2020-06-29
1330
#thirteen
*! A man, 25 years old, fell ill acutely with fever up to 40 ° C, headache, vomiting 3 times, weakness. The next day, stiff neck. HELL 90/60 mm Hg, pulse 100 beats / min. In the UAC: white blood cells - 20 x 109 / L. with a shift of the leukocyte formula to the left, ESR - 40 mm / hour, platelets 120 thousand. In cerebrospinal fluid: turbid, follows under pressure, Pandy reaction (+), cytosis due to neutrophils. The doctor has prescribed treatment.
What etiotropic drug is most appropriate in this clinical case? benzylpenicillin
#14
*! A girl of 17 years, sick for a week: bothered by weakness, nausea, vomiting, dark urine, yellowness of the sclera and skin. Studying in college, a classmate is currently in the infectious diseases hospital. Objectively: a state of moderate severity. The skin and sclera of the icteric color. The abdomen is soft, sensitive in the right hypochondrium. Liver 2.0 cm, elastic consistency. The chair is acholic, the urine is dark.
Which marker is MOST likely to be detected during marker diagnostics?
AHAV Ig M
#fifteen
*! A 45-year-old man was admitted to the intensive care unit complaining of severe weakness, nausea, vomiting of coffee grounds, poor sleep, nightmares. Sick for two weeks, at first there were nausea, vomiting, lack of appetite, joint pain. 2 months ago there was an injury, about which he was operated on, notes blood transfusion. Objectively: The condition is severe, hepatic breath, skin and visible mucous membranes intensely icteric. Drowsiness, adynamia are noted. The liver is not palpable. Percussion hepatic dullness above the edge of the right costal arch 2.0 cm. Diuresis adequate, dark urine.
What complication most likely developed in this patient?
Hepatic encephalopathy
#sixteen
*! A 35-year-old man complains of dark urine, acholism of stool. 2 months ago he was treated by a dentist. Sick for 1 week, worried about nausea, vomiting, joint pain. Urine darkened last night; jaundice appeared in the morning. The state of moderate severity, adynamia, skin integuments and visible mucous membranes of the icteric. Liver 2, 0 cm of dense elastic consistency. ALT-1050 Unit, AST - 650 Unit, total bilirubin - 265 mmol / L, direct - 197 mmol / L. ELISA: H In sAg “+”, HBeAg “+”, antiHBeIg M “+”, anti HBc total.
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MOST characteristic changes in the blood with viral hepatitis: leukocytopenia and an increase in ESR
# 17
*! A 35-year-old man complains of dark urine, acholism of stool. 2 months ago he was treated by a dentist. Sick for 1 week, worried about nausea, vomiting, joint pain. Urine darkened last night; jaundice appeared in the morning. The state of moderate severity, adynamia, skin integuments and visible mucous membranes of the icteric. Liver 2, 0 cm of dense elastic consistency. ALT-1050 Unit, AST - 650 Unit, total bilirubin - 265 mmol / L, direct - 197 mmol / L. ELISA: H In sAg "+", HBeAg "+", antiHBeIg M "+".
Which marker indicates hepatitis B virus replication?
AHbE Ag
#eighteen
*! A young man, 19 years old, a resident of the Almaty region, fell ill acutely - from fever, general intoxication, the appearance of a painful ulcer on his right hand (he injured his hand while cutting a hare a. When examined, the condition is moderate, on his right forearm - an ulcer with purulent hemorrhagic discharge), lymphangitis, axillary lymphadenitis on the right (dense, moderately painful).
The MOST informative study necessary to confirm the diagnosis:
Punctate sowing tank
#nineteen
*! A woman, 47 years old, the assistant to the shepherd was admitted to the hospital in serious condition, is inhibited, her skin is hyperemic, three ulcers with purulent hemorrhagic discharge on her left hand, painful, sharply painful, dense, motionless bubo is palpated in the left axillary region. An alleged diagnosis of Plague, skin-bubonic form is made.
What drug should be prescribed? Ciprofloxacin
# 2 0
*! A man, 40 years old, a resident of Kyzyl about the Rda region. Appealed to the Central District Hospital. He became acutely ill: chills, fever, headaches. The situation is forced due to severe pain in the right inguinal region. On examination, inguinal lymph nodes are enlarged the size of a fist, sharply painful, without clear boundaries, motionless, the skin above them is hyperemic. Traces of flea bites and combs were found on the feet and legs.
Which of the following measures is a priority in the tactics of a doctor? Isolate the patient, send an emergency notice
# 21
*! A 48-year-old man, a resident of the Kyzylorda region, was examined by a general practitioner on the 4th day of illness. Complaints of severe headache, chills, body aches, loose stools, nosebleeds. On examination: body temperature - 39.9 ° C, sluggish. Face, neck hyperemic, sclera of the eyes injected. In the axillary areas, an abundant petechial rash. Symptom tourniquet and pinch positive. Heart sounds are muffled, Ps -50 beats. A / D - 90/60. In the lungs - vesicular breathing. The abdomen is soft, painless. Liver increased by 1.5 cm. In the morning there was no urine. The chair is pasty without pathological impurities.
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Which survey will be the MOST informative? ELISA Ig G Ig M
# 22
*! A 33-year-old man, a resident of the Zhambyl region, was examined by a general practitioner on the 4th day of illness. Complaints of severe headache, chills, body aches, loose stools, nosebleeds. On examination: body temperature - 39.9 ° C, sluggish. Face, neck hyperemic, sclera of the eyes injected. On the body, on the back of the thighs, is an abundant petechial rash. Symptom tourniquet and pinch positive. Heart sounds are muffled, Ps -56 beats. A / D - 90/60. In the lungs - vesicular breathing. The abdomen is soft, painless. The liver is enlarged by 1.5 cm.
What material from the patient should be examined to confirm the diagnosis? blood
Test tasks of the 2nd stage of the final control in the discipline "Children's infectious diseases" for 4th year students "General Medicine"
St level
#1
*! What kind of breathing is considered to be rapid for a boy 1 year 6 months. on the program of IMCI?
*thirty
* 36
* 42
* 38
* 34
# 2
*! The causative agent of diphtheria belongs to the genus:
* Corynebacterium
* Yersinia
* Neisseria
* Listeria
* Salmonella
# 3
*! What is the MOST characteristic stool for salmonellosis?
* Profuse, watery in the form of "rice broth"
* Profuse, watery, with mucus
* Liquid, with mucus, herbs, in the form of "swamp mud"
* Liquid without pathological impurities
* Liquid, in the form of "rectal spitting"
#4
*! Which of the following markers confirms the diagnosis of acute viral hepatitis B?
