4c Int Med Day 1 Chronic obstructive pulmonary disease

Додано: 21 березня 2021
Предмет: Людина і світ, 11 клас
Тест виконано: 78 разів
20 запитань
Запитання 1

The most common etiological factors of chronic obstructive bronchitis are all except:


варіанти відповідей

physical


chemicals



Infectious


allergic


stressful

Запитання 2

The leading symptom of chronic bronchitis with a primary lesion of the mucous membrane of the large bronchi are:


варіанти відповідей

Severe dry cough.


Cough with phlegm.


Shortness of breath.


Pain in the chest.


Sore throat.

Запитання 3

The clinical manifestation s of chronic obstructive bronchitis are all, except one:


варіанти відповідей

coughing.


bold small amounts of sputum .


shortness of breath


sputum 200 ml


respiratory failure.

Запитання 4

The vital capacity (VC) is all of the above, except one:


варіанти відповідей

Capacity inspiration.


Reserve about ' cap expiration.


Respiratory about ' cap.


The remaining about ' cap.


Functional residual capacity of the lungs.

Запитання 5

In appointing patients with chronic bronchitis antibacterial agents, dose selection and input should be considered:


варіанти відповідей

The nature flora tracheobronchial secretions.


microflora sensitivity to chemotherapeutic drugs.


tolerability of the drug to patients.


The concentration of the selected product, you must create a bronchial mucus.


All of the above.

Запитання 6

Chronic obstructive bronchitis treatment the patient should be made:


варіанти відповідей

continuously.


exacerbation of the disease.


exacerbation of the disease and as prevention courses.


Only outpatients.


Only permanently.

Запитання 7

Chronic obstructive bronchitis auscultative characterized by the following data:


варіанти відповідей

Wet wheezing.


The sharp weakening of vesicular breathing .


breathing hard and dry whistling wheezing.


Amphora breathing .


Prolonged inhalation .

Запитання 8

Indication for corticosteroid therapy in COPD are:


варіанти відповідей

Severe clinical disease.


The ineffectiveness of treatment by bronchospasmolytic means.


Intolerance to bronchospasmolytic means.


The presence of III-IV severity.


All of the above.

Запитання 9

The product which improves expectoration of sputum by increasing its turnover (decrease sticking) due to stimulation of lung surfaktant system include:


варіанти відповідей

Trypsin.


Acetylcysteine.


Bromhexine.


Mukaltyn.


Hedelyks.

Запитання 10

Complications of chronic obstructive bronchitis are:


варіанти відповідей

Chronic pulmonary heart.


Pulmonary embolism.


emphysema.


mediastenitis.


Spontaneous pneumothorax.

Запитання 11

What does Tiffno index?:


варіанти відповідей

The total lung capacity.


A alveolar ventilation.


State of bronchial obstruction.


The effectiveness of ventilation.


Maximum oxygen consumption.

Запитання 12

Patients '66 complaining of shortness of breath, which increases during exercise. OBJECTIVE: body temperature - 36,6 ° C, BH - 24 for 1 min, pulse - 90 for 1 min, blood pressure - 125/80 mm Hg "Warm" cyanosis, swelling of the neck veins during inhalation and exhalation. Swelling of the lower extremities. Above the lungs auscultated vesicular breathing weakened, scattered dry wheezing. Cardiac relaxed, on top and at Botkin point determined systolic murmur Liver speaks at 5 cm from the edge of the costal arch. Ascites. ECG: R v1 = 10 mm , S v6 = 11 mm . What pathology could most likely cause of the disease?

варіанти відповідей

Polycystic lungs.

Asthma.

Chronic obstructive bronchitis.

Chronic pulmonary artery.

Rheumatic aortic insufficiency.

Запитання 13

During the 8 years of the patient concerned cough in the morning with a discharge of a small amount of sputum, shortness of breath. Smoking more than 10 years. OBJECTIVE: cyanosis, prolongation of expiration, dry wheezing. What is the most likely diagnosis?

