testebi 2010 pediatriis departamenti. bavsvta da mozardta...

testebi 2010pediatriis departamenti.bavSvTa da mozardTa medicinis mimarTuleba

\\\\ 4 Tvis Cvili miiyvanes gadaudebeli daxmarebis departamentSicxelebis, Rebinebis da Zlieri agznebis gamo. gakeTda lumbaluripunqcia. lumbalur punqtatSi gamovlinda eriTrociti 10,leikociti 1050, cila 50mg/dl, glukoza 40 mg/dl. baqteriebi araris. Yyvelaze gamarTlebuli empiriuli Terapiaa:\\\ hospitalizacia da dinamikaSi dakvirveba\\\ ampicilini i/m\\\ ampicilin / gentamicinis kombinacia i/v\\ ceftriaqsoni i/v

\\\\ 2 wlis gogona miyvanilia gadaudebeli daxmarebisdepartamentSi. 10 wuTis win Wamis dros aReniSna SeteviTi xvela.amJamad axvelebs periodulad, aqvs CaxleCili xma. pirveliRonisZieba, romelic unda gatardes aris:\\\ 5 dartyma zurgze da Semdeg 5 zewola mkerdze\\\ 3 zewola mucelze (heimlikis manevri)\\ sasicocxlo funqciebis da respiraciuli statusis Sefaseba\\\ gulmkerdis da kisris rentgenologiuri kvleva

\\\\ 5 wlis vaJs aReniSneba saxis uxeSi nakvTebi,hepatosplenomegalia da mentaluri ganviTarebis progresuliregresi. genetikurad determinirebul romel daavadebaze miitanTeWvs?\\ mukopolisaqaridozi\\\ celiakia\\\ cistofibrozi\\\ fruqtozemia

\\\\ 2 Tvis vaJs dty vaqciniT imunizaciidan 2 saaTis Semdeg aReniSnacxeleba 390C da gaRizianeba. ra rekomendacias miscemT dedas imperiodisaTvis, roca bavSvs dasWirdeba amave vaqciniT xelmeoredvaqcinacia?\\\ Catardes vaqcinacia dt vaqciniT\\\ rekomendebulia vaqcinaciis gadadeba 12 TviT\\\ rekomendebulia antihistaminuri preparatebiT garTulebisprevencis dawyeba acramde 3 dRiT adre\\ rekomendebulia dty vaqcinaciis gagrZeleba acrebis kalendrismixedviT da dedis instruqtaJi sicxis kontrolis Sesaxeb

\\\\ 10 wlis vaJi uCivis cxelebas da muxlis saxsrebis mfrinavixasiaTis (gardamaval) tkivils. saxsrebi vizualurad ar arisSecvlili. CamoTvlili maCveneblebidan romeli iZleva saSualebaseWvi mivitanoT revmatiul cxelebaze?\\\ eozinofilia\\\ aCqarebuli edsi\\\ mZime anemia\\ O-antistreptolizinis titris mateba

\\\\ 2 wlis biWunas civ wyalsacavSi banaobis Semdeg aReniSnawvrili vezikuluri gamonayari tuCis kuTxeSi. 2 dRis Semdeggamouvlinda cxeleba. bavSvi uars acxadebs yovelgvari sakvebismiRebaze da Zlier Wirveulobs. gasinjvisas nanaxi iqna mravlobiTieriTematozuli dazianebis ubnebi da wylulebi loyislorwovanze, RrZilebsa da enaze. savaraudo diagnozia:\\\ aftozuri stomatiti\\ herpesuli gingivostomatiti\\\ kandidozuri gingivostomatiti\\\ alergiuli stomatiti

\\\\ 12 wlis gogonas aReniSneba eriTematozuli, kanis zedapiridanwamoweuli gamonayari da cxeleba. daTvalierebisas gamovlindainficirebuli Wriloba fexze. Wrilobidan aRebuli Cirqidangamoyofilia A jgufis beta hemolizuri streptokoki. savaraudodiagnozia:\\\ revmatiuli cxeleba\\ qunTruSa\\\ infeqciuri eriTema\\\ Cutyvavila

\\\\ 4 wlis janmrTel vaJs gamouvlinda peteqiuri gamonayarisxeulze. hemoglobini, TeTri sisxlis maCveneblebi daleikocituri formula normis farglebSia. romel daavadebazemiitanT eWvs?\\\ mwvave limfocituri leikemia\\ idiopaTiuri Trombocitopeniuri purpura\\\ aplastiuri anemia\\\ hemofilia A

\\\\ 15 wlis gogona moyvanilia gadaudebeli daxmarebisdepartamentSi mwvave tkivilis gamo muclis qveda naxevarSi.tkivili daewyo 3 saaTis win. hospitalizaciamde 1 saaTiT adrehqonda Rebineba, gauxSirda nawlavTa moqmedeba da gamouvlindasubfebriluri temperatura. CamoTvlilidan romel daavadebasTanar aris aucilebeli diferencialuri diagnozis gatareba?\\\ apendiciti\\\ mwvave infeqciuri gastroenteriti

\\\ mwvave hepatiti\\ gaRizianebuli nawlavis sindromi

\\\\ 6 wlis bavSvs aReniSneba Zlieri Tavis tkivili, cxeleba datkivili maqsilaruli sinusis areSi marcxena mxares. qalasrentgenologiuri kvleviT gamovlinda haer-siTxis done marcxenahaimoris RruSi. Aam daavadebis etiologiur struqturaSi oriwamyvani agentia:\\\ Streptococcus pyogenes da Staphylococcus aureus\\ Streptococcus pneumoniae da Hemophilus influenza\\\ Streptococcus pyogenes da Streptococcus pneumonia\\\ Hemophilus influenza da Clostridium difficile

\\\\ 3 wlis bavSvs aqvs qronikuli diarea da zrdaSi mkveTriCamorCena. ori dRis win gamouvlinda hemoragiuli diaTezisniSnebi. Trombocitebis raodenoba ar aris daqveiTebuli, magramTromboplastinis dro da proTrombinis dro gaxangrZlivebulia.sisxldenis prevenciis mizniT yvelaze metad gamarTlebulia\\\ sisxlis transfuzia\\\ eriTrocituli masis transfuzia\\ vitamini K\\\ Trombocituri masis gadasxma

\\\\ 10 wlis janmrTeli gogona 2 dRea uCivis cxelebas da kisristkivils moZraobis dros. gasinjviT gamovlinda 4 sm-is zomis,mkvrivi konsistenciis, fluqtuaciis mqone marcxena winacervikaluri limfuri jirkvali. savaraudo diagnozia:\\\ hojkinis daavadeba\\\ mwvave limfocituri leikemia\\\ histiocitozi\\ mwvave baqteriuli limfadeniti

\\\\ 7 wlis gogona miyvanilia gadaudebeli daxmarebisdepartamentSi hematemezisis gamo. dedis gadmocemiT bavSvs winadRes hqonda epigastraluri tkivili da amitom sakvebi miiRo mcireraodenobiT. diliT ramdenjerme aRebina da pirnaReb masaSi iyoyavisferi minarevi. hospitalSi miyvanamde gzaSi Zlier dasustdada igi mamam xelSi ayvanili Semoiyvana. CamoTvliliRonisZiebebidan yvela unda Sesruldes dauyovnebliv, garda erTisa\\\ venis kaTeterizacia da infuzuri Terapia\\\ sisxlis aReba jgufis, rezusis da hematokritis dasadgenad\\ endoskopiuri kvleva sisxldenis lokalizaciis da mizezisdasadgenad\\\ mSoblebis gamokiTxva anamnezis skrupulozuri Seswavlis mizniT

\\\\ 15 wlis gogona uCivis morecidive abdominur tkivilsukanaskneli 6 Tvis manZilze. tkivili uxSiresadperiumbilikaluria da Zlierdeba sakvebis miRebis Semdeg. tkivilszogjer win uswrebs gulisrevis SegrZneba. diferencialurdiagnozSi unda CairTos yvela qvemoT CamoTvlili daavadeba,garda erTisa:\\\ laqtozas autanloba\\\ peptiuri daavadeba\\\ qronikuli pankreatiti\\ mekelis divertikuli

\\\\ 21 dRis droul axalSobils aReniSneba agzneba, ganmeorebiTiRebineba da diarea. fizikuri gasinjviT xiluli cvlilebebi arvlindeba. laboratoriuli testirebiT gamovlinda: hematokriti50%, leikocitebi 15 000. am situaciaSi gamarTlebulia yvelaCamoTvlili RonisZieba, garda erTisa\\\ muclis mimoxilviTi rentgenologiuri kvleva\\\ sigmoidoskopia reqtaluri biofsia\\\ ganavlis kultura\\ oflis testi

\\\\ 4 wlis gogonas ukanaskneli 1 kviris manZilze perioduladaReniSneba Zlieri abdominuri tkivili da arTralgia.daTvalierebisas gamovlinda peteqiuri sisxlCaqcevebi da purpuradunduloebze. gogona afebriluria da Tavs grZnobsdamakmayofileblad. periferiul sisxlis analizi normisfarglebSia. aRniSnuli simptomatika yvelaze metad laparakobserT-erTi daavadebis sasargeblod\\\ kavasakis daavadeba\\\ meningokokcemia\\\ iuveniluri revmatoiduli arTriti\\ henox-Sonlainis purpura