* anti-HCV IgM
* anti-HBcor IgM
* anti-HD IgM
* anti-HAV IgM
* anti-HFV IgM
#5
*! The leading route of transmission of meningococcal infection:
*water
* contact household
* food
*vertical
* airborne
# 6
*! The most characteristic rash for scarlet fever
* finely spotted
* small point
* maculopapular
* vesicular
* hemorrhagic
Nd level
# 7
*! A boy, 1.5 years old, is admitted to the infectious diseases hospital on the 2nd day of illness with complaints of a rise in body temperature to 38.5 ° C, lethargy, weakness, loss of appetite, profuse serous discharge from the nose, and a wet cough. When examined by a doctor, the conjunctiva of the eyes is hyperemic, the face is pasty.
Which of the following pathogens can be the etiology of this disease?
* PC virus
* Rubeola virus
* CMV
* Adenovirus
* Enterovirus
#8
*! A boy, 4 years old, is admitted to the infectious diseases hospital on the 2nd day of illness with complaints of a rise in body temperature to 37.5 ° C, weakness, malaise, decreased appetite, sneezing, profuse serous discharge from the nose, and an infrequent cough. When examined by a doctor, maceration of the skin around the nose, conjunctiva of the eyes is hyperemic, lacrimation, moderate hyperemia and swelling of the posterior pharyngeal wall, palatine arches, tongue.
What changes in the KLA will help in the diagnosis?
* leukocytosis
* lymphocytosis
* monocytosis
* significantly accelerated ESR
* eosinophilia
#9
*! Boy, 5 years old, the disease began acutely. Complaints: rise in body temperature to 37, 9 ⁰ C, nausea, vomiting, abdominal pain. On examination: the condition is moderate, there is a noticeable swelling of both salivary glands. Abdomen: of the usual form, with palpation tenderness in the upper half is noted. In the KLA: leukopenia, lymphocytosis, ESR is normal. I did not receive preventive vaccinations due to the refusal of my parents.
Which of the preliminary diagnoses is MOST probable in this patient?
*cholecystitis
*appendicitis
* mumps infection, pyelonephritis
* salivary stone disease + meningitis
* mumps infection: mumps + pancreatitis
#10
*! Girl, 3 years old, sick 4 days. On examination, the body temperature of 38.5 of pale, flaccid. Edema of the cervical tissue to the 2nd cervical fold. The soft tissues of the oropharynx are swollen, the tonsils are covered with dense, dirty gray deposits. The child is not vaccinated due to allergies.
Which of the following preliminary diagnoses is MOST probable?
* diphtheria of the oropharynx, toxic form
* diphtheria of the oropharynx, localized form
* tonsillitis of Simanovsky-Rauchfus
*Infectious mononucleosis
* necrotic tonsillitis
#eleven
*! A boy of 4 years. Sick day 1, the disease started acutely with fever to 39 of the C, abdominal pain, nausea, vomiting 3-4 times. Objective data: the child is restless. The skin fold straightens immediately. The abdomen is soft, painful in the left iliac region. Palpated spasmodic sigma, painful, tenesmus, gaping anus. The stool is thin, sparse with mucus and streaks of blood.
Which of the following preliminary diagnoses is MOST probable?
* Salmonellosis
* Escherichiosis
* Yersiniosis
* Shigellosis
* Klebsiellosis
#12
*! Boy, 6 months., Contracted sharply with the temperature rising to 38.7 for C, vomiting, foamy liquid stools without pathological impurities. On examination, the child is restless, lacks appetite, drinks readily, sunken eyes, skin fold straightens slowly, moderate catarrhal phenomena in the oropharynx, vomiting 4 times was observed per day, 10 times stool per day.
According to the IMCI program, the MOST appropriate degree of dehydration
* severe dehydration
* latent dehydration
* moderate dehydration
* prolonged dehydration
* no dehydration
#thirteen
*! The boy is 11 years old. Sick 5th day. The onset of the disease with subfebrile condition, vomiting, abdominal pain, after 3 days the temperature returned to normal, but the urine darkened and yellowness of the sclera and then the skin appeared. On examination: the liver is 2-2-3 cm., Tightly elastic, with rounded edges, edges, sensitive. From epid. history: child 2 months. erythrocyte mass was poured back.
Which of the following preliminary diagnoses is MOST probable?
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* viral hepatitis B, subclinical form
* viral hepatitis B, icteric form
* viral hepatitis B, erased form
* viral hepatitis E, icteric form
* viral hepatitis A, subclinical form
#14
*! A girl, 7 years old, fell ill acutely. Complaints: a rise in body temperature to 37.3 ° C, nausea, single vomiting, pain in the right hypochondrium, darkening of urine, discoloration of feces, yellowness of the skin and sclera. A child 2 weeks ago was in contact with a patient with viral hepatitis in the classroom. In biochemical analysis: vol. Bilirubin - 85 μmol / L, direct fraction - 60 μmol / L, ALT – 5.5 mmol / L, AST – 4.0 mmol / L, thymol sample –12 units.
Which of the following preliminary diagnoses is MOST probable in this case?
* viral hepatitis E, typical form, severe
* viral hepatitis A, atypical form
* viral hepatitis B, typical form, moderate
* viral hepatitis A, typical form, mild
* viral hepatitis C, typical form, mild
#fifteen
*! Boy, 6 years old, was taken to hospital with complaints of fever to 38.5 for C, vomiting, severe headache. On examination: small vesicular eruptions on the mucous arches in the oropharynx. The stiff neck is positive. Lumbar puncture was performed. In the liquorogram: cytosis - 221 cells, lymphocytes - 85%, protein - 0.3 g / l, sugar - 3.2 mmol / l.
MOST probable preliminary diagnosis
* pneumococcal meningitis
* staphylococcal meningitis
* meningococcal meningitis
* meningism
* enteroviral meningitis
#sixteen
*! Boy, 4 years old. The disease started with a rise in body temperature to 40 on C, repeated vomiting, headache. After 8 hours from the onset of the disease, the mother noticed a star-shaped rash on the body, mainly in the buttocks, lower leg, and thighs.
Which of the following pathogens can be the MOST likely cause of the disease?
*enterovirus
*streptococcus
* meningococcus
* staphylococcus
* hemophilic bacillus
# 17
*! At the appointment with the local doctor, girl, 4 years old. Complaints from the mother’s words: on a rise in body temperature to 39.0ºС, cough, runny nose, on the 4th day of illness there was a pronounced weakness, rapid heartbeat, pallor of the face, shortness of breath. Upon examination by a doctor: the child is lethargic, scleral vascular injection, cyanosis of the nasolabial triangle, chest chest retraction are noted.
