Тест - PROFESSIONAL DISEASES, CAUSED BY EXPOSURE TO CHEMICAL SUBSTANCES - Электронная библиотечная система "BookUp"

Вопрос 1 из 144. Which drugs listed below belong to the group of etiotropic antidotes?

Варианты ответов:

1. Donators of SH-groups - Unithiol, sodium thiosulfate

2. Cholinesterase reactivators - dipyroxime, isonitrosine, alloxime

3. Anticholinergic - atropine, ganglioblokatory (pentamine, benzogeksony)

4. Complexes - thetacin-calcium, pentacin, D-penicylamine

5. All listed

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Вопрос 2 из 144. Which drugs listed below belong to the group of antidotes of pathogenetic action?

Варианты ответов:

1. Anticholinergic - atropine, ganglioblokatory (pentamine, benzogeksony)

2. Donators of SH-groups - Unithiol, sodium thiosulfate

3. Cholinesterase reactivators - dipyroxime, isonitrosine, alloxime

4. Complexes - thetacin-calcium, pentacin, D-penicylamine

5. All listed

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Вопрос 3 из 144. Which of the following is included in the complex of measures performed in the treatment of acute and chronic intoxications that have arisen in an industrial environment?

Варианты ответов:

1. Immediate cessation of contact with the toxic substance by removing the toxin from the affected area, cleansing the respiratory tract, skin, mucous membranes, digestive tract from the toxic substance

2. Activation of the intensive elimination of the toxic substance already in the blood and in the depot

3. Introducing antidotes to neutralize toxins in the body

4. Restoration of the functions of internal organs disturbed by the toxin

5. All listed

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Вопрос 4 из 144. What production processes may cause the formation of lead intoxication?

Варианты ответов:

1. Battery assembly

2. Installation of radio equipment

3. Manufacturing and processing of products from crystal

4. Pottery production using enamel and glaze

5. All listed

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Вопрос 5 из 144. What type of poison is lead and its compounds?

Варианты ответов:

1. The poison causing the formation of methemoglobin

2. Yad blocking sulfhydryl groups of proteins

3. Yad blocking respiratory enzymes in cells

4. Poison blocking the blood coagulation system

5. Yad activating the blood coagulation system (disseminated vascular coagulation syndrome - DIC)

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Вопрос 6 из 144. What organs and tissue structures are affected by lead intoxication?

Варианты ответов:

1. Blood system

2. Central and peripheral nervous system

3. Parenchymal organs (liver, kidneys)

4. Skin, mucous membranes, bones

5. All listed

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Вопрос 7 из 144. In which organs and tissue structures is lead predominantly deposited during lead intoxication?

Варианты ответов:

1. Liver

2. Kidneys

3. Muscles

4. Bones

5. Deponded uniformly in all listed organs

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Вопрос 8 из 144. How is lead removed from the body?

Варианты ответов:

1. Through the urinary system

2. Through the biliary tract into the intestine

3. Through sweat glands

4. Through the mammary glands during lactation

5. All listed

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Вопрос 9 из 144. What caused the severity of lead intoxication?

Варианты ответов:

1. The amount of lead accumulated in the bones

2. The amount of lead accumulated in the liver and kidneys

3. Concentration of lead in circulating blood

4. All of these circumstances

5. None of the listed circumstances

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Вопрос 10 из 144. What pathological changes are not typical for lead toxicity?

Варианты ответов:

1. Violation of the synthesis of porphyrins and heme

2. The formation of methemoglobin in red blood cells

3. Shortening the life of red blood cells (premature hemolysis)

4. Violation of the function of the peripheral centers of the vegetative nervous regulation with the appearance of spastic-atonic changes in the function of the intestine

5. All are typical

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Вопрос 11 из 144. What syndromes is the clinical picture of chronic lead intoxication?

Варианты ответов:

1. Syndrome of blood damage

2. Syndrome lesions of the digestive system

3. Syndrome of the nervous system

4. Syndrome lesions skeler

5. From all of the above

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Вопрос 12 из 144. Which of the following formulations are not part of the definition of the type of anemia that occurs during chronic lead intoxication?

Варианты ответов:

1. Hypochromic anemia

2. Sideroachrestic anemia

3. Hypersiderinemic anemia

4. Megaloblastic anemia

5. Sideoblastic anemia

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Вопрос 13 из 144. What are the clinical and laboratory signs are not evidence of a violation of porphyrin metabolism in patients with chronic lead intoxication?

Варианты ответов:

1. Increase in the content of protoporphyrin in red blood cells

2. Increase in urine coproporphyrin

3. Increased urinary delta aminolevulinic acid

4. Increased urine hemosiderin

5. Urine dyeing with reddish porphyrin

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Вопрос 14 из 144. What pathological changes contribute to the grayish-earthy staining of the skin (lead color) of patients with chronic lead intoxication?

Варианты ответов:

1. An increase in the content in the blood and in the skin of lead compounds

2. An increase in the content in the blood and in the skin of porphyrins

3. Anemia

4. Spasm of blood vessels

5. All listed

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Вопрос 15 из 144. What changes in the general analysis of blood are typical for chronic lead intoxication?

Варианты ответов:

1. Reducing the number of red blood cells, color indicator is less than one

2. Reducing the number of red blood cells, a color indicator greater than one

3. Microsferocytosis

4. Increasing the content of reticulocytes and young erythrocytes with basophilic granularity of cytoplasm

5. The absence of reticulocytes and young erythrocytes with basophilic granularity of cytoplasm

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Вопрос 16 из 144. What signs of damage to the digestive organs are not typical for chronic lead intoxication?

Варианты ответов:

1. Sensation of the presence of a foreign object (“hair”) in the mouth

2. Metallic taste of own saliva

3. The lead border in the form of a bluish-black strip on the edge of the gingiva

4. Suppression of the function of the salivary glands (xerostomia)

5. Cramping abdominal pain around the navel, unstable stool with irregularly alternating periods of diarrhea and constipation

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Вопрос 17 из 144. What are the typical symptoms of bouts of lead?

Варианты ответов:

1. Intensive colicy pains in the abdomen, spreading around the navel and in the epigastric region

2. Palpator study of the abdomen increases colic

3. The abdominal wall becomes sharply strained, retracted

4. Painful attacks accompanied by bloody diarrhea

5. Palpation of the abdomen relieves pain

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Вопрос 18 из 144. What are the typical symptoms of bouts of lead?

Варианты ответов:

1. Can form a constipation that is not amenable to the action of weak agents.

2. Cal becomes fragmented, takes the form of sheep-it

3. Blood pressure is increased

4. The body temperature rises

5. All are typical

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Вопрос 19 из 144. What syndrome that is formed during chronic lead intoxication is manifested by general weakness, fatigue, low emotional tone, memory deterioration, the formation of a neurocirculatory triad (hypothermia, bradycardia, arterial hypotension), the development of psychopathic disorders in severe cases ?

Варианты ответов:

1. Astenovegetative syndrome

2. Polyneuropathy syndrome

3. Encephalopathy syndrome

4. All listed

5. None of the above

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Вопрос 20 из 144. What syndrome that is formed during chronic lead intoxication manifests itself as a painless peripheral neuritis, weakness of extensor muscles?

