Герпетическая генитальная инфекция. Цитомегаловирусная инфекция.
Алгоритм диагностики, тактика ведения беременных.
Герпес
The herpes simplex virus can infect women’s’:
Vagina, vulva, urethra, cervix, rectum
Vagina, cervix, rectum, vulva
Vulva, urethra, rectum
Vulva, cervix, urethra
Rectum, vulva, vagina
The disease is caused by the herpes simplex virus, often occurs:
Acutely
Subacute
Asymptomatic
In a chronic form
As a recurrent infection in vulva
The risk of neonatal herpes in the world today is:
Low
Insignificant
High
Very high
No risk
An important role in a viremia with herpes belongs (А.Ф. Пухнер, В.И. Козлова, 2010):
Red blood cells and white blood cells
Lymphocytes and leucocytes
Platelets and leucocytes
Monocytes and neutrophils
Eozinofilly
The role of red blood cells in chronic herpes infection is (А.Ф. Пухнер, В.И. Козлова, 2010):
They are a temporary carrier of the virus
In the red blood cells the virus replicates
They inactivate the virus
Provides constant of virus
The virus prolongs the life of red blood cells
The role of leucocytes in chronic herpes infection is:
They fix, but do not inactivate the herpes virus
They inactivate herpes virus
They lyse the herpes virus
They phagocytose virus and reproduce them
They rapidly are destroyed by virus
How the smear does look like in herpetic infection:
Are identified the mast cells
Are identified the "key cells"
Are identified the "naked" nucleus
Are identified the small cells with altered nuclei
Are revealed giant cells with intranuclear inclusions
The "Gold standard" for diagnosis of herpes virus is:
Virus isolation in cell culture
Infection of chick embryo
PCR
ELISA
Cytological research of smear
Herpes simplex virus type II infects:
Mucosae of the urogenital tract
Mucosa of the gastrointestinal tract
The eyes
Bronchial mucosa
Vascular endothelium
Herpes simplex virus type II are often transferred by:
Air - borne
Sexual transmission
The contact (through kissing, toys, household items)
The vertical path (of organs located below the upper)
Postnatally (after labor)
Herpes simplex virus type I most often affects:
Vascular endothelium
Mucosa of the gastrointestinal tract
Skin and eye mucosa, lips, nose,
Bronchial mucosa
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Mucosae of the urogenital tract
The incubation period of herpes simplex virus is the average:
2-3 days
2-14 days
14-21 days
14-30 days
From 1 t3 months
Herpes simplex virus type II can be isolated from patient ‘s:
content of vesicles, vaginal secretions, semen
contents of vesicles, saliva
tears, saliva
bronchial washings, the contents of the vesicles. saliva
contents of vesicles
The prevalence of carriers of the herpes virus in Kazakhstan:
High
Very High
Low
Very low
Average
Is it necessary to examine a pregnant for the presence of herpes virus:
No, because the results do not affect the tactics of
Requires pregnant while taking on record
Requires up to 2 weeks before giving birth
Requires the third trimester of pregnancy
Required if a pregnant woman appeared clinical manifestations of infection
In which cases is there high risk neonatal herpes infection:
The primary infection of the mother before delivery (up to 2 weeks before delivery)
Recurrent infection during pregnancy
The carrier of the herpes virus
The primary infection of the future father of the baby, when the mother is pregnant
The primary infection of the mother at any stage of pregnancy
When does during herpes infection raise the question of operative delivery (because the risk of infection a child is 30-50 %) (order of Ministry of Health of the Republic of Kazakhstan № 239 of 07.04.10.):
The primary infection of the mother at any stage of the pregnancy
The primary infection of the mother in 2 weeks before labor
The primary infection of the mother in 3d trimester of the pregnancy
The primary infection of the mother in 3d trimester of the pregnancy
Recurrence of the disease in any stage of the pregnancy
What medicine is used to treat severe forms of herpes in the pregnancy:
Licorice (Glycyrrhiza glabra)
Garlic