Classify according to the IMCI Program:
uncomplicated fever
* severe pneumonia or very serious illness
* cough or cold
lingering fever
* pneumonia
#eighteen
! * Girl 7 years old, was admitted to the emergency ward of infectious hospital with complaints of: increasing the temperature of the body up to 39 of the C, lethargy, pain when swallowing, conjunctivitis, swollen lymph nodes. They live in a private house, has cats and dogs.
Which of the following diagnoses is MOST probable?
* Listeriosis
*Infectious mononucleosis
*HIV infection
* Purulent tonsillitis
*Plague
#nineteen
*! The girl is 9 years old. Within 2 weeks fatigue, loss of appetite. 4 days ago, there was an increase in temperature to 40C, chills, profuse sweating, pain in the knee and hip joints, muscle pain. On examination: the joints are not changed. Lymphadenopathy, hepatosplenomegaly. The child lives in the countryside, caring for goats.
Which of the following is the MOST likely cause of the disease?
* Listeria
* Legionella
* Corynebacterium
* Brucella
* Iersinia
#twenty
*! A newborn boy has congenital malformations: congenital heart disease and blindness. When collecting an anamnesis, it was found out that the mother was not observed at the gynecologist during pregnancy. At the 18th week of pregnancy she underwent acute respiratory viral infections in a mild form, with a small-spotted rash throughout the body, face, and extremities against an unchanged skin background with thickening on the extensors. It was treated at home.
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What disease is MOTION most likely her mother suffered during pregnancy?
* Yersiniosis
* Measles
* Scarlet fever
* Rubella
* Chickenpox
# 21
*! Boy, 5 years old. Addressed to the local doctor complaining of lifting temperatures s body to 38,3 ° C, cough, shortness of breath. On skin integuments brown pigmentation, pityriasis peeling. In the lungs breathing weakened, in the lower parts of an e their lungs finely wheezing. With anxiety, shortness of breath is enhanced, cyanosis of the nasolabial triangle appears. According to my mother, 8 days ago, the child had a "B infection, allergic rash."
Which of the following preliminary diagnoses is MOST probable?
* to a swelling complicated by pneumonia
* ska rlatina, toxic form
* measles complicated by pneumonia
* To GPL complicated myocarditis
* adenovirus infection complicated by pneumonia
Rd level
# 22
*! H and the reception at the GP boy 3 years. F COMPLAINTS s according to his mother on: rough cough, body temperature rise to 38.0 for C, shortness of breath, pronounced lethargy and pallor. Sick for 2 days. Home treatment: paracetamol, inhalation with mineral water. On examination: the boy is lethargic, stridor and chest pulling are noted.
MOST n correct actions of the local doctor according to the IMCI:
* outpatient treatment, give paracetamol and a suitable antibiotic for 5 days
* Immediately send to the hospital, give the first dose of a suitable antibiotic
* give a suitable antibiotic within 3 days, send for examination
* outpatient treatment, soften the throat and relieve cough with a safe means
* administration of the first dose of the antibiotic and observation
# 23
*! Boy, 7 years old, ill acute fever with chills up 39,5ºS, there was a headache in the frontal region, in the area of the eye sockets, pain and sore throat, muscle aches, stuffy nose. Epidanamnesis - 3 days ago an older boy was sick in the family. On examination, the state of moderate severity, the face is hyperemic, vascular injection of the sclera, the pharynx is brightly hyperemic, the nose is blocked, breathing through the nose.
Which of the following drugs is the most appropriate in etiotropic therapy?
* benzylpenicillin
* ascorutin
*aspirin
* oseltamivir
* gamma globulin
# 24
*! At the doctor’s appointment, the boy is 11 months old, 10 kg. According to his mother, he fell ill acutely. Complaints to: the increase in body temperature to 37.4 of C, cough, shortness of breath. On examination: clear consciousness, body temperature is normal, vomiting, no cramps, respiratory rate - 54 in 1 minute, nasal congestion, asthmoid breathing are noted.
The primary action of the doctor according to the program of IVBDV:
* Eufillinum inside - 3 times a day
* salbutamol aerosol - 3 cycles with an interval of 20 minutes through a spacer
* aerosol beclason - 2 cycles with an interval of 20 minutes through a spacer
* prednisolone v / m, inhalation 0.9% r / rum NaCl
* inside amoxicillin, urgent hospitalization
# 25
*! I m boy and, 4 years old, was admitted to the hospital on the third day of the illness marked increase in body temperature up to 39,0S, lethargy, adynamic, paleness, headache. On examination, the tonsillar lymph nodes are moderately enlarged, slightly painful on palpation; on the mucous membrane of the tonsils, soft palate and arches there is a film of grayish-white color, “+ tissue”, it is removed with difficulty, the removed surface bleeds.
Prescribing which of the following is the most appropriate?
* diphtheria th serum and
* antistaphylococcal bacteriophage
* chloramphenicol succinate
* DTP vaccine
* fluconazole
# 26
*! The girl is 11 months old, weight is 9 kg. Sick on the 3rd day. Mother’s complaints: temperature increase to 38.8 0 C, anxiety, decreased appetite, repeated vomiting up to 4 times during the first day, watery yellow stool in small portions. On examination: the eyes are sunken, he drinks the liquid with pleasure, the skin fold straightens out slowly.
What is the MOST appropriate dehydration treatment plan for IMCI?
* Plan A
*Plan b
* Plan B
* Plan A + smecta
* Plan B + probiotics
# 27
*! A 13-year-old boy is in the hospital on the 20th day. Complaints about: skin itching, on the abdomen and legs traces of scratching. The skin and sclera are intensely yellow. Liver-4-5-5 cm, dense-elastic consistency. Urine is dark, feces are discolored. In the biochemical analysis of blood: total bilirubin-170 μmol / L, direct fraction-115 μmol / L, ALT-5.5 mmol / L, AST-3.3 mmol / L. In ELISA anti-HBc IgM and anti-NDV IgM.
Which of the following drugs is MOST effective in this case?
* ursodeoxycholic acid
* ganciclovir
* Fertal
* pegintron
* allochol
# 28
*! A girl, 6 years old, attends a group of kindergarten, where there were cases of acute respiratory infections, was admitted to the hospital on the 6th day of illness. The disease began against a background of normal temperature and the appearance of a runny nose and cough. On the 5th day of the disease, a temperature suddenly appeared up to 40.0 0 C, the condition worsened, lethargy, adynamia, headache, frequent vomiting that was not associated with eating appeared. Upon admission, the general condition is extremely serious, the consciousness is foggy, it reacts poorly to injections, the pupils are dilated, and do not react to light. Stiff neck. General hyperesthesia.
What examination is the most appropriate in this situation?