Варианты ответов:

1. Astenovegetative syndrome

2. Polyneuropathy syndrome

3. Encephalopathy syndrome

4. All listed

5. None of the above

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Вопрос 21 из 144. What syndrome that is formed during chronic lead intoxication is manifested by impaired function of the cranial nerves (anisocaria, twitching of individual muscle groups, attacks, and dysarthria), convulsive seizures, cerebral vascular crises with hemiparesis, ophthalmoplegia?

Варианты ответов:

1. Astenovegetative syndrome

2. Polyneuropathy syndrome

3. Encephalopathy syndrome

4. All listed

5. None of the above

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Вопрос 22 из 144. What radiological signs are typical for chronic lead intoxication?

Варианты ответов:

1. Changes in the structure of the metaphysis of tubular bones in the form of dense transverse strips

2. Usurations of small joints of hands

3. Area of subchondral sclerosis, marginal osteophytes in the joints

4. All are typical

5. Everything is not typical

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Вопрос 23 из 144. In what form of chronic lead intoxication do asthenovegetative disorders predominate?

Варианты ответов:

1. With a mild form

2. With moderate form

3. In severe form

4. With all forms of clinical course of chronic saturism

5. None of the mentioned forms of the clinical course of chronic saturnism

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Вопрос 24 из 144. In what form of chronic lead intoxication does the characteristic pale-earthy color of the skin appear, lead fringe on the gums, a moderately severe encepha-lopathy, a sensitive form of polyneuropathy, and pronounced asteno-vegetative disorders occur; characteristic is lead colic, hypochromic anemia, the appearance in the peripheral blood of reticulocytes and erythrocytes with basophilic granularity of cytoplasm?

Варианты ответов:

1. With a mild form

2. With moderate form

3. In severe form

4. With all forms of clinical course of chronic saturism

5. None of the mentioned forms of the clinical course of chronic saturnism

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Вопрос 25 из 144. For what form of chronic lead intoxication is characteristic lead colic, severe lesions of the central and peripheral nervous system with sensory-motor disorders, preferential weakness of the extensors of the hands and fingers, pronounced hypochromic, sideroachresis, hyper-siderinemic, sideroblastic anemia ?

Варианты ответов:

1. With a mild form

2. With moderate form

3. In severe form

4. With all forms of clinical course of chronic saturism

5. None of the mentioned forms of the clinical course of chronic saturnism

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Вопрос 26 из 144. What diagnostic criteria are typical for chronic lead intoxication?

Варианты ответов:

1. Professional route - work in conditions of exceeding the maximum allowable concentrations of lead aerosols in the air, other circumstances suggesting the occurrence of acute or chronic intoxication with this metal in the workplace

2. Asthenic syndrome, polyneuropathy, encephalopathy

3. Lead coloring - earthy-pale color of skin coverings, caused by anemia, spasm of skin vessels, an increase in the content of protoporphyrin in erythrocytes

4. The lead edge on the gums

5. All are typical

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Вопрос 27 из 144. What diagnostic criteria are not typical for chronic lead intoxication?

Варианты ответов:

1. Lead colic

2. Reticulocytosis, erythrocytes with basophilic granularity in peripheral blood

3. Hypochromic anemia

4. The high content of hemosiderin in the urine

5. Increased serum iron content

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Вопрос 28 из 144. What diagnostic criteria are not typical for chronic lead intoxication?

Варианты ответов:

1. Increasing the number of sideroblasts in the bone marrow

2. Increased color index of blood

3. High content of protoporphyrin in red blood cells

4. Increasing the concentration in the urine of coproporphyrin and deltaaminolevulinic acid

5. Detection of lead in urine

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Вопрос 29 из 144. What drugs for oral administration are required if you need to remove lead ions from the victim's body?

Варианты ответов:

1. Succimer

2. Atropin

3. Pipolphen

4. D-penicylamine (cuprenyl)

5. All listed

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Вопрос 30 из 144. What medicines for parenteral administration should be prescribed, if necessary, removal of lead ions from the body of the victim?

Варианты ответов:

1. Dimercaptol

2. Thetacin-calcium

3. Etilenediaminetetraacetate (EDTA) disodium salt

4. Pentacin

5. All listed

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Вопрос 31 из 144. What medicines should be prescribed for the purchase of lead colic?

Варианты ответов:

1. Atropin

2. Fentanyl

3. Pipolfen, tavegil

4. All listed

5. None of the above

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Вопрос 32 из 144. What symptomatic drugs should be prescribed for the occurrence of polyneuropathy caused by lead intoxication?

Варианты ответов:

1. Notropil

2. Winpocetin

3. Tocopherol

4. Emoxipin

5. All listed

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Вопрос 33 из 144. What are the ways tetraethyl lead can get into the human body?

Варианты ответов:

1. Inhalation through the respiratory system

2. Orally through the digestive tract

3. Through intact skin in direct contact with poison

4. Through the mucous membranes in the presence of poison on the conjunctiva of the eye

5. All of the above

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Вопрос 34 из 144. What toxic effects are not typical for tetraethyl lead?

Варианты ответов:

1. Neurotropic toxic effect

2. Cytoplasmic toxic effect

3. Capillary toxic effect

4. Hemocoagulation effect

5. Violation of porphyrin metabolism with the formation of sideroaesthetic anemia

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Вопрос 35 из 144. What stages are distinguished in the clinical picture of acute intoxication with tetraethyl lead?

Варианты ответов:

1. The initial

2. Pre-Culinary

3. Culminating

4. Predelirious

5. All mentioned

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Вопрос 36 из 144. What syndromes form the clinical picture of the initial stage of acute intoxication with tetraethyl lead?

Варианты ответов:

1. Hemolytic

2. Anemic

3. Asthenic

4. Organic (pseudoparalitic encephalopathic)

5. Predelirious

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Вопрос 37 из 144. What is the initial stage of acute intoxication syndrome with tetraethyl lead characterized by severe headache, severe general weakness, fatigue, insomnia, emotional instability, hypersalivation, bradycardia, hypotension, lower body temperature, paresthesia?

Варианты ответов:

1. Asthenic

2. Organic

3. Predelirious

4. Any of the above

5. None of the above

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Вопрос 38 из 144. What is the initial stage of acute intoxication syndrome with tetraethyl lead characterized by euphoria, resembling acute alcohol intoxication, instability of gait, nystagmus, dysarthria, trembling fingers, twitching hands, feet, torso?

Варианты ответов:

1. Asthenic

2. Organic (pseudoparalytic encephalopathic)

3. Predelirious

4. Any of the above

5. None of the above

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Вопрос 39 из 144. What is the initial stage of acute intoxication syndrome with tetraethyl lead characterized by hypersalivation, hyperhidrosis, sensation of the presence of hair in the mouth, crawling of insects on the body, a sense of fear of persecution, inevitable death, frightening gal-lucinations?

Варианты ответов:

1. Asthenic

2. Organic

3. Predelirious

4. Any of the above

5. None of the above

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Вопрос 40 из 144. What stage of acute tetraethyl lead poisoning is characterized by pronounced vegetative disorders combined with general psychic arousal, delusional state, when frightening auditory, tactile, visual hallucinations appear against the background of darkened consciousness, the victims become aggressive, dangerous for others?

Варианты ответов:

1. The initial

2. Pre-Culinary

3. Culminating

4. Any of the above

5. None of the above

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Вопрос 41 из 144. What stage of acute tetraethyl lead poisoning is characterized by abrupt psychomotor agitation with blackout, hallucinations, epileptiform convulsive seizures with subsequent transition to a comatose state with meningeal phenomena, heart failure, a vascular ring?

