- •If there are difficulties of delivery of the child’s shoulders during birth the biggest compications appear at:
- •Insulin deficit causes:
- •Increased level of k in blood serum is typical for:
- •Insulin is not used at treatment of:
- •Icterus. Indirect bilirubin 328 mmole/l. On the third day of life
- •I pregnancy is artificial abortion, II is wilful abortion in 12 weeks.
- •In the neonatal period
- •Is grounded on:
- •In what dose Dexamethazonum is prescribed to new-born?
- •In case of hemorragic syndrome at new-born we prescribe:
- •Ventilation of lungs under positive pressure of 100% oxygen by a sack
- •Intracranial calcifications are the typical sign of:
- •Initially manifestations of acute leukosis at children are the following, except:
- •Increased prothrombin time and thrombocytopenia are typical for:
- •In case of proved presence of meticylin- resistant aurococcus or epidermal staphylococcus it is necessary to use:
- •28Th days child is 1 week in patient care institution because of septicopyemic form of umbilical staphylococcus sepsis. Causative agent is sensible to to the ampicillin. Define course of illness:
- •Is it required making diagnosis sepsis in new-born in case of determining of causative agent:
- •Is it possible to consider a sepsis as the result of direct action of microorganisms on a macroorganism:
- •Intrauterine sepsis is characterized by:
- •Initial parameters of sbppp:
- •In the intrauterine period arterial ductus is:
- •Increase of tth and decline of t3, t4 characterises:
- •In soil:
- •Increases of what hormone is important in the pathogenesis of obesity:
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
?
