Peds pulmonology Flashcards
An infant with frequent pulmonal infections may have the following disease:
A) mucoviscidosis
B) hypogammaglobulinaemia
C) chronic granulomatous disease
D) all the above mentioned
D) all the above mentioned
The following statements about newborn’s pneumothorax are true, except one. Which one is the exception?
A) neonatal hypoxic conditions and their respiratory treatment are the main causes
B) in the case of ventilation pneumothorax, the ipsilateral lobe is compressed, which can lead to a shock
C) transillumination is a good supplementation to physical examination
D) if the newborn was on a respirator, it must be taken off from the machine
E) a tensional or high-grade pneumothorax should be detensionated and a long-term suction should be introduced
D) if the newborn was on a respirator, it must be taken off from the machine
The following statements are characteristic for pulmonary sequestration, except one. Which one is the exception?
A) the sequestered segment is not connected to the bronchial system
B) is mainly located in the upper lobe
C) may lead to repeated pneumonias
D) the sequestrated part must be removed by surgery
E) its blood flow is not from the pulmonary artery
B) is mainly located in the upper lobe
The following statements are characteristic for congenital bronchial stenosis, except one. Which one?
A) the cause is the immaturity and softness of the cartilage
B) the secretion can accumulate after the stenosis
C) the hardening of the cartilage can be facilitated with the administration of vitamin D
D) the use of cough suppressors is prohibited
E) it can be diagnosed by bronchoscopy
C) the hardening of the cartilage can be facilitated with the administration of vitamin D
The following statements are true about the neonatal pneumonia, except one. Which one?
A) can develop intrauterine, intrapartum, or postnatally
B) predispositions are the preterm rupture of the membrane, and maternal infections
C) a common pathogen is group B Streptococcus
D) symptoms are similar to RDS
E) elevated serum IgG level is an evidence of a conatal pneumonia
E) elevated serum IgG level is an evidence of a conatal pneumonia
The following statements are true for an acute tonsillitis, except one. Which one?
A) can be caused by bacteria, viruses and fungal infections
B) a complication can be a rheumatic fever
C) the most common pathogen is Streptococcus pneumoniae
D) often accompanied with cervical lymphadenitis
E) a few days of fever
F) fluid intake is often difficult due to the swollen tonsils
C) the most common pathogen is Streptococcus pneumoniae
Tonsillectomy is required, except one. Which one?
A) frequently repeated follicular tonsillitis with fever
B) tonsillitis with peritonsillar abscess
C) tonsillitis with retropharyngeal abscess
D) repetitive upper respiratory tract infections
E) suspect of an intratonsillar tumor
D) repetitive upper respiratory tract infections
Which diagnostic test result is a proof of mucoviscidosis?
A) decreased xylose absorption
B) reduced vitalcapacity
C) reduced bile acid levels in duodenal excretion
D) steatorrhoea
E) a sweat Cl- concentration above 60 mmol/l
F) cor pulmonale
E) a sweat Cl- concentration above 60 mmol/l
Characteristics of pseudocroup, except one:
A) usually occurs at night
B) coughing, stridor can be detected
C) is common in infants and toddlers
D) is mostly caused by bacterial infection
E) cool air, sitting position helps
D) is mostly caused by bacterial infection
The following diseases can be the complications of acute tonsillitis, except one. Which one?
A) lymphadenitis colli
B) acute febris rheumatica
C) sepsis
D) chronic rheumatoid arthritis
E) glomerulonephritis acuta
D) chronic rheumatoid arthritis
The following statements are true for retropharyngeal abscess, except one. Which one is the exception?
A) complication of a purulent pharyngitis
B) disturbs swallowing
C) causes a laryngeal edema
D) head positioning resembles to meningism
E) spontaneous opening of the abscess should be preferred instead of surgery
F) laryngoscopy is required for the diagnosis
G) submandibular lymphadenitis is always present
E) spontaneous opening of the abscess should be preferred instead of surgery
The following statements are true for acute epiglottitis, except one. Which one is the exception?
