1. In what term from the beginning of illness does the typical rentgenological| picture of miliary tuberculosis appear ?
A. On the first days
B. On 7th days
C. Through 3-4 weeks
D. Through 2-3 months
E. Through 5-6 months.
ANSWER B
2. What kind of rentgenological| picture is most typical for miliary tuberculosis?
A. Flakes of snow".
B. Snow-storm".
C. Bat’s wings|
D. Weeping willow".
E. Looks like millet dissemination
ANSWER E
3. By what method does selection of bacteriae| usually appear at miliary tuberculosis?
A. Bakterioskopy.
B. Bakterioskopy after the using method of flotation.
C. Bacteriological.
D. Biological.
E. Usually doesn’t appear by any method.
ANSWER E
4. конецформыначалоформыWhat sputum in patients with miliary tuberculosis?
A. Mucous.
B. Mucous and purulent.
C. Purulent.
D. Mucous| with bloodstreaks.
E. Sputum is absent.
ANSWER E
5. How does usually miliary tuberculosis finish without treatment?
A. Spontaneous curing.
B. By death in 4-5 weeks.
C. By death in 5-7 months.
D. Passing to infiltration tuberculosis.
E. Passing to chronic tuberculosis.
ANSWER B
6. What character usually has temperature reaction for a patient on miliary tuberculosis?
A. Subfebrility| during the first 3-5 days of illness.
B. Protracted inconstant subfebrility|.
C. Fever during the first 3-5 days of illness.
D. The Wrong fever
E. Normal temperature.
ANSWER D
7. What is the most characteristic investigation, if miliary tuberculosis does not end with death of patient?
A. Convalescence with development of diffuse pneumofibrosis.
B. Convalescence with forming the hearths of Gon.
C. Passing into subsharp disseminated tuberculosis.
D. Passing into fibrous-cavernous tuberculosis.
E. Development the cirrhosis of lungs.
ANSWER A
8. What complication is not typical |for miliary tuberculosis?
A. Sharp insufficiency of kidney.
B. Cerebral comma.
C. Sharp hepatic insufficiency.
D. Amyloidosis.
E. Endotoxicosis.
ANSWER A
9. What is correct continuation of suggestion? Miliary tuberculosis....
A. Is the most frequent form of tuberculosis.
B. Takes the second place (after the infiltration tuberculosis) in the structure of morbidity on secondary tuberculosis.
C. Nowadays meets rarely.
D. Takes the second place (after the tuberculosis of intrathoracic nodes) in the structure of morbidity on primary tuberculosis.
E. Nowadays meets in casuistic cases.
ANSWER C
10. What thesis is faithful?
A. Miliary tuberculosis is one of the most unfavourable| form of tuberculosis.
B. Miliary tuberculosis is a favourable form of tuberculosis.
C. Miliary tuberculosis is a torpid| form of tuberculosis.
D. Miliary tuberculosis is a subclinical form of tuberculosis.
E. Miliary tuberculosis is a | form of tuberculosis without symptome.
ANSWER A
11. What thesis is faithful?
A. Miliary tuberculosis is a local form of tuberculosis.
B. Miliary tuberculosis is a general |form of tuberculosis.
C. Miliary tuberculosis is characterized by migrant defeats of different organs.
D. Only the lungs are struck at miliary tuberculosis .
E. The defeat takes place in 1-2 parenchymal |organs at miliary tuberculosis.
ANSWER B
12. What is the method of provocation of wheezes for patients with tuberculosis?
A. deep breathing
B. breathing through the mouth.
C. deep inhalation after the easy coughing.
D. breathing through the nose.
E. quiet breathing
ANSWER C
13. Patient of 35 at a reception to tuberculosis dispensary complains about a weakness, promoted sweating, cough with sputum of mucus character. Roentgenological: in S1,2 of left lung darkening of weak intensity with unclear contours was found. What kind of research should be done to confirm diagnosis tuberculosis?