* blood for ELISA, PCR
* Spinal puncture
* Abdominal ultrasound
* EEG
* Chest x-ray
# 29
*! The boy is 11 years old, within 9 days weakness, fatigue is noted. 2 days ago there was a rise in temperature to 39 of the C, chills, sweating, pain in the knee joints, muscle pain. On examination: the joints are not changed. An increase in inguinal and axillary lymph nodes, moderately painful on palpation, is noted. From an epidemiological history: I used raw milk two weeks ago.
Which of the following examination methods is MOST justified for diagnosis?
* Wright and Heddelson reaction
* blood on a thick drop
* Tsuverkalov test
* cultivation on chicken embryos
* biological sample
#thirty
*! Boy, 9 years old. Complaints: fever, vomiting, headache, shaky gait. 10 days ago I suffered a disease that occurred with a profuse rash, fever. On examination: body temperature is -39 to C, slurred speech, tremors. On the skin of the body, including the scalp, pigment spots, stiff neck, upper Brudzinsky - positive.
Which of the following drugs is the most appropriate in etiotropic therapy?
* Chloramphenicol
* Lincomycin
* Acyclovir
* Ribavirin
* Oseltamivir
#1
⃰! With pregnant hypertension increases:
* + thromboxane
* prostoglandin E
* oxytocin
* prolactin
* prostacyclin
# 2
*! With pregnant hypertension decreases:
* + prostacyclin
* prostaglandin E
* oxytocin
* prolactin
* thromboxane
# 3
*! A virgin born 23 years old was delivered to the hospital after the convulsions that were at home. Pregnancy 37-38 weeks. Status cha said heavy consciousness hindered. HELL 150/100 mm RT. Art., pulse 98 beats per minute. Severe swelling on the legs. Determine the tactics of pregnant woman:
* prolongation of pregnancy during treatment
* carrying out complex intensive care for 2-3 days
* + hospitalization for intensive care
* labor with subsequent application of obstetric forceps
* preparation of the birth canal with the aim of induction of labor
#4
*! The maternity unit of the department of pathology of pregnancy again translated Rodia 26 years from the onset of labor. The pathology of pregnancy was diagnosed: Be the belt 37 weeks. Mild preeclampsia. When translating blood pressure 140/95 mm RT. Art., protein in the urine of 1.32 g / l, pastes of the legs. Doctor tactics?
* + amniotomy
* thorough pain relief in labor
* antihypertensive therapy
* oxygen therapy
* observation in dynamics
#5
*! The pre-pregnant registered at 10 weeks in the antenatal clinic. Complaints of nausea, vomiting. Preliminary diagnosis: moderate early toxicosis.
What is the MOST probable rate of vomiting per day in a pregnant woman?
* up to 5
*up to 15
* + up to 10
* less than 3
* more than 20
# 6
*! What is the MOST recommended drug for emergency care in severe preeclampsia?
* run up
* diazepam
* amyphyllin
* carbamazepine
* + magnesium sulfate
# 7
*! With pregnant hypertension, platelet count:
* y is
* + decreases
* not changing
* disappears
* slightly increased
#8
*! Characteristic changes in blood with pregnant hypertension:
* + magnesium deficiency
* increase in magnesium levels
* magnesium level does not change
* estrogen level decreases
* progesterone levels increase
#9
*! The main effect of magnesium sulfate in the treatment of severe preeclampsia:
* antihypertensive
* sedative
* diuretic
* + seizure prevention
* analgesic
#10
*! The main drug in the intensive treatment of preeclampsia:
* amyphyllin
* + magnesium sulfate
* diuretics
* sedatives
* antispasmodics
#eleven
*! The main effect of antihypertensive drugs in the treatment of severe preeclampsia:
* + prevention of cerebral hemorrhage
* sedative
* diuretic
* prevention of seizures
* diuretic
#12
*! Severe hypertension in pregnant women is characterized by:
* chronic kidney disease
* metabolic disorders
* + multiple organ failure
* insufficiency of the cardiovascular system
* endogenous intoxication during pregnancy
#thirteen
*! Causes of pregnant hypertension:
* dysfunction of the cardiovascular system
* n gastrointestinal tract
* + violation of the neuro-reflex interaction between the central nervous system and organs
* violation of the endocrine system
* impaired liver function
#14
*! Pregnant hypertension is considered:
* + increase in blood pressure 140/90 mm Hg and higher
* HELL 130 \ 80 mmHg
* increase in diastolic pressure by 15% from the initial
* increase in systolic and diastolic pressure by 20% from the initial
* increase in systolic pressure by 15% from the initial
#fifteen
*! The main signs of preeclampsia:
* increase in blood pressure
* swelling
* increase in blood pressure + edema
* proteinuria
* + increase in blood pressure + proteinuria
#sixteen
*! In a pregnant woman with severe preeclampsia, for the purpose of symptomatic anticonvulsant treatment, maintenance therapy of 25% -80.0 magnesium sulfate is carried out. Against the background of the therapy, a decrease in the frequency of respiratory movements to 12 per minute, a decrease in tendon reflexes was noted.
Which of the following is MOST recommended intravenously in the first place?
* glucose 5%
* glucose 10%
* + calcium gluconate 10%
* proserin 0.05%
* sodium chloride 0.9%
# 17
*! Hypertension associated with pregnancy is characterized by an increase in mean arterial pressure (compared to working pressure) by:
* 5 mm. Hg
* 10 mm. Hg. Art.
* +? 15 mm Hg. Art.
* 20 mmHg Art.
* 25 mmHg st
# 18
*! In a woman in labor in the II stage of labor, an increase in blood pressure is 180/110 mm Hg. Art. The fetal head in the exit plane of the pelvis. Your tactics:
* perform a cesarean section
* give anesthesia, apply obstetric forceps
* perform pudental anesthesia, apply obstetric forceps
* + apply controlled normotonia
* to shorten the II stage of labor to produce perineotomy
# 1
*! When preeclampsia is noted:
* increase in the number of red blood cells
* increased platelet count
* hypocoagulation
* + hypercoagulation
* decrease in hemotocrit
# 2
*! According to the clinical protocols of the MHRC, what is the MOST probable management strategy for pregnant women with mild preeclampsia?
*ambulatory treatment
* + careful outpatient monitoring
* Treatment at a level 1 obstetric institution
* Level 2 Maternity Care
* treatment at a level 3 maternity hospital
# 3
*! In a pregnant woman with severe preeclampsia, for the purpose of symptomatic anticonvulsant treatment, maintenance therapy with magnesium sulfate is carried out. What is the MOST optimal way to administer the indicated dose of magnesium sulfate?
* enteral
* intraarterially
* intravenously jet
+ * intravenous drip
* intramuscularly slowly
#4
*! Features of management of the first stage of labor with mild preeclampsia in combination with SZRP:
* + epidural anesthesia
* appointment of antispasmodics
* magnesia therapy
* the appointment of antipsychotics
* appointment of analgesics
#5
*! According to the clinical protocols of the MHRC, what is the MOST probable management strategy for pregnant women with severe preeclampsia?
