatitis diagnostikaSi:
\\\ sekretin-pankreoziminis testi
\\\ kuWqveSa jirkvlis eqoskopia
\\\ ganavalSi cximis gansazRvra
\\ yevla CamoTvlili
\\\\ RviZlis cirozis dros ascitis ganviTareabs xels uwyobs:
\\\ meoradi hiperaldosteronizmi
\\\ hipoalbuminemia
\\\ hortuli hipertenzia
\\ yvela CamoTvlili
\\\\ kuWukana jirkvlis moculobiTi procesebis upirates sadiagnozo

meTodad iTvleba:
\\\ bariumis fafiT kuW-nawlavis rentgenologiuri gamokvleva
\\\ intravenuri qolegrafia
\\\ retrograduli pankreatoqolangiografia
\\ kompiuteruli tomografia
\\\\ ezofagogastroduodenaluri gaxangrZlivebuli sisxldenis
simptomebia:
\\\ yavis" naleqiT an axali sisxliT Rebineba
\\\ avadmyofis saerTo mdgomareobis gauareseba
\\\ hemoglobinis raodenobis Semcireba
\\ yvela CamoTvlili
\\\\ diafragmis saylapavis xvrelis Tiaqris garTulebebis
profilaqtika emyareba:
\\\ kvebis reJims
26
\\\ Sromis reJims

\\\ Zils maRal sasTumalze
\\ yvela CamoTvlils
\\\\ marilmJavas warmoSobas ar amcirebs:

\\\ cimetidini
\\\ gastrocepini
\\\ ranitidini
\\ aspirini
\\\\ avadmyofi mamakaci, 60 wlis, Semovida CivilebiT ylapvis gaZnelebaze

myari sakvebis miRebisas, romelic daewyo 8 Tvis win, wonaSi daklebaze,
umadobaze. 2 dRis win sakvebis miRebisTanave daewyo regurgitacia da
amoRebul sakvebSi SeniSna sisxli, ris gamoc mimarTa klinikas.
rentgenogramaze Cans saylapavis avsebis defeqti . gamokvlevis Semdgomi
etapi:
\\\ scintigrafia.
\\\ acid - perfuziuli testi;
\\\ kompiuteruli tomografia;
\\ ezofagoskopia biofsiiT da citologiuri gamokvleviT;
\\\\ peptikuri wylulis garTulebebia yvela CamoTvlili, garda:

\\\ penetrata;
\\ demping - sindromi;
\\\ perforacia;
\\\ sisxldena;
\\\\ kuWis wylulis penetraciiT garTulebaze metyvelebs:
\\\ mSieri, Ramis tkivilebi.
\\ uecrad ganviTarebuli kolafsi an Soki;
\\\ Wamis Semdeg Rebineba;
\\\ tkivilis stereotipis Secvla, riTmulobisa da periodulobis
gaqroba;
\\\\ peptikuri wylulis samkurnalod gamoyenebuli CamoTvlili
saSualebebidan romeli moqmedebs Na+ K+ atf-azas daTrgunvis gziT?
\\\ bismutis preparatebi.
\\\ aluminis hidroqsidi;
\\\ ranitidini;
\\ omeprazoli;
\\\\ 55 wlis avadmyofi mamakaci anamnezSi 10 wlis xangrZlivobis kuWis

wyluliT mkurnalobda araregularulad. periodulad aRniSnavda
27
gamwvavebebs. ukanaskneli wlis manZilze tkivili epigastriumis areSi

gauZlierda, daiklo wonaSi, fibroskopiiT did simrudze aRiniSneba
msxvili wylulovani defeqti. CamoTvlilidan ra ufro mizanSewonilia
vurCioT avadmyofs?
\\ CavataroT gastrofibroskopia biofsiiT, ris Sedegadac gadavwyvitoT
sakiTxi mkurnalobis taqtikis Sesaxeb.
\\\ Cautardes ganmeorebiT rentgenologiuri gamokvleva;
\\\ operaciuli mkurnaloba Catardes mxolod aqiliis gamovlenis
SemTxvevaSi;
\\\ saswrafod gaikeTos operacia;
\\\\ 28 .
, 3 ,
10 - . .
.
. .
,
. :
\\\ .
\\\ ;
\\ ;
\\\ ;
\\\\ msxvili nawlavis kibos risk - faqtorebia yvela CamoTvlili, garda:

\\\ imunodeficituri daavadebebi.
\\ vegetarianoba;
\\\ ojaxur anamnezSi simsivnis arseboba;
\\\ araspecifiuri wylulovani koliti;

\\\ nawlavebis kedlis eozinofiluri infiltracia.
\\\ epiTeliuri ujredebis megalocitozi, xaoebis damokleba, nawlavis
kunTovani boWkoebis atrofia;
\\\ lorwovanis dazianeba xaoebis atrofiiT;
\\ epiTelioujredovani granulomatozi;
\\\\ 55 wlis avadmyofi qali uCivis diareas, ganavalSi sisxlisa da
lorwos minarevebiT. avadmyofi kuWSi gadis dRe - RameSi 15 - jer. aqvs
tkivili reqtumis midamoSi, SeteviTi tkivili marcxena ferdqveSa areSi.
aRniSnuli klinikuri suraTis gamwvaveba ukanaskneli 5 wlis
ganmavlobaSi aReniSna 10 - jer. obieqturad palpaciiT msxvili nawlavis
proeqcia mtkivneulia. ganavlis analizi aCvenebs didi raodenobiT
sisxlsa da Cirqs. paTogenuri mikroorganizmebi ar aRmoCnda. sisxlSi hipoqromuli anemia, leikocitozi, eds - 25 mm 1 saaTSi. savaraudo
diagnozia:
\\\ funqciuri diarea.
\\\ uiplis daavadeba;
\\\ kronis daavadeba;
\\ araspecifiuri wylulovani koliti;
28
\\\\ amilazemiis maRali done SeiZleba gamovlindes:

\\\ jorjlis arteriebis Trombozis dros;
\\\ peritonitis dros;
\\\ ileusis dros;
\\ mwvave pankreatitis dros;
\\\\ 45 wlis alkoholizmiT daavadebuli mamakaci Semovida klinikaSi
Zlieri tkiviliT muclis areSi iradiaciiT welSi. avadmyofs aqvs
Zlieri Rebineba, romelic Svebas ar aniWebs. obieqturad, avadmyofi
gafiTrebulia, Sublze civi ofli aqvs. temperatura momatebulia,
muceli rbilia. saeWvoa mwvave pankreatitis arseboba. laboratoriuli
monacenebi moicavs yovelive CamoTvlils, garda:
\\\ leikocitozi.
\\\ hiperamilazuria;
\\ aminotrasferazebis donis momateba sisxlSi;
\\\ amilaziis donis momateba sisxlSi;
;
\\\\ RviZlis ciroziT dasnebovnebulebSi ascitis mkurnaloba pirvel
rigSi unda daiwyos
\\\ paracenteziT;
\\\ hipoTiazidiT;
\\\ furosemidiT;
\\ spironolaqtoniT;
\\\\ RviZlis cirozis risk - faqtorebia yvela CamoTvlili, garda:
\\\ sisxlis gadasxmebi.
\\\ hepatotoqsiuri medikamentebis xmareba;
\\ qronikuli qolecistiti;
\\\ narkotikebis intravenuri gamoyeneba;
\\\\ mwvave virusuli hepatitebidan romeli progresirebs yvelaze xSirad

RviZlis cirozSi?
\\ C hepatiti;
\\\ D hepatiti;
\\\ B hepatiti;
\\\ A hepatiti;
glukokortikoidebis daniSvnis klasikur Cvenebas?
\\\ qronikuli virusuli hepatiti.
\\\ vilsonis daavadeba;
\\\ pirveladi biliaruli cirozi;
\\ qronikuli autoimunuri hepatiti;
29
Nnefrologia
\\\\ azotemiuri fsevdodiabetis CamoTvlili mtkicebebidan romelia WeSmariti:
\\\ gamowveulia insulinis deficitiT
\\\ saWiroebs insuliniT mkurnalobas
\\ azotemiuri fsevdodiabeti vlindeba glukoziT datvirTvis
sinjiT
\\\ xSirad viTadreba ketoacidozi
\\\\
romel kriteriumze dayrdnobiT xorcieldeba Tirkmlis mwvave da
qronikuli ukmarisobis diferencireba
\\ Tirkmlebis zoma
\\\ Sardis xvedriTi wona
\\\ gorglovani filtraciis siswrafe
\\\ kreatininis Semcveloba sisxlSi
\\\\
ra ar axasiaTebs Tirkmlebis qronikul ukmarisobas:
\\\ acidozi
\\\ hiperkalemia
\\\ hiperurikemia
\\ alkalozi
\\\\ Tirkmlebis qronikuli ukmarisobis dros arteriuli hipertenziis
samkurnalod arCevis preparatia:
\\agf-inhibitori
\\\Sarmdeni
\\\kalciumis antagonistebi
\\\beta-blokerebi
\\\\ romeli antibiotikis daniSvnaa
qronikuli ukmarisobis dros:
\\\ izoniazidi
winaaRmdegnaCvenebi
Tirkmlebis
\\\ doqsiciklini
\\ qlortetraciklini
\\\ qloramfenikoli
\\\\ 42 wlia qali moTavsebulia klinikaSi Tirkmlis kolikis diagnoziT.
laboratoriulad mikrohematuria, leikocituria, baqteruria 106
kwe/ml. intaravenuri urografiiT
- marjvena Tirkmelis menjSi
ganStoebebis mqone kenWi:
\\\ oqsalaturi
\\\ cistinuri
\\\ uratuli
\\ struvitis
\\\\ ra ar axasiaTebs vegeneris granulomatozs:
30
\\\ imunuri kompleqsebis cirkulacia sisxlSi

\\\ swrafad progresirebadi glomerulonefriti
\\ hipokomplementemia
\\\ qvemo sasunTqi gzebis dazianeba
\\\\ ra ar axasiaTebs mwvave poststreptokokur glomeruloenfrits:
\\\ hipervolemia
\\\ oliguria
\\\ SeSupeba
\\ mioglobinuria
\\\\ romeli daavadebis gamovlineba SeiZleba iyos mwvave nefrituli
sindromi:
\\\ nefroliTiazi
\\\ mwvave pielonefriti
\\\ Tirkmlebis amiloidozi
\\ gudpasCeris daavadeba
\\\\ mwvave nefrituli isndromis tipiuri maxasiaTebelia:
\\ proteinuria
\\\ Tirkmlebis zomis Semcireba
\\\ hiperqolesterinemia
\\\ hipoproteinemia
\\\\ rogori Semadgenlobis kenWia rentgenoengatiuri:
\\ qsantinuri
\\\ cistinuri
\\\ oqsalaturi
\\\ struvituli
\\\\ ra ar aris urologiuri manipulaciis Sedegad ganviTarebuli mwvave
pielonefritis gamomwvevi mizezi:
\\\ fsevdomona
\\\ proteusi
\\ qlamidia
\\\ klebsiela
\\\\ romeli niSani ar axasiaTebs mwvave pielonefrits:
\\\ piuria
31
\\ makrohematuria
\\\ maRali temperatura
\\\ dizuria
\\\\ romeli niSani ar axasiaTebs qronikul pielonefrits:
\\\ hiposTenuria
\\\ arteriuli hipertenzia
\\\ baqteruria
\\ SeSupeba
\\\\ romeli daavadebis dros ar viTardeba papilaruli nekrozi:
\\\ aTerosklerozi
\\\ alkoholizmi
\\\ namglisebrujredovani anemia
\\ hemolizuri anemia
\\\\ ra ar axasiaTebs Tirkmlebis tuberkulozs:
\\\ steriluri Sardi
\\\
mikrohematuria
\\ Sardis tute reaqcia

\\\ piuria
\\\\ ra ar axasiaTebs Tirkmlebis amiloidozs:
\\ arteriuli hipertenzia
\\\ hiperqolesterinemia
\\\ SeSupeba
\\\ proteinuria
\\\\ romeli debulebaa araswori:
\\\
diabeturi
nefropaTia
sindromiT
\\\
diabeturi
inhibitorebi
nefropaTiis
xSirad
vlindeba
samkurnalod
nefrozuli
naCvenebia
agf-
\\ klinikurad manifestirebuli nefropaTia viTardeba tipi II

Saqriani diabetis dros
\\\ Tirkmlebis ukmarisoba vlindeba gamoxatuli proteinuriis
gamovlenidan 5-7 wlis Semdeg
\\\\ qolecisteqtomiis Semdgomi garTulebis gamo avadmyofs daeniSna
gentamicini da cefalotini 10 dRis ganmavlobaSi. bolo dReebSi
aRiniSneba hiperkreatininemia diurezis Semcirebis gareSe, arteriuli
32
wneva normaluria. ramdenime dReSi gamoixata Tirkmleis mwvave

ukmarisobis klinikuri suraTi. ram gamoiwvis Tirkmlebis dazianeba:
\\\ cefalotinma
\\\ mwvave glomerulonefritma
\\ gentamicinma
\\\ sefsisma (operaciis Semdgomi garuleba)
\\\\ diabeturi nefropaTiis mqone avadmyofs, romelsac erTi Tvis win
gadaunerges Tirkmeli ganuviTarda Tirkmlebis ukmarisoba. ra ar
SeiZleba iyos aRniSnulis mizezi:
\\ ZiriTadi daavadebis recidivi
\\\ medikamentebiT ganpirobebuli Tirkmlebis disfunqcia
\\\ gadanergili Tirkmlis arteriis stenozi
\\\\ sad ganicdis reabsorbcias milakovani siTxis ZiriTadi raodenoba:
\\\ Semkreb milakebSi
\\ proqsimalur milakebSi
\\\ distalur milakebSi
\\\ henles maryuJis aRmaval milakebSi
\\\\ romel daavadebas SeiZleba Seerwyas nefrozuli sindromi:
\\ amiloidozs
\\\ tuberkulozis
\\\ renovaskulur hipertonias
\\\ Talasemias
\\\\ 19 wlis qalma mimarTa klinikas gaxSirebuli Sardvis gamo, romelic
ganviTarda bolo erTi dRea. anamnezSi Sard-sasqeso sistemis daavadebas
aRaniSnavs.
ginekologiuri
daTvalierebiT
aranairi
gadaxraar
gamovlinda. sxeulis temperatura normaluri, sisxlis analizi
leikociti 11X109/l, Sardovana da kreatinini norma, Sardis analizi
8-10 leikociti mxedvelobis areSi. ra damatebiT gamokvlevas TvliT
saWorod diagnosis dasazusteblad:
\\\ muclis Rrus eqoskopia
\\\ intravenuri urografia
\\\ cistoskopia
\\ urokulturis gamokvleva
\\\\ 30 wlis mamakacs sisxlis gadasxmis Semdeg, hemoglobinuriuli mwvave
tubularuli nekroziT mimdinare mwvave hemolizis fonze ganuviTarda
Tirkmlis mwvave ukmarisoba. ra unda ganemartos pacients dam is
axloblebs daavadebis prognozTan dakavSirebiT:
33
\\\ Tirkmlis funqcia ar aRdgeba da aucilebeli iqneba avadmyofis

gadayvana programul hemodializze
\\\ prognozi cudia
\\ 90% SemTxvevaSi daavadeba gamojanmrTelebiT mTavrdeba
\\\
avadmyofiunda momzaddes transplantaciisaTvis
\\\\ 75 wlis mamkaci Semovida klinikaSi Sardis gamoyofis darRvevis gamo.

dRes mcire raodenobiT Sardi gamoyo, magram aqmde iyo dReebi, roca
Sardi ar gamoiyofoda. T/A 180/90mmHg, Sardovana 20mmol/l, kreatinini
360mmol/l. Sardis SedarebiTi xvedriTi wona 1010, cila, ketosxeulebi,
eriTrocitebi, leikocitebi ar aRmoCnda. ra aris Tirkmlis ukmarisobis
mizezi am avadmyofTan:
\\ obstruqciuli uropaTia
\\\ mwvave glomerulonefriti
\\\ intersticiuli nefriti
\\\ Rikmlebis qronikuli ukmarisoba
\\\\ avadmyofi 45 wlis, uCivis tkivils welis midamoSi, iradiaciiT
sazardulSi,gaxSirebul mtkivneul Sardvas, temperaturis momatebas
37,50C. bolo moSardvis dros SardSi SeamCnia momkvrivo warmonaqmni.
sxeulis masis indeqsi 32. Sardis suraTi: mJave reaqcia, leikociti 100ze meti mxedvelobis areSi, eriTrociti 50 mxedvelobis areSi, Sardis
feri mRvrie, naleqi muqi wiTeli feris. ultrabgeriTi gamokvleviT
marjvena Tirkmlis menji da SardsawveTi zedanawili gafarToebuli.
radiagnozs dasvamdiT:
\\\ Tirkmlis abscesi
\\\ qronikuli pielonefritis gamwvaveba
\\ SardkenWovani daavadebis garTuleba, uratuli kenWebi
\\\ SardkenWovani daavadebis garTuleba, oqsalaturi kenWebi
\\\\ ra aris saSarde gzebis pirveladi infeqciis uxSiresi mizezi:
\\\ klebsiela
\\ nawlavis Cxiri
\\\ proteusi
\\\ streptokoki
\\\\ ra ar ganekuTvneba saSarde gzebis infeqciis klinikur niSnebs:
\\\ sxeulis temperaturis momateba
\\\ mRvrie an sisxliani Sardi
\\\ polakiuria
\\ poliuria
34
\\\\ avadmyofi 74 wlis. anginis gadatanis Semdeg ganuviTarda SeSupebiTi

sindromi, intensiuri Tavis Tkivili, wiTeli Sardi (xircis naxarSi
feri). gamokvleviT: proteinuria - 13,5g/dRe-RameSi, eriTrociti TiTqmis
faravs mxedvelobis ares. obieqturad: SeSupebiTi sindromi anasarkamde,
T/A 200/110mmHg. sisxlSi: Hg -124g/l, eds 40mm/sT, saerTo cila 60g/l,
albumini 60g/l. ultrabgeriTi gamokvleviT Tirkmlis zomebi
Secvlili ar aris, menj-fialaTa sistema arsebiTi cvlilebebis gareSe.
didi
xni
ganmavlobaSiavadobda
eqstrasistoluri
ariTmiiT
(ganviTarebuli
gulis
iSemiuri
daavadebs
fonze),
arteriuli
hipertenziiT (T/A 170/100mmHg). ra diagnozs dasvamdiT:
\\\ gulis ukmarisoba
\\ mwvave glomerulonfriti
\\\ meoradad SeWmuxnuli Tirkmlis simptomokompleqsi
\\\\ avadmyofi qali, 60wlis. mwvave vurusuli respiratoruli infeqciis
gadatanis Semdeg ganuviTarda gamoxatuli nefrozuli sindromi.
gamokvlevebiT (endoskopiuri, ultrabgeriTi da rentgenologiuri)
simsivnuri daavadebis diagnozi ar daisva. aqvs tipi II Saqriani diabetis
xangrZlivi anamnezi, iRebs maninils. romeli gamokvleviT dadgindeba
nefrozuli sindromis mizezi:
\\\ Sardis mikroskopia, Sardis daTesva
\\\ radioizotopuri renografia
\\\ sternaluri punqcia
\\ Tirkmlebis biofsia
\\\\ avadmyofi mamakaci, 72 wlis. hispitalizirebulia nefrozuli tipis
qroniukuli glomerulonefritis gamwvavebis gamo (proteinuria 4g/dReRameSi, masiuri SeSupeba). adre mkurnalobda steroidebiT, hqonda kargi
efeqti. aRniSnuli gverdiT avadmyofs aqvs arteriuli hipertenzia,
stenokardia II f.k., qvemo idurebis sisxlZarRvebis maoblitirebeli
aTerosklerozi, kuWis wylulovani daavadeba, prostatis adenoma
saSarde gzebis infeqciis gamovlinebebiT. hospitalizaciamde erTiTviT
adre gadaitana Tavis tvinis sisxlismimoqcevis tranzitoruli moSla.
romeli Terapiuli taqtika migaCniad mizanSewonilad:
\\\ prednizoloni da plazmaferezi
\\\ plazmaferezi, heparini da dezagregantebi
\\ simptomuri Terapia
CaTvliT, dieta)
(hipotenziuri
saSualebebi
Sardmdenebis
\\\\ streptokokuli infeqciis gadatanidan ra droSi viTardeba mwvave

glomerulonefritis suraTi:
\\\ daavadebidan 30 dReSi
\\ daavadebidan 10-14 dReSi
\\\ daavadebidan
5-7 dReSi
35
\\\ infeqciuri daavadebis dros

\\\\ riT xasiaTdeba nefrozuli sindromi:
\\ ESeSupeba, hopo- da disproteinemia, hiperqolesterinemia
\\\ arteriuli hipertenzia hiperqolesterinemiiT
\\\ arteriuli hipertenzia, SeSupeba, proteinuri, hematuria
\\\ ESeSupeba, hopo- da disproteinemia, arteriuli hipertenzia
\\\\ avadmyofs progresirebadi glomerulonefritiT da Tirkmlebis
qronikuli ukmarisobiT daewyo filtvismieri sisxldena. romelia Tqveni
savaraudo diagnozi:
\\\ bronqoeqtazebi da Tirkmlebis amiloidozi
\\ gudpasCeris sindromi
\\\ sistemuri wiTeli mglura filtvebis dazianebiT
\\\
\\\\ qvemwvave nefritidan ra droSi gamovlindeba angioretinopaTia:

\\\ 3 Tvis Semdeg
\\\ 6 Tvis Semdeg
\\ ramdenime kviris Semdeg
\\\ ramdenime dRis Semdeg
\\\\ mwvave glomerulonefritis
dros ra raodenobas ar unda
aRematebodesb sakvebSi sufris marilis Semcveloba:
\\\ srulad unda gamoiricxos
\\ 10gr
\\\ 3 gr
\\\ 5gr
\\\\ romeli sqemaa naCvenebi qvemwvave glomerulonefritis samkurnalod:
\\\ plazmaferezi
\\\ plazmaferezi, puls-Terapia indometacinis Semdgomi daniSvniT
\\ plazmaferezi, puls-Terapia
citostatiki, heparini, kurantili
komponentiT:
prednizoloni,
\\\ puls-Terapia 4 komponentiT steroidiT

\\\\ glomerulonefritis romeli formis dros aRiniSneba daavadebis
swrafi progresireba:
\\ arteriuli hipertenziisa da nefrozuli sindromis SeuRlebis
dros
\\\ proteinuriis da hematuriis SeuRlebisas
\\\ izolirebuli arteriuli hipertenziiT mimdinareobis dros
36
\\\ makrohematuriiT mimdinareobis dros

\\\\ romeli sqemiT unda moxdes SeSupebis mkurnaloba
simdromis dros:
\\ spironolaqtoni, albuminis infuzia, diuretikebi
nefrozuli
\\\ mxolod albuminis infuzia

