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PEDIATRICS OBJECTIVES FOR 5TH YR.doc
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Is grounded on:

-results of estimation of new-born after a scale Apgar in the first minutes of life

-results of estimation of new-born after a scale Apgar in the fifth minutes of life

-results of breathing estimation, HEART RATE and color of skin in the first 20 minutes of life

-results of breathing estimation, HEART RATE and color of skin in the first minutes of life

+results of breathing estimation, HEART RATE and color of skin at birth

?

Choose the method of tactile stimulation, which can not harm the child:

-slap on the back

-slap on buttocks

-pressure on a thorax

- blow-off of cold oxygen or air

+a slap on the foot or slaptering on a heel

?

In new-born there are free breathing, HEART RATE 100 contractions per a minute

general cyanosis, the child needs:

-injection of the bicarbonate of sodium

-injection of 10% solution of glucose

+to provide supply of oxygen through a mask in the distance 1 cm from the face

-to begin ventilation of lungs with a mask and oxygen sack

-to conduct an intubation and sanation of tracheobronchial tree

?

There is gasping breathing in the new-born, HEART RATE 100 contractions per minute,

general cyanosis. It is signs of:

+primary apnoea

-secondary apnoea

?

The intubation of trachea is prescribed:

-at presence of meconium in amniotic fluid

-at suspicion on diaphragmatic hernia

-at unefficiency of ventilation through a mask-sack

-urgent injection of medicines

+all answers are correct

?

In a child apnoea is continued, regardless to tactile stimulation,

HEART RATE is less than 100 contractions per a minute. It is signs of:

-primary apnoea

+secondary apnoea

?

In a child apnoea is continued, regardless to haptic stimulation,

HEART RATE less than 100 contractions per a minute. It is neccesary:

+to begin AVL by a mask and oxygen sack

-once again to conduct haptic stimulation

-to begin the indirect massage of heart

-to inject adrenalin

-to conduct the intubation of trachea

?

In a child apnoea, HEART RATE less than 100 contractions per a minute after 15-30 sec auxiliary ventilation of lungs. It is neccesary:

+to continue ventilation of lungs by a mask and sack

-to begin the indirect massage of heart

-to inject medicines

-to conduct the intubation of trachea

-to conduct haptic stimulation

?

It is necessary to begin indirect massage of heart during the conducting of primary reanimation of new-born, if:

-HEART RATE at birth less than 80 contractions per a minute

-after the conducting of haptic stimulation of child he does not breathe

-HEART RATE at birth less than 60 contractions for a minute

+HEART RATE in 15-30 sec after AVL by a 100% oxygen less than 60 contractions per a minute and do not increase

-HEART RATE in 15-30 sec after AVL by a 100% oxygen less than 80 contractions per a minute

?

Injection of medicines during conducting of primary reanimation in new-born

is necessary, if:

-HEART RATE in 15-30 sec after the indirect massage of heart less than 80 contractions per minute

-HEART RATE in 15-30 sec after AVL with 100% oxygen under positive pressure less than 80 contractions per minute

+HEART RATE in 15-30 sec after AVL with 100 % oxygen under positive pressure in combination with the indirect massage of heart 60 contractions per minute

-HEART RATE in 15-30 sec after AVL with 100 % oxygen under positive pressure in combination with the indirect massage of heart 80 contractions per minute

-all answers are correct

?

Adrenalin for emergency medicare is injected:

-intravenously or intramuscular 0,1-0,3 ml/kg

-intravenously or intramuscular 0,01-0,03 mg/kg

-intratracheal or intravenously 0,01-0,03 ml/kg

-intratracheal or intravenously 0,1-0,3 mg/kg

+intratracheal or intravenously 0,1-0,3 ml/kg

?

During conducting of primary reanimation of new-born

first of all it is necessary to estimate:

-color of skin and mucus shells

-presence of central cyanosis

-HEART RATE

+presence and character of breathing

-breathing frequency

?

