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