A. General blood test.
B. Biochemical blood test.
C. Sputum’s test on MBT.
D. Immunological research of blood.
E. Sputum’s test on the second flora.
ANSWER C
14. Patient of 43 undergo a coursus-cav of anmycobacterial medication treatment concerning FDT (12.12.1998) of left lung’s upper part (fibrocavernous, phase of infiltration and dissemination), Destr-+ Mbt+ M+ K+ resist 0, ISTO, Cat4 Cog4(2004).What research above all should be done to a patient to set an optimum combination of chemo medication?
A. Determine a type of MBT.
B. Determine presence of the second flora.
C. Determine sensitiveness of MBT to antimycobacterial medication.
D. To define massiveness of bacterioexcretion
E. To define virulence of MBT.
ANSWER C
15. Indicate the incorrect formulation of clinical diagnosis of lung tuberculosis
A. FDTB (16.06.2003) of the lungs upper sections (disseminated), Destr +, (infiltration ), MBT +M+C+, Resist -, Hist 0, Cat1 Coh2(2003).
B. CTB (12.01.2000) the upper section of the right lung (fibrous-cavernous), Destr +, (infiltration), MBT +M-C+ Resist I (S, H) Hist0. Lung haemoptysis. RI II, Cat 4 Coh1(2000).
C. FDTB (20.03.2001) of the lower part of the right lung (tuberculoma), Destr +, MBT- M-C-, Hist 0, Cat1 Coh1(2001).
D. FDTB (20.09.2003), (nidus tuberculosis), (infiltration), MBT-M-C-, Hist 0, Cat3 Coh3(2003).
E. RTB (20.06.2003) of the upper part of the right lung (infiltrative), Destr -, MBT- M-C-, Hist 0, Cat2 Coh2(2003).
ANSWER D
16. How is tuberculous etiology of pleurisy confirmed?
A. By the presence of tuberculous changes in lungs or other organs.
B. Finding of MBT| in a pleural exudate or in sputum|.
C. Mantouex test reaction is positive or recent tuberculin intensifier|.
D. Puncture biopsy of pleura.
E. All indicated are correct.
ANSWER E
17. What is the mechanism of development of pleural inflammation by MBT| ?
A. Sputogenic.
B. Only lymphogenic|.
C. Lympho-hematogenic.
D. Bronchogenic|.
E. Only hematogenic |.
ANSWER C
18. What is the reason of appearance of exsudate in a pleural cavity at different clinical forms of tuberculosis?
A. The anatomic and functional connection between the sheets of pleura, lymphatic nodes and lymphatic system of lungs.
B. The inflammation of pleura that caused by MBT|, that penetrate into pleura by lymphogenic way from the hearths or infiltrations| in lungs.
C. Pleura hypersensibilization by MBT decay products |.
D. The inflammation of pleura that caused by MBT|, that penetrate into pleura because of bacteriemia||.
E. All indicated assertions are faithful.
ANSWER E
19. At what type of exsudate is a small amount of free liquid in a pleural cavity , an exsudate is organized quickly|?
A. Purulent.
B. Serous.
C. Fibrinous and serous-fibrinous
D. Haemorrhagic and serous-haemorrhagic.
E. Serous-purulent|.
ANSWER C
20. What of tubercular pleurisy is the most widespread ?
A. Exudative (serous or serous-haemorrhagic liquid).
B. Armourclad.
C. Chillous.
D. Haemorrhagic.
E. Purulent.
ANSWER A
21. What is the character of exsudate at the tuberculous empyema ?
A. Serous-fibrinous| and fibrinous |.
B. Haemorrhagic
C. Serous-purulent| and purulent.
D. Serous-haemorrhagic.
E. Chillous.
ANSWER C
22. For what disease or state transudate into pleural cavity is not typical |?
A. Myxedema|.
B. Cirrhosis of liver.
C. Tuberculosis.
D. Stagnant cardiac insufficiency.
E. Nefrotic syndrome.
ANSWER B
23. What composition of pleural liquid is typical for an exsudate?
A. All indicated is an exsudate.
B. Relative density - 1025, protein content- 45 g/l, protein (in effusion/ in the serum of blood)-0,8, activity of LDG| -2,1 mmol/(l/hour), content of cells -2,1?109/l.