A) slow progression
B) high fever, restlessness
C) dyspnea, cyanosis, backward head position
D) can lead to suffocation
A) slow progression
What kind of antimicrobial therapy would you apply in epiglottitis and why?
A) I would not use any antimicrobial treatment, as epiglottitis is caused by viruses
B) I would administer acyclovir, as the most common pathogens are Herpes viruses
C) III. generation cephalosporin, as the most common pathogen is Haemophilus influenzae
D) Vancomycin treatment, as epiglottitis is a result of a staphylococcal infection
C) III. generation cephalosporin, as the most common pathogen is Haemophilus influenzae
The most common pathogen in bronchiolitis?
A) Haemophilus influenzae
B) Pneumococcus
C) coxsackie virus
D) Streptococcus haemolyticus
E) respiratory syncytial virus
E) respiratory syncytial virus
Most common causes of chronic bronchitis, except one. Which one?
A) community acquired repetitive infections
B) allergy
C) sinusitis
D) mucoviscidosis
E) IgE deficiency
E) IgE deficiency
A wheezy bronchitis (so called bronchitis obstructiva) can be called infant’s or toddler’s asthma. One statement is false. Which one?
A) more common in infants and toddlers, than in later ages
B) malnutrition is a predisposition
C) physical finding is expiratory dyspnea
D) high fever is not common
B) malnutrition is a predisposition
The following factors are present in the pathogenesis of asthma bronchiale, with one exception. Which one?
A) hyperreactivity of the bronchial system
B) IgE mediated antigen antibody response
C) smoking, humid air inhalation
D) physical stress
E) adrenergic drugs
F) psychological effects
E) adrenergic drugs
Which of the following treatments are prohibited in severe asthma?
A) increased fluid intake
B) β -receptor agonists
C) β-receptor antagonists
D) theophylline and its derivatives
E) corticosteroid
C) β-receptor antagonists
The assessment of an asthmatic child’s clinical condition is based on the following, except one:
A) frequency of night complaints
B) frequency of beta-2-agonist demand
C) total serum IgE level
D) assessment of the everyday limitations
E) frequency of daytime complaints
C) total serum IgE level
Can show the clinical symptoms of wheezy bronchitis or asthma bronchial, except one. Which one?
A) abnormal aortic arch (vascular ring)
B) cystic fibrosis
C) main bronchi stenosis
D) untreated celiac disease
E) vitium with pulmonary overflow
F) a chronic foreign body in the airways
D) untreated celiac disease
These pathogens are most likely to cause a pneumonia among school-age children (only one answer is correct):
A) Mycoplasma pneumoniae, Chlamydia pneumoniae, Streptococcus pneumoniae
B) Klebsiella pneumoniae, Escherichia coli
C) Haemophilus influenzae, Staphylococcus aureus
D) group B Streptococcus
A) Mycoplasma pneumoniae, Chlamydia pneumoniae, Streptococcus pneumoniae
The complications of pneumonia complications do not include one of the following. Which one?
A) pulmonary fibrosis
B) empyema
C) bronchiectasia
D) sepsis
E) abscess formation
A) pulmonary fibrosis
To differentiate between bacterial and viral pneumonia these statements are true, except one. Which one is incorrect?
A) in viral pneumonia the white blood cell count is lower than in bacterial pneumonia
B) viral pneumonia in infants are always mild
C) the progression of viral pneumonia is slower
D) lobar infiltrate refers to bacterial etiology
B) viral pneumonia in infants are always mild
Cytomegalovirus pneumonia does not occur in one case. Which one?
A) after renal transplantation
B) in AIDS
C) in respiratory distress syndrome
D) in case of immunosuppressive therapy
E) in other opportunistic infection
C) in respiratory distress syndrome
What is typical for Mycoplasma pneumoniae infection? There is only answer correct. Which one is that?
