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Тест гинекология VUI.doc
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If a pregnant woman has a latent (asymptomatic) bacteriuria, in 1ml. Of urine has been detected:

+ 100 000 or more bacteria

10,000 or more bacteria

50,000 or more bacteria

Not less than 90,000 bacteria

Not less than 70,000 bacteria

The antibiotic therapy is prescribed for pregnant patients with asymptomatic bacteriuria, because it…:

Does not impact on the incidence of pyelonephritis

+ Reduces frequency of pyelonephritis

Has a toxic effect

Leads to allergies

Leads to the development of pyelonephritis

Asymptomatic bacteriuria increases the risk (Order of the Ministry of Health of the Republic of Kazakhstan № 239 dated 07.04.2010)

+ Premature birth, birth low weight infants, acute pyelonephritis

Horionamnionit, acute glomerulonephritis, pyelonephritis

High water, low water, premature birth

Pre-eclampsia, premature detachment of placenta

Acute polyhydramnios, premature labor, fetal distress

All pregnant women should be screened urine (seeding midstream urine) for asymptomatic bacteriuria (Order MH RK number 239 of 07/04/2010):

+ 1 time when registering

During the registration and gestational age of 30-32 weeks

3 times: when registering in the 30-32 weeks of pregnancy, a week before the birth

1 time in 37 weeks gestation or later

1 every 23-28 weeks of gestation

For the treatment of asymptomatic bacteriuria can be used (Order MH RK number 239 of 07/04/2010):

Erythromycin or other macrolides

Penicillin

The aminoglycosides

+ Ampicillin, Cephalosporins 1st generation

Sulfonamides

The duration of antibiotic therapy for asymptomatic bacteriuria in pregnancy (Order of the Ministry of Health of the Republic of Kazakhstan № 239 dated 07.04.2010) is:

4-day course

7-day course

+ single dose

3-days course

5-day course

Pyelonephritis can cause severe obstetric complications. This list does not include:

Pre-eclampsia

Placental insufficiency

Septicemia and pyosepticemia

Toxic shock

+ Hemorrhagic insult

Which of instrumental studies has adverse effects on the fetus:

Renal ultrasound

Doppler sonography of renal vessels

Ureteral catheterization

Cystoscopy

+ Renal scintigraphy

The etiology of glomerulonephritis is:

Escherichia coli

Staphylococcus

Proteus

+ Hemolytic Streptococcus

Association of microbes

Glomerulonephritis often occurs after:

+ Angina, flu

Pharyngitis, acute respiratory

Acute cystitis

Is a complication of pyelonephritis

Inflammatory diseases of the pelvic organs

The most probable complication of pregnancy in glomerulonephritis is:

Wasting, fetal hypoxia

Fetal death

+ The early development of pre-eclampsia

The development of cardio-renal failure

Bleeding during pregnancy

Treatment of acute glomerulonephritis begins with:

Corticosteroids

+ Antibiotics

Antihistamine drugs

Immunomodulator

Antispasmodics