\\\ albuminis infuzia diurezul saSualebebTan erTad
\\\ mxolod diurezuli saSualebebi
\\\\ qronikuli glomerulonefritiT daavadebul, romelic mkurnalobs
prednizoloniT (80mg) aRmoaCnda kuWis wyluli. rogori iqneba Tqveni
pozicia:
\\\ prednizolonis sruli moxsna
\\ prednizolonis parenteralur
TandaTanobiT moxsna
Seyvanaze
dagasvla
da
misi
\\\ prednizolonis dozis Semcireba, Semdgomi moxsniT

\\\ prednizolonis dozis Semcireba
\\\\ glomerulonefritiT daavadebuli mkurnalobs prednizoloniT. ra
SemTxvevaSi xdeba aucilebeli citostatikis damateba:
\\\ infeqciuri garTulebebis albaTobis Sesamcireblad
\\
mkurnalobis gaumjobesebis mizniT
\\\ prednizolonis ukeT atanis mizniT

\\\ hematuriis Sesamcireblad
\\\\ romeli daavadebis rdos ar viTardeba avTvisebiani hipertenzia:
\\\ pirveladi nefrosklerozi
\\\ kvanZovani periarteriiri
\\ amiloidozi
\\\ pielonefriti
\\\\ romeli daavadebis garTulebaa baqteriuli Soki:
\\\ amiloidozi
\\\ podagruli nefropaTia
\\\ glomerulonefriti
\\ pielonefriti
\\\\ romeli daavadebis dros ar viTardeba nefrozuli sindromi:
\\\ Tirkmlisvenebis Trombozi
\\\ sistemuri wiTeli mglura
\\\ amiloidozi
37
\\ pielonefriti
\\\\
qronikuli
glomerulonefritiT
daavadebuls
utardeba
antikoagulciuri Terapia hepariniT. mkurnalobis dawyebidan meore dRes
ganuviTarda makrohematuria. rogori iqneba Tqveni taqtika:
\\\ hemostazuri mkurnalobis daniSnva
\\ heparinis dozis Semcireba, sisxlis Sededebis drois kontroli
\\\ heparinis moxsna
\\\ heparinis igive dozis datoveba da dakvirveba dinamikaSi
\\\\ ra ar ganekuTvneba azotemiur intoqsikacias:
\\\ gulisreva, Rebineba
\\\ poliuria, polidifsia
\\ eriTrocitozi
\\\ kanis qavili
\\\\ Tirkmlebis qronikuli ukmarisobiT daavadebul avadmyofs Zlieri
Rebinebis Semdeg aReniSna plazmis kreatininis da Sardovanas gazrda.
mkurnalobis romeli formaa araadeqvaturi:
\\\ arterio-venuri Suntis dadeba da hemodializiT mkurnaloba
\\\ intravenurad 10% natriumis qloridis xsnaris Seyvana
\\\ dietis koreqcia cilebis SezRudviT
\\ dietis koreqcis cilebis gazrdiT
\\\\ ra mimarTulebiT icleba kaliumis saerTo raodenoba organizmSi
Tirkmlebis qronikuli ukmarisobis terminalur stadiaze:
\\\ ar icleba
\\\ mcirdeba
\\ izrdeba
\\\ mosalodnelia rogorc gazrda, ise Semcireba
\\\\ ra ganapirobebs Tirkmlebis qronikuli ukmarisobis dros gulis
ukmarisobis ganviTarebas:
\\ siTxis da natriumis Sekaveba, anemia, arteriuli hipertenzia
\\\ arteriuli hipertenzia, anemia
\\\ siTxis da natriumis Sekaveba
\\\ hipoproteinemia, anemia
\\\\ romeli preparati dgas pirvel adgilze diurezuli efeqtis sisustis
mixedviT:
\\\ furosemidi
\\\ triampuri
38
\\ veroSpironi
\\\ hipoTiazidi
\\\\ romeli preparati dgas
gamoxatulebis mixedviT:
\\\ uregiri
pirvel
adgilze
kaliurezuli
efeqtis
\\\ laziqsi
\\ hipoTiazidi
\\\ triamtereni
\\\\ rodis ar aris sisxlZarRvSida
ukmarisobis mizezi:
\\ kardiogenuli Soki
hemolizi
Tirkmlebis
mwvave
\\\ egzogenuri toqsinebis zemoqmedeba da imunuri dazianeba

\\\ hemotransfuziuli konfliqti
\\\ malaria
\\\\ romelia hemolizur-uremiuli sindromis SesaZlo mizezi:
\\\ nitratebiT mowamvla
\\\ TeTri Sxama sokoTi mowamvla
\\\ sisxlis sisxlZarRvSida Sededeba
\\ masiuri hemolizi
\\\\ riT xasiaTdeba Tirkmlebis mwvave prerenuli ukmarisoba:
\\ SardSi Sardovanas dabali koncentracia
\\\ SardSi natriumis dabali koncentracia
\\\ Sardis dabali xvedriTi woniT
\\\ Sardis uxvi naleqiT
\\\\ ra drois ganmavlobaSi xdeba Tirkmlis funqciis sruli aRdgena
Tirkmlebis mwvave ukmarisobis dros:
\\\ ar aRdgeba
\\\ 0,5-4 Tve
\\\ 1-6 Tve
\\ 3-12 Tve
\\\\ riT xasiaTdeba Tirkmlebis mwvave ukmarisobis diurezis aRdgenis
faza:
\\\ izosTenuriiT
\\ poliuriiT
39
\\\ hipersTenuriiT
\\\ polakiuriiT
\\\\ risi potenciuri safrTxe arsebobs Tirkmlebis mwvave ukmarisobis
diurezis aRdgenis fazaSi:
\\\ uremiuli perikarditis
\\\ hiperhidrataciis
\\\ hiperkalemiis
\\ hipokalemiis
\\\\ ra aris zomieri hiperkalemiis kriteriumebi:
\\\ K+ plazmaSi 6,5 -7,5mekv/l
\\\ K+ plazmaSi 5,5-6,5mekv/l, wvetiani maRalamplitudiani T-kbili
ekg-ze
\\ K+ plazmaSi 5,5-6,5mekv/l, ekg cvlilebebis gareSe
\\\ hiperkalemias specifiuri ekg monacemebi ar aqvs
\\\\ ra warmoadgens sicocxlisaTvis uSualo safrTxes Tirkmlebis mwvave
ukmarisobis dros:
\\\ hiperurikemia
\\ hiperkalemia
\\\ hiperfosfatemia
\\\ sisxlSi kreatininis Semcvelobis momateba
\\\\ ra aris Tirkmlebis mwvave ukmarisobis
saswrafod Catarebis absoluturi Cveneba:
\\\ perikarditis ganvitareba
dros
hemodializis
\\\ Sratis kreatininis momateba 800mkmol/l-mde

\\ Sratis kaliumis momateba 7mekv/l-mde
\\\ anuria
\\\\ ra aris progresirebadi amenii mizezi xangrZlivi anuriis dros:
\\\ hemodilucia da transferinis sinTezis daTrgunva
\\ hemodilucia da transferinis sinTezis daTrgunva, hemostazis
defeqti, hemolizi, erTropoezis daTrgunva
\\\ hemostazis defeqti, hemolizi, erTropoezis daTrgunva
\\\ hemodilucia da transferinis sinTezis daTrgunva, hemostazis
defeqti, hemolizi
\\\\ romeli dietis dacvaa rekomendebuli Tirkmlebis mwvave ukamrisobis
dros:
40
\\\ cilebis dabali SemcvelobiT

\\ naxSirwylovan-cximovani
\\\ cximebis gamoricxviT
\\\ cilebis momatebuli SemcvelobiT
\\\\ ra gziT xvdeba turebkulozis mikobaqteria TirkmelebSi:
\\\ limfogenuri
\\\ aRmavali
\\\ kontaqturi mezobeli organoebidan
\\ hematogenuri
\\\\ romeli organo ar ziandeba moxucebulobiTi amiloidozis dros:
\\\ kuWqveSa jirkvali
\\\ guli, aorta
\\ Tirkmlebi
\\\ Tavis tvini
\\\\ romeli daavadebis dros ar viTardeba meoradi amiloidozi:
\\\ bronqoeqtazia
\\\ simsivneebi
\\ qronikuli bronqiti
\\\revmatoiduli arTriti
\\\\ riT ganisazRvreba prognozi meoradi amiloidozis dros:
\\\ periferiuli nervuli sistemis dazianebiT
\\\ gulsisxlzarRvTa dazianebiT
\\\ Tirkmelzeda jirkvalis dazianebiT
\\ Tirkmlebis dazianebiT
\\\\ amiloidozis dros nefrozuli sindomi
\\\
qreba
Tirkmlebis
qronikuli
SemTxvevaSi
ukmarisobis
ganviTarebis
\\\ gvxvdeba Zalian iSviaTad

\\ Tirkmlebis qronikuli
rCeba, ar ixsneba
ukmarisobis
ganviTarebis
SemTxvevaSi
\\\ advilad ixsneba steroidebiT

\\\\ romeli masalis Seswavlas eniWeba
histologiuri diagnostirebis dros:
\\ Tirkmlebis qsovilisi
upiratesoba
amiloidozis
41
\\\ swori nawlavis lorwovani garsis

\\\ kanqveSa cximis
\\\ RrZilebis
\\\\ ra aris aucilebeli amiloidozis
kvlevis dros:
\\\ jons-mouris vercxliT impregnacia
dasadgenadlaboratoriuli
\\ kongos saRebaviT SeRebva

\\\ PAS reaqcia
\\\ hematoqsiliniT da eoziniT SeRebva
\\\\ ra xangrZlivobis unda iyos amilodozis mkurnaloba kolxiciniT:
\\ >1-2 weli
\\\ 5-6 Tve
\\\ 1 Tve
\\\ 1-2 Tve
\\\\ CamoTvlilTagan
garTuldes podagra:
\\\ amiloidozi
romeli
Tirkmlismieri
gamovlinebiT
SeiZleba
\\ Tirkmlebis kenWovani daavadeba

\\\ fankonis sindromi
\\\ Tirkmlebis polikistozi
\\\\ ra ixmareba podagruli nefropaTiis samkurnalod:
\\\ Tiaziduri Sardmdenebi
\\\ kurantili
\\ alopurinoli
\\\ gentamicini
\\\\ rogoria maqsimaluri sadReRamiso proteinuria normaSi:
\\\ 500 mg
\\\ 300 mg
\\ 150 mg
\\\ 50 mg
\\\\ romelia Tirkmlismieri hematuriis yvelaze sarwmuno maCvenebeli:
\\\ tutegamoclili eriTrocitebi
\\\ erTdroulad eriTrocituria daproteinuria
42
\\ eriTrocituli cilindrebi
\\\ Secvlili eriTrocitebi
\\\\ ra terminiT aRiniSneba Sardis upiratesad Rame gamoyofa:
\\\ iSuria
\\ niqturia
\\\ anuria
\\\ oliguria
\\\\ romeli daavadebisaTvis ar aris damaxasiaTebeli renuli SeSupeba:
\\ moZravi Tirkmeli
\\\ nefrozuli sindromi
\\\ mwvave nefriti
\\\\ romeli debulebaa araswori renul SeSupebasTan dakavSirebiT:
\\\ SeiZleba ganviTardes asciti
\\\ avadmyofi fermkrTalia
\\ SeSupeba iwyeba qvemodan zemoT
\\\ SeSupeba iwyeba zemodan qvemoT
\\\\ romeli daavadebis dros
borcviani zedapiris Tirkmlebi:
\\\ moZravi Tirkmali
aRiniSneba
palpaciiT
uswormasworo,
\\\ hidronefrozi
\\ polikistozi
\\\ Tirkmlis abscesi
\\\\ romeli daavadebis dros aris SesaZlebeli Tirkmlebis palpaciiT
gasinjva:
\\ hidronefrozi
\\\ Tirkmlebis kenWovani daavadeba
\\\ qronikuli pielonefriti
\\\ qronikuli glomerulonefriti
\\\\ CamoTvlilTagan romeli
makrohematuria:
\\\ moZravi Tirkmeli
daavadebisaTvis
aris
damaxasiaTebeli

43
\\
mwvave glomerulonefriti
\\\\ rogoria gorglovani filtraciis siCqaris normuli maCvenebeli:

\\\ 120-140ml/wT
\\
100-120ml/wT
\\\ 80-100ml/wT
\\\ 40-60ml/wT
\\\\ romeli debulebaa swori sekrciul urografiasTan dakavSirebiT:
\\\ saSualebas iZleva davadginoT TirkmelSi kenWis arseboba
\\\ sakontrasto nivTiereba SehyavT aRmavali gziT SardsawveTSi
\\ sakontrasto nivTiereba SehyavT venaSi
\\\ sakontrasto nivTiereba SehyavT kanqveS
\\\\ ra ar aris nefrozuli sindromisaTvis damaxasiatebeli:
\\ hipervolemia
\\\ hiperlipidemia
\\\ proteinuria
\\\ SeSupeba
\\\\ avadmyofi uCivis yru xasiaTis tkivils welis areSi, oligurias,
xvelas, qoSins. obieqturad aRiniSneba saxis SeSupaba, sifermkrTale.
Sardi xorcis narecxis Sesaxedaobisaa. Sardis analiziT vlindeba
hematuria da proteinuria. daavadeba ganviTarda anginis gadatanidan ori
kviris Semdeg. rogoria Tqveni savaraudo diagnozi:
\\\ nefrozuli sindromi
\\\ Sard-kenWovani daavadeba
\\ mwvave glomerulonefriti
\\\\ avadmyofi aRniSnavs sisustes, Tavis tkivils, Tavbrus, SeSupebas.
periodulad aqvs gulisreva, Rebineba, kanis qavili, arteriuli wnevis
momateba. SardSi hematuria, proteinuria, daqveiTebulia Sardis
xvedriTi wona, is 1009-1011 farglebSia. sisxlSi momatebulia Sardovanas,
kreatininis done. rogoria Tqveni savaraudo diagnozi:
\\\ Tirkmlis amiloidozi
\\\ swrafad progresirebadi glomerulonefriti
\\ qronikuli gloemrulonefriti
\\\ mwvave gloemrulonefriti
\\\\ romeli debuleba ar aris dakavSirebuli Tirkmlebis amiloidozTan:
\\\ Sardmdenebisadmi rezistentuli SeSupeba
44
\\ damaxasiaTebelia hiperproteinemia
\\\ viTardeba tuberkulozis Sedegad
\\\ mimdinareobs nefrozuli sindromis klinikiT
\\\\ avadmyofi uCivis yru xasiaTis tkivils welis midamoSi, periodulad
Semcivnebas, temperaturis momatebas. gamoxatulia dizuria, poliuria,
niqturia. avad aris ramdenome welia. Sardis gamokvleviT vlindeba
proteinuria, leikocituria, baqteruria. momatebulia arteriuli wneva.
instrumentuli gamokvleviT menj-fialaTa sistemis deformacia,
Tirkmlebis dazianebis asimetriuloba. rogoria Tqveni savaraudo
diagnozi:
\\\ Sard-kenWovani daavadeba
\\\ Tirkmlebis polikistozi
\\ qronikuli pielonefriti
\\\\ romelia mwvave postrenuli ukmarisobis mizezi:
\\\ rabdomiolizi
\\\ avTvisebiani hipertenzia
\\\ policitemia
\\ prostatis hiperplazia
\\\\ romel simptoms ar moicavs Tirkmlebis mwvave ukmarisobis dros
ganviTarebuli hiperkalemiis sindromi:
\\\ bradikardia
\\\ myesTa refleqsis daqveiTeba
\\\ kunTebis hipertonusi
\\ arteriuli hipertonia
\\\\ ra ar ganekuTvneba hemodializze gadayvanis Cvenebas Tirkmlebis
mwvave ukmarisobis dros:
\\\ tvinis SeSupeba
\\\ polineiropaTia
\\\ perikarditi
\\ arteriuli hipertenzia (170/100mmHg)
\\\\ ra ar axasiaTebs nefrozul krizs:
\\\ Rebineba
\\\ eriTema
\\\ muclis areSi tkivili
45
\\\\ romel preparats gaaCnia renoproteqciuli moqmedeba:
\\\ beta-blokeri
\\
agf-inhibitori
\\\ kalciumis arxebis blokeri

\\\ alfa-blokeri
\\\\ CamoTvlilTagan ra ar aris postrenuli ukmarisobis mizezi:
\\\ prostatis hipertrofia
\\ vegeneris glanulomatozi
\\\ cistiti
\\\ Sardis buStis yelis simsivne
\\\\ romeli daavadebisaTvis aris damaxasiaTebeli hieprlipidemia:
\\ Tirkmlebis amiloidozi
\\\ kerovani glomerulonefriti
\\\\ ra ar axasiaTebs mwvave glomerulonefrits:
\\\ marcvlovani cilindrebi
\\\ eriTrocituli cilindrebi
\\ stabiluri arteriuli hipertenzia
\\\ proteinuria
\\\\ hematuriis lokalizaciis dasadgenad diagnostikuri mniSvneloba
aqvs:
\\\ adis-kakovskis meTodiT Sardis gamokvleva (Sardis formiani
elementebis raodenobrivi kvleva)
\\\ Tirkmlis eqoskopia
\\\ Tirkmlis biofsia
\\ sami Wiqis cda
\\\\ romeli daavadebis sadiagnostiko niSnebia: hematuria, cilindruria,
proteinuria, stabiluri arteriuli hipertenzia, marcxena parkuWis
hipertrofia, baduris sisxlZarRvebis Seviwroeba:
\\\ Tirkmlis infarqti
\\ qronikuli glomerulonefriti
46
\\\
mwvave glomerulonefriti
\\\\ romeli daavadeba ar xasiaTdeba dizuria-leikocituriiT:

\\\ ureTriti
\\ gaurTulebeli Sard-kenWovani daavadeba
\\\ Tirkmlis tuberkulozi
\\\\
CamoTvlilTagan
ra
pielonefritisaTvis:
ar
aris
damaxasiaTebeli
mwvave
\\\ daavadebis uecari dasawyisi

\\\ dizuria
\\\ cxeleba
\\\\ 45 wlis mamakacs aReniSneba dizuria, Sardis analiziT paTologia
argamovlinda. romel daavadeba militant eWvs:
\\\ ureTriti
\\ winamdebare jirkvlis adenoma sawyis stadiaze
\\\\ romeli daavadeba SeiZleba garTuldes pionefroziT:
\\\ nefroliTiazi
\\\ Tirkmlis amiloidozi
\\ mwvave pielonefriti
\\\\ ra ar axasiaTebs swrafad progresirebad glomerulonefrits:
\\\ proteinuria
\\\ oliguria
\\ poliuria
\\\ avTvisebiani arteriuli hipertenzia
\\\\ CamoTvlilTagan ra ar axasiaTebs nefrozul sindroms:
\\\ hiperlipidemia da lipiduria
\\\ SeSupeba
\\\ hipoalbuminemia
\\ hiperkalciuria
47
\\\\ WeSmariti baqteruria gulisxmobs daucentrifugirebeli Sardis 1mlSi Semdegi raodenobis koloniis warmomqmneli baqteriis arsebobisas:
\\\ >103
\\\ >104
\\ >105
\\\ >106
#105
\\\\ CamoTvlilTagan, romeli monacemi miuTiTebs, rom Tirkmlebis

ukmarisoba qronikuli da Seuqcevadia da ara mwvave?
\\\ hiperfosfatemia;
\\\ Sardovanas momateba 200 mg%-ze metad;
\\\ sisxlSi kreatininis momateba 15mg%-ze metad;
\\
Tirkmlis zomebis Semcireba
\\\\ CamoTvlilTagan, romeli mdgomareoba rTuldeba yvelaze xSirad
saSarde sistemis infeqciiT?
\\ orsuloba
\\\ anemia
\\\ gulis ukmarisoba
\\\ SardmJava diaTezi
\\\\ avadmyofs aReniSneba SeSupeba, maRali proteinuria, hipo - da

disproteinemia, hiperlipidemia. romeli sindromi Seesabameba aRweril
simptomokompleqss?
\\ nefrozuli
\\\ nefrituli
\\\ hidronefrozi
\\\ urosefsisi
\\\\
\\
\\\
\\\
\\\
romeli daavadebebis dros viTardeba gorglovani proteinuria?

qronikuli glomerulonefritis;
mielomuri daavadebis;
podagris
qronikuli pielonefritis;
\\\\ 30 wlis avadmyof qals aReniSneba sisxlSi kreatininis gamoxatuli

momateba, oliguria, hipoizostenuria, Tikmlebis eqoskopiiT da
kompiuteruli tomografiiT zomebis Semcireba. romeli diagnozia
savaraudo?
\\\ Tirkmlebis mwvave ukmarisoba;
\\\ Tirkmlebis qvemwvave ukmarisoba;
\\
Tirkmlebis qronikuli ukmarisoba;
48
\\\
Tirkmlebis progresirebadi mwvave ukmarisoba;
\\\\ romeli nivTierebis donis momateba plazmaSi ar aRiniSneba

Tirkmlebis mwvave ukmarisobas dros?
\\\ kreatininis;
\\ natriumis;
\\\ kaliumis;
\\\ Sardovanas;
.
\\\\ 45 wlis mamakacs aReniSneba Tirkmlebis progresirebadi ukmarisoba,

eqoskopiurad da venuri pielografiiT Tirkmlebis SedarebiT didi
zomebi, anamnezSi qronikuli osteomieliti. romeli diagnozia
savaraudo?
\\ amiloidozi;
\\\ qronikuli pielonefriti;
\\\ sistemuri wiTeli mglura;
\\\ membranul glomerulonefrit;
\\\\ romeli nivTierebis donis momatebaa plazmaSi paTognomonuri

Tirkmlebis mwvave ukmarisobisTvis?
\\ kreatininis;
\\\ natriumis;
\\\ kaliumis;
\\\ SardmJavas;
.
\\\\ ras axasiaTebs Tirkmlebis SedarebiT didi zomebi, miuxedavad

Tirkmlebis progresirebadi ukmarisobis?
\\ amiloidozs;
\\\ nefrosklerozs;
\\\ vazorenalur hipertenzias;
\\\ membranul glomerulonefrits;
\\\\ romeli maCvenebeli ar miekuTvneba Tiaziduri Sardmdenebis gverdiT

efeqtebs?
\\\ hipokaliemia;
\\ hipokalcemia;
\\\ hiperurikemia;
\\\ hiperglikemia;
\\\\ 75 wlis avadmyofi mamakaci Semovida saavadmyofoSi Sardis gamoyofis

darRveviT. dRes gamoyo didi raodenobiT Sardi, wina dReebSi Sardi
saerTod ar gamoiyofoda. arteriuli wneva 180/90 mm.vwy.sv. danarCeni
49
klinikuri niSnebi normis farglebSia. kreatininis Semcveloba sisxlSi

260 mk mol/l-ia. Sardis xvedriTi wona 1.010. SardSi cila, eriTrocitebi,
leikocitebi, glukoza ar aRmoCnda, romeli diagnozi axsnis Tirkmlebis
ukmarisobis mizezs am SemTxvevaSi?
\\ obstruqciuli uropaTia;
\\\ mwvave glumerulonefriti;
\\\ intersticiuli nefriti;
\\\ mwvave tubuluri nekrozi;
\\\\ eleqtrolituri cvlis ra saxis darRvevebi ar aris damaxasiaTebeli
Tirkmlebis qronikuli ukmarisobisTvis?
\\\ hipokalciemia;
\\\ hiperkaliemia;
\\ hipernatriemia;
\\\ hiperfosfatemia;
\\\\ romeli mtkicebebi ar aris marTebuli nefrozuli sindromis Sesaxeb?
\\\ axasiaTebs masiuri proteinuria;
\\\ aRmocendeba glomerulonefritis upiratesad membranuli da ara
proliferaciuli formis dros;
\\\ aRmocendeba gorglebis rogorc difuzuri, ise fokaluri dazianebis
dros;
\\ warmoadgens arteriuli hipertoniis uSualo mizezs;
\\\\ romeli diurezuli saSualeba ar iwvevs hipokaliemias?
\\\ hipoTiazidi;
\\ amiloridi;
\\\ furosemidi;
\\\ diakarbi;
\\\\ rogoria fiziologiuri proteinuriis zeda zRvari?