Варианты ответов:

1. The initial

2. Pre-Culinary

3. Culminating

4. Any of the above

5. No for one of the listed.

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Вопрос 42 из 144. What stage of chronic intoxication with tetraethyl-lead is characterized by a neurosis-like state, manifested by general weakness, fatigue, a combination of a depressive state with increased irritability, nightmarish dreams, an unreasonable feeling of fear, senestopathic sensations of an extraneous object (hair) in the mouth?

Варианты ответов:

1. I stage

2. II stage

3. III stage

4. Any of the above

5. None of the above

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Вопрос 43 из 144. What stage of chronic intoxication with tetraethyl-lead is characterized by a progressive decrease in intelligence, memory, inadequate behavior, neurological disorders in the form of fingers trembling, impaired coordination of movements, instability of gait, dysarthria, nystagmus, the appearance of signs of sideroacresis anemia?

Варианты ответов:

1. I stage

2. II stage

3. III stage

4. For any of the listed stages

5. No for one of the listed stages

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Вопрос 44 из 144. At what stage of chronic intoxication of tetraethyl-lead are profound mental status disorders with a predominance of psychomotor agitation, aggressiveness, extrarapiramid and autonomic-sensory neuropathic disorders, severe sideroachrestric anemia?

Варианты ответов:

1. I stage

2. II stage

3. III stage

4. Any of the above

5. None of the above

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Вопрос 45 из 144. What methods are not used in the treatment of acute intoxication with tetraethyl lead?

Варианты ответов:

1. Wash the stomach with a suspension of activated carbon

2. To give inside a fatty laxative (vaseline, castor oil)

3. Wash the poison from the skin with kerosene, then wash the skin with soapy water

4. Introduce a parenteral solution of hexenal or barbamil

5. Parenterally enter magnesia sulphate

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Вопрос 46 из 144. What drugs can not be used in the treatment of acute and chronic intoxication with tetraethyl lead?

Варианты ответов:

1. Morphine

2. Chloral hydrate

3. Bromides

4. All listed cannot be applied

5. All listed can be applied

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Вопрос 47 из 144. What are the ways of penetration of poison into the body are typical for benzene intoxication?

Варианты ответов:

1. Through the respiratory tract

2. Through intact skin

3. Through the mucous membranes

4. Through the digestive tract

5. All listed

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Вопрос 48 из 144. What are the mechanisms of inactivation and removal of poison typical for intoxication with benzene and other aromatic hydrocarbons?

Варианты ответов:

1. Compound in the liver with sulfuric and glucuronic acid with the formation of low-toxic substances

2. The removal of poison partially unchanged, partly in the form of metabolites through the lungs

3. The removal of poison partially unchanged, partly in the form of metabolites through the biliary system and intestines

4. The removal of poison in the form of hydrophilic metabolites through the urinary-excretory system

5. All are typical

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Вопрос 49 из 144. What pathological changes are possible with the elimination of ami-do- and nitroderivatives of benzene through the urinary system?

Варианты ответов:

1. Pyelonephritis

2. Cystitis

3. Cancer of the bladder

4. All listed

5. None of the above

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Вопрос 50 из 144. What toxic effects are typical for acute poisoning with benzene and other aromatic hydrocarbons?

Варианты ответов:

1. Narcotic lesion of the nervous system

2. The defeat of the hematopoietic system

3. Carcinogenic effect

4. Decrease in the body's content of vitamins B6, B12 and C

5. All are typical

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Вопрос 51 из 144. What toxic effects are typical for chronic poisoning with benzene and other aromatic hydrocarbons?

Варианты ответов:

1. The defeat of the hematopoietic system

2. Carcinogenic effect

3. Myocardial dystrophy, fatty hepatosis

4. All are typical

5. Everything is not typical

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Вопрос 52 из 144. What syndrome arising during intoxication with aromatic hydrocarbons is characterized by emotional lability, loss of the ability to intensive mental labor, sleep disorders?

Варианты ответов:

1. Asthenic syndrome

2. Polyneuritic syndrome

3. Toxic encephalopathy syndrome

4. Syndrome of the funicular myelosis

5. All listed

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Вопрос 53 из 144. What syndrome arising during intoxication with aromatic hydrocarbons is characterized by vegetative disorders, sensitivity disorders, decrease in skin temperature, excessive sweating, swelling of fingers, pulse mobility, blood pressure, pain, paresthesia, decrease in skin sensitivity ?

Варианты ответов:

1. Asthenic syndrome

2. Polyneuritic syndrome

3. Toxic encephalopathy syndrome

4. Syndrome of the funicular myelosis

5. All listed

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Вопрос 54 из 144. What syndrome arising during intoxication with aromatic hydrocarbons is characterized by organic neurological symptoms with dyscirculatory disorders, extrapyramidal hyperkinesis, can manifest itself as psychotic deviations?

Варианты ответов:

1. Asthenic syndrome

2. Polyneuritic syndrome

3. Toxic encephalopathy syndrome

4. Syndrome of the funicular myelosis

5. All listed

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Вопрос 55 из 144. What syndrome arising from intoxication with aromatic hydrocarbons is characterized by toxic damage to spinal cord structures resulting from deficiency of vitamin B12 and manifested by a decrease in deep muscle sensitivity, a decrease in Achilles reflexes, weakness in the legs, and a lack of coordination of movements?

Варианты ответов:

1. Asthenic syndrome

2. Polyneuritic syndrome

3. Toxic encephalopathy syndrome

4. Syndrome of the funicular myelosis

5. All listed

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Вопрос 56 из 144. What hematological changes are typical for chronic intoxication with benzene and other aromatic hydrocarbons?

Варианты ответов:

1. Granulocytopenia, agranulocytosis

2. Thrombocytopenia

3. Megaloblastic anemia

4. Aplastic anemia

5. All are typical

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Вопрос 57 из 144. What hematological changes are typical for chronic intoxication with benzene and other aromatic hydrocarbons?

Варианты ответов:

1. Aplastic anemia

2. Acute non-lymphoblastic leukemia

3. Chronic myeloid leukemia

4. All are typical

5. Everything is not typical

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Вопрос 58 из 144. What is the severity of clinical manifestations of acute poisoning with benzene, similar to alcohol intoxication?

Варианты ответов:

1. Mild intoxication

2. Intoxication moderate

3. Severe intoxication

4. Any of the above

5. None of the above

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Вопрос 59 из 144. What is the severity of clinical manifestations of acute benzene poisoning in the form of encephalopathy with loss of consciousness, muscle twitching, tonic and clonic seizures?

Варианты ответов:

1. Mild intoxication

2. Intoxication moderate

3. Severe intoxication

4. Any of the above

5. None of the above

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Вопрос 60 из 144. What is the severity of clinical manifestations of acute poisoning with benzene in the form of almost instantaneous loss of consciousness followed by respiratory arrest and death?

Варианты ответов:

1. Mild intoxication

2. Intoxication moderate

3. Severe intoxication

4. Any of the above

5. None of the above

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Вопрос 61 из 144. What is the severity of clinical manifestations of chronic intoxication with benzene in the form of a neurasthenic or asthenic syndrome with vegetative dysfunction, and also hematological changes in the form of leukopenia with neutropenia, relative lymphocytosis, moderately pronounced thrombocytopenic purpura?

