: : Children infections : :

1 The disease in 8-year-old child started badly - with the rise in temperature to 39 degrees Celsius, sore throat and increased size of submandibular lymph nodes. The throat, in the background of edema and hyperemia, grayish-white filmy overlay and adhere to the underlying tissues, in removal of which defects are formed. Expressed symptoms of intoxication, according to ECG pronounced degenerative changes of the myocardium. diagnose:
{
~ Meningococcal infection
~ Pertussis
~ Measles
= Diphtheria
~ Scarlet fever
} 

2 Child 8 years old fell ill very bad. After 2 days of onset death occurred. Autopsy revealed that the meninges dramatically congested on the basal surface of the brain, they are impregnated with a thick opaque yellowish-green exudate. Brain tissue swelling. diagnose:
{
= Meningococcal infection
~ Pertussis
~ Measles
~ Diphtheria
~ Scarlet fever
} 

3 During the inspection of a child recovering from measles, were found in the soft tissues of the cheeks and swollen crotch, clearly demarcated areas of red and black colors that fluctuate slightly. What complication developed in a child:
{
~ Bedsore
~ Trophic ulcer
~ Dry gangrene
~ Gas gangrene
= Wet gangrene (noma)
} 

4 The disease in the 6-year-old child began badly, the clinical picture was dominated by headache, nausea, vomiting. After 2 days, death occurred. At autopsy congested meninges, basal and cranial surface of the brain, were impregnated with a thick opaque yellowish-green exudate, brain tissue swelling. What disease is characterized by the following picture:
{
~ Whooping cough 
~ Scarlet fever 
= Meningococcal infection
~ Measles
~ Diphtheria
} 

5 A girl of 18 years old with a sharp pain when swallowing, swollen lymph nodes in the neck, fever up to 38 C. On the mucous membrane of the tonsils - white and yellow films are difficult to separate to form the defect underlying tissues. Condition progressively worsened. The patient died on the 8th day of illness at the growing phenomena of heart failure. What are the histological changes will most likely be found in cardiomyocytes:
{
~ Hydropic dystrophy
~ Balloon degeneration
~ Mucous
= Adipose
~ Hyaline-droplet
} 

6 The child taken to the sanitary inspection in a state of asphyxia. On examination of the larynx revealed whitish occlusive lumen and easily removal of the film. The doctor suspected diphtheria. On any form of inflammation of the larynx in question:
{
~ Purulent inflammation
= Lobar inflammation
~ Diphtheritic inflammation
~ Catarrh
~ Serous inflammation
}

7 Girl 5 years old fell ill with diphtheria. On the third day she died from asphyxiation as a result of true croup. At autopsy found that the mucous membranes of the larynx, trachea and bronchi are thickened, swollen, muddy, covered with grayish film, which can be easily separated. What kind of pathological process show morphological changes in the larynx:
{
~ Catarrh
= Lobar inflammation
~ Purulent inflammation
~ Serous inflammation
~ Diphtheritic inflammation
} 

8 At autopsy of the patient revealed: pia mater, upper divisions of the cerebral hemispheres sharply full-blooded, yellow-green, pus soaked and fibrinous exudate on the type of a cap. What disease is characterized by the following picture:
{
~ Meningitis due to typhus
= Meningococcal meningitis 
~ Influenza meningitis
~ Tuberculous meningitis
~ Meningitis due to anthrax
}

9 Patient 28 years old, amygdala increased significantly, congested, painful, on the surface - the dense dirty gray film that apply to the hard palate, tightly linked to the underlying tissues, while trying to separate them develop bleeding. What pathological process causes these morphological changes:
{
~ Catarrhal exudative inflammation
~ Lobar exudative inflammation
= Diphtheritic exudative inflammation
~ Purulent exudative inflammation
~ Hemorrhagic exudative inflammation
}

10 In 11 years old child suddenly developed fever up to 39 C with fever, severe headache, vomiting, agitation and restlessnes. A few days later there was a hemorrhagic rash on the body, loss of choroid and joints, joined oliguria, developed adrenal insufficiency, and finally death. In analyzes of the pharynx found meningococcus. What is the most likely diagnosis:
{
~ Meningococcal nasopharyngitis
= Meningococcemia 
~ Meningococcal meningitis
~ Progressive hydrocephalus
~ Progressive cerebral cachexia
}