\\\\ 8 Tvis janmrTel Cvils ukanaskneli 4 dRea gamouvlinda diarea,oliguria, sakvebs da siTxes cudaT iRebda. klinikurad bavSviavadmyofurad gamoiyureba, mivardnilia, lorwovanebi gamomSraliaqvs, kanis elastioba daqveiTebuli, aris taqikardia, taqipnoe,kidurebi civia da kapilaruli avseba 2 wamia. CamoTvliliRonisZiebebidan romelia saswrafod gansaxorcielebeli am bavSvismarTvis dros?\\\ sisxlis, Sardis da ganavlis kultura\\\ sisxlSi eleqtrolitebis koncentraciis gansazRvra\\ venis kaTeterizacia da deficitis Sevseba ringer-laqtatisxsnariT\\\ koprologia

\\\\ 2 Tvis gogona gadaudebeli daxmarebis departamentSi moiyvanamamam. mama ucxo qveynis moqalaqea da misgan anamnezis Segroveba verxerxdeba. bavSvi leTargiulia, aqvs centraluri cianozi, gaspingistipis respiracia, guliscemis sixSire aris 40. CamoTvlilidanromeli Seesabameba bavSvis fiziologiur statuss?\\\ respiraciuli distresi\\\ respiraciuli ukmarisoba\\\ Soki\\ kardiopulmonuri ukmarisoba

\\\\ 6 wlis bronquli asTmiT daavadebul gogonas aqvs asTmisSeteva. obieqturad gamoxatulia vizingi, gaxangrZlivebuliamosunTqva, difuzuri mstvinavi xixinebi. arteriuli gazebismaCveneblebia: pH=7,49; Pco2= 32 mm Hg; Po2=68mmHg; BE= +2. rogorSeafasebT am mdgomareobas?\\\ respiraciuli acidozi\\ respiraciuli alkalozi\\\ metaboluri acidozi\\\ metaboluri aalkalozi

\\\\ 6 wlis bronquli asTmiT daavadebul gogonas aqvs asTmisSeteva. obieqturad gamoxatulia vizingi, retraqciebi, damxmarekunTebis monawileoba sunTqvaSi. amosunTqva gaxangrZlivebulia,difuzurad ismis mstvinavi xixinebi. arteriuli gazebismaCveneblebia: pH=7,28; Pco2= 52 mm Hg; Po2=48mmHg; BE= -1 . rogorSeafasebT am mdgomareobas?\\ respiraciuli acidozi\\\ respiraciuli alkalozi\\\ metaboluri acidozi\\\ metaboluri alkalozi

\\\\ 14 wlis biWi miyvanilia eqimTan vizitze sklerebis iqteruliSefervis gamo. anamneziT irkveva, rom pacients ukanaskneli 3 kviraaaReniSneba subfebriluri temperatura, saerTo sisuste daanoreqsia. gasinjviT vlindeba gadidebuli, momkvrivokonsistenciis RviZli, elenTa xels xvdeba. sisxlis SratSialaninaminotransferazas titri aris 700 erTeuli da saerTobilirubini 60 g/l. aRsaniSnavia, rom 3 TviT adre bavSvma gadaitanaqirurgiuli Careva daniT miRebuli Wrilobis gamo. CamoTvlilidaavadebebidan romelze miitanT eWvs?\\\ hepatiti A\\ hepatiti B

\\\ infeqciuri mononukleozi\\\ sefsisi

\\\\ dedis gadmocemiT 10 wlis vaJs ukanaskneli 6 Tvea aReniSnebaanoreqsia, saerTo sisuste da uxasiaToba. Mmisi skolaSi moswrebagauaresda. bolo 2 kviris manZilze sklerebi gaxda iqteruli.gamokvlevebis Sedegebi: saerTo bilirubini 42g/l; pirdapiribilirubini 26 g/l; ast 240 erTeuli; alt 180 erTeuli; eWvi iqnamitanili qronikul hepatitze. obieqturi gasinjviT am pacientsSesaZlebelia aReniSnebodes yvela klinikuri simptomi, gardaerTisa

\\\ hepatomegalia\\\ splenomegalia\\ limfadenopaTia\\\ teleangieqtazia saxeze da gulmkerdze

\\\\ 1 wlis gogonaa miiyvanes gadaudebeli daxmarebis departamentSi10 saaTiani cxelebis anamneziT. gasinjvam aCvena, rom pacientileTargiulia, temperature aRwevs 400 C, sunTqvis sixSire 35,arteriuli wneva 60/30, yiflibandi daWimulia da pulsirebs, kanzegamoxatulia peteqiuri gamonayari. Eeqimma pirvel rigSi undagaataros CamoTvlilidan erT-erTi RonisZieba\\\ periferiuli sisxlis analizi\\ lumbaluri punqcia\\\ infuzuri Terapia\\\ empiriuli antibiotikoTerapia

\\\\ janmrTel 13 wlis vaJs gamouvlinda saSualo simZimis pnevmonia.anamnezidan irkveva, rom mis klasSi pnevmoniiT daavadda misi samiamxanagic. yvelaze metad romeli jgufis antibiotikis daniSvnaagamarTlebuli aseT dros?\\\ cefalosporini\\\ penicilini\\ makrolidi\\\ aminoglikozidi

\\\\ 2 wlis bavSvs aqvs otalgia. otoskopiiT gamovlinda marjvenadafis apkis hiperemia da pulsacia. Eori yvelaze metad savaraudietiologiuri agentia:\\\ Streptococcus pyogenes da Staphylococcus aureus\\ Hemophilus influenza da Streptococcus pneumoniae\\\ Streptococcus pyogenes da Streptococcus pneumoniae\\\ Branhamella catarralis da anaerobuli baqteriebi

\\\\ 2 wlis bavSvs aqvs dokumenturad dasabuTebuli morecidivepnevmonia. CamoTvlilidan romeli testis Catareba ar arisaucilebeli aseT SemTxvevaSi\\\ oflis testi\\\ naxvelis kultura\\\ Sratis imunoglobulinebi\\ garegani sunTqvis Sefaseba

\\\\ 1 wlis gogonas kataruli movlenebis dawyebidan meore dResgamoexata gaZnelebuli, xmauriani sunTqva da mSrali xvela.gasinjviT yuradRebas ipyrobs respiraciuli distresis movlenebi:taqipnoe (60 wuTSi), vizingi, gaxangrZlivebuli amosunTqva,subkostaluri retraqcia, cxviris nestoebis berva, perkusiiTtimpaniti, mosmeniT difuzuri sveli xixini. rentgenologiuradaris hiperinflaciis suraTi. savaraudo diagnozia:\\\ mwvave bronqiti\\\ obstruqciuli bronqiti\\ mwvave bronqioliti\\\ bronquli asTma

\\\\ 36 wlis orsul qals gaukeTda amniocentezi. nayofis kariotipiaris 46XY/47XY +21, rac miuTiTebs imaze rom zog ujredSikariotipi normaluria, xolo zogSi adgili aqvs 21-e qromosomistrisomias. romeli qromosomuli daavadeba eqneba axalSobils?\\ daunis daavadeba (mozaicizmi)\\\ klainfelteris sindromi\\\ terneris sindromia\\\ me-18 qromosomis trisomia

\\\\ 4 wlis vaJis mSoblebis gadmocemiT bavSvs aqvs qronikuliaraproduqtiuli xvela, xvela gansakuTrebiT Zlierdeba RamiT.obieqturi gasinjviT zogadi mdgomareoba damakmayofilebelia,fizikuri ganviTareba asakis Sesabamisi. sunTqvis sixSire 26.temperatura 36,6. kataruli movlenebi ar aris. perkusiuli daauskultaciuri monacemebi paTologiuri cvlilebebis gareSe.rentgenologiuri kvleviT xvelis mizezis dadgena ver xerxdeba. raSeiZleba iyos qronikuli xvelis mizezi?\\\ qronikuli pnevmonia\\\ tuberkulozi\\ gastroezofaguri refluqsi\\\ cistofibrozi

\\\\ 5 dRis vaJs dabadebisTanave gamouvlinda tetaniis movlenebi.obieqturi kvleviT aReniSneba dizmorfiis niSnebi: tuCis da sasisdefeqti, yuris niJarebis dabla dgoma, ganuviTarebeli qveda yba,“Tevziseburi saxe”, gulis manki. qvemoTCamoTvlili sindromebidanromelze miitanT eWvs?