*ambulatory treatment
* careful observation
* Treatment at a level 1 obstetric institution
* Level 2 Maternity Care
* + treatment at level 3 obstetric institution
# 6
*! In a pregnant woman with severe preeclampsia with the goal of symptomatic anticonvulsant treatment, 5 grams of dry matter of magnesium sulfate is slowly administered intravenously as a loading dose over 5 minutes.
What is the MOST optimal maintenance dose of magnesium sulfate in grams / hour for 24 hours?
*1
* + 2
* 3
*4
* 6
# 7
*! A woman in labor P., 24 years old, diagnosed with Pregnancy 37 weeks. Severe preeclampsia. The first period of childbirth. Antenatal hypoxia of the fetus. Your tactics:
* position on the left side
* oxygen therapy
* amniotomy
* + delivery by cesarean section (in my opinion: with preeclampsia, delivery takes place using cesarean section, because physiological birth can cause a seizure)
* 5 units of oxytocin per 500 ml of physiological saline solution in / drip
#8
*! The criterion for the severity of pre-eclampsia of pregnancy is: (I found exactly such a question on the Internet, but there are 4 correct ones, there was a correct var: all of the above)
* + disease duration
* + the presence of concomitant somatic diseases
* Amniotic fluid volume
* + ineffectiveness of the therapy
* + fetal growth retardation syndrome
#9
*! Indication for early delivery in hypertensive conditions is:
mild preeclampsia
* the presence of immature birth canal
* low water
* long course
* + severe preeclampsia
#10
*! A pregnant woman in a gestational age of 37 weeks has the following: HELL 140/90 mm Hg. Art., in the general analysis of urine - protein 0.35 g / day. What is the most likely diagnosis:
* + mild preeclampsia
* moderate preeclampsia
* severe preeclampsia
*eclampsia
* pregnancy-induced hypertension
#eleven
*! Pregnant I., 22 years old with a gestational age of 17-18 weeks, is in the antenatal clinic. The patient periodically increases diastolic pressure to 90 mm RT. Art and more. Which of the following preliminary diagnoses is the most likely:
* mild preeclampsia
* chronic hypertension with associated mild preeclampsia
* pregnancy-induced hypertension
* + chronic hypertension
* severe preeclampsia
#12
*! The most important criterion for the diagnosis of pregnant hypertension is:
* average blood pressure value
* + value of diastolic pressure
* value of pressure at the beginning of pregnancy and
* systolic pressure value
* pulse pressure value
#thirteen
*! Which of the following is the MOST common complication in a pregnant woman with chronic hypertension?
* pregnancy overtaking
* spontaneous miscarriage
* premature birth
* preeclampsia +?
* polyhydramnios
#14
*! What is the MOST characteristic of severe preeclampsia?
* HELL 130/80 mm Hg st proteinuria 0.033 g / day
* HELL 140/90 mm Hg, proteinuria 0.3 g / day
* HELL 150/90 mm Hg, proteinuria more than 0.3 g / day
* + HELL 160/110 mm Hg, proteinuria more than 0.3 g / day
* HELL 180/120 mm Hg, convulsions, proteinuria 3 g / day
#fifteen
*! A 24-year-old pregnant woman complains of pain in the epigastric region. Examination: Pregnancy 31-32 weeks. HELL - 160 / 100mm Hg, 170/110 mm Hg, urine protein - 3.0g / l, pronounced swelling on the legs, on the anterior abdominal wall. Your diagnosis:
* pregnancy 31-32 weeks. Gestational hypertension.
* pregnancy 31-32 weeks. Mild preeclampsia.
* pregnancy 31-32 weeks. Arterial hypertension
* + pregnancy 31-32 weeks. Severe preeclampsia.
* pregnancy 31-32 weeks. Eclampsia.
#sixteen
*! In a repeated pregnancy with a gestational age of 32 weeks, complaints of pain in the epigastric region. Marked generalized edema is noted. HELL - 160/90 mm Hg, 160/90 mm. Hg. Art., in the urine protein 3.0 g / l. Most likely diagnosis:
* arterial hypertension caused by pregnancy
* arterial hypertension of the II degree
mild preeclampsia
* + severe preeclampsia
* NDC by hypertonic type
# 17
*! The most probable diagnostic criteria for severe preeclampsia (according to the protocols of the Ministry of Health of the Republic of Kazakhstan 2010):
* + Blood pressure ≥160 / 110 mmHg, proteinuria> 0.3 g / l
* HELL ≥160 / 110 mmHg, no proteinuria
* Blood pressure ≤140 / 90 mmHg, proteinuria ≤ 0.03 g / l
* HELL ≤140 / 90 mmHg proteinuria ≤ 1.0 g / l
* moderate edema, proteinuria ≤ 1.0 g / l
#eighteen
*! The most probable diagnostic criteria for mild preeclampsia (according to the protocols of the Ministry of Health of the Republic of Kazakhstan 2010):
* Blood pressure ≥160 / 110 mmHg, proteinuria> 3.0 g / l
* HELL ≥160 / 110 mmHg, no proteinuria
* HELL ≥140 / 90 mmHg, proteinuria ≥ 3.0 g / l
* + HELL ≤140 / 90 mmHg proteinuria ≤ 0.3 g / l
* moderate edema, proteinuria ≤ 0,033 g / l
#nineteen
*! With hypertension, pregnancy is most often more often complicated:
* development of severe preeclampsia
* extensive cerebral hemorrhage
* premature birth
* prenatal rupture of membranes
* + premature placental abruption
#twenty
*! What method of treatment choice for regulating preeclampsia / eclampsia is the most studied, effective and safe:
* + m agnesia therapy
* prostaglandin therapy
* B blocker therapy
* dopegit 10 mg * 2 times a day
* vasodilator miotropic action with an initial dose of 0.25 mcg / kg / min
# 21
*! A patient with a gestational age of 17-18 weeks is in the antenatal clinic. The patient periodically increases diastolic pressure of 90 mm RT. Art. and more. An examination revealed proteinuria of 0.06 g / l, with fatigue, headache. Most likely diagnosis:
* + chronic hypertension
* chronic hypertension with the addition of mild preeclampsia
* gestational hypertension
* mild preeclampsia
* severe preeclampsia
# 22
*! In primogenous 20 years after 10 minutes of the subsequent period, blood loss of 500.0 ml continues. What is your most likely tactic?
* intravenously drip 5 U of oxytocin per 500 ml of physiological saline
* manual separation and separation of the placenta
* administration of misoprostol 1000 mg
* +? external uterine massage
* intravenously drip 10 PIECES of oxytocin per 500 ml of physiological saline
# 23
*! 10 minutes after an urgent delivery, the last was released, when examined, integrity is in doubt. The uterus is dense. Blood loss - 300.0. Your tactics:
* observation
* manual examination of the uterine cavity
* curettage of the uterus
* + manual separation and allocation of delayed parts of the afterbirth
* Ultrasound OMT
# 24
*! If you suspect a placenta previa, the doctor of the antenatal clinic has no right to conduct:
* history taking
* external obstetric examination
* + vaginal examination
*ultrasound procedure
* examination of the cervix in the mirrors
# 25
*! Premature detachment of a normally located placenta. The head in the plane of entry into the pelvis. HELL 90/60, pulse 102 beats per minute. The fetal heartbeat is clear rhythmic up to 90 beats per minute. Obstetric tactics?
* obstetric forceps
* stimulation with oxytocin
* + cesarean section
* conservative birth management
* hemostatic therapy
# 26
*! Premature detachment of a normally located placenta. The fetal head in a wide part of the pelvic cavity. The symptoms of significant internal bleeding are determined. The fetal heartbeat is clear, rhythmic up to 160 beats per minute. Doctor tactics?
* stimulation with oxytocin
* +? amniotomy
* +? cesarean section
* obstetric forceps
* fetal vacuum extraction
# 27
*! The postpartum hemorrhage amounted to 800.0 ml. diagnosed with Early postpartum period. Atonic bleeding. Select the volume of infusion-transfusion therapy:
* blood substitutes in the amount of 100% blood loss
* crystalloids up to 2000.0 ml
* FFP 1000.0 ml
* colloids 1000.0 ml
* transfusion of red blood cell mass - 100%
# 28
*! On an ultrasound of the fetus, placenta previa was diagnosed. In the conditions of the antenatal clinic, relevant recommendations are given. With placenta previa, bleeding often occurs for the first time, in what period of pregnancy:
* 8-12 weeks
* + 16-20 weeks
* 22-24 weeks
* 28-32 weeks
* 36-40 weeks
# 29
*! A woman in labor after 6 hours from the onset of labor has given birth to a female fetus without complications. Your actions and why?
* i / m administration of oxytocin 10 units, for the treatment of atonic bleeding
* iv oxytocin 5 units., for the treatment of atonic bleeding
* + i / m administration of oxytocin 10 PIECES., with the aim of preventing atonic bleeding
* v / m administration of oxytocin 5ED, with the goal of preventing atonic bleeding
* on / in the introduction of oxytocin 10 PIECES. for the prevention of atonic bleeding
#thirty
*! The main risk group for premature detachment of a normally located placenta is pregnant:
* multiparous
* + with gestosis
* with large fruit
* with symptoms of preterm birth
* with anatomically narrow pelvis
# 31
*! In a woman in labor, after the placenta has been isolated, bleeding from the genital tract began, the uterus is dense, the bottom of the uterus is at the navel, the placenta is defective, and the birth canal is intact on the mirrors.
What is the MOST likely cause of bleeding in the early postpartum period?
uterine atony
* cervical rupture
* true increment of the placenta
* delay of parts of the placenta in the uterus
* +? tight attachment of the placenta
# 32
*! In a pregnant woman with a narrow pelvis during ultrasound examination at 34 weeks it was revealed that the placenta completely overlaps the internal pharynx, on MRI - signs of " placentaaccreta ".
Which of the following creates the highest risk of placenta accreta true «placentaac with reta»?
* narrow basin
* large fruit
* + placenta previa
* pelvic presentation of the fetus
* transverse position of the fetus
# 33
*! In a woman in labor immediately after the birth of a newborn weighing 4100.0 g against the background of rhodostimulation with oxytocin, bleeding from the genital tract began, the uterus is dense, the bottom of the uterus is at the navel, there are no signs of separation of the afterbirth.
What is the MOST likely cause of bleeding in the following period?
uterine atony
* cervical rupture
* placenta previa
* true increment of the placenta
* tight attachment of the placenta
# 34
*! A pregnant woman with placenta previa at a rate of 37 weeks appeared with bleeding from the genital tract in an amount of 250.0.
What is the MOST probable future tactic?
* treatment in a day hospital
* hospitalization, planned caesarean section
* hospitalization, cesarean section at 40 weeks
* + hospitalization, emergency cesarean section
* hospitalization, observation before spontaneous delivery
# 35
*! A woman in labor 30 minutes after the birth of the baby has no signs of separation of the placenta. When trying to manually separate the placenta, a complete true increment of the placenta was found. Medical Tactics:
* +? hysterectomy
* +? supravaginal amputation of the uterus
* Expectant tactics for 1 hour
* intravenous administration of oxytocin
* intravenous administration of methylergometrine
# 36
*! Upon admission to the maternity hospital primiparas N., 36 years old, diagnosed with Pregnancy 42 weeks. Objectively: the fetal position is longitudinal, the head is present, the fetal heartbeat is clear, rhythmic, 140 beats. in minutes Estimated fetal weight 4000.0. Vaginal examination: cervix on the Bishop scale of 6 points. Doctor Tactics:
* preparation of the body for childbirth within 2 days
* preparation of the body for childbirth within 5 days
* amniotomy, labor excitement
* +? emergency caesarean section (because on the Bishop scale the uterus is mature, but a large fetus)
* planned cesarean section
# 37
*! A pregnant woman with a gestational age of 38 weeks was diagnosed with an ultrasound scan of placenta previa, no complaints, no bleeding. Medical Tactics:
* + hospitalization, cesarean section in a planned manner
* hospitalization, emergency caesarean section
* hospitalization, cesarean section in the period of 40 weeks
* hospitalization, observation before labor
* outpatient monitoring, hospitalization with the onset of labor
# 38
*! The most common cause of the development of the uterus of the Kueveler (uterine apoplexy):
* complete placenta previa
* incomplete placenta previa
* cervical rupture
* + premature detachment of a normally located placenta
* placental abnormality
# 39
*! A 23-year-old patient has aching pains in the lower abdomen, scanty spotting from the genital tract. From the anamnesis: last menstruation 1.5 months ago, a positive pregnancy test, this pregnancy 4th, previous pregnancies spontaneously interrupted in early terms. When a vaginal examination: the cervix is cylindrical, the external pharynx is closed, the uterus is enlarged up to 6 weeks of pregnancy, its tone is increased, the appendages are not detected, the vaginal arches are deep.
What is the MOST recommended treatment?
* hemostatic
* antispasmodics
* bed rest
* sedatives
* + progesterone preparations
# 40
*! The patient complains of cramping pains in the lower abdomen, moderate spotting from the genital tract. From the anamnesis: last menstruation 2 months ago, a pregnancy test is positive. With a vaginal examination: the external pharynx of the cylindrical cervix is closed, the uterus is enlarged up to 6 weeks of pregnancy, its tone is increased, the uterus is not detected. Ultrasonography: anembryony.
What is the MOST recommended physician tactic?
* antispasmodics
* bed rest
* progesterone preparations
* curettage of the uterine cavity?
* uterine suction curettage?
# 41
*! Spontaneous abortion is an abortion:
* up to 28 weeks
* up to 24 weeks
* + up to 22 weeks
* up to 16 weeks
* up to 12 weeks
# 42
*! The patient turned to medical abortion for a delay of 42 days. The doctor prescribed mifepristone 200 mg orally.
What is the MOST recommended dose of misoprostol in mcg?
* 200
* + 400 in the duct?
* 600
* 800
* 1000
# 43
*! In a pregnant woman with gestational hypertension with a period of 32 weeks, complaints of bursting pain in the lower abdomen, spotting from the genital tract. Objectively: the uterus is tense, local tenderness, the fetal heartbeat is muffled, 170 beats per minute.
What is the MOST likely cause of bleeding?
* uterine rupture
*cervical erosion
* placenta previa
* varicose veins of the vagina
* + premature detachment of a normally located placenta (in my opinion)
# 44
*! The first pregnant 33 years old with chronic arterial hypertension at the age of 35 weeks complained of bursting abdominal pain, bloody discharge from the genital tract. Objectively: blood pressure 160/90 mm Hg, pulse 84 beats per minute, the uterus is excitable, local pain on the anterior wall of the uterus, fetal heartbeat 148 beats per 1 minute, no edema, discharge from the genital tract is bloody, moderate, sufficient diuresis, proteinuria no.
What is the most likely diagnosis in a pregnant woman?
* eclampsia
* uterine rupture
* preeclampsia
* placenta previa
* + premature detachment of a normally located placenta (in my opinion, because there is bleeding but no protenuria)
# 45
*! During an operation of cesarean section about premature detachment of a normally located placenta, a uterine bluish-purple uterine was found.
What is the MOST probable diagnosis?
uterine atony
* + uterus of Kueveler
* true increment of the placenta
* tight attachment of the placenta
* varicose veins of the uterus
# 46
*! Which of the following examination methods is MOST important for a progressing ectopic pregnancy:
* immunological reaction
* + Pelvic ultrasound
* puncture of the back arch
*laparoscopy
* diagnostic curettage of the uterine cavity
# 47
*! Patient A., 24 years old, was admitted with complaints of pain in the lower abdomen and spotting from the genital tract with a delay of menstruation for 2 weeks. HELL 100/60 mm RT. st, pulse 90 beats / min. On the mirrors: cyanosis of the cervical mucosa, bloody, dark discharge. P V: the uterus is slightly enlarged, mobile, on the right in the area of the appendages is determined the formation of a painful, test-like consistency. The back arch is flattened, painful. What is the most likely diagnosis:
* endometriosis
* incomplete abortion
* + ectopic pregnancy
uterine fibroids
* dysfunctional uterine bleeding
# 48
*! The patient complains of aching pains in the lower abdomen, scanty spotting from the genital tract. From the anamnesis: last menstruation 2 months ago, a pregnancy test is positive. With a vaginal examination: the external pharynx of the cylindrical cervix is closed, the uterus is in hypertonicity, increased to 8 weeks of pregnancy, the uterine appendages are not detected, the arches are deep.
What is the MOST probable diagnosis?
* abortion on the move
* incomplete abortion
* threatening abortion
* non-developing pregnancy
* interrupted ectopic pregnancy
# 49
*! Tactics of a doctor in the 3rd stage of labor with a true increment of the placenta?
* manual separation of the placenta
* +? amputation of the uterus
* iv drip 5 units of oxytocin
* intravenously drip 10 units of oxytocin
* +? hysterectomy
#fifty
*! In the absence of bleeding and separation of the placenta, manual separation of the placenta and isolation of the placenta proceed through:
*10 minutes
*45 minutes
*40 minutes
* + 30 minutes
*15 minutes
# 51
*! The most common cause of premature detachment of a normally located placenta:
* abdominal injury
* short umbilical cord
* untimely discharge of amniotic fluid
* + preeclampsia
* large fruit
* 52
*! In the case of a true increment of the placenta, chorionic villi are attached within:
* endometrial functional layer
* + myometrium
* basal layer of the endometrium
*perimetry
* serous cover
# 53
*! For the diagnosis of placenta previa during pregnancy, the most informative is:
*anamnesis
* external obstetric examination
* inspection with mirrors
* vaginal examination
* + Ultrasound OMT
# 54
*! Placenta previa is a pathology in which the placenta, as a rule, is located:
* in the body of the uterus
* in the lower segment of the uterus
* + in the lower segment of the uterus, partially or completely overlapping the internal pharynx
* on the back of the uterus
* in the bottom of the uterus
# 55
* Diagnosis of complete and incomplete before! Lying placenta when bleeding occurs, based on:
* pregnancy
* + external blood loss
* severity of pain
* the severity of signs of anemia
* fetal condition
# 56
*! Clinical symptom of placenta previa:
* pain in the lower abdomen
* change in fetal heart rate
* change in the shape of the uterus
* + bleeding of varying intensity
* prenatal rupture of membranes
# 57
*! The most common cause of placenta previa is:
* abnormalities of the uterus
* genital inflammation
uterine fibroids
* endometriosis
* + abortion
# 58
*! The main symptom of placenta previa during pregnancy is:
* pain in the lower abdomen
* symptoms of internal bleeding
* lower back pain
* local pain in the uterus
* + repeated bleeding from the genital tract
# 59
*! Tactics of a doctor with full presentation of the placenta, premature pregnancy and scanty bleeding include:
*cesarean section
* labor excitement
* + administration of glucocorticoids
* Expectant tactics
* preparation of the body for childbirth
# 60
*! Which of the listed advantages of laparoscopy during ectopic pregnancy is the MOST important:
* cosmetic effect
* minimum hospital stay
* minimal trauma to the anterior abdominal wall
* minimum operation time
* + the ability to save the fallopian tube
# 61
*! A girl of 19 years turned to medical abortion in the early stages, worried about the effectiveness of the chosen method.
At what is the MOST probable delay of menstruation in days, the effectiveness of medical abortion is 95–98%?
* 42
* 52
* 64
* 78
* 84
# 62
*! To verify the anatomical causes of miscarriage most likely to use:
* Pelvic ultrasound
* + MRI of the pelvic organs
* X-ray of the pelvic organs
* inspection on the mirrors
* vaginal examination
# 63
*! A patient with a suspected ectopic pregnancy revealed that she had a history of chronic adnexitis, the last exacerbation 3 months ago.
What is the MOST likely localization of an ectopic pregnancy in a patient?
* + ovary
*Cervix
*the fallopian tubes
*abdominal cavity
* rudimentary uterine horn
# 64
*! Multiparous, was admitted to the hospital with complaints of cramping pains in the lower abdomen during pregnancy for 30 weeks. There is no regular labor. The water did not leave. Fetal heart rate up to 136 beats per minute. Somatically healthy. With vaginal examination: the cervix is up to 1 cm long, the soft, cervical canal freely passes 1 transverse finger over the internal pharynx. The fetal bladder is intact. Slated to be the head. Discharge mucous. Most likely diagnosis:
* +? Starting preterm delivery at pregnant Nost 30 weeks.
* Threatening premature labor when pregnant Nost 30 weeks.
* Pregnancy 30 weeks. Harbingers of Childbirth
* Pregnancy 30 weeks. I period of childbirth
* Pregnancy 30 weeks. CPI
# 65
*! A characteristic sign of prematurity in a newborn:
* + umbilical ring is located on the white line of the abdomen
* the boy’s testicle sank into the scrotum
* clitoris and labia minora are covered with large labia
* narrow seams and fontanelles
* skull bones are soft
# 66
*! What dose of dexamethasone should be prescribed for premature birth for the prevention of fetal RDS:
* 1 mg x 2 times a day for 3 days
* + 6 mg x 2 times a day for 2 days
* 6 mg x 4 times a day for 1 day
* 2 mg x 4 times a day for 3 days
* 1 mg x 4 times a day 2 days
# 67
*! Uncomplicated infected abortion is a purulent-septic disease in which:
* + infection is limited to the ovum and decidual uterus
* the infection went beyond the uterus, but remained in the pelvis
* infection has spread beyond the pelvic area and has become generalized
* purulent-resorptive fever develops
* uterine thrombophlebitis develops
# 68
*! A 30-year-old patient was admitted to the hospital in connection with complaints of pain in the lower abdomen and spotting spotting from the genital tract. A history of spontaneous abortion two repeated scraping of the uterine cavity it. When vaginal study: cervix cox injured, the outer jaws passes fingertip uterus increased to 5-6 weeks. pregnancy, appendages are not determined, deep arches. Last menstruation 1.5 months. back. Your estimated diagnosis:
* + Pregnancy 5-6 weeks. Threatening spontaneous miscarriage
* Pregnancy 5-6 weeks. Incomplete abortion
* Pregnancy 5-6 weeks. A spontaneous miscarriage that has begun
* Pregnancy 5-6 weeks. Abortion on the move
* Pregnancy 5-6 weeks. Ectopic pregnancy
# 69
*! "Habitual loss of pregnancy" - this is most likely:
* + interruption of two or more pregnancies
* abortion of the first pregnancy
* abortion in the first trimester
* abortion in the second trimester
* termination of pregnancy in the III trimester
# 70
*! A patient with a usual history of miscarriage in the 2nd trimester turned to the antenatal clinic. MOST common cause of this pathology?
*infection
* endocrine pathology
* + isthmic-cervical insufficiency
* autoimmune pathology
* chromosomal abnormalities
# 71
*! Miscarriage is probably a spontaneous abortion:
* from conception to 37 weeks
* from 22 weeks to 37 weeks
* + up to 22 weeks
* from conception to 28 weeks
* in the period of 22-28 weeks
# 72
*! The most common cause of abortion in the early stages is:
* + chromosomal abnormalities
* infections
* uterine malformations
* hormonal disorders
* immune disorders
# 73
*! What infectious factor at the present stage is becoming the most basic cause of miscarriage:
* + toxoplasmosis
*rubella
*syphilis
* conditionally pathogenic flora
* chlamydia
# 74
*! The leading factor in the etiology of sporadic spontaneous abortion in early pregnancy is most likely to be:
* + chromosomal pathology
*infection
* genital malformations
* extragenital pathology
* endocrine pathology
# 75
*! MOST characteristic cause of early spontaneous miscarriages of the following
* + abnormality of the uterus
* kidney disease
* liver disease
*smoking
* poor nutrition
# 76!!!!!!!!!!!!!!!!!!!!!!!! 2 correct answers on the Internet
*! Preparation for pregnancy of patients with habitual miscarriage and ICI probably excludes:
* sanitation of the genital tract
* + normalization of vaginal microflora
* + treatment of chronic endometritis
* spouse treatment
* psychotherapeutic correction of psychosomatic disorders
# 77
*! Preterm birth is probably the birth that occurred during pregnancy:
* up to 22 weeks
* from 22 to 34 weeks
* from 28 to 34 weeks
* + from 22 to 37 weeks
* from 28 to 37 weeks
# 78
*! What most likely corresponds to the description of “a failed miscarriage”:
* early spontaneous abortion
* + non-developing pregnancy
* late spontaneous miscarriage
* abortion on the move
* incomplete abortion
# 79
*! A failed miscarriage is most likely characterized by:
* + delayed spontaneous expulsion from the uterine cavity of the deceased fetus / embryo
* spontaneous abortion complicated by acute endometritis
* amniotic fluid outflow and signs of chorioamnionitis
* partial delay in spontaneous expulsion of the deceased fetus / embryo from the uterine cavity
* antenatal fetal death
# 80
*! The most informative method for diagnosing an undeveloped pregnancy:
* + Ultrasound OMT
* determination of hCG
* vaginal examination
* inspection in the mirrors
* external obstetric examination
# 81
*! When internal endometriosis is most often affected:
*the fallopian tubes
*sigmoid colon
* + uterus body
*Cervix
* ovaries
*! The most commonly used diagnostic method for cervical endometriosis:
* + colposcopy
* Schiller test
* Ultrasound
*laparoscopy
* vaginoscopy
# 2
*! The most likely small forms of endometriosis:
* endometriosis of the uterus
* cervical endometriosis
* + endometrioid heterotopia on the pelvic peritoneum
* navel endometriosis
* ovarian endometriosis
# 3
*! List the main most likely type of menstrual dysfunction in endometriosis:
* + hyperpolymenorrhea
* promenomenorrhea
* algodismenorea
* opsomenorrhea
* hypomenorrhea
#4
*! The least influencing factor in the choice of the method of therapy for endometriosis: IN PROTOCOL 2 ANSWERS I DO NOT EXACTLY KNOW WHAT TO MARK
* + patient age
* + localization of endometriosis
* degree of distribution of the process
* the presence of concomitant diseases
* form of menstrual irregularities
#5
*! For hormonal therapy for endometriosis, it is MOST NOT likely to be prescribed:
* progestogens
* combined estrogen-progestogen drugs
* antigonadotropins
* + estrogens
* hormone releasing analogues
# 6
