Тест - PROFESSIONAL DISEASES CAUSED BY OVERVOLTAGE OF INDIVIDUAL ORGANS AND SYSTEMS - Электронная библиотечная система "BookUp"

Вопрос 1 из 47. What work can cause occupational diseases from functional overvoltage?

Варианты ответов:

1. Lifting, holding on weight, moving heavy and oversized objects

2. Work in conditions of forced, non-physiological posture with excessive flexion, extension, rotation, displacement of the center of gravity of the body

3. Stereotyped, repeatedly repeated movements

4. Physical work that does not correspond to the physical development of the worker

5. Heavy physical labor during the whole working day

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Вопрос 2 из 47. What muscle groups are affected by occupational myofibrosis?

Варианты ответов:

1. Muscles providing stereotypical movements

2. Muscles that support the maintenance of a forced posture

3. Muscles that ensure the retention of massive objects on weight

4. None of the above

5. All listed

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Вопрос 3 из 47. What pathological processes are typical for professional myofibrosis?

Варианты ответов:

1. Formation of multiple areas of muscle hyper-irritability in the form of painful or latent trigger points

2. Activation of trigger points with additional muscle ischemia with the appearance of pain, spontaneous contractions of individual groups of muscle fibers

3. Massive muscle necrosis (“positional compression” syndrome)

4. Disruption of bone tendons

5. All are typical

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Вопрос 4 из 47. What pathological processes are typical for professional myofibrosis?

Варианты ответов:

1. Neuromuscular dysfunction, in the form of spontaneous contractions of individual groups of muscle fibers

2. Active ischemic fibrogenesis

3. Sealing muscles, reducing their contractility

4. All are typical

5. Everything is not typical

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Вопрос 5 из 47. What biochemical test can be used for professional myofibrosis object imaging?

Варианты ответов:

1. Detection of free hemoglobin in the blood

2. Detection of myoglobin in the blood

3. Detection of high activity of creatine phosphokinase in the blood

4. Detection of autoantibodies to myocytes

5. All listed

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Вопрос 6 из 47. Where do professional tendovaginis (tendinitis, tendosynovitis) most often develop?

Варианты ответов:

1. In the distal tendon of the flexor of the forearm

2. In the distal tendon extensor extensors of the forearm

3. In the tendon sheaths of the biceps muscles

4. In tendon sheaths of short shoulder rotators

5. In all of the above

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Вопрос 7 из 47. Under what circumstances do professional tendovaginitis (tendinitis, tendinovi) are formed?

Варианты ответов:

1. In the conditions of prolonged physical overvoltage with static loads arising when weights are kept on weight.

2. When dynamic overloads associated with the rapid movement of objects

3. At long work with the vibrating tool

4. In all the circumstances listed

5. Not under one of the listed circumstances

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Вопрос 8 из 47. What pathological processes are typical for professional tendovaginitis (tendinitis, tendosynovitis)?

Варианты ответов:

1. Permanent microtrauma of tendons and tendon sheaths

2. Overextension of insufficiently vascularized su-hozhyly tissue and tendon sheaths

3. Ochaceous necrosis of individual fibrous bundles of tendons and tendon sheaths with their subsequent hyalinization and calcification.

4. The transition of the inflammatory process from the tendons to the articular bags leads to the formation of tendobursites.

5. All are typical

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Вопрос 9 из 47. What are the clinical manifestations typical for professional tendovaginitis (tendinitis, tendosynovitis)?

Варианты ответов:

1. Pain in the forearms, hands, occurring during manual physical labor

2. Limitations due to pain of movements in the wrist joint

3. Increased body temperature

4. Spontaneous shoulder fractures

5. All are typical

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Вопрос 10 из 47. What are the objective symptoms typical for professional tendovaginitis (tendinitis, tendosynovit)?

Варианты ответов:

1. Muscle atrophy

2. Swelling in the area of the affected tendons and their vaginas

3. Pain points at the sites of attachment of tendons to the bone

4. Bruising at the sites of attachment of tendons to the bone

5. All are typical

6. Everything is not typical

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Вопрос 11 из 47. What radiological signs are typical for professional tendovaginitis (tendinitis, tendosynovitis)?

