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Systemic sclerodermapart Of a chair with blood, mucus, pus, rectal tenesmus
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| part Of a chair with blood, mucus, pus, rectal tenesmus.
Abdominal pain, sagging after a bowel movement.
Lihoradka, Weight loss.
2549.What are the violations are not associated with systemic autoimmune shifts in patients with ulcerative colitis?
-
Autoimmunny Thyroiditis.
-
Autoimmunnaya Hemolytic anemia, thrombocytopenic purpura.
-
Porazhenie Biliary system and the liver, and a small sclerosing cholangitis intrahepatic ducts, fatty liver.
-
Diffuse glomerulonephritis.*
-
Amiloidoz With primary renal disease, nephrotic syndrome formation.
2550.What are the variations in the overall analysis of the blood is not typical of ulcerative colitis?
-
Gipohromnaya Anemia.
-
Leykotsitoz Shift formula to the left.
-
Eosinophils. *
-
Increase ESR.
-
Retikulotsitoz, Thrombocytopenia.
2551. How 2 changes are most important in the pathogenesis of SSc
-
functional disorders of other cells collagen*
-
functional disorders of fibroblast*
-
functional disorders of neutrophils and other white blood cells
-
functional disorders myocytes
2552.2 places of the body, which most often localized skin changes in SS
-
Fingers*
-
Face*
-
Shoulder
-
Trunk
2553.What 2 characteristics appropriate for the stage of atrophy in the SSD
-
tension and luster of the skin, pointy nose, creases around the mouth pouch shaped*
-
flexion contracture, sclerodactylia*
-
dry ablest and staining of the skin
-
erosivedestructive changes in proximal inter phalangeal joints
2554.What 2 signs are fit for early stage of SSc
-
Esophagitis*
-
Raynaud's syndrome*
-
ulcer of skin
-
calcinosis
2555.2 Specify characteristics of esophagitis in the SSD
-
pain and difficulty in the passage of food through the esophagus*
-
need to wash down with water, dry food*
-
belching
-
hard passing of liquid food
2556.What 2 features are characterized chronic SSD
-
progressive vasomotor violations by type of Raynaud's syndrome*
-
gradually develop thickening of the skin, formation of contractures*
-
fast progressing changes of internal organs
-
progressing seal skin
2557.The main diagnostic features of scleroderma are
-
local and diffuse nephritis
-
Sindrom Shegren
-
Raynaud's syndrome*
-
True scleroderma kidney*
2558.Additional diagnostic features of scleroderma include
-
Basal Fibrosis
-
damaging of Gastrointestinal tract
-
Telangiectasia*
-
Hyperpigmentation of the skin*
2559.For articular syndrome in systemic sclerosis are typical
-
Calcification of soft tissue in the joints of the fingers*
-
nail phalanges*
-
Osteofitoz
-
Spondilit
2560.Early side effects of corticosteroids include
-
The Development of cataracts
-
Steroid ulcer*
-
Osteoporosis
-
Cushing's syndrome*
2561.Mark the characteristic clinical manifestations of CREST syndrome
-
Proximal Myopathy
-
Raynaud's phenomenon*
-
damaging of Intestine
-
angiotelectasis*
2562.Mark clinical manifestations are not characteristic of CREST syndrome
-
Proximal myopathy*
-
Fenomen Reynaud
-
The defeat of the intestine*
-
angiotelectasis
2563.Which of the following symptoms are typical for primary Raynaud's phenomen
-
exacerbation of background of emotional stress
-
Ulcers on the fingertips*
-
The unilateral vasospasm*
-
Start In childhood
2564.Which diseases can develop Raynaud's
-
Systemic scleroderma*
-
CRESTsyndrome*
-
Osteoarthritis
-
Gout
2565.Which of the following conclusions about the phenomenon of Raynaud's true
-
Typical pain in the fingers during cooling*
-
Can develop gangrene of the extremities*
-
feature of Marfan syndrome
-
Not A sign of diffuse connective tissue diseases
2566.Which of the following conclusions about the phenomenon of Raynaud's true
-
Can be the first manifestation of diffuse connective tissue diseases*
-
feature of Marfan syndrome
-
Not A sign of diffuse connective tissue diseases
-
Part develops with vibration disease*
2567.An early sign of some diseases could be Raynaud's phenomenon
-
rheumatoid arthritis
-
eozinofilous fasciitis
-
systemic scleroderma*
-
systemic lupus erythematosus*