Варианты ответов:

1. Light degree

2. The average degree

3. Heavy degree

4. Any of the above

5. None of the above

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Вопрос 62 из 144. What is the severity of the clinical phenomenon of pro-chronic toxicity of benzene in the form of polyneuritis, symptoms funicular myelosis, encephalopathy combined with severe leucopenia, thrombocytopenia with common hemorrhagic purpura, anemia, caused by the defeat of the Erie tropoeticheskogo germ in the bone marrow, and bleeding?

Варианты ответов:

1. Light degree

2. The average degree

3. Heavy degree

4. Any of the above

5. None of the above

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Вопрос 63 из 144. Which of the severity correspond to the clinical manifestations of chronic intoxication with benzene in the form of severe encephalopathy, agranulocytosis, deep thrombocytopenia, anemia, and severe hemorrhagic syndrome caused by the devastation of the red bone marrow, in some cases in the marrow and peripheral blood of the large number of blast cells (acute leukemia)?

Варианты ответов:

1. Light degree

2. The average degree

3. Heavy degree

4. Any of the above

5. None of the above

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Вопрос 64 из 144. Which of the following criteria are used for the diagnosis of intoxication with benzene and its compounds?

Варианты ответов:

1. Professional route - proof of work in contact with aromatic hydrocarbons

2. Identification of signs of damage to bone marrow hematopoiesis (agranulocytosis, thrombocytopenia, aplastic anemia)

3. The occurrence of acute "benzene" hemoblastosis or heme-tosarcoma

4. Signs of toxic encephalopathy, damage to the liver, heart

5. All listed

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Вопрос 65 из 144. Which of the following options for the penetration of mercury into the body is the least dangerous for humans?

Варианты ответов:

1. Inhalation of metallic mercury vapors or aerosols of its compounds

2. Oral ingestion of soluble mercury compounds into the digestive tract

3. Oral ingress into the digestive tract of metallic mercury

4. All listed

5. None of the above

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Вопрос 66 из 144. What organs and tissues can deposit mercury?

Варианты ответов:

1. Liver

2. Kidneys

3. The brain (pituitary, cerebellum)

4. Bones of the skeleton

5. All listed

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Вопрос 67 из 144. What ways of poison excretion are not typical for mercury intoxication?

Варианты ответов:

1. Through the biliary system and the digestive tract

2. Through the respiratory system

3. Through the urinary system

4. Through the salivary glands

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Вопрос 68 из 144. What toxicological characteristics are typical for mercury intoxication?

Варианты ответов:

1. Mercury - thiol poison, blocks sulfhydryl groups in protein compounds

2. Mercury causes functional, and then degenerative changes in the central and peripheral nervous system

3. Mercury causes a variety of pathological changes in the tissues of parenchymal organs

4. All are typical

5. Everything is not typical

выберите один правильный вариант

Вопрос 69 из 144. What symptoms are not typical for acute mercury intoxication?

Варианты ответов:

1. Neurotoxicosis in the form of intense headache, nausea, vomiting, severe weakness, adynamia

2. Metal taste in the mouth, salivation, abdominal pain, bloody diarrhea, polyuria

3. Ulcerative stomatitis and gingivitis

4. Thrombocytopenic purpura

5. All are typical

выберите один правильный вариант

Вопрос 70 из 144. What is mercury eretism?

Варианты ответов:

1. Unusual behavioral reaction in the form of extremely pronounced timidity, embarrassment, strong emotional excitement with a heartbeat, flushing of the face, sweating even in a familiar environment, and among familiar people

2. Complex asymmetric extrapyramidal, large-scale intentional tremor against the background of small-amplitude asymmetric functional tremor

3. Sensations of metallic taste in the mouth, gingivitis with a purple edge on the gums

4. "Unreasonable" attacks of severe headaches

5. Small-amplitude tremor of the fingertips

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Вопрос 71 из 144. Which severity corresponds to clinical manifestations of chronic mercury intoxication in the form of vascular dystonia with a neurosis-like syndrome in the form of pathological “embarrassment”, emotional instability, vasomotor hyperreactivity, “causeless” attacks of strong head pains, sensations of metallic taste in the mouth , mercury gingivitis with purple rims on the gums, gastric dyspepsia, unstable blood pressure, tachycardia, small amplitude tremor of the fingertips?

Варианты ответов:

1. Light degree

2. The average degree

3. Heavy degree

4. Any of the above

5. None of the above

выберите один правильный вариант

Вопрос 72 из 144. Which severity corresponds to the clinical manifestations of chronic mercury intoxication in the form of organic disruptions in the central nervous system with pronounced manifestations of mercury eretism, complex asymmetric extrapyramidal, large-scale intentional tremor (flapping) against a small amplitude asymmetric function; pa, a sensitive form of polyneuropathy, gingivitis with an intense lilac border on the gums, stomatitis, signs of toxic hepatitis, myocardial dystrophy?

Варианты ответов:

1. Light degree

2. The average degree

3. Heavy degree

4. Any of the above

5. None of the above

выберите один правильный вариант

Вопрос 73 из 144. What is the severity of clinical manifestations of chronic mercury intoxication in the form of toxic encephalopathy, persistent organic changes in the nervous system, mercury eretism, reaching extreme severity, extra-pyramidal large-scale tremor, taking a generalized character?

Варианты ответов:

1. Light degree

2. The average degree

3. Heavy degree

4. Any of the above

5. None of the above

выберите один правильный вариант

Вопрос 74 из 144. What criteria can not be used to confirm the diagnosis of professionally caused mercury intoxication?

Варианты ответов:

1. Professional route, certifying long-term contact in the production environment with mercury and its compounds

2. A violet border on gums, gingivitis, stomatitis

3. Clinical manifestations of mercury erethism, functional or extrapyramidal tremor (flapping)

4. Detection of free hemoglobin in the blood

5. Identification of elevated levels of mercury in the blood, in the urine

выберите один правильный вариант

Вопрос 75 из 144. What medicines are used for the etiotropic treatment of mercury intoxication?

Варианты ответов:

1. Desferal

2. Succimer

3. Unitiol

4. Penitsilamin

5. All listed

выберите несколько правильных вариантов

Вопрос 76 из 144. What pathological process is the key to poisoning organophosphate pesticides?

Варианты ответов:

1. Blockade of sulfhydryl groups in protein compounds

2. Blockade of phosphodiesterase

3. The formation of methemoglobin

4. Hemolysis

5. Activation of plasma coagulation factors

выберите один правильный вариант

Вопрос 77 из 144. What pathological processes are typical for organophosphate pesticide intoxication?

Варианты ответов:

1. As a result of the blockade of phosphodiesterase, large amounts of acetylcholine accumulate in synapses

2. M-cholinergic reactions arise in the form of constriction of the pupils, bronchospasm, bronchial hypersecretion, pathological activation of the secretory and motor function of the stomach

3. H-cholinergic reactions appear in the form of fibrillar muscle twitches, mental arousal

4. All are typical

5. Everything is not typical

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Вопрос 78 из 144. Which severity corresponds to phosphorus-organic pesticides poisoning, if the victims are worried about intense sweating, drooling, abdominal pain, nausea, vomiting with abundant acidic liquid contents, expiratory dyspnea, a cough with a large amount of bright sputum, they become agitated and, together so that they are adynamic, their pupils sharply narrow, the arterial pressure rises, the pulse increases?