C. Relative density - 1010, protein content - 20 g/l, protein (in effusion/ in the serum of blood)-0,2, activity of LDG| - 1,1 mmol/(l/hour), content of cells- 0,8?109/l.
D. Relative density - 1005, protein content- 15 g/l, protein (in effusion/ in the serum of blood)-0,3, activity of LDG| -0,9 mmol/(l/hour), content of cells -0,5?109/l.
E. Relative density - 1000, protein content- 10 g/l, protein (in effusion/ in the serum of blood)-0,4, activity of LDG| -1,3 mmol/(l/hour), content of cells -0,6?109/l.
ANSWER B
24. What method of research is decisive in diagnostics of pleurisy of any etiology?
A. Pleural puncture
B. Roentgenologic examination|.
C. Ultrasound examination.
D. Clinic and information of physical| methods.
E. Tuberculin tests.
ANSWER A
25. Complication of what form of tuberculosis can be an allergic pleurisy?
A. Lung infiltrative tuberculosis|.
B. Nidus lung tuberculosis.
C. Subacute disseminated lung tuberculosis|.
D. Lung tuberculoma.
E. Tuberculosis of intrathoracic |lymphatic nodes.
ANSWER E
26. What method help to find MBT in pleural liquid at an allergic tubercular pleurisy||?
A. It is impossible to find .
B. By an ordinary bacterioscopy|.
C. By flotation method.
D. By cultural method.
E. By luminescent microscopy.
ANSWER A
27. Complication of what form of tuberculosis can be development of perifocal pleurisy?
A. Fibrous-cavernous lung tuberculosis.
B. Lung infiltrative tuberculosis|.
C. Subacute disseminated lung tuberculosis|.
D. Chronic disseminated lung tuberculosis|.
E. All noted forms.
ANSWER E
28. What measures are the most important in treatment at the purulent (exudative) tuberculous pleurisy?
A. To increase the amount of antimycobacterial drugs.
B. Repeated aspirations of exsudate with creation of negative pressure in a pleural cavity.
C. Setting of corticosteroids|.
D. Desintoxication| therapy.
E. All marked.
ANSWER B
29. What complications can accompany a tuberculous empyema?.
A. Broncho-pleural fistula||.
B. Toracic fistula|.
C. Amyloidosis of internal organs.
D. Pneumopleurisy|.
E. All marked.
ANSWER E
30. What is the exsudate at tuberculous pleurisy?
A. Mainly lymphocytic
B. Mainly neutrophilic.
C. Chillous.
D. Monocytic|.
E. Macrophagic.
ANSWER A
31. What tuberculin and at dose is used at mass tuberculinization?
A. 100 % Koch alt tuberculin
B. PPD-L in standard dilution in 2TU dose
C. PPD-L in standard dilution in 5TU dose
D. PPD-L in standard dilution in 10TU dose
E. 25 % dilution of purified dry tuberculin
ANSWER B
32. The sensitivity of organism to tuberculin may be intensified with:
A. Senile age
B. Lymphogranulomatosis
C. Lymphosarcoma
D. Treatment with immunodepressants
E. Bronchial asthma
ANSWER E
33. Koch’s testing is used for:
A. Prophylaxis of tuberculosis
B. Early tuberculosis revealing
C. Determination of infection index of population with tuberculosis
D. Differential diagnostics of infectious and postvaccinal allergy
E. Revealing the persons with the increased risk of tuberculosis illness
ANSWER D
34. A 2-years old child reaction to Mantoux test with 2 TU – 7 mm infiltration, at the age of 4 – 3 mm. Postvaccinal seam of 4 mm. Define the character of tuberculin reaction.