Варианты ответов:

1. The centers of calcification along the affected tendons

2. Subperiosteal fractures of the radius

3. Osteophytes in places of fixation of the tendon to the bone

4. Osteoporosis of the humerus

5. All are typical

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Вопрос 12 из 47. What features are typical for humeroscapular periarotrosis?

Варианты ответов:

1. This is a lesion of the musculoskeletal structures involved in the movements of the shoulder joint

2. The disease is caused by damage to the tendons and muscles that form the rotator cuff

3. The disease is caused by the defeat of the hypochondrium, supraspinatus, small round and subscapularis muscles

4. There is a degenerative and / or compression tendinitis of the supraspinatus muscle in combination with shoulder myofascial pain syndrome

5. All are typical

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Вопрос 13 из 47. What features of the clinical picture are typical for shoulder-blade periarthrosis?

Варианты ответов:

1. The disease often occurs in men

2. The disease is preceded by trauma to the shoulder girdle

3. It is characterized by complaints of pain in the back, in the shoulder in the region of the deltoid muscle.

4. All are typical

5. Everything is not typical

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Вопрос 14 из 47. What features of the clinical picture are typical for shoulder-blade periarthrosis?

Варианты ответов:

1. It is possible to limit the rotation and discharge of the shoulder between 60-1200

2. The initial abduction of the shoulder is painless, further causes pain

3. Movement in the shoulder joint with active resistance to this movement causes the appearance or intensification of pain

4. Passive movements in the shoulder joint are limited only slightly, by no more than 100

5. All are typical

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Вопрос 15 из 47. Under what circumstances does professional epicondylosis or shoulder tendonitis develop?

Варианты ответов:

1. When performing work with intense pronation and supinae of her forearm

2. During the long work with the vibrating tool

3. When performing work related to extension-flexion in the elbow joint

4. In the conditions of long-term physical overvoltage with static loads that occur when weights are kept on weight

5. With dynamic overloads associated with fast movements of objects

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Вопрос 16 из 47. What pathological processes are typical for occupational epicondylosis or shoulder tendoperiosteitis?

Варианты ответов:

1. Dystrophic changes of the forearm support tendons at the site of attachment to the lateral epicondyle

2. Dystrophic changes of the extensors of the hand and fingers at the point of attachment to the lateral num-tip

3. Dystrophic changes of the brachiocephalic muscle at the point of attachment to the lateral num-tip

4. All are typical

5. Everything is not typical

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Вопрос 17 из 47. What are the clinical features typical for occupational epicondylosis or shoulder tenodoperiosteitis?

Варианты ответов:

1. Constant aching pain in the elbow joint, aggravated by extension, supination of the forearm

2. Pains do not allow to hold the brush unbent and clenched into a fist

3. Difficult to lift and hold heavy objects with an outstretched hand

4. The initial abduction of the shoulder is painless, further causes pain

5. Movement in the shoulder joint with active resistance to this movement causes the appearance or intensification of pain

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Вопрос 18 из 47. What are the clinical features typical for occupational epicondylosis or shoulder tenodoperiosteitis?

Варианты ответов:

1. It is possible to limit the rotation and discharge of the shoulder between 60-1200

2. The initial abduction of the shoulder is painless, further causes pain

3. Palpation determines pain points in the region of the lateral or medial condyles of the shoulder

4. Movement in the shoulder joint with active resistance to this movement causes the appearance or intensification of pain

5. Passive movements in the shoulder joint are limited only slightly, by no more than 100

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Вопрос 19 из 47. What circumstances underlie the formation of a professional radial styloidosis (de Querven's disease)?

Варианты ответов:

1. Pathological neurodystrophic process in the sixth canal of the tendon retainer of the ulnar wrist extensor, sometimes in combination with compression of the external branch of the ulnar nerve.