2568.Leading pathogenetic mechanisms of systemic sclerosis
-
Intoxication from Medicines
-
Activation of the synthesis of collagen fibrils and formation*
-
Disturbance of microcirculation in the skin and inside, authorities*
-
Reduce The synthesis of collagen fibrils and formation
2569.In the etiology of systemic scleroderma presumptive role play
-
Genetic position*
-
Viruses*
-
Bacteria
-
Insolation
2570.Systemic scleroderma is more common
-
Men in middle age
-
young women*
-
medium age women*
-
Men and women in equal degree
2571.Renal disease in systemic sclerosis in the form of
-
Chronic glomerulonephritis*
-
Pielonefritis
-
uric stone Disease
-
True scleroderma kidney*
2572.For "true scleroderma kidney" is characterized by
-
Proteiunuria up to 1 g per day
-
Quick development of renal failure*
-
High arterial hypertension*
-
an isolated urinary syndrome
2573.Dermatomyositis is characterized by all except
-
choke
-
Disfagii
-
Diarrhea*
-
Obese*
2574.What is the reason of pneumonia in dermatomyositis
-
As a result of the defeat of the muscles of the diaphragm*
-
As a result of the aspiration of tracheobronchial trunk*
-
As A result of the defeat of the microcirculation
-
As A result of heart failure
2575.Dermatomyositis characteristic laboratory findings include
-
Increased transaminases*
-
Creatinuria*
-
Leykopenia
-
Increased total protein
2576.The final diagnosis is confirmed DM
-
Skin biopsy*
-
Muscle biopsy*
-
Biopsiey Infarction
-
The study of joint fluid
2577.In severe muscle weakness in dermatomyositis is used
-
Neostigmine*
-
ATP, cocorbaxilase*
-
Triamsinolon
-
Triampur
2578.Dermatomyositis is characterized by damage to the kidneys in the form of
-
Diffuse glomerulonephritis with the development of chronic renal failure*
-
"Mioglobinuric kidney" with the development of acute renal failure*
-
Chronic Pielonephritis
-
Amiloidosis of Kidney
2579."Advanced" criteria dermatomyositis include
-
Calcification of muscles*
-
damaging of Limb muscles
-
Paraorbital Swelling
-
Dysphagia*
2580.For the treatment of dermatomyositis aminohinolin drugs used in
-
Chronic course of the disease without signs of activity*
-
Reducing the dose of prednisone to reduce the risk of exacerbation*
-
Acute state of the disease
-
When Pronounced activity of the process
2581.Which of the following symptoms are observed in polymyositis
-
Development exacerbations during pregnancy*
-
Atrophia of Proximal muscles
-
Development of dysphagia*
-
Violation Kidney function
2582.Which of the following conclusions about dermatomyositis are correct
-
Gotron symptom is a characteristic feature of the disease*
-
Frequently Develop muscle contracture
-
Frequently Develops subcutaneous calcinosis
-
Can develop conduction disturbances*
2583.Mark characteristic features antisintetase syndrome in polymyositis
-
Infarction
-
Symmetric arthritis*
-
Interstitial lung disease*
-
bad Response to glucocorticoid therapy
2584.Mark the possible reasons for the lack of increase in the concentration of creatinphosphocinase polymyositis
-
Liver disease*
-
Lung disease
-
Development myositis with inclusions
-
Kidney disease
2585. Specify 2 ECG signs of the primary rheumatic heart disease
-
I degree atrioventricular block*
-
decreased amplitude of the T wave*
-
rise of STinterval
-
STsegment depression
2586.Mark the possible reasons for the lack of increase in the concentration of creatinphosphocinase polymyositis
-
Treatment with corticosteroids*
-
The presence of concomitant diseases (DBST)*
-
Lung disease
-
Kidney disease
2587.Which of the following signs of chronic pancreatitis can be detected on CT
-
Pseudocyst*
-
Narrowing of the terminal part of common bile duct
-
Extended virsungov duct*
-
Spasm of the sphincter of Oddi
2588.Which of the following can be a complication of pancreatic pseudocyst
-
Break into the abdominal cavity*
-
Bleeding into the cavity of the cyst*
-
The erosion of the aorta
-
Eansion of the digestive tract
2589.What are the methods used in the surgical treatment of pancreatic pseudocysts formed
-
Alcoholism
-
Internal drainage*
-
Laser destruction*
-
External drainage
