Paroxysmal pain in the left hypochondrium, girdle pain, vomiting that does not bring relief, the connection of pain with fatty foods

 

# 172

*! The boy is 1.5 years old and has been sick for a week. Liquid stool up to 5-6 times a day, single vomiting.

What are the MOST probable signs characterizing the degree of dehydration according to the program of IMCI? Thirst, sunken eyes, skin fold straightens slowly

 

# 173 (HINT: edema is not characteristic of pyelonephritis and it is in all the wrong answers)

*! With differential diagnosis, what are the clinical signs of acute pyelonephritis in young children the MOST likely?

* edema, toxicosis, cyanosis, intoxication

* cyanosis, dysuria, edema, exicosis

* + dyspepsia, toxicosis, exicosis, meningism

* headache, intoxication, edema, hypertension

* dyspepsia, headache, swelling, intoxication

 

 

# 174

*! The girl is 13 years old, two weeks after suffering a sore throat, she was diagnosed with acute glomerulonephritis.

Which triad of disease symptoms is MOST likely for a given child?

* + edema, oliguria, hypertension

* polyuria, dyspepsia, pollakiuria

* bedwetting, pain and itching when urinating

* bedwetting, pain during urination, polyuria

* polyuria, pollakiuria, hypertension

 

# 175

*! A district pediatrician gave advice on breastfeeding a mother of a newborn baby

prevention of hypogalactia.

What is the MOST likely recommendation given to a nursing woman?

* Reception of beer, brewer's yeast

* Limitation of proteins, food allergens

* Limit liquids, spirits

* + Full maternal nutrition, fluid intake 20 minutes before feeding

* Limiting fluid intake of spices 20 minutes before feeding

 

# 176

*! What are the common signs of danger in a sick child from 2 months to 5 years that require MOST increased attention?

* + cramps, vomiting, can not suckle and drink

* skin rashes, the child is conscious, coughing

* unconscious, fever, convulsions (unconscious - these are no longer signs of danger, this is already a scribe)

* diarrhea, sunken eyes, fontanel, stomach

* cough, shortness of breath, rash, fever

 

# 177

*! 11 years old boy, complaints: hyperkinesis, muscle rigidity, hand tremor, jaundice

skin. An increase in liver of 5 cm was revealed, the edge of a densely elastic consistency,

splenomegaly. The optometrist revealed the presence of a greenish-brown ring along the periphery of the cornea.

Diagnosed with Wilson-Konovalov disease.

What complications are MOST likely?

* + cirrhosis, epileptic seizures, hepatocellular carcinoma

* gallstone disease, chronic viral hepatitis, acute liver failure

* acute renal failure, cirrhosis, epileptic seizures

* acute cardiovascular failure, chronic viral hepatitis, cirrhosis

 

 

# 178

*! A young mother of a 7-day-old child fell ill with chickenpox. Notes weakness, headache, impaired appetite and sleep. A vesicular rash is observed throughout the body, accompanied by severe itching.

Which of the following should be applied? Remove from baby

# 179

*! A child of 5 years old, attends kindergarten, became acutely ill with a temperature increase of up to 38 C, there are elements of a maculopapular rash on the skin in the scalp and trunk. The child was sent home. On day 2, elements of a vesicular rash were revealed. At home, the temperature increased to 38.5 ° C, new rashes appeared within 3 days, abundant, isolated elements of a rash on the oral mucosa were noted.

 

 

What is the most likely diagnosis? Chickenpox chickenpox (chicken pox)

 

# 180

*! A 12-year-old boy fell ill with fever up to 38.0 C, cough, runny nose, after 3 days the temperature rose to 39, a spotty-papular rash appeared on his face. In the oral cavity on the mucous membrane of the cheeks opposite the molars of the rash. Against the background of an inflamed mucosa, they look like large salt crystals. Histologically, the spots are foci of necrosis in the basal parts of the mucosa.

What disease are the most characteristic pathognomonic given spots in the oral cavity?

 

 

 

Measles

Base test exams for intermediate certification

Course