\\\ viskot-oldrijis\\\ brutonis agamaglobulinemia\\ di-jorjis\\\ lui-baris

\\\\ dedis gadmocemiT 2 wlis vaJs xSirad aqvs sinusiti, bronqiti,pnevmonia. anamnezSi aseve yuradRebas ipyrobs kanis xSiri Cirqovanidazianeba. laboratoriuli kvleviT gamovlinda sisxlis SratSiyvela klasis imunoglobulinis daqveiTeba, bioqimiuri kvleviTmkveTrad daqveiTebulia gama-globulinuri fraqcia.qvemoTCamoTvlili diagnozebidan romelia yvelaze misaRebi?\\ brutonis agamaglobulinemia\\\ viskot-oldrijis sindromi\\\ lui-baris sindromi\\\ di-jorjis sindromi

\\\\ avadmyofi 1 Tvis vaJi. Aanamnezidan sayuradReboa, rom BCGvaqcinaciis Semdeg ganuviTarda sistemuri reaqcia, rac gamoixataseptiuri mdgomareobis, kanze egzanTemebis da zeda da qvedakidurebze osteomielitis ganviTarebaSi. kvleviT vlindeba sisxlisSratSi yvela klasis imunoglobulinebis (IgA, IgG, IgM) da T da Blimfocitebis mkveTri daqveiTeba. qvemoTCamoTvlili diagnozebidanromelia yvelaze misaRebi?\\\ brutonis agamaglobulinemia\\\ lui-baris sindromi\\ alimfocituri agamaglobulinemia\\\ di-jorjis sindromi

\\\\ 1 wlis vaJs anamnezSi aReniSneba xSiri avadoba rogorcbaqteriuli, ise virusuli infeqciuri daavadebebiT. Ppacientsobieqturi gasinjviT uvlindeba parkuWovani ataqsiis movlenebi,mcire zomis hemangiomebi Tvalis sklerasa da yuris areSi,fsiqomotorul sferoSi CamorCena. sisxlis SratSi daqveiTebuliaimunoglobulinebi da limfocitebi. momatebulia alfa-fetopro-teinis done. qvemoTCamoTvlili sindromebidan romelze miitanTeWvs?\\\ brutonis agamaglobulinemia\\ lui-baris\\\ blumis\\\ viskot-oldrijis

\\\\ 8 Tvis vaJs anamnezSi aReniSneba xSiri avadoba infeqciuridaavadebebiT. aqvs dermatologiuri problemeba ekzemis saxiT daperiodulad uvlindeba kanze hemoragiuli sindromi. Kklinikurmakvlevebma aCvena, rom aris Trombocitopenia, sisxlis SratSi

daqveiTebuli imunoglobulinebis done, limfocitebis Semcireba.qvemoTCamoTvlili diagnozebidan romelia yvelaze metadsavaraudo?\\\ brutonis agamaglobulinemia\\\ lui-baris sindromi\\\ di-jorjis sindromi\\ viskot-oldrijis sindromi

\\\\ 8 Tvis vaJs meorejer ukanaskneli 2 Tvis manZilze gamouvlindatetania. pacients aqvs gulis Tandayolili manki. eqimTan vizitisdros yuradReba miiqcia dizmorfiis movlenebma: “Tevziseburisaxe”, tuCis da sasis defeqti. laboratoriuli kvleviT gamovlindahipokalcemia, imunoglobulinebis donis daqveiTeba, limfocitebisdeficiti, Timusis hipoplazia. qvemoTCamoTvlili diagnozebidanromelia yvelaze metad savaraudo?\\\ brutonis agamaglobulinemia\\\ lui-baris sindromi\\ di-jorjis sindromi\\\ viskot-oldrijis sindromi

\\\\ avadmyofi vaJi 10 Tvis. anamnezidan yuradRebas ipyrobs sasunTqigzebis morecidive daavadebebi, Cirqovani otitebi, xSirad aqvsCirqovani gamonayari kanze. periferiul sisxlSi eriTrocitebi2,6X1012, leikocitebi 2X109, limfocitebi 14%. sisxlis SratSidaqveiTebulia imunoglobulinebis koncentracia.qvemoTCamoTvlili imunodeficitebis romel formasTan gvaqvssavaraudoT saqme?\\ humoruli rgolis\\\ ujreduli rgolis\\\ tranzitoruli\\\ SeZenili

\\\\ 3 wlis vaJi hospitalizebulia pediatriul klinikaSi pnevmoniisgamo. anamnezidan irkveva, rom pacienti xSirad avadobs baqteriulida virusuli infeqciuri daavadebebiT. klinikuri kvlevebiTgamovlinda pancitopenia, Sratis imunoglobulinebisa da T da Blimfocitebis mkveTri daqveiTeba. CamoTvlili mdgomareobebidanromelia yvelaze metad saeWvo?\\ kombinirebuli imunuri ukmarisoba\\\ imunitetis humoruli rgolis deficiti\\\ imunitetis ujreduli rgolis deficiti\\\ Sidsi

\\\\ 4 wlis pacients dabadebidan aReniSneba morecidive virusuliinfeqciuri procesebi. TiToeuli epizodi droSi xangrZlivdeba.epizodebs Soris remisia xanmoklea. kvlevebiT gamovlinda anemia,limfopenia, sisxlis SratSi T limfocitebis saerTo ricxvis

daqveiTeba. CamoTvlili medikamentebidan romlis gamoyenebaagamarTlebuli aseT dros?\\ Timalini\\\ levamizoli\\\ ribomunili\\\ prodigiozani

\\\\ 6 wlis gogonas ukanaskneli 3 Tvea periodulad aReniSnebasunTqvis gaZneleba, SeboWvis SegrZneba gulmkerdis areSi, xvela.aRsaniSnavia, rom gogonas mama daavadebulia bronquli asTmiT.romel gamokvlevas mianiWebT upiratesobas diagnozisdasazusteblad\\\ gulmkerdis rentgenologiuri gamokvleva\\\ bronqografia\\ pikfloumetria\\\ oflis testi

\\\\ 6 Tvis gogona avad aris 2 dRea. daavadeba daiwyo febriluritemperaturiT, WirveulobiT da cxviridan serozuli gamonadeniT.dRes gamoixata sunTqvis gaxSireba, eqspiraciuli qoSini, SeteviTixvela, perioduli Rebineba. gasinjviT vlindeba perkusiiTkolofiseburi xmianoba, erTeuli mSrali mstvinavi da difuzuradsveli wvrilbuStukovani xixinebi orive mxares.rentgenologiurad filtvebi Seberilia, pnevmatizacia asimetruli,sisxlZarRvovani suraTi gaZlierebuli. periferiul sisxlSi arisleikopenia. CamoTvlilTagan, romeli diagnozia yvelaze savaraudo?\\\ mwvave martivi bronqiti.\\\ mwvave obstruqciuli bronqiti.\\ mwvave bronqioliti\\\ mwvave pnevmonia

\\\\ 6 wlis pacients 1 Tvis asakidan aReniSneba nawlavTa aramyarimoqmedeba. xSirad aqvs didi moculobis, monacrisfro, priala,myrali ganavlovani masebi. ramdenjerme Cautarda uSedegomkurnaloba nawlavur infeqciaze eWvis gamo. bolo 2 wlismanZilze 4-jer iyo hospitalizebili pnevmoniis diagnoziT.anTebiTi procesi filtvebSi Cveulebriv xangrZlivdeba da axlavswebvadi naxvelis gamoyofa. gasinjviT yuradRebas ipyrobs fizikurganviTarebaSi zomieri CamorCena. romeli gamokvlevis CatarebamigaCniaT aucileblad?\\\ gulmkerdis rentgenologiuri\\\ bronqoskopia\\ oflis testi\\\ ganavlis mikrobiologiuri

\\\\ 8 wlis gogonas ukanaskneli 6 Tvea mudmivad axvelebs. xvelaiSviaTia, araproduqtiuli, Zlierdeba Ramis saaTebSi. periodulad

adgili aqvs gulmkerdis SeboWvis SegrZnebas. gulmkerdisrentgenologiuri kvleviT sisxlZarRvovani suraTi gaZlierebulia.spirometriiT vlindeba obstruqciuli tipis dazianeba. anamnezidansayuradReboa, rom gogonas adreul bavSvobaSi ramdenjerme hqondaobstruqciuli bronqiti, xolo bavSvis bebia daiRupa bronquliasTmis gamo. diagnozis dasazusteblad kvlevis romeli meTodisCatarebas TvliT aucileblad?\\\ bronqoskopia\\\ oflis testi\\ sisxlSi IgE gansazRvra/// mantus testi

\\\\ 5 wlis vaJi hospitalizebulia kbilis eqstraqciis SemdegganviTarebuli sisxldenis gamo, romelic gagrZelda 3 saaTs.mSoblebis gadmocemiT bavSvs xSirad aqvs sisxlCaqcevebi sxeulissxvadasxva midamoSi Tundac umniSvnelo travmis Semdeg, maT SorissaxsarSic. 1 wlis asakSi hqonda Zlieri sisxldena enaze kbenisSemdeg. periferiul sisxlSi vlindeba anemia, retikulocitozi,Trombocitebis ricxvi 310X109. sisxlis Sededebis dro (li dauatiT) 12 wuTia. CamoTvlilidan romeli diagnozia savaraudo?\\\ mwvave leikemia\\\ idiopaTiuri Trombocitopeniuri purpura\\ hemofilia\\\ aplaziuri anemia

\\\\ 4 wlis gogonas xSirad aqvs sisxlCaqcevebi sxeulis sxvadasxvamidamoSi, maT Soris saxsarSic Tundac umniSvnelo travmis Semdeg.CamoTvlili maCveneblebidan romelze dayrdnobiT arisSesaZlebeli hemofiliis diagnozis didi albaTobiT dadastureba?\\\ periferiul sisxlSi Trombocitopenia\\\ Zvlis tvinis hipocelularoba\\\ sisxldenis xangrZliobis gazrda\\ VIII plazmuri faqtoris daqveiTeba

\\\\ 7 wlis vaJi hospitalizebulia hemoragiuli diaTezis gamo. masdaudginda idiopaTiuri Trombocitopeniuri purpuris diagnozi.romeli preparati iTvleba idiopaTiuri Trombocitopeniuripurpuris samkurnalod oqros standartad?\\\ pirdapiri moqmedebis antikoagulanti\\\ membranostabilizatorebi\\\ krioplazma\\ glukokortikoidebi

\\\ praqtikulad janmrTel 5 wlis gogonas zRvispira kurortzedasvenebis Semdeg qveda kidurebsa da dunduloebze gauCndapeteqiuri tipis hemoragiebi, hqonda cxviridan sisxldenisramdenime epizodic. eWvi iqna mitanili idiopaTiur