2590.Which of the complications of chronic pancreatitis may require surgical treatment
-
Blockage of the bile ducts*
-
Narrowing Wirsung duct
-
Stenosis of the digestive tract*
-
Repeated bouts of acute pancreatitis
2591.For the pancreatic pseudocyst is not complicated by suppuration, is not typical
-
Pain syndrome
-
Fever*
-
Toxemia*
-
Abdominal swelling
2592.Although designated pankreolipazy 4 tablets (4 500IUlipazy 1 tablet) for each meal, in a patient aged 42 years, with chronic pancreatitis complicated by steatorrhea, diarrhea continues Choose possible causes steatorrhea
-
Lack lipase activity at a given dose*
-
Inactivation of lipase in stomach*
-
The use of cimetidine
-
The use of omeprazole
2593.Select correct statements concerning congenital pancreatic cysts
-
They are distinguished by the presence of epithelial lining of pseudocysts*
-
If they are solitary, then manifest as intraabdominal tumor*
-
Multiple cysts are rarely associated with other congenital anomalies
-
The method of choice in the diagnosis of a percutaneous transhepatic cholangiography
2594.2 What are the reasons for constipation in the pancreatitis
-
diet poor in fiber and fat*
-
Round antispasmodics, Almagel, pancreatin and other enzyme preparations*
-
dieta rich in carbohydrates
-
reception antifermental drugs
2595.2 What are the main tasks of pathogenetic therapy in acute Pancreatitis
-
decrease in intraductal pressure*
-
inhibition of enzyme activity in the breast tissue*
-
podavlenie insulin activity
-
podavlenie activity of glucagon
2596.2 In what vasculitis affects mainly largecaliber vessels
-
Diseases Burger
-
Takayasu's arteritis*
-
temporal arteritis*
-
gemorragichesky vasculitis
2597. 2 For what vasulitah mainly affects the blood vessels of medium caliber
-
Arteriit Takayasu
-
periarteritis nodosa*
-
Wegener's granulomatosis*
-
visochny arteritis
2598. For Shegren's syndrome is characterized by three symptoms
-
mainly joint damage with the rapid development of deformations
-
dry mucous membranes*
-
loss of epithelial tissue in general*
-
the plural vistceritis
2599. 2 Which of the following are included in the group of vasculitis giant cell arteritis
-
Granulematoz Wegener
-
Sindrom Chardjui Strauss
-
Takayasu's disease*
-
Temporal arteritis*
2600 2 Specify the state with high cardiac output
-
Thyrotoxicosis*
-
Severe anemia*
-
pleurisy
-
hepatitis
2601. 2 What vasculitis are more common in young adults
-
Visochny Arteritis
-
hemorrhagic vasculitis*
-
Kawasaki disease*
-
periarteritis nodosa
2602. 2 Mark the most common manifestation of periarteritis nodosa
-
Fever*
-
Bronchial asthma
-
Multiple mononeuritis*
-
All The above listed
2603. 2 Mark characteristic feature Chardjui Strauss syndrome
-
Eosinophilia*
-
More than frequent lung than in nodular periarteritis*
-
Glomerulonefrit
-
All of the above
2604.Mark 2 feature Henoch Schönlein
-
Relationships with streptococcal infection*
-
Relationships with taking penicillin*
-
Hives
-
The Development of splenomegaly
2605. 2 Mark frequent manifestations periarteritis nodosa
-
Education aneurysms in the blood vessels of medium caliber*
-
eozinofiliya
-
Detection of serum HBs antigen*
-
Decrease in the concentration of complement component C3
2606.Mark 2 feature giant cell arteritis
-
lesion of the popliteal artery*
-
rasslaivayuschaya aortic aneurysm
-
blindness*
-
City loss in young adults
2607. 2 Which of the following indicators allow confirm the diagnosis of polymyalgia rheumatica
-
weight loss, fever*
-
proteinuriya
-
is a normal erythrocyte sedimentation rate
-
efficacy of glucocorticoid therapy*
2608. 2 For what diseases observed the development of vasculitis
-
systemic sclerosis*
-
rheumatoid arthritis*
-
opuholevy dermatomyositis
-
all of the above
2609. Mark 2 clinical manifestations of Kawasaki disease
-
erythematous rash on the palms and soles*
-
irit
-
"Raspberry" language*
-
Headache
2610.2 What abnormal laboratory parameters identified in patients with giant cell arteritis
-
Anemia*
-
Thrombocytosis*
-
trombotsitopeniya
-
ponizhenie concentration of liver enzymes
2611.Drugs that reduce the incidence of sudden death and the incidence of reinfarction