A) typical for infants
B) fulminant process
C) mild cough
D) Incubation period is couple if weeks
E) Mainly alveolar
D) Incubation period is couple if weeks
One of the following helmints does not cause eosinophil pneumonia. Which one is that?
A) Oxyuris vermicularis
B) Ascaris lumbricoides
C) Toxocara canis
D) Toxocara catis
A) Oxyuris vermicularis
One of the followings cases we have to think to foreign body aspiration. Which one is that?
A) swallowing is regularly and permanently painful
B) swallowing liquids is easily possible, but the solid food gets stucked
C) coughing attack and vomiturition during eating
D) coughing only appears in lying position
E) unusual amount of hiccups/singultus and burps appear
C) coughing attack and vomiturition during eating
A 3-year-old child, who goes to nursery, has serial mild, spontaneously healing airway infections. What do you think first?
A) immunglobulin deficiency
B) cellular immunodefeciency
C) the various possible infections originated from the environment
D) feeding deficiency
E) vitamin C deficiency
F) rachitis
C) the various possible infections originated from the environment
All of the following are involved in the successful treatment of allergic disease, except one. Which one is that?
A) elimination of the allergens
B) drug therapy
C) antimikrobial medicines
D) immunotherapy (desensibilisation, allergene vaccination)
E) profilaxis (e.g. avoid environmental smoking)
C) antimikrobial medicines
One of the followings is the most proper diagnostical procedure in case of foreign body aspiration. Which one is that?
A) exhaustive investigation of the anamnesis
B) anteroposterior chest x-ray
C) bronchoscopy
D) bronchography
E) chest transillumination
C) bronchoscopy
Which intervention is wrong in Mucoviscidosis?
A) administration of oral antidiabetics is recommended due to pancreatic fibrosis
B) pancreatic enzymes are justified
C) hypercalorisation of patients
D) short chain fatty acids are preferred
E) Supplementation of fat-soluble vitamins
A) administration of oral antidiabetics is recommended due to pancreatic fibrosis
Tuberculosis is characterized by the following, except:
A) A positive Mantoux test will certainly certify the existence of tuberculosis
B) the tbc-bacillus can be easily detected from sputum, pharyngeal Lavage
C) meningitis may occur during the illness
D) PCR (polymerase chain reaction) accelerates the detection of tbc-bacillus
E) primary tuberculosis can be healed in weeks
A) A positive Mantoux test will certainly certify the existence of tuberculosis
The following, except one, predispose to tuberculotic disease:
A) malnutrition, poor social situation
B) simultaneous bronchial asthma
C) AIDS, cellular immunodeficiency
D) immunosuppression by drugs
E) measles, pertussis, after infectious mononucleosis
B) simultaneous bronchial asthma
The following procedures, except one, are useful in lung edema:
A) oxygen administration
B) diuretic and aminophylline administration
C) inhalation of steroids
D) intermittent positive pressure breathing
E) Correction of acidosis
C) inhalation of steroids
Which test is suitable to follow up fibrotic alveolitis?
A) regular control of erythrocyte sedimentation rate
B) control of serum immunoglobulins
C) detection of changes in allergy skin tests
D) performing respiratory function tests
D) performing respiratory function tests
Typical symptoms of allergic rhinitis, except one:
A) abundant nasal discharge
B) frequent sneeze
C) often associated with conjunctivitis
D) many neutrophil granulocytes in nasal secretion
E) nasal congestion during the night disturbs the patient
F) patients complain about itching in the throat
D) many neutrophil granulocytes in nasal secretion
Which statement is not correct in childhood asthma?