Варианты ответов:

1. Easy poisoning

2. Medium poisoning

3. Severe poisoning

4. The degree of severity of intoxication for these symptoms cannot be determined

5. Clinical manifestations are not typical for intoxication with phospho-ororganic pesticides

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Вопрос 79 из 144. What kind of severity corresponds to phosphorus-organic pesticides poisoning, if the affected skin becomes pale marble, fibrillation of the tongue, eyelids, other muscle groups, involuntary jerking movements of the eye-apples, difficulty in speech, mental disorders with severe depression occur , hallucinations, twilight state, fever up to 400C possible?

Варианты ответов:

1. Easy poisoning

2. Medium poisoning

3. Severe poisoning

4. The degree of severity of intoxication for these symptoms cannot be determined

5. Clinical manifestations are not typical for intoxication with phospho-ororganic pesticides

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Вопрос 80 из 144. What stages of severe phosphorus-organic pesticide poisoning correspond to clinical manifestations in the form of abundant sweat, salivation, tearing, bronchorea, difficulty breathing, visual impairment, and abdominal pain on the background of psychic arousal?

Варианты ответов:

1. Stage of arousal

2. The convoy stage

3. The paralytic stage

4. The stage of severe poisoning with the indicated symptoms cannot be determined

5. Clinical manifestations are not typical for intoxication with phospho-ororganic pesticides

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Вопрос 81 из 144. Which stages of severe poisoning with organophosphate pesticides correspond to clinical manifestations in the form of adynamia of the twilight state of the psyche, clonic-tonic muscle cramps, hypoxemia caused by a severe asthmatic condition, symptoms of toxic damage to the liver, kidneys, heart?

Варианты ответов:

1. Stage of arousal

2. The convoy stage

3. The paralytic stage

4. The stage of severe poisoning with the indicated symptoms cannot be determined

5. Clinical manifestations are not typical for intoxication with phospho-ororganic pesticides

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Вопрос 82 из 144. What stage of severe poisoning with phosphorus-organic pesticides corresponds to clinical manifestations in the form of a comatose state, acidosis, with a high probability of death as a result of pulmonary edema, cardiovascular insufficiency, respiratory muscle pair?

Варианты ответов:

1. Stage of arousal

2. The convoy stage

3. The paralytic stage

4. The stage of severe poisoning with the indicated symptoms cannot be determined

5. Clinical manifestations are not typical for intoxication with phospho-ororganic pesticides

выберите один правильный вариант

Вопрос 83 из 144. What symptoms are not typical for the initial period of chronic intoxication with organophosphate pesticides?

Варианты ответов:

1. General weakness, loss of mental and physical ability, memory impairment, headache, dizziness

2. Red, persistent dermographism

3. Petechial hemorrhagic rash

4. Blood pressure decreases

5. The pulse rate decreases

выберите один правильный вариант

Вопрос 84 из 144. What pathological manifestations are not typical for long-term chronic toxicity with organophosphate pesticides?

Варианты ответов:

1. Painful headaches

2. Dreams with frightening nightmares

3. Muscle twitching, paresthesia

4. Spastic paralysis of various muscle groups

5. Cold urticaria

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Вопрос 85 из 144. Which of the following biochemical changes are typical for intoxication with organophosphate pesticides?

Варианты ответов:

1. Increase the level of bilirubin in the blood

2. Decrease in the activity of pseudo-cholinesterase in the blood

3. Reducing the content of prothrombin in the blood

4. Increased alkaline phosphatase activity

5. All listed

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Вопрос 86 из 144. Which of the following should be used to confirm the diagnosis of professionally caused toxic organophosphate pesticides intoxication?

Варианты ответов:

1. Professional route, confirming the probability of contact of the victim with organophosphate toxic chemicals under production conditions

2. The results of the hygienic examination of the workplace of the victim, confirming the possibility of occupational toxicity

3. A characteristic clinical picture of acute or chronic organophosphate toxic chemicals

4. Identification of a low level of activity of pseudo-coline estes in the blood

5. All of the above

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Вопрос 87 из 144. What symptoms do not allow differentiating intoxication with organophosphate pesticides from poisoning with other poisons used in agriculture?

Варианты ответов:

1. Drastic constriction of the pupils

2. Bradycardia

3. Headache

4. Pronounced activation of the secretory function of salivary, lacrimal, gastric, bronchial glands

5. Reducing the activity of pseudo-cholinesterase in the blood

выберите один правильный вариант

Вопрос 88 из 144. What antidotes of pathogenetic action are used to relieve acute intoxication with organophosphate pesticides if M-cholinergic reactions prevail?

Варианты ответов:

1. Atropin

2. Alloxime

3. Izonitrosin or dipyroxime

4. Benzogeksony or pentamine

5. All listed

выберите несколько правильных вариантов

Вопрос 89 из 144. What antidotes of pathogenetic action are used to relieve acute intoxication with organophosphate pesticides, if H-cholinergic reactions prevail?

Варианты ответов:

1. Atropin

2. Benzohexony or pentamine

3. Alloxime

4. Izonitrosin or dipyroxime

5. All listed

выберите один правильный вариант

Вопрос 90 из 144. What is the characteristic of organochlorine pesticides that limits their use in agriculture?

Варианты ответов:

1. High toxicity

2. The difficulties of industrial production and transportation

3. High resistance to degradation in natural conditions

4. All the features mentioned

5. None of the features mentioned

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Вопрос 91 из 144. What are the peculiarities of toxic action are not typical for organochlorine pesticides poisoning?

Варианты ответов:

1. A generally toxic effect on the human body

2. The ability to penetrate the lipid layer of the cell membrane and inhibit the intracellular enzymes of the respiratory cycle

3. Ability to form methemoglobin

4. The ability of certain substances of this group to block the thiol groups of protein compounds

5. First of all, the brain (mainly subcortical region) and the liver are affected

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Вопрос 92 из 144. What are the typical symptoms of acute chlorine pesticide poisoning?

Варианты ответов:

1. A sharp weakness, nausea, vomiting, intense headache, dizziness, fever up to 39- 400С

2. General inhibition, mental disorders, trembling, in jerking of various muscle groups, attacks of clonic-tonic seizures

3. Frequent, noisy breathing (decompensated metabolic acidosis)

4. Anuria, jaundice

5. All are typical

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Вопрос 93 из 144. Which syndromes do not participate in the formation of the clinical picture of chronic toxicity with organochlorine pesticides?

Варианты ответов:

1. Astenovegetative syndrome

2. Polyneuritic syndrome

3. Cardial syndrome

4. Hepatic syndrome

5. Thromboembolic syndrome

выберите один правильный вариант

Вопрос 94 из 144. What is the syndrome that occurs during chronic intoxication with organochlorine pesticides characterized by progressive general weakness, reduced physical and, especially, mental disability, headaches, dizziness, sweating, emotional lability, palpitations, interruptions in heart rhythm?

Варианты ответов:

1. Polyneuritic syndrome

2. Cardial syndrome

3. Hepatic syndrome

4. Astenovegetative syndrome

5. The indicated symptoms are not typical for intoxication with phosphorus pesticides

выберите один правильный вариант

Вопрос 95 из 144. What is the syndrome that arises during chronic intoxication with organochlorine pesticides characterized by pain along the nerve trunks, trembling, muscle twitching, impaired skin sensitivity, visual disturbances?