2. The disease is formed when performing a stereotyped ulnar discharge of the hand in combination with the abduction of the thumb

3. The defeat of the tendons and muscles that form the rotator cuff of the shoulder

4. Degenerative or compression tendinitis of the supraspinatus muscle in combination with brachial myofascial pain syndrome

5. A pathological process that develops in the first canal under the dorsal ligament, in which the tendons of the short straightener and the long abductor of the thumb
pass

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Вопрос 20 из 47. What circumstances underlie the formation of professional ulnar styloidosis?

Варианты ответов:

1. Dystrophic changes of the extensors of the hand and fingers at the point of attachment to the lateral num-tip

2. A pathological neurodystrophic process in the sixth canal of the tendon retainer of the ulnar wrist extensor, sometimes in combination with compression of the external branch of the ulnar nerve

3. The defeat of the tendons and muscles that form the rotator cuff of the shoulder

4. The disease occurs when performing stereotypical work associated with the maximum extension and abduction of the brush in the radial direction

5. A pathological process that develops in the first canal under the dorsal ligament, in which the tendons of the short straightener and the long abductor of the thumb pass

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Вопрос 21 из 47. What are the clinical manifestations typical of professional radial styloidosis?

Варианты ответов:

1. Pain in the circumference of the styloid process of the radial bone, irradiating in the forearm

2. A thickened, diseased ligament is palpated over the styloid process

3. Painful sensations increase with an ulnar abduction of the hand, abduction and extension of the thumb

4. The impossibility of information between the tips of the fingers of the fifth and first fingers of the hand

5. All are typical

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Вопрос 22 из 47. What radiographic signs are typical for professional radiation styloidosis?

Варианты ответов:

1. Osteophytes are detected near the styloid process, compaction of the surrounding soft tissues

2. In the initial period of the disease, a thickening of the soft tissues surrounding the styloid process is recorded

3. In the late stages of the disease, osteophytes, acid focal osteoporosis of the bone are detected

4. All are typical

5. Everything is not typical

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Вопрос 23 из 47. What clinical manifestations are typical for professional ulnar styloidosis?

Варианты ответов:

1. Pain syndrome associated with the extension and abstraction of the kitty to the radial side

2. Pain radiating to the IV and V fingers

3. Painful swelling, localized near the styloid process

4. Painful sensations increase with an ulnar abduction of the hand, abduction and extension of the thumb

5. The impossibility of information between the tips of the fingers of the fifth and first fingers of the hand

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Вопрос 24 из 47. What radiographic signs are typical for professional radiation styloidosis?

Варианты ответов:

1. Osteophytes are detected near the styloid process, compaction of the surrounding soft tissues

2. In the initial period of the disease, a thickening of the soft tissues surrounding the styloid process is recorded

3. In the late stages of the disease, osteophytes, acid focal osteoporosis of the bone are detected

4. All are typical

5. Everything is not typical

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Вопрос 25 из 47. What circumstances underlie the formation of the pro-flexor stenosis of the flexor of the fingers ("snap finger")?

Варианты ответов:

1. Performing manual work with a long, significant pressure on the palmar surface of the hands

2. Dystrophic changes of the extensors of the hand and fingers at the point of attachment to the lateral num-tip

3. A pathological process that develops in the first canal under the dorsal ligament, in which the tendons of the short straightener and the long abductor of the thumb pass.

4. Performing a stereotypical ulnar lead of the hand in combination with the abduction of the thumb.

5. All the above circumstances

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Вопрос 26 из 47. What are the clinical features typical for the first phase of the professional stenosing tenovaginitis flexor tendovaginitis (“snap finger”)?

Варианты ответов:

1. Usually affects the fingers on one hand, more often I finger of the right hand

2. There is pain in the palmar surface of the metacarpophalangeal joint, aggravated by the movement of the finger, pressing on this place

3. For the first time there is a "snap" of the finger - fixation in the folded position, accompanied by pain

4. Fixation is eliminated by arbitrary tension of the flexors (active extension), after which the pain disappears

5. All are typical

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Вопрос 27 из 47. What are the clinical features typical for the second phase of professional stenosing flexovagous flexor tendovaginitis (“snap finger”)?