Trombocitopeniuri purpuraze (sveli forma). CamoTvlilimaCveneblebidan romeli dagexmarebaT diagnozis dadasturebaSi?\\\ koagulogaramaze sisxlis Sededebis II fazis darRveva\\\ hemogramaze leikocitozi marcxniv gadaxriT\\ sisxlSi antiTrombocituli antisxeulebis titris mateba\\\ medulograma paTologiuri cvlilebebis gareSe

\\\\ 3 wlis gogonas cxelebiT mimdinare daavadebis gamo CautardaantibiotikoTerapia, romlis Semdeg qveda kidurebsa dadunduloebze gauCnda peteqiuri tipis hemoragiebi, hqondacxviridan sisxldenis ramdenime epizodic. periferiul sisxlSiaris Trombocitebis ricxvis mkveTri daqveiTeba. CamoTvlilimaCveneblebidan romeliT emsgavseba idiopaTiuriTrombocitopeniuri purpura memkvidrul TrombocitopaTiebs?\\ klinikuri niSnebiT\\\ hematologiuri maCveneblebiT\\\ koagulologiuri darRvevebiT\\\ medulogramiT

\\\\ sistemuri wiTeli mgluriT daavadebul 11 wlis gogonas qvedakidurebze gauCnda asimetrulad ganlagebuli polimorfuli,poliqromuli hemoragiebi. periferiul sisxlSi vlindebaTrombocitopenia. rogor SeafasebT am mdgomareobas?\\\ idiopaTiuri Trombocitopeniuri purpura\\\ TrombocitopaTia\\ simptomuri Trombocitopenia\\\ mwvave leikemia

\\\\ 10 wlis axalgazrda fexburTeli miiyvanes stomatologTanstomatitis gamo. eqimis yuradReba miipyro kisris limfurikvanZebis gadidebam. mkurnalobis miuxedavad ramdenime dReSizogadi mdgomareoba gauaresda, rac gamoixata saerTo sisusteSi,umadobaSi, gaCnda hemoaragiuli gamonayari kidurebze da osalgia.eWvi iqna mitanili mwvave leikemiaze. CamoTvlilidan romelikvleva daadasturebs am diagnozs?\\\ periferiuli sisxlis analizi\\\ koagulograma\\ Zvlis tvinis punqtatis morfologiuri da imunologiuriSeswavla\\\ limfuri jirkvlebis ultrasonografia

\\\\ periferiuli sisxlis maCveneblebis romeli cvlilebiT arisSesaZlebeli mwvave da qronikuli leikemiis diferencireba?\\\ anemia\\ leikemiuri naprali\\\ leikocitozi\\\ Trombocitopenia

\\\\ 14 wlis vaJs daudginda mwvave leikemiis diagnozi.CamoTvlilidan romeli warmoadgens yvelaze gamarTlebul Carevasmwvave leikemiis dros?\\\ spleneqtomia\\\ gulmkerdis dasxiveba\\ poliqimioTerapia\\\ imunoTerapia

\\\\ 13 wlis gogonas respiraciuli infeqciis gadatanis SemdegdarCa sisuste da oflianoba gansakuTrebiT Ramis saaTebSi.infeqciis gadatanidan 1 kviris Semdeg gamoixata heqtiuri cxeleba,cervikaluri limfuri jirkvlebis hiperplazia marjvniv(jirkvlebi palpaciiT umtkivneuloa da moZravi) dahepatosplenomegalia. periferiul sisxlSi: hemoglobini 100g/l,eriTrociti 3,5X1012/l , leikociti 15X109/l, Trombociti 325X109/l,edsi 60 mm/sT, Cxiri 10%, segmenti 54,5%, monociti 10%, limfociti16%, eozinofili 9%, bazofili 0,5%gamoiTqva varaudi limfogranulomatozis arsebobaze.CamoTvlilidan romeli kvlevis maCveneblebi daadasturebs amdiagnozs?\\\ medulograma\\ limfuri kvanZis bioptatis histologiuri Seswavla\\\ koagulograma\\\ Zvlis trepanis Seswavla

\\\\ 13 wlis gogonas aReniSnebaa sisuste, cxeleba, oflianoba dapoliadenopaTia. periferiuli sisxlis Seswavlam gamoavlina anemiada eds-is aCqareba. cervikaluri limfuri kvanZis bioptatSinapovnia berezovski-Stenberg_ridis da xojkinis ujredebi.CamoTvlili daavadebebidan romelia savaraudo?\\\ infeqciuri mononukleozi\\ limfogranulomatozi\\\ tuberkulozi\\\ mwvave leikemia

\\\\ drouli gogona daibada me-4 orsulobidan da me-3mSobiarobidan. deda O(I)Rh(-). I orsulobidan mas hyavs 5 wlisjanmrTeli gogona, II orsuloba dasrulda spontanuri aabortiT,III _ mkvdradSobadobiT. IV orsuloba mimdinareobda garTulebisgareSe. ra SemTxvevaSi ar ganuviTardeba aseTi datvirTulianamnezis mqone axalSobils hemolizuri daavadeba?\\\ Tu bavSvi A(II)Rh(+)\\ Tu bavSvi O(I)Rh(-)\\\ Tu bavSvi B(III)Rh(-)\\\ Tu bavSvi O(I)Rh(+)

\\\\ droul axalSobils tranzitoruli siyviTliT 5 dRis asakSisaerTo bilirubinis maqsimaluri maCvenebeli SesaZlebelia hqondes\\\ 17 mkmol/\\\ 34 mkmol/l\\ 95 mkmol/l\\\ 180 mkmol/l

\\\\ CamoTvlili mizezebidan yvelaze metad romeli procesiaaxalSobilTa tranzitoruli siyviTlis ganviTarebis mizezi?\\\ sanaRvle gzebis ganuviTarebloba\\ bilirubinis koniugaciisa da eqskreciis daqveiTeba\\\ dedisa da nayofis sisxlis SeuTavsebloba Rh antigenis mixedviT\\\ dedisa da nayofis sisxlis SeuTavsebloba ABO sistemismixedviT

\\\\ CamoTvlilidan romeli laboratoriuli monacemi SeesabamebaaxalSobilTa hemolizuri daavadebis mZime formas?\\\ Hb _ 90g/l, bilirubini 295 mkmol/l\\\ Hb _ 120g/l, bilirubini 100 mkmol/l\\\ Hb _ 140g/l, bilirubini 120 mkmol/l\\\ Hb _ 150g/l, bilirubini 85 mkmol/l

\\\\ pacienti axalSobili 8 dRis. daibada drouli, I orsulobidanda mSobiarobidan. deda O(I)Rh(+) . bavSvi O(I)Rh(-). anamnezidanirkveva, rom dedas 10 wlis asakSi Catarebuli aqvs hemotransfuziaO(I)Rh(-) sisxliT. axalSobils 3 dRis asakSi gamouvlinda siyviTlejer sklerebze, Semdeg saxeze. amJamad siyviTle gavrcelebuliasaxeze da sxeulze dvrilis xazamde. bavSvi ZuZuTi kvebazea, masaSiimatebs, xalisiania da mSvidi. pediatric mier mdgomareoba Sefasda,rogorc axalSobilTa tranzitoruli siyviTle. CamoTvlililaboratoriuli maCveneblebidan romeli adasturebs am diagnozs?\\\ .Hb _ 160g/l\\ bilirubini 92mkmol/l\\\ saerTo cila 40g/l\\\ SardSi bilirubinuria

\\\\ 2 kviris droul, ZuZuTi kvebaze myof axalSobils aReniSnebakanisa da xiluli lorwovani garsebis siyviTle. Sardi muqia,fekaluri masebi aqoliuri. laboratoriulma kvlevam gamoavlina:saerTo bilirubini 104mkmol/l, pirdapiri 25mkmol/l. CamoTvlilidiagnozebidan yvelaze metad romelia savaraudo?\\\ axalSobilTa hemolizuri daavadeba\\\ Talasemia\\ sanaRvle gzebis atrezia\\\ neonataluri hepatiti

\\\\ 2 dRis vaJi mZime mdgomareobaSi hospitalizebuliaaxalSobilTa reanimaciis ganyofilebaSi. bavSvi daibada IVtoqsikozis fonze mimdinare orsulobidan da II mSobiarobidan (IIda III orsuloba damTavrda spontanuri abortiT). I orsulobidandedas hyavs 3 wlis janmrTeli gogona. deda O(I)Rh(-), bavSviO(I)Rh(+). sicocxlis me_18 saaTze axalSobili gayviTlda, mivarda,tiroda susti xmiT, sakvebs iRebda cudaT. saerTo bilirubini 406mkmol/l, arapirdapiri 388 mkmol/l. saerTo cila 49g/l. daisvaaxalSobilTa hemolizuri daavadebis diagnozi. CamoTvliliRonisZiebebidan romelia yvelaze gamarTlebuli am situaciaSi\\\ fotoTerapia\\\ hepatoproteqtorebis gamoyeneba\\\ krioplazmis gadasxma\\ sisxlis SenacvlebiTi gadasxmis operacia

\\\\ CamoTvlili mizezebidan romeli ganapirobebs axalSobilTahemoragiuli daavadebis ganviTarebas?\\\ Trombocitebis adheziuri funqciis daqveiTeba\\ vitamin K damokidebuli faqtorebis deficiti\\\ Trombocitopenia\\\ koagulopaTia