Clinical picture of acute hypoxia of mild severity is characterized by:

-bradycardia

-pale skin

-coma

-local neurological symptoms

+breathing after primary of apnoea is rhythmic

?

Clinical picture of acute hypoxia of severe degree is not characterized by:

-cramps

+tachycardia

-oppression

-pale skin

-Cheyne-Stokes respiration

?

Syndrome of neuroreflexive hyperexcitability

at the hypoxical defeat of CNS is characterized by:

+hyperesthesia

-adynamy

-regurgitation

-languor

-muscular hypotony, hyporeflexia

?

Syndrome of oppression at the hypoxical defeat of CNS is characterized by:

+muscular hypotony, hyporeflexia

-increased motive activity

-hyperesthesia

-increase of tone

-tremor of extremities

?

Liquor-hypertensive syndrome at the hypoxic defeat of CNS is characterized by:

+swelling of front top, divergence of sutures

-adynamy

-regurgitation

-hyperhidrosis

-muscular atony, hyporeflexia

?

First feedings in new-born in condition of modrate severity

at a hypoxic defeat CNS is conducted in:

+6-12 hours after birth

-2-3 hours after birth

-30 minutes after birth

-12-18 hours after birth

-1-2 hours are after birth

?

Basic criterion of volume of necessary milk for sick newborn is:

+Digestion of volume of meal

-calculation information (based on the calorage)

-calculation information (based on volume method)

-all answers are correct

-severity of condition of new-born

?

By the basic criterion of efficiency of oxygen therapy

at a hypoxical defeat CNS is:

+saturation of blood by oxygen 91-95%

-partial tension of oxygen 40-60 mm. Hg

-concentration of oxygen in inspired air 60%

-saturation of blood by oxygen 81-85%

-saturation of blood by oxygen 61-65%

?

Complication of protracted non-controlled oxygen therapy is:

+bronchopulmonary dysplasy

-hemorrhagic syndrome

-hypertensive syndrome

-intoxication syndrome

-all answers are true

?

Indication for AVL at the hypoxic defeat of CNS

is all answers, except:

+increasing cardiac insufficiency

-decline of level of partial pressure of oxygen

-increase of level of partial pressure of carbon dioxide

-protracted apnoea and apnoea which often repeats by itself

-decline of saturation of blood with oxygen

?

Using of mixture with the concentration of oxygen 80% during AVL at the hypoxic defeat of CNS is possible during:

+2-3 hours

-6-10 hours

-24 hours

-it is possible long-term introduction

-is used during primary reanimation

?

Using of mixture with the concentration of oxygen 60% during AVL at the hypoxil defeat of CNS is possible during:

-2-3 hours

+6-10 hours

-24 hours

- it is possible long-term introduction

- is used during primary reanimation

?

Using of mixture with the concentration of oxygen 30% during AVL at the hypoxil defeat of CNS is possible during:

-2-3 hours

-6-10 hours

-24 hours

+ it is possible long-term introduction

- is used during primary reanimation

?

Using of mixture with the concentration of oxygen 30% during AVL at the hypoxil defeat of CNS is possible during:

-2-3 hours

-6-10 hours

-24 hours

- it is possible long-term introduction

+ is used during primary reanimation

?

Temperature of air-oxygen mixtures during oxygen therapy

at a hypoxic defeat CNS must be:

+31-34 degrees Celsius

-15-20 degrees Celsius

-24-26 degrees Celsius

-36-38 degrees Celsius

-36-38 degrees Fahrenheit

?

For the purpose of dehydration of cerebral edema we use:

+10-15 ml/kg of dried concentrated plasma intravenously

-1 g/kg manit intravenously

-15-20 ml/kg of the dried concentrated plasma intravenously

-10-15 mg/kg of thiopentone intravenously

-50 mg/kg of Pyracetamum intravenously

?

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