варіанти відповідей

Chronic obstructive bronchitis.

chronic nonobstructive bronchitis.

Idiopathic alveolitis.

Bronchiectasis

Asthma.

Запитання 14

The woman, 33 years old, complains of bouts of dry cough, breathlessness. Ill after suffering RH 2 years ago. OBJECTIVE: BH - 16 for 1 min, pulse - 70 for 1 min, blood pressure - 130/90 mm Hg. Above the lungs percussion determined by clear lung sounds, are listened channeled scattered dry wheezing. To determine the reversibility of bronchial obstruction necessary to test:

варіанти відповідей

From salbutamol

With obzidan

Exercise

With oxygen

From the forced expiratory

Запитання 15

The concentration of dust in the workplace obrubnyka, 38 years, more than 10 times MDR. The patient complains of cough often dry, sometimes with little phlegm. Cough concerned for 2 - 3 years. According to medical help is not sought. Do not smoke. OBJECTIVE: hard breathing, single dry wheezing. Other organs and systems normal. Radiography of the chest, en general. blood - without deviation from the norm. Respiratory function: slight bronchial patency. What before diagnosis?

варіанти відповідей

Chronic non-obstructive bronchitis and art.

Particle bronchitis

pneumoconiosis of II.

Chronic obstructive bronchitis and art.

. Chronic bronchitis with bronchiectasis

Запитання 16

Patient D., 25, complained of cough with sputum, general weakness poor appetite, fever that lasts for 2 months. Objectively: skin pale, heart rate - 80 for 1 minute, breathing hard on the lungs, dry and wet wheezing. In the blood: white blood cells, 10x10 9 / L, ESR - 12 mm / h. From what method should start X-ray examination in the hospital?


варіанти відповідей

From the X-ray.


With radiography


With fluoroscopy


From imaging


From Bronchography

Запитання 17

Patient L., 32 years. Diagnosis: COPD exacerbation phase. Concomitant diseases - chronic gastritis. Against the background of the therapy were epigastric pain. Which drug you can link?


варіанти відповідей

Ambroxol.


Loratadine.


Bromhexine.


Mukaltyn.


Libeksyn.

Запитання 18

Patient N., 33 years after hypothermia experienced general weakness, fever, cough with phlegm. OBJECTIVE: both halves of the chest symmetrically involved in breathing, percussion over lungs - lung sound auscultation - hard breathing, wheezing wet. From the heart, tones strengthened focus II ton of pulmonary artery. Which most likely diagnosis?


варіанти відповідей

Acute bronchitis


chronic nonobstructive bronchitis


Focal pneumonia


Lung Cancer


Tuberculosis

Запитання 19

The patient E., 30 years complains of cough mainly in the morning, with sputum cough after several aftershocks, shortness of breath during physical activity over the past 3 years. The deterioration occurred after supercooling. In history, pneumonia. OBJECTIVE: breathing hard, with lengthening of expiratory, listen to his background scattered humming wheezing. On chest radiographs - no change. Volume forced expiratory volume in 1 sec. is 70%. What is the clinical diagnosis can be set to the patient?


варіанти відповідей

Asthma


Chronic obstructive bronchitis


Acute bronchitis


Chronic non-obstructive bronchitis


Bronchiectasis

Запитання 20

Sinker mine experience 10 years, complaining of shortness of breath during physical exertion, cough with little sputum, chest pain. OBJECTIVE: defined moderate cyanosis of the lips. Percussion sound of the lungs with a box shade, weakened vesicular breathing. On radiographs pulmonary drawing amplified, distorted, observed small nodules shadow size 2 - 4 mm in diameter, preferably in the middle and lower parts of the lungs. What additional data are needed to establish the professional nature of the disease?


варіанти відповідей

Bronchoscopy


Complete blood count


ECG


Analysis of sputum for the presence of Mycobacterium of tuberculosis


Sanitary-hygienic characteristics of working conditions

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