usmf pedi Hemophilia.

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Hemophilia.

1.The following affirmations are characteristic for hemophilia, except :

A. Hematoma type hemorrhages
B. Hemarthroses
C. Posttraumatic late hemorrhages
D. Petechial rash and ecchymoses
E. Normal count of platelets

D. Petechial rash and ecchymoses

2.Hemophilia A includes :

B. Factor VIII defficiency

3.What are the optimal indications in the case of hemorrhage to a child with hemophilia A ?

C. Cryoconcentrate

4.What is contraindicated in the treatment of hemophilia ?

D. Aspirine

5.What is characteristic for hemophilia C ?

C. The disease has a hard course

6.Willebrand's disease is characterising by :

B. Mixt type hemorrhage

7.For Willebrand's disease is not characteristic :

A. Decreasing of factor VIII
B. Low thrombocytar adhesion on glass surface
C. Low aggregation of thrombocytes with ristoceine
D. Thrombocytopenia
E. Increased bleeding time

D. Thrombocytopenia

8.What is not necessary for hemophilia A diagnosis ?

A. Coagulation time by Le-White
B. Factor VIII level
C. Partially activated thromboplastine time
D. Recalcification time of plasma
E. Thrombocytes count

E. Thrombocytes count

9.For hemophilia C is not characteristic :

A. Only males fall ill
B. Bening evolution
C. Seldom hemarthroses
D. Bleeding only after trauma
E. Factor XI defficiency

A. Only males fall ill

10.All is characteristic for hemophilia A, except :

A. Seldom beginning in neonatal age
B. Ecchymoses
C. Disease beginning after firs year of life
D. Hemarthroses
E. Hematomes after minimal, insignificant traumas

B. Ecchymoses

11.The treatment of acute hemarthrosis in hemophilia not includes :

A. Reopolyglucine indication
B. Cryoprecipitate introducing
C. Immobilization of articulation on short time
D. Puncture of articulation in case of expressed hemarthrosis
E. Elastic bandage application

A. Reopolyglucine indication

12.What is not correct to apply to patients with hemophilic arthropathy ?

A. Possibility of surgical traumatism by III -IV-V degree
B. X-ray therapy is indicated at third degree
C. X-ray therapy is indicated at first degree
D. X-ray therapy is indicated to more than 5 years old age children
E. Prednisolone cours is indicated at V degree

C. X-ray therapy is indicated at first degree

13.What afirmation is not correct at hemophilia ?

A. Hemarthrosis is a characteristic manifestation
B. Cryoprecipitate is more effective than fresh frozen plasma
C. Bleeding begins immediately after trauma
D. Tooth extraction is effectuating with previous training
E. Short time immobilization of articulation at hemarthrosis

C. Bleeding begins immediately after trauma

14.What afirmation is not correct for hemophilia B ?

A. Factor IX defficiency
B. Factor XI defficiency
C. Favourable prognosis for life
D. It's more seldom meeting then hemophilia A
E. The sons of sick man are healthy

B. Factor XI defficiency

15.What is not characteristic for hemophylia in its differential diagnosis with thrombocytopenia?

A. Positive andotelial tests
B. Increased bleeding time
C. Petechial rash and ecchymases
D. Hemarthroses, hematoma
E. Metrohemorrhage

D. Hemarthroses, hematoma

Multiple complement:
1.The clinical picture of hemophilia is characterising by :

A. Multiple hemorrhages
B. Hematomas
C. Hemarthroses
E. Increased coagulation time by Le-White

2.The diagnosis of hemophilia is establishing on the basis of :

A. Hereditary anamnesis

C. Decreased prothrombine consumption

E. Increased coagulation time by Le-White

3.For hemophylia is characteristic :

B. Increased coagulation time by Le-White
C. Increased partially activated thromboplastine time
E. Factor VIII or IX defficiency

4.The hemophilia type is based on :

B. Factor VIII insufficiency
C. Factor IX insufficiency
E. Factor XI insufficiency

5.Hemophilia C is characterising by :

B. Easy evolution
C. Seldom hemarthroses
D. Appearance of bleeding after trauma
E. Factor XI insufficiency

6 . For Willibrand's disease is characteristic the following :

A. Decreased platelets adhesion

C. Factor XII insufficiency

E. Bleeding time increasing

7.What is characteristic for Willibrand's disease in its differencial diagnosis with hemophilia ?

B. Autosomal dominant type
C. Decreasing of thrombocytes adhesion and aggregation
D. Mixt type bleeding

8.What is characteristic for patients with hemophilic arthropathy ?

A. Surgical treatment at trird stage
C. X-ray therapy at third - fifth stage
D. X-ray therapy is effectuating more than 5 years old age children
E. Therapy with glucocorticoids at fifth stage

9.For hemophilia B is characteristic :

A. Presence of hematomes and hemarthroses
B. Increasing of partially activated thromboplastine time
C. Favourable prognosis for life
D. Factor IX deficit

10.Hemophilia A is characterising by :

A. Rare beginning in neonatal period
C. Beginning of disease in the second halt of second year of life
D. Hemarthroses
E. Hematomes

11.The following affirmations are correct for hemophilia :

A. Males and females suffer by hemophilia C
B. Hemarthrosis is a characteristic manifestation of disease
E. Intramuscular injections are forbidden in the case of hemophilia

12.What changes in coagulogram are characteristic for hemophilia ?

A. Partially activated thromboplastine time
B. Prothrombine assimilation
E. Plasma recalcification time

13.What affirmations are correct in systemic transfusional therapy of hemophilia A?

A. It's indicated in hard form
B. The cryoprecipitate is indicated
E. Introducing of concentrated factor VIII 3 ti times oer week

14.What is correct for symptomatic transfusional therapy of hemophilia ?

A. The treatment is beginning in the first hours after trauma
B. The cryoprecipitate is indicated
C. The cryoconcentrate is more effective than fresh frozen plasma
D. The dose of 25-30 AU /kg is efficient in the therapy of little wounds and
hematomes

15.What affirmations are correct in the evidence of patients with hemophilia ?

A. The vaccinations against hepatitis B must be effectuated regularly
C. Application of tampon with hemostatic sponge in traumes
D. Periodic investigations on HIV
E. Tooth extraction is effectuating with previous training.

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