kef 29 loimwkseis kns

Question 1

melitaios piretos

Answer 1

apo brucella melitenesis( apo mi pasteriomeno gala i tiri i nosounta zoa)…sto eny exoume avksisi kitarwn kailefkwmatos fisiologiki glikozi

Question 2

antidrasi Wright

Answer 2

orologikes eksetaseis pou anagnwrizoun tin brucella sto eny kai sto aima

Question 3

therapeia brucellosis

Answer 3

rifampikini me trimethoprimi .soulfamethoksazoli i tritis genias kefalosporini

Question 4

vaktiridio sifilis

Answer 4

wxra spiroxiati (treponima palladiium)

Question 5

ti katastrefei i tritogonos simfili

Answer 5

nevriko kardiagkeiako alla kai kathe organo

Question 6

okseia sifilidiki minigkitida diagnwsi

Answer 6

sto eni avksisi avksisi lemfokitarwn , leykomatos thetiki stin oroantidrasi VDRL(thetikes oroantidraseis)

Question 7

Nwtiaia fthisis

Answer 7

15-20 xronia meta tin prwtomilinsi apo treponima palladum, mielorizonevropatheia,flegmoni stis opisthies rizes,ta nwtiaia gagglia kai opisthies desmes

Question 8

argyl robertson (misi stin prosarmogi kai oxi sto fws)

Answer 8

stin nevrosifili kai stin diavitiki nevropatheia

Question 9

farmako eklogis sifilis

Answer 9

penikilini(kristaliki penikilini G) se alergeia erithromikini kai tetrakiklini

Question 10

nosos Lyme pou ofeilete

Answer 10

stin speiroxaiti Borrelia burgdoferi apo krotones (tsimpouria)

Question 11

eny stin noso lyme

Answer 11

avksimena lemfokittara(3000) , avksisi lemfwmatos kai fisiologiki glikozi(opws vroukelwsi kai kapws stin sifili) ….diagnwsi me elisa

Question 12

nosos pou prokaleite apo molismeni epafi me oura troktikwn

Answer 12

leptospeirwsi (leptospira interrogans)

Question 13

therapeia fimatiwdous minigkitidas

Answer 13

isoniazidi , aithamvoutoli ,streptomikini , piridoksini (vB6)

Question 14

simantikotero antimikitiasiko farmako

Answer 14

amfoterikini B(nefrotoksikotita ,anaimia)

Question 15

toxoplasma gondi endokitario parasito varia vlavi pou mporei na kanei

Answer 15

diaxiti nekrwtiki egkefalitida

Question 16

kata tin emvriiki loimwksi to toxoplasma kanei-

Answer 16

idrokefalia,mikroegkefalia ,epilipsia ,noitiki kathisterisi tiflwsi ,an ginei stin arxi to emvrio apovallete

Question 17

therapeia toksoplasmatos

Answer 17

soulfadiazini kai pirimethaminis

Question 18

oi iogeneis loimwkseis kanoun _ ston egkefalo enw oi bakritiakes kanoun _

Answer 18

diaxati prosvoli(ektos hsv1 topika) ————topiki logo nekrwsi kai mporei apostima

Question 19

poia einai ta pathogona mikrovia okseias piwdous minigkitidas(flwgmoni ston iparaxnoeidi)

Answer 19

pnevmoniokokkos (>20) , miniggitidokokkos(paidia kai neous enilikes) , listeria se ilikiomenous kai anosok , aimofilos 10%

Question 20

pathofisiologia minigkikis loimwksis

Answer 20

1.apo mikrovia fisiologikou apoikismou tou rinofarigga pou pernoun ton aeff 2. epektasi paraminiggikis loimwksis 3.miniggiko rigma 4.xeirourgiki epemvasi 5.riksi egk apostimatos

Question 21

kliniki eikona okseias piwdis miniggitidas

Answer 21

piretos ,isxii kefalalgia ,diskampsia evxena epiliptikes kriseis ,kerning brudzisky

Question 22

exoume mesi otitida kai minigkitida,apo poio organismo

Answer 22

pnevmoniokokkos

Question 23

se kak ti pathogono gia minigkitida

Answer 23

stafilokokkos

Question 24

ti kanoume se piwdi minigkitida

Answer 24

kaliergeia aimatos kai empeiriki antiviwtiki agwgi,onp(prwta ct se ipopsia xorokataktitikis eksergasias) afta paraklinika

Question 25

poia einai i empeiriki antimikroviaki therapeia se okseia piwdi miniggitida

Answer 25

kefalosporini tritis genias (kefotaksimi kai keftriaksoni) kai vankomikini gia pnevmoniokokko ,streptokokko b kai aimofilo ....listeria -ampikillini ......stafilokokkos i psevdomonada vankomikini+ kseftazidimi

Question 26

gia aftous pou prepei na kanoun ximeioprofilaksi apo piodi miniggitida(miniggitidokokiki)

