Examples of test control

 
1. Exciter of whooping-cough is:
1. Virus of Epstein-Barr.
2. Borde-Zhangu bacillus.
3. Afanasev-Pfeiffer's bacillus.
4. Gerpesvirus.
5. Paramyxovirus.
2. The Exciter of pertussis is:
1. Unstable in environment.
2. Not very resistant in environment.
3. Very resistant in environment.
4. Insensitive to various influences.
 
3. How we can explain appearance of cough reflex on whooping-cough?
1. Toxins effect on respiratory center and neurons, which provide for
cough reflex.
2. The exciter's tropism to epithelium of upper airways.
3. Allergenic action of whooping-cough microbe.
4. Bacteriemia.
5. Autoimmune mechanism.
 
4. In pathogenesis of whooping-cough is unimportant:
1. Allergenic effect of whooping-cough microbe.
2. Hypoxia.
3. Bacteriemia.
4. Appearance of a stable excitation focus in medulla.
5. Effect on the organism exciter's toxins.
 
5. Main clinical symptoms concerned with:
A. Bacteriemia.
B. Toxemia.
C. Allergic manifestations.
D. Autoimmune manifestations.
E. Organism sensitizing.
 
6. Name the source of whooping-cough infection:
1. Sick person with clinical infection, subclinical infection.
2. Sick persons in incubation.
3. Convalescents.
4. Carriers.
7. Ways of passing to the pertussis:
 1. Contact domestic.
2. All answers are right.
3. Aerial-droplet route.
4. Transmissible.
5. Parenteral.
 
8. When can we see the highs contagious of whooping-cough depending on
duration of disease stage?
1. 1-2 week.
2. 2-3 week.
3. 3-4 week.
 
9. What periods of pertussis do you know?
1. Incubation.
2. Prodromal.
3. Catarrhal.
4. Paroxysmal.
5. Complications.
6. Decreasing of clinical signs.
 
10. There are such clinical periods of whooping-cough, except:
1. Incubation.
2. Initial period.
3. Catarrhal.
4. Spasmodic.
5. Recession of symptoms.
 
11. What period is absent with whooping cough?
1. Spasmodic cough.
2. Incubation.
3. Catarrhal.
4. Residual.
5. Convalescence.
12. The incubation of the whooping-cough on average is…
1. 2-3 days.
2. 5-8 days.
3. 10-15 days.
4. 16-20 days.
5. more than 20 days.
 
13. What is the duration of prodromal period of pertussis in older children?
1. 1-3 days.
2. 3-5 days.
3. 10-14 days.
4. 9-21 days.
5. 15-20 days.
 
 14. What are clinical features of pertussis in catarrhal period?
1. High body temperature.
2. Subfebril temperature.
3. Progressing dry cough.
4. Hard toxic syndrome.
5. Sneezing, corryza.
 
15. There are such main clinical symptoms, except:
1. Normal temperature reaction.
2. Spasmodic cough.
3. Syndrome of croup.
4. Hemorrhage into mucous.
5. Apnea.
 
16. On basis of what facts we can suspect of whooping-cough in catarrhal period?
1. Rise of body temperature.
2. Dry progressive cough.
3. Pathological physical changes in lungs.
4. Expressed manifestations of intoxication.
5. Presence of temperature reaction.
 
17. For the typical form of whooping-cough the followings clinical symptoms are
not characteristic:
1. Subfebrile temperature.
2. During a cough face hyperemia, scleral vessels injection.
3. Appearance of spastic cough.
4. The bright signs of tonsillitis.
5. Appearance of dry cough.
 
18. During subclinical forms of Whooping-cough is not observed:
1. Puffed up face.
2. Ulcer on the frenulum of tongue.
3. Subfebrile temperature.
4. The Catarrhal phenomena.
5. Cough with the difficult expectoration.
 
19. For clinical course of whooping-cough for the children of 1st year is not typical:
1. Reduction of incubation to 4 -5 days.
2. The State of asphyxia is accompanied localized spasms and encephalopathy.
3. Time of spasmodic period to 4-5 weeks.
4. The reprises are obligatory in a height of the disease.
5. Reduction of the catarrhal period to 5-7 days.
 
20. For the whooping-cough cough atypical is:
1. The paroxysm of cough finished with thick expectoration.
2. At the time of cough the face turns red.
3. Productive cough with a flux expectoration.
 4. Dry cough.
5. Cough paroxysm finished with vomiting.
 
21. At the time of serious whooping-cough cough paroxysm we can see
1. Nosebleeds.
2. Sclera hemorrhage.
3. Apnea.
4. Involuntary urination.
5. All answers are right.
 
22. A 3-month-old girl was diagnosed with Pertussis. On 14-th day of illness she
has low concussions and partial seizures. What is the pathological base of those
neurological signs?
1. Hypoxic encephalopathy.
2. Encephalitis.
3. Bacterial meningitis.
1. Peripheral neuritis.
1. Blockage of CSF outflow.
 
23. For the typical course of whooping-cough is not characteristic
A. Puffed up face.
B. Sores on the frenulum of tongue.
C. Swell of the eyelids.
D. A lot of rales in the lungs.
E. Sclera hemorrhage.
 
24. There are such clinical features of baby's whooping-cough, except…
1. Shortening incubation to 4-5 days.
2. Lengthening incubation to 3 weeks.
3. Shortening of catarrhal period to 1 week.
4. Frequent apneas.
5. Catarrhal period may be absence.
6. The illness may start with attack of spasmodic cough
7. Fits
8. Lengthening spasmodic period
25. On a whooping-cough are ill:
1. Adults.
2. Kids from the first months of life.
3. Teenagers.
4. Children of any age.
5. All answers are right.
 
26. Find main clinical features of pertussis in young infants.
1. Small incubation period.
2. Long incubation period.
3. Long paroxysmal period.
 4. Apnea.
5. Cough with reprise.
6. Paroxysmal sneezing.
 
27. A 5-year-old boy was ill 2 weeks ago. The disease began from dry cough,
which increased gradually. Paroxysmal cough appeared and whoops occurred. In
paroxysm the patient's face is read, the cervical wins are engorged. There are
haemorrhages in the sclera. Leukocytes level is 16xl09/l, lymphocytes-72%, ESR-4
mm/h. What is your preliminary diagnosis?
A. Whooping cough.
B. Adenoviral infection.
1. Foreign body in respiratory tract.
1. Parainfluenza with laryngotracheitis.
E. Tuberculosis bronchodenitis.
 
28. A 2-year-old girl complains of paroxysmal cough with whoops. There is
edematous face, haemorrhages in the sclera, shallow ulcer on the frenulum of the
tongue. Auscultation reveals dry rales. Examination of the oropharynx leads to cough
paroxysms. What is your preliminary diagnosis?
A. Whooping cough.
B. Obstructive bronchitis.
C. Foreign body in respiratory tract.
D. Pneumonia.
E. Stenosis laryngotracheitis.
 
29. For clinical diagnostics of whooping-cough in catarrhal period you must orient
to:
A. Stable, obsessive cough.
B. Absence of the physical effects in the lungs.
C. Insufficient efficacy of the antibacterial therapy.
D. Leukocytosis with lymphocytosis in the blood.
E. All answers are right.
 
30. For the blood test n the typical course of the whooping-cough not
characteristic is:
A. Normal ESR.
B. Lymphocytosis.
C. Neutrophilic left shift.
D. Monocytosis.
E. Leukocytosis.
 
31. For confirmation of clinical diagnosis of whooping-cough does not use:
1. Imunofluorescence method.
2. Selection of exciter from blood.
3. RCFT, CR.
 4. The Bacteriological method.
 
32. List for laboratory methods of whooping-cough diagnostics:
A. Bacteriological analysis of blood.
B. Bacteriological analysis of slime and phlegm.
C. Immunofluorescence method.
D. Clinical blood test: leukopenia, lymphopenia.
E. Clinical blood test: leukopenia, lymphocytosis.
 
33. The differential diagnosis of pertussis in prodromal period should be
performed with:
1. Scarlet fever.
2. Adenoviral infection.
3. Influenza.
4. Parapertussis.
5. RS-infection.
 
34. We must differentiate whooping-cough in spasmodic cough period from such
diseases, except:
1. Outside body in upper airways.
2. Obstructive bronchitis.
3. Stenosing laryngotracheitis.
4. Tubercular bronchoadenitis.
5. Spasmophilia with laryngospasm.
6. Tumor of mediastinum.
 
35. What are complications of pertussis?
1. Pneumonia.
2. Otitis media.
3. Apnea.
4. Meningoencephalitis.
5. Encephalopathy.
 
36. Among complications of whooping-cough is not observed:
1. Pneumothorax, hypodermic, mediastinal emphysema
2. Defeat CNS.
3. Myocarditis.
4. Prolapses of the rectum.
5. Nose-bleeds.
 
37. Among septic complications of whooping-cough observed rarely:
1. Purulent meningitis.
2. Insular or confluent pneumonias.
3. Purulent pleurisy.
4. Pleuropneumonia.
 
 38. A 3-month-old girl was diagnosed with Pertussis. On 14-th day of illness she
has low concussions and partial seizures. What is the pathological base of those
neurological signs?
A. Hypoxic encephalopathy
B. Encephalitis
C. Bacterial meningitis
D. Peripheral neuritis
E. Blockage of CSF outflow
 
39. A 2 -year- old girl has been ill for 2 weeks. Now she has paroxysmal cough
with whoop and vomiting, hemorrhages in her sclera, shallow ulcer on the frenulum
of the tongue. Auscultation reveals dry rales. Point to medication for prophylaxis of
this disease:
A. Antibiotics
B. APDT-vaccine
C. ADT-anatoxin
D. ADT-M-anatoxine
E. Bacteriophages
 
40. In antibiotic therapy of pertussis we give advantage to:
1. Thrimethoprim-sulfamethoxazol.
2. Ampicillin.
3. Erythromycin or other macrolide.
4. Rifampicin.
 
41. We must use antibiotics it the therapy of the whooping-cough:
A. In atypical form.
B. In catarrhal period.
C. In a period of paroxysm cough.
D. In presence of the reprise.
E. In presence of the apnea.
 
42. A 1-year-old baby has whooping cough. In one of cough paroxysms the child
becomes cyanosis and its breathing disappears. Point to the cause of breathing
disappearance.
A. Inhibition of respiratory center
B. Edema of larynx mucous membrane.
C. Brain edema
D. Lung edema
E. Laryngospasm
 
43. In complex treatment of patients with a whooping-cough does not use:
1. Medication which repress the cough center.
2. Spasmolytics.
 3. Neuroleptic medication.
4. Antibiotics.
5. Corticosteroids.
 
44. What is the time of isolation on whooping-cough?
1. 7 days.
2. 14 days.
3. 21 days.
4. 30 days.
5. 40 days.
 
45. How long must be isolated an ill person in case of uncomplicated pertussis?
1. For all prodromal period.
2. 14 days of paroxysmal period.
3. For 30 days from the beginning of the disease.
4. During all duration of the disease.
5. Isolation isn’t necessary.
46. How long must be isolated contact person in case of contact with person who
has pertussis?
1. On 4 days from the contact.
2. On 10 days from the contact.
3. On 14 days from the contact.
4. On 17 days from the contact.
5. On 25 days from the contact.
 
47. Determine time of the whooping-cough vaccination beginning
1. 1 month.
2. 2 months.
3. 3 months.
4. 6 months.
5. 18 months.
 
48. Revaccination against the pertussis is performed in:
1. 3 months.
2. 6 months.
3. 12 months.
4. 18 months.
5. 3 years.
 
49. A 2 -year- old girl has been ill for 2 weeks. Now she has paroxysmal cough
with whoop and vomiting, hemorrhages in her sclera, shallow ulcer on the frenulum
of the tongue. Auscultation reveals dry rales. Choose the best medication for
prophylaxis of this disease:
A. MMR vaccine
B. DTP-vaccine
C. DT-anatoxin
D. DT-M-anatoxine
E. BCG vaccine
 
50. Vaccination against pertussis is made together with vaccination against:
1. Rubella, mumps.
2. Tuberculosis.
3. Hepatitis B.
4. Diphtheria.
5. Measles.
 
51. For parapertussis is not typical:
1. Nidus of infection in the children collective.
2. Passing in respiratory way.
3. Passing in transmissible way.
4. The greatest morbidity among 2-7 year children.
5. Periodic periods of the morbidity increase.
 
52. What clinical form of the parapertussis we can meet most often?
1. Obliterated.
2. All answers are right.
3. Asymptomatic.
4. Whooping-cough like.
 
53. Decisive sense for the diagnostics of the parapertussis have all, except:
1. The increase of the specific antibodies titre in reactions: CR, RCFT.
2. All answers are right.
3. Identification of the parapertussis exciter after the inoculation of slime from the
nasopharynx.
4. Clinical facts.
 
54. The main in the diagnostics of parapertussis is:
1. Dry cough.
2. Duration of the cough 2-3 weeks.
3. Lymphocytosis in the blood.
4. Identification of the parapertussis exciter in the slime from
nasopharynx.
5. Increase the titre of antibodies in a CR.
55. Quarantine measures on parapertussis conduct for contact persons
1. In all age groups.
2. Quarantine measures don't conduct.
3. Organized children.
4. Children to 1 year.
5. Preschool children.
 
56. What sick persons with parapertussis must be separated for 25 days?
1. There is no separation of children.
2. Children to 1 year.
3. Children in all age groups.
 4. Preschool children.