Допит – це слідча дія змістом якої є одержання показань від особи, яка володіє відомостями, що мають значення у кримінальному провадженні.

Дата добавления: 2015-03-11; просмотров: 658

5. Химические

Acute and chronic respiratory diseases

Pregnant women often sick:

+Аcute rhinitis, laryngitis, tracheitis

Acute sinusitis, pharyngitis

Acute bronchitis, pneumonia

Acute tonsillitis

Acute rhinitis, tonsillitis, pharyngitis

How often have upper respiratory tract ill pregnant and non-pregnant women:

Pregnant women suffer more

+The frequency of the disease is the same

Pregnant on sick less often

As a rule, pregnant women do not suffer from these diseases

In pregnant dramatically increases the incidence

What disease is often found among pregnant women and is dangerous to the fetus

+ Flu Virus

Cytomegalovirus infection

Herpes simplex virus

Bacterial infection

Extra-genital chlamydia

If a woman is in labor and ill with acute influenza virus, what is its danger:

There is not danger both mother and fetus

High risk of fetal asphyxia

+ High risk of septic complications

High risk of bleeding in the early postpartum period

High risk of late postpartum hemorrhage

If a pregnant woman is ill flu during the first trimester of pregnancy, there is:

+High risk of birth defects

There is not risk the fetus

High risk of down syndrome in the fetus

High risk of preterm delivery in the second trimester of pregnancy

High risk of premature detachment of placenta in the ii &iii trimester of pregnancy

Where are pregnant should be treated with uncomplicated flu:

+ At home

In the day hospital

In the infectious diseases hospital

In the medical ward General Hospital

In a maternity hospital

The pregnant lives in Almaty. She is complaining of headaches, increased body temperature during the day, chills, severe weakness, shortness of breath, muscle pain, nausea. One time there was vomit. After the examination there was diagnosis: 15-16 weeks of pregnancy. Flu. Suspected myocarditis? Where this patient should be treated:

At home

In the day hospital

+ In the infectious diseases hospital

In the City General Hospital

In a maternity hospital

The prevention of influenza and other viral respiratory infections in the Republic of Kazakhstan are regulated by Order of the Ministry of Health of the Republic of Kazakhstan №:

+722

Note the wrong answer. The flu virus:

Suppresses the immune response, incidence of flu increases

Leads the aggravation of chronic diseases (if any)

Leads pneumonia, otitis (sometimes turning in meningitis)

Leads the defeat of the cardiovascular and central nervous system

+ Leads the defeat of vision including blindness

Where is a person vaccinated against influenza (The order MH RK № 722 of 15.09.2010):

In any private medical facility

In any public health facility

In the establishment of an infectious

+ In specialized centers (grafting surgeries) for vaccination

Any medical or sanatorium institutions

Below is a list of the main anti-influenza drugs (The order MH RK № 722 of 15.09.2010). Note the extra point:

Of Antivirals

Antipyretics

Immunomodulatory agents

Vitamins and Minerals

+Drugs for the prevention of heart failure

At what stage of pregnancy women cannot be vaccinated against the flu:

At any stage of pregnancy

In the second trimester

In the third trimester

+ In the first trimester

In the eighth month of pregnancy

When you need immunize the population, including pregnant women, against flu (order MH RK number 722 of 15.09.2010):

From September 15 to November 15

From September 1 to December 1

+ From October 1 to November 15

From October 1 to December 1

From October 15 to November 30

Why does the pregnant women ill primary bronchitis and aggravation to chronic bronchitis (what is the mechanism)

Diaphragm movement during pregnancy is limited

During pregnancy there is an edema

Placental lactogen increase

+ The bronchial mucosa swells, the movement of the diaphragm is limited

During pregnancy the immune system is reduced

The patient with chronic obstructive bronchitis is diagnosed 6-7 weeks of pregnancy. What is the doctor's tactic:

Pregnancy must be terminated

It is necessary treating with antibiotics

+ Pregnancy should be terminated if there is evidence of pulmonary heart disease

Pregnancy should be terminated if the patient has more children

Pregnancy should be terminated if the patient is unable to give up smoking

The patient was hospitalized with a diagnosis: Pregnancy of 10 weeks. Acute bronchitis. Which antibiotic (according to the evidence-based medicine) must you assign to the patient:

Ceftiraxon

Ofloxacin

+Ampicillin

Erythromycin

Tetracycline

Pregnant suffers from chronic bronchitis. What will happen to the fetus:

Congenital heart disease

+ Fetal growth retardation

Prenatal sepsis

Malformation of the lung

Neural tube defects

Classification of pneumonia is based on the condition of the disease and the immunological status of the patient. From the list, select the UNNECESSARY:

Community-acquired pneumonia (synonyms: home, outpatient)

Nosocomial pneumonia (synonyms: hospital, in-hospital)

+ Unspecified pneumonia

Aspiration pneumonia

Pneumonia in patients with severe immune deficiencies

Emergency doctor has diagnosed: Pregnancy 34-35 weeks. Community-acquired pneumonia. The patient has symptoms: Tachypnea - 30 per minute. The lungs have decreased breath sounds in the lower parts of both sides; there is single, moist and finely crepitations. BP - 90 \ 55 mm Hg, pulse 96 beats\ min. Subdued heart sounds and tachycardia. In which department the patient should be hospitalized:

Department of Pathology pregnant maternity

+ The emergency and intensive department of maternity hospital

Therapeutic department of General Hospital

Department of Intensive Care General Hospital

Department of Intensive Care Infectious Diseases Hospital

After the X-ray light the patient was diagnosed: 33-34 weeks of pregnancy. Community-acquired pneumonia. In order MH RK № 869 02.12.2011 is a list of key diagnostic procedures for the diagnosis of pneumonia. One of the following researches is an additional:

+ Сoagulogram

Smear microscopy of sputum Gram-stained

Cultures of sputum

Biochemical analysis of blood

General blood analysis

It is well known that pregnancy significantly increases the risk of death from varicella pneumonia. Mortality rate of 11-35%. What amount of vesicles is dangerous for the development of varicella pneumonia (Order of the Ministry of Health of the Republic of Kazakhstan № 869 dated 02.12.2011)

More than 30 vesicles

More than 40 vesicles

More than 60 vesicles

More than 90 vesicles

+ More than 100 vesicles

What time since the beginning of varicella pneumonia in pregnancy can be detected immunoglobulin M to the virus Varicella zoster (The order MH RK number 869 dated 02.12.2011)

week

+ 2 weeks

4 weeks

5 weeks

3 weeks

Newborns will have a generalized form of chicken pox, if vesicles on the skin of the mother appear in the pregnancy \ labor:

A week before giving birth - immediately after birth

2 weeks before giving birth - a week after giving birth

+For 4-5 days before the birth - 2 days after giving birth

During the 21 days prior to delivery - 21 days after birth

A week before childbirth - a week after giving birth

Treatment varicella pneumonia in pregnancy is:

+Intravenous injection Acyclovir at a dose 5 mg / kg after 8 hours

Acyclovir per os 200mg 5 times a day

Oseltamivir per os 75 mg twice daily

Rimantadine per os according to scheme

Rovamycine per os 3 ml 2 IU twice daily

There is а list of general principles of treatment of pneumonia in pregnancy (Order of the Ministry of Health of the Republic of Kazakhstan № 869 dated 02.12.2011). Find the extra point:

Monitoring in a hospital

Monitoring of blood gases: Pa2> 60-70 mm Hg, at the lowest possible level of FiO2

Monitoring of the fetus

Limit the exposure tradiation and medicine

+ Blood pressure control

Antibiotic therapy of pneumonia in pregnancy associates with the possible embryotoxic effects. One of the following antibiotics little crosses the placenta:

Anti-tuberculosis agents

Cephalosporins

Ftorchynolons

+ Macrolides

Aminoglycosides

What medicine is used for treatment not-heavy bacterial pneumonia (purulent sputum, chest pain) in the I trimester of pregnancy (order MH PK number 869):

+Penicillins

Macrolides (rovamitsin)

Glycopeptides (Vancocin)

Carbapenem (merapenem)

Cephalosporins

If a pregnant woman has an atypical bacterial pneumonia (non-productive cough, symptoms of intoxication, shortness of breath), we have tassign a cure (Order of the Ministry of Health of the Republic of Kazakhstan № 869):

+ Macrolides (rovamitsin)

Glycopeptides (Vancocin)

Penicillins

Carbapenem (merapenem)