-
plus aspirin*
-
betablockers without intrinsic sympathomimetic activity (propranolol, metoprolol)*
-
betablockers with intrinsic sympathomimetic activity (trazikor, whiskey)
-
verapamil (finoptinum)
2612. List the symptoms associated with chronic heart failure
-
Dyspnea*
-
In the left upper quadrant pain*
-
headache
-
cough
2613. What are the signs characteristic of cardiogenic shock
-
Hypotension*
-
Pulse pressure greater than 30 mm Hg
-
Bradycardia
-
Oliguria*
2614. Clinical manifestations of myocardial infarction of the left ventricle
-
Pain syndrome typical localization*
-
Pain syndrome atypical localization*
-
Paradoxical reaction to nitroglycerin
-
The development of hypotension after taking nitroglycerin, which previously was well tolerated
2615. The risk of thromboembolic complications in heart rhythm disturbances increases when
-
Atrial fibrillation*
-
Atrial flutter*
-
Atrial tachycardia
-
Ventricular tachycardia
2616. The absence of the effect of antiarrhythmic drugs on mortality, including sudden death among patients with myocardial infarction
-
Amiodarone
-
Sotalol*
-
Dofetilide
-
Azimilide*
2617. Absolute contraindications to thrombolytic therapy for acute myocardial infarction
-
Acute bleeding*
-
Hemorrhagic stroke in history*
-
Hemorrhagic diathesis
-
Duration myocardial infarction 12 hours
2618. Dressler Dressler's syndrome occurs at 26 weeks of the disease, with the following 3 clinical and laboratory changes
-
Increased temperature*
-
Increase ESR*
-
Decrease temperature
-
normalization ESR
2619.Call 2 consecutive actions during resuscitation from cardiac arrest
-
A punch in the chest*
-
Chest compressions*
-
Direct cardiac massage
-
Oxygen therapy nose
2620.List 2 kinds of early complications of myocardial infarction
-
Arrhythmia*
-
Cardiogenic shock*
-
Gastrointestinal syndrome
-
Dressler's syndrome
2621.List the two most revealing changes in laboratory methods for diagnosis of myocardial infarction
-
leukocytosis in the first hours to 3 days, increased erythrocyte sedimentation rate to 47 hours*
-
Hyperenzymemia*
-
leykopeniya
-
Decrease acute phase indicators
2622.List the three types of early complications of myocardial infarction
-
Arrhythmia*
-
cardiogenic shock*
-
thromboembolic syndrome
-
syndrome Dressler
2623.List 2 clinical signs of sudden cardiac arrest
-
loss of consciousness*
-
tonic and clonic seizures*
-
complete absence of breathing
-
Easy pulsation on carotid arteries
2624.What treatment should be assigned to patients with infectious endocarditis with negative blood culture results
-
Penicillin*
-
Aminoglycosides*
-
Cephalosporins
-
Surgical treatment
2625. For acute infective endocarditis is characterized by
-
the presence of fever, chills*
-
leykopenia presence*
-
the rapid emergence of signs of renal failure
-
All of the above
2626. Predisposing factor for infective endocarditis are
-
Heart disease*
-
Embolism
-
Bacteremia*
-
Arrhythmias
2627. List the factors of high risk of IE
-
Aortic defect*
-
Mitral stenosis
-
Marfan syndrome
-
Artificial valve*
2628.List the factors moderate risk of IE
-
mitral valve prolapse
-
Aortic sclerosis with calcification*
-
Valvular pulmonary artery
-
Implanted pacemaker*
2629.When bacteremia how microbes in 100% of cases develop and
-
green strepthacoccus*
-
Staphylococcus aureus
-
Staphylococcus epidermidis
-
Anaerobic bacteria*
2630.The special features of the flow of anaerobic IE includes
-
Part of the education thrombophlebitis
-
High fever*
-
Frequent arterial embolism in the pulmonary vasculature, the heart*
-
Multiple valvular lesions
2631.The factors contributing to the adhesion of bacteria to the endothelium, are
-
Congenital and acquired morphological changes in valves
-
Violation of intracardiac hemodynamics in heart defects*
-
Pronounced changes in cellular and humoral immunity*
-
All of the above
2632.The causes of right heart chamber IE can be
-
Longterm venous catheterization
-
Intracardiac diagnostic and therapeutic manipulation (cardiac catheterization,catheters, subclavian and jugular veins, pulmonary artery)
-
Injecting drug use
-
All of the above