Варианты ответов:

1. Polyneuritic syndrome

2. Cardial syndrome

3. Hepatic syndrome

4. Astenovegetative syndrome

5. The indicated symptoms are not typical for intoxication with phosphorus pesticides

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Вопрос 96 из 144. For what syndrome that arises during chronic intoxication with organochlorine pesticides, there is a tendency to lower blood pressure, rapid pulse, supraventricular and ventricular extrasystole, blockade of the cardiac conduction system, signs of myocardial dystrophy are recorded (according to ECG and EchoCG)?

Варианты ответов:

1. Polyneuritic syndrome

2. Hepatic syndrome

3. Astenovegetative syndrome

4. Cardial syndrome

5. The indicated symptoms are not typical for intoxication with phosphorus pesticides

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Вопрос 97 из 144. For which syndrome arising from chronic organochlorine intoxicating pesticides are episodes of hypoglycemic states, ikterichnost sclera, skin, moderate hepatomegaly, hyperbilirubinemia, increased activity of AST, AST, LDH, with ultrasound signs of steatohepatitis (increased volume liver, diffuse increase in echogenicity of the parenchyma, moderately pronounced disorders of portal hemodynamics)?

Варианты ответов:

1. Polyneuritic syndrome

2. Hepatic syndrome

3. Astenovegetative syndrome

4. Cardial syndrome

5. The indicated symptoms are not typical for intoxication with phosphorus pesticides

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Вопрос 98 из 144. Which of the following circumstances serve as proof of professionally caused chlorine-pesticide toxicity intoxication?

Варианты ответов:

1. Professional route confirming the likelihood of contact of the victim with organochlorine toxic chemicals under production conditions

2. The results of the hygienic examination of the workplace of the victim, confirming the possibility of professional toxicity with organochlorine pesticides

3. A characteristic clinical picture of acute or chronic organochlorine toxic chemicals

4. All listed

5. None of the above

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Вопрос 99 из 144. Which of the following should be used in the provision of emergency care in case of acute poisoning with organochlorine pesticides?

Варианты ответов:

1. To establish inhalation of moistened oxygen

2. When psychomotor agitation, convulsive syndrome, intravenous hexenal is administered

3. In case of acidosis, inject 200-400 ml of 2% sodium bicarbonate solution intravenously

4. Parenterally administer glucose solutions, vitamins C, B1, cocarboxylase, pyridoxine, calcium gluconate

5. All of the above

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Вопрос 100 из 144. What medicines are not indicated for the treatment of chronic toxicity with organochlorine pesticides?

Варианты ответов:

1. Course detoxification therapy with a solution of 5% glucose, saline solutions, reopolyglucine

2. Daily oral intake of balanced multivitamin preparations

3. Hepatoprotectors - Essentiale-Forte, lipostabil, lipamid

4. Blockers of beta-adrenergic receptors

5. All are shown

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Вопрос 101 из 144. What toxic effects are typical for organo-mercury pesticides-fungicides?

Варианты ответов:

1. Blockade of sulfhydryl groups of proteins

2. Capillarytoxic effect

3. Cardiotoxic action

4. The defeat of the genital glands and ovaries in women

5. All are typical

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Вопрос 102 из 144. What symptoms are not characteristic of mild and moderate cravings of acute toxicity of organo-mercury organic fungicide pesticides?

Варианты ответов:

1. Metallic taste, burning sensation in the mouth

2. Progressive general weakness, headache, dizziness, nausea, vomiting

3. Severe thirst, intense abdominal pain, diarrhea, often bloody

4. Arterial hypotension

5. Loss of consciousness with involuntary urination and deflation

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Вопрос 103 из 144. What symptoms are not typical for severe acute organ mercury toxicity intoxication?

Варианты ответов:

1. Unstable gait, trembling hands, trunk

2. Difficult swallowing

3. Impaired vision until blindness

4. Loss of consciousness with involuntary urination and defecation

5. All are characteristic

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Вопрос 104 из 144. To which syndrome, which is included in the clinical picture of chronic intoxication of organo-mercury pesticides-fungicides, do complaints of headache,
dizziness, reduced physical and mental disability, impaired memory, increased emotional lability correspond?

Варианты ответов:

1. Astenovegetative syndrome

2. Polyneuritic syndrome

3. Diencephalic-hypothalamic syndrome

4. Cardial syndrome

5. Hepatic syndrome

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Вопрос 105 из 144. For what syndrome arising during chronic intoxication of organo-mercury pesticides-fungicides, is there an increase in tendon reflexes, trembling of fingers, formation of encephalomyeloradiculoneuritis with focal and diffuse manifestations, epileptiform convulsive attacks?

Варианты ответов:

1. Astenovegetative syndrome

2. Diencephalic-hypothalamic syndrome

3. Polyneuritic syndrome

4. Cardial syndrome

5. Hepatic syndrome

выберите один правильный вариант

Вопрос 106 из 144. What is the syndrome that occurs during chronic intoxication of organo-mercury pesticides-fungicides, characterized by impaired thermoregulation, increased thirst, polyuria, insomnia, frightening nightmarish dreams with battle scenes, psychotic crises with feelings of causeless anguish, fear?

Варианты ответов:

1. Astenovegetative syndrome

2. Polyneuritic syndrome

3. Diencephalic-hypothalamic syndrome

4. Cardial syndrome

5. Hepatic syndrome

выберите один правильный вариант

Вопрос 107 из 144. For what syndrome arising from chronic intoxication of organo-mercury pesticides-fungicides, are arterial hypotension, bradycardia, supraventricular and / or ventricular premature beats, myocardiodystrophy with signs of circulatory failure?

Варианты ответов:

1. Astenovegetative syndrome

2. Polyneuritic syndrome

3. Diencephalic-hypothalamic syndrome

4. Cardial syndrome

5. Hepatic syndrome

выберите один правильный вариант

Вопрос 108 из 144. For what kind of syndrome that occurs during chronic intoxication of organomercury pesticides-fungicides, moderate hepatomegaly, impaired protein-forming liver function, slight hyperbilirubinemia, increased AST, ALT, LDH, gamma-glutamyl transpeptidase, detection of UZI are characteristic; (increase in liver mass, diffusive increase in echogenicity, depletion of vascular parenchyma pattern)?

Варианты ответов:

1. Astenovegetative syndrome

2. Polyneuritic syndrome

3. Diencephalic-hypothalamic syndrome

4. Cardial syndrome

5. Hepatic syndrome

выберите один правильный вариант

Вопрос 109 из 144. Which of the following criteria should be used to confirm the diagnosis of a professionally determined toxicity of organo-mercury pesticides-fungicides?

Варианты ответов:

1. Professional route, confirming the probability of contact of the victim with organic mercury pesticides in the workplace

2. The results of the hygienic examination of the workplace of the victim, confirming the possibility of professional toxicity to organo-mercury pesticides

3. A characteristic clinical picture of acute or chronic organ mercury toxicity poisoning

4. Detection of mercury in the urine of the victim

5. All listed

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Вопрос 110 из 144. Which of the following methods should not be used in the provision of emergency assistance in case of poisoning with mercury-organic pesticides-fungicides?

Варианты ответов:

1. Remove the victim from the zone contaminated with pesticides

2. Remove contaminated clothing, wash the skin with warm water, alcohol-soda solution

3. When the chemical enters the digestive tract, wash the stomach with two or three liters of water containing 100 ml of Strizhevsky anti-dota

4. Conduct antidote therapy

5. Give a laxative (castor or linseed oil)

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Вопрос 111 из 144. What medicines are used as antidotes in the treatment of intoxication with mercury-containing fungicide pesticides?

