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What kind of myocarditis is the most likely? @Alterative myocarditis Diffusive exudative myocarditis Focal exudative myocarditis Intersticial myocarditis Granulomatous myocarditis # 15 A child presented to a hospital with an acute fever, sore throat and swelling of submaxillary (submandibular) lymph nodes. A gross investigation of fauces revealed the edematous and slightly hyperemic mucous membrane, enlarged tonsils, covered by the grayish-whitish membranes. They left a raw surface, when forcibly removed. What is the most likely diagnosis? @Diphtheria Catarrhal angina Scarlet fever Meningococcal infection Measles # 16 A child presented to the clinic with paralysis of a phrenic nerve and dysphagia, resulted in his death soon. An autopsy revealed ulcers of tonsils with a cuticularization, a hemorrhage in adrenals, and flaccidity of a myocardium. Specify disease for which the described changes and complications are characteristic. @ Diphtheria Scarlet fever Agranulocytosis Measles Poliomyelitis # 17 A 3-year-old girl presented with a sharp pain at the swallowing, a marked neck edema, and the body temperature raised to 40° C. A gross investigation of tonsils revealed the grayish-yellowish membranes, which left a raw surface with bleeding ulceration, when forcibly removed. What is the most likely diagnosis? @Diphtheria Scarlet fever Measles Meningococcal nasopharyngitis Influenza # 18 An oral cavity examination of a 4-year-old child, revealed a hyperemia of the fauces and tonsils mucus membranes. Gross investigation showed enlarged tonsils, covered by dense, whitish-yellowish membranes. They left a raw surface, with deep defect, when forcibly removed. Soft tissues of a neck were edematous, regional lymph nodes were enlarged and painful. What the most likely diagnosis is among listed below? @Diphtheria Scarlet fever Measles Parotitis Adenoviral infection # 19 A 4-year-old child presented to the hospital with a fever and a sore throat. An oral cavity examination revealed an edema of a soft palate and grey membranes on tonsils. These membranes left a raw hemorrhagic surface when forcibly removed. What the most likely diagnosis is among listed below? @Diphtheria fauces Simonovsky-Vensans' angina Lacunar angina Infectious mononucleosis Necrotic angina # 20 A 5-year-old girl has high temperature and pain in her throat. At the examination of this patient the following signs were revealed: edema of soft palate, grey spots on tonsils, which were removed with difficulty and left after them deep hemorrhagic defects of tissue. Which disease of below enumerated is the most possible one? @Diphtheria of pharynx Lacunar tonsillitis Simanovsky-Vensan’s tonsillitis Necrotic tonsillitis Infectious mononucleosis # 21 A 5-year-old girl has a high temperature and a pain in a throat. Objectively: a hypostasis of the soft palate, grey patches on the tonsils, which are separated hardly and left deep bleeding defects of a tissue. Which from the listed below diseases is the most probable? @Diphtheria of a pharynx Necrotic tonsillitis Infectious mononucleosis Lacunar tonsillitis Simonovsky-Vensan’s angina # 22 A 16-year-old girl presents with the symptoms of sharp pain during swallowing, lymph node enlargement of the neck, and the body temperature of 38°C. The mucous membrane of the tonsils revealed grayish membranes with yellow tapes with were not easily separated from the defect. The patient's state progressively worsened which death occurring on the 8th day of the disease due to cardiac insufficiency. Which of following histological changes in the myocardial cells will be the most likely finding? @Fatty dystrophy Hydropic dystrophy Hyaline dystrophy Ballooning dystrophy Mucous dystrophy # 23 An 18-year-old teenager acutely fell ill and died of infectious-toxic shock. The autopsy revealed the enlargement of tonsils, covered with gray-white membranae that spread on the palatine arches, the edema of soft tissues of the neck. At the histological exam were detected: the necrosis of tonsilar and arch’s epithelium; underlied tissues were sodden with fibrous exudate that forms massive strata on its surface. Diagnose the disease. Staphylococcal infection Scarlel fever Adenoviral infection Infection mononucleosis @Diphtheria # 24 A young 19-year-old man, with an acute onset of disease, died of an infectious-toxic shock. An autopsy revealed the enlarged tonsils, covered with grey-white membranes, which extended on the palatine arch. In addition, an edema of the neck soft tissues determined. Histological investigation showed the necrosis of an epithelium of tonsilsand the palatine arch. Tissues underneath were infiltrated by a fibrinous exudate, which formed massive stratifications on a surface. What is the most likely diagnosis? @Diphtheria Scarlet fever Adenoviral infection Infectious mononucleosis Staphylococcal infection # 25 An autopsy of 2-year-old child