A) The endogenous form is more common than the exogenous
B) Bronchial hyperreactivity is characteristic
C) IgE level is increased
D) It is related with leukotrienes release
E) Between the attacks the patients may be without symptoms
A) The endogenous form is more common than the exogenous
Rhinitis allergica is an atopic disorder just as
1) atopic dermatitis is
2) chronic urticaria is
3) asthma bronchiale is
4) cereal protein sensitivity is
A) 1st, 2nd and 3rd answers are correct
B) 1st and 3rd answers are correct
C) 2nd and 4th answers are correct
D) only the 4th answer is correct
E) all of the answers are correct
A) 1st, 2nd and 3rd answers are correct
It has a decisive role in triggering seasonal allergic rhinitis:
1) House dust mite
2) Ragweed pollen
3) Cat fur
4) Grass pollen
A) 1st, 2nd and 3rd answers are correct
B) 1st and 3rd answers are correct
C) 2nd and 4th answers are correct
D) only the 4th answer is correct
E) all of the answers are correct
C) 2nd and 4th answers are correct
Symptoms characteristic for allergic conjuctivitis:
1) watery eye discharge can be seen
2) itchy eyes
3) cornea is not affected
4) it affects both sides
A) 1st, 2nd and 3rd answers are correct
B) 1st and 3rd answers are correct
C) 2nd and 4th answers are correct
D) only the 4th answer is correct
E) all of the answers are correct
E) all of the answers are correct
Typical of atopic diseases of the airways:
1) high grade seasonal variability
2) different conditions of the disease can be found at the same time at the same patient
3) positive family anamnesis
4) the occurrence of cumulative bacterial infections
A) 1st, 2nd and 3rd answers are correct
B) 1st and 3rd answers are correct
C) 2nd and 4th answers are correct
D) only the 4th answer is correct
E) all of the answers are correct
A) 1st, 2nd and 3rd answers are correct
It has a main role in treating asthma:
1) in case of an attack, giving antihistamines
2) intravenous steroids, because they have immediate bronchodilator effect
3) for an irritated patient, giving tranquilizers
4) giving inhaled agents as far as possible
A) 1st, 2nd and 3rd answers are correct
B) 1st and 3rd answers are correct
C) 2nd and 4th answers are correct
D) only the 4th answer is correct
E) all of the answers are correct
D) only the 4th answer is correct
The treatment of allergic rhinitis is based on:
1) giving modern antihistamines
2) with adenoidectomy a better nose breathing can be achieved
3) for nasal congestion forms, giving steroid-containing nasal drops is required
4) the continuous use of vasoconstrictor nasal drops is required
A) 1st, 2nd and 3rd answers are correct
B) 1st and 3rd answers are correct
C) 2nd and 4th answers are correct
D) only the 4th answer is correct
E) all of the answers are correct
B) 1st and 3rd answers are correct
Recommended in treating acute tonsillitis with fever:
1) frequent use of antipyretics or physical cooling
2) intention for adequate fluid intake
3) in case of the identification of Streptococcus hemolyticus in throat culture, giving antibiotics
4) resting in bed is important
A) 1st, 2nd and 3rd answers are correct
B) 1st and 3rd answers are correct
C) 2nd and 4th answers are correct
D) only the 4th answer is correct
E) all of the answers are correct
E) all of the answers are correct
The basics of treatment in pseudocroup:
1) cool room temperature is desirable
2) the inhalation of adrenergic agents
3) in severe cases, giving inhaled or systematic steroids
4) treating the irritated child with central-acting tranquilizers
A) 1st, 2nd and 3rd answers are correct
B) 1st and 3rd answers are correct
C) 2nd and 4th answers are correct
D) only the 4th answer is correct
E) all of the answers are correct
A) 1st, 2nd and 3rd answers are correct
Important examinations which have to be performed with a patient who has acute bronchitis and fever:
1) chest X-ray
2) bacteriology of bronchoalveolar lavage
3) measurement of plasma oxigen and CO2
4) careful physical examination
A) 1st, 2nd and 3rd answers are correct