\\\\ periferiuli sisxlis analizSi limfocitebis romelimaCvenebeli Seesabameba 2 dRis droul axalSobils ?\\\ 2%\\\ 10%\\ 25%\\\ 60%

\\\\ CamoTvlili medikamentebidan romliT aris yvelaze efeqturiaxalSobilTa hemoragiuli daavadebis mkurnaloba?\\\ prednizoloni\\\ dicinoni\\ vitamini K preparatebi (kaviti, vikasoli)\\\ krioplazma

\\\\ bavSvTa romel asakSi aris dasaSvebi msubuqi anemia CaiTvalos“fiziologiurad”?\\\ adreuli neonataluri periodi\\ 2-3 Tvis asaki\\\ pirveli wlis II naxevari\\\ pubertuli

\\\\ 8 Tvis gogonas mSoblebma mimarTes eqims, radgan mwvaverespiraciuli infeqciis gadatanis Semdeg bavSvs SeniSnes

sifermkrTale. gogona uars ambobs sakvebis miRebaze, xSiradWirveulobs. ukanaskneli 2 kviris manZilze daewyo TmebisgaZlierebuli cvena da gamoixata angularuli stomatitismovlenebi. anamnezidan sayuradReboa, rom pacienti aristoqsikoziT mimdinare orsulobidan, daibada drouli, 2 Tvisasakidan aris xelovnur kvebaze araadaptirebuli sakvebiT, hqondadiareis ramdenime epizodi. eqimma ivarauda rkinadeficituri anemiisarseboba. CamoTvlili kvlevebidan romliT aris SesaZlebelidiagnozis dadastureba?\\\ sisxlis saerTo analizi\\ sisxlis Sratis feritinis gansazRvra\\\ Zvlis tvinis punqtatis Seswavla\\\ proteinograma

\\\\ ambulatoriul gasinjvaze miiyvanes 4 Tvis gogona dabadebuli Ifiziologiuri orsulobidan da naadrevi mSobiarobidan(gestaciuri asaki 35 kvira). bavSvi dabadebidan xelovnur kvebazea,viTardeba asakis Sesabamisad, 3 Tvidan SeniSnes gafermkrTaleba,madis daqveiTeba, masis matebis tempis Seneleba. periferiulsisxlSi : hemoglobini 92g/l eriTrociti 3,9X1012/l, feradobismaCvenebeli 0,71, retikulociti 20%. CamoTvlili mdgomareobebidanromelia yvelaze metad savaraudo?\\\ autoimunuri hemolizuri anemia\\\ vitamin B12-is deficitiT gamowveuli anemia\\ dRenaklTa mogvianebiTi anemia\\\ memkvidruli aplaziuri anemia

\\\\ 14 wlis vegetarianeli gogona uCivis sisustes, Tavbrusxvevas,enis wvas da tkivils, qveda kidurebis dabuJebas. inspeqciiTyuradRebas ipyrobs kanisa da lorwovani garsebis sifermkrTaleiqteruli elferiT, ena sada da priala zedapiri, umniSvnelodgamoxatuli hepatosplenomegalia. periferiuli sisxlis analizSigamovlinda hipoqromuli anemia. pediatrs eWvi Seeparamegaloblastur anemiaze. CamoTvlili kvlevebidan romliTdaadasturebT am diagnozs?\\\ eriTrocitebis da hemoglobinis maCveneblebi sakmarisiadiagnozisdasasmelad\\\ Fi-is gamoTvla\\\ Zvlis tvinis punqtatis Seswavla\\ vitamin B12-is gansazRvra

\\\\ periferiuli sisxlis CamoTvlili maCveneblebidan romeliadasturebs yvelaze metad memkvidruli sferocitozis (minkovski-Sofaris daavadeba) diagnozs?\\\ hiperqromuli anemia\\\ retikulopenia

\\ eriTrocitebis saSualo diametri 6mkm, saSualo moculoba 90mkm3\\\ eriTrocitebis osmosuri rezistentobis gazrda minimalurisxarjze

\\\\ 7 wlis vaJi moTavsebulia reanimaciis ganyofilebaSimemkvidruli sferocitozis fonze ganviTarebuli hemolizurikrizis gamo. periferiuli sisxlis maCveneblebidan yuradRebasipyrobs mZime, hiporegeneraciuli anemia (hemoglobini 50g/leriTrociti 2,5X1012/l retikulociti 12 %0). hemotransfuziis Semdegdaisva sakiTxi Semdgomi mkurnalobis taqtikis Taobaze.CamoTvlilidan romelia yvelaze efeqturi RonisZieba?\\\ sisxlis SenacvlebiTi gadasxma\\\ uwyveti hemotransfuzia\\ spleneqtomia\\\ rkinis preparatebis daniSvna

\\\\ 4 wlis praqtikulad janmrTel vaJs auzSi banaobis SemdegaReniSna cxelebis epizodi, ris gamoc misces paracetamoli. 2 dRisSemdeg bavSvi jer gafermkrTalda, Semdeg sklerebi da kani gauxdaiqteruli da Sardi gaumuqda (moSavo-moyavisfro Seferva).anamnezidan sayuradReboa, rom bavSvis babuas hqonda midrekilebaanemiisaken. periferiul sisxlSi hemoglobini 75g/l eriTrociti2,7X1012/l retikulociti 102%0. sisxlis SratSi saerTo bilirubini44mkmol/l, pirdapiri 4mkmol/l. virusuli hepatitebi gamoiricxa..CamoTvlili daavadebebidan romelia ufro metad savaraudo?\\\ autoimunuri hemolizuri anemia\\\ SeZenili aplaziuri anemia\\\ Jilberis daavadeba\\ memkvidruli hemolizuri anemia

\\\\ CamoTvlili samkurnalo RonisZiebebidan romeli iTvlebayvelaze efeqturad didi Talasemiis dros?\\\ uwyveti hemotransfuzia\\\ spleneqtomia\\\ feroTerapia\\ Zvlis tvinis da Wiplaris sisxlis ujredebis gadanergva

\\\\ CamoTvlili maxasiaTeblebidan romelia paTognomurimemkvidruli parcialuri aplaziuri anemiisaTvis (blekfen-daimondis daavadeba)?\\\ leiko-Trombocitopenia\\\ hipostatura\\ eriTroiduli Stos aplazia mielogramaze\\\ hepatosplenomegalia

\\\\ Suili revmatiuli cxelebis dros aris:

\\\ sistoluri da moismineba marcxena sternaluri xazis gaswvriv\\\ maRali sixSiris, moismineba mogvianebiT diastolur fazaSi\\ apikaluri, maRali sixSiris, holosistoluri\\\ uxeSi, dabali sixSiris, pansistoluri, iradiaciiT zurgze

\\\\ 14 wlis gogona hospitalizebulia CivilebiT: abdominalgia dapurpuruli gamonayari kanze. laboratoriuli monacemebidansayuradReboa, rom aris Trombocitebis normaluri raodenoba,hematuria, proteinuria. savaraudo diagnozia:\\\ hemolizur-uremiuli sindromi\\\ Trombocitopeniuri purpura\\\ mZime metalebiT mowamvla\\ Sonlein-henoxis daavadeba

\\\\ 8 wlis biWi klinkaSi Semovida Zlieri abdominalgiis gamo.obieqturi monacemebidan sayuradReboa abdominaluri defansi.Catarda laparatomia, romelmac gamoavlina nawlavTa SeSupebaspecifiuri dazianebebis gareSe. laparatomiidan meore dResgamoixata melena, orive muxlis da marjvena koW-wvivis arTriti.momdevno dReebSi mosalodnelia pacients ganuviTardes:\\\ hepatiti\\\ meningiti\\ peteqiuri gamonayari\\\ hemoragiul pankreatiti

\\\\ 14 wlis gogonas aqvs sistemuri wiTeli mglura. qvemoTCamoTvlili laboratoriuli monacemebidan romels axasiaTebscvalebadoba daavadebis gamwvavebis simZimis Sesabamisad?\\\ antinuklearuli antisxeulebis koncentracia\\\ antisxeulebi orspiraliani dnm-is mimarT\\ komplementis (C3,C4) koncetracia\\\ leikocitebis ricxvi

\\\\ 16 wlis gogonas aerobikis dros ganuviTarda mxris sartylistkivili, romelic Zlierdeba fizikuri datvirTvis dros.rentgenologiuri gamokvleviT travmuli dazianeba gamoiricxa.fizikaluri monacemebidan sayuradReboa, rom arteriuli wnevamarjvena xelze aris 70/50, marcxena xelze 60/40, orive qvedakidurze 120/80. periferiul sisxlSi eds-i 70mm/sT. qvemoTCamoTvlil instrumentuli da laboratoriuli kvlevebidanromeli dagWirdebaT diagnozis dasazusteblad?\\\ eleqtromiografia\\ aortis rkalis rentgenologiuri kvleva\\\ zeda kiduris kanis biofsia\\\ eleqtrokardiograma

\\\\ qvemoT CamoTvlili nozologiebidan romeli aris mkveTradasocirebuli HLA b-27-Tan?\\\ iuveniluri revmatoiduli arTriti\\ reiteris sindromi\\\ dermatomioziti\\\ sistemuri wiTeli mglura

\\\\ sklerodermiisTvis damaxasiaTebel CREST sindromSi SedisSemdegi niSnebi:\\\ kalcinozi, reinos fenomeni, teleangieqtazia\\\ kalcinozi, reinos fenomeni, ezofagiti, teleangieqtazia\\ kalcinozi, reinos fenomeni, ezofagiti, sklerodaqtilia,teleangieqtazia\\\ koniuqtiviti, riniti, ezofagiti, sinusiti, teleangieqtazia