2633. List the 2 major symptoms of IE
-
Fever, chills*
-
Noise regurgitation) vasculitis*
-
Nephrotic syndrome
-
unsleep
2634. For stage I BE characterized by the following symptoms of laboratory
-
Increased erythrocyte sedimentation rate, leukocytosis with a left shift*
-
Increase of fibrinogen*
-
Slowing the ESR
-
Leukopenia
2635.For stage II BE 2 of laboratory characterized by the following features
-
Leukopenia, anemia*
-
Thrombocytopenia sharp increase in gamma globulin*
-
Leukocytosis
-
Polycythemia
2636. List 2 diagnostic criteria of infectious and toxic stage BE
-
Identification of valve defects*
-
Plus the existence of thromboembolic syndrome*
-
Symptoms of uremia
-
Hemorrhages in the skin
2637. 2 Predispose to infective endocarditis factors should be considered
-
Transient bacteremia*
-
The presence of artificial heart valves*
-
nephritis
-
None of the above
2638.In subacute infective endocarditis may occur
-
myocarditis
-
Vasculitis of small vessels*
-
Embolism small vessels with development of abscesses*
-
None of the above
2639. The most common during infectious endocarditis
-
Acute*
-
Subacute*
-
Latent
-
Progressive
2640. Infective endocarditis most affected 2
-
Tricuspid valve*
-
mitral valve
-
Semilunar valves of the pulmonary artery
-
aortic valve*
2641.When endocarditis, caused by the fungus, shows the assignment
-
Ampicillin
-
Tetracycline
-
Amphotericin B*
-
Fluconazole*
2642.In the study of blood in patients with infective endocarditis without renal insufficiency detected
-
Positive (nonspecific) Wasserman*
-
Positive blood culture*
-
LE cells
-
anemia
2643.List 2 echoscopy signs of dilatation cardiomyopathy:
-
diffuse dilatation of the cavities of the heart*
-
reduction of myocardial contractility*
-
dilation of the left ventricle
-
myocardial dyskinesia
2644.2 ECG signs of dilatation cardiomyopathy:
-
decrease in voltage teeth*
-
diffuse myocardial changes*
-
increase in voltage teeth
-
degenerative changes in the myocardium
2645.List 2 ECHO features of hypertrophic cardiomyopathy:
-
reduction in the left ventricular cavity*
-
The asymmetry indices of ventricular septal hypertrophy*
-
symmetrically hypertrophy of the interventricular septum
-
right ventricular dilatation
2646.Call 2 clinical symptoms of restrictive cardiomyopathy:
-
an increase in heart borders left and right*
-
systolic murmur at the apex*
-
diastolic murmur over the aorta
-
the rhythm of quail
2647.List 2 ECHO feature of restrictive cardiomyopathy:
-
early rapid filling of the ventricles*
-
an increase in pressure in the pulmonary artery*
-
reduction of filling pressure in both ventricles
-
reducing the pressure in the pulmonary artery
2648.To carry restrictive cardiomyopathy
-
endomyocardial fibrosis*
-
fibroplastic parietal endocarditis Leffler*
-
alcoholic heart disease
-
dilatation cardiomyopathy
2649.Restrictive cardiomyopathy Treatment (2):
-
glucocorticoid treatment*
-
treatment with cytostatics*
-
coagulation therapy
-
treatment with antidepressants
2650. What kinds of 2 type of cardiomyopathy disturbed in diastolic myocardial function:
-
restrictive cardiomyopathy*
-
hypertrophic cardiomyopathy
-
dilatation cardiomyopathy*
-
for cardiac cardiomyopathy
2651. 2 diseases leading to diastolic heart failure
-
Hypotension
-
CHD*
-
hypertrophic cardiomyopathy*
-
Alcoholism
2652.List 2 echoscopy signs of dilatation cardiomyopathy:
-
decrease differences mitral valve*
-
increasing the diastolic pressure in the left ventricle*
-
mitral regurgitation
-
aortal regurgitation
2653.Drugs used in the treatment of heart failure in patients dilatation cardiomyopathy
-
Furosemide*
-
Etmozin
-
Uregit*
-
Etatsizin
2654. Therapeutic program dilated cardiomyopathy (2):
-
treatment of heart failure*
-
antiarrhythmic therapy*
-
anti-hypertensive therapy
-
lipid-lowering therapy
2655.Glycoside intoxication Treatment
-
Magnesium products
-
Potassium supplements*
-
Betablockers during tachyarrhythmias*
-
Strophanthin when tachyarrhythmia
2656.Factors correcting with poor prognosis in patients with chronic heart failure
-
High blood pressure
-
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