B) 1st and 3rd answers are correct
C) 2nd and 4th answers are correct
D) only the 4th answer is correct
E) all of the answers are correct
D) only the 4th answer is correct
Possible complications of Staphylococcus pneumonia:
1) purulent meningitis might develop
2) lung abscess
3) impetigo appears on the skin
4) development of purulent pleuritis (empyema)
A) 1st, 2nd and 3rd answers are correct
B) 1st and 3rd answers are correct
C) 2nd and 4th answers are correct
D) only the 4th answer is correct
E) all of the answers are correct
C) 2nd and 4th answers are correct
Gastro-esophageal reflux might play a role in the pathogenesis of the following diseases:
1) bronchial asthma
2) obstructive bronchitis
3) irritative pharyngeal cough occurring only during daytime
4) esophagitis
5) delayed gastric emptying through the pylorus
A) all of the answers are correct
B) 2nd, 4th and 5th answers are correct
C) 1st, 4th and 5th answers are correct
D) 1st, 2nd and 4th answers are correct
E) 3rd, 4th and 5th answers are correct
F) only the 4th answer is correct
D) 1st, 2nd and 4th answers are correct
Characteristics of mucoviscidosis:
1) meconiumileus might occur after birth
2) High sweat Na and Ca content
3) liver cirrhosis occurs
4) Pseudomonas infections are common
5) Due to altered sweat chronic eczema develops
A) 2nd, 4th and 5th answers are correct
B) 1st, 2nd and 5th answers are correct
C) 4th and 5th answers are correct
D) 1st, 3rd and 4th answers are correct
E) 3rd, 4th and 5th answers are correct
D) 1st, 3rd and 4th answers are correct
Part of the treatment of mucoviscidosis:
1) antibiotics due to frequent infections
2) chest physiotherapy which helps coughing
3) protein-poor meals to protect the liver
4) regular administration of pancreatic enzymes
5) regular replacement of water-soluble vitamins
A) 2nd, 3rd and 4th answers are correct
B) 2st, 4nd and 5rd answers are correct
C) only the 5th answer is correct
D) 1st, 2nd and 4th answers are correct
E) 1st, 4th and 5th answers are correct
D) 1st, 2nd and 4th answers are correct
The spread of childhood tuberculosis is characterized by:
1) from mammals (cow) to humans
2) from rodents to humans
3) avian pathogens can spread to humans
4) dogs are intermediate hosts
5) from humans to humans
A) 2nd, 4th and 5th answers are correct
B) 1st, 3rd and 5th answers are correct
C) all of the answers are correct
D) 2nd, 3rd and 5th answers are correct
E) 1st, 4th and 5th answers are correct
F) only the 5th answer is correct
B) 1st, 3rd and 5th answers are correct
Typical symptoms of basilar tuberculous meningitis:
1) common general symptoms: loss of appetite, headache, deterioration of performance
2) hair loss
3) After temporary weight loss, weight gain occurs
4) rising protein concentrations in the liquor
5) Mycobacterum tuberculosis can be cultivated from liquor
A) 2nd, 3rd and 5th answers are correct
B) only the 5th answer is correct
C) 1st, 2nd, 4th and 5th answers are correct
D) 1st, 3rd and 4th answers are correct
E) 3rd, 4th and 5th answers are correct
F) 1st, 4th and 5th answers are correct
F) 1st, 4th and 5th answers are correct
Childhood bronchial asthma has frequent an allergic etiology, therefore treatment of allergic events is important in these patients.
A) both are correct, they have a cause-effect relationship
B) both are correct but there is no cause-effect relationship
C) the first is correct, the second is incorrect
D) the first is incorrect, the second is correct
E) both are incorrect
A) both are correct, they have a cause-effect relationship
Childhood pneumonia is rarely caused by bacteria, therefore there is no need for mucolytic therapy.
A) both are correct, they have a cause-effect relationship
B) both are correct but there is no cause-effect relationship
C) the first is correct, the second is incorrect
D) the first is incorrect, the second is correct
E) both are incorrect
E) both are incorrect
Epiglottitis is a life-threatening disease often caused by Haemophilus influenzae, therefore vaccination against this pathogen is justified.
