Indications for termination of pregnancy in the early period of cytomegalovirus infection:

+ Primary CMVI in pregnant

Connection of other viral infections

Media CMVI

The long history of the disease

Immunosuppressive condition of the pregnant

The source of the infection of cytomegalovirus infection can be:

+ Infected with HIV (human)

A sick man during acute phase of illness

The patient with lathen form of CMVI

A sick pet

Pet - a virus carrier

What is the course of CMVI during primary infection of humans with immunosuppression:

Asymptomatic Acute Sialoadenit Acute Bronchitis Indolent Lymphadenitis

+ Generalized form of inflammation with severe disease

With what disease there is no need to carry out differential diagnostics of CMVI:

Listeria

+ Chickenpox

Toxoplasmosis

Herpes infection

Infectious mononucleosis

What complication of childbirth is most common in women with cytomegalovirus infection:

Metroendometritis

Mastitis

Sepsis

Diffuse purulent peritonitis

Parametritis

Please rate the result of ELISA for TORCH-infection (toxoplasmosisrubella cytomegalovirusherpes) Jg G-, JgM+ :

Acute infection

+ The early phase of acute infection

Acute exacerbation of chronic infection or

The state of immunity

The lack of immunity

Please rate the result of ELISA for TORSN infection (toxoplasmosisrubella cytomegalovirusherpes) Jg G+, JgM -:

Generalised acute infection The early phase of acute infection Acute infection or exacerbation of chronic infection

+ State immunity The lack of immunity

The signs, allowing to suspect a congenital CMV infection, are:

+ Abnormalities in the baby's condition at birth

Combinations of neurological symptoms with hepatosplenomegaly and protracted pneumonia

The wave protracted illness

The presence of atypical in peripheral blood mononuclear cells

The combination of all symptoms

ONCOGENIC INFECTION. HIV.

The maximum incidence of genital HPV infection (human papilloma virus) is noted in the age group:

+ From 18 to 28 years

From 21 to 30 years

From 25 to 35 years

From 30 to 45 years

After 45 years

HIV \ AIDS

In HIV-infected women are the most dangerous complication of pregnancy is: Premature birth

+ Fetal infection The development of pre-eclampsia Severe anemia Prenatal rupture of membranes

The first sign of HIV infection of the child is:

+ Underweight, neurological symptoms Low-grade temperature lymphadenopathy Diarrhea Skin rash

Appointment of antiviral drugs to pregnant women reduce the risk of fetal infection up to:

1-2%

10-50%

20-30%

80%

+ 5-10%

HIV infection is an indication for cesarean delivery in the following case:

+ She did not receive antiviral treatment during pregnancy

In any case

When extragenital pathology in mothers

In acute viral infection in razhenitsy

Has received antiviral prparaty during pregnancy

What is the percent of incidence of AIDS at HIV infected child till 5 years

In 50% of cases

In 60% of cases

In 70% of cases

+ In 80% of cases

In 90% of cases

Maternal antibodies to HIV disappear in the child (positive results are negative)

By 6-12 months

+ By 12, sometimes by 15 months

By 6 months

By 18 months

By 24 months

The newborn is infected with HIV in utero. Which symptoms characterize the disease:

Hypotrophy

hepatomegaly and splenomegaly

Neurological disorders

Recurrent infections

+ HIV is characterized by all the symptoms

What disease is a manifestation of Kaposi's sarcoma:

Dermatitis

Candidiasis

+ AIDS

Malignant tumor

Pyoderma

Select the aetiology of pneumonia, the most typical for HIV - infection:

Staphylococcal

+ Pneumocystis

Pneumococcal

Viral

Candida

Methods of transmission of HIV infection:

Transfusion

Sexual

transplacental (from mother tfetus)

Intrapartum

+ All transmission characteristic of HIV infection

What incubatory period is observed at AIDS: 5-6 hours 3-4 weeks 2-3 weeks 10-15 hours

+ from several months to 10-15 years

Risk factors for HIV transmission from mother to child during childbirth does not apply:

Low maternal viral load

High maternal viral load

Sexually transmitted infections

+ Malnutrition of the pregnant

Invasive diagnostic manipulations

Risk factors for HIV transmission from mother to child during childbirth does not include: Chorioamnionitis Rupture of membranes for more than 4 hours Low maternal viral load Invasive interventions in labor

+ First child in multiple labor

HIV can not be transmitted from mother to child:

During pregnancy

During labor

During breastfeeding

+ At the care of the newborn

During the cesarean

What is the antiretroviral prophylaxis:

A long course of anti-retroviral drugs

A short course of antiretroviral drugs

Directed to the treatment of HIV / AIDS mother

Prevention the transmission’s risk of HIV from mother to child

+ Prescription of antiviral drugs during pregnancy, labor and to the newborn immediately after birth

Chlamydiosis, ureaplasmosis

During pregnancy, the treatment of urogenital chlamydiosis now is preferably carried out by:

Erythromycin

+ Azithromycin

Clarithromycin

Amoxicillin

Clindamycin

The medicine of choice in the presence of atypical pathogens (mycoplasma, chlamydia) is:

+ Erythromycin

Metronidazole

Gentamicin

Carbenicillin

Cefuroxime

Mainly sexual way of transmission is typical:

For Chlamydia

For the herpes simplex virus

For Trichomonas

+ For chlamydia and trichomonas

For the herpes simplex virus and Trichomonas

What complications happen during pregnancy and labor during chlamydial infection:

Spontaneous abortions

Premature discharge of amniotic fluid

Premature birth

The birth of children with low birth weight

+ All complications

A newborn baby admitted to the hospital with suspicion on intrauterine chlamydia. What research needs to be done to him:

Throat swab to determine chlamydia

+ Blood for chlamydial antibodies of classes M and G

Bacterial stool cultures

Blood cultures for chlamydia

A study of cerebrospinal liquor

Chlamydial conjunctivitis is diagnosed in the newborn. What groups of lymph nodes are enlarged:

Generalized lymphadenopathy

The increase in anterior cervical lymph nodes

The increase in occipital lymph nodes

+ The increase in parotid lymph nodes

The increase in posterior cervical lymph nodes

Child was born by a woman which is sick with urogenital chlamydiosis. To prevent the development of chlamydiosis he needs:

Emergency vaccination of newborn with antichlamydial vaccine

Preventive gentamicin therapy

+ Treatment of the mother, hygiene compliance

Prescription to the child Cycloferonum

Any preventive action shouldn't be carried out

What are the clinical features of genital chlamydiosis:

The tendency to chronic and recurrent course

The primary lesion of the fallopian tubes and cervix

The high frequency of reproductive disorders

Resistance to antibiotics

+ For genital chlamydia all the features are typical

Mycoplasma is:

+ Bacteria

Viruses

Mushrooms

Protozoydy

Occupies an intermediate position between bacteria, viruses and fungi

Newborns mycoplasmosis is manifested in the form of:

Omphalitis

Streptoderma

Congenital vesicle

Infectious erythema

+ Pneumonia

On radiographs of newborn suffering from mycoplasmosis, specific symptom is:

Double-sided interior lobar pneumonia

Double-sided interior lobar pneumonia

+ Double-sided shallow focal, sometimes confluent pneumonia

pleuropneumonia

Pleurisy

Select a drug for the treatment of mycoplasmosis of the newborn from the following list:

Cephalosporins

Tetracycline

+ Erythromycin

Antifungal preparations

Ampicillin

What pathology develops at a congenital rubella:

+ Eye Defects

Neural Tube Defects

Urinary tract defects

Defects of the skeletal system

Defects liver

Select a drug for the treatment of congenital rubella:

Cephalosporins

Erythromycin

Antifungal preparations

Tetracycline

+ Nonspecific treatment

When it is necessary to do monitoring after treatment of urogenital mycoplasmosis and ureaplasmosis:

After 1 month

After 2 months

+ After 3 months

After 4 months

After 5 months

The causative agent of a mycoplasma infection is:

Fungi

+ Bacteria

Viruses

The simplest

Protozoid

The causative agent of Mycoplasma infection does not sensitive to:

Tetracycline

Erythromycin

+ Penicillins

Ampicillin

Ceftriaxone

Clinical form of mycoplasma infection is:

Acute Respiratory Diseases

Acute pneumonia

Abacterial urethritis

Meningitis form

+ There are all forms

What symptom is accompanied by mycoplasma pneumonia:

Increase of liver

Splenic enlargement

Enlargement of the lymph nodes in the neck

Abdominal pain, nausea, vomiting in the initial period

+ There are all symptoms

What symptom isn't typical for a respiratory mycoplasma:

Obsessive unproductive cough

Moderate intoxication

lymphadenopathy

+ Prolonged high fever

The lengthy manifestation of bronchial obstruction

VIRAL HEPATITIS

Pregnant women get sick with hepatitis "A" in comparison non-pregnant:

Much more often

Much less often

Significantly sharply

Leads death

+ Does not differ

Maternal mortality in viral hepatitis "E" in comparison the mortality among non-pregnants is:

Equally

Below

+ Above

Much more often

Does not differ

If the pregnant women with viral hepatitis has jaundice, the leading symptoms will be:

+ Intoxication

Dyspeptic phenomena

Pain in the liver

Catarrhal syndrome

Amnestic syndrome

The most severe viral hepatitis occurs during pregnancy:

In I-trimester

In II-trimester

+ In III-trimester

Before labor

In one month before the labor

Viral hepatitis 'E' in pregnancy may be complicated by:

Renal insufficiency

Diseases of the cardiovascular system

+ Acute massive hepatic necrosis

CNS lesions

Diseases of the gastrointestinal tract

Informative biochemical test in the prodromal stage of viral hepatitis A is:

Total bilirubin

The protein fraction of blood

+ Enzymes ALT, AST

Enzyme ALT

Cholesterol

Reliable criteria of hepatitis B virus replication in the organism is:

HBsAg carrier state

Anti-HBs and HBsAg

+ HBeAg and antibodies - HBAg of IgM

HBeAg and anti - HBcAg class IgG

Anti-Hbe antibodies

Нow chronic viral hepatitis affects pregnancy:

+ Does not affect

Worsens the pregnancy

The health of the pregnant woman improves

Causes premature labor

Causes pre-eclampsia

How to prevent transmission of HCV from mother to fetus during pregnancy:

+ Avoid invasive prenatal diagnostic procedures (cordocentesis, chorionic villus sampling, etc.)

Treat with with antiviral drugs

To increase immunity

Treat with vitamins

Treat with hepatoprotectors

What is the term of the first dose of HBV vaccine for newborns in RK:

+ 1-2 days

3-4 days

6-7 days

9-10 days

11-12 days

What is the term of the second dose of HBV vaccine for newborns in RK:

12 months

1 month

+ 2 months

6 months

14 months

What is the term of the third dose of HBV vaccine for newborns in RK:

3 years

7 years

45 days

+ 4 months

8 months

What kind of treatment is recommended for acute hepatitis "B" during the pregnancy:

+ Diet, correction of fluid and electrolyte balance, bed rest

Nutricion

Ribavirin

Lamivudine

Prednisolone

Where the labor is should take place, if HBsAg is founded in the woman’s blood:

In the physiological department

+ In the isolated chamber

In the gynecological department

In the postpartum department

In the neonatal department

The latent period for hepatitis "A" is:

+ 15-45 days

10-15 days

20-25 days

50-60 days

5-10 days

How many percent HbsAg identification in milk of the infected women takes place:

+ 50%

60%

70%

40%

30%

listeriosis

Listeriosis is an infectious disease caused by:

+ Bacteria

Viruses

The simplest

It occupies a middle position between bacteria and viruses

Fungus

Often fetus is infected listeriosis from the mother by:

+ Blood-placental

When passing through the birth canal

Swallowing amniotic fluid

During breast-feeding

After delivery, by contact

"The gold standard" for detection of listeriosis is:

ELISA

PCR

Bacterioscopy

+ Bacteriological seeding

IFA (immunofluorescence)

Listeria is detected in pregnant woman. What antibiotic do you have to assign:

Erythromycin

+ Ampicillin

Ofloxacin

Tetracycline

Metroridazol

Where the material is taken for screening listeriosis in newborn:

Throat swab

A smear of eye conjunctiva

+ Meconium

Amniotic fluid at birth

A smear of placental

A few days before labor pregnant woman complains for fever, back pain, lower back pain, frequent mocheispuskaine, and diarrhea. Probably that infection is:

Acute respiratory infection

The non-specific infection (staphylococcus, streptococcus, etc.)

+ Listeriosis

Chlamydia

Gonorrhea

Listeriosis should be treated;

+ Ampicillin in with gentamicin

Metronidazole

Dalacyn

Ceftriaxone

Rifampicin

RUBELLA

Rubella virus can be detected:

In the blood

in the urine

In the feces

In the discharge from the nose

+ All are characteristic of rubella

The rubella at pregnant women can give complication:

Not developing pregnancy

Intrauterine fetal death

Spontaneous miscarriage

Preterm labor and stillbirth

+ all complications

Malformations of the fetus in early pregnancy may be caused by:

+ Rubella

Tuberculosis

Chickenpox

Infectious hepatitis

Listeriosis

Fetal and pregnancy pathology

Screening of the fetus during pregnancy is not carried out in:

8-14 weeks

20-24 weeks

36-38 weeks

41-42 weeks

+ 5-6 weeks