\\\\ romeli daavadebisTvis aris damaxasiaTebeli Semdegi niSnebi:antinuklearuli antisxeulebi, maRali edsi, xeiliti, antisxeulebiDNA –s mimarT:\\\ iuveniluri revmatoiduli arTritis sistemuri varianti\\\ kavasakis daavadeba\\ sistemuri wiTeli mglura\\\ dermatomioziti

\\\\ CamoTvlili daavadebebidan romel daavadebas axasiaTebsnefritis ganviTareba?\\\ Trombocitopeniuri purpura\\ Sonlein - henoxis daavadeba\\\ revmatiuli cxeleba\\\ reinos daavadeba

\\\\ 18 Tvis biWs aqvs cxeleba bolo 8 dRis manZilze, difuzurimakulo-papulozuri gamonayari, eriTemuli tuCebi naxeTqebiT.inicirebuli sklerebi da SeSupebuli quTuToebi. terfebze damtevnebze gamonayari ar aRiniSneba. Tqven miitaneT eWvi arasrulkavasakis sindromze. C-reaqtiuli cila 50mg/l, eds-i-85mm/sT. qvemoTCamoTvlili laboratoriuli monacemidan romeli adasturebsdiagnozs da imunoglobiliniT da aspiriniT mkurnalobisaucileblobas?\\\ momatebuli amilazas koncentracia\\\ leikopenia\\\ policitemia\\ Trombocitozi

\\\\ qvemoT CamoTvlilidan revmatiuli cxelebis izolirebulimanifestacia yvelaze xSirad SeiZleba iyos\\\ arTriti

\\ karditi\\\ qorea\\\ kanqveSa kvanZebi

\\\\ SemaerTebeli qsovilis sistemuri dazianebiT mimdinaredaavadebebidan leikopenia Cveulebriv axasiaTebs\\\ kvanZovani periarteriits\\ sistemur wiTel mgluras\\\ sklerodermias\\\ iuvenilur revmatoidul poliarTrits

\\\\ qvemoT CamoTvlilidan romeli klinikuri gamovlinebaaxasiaTebs revmatiul cxelebas?\\\ saxsrebis deformacia\\\ spinaluri saxsrebis dazianeba\\ kanqveSa kvanZebi\\\ kvanZovani eriTema.

\\\\ 27 wlis pirvelmSobiare, 34 kviris gestaciis qals nayofismkveTri bradikardiis gamo Cautarda gadaudebeli sakeisro kveTa,daibada axalSobili, romelsac aReniSneboda apnoe da kunTTatonusis mkveTri daqveiTeba.. reanimaciis dawebidan 30 wm-is SemdegaxalSobili ar sunTqavs, kvlav modunebuli da cianozuria. Tqvenitaqtika.\\ filtvis dadebiTi wneviT ventilacia\\\ gulis arapirdapiri masaJi\\\ adrenalinis Seyvana\\\ taqtiluri stimulacia

\\\\ 37-38 kviris gestaciis axalSobils, romelic daibada asfiqsiaSi,gausufTaves sasunTqi gzebi da Cautares stimulacia. 30 wamisSemdeg daiwyes filtvis ventilacia dadebiTi wneviT. me-60 wuTzeguliscemis sixSirea 40. Tqveni taqtika.\\\ hipovolemiis koreqcia\\ gulis arapirdapiri masaJi\\\ adrenalinis Seyvana\\\ taqtiluri stimulacia

\\\\ 30 kviris gestaciis, asfiqsiaSi dabadebuli axalSobilismdgomareoba ar gaumjobesda filtvis dadebiTi wneviTventilaciisa da gulis arapirdapiri masaJis Semdeg (reanimaciisdawyebidan 90 wami). Tqveni taqtika.\\\ hipovolemiis koreqcia\\\ hemotranfuzia

\\ adrenalinis Seyvana\\\ taqtiluri stimulacia

\\\\ paTologiuri orsulobidan da mSobiarobidan miRebul, 25kviris gestaciis, mamrobiTi sqesis, 800g masis axalSobilssicocxlis pirvel saaTze ganuviTarda: taqipnoe, CasunTqvisasgulmkerdis retraqcia, eqspiratoruli xmianoba amosunTqvisas,cianozi, cxviris nestoTa berva. laboratoriul-instrumentulikvlevebis dawyebamde romel paTologiaze ifiqrebT?\\\ asfiqsiaze\\ hialinuri membranebis daavadebaze\\\ qlamidiur pnevmoniaze\\\ gulis Tandayolil mankze

\\\\ 40 kviris gestaciis axalSobils sicocxlis pirvel kvirazeganuviTarda respiraciuli distres sindromi, leTargia.anamnezidan aRsaniSnavia, rom axalSobili aris meoreorsulobidan da mSobiarobidan. pirveli orsuloba damTavrdaspontanuri abortiT. mimdinare orsulobis meore naxevarSi dedamgadaitana pielonefriti, hqonda Cirqovani gamonadeni saSodan.mSobiarobisas aReniSneboda xangrZlivi uwylo periodi (26 saaTi).romel paTologiaze ifiqrebT?\\\ hialinuri membranebis daavadebaze\\ adreul sefsisze\\\ bronq-filtvis displaziaze\\\ gulis Tandayolil mankze

\\\\ 34 kviris gestaciis, 1800g masis axalSobils aReniSnebahidrocefalia, hepatosplenomegalia, qorioretiniti, makulo-papulozuri gamonayari, siyviTle, kalcifikatebi tvinSi,Trombocitopenia. aRsaniSnavia, rom dedas orsulobis meorenaxevarSi gadatanili aqvs daavadeba hiperTermiiT,limfadenopaTiiT. mkurnaloba ar Cautarebia. romel paTologiazeifiqrebT\\ Tandayolil toqsoplazmozze\\\ Tandayolil qlamidiozze\\\ Tandayolil wiTuraze\\\ Tandayolil streptokokul infeqciaze

\\\\ 38-39 kviris gestaciis axalSobils aReniSneba mcire masadabadebisas (2200g), mikrocefalia, siyviTle, romelic ganviTardasicocxlis pirvelive dRes, hepatosplenomegalia, kanzemravlobiTi hemoragia (,,mocvebiani “ namcxvris msgavsi), pnevmonia,wvrili periventrikuluri kalcifikatebi, romelsac mogvianebiTdaerTo intersticiuli nefriti. romel paTologiaze ifiqrebT\\ Tandayolil citomegaliaze\\\ Tandayolil qlamidiozze

\\\ Tandayolil wiTuraze\\\ Tandayolil listeriozze

\\\\ 24 kviris gestaciis, mamrobiTi sqesis axalSobils, romelicarisme-2 tyupiscali, sicocxlis pirvelive saaTze daudginda I tipisrespiraciuli distres sindromi (hialinuri membranebis daavadeba).CamoTvlilTagan yvelaze ufro riT aris SesaZlebeli avxsnaTaRniSnuli monacemebi?\\\ nayofis qronikuli hipoqsia\\\ mucladyofnis infeqcia\\\ mcirewylianoba\\ surfaqtantis deficiti

\\\\ axalSobili aris 30 wlis qalis I orsulobidan damSobiarobidan. orsuloba mimdinareobda I naxevris toqsikoziT(gulisreva, Rebineba), II naxevarSi dedam gadaitana infeqciahiperTermiiT, Hyelis, zurgis da muclis tkiviliT. mSobiarobanaadrevi, 34 kviris gestaciis vadaze. axalSobili daibadaasfiqsiaSi. reanimaciiuli RonisZiebebis Sedegad sunTqva aRdga,magram TandaTan gamoixata sefsisis klinika, aRniSnuls daematamoTeTro-moyviTalo granulomebis (kvanZebis) gaCena xaxis ukanakedelze, nuSurebze, koniunqtivaze. CamoTvlilTagan yvelaze ufroromeli diagnozia savaraudo?\\\ Tandayolil citomegalia\\\ Tandayolil qlamidiozi\\\ Tandayolil wiTura\\ Tandayolil listeriozi

\\\\ 7 dRis 24 kviris gestaciis axalSobils, romelicsamSobiarodan saavadmyofos axalSobilTa reanimaciisganyofilebaSi gadaiyvanes, daudginda adreuli neonatalurisefsisi, gamowveuli Lysteria Monocytogenes-iT. romeliantibiotikebiT umkurnalebT pacients?\\ penicilinis jgufi da aminoglikozidebi\\\ cefalosporinebi da aminoglikozidebi\\\ karbapenemebi da cefalosporinebi\\\ cefalosporinebi da tetraciklinebi

\\\\ 12 dRis droul axalSobils ganuviTarda Cirqovanikoniunqtiviti quTuToebis mkveTri SeSupebiT, rasac erT kviraSidaerTo pnevmonia, Seupovari, SeteviTi, ,,stakato”-s mgavsi xveliT,Raribi auskultaciuri da rentgenologiuri monacemebiT,cxelebisa da intoqsikaciis gareSe, eozinofiliiT.CamoTvlilTagan yvelaze ufro romeli SesaZloa iyos savaraudopaTogeni?\\\ citomegalovirusi