Acyclovir
Olive Leaf Extract
Ehinoceya
One month old baby has the body temperature 40, the sharp pain in the mouth, salivation, mucous of gums and cheeks hyperemized, bubble elements. Your diagnosis is:
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Thrush
Stomatitis
Herpes infection of the mucous
Enterovirus infection
Stevens-Jones’s syndrome
CMV infection
At postnatal CMV infection the incubation period is:
From 3 to 8 weeks
From 1 to 2 weeks
From 2 to 3 weeks
From 1 month. up to 3 months
From 3 months. up to 5 months
What is the percentage of the population infected with CMVI each year:
1-2%
5-6%
3-4%
8-9%
10-11%
Which week of the life of newborn babies of women suspected to CMV is the virus determined in urine, saliva or secretions from the throat:
1-2 nd week of life
3 weeks of life
1 weeks of life
2 weeks of life
4 weeks of life
What methods of CMV infection threaten to the life and health of the child:
Prenatal
Intrapartum (if the mother endocervicitis)
Failure of personal hygiene compliance of an infected mother (hand washing after using lavatory)
By saliva (by kissing of an infected adult)
Through breastfeeding
What group of viruses does cytomegalovirus (CMV) refer to:
Retroviruses
Herpes viruses
Rhabdovirus
Baculovirus
Paramyxovirus
The most informative material for the verification of CMVI in a patient is:
Urine
Blood
Saliva
Sputum, swabs from the throat
Scrapes and discharge from the genital tract
7 days-old child. Cytomegalovirus infection (CMVI) was diagnosed on the basis of clinical and laboratory data. Parents have been examined. A similar infection was revealed in the mother. Child is infected:
During the labor
Immediately after birth
During the gestation (in utero)
During the first breastfeeding
In the first days after birth
What congenital disease of the fetus is often caused by CMVI (Ailamazyan, 2007)
Disorder of a central nervous system
Vision Impairment
Hearing
Hip dysplasia
Gonadal dysgenesis in girls and boys
What is Cytotect, which is used for the treatment of cytomegalovirus infection in the newborn:
Antibiotic
Antiviral drug
Immunoglobulin
Non-steroidal anti-inflammatory drug
Antifungals
Indications for termination of pregnancy in the early period of cytomegalovirus infection:
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Primary CMVI in pregnant
Connection of other viral infections
Media CMVI
The long history of the disease
Immunosuppressive condition of the pregnant
The source of the infection of cytomegalovirus infection can be:
Infected with HIV (human)
A sick man during acute phase of illness
The patient with lathen form of CMVI
A sick pet
Pet - a virus carrier
What is the course of CMVI during primary infection of humans with immunosuppression:
Asymptomatic
Acute Sialoadenit
Acute Bronchitis
Indolent Lymphadenitis
Generalized form of inflammation with severe disease
With what disease there is no need to carry out differential diagnostics of CMVI:
Listeria
Chickenpox
Toxoplasmosis
Herpes infection
Infectious mononucleosis
What complication of childbirth is most common in women with cytomegalovirus infection:
Metroendometritis
Mastitis
Sepsis
Diffuse purulent peritonitis
Parametritis
Please rate the result of ELISA for TORCH-infection (toxoplasmosisrubella cytomegalovirusherpes) Jg G-, JgM:
Acute infection
The early phase of acute infection
Acute exacerbation of chronic infection or
The state of immunity
The lack of immunity
Please rate the result of ELISA for TORSN infection (toxoplasmosisrubella cytomegalovirusherpes) Jg G, JgM -:
Generalised acute infection
The early phase of acute infection
Acute infection or exacerbation of chronic infection
State immunity
The lack of immunity
The signs, allowing to suspect a congenital CMV infection, are:
Abnormalities in the baby's condition at birth
Combinations of neurological symptoms with hepatosplenomegaly and protracted pneumonia
The wave protracted illness
The presence of atypical in peripheral blood mononuclear cells
The combination of all symptoms
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