VII.* Выберите правильный ответ на следующие вопросы:

1. Why are patients with rheumatic endocarditis administered antibiotic treat­ment? (a) They are administered this treatment to eliminate the primary focus of

196

infection; b) They are administered this treatment to control cardiovascular insuf­ficiency.) 2. Why do patients with rheumatic endocarditis undergo aspirin and bicillin treatment in spring and autumn? (a) They undergo such treatment to improve the cardiac function; b) They undergo such treatment to prevent the recurrence of the disease.)

VIII. Ответьте на следующие вопросы:

1. What most characteristic clinical manifestations is lobular pneumonia accompanied by? 2. What treatment is administered to the patient with lobular pneumonia? 3. What is the causative agent of tuberculosis? 4. What do you know about primary tuberculosis? 5. What course is lung abscess characterized by? 6. What complaints has the patient in case of rheumatic endocarditis?

7. What treatment can you administer a patient with rheumatic endocarditis?

8. Describe a severe attack of angina pectoris. 9. What methods of performing operations are employed in cardiosurgery?

IX. 1. Прочитайте текст а. 2. Выпишите английские эквиваленты следующих словосочетаний:

внешние признаки, профилактические меры, умственное перенапря­жение, крепкий сон

3. Расскажите о режиме и лечении больного с атеросклерозом. Text a. Atherosclerosis and Its Treatment

Atherosclerosis is one of the diseases of the cardiovascular system which is due to many causes. There is a number of factors which may determine its de­velopment.

Atherosclerosis of the blood vessels results from metabolic disturbances and particularly from disturbances of cholesterol exchange. These disturbances begin long before there is any external evidence of the disease. Therefore the doctor must prevent its appearance beginning preventive measures and treat­ment as early as possible.

Prevention and treatment of atherosclerosis consist mainly of a certain regi­men for the patient, which he must strictly follow. The patient must get up, eat, work, and go to bed at exactly the same time every day.

Sound sleep is very important since it enables the nerve cells to rest. The patient with the signs of atherosclerosis must sleep not less than 7-8 hours and walk before going to bed. Mental and physical overstrain must be excluded.

The incidence of atherosclerosis is high in professional groups with insuffi­cient physical activities. So physical exercises must be part of the prescribed regimen for such persons.

197Smoking affects unfavourably the walls of the blood vessels and can result in their spasm, that is why patients suffering from atherosclerosis must not smoke.

The diet of the patients with atherosclerosis must contain sufficient amount of proteins, but fats and carbohydrates must be taken in very limited doses.

Vitamins are widely used in the treatment of atherosclerosis because some of them improve the metabolic processes and others dilate the vessels, particu­larly the peripheral ones.

Other drugs administered in treating atherosclerosis are the so-called lipo-tropic substances, which prevent fat from accumulating in the organism.

Since the nervous system affects the metabolic processes in the human body the patients with atherosclerosis are prescribed such drugs as bromide and vale­rian to improve its general condition.

CLASS ASSIGNMENTS Revision

X. Translate into Russian:

congenital heart defects, to result in heart failure, to make an incision on the cardiac wall, to radiate to the back and arm, to undergo the course of X-ray treatment, to prevent the rupture of the blood vessel, to administer an adequate dose of medicine, to complain of a general malaise and fatigue

XI. 1. Give the words of the opposite meaning:

to diminish, suddenly, to be constant, to become worse, changeable, to fall (to drop), to include, malignant, seldom, sufficiency, a gain in weight

2. Give the words of the close meaning:

a symptom, in addition to, to be troubled by, to give attention to, to pass through, an injury, an impairment, to spread, a return of a disease, to feed, an attack

XII. Choose the appropriate word from those given in brackets:

1. As the condition of the patient had been gradually improving his tem­perature ... considerably, (reduced, rose) 2. Severe attacks of angina pectoris are accompanied by ... pain radiating down the arm. (sharp, moderate) 3. If the patient is suffering from rheumatic endocarditis his pulse becomes ... on physi­cal exertion, (accelerated, slow) 4. Partial arrest of blood circulation often re­sults in ... to brain cells, (the recovery, the damage)