\\\ 20 mg dRe-RameSi;
\\ 150 mg dRe-RameSi;
\\\ 60-90 mg dRe-RameSi;
\\\ 100 mg dRe-RameSi;
\\\\ romeli diagnozi ismeba yvelaze meti sizustiT Tirkmlis biofsiis

Sedegebis safuZvelze?
\\\ sarkoidozi;
\\\ kvanZovani periarteriti;
\\ amiloidozi;
\\\\ romeli simptomi ar miekuTvneba nefrozuli sindromis gamovlinebebs?

\\\ SeSupeba;
50
\\\ proteinuria;
\\\ hipoalbuminemia;
\\ arteriuli hipertenzia.
\\\\ romeli debuleba axasiaTebs yvelaze zustad furosemids?
\\\ uefeqtoa hipoalbuminemiis SemTxvevaSi;
\\\ qimiurad msgavsia sulfanilamidebis;
\\\ moqmedebs mxolod proqsimalur milakze;
\\ moqmedebs henles maryuJze.
\\\\ romel daavadebas aqvs yvelaze didi paTogenezuri mniSvneloba
reninis hipersekreciaSi?
\\\ qronikuli membranuli glomerulonefriti;
\\\ IgA nefropaTia (berJes daavadeba ;
\\\ mwvave glomerulonefriti;
\\ Tirkmlis arteriis stenozi;
\\\\ romeli debulebaa marTebuli Tirkmlebis polikistozTan
dakavSirebiT?
\\\ ziandeba mxolod erTi Tirkmeli;
\\ ziandeba orive Tirkmeli;
\\\ damaxasiaTebelia oliguriis epizodebi;
\\\ vlindeba mxolod qalebSi;
\\\\ 51 wlis mamakacs makrohematuriiT aReniSneba eriTrocitozi,
Tirkmlebis zomaSi momateba, Tirkmlebis daavadebis ojaxuri istoria.
ra aris savaraudo diagnozi?
\\ Tirkmlebis polikistozi;
\\\ qronikuli pielonefriti;
\\\ avTvisebiani hipertenzia;
\\\ bilateraluri ureTruli kalkulozi;
\\\\ mwvave glomerulonefritis nefrozuli formisTvis upiratesad ra

aris damaxasiaTebeli?
\\\ arteriuli wneva - 140/100 mm vwy.sv.;
\\ sisxlSi saerTo cila <50g/l;
\\\ inspiraciuli qoSini;
\\\ ekg-ze marcxena parkuWis gadatvirTvis niSnebi;
\\\\ mwvave glomerulonefritis dros romelia Tirkmlebis ukmarisobis
ZiriTadi niSani?
\\\ arteriuli wneva 150/120 mm vwy.sv.;
\\ diurezi ar aRemateba 150 ml-s dRe-RameSi;
\\\ proteinuria (160 gr/l ;
\\\ sisxlis Sardovana 9 mmol/l;
\\\\ romelia eklamfsiis ZiriTadi niSani mwvave glomerulonefritis

dros?
\\\ arteriuli wneva 150/120 mm.vwy. sv.;
51
\\\ dRe-Ramuri proteinuria 4,5g;

\\\ eqspiraciuli qoSini;
\\ krunCxvebi da gonebis dakargva;
\\\\ romelia dietis ZiriTadi komponenti mwvave glomerulonefritis
nefrozuli formis dros?
\\\ cilis dRe-Ramuri raodenoba 150gr.;
\\\ sufris marilis dRe-Ramuri raodenoba 8 -10 gr;
\\\ upiratesad cxoveluri warmoSobis sakvebi;
\\ upiratesad mcenareuli warmoSobis cilebi.
\\\\ CamoTvlilTagan romeli ar aris damaxasiaTebeli qvemwvave

glomerulonefritisTvis?
\\\ nefrozuli sindromi;
\\\ mZime arteriuli hipertenzia;
\\\ swrafi progresireba;
\\ saxsrovani sindromi.
\\\\ CamoTvlilTagan romels ar eniWeba mniSvneloba qronikuli

glomerulonefritis da qronikuli pielonefritis diferencialur
diagnostikaSi?
\\\ arteriuli wneva 170/120 mm.vwy.sv.;
\\\ marjvena Tirkmlis zomebis momateba;
\\ glikozuria 40 g dRe-RameSi
\\\ Sardis saerTo analiziT - leikocitebi 6-8 mx. areSi, eriTrocitebi 23
mx. areSi, marcvlovani, pialinuri cilindrebi
\\\\ qronikuli glomerulonefritis qvemoT CamoTvlili variantebidan
romlis drosaa yvelaze metad naCvenebi citostatikebis gamoyeneba?
\\\ hipertonulis;
\\\ nefrozulis;
\\\ SeSupebiT -hipertonulis;
\\ membranozul-proliferaciulis;
\\\\ CamoTvlili debulebebidan romelia WeSmariti Tirkmelebis
amiloidozTan dakavSirebiT?
\\\ sistemuri wiTeli mglura rTuldeba amiloidoziT;
\\ meoradi amiloidozi viTardeba limfogranulomatoziT avadmyofebSi;
\\\ genetikuri amiloidozi upiratesad vlindeba RviZlis dazianebiT;
\\\ revmatoiduri arTriti amiloidoziT ar rTuldeba;
\\\\ CamoTvlilTagan ra ar miekuTvneba saSarde gzebis infeqciis
klinikur niSnebs?
\\ poliuria
\\\ polakiuria
\\\ dizuria
\\\ mRvrie Sardi
52
\\\\ CamoTvlilTagan romeli antibiotikia ukunaCvenebi Tirkmlebis

qronikuli ukmarisobis dros?
\\ qlortetraciklini
\\\ qloramfenikoli
\\\ doqsiciklini
\\\ ampicilini
\\\\ Tirkmlebis qronikuli ukmarisobis terminalur stadiaSi ra aris
rekomendebuli?
\\\ eufilini intravenurad;
\\\ lespenifrili intravenurad;
\\\ reniteki;
\\
hemodializi.
\\\\ glukokortikoidebiT Terapia ra SemTxvevaSia efeqturi?
\\\
qronikuli pielonefritis gamwvavebisas;
\\
qronikuli glomerulonefritis (nefrozuli formis
gamwvavebisas;
\\\
qronikuli glomerulonefritis (hematuriuli formis
gamwvavebisas;
\\\
qronikuli glomerulonefritis latenturi formisas;
\\\\ CamoTvlili daavadebebidan romeli SeiZleba dadasturdes yvelaze
saimedod Tirkmlebis biofsiiT?
\\\ sarkoidozi;
\\\ kvanZovani periarteriti;
\\
amiloidozi;
\\\\ ra ar aris mizanSewonili Tirkmlis mwvave ukmarisobis
mkurnalobisas?
\\\
saWmelTan erTad misaRebi cilis SezRudva;
\\\ wylisa da marilis miRebis SezRudva;
\\\ kaliumis Semcveli preparatebis miRebis SezRudva;
\\
gulis moculobiTi gadatvirTvis gamo digoqsinis gamoyeneba.
\\\\
\\
\\\
\\\
\\\
romeli daavadeba ar rTuldeba Tirkmlebis amiloidoziT?

arteriuli hipertonia;
revmatoiduli arTriti;
bronqoeqtaziuri daavadebani
araspecifiuri wylulovani koliti;
\\\\
\\\
\\
\\\
\\\
sad ganicdis milakovani siTxis ZiriTadi raodenoba reabsorbcias?

Semkreb milakebSi;
proqsimalur milakebSi;
distalur milakebSi;
henles maryuJis aRmaval milakebSi;
53
\\\\ CamoTvlilTagan romelia damaxasiaTebeli Tirkmlis mwvave

ukmarisobisaTvis da iSviaTia qronikulis dros?
\\
mwvaved ganviTarebuli oliguria - anuria;
\\\ Tirkmlovani osteodistrofia;
\\\ orive Tirkmlis zomis Semcireba;
\\\ gaZlierebuli natriurezi Sardis dabali koncentraciis dros;
\\\\ ras axasiaTebs albuminuria da hipoproteinemia SeSupebisa da
cilindruriis TanxlebiT?
\\
mwvave glomerulonefrits;
\\\ pielonefrits;
\\\ Tirkmlis kenWovan daavadebas;
\\\ cistits.
\\\\
\\\
\\\
\\
\\\
ras axasiaTebs welis midamoSi calmxrivi tkivili ?

mwvave glomerulonefrits;
mwvave cistits;
mwvave pielonefrits;
Tirkmlebis amiloidozs.
\\\\ romelia Tirkmlebis mwvave da qronikuli ukmarisobis yvelaze

sarwmuno sadiferenciacio kriteriumi?
\\\ proteinuriis xarisxi;
\\\ kreatininis Semcveloba sisxlSi;
\\\ gorglovani filtraciis siswrafe;
\\ Tirkmlebis zoma.
\\\\ mwvave pielonefritis damaxasiaTebeli niSnebia yvela CamoTvlili,

garda erTisa:
\\\ tkivilisa welis areSi;
\\\ dizuriisa;
\\\ sxeulis temperaturis momatebisa;
\\ makrohematuriisa;
\\\\ avadmyofs progresirebadi glomerulonefritiTa da Tirkmlebis
qronikuli
ukmarisobiT daewyo filtvismieri sisxldena. yvelaze savaraudo
diagnozi
\\\ sistemuri wiTeli mglura filtvebis dazianebiT;
\\
gudpasCeris sindromi;
\\\ bronqoeqtazebi da Tirkmlebis amiloidozi.
\\\\ qronikuli glomerulonefritiT daavadebuls, romelic mkurnalobs

prednizoloniT
(80 mg. sadReRamiso doza
aRmoaCnda kuWis wyluli. Tqveni pozicia
\\\ prednizolonis dozis gazrda;
54
\\\ prednizolonis dozis Semcireba;

\\ prednizolonis parenteralur Seyvanaze gadasvla da misi
TandaTanobiT moxsna;
\\\ prednizolonis sruli moxsna.
\\\\
\\\
\\
\\\
\\\
CamoTvlili simptomebidan azotemiur intoqsikacias ar ganekuTvneba

kanis qavili;
eriTrocitozi;
poliuria, polidifsia;
gulisreva, Rebineba.
\\\\ Tirkmlebis qronikuli ukmarisobis terminalur stadiaze organizmSi

kaliumis saerTo raodenoba
\\
izrdeba;
\\\ mcirdeba;
\\\ ar icvleba.
\\\\
\\\
\\\
\\\
\\
qronikul pielonefrits axasiaTebs yvela CamoTvlili, garda erTisa

arteriuli hipertenzia
polakiuria
baqteriuria
hipoproteinemia
\\\\ 40 wlis qals erTi kviris win hqonda Zlieri tkivili welis marcxena
naxevarSi. 3
dRis Semdeg daewyo cxeleba 37,3 - 37,8 grad C. edsi 25 mm/sT. hematuria
leikocituria.
welis areSi muStis mirtyma iZleva Zlir tkivils. romel daavadebaze
vifiqrebT pirvel
rigSi.
\\\ polikistozi
\\\ hipernefroma
\\
marcxena Tirkmlis kalkulozuri pielonefriti
\\\ Tirkmlebis tuberkulozi
\\\\ 36 wlis mamakaci gaciebis Semdeg SeSupda (saxe, kidurebi .

arteriuli wneva 180/100
mm/sT. proteinuria 6,6% - hematuria. edsi 36 mm/sT. kreatinini normis
farglebSi.
bavSvobidan avadaa filtvebis tuberkuloziT. romel daavadebasTan unda
gvqondes saqme
\\\ qr. glomerulonefritis gamwvaveba
\\\ mwvave glomerulonefritis gamwvaveba
\\
Tirkmlebis amiloidozi
\\\ Tirkmlebis tuberkulozi
55
\\\\ avadmyofs aReniSneba SeSupeba, maRali proteinuria, hipo - da

disproteinemia, hiperlipidemia. romeli sindromi Seesabameba aRweril
simptomokompleqss?
\\ nefrozuli
\\\ nefrituli
\\\ dizuriuli
\\\ urosefsisi
\\\\ CamoTvlilTagan romelia naCvenebi Tirkmlis funqciuri mdgomareobis
SefasebisTvis?
\\\ Sardis analizis adis-kakovskis mixedviT
\\\ Tirkmlebis rentgenografia
\\ Sardis analizi zimnickis mixedviT
\\\ Sardis baqteriologiuri gamokvleva
\\\\ CamoTvlilTagan romelia dakavSirebuli saSarde gzebis
inficirebasTan?
\\ mwvave pielonefriti
\\\\ romeli daavadebis dros viTardeba Lupus-nefriti?
\\\ gripis
\\ sistemuri wiTeli mgluris
\\\ revmatizmis
\\\ nefroliTiazis
\\\\ rogori warmoSobisaa Lupus-nefriti?
\\\ infeqciuris
\\ autoimunuris
\\\ metaboluris
\\\ distrofiulis
\\\\ rogori warmoSobisaa glomerulonefriti?
\\\ infeqciuris
\\ autoimunuris
\\\ metaboluris
\\\ distrofiulis
\\\\ ris maCvenebelia Sardis xvedriTi wona?
\\\ Tirkmlis filtraciuli funqciis
\\\ Tirkmlis reabsorbciuli funqciis
\\ Tirkmlis koncentraciuli funqciis
\\\ igi ar asaxavs Tirkmlis funqciur mdgomareobas
\\\\ rasTanaa dakavSirebuli arteriuli hipertenzia mwvave

glomerulonefritis dros?
\\\ hiperreninemiasTan
\\\ hiperaldosteronizmTan
56
\\ natriurezuli funqciis darRvevasTan

\\\ hipoalbuminemiasTan
\\\\ rasTanaa dakavSirebuli arteriuli hipertenzia qronikuli
glomerulonefritis dros?
\\\ hiperreninemiasTan
\\\ filtraciuli funqciis moSlasTan
\\ natriurezuli funqciis darRvevasTan
\\\ hipoalbuminemiasTan
\\\\
\\\
\\
\\\
\\\
CamoTvlili simptomebidan azotemiur intoqsikacias ar ganekuTvneba

kanis qavili;
hematuria
poliuria, polidifsia;
gulisreva, Rebineba.
\\\\ ra ar aris mizanSewonili Tirkmlis mwvave ukmarisobis

mkurnalobisas?
\\\
saWmelTan erTad misaRebi cilis SezRudva;
\\\ wylisa da marilis miRebis SezRudva;
\\\ kaliumis Semcveli preparatebis miRebis SezRudva;
\\
proteinebiT mdidari dietis daniSvna
\\\\
\\\
\\
\\\
\\\
sad ganicdis milakovani siTxis ZiriTadi raodenoba reabsorbcias?

Semkreb milakebSi;
proqsimalur milakebSi;
distalur milakebSi;
fialebSi
\\\\
\\\
\\\
\\\
\\
romeli daavadeba ar rTuldeba Tirkmlebis amiloidoziT?

revmatoiduli arTriti;
bronqoeqtaziuri daavadebani
araspecifiuri wylulovani koliti;
arteriuli hipotonia
\\\\ CamoTvlilTagan, romeli monacemi miuTiTebs, rom Tirkmlebis

ukmarisoba qronikulia da ara mwvave?
\\\ Tirkmlis zomebis momateba
\\\ Sardovanas momateba 200 mg%-ze metad;
\\\ sisxlSi kreatininis momateba 15mg%-ze metad;
\\
Tirkmlis zomebis Semcireba
\\\\ rogori warmoSobisaa mwvave difuzuri glomerulonefriti?

\\\ infeqciuris
\\ autoimunuris
\\\ metaboluris
\\\ distrofiulis
57
\\\\ rogori warmoSobisaa qronikuli pielonefriti?

\\\ infeqciuris
\\ autoimunuris
\\\ infeqciur-alergiulis
\\\ distrofiulis
\\\\ ra ar ganekuTvneba CamoTvlili simptomebidan azotemiur

intoqsikacias
\\\ saxeze pudris magvari nadebi;
\\ eriTrocitozi;
\\\ poliuria, polidifsia;
\\\ gulisreva, Rebineba.
\\\\
\\\
\\\
\\\
\\
ra ar axasiaTebs qronikul pielonefrits?

arteriuli hipertenzia
leikocituria
baqteriuria
hipoproteinemia
revmatologia
\\\\ CamoTvlilTagan, romeli daavadeba midinareobs
SerCeviTi dazianebiT?
\\ takaiasus daavadeba
\\\ gudpasCeris sindromi
\\\ vegeneris daavadeba
\\\ kvanZovani periarteriiti
aortis totebis
\\\\ romeli daavadebisaTvis aris damaxasiaTebeli antifosfolipiduri

sindromis arseboba?
\\ sistemuri wiTeli mglura
\\\ sistemuri sklerodermia
\\\ podagra
\\\ revmatoiduli arTriti
\\\\ 42 wlis mamakaci, romelic 2 welia uCivis asTmur Setevebs, mzard

sisustes, cxelebas, mialgias, aReniSneba abdominaluri krizebi, wonis
mniSvnelovani kleba -CamoTvlilTagan yvelaze ufro romeli diagnozia
savaraudo?
\\\ dermatomioziti
\\\ Sonlain-henoxis daavadeba
\\ kvanZovani periarteriiti
58
\\\\ 45 wlis mamakacs aReniSneba nekrozuli vaskulitis da

granulomatozuri anTebis Serwyma, CamoTvlilTagan romeli daavadebaa
savaraudi?
\\ vegeneris granulomatozi
\\\ takaiasus daavadeba
\\\ dermatomioziti
\\\\ cxviris unagirisebri deformacia damaxasiaTebelia Semdegi

daavadebisaTvis:
\\
vegeneris daavadeba
\\\\ CamoTvlilTagan romeli ar miekuTvneba autoimunur daavadebebs?

\\ qronikuli pielonefriti
\\\ dermatomioziti
\\\\ CamoTvlilTagan romeli ar miekuTvneba SemaerTebeli qsovilis
sistemur daavadebebs?
\\\ dermatomioziti
\\ iersiniozi
\\\ kvanZovani poliarteriiti
\\\\ 26 wlis qals aReniSneba dilis SeboWiloba, saxis eriTema,
poliarTriti, sisxlSi leikopenia, antibirTvuli antisxeulebi,
proteinuria, ra diagnozia savaraudo?
\\\ revmatizmi
\\\\ ra axasiaTebs podagras?

\\\ antisxeulebi dnm-is mimarT
\\\ antinuklearuli antisxeulebi
\\\ hiperkreatinemia
\\ hiperurikemia
\\\\ CamoTvlilTagan romeli daavadebaa iSviaTi mamakacebSi?
\\\ revmatizmi
\\\ maankilozebeli spondiloarTriti
59

\\\\ CamoTvlilTagan romel daavadebas ufro xSirad axlavs bronquli
asTmis klinikuri suraTi?
\\\ vegeneris granulomatozi
\\\\ CamoTvlilTagan romel daavadebas axasiaTebs mtevnebis
proqsimaluri falangTaSua saxsrebis dazianeba?
\\\ revmatiuli arTriti
\\\ podagra
\\ revmatoiduli arTriti
\\\ gonoreuli arTriti
\\\\ CamoTvlilTagan romel daavadebis dros ar aris gamarTlebuli

antimikrobuli Terapia?
\\\ gonoreuli arTriti
\\\ tuberkulozuri arTriti
\\\ brucelozuri arTriti
\\\\ CamoTvlilTagan romel daavadebas axasiaTebs libman-saqsis

endokarditis ganviTareba?
\\\ dermatomioziti
\\\ revmatizmi
\\\\ CamoTvlilTagan romel daavadebisTvisaa leikopenia

damaxasiaTebeli?
\\\ infeqciuri endokarditi
\\\\ CamoTvlili daavadebebidan
\\\ sklerodermia
\\\ polimioziti
\\\\ CamoTvlilTagan
pancitopenia?
\\\ revmatizmi
romelia iSviaTi qalebSi?
romel daavadebisaTvisaa
damaxasiaTebeli
60
\\\ infeqciuri endokarditi

\\\\ CamoTvlilTagan romel daavadebis drosaa
kanis fibrozi da sklerozi?
\\\ dermatomioziti
\\ sistemuri sklerodermia
histomorfologiurad
\\\\ CamoTvlilTagan romel daavadebisaTvis drosaa kidurebis

proqsimaluri jgufis kunTebis mZime dazianeba disfoniiT da disfagiiT?
\\ polimioziti
\\\ iuveniluri revmatoiduli arTriti
\\\\ ras moicavs feltis sindromi?
\\\ revmatiuli arTriti da eozinofilia
\\\ sklerodermia da hepatomegalia
\\\ dermatomioziti da leikocitozi
\\ revmatoiduli arTriti, hepatosplenomegalia da leikopenia
\\\\Aavadmyof mamakacs aReniSneba purpura, arTralgia (arTriti) da

abdominaluri sindromi. romeli diagnozia savaraudo?
\\ Sonlain-henoxis daavadeba
\\\\ romeli daavadebisaTvisaa damaxasiaTebeli ureTritis, koniuqtivitis
da arTritis Serwyma?
\\\ revmatizmi
\\ reiteris davadeba
\\\ sklerodermia
\\\ sefsisuri arTriti
\\\\ romeli simptomi ar aris damaxasiaTebeli
dermatomiozitisTvis?
\\\ disfagia, disfonia
\\\ menjis da mxris sartylis proqsimaluri kunTebis sisuste
\\ kidurebis distaluri kunTebis sisuste
\\\ periorbitaluri lilisferi SeSupeba
\\\\ ra SemTxvevaSia mizanSewonili podagris mkurnaloba alopurinoliT?