revealed hemorrhagic enanthesis (skin rash), mild hyperemia and edema of nasopharynx mucous, fine hemorrhages in mucosas and internal organs, severe dystrophy in a liver and myocardium, an acute necrotic nephrosis, massive hemorrhages in adrenals. What disease is the most likely to present such symptoms? @"Meningococcal infection Scarlet fever Diphtheria Measles Epidemic typhus # 26 An autopsy of 3-year-old child revealed hyperemic, turbid arachnoids, which had a form of yellowish-greenish 'cap'. At microscopic investigation a characteristic findings of arachnoids thickening, hyperemia, purulent with fibrin exudate infiltration was present. What is the most likely diagnosis? @Meningococcal infection Tuberculosis Anthrax Ifluenza Measles # 27 A child presented with acute a catarrhal nasopharyngitis. In 2 days he died. An autopsy revealed arachnoids were markedly hyperemic, edematous, infiltrated with turbid, thick, yellowish-greenish liquid. A brain was swelled, cerebellum tonsils were enlarged in volume, and sulcus of the cerebrum impaction was well defined. The described changes are the most typical for: @Meningococcal infection Influenza Whooping cough Diphtheria Measles # 28 At the section was revealed: pia mater of upper parts of the cerebral hemispheres was sanguineous, of yellow-green color, sodden with purulent and fibrous exudate that looked like a cap. What disease is this picture typical for? @Meningococcal meningitis Tuberculous meningitis Influenzae meningitis Anthrax meningitis Typhus (spotted fever) meningitis # 29 On autopsy it was revealed: pia mater of the upper parts of cerebral hemisphere is plethoric, of yellowish-green color, soaked with purulent and fibrose exudate, looks like a cap. What disease is it typical for? Tuberculous meningitis @Meningococcal meningitis Meningitis connected with anthrax Grippal meningitis Meningitis connected with typhus # 30 An autopsy revealed: soft arachnoid membrane of the upper parts of cerebral hemisphere is plethoric, of yellowish-green color, soaked with purulent and fibrose exudate, it lookes like a cap. What disease is characterised by these symtoms? Meningitis at anthrax Meningitis at typhus Tuberculous meningitis @Meningococcal meningitis Influenza meningitis # 31 A 3-year-old child died being in severe cerebral comma. At the section were revealed purulent strata on the surface of pia mater in frontal parts of cerebrum, and cerebral edema. Microscopically, plethora and neutrophilic infiltration of pia mater were detected. Term the possible disease. @Meningococcal meningitis Anthrax meningitis Influenzae meningitis Tuberculous meningitis Measles meningitis # 32 An autopsy of 4-year-old child revealed hyperemic, yellowish-greenish arachnoids, infiltrated by purulent and fibrinous exudate resembled a 'cap'. What is the most likely diagnosis? @Meningococcal meningitis Tubercular meningitis Influenzal meningitis Anthrax meningitis Epidemic typhus meningitis # 33 A 6 year-old child, was ill acutely with signs of intoxication. In 2 day the patient has died. In autopsy the pathologist has found out: meninges of brain with edema, hyperemia, yellow-grey exudate. Tissue of brain was edematous. Microscopic investigation: there were neutrophils, hyperemia, hemorrhages and edema in meninges. Described changes are most typical for: @Meningococcal meningitis Flu Pertussis Diphtheria Measles # 34 11-year-old child presented with a body temperature up to 40°C, an acute headache, vomiting, anxiety and a fever. In four days appeared a hemorrhagic skin rash, an oliguria and adrenal insufficiency, resulted in patient's death. A bacteriological study of smear preparation from a pharynx revealed a meningococcus. What form of disease is found out? @Meningococcemia Meningococcal meningitis Meningocephalitis Meningococcal nasopharyngitis - # 35 An autopsy of 11-year-old child revealed plural hemorrhages, mainly in skin of breeches and lower extremities, serous and mucosas, and also in a brain. Gross investigation determined a focal necrosis and massive hemorrhages .in adrenals, a necrotic nephrosis in kidneys, a purulent arthritis, an iridocyclitis and vasculitis. Choose the correct diagnosis. @Meningococcemia Epidemic typhus Periarteritis nodosa Systemic lupus erythematosus Radiation syndrome # 36 Autopsy of a 12-year-old girl revealed: multiple cutaneous hemmorhages (mostly into the skin of buttocks, lower extremities), serous and mucous memrane hemmorhages, cerebral hemmorhages. Adrenal glands show focal necrosis and massive hemmorhages; kidneys show necrotic nephrosis, suppurative arthritis, iridocyclitis, vasculitis. What is the most probable diagnosis? Epidemic typhus Radiation sickness @Meningococcemia Systemic lupus erythematosus Periarteritis nodosa # 37 A 38-year-old man died of cerebral coma. It was known, that after foreign business trip in one of the African countries, the icteruses periodically developed. An autopsy