5/17/2017 Module3.

Diseasesofbloodandrespiratorysystem:Testsforselfcontrol

Module3.Diseasesofbloodandrespiratorysystem,allergic
disordersinchildren

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Module3.Diseasesofbloodandrespiratorysystem Testsforselfcontrol
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Testsforselfcontrol

Wednesday17May201701:30AM
Wednesday17May201701:30AM
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1 A17yearoldwomanissickwithbronchialasthmafor13years.
: Recentlyasthmaticattacksoccur45timesperweek,nightattacks2
3timespermonth.Tostopattacks,thepatienttakessalbutamol34
1
timesperweek.Onphysicalexam:conditionisrelativelysatisfactory.
RR20/min,Psis76bpm,BP120/80mmHg.Respirationinlungsis
vesicular.Cardiacsoundsaremuted,rhythmisnormal.What
medicationshouldbeprescribedtopatientasapreventive(basic)
therapyofbronchialasthma?

a.Regulardoseofsalbutamol

b.Inhalationcorticosteroids

c.Tablettedcorticosteroids
d.Injectionofcorticosteroids
e.Cromoglycatsodium

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2 Whatarethefindingsinanaphylaxis?
:
1 a.Wheezing

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b.Red,elevated,nonpittingpapulesorplaques

c.Alllisted
d.Angioedema
e.Erythema

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3 ClassificationofbronchialasthmaisbasedonALL,EXCEPT:
:
1 a.Thedegreeofpulmonaryvasoconstriction

b.Severityandfrequencyofattacks

c.Peakrespiratoryflowreadings
d.Frequencyofnighttimesymptoms
e.Diurnalvariationsofpeakrespiratoryflowdata

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4 Whatisthefirstgenerationofantihistamines?
:
1 a.Suprastin
b.Citerizin

c.SodiumNedocromil
d.Ipratropiumbromide
e.Loratodin

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5 Afterawaspbitetherewasanitchingofskin,hoarsevoice,barking
: cough,anxiety.Onphysicalexam:thereisedemaoflips,eyelidsand
1 cyanosis.Whatmedicineistobetakenfirst?

a.Prednisolone

b.Seduxen

c.Adrenalin
d.Lasix

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e.Euphylin

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6 A7yearoldboyhasanattackofasphyxiaanddistantwhistlingrales
: afterplayingwithadog.History:atopicdermatitiscausedbyeating
1 eggs,chicken,beef.Whatgroupofallergensisthereasonofthe
developmentofbronchialasthmaattacks?

a.Itchmite

b.Epidermal

c.Pollen
d.Chemical
e.Dust

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7 A13y.o.patientwastreatedindermatologicalhospitalforatopic
: dermatitisexacerbation.Hewasdischargedintheconditionofclinical
1 remission.Whatrecommendationsshouldthedoctorgivetoprevent
exacerbations?

a.Useofneutralcreamstoprotectskin
b.Systematicskindisinfection

c.Avoidanceofskininsolation
d.Systematicuseoflocalcorticosteroids
e.Frequentskinwashingwithdetergents

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8 Whatisthelongactingbeta2agonist?
:
1 a.Salbutamol

b.Ipratropium

c.Orciprenalin
d.Salmeterol
e.Albuterol
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9 A2y..breastfedchildsuffersfromcheekskinhyperemia,sporadic
papulouselementsontheskinofthechestandbackfollowingtheapple
:
juiceintroduction.Thechildisrestless.Whatistheinitialpediatritian's
1
tactics?

a.Clarifymother'sdietandexludeobligateallergens

b.Administergeneralultravioletirradiation

c.Treatwithclaritine
d.Refertoprescribedermathologist
e.Applyointmentwithcorticosteroidstoaffectedskin
areas

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10 A6yearoldboywithasthmahashadmildwheezingonlyfourtimes
sinceyoubegantreatinghim3monthsagowithCromolyninhalation
:
twiceeachday.Forthepast2days,hehasagainhadmildcoughing
1
andwheezing.Whatshouldyourecommendtotreatacuteattackof
asthma?

a.theophylline

b.inhalationcorticosteroids

c.loratadine
d.inhalationSalbutamol
e.aspirin

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11 Thevitalcapacityoflungswasestimatedduringmedicalexaminationof
schoolchildren.Whatdeviceisusedformeasuringofvitalcapacityof
:
1 lungs?

a.Acentimetrictape

b.Aspirometer

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c.Atonometer

d.Theanthropometer
e.Thethermometer

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12 Whatistheinhaledcorticosteroids?
:
1 a.Berotek
b.Bekotid

c.Salbutamol
d.Salmaterol
e.Albuterol

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13 Ayouth,aged15,fromchildhoodsuffersfromatopicdermatitisand
allergytotheshellfish.Inthelast3months,afteracquiringaquarium
:
fish,developedrhinitis,conjunctivitis,itchinginthenose.Thelevelof
1
whatimmunologicindexshouldbedefinedinthiscase?

a.IgA

b.IgE

c.IgM
d.IgG
e.Circulatingimmunocomplexes

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14 Inbronchialasthmaairflowlimitationiscausedbyalllistedbelow,
EXCEPT:
:
1
a.bronchospasm
b.mucusplugging

c.primarysclerosisofbronchialtree
d.airwayhyperresponsiveness
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e.mucosaledema

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15 A6yearoldgirlhashadadrycoughwithoutsputumfor2months.
: Thecoughisgettingworseafterexercisesandatnight.Familyhistory
1 revealedthattheparentshaveeczema.Onphysicalexamination,you
hearawheezeinbothlungfields.Shehasnoneofthesignsofchronic
lungdisease.Whatisthemostlikelydiagnosis?

a.bronchialasthma

b.bronchiectasis

c.pertussis
d.foreignbodyaspiration
e.interstitialpneumonia

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16 Followingofthelistedconditionsshouldbedifferentiatedfromasthma
becauseofthewheezingEXCEPT:
:
1
a.Bronchiolitis
b.Laryngitis

c.Congenitalheartdisease
d.Cysticfibrosis
e.Pneumonia

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17 Allcellslistedbelowspecificallyinvolvedinasthma
: pathogenesisEXCEPT:
1
a.Tcells
b.Lymphocytes

c.Eosinophils
d.Monocytes
e.Basophils
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18 Thetypeofdyspneaduringbronchialasthmaattack
:
1 a.Apnea
b.Inspiratory

c.Mixed(expiratoryandinspiratory)
d.Expiratory

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