Варианты ответов:

1. Unitiol

2. Pentacin

3. Desferal

4. Atropin

5. All listed

выберите несколько правильных вариантов

Вопрос 112 из 144. What medicines should be used to treat chronic intoxication with mercurycontaining fungicide pesticides?

Варианты ответов:

1. Unitiol

2. Succimer

3. Calcium gluconate, balanced multivitamin preparations

4. Essentiale-forte, lipamid, lipostabil

5. All listed

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Вопрос 113 из 144. What substances do not have an irritating effect on the respiratory organs?

Варианты ответов:

1. Gas chlorine

2. Carbon monoxide

3. Ammonia

4. Sulfur oxides

5. Hydrogen chloride

выберите один правильный вариант

Вопрос 114 из 144. What pathological processes occur in the lungs when inhaled gaseous substances with irritant action and well soluble in water?

Варианты ответов:

1. Irritation and cauterization of the mucous membrane of the upper respiratory tract

2. Tracheobronchitis

3. Toxic alveolitis

4. Pneumonitis

5. Acute toxic pulmonary edema

выберите несколько правильных вариантов

Вопрос 115 из 144. What pathological processes occur in the lungs when inhaled gaseous substances with irritant effects, but relatively poorly soluble in water?

Варианты ответов:

1. Irritation and cauterization of the mucous membrane of the upper respiratory tract

2. Tracheobronchitis

3. Toxic alveolitis

4. Pneumonitis

5. Acute toxic pulmonary edema

выберите несколько правильных вариантов

Вопрос 116 из 144. What forms of pulmonary lesions are typical for acute respiratory depression of a toxic-chemical etiology?

Варианты ответов:

1. Acute tracheobronchitis

2. Acute toxic-chemical pulmonary edema

3. Alveolith

4. Pneumonitis

5. Chronic bronchitis, pneumosclerosis

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Вопрос 117 из 144. What forms of lung lesions are typical for chronic lesions of the respiratory organs of a toxic-chemical etiology?

Варианты ответов:

1. Acute tracheobronchitis

2. Acute toxic-chemical pulmonary edema

3. Alveolith

4. Pneumonitis

5. Chronic bronchitis, pneumosclerosis

выберите несколько правильных вариантов

Вопрос 118 из 144. What features are not typical for the primary reaction in toxic-chemical lesion of the respiratory organs?

Варианты ответов:

1. After inhalation of the irritating gas, there is an acute suffocating laryngospasm, bronchospasm

2. The primary reaction is especially pronounced when inhaling water-soluble gases (chlorine, hydrogen chloride, ammonia)

3. The primary reaction is less bright when relatively small gases are soluble in water (oxides of azo) in the respiratory tract

4. All are typical

5. Everything is not typical

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Вопрос 119 из 144. What features are not typical for the latent period in toxic-chemical damage to the respiratory organs?

Варианты ответов:

1. It appears immediately after the initial reaction and can last from 1 hour to 2 days

2. During this period, the victim recovers good health, he seems fully recovered

3. The hidden period has a longer duration when breathing in gases that are poorly soluble in water

4. All are typical

5. Everything is not typical

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Вопрос 120 из 144. What features are not typical for the period of developed clinical reactions in toxic-chemical lesion of the respiratory organs?

Варианты ответов:

1. It begins suddenly, more often at night, with acute toxic-chemical pulmonary edema with the defeat of slightly irritating gases in water

2. It begins suddenly, more often at night, with acute toxic-chemical tracheobronchitis with lesions that are well soluble in water in irritating gases

3. Acute toxic-chemical pulmonary edema can occur in two versions - blue or gray

4. All are typical

5. Everything is not typical

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Вопрос 121 из 144. What shifts are characteristic of the blue variant of toxic-chemical pulmonary edema in case of lesion of the respiratory organs with irritant gases?

Варианты ответов:

1. Severe intraalveolar exudation combined with the obstruction of the small bronchi

2. The swelling of interstitial tissue, the combination of acute hypoxia with hypocapnia

3. Ears with difficulty breathing in and out, coughing with frothy sputum

4. Small circle hypertension, acute overload of the right heart

5. All are characteristic

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Вопрос 122 из 144. What shifts are characteristic of the gray variant of toxic-chemical pulmonary edema in case of lesion of the respiratory organs with irritant gases?

Варианты ответов:

1. Severe intraalveolar exudation combined with the obstruction of the small bronchi

2. The swelling of interstitial tissue, the combination of acute hypoxia with hypocapnia

3. Ears with difficulty breathing in and out, coughing with frothy sputum

4. Small circle hypertension, acute overload of the right heart

5. All are characteristic

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Вопрос 123 из 144. What clinical forms can acute toxic-chemical tracheobronchitis acquire during the period of developed clinical reactions?

Варианты ответов:

1. Toxic chemical rhinitis

2. Toxico-chemical pharyngolaryngotracheitis

3. Toxico-chemical endobronchitis

4. Toxic and chemical pulmonary edema

5. All listed

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Вопрос 124 из 144. What clinical forms has a period of outcomes of toxic-chemical lesion of the respiratory organs?

Варианты ответов:

1. Alveolitis with a flow duration of 2-3 weeks

2. Pneumonitis with a duration of 2-3 weeks

3. Infectious-inflammatory processes with a probable transition to a chronic form of pulmonary pathology

4. All listed forms

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Вопрос 125 из 144. What clinical forms are typical for chronic toxic-chemical damage to the respiratory organs?

Варианты ответов:

1. Chronic obstructive bronchitis

2. Bronchial asthma

3. Diffuse pneumosclerosis, emphysema

4. Chronic pulmonary heart

5. All are typical

выберите один правильный вариант

Вопрос 126 из 144. Based on what criteria is the diagnosis of a professionally determined toxicchemical lesion of the lungs confirmed?

Варианты ответов:

1. Professional route showing the possibility of a chronic or acute (emergency) toxic-chemical damage to the respiratory organs

2. The results of the hygienic assessment of the working conditions of the victim, with the identification of the gaseous substance that caused the professional disease

3. A characteristic clinical picture typical of an acute or chronic toxic-chemical lesion of the bronchopulmonary system

4. Results of laboratory and instrumental diagnostics, which gives an objective assessment of the severity of respiratory injury, the state of compensation of the pulmonary-cardiac system

5. On the basis of all the listed criteria

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Вопрос 127 из 144. What emergency measures should be carried out in the acute period of toxicchemical damage to the respiratory organs?

Варианты ответов:

1. Inhalation of 1-2% sodium bicarbonate solution is performed

2. Intramuscularly inject antihistamine and analgesic drugs

3. In severe lesions, hydrocortisone is administered parenterally (25 mg intramuscularly after 6-8 hours)

4. In order to reduce vascular permeability, they give calcium gluconate (0.5 orally ingested 3 times a day)

5. All listed

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Вопрос 128 из 144. What measures need to be performed in the latent period of toxic-chemical damage to the respiratory organs?

Варианты ответов:

1. To observe the victim, it is possible in the outpatient setting

2. Assign oral administration of expectorant drugs

3. Place the victim in the hospital

4. Urgently perform an ECG, chest X-ray, complete blood count.

5. Subcutaneously enter with prophylactic promedol (0.5 ml of 2% solution) and atropine (0.5 ml of 0.1% solution)

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Вопрос 129 из 144. What measures should not be performed in the developed clinical stage of toxicchemical lesion of the respiratory organs in case of toxic pulmonary edema?

