Mumps

1. The exciter of epidemic parotiditis belongs to:

A. Group of gerpesvirus

B.+ Paramyxovirus

C. Coronavirus

D. Rhinovirus

E. Arbovirus

2. Specify the exciter of parotidion infection:

A. Virus from family of Gerpesvirus

B. +Virus from family of Paramyxovirus

C. Virus from family of Adenovirus

D. Virus from family of Poliovirus

E. Virus from family of Kalicivirus

3. Resistance of virus to the physical and chemical factors is:

A. Absent

B. +Low

C. High

4. Exciter of parotitis infection in an environment:

A. Does not perish

B. + Perishes quickly

C Perishes only at the low temperatures

 D. Firmness of virus to the chemical factors is high

E. Firmness of virus to the physical factors is high

5. A mumps: bilateral parotitis is diagnosed to the girl. What is the atrium?

A. Mucosa of the mouth, nose, throat, conjunctiva

B. +  Mucosa of the mouth, nose, throat

C. Mucosa of the mouth, nose, throat, tonsils

D. Mucosa of the mouth, nose, throat, external orifices of salivary glands ducts

E. External orifices of salivary glands ducts

6. A child has mumps: bilateral submaxillitis. What way does a virus spread
to the glands?

A. By lymph

B. By contact way

C. +By blood

D. By blood and by lymph

E. By a contact way and by blood

7. Second virusemia is observed through:

A. 3 - 4 days from the beginning of disease

B. 4 - 5 days from the beginning of disease

C. +5 - 10 days from the beginning of disease

D.10 - 14 days from the beginning of disease

E. Is not observed

8. Specific source of infection at a mumps:

A. Pets

B. Rodents

C. Transmitter

D. +Sick man

E. Convalescent

9. Sources of infection at epidemic parotitis is:

A. +Man

B. Animal

C. Birds

D. Man and animal

E. Man and birds

10. Durations of contagious period lasts:

A. 5 day

B. 8 day

C. +9 day

D. 14 day

E. 21 day

11. Mumps is not transmitted through:

A. + Transmissible

B. By the contact and domestic way

C. Respiratory way

 
12. Exciter of mumps mainly gets in an organism through:

A. Mucous tunic of eyes

B. +Mucus tunic of respiratory tracts

C. Damaged surface of skin

D. Duct of parotid salivary gland

E. Mucous tunic of the gastrointestinal tract

13. Mumps is more common in the aged:

A. 30 to 40

B. 15 to 29

C. +Preschool and junior school age

D. 40 and more

E. Children in age of first year

14. Special danger is presented by mumps patients with:

A. + Asymptomatical, atypical forms

B. Serous meningitis

C. Pancreatitis

D. Submaxillitis

E. Parotiditis

15. Disease becomes contagious in mumps:

A. +At the end of incubatory period

B. In the premonitory period

C. In the period of clinical displays

 D. At the obligatory defeat of salivary glands

E. At the defeat of the nervous system

16. A girl, 5 years old, is ill for 4 days. The disease has begun from high
body temperature. Home pediatrician has noted edema of parotid,
submandibular, sublingual salivary glands and diagnosed mumps. Name type
and form of the disease according to classification.

