English / Disseminated_pulmonary_tuberculosis

Disseminated pulmonary tuberculosis

1. The ways of spreading tuberculosis infection in disseminated pulmonary tuberculosis can be all of the following except:

1. hematogenic

2. lymphogenic

3. bronchogenic

4. air-drop

2. Сhoose a characteristic feature of focal shadows in the lungs in miliary tuberculosis:

1. small ones of the same type

2. small polymorphic in the middle and lower sections

3. polymorphic at the top of the lungs

4. large merging with each other at the top of the lungs

3. What is typical for chronic disseminated pulmonary tuberculosis?

1. abundant bacterial excretion

2. minimal bacterial excretion

3. absence of mycobacteria

4. all of the above

4. Clinical signs that make it possible to suspect miliary tuberculosis:

1. fever, tachycardia, paroxysmal cough, a large number of dry and wet wheezes in the lungs

2. fever, tachycardia, severe shortness of breath, dry cough, irregular dry wheezing in the lungs

3. fever, tachycardia, cough with sputum, scattered dry wheezing in the lungs

5)What are the radiological changes in chronic disseminated tuberculosis?

a) the same type of changes

b) polymorphic changes

c) fibrous changes and areas of emphysema

d) correct a & c

e) correct b & c

6)The most common size of foci in the lungs in subacute disseminated pulmonary tuberculosis:

a) small

b) medium

c) large

d) a & b

e) b & c

7) Destructive changes in the lungs in miliary tuberculosis:

a) detected after 2 weeks

b) detected after 3 weeks

c) often detected

d) always detected

e) not detected

8) The dominant morphological changes in the lungs in disseminated tuberculosis are all listed with the exception of:

a) infiltrative

b) productive

c) caseous

9) The nature and location of foci in subacute disseminated pulmonary tuberculosis of hematogenic origin:

a) polymorphic, asymmetrically located foci in the middle and lower section of the lungs

b) multiple, similar, symmetrically located foci, mainly in the upper and middle sections of the lungs

c) multiple foci of a productive nature in the upper parts of the lungs, single, asymmetrically located foci in the upper section of the lungs

10) Lymphogenic disseminated pulmonary tuberculosis is

a) a diffuse process in the lungs, which is based on the lesion of the lymphatic pathways with the formation of multiple focal and widespread interstitial changes

b) multiple lung lesions with predominant localization within the deep and superficial lymph nodes

с) unilateral lung damage with predominance of interstitial changes

11) Bronchogenic disseminated pulmonary tuberculosis is:

a) diffuse bronchial lesion caused by a specific process in the bronchi with predominant localization in their distal sections and the formation of multiple focal darkening in the lung tissue

b) multiple lung damage due to the spread of infection through the bronchial tract, which has a destructive process in the lungs as a source.

c) a&b correct

12) Choose what is affected first in disseminated tuberculosis

a) interstitial tissue

b)parenchyma

c)bronchi

d)pleura

13) The most lethal form of miliary tuberculosis:

a) typhoid form

b) pulmonary form

c) meningeal form

14) Characteristics of exacerbation of chronic disseminated pulmonary tuberculosis

a) the appearance of fresh foci

b) development of perifocal inflammatory changes

c) the appearance of decay cavities

d)laryngeal and large bronchial lesions

e) all of the above

15) What is the reaction to tuberculin in miliary tuberculosis?

a) positive reaction

b) hyperergic reaction

c) anerergic reaction

d) hypoergic reaction

16) Clinical signs of acute miliary tuberculosis:

a) fever, shortness of breath, severe dry cough, scattered dry wheezing in the lungs

b) fever, gradually increasing shortness of breath without physical symptoms in the lungs , tachycardia

с) fever, cough with sputum, scattered dry and local wet wheezing in the lungs

17) Numerous foci prevailing in the upper sections are characteristic

a) disseminated tuberculosis

b)silicosis

c)miliary tuberculosis

d) sarcoidosis

e)carcinomatosis

18) What is the course of acute miliary tuberculosis?

a)acute

b) asymptomatic

c) gradual

19) The stamped cavity is:

a) multiple ring-shaped shadows with a clear inner and outer contour

b) single thick-walled ring-shaped shadows with a fuzzy outer contour

20) In subacute disseminated pulmonary tuberculosis you can see:

a) complete resorption of foci

b) the irreversible nature of emphysema

c) the inflammatory reaction in the foci gradually becomes productive

d) all of the above