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Respiratory

138. 5th year students , examining newborn , drew attention to the subtle
tour of the chest, weak respiratory noises on auscultation .
These features are caused by breathing in newborns :
A. Weak contraction of the diaphragm and respiratory muscles
V. imperfections mucociliary apparatus
C. The functional immaturity of the respiratory center
D. The narrowness of the lumen of the respiratory tract

139. A child 2 years old diagnosed obstructive bronchitis .


The emergence of this disease in this age contribute
respiratory following features :
A. Insufficient development of elastic system
B. Imperfect mucociliary apparatus
C. Functional immaturity of the respiratory center
D. The narrow lumen airway mucous tendency to edema and
hypersecretion
E. All of the above

140. Child 3 months. Birth mother with notes noisy audible at a distance
breathing, feeding and growing anxiety. Stridor diagnosed .
Cause of stridor in the child may be :
A foreign body airway
B. Swelling of the bronchial mucosa
S. laryngomalacia
D. All of the above

141. When medical checkups senior kindergarten group identified several


constantly coughing children. Nasal breathing they significantly hampered , mouth open , from
nose mucopus . This is the secret of running down the back of the throat .
Oropharyngeal mucous normal color .
The examination of these children is likely to be diagnosed
A. Bronchitis
V. adenoids
C. Acute rhinitis
D. Sinusitis

142. A doctor examines a respite at home when visiting a newborn 7 days.


Of the following corresponds to the age norm :
A. The respiratory rate 40 per minute
B. Surface , arrhythmic breathing
C. The ratio of RR ( respiratory rate ) and heart rate ( frequency
heart rate ) is 1:3-3,5
D. Loose souffles
E. All of the above

143. Child 14 days sick with pneumonia . Periodically apnea to


20 seconds , followed by a general cyanosis .
Apnea can be attributed to the following features
newborn :
A. Lack of drainage function of the bronchial tree
B. Weak chest excursion
C. Suicidality mucosal edema and hypersecretion
D. The functional immaturity of the respiratory center

144. In a healthy child two years at rest respiratory rate is :


A. 15-20
V. 25-30
pp. 35-40

145. Under the patronage of the Child, 2 -week-old doctor said that the baby is healthy .
He should be the next frequency breaths per minute :
A. 40-50
V. 25-35
pp. 30-20

146. Children 4 years old admitted to the hospital with complaints of fatigue, frequent cough
bitonal character. Lung auscultation hard breathing , no wheezing .
Current symptoms are possible if :
A. bronchitis
V. laryngitis
S. pneumoniae
D. Bronhoadenite

147. Child of one year at the doctor before vaccination . on the natural
feeding. Healthy.
Number of breaths in 1 minute this child must be :
A 40-50
V. 30-35
pp. 20-25

148. Young parents of 3- month-old baby are concerned that he often breathing during sleep
( 35-40 min) , sniffs , coughs , became worse to take the breast , shallow breathing ,
chest excursion insignificant.
Of these symptoms indicate pathology :
A. The respiratory rate to 35-40 per minute
B. Small chest excursion
C. Shallow breathing
D. None of the above

149. A child and a half years amid wellbeing appeared paroxysmal


cough with spastic breath , often ending vomiting.
When such symptoms in the first place need to think about :
A. Acute laryngeal stenosis syndrome ( cereal )
V. bronchitis, pneumonia
S. trachea
D. pertussis

150. Inadmissibility of the use of respiratory stimulants in the newborn can


substantiate :
A. Lack of development of lung tissue elastic
B. Insufficient differentiation of structural units of the lung
S. softness cartilage of the larynx and trachea
D. immature respiratory center and the cerebral cortex

151. 2 hletny child is sick for a few days . Frequent , deep wet cough. In light scattered wet and dry rales
variegated . Mantoux -5 mm ( papule ) Given the nature of the data and auscultative cough are most
typical :
A. Acute laryngeal stenosis syndrome ( cereal )
V. Bronchitis
S. pneumoniae
D. pleurisy

152. On examination, the child of 10 months, the physician suspected pneumonia.


Crucial to the diagnosis was the following:
A. Deep cough
B. Cyanosis nasolabial triangle
S. Locally defined fine moist rales in the lungs
D. The body temperature of 37.8
0
With
E. The number of breaths per minute 60

153. Young parents alarmed large respiratory rate and arrhythmic his
the nature of their child 6 days .
Of the following is detected during the inspection of the child 's pediatrician should
regarded as a pathology following:
A. The frequency of 40-45 breaths per minute
V. pause in breathing to 3 seconds
C. Weak chest excursion
D. Loose souffles
E. None of the above

154. Child under the age of 8 months with atopic dermatitis sick
acute respiratory illness . On the 4th day of illness appeared barking rude
cough, general malaise , shortness of breath with compliant places indrawing of the chest
breath, noisy breathing , hoarse voice .
Symptoms appear most likely to indicate :
A. stenosing laryngotracheitis
B. pertussis
S. foreign body aspiration
D. Pneumonia