A. +Typical, isolated

B. Atypical, isolated

C. Atypical, combined

D. Typical, combined

E. Atypical, subclinical

17. The incubation lasts:

A. 9 days

B. 11 days

C. +11-21 day

D. 21-23 days

E. 23-26 days

18 What organs and systems are affected in Endemic parotitis?

A. +CNS

B. Cardio –Vascular system

C. Pancrease

D. Submandibular Lymphnodes

E. +Ovary

F. +Testes
 G. +Parotid gland

H. +Mammarygland

19.    For the mumps is typical defeat of:

A. Ductless glands, nervous system

B. Glands of external secretion

C. + Glands of external secretion, nervous system

D. Glands of external secretion, ductless glands, nervous system

E. Glands of external secretion, ductless glands

20. At a child with mumps positive Filatov's sign is exposed. Give its
description.

A. Edema and hyperemia of the external orifice of Stensen's duct

B. White points on cheeks mucosa

C. Dryness in the mouth, fissures on the tongue

D. Tear of the tongue bridle (frenula)

E. +Pain behind and in front of an ear-lobe when talking, chewing

21. The symptoms of Filatov is:

A. Edema of the external aperture of Stenoni canal

B. +Pain in front and behind the lobe of the ear

D. Filled of retromandibular pit

C. Tension and brilliance of skin above the gland

E. Painful infiltration under a tongue

22. Defeat of what organs is not typical in mumps:

A. Nervous system

B. Salivary glands

C. +Liver

D. Ovaries

E. Pancreas

F. Testicles

23. For the glandular form of mumps is typical:

A. Positive sign of  Murson

B. Fever

C. The enlarged sickly salivary glands

D. +All of answers are correct

24. There are characteristic changes for epidemic parotitis excepting:

A. +Trismus of masticatory muscles

B. Increase of salivary glands

C. Change of neck configuration

D. Strengthening of pain syndrome during the meal

E. Characteristic changes on mucous coat of mouth cavity

25. Mumps is not characterized by the following clinical symptoms:

A. Increase of testicles

B. Rise of temperature

C. Increase of salivary glands

D. +Appearance of toxicosis
 E. Appearance of meningeal signs

26. Glandular form of mumps include:

A. Mastitis

B. Submaxillitis

C. Orchitis

D. Pancreatitis

E. +All answers are right

27. Functional ability of salivary glands recommences only:

A At the end of the first week

B. After the second week

C. +At the end of 3 - 4 weeks

D. In 4 - 5 weeks

E. In 8 weeks

28. At epidemic parotitis the successive bringing in the pathological

process of different glands and nervous system can proceed to:

A. Normalization of body temperature

B. +7-8-th day from the beginning of illness

C. All of answers are correct

D. 3-rd day from the beginning of illness

E. There is no right answer

29. What form of epidemic parotitis is observed mainly for adults?

A. dacryocystitis
 B. +prostatitis

C. submaxillitis

D. parotiditis

E. pancreatitis

30. Five-years old boy has the increases of temperature, edema and
increase of parotid salivary glands, headache. The most possible complication
for the child is:

A. Loss of hearing

B. Pankreatitis

C. Myocarditis

D. +Meningitis

E. Orhitis

31. At parotitic meningitis for liquor is not typically:

A. Proteins content is a bit reduced

B. Number of cells to 1000 and more

C. +Neutrophils are prevail in liquor

D. Lymphocytes are prevail in liquor

E. Fluid is clear

32. What is not characteristically for meningitis at a parotiditis infection?

A. Liquor is clear

B. Lymphocytic cirrhosis

C. +Neutrophilic cirrhosis

D. Maintenance of sugar is reduced

 E. Maintenance of protein is normal

33. A 7-year-old boy fell ill abruptly: fever up to 39C, headache, recurrent
vomiting. Positive meningeal signs are present. The boy had been in contact
with patient with mumps. He is not vaccinated against mumps. What is the
probable diagnosis?

A. +Mumps meningitis

B. Meningococcal meningitis

C. Pneumococcal meningitis

D. Staphylococcal meningitis

E. Tuberculosis meningitis

34. For Parotitic meningitis , the characteristic changes in CSF are (3) :

A. High content of proteins (High 1 g/l)

B. Insignificant increase of protein

C. Neutrophilic pleocytosis

D. +Lymphocytic Pleocytosis*

E. Cloudy Liquor

F. +Transparent liquor*

35. Child 8 months, was admitted to the infectious hospital with the
expressed phenomena intoxications: temperature 39.5° C, anxiety, repeated
vomiting. Disease began suddenly 2 days ago. At survey the phenomena
hyperesthesia are marked, anxiety, sharp "brain" shout, big fontanel is
protruding, expressed rigidity muscles of a nape, FHR 180 in one minutes.
What inspection most informatively for specification of the diagnosis of
disease?

A. + Lumbar puncture

B. General analysis of blood

C. Biochemikal analysis of blood

 D. Computer tomography

E. USI brain

36. In a boy, 7 years old, who has mumps, has increased body temperature
to 39 °C, appeared: headache, sleepiness, vomiting, nuchal rigidity. The child
was hospitalized to the infectious department. What changes in spinal fluid are
probable?

A. Decreased liquor pressure

B. Expressed neutrophyl pleocytosis

C. Moderate neutrophyl pleocytosis

D. + Moderate lymphocyte pleocytosis

E. Expressed lymphocyte pleocytosis

37. In kindergarten disease an epidemic parotitis is registered. What the

longest duration of the incubatory period at an epidemic mumps?

A. +20-23 day

B. 15 days

C. 10 days

D. 30 days

E. More then 40 days

38. The child of 9 years defeat parotid gland, symptoms of the general
intoxication has appeared. The doctor suspects parotitis an infection, appoints
serologic test. What will be a diagnostic level?

A. +1: 160

B. 1: 80

C. 1: 401

D. 1: 200
E. 1: 120

39 Is it possible the isolated lesion CNS at the mumps?

1. YES

2. NO

40 Spinal fluid at the viral meningitis consider:

 A. Neutrophils

 B. Lymphocytes

41. To the meningeal symptoms belong:

A. +Symptom Kerniga

B. Symptom Lasaza

C. Symptom Kera

D. +Symptom Lasaga

E. +Symptom of Upper burudinsky

F. Symptom Babinsky

42 For Parotitic meningitis , the characteristic changes in CSF are :

A. High content of proteins (High 1 g/l)

B. Insignificant increase of protein

C. Neutrophilic  pleocytosis

D. +Lymphocytic Pleocytosis

E. Cloudy Liquor

F. +Transparent  liquor
  

43. Specify the possible variant of nervous system defeat in mumps:

A. Meningoencefalitis

B. Neuritis of n.kohlearis

C. Poliomyelitis

D. Serous meningitis

E. + All of answers are faithful

44. A 4-year-old boy complains of fewer up to 38,9 C, pain in chewing and

opening the mouth, headache. Right parotis gland is enlarged and painful in
palpation. The skin over the parotis gland is without changes. On the lesioned
side the stensen's duct is reddened and edematous. What is your diagnosis?

A. Infectious mononucleosis

B. +Mumps

C. Rubella

D. Cervical lymphadenitis

E.  Sialoademitis

45. A 6-year-old boy complains of headache, malaise, pain in chewing, fever

up to 39C.The following day the enlarged parotid glands are noticeable.
Swelled parotid glands obliterate the fossas are retromaxillaris. The skin over
the inflamed glands is tense and lustrous, remains of normal colour. Stensen's
ducts are reddened and edematous. What is your diagnosis?

A. Tumor of parotid glands

B. +Mumps

C. Cervical lymphadenitis

D. Sialolithiasis

E. Toxic form of tonsillar diphtheria

 
  

46. A 10-year-old boy had mumps. On the 5th day of illness the child's
general condition become worse. Abdominal pain, nausea, norexia and then
vomiting occurred. The amylase in the blood and diastase in the urine
increased highly. What is the diagnosis?

A. Appendicitis

B.+Pancreatitis

C. Mesadenitis

D. Cholecystitis

E. Gastritis

47. Children of the 1-st year of life have such features in mumps course
excepting:

A. Observed extraordinarily rarely

B. The clinic course is not grave

C. +The clinic course is grave

D. More frequent as parotiditis or submaxillitis

E. Nervous system is damage very rarely

48. Virus of parotitis infection can not be found in the first 3-4 days from the
beginning of illness in:

A. Saliva

B. Blood

C. Spinal liquid

D. +Faeces

49. Critical in diagnosing mumps is:

 A. Serologic methods of research

B. Increase of parotid glands

C. Injury of the CNS

D. Changes in peripheral blood – leucopenia with lymphocytosis

E. +All answers are correct

50. Complement- linking antibodies utilize for diagnostics:

A. Does not utilize

B. Utilize sometimes

C. +Early and retrospective

51. Determinations of what index in urine apply for confirmation of

diagnosis of pancreatitis at epidemic parotitis:

A. kreatine

B. urobilin

C. acetone

D. +amylase

E. uropepsin

52. To the child of 8 years mumps is diagnosed. What environments of

organism is it possible to select a virus from?

A.Urine, excrements, bile

B.Urine, blood, CSF

C.Urine, excrements, blood

D.+Saliva, blood, CSF

E: Saliva, excrements, bile

  

53. Complement-linking antibodies appear on:

A. +2 - 5 day illnesses

B. 5 – 7 day illnesses

C. 7 – 14 day illnesses

D. 14 – 21 day illnesses

E. After 21 day of illness

54. Four-years old child has mumps. All of the following is correct for
mumps, except:

A. CNS can be damaged without presence of glands injury

B. Illness can be warned a vaccination

C. +The increase level of α-amylase always testify about pancreatitis

D. Orhitis  arise up in boys after pubertal period

E. Possible defeat of kidneys as hematuria, polyuria.

55. A 10-year-old girl has mumps with fever, recurrent vomiting and severe
surrounding pain in upper part of her abdomen occurred on the 4 th day of
illness. What laboratory test should be prescribed to determine the diagnosis?

A. Bilirubin level

B. Glucose level

C. Thymol test

D. Activity of ALT

E. +Blood amylase

56. To the child of 6 years for confirmation of mumps CBR is done on a 2th
week from the illness beginning. What tirle of antibodies will be diagnostic in
this case?
 A. 1:400.

B. 1:200

C. 1:160

D. + 1:80

E. 1:40

57. At a child parotitis is diagnosed. How secondary bacterial parotitis

differs from the mumps one?

A. +Tenderness at palpation is expressed

B. Skin above the gland has usual color

C. Slight painful swelling

D. Gland is not firm

E. Bilateral parotitis

58. For epidemic parotiditis unlike the secondary injury of salivary glands is
typical:

A Hyperemia of skin above the staggered gland, a skin is hot by touch

B. +Defeat of glands mainly bilateral

C. The palpation of gland is painful

D. Process one-sided

E. In the hemogram leukocytosis, neutrophilic shifting, increase of ESR

59. A patient with mumps on 5-th days from the beginning of illness has
vomiting, sharp pain in the overhead departments of abdomen. Erroneous
assertion in relation to this patient is:

A This condition is the display of parotiditis infection

B. + Patient needs excretory cholangiography

 C. Is needed intensive therapy for treatment of this patient

D. Because of the increase of α-amylase is impossible to set the diagnosis

E. For setting the diagnosis is possible to do USR, tomography

F. Expedient is prophylactic antibiotic therapy

60. Salivary calculus illness from epidemic parotitis is distinguished for:

A Strengthening of pain at mastication

B. Relapsing clinical course

C. Normal temperature of body and satisfactory general condition

D. Periodic pain in the area of parotid gland

E. +All of answers are correct

61. Name complications, which can arise up after injection of parotitic

vaccine:

A. Bronchospasm, croup

B. Colloidal scars

C. Maculopapulous rashes

D. +Increase of parotid salivary glands

E. Serous meningitis

62. What testimonies are for hospitalization of patients with epidemic

parotitis?

A. Virology confirmation of diagnose

B. Fever of 38-39 º C

C. Change of neck configuration

D. +Sign of complications and involvement in the process of other organs

 

63. For treatment of patients with mumps we apply:

A. Corticosteroids

B. Sulfanilamides

C. + Symptomatic therapy

D. Physiotherapy

E. Antibiotics

64. With mumps do not recommend:

A. Milk diet

B. Limitation of fats and proteins

C. + Warm on the epigastric area

D. Cold on the epigastric area

E. Enzymic preparations

65. Duration of the bed regimen at the glandular form of mumps:

A. First 3-4 days

B. Till 7 day

C. +Not less than 9 days

D. To normalization of clinical course

E. To normalization of body temperature

66. Indicate the etiotropic remedy for patients with mumps:

A. Cyclosporin

B. Ribavirin
 C. Prednizolon

D Acyklovir

E. +Does not exist

67. What is prescribed as a specific antivirus preparation during mumps

infection?

A. Cycloferon

B. Arbidor

C. Amixin

D. Deoxyribonuclease

E. +Ribonuclease

68. To the boy of 10 years mumps, typical form is diagnosed (parotitis +

orchitis). What dose of prednisolone does it follow to appoint?

A. 0.5-l mg/kg

B. 0.8-1.5 mg/kg

C. +2 mg/kg

D. 3 mg/kg

E. 5 mg/kg

69. Point the duration of quarantine for a contact with mumps:

A. Is not conducted

B. 9 days

C. 11 days

D. +21 day

E. 9-21 day
  

70. Disinfection after the isolation of patient with mumps:

A. Is obligatory

B. +Is not obligatory

C. Only if we diagnose glandular form of infection

D. Only if we diagnose serous meningitis

E. Only if we diagnose combined form

71. In the nidus of epidemic parotitis is inexpediently:

A +Prophylactic introduction of interferon

B. To set on quarantine in child's establishment from 11 to 21 day from the

moment of the last contact

C. Isolation of patient to the decline of clinical displays of illness, but not less than
on 9 days

72. Duration of postvaccinal immunity:

A. For life

B. 1 year

C. 2-3 years

D. +3-6 years

73. For the prophylaxis of mumps is necessary:

A. Sick child are not supposed to organized collective until clinical recovery

B. Final disinfection in the nidus of infection is not conducted

C. In child's establishments to enter quarantine on 21 day

D. The isolation of patient

 E. + All answers are correct

74. In kindergarten disease an epidemic parotitis is registered. What the

longest duration of the incubatory period at an epidemic mumps?

A. +20-23 day

B. 15 days

C. 10 days

D. 30 days

E. More then 40 days

75. Vaccination for epidemic parotitis are conducted at:

A. +12 months of life

B. 3 months

C. 15 months

D. 18 months

76. A boy of 5 years today became ill by the typical form of mumps. When
the contagiousness of the patient is the greatest?

A. First 3-5 days

B. +Till 9 days

C. 1-3 days

D. First 5-7 days

E. 7-9 days

77. To the child of 5 years mumps, typical form is diagnosed. He is ill for the
first day, visits kindergarten. How many days does it follow to isolate him?

A. 4 days
 B. 5 days

C. 7 days

D. + 9 days

E. 14 days

78. A boy of 5 years today became ill by the typical form of mumps. When
the contagiousness of the patient is the greatest?

A. First 3-5 days

B. +Till 9 days

C. 1-3 days

D. First 5-7 days

E. 7-9 days

79. A boy, 12 years old, has recovered from mumps, combined form
(parotitis + orchitis). He was treated at home: anti-inflammatory, antiviral
medicine, was consulted by urologist. Name the duration of dispensary
observation by urologist for this child:

A. 1 month

B. 2 months

C. + 6 months

D. 2 years

E. 3 years