A) both are correct, they have a cause-effect relationship
B) both are correct but there is no cause-effect relationship
C) the first is correct, the second is incorrect
D) the first is incorrect, the second is correct
E) both are incorrect
A) both are correct, they have a cause-effect relationship
Staphylococcus pneumonia often leads to abscess formation, therefore prolonged administration of non-steroidal anti-inflammatory drugs is justified.
A) both are correct, they have a cause-effect relationship
B) both are correct but there is no cause-effect relationship
C) the first is correct, the second is incorrect
D) the first is incorrect, the second is correct
E) both are incorrect
C) the first is correct, the second is incorrect
Allergic rhinitis is rarely related to pollen counts, because pollen related symptoms do not occur during winter.
A) both are correct, they have a cause-effect relationship
B) both are correct but there is no cause-effect relationship
C) the first is correct, the second is incorrect
D) the first is incorrect, the second is correct
E) both are incorrect
D) the first is incorrect, the second is correct
Acute tonsillitis may be bacterial, viral or fungal, therefore antibiotic treatment is always unnecessary.
A) both are correct, they have a cause-effect relationship
B) both are correct but there is no cause-effect relationship
C) the first is correct, the second is incorrect
D) the first is incorrect, the second is correct
E) both are incorrect
C) the first is correct, the second is incorrect
Laryngotracheobronchitis can often be dry, therefore patients with acute fever should be kept in bed.
A) both are correct, they have a cause-effect relationship
B) both are correct but there is no cause-effect relationship
C) the first is correct, the second is incorrect
D) the first is incorrect, the second is correct
E) both are incorrect
B) both are correct but there is no cause-effect relationship
In obstructive (wheezy) bronchitis infantile asthma is rare, because asthma often starts in infant and toddler age.
A) both are correct, they have a cause-effect relationship
B) both are correct but there is no cause-effect relationship
C) the first is correct, the second is incorrect
D) the first is incorrect, the second is correct
E) both are incorrect
B) both are correct but there is no cause-effect relationship
Bronchiectasis can be associated with immune deficiencies, hence bronchiectasis repeatedly occurs in cystic fibrosis.
A) both are correct, they have a cause-effect relationship
B) both are correct but there is no cause-effect relationship
C) the first is correct, the second is incorrect
D) the first is incorrect, the second is correct
E) both are incorrect
B) both are correct but there is no cause-effect relationship
Laboratory changes characteristic to the disease.
The 8-year-old boy has been coughing for 2 months, he has moderate dyspnea, his complaints are more pronounced at night, but he is no fever. Recently they got a cat in their home, her mother is sensitive to ragweed and has hay fever.
1) eosinophils in the peripheral blood count
2) pronounced leukocytosis
3) Increased total serum IgE
4) positive skin tests for multiple respiratory allergens, including cat hair
5) Shadow in the upper right lung lobe
A) 3rd, 4th and 5th answers are correct
B) all of the answers are correct
C) 1st, 3rd and 4th answers are correct
D) 2nd, 4th and 5th answers are correct
E) only the 4th answer is correct
C) 1st, 3rd and 4th answers are correct
The most likely diagnosis:
The 8-year-old boy has been coughing for 2 months, he has moderate dyspnea, his complaints are more pronounced at night, but he is no fever. Recently they got a cat in their home, her mother is sensitive to ragweed and has hay fever.
1) chronic bronchitis
2) atopic status
3) sensitivity to cat hair
4) prolonged respiratory tract infection
5) beginning of bronchial asthma
A) 3rd, 4th and 5th answers are correct
B) 2nd, 3rd and 5th answers are correct
C) only the 5th answer is correct
D) there is no correct answer
E) 1st, 4th and 5th answers are correct answers
F) 4th and 5th answers are correct
B) 2nd, 3rd and 5th answers are correct
The following therapy can be applied:
The 8-year-old boy has been coughing for 2 months, he has moderate dyspnea, his complaints are more pronounced at night, but he is no fever. Recently they got a cat in their home, her mother is sensitive to ragweed and has hay fever.
1) the cat must be removed
2) continuous antihistamines administration
3) the patient should be provided with a beta-2 agonist
4) cannot do school gymnastics due to breathing difficulties
5) deciding on the administration of a prophylactic drug after waiting and observation
A) 1st, 3rd and 5th answers are correct
B) 1st, 2nd, 3rd and 4th answers are correct
C) 4th and 5th answers are correct
D) 2nd, 3rd and 5th answers are correct
E) all of the answers are correct
F) only the 3rd answer is correct
A) 1st, 3rd and 5th answers are correct
The most essential diagnostic tests:
11-year-old boy having fever, coughing for 10 days; Amoxicillin and clavulanic acid were taken for 6 days but his condition did not improve appropriately. He is eating less and consuming a small amount of fluid.
1) chest x-ray
2) white blood cell and qualitative blood cell counts
3) hemoculture
4) bronchoalveolar lavage from both lungs and bacterial examination of the exudate
5) quantitative immunoglobulins levels
A) 3rd, 4th and 5th answers are correct
B) 1st, 3rd and 5th answers are correct
C) only the 1st answer is correct
D) all of the answers are correct
E) 1st, 2nd and 3rd answers are correct
E) 1st, 2nd and 3rd answers are correct
The chest x-ray shows interstitial thickening, erythrocyte sedimentation rate is elevated. What are the most likely diagnoses?
11-year-old boy having fever, coughing for 10 days; Amoxicillin and clavulanic acid were taken for 6 days but his condition did not improve appropriately. He is eating less and consuming a small amount of fluid.
1) Cytomegaloviral infection
2) Interstitial pneumonia
3) Chlamydia pneumoniae infection
4) chronic bronchitis
5) Mycoplasma pneumoniae infection
A) 1st, 4th and 5th answers are correct
B) 2nd, 3rd and 4th answers are correct
C) 3rd, 4th and 5th answers are correct
D) 2nd and 5th answers are correct
E) 2nd, 3rd and 5th answers are correct
F) 2nd, 4th and 5th answers are correct
E) 2nd, 3rd and 5th answers are correct
What kind of medication and other treatment procedures would you apply in this case?
11-year-old boy having fever, coughing for 10 days; Amoxicillin and clavulanic acid were taken for 6 days but his condition did not improve appropriately. He is eating less and consuming a small amount of fluid.
1) administration of aminoglycosides for an additional 8 days
2) antipyretic therapy
3) after an antibiotic treatment, such treatment is unnecessary
4) the administration of erythromycin for a longer time
5) doxycycline administration for at least 8 days
A) 1st, 4th and 5th answers are correct
B) 2nd, 4th and 5th answers are correct
C) 1st, 2nd, 3rd and 4th answers are correct
D) 2nd, 3rd and 5th answers are correct
E) 1st, 2nd, 4th and 5th answers are correct
F) 3rd, 4th and 5th answers are correct
B) 2nd, 4th and 5th answers are correct
The following are characteristics of controlled asthma, except one:
A) there is a maximum of two airway symptoms a week
B) the patient cannot get beta mimetics at all
C) asthmatic patient has no lifestyle restrictions
D) Respiratory performance values reach approx. over 80%
B) the patient cannot get beta mimetics at all
The vanish of food allergy can be experienced, except one:
A) in case of milk, approx. up to 5 years of age
B) peanut allergy vanishes at the age of 4-5 years
C) clam and crab allergy will last for a lifetime
D) egg allergy will last up to 7 years of age
B) peanut allergy vanishes at the age of 4-5 years
Most important disease leading to lung transplantation in childhood (only one answer is true):
A) Cystic fibrosis
B) bronchiectasia
C) ARDS
D) bronchiolitis
A) Cystic fibrosis