Answer 26

rifampikini minokiklini soulfadiazini

Question 27

kliniki eikona apostimatos

Answer 27

simeia xorokataktitikis eksergasias,endokrania ipertasi ,estiakes epiliptikes kriseis,apiretos (xamilos), sos onp oxi!! ,defterogenis epilipsia simantikoteri epiploki

Question 28

pou vriksete to empiima kai ti kanei

Answer 28

iposkliridio xoro,thromvoflevitidws kolpwn

Question 29

episkliridio apostima

Answer 29

apo osteomielitida kraniou ,vgenei pio apo afti ,provlima sto tridimo kai apagwgw sixnotero pathogono xrisizon stafilokokos

Question 30

nevrosifili meta apo 15-20 xronia kanei nwtiaia fthisi poia einai ta simptwmata(mielorizonevropwtheia)

Answer 30

aftomata keravnovola algi kiriws katw akrwn, aisthitiki ataksia,diataraxes ourisis,simeia: argyl robertson ,apousia antanaklastikwn katw akrwn ,thetiko romberg

Question 31

diagnwsi toksoplasmatos

Answer 31

ct :pollaples asvestopoiimenes esties ,elisa( kai lyme)

Question 32

iogeneis loimwkseis n.s

Answer 32

pathogenesi eitai kanoun miniggitida,eitai prosvoli faias ousias polioegkefalitida, mono se prosvoli nevrwnwn prosthiwn keratwn n m poliomielitida kai lefkoegkefalopatheies(otan pan oi ioi sta gloiaka kitara kai kanoun apomielinwsi)

Question 33

okseia iogenis miniggitida

Answer 33

piretos ,kakouxia ,kinagxi ,kefalalgia ,fotofovia,ipnilia ,ipia i katholou miniggika simeia

Question 34

eni stin okseia iogenis miniggitida

Answer 34

afksisi lemfokittarwn mikri avksisi lefkwmatwn ,kai glikozi fisiologiki

Question 35

se poies loimwkseis exoume fisiologiki glikozi sto eny

Answer 35

brukelwsi lyme kai okseia iogenis

Question 36

pio varia apo oles tis iogeneis egkefalitidees einai i loimwksi apo

Answer 36

io tou aplou erpita tipou 1(sto ieg kanei oksiaixma kimata megalou ipsous ana 2-3 sec) therapeia akikloviri

Question 37

o vzv erpitoios(akiklobiri),otan epanenergopoiithei analoga me to simeio pou kanei vlaves

Answer 37

gasereio gagglio(v1) ston ofthalmo ,eripis gonatwdous swmatos (vii) rumsay hunt-paralisi prosopou kai fisalidwdes eksanthima limwksi nwtiaiwn gaggliwn(aisthitikwn) sinithws th3-th12 fisalides ,algi rizitikis katanomis

Question 38

proodevtiki poliestiaki lefkoefkefalopateia

Answer 38

apo io papova JC ,nevrotropos gia oligodendrokittara ,aftos kanei apomielinwtikes esties se imisfairia stelexos paregkefalida agwgi me: CIDOFUVIR

Question 39

ti simvainei se ena pou exei ipokseia sklirintiki panegkefalitida

Answer 39

aftos epathe lipwksi apo ilara se ilikia mikroteri 2 etwn,lanthanon xronos 5-6 xronia ,ekptwsi iq ,ataksia miokloniki kwma ,sto eny exoume g sfairines kai antiswmata kata tis ilaras

Question 40

poios ios kanei tropiki spastiki tetraparesi

Answer 40

HTLV-1

Question 41

TI klinika sindroma apo n.s tha kanei o hiv

Answer 41

asipti miniggitida,hiv egkefalopatheia(prosvoli lefkis ousias) ,mielopatheia(spastikotaksiki sindromi) ,prosvoli periferikou n s (gb i cidp)

Question 42

poio einai to sixnotero loimogono aitio miniggitidas apo aids

Answer 42

kriptokokos

Question 43

ti kanei tis spoggwdeis egkefalopatheies

Answer 43

ta prions (nosos creutzfeldt -jakob)

Question 44

oi nosoi prion( einai eitai sporadikoi eite klironomikes einai apotokes molinsis)

Answer 44

exoume diataraxi metavolismou prion prwteinis,fisiologiki PrPc nosogonos PrPSc(PRNP gonidio) .i nosogonos morfi den diaspate apo enzima kai kanei inidia SAFs enonontai kai kanoun amiloeides --> plakes --> egkefaliki vlavi

Question 45

pathan prions nosou

Answer 45

spoggomorfi ekfilisi,astrogloiwsi ,apousia flegmonis

Question 46

kliniki eikona kai parakliniki eksetasi spogodoys egkefalopatheias

Answer 46

ekptwsi noitikwn leitourgeiwn ,thanatos entos 6-12 minwn,xaraltiristika: mioklonies prwimi anoia ekfortiseis ieg,sto eni exoume prwteini 14-3-3