155. A child of 2 years with prolonged wet cough and low grade temperature
appeared to 37.7 dyspnea, cyanosis nasolabial triangle , deadened
sound and respiratory depression in the lower lobe of the right lung , small displacement
mediastinum to the right .
A similar clinical picture may cause :
A. Pneumonia
B. Emphysema
S. Pleurisy
D. Atelectasis
E. Bronchitis

156. On the defeat of the lung parenchyma following The physical evidence
signs :
A " box" nature of the percussion sound
B. Shortening percussion sound
C. Rigid breath
D. Wire wheezing

157. Short , painful cough is characteristic of :


A bronchoadenitis
V. Bronchitis
S. pleurisy

158. Zev child visiting :


A. At the beginning of the survey
B. In the study of the digestive system
C. At the end of the survey

159. With the defeat of the lower respiratory tract reveal mainly :
A fine moist rales
V. srednepuzyrchatye rales
S. Krupnopuzyrchatye rales
D. Rough dry rales

160. Tonsils are beginning to go beyond the arches :


A. Newborn
B. At the age of 1 month
C. At the age of 6 months
D. After one year

161. Inspiratory dyspnea occurs when :


A. bronchiolitis
B. Bronchial asthma
S. pneumoniae
D. upper airway obstruction

162. The baby of 4 months with SARS on the 5th day of the disease appeared short dry
compulsive cough , anxiety, temperature to rise to 39
0
C.
In this case, the following are not identified pathological symptoms :
A. The frequency of up to 60 breaths per minute
B. Local shortening of percussion sounds
S. abdominal breathing
D. Indrawing intercostal spaces
E. All of the identified symptoms are abnormal

163. The child 7 months after suffering a respiratory viral disease with
obstructive syndrome for 1.5 months of retained low subfebrilitet ,
rare non-productive cough , local finely wheezing in the chuck
area on the right .
Be suspected :
A. Acute bronchitis
B. Pneumonia
S. Pleurisy
D. Fibroatelektaz

164. On preventive doctor's child 2 years old . At the 1st year of life frequent
colds . On examination : difficult nasal breathing , nasal voice , all groups increased cervical lymph nodes
, tonsils hyperplasia . Catarrhal symptoms in the throat and nasal discharge is not.
The items listed above can match :
A. rhinitis
B. chronic tonsillitis
S. lymphadenitis
D. adenoiditis

165. The most characteristic symptom of pneumonia following :


A. Increasing the temperature to febrile digits
B. Wet cough
C. Cyanosis nasolabial triangle
D. Local crepitus

166. Child aged 6 months suffered respiratory viral infection with


obstructive syndrome.
In the development of obstructive syndrome all the anatomical and physiological features
bronchopulmonary matter, except :
A. nedorazvitiem respiratory muscles
B. Rich vascularization mucosa
C. Unfinished formation of the ciliated epithelium of the mucous membrane
bronchi
D. Presence of multi-row cylindrical epithelium in the tracheal and bronchial

167. For a child of 4 months is a physiological next breath :


A. Weakened vesicular
V. Vesicular
S. puerile

168. From these statements one by mistake :


A. In young children easily occur nosebleeds
V. By birth partially formed lattice , sphenoid , maxillary
sinus
C. After 1 year tonsils beyond arches
D. The lower nasal passage finishes formation to 4 years
E. All of the sinus finally formed only 15 years

169. The doctor examined the baby 2 months .


Of the following is the norm for this child is :
A. oblique arrangement of ribs
B. Severe chest excursion
C. Surface breathing pattern
D. puerile respiration

170. What mechanisms are leading to the development of bronchial obstruction in


Kartagener syndrome ?
A. Swelling of the mucous
V. hypersecretion
S. bronchospasm
D. Violation of the mucociliary

171. In the occurrence of atelectasis in newborns occur all the anatomical and physiological features ,
except :
A. The weak development of elastic tissue of the lungs
V. plethora lung
S. Reduced production of surfactant
D. The incomplete formation of the bronchial tree

172. A doctor examines a child two years.


His guarded one of the following symptoms :
A. The frequency of 30 breaths
B. Comparison with respiratory rate and pulse 1:3
C. Respiratory cardiac arrhythmia
D. Outgoing bow for tonsils

173. Occurrence puerile respiration in infants explained peculiarities of structure of the respiratory
system , except :
A short distance from the glottis to the place of hearing
B. Narrow bronchodilation
C. Minor thickness of the chest wall
D. Significant development of the interstitial tissue
E. underdeveloped bronchial tree

174. A child of 2 years in normal auscultation auscultation breath :


A. Weakened vesicular
V. puerile
C. Rigid
D. Vesicular

175 . What sinuses are formed after birth ?


A. Lattice ( ethmoid )
B. Maxillary
C. Frontal

176. Pneumonia - one of the most prevalent diseases in bronchopulmonary


infants.
Of the following contributes to this :
A. Horizontal joint edges with a backbone
B. The weakness of the respiratory muscles
C. Small chest excursion
D. Surface breathing pattern
E. All of the above

177. A healthy newborn baby breathing and pulse ratio as follows:


A. 1:2
V. 1:3
S. 1:4

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