\\ qlamidia\\\ toqsoplazma\\\ gonokoki

\\\\ 17 dRis droul axalSobils saavadmyofoSi qlamidiurikoniunqtivitis diagnozi daudginda. romeli jgufisantibiotikebiT daiwyebdiT mkurnalobas\\\ penicilinis jgufis\\\ cefalosporinebiT\\ makrolidebiT\\\ tetraciklinebiT

\\\\ 36 kviris gestaciis 2000g masis axalSobils sicocxlispirvelive dRes aReniSna vezikuluri gamonayari, aftozuristomatiti, pnevmonia, qorioretiniti, hipoTermia, hemoragiulisindromi, encefaliti, hepatosplenomegalia, siyviTle,Trombocitopenia. aRsaniSnavia, rom bavSvi aris pirveliorsulobidan da mSobiarobidan. orsulobis dros dedasramdenjerme hqonda vezikuluri gamonayari sasqeso organoebze,periodulad subfebriluri temperatura. romel infeqciazeifiqrebT\\\ citomegalia\\ herpesuli infeqcia\\\ streptokokuli infeqcia\\\ gonorea

\\\\ 36 kviris gestaciis, 2300 grami masis axalSobils anamnezuri,klinikuri da laboratoriul-instrumentuli monacemebissafuZvelze daudginda Tandayolili herpesuli infeqcia. romelimedikamentiT umkurnalebT avadmyofs\\\ gancikloviriT\\\ cefalosporinebiT\\\ glikopeptidebiT\\ acikloviriT

\\\\ Tandayolili toqsoplazmozis gamo 8 dRis droul axalSobilsutardeba kompleqsuri mkurnaloba pirimeTaminis , sulfadiazinisda foliumis mJavis gamoyenebiT. kidev romeli medikamentis CarTvaasaWiro mkurnalobis sqemaSi\\\ zoviraqsi\\\ zidovudini\\\ vankomicini\\ spiramicini

\\\\ 14 wlis vaJi ukanaskneli 6 Tvis ganmavlobaSi uCivis muclistkivils periumbilikalur midamoSi, romelic iwyeba kvebis Semdeg

da axlavs gulisrevis SegrZneba. avadmyofs SeiZleba hqondes yveladaavadeba, garda erTisa:\\\ kuWisa an Tormetgoja nawlavis wylulovani daavadeba\\\ gaRizianebuli nawlavis sindromi\\\ qronikuli pankreatiti\\ mekelis divertikuliti

\\\\ gastroezofaguri refluqsi 4 Tvis bavSvs SeiZlebagamouvlindes yvela simptomiT, garda erTisa\\ cxeleba\\\ rkinadeficituri anemia\\\ zrda-ganviTarebaSi CamorCena\\\ xvela

\\\\ 8 wlis gogona ukanaskneli 6 kviris manZilze uCivis muclistkivils, Rebinebas, umadobas. kuW-nawlavis zeda segmentisendoskopiuri gamokvleviT daisva qronikuli gastritis diagnozi.CamoTvlilTagan romelia yvelaze ufro efeqturi mkurnaloba?\\\ protonis tumbos inhibitorebi\\ H2-histaminoblokatorebi da prokineturi saSualebebi\\\ natriumis bikarbonati\\\ atropini

\\\\ ra rekomendacias miscemT dedas mwvave diareis mqoneeqskluziurad ZuZuze myofi bavSvis kvebis wesTan dakavSirebiT?\\\ gadaiyvanos formulaze\\\ daicvas wylis dieta\\\ misces mxolod brinjis naxarSi\\ misces ZuZu ufro xSirad da xangrZlivad

\\\\ ra rekomendacias miscemT dedas mwvave diareis mqone Cviliskvebis wesTan dakavSirebiT, Tu igi ZuZusTan erTad iRebs sxvasaxis sakvebsac?\\\ gaagrZelos kveba mxolod ZuZuTi k\\\ Sewyvitos ZuZuTi kveba da misces mxolod Txevadi sakvebi dasiTxe: osm, sufebi, sufTa wyali, mawoni\\ gaagrZelos kveba Cveuli reJimiT da wesiT. SezRudos mxolodxilfafebi da bostneuli\\\ gadaiyvanos samkurnalo formulaze

\\\\ Zroxis rZis cilis/ soiis cilis autanlobaze eWvis drosromeli RonisZiebis gatareba ar aris swori?\\\ ZuZuze myofi Cvilebis dedebisaTvis rZis produqtebis miRebisSezRudva

\\\ Zroxis rZeze damzadebuli formulebis akrZalva 6Tve - 1 wlisganmavlobaSi\\\ hipoalergiuli formulebiT (hidrolizebuli cilis Semcveli)kveba\\ Zroxis rZis akrZalva mTeli cxovrebis manZilze

\\\\ romeli Sexedulebaa swori fenilketonuriis SemTxvevaSi\\\ fenilketonuria autosomur-dominanturi daavadebaa\\\ hiperpigmentacia daavadebis mTavari gamovlinebaa\\ dietoTerapiis dawyeba sicocxlis pirvelive TveSi gonebriviganviTarebis retardaciis prevenciis mTavari saSualebaa\\\ gulis ganviTarebis manki fenilketonuriiT daavadebulebSixSiria

\\\\ 3 wlis bavSvs Txilis miRebis Semdeg moulodneladgamouvlindageneralizebuli gamonayari qaviliT, tuCebisa da TvalebisSeSupeba, sunTqvis gaZneleba. temperatura 36.8, sunTqvis sixSire 32,maja 90. arteriuli wneva 85/65 mm. vwy. CamoTvlilTagan romeliayvelaze ufro efeqturi mkurnaloba?\\\ suprastini i/v\\\ prednizoloni oralurad\\\ hidrokortizoni i/v\\ epinefrini kanqveS

\\\\ sistemuri anafilaqsiuri reaqciis manifestacia SeiZleba iyosyvela, garda erTisa:\\\ urtikaria\\ bradikardia da hipotenzia\\\ Rebineba, diarea\\\ stridori, mstvenavi xixini

\\\\ 10 wlis bavSvs 3 kviris manZilze aReniSneba cxeleba (39,8),marjvena muxlis saxsris tkivili da moZraobaSi SezRudva. eWviiqna mitanili revmatoidul arTritze. amJamad uCivis gulmkerdisareSi mwvave tkivils da dispnoes. CamoTvlilTagan yvelaze ufroromeli diagnozia savaraudo?\\\ naRvlis buStis wyalmanki\\\ filtvis embolia\\\ Tirkmlis mwvave ukmarisoba\\ perikarditi

\\\\ 10 wlis pacients, romelic daavadebulia revmatoiduliarTritiT, gamouvlinda uveiti. qvemoT CamoTvlilTagan romelipreparatia yvelaze efeqturi Terapiuli saSualeba?\\\ acetilsalicilis mJava

\\\ arasteroiduli anTebis sawinaaRmdego saSualebebi\\ sistemuri kortikosteroidebi\\\ imunosupresiuli medikamentebi

\\\\ romeli gulis manki aris yvelaze xSirad asocirebuli daunissindromTan?\\\ magistraluri sisxlZarRvebis transpozicia\\\ eizenmengeris kompleqsi\\\ botalis Ria sadinari\\ winagul-parkuWovani kompleqsuri defeqti

\\\\ 15 wlis pacients, romelic 12 dRis win dagesla krazanam,aReniSneba dabali cxeleba, makulo-papuluri gamonayari, marjvenamuxlis SeSupeba da tkivili. temperatura 38,2, sunTqvaa 28, maja 82,arteriuli wneva 90/70 mm.vwy. gamarTlebulia yvela medikamentisxmareba, garda erTisa\\\ steroiduli hormonebi\\\ aspirini\\\ antihistaminuri saSualebebi\\ antibiotiki

\\\\ 10 wlis pacients cxelebiT, marjvena muxlis tkiviliT dagamonayriT 3 Tvis win dausves revmatoiduli arTritis diagnozi.amJamad gamovlinda Tvalebis tkivili da SewiTleba.CamoTvlilTagan yvelaze ufro romeli diagnozia savaraudo?\\\ koniuqtiviti\\ uveiti\\\ glaukoma\\\ kataraqta

\\\\ revmatoiduli arTritis sistemuri variantis (stilis daavadeba)inicialuri klinikuri gamovlineba SeiZleba iyos yvela, gardaerTisa:\\\ arTriti\\ iridocikliti\\\ hepatosplenomegalia\\\ cxeleba da gamonayari

\\\\ 6 wlis pacients 5 dRea aReniSneba cxeleba, urtikaria, marjvenamuxlis tkivili da kisris midamos limfadenopaTia. 10 dRis winmkurnalobda peniciliniT faringitis gamo. romel daavadebazeifiqrebT?\\\ stiven-jonsonis sindromi

\\\ iuveniluri revmatoiduli arTriti\\\ revmatiuli cxeleba\\ Sratis daavadeba

\\\\ 8 dRis axalSobils, romelic daavadebulia stafilokokuripnevmoniiT SesaZlebelia ganuviTardes yvela garTuleba, gardaerTisa:\\\ abscesi\\\ pnevmoToraqsi\\ epiglotiti\\\ empiema

\\\\ 9 Tvis Cvils aReniSneba temperaturis momateba 39,6 gradusamde.obieqturi gasinjviT paTologiuri cvlilebebi ar vlindeba.romeli daavadeba SeiZleba iyos amis mizezi am asakobriv jgufSi?\\\ baqteriuli meningiti\\ saSarde gzebis infeqcia\\\ streptokokuli faringiti\\\ revmatiuli cxeleba