A. Infectious allergy
B. A “range” of tuberculin testing
C. The child is ill with tuberculosis
D. Postvaccinal allergy
E. Doubtful Mantoux reaction
ANSWER D
35. From what age and in what terms is mass tuberculinization performed:
A. From 12-months age, annually
B. At 7 and 14 years of age only
C. From 12-months age, once in 2-3 years
D. From 7 up to 14 years annually
E. From 7 and each 5 years up to 30-years old age
ANSWER A
36. What is the “range” of tuberculin reactions?
A. Transition of negative reaction to tuberculin to a positive one after BCG vaccination
B. Transition of negative reaction to tuberculin to a positive one after BCG revaccination
C. Sensitivity change to tuberculin due to the primary infection with tuberculosis mycobacteria
D. Appearance of hyperergy reaction to tuberculin in patients infected with tuberculosis
E. Negative reaction to tuberculin in seriously ill tuberculosis patients
ANSWER C
37. What is the aim of mass tuberculinization:
A. For prophylaxis of MBT infection
B. For prophylaxis of tuberculosis illness
C. For early tuberculosis revealing among children
D. For early tuberculosis revealing among adults
E. For revealing the persons with the increased risk of tuberculosis illness
ANSWER C
38. A 6 years old boy K., had a “range” of tuberculin reaction. What examinations should be done?
A. General clinical examination, inspection roentgenogram of the thoracic cage organs, general blood and urine test
B. Koch’s testing, general blood and urine test
C. Fluorography, general blood and urine test
D. Tomography, smear examination from pharynx for MBT
E. Fibrobronchoscopy, examination of contents from bronchi for MBT
ANSWER A
39. While carrying out the differential diagnostics between infectious postvaccinal reactions on the tuberculin is not taken into account:
A. The contact with the tuberculosis patients
B. The intensiveness of the reaction on the Mantoux test of previous years
C. A presence of postvaccinal scar
D. The time of the carrying out of the vaccibation BCG
E. The poisoning by the carbon oxide some yars ago
ANSWER E
40. If there is the positive reaction on the tuberculin with 2 TU on the skin of antebrachium there can be visible:
A. Infiltrate by the size of 5 –16 mm
B. Infiltrate with a vesicle in the centre
C. Hyperemia more than 5 mm
D. Infiltrate by the size more than 16 mm
E. Infiltrate by the size of 2-4 mm
ANSWER A
41. Which one from the mentioned diseases can decrease the sensibility of an organism to tuberculin?
A. Cataral otitis
B. Allergic rhinitis
C. Bronchial asthma
D. Hypertonic disease
E. Measles
ANSWER E
42. Primary forms of tuberculosis comprise:
A. Nidus
B. Disseminated
C. Tuberculosis intoxication
D. Caseous pneumonia
E. Infiltrative
ANSWER C
43. Specific complications comprise:
A. Haemophthisis
B. Chronic lung heart
C. Lung atelectasis
D. Larynx tuberculosis
E. Amyloidosis disease
ANSWER D
44. The characteristic phase of tuberculous process progression is:
A. Suction
B. Condensation
C. Sowing
D. Scarring
E. Calcination
ANSWER C
45. Formulating the clinical diagnosis of lung tuberculosis, first of all should be defined:
A. The process phase
B. The clinical form
C. Bacterial secretion
D. Localisation process
E. Type of tuberculuos process
ANSWER E
46. Single nidal shades of small intensity with vague contours were revealed on the apex of both lungs of a 19-years old woman patient during the prophylactic fluorographyc examination. What is the clinical form of tuberculosis?
A. Infiltrative
B. Lung tuberculoma
C. Nidus
D. Caseous pneumonia
E. Disseminated
ANSWER C
47. A 25-year-old patient fell ill acutely. Complaints for headache, dry cough, dyspnea, temperature rise up to 39,0? C. Objectively: general condition is grave, lips cyanosis, rales are not heard. Blood analysis: leuk. – 12x109/l, ESR – 16 mm/hour. Plain roengenogram: the whole length of both lungs is full with multiple, small focal shadows of low intensity. Mantoux test – 5mm infiltrate. What clinical form of lungs tuberculosis does this patient have?