\\ metaboluri hiperurikemiis dros
\\\ mwvave podagruli krizis dros
61
\\\ renuli hiperurikemiis dros

\\\ Sereuli tipis hiperurikemiis dros
\\\\romeli daavadebisTvisaa damaxasiaTebeli bazaluri, mogvianebiTi
pnevmofibrozi?
\\ sistemuri sklerodermiisTvis
\\\ dermatomiozitisTvis
\\\ sistemuri wiTeli mglurasTvis
\\\ revmatizmisTvis
\\\\ ra ar aris damaxasiaTebeli iuveniluri revmatoiduli arTritisTvis?
\\\ msxvili saxsrebis mcirericxovani dazianeba
\\ RF seropozitiuroba
\\\ xerxemlis kisris nawilis dazianeba
\\\ Tvalis xSiri dazianeba
\\\\ romeli daavadebisaTvisaa damaxasiaTebelia wvrili kalibris
sisxlZarRvebis dazianeba?
\\\ hortonis daavadeba
\\ Sonlain - henoxis daavadeba
\\\\ romeli daavadebis dros ar viTardeba saxsrebis ankilozi?
\\\ bexterevis daavadeba
\\ osteoarTrozi
\\\\ romeli daavadebisaTvisaa damaxasiaTebelia mioglobinis mimarT
antisxeulebis arseboba da hiperfermentemia (kreatinfosfokinaza,
aldolaza, laqtatdehidrogenaza, transaminazebi)
\\ dermatomioziti
\\\\ romeli daavadebis mimdinareobas ar axasiaTebs Tirkmlis qronikuli

ukmarisobis ganviTareba?
\\ revmatizmi
\\\\ romeli daavadebis mimdinareobas ar axasiaTebs
ganviTareba?
\\\ pejetis daavadeba
\\\ hiperTireoiduli osteoarTropaTia
osteoporozis
62
\\
osteosklerozi
\\\\ romeli daavadebisaTvisaa

\\\ Segrenis daavadeba
damaxasiaTebeli xaxis enanTema?
\\\\ romeli fementis gamokvlevas ar eniWeba diagnostikuri mniSvneloba

dermatomiozitis dros?
\\\ kreatinfosfokinaza
\\\ laqtatdehidrogenaza
\\\ aldolaza
\\ tute fosfotaza
\\\\sistemuri wiTeli mglurasaTvis damaxasiaTebelia yvela CamoTvlili
laboratoriuli niSani, garda:
\\\ dadebiTi vasermanis reaqcia
\\\ antibirTvuli antisxeulebi
\\\ antisxeulebi dnm-is mimarT
\\antisxeulebi mioglobinis mimarT
\\\\ romeli daavadebaa iSviaTi mamakacebSi?
\\\\ romeli daavadebisTvisaa damaxisiaTebeli mtevnebis proqsimaluri
falangTaSua saxsrebis dazianeba?
\\\ fsoriazuli arTriti
\\\ podagra
\\\ bexterevis daavadeba
\\\\ romeli daavadebisTvisaa gaumarTlebuli antimikrobuli Terapiis
Catareba?
\\\ revmatizmi
\\\ reiteris daavadeba
\\\ tuberkulozuri arTriti
\\\\ romeli preparatia yvelaze efeqturi revmatizmis recidivebis Tavidan
asacileblad?
\\\ arasteroiduli anTebis sawinaaRmdego
\\ penicilinis rigis antibiotiki (prolngirebuli moqmedebis)
\\\ aminoqinolinis rigis
\\\ glukokortikosteroidi
\\\\ ra aris metad damaxasiaTebeli revmatizmisaTvis?
\\\ hiperkeratozi
63
\\ rgolisebri eriTema
\\\ hiperpigmentacia
\\\ atrofia
\\\\ romeli daavadebisTvisaa damaxasiaTebelia miokarditis, perikarditis
da valvulitis Tanaarseboba?
\\\ palindromuli revmatizmi
\\\ revmatuli polimialgia
\\\ tonzilogenuri kardiopaTia
\\ revmatizmi
\\\\ CamoTvlilidan romeli ar miekuTvneba revmatizmis sadiagnostiko
kriteriumebs kisel-jonsis mixedviT?
\\\ miokarditi
\\\ qorea
\\\ poliarTriti
\\ kvanZovani eriTema
\\\\ romeli daavadebisTvisaa hazerikis triada damaxasiaTebeli?
\\\ hemoragiuli vaskuliti
\\\ dermatomioziti
\\\\ rogori tipis gamonayaria damaxasiaTebel hemoragiuli
vaskulitisaTvis?
\\\ pustulozuri
\\\ papulozuri
\\\ kvanZovani
\\ wvrilwinwklovani
\\\\ risTvisaa damaxasiaTebeli aortis anevrizma?
\\\ dermatomioziti
\\\ hemoragiuli vaskuliti
\\\\ romeli daavadebis wamyvani sadiagnostiko saSualebaa aortografia?
\\\ dermatomioziti
\\\ revmatizmi
\\\\. romeli daavadebis erT-erTi sadiagnostiko kriteriumia
poliseroziti ?
\\\ reiteris daavadeba
64

\\\\ risTvisaa damaxasiaTebeli periferiuli saxsrebis ankilozi da
eroziebi?
\\\ kaSin-bekis daavadeba
\\\ osteoqondropaTia
\\\\ rodis aRiniSneba histomorfologiurad kanis fibrozi da sklerozi?
\\\ dermatomioziti
\\\\ risTvisaa damaxasiaTebeli saylapavis qveda mesamedis Seviwroeba?
\\\ dermatomioziti
\\\\ 8 wlis avadmyof gogonas orive xelis mtevanze ganuviTarda ovaluri

formis warmonaqmni mowiTalo-lilisferi sartyliT, romelic Semdeg
gauferulda da miiRo spilos Zvlis feri. ori Tvis Semdeg amass Tan
daerTo ylapvis gaZneleba. xelis mtevnebze kani gamuqda, gamkvrivda da
ganviTarda moxriTi kontraqturebi. aReniSna tuCebis gaTxeleba, saxis
amimia. savaraudo diagnozia?
\\\ dermatomioziti
\\\\ ra ar aris damaxasiaTebeli sistemuri sklerodermiisaTvis?
\\\ teleangieqtaziebi
\\ iriti
\\\ distaluri falangebis osteolizi
\\\ gamtareblobis Seferxeba ekg-ze
\\\\ ra ar aris damaxasiaTebeli dermatomiozitisTvis?
\\\ dermatiti
\\\ mioziti
\\\ miokarditi
\\ glomerulonefriti
\\\\ ra ar aris damaxasiaTebeli revmatizmisaTvis?
\\\ karditi
\\ ezofagiti
65
\\\ qorea
\\\ poliarTriti
\\\\ kanis rogori saxis dazianebaa damaxasiaTebeli mwvave
revmatizmisaTvis?
\\\ saxeze pepelas" formis eriTema
\\\ kvanZovani eriTema
\\ rgolisebri eriTema
\\\ papulur-makulozuri gamonayari
\\\\ ra ar axasiaTebs revmatizms?
\\\ mwvave dasawyisi
\\\ msxvili saxsrebis dazianeba
\\ saxsrebis deformacia da ankilozi
\\\ gulis dazianeba
\\\\ revmatizmis morfologiuri sadiagnosto markeria:
\\\ hematoqsilinis sxeulakebi
\\ aSof-talalaevis granuloma
\\\ revmatoiduli kvanZebi
\\\ epidermisis atrofia
\\\\ 9 wlis gogonas Seecvala fsiqika, ganuviTarda emociuri labiloba,
agresiuloba, mimikuri kunTebis uneblie
moZraobebi, romelic ZilSi qreba, mxris sartylis kunTebis hipotonia,
Seecvala xelwera. savaraudo diagnozia:
\\ revmatizmi
\\\ takaiasus sindromi
\\\ kaSin-bekis daavadeba
\\\\ 15 wlis berZen vaJs aReniSneba xangamoSvebiTi arTritebi sruli
remisiiT rasac xSirad axlavs temperatures momateba da abdominalgia.
igive movlenebi aReniSneba bavSvis biZas da babuas. savaraudo diagnozia?
\\\ kavasakis sindromi
\\ perioduli daavadeba
\\\ revmatizmi
\\\\ romeli daavadebis dros warmoiqmneba tofusebi?

\\\ RviZlis cirozi
\\\ osteoporozi
\\\ osteoarTrozi
\\ podagruli arTriti
66
\\\\ romel daavadebas axasiaTebs anginis Semdeg ganviTarebuli mfrinavi"

arTriti?
\\\ wiTel mgluras
\\ revmatizms
\\\ reiteris daavadebas
\\\ revmatoidul arTrits
\\\\ ra ar axasiaTebs Zval-kunTovani sistemis dazianebebidan sistemur
wiTel mgluras?
\\ ankilozi
\\\ migrirebadi arTralgia da arTriti
\\\ upiratesad wvrili saxsrebis dazianeba
\\\ mialgia, mioziti
\\\\ CamoTvlilidan romeli ar miekuTvneba anTebis sawinaaRmdego
arasteroidul preparatebs?
\\ miluriti
\\\ acetilsalicilis mJava
\\\ natriumis diklofenaki
\\\ ibuprofeni
\\\\ romeli laboratoriuli monacemi ar asaxavs revmatizmis aqtiurobis
xarisxs?
\\\ antistreptolizini
\\\ seromukoidi
\\ transaminazebi
\\\ C - reaqtiuli cila
\\\\ antistreptokokuri antisxeulebis titris momateba damaxasiaTebelia
Semdegi daavadebisaTvis:
\\ revmatizmi
\\\\ generalizebuli osteoporozi SeiZleba iyos Semdegi preparatis
xangrZlivi miRebis Sedegi:
\\ kortikosteroidebi
\\\ imunodepresantebi
\\\ arasteroiduli anTebissawinaaRmdego preparatebi
\\\\ kortikosteroidebi naCvenebia Semdegi daavadebebisaTvis, garda:

67

\\\ dermatomioziti
\\ osteoarTrozi
\\\\ CamoTvlilidan erT-erTi daavadebis dros reinos sindromi
aReniSneba praqtikulad yvela avadmyofs:
\\\ dermatomioziti
\\\\ romeli daavadebisaTvisaa damaxasiaTebelia wvrili kalibris

sisxlZarRvebis dazianeba?
\\\ revmatizmi
\\ Sonlain - henoxis daavadeba
\\\\ romeli preparatis xangrZlivi miRebis Sedegia generalizebuli
osteoporozi?
\\ kortikosteroidebi
\\\ imunodepresantebi
\\\ arasteroiduli anTebissawinaaRmdego preparatebi
\\\ antibiotikebis
\\\\ romeli daavadebisaTvisaa
\\\ Segrenis daavadeba
damaxasiaTebeli xaxeze pepela?
\\\\ CamoTvlilidan romeli ar miekuTvneba anTebis sawinaaRmdego

arasteroidul preparatebs?
\\ biseptoli
\\\ acetilsalicilis mJava
\\\ natriumis diklofenaki
\\\ ibuprofeni
\\\\ antistreptokokuri antisxeulebis titris momateba damaxasiaTebelia
Semdegi daavadebisaTvis:
\\ revmatizmi
\\\ podagra
\\\\ ra ar aris damaxasiaTebeli sistemuri wiTeli mglurasaTvis?
68
\\\
\\\
\\\
\\
dadebiTi vasermanis reaqcia

antibirTvuli antisxeulebi
antisxeulebi dnm-is mimarT
antisxeulebi mioglobinis mimarT
\\\\ risTvisaa damaxasiaTebeli saylapavis qveda mesamedis Seviwroeba?

\\\ dermatomioziti
\\\ revmatizmi
\\\\ kvlevis romeli meTodia maRalinformatiuli osteporozis
diagnostikaSi?
\\\ rentgenologiuri
\\ ultrabgeriTi densitometria
\\\ radiometriuli
\\\ eqoskopiuri
//// a ar
/// ;
/// ;
/// -;
//seqsualuri kontaqtiT
//// r aris:
/// ;
/// ;
/// ;
// pulmotropuloba
////
// ;
/// ;
///antineitrofiluri antisxeulebi
///anti SCL-70
////
/// .
/// ;
// ;
///sulfasalazini
////
/// .
// ;
/// ;
///sulfasalazini
////
// .
69
/// ;
/// ;
///sulfasalazini
//// ar aris:
/// .
// "" ;
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//// 45 ,
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Semdegi gamovlinebis dros:
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70
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//// ar aris:
/// .
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//// h
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71
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///revmatoiduli faqtori
//// LE-
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/// " "
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///revmatoiduli arTritis dros Tirkmlis dazianebis dasadgenad
//// - :
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//// LE
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73
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10000 1 LE ;
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74
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ar aris:
///
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//// ar aris :
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//// CREST :
///
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:
///ankilozebi
///saxvretelas fenomeni
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///amilazas momateba
////
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75
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// ,
/// dadebiTi ,
-,
//// ar :
///
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//// :
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//// ar axasiaTebs Semdegi - ani:
/// , ,
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//// aramarT :
/// : , ,
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// ++
/// ++
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//// -- ar viTardeba Semdegi daavadebis dros:
///
///
76
///
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//// .. :
///
//
///
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////
///
///
//
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//// ar :
///
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//// :
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//// :
/// -
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//
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//// ar aris :
77
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/// 20- 30
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//// , :
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//// :
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79
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//// , :
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//// -2- :
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81
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82
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///
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///
///
//
///
//// , :
///
83
///
///
//
//// ar aris damaxasiaTebeli:
/// L E
///
///
//
//// :
///
///
//
///
//// ar aris:
///
///
///
//
//// :
///
///
///
//
//// :
//
///
///
///
//// :
///
///
///
//
//// :
///
///
///
//
84
//// 50 , ,
.
. ,
. . HB-100 /;
15,0X109 /, 30%. :
///
///
///
//
//// :
/// ---
///
///
//
//// ts ar axasiaTebs - daavadeba :
///
///
///
//
//// -
:
///
//
///
///
//// ar aris :
///
///
///
//
////
:
///
///
//
///
//// ar aris damaxasiaTebeli gansazRvruli
a :
///
///
///
//
//// ar :
///
85
///
///
// osteofitebi
//// 60 3 , -
. :
//
///
///
///
//// 30 , ,
.
:
/// amlodipini
//
///
///
//// ar aris :
///
///
///
//
//// :
///
///
//
///
//// :
/// -
// -
///
///
//// - :
///
///
///
//
//// :
//
///
///
///
//// :
///
86
/// HLA-B27
/// ()
//
//// LE :
/// 60-70%-
/// s
///
// - 1 1000
//// ar :
///
///
///
//qronikuli gastriti
//// ar aris :
/// 50
///
// RerZuli tkivili
///
//// :
///
///
/// -
//
//// :
///
///
//
///safeTqlis arteria
//// :
///
///
///
//
//// :
//
///
///
///
//// :
///
///
///
87
//
//// :
///
///
//
///
//// :
///
//
///
/// -
//// :
/// A
/// B
//C
///D
//// :
///
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//
/// PQ-
//// :
///
///
//
/// - T-
//// :
///
///
///
//
//// :
///
///
//
///
//// :
///
///
//
///
88
//// k :
///
//
///
///
//// :
///
///
///
//
//// :
///
///
//
///
//// :
//
///
/// \
///
//// :
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///h
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///
///
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///
//// , 10 , ,
, , .
:
///
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///
//// :
///
//
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//// :
///
89
///
///
//
//// :
//
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///
///
//// ar :
///
///
// o
///
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//
///
///
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//// - :
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/// n h
//// 0,42 /-
, - 0,36\/-
- :
///
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//
///
//// :
///
///
///
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//// ad ar axasiaTebs:
///
///
///
//
//// ar
:
///
90
///
///
//arTrozi
//// :
,
:
///
//
///
// -
////
(, , , )
:
///
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//
///
//// ar aris :
///
// arTrozi
///
///
//// :
///
///
/// -
// -
//// ar
:
///
///
///
// arTrozi
//// ar aris semde :
///
///
// arTrozi
///
//// :
//
///
/// -
91
///
////
:
///
///
//
///
//// - ar aris :
///
//
///
///
//// ar :
///
///
///
// -
//// ar :
///
///
//
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//// ara :
// fotosensibilizacia
///
///
///
//// ar
:
///
///
///
//
////
:
/// \C-
/// - (\> 30 /)
/// (\> 0,42 /)
// rentgenologiuri gamokvleva
//// ar aris :
///
///
/// -
92
//
//// :
/// -0-
///
///
//
//// :
///
///
/// ,
// ankilozi
////
:
///
//
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\\\\ ()
,
:
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\\\ +
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//// ()
,
:
/// +
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//// :
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:
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93
///
//// ar :
///
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:
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:
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///
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//// ar aris :
///
///
94
///
// osteoarTrozi
//// (15X109 )
(150X109 150X109-)
:
///
///
//
///
//// ar warmoadgens Cvenebas Semdegi
daavadebisTvis:
///
///
//
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:
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:
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:
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95
//// ,
:
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///
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// -
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//// -
Aar :
///
///
//
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////
nebs ar ganekuTvneba:
///
///
///
// makratelas niSani
////
:
///
///
///
//
//// :
// S - T
/// S - T
/// T
/// T
//// -
:
///
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96
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97
//// :
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///
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///
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//// ad ar iTvleba:
//
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///
// Fc -
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:
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98
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s ar miekuTvneba:
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)
)
)
//// :
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99
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ar :
/// -
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//// ar :
///
///
//
/// .
//// :
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100
//// ar :
///
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// D -
///
////
:
///
//
///
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//// s ar ganekuTvneba:
/// A -
/// -O-
///
//antinuklearuli antisxeuli
//// :
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//// ar :
///
///
//
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//// :
///
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/// D
////
:
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101
//// :
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///
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//
///
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////
HLA I :
///
///
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//// ar
///
///
//
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////
:
/// +
/// +
// +
/// +
//// HBS ar :
/// B
///
///
//kavasakis daavadeba
////
:
102
///
//
///
///
//// :
///
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//// ar :
/// - 0
///
//
/// C -
//// ar gaeba:
///
///
//
///
//// ,
:
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///
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///
////
:
//
///
///
///antibiotikebi
//// saxsrebis dazianebis -
:
///
///
///
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//// -
:
///
///
///
//
//// :
103
///
///
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//
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Aavitaminozebi
\\\\ 50 wlis qals aReniSneba funikuluri mielozis niSnebi, sisxlSi

hemoglobinis Semcvelobis daqveiTeba, hiperqromia, megalocitozi.
anamnezSi kuWis rezeqcia. CamoTvlilTagan, romeli diagnozia
savaraudo?
\\\ demping-sindromi
\\\ vitamin B1 avitaminozi
\\ vitamin B12 avitminozi
\\\ rkinadeficituri anemia
\\\\ romeli vitaminis deficiti iwvevs pelagras?
\\\ C-vitaminis
\\ nikotinis mJavis
\\\ riboflavinis
\\\ Tiaminis
104
\\\\ CamoTvlili vitaminebidan romelia alkoholuri intoqsikaciis

antidoti?
\\\ ciankobalamini
\\ Tiamini
\\\ riboflavini
\\\ piridoqsini
\\\\ romeli vitaminis deficiti asocirdeba organizmSi kobaltis
ukmarisobasTan?
\\ B12
\\\ B1
\\\ B6
\\\ C-vitaminis
\\\\ CamoTvlilTagan ra ar aris damaxasiaTebeli D avitaminozisTvis?
\\\ hipokalciemia
\\ sisxlSi paraTirinis koncentraciis kleba
\\\ kalciuriis donis Semcireba
\\\ sisxlSi fosforis koncentraciis daqveiTeba
\\\\ romeli vitaminis deficitis mizezi SeiZleba gaxdes mzis
ultraiisferi gamosxivebasTan arasakmarisi kontaqti?
\\\ C vit.
\\\ B1 vit.
\\ D vit.
\\\ A vit.
\\\\ 61 wlis qals simZimis awevis Semdeg daewyo mwvave tkivili zurgis
areSi. rentgenologiurad dadginda gulmkerdis II malis kompresiuli
motexiloba. Kkalciumis koncentracia sisxlis SratSi 8 mg%, fosforis
2,4 mg%, sisxlSi tute fosfatazis da paraThormonis done
momatebulia. ra aris savaraudo diagnozi?
\\\ pejetis daavadeba
\\\ paraThormonis eqtopiuri sekrecia
\\\ pirveladi hiperparaTireozi
\\ D avitamonozi
\\\\ CamoTvlili laboratoruli maCveneblebidan romelia yvelaze
mgrZnobiare K vitaminis deficitis mimarT?
\\\ proTrombinis dro
\\\ Sededebis II faqtori
\\\ Sededebis III faqtori
\\ PIVKA II testi
\\\\ CamoTvlilTagan romelia hemoragiuli sindromis paTogenezuri
mizezi suravandis dros?
\\\ proTrombinis donis daqveiTeba
\\ kapilarebis kedlebis dazianeba
\\\ Sededebis VII faqtoris donis daqveiTeba
\\\ fibrinogenis donis daqveiTeba
105
\\\\ CamoTvlili vitaminebidan romels gaaCnia gamokveTili

antioqsidanturi moqmedeba?
\\ tokoferols
\\\ riboflavins
\\\ piridoqsins
\\\ K vitamins
\\\\ romeli vitaminis deficiti uwyobs xels makroblasturi anemiis
ganviTarebas?
\\\ C vit.
\\\ B1 vit.
\\ B12 vit.
\\\ A vit.
\\\\ romeli vitaminis deficitia mizezi qaTmis sibrmavis?
\\\ C vit.
\\\ B1 vit.
\\\ B12 vit.
\\ A vit.
\\\\ romeli vitaminis deficiti uwyobs xels osteoporozis ganviTarebas?
\\\ C vit.
\\\ B1 vit.
\\ D vit.
\\\ A vit.
\\\\ romeli vitaminis deficitia suravandis mizezi?
\\ C vit.
\\\ B1 vit.
\\\ K vit.
\\\ A vit.
\\\\ romeli vitaminis deficitia perniciozuli anemiis mizezi?
\\\ C vit.
\\\ B1 vit.
\\ B12 vit.
\\\ A vit.
\\\\P romeli sindromis ganviTareba ar aris kavSirSi piridoqsinTan?
\\ periferiuli neiropaTia
\\\ homocistinuria
\\\ vit. B6 damokidebuli anemia
\\\ qsanturenuli acidozi
\\\\ ra ar aris damaxasiaTebeli A-avitaminozisTvis?
\\\ qaTmis sibrmave
\\\ qseroftalmia
106
\\ qalisSida wnevis momateba

\\\ Wrilobebis Seuxorcebloba
\\\\ CamoTvlilTagan romeli vitaminis deficitis mizezia farTo speqtris
antibiotikebiT xangrZlivi mkurnaloba?
\\\ B1 vit.
\\ K vit.
\\\ C vit.
\\\ E vit.
\\\\ romel daavadebas axasiaTebs osteoporozis ganviTareba?
\\\ gulis iSemiur daavadebas
\\\ mwvave pnevmonias
\\ hipoTireozs
\\\ qronikul bronqits
\\\\ romeli preparatis xangrZlivi gamoyenebaa osteoporizis mizezi?
\\\ insulinis
\\ prednizolonis
\\\ L-Tiroqsinis
\\\ digoqsinis
\\\\ riT gansxvavdeba osteoporozi osteomalaciisgan?
\\\ midrekilebiT Zvlebis deformaciisken
\\ motexilobis ganviTarebis maRali riskiT
\\\ ZvalSi kalciumis Semcvelobis momatebiT
\\\ ZvalSi fosforis Semcvelobis momatebiT
\\\\ rogor icvleba osteoporozis dros ZvalSi ultrabgeris
gavrcelebis siCqare?
\\ klebulobs
\\\ matulobs
\\\ ar icvleba
\\\ lulovan ZvlebSi matulobs, brtyel ZvlebSi klebulobs
\\\\ CamoTvlili vitaminebidan romeli aris alkoholuri intoqsikaciis
antidoti?
\\\ B12 vit.
\\ B1 vit.
\\\ D vit.
\\\ E vit.
\\\ askorbinis mJavis
\\\ Tiaminis
\\ ergokalciferolis
\\\ ribovlavinis
107
\\\\ CamoTvlilTagan romelia hemoragiuli sindromis paTogenezuri

mizezi C avitaminozis dros?
\\\ proTrombinis donis daqveiTeba
\\ kapilarebis kedlebis dazianeba
\\\ Sededebis VII faqtoris donis daqveiTeba
\\\ fibrinogenis donis daqveiTeba
\\ E vit.
\\\ B6 vit
\\\ B2 vit
\\\ K vitamins
\\\\ 50 wlis qals aReniSneba funikuluri mielozis niSnebi, sisxlSi

hemoglobinis Semcvelobis daqveiTeba, hiperqromia, megalocitozi.
anamnezSi kuWis rezeqcia. CamoTvlilTagan, romeli diagnozia
savaraudo?
\\\ demping-sindromi
\\\ vitamin B1 avitaminozi
\\ vitamin B12 avitminozi
\\\ askorbinis mJavis deficiti

\\\ P vit.
\\\ B12 vit.
\\ D vit.
\\\ K vit.
\\\\ CamoTvlili vitaminebidan romelia alkoholuri intoqsikaciis

antidoti?
\\\ ciankobalamini
\\\ nikotinis mJava
\\\ piridoqsini
\\ Tiamini
\\\\ CamoTvlilTagan romeli ar miekuTvneba vitaminebis jgufs?
\\\ ciankobalamini
\\\ nikotinis mJava
\\\ piridoqsini
\\ acetilsalicilis mJava
\\ tokoferols
\\\ ciankobalamins
108
\\\ piridoqsins
\\\ K vitamins
testebi klinikur hematologiaSi

//// ras vuwodebT eriTrocitebis raodenobis Semcirebas sisxlis moculobiT
erTeulSi:
/// eriTremia;
/// eriTromielozi;
// anemia
/// eriTrocitozi
//// ras vuwodebT hemoglobinis Semcirebas sisxlis moculobiT erTeulSi:

/// hemoglobinemia;
/// hemoglobinozi;
//anemia
/// hemoglobinopaTia
//// ramden grams Seadgens saSualod hemoglobinis normaluri raodenoba

litr sisxlSi:
/// 80-100;
/// 80-120;
///100-140;
// 120-160.
erT
//// ra farglebSi meryeobs eriTrocitebis saSualo normaluri raodenoba erT

litr sisxlSi:
/// 2,0-3,0.1012;
/// 2,5-4,0.1012;
// 3,9-5,0.1012;
/// 3,9-6,0.1012.
//// ra ujredia retikulociti:

// axalgazrda eriTrociti;
/// eriTrocitis yvelaze adreuli winapari;
/// eriTrocitis paTologiuri forma;
/// birTviani eriTrociti.
//// ramden promiles Seadgens retikulocitebis saSualo normaluri raodenoba

sisxlSi:
/// 1-2;
// 5-15;
/// 15-20;
109
/// 20-40.
//// CamoTvlilTagan ra procesze miuTiTebs sisxlSi retikulocitebis

raodenobis momateba:
/// Zvlis tvinis aplazia;
/// sisxlSi vit. B12 deficiti;
// eriTropoezis gaZliereba;
/// sisxlSi rkinis deficiti
//// CamoTvlilTagan romlebia axalgazrda eriTrocitebi:
/// megalocitebi;
// retikulocitebi;
/// mikrocitebi;
/// samiznismagvari eriTrocitebi.
//// ras gulisxmobs termini ,,neitrofilozi marcxniv gadaxriT~:
// neitrofilebis axalgazrda formebis momatebas;
/// neitrofilebis axalgazrda formebis Semcirebas;
/// mwife neitrofilebis momatebas;
/// mwife neitrofilebis Semcirebas.
//// CamoTvlilTagan romeli faqtori iwvevs eds-is mkveTr Semcirebas:
/// sisxlSi globulinis raodenobis momateba;
// eriTrocitebis raodenobis momateba;
/// sisxlSi qolesterinis momateba;
/// sisxlis siblantis Semcireba.
//// CamoTvlilTagan romeli faqtori iwvevs eds-is mkveTr momatebas:
// sisxlSi globulinis raodenobis momateba;
/// eriTrocitebis raodenobis momateba;
/// leikocitebis raodenobis mkveTri momateba;
/// Trombocitebis raodenobis mkveTri momateba.
//// CamoTvlilTagan romel daavadebas axasiaTebs edsi-is daqveiTeba:
/// vit. B12 deficitur anemias;
// eriTremias;
/// mielomur daavadebas;
/// mwvave leikemias.
//// CamoTvlili ujredebidan romlebi asinTezireben imunoglobulinebs:
/// eriTrocitebi;
// B limfocitebi;
/// T limfocitebi;
/// granulocitebi.
//// CamoTvlilTagan romeli monacemi migvaniSnebs eriTrocitebis produqciis
gaZlierebaze:
// retikulocitozi;
/// Sratis rkinis momateba;
110
/// maRali feradobis maCvenebeli;

/// arapirdapiri bilirubinis momateba.
//// CamoTvlilTagan, romel daavadeba axasiaTebs maRali leikocitozi

granulocitoziT, neitrofilebis marcxniv gadaxriT mieloblastamde da
gansakuTrebiT mielocitebis raodenobis mkveTri momateba?
/// mwvave leikemias;
// qronikuli mieloleikemias;
/// qronikuli limfocitur leikemias;
/// aplaziur anemias.
//// CamoTvlilTagan romel daavadebas axasiaTebs eds-is gansakuTrebiT mkveTrad
momateba?
// mielomuri daavadeba;
/// qronikuli limfocituri leikemia;
/// qronikuli mieloleikemia;
/// eriTremia.
//// CamoTvlilTagan romeli daavadebis dros aRiniSneba gansakuTrebiT maRali
leikocitozi:
/// pnevmonia;
/// Cirqovani apendiciti;
// qronikuli mieloleikemia;
/// sefsisi.
//// romelia qalebSi rkinis deficitis ganviTarebis yvelaze xSiri mizezi:
// Warbi menstruacia;
/// xSiri dieta;
/// WiebiT invazia;
/// menopauza.
//// ra warmoadgens mamakacebSi rkinis deficitis ganviTarebis yvelaze xSir
mizezs:
// kuW-nawlavidan sisxldena;
/// Tirkmlis kenWovani daavadeba;
/// prostatis adenoma;
/// pankreasis Tavis kibo.
//// CamoTvlilTagan romeli simptomia ufro specifiuri rkinadeficituri
anemiis dros:
/// sifermkrTale;
/// taqikardia;
/// saerTo sisuste;
// gemovnebis gaukuRmarTeba.
//// ra tipis anemia viTardeba yvelaze xSirad rkinis deficitis dros:
// hopoqromuli, mikrocituli;
/// hipoqromuli, makrocituli;
/// hiperqromuli, mikrocituli;
/// normoqromuli retikulocitoziT.
111
//// pacients periferiul sisxlSi gamouvlinda hopoqromuli, mikrocituli

anemia. romel daavadebebs Soris unda gatardes diferencialuri diagnozi?
/// rkinadeficituri _ da B12 deficituri anemiebi;
// rkinadeficituri anemia da Talasemia;
/// rkinadeficituri anemia da mikrosferocitozi;
/// rkinadeficituri da aplaziuri anemiebi.
//// ra unda ganisazRvros pirvel rigSi rkinadeficituri anemiisa da Talasemiis
diferencirebisaTvis?
/// sisxlSi foliumis mJavas Semcveloba;
/// sisxlSi vit. B12-is Semcveloba;
// sisxlSi rkinis Semcveloba;
/// sisxlSi kalciumis Semcveloba.
//// romeli daavadeba SeiZleba ganuviTardeT qalebs, romelTac wlebis
ganmavlobaSi aReniSnebaT menstrualuri sisxldenebi?
/// aplaziuri anemia;
/// vit. B12 deficituri anemia;
/// mwvave posthemoragiuli anemia;
// qronikuli posthemoragiuli rkinadeficituri anemia.
//// ra tipis anemia uviTardebaT yvelaze xSirad qalebs, romelTac wlebis
ganmavlobaSi aReniSnebaT menstrualuri sisxldenebi:
// hipoqromuli-mikrocituli;
/// hiperqromuli-makrocituli;
/// hiperqromuli-megalocituri;
/// normoqromuli-normocituli.
//// mamakacs, romelsac wlebis ganmavlobaSi awuxebs sisxlmdeni buasili

ganuviTarda saerTo sisuste, gamovlinda anemia. ra damatebiTi gamokvlevis
Catarebaa aucilebeli anemiis mizezis dasazusteblad;
/// bilirubinis gansazRvra;
/// Zvlis tvinis citologiuri analizi;
// Sratis rkinis gansazRvra;
/// sisxlSi vit. B12-is gansazRvra;
//// axalgazrda qali, romelsac wlebis ganmavlobaSi aReniSneba Warbi

menstruacia, uCivis mudmivad daRlilobis SegrZnebas, Sromisuunarobas.
aReniSneba kanis simSrale, Tmebis cvena da frCxilebis deformacia,
gauTaveblad Wams oxraxuSs. periferiuli sisxlis analizi normis farglebSia.
ra gamokvlevis Catarebas urCevdiT pacients zemoTaRniSnuli Civilebis mizezis
dasadgenad?
/// kalciumis gansazRvras;
// rkinis gansazRvras;
112
/// kaliumis gansazRvras;

/// natriumis gansazRvras.
//// qvemoTCamoTvlilTagan ra unda davuniSnoT pacients aucileblad

rkinadeficituri anemiis samkurnalod:
// rkinis preparatebi;
/// rkiniT mdidari sakvebi;
/// xilisa da bostneulis wvenebi;
/// saqonlis RviZli.
//// CamoTvlili daavadebebidan romelze unda mivitanoT eWvi, periferiul
sisxlSi hipoqromuli anemiis gamovlenis SemTxvevaSi:
// rkinadeficituri anemia;
/// hemolizuri anemia;
/// aplaziuri anemia.
//// CamoTvlilTagan, romeli gamokvlevis Catarebaa aucilebeli diagnozis
dasazusteblad, periferiul sisxlSi hipoqromuli, mikrocituli anemiis
gamovlenis SemTxvevaSi:
/// Zvlis tvinis histomorfologiuri analizi;
// Sratis rkinis gamokvleva;
/// eriTrocituli fermentebis gamokvleva.
//// qvemoTCamoTvlili cvlilebebidan, romeli SeiZleba ganviTardes
periferiul sisxlSi, qronikuli sisxldenebis Sedegad:
/// pancitopenia;
// hipoqromuli anemia;
/// hiperqromuli anemia;
/// megalocituri anemia.
//// CamoTvlil sindromTagan, romeli axasiaTebs rkinis deficits:
/// pleToris;
/// hepato-lienaluri;
/// dsS;
// sideropeniuri.
//// romeli daavadebisTvisaa damazasiaTebeli e.w sideropeniuri sindromi:
/// Talasemia;
// rkinadeficituri anemia.
//// axalgazrda qals, romelsac wlebis ganmavlobaSi aReniSneba Warbi
menstruacia, gamouvlinda e.w sideropeniuri sindromi. ris gansazRvras
urCevdiT pacients sisxlSi?
/// kaliumis;
/// kalciumis;
// rkinis;
113
/// vit. B12-is;
//// mamakacs 12-goja nawlavis wylulovani daavadebiT, wlebis ganmavlobaSi

periodulad aReniSneba kuW-nawlavis traqtidan faruli sisxldena. romeli
daavadeba SeiZleba ganuviTardes pacients?
/// hemolizuri anemia;
// rkinadeficituri anemia.
//// pacients wlebis ganmavlobaSi darRveuli aqvs kuW-nawlavis traqtidan

rkinis Sewova, ris gamoc ganuviTarda rkinis deficiti. rogor aisaxeba
aRniSnuli hemopoezze?
// dairRveva hemis sinTezi;
/// dairRveva globinis sinTezi;
/// dairRveva dnm-is sinTezi;
/// dairRveva eriTrocitebis diferencireba.
//// 25 wlis qals, romelsac 5 wlis ganmavlobaSi qonda 3 orsuloba da
mSobiaroba, ganuviTrda sideropeniuri sindromi. CamoTvlilTagan ra cvlilebaa
yvelaze ufro mosalodneli periferiul sisxlSi?
/// normoqromuli anemia retikulocitoziT;
/// hopoqromuli anemia retikulocitoziT;
// hipoqromuli, mikrocituli anemia;
/// hiperqromuli anemia.
//// 16 wlis sporcmeni vaJi, romelsac mudmivad hqonda Zlieri fizikuri
datvirTva, ramodenime Tvis ganmavlobaSi sagrZnoblad gaizarda simaRleSi.
ukanaskneli erTi Tvis ganmavlobaSi mas ganuviTarda sederopeniuri sindromi.
ra SeiZleboda yofiliyo aRniSnulis mizezi?
/// naxSirwylovani cvlis moSla;
/// vit. B12 is deficiti;
/// kalciumis deficiti;
// rkinis deficiti misi didi raodenobiT moxmarebis gamo.
//// CamoTvlilTagan ra warmoadgens rkinis preparatebis Terapiuli zemoqmedebis

meqanizms:
/// eriTropoezis gaZliereba;
// hemoglobinis sinTezis gaZliereba;
/// globinis jaWvebis gaZlierebuli sinTezi;
/// eriTropoetinis warmoqmnis stimulacia.
//// rogoria fizikaluri kvlevis monacemebi organizmSi rkinis deficitis dros?

/// saerTo sisuste, xSiri sisxldenebi, Tmis budobrivi cvena;
/// saerTo sisuste, kanis simSrale, wonaSi mkveTri mateba;
// saerTo sisuste, Tmis cvena, koiloniqia, gemovnebis gaukuRmarTeba;
114
/// saerTo xisuste, bulemia, RrZilebidan sisxldena.
//// ra xangrZlivobisaa rkinadeficituri anemiis mkurnalobis kursi:

/// 1 Tve;
/// 2 Tve;
/// 3 Tve;
// mkurnalobis vada winaswar ganusazRvrelia.
//// CamoTvlilTagan rkinis preparatebis miRebis romel gzas eniWeba
upiratesoba rkinadeficituri anemiis mkurnalobis dros:
/// intramuskularuli;
// peroraluri;
/// intravenuri;
/// intravenuri da peroraluri erTad.
//// CamoTvlilTagan, romeli monacemi gansazRvravs yvelaze ufro
rkinedeficituri anemiis mkurnalobis dasrulebis SesaZleblobas:
/// hemoglobinis raodenoba;
// Sratis rkinis raodenoba;
/// eriTrocitebis raodenoba;
/// feradobis maCvenebeli.
//// CamoTvlilTagan ra gansazRvravs ZiriTadad rkinadeficituri anemiis dros
eriTrocituli masis transfuziis saWiroebas:
// avadmyofis zogadi mdgomareoba;
/// hemoglobinis raodenoba;
/// eriTrocitebis raodenoba;
/// avadmyofis asaki.
//// CamoTvlilTagan risi daniSvnaa yvelaze ufro saWiro rkinis preparatebTan
erTad rkinaficituri anemiis mkurnalobis dros:
// askorbinis mJava;
/// marilmJava;
/// nikotinis mJava
/// vit. B12;
//// CamoTvlilTagan romeli daavadebis ganviTarebis mizezi SeiZleba iyos
gastromukoproteinis sekreciis nulamde daqveiTeba:
/// eriTremiis;
/// mwvave leikemiis;
/// aplaziuri anemiis;
// vit. B12 deficituri anemiis;
//// ra aucilebeli damatebiTi gamokvleva unda Caurtardes diagnozis
dasazusteblad pacients, romelsac periferiul sisxlSi aReniSneba
hiperqromuli, makro-megalocituri anemia, leikopenia da Trombocitopenia
/// Sratis rkinis gansazRvra;
/// bilirubinis gansazRvra;
/// eriTrocitebis diametris gansazRvra;
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// Zvlis tvinis citologiuri analizi.
//// 60 wlis mamakacs, romelsas 5 wlis win Cautarda kuWis rezeqcia,

ganuviTarda: saerTo sisuste, koordinaciis darRveva, parasTeziebi, diarea,
periferiul sisxlSi gamovlinda Rrma hiperqromuli makro-megalocituri anemia,
leikopenia, Trombocitopenia,. CamoTvlilTagan romeli daavadebaa yvelaze
ufro SesaZlebeli:
/// rkinadeficituri anemia;
// vit. B12 deficituri anemia;
/// mwvave leikemia.
//// ra droSi viTardeba ufro xSirad vit. B12 deficituri anemia kuWis rezeqciis
Semdgom:
/// 1 TveSi;
/// 5 TveSi;
/// 1 weliwadSi
// 5 weliwadSi.
//// CamoTvlilTagan ra warmoadgens anemiis ganviTarebis mizezs organizmSi vit.

B12 deficitis dros;
// dnm-s sinTezis darRveva;
/// hemoglobinis sinTezis darRveva;
/// eriTrocitebis sicocxlis xangrZlivobis Semcireba;
/// globinis jaWvebis sinTezis darRveva;
//// CamoTvlilTagan romeli anemia viTardeba ufro xSirad. organizmSi vit. B12
deficitis dros:
// hiperqromuli megalocituri;
/// hipoqromuli mikrocituli;
/// hiperqromuli makrocituli;
/// normoqromuli normocituli.
//// CamoTvlilTagan periferiuli sisxlis ra cvlilebebia damaxasiaTebeli vit.
B12 deficituri anemiisTvis:
// makrocitozi, megalocitozi, maRali edsi;
/// makrocitozi. megalocitozi, dabali edsi;
/// mikrocitozi, maRali edsi;
/// mikrocitozi, dabali edsi;
//// ra cvlilebebia tipiuri periferiul sisxlSi vit. B12 deficitis dros: ///
megalocituri anemia, leikocitozi, limfocitozi;
/// megalocituri anemia, leikopenia, Trombocitozi;
/// megalocituri anemia, leikocitozi, Trombocitopenia;
116
// megalocituri anemia, leikopenia, Trombocitopenia.
//// CamoTvlilTagan romeli gamokvleva unda Catardes damatebiT vit. B12

deficituri anemiaze saeWvo SemTxvevaSi megaloblasturi sisxlwarmoqmnis
gamosavlenad?
/// sisxlSi rkinis gansazRvra;
// Zvlis tvinis citologiuri analizi;
/// eriTrocitebis fermentebis gamokvleva;
/// fetaluri hemoglobinis gansazRvra.
//// romel qvemoTCamoTvlil daavadebebs Soris unda gatardes diferencialuri
diagnozi, roca periferiul sisxlSi vlindeba hiperqromuli,
makro-megalocituri anemia:
/// rkina da vit. B12 deficituri anemia;
/// rkinadeficituri da aplaziuri anemia;
/// vit. B12 deficituri da hemolizuri anemia;
// vit. B12 deficituri anemia da eriTroleikemia.
//// daaxloebiT ra dro Wirdeba vit. B12 deficituri anemiis mkurnalobas:
/// 1 Tve;
/// 2 Tve;
/// 3 Tve;
// xangrZlivoba winaswar ganusazRvrelia.
//// CamoTvlilTagan romlebia vit. B12 deficituri anemiis klinikuri
gamovlinebebi:
/// sisuste, glositi, sisxlCaqcevebi;
/// sisuste, siyviTle, sisxlCaqcevebi;
// sisuste, glositi, pasesTeziebi;
/// sisuste, glositi, tkivilebi ZvlebSi.
//// CamoTvlilTagan hemoragiuli diaTezis romeli tipi gvxvdeba vit. B12
deficituri anemiis dros:
/// hematomuri;
/// peteqialur-laqovani;
/// vaskulituri;
// hemoragiuli diaTezi ar axasiaTebs.
//// ra damatebiTi gamokvleva unda Catardes pirvel rigSi, roca periferiul

sisxlSi vlindeba pancitopenia SefardebiTi limfocitoziT:
// Zvlis tvinis cito-histomorfologiuri analizi;
/// Sratis rkinis gansazRvra;
/// imunoglobulinebis gansazRvra;
/// bilirubinis gansazRvra.
117
//// romel qveviTCamoTvlil daavadebebs Soris unda gatardes diferencialuri

diagnozi, roca pacients periferiul sisxlSi aReniSneba Rrma pancitopenia da
SefardebiTi limfocitozi:
/// rkinadeficituri da aplaziuri anemiebi;
/// mwvave posthemoragiuli da aplaziuri anemiebi;
/// hemolizuri da aplaziuri anemiebi;
// mwvave leikemia da aplaziuri anemia.
//// qvemoTCamoTvlilTagan romeli anemiis dros aris feradobis maCvenebeli
normis farglebSi:
/// vit. B12 deficituri;
/// rkinadeficituri;
/// Talasemia;
// mwvave hemolizuri.
//// CamoTvlili cvlilebebidan romeli axasiaTebs hemolizur anemias:

// arapirdapiri bilirubinis momateba;
/// pirdapiri bilirubinis momateba;
/// Sratis rkinis daqveiTeba;
/// saerTo cilis daqveiTeba.
//// CamoTvlilTagan romeli hemolizuri enemiisaTvisaa damaxasiaTebeli
hemoglobinuria:
/// mikrosferocitozi;
/// ovalocitozi;
// fermentopaTia;
/// Talasemia.
//// ra warmoadgens autoimunuri hemolizuri anemiis paTogenezs:
// organizmis imunuri tolerantobis darRveva;
/// globinis jaWvebis deficiti;
/// eriTrocitebis fermentebis deficiti;
/// eriTrocitebis membranis defeqti.
//// CamoTvlilTagan romeli anemiis privocireba SeiZleba gamoiwvios
medikamentebis (gansakuTrebiT sulfanilamidebis) miRebam:
/// mikrosferocituli hemolizuri;
// fermentodeficituri hemolizuri.
//// CamoTvlilTagan romeli procesi irRveva Talasemiis dros:
// hemoglobinis sinTezi;
/// mTeli hemopoezi;
/// eriTrocitebis warmoqmna;
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/// eriTrocitebis membranis ganvladoba.
//// CamoTvlilTagan ra tipis anemia axasiaTebs Talasemias:

/// hiperqromuli;
/// normoqromuli;
// hipoqromuli;
/// sxvadasxva tipis.
//// CamoTvlilTagan rogori eriTrocitebi gvxvdeba Talasemiis dros:

/// megalocitebi;
/// makrocitebi;
/// normocitebi;
// mikrocitebi.
//// CamoTvlilTagan romeli axasiaTebs Talasemias:
/// hiperqromuli anemia retikulocitoziT;
// hipoqromuli anemia retikulocitoziT;
/// mikrosferocitebis didi raodenoba;
/// megalocituri anemia.
//// daavadebaTa romel jgufs miekuTvneba Talasemia:

/// enzimopaTiebi (fermentopaTiebs);
/// membranopaTiebi;
// hemoglobinopaTiebi;
///autoimunur hemolizuri anemia.
//// CamoTvlilTagan ra warmoasgens hemoglobinis sinTezis darRvevis mizezs

Talasemiis dros:
/// rkinis deficiti;
/// rkinis maRali done;
/// globinis jaWvebis sinTezis momateba;
// globinis jaWvebis sinTezis Semcireba.
//// romeli 4 simptomi vlindeba erTTdroulad hemolizuri anemiis dros:
/// anemia, cxeleba, siyviTle, arapirdapiri bilirubinemia;
/// anemia, retikulocitozi, sisxldena, arapirdapiri bilirubinemia;
/// anemia. retikulocitozi, siyviTle, pirdapiri bilirubinemia;
// anemia, retikulocitozi, siyviTle, arapirdapiri bilirubinemia.
//// qveviT CamoTvlil daavadebaTagan, romelze unda mivitanoT eWvi pirvel
rigSi, rodesac pacients gamoexateba siyviTle, xolo periferiul sisxlSi
anemia da retikulocitozi:
// hemolizuri anemia;
/// virusuli hepatiti;
119
//// CamoTvlilTagan romeli anemia miekuTvneba memkvidreobiT membranopaTiebs:

/// Talasemia;
// mikrosferocitozi;
/// ferment glukozo-6fd deficiti
//// CamoTvlilTagan romeli anemia miekuTvneba memkvidreobiT
hemoglobinopaTiebs:
// Talasemia;
/// ferment glukozo-6fd deficiti.
//// CamoTvlilTagan romeli daavadeba miekuTvneba memkvidreobiT
fermentopaTiebs:
/// Talasemia;
// glukozo-6fd deficiti;
/// mikrosferocitozi.
//// qvemoTCamoTvlili darRvevebidan, romeli warmoadgens memkvidreobiTi
mikrosferocitozis paTogenezs:
// eriTrocitebis membranis cilebis defeqti;
/// eriTrocituli fermentis deficiti;
/// hemis sinTezis moSla;
/// globinis jaWvebis deficiti.
//// CamoTvlilTagan romelia memkvidreobiTi mikrosferocitozisTvis
damaxasiaTebeli klinikuri gamovlinebebi:
/// siyviTle, hepatomegalia;
// siyviTle, splenomegalia;
/// sisxlCaqcevebi, splenomegalia;
/// adeno-splenomegalia.
//// CamoTvlilTagan, romeli warmoadgens memkvidruli mikrosferocituli
hemolizuri anemiis mkurnalobis yvelaze efeqtur meTods:
// spleneqtomia;
/// eriTrocituli masis perioduli transfuziebi;
/// foliumis mJavis didi dozebi;
/// askorbinis mJavas didi dozebi.
//// hemolizuri krizis dros gamovlenili kliniko-laboratoriuli
cvlilebebidan romeli migvaniSnebs hemolizis sisxlZarRvSida tipiT
mimdinareobaze:
/// siyviTle;
/// splenomegalia;
// muqi moSavo feris Sardi;
120
/// retikulocitozi
//// qvemoT CamoTvlilTadan, romeli memkvidruli hemolizuri anemiisTvisaa

damaxasiaTebeli sisxlZarRvSida hemolizi:
/// Talasemia;
// glukozo-6fd deficiti;
/// ovalocitozi.
//// CamoTvlili monacemebidan, romeli adasturebs autoimunuri hemolizuri

anemiis diagnozs:
/// Zvlis tvinSi wiTeli Stos hiperplaza;
/// arapirdapiri bilirubinis momateba;
// kumbsis dadebiTi reaqcia;
/// fetaluro hemoglobinis momateba.
//// qvemoT CamoTvlilTagan romels axasiaTebs arapirdapiri bilirubinis
momateba:
/// vakezis daavadeba;
/// kronis daavadeba;
/// botkinis daavadeba;
// Jilberis daavadeba.
//// CamoTvlili cvlilebebidan, romeli gvxvdeba Jilberis daavadebis dros:

/// pirdapiri bilirubinis momateba;
/// retikulocitozi;
/// kumbsis reaqcia.
//// CamoTvlilTagan,romel daavadeba axasiaTebs periferiul sisxlSi
normoqrumuli anemia da maRali retikulocitozi:
/// rkinadeficituri anemia.
//// axalgazrda qals, orsulobis pirvelive trimestrSi aReniSneba hipoqromuli

anemia retikulocitoziT, Sratis rkina aRmoaCnda momatebuli. ra gamokvlevebis
Catarebaa aucilebeli am SemTxvevaSi savaraudo daavadebis sadiagnostikod:
// eriTroTrocitebis morfologiis da hemoglobinis mcire fraqciebis
gamokvleva
/// eriTrocitebis diametris da rezistentobis gansazRvra;
/// eriTrocituli fermentebis Seswavla;
/// vit. B12 is gansazRvra;
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//// 16 wlis vaJma, virusuli gripis gamo ori dRis ganmavlobaSi miiRo
paracetamoli, mesame dRes ganuviTarda saerTo sisuste, sklerebis siyviTle
dagamoyo moSavo feris Sardi. qvemoT CamoTvlilTagan romel memkvidrul
daavadebaze miitanT eWvs?
/// ovalocitozi;
// fermentopaTia;
/// Talasemia.
//// 16 wlis vaJma virusuli gripis gamo, ori dRis ganmavlobaSi miiRo
paracetamoli, mesame dRes ganuviTarda saerTo sisuste, sklerebis siyviTle da
gamoyo moSavo feris Sardi. qvemoT CamoTvlilTagan ra gamokvlevis Catareba
iqneboda aucilebeli am SemTxvevaSi savaraudo daavadebis gamosavlenad.
/// eriTrocitebis diametris gansazRvra;
// eriTrocitebSi ferment glukozo-6fd-s gansazRvra;
/// fetaluri hemoglobinis gansazRvra;
/// Sratis rkinis gamsazRvra.
//// axalgazrda qals, kvebiTi intoqsikaciis Semdgom ganuviTarda Zlieri
saerTo sisuste, siyviTle. periferiul sisxlSi gamovlinda normoqromuli
anemia, momatebuli iyo arapirdapiri bilirubini. periferiul sisxlSi
gamovlenili cvlilebebidan romeli dagvexmareboda savaraudo diagnozis
dazustebaSi
/// eds-is momateba;
/// leikocitebis raodenobis momateba;
// retikulocitebis raodenobis momateba;
/// neitrofilozi marcxniv gadaxriT.
//// 25 wlis axalgazrda qals romelsac amzadeben saoperaciod kalkulozuri
qolecistitis gamo, gamouvlinda 180mm-mde gadidebuli elenTa, aRniSnavda
bavSvobidan sklerebis gardamaval siyviTles. yuradRebas iqcevda zomieri
normoqromuli anemia da maRali retikulocitozi, momatebuli iyo arapirdapiri
bilirubini. ra damatebiTi gamokvlevis Catareba oqneboda saWiro savaraudo
memkvidruli daavadebis sadiagnostikod:
// eriTrocitebis diametrisa da rezistentobis gansazRvra;
/// eriTrocitebis fermentebis gansazRvra;
/// fetaluri hemoglobinis gansazRvra;
/// Sratis rkinis gansazRvra.
qolecistitis gamo, gamouvlinda 180mm-mde gadidebuli elenTa, aRniSnavda
bavSvobidan sklerebis gardamaval siyviTles. yuradRebas iqcevda zomieri
normoqromuli anemia da maRali retikulocitozi, momatebuli iyo arapirdapiri
bilirubini. romel memkvidrul daavadebaze miitandiT eWvs:
/// fermentopaTia;
/// Talasemia;
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/// namglisebrujreduli anemia.
//// daavadebaTa romel jgufs miekuTvneba memkvidruli mikrosferocituli

hemolizuri anemia:
/// hemoglobinopaTiebi;
/// fermentopaTiebi;
// membranopaTiebi;
/// imunuri hemolizuri anemiebi.
//// daavadebaTa romel jgufs miekuTvneba Talasemia:
// hemoglobinopaTiebi;
/// membranopaTiebi;
/// fermentopaTiebi;
/// imunuri hemolizuri anemiebi.
qolecistitis gamo, gamouvlinda 180mm-mde gadidebuli elenTa, mizezis
dasadgenad Cautarda gamokvlevebi da daudginda memkvidruli hemolizuri
anemia, romlis samkurnalod pacients qolecisteqtomiasTan erTad SesTavazes
spleneqtomiis gakeTebac. savaraudod romeli daavadeba iyo SemTxveviT
gamovlenili:
/// Talasemia;
/// fermentopaTia;
/// elenTis limfoma.
//// 12 wlis vaJs ganviTarebuli krizisis gamo Cautarda gamokvlevebi da
mkurnaloba hemetologiur klinikaSi. mkurnalobis Semdeg pacientis mSoblebi
gaafrTxiles, rom maqsimalurad moridebodnen bavSvisTvis medikamentebis
micemas. romeli memkvidruli hemolizuri anemia iyo diagnostirebuli:
/// Talasemia;
// fermentopaTia;
/// mikrosferocitoza;
/// ovalocitozi.
//// axalgazrda mamakacs, romelic daavadebuli iyo qronikuli aqtiuri
hepatitiT, ganuviTarda Zlieri saerTo sisuste, gaZlierda siyviTle
arapirdapiri bilirubinis momatebis zarjze. periferiuli sisxlis analiziT
gamovlinda normoqromuli anemia da retikulocitozi, dadebiTi aRmoCnda
kumbsis reaqcia, savaraudod ra daavadebiT garTulda qronikuli hepatiti:
/// saylapavi venebidan sisxldena;
// autoimunuri hemolizuri anemia.
//// ra aris leikemia:
/// leikocitebis momateba;
/// Zvlis tvinis aplazia;
// Zvlis tvinis ujredebis simsivnuri daavadeba;
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/// leikocitebis mkveTri Semcireba.
//// ras efuZneba leikemiebis klasifikacia:

// simsivnis substrats;
/// simsivnis lokalizacias;
/// daavadebis klinikur gamovlinebas;
/// daavadebis mimdinareobas.
//// romeli ujredebi Seadgenen simsivnis substrats mwvave leikemiis dros:

// umwifari blasturi;
/// mwifebadi granulocitebi;
/// mwife da mwifebadi granulocitebi;
/// mwife neitrofilebi.
//// CamoTvlilTagan, leikemiis romel formas axasiaTebs periferiul sisxlSi
e.w leikemiuri Cavardna?
// mwvave leikemia;
/// qr. mieloleikemia;
/// qr. limfocituri leikemia;
/// eriTremia.
//// CamoTvlilTagan, romeli monacemebi miuTiTebs yvelaze metad leikemiaze?

/// Zvlebis tkivili;
/// sisxldenebi da sisxlCaqcevebi;
/// maRali leikocitozi;
// sisxlSi blasturi ujredebis gamovlena.
//// CamoTvlilTagan romeli miekuTvneba limfoidur leikemiebs:
/// eriTremia;
/// qronikuli monocituri leikemia;
// qr. limfocituri leikemia.
//// CamoTvlilTagan romeli miekuTvneba mieloidur leikemiebs:

/// limfoblasturi leikemia;
// qr. mieloleikemia;
/// mielomuri daavadeba.
//// CamoTvlilTagan romeli ujredebi Seadgenen simsivnis substrats qronikuli
mieloleikemiia dros:
/// blasturi;
// mwife da mwifebadi granulocitebi;
/// limfocitebi;
124
/// eriTrocitebi.
//// CamoTvlili simptomebidan romelia yvelaze ufro damazasiaTebeli

qronikuli mieloleikemiisaTvis:
/// maRali cxeleba;
/// sifermkrTale;
// splenomegalia;
/// sisxlCaqcevebi.
//// CamoTvlili cvlilebebidan romeli axasiaTebs qr. mieloleikemias:

// maRali leikocitozi neitrofilebis mieloblastamde gadaxriT;
/// Rrma anemia;
/// leikocitozi da absolituri limfocitozi;
/// e.w leikemuri Cavardna.
//// CamoTvlilTagan, romel daavadebas axasiaTebs periferiul sisxlSi e.w

,,eozinofilur-bazofiluri~ asociacia:
/// mwvave leikemia;
// qr, mieloleikemia;
/// eriTremia.
//// CamoTvlilTagan, romeli laboratoriuli monacemebi adasturebs sabolood
qr. mieloleikemiis diagnozs?
/// blasturi ujredebis gamovlena;
/// eozinofilur-bazofiluri asociacia;
// filadelfiuri qromosomis gamovlena.
//// CamoTvlili sindromebidan, romeli axasiaTebs eriTremias (policitemias):
/// sideropeniuri;
// pleToris;
/// anemiuri;
/// hepato-lienaluri.
//// CamoTvlilTagan, periferiuli sisxlis ra cvlilebebi axasiaTebs
eriTremias?
/// pancitopenia da dabali eds-i;
/// pancitopenia da maRali eds-i;
// pancitozi da dabali eds-i;
/// pancitozi da maRali eds-i;
//// CamoTvlilTagan, romeli klinikuri niSani axasiaTebs yvelaze metad
qronikul limfocitur leikemias:
/// sisxlCaqcevebi;
/// siyviTle;
/// tkivilebi ZvlebSi;
125
// limfuri kvanZebis gadideba.
//// CamoTvlilTagan, periferiuli sisxlis romeli cvlileba axasiaTebs

/// pancitopenia;
// leikocitozi da absolituri limfocitozi;
/// leikocitozi da limfoblastebi;
/// pancitopenia.
//// CamoTvlilTagan, romeli ujredebi warmoadgenen simsivnis substrats
mielomuri daavadebis dros:
/// limfoblastebi;
/// mieloblastebi;
// plazmuri ujredebi;
/// mielocitebi.
//// CamoTvlilTagan, romel monacems efuZneba mielomuri daavadebis diagnozi?
// sisxlSi an SardSi monoklonuri imunoglobulinis gamovlena;
/// tkivilebi ZvlebSi;
/// eds-is mkveTri momateba;
/// hiperproteinemia.
//// CamoTvlilTagan, periperiuli sisxlis ra cvlileba axasiaTebs mielomur
daavadebas?
// maRali eds-i;
/// retikulocitozi;
/// mielocitebis didi raodenoba.
//// CamoTvlilTagan romeli cvlilebaa damaxasiaTebeli mielomuri

daavadebisaTvis:
/// xuTive imunoglobulinis momateba;
/// ramdenime imunoglobulinis momateba;
/// xuTive imunoglobulinis daqveiTeba;
// erT-erTi imunoglobulinis momateba da danarCenis daqveiTeba.
//// CamoTvlilTagan ra axasiaTebs mielomur daavadebas:
/// proteinuria Zlieri SeSupebiT;
// proteinuria SeSupebis gareSe;
/// SeSupeba proteinuriis gareSe;
/// proteinuria ar axasiaTebs.
//// CamoTvlili cvlilebebidan romeli iZleva valdenstremis daavadebaze eWvis

mitanis safuZvels:
/// Rrma leikopenia;
/// eds-is nulamde daqveiTeba;
// eds-is mkveTri momateba;
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/// leikocitebis mkveTri momateba
//// CamoTvlilTagan, romlis momateba axasiaTebs valdenstremis daavadebas?

// makroglobulini M;
/// imunoglobulini G;
/// imunoglobulini A;
/// imunoglobulini E;
//// qronikuli limfocituri leikemiis romel stadias axasiaTebs
Trombocitopenia:
/// pirvels;
/// meores;
/// mesames;
// meoTxes.
//// qronikuri limfocituri leikemiis romel stadias axasiaTebs anemia:
/// nulovans;
/// pirvels;
/// meores;
// mesames.
//// CamoTvlilTagan romeli gamokvlevis Catarebaa aucilebeli limfomis
diagnozis dasadastureblad daavadebis I-IV stadiaSi:
/// limfuri kvanZis citologiuri analizi;
/// sisxlis saerTo analizi;
// limfuri kvanZis imunohistoqimiuri analizi;
//// CamoTvlilTagan, romel daavadebasTan gvixdeba arahoCkinis limfomis
diferencireba daavadebis V stadiaSi:
/// hoCkinis limfoma;
// limfoiduri leikemia;
/// mieloiduri leikemia;
/// limfadeniti.
//// romeli gamokvleva adasturebs sabolood hoCkinis limfomis diagnozs:
/// periferiuli sisxlis ujredebis imunofenotipireba;
/// Zvlis tvinis ujredebis imunofenotipireba;
// limfuri kvanZis imunohistoqimiuri analizi.
//// CamoTvlilTagan romeli gamokvlevaa yvelaze mniSvnelovani qronikuli

limfocituri leikemiia sadiagnistikod:
/// periferiuli sisxlis analizi:
/// gadidebuli limfuri kvanZebis momateba;
// Zvlis tvinis ujredebis imunofenotipireba;
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/// Zvlis tvinis citologiuri analizi.
//// ra ewodeba Zvlis tvinis ujredebis simsivnur daavadebebs:

/// eriTremia;
// leikemia;
/// mieloma;
/// mielemia.
//// romeli leikemiis simsivnis substrats Seadgens umwifari blasturi
ujredebi:
/// mielomuri daavadeba;
/// eriTremia;
// mwvave leikemia.
//// ra specifiuri cvlileba gvxvdeba leikogramaSi mwvave leikemiis dros:
/// e.w eozinofilur-bazofiluri asociacia;
/// mononuklearebis mkveTri momateba;
// e.w leikemiuri Cavardna;
/// e.w marcxniv gadaxra mielocitebis didi procentuli raodenobiT.
//// 25 wlis axalgazrda qals moulodnelad gamouvlinda laqovani

sisxlCaqcevebi mTel tanze, aReniSna cxeleba da tkivilebi ZvlebSi. ybisqveSa
da kisris limfuri kvanZebi gadidebuli iyo. periperiuli sisxlis analizSi
gamovlinda zomieri anemia, leikocitozi da Trombocitopenia, leikogramaSi _
blasturi ujredebi 20%, romel daavadebaze miitandiT eWvs?
/// limfocituri leikemia;
// mwvave leikemia;
/// autoimunuri Trombocitopeniuri purpura.
//// 18 wlis axalgazrdas, virusuli gripis klinikiT, daavadebidan me-8 dRes

mTel sxeulze aReniSna peteqialur-laqovani sisxlCaqcevebi, ganuviTarda
gingiviti. ybisqveSa limfuri kvanZebi 2 X 2sm-mde iyo gadidebuli. elenTa 3sm-iT
gamodioda neknTa rkalidan. periferiul sisxlSi gamovlinda pancitopenia da
SefardebiTi limfocitozi. romelia yvelaze ufro SesaZlo daavadeba:
// mwvave leikemiis leikemiuri forma;
/// infeqciuri mononukleozi;
/// autoimunuri pancitopenia.
//// romeli leikemiis dros Seadgenen simsivnis substrats mwife da mwifebadi

granulocitebi:
/// eriTremia;
128
/// qronikuli limfocituri leikemia.
//// romeli daavadebaa yvelaze ufro savaraudo, roca periferiul sisxlSi

aRiniSneba gansakuTrebiT maRali leikocitozi neitrofilebis marcxniv
gadaxriT mieloblastamde da e.q eozinofilur-bazofiluri asociacia:
//// CamoTvlilTagan romel daavadebas axasiaTebs yvelaze metad gamoxatuli
splenomegalia, maRali leikocitozi neitrofilebis marcxniv gadaxriT
mieloblastamde:
/// mwvave mieloblasturi leikemia;
/// eriTremia.
//// 65 wlis mamakacs aReniSneboda simZimis SegrZneba marcxena ferdqveSa areSi,

wonaSi mkveTri dakleba. aRmoCnda 200mm-mde gadidebuli elenTa. periferiuli
sisxlis analizSi leikocitebi _ 120,0. 109l. leikogramaSi neitrofilozi
marcxniv gadaxriT mieloblastamde, maT Soris mielocitebi _ 18%. CamoTvlil
cvlilebebidan ra aris yvelaze ufro SesaZlebeli:
/// Zvlis tvinSi megaloblastebis gamovlena;
/// Zvlis tvinSi plazmuri ujredebis momateba;
// filadelfiuri qromosomis gamovlena;
/// Zvlis tvinSi maRali limfocitozi.
//// ra specifiuri cvlileba gvxvdeba periferiul sisxlSi qronikuli
mieloleikemiias dros:
/// e,w leikemiuri Cavardna;
// e.w eozinofilur-bazofiluri asociacia;
/// SefardebiTi limfocitozi;
/// neitrofilebis hipersegmentacia.
//// qvemoTCamoTvlili romeli daavadebisaTvis aris damaxasiaTebeli e.w
filadelfiuri qromosoma:
/// eriTremia;
// qronikuli mieloleikemia.
//// CamoTvlilTagan romeli daavadebis dros viTardeba e.w pleToris sindromi:
// eriTremia;
129
/// autoimunuri Trombocitopenia.
//// CamoTvlilTagan romel daavadebas axasiaTebs periferiul sisxlSi

pancitozi da eds-is nulamde Semcireba:
// eriTremia;
/// mwvave eriTroleikemia;
//// CamoTvlilTagan romel daavadebas axasiaTebs periferiul sisxlSi

leikocitozi da absolituri limfocitozi daavadebis yvela stadiaSi:
/// mwvave limfoblasturi leikemia;
// qronikuli limfocituri leikemia;
/// arahoCkinis limfoma;
/// hoCkinis limfoma.
//// CamoTvlilTagan, romel daavadebis arsebobas ifiqrebdiT, roca xandazmul

mamakacs periferiuli limfuri kvanZebis gadidebasTan erTad sisxlSi
gamouvlinda leikocitozi da absolituri limfocitozi:
/// eriTremia.
//// CamoTvlilTagan romeli leikemiis dros Seadgens simsivnis substrats
plazmuri ujredebi:
/// mieloleikemia;
/// eriTremia.
//// qvemoT CamoTvlilTagan, romeli daavadebis diagnozi efuZneba sisxlSi an
SardSi monoklonuri imunoglobulinebis gamovlenas:
/// mieloleikemia;
/// limfocituri leikemia.
//// 45 wlis mamakacs ramdenime wlis ganmavlobaSi aReniSneboda radikulituri
tipis tkivilebi. periodulad mkurnalobda nevropaTologTan _ uSedegod.
rentgenologiurad xerxemlis welis malebze gamovlinda destruqciuli ubnebi.
pirvel rigSi romeli hematologiuri daavadebis gamoicxvaa aseT SemTxvevaSi
aucilebeli:
/// limfoma;
/// mieloleikemia;
130
/// limfoleikemia.
//// 60 wlis mamakaci mkurnalobda urologTan prostatis adenomis gamo. Sardis

analiziT gamovlinda auxsneli progresirebadi proteinuria, romelic
mimdinareobda SeSupebis gareSe. CamoTvliTagan romeli hematologiuri
daavadebis gamoricxvaa aucilebeli am SemTxvevaSi:
/// limfoma;
/// mieloleikemia;
/// eriTremia.
//// xandazmuli qali, komatozur mdgomareobaSi moyvanili iyo nevrologiur
ganyofilebaSi. komis mizezi aRmoCnda hiperproteinemia. Tavis kompiuteruli
kvleviT qalas ZvlebSi gamovlinda mravlobiTi destruqciuli ubnebi.
CamoTvlilTagan romel daavadebas ivaraudebdiT pirvel rigSi:
/// eriTroleikemia;
/// mieloleikemia;
/// limfoma;
//// 52 wlis qals saerTo sisustis gamo gaukeTda sisxlis saerTo analizi,
sadac gamovlinda zomieri normoqromuli anemia da maRali eds-i. miuxedavad
kompleqsuri antianemiuri mkurnalobisa dinamikaSi anemia ar swordeboda da
aseve auxsneli rCeboda stabilurad maRali eds-is mizezi. romel hematologiur
daavadebaze migviTiTebs aRniSnuli mdgomareoba:
/// mieloleikemia;
/// Talasemia.
//// romeli hematologiuri daavadebaa savaraudo, roca pacients aReniSneba
tkivilebi ZvlebSi, anemia da maRali edsi, proteinuria da hiperproteinemia:
/// mieloleikemia;
// mielomuri daavadeba.
//// ra damatebiTi cvlilebaa sisxlis analizSi qronikuli limfocituri
leikemiis mesame stadiis dros:
// anemia;
/// Trombocitopenia;
/// leikopenia;
/// neitrofiluri leikocitozi.
//// ra damatebiTi cvlilebaa sisxlis analizSi qronikuli limfocituri
leikemiis meoTxe stadiis dros:
/// anemia;
// Trombocitopenia;
/// leikopenia;
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/// neitrofiluri leikocitozi.
//// CamoTvlilTagan ra cvlilebebi aRiniSneba qronikuli limfocituri

leikemiis nulovan stadiaSi:
/// mxolod limfuri kvanZebis gadideba;
/// mxolod elenTis gadideba;
/// mxolod leikocitozi;
// mxolod leikocitozi da absolituri limfocitozi.
//// CamoTvlilTagan ra cvlileba vlindeba damatebiT qronikuli limfocituri
leikemiis meore stadiaSi:
/// gansakuTrebiT maRali leikocitozi;
/// gansakuTrebiT Rrma anemia;
// splenomegalia;
/// adenomegalia.
//// CamoTvlilTagan ra cvlileba vlindeba damatebiT, roca gvaqvs qronikuli
limfocituri leikemiis pirveli stadia:
/// anemia;
// adenomegalia;
/// splenomegalia;
//// CamoTvlilTagan, romeli daavadebis sadiagnostikodaa aucilebeli limfuri
kvanZis imunohistoqimiuri analizi:
// hoCkinis limfoma;
/// infeqciuri mononukleozi.
//// 65 wlis mamakacs, romlis zogadi mdgomareoba iyo damakmayofilebeli,
SemTxveviT gamouvlinda 3sm-mde gadidebuli, umtkivneulo, mkvrivi konsistenciis
kisris limfuri kvanZi. sisxlis saerTo analizi iyo normis farglebSi.
CamoTvlilTagan romeli daavadebaa yvelaze ufro savaraudo:
// arahoCkinis limfoma.
//// 65 wlis mamakacs, romlis zogadi mdgomareoba iyo damakmayofilebeli,
SemTxveviT gamouvlinda 3sm-mde gadidebuli, umtkivneulo, mkvrivi konsistenciis
kisris limfuri kvanZi. sisxlis saerTo analizi iyo normis farglebSi.
CamoTvlilTagan romeli gamokvlevis Catarebas CaTvlidiT yvelaze ufro
saWirod savaraudo daavadebis dasadgenad:
/// ebStein-baris virusis antisxeulebis gamokvleva;
132
//// 56 wlis qalbatons aReniSneboda 2 X 2sm-mde gadidebuli, umtkivneulo,

mkvrivi konsistenciis laviwzeda limfuri kvanZi. uCioda cxelebas, oflianobas,
kanis qavils, periferiul sisxlSi gamovlinda maRali edsi, eozinofilia,
limfopenia. CamoTvlilTagan romeli daavadebaa yvelaze ufro savaraudo:
// hoCkinis limfoma;
//// 56 wlis qalbatons aReniSneboda 2 X 2sm-mde gadidebuli, umtkivneulo,
mkvrivi konsistenciis laviwzeda limfuri kvanZi. uCioda cxelebas, oflianobas,
kanis qavils, periferiul sisxlSi gamovlinda maRali edsi, eozinofilia,
limfopenia. CamoTvlilTagan romeli gamokvlevis Catareba iqneba aucilebeli
saeWvo daavadebis sadiagnostikod:
/// ebStein-baris virusis antisxeulebis gamokvleva;
//// 20 wlis axalgazrda vaJs 1 kviris ganmavlobaSi aReniSneboda maRali
cxeleba, yelis tkivili. mkurnalobda antibiotikebiT _ uSedegod. eqimis
yuradReba miiqcia kisrisa da kefis midamoSi ramdenime 1-2sm-mde gadidebulma
limfurma kvanZma. sisxlis analizSi iyo zomieri leikopenia, xolo
leikogramaSi limfocitozi, monocitozi, gamovlinda prilimfocitebi 5% da
plazmuri ujredebi _ 4%. CamoTvlilTagan romel daavadebaze miitandiT eWvs
pirvel rigSi:
/// hoCkinis limfoma;
// infeqciuri mononukleozi;
/// tuberkulozuri limfadeniti.
//// 20 wlis axalgazrda vaJs 1 kviris ganmavlobaSi aReniSneboda maRali
cxeleba, yelis tkivili. mkurnalobda antibiotikebiT _ uSedegod. eqimis
yuradReba miiqcia kisrisa da kefis midamoSi ramdenime 1-2sm-mde gadidebulma
limfurma kvanZma. sisxlis analizSi iyo zomieri leikopenia, xolo
leikogramaSi limfocitozi, monocitozi, gamovlinda prilimfocitebi 5% da
plazmuri ujredebi _ 4%. CamoTvlilTagan romeli damatebiTi gamokvleva
dagexmarebodaT pirvel rigSi saeWvo daavadebis diagnostikaSi:
// ebStein-baris virusis antisxeulebis gamokvleva;
/// mantus testi;
//// 2 wlis biWs umniSvnelo tramvis Semdeg ganuviTarda Zalian didi zomis
hematoma muxlis saxsarSi. CamoTvlilTagan romel daavadebaze miitandiT eWvs
pirvel rigSi?
// hemofilia;
133
/// Trombocitopeniuri purpura;

/// glacmanis TrombasTenia;
/// randiu-osleris daavadeba
//// 2 wlis biWs umniSvnelo tramvis Semdeg ganuviTarda Zalian didi zomis
hematoma muxlis saxsarSi. CamoTvlili cvlilebidan ra aris yvelaze ufro
SesaZlebeli am SemTxvevaSi savaraudo daavadebis dros?
/// Trombocitebis raodenobis mkveTri Semcireba;
/// sisxlis denis dros (diukes testi) mkveTri gaxangrZliveba;
// sisxlis Sededebis dros (li da uaitiT) mkveTri gaxangrZliveba;
/// Trombocitebis adheziobis unaris mkveTri daqveiTeba.
//// 25 wlis axalgazrda qals, virusuli gripis Semdgom mTel sxeulze
ganuviTrda peteqialur-laqovani tipis sisxlCaqcevebi, aReniSna RrZilebidan
sisxldenac. CamoTvlilTagan romelia yvelaze ufro SesaZlo diagnozi:
// autoimunuri Trombocitopeniuri purpura;
/// hemofilia;
/// hemoragiuli vaskuliti;
/// randiu-osleris daavadeba.

sisxldenac. qvemoTCamoTvlili monacemTagan ra aris yvelaze ufro
SesaZlebeli am SemTxvevaSi savaraudo daavadebis dros:
/// sisxlis Sededebis dros (li da uaitiT) mkveTri gaxangrZliveba;
// sisxlis denis dros (diukes testi) gaxangrZliveba;
/// proTrombinis daqveiTeba;
/// fibrinogenis daqveiTeba.

sisxldenac. qvemoTCamoTvlil monacemebidan ra aris yvelaze ufro
SesaZlebeli am SemTxvevaSi savaraudo daavadebis dros:
// Trombocitebis raodenobis mkveTri Semcireba;
/// leikocitebis raodenobis mkveTri Semcireba;
/// eriTrocitebis raodenobis mkveTri Semcireba;
/// eds-is mkveTri momateba.
//// xandazmul qalbatons, romelsac wlebis ganmavlobaSi utardeba perioduli

mkurnaloba qolecistitis gamo, aReniSna simetriuli, peteqialuri gamonayari
orive qvemo kidurze, purpura TiTis daWeriT ar qreboda. gamonayaris axali
talRa Cndeboda momdevno dReebSic. pirveli peteqiebis adgilas rCeboda
pigmenturi laqebi. CamoTvlilTagan romeli daavadebaa yvelaze ufro
SesaZlebeli:
// hemoragiuli vaskuliti;
134

pigmenturi laqebi. CamoTvlilTagan sisxlCaqcevis romeli tipi ganuviTarda
qalbatons:
/// hematomuri;
/// angiomatozuri;
// vaskulutur-purpuruli;
/// peteqialur-laqovani.

pigmenturi laqebi. CamoTvlilTagan romelia yvelaze ufro damaxasiaTebeli
cvlileba sisxlSi, am SemTxvevaSi savaraudo daavadebisaTvis:
/// normoqromuli anemia retikulocitoziT;
// leikocitozi neitrofiloziT da edsis momateba;
/// mkveTri leikopenia.
//// daavadebaTa romel jgufs miekuTvneba hemofilia:
// memkvidreobiTi kuagulopaTiebi;
/// SeZenili kuagulopaTiebi;
/// vazopaTiebi;
/// TrombocitopaTiebi.
//// daavadebaTa romel jgufs miekuTvneba glancmanis TrombasTenia:

/// vazopaTiebi;
// TrombocitopaTiebi.
/// memkvidreobiTi kuagulopaTiebi;
//// daavadebaTa romel jgufs miekuTvneba hemoragiuli vaskuliti:

// vazopaTiebi;
/// TrombocitopaTiebi;
/// memkvidreobiTi kuagulopaTiebi;
//// daavadebaTa romel jgufs miekuTvneba randiu-osleris daavadeba:
// memkvidreobiTi vazopaTiebi;
135
/// SeZenili vazopaTiebi;

/// kuagulopaTiebi;
//// daavadebaTa romel jgufs miekuTvneba vilebrandis daavadeba

(angiohemofilia)
/// TrombocitopaTiebi;
/// vazopaTiebi;
// memkvidreobiTi kuagulopaTiebi;
//// CamoTvlilTagan romel daavadebas axasiaTebs VIII faqtoris memkvidreobiTi
deficiti:
/// glancmanis TrombasTenia;
// hemofilia;
//// CamoTvlilTagan romel daavadebas axasiaTebs hemoragiuli diaTezis e.w
hematomuri tipi:
/// osleris daavadeba;
// hemofilia.
peteqialur-laqovani tipi:
// Trombocitopeniuri purpura;
/// hemofilia.
vaskulituri tipi;
/// hemofilia.
/// randiu-osleris daavadeba;
// hemoragiuli vaskuliti;
angiomatozuri tipi:
// randiu-osleris daavadeba;
/// hemofilia.
//// pacients ramodenime Tvis ganmavlobaSi antikoagulantebis ukontrolod
miRebis Semdgom ganuviTarda didi zomis sisxlCaqcevebi muclisa da barZayis
midamoSi. gamovlinda hematuriac. CamoTvlilTagan hemoragiuli diaTezis romel
tips miakuTvnebdiT aRniSnuls:
/// petaqialur-laqovani;
136
/// vaskulituri;
// hematomuri;
/// angiomatozuri.
//// pacients ramodenime Tvis ganmavlobaSi antikoagulantebis ukontrolod
miRebis Semdgom ganuviTarda didi zomis sisxlCaqcevebi muclisa da barZayis
midamoSi. gamovlinda hematuriac. CamoTvlilTagan romel laboratoriul
kvlevas CaatarebdiT pirvel rigSi:
/// Trombocitebis raodenobis gansazRvra;
// sisxlis Sededebis drois gansazRvra (li da uaiti)
/// sisxldenis drois gansazRvra (diukes testi)
// fibrinolizuri aqtiobis gansazRvra.
//// axalgazrda qals kvebiT intoqsikaciis Semdgom, mTel sxeulze gamouvlinda
mcire zomis silurjeebi, aReniSna cxviridan da RrZilebidan sisxldena.
CamoTvlilTagan hemoragiuli diaTezis romel tips miakuTvnebdiT aRweril
ganovlinebas:
// peteqialur-laqovani;
/// hematomuri;
/// vaskulituri;
/// angiomatozuri;
//// axalgazrda qals kvebiT intoqsikaciis Semdgom, mTel sxeulze gamouvlinda
mcire zomis silurjeebi, aReniSna cxviridan da RrZilebidan sisxldena.
CamoTvlilTagan romel gamokvlevas CaatarebdiT pirvel rigSi sisxldenis
mizezis dasadgenad:
// Trombocitebis raodenobis gansazRvra;
/// proTrombinis gansazRvra;
/// fibrinogenis gansazRvra;
/// fibrinolizuri aqtivobis gansazRvra.
//// CamoTvlilTagan romeli daavadebis gamoricxvaa aucilebeli roca biWs
kbilis eqstraqciis Semdgom, mogvianebiT binaze daewyo RrZilidan sisxldena:
/// glancmanis TrombasTenia;
/// randiu-osleris daavadeba;
// hemofilia.
//// biWs kbilis eqstraqciis Semdgom mogvianebiT binaze daewyo RrZilidan
sisxldena. CamoTvlili cvlilebebidan romelia yvelaze ufro SesaZlebeli:
/// Trombocitebis raodenobis mkveTri daqveiTeba;
// sisxlis Sededebis drois gaxangrZliveba;
/// sisxlis koltis retraqciis mkveTri gaxangrZliveba;
/// proTrombinis daqveiTeba.
//// CamoTvlilTagan romeli faqtorebi monawileoben pirveladi hemostazis
ganxorcielebaSi:
/// plazmis Semadarebeli faqtorebi;
/// sisxlis ujredebi da plazmuri faqtorebi;
// sisxlZarRvis kedeli da Trombocitebi;
/// sisxlZarRvis kedeli da plazmuri faqtorebi.
137
//// CamoTvlilTagan romeli daavadebisTvisaa gansakuTrebiT damaxasiaTebeli

sisxldenis dros (diukes testi) gaxangrZliveba:
/// hemofilia;
sisxldenis dros (diukes testi) gaxangrZliveba:
// TrombocitopaTiebi.
/// hemofilia;
/// teleangieqtazia;
sisxlis Sededebis dros (li da uaiti) gaxangrZliveba:
// hemofilia;
//// CamoTvlili daavadebebidan romels axasiaTebs sisxlCaqcevis hematomuri
tipi:
// hemofilia;
/// teleangieqtaziebi;
//// CamoTvlilTagan romeli daavadebisTvisaa damaxasiaTebeli sisxlCaqcevis
peteqialur-laqovani tipi:
/// hemofilia;
// teleangieqtaziebi.
//// qvemoTCamoTvlilTagan sisxlCaqcevis romeli tipi axasiaTebs Senlainhenoxis daavadebas:
/// hematomuri;
/// angiomatozuri;
// vaskulitur-purpuruli.
//// qvemoTCamoTvlilTagan romeli warmoadgens autoimunuri Trombocitopeniuri

purpuris ZiriTad mizezs:
/// Trombocitebis didi raodenobiT kargva;
/// araefeqturi Trombocitopoezi;
138
/// Trombopoetinis Tandayolili deficiti;

// antiTrombocituli antisxeulebis warmoqmna.
//// qvemoTCamoTvlilTagan sisxlCaqcevis romeli tipi axasiaTebs aitoimunur

Trombocitopeniur purpuras:
// peteqialur-laqovani;
/// hematomuri;
/// vaskulituri;
/// angiomatozuri;
//// CamoTvlilTagan romeli cvlileba unda iyos aucileblad sisxlSi
aitoimunur Trombocitopeniuri purpuris dros:
/// pancitopenia;
// Trombocitopenia;
/// anemia da Trombocitopenia;
/// leikopenia da Trombocitopenia.
//// CamoTvlilTagan koagulogramis romeli maCvenebeli icvleba yvelaze metad
autoimunuri Trombocitopeniuri purpuris dros:
// sisxldenis dro;
/// sisxlis Sededebis dro;
/// proTrombinis dro;
/// fibrinogenis koncentracia.
//// CamoTvlilTagan romeli laboratoriuli monacemi gvexmareba pirvel rigSi
Trombocitopeniuri purpuris da TrombocitopaTiebis diferencirebaSi:
/// sisxldenis dro;
// sisxlis Sededebis dro;
/// proTrombinis raodenoba;
/// Trombinis dro.
TrombocitopaTiebs;
// glancmanis daavadeba;
/// hemofilia;
koagulopaTiebs;
/// glancmanis daavadeba;
// hemofilia;
//// CamoTvlilTagan romeli faqtori qveiTdeba hemofiliis dros:
/// Trombocitebis raodenoba;
// VIII faqtori;
/// fibrinogenis koncentracia;
/// XII faqtori
139
//// qvemoTCamoTvlilTagan sisxlCaqcevis romeli tipi axasiaTebs hemofilias:

// hematomuri;
/// vaskulituri;
/// angiomatozuri.
//// CamoTvlil pacientTagan romels gamoikvlevdiT eWviT hemofiliaze:L
/// qalebi Warbi menstruaciiT;
/// biWebi xSiri cxviridan sisxldeniT;
// biWebi hematomuri sisxlCaqcevebiT;
/// biWebi mTel tanze peteqialur-laqovani sisxlCaqcevebiT
//// CamoTvlilTagan ra aris yvelaze ufro damaxasiaTebeli hemofiliisTvis:
// sisxlis Sededebis drois gaxangrZliveba (diukes testi)
/// sisxlis denis drois gaxangrZliveba;
/// proTrombinis daqveiTeba;
/// fibrinogenis daqveiTeba.
//// CamoTvlilTagan romel daavadeba axasiaTebs hemoragiuli diaTezis
angiomatozuri tipi:
/// hemofilia;
// randiu-osleris daavadeba;
//// CamoTvlilTagan romel daavadebaze ifiqrebT pirvel rigSi, rodesac
avadmyofs aReniSneba cxeleba, kisris limfuri kvanZebis gadideba, periferiul
sisxlSi limfo-monocitozi, prolimfocitebi-5% da aplaziuri ujredebi-2,5%
// infeqciuri mononukleozi.
//// CamoTvlilTagan romel daavadebas axasiaTebs maRali leikocitozi
garnulocitozi, neitrofilebis marcxniv gadaxriT mieloblastamde da
gansakuTrebT mielocitebis raodenobis momateba:
/// aplaziuri anemia.
//// CamoTvlilTagan romel daavadebaze miitandiT eWvs periferiul sisxlSi
pancitozis gamovlenis SemTxvevaSi:
/// hoCkinis imfoma;
// eriTremia;
140
//// CamoTvlilTagan romel daavadebisTvisaa damaxasiaTebeli paraproteinemia:

/// eriTremia;
// mielomuri daavadeba.
//// daavadebaTa romel jgufs miekuTvneba mielomuri daavadeba:
/// mieloproliferaciuli daavadebebi;
// limfoproliferaciuli daavadebebi;
/// limfomebi;
/// mielodisplaziebi.
//// ras warmoadgens anemiis ganviTarebis ZiriTad mizezs leikemiebis dros:
/// eriTrocitebis gaZlierebuli daSla;
/// simsivnuri intoqsikacia;
/// sisxldenebi;
// Zvlis tvinSi eriTroiduli Stos simsivnuri ujredebiT Canacvleba
(metaplazia)
//// CamoTvlilTagan romelia mwvave leikemiis dros ganviTarebuli
sisxldenebis yvelaze xSiri mizezi:
// Trombocitopenia;
/// TrombasTenia;
/// koagulopaTia;
/// dsS sindromi.
//// CamoTvlilTagan ra warmoadgens mwvave leikemiis dros Trombocitopeniis
ganviTarebis yvelaze xSir mizezs:
/// antiTrombociturli antisxeulebis warmoqmna;
//Zvlis tvinSi Trombocitopoeziis simsivnuri ujredebiT Canacvleba
(metaplazia)
/// Trombocitebis didi raodenibiT dakargva;
/// depodan Trombocitebis sisxlSi gadmosvlis Seferxeba.
//// CamoTvlilTagan romeli warmoadgens mielomuri daavadebisaTvis yvelaze
ufro damaxasiaTebel klinikur simptoms:
/// cxeleba;
// Zvlebis tkivili
/// splenomegalia
/// limfuri kvanZebis gadideba.
//// CamoTvlilTagan romeli daavadebis gamoricxvis saSvaleba gveZleva Rrma
pancitopeniis dros, Tuki avadmyofs gamouvlinda splenomegalia.
// aplaziuri anemia
/// Zvlis tvinSi simsivnis metastazi.
141
//// CamoTvlilTagan risi gansazRvraa mniSvnelovani simptomuri

eriTrocitozisa da eriTremiis diferencirebisaTvis:
/// Sratis rkina;
/// bilirubini;
// eriTropoetini;
/// eriTrocitebis diametri.
//// CamoTvlilTagan romeli daavadebis dros aRiniSneba simptomuri

eriTrocitozi:
// gulis Tandayolili manki;
/// kuWis kibo;
/// RviZlis cirozi;
/// pielonefriti.
//// ra ewodeba sisxlSi leikocitebis raodenobis momatebas:

// leikocitozi;
/// leikemia;
/// leikopenia;
/// leikozi.
//// ra ewodeba sisxlSi leikocitebis raodenobis Semcirebas:

/// leikocitozi;
/// leikemia;
// leikopenia;
/// leikozi.
//// ramdeni leikociti unda iyos saSualod 1 litr sisxlSi:
/// 2 . 106;
/// 4 . 106;
/// 2 . 109;
// 4 . 109
//// leikocitebis saerTo raodenobis ramden procents Seadgens saSualod
neitofilebi:
/// 20;
/// 40;
// 65;
/// 85
limfocitebi:
/// 10;
// 30;
/// 50;
142
/// 70.

monocitebi:
// 8;
/// 28;
/// 38;
/// 48.
eozinofilebi:
// 3;
/// 13;
/// 23;
/// 33.
bazofilebi:
// 1;
/// 5;
/// 8;
/// 10.
CxirbirTviani neitrofilebi:
// 4;
/// 10;
/// 15;
/// 20.
//// romel ujredebs miekuTvneba neitrofilebi:
/// eriTrocitebs;
/// retikulocitebs;
// leikocitebs;
/// Trombocitebs.
//// romel ujredebs mieluTvneba limfocitebi:
/// eriTrocitebs;
/// retikulocitebs;
// leikocitebs;
/// Trombocitebs
//// romel ujredebs mieluTvneba eozonofilebi:

/// eriTrocitebs;
/// retikulocitebs;
// leikocitebs;
/// Trombocitebs
143
//// romel ujredebs miekuTvneba bazofilebi:

/// eriTrocitebs;
/// retikulocitebs;
// leikocitebs;
/// Trombocitebs
//// romel ujredebs miekuTvneba monocitebi:
/// eriTrocitebs;
/// retikulocitebs;
// leikocitebs;
/// Trombocitebs
//// ramdeni Trombociti unda iyos saSualod 1 litr sisxlSi:
/// 50 . 106;
/// 250 . 106;
/// 50 . 109;
// 250 . 109
//// ramdens Seadgens eds-i saSualod 1sT-Si:
// 5mm;
/// 25mm;
/// 35mm;
/// 55mm.
//// CamoTvlilTagan romel daavadebebs axasiaTebs neitrofilozi marcxniv
gadaxriT:
/// RviZlis cirozi;
// mwvave pnevmonia;
//// CamoTvlilTagan romel daavadebebs axasiaTebs limfocitozi:
/// limfadeniti;
// limfocituri leikemia;
/// eriTremia.
//// CamoTvlilTagan ra SemTxvevaSi gvxvdeba eozinofilia:
/// B12 deficituri anemia;
/// mwvave sisxldena;
// WiebiT invazia;
/// infeqciuri mononikleozi.
//// CamoTvlilTagan romel daavadebebs axasiaTebs monocitozi:
/// B12 deficituri anemia;
// infeqciuri mononikleozi.
/// mwvave pnevmonia;
144
/// mwvave sisxldena.
//// CamoTvlilTagan romel daavadebebs axasiaTebs retikulocitozi:

/// vit. B12 deficituri anemia.
/// CamoTvlilTagan romel daavadebebs axasiaTebs Trombocitozi:
// mwvave sisxldena.
/// mwvave pnevmonia;
//// CamoTvlilTagan romel daavadebebs axasiaTebs Trombocitopenia:
/// mwvave pielonefriti;
/// eriTremia;
//// CamoTvlilTagan romel daavadebebs axasiaTebs anemia retikulocitoziT:
/// qronikuli mieloleikemia.
//// CamoTvlilTagan romel daavadebebs axasiaTebs anemia TrombocitoziT:
// mwvave posthemoragiuli anemia;
//// CamoTvlilTagan romel daavadebebs axasiaTebs eriTrocitozi:
/// anemia;
// eriTremia;
//// CamoTvlilTagan romel daavadebebs axasiaTebs anemia, leikopenia da
Trombocitopenia erTad:
// aplaziuri anemia;
/// qronikuli mieloleikemia.
//// CamoTvlilTagan romel daavadebebs axasiaTebs eriTrocitozi,
leikocitozTan da TrombocitozTan erTad:
// eriTremia;
145

//// CamoTvlilTagan romel anemiis dros gvxvdeba eriTrocitebi Jolis

sxeulakebiTa da kabos beWdebiT:
// vit. B12 deficituri;
/// aplaziuri;
/// mwvave posthemoragiuli.
//// CamoTvlilTagan romeli anemiiis dros gvxvdeba megalocitebi:
/// aplaziuri;
//// CamoTvlilTagan romel anemiis dros gvxvdeba yvelaze xSirad
samiznismagvari eriTrocitebi:
/// aplaziuri;
// Talasemia.
//// CamoTvlilTagan romel anemis axasiaTebs fetaluri hemoglobinis momameteba
/// aplaziuri;
// Talasemia.
//// CamoTvlilTagan romeli anemiis dros vlindeba mcire zomis uferuli
eriTrocitebi:
// rkinadeficituri;
/// aplaziuri;
//// CamoTvlilTagan romeli anemiis dros vlindeba gansakuTrebiT didi zomis
eriTrocitebi:
/// aplaziuri;
/// Talasemia.
//// CamoTvlilTagan rogori eriTrocitebi vlindeba vit. B12 deficituri anemiis
dros:
/// mcire zomis;
// gansakuTrebiT didi zomis;
/// samiznismagvari;
/// mikrosferocitebi.
146
//// CamoTvlilTagan, romeli anemiis dros aRiniSneba neitrofilebis

hipersegmentacia:
// Talasemia;
/// aplaziuri.
//// CamoTvlilTagan, rogori eriTrocitebi vlindeba Talasemiis dros:

/// makrocitebi;
/// megalocitebi;
/// Jolis sxeulakebiT;
// samiznismagvari.
//// CamoTvlilTagan, eriTrocitebis ra formebi gvxvdeba Talasemiis dros:

/// megalocitebi;
/// Jolis sxeulakebiT;
// fetaluri hemoglobinis Semcveli;
/// mikrosferocitebi.
//// CamoTvlilTagan romel daavadebas axasiaTebs leikopenia:

/// anTebiTi procesebi;
// virusuli infeqciebi;
/// qronikuli leikemiebi;
/// Cirqovani procesebi.
//// CamoTvlilTagan, romeli daavadebisTvisaa damaxasiaTebeli neitrofiluri
tipis leikemoiduri reaqcia:
/// virusuli infeqciebi;
// mwvave anTebiTi procesebi;
/// revmatiuli daavadebebi;
/// memkvidruli anemiebi.
//// CamoTvlilTagan, romeli daavadebisTvisaa damaxasiaTebeli eozinofilia:

// WiebiT invazia;
/// mwvave anTebiTi procesebi;
/// memkvidruli anemiebi;
/// revmatiuli daavadebebi.
//// CamoTvlilTagan ra gamokvlevas CautarebdiT pirvel rigSi pacients,
romelsac aReniSneba Zlieri saerTo sisuste:
/// filtvebis rentgenografia;
147
/// Sardis saerTo analizi;

/// kuW-nawlavis gaSuqeba;
// sisxlis saerTo analizi.

romelsac bolo periodSi xSiran aReniSneba cxviridan sisxldena da kanze
peteqiebi:
/// kuW-nawlavis gaSuqeba;
// sisxlis saerTo analizi.
/// CamoTvlilTagan ra gamokvlevas CautarebdiT pirvel rigSi pacients,

romelsac bolo periodSi ganuviTarda kanisa da lorwovanis sifermkrTale:
// sisxlis saerTo analizi;
/// ganavlis analizi.

romelsac 7-10 dRis ganmavlobaSi ugrZeldeba ucnobi etiologiis cxeleba:
/// sisxlis baqteriologiuri analizi;
/// kompiuteruli tomografia.

romelsac moulidnelad ganuviTarda saerTo sisuste da gamoexata sklerebis
siyviTle:
/// gul-mkerdis rentgenografia;
/// ofTalmologis konsultacia.
//// CamoTvlilTagan ra gamokvlevas CautarebdiT pacients pirvel rigSi,

romelsac ramodenime kviris ganmavlobaSi aReniSneba Tavbrusxveva da saerTo
sisuste:
/// Tavis qalis magnitur-rezonansuri kvleva;
/// qala Siga wnevis gansazRvra;
//// CamoTvlilTagan, ra gamokvlevas CautarebdiT pacients pirvel rigSi,
romelsac kisris midamoSi gamouvlinda gadidebuli limfuri kvanZi:
148

/// limfuri kvanZis punqcia;
/// limfuri kvanZis biofsia.

romelsac ukanaskneli ramodenime Tvea aReniSneba kisris, iRliis da sazarduli
midamoSi sxvadasxva zomis limfuri kvanZebi:
/// limfuri kvanZis punqcia;
/// limfuri kvanZis biofsia.

romelsac profilaqtikuri gasinjvis dros gamouvlinda splenomegalia:
/// elenTis punqcia;

romelsac profilaqtikuri gasinjvis dros gamouvlinda hepato-splenomegalia:
/// elenTis punqcia;
/// Zvlis tvinis histomorfologiuri analizi;

romelsac aReniSneba mwvave pnevmoniis dros gamovlenili maRali leikocitozis
gamojanmrTelebis Semdgomac dinamikaSi mateba:
// Zvlis tvinis citologiuri analizi;
/// kompiuteruli tomografia.
/// magniturrezonansuli gamokvleva.

romelsac ganuviTarda sklerebis siyviTle da gamoiricxa virusuli hepatiti:
/// ofTalmologis konsultacia;
//// CamoTvlilTagan, ra moqmedebs edsis cvlilebaze:

// plazmis cilebi;
/// Sratis rkina;
/// sisxlSi kalciumis Semcveloba;
149
/// sisxlSi kaliumis Semcveloba.
//// qvemoTCamoTvlili sisxlis ujredebidan, romlebi gansazRvraven edsis

mniSvnelobas:
/// neitrofilebi;
/// Trombocitebi;
// eriTrocitebi;
/// limfocitebi.
//// CamoTvlilTagan romeli ujredebi ar Seicaven birTvs:
/// neitrofilebi;
/// limfocitebi.
// eriTrocitebi;
/// monocitebi.
//// CamoTvlilTagan, romeli monacemi axasiaTebs Talasemias:

/// feradobis maCveneblis momateba;
// retikulocitozi;
/// eriTrocitozi;
/// leikocitozi.
//// CamoTvlilTagan, romeli monacemi axasiaTebs mikrosferocitul hemolizur

anmias:
// retikulocitozi;
/// eriTrocitozi;
/// leikocitozi.
//// CamoTvlilTagan, romeli monacemi axasiaTebs autoimunur hemolizur anemias:

/// eriTrocitozi;
// retikulocitozi;
/// maRali leikocitozi.
//// CamoTvlilTagan, romeli monacemi axasiaTebs hemolizur anemias:

/// Sratis rkinis daqveiTeba;
/// kalciumis mimateba;
/// kaliumis momateba.
//// CamoTvlilTagan, romeli saxsari ziandeba yvelaze xSirad hemofiliis dros:

/// koW-wvivis;
150
/// sxiv-majis;
// muxlis;
/// idayvi.
//// rogor anemias ewodeba hipoqromuli:

/// maRali feradobis maCvenebliT;
// dabali feradobis maCvenebliT;
/// normaluri feradobis maCvenebliT;
/// feradobis maCvenebels mniSvneloba ara aqvs.
//// CamoTvlilTagan, romeli maCvenebelia normis farglebSi:
/// hemoglobini 100gr/l;
/// eriTrocitebi 3,0 . 1012l.
// leikocitebi 4,0 . 109l.
/// Trombocitebi 100,0 . 109l.
////CamoTvlilTagan romeli monacemi ar aris normis farglebSi:
// eriTrocitebi 3,0 . 1012l.
/// leikocitebi 4,0 . 109l.
//// CamoTvlilTagan, romeli monacemi axasiaTebs rkinadeficitur anemias:
// feradobis maCveneblis daqveiTeba;
/// leikocitebis raodenobis momateba;
/// edsis momateba.
//// CamoTvlilTagan, romeli monacemi axasiaTebs vit. B12 deficitur anemias:
/// feradobis maCveneblis daqveiTeba;
// feradobis maCveneblis momateba;
/// leikocitozi.
//// CamoTvlilTagan, romeli monacemi axasiaTebs aplaziur anemias:
/// pancitozi;
// pancitopenia;
/// eriTrocitozi;
/// leikocitozi.
//// CamoTvlilTagan, romelia normidan gadaxra:
// eriTrocitebi 4,5 . 1012l.
/// Trombocitebi 250,0 . 109l
//// CamoTvlilTagan, romeli monacemi ar Seefereba normalur leikogramas?
/// neitrofilebi _ 70%;
// eozinofilebi _ 15%;
/// bazofilebi _ 1%;
151
/// limfocitebi _ 30%
//// CamoTvlilTagan, romeli ujredebis procentuli Semadgenlobaa periferiul

sisxlSi normaze meti:
// eozinofilebi _ 5%;
// monocitebi _ 20%
//// CamoTvlilTagan, romeli ujredebia procentulad normaze naklebi:
// neitrofilebi _ 35%;
/// eozinofilebi _ 3%;
// monocitebi _ 8%
//// CamoTvlilTagan leikocitebis ra raodeniba Seesabameba mwvave anTebiT

process?
/// 2,5 . 109l;
/// 5,0 . 109l;
// 15,0 . 109l;
/// 150,0 . 109l;
//// CamoTvlilTagan, romeli monacemi gvaZlevs anemiis diagnozis dasmis
safuZvels:
// hemoglobini _ 72,0gr/l;
/// hemoglobini _ 172,0gr/l;
/// eriTrocitebi 4,0 . 1012l;
/// eriTrocitebi 5,0 . 1012l;
//// CamoTvlilTagan, leikogramis romel monacemis cvlileba Seesabameba mwvave
anTebiT process:
// neitrofilebi _ 85%;
/// monocitebi _ 50%
//// leikogramis romeli cvlileba SeiZleba Segvxvdes WiebiT invaziis dros:
//// CamoTvlilTagan, leikogramis romeli monacemis cvlileba Seesabameba

// limfocitebi _ 80%
152

//// CamoTvlilTagan, periferiuli sisxlis romeli cvlilebaa mosalodneli

mielomuri daavadebis dros:
// edsi _ 1mm/sT
/// edsi _ 80mm/sT.
//// leikocitebis ra raodenoba Seesabameba yvelaze metad qronikul
mieloleikemias:
/// 1,0 . 109l;
/// 5,0 . 109l;
/// 8,0 . 109l;
// 80,0 . 109l;
//// leikocitebis ra raodenoba Seesabameba yvelaze metad qronikul
limfocitur leikemias:
/// 1,0 . 109l;
/// 5,0 . 109l;
/// 8,0 . 109l;
// 50,0 . 109l;
//// eriTrocitebis ra raodenoba Seesabameba yvelaze metad eriTremias
(vakezis daavadebas):
/// 3,5 . 1012l;
/// 4,5 . 1012l;
/// 5,0 . 1012l;
// 6,0 . 1012l;
//// edsis ra raodenoba Seesabameba yvelaze metad eriTremias:

// nuli;
/// 5 mm/sT;
/// 10 mm/sT;
/// 50 mm/sT.
//// Trombocitebis ra raodenobaa yvelaze metad Sesaferisi Trombocitopeniuri
purpurisaTvis:
// 15,0 . 109l;
/// 150,0 . 109l;
/// 250,0 . 109l;
/// 450,0 . 109l;
//// eriTrocitebis ra raodenoba gvaZlevs anemiis diagnozis dasmis safuZvels:
/// 2,9 . 1012l;
/// 3,9 . 1012l;
153
/// 4,9 . 1012l;

// 5,9 . 1012l;
//// CamoTvlilTagan romeli ujredis SemadgenlobaSi Sedis hemoglobini:

/// Trombociti;
/// neitrofili;
/// limfociti;
// eriTrociti.
//// CamoTvlilTagan romelia eriTrocitis ZiriTadi funqcia:
// Jangbadi transportireba;
/// fagocitozi;
/// antisxeulebis gamomuSaveba;
/// sisxlis SededebaSi monawileoba.
//// CamoTvlilTagan, romelia Trombocitebis ZiriTadi funqcia:

/// Jangbadi transportireba;
/// fagocitozi;
// sisxlis SededebaSi monawileoba.
//// CamoTvlilTagan, romelia neitrofilebis ZiriTadi funqcia:

// fagocitozi;
//// CamoTvlilTagan, romelia limfocitebis ZiriTadi funqcia:

/// fagocitozi;
// imunur reaqciaSi monawileoba;
154
155

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gastroenterologia

\\\\ CamoTvlilTagan ra ar gamodgeba, rogorc qronikuli pankreatitis

\\\\ kuWis wylulis dros yvelaze ufro informaciuli diagnostikuri

\\\\ CamoTvlilTagan romeli mosazreba ar aris marTebuli saylapavis

\\\\ romeli mtkicebulebaa WeSmariti kuWis da 12-goja nawlavis peptiur

\\\\ CanoTvlilidan ra ar aris damaxasiaTebeli zolinger elisonis

\\\\ romeli mtkicebulebaa swori zolinger-elisonis sindromis mimarT?

\\\\ qronikuli pankreatitis gamwvavebisas sadiagnozod yvelaze

\\\\ CamoTvlili meTodebidan romelia yvelaze zusti araspecifiuri

\\\\ CamoTvlilidan romeli daavadebisTvis ar aris damaxasiaTebeli

\\\\ CamoTvlilidan ra axasiaTebs qronikul anacidur gastritis?

\\\\ axalgazrda qali xSirad iRviZebs Ramis tkivilisagan epigastriumis

\\\\ CamoTvlilidan ra ar aris damaxasiaTebeli RviZlis ukmarisobisTvis?

\\\\ avadmyofi mamakaci, 22 wlis, uCivis tkivils muclis areSi, sisxlian

\\\\ 30wlis mamakaci Semoyvanil iqna megobrebis mier Terapiul

\\\ mwvave gastritis

\\\\ ra miekuTvneba sklerodermiis gastroenterologiur gamovlinebebs?

\\\\ yvela qvemoT CamoTvlilidan ra ar aris damaxasiaTebeli 12-goja

\\\ biliaruli paTologia

\\\\ CamoTvlilTagan, romeli organos kibos erT-erT adreul simptoms

\\\\CamoTvlilTagan romeli warmoadgens RviZlis mikronoduluri

\\\ krigler-naiaris sindromi

\\\\ romeli fermentis meSveobiT warmoiSoba koniugirebuli

\\\\ ra aris colinger-elisonis sindromi?

\\\\ CamoTvlilTagan romeli preparatia histamin H2 receptorebis

\\\\ CamoTvlilTagan ra ar gamodgeba qronikuli pankreatitis

\\\\ RviZlismiero komis saSiSroebis dros dietaSi ra unda SevzRudoT?

\\\\ ra aris damaxasiaTebeli 12-goja nawlavis wylulovani

\\\\ CamoTvlilTagan ra ar miekuTvneba vilsonis daavadebis diagnostikur

\\\\ qvemoT moyvanili gamokvlevebidan romels unda mieces upiratesoba

\\\ pankreasis fermentebis momateba duodenur SigTavsSi

\\\\ CamoTvlilTagan, romeli faqtori ar uwyobs xels kuWis peptiuri

\\\\ kuWis wylulis dros yvelaze ufro informaciuli diagnostikuri

\\\\ romeli paTologiisTvisaa damaxasiaTebeli saylapavis kedlis

\\\\ romel niSans eniWeba mniSvneloba traqciuli divertikulis

\\\\ peptikuri wylulis sankurnalod gamoyenebuli CamoTvlili

\\\\ ra saxis histologiuri suraTi viTardeba kronis daavadebis dros?

aris mosalodneli malabsorbciis sindromis

\\\\ ra saxis diarea (patofiziologiurad) viTardeba celiakiis dros?

\\\\ romeli mtkicebulebaa WeSmariti kuWis da 12-goja nawlavis peptiur

\\\\ romeli mtkicebulebaa swori zolinger-elisonis sindromis mimarT?

\\\\ qronikuli pankreatitis gamwvavebisas sadiagnozod yvelaze

\\ sisxlSi da SardSi amilazis done

\\\\ CamoTvlili meTodebidan romelia yvelaze zusti araspecifiuri

\\\\ CamoTvlilidan romeli daavadebisTvis ar aris damaxasiaTebeli

\\\\ CamoTvlilidan ra axasiaTebs qronikul anacidur gastritis?

\\\\ axalgazrda qali xSirad iRviZebs Ramis tkivilisagan epigastriumis

\\\\ avadmyofi mamakaci, 22 wlis, uCivis tkivils muclis areSi, sisxlian

\\\\ kuWis wyluli yvelaze xSirad lokalizebulia:

\\\\ ra aris damaxasiaTebeli 12-goja nawlavis wylulovani

\\\\ CamoTvlilidan romeli warmoadgens qronikuli pankreatitis yvelaze

\\\\ ra aris damaxasiaTebeli qronikuli qolecistitisaTvis?

\\\\ avadmyofi mamakaci, aReniSneba heqtiuri cxeleba, hepatomegalia,

\\\\ romeli organos kibos erT-erT adreul simptoms warmoadgens

\\\\ CamoTvlilTagan, romeli simptomis arseboba ar aris damaxasiaTebeli

\\\\ RviZlis mikronoduluri cirozis uxSires eTiologiur faqtoria:

\\\\ 29 wlis mamamkaci moTavsda klinikaSi hiperbilirubinemiis gamo. Aar

\\\\ romeli fermentis meSveobiT warmoiSoba koniugirebuli

\\\\ romeli metaboluri darRvevebis mizeziT ar xdeba sisxlSi

\\\\ ra aris colinger-elisonis sindromi?

\\\\ CamoTvlilTagan romeli preparatia histamin H2 receptorebis

\\\\ RviZlismiero komis saSiSroebis dros dietaSi ra unda SevzRudoT?

\\\\ peptikuri wylulis sankurnalod gamoyenebuli CamoTvlili