\\\\ avadmyofi 12 wlis. daavadeba daewyo temperaturis momatebiT39,5ºC-mde, SemcivnebiT, xveliT, Tavis tkiviliT, umadobiT. binazeCatarebuli simptomuri mkurnalobis miuxedavad mdgomareoba ufrodamZimda. me-3 dRes moaTavses stacionarSi. obieqturad taqipnoe,zerele mkvnesare sunTqva zerele, xvela “Jangisebri” naxveliT.gulmkerdis eqskursia SezRuduli marjvniv, amave mxares beWiskuTxesTan perkusiiT Semoklebuli xmianoba. mosmeniT aqvebronquli sunTqva. sisxlSi: leikocitozi, neitrofilozi marjvnivgadaxriT, eds-i aCqarebuli. savaraudo diagnozia:\\ lobaluri (krupozuli) pnevmonia\\\ intersticiuri prevmonia\\\ destruqciuli pnevmonia\\\ bronqioliti

\\\\ 11 wlis vaJs ukanaskneli 2 welia aReniSneba tkiviliepigastriumis areSi. tkivils aqvs e.w.”mSieri xasiaTi” da axlavsboyini, gulZmarva, zogjer Rebineba, mada gaZlierebulia. tkivilipacients arasdros ar aRviZebs RamiT. xSirad aqvs meteorizmi dayabzoba. obieqturad mgrZnobiarea epigastraluri are. savaraudodiagnozia:\\ qronikuli gastriti\\\ qronikuli qolecititi\\\ qronikuli pankreatiti\\\ qronikuli hepatiti

\\\\ avadmyofi vaJi 1 wlis, daibada drouli, dabadebis masa 3500gr.3 Tvidan gadaiyvanes xelovnur kvebaze. kveba erTferovani,

ZiriTadad fafebiT. 5 Tvis asakidan masaSi mateba Seferxda. bavSviamJamad iwonis 7000 grams. kani fermkrTali, mSrali, turgoridaqveiTebulia, muclisa garSemoweriloba gadidebulia ris gamocbavSvs aqvs obobas forma. mada kargi, ganavali didi raodenobiT,cximiani, sisxlisa da lorwos gareSe. savaraudo diagnozia:\\\ mukoviscidozi\\ celiakia\\\ galaqtozemia\\\ glikogenozi

\\\\ 8 wlis biWi klinikaSi Semovida muclis SeteviTi xasiaTistkiviliT. tkivili daewyo cximiani sakvebis (Roris xorci) miRebisSemdeg da axlda Rebineba. anamnezidan sayuradReboa, rom bavSvsukanaskneli 2 welia xSirad aqvs muclis tkivili, mdgomareobaumjobesdeboda spazmolizuri saSualebebisa da naRvelmdenipreparatebis micemis Semdeg. obieqturad RviZli gamodis neknTarkalidan 2,5 sm-iT, dadebiTia keris, merfisa da ortneris niSnebi.savaraudo diagnozia:\\\ qronikuli gastroduodeniti\\ qronikuli qolecistiti\\\ wylulovani daavadeba\\\ qronikuli pankreatiti

\\\\ 1 wlis bavSvs 2 dRis win daewyo surdo da xvela. ojaxis sxva

wevrebsac aReniშnebodaT kataruli simptomebi. 4 saaTis win xvelamkveTrad gaZlierda, gamovlinda sunTqvis gaZneleba, nestoebisberva, gulmkerdis zomieri Seberiloba da xmauriani amosunTqva.auskultaciiT difuzurad mstvinavi xasiaTis mSrali xixini.savaraudo diagnozia:\\ mwvave bronqioliti\\\ mwvave obstruqciuli bronqiti\\\ mwvave laringotraqeiti\\\ epiglotiti

\\\\ mwvave respiraciuli virusuli infeqciis dawyebidan meore dRes2 wlis bavSvs RamiT ganuviTarda xmauriani sunTqva, inspiraciuliqoSini, myefare xasiaTis xvela. pacients CaxleCili aqvs xma.gamoxatulia iyo subkostaluri retraqcia fizikuri datvirTvisdros. bavSvi aqtiuria, siTxes da sakvebs iRebs. daisva virusulikrupis diagnozi. CamoTvlili medikamentebidan romeli iTvlebaarCevis preparatad am situaciaSi.\\\ adrenalinis preparatebi\\ steroiduli hormoni\\\ antihistaminuri medikamentebi\\\ eufilini

\\\\ 13 wlis gogonas aReniSneba simaRleSi mkveTri CamorCena(<10%0). meoradi sasqeso niSnebi gamoxatuli ar aris. misi disfizikuri ganviTareba Seesabameba asaks. savaraudo diagnozia:\\\ kuSingis sindromi\\\ zrdis hormonis izolirebuli deficiti\\ terneris sindromi\\\ ojaxuri xasiaTis tandabloba

\\\\ 11 wlis biWi ukanasknelin 2 welia uCivis simZimis SegrZnebasmarjvena ferdqveSa midamoSi gansakuTrebiT fizikuri datvirTvisSemdeg, saerTo sisustes, anoreqsias, gulisrevis SegrZnebas, zizRscximiani sakvebis mimarT. anamnezidan sayuradReboa, rom pacients 6Tvis win gadatanili aqvs hepatiti. sklerebi subiqterulia, RviZligamodis neknTa rkalidan 3,5 sm-iT, mkvrivi konsistenciis,mgrZnobiare. elenTa 2 sm-iT. gamoxatulia midrekileba yabzobisaken.winaswari diagnozia:\\\ RviZlis cirozi\\ qronikuli hepatiti\\\ mwvave infeqciuri hepatitis\\\ qronikuli qolecistiti

\\\\ 5 wlis gogonas mdinareSi banaobis Semdeg gamouvlinda tkivilimuclis qveda nawilSi da gaxSirebuli Sardva Sardis mcireporciebiT. pacients ar aqvs cxeleba. Sardis saerTo analizSicila 0,1g/l, leikociti 20-25 mx/areSi, Seucvleli eriTrociti 5-10mx/areSi. CamoTvlilidan ra daavadebaze miitanT eWvs?\\\\ mwvave glomerulonefriti\\\\ mwvave pielonefriti\\\ Tirkmel-kenWovani daavadeba\\ mwvave cistiti

\\\\ 1 wlis gogonas aqvs saxis uxeSi nakvTebi, hepatosplenomegaliada gonebriv ganviTarebaSi progresuli CamorCena. msgavsisimptomebi aReniSneba mis 4 wlis Zmasac. ra daavadebisaTvis arisdamaxasiaTebelia zemoaRniSnuli klinikuri niSnebi:\\ mukopolisaqaridozi\\\ galaqtozemia\\\ mukoviscidozi\\\ fenilketonuria

\\\\ droul axalSobils aReniSneba cianozi da apnoes Setevebi,romelic gansakuTrebiT uZlierdeba kvebis dros. cianozisintensioba mcirdeba tirilis dros. savaraudo diagnozia:\\ pirveladi alveoluri hipoventilaciis sindromi\\\ qoanebis atrezia

\\\ namgliseburi anemia\\\ mglis xaxa

\\\\ 2 wlis gogona fermkrTalia da aqvs qoSini. sunTqvis sixSire 80,majiscema 195 wT-Si. obieqturad moismineba Wenebis riTmi,rentgenogramaze gamoxatulia kardiomegalia. gulis eqografiiTstruqturuli cvlilebebi ar vlindeba. miokardis kumSvadifunqcia daqveiTebulia, marcxena winaguli da parkuWidilatirebuli. savaraudo diagnozia:\\ miokarditi\\\ endokardialuri fibroelastozi\\\ perikarditi\\\ falos tetrada

\\\\ 7 wlis biWi uCivis SeteviTi xasiaTis tkivils muclis midamoSi.obieqturad aReniSneba peteqiuri sisxlCaqcevebi zurgze, kidurebzeda dunduloebze. laboratoriuli gamokvlevebiT gamovlindaproteinuria, mikrohematuria. periferiuli sisxli patologiuricvlilebebis gareSe. savaraudo diagnozia:\\\ sistemuri wiTeli mglura\\ Sonlain-henoxis daavadeba\\\ poststreptokokuli glomerulonefriti\\\ qunTruSa

\\\\ 6 wlis praqtikulad janmrTel gogonas uecrad ganuviTardamousvenroba, SiSi, mkveTri sisuste, daasxa civma oflma. bavSvismdgomareoba mZimea, pulsi susti avsebis da daWimulobis, 64 wuTSi.gamoxatulia kisris sisxlZarRvebis pulsacia. gulis tonebi uxeSi,gulisa da RviZlis zomebi normis farglebSi. SeSupeba ar arisgamoxatuli. savaraudo diagnozia:\\\ karditi\\\ sinusuri taqikardia\\ paroqsizmuli taqikardia\\\ Tandayolili kardiomiopaTia

\\\\ 3 wlis bavSvs periodulad aReniSneba saSarde gzebis infeqciisklinikuri suraTi damaxasiaTebeli izolirebuli SardissindromiT. arteriuli wneva momatebulia. gamokvleviT dadgindahipostenuria, proteinuria. CamoTvlili gamokvlevebidan romeli araris aucilebeli diagnozis dasazusteblad?\\\ muclis Rrus organoebis eqoskopia\\\ intravenuri urografia\\\ cistoureTerografia\\ sisxlis kultura

\\\\ 10 Tvis bavSvs 2 dRis win daewyo surdo da xvela, katarulimovlenebi aReniSneboda mis Zmasac. daavadebis dawyebