Follicular tonsillitis

 

# 46

*! Girl 24 years complains of a sore throat on the left, worse on swallowing, inability to swallow, marked weakness, BMR 's temperature rise to 38,8˚S. She fell ill acutely, 5 days ago. The deterioration came 2 days ago, after a warming compress. Objectively: submandibular lymph nodes are enlarged, painful, movements of the lower jaw are limited. Asymmetry of the pharynx due to bulging of the left palatine tonsil, hyperemia and swelling of the left palatine arch. In the KLA - L- 12.6 x 10 ⁹ , ESR - 34 mm / h.

Which of the following preliminary diagnoses is MOST probable?

* +++ paratonsillar abscess

 

# 47

*! A 37-year-old woman complains of pain in the nose, head, fever up to 38 ° C., chills. Rhinoscopically: skin infiltration of the vestibule of the nose, hyperemia of it, swelling of the upper lip.

Which preliminary diagnosis of the following is MOST probable?

Furuncle nose

 

# 48

*! A 37-year-old man complains of a runny nose, headache, and more in the occipital region. Often spit purulent sputum. Sick for several years. Rhinoscopy: moderate enlargement of the nasal concha. There is no discharge in the upper nasal passage.

Which of the following preliminary diagnoses is MOST probable?

Chron. Purulent sphenoiditis

 

# 49

*! A boy of 3 years old woke up at night from a choking cough, turned blue, became

Breathing with difficulty, then calmed down. The attack was repeated a day later. Objectively: the mucous membrane of the nasal cavity, pharynx is hyperemic.

Which preliminary diagnosis of the following is MOST probable?;

acute laryngotracheitis;

 

# 50

*! A 38-year-old man complains of shortness of breath. The patient's condition of moderate severity, anxiety, inspiratory dyspnea (25 per minute), pale skin, acrocyanosis, stridor, subclavian fossa retraction, surface respiration, pulse - 90 beats / min.

Which preliminary diagnosis of the following is MOST probable?

Laryngeal stenosis, stage 2 subcompensation

 

# 51

*! A 1 year old boy is anxious, refuses food, loose stools. When otoscopy is on the left: the auricle is anterior to the front, in the external auditory canal there is a profuse purulent discharge, the external auditory canal is narrowed, the posterior-upper wall hangs. On the right, the identification circuits are clear.

Which of the following preliminary diagnoses is MOST probable?

* + Otoantritis

 

# 52

*! A man, 45 years old, complains of congestion of the right ear 3rd day, hearing loss. He also notes that he hears his voice as in a barrel. Before that, they had a runny nose, cough for about a week.

Which of the following diagnoses is MOST probable?

++ tubootitis;

 

# 53

*! MOST probable cause of renal colic in patients with kidney damage

Urolithiasis disease

Kidney tuberculosis

Ureteral stone

 

# 54

*! Which of the following is MOST probable in acute catarrhal prostatitis

Acute pain in the perineum

 

# 5 5

*! Which of the following with urethritis is MOST likely in a three-glass sample

Leukocyturia in 1 serving

 

# 56

*! Which of the following is MOST likely with balanoposthitis

* + inflammation of the foreskin and glans penis

# 57

*! Which of the listed paranephritis by localization is found MOST often

Rear

 

# 58

*! In acute parenchymal prostatitis, pain is MOST often localized

In the perineum and in the sacrum

 

# 59

! Total hematuria - THE MOST probable and only sign of the disease

Kidney cancer

# 60

*! MOST characteristic patient behavior for renal colic

Continuously changing body position

 

61. MOST characteristic pains with bladder stones

* + pain in the bladder that occurs when moving

62. A 45-year-old man complains of redness, a foreign body sensation in both eyes, and eyelid adhesion in the morning. Sick for 3 days, onset bilateral, against the background of hypothermia, sore throat, runny nose. Objectively: the eyelids are slightly edematous, open freely, palpation is painless, the crusts of the yellowish discharge are dried up on the eyelashes, superficial injection is moderate, the eyelid conjunctiva is edematous, copious discharge is yellow-green.

What is the most likely conjunctivitis?

Bacterial

 

63. In a 58-year-old woman, a decrease in visual acuity of the right eye to 0.8 (does not correct) was accidentally revealed during a professional examination, IOP according to Maklakov OD / OS = 27/20 mm Hg Gonioscopically clearly visible area of ​​the trabeculae. On the Optical Coherent Tomogram, the area revealed excavation of the optic disc 6/10.

Glaucoma

 

64. A 54-year-old man, working on a milling machine, was injured in the eye by a fragment that bounced off the workpiece.

What research method is MOST indicated for excluding an intraocular foreign body?

X-ray, gonioscopy

 

65. A boy, 12 years old, suffers from rheumatoid arthritis. I went to the ophthalmologist with complaints of redness, decreased vision in the left eye. On examination: visual acuity OD = 1.0, OS = 0.2 n / a. Pericorneal injection. On the cornea for 3 and 9 hours, clouding of the limbus. Irregular pupil due to posterior synechia. In a crystalline lens gentle subcapsular opacities.

Which syndrome is MOST likely?

Inflammatory (anterior uveitis)

66. A man, 39 years old, complained of redness, pain, blurred vision in his right eye. From the anamnesis it is known that I recently had an ARVI. Visual acuity OD = 0.6 n / k On examination: OD - pericorneal injection, ciliary pains on palpation, moisture in the anterior chamber opalescent, precipitates on the corneal endothelium, pupil of irregular shape, hypopion in the anterior chamber.

Iridocyclitis

67. On an ambulance call, a man, 64 years old, is worried about severe pain in his right eye radiating to the corresponding half of his head, nausea, and vomiting. The eye suddenly fell ill in the evening, after nervous stress. Objectively: OD - photophobia, lacrimation, stagnant injection, the cornea is swollen, rough, the anterior chamber is small; the pupil is wide, does not respond to light. Visual acuity OD = incorrect illumination. T n OD = +++

acute attack of glaucoma. 24 hours.

 

68. For which burn is MOST characteristic of the development of collicational necrosis?

Boiling water, steam, alkali.

69. At what stage of age-related cataract is MOST conservative treatment most appropriate?

Initial cataract

 

70

*! Which of the foreign fragments inside the eye is MOST likely to lead to the development of siderosis?

Iron

70. Patient M., 67 years old, who is in a hospital with appendicular infiltrate, who has throbbing pains in the right iliac region and fever up to 39.00С. An ultrasound of the abdominal cavity determines a cavity with a fluid level. What further treatment tactics are MOST appropriate?

* + surgical treatment in an emergency

 

71. A 37-year-old patient, six months after a cholecystectomy performed for chronic calculous cholecystitis, again began to experience pain in the right hypochondrium, periodically accompanied by yellowing of the sclera. Ultrasound examination of the abdominal cavity revealed no obvious pathology from the extrahepatic biliary tract.

Which of the following diagnostic methods in this case is the MOST informative?

* Choledochoscopy. BH blood test for bilirubin fractions. FGDS

72. A patient 56 years two years ago, an ultrasound revealed cholelithiasis. Upon admission to the hospital complains of colicky pain in the right hypochondrium, yellowness of the sclera and integument, skin itching, discoloration of feces and darkening of urine. Body temperature is within normal limits. In a biochemical blood test, the bilirubin level is 122.5 μmol / L.