revealed the enlarged, dense spleen, with a black pulp. A liver was also enlarged, hyperemic, and grey-black. A gross investigation of the brain determined brown-grey coloring of a grey matter and plural fine hemorrhages in white matter. What infectious disease should be suspected? @Malaria Meningococcemia Prion infection Generalized herpes infection Generalized cryptococcosis # 38 An autopsy of 48-year-old woman, resident of Middle Asia, with long history of exhausting fever, revealed enlarged liver and a spleen. They were grey-flaky color. The same color had hyperplastic bone marrow. A cerebral cortex also had grey-smoky coloring. What is the most likely diagnosis? @Malaria AIDS Epidemic typhus Sepsis Hepatitis # 39 A 48-year-old patient presented to the hospital with deep cerebral coma. It was known, that during lifetime he experienced periodic attacks of a fever. An autopsy revealed grey-flaky colour of a bone marrow, lymph nodes; enlarged a liver and a spleen. Histological investigation showed the haemomelanosis and a hemosiderosis in mentioned organs. What of diagnoses is most probable? @Malaria Hemolytic anemia Addison disease Septicemia Black pox # 40 According to the data of WHO, for about 250 mln of Earth population fall ill with malari a. This disease is mostly spread in tropical and subtropical regions. Range of its spread falls into the areal of the following mosquitoes: Mansonia @Anopheles Culiseta Aedes Culex # 41 A journalist’s body temperature has sharply increased in the morning three weeks after his mission in India, it was accompanied with shivering and bad headache. A few hours later the temperature decreased. The attacks began to repeat in a day. He was diagnosed with tropical malaria. What stage of development of Plasmodium is infective for anopheles-female? Sporozoites Shizontes @Gametocytes Merozoites Microgamete # 42 2 weeks since the blood transfusion a recepient has developed fever. What protozoal disease can it be? Trypanosomiasis @Malaria Amebiasis Toxoplasmosis Leishmaniasis # 43 A doctor made the diagnosis of gonorrhoea. It was known from the anamnesis that a patient had had gonorrhoea before and he had been treated completely. What type of infection can this new disease be attributed to? Superinfection @Reinfection Secondary infection Relapse Autoinfection # 44 During the bacteriological tests of the purulent secreta from urethra there were found bacteria, which according to Gramm were negatively staining, looked like coffee beans. These bacteria were splitting glucose and maltose to acid, they were located inside the leucocytes. The aetiological agent of what disease are these microorganisms? Syphilis Venereal lymphogranulomatosis @Gonorrhoea Chancroid Melioidosis # 45 A duodenal content smear of a patient with indigestion contains protosoa 10-18 mcm large. They have piriform bodies, 4 pairs of filaments, two symmetrically located nuclei in the broadened part of body. What kind of the lowest organisms is it? Balantidium Intestinal ameba Dysentery ameba Trichomonas @Lamblia # 46 Parents with an ill child consulted an infectionist. They had been working in one of Asian countries for a long time. The child has sallow skin, loss of appetite, laxity, enlarged liver, spleen, peripheral lymph nodes. What protozoal illness can be suspected? Amebiasis @Visceral leishmaniasis Balantidiasis Lambliasis Toxoplasmosis # 47 A man was admitted to the hospital on the 5th day of disease that manifested itself by jaundice, muscle aching, chill, and nose bleedings. In course of laboratory diagnostics a bacteriologist performed dark-field microscopy of the patient's blood drop. Name a causative agent of this disease: Rickettsia mooseri @Leptospira interrogans Bartonella bacilloformis Borrelia dutlonii Calymmatobacterium granulomatis # 48 A histological research of an autopsy material revealed in a brain tissue a wide zone of proliferating microglia cells round small vessels. In addition, the marked proliferation of an endothelium, an adventitia and pericytes were determined in the skin vessels. Perivascular moderate lymphocytes infiltration with single neutrophiles added was also found. The vessels walls underwent various signs of destruction. Name the causative organism of described infection disease? @Rickettsia Spirochete Meningococcus Streptococcus Human immunodeficiency virus # 49 A 39-year-old milkmaid died of cardiovascular insufficiency. A post-mortem reveled in the aortal valve a polypous -ulcerative endocarditis. A microscopical study of the valve showed the polymorph cellular inflammatory infiltration, zones of destruction and thrombuses with the organization. In addition, a sclerosis with granulomas, consisted of randomly located epithelioid, giant, plasmatic, eosinophyle cells were diagnosed within a stroma of a myocardium. A vasculitis was also determined in the heart vessels. For what disease the described changes in heart are characteristic? @Brucellosis