Варианты ответов:

1. “Snap” finger becomes frequent, accompanied by a pronounced pain reaction

2. “Latching” of a finger is not eliminated by arbitrary extensor abbreviations

3. To eliminate the "snap" the patient has to use the second hand (passive extension)

4. On palpation of the pain point on the flexor tendon of the finger, a tight, painful nodule is revealed

5. All are typical

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Вопрос 28 из 47. What features are typical for the third phase of professional flexor stenosis of the flexor of the fingers (“snapping finger”)?

Варианты ответов:

1. Due to severe pains, the “snapping-in” cannot be eliminated, and the finger remains locked in a bent or unbent position

2. Pain points are localized at the site of detection of a tight, painful nodule on flexor tendons and / or extensors of the affected finger

3. Radiographically, in the later stages of the disease, consolidation foci on flexor tendons are detected near their fixation to the phalanges of the fingers

4. All are typical

5. Everything is not typical

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Вопрос 29 из 47. What work processes underlie the formation of a professionally conditioned carpal (carpal) canal syndrome?

Варианты ответов:

1. Stereotypical work associated with the maximum extension and abduction of the brush in the radial direction

2. Work with intense pronation and supination of the forearm

3. Long-term intensive work with fingers with constant tension of the muscles of the forearm

4. All listed processes

5. None of the listed processes

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Вопрос 30 из 47. What pathological processes underlie the professionally conditioned carpal (carpal) canal syndrome?

Варианты ответов:

1. The wrinkling of the transverse ligament of the wrist, which forms in conjunction with the bones of the wrist and the palmar ligament of the carpal canal

2. Chronic stenotic ligamentitis of the transverse ligament of the wrist

3. The narrowing of the carpal canal, the compression of the finger flexors and npassing through it. medianus

4. All listed processes

5. None of the listed processes

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Вопрос 31 из 47. What are the clinical manifestations typical for a professionally conditioned carpal (carpal) canal syndrome?

Варианты ответов:

1. Numbness, paresthesia, pain in II – III fingers, aggravated by extension of the hand, forced flexion position of the hands

2. Extension II - III fingers of the hand, causing sharp pain

3. The pain sensitivity of the skin on II - III fingers is reduced

4. With percussion of the transverse ligament of the wrist, pain appears in the IIIII fingers of the hand

5. All are typical

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Вопрос 32 из 47. What joint damage can occur with professional osteoarthritis?

Варианты ответов:

1. Shoulder

2. Elbow

3. Carpal

4. Hip

5. Knee

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Вопрос 33 из 47. What work processes can cause professional osteoarthritis?

Варианты ответов:

1. Large-amplitude rotational movements, systematic pressure in the region of the corresponding joints, overstrain and their trauma

2. Long-term intensive work with fingers with constant tension of the muscles of the forearm

3. Performing manual work with a long, significant pressure on the palmar surface of the hands

4. Works with dynamic overloads associated with fast movements of objects

5. All listed

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Вопрос 34 из 47. What are the clinical features typical of professional osteoarthritis?

Варианты ответов:

1. The absence of pain joints alone, at night

2. The appearance of pain in the affected joint with the onset of physical activity ("starting" pain)

3. Sudden painful limitation of movement in the joint caused by hitting between the articular surfaces of the cartilage fragment

4. All are typical

5. Everything is not typical

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Вопрос 35 из 47. What radiological signs are not typical for professional osteoarthritis?

Варианты ответов:

1. X-ray positive zone of subchondral sclerosis

2. The flattening of the articular surfaces

3. Regional osteophytes

4. Subluxations of the affected joint

5. Uzury articular surface

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Вопрос 36 из 47. What pathological process underlies professional bursitis?