Варианты ответов:

1. Oxygen in the form of 48% air mixture, previously saturated with vapors of ethyl alcohol, inhalation of antifoamilan antifoam (2-3 ml of 10% alcohol solution) through a nasal catheter

2. Morphine - 1 ml of 1% solution or promedol - 1 ml of 2% solution intravenously slowly; 0.5 ml of a 0.1% solution of atropine subcutaneously

3. Furosemide - 40 mg intravenously

4. When the arterial pressure drops, dopamine is injected intravenously (250 mg is diluted in 200 ml of reopolyglucin), methylprednisolone - 90-120 mg intravenously

5. Everything should be done

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Вопрос 130 из 144. What remedies are not used in the treatment of chronic respiratory diseases of toxic-chemical etiology?

Варианты ответов:

1. Inhalation of sodium bicarbonate solution

2. Antibiotics in the occurrence and exacerbation of secondary infectiousinflammatory processes in the bronchopulmonary system

3. Veroshpiron

4. Therapeutic exercise, massage of the chest

5. All are applied

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Вопрос 131 из 144. What features are typical for carbon monoxide (carbon monoxide)?

Варианты ответов:

1. It is formed as a result of incomplete oxidation of carbon and carbon-hydrogens under conditions of lack of oxygen

2. Drops into the body through the respiratory tract

3. Drops into the body through intact skin and mucous membranes

4. Drops into the body through the digestive tract

5. It is excreted unchanged through the urinary system

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Вопрос 132 из 144. What features are not typical for carbon monoxide intoxication?

Варианты ответов:

1. Carbon monoxide, which entered the blood through the alveolar membrane, competes with oxygen for hemoglobin

2. Carbon monoxide has a greater ability than oxygen to combine with hemoglobin

3. Carbon monoxide poisoning can occur at significantly lower concentrations than oxygen in ambient air

4. The carbon dioxide forms a stronger, compared with oxygen, compound with hemoglobin, called carboxyhemoglobin

5. Carboxic hemoglobin has a toxic effect on the intracellular enzymes of the respiratory cycle

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Вопрос 133 из 144. What features are not typical for carbon monoxide intoxication?

Варианты ответов:

1. When a large amount of carboxyhemoglobin is accumulated in the blood, it becomes unable to perform the function of transporting oxygen from the lungs to organs and tissues at normal atmospheric pressure

2. The presence of carboxyhemoglobin in the blood causes hemic hypoxia of the internal organs

3. In connection with the blockade of carbon monoxide by intracellular cytochromoxidase, tissue hypoxia occurs

4. All are typical

5. Everything is not typical

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Вопрос 134 из 144. What features are not typical for carbon monoxide intoxication?

Варианты ответов:

1. The decay of carboxyhemoglobin accelerates with an increase in the content of carbon dioxide (carbon dioxide) in the blood

2. The decay of carboxyhemoglobin is accelerated under the influence of the ultraviolet part of the spectrum of sunlight

3. When chronic carbon monoxide intoxication increases the content of non-heme iron in the blood

4. Negeminovoy iron in the blood can bind carbon monoxide

5. All are typical

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Вопрос 135 из 144. What is the severity of clinical manifestations of acute carbon monoxide poisoning in the form of general weakness of shortness of breath, pulsating headache, dizziness, nausea, often vomiting, increased heart rate while maintaining arterial pressure within normal limits?

Варианты ответов:

1. Easy degree of carbon monoxide poisoning

2. Medium carbon monoxide poisoning

3. Severe severity of carbon monoxide poisoning

4. Residual effects of acute carbon monoxide intoxication

5. The indicated clinical manifestations are not typical for carbon monoxide poisoning

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Вопрос 136 из 144. What is the severity of clinical manifestations of acute carbon monoxide poisoning in the form of general inhibition, drowsiness, frequent, shallow breathing, vomiting, a sharp increase in pulse rate, lower blood pressure, short-term loss of consciousness?

Варианты ответов:

1. asy degree of carbon monoxide poisoning

2. Medium carbon monoxide poisoning

3. Severe severity of carbon monoxide poisoning

4. Residual effects of acute carbon monoxide intoxication

5. The indicated clinical manifestations are not typical for carbon monoxide poisoning

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Вопрос 137 из 144. What is the severity of clinical manifestations of acute carbon monoxide poisoning in the form of toxic, hypoxic coma, tonic and clonic convulsions on the background of deceptive rigidity?

Варианты ответов:

1. Easy degree of carbon monoxide poisoning

2. Medium carbon monoxide poisoning

3. Severe severity of carbon monoxide poisoning

4. Residual effects of acute carbon monoxide intoxication

5. The indicated clinical manifestations are not typical for carbon monoxide poisoning

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Вопрос 138 из 144. What pathological changes are not typical for acute carbon monoxide toxicity?

Варианты ответов:

1. Toxic pulmonary edema

2. Bright pink infiltrates on the skin, bullous necrotic changes of the dermis

3. Zheltukha

4. The presence of carboxyhemoglobin in the blood

5. All are typical

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Вопрос 139 из 144. What residual changes are left behind by acute carbon monoxide poisoning?

Варианты ответов:

1. Peripheral polyneuropathy

2. Motor polyneuritis

3. Toxic encephalopathy with severe psychasthenia, prone to psychosis

4. Cirrhosis of the liver

5. Chronic renal failure

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Вопрос 140 из 144. What are the typical shifts for chronic carbon monoxide toxicity?

Варианты ответов:

1. Psychological disorders, vegetative disorders, angio dystonia

2. Diencephalic crises

3. Myocardial dystrophy

4. All are typical

5. Everything is not typical

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Вопрос 141 из 144. What changes in laboratory parameters are not typical for chronic carbon monoxide intoxication?

Варианты ответов:

1. Moderate erythrocytosis, elevated hemoglobin content

2. Increased serum iron content

3. The increased content of protoporphyrin in red blood cells

4. The excretion of coproporphyrin and delta-aminolevulinic acid with urine is increased

5. All are typical

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Вопрос 142 из 144. What criteria should be used to confirm the diagnosis of a professionally caused carbon monoxide intoxication?

Варианты ответов:

1. Reliable data on the presence of high carbon monoxide content in the working area

2. Clinical signs characteristic of carbon monoxide intoxication

3. Detection of a high content of carboxyhemoglobin in the victim's blood

4. High blood levels of non-heme iron, delta-aminolevulinic acid and coproporphyrin in the urine during chronic toxicity with carbon monoxide

5. The aggregate of all the mentioned criteria

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Вопрос 143 из 144. What methods are used in assisting a victim of carbon monoxide poisoning?

Варианты ответов:

1. The person is taken out to the fresh air, warm

2. Oxygen therapy in the chamber for hyperbaric oxygenation

3. Barbamil 3 ml of 10% solution together with 1 ml of 1% solution of dimed-rola is injected intravenously with psychomotor agitation, convulsions

4. All listed

5. None of the listed methods is effective for acute carbon monoxide intoxication

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Вопрос 144 из 144. What medicines are not able to reduce the toxic effect of carbon monoxide?

Варианты ответов:

1. Ferkaven

2. Methylene blue

3. Cococarboxylase

4. Tsitokhrom S

5. D-penicylamine

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