MCQ day 3. Hemato-oncological diseases. Blood clotting disorder. Causes, pathogenesis, clinical manifestations, diagnosis and principles of treatment. Features of the provision of dental care to patients
Minimum number of correct answers 6/10
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Henoch schonlien purpura is not associated with: *
1 point
The toxic granulation into the neutrophils is typically for? *
1 point
A 16-year-old patient complained of bleeding gums. From the anamnesis: frequent nosebleeds, general weakness. Objectively: pallor of the skin and mucous membrane of the mouth, multiple petechiae on the mucous membrane of the cheeks, tongue and soft palate. In the blood: er. - 3.1•10 12/l, Hb - 94 g/l, MCH - 28 pg, leukocytes - 2.9•10 9/l, platelets - 80•109/l, blood clotting time - 9 min., ESR - 18 mm/h. What is the most likely diagnosis? *
1 point
Name, group, subgroup
 *
A man, aged 68, complains of tiredness, sweating, enlargement of cervical,
submaxillary and axillary lymph nodes. Blood test: WBC- 35 ∗ 109
/L, lymphocytes - 60%, Botkin and Gumprecht bodies, level of haemoglobin and quantity of
thrombocytes is normal. Myelogram showed 40% of lymphocytes. What is the
most probable diagnosis? *
1 point
A 16-year-old adolescent has been hospitalized with complaints of unceasing nasal hemorrhage and unbearable pain in his right elbow joint. Objectively: the large joint is enlarged and defigurated, the skin over the joint is hyperemic. Arthropathy signs can be observed in the other joints. Ps- 90/min.
Blood test: erythrocytes - 3, 9 • 1012/l, Нb- 130 g/l, color index - 1,0, leukocytes - 5, 6 • 109/l, platelets - 220 • 109/l, ESR- 6 mm/hour. Lee-White coagulation time: start- 24 , end-27 10 . What drug would be most efficient in the treatment of this patient? *
1 point
A 55-year-old patient complains of pain in the sternum, lumbar spine, and ribs. Medical history: pathological fracture of the bones of the right tibia. Total protein in the blood is 110 g/l. Bence-Jones protein in the urine. Your diagnosis? *
1 point
A 42-year-old female patient consulted a dentist about a sudden dramatic enlargement of gingiva, bleeding sores on the mucous membrane, lymph node enlargement. There is body temperature elevation up to 38oC, weakness, pain in the bones. What disease can be suspected in this patient? *
1 point
A 25-year-old patient complains of profuse gingival hemorrhages, pain in the
oral cavity, weakness, fatigue, fever up to 38oC. These presentations appeared a week ago. Objectively: the patient is pale, adynamic. Examination of the oral mucosa reveals multiple hemorrhages, friable gums, necrotic areas on the tops of gingival papillae, as well as enlarged, soft, painless lymph nodes. The oral mucosal lesion can be a symptom of the following disease: *
1 point
Acute lymphoblastic leukemia: *
1 point
Patient L., 35 years old, complains of weakness, itching, low-grade fever, pain in the left and right hypochondrium, enlarged lymph nodes. Blood test: neutrophilic leukocytosis, lymphocytopenia, anemia, increased ESR. Biopsy of the node: polymorphocellular granulomas, Reed-Sternberg cells. Your diagnosis? *
1 point
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