Questions of booklet STEP 3 2006 bыvayut vklyuchenы in bukletы step of new years, so the Recommended oznakomytsya s эtymy 200 Filing Question before testing. Of questions Total 200, so the some extra ones will not. Good Luck!
1. Child 5 years acutely ill: increased body temperature to 39 C; were runny nose, photophobia, pastoznost ever. On the 4th day of illness onset occurred spotty papular rash on the face, behind the ears, on the neck, the next day the rash spread to the trunk. What is the most likely diagnosis?
3. The patient maxillo-facial trauma, a double fracture of the lower jaw, fractured nasal bones, an unstable fracture of the C3-C5 cervical spine. During transport came apnea. What is the best method for emergency restoration of patency of the upper airway?
4. Brigade ambulance due to patient 40, who treated the wound leg, received at home. The patient's condition progressively deteriorated during the week: developed weakness, shortness boness vets of breath. On examination: the patient's condition is extremely serious, skin pale, dry, cold, marked cyanosis of the lips, acrocyanosis, body temperature - 40,00 C, BH-32/hv, SC-60/30 mmHg, Ps-132/hv , leg swelling, flushed to his thigh. What is the most likely diagnosis?
5. Patient '36 second day there unrestrained vomiting and loose stools. boness vets OBJECTIVE: state extremely difficult, answered questions with difficulty. Your pointy face, eyes sunken, sclera dull, lip and nail phalanx cyanotic, the tongue dry. Voice hoarse, pale skin, taken in the fold not cracked. Cardiac deaf, pulse and blood pressure are not defined. boness vets Abdomen boness vets retracted. Frequent cramps boness vets lower limbs, body temperature boness vets 350p. What complication arose in this case?
6. An hour later, after a stay in the area of high radiation boness vets damage, the clinic was taken ill in '36 with complaints of repeated vomiting, abdominal pain, chills, fever, hypotension. At 5 days after irradiation joined phenomena enteritis, dynamic ileus, ulcerative stomatitis. What is the most likely form of acute radiation sickness developed in a patient?
7. Patient in '68 brought an ambulance in serious condition with complaints of dizziness, recurrent fainting, boness vets seizures. OBJECTIVE: vesicular breathing, in the lower small number finely vesicular moist rales. The tone at the top loosened, accent II tone of the aorta, Ps-36/hv, rhythmic. BP-170/85 mmHg The ECG: atrial and ventricular boness vets complexes boness vets occur regardless of ventricular complexes - 33/hv. Which way to the first aid to apply in this case?
8. The patient was taken to the hospital on nasal bleeding, which started two hours ago after traumatic brain injury. After applying the front tamponade the bleeding stopped, but two hours later came vomiting in vomit - 400 ml of blood clots. During examination of the pharynx revealed blood flowing through the rear wall in a narrow strip. What method of stopping bleeding should apply in this case?
9. A child born in gestational age 40 weeks, boness vets birth weight 2800 g, length 50 cm, 5 night have generalized cyanosis, tachypnea, retraction compliant seats chest. Which of these measures is a priority in this case?
10. The boy 2 years difficulty urinating. OBJECTIVE: boness vets during urination preputial sac increases in volume, the opening of the foreskin is narrowed, urine excreted liquid drops. The head of the penis is not displayed. What is the most likely cause of LUTS?
12. During intubation patient 57 years, due to irritation refleksohennyh zones larynx and trachea, it was a reflex cardiac arrest. What preparation should be introduced first in the intensive care unit?
13. The worker was under the effect of electric current for a few minutes. OBJECTIVE: fainting, seizures. Self breathing is absent, the pulse is not detected, cyanotic skin, eyes wide, the light does not respond. What is the primary victim assistance?
14. By regional hospital occupational diseases suffered delivered during sudden boness vets release of mine gas. During the review: fainting, boness vets Ps-112/hv., SC-90/65 mmHg, BF-26/hv. According to rescuers at the scene of the accident there were convulsions, during transportation - psychomotor agitation. What method of treatment is expedient to apply in the first place?
15. Affected delivered to the receiving ward after an unknown explosive device explosion during the attack. One of them with extensive torn wound in the area of the mandible. What first aid measures can be deferred?
16. Boy 12 years sick 7 days ago with the appearance of headache to 400C hyperthermia, muscle boness vets aches, general weakness. Through
No comments:
Post a Comment