Chronic sepsis Rheumatic disease Systemic lupus erythematosus Systemic scleroderma # 50 The worker of a cattle-breeding farm died in 4, 5 months of the disease beginning. A post-mortem revealed in his internal organs the granulomas consisted of epithelioid, giant Pirogov- Langhans cells, plasmocytes and eosinophyles. There were many vessels within a granuloma. A histological investigation showed a productive-destructive vasculitis in the vessels of internal organs. What is the most likely disease? @Brucellosis Anthrax Tuberculosis Epidemic typhus Lepra # 51 A woman who was infected with toxoplasmosis during the pregnancy has a child with multiple congenital defects.This is a result of: @Teratogenesis Chemical mutogenesis Biological mutogenesis Recombination Cancerogenesis # 52 A child complains of general weakness, loss of appetite, a troubled sleep, itching in the perianal are a. The provisional diagnosis is enterobiasis. In order to specify this diagnosis it is necessary to perform: Immune diagnostics Duodenal contents analysis @Scraping from perianal folds Biopsy of muscle tissue Roentgenoscopy # 53 Larvae were detected occasionally on the microscopic examination of the sputum of the patient with pneumonia. Eosinophiles were detected on the blood examination. What helminthiasis can be diagnosed? @Ascariasis Enterobiosis Opistorchis Trichocephaliasis Paragonimiasis # 54 Slime, blood and protozoa 30-200 microns of length have been revealed in a man's feces. The body is covered with cilias and has correct oval form with a little bit narrowed forward and wide round shaped back end. On the forward end a mouth is visible. In cytoplasm there are two nucleuses and two short vacuoles. For whom are the described attributes typical? @Balantidium Lamblia Intestinal amoeba Trichomonas Dysenteric amoeba # 55 During the section in the liver was detected a bladder-like formation with plain surface, diameter 5cm. A great amount small vesicles with bright colorless contents is located in its cavity. The liver tissue around the bladder is sclerosed. What is the most possible diagnosis? Opisthorchiasis Alveococcosis Cysticercosis @Hydatid Echinococcosis (hydatid disease) Schistosomiasis # 56 The patient with pneumonia was treated with antibiotics for a long period. After treatment patient complains of frequent and watery stool, abdomenal pain. What is the reason of intestine function disorder? Hereditary enzyme defect Antibiotics toxic influence on the GIT @Intestinal disbacteriosis development Autoimmune reaction development Bacteria toxins influence # 57 A 54-year-old man presented to the hospital with reddening and edema of the neck's skin, and then resulted in a small abscess formation. On a cut, a tissue was dense with yellow-green coloring. In purulent masses there were visible white grains. Histological study showed fungus' druses, plasmatic, xanthome cells, and macrophages. Specify the most probable kind of a mycosis. @Actinomycosis Aspergillosis Candidosis Sporotrichosis Coccidioidomycosis # 58 A 69-year-old man presented to the hospital with edema and a painfulness of a skin and soft tissues of his neck. The phlegmon of a neck and a mediastinitis were diagnosed. The patient died. An autopsy revealed enlarged, dense left tonsil. On a cut, the tonsil was yellow-green, with set of fine cavities similar to porous structures. Microscopical investigation determined fine abscesses with basophilicformations in their centers. These formations consisted of short rhabdoid elements. What is the mostlikely diagnosis? @Actinomycosis Brucellosis Amebiasis Lambliasis Leishmaniasis # 59 Firm phlegmon-like infiltrate has appeared in cervical - gnathic area in the man, inhabitant of countryside. A skin around infiltrate is of blue-crimson color, in the center – necrotic infiltrate, pus with an unpleasant smell is allocated from an ulcer. For confirmation of the diagnosis “Actynomycose of cervical – gnathic area" the microscopicl research of pus is carried out. What should find out a bacteriologist for confirmation of such? @The presence of grains in pus (druses) Gram-positive streptococci Gram-negative diplobacteria Acid-fast rods Gram-negative diplococci # 60 During survey of trimensual child doctor - pediatrician has noted, that the mucosa of an oral cavity, and also tongue are covered by a dense white deposit. In a material taken from a place of defeat, the bacteriologist has found out presence of fungi of the yeast-like form, in this connection have suspected a mycosis: @A candidosis Favus Epidermophytia Actinomycosis Trychophytia # 61 The doctor has found out spherical and ellipse like formed cells, posed by bunch, 3-6 microns in size during microscopy of a micro preparation from vaginal discharge of person with chronic colpovaginitis. About the pathogen of what fungoid disease there may be a speech in this case? @Candidosis Coccidiosis Epidermophytia Microsporia Cryptococcosis # |