Варианты ответов:

1. Chronic stenotic ligamentitis of the transverse ligament of the wrist

2. The narrowing of the carpal canal, the compression of the finger flexors and npassing through it. medianus

3. Chronic aseptic inflammation of the synovial bags of the joints, resulting from prolonged overstrain and constant trauma of the joints

4. Focal necrosis of individual fibrous bundles of tendons and tendon sheaths followed by their hyalinization and calcification

5. All listed

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Вопрос 37 из 47. Which bursites are often professionally determined?

Варианты ответов:

1. Elbow

2. Pretellar

3. Poddeltoidnye

4. All mentioned

5. None of the above

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Вопрос 38 из 47. What pathological changes are typical for the formation of professional bursitis?

Варианты ответов:

1. In the cavity and on the wall of the articular bag free bodies of cartilaginous density, calcifications are formed

2. Forming in the cavity of the articular pseudotumor sac, which limits the mobility of the joint

3. Violation of the integrity of the articular bag with the occurrence of hemartroses

4. Formation of purulent inflammatory process, often leading to perforation of the articular sac

5. All are typical

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Вопрос 39 из 47. What professionally conditioned bursitis can be accompanied by restriction of joint mobility?

Варианты ответов:

1. Elbow

2. Preatelary

3. Poddeltovidnye

4. All mentioned

5. None of the above

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Вопрос 40 из 47. What are the clinical and anamnestic features are not typical for professionally caused bursitis?

Варианты ответов:

1. Professional bursitis forms quickly, during several months of work with constant traumatization of articular bags

2. Professional bursitis forms very slowly and can take place only with long working experience

3. With a strong pressure on the periarticular surface pain occurs

4. A spherical tumor with fluctuating contents is detected near the joint

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Вопрос 41 из 47. What features are typical for professionally determined coordinating neurosis?

Варианты ответов:

1. The reconciliation of the functions of the central and peripheral nervous system, resulting in the loss of a high degree of differentiation acquired as a result of the professional activity of the stereotypical motor stereotype

2. The disease develops in highly skilled professionals engaged in intensive labor, usually against the background of general neuroticism

3. The disease can occur in persons whose work is associated with the implementation of highly differentiated movements performed at an accelerated rate

4. All are typical

5. Everything is not typical

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Вопрос 42 из 47. What features are not typical for a professionally-defined focal neurosis?

Варианты ответов:

1. The ability to perform complex professional motor skills is lost

2. An attempt to perform highly differentiated movements performed at an accelerated rate provokes the appearance of tremor, cramps, weakness, pain

3. There are signs of organic damage to the central and peripheral nervous system

4. The motive acts, not connected with the thin professional movements, are carried out easily and without any restrictions

5. All are typical

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Вопрос 43 из 47. What are the forms of professional coordinator neurosis?

Варианты ответов:

1. Furious

2. Sensitive (neural)

3. Pareticheskaya

4. All listed

5. All listed

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Вопрос 44 из 47. What form of coordinating neurosis is characterized by non-arbitrary hand trembling while performing thin, differentiated hand movements, which makes writing,
playing the piano, typing letters impossible?

Варианты ответов:

1. Furious

2. Sensitive (neural)

3. Pareticheskaya

4. Shuttle

5. For all given

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Вопрос 45 из 47. What form of coordinating neurosis is characterized by the appearance of pain when trying to perform coordinated, precise movements with the fingers?

Варианты ответов:

1. Furious

2. Sensitive (neural)

3. Pareticheskaya

4. Shuttle

5. For all given

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Вопрос 46 из 47. What form of coordinating neurosis is characterized by the appearance of sudden weakness, lethargy, uncontrollability of fingers when trying to write a text - the pen “falls out” from the hands?

Варианты ответов:

1. Furious

2. Sensitive (neural)

3. Pareticheskaya

4. Shuttle

5. For all given

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Вопрос 47 из 47. What form of coordinating neurosis is characterized by a violation of the ability to write - “writing spasm”, playing musical instruments?

Варианты ответов:

1. Furious

2. Sensitive (neural)

3. Pareticheskaya

4. Shuttle

5. For all given

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