TASK 2

1. Patient K. was born on October 27th, 1951, died on February 09th this year at 17.15. in the
City hospital No. 1 of the city N. The attending physician made the final clinical diagnosis: type
II diabetes mellitus, decompensated, wet gangrene of the right foot; sepsis; chronic bilateral pye-
lonephritis in remission.
Fill in the "Medical death certificate".

2. Patient P. was born on 28.06.1976, died on 17.04 this year at 14 h 22 min. in the City hospi-
tal No.4 of the city M. The attending physician made the final clinical diagnosis: chronic glo-
merulonephritis, nephritic form, chronic renal failure, auric stage.
Fill in the "Medical death certificate".

3. Citizen A. was born on November 12, 1931, died on March 15 this year at 19 h 15 min. at
home. Based on previous observation and medical records the attending doctor established the
cause of death: ovarian cancer, intoxication.
Fill in the "Medical death certificate".

4. Patient S., 52 years old, an accountant of a private enterprise, applied to the city polyclinic
on March 25 this year. After examination general practitioner diagnosed hypertensive crisis and
prescribed treatment. The patient was disabled until April 4.
Fill in a certifying disability document.

5. Patient G., 47 years old, cook in a canteen, turned up on March 15 this year in a polyclinic to
the district doctor for lacunar tonsillitis. He got since 12.03, stayed at home and didn`t visit doc-
tor on that day. After examination, the doctor certified temporary disability and extended its term
until 24.03.
Fill in a certifying disability document.

6. A resident of the village I., 48 years old, an agricultural worker, had inpatient treatment in
the Central Regional Hospital due to an exacerbation of peptic ulcer disease since 17.04. until
13.05 this year.
Fill in a document certifying disability.
7. Employee V. had an abortion 29.10 this year. She was in the gynecological department of
the City Maternity Hospital until 14.11 due to a postoperative complication.
Fill in a document certifying disability.

8. Employee K. was injured during regular vacation and was disabled during 11 days (from
19.04).
Fill in a document certifying disability.

9. Worker U. was disabled due to a fractured femur. During the first 2 months (15.03 - 14.05.
this year) was in a hospital, and the, discharged to continue outpatient treatment.
Determine the patient management at the outpatient stage.
Fill in a document certifying disability during inpatient treatment.

10. In the kindergarten, which was attended by child V., 4 years old, quarantine was announced
for measles from 11.11. until 25.11. current year.
A child was attending a kindergarten that was closed for a quarantine due to a measles case from
11.11. till 25.11vof the current year. The parents are builders at a state enterprise.
Fill in a document certifying disability.

11. Employee`s first 9-year-old child got sick 03.02 this year, and second 5-year-old child got
sick 09.02. The first child recovered on February 11, the second - on February 21.
Fill in a document certifying disability.

12. The pharmacist L., 28 years old, until 25.05 this year was in a regular vacation. Her 4-year-
old child got sick 13.05 and had treatment at home during 7 days with the diagnosis "flu». The
child's condition worsened 18.05. The pediatrician diagnosed pneumonia and the child was hos-
pitalized with his mother for 19 days.
Fill in a document certifying disability.

13. Patient M., 48 years old, felt the heart ache in the evening on 12.11 this year, and called an
ambulance. After examination, the doctor dismissed him from work on the night shift and sug-
gested to see doctor in a local polyclinic next morning. The patient went to the polyclinic only on
November 15 when the doctor certified the patient as able-bodied. Citizen M. did not go to work
on November 15.
Fill in the relevant document in this case.
14. Patient R., born in 2010, suffers from acute upper respiratory tract diseases more than 5
times a year.
Define a group of health and dispensary observation.
Fill in the relevant form to manage this patient.

15. Miner D., 42 years old, was diagnosed with 1st degree anthracosis during a periodic medical
examination. The patient was temporarily disabled from 14.10 to 16.11. this year.
Fill in a document certifying disability.

16. The lawyer K., 44 years old, during 33 days since 11.09. this year was on prosthetics treat-
ment in a hospital of a prosthetic and orthopedic institution in another city.
Fill in a document certifying disability.

17. Citizen P., 29 years old, schoolteacher on 17.12. this year gave birth to a premature baby at
33 weeks of gestation in the city maternity hospital.
Fill in a document certifying disability.

18. Citizen S., 44 years old, gave birth on June 17 at 39 weeks of gestation. Pregnancy was ac-
companied by arterial hypertension and anemia of pregnant. The child was born with a weight of
2150 g., height of 45 cm, according to the Apgar scale - 3-4 points. The newborn was diagnosed
with asphyxia, severe degree, congenital heart disease. Despite the resuscitation measures, the
child died on the 3nd day of life.
Fill in a medical certificate of perinatal death.

19. Citizen N. on 22.07. this year visited a polyclinic with a sore throat. The family doctor diag-
nosed follicular tonsillitis.
Fill in the relevant medical registration form.

20. Market worker D., 45 years old, applied to the polyclinic on 11.09 this year with heartburn
and stomach pain. The doctor diagnosed the exacerbation of chronic gastritis. This patient is un-
der dispensary observation for 3 years.
Fill in the relevant medical document for registration of morbidity.

21. Factory worker N., 29 years old, visited the medical clinic this year with flu on 05.07, with
sore throat – on 11.08. Previously, he did not visit doctor due to these problems. After the exam-
ination on 26.08, he was diagnosed with chronic pyelonephritis, an exacerbation stage.
Determine and fill in the relevant medical documents in last case.

22. Patient R. in February of this year was hospitalized and operated due to a perforated stom-
ach ulcer. Previously, he did not have any complaints and was not examined by a gastroenterolo-
gist.
Determine and fill in the relevant medical document.

23. When examining 6 years old child on 21.11 this year, the district pediatrician diagnosed
acute dysentery.
Fill in the relevant medical registration form.

24. When visiting 3years old child at home, the district doctor diagnosed "mumps". The child
goes to kindergarten; mother and father work and there are no other family members.
Fill in the relevant document to certify disability.

25. Pregnancy of a woman, 32 years old, a cafe waitress, was physiological and ended on June
20 with delivery on time.
Determine and fill in the relevant document to certify disability.

26. The preventive examination of 159 schoolchildren in grades 3-4 found, that the number of
children with mild myopia is 18, with scoliosis of I and II degrees – 19. Last year 19 children got
sick 5-8 times with ARVI, 5 - with whooping cough and chicken pox; 2 children was diagnosed
bronchial asthma without functional disorders, 4 - congenital heart disease with NC, another 3 -
chronic gastritis in the stage of stable remission.
Divide school students into health groups.

27. Patient L., 57 years old, had care due to chronic obstructive pulmonary disease for 10
months in total this year. Medical commission examined this patient several times during the
year and members made decision to send the patient to the MSE.
Determine and fill in the relevant medical document.

28. Pregnancy in a woman S., 25 years old, a coach of a children's sports school, proceeded
without pathology and ended on February 17 of this year with twins delivered on time in a ma-
ternity hospital.
Determine and fill in the document to certify disability.

29. The city population is 111,000. During the current year, 2,760 cases of hypertension disease
were registered in the city's polyclinics, including 627 cases - first detected this year.
Identify the documents should be fill in each case of a disease.
Explain the registration order and fill in the relevant form for a case first identified in a
given year.

30. This year, 420 children up to 1 year were under the supervision of the pediatrician of the
children's polyclinic, including 65 children have never been sick and have not doctor`s advice.
Calculate and analyze the health index of infants.

31. On New Year's Eve, an employee M., 30 years old, was admitted to the maternity hospital
on 24 weeks of pregnancy with premature birth. A child was born alive with body mass 800 g,
but died on the 6th day.
Determine and fill in the document to certify disability.

32. Muscovite K., 35 years old, with a Moscow compulsory health insurance policy, went to
Crimea, where she fell ill. The woman applied to the nearest health care institution on 21.09 this
year with high temperature, but medical staff refused her in free care. The woman was disabled
for 11 days.
Which legislative document regulates the patient` rights in this case?
Determine and fill in the document to certify disability.

33. Technician P., 43 years old, during the regular vacation (from 1 to 24 July this year) got sore
throat, saw a district doctor at the polyclinic on 17 July and was disabled for 14 days.
Decide on the examination of temporary disability in this situation and fill. in the relevant docu-
ment.
34. Patient S., 45 years old, is under dispensary observation with a family doctor due to chronic
obstructive pulmonary disease. Last year she had inpatient care due to disease exacerbation three
times.
Define a health group and fill in a card of dispensary observation.

35. Pensioner N., 67 years old, was hospitalized in the surgical department on 22.05. this year,
where a malignant neoplasm of the stomach was diagnosed.
Assess the situation and fill in the relevant statistical document to register this type of
morbidity.

36. A patient under dispensary observation with a hypertension disease, stage II, saw a cardiolo-
gist to have regular check-up. There were no complaints and doctor registered normal blood
pressure.
Determine and fill in the relevant medical documents.
Determine what accounting documents the doctor should fill out for this appeal and fill them out.

37. Woman P., 28 years old, with two children aged 6 months and 4 years old and stayed on so-
cial leave, on 17.10 this year was admitted to a hospital with acute appendicitis. During her ill-
ness on 21.10, the eldest son was diagnosed with ARVI and was ill until 28.10. The father took
care of the sick child.
Determine and fill in the relevant document to certify disability.

38. Citizen K., 32 years old, a salesman in a department store, is under antenatal care at the
women consultation since the 15th week of pregnancy. When conducting the ultrasound exami-
nation at the 18th week, multiple pregnancy was established.
Since what week of pregnancy the maternity leave should be issued and for how long?
Fill it in.

39. The district doctor during service at house of citizen K. on March 19 of this year diagnosed
acute pneumonia. The patient stayed in a hospital for 17 days.
Determine and fill in the document to certify disability.

40. Locksmith M., 40 years old, during regular vacation in another city, received burns and was
hospitalized in a surgical department of the Central District Hospital. Diagnosis: superficial
burns of both upper extremities of 1-2 degrees. The patient stayed 11 days in the hospital and
was discharged for outpatient treatment at the place of residence.
Determine and fill in the document to certify disability.

41. A 23-year-old woman, an employee, is under antenatal care in the women consultation clinic
with 28 weeks pregnancy. She came to register a maternity leave.
Determine the term and document to certify disability.
42. A resident of Crimea, during a business trip in Moscow, was operated due to acute appendi-
citis, stayed in a hospital from May 15 to May 23 this year and was discharged for outpatient
treatment at the place of residence.
Determine and fill in the document to certify disability.

43. Patient V., 43 years old, died due to bleeding during perforation of a stomach ulcer.
Fill in the "Medical Death Certificate".

44. A 6-year-old child fell ill with ARVI. The doctor during visit at home prescribed outpatient
treatment. The child's mother and father are working people. The child was ill from 17.09 to
27.09 this year.
Determine and fill in the document to certify disability.

45. In citizen V., 32 years old, the second pregnancy was proceeding against the background of
the threat of termination, arterial hypertension and chronic pyelonephritis. In the 30th week of
pregnancy, premature birth occurred, which ended in a stillbirth.
Fill in a medical certificate of perinatal death.

46. The woman's pregnancy was physiological and ended on June 12 with delivery on time. La-
bor was complicated by perineal lacerations and bleeding.
Determine and fill in the document to certify disability.

47. At night on 11.12 this year, a worker came to the plant's health center with headache and
chills. The feldsher revealed a fever (38.9 º) and tachycardia, released him from work and of-
fered to see doctor in the morning. The doctor declared the worker disabled for 8 days.
Determine and fill in the documents to certify disability.

48. In a bakery worker K., 40 years old, the district therapist detected an allergic reaction (urti-
carial) to an antibiotic on 21.07 this year.
Assess the situation and complete the relevant statistical documents.

49. The pharmacist L., 28 years old, is in a regular vacation until 21.04. Her 4-year-old child
fell ill on 24.04 with the "flu" and had treatment at home for 7 days. On April 26, the child's
condition worsened, the pediatrician diagnosed pneumonia. The child was hospitalized with his
mother for 21 days.
Fill in the relevant document certifying disability.

50. Patient R., 50 years old, is under dispensary observation with a family doctor due to gastric
ulcer. This year, he twice had inpatient care due to exacerbation of the disease.
Define a group of health and dispensary observation.
Fill in the relevant records to manage this patient.