Insulin is not used at treatment of:

+hypoglycemic coma

-ketoacidotonic coma

-lactate coma

-hyperosmolar coma

-hepatic coma

?

For treatment of hyperosmolar coma next preparations, except the following are used:

+ sodium bicarbonate

-insulin

-3% glucose solution

-potassium chloride

?

The level of glycolized hemoglobin that shows the compensation of pancreatic diabetes is:

+less then 6,5%

-less then 8,5%

-more then 10,5%

-it does not matter

-more then 15,5%

?

Cholesterol level that shows the compensation of pancreatic diabetes is:

+less then 5,2 mmol/l

-less then 6,6 mmol/l

-less then 8,8 mmol/l

-less then 8,2 mmol/l

-less then 6,0 mmol/l

?

Missing the insulin injection causes the development of:

+diabetic ketoacidosis

-hypoglycemic coma

-lactateacidotic coma

-hyperosmolar coma

-hepatic coma

?

Overdose of insulin causes the development of:

+hypoglycemia

-diabetic ketoacidosis

-lactateacidotic coma

-hyperosmolar coma

-hepatic coma

?

What are the early complications of pancreatic diabetes:

+hypoglycemic coma

-diabetic nephropathy

-diabetic retinopathy

-diabetic neuropathy

-all the answers are correct

?

What is basic- ballast therapy of pancreatic diabetes:

+usage of insulin of short and prolonged activity in correlation 1:1

- usage of insulin of medium and short activity in correlation 2:1

- usage of insulin of prolonged and medium activity in correlation 1:1

- usage of insulin of short and medium activity in correlation 3:1

-usage of insulin of prolonged activity

?

Urgent hospitalization and parenteral injection of glucagon and glucose is necessary in case of:

+difficult hypoglycemia

-light hypoglycemia

-moderate hypoglycemia

-all the answers are correct

- diaphragm paresis

?

Child form second pregnancy, born in time by woman with I(0) blood group.

Blood group of child is II(A) Rh+. From the first days of life at child took place

Icterus. Indirect bilirubin 328 mmole/l. On the third day of life

regurgitation, bad suction appeared. Liver and spleen are enlarged. Hemoglobin 140 g/l,

erythrocytes of 4*1012/l. What is the most reliable diagnosis?

+hemolytic disease of new-born

-physiological icterus

-fetal hepatitis

-atresia of bilious ways

-sepsis

?

Children with HDN after rhesus-factor frequently are born from:

+II-III pregnancy

-I pregnancy

?

Children with HDN after ABO frequently are born from:

+I pregnancy

-II-III pregnancies

?

HDN after AVO is arisen up:

+if mother blood group O (I), at child II(A) or III(B)

- if mother blood group O (I), at child IV(AB)

- if mother blood group AB (IV), at child II(A) or III(B)

- if mother blood group A (II), at child O(I)

- if mother blood group B (III), at child O(I)

?

Critical level of level of bilirubin in umbilical cord blood is (mcmole/l):

+80

-32-35

-170

-260

-300-340

?

Critical level of bilirubin on any time of life for mature

new-born is (mcmole/l):

-50-60

-32-35

-170

-260

+300-340

?

Critical level of bilirubin on any time of life for premature

new-born (mcmole/l):

-50-60

-32-35

+170-250

-260

-300-340

?

Critical level of hourly increase of bilirubin at incompatibility after rhesus-factor is (mcmole/l):

+more than 7

-more than 2-3

-more than 5

-more than 1

-more than 0,5

?

At HDN after rhesus-factor during SBT they trnasfuse:

+one-type rhesus-negative blood

-packed red blood cells 0(I) group in plasma of AB(IV)

-packed red blood cells of AB(IV) of group in plasma 0(I)

-packed red blood cells of a 0(I) group in plasma A (II)

-packed red blood cells of a 0(I) group in plasma B(II)

?

At HDN after AVO during the leadthrough of SBT they transfuse:

-one-type rhesus-negative blood

+packed red blood cells 0(I) group in plasma of AB(IV)

-packed red blood cells of AB(IV) of group in plasma 0(I)

-packed red blood cells of a 0(I) group in plasma A (II)

-packed red blood cells of a 0(I) group in plasma B(II)

?

SBT is conducted at mature child in volume

+160 ml/kg

-100 ml/kg

-80 ml/kg

-250 ml/kg

-300 ml/kg

?

Volume of single substituted blood for a child with weight more than 3500 g

is (ml):

+20

-10

-15

-5

-1

?

Volume of single substituted blood for a child with weight 2500 - 3500 g.

is (ml):

-20

-10

+15

-5

-1

?

Volume of single substituted blood for a child with weight 1500 - 2500 g.

is (ml):

-20

+10

-15

-5

-1

?

What index of blood is basic at diagnostics of HDN after rhesus- or by group incompatibility?

+bilirubin and its fractions

-serum iron

-prothrombin

-hematocrit

-enzymes: ALT, AST

?

What disease which is accompanied a hyperbilirubinemia can cause defeat of CNS?

+HDN

-innate hepatitis

- icterus from maternal milk

-atresia of bilious ways

-sepsis

?

Name the most characteristic changes of peripheral blood at HDN:

+anaemia with a reticulocytosis

-leukopenia

-increasing of ESR

-thrombocytopenia

-eosinophilia

?

At what disease there is an indirect hyperbilirubinemia?

+HDN

-syndrome of condensing of bile

-atresia of bilious ways

-innate hepatitis

-infectious hepatosis

?

Name disease at which level of direct bilirubin is increased in blood :

+atresia of bilious ways

-conjugational icterus

-HDN

- innate hemolytic anaemia

-icterus at massive hemorrhages

?

What nosotropic preparation is prescribed for decline of hyperbilirubinemia

for new-born children?

+phenobarbital

-prednisolone

-carsil

-lipoic acid

-vitamin B6

?

What disease is characterized by arising of icterus in the first hours of life?

+HDN

-atresia of bilious ways

-conjugational icterus

-sepsis

- innate hemolytic anaemia

?

Mature child with weight 3100 g was born from III pregnancy.