Cephalosporins

If a pregnant woman has an atypical bacterial pneumonia (non-productive cough, symptoms of intoxication, shortness of breath), the prescription will have been (Order of the Ministry of Health of the Republic of Kazakhstan № 869):

+ Macrolides (Rovamicin)

Glycopeptides (Vancocin)

Penicillins

Cephalosporins

Carbapenem (Merapenem)

When should be the vaccination for the prevention of chickenpox women without immunity carried out:

In II and III trimester of pregnancy

3 weeks before childbirth

In the II trimester of pregnancy

In the I trimester of pregnancy

+ For 1-3 months before pregnancy

When do you have to start antibiotic therapy if a pregnant woman has clinical symptoms of viral pneumonia (Order of the Ministry of Health of the Republic of Kazakhstan № 869 dated 02.12.2011)

At the time of admission

+Not later than the first 4 hours after hospitalization

The first 12 hours of the receipt

The first day of receipt

If the bacterial etiology of pneumonia is proven

The patient is diagnosed with influenza A. She has the following symptoms: body temperature within 38,1⁰-40 ° C, the symptoms of intoxication. Pulse 90-120 beats / min. Systolic blood pressure less than 110 mmHg. Respiratory rate is 24\min. Dry painful cough with pain behind the breastbone. What form of the clinical course is described:

Asymptomatic

Mild

+ Moderate

Extremely hard form (hypertoxic)

Heavy

What form of influenza is characterized by the following symptoms: fever up t38 ° C, moderate headache and catarrhal conditions. Pulse less than 90 beats / min. Systolic blood pressure of 115-120 mm Hg. Respiratory rate is less than 24 in min.

Extremely hard form (hypertoxic)

Heavy

+ Mild

Asymptomatic

Moderate

The patient was taken to the hospital with a pregnancy of 28-29 weeks. She’s symptoms are: body temperature 40,5 ° C, intoxication symptoms - severe headache, general aches, insomnia, delirium, anorexia, meningeal symptoms. Pulse over 120 beats / min, sometimes is arrythmic. Systolic blood pressure less than 90 mmHg. Heart sounds muffles. Respiratory rate is over 28\ min. Painful, painful cough, chest pain. Diagnosis: Pregnancy 28-29 weeks. Flu. Complete ... diagnosis:

Extremely hard form (hypertoxic)

+ Heavy

Moderate form

Mild form

Asymptomatic form

The patient in 2nd days after delivery was produced fluoroscopy. Pulmonary tuberculosis was suspected. The tactics of the doctor:

Make an overview of chest radiography

Consultation of phthisiatrician

+ Perform 3 times smear microscopy of sputum for MT

Conduct a non-specific antibiotic therapy for 2 weeks

Conduct microbiological testing of sputum for MT

If the mother has TB, the fetus has:

+ Growth retardation

Increased risk of birth defects

Usually a child is born tb patients

The risk of down syndrome

Increased risk of genetic diseases

The typical symptom of tuberculosis in pregnancy is:

+A woman stops gaining weight or losing weight

The clinic does not differ from non-pregnant women suffering

Pleural effusion develops quickly

The disease begins with hemoptysis

fetal death

Особенности острых и хронических заболеваний мочевой системы у беременных. Осложнения беременности и послеродового периода. Алгоритм диагностики, лечение, профилактика. Значение скрытой бактериурии во время беременности.

Renal blood flow and glomerular filtration during pregnancy increase on:

10-15%

15-20%

20-30%

+ 35-40%

40-50%

The cause of proteinuria and cylindruria in physiological pregnancy is:

Kidney glomerular filtration reduces

Renal tubular reabsorption increases

+ Permeability of the renal epithelium increases

Reabsorption of sodium and water increases

Kidney glomerular filtration increases

The most common causative agents of pyelonephritis in pregnancy are (Савельева Г.М. и соавторы, 2006):

+ Coliform organisms

Candida species

Microbial association

Anaerobes

The simplest (trichomonas)

Pyelonephritis often occurs in 12-15 weeks and 23-28 weeks. The reason is:

Formation and the maximum development of the placenta

Compression of the ureter by growing uterus

+Maximum release of corticosteroids

Changes the ecosystem of the vagina

A gradual rise in blood pressure

The peculiarity of pyelonephritis in the I trimester of pregnancy is:

Worn clinical

+ Acute course of the disease

Lack of temperature response of pregnant women

Lack pielourii

Always have hematuria

The peculiarity of pyelonephritis in the II and III trimester of pregnancy is:

During Acute

The lack of temperature

+ Worn clinical

Often complicated anuriey

Often accompanied by hematuria

Which antibiotics should be prescribed for the treatment of gestational pyelonephritis in the I trimester of pregnancy:

+Group penicillins

Cephalosporins

Nitrofurans

Macrolides

The aminoglycosides

At what stage of pregnancy can be cephalosporins, aminoglycosides, macrolides, nitrofurans, 8-hydroxyquinoline derivatives administered for treatment pyelonephritis:

From 13 weeks

+ From 15 weeks

From 24 weeks

From 28 weeks

From 36 weeks

Which antibiotic should be in the postpartum period administered cautiously, because its concentration in breast milk is very high:

Ampicillin

2nd generation cephalosporins

5th generation cephalosporins

The aminoglycosides

+ Erythromycin

The differential diagnosis of chronic pyelonephritis should be the following complication of pregnancy carried out with:

Premature detachment of placenta

+Preeclampsia

Pregnancy-induced hypertension

The risk of preterm birth

Proteinuria in physiological pregnancy

If a pregnant woman has a latent (asymptomatic) bacteriuria, in 1ml. of urine has been detected:

+ 100 000 or more bacteria

10,000 or more bacteria

50,000 or more bacteria

Not less than 90,000 bacteria

Not less than 70,000 bacteria

The antibiotic therapy is prescribed for pregnant patients with asymptomatic bacteriuria, because it…:

Does not impact on the incidence of pyelonephritis

+ Reduces frequency of pyelonephritis

Has a toxic effect

Leads to allergies

Leads to the development of pyelonephritis

Asymptomatic bacteriuria increases the risk (Order of the Ministry of Health of the Republic of Kazakhstan № 239 dated 07.04.2010)

+ Premature birth, birth low weight infants, acute pyelonephritis

Horionamnionit, acute glomerulonephritis, pyelonephritis

High water, low water, premature birth

Pre-eclampsia, premature detachment of placenta

Acute polyhydramnios, premature labor, fetal distress

All pregnant women should be screened urine (seeding midstream urine) for asymptomatic bacteriuria (Order MH RK number 239 of 07/04/2010):

+ 1 time when registering

During the registration and gestational age of 30-32 weeks

3 times: when registering in the 30-32 weeks of pregnancy, a week before the birth

1 time in 37 weeks gestation or later

1 every 23-28 weeks of gestation

For the treatment of asymptomatic bacteriuria can be used (Order MH RK number 239 of 07/04/2010):

Erythromycin or other macrolides

Penicillin

The aminoglycosides

+ Ampicillin, Cephalosporins 1st generation

Sulfonamides

The duration of antibiotic therapy for asymptomatic bacteriuria in pregnancy (Order of the Ministry of Health of the Republic of Kazakhstan № 239 dated 07.04.2010) is:

4-day course

7-day course

+ single dose

3-days course

5-day course

Pyelonephritis can cause severe obstetric complications. This list does not include:

Pre-eclampsia

Placental insufficiency

Septicemia and pyosepticemia

Toxic shock

+Hemorrhagic insult

Which of instrumental studies has adverse effects on the fetus:

Renal ultrasound

Doppler sonography of renal vessels

Ureteral catheterization

Cystoscopy

+Renal scintigraphy

The etiology of glomerulonephritis is:

Escherichia coli

Staphylococcus

Proteus

+ Hemolytic Streptococcus

Association of microbes

Glomerulonephritis often occurs after:

+ Angina, flu

Pharyngitis, acute respiratory

Acute cystitis

Is a complication of pyelonephritis

Inflammatory diseases of the pelvic organs

The most probable complication of pregnancy in glomerulonephritis is:

Wasting, fetal hypoxia

Fetal death

+The early development of pre-eclampsia

The development of cardio-renal failure

Bleeding during pregnancy

Treatment of acute glomerulonephritis begins with:

Corticosteroids

+ Antibiotics

Antihistamine drugs

Immunomodulator

Antispasmodics

If the patient is ill with glomerulonephritis, pregnancy will be possibled after:

Year

2-3 years

+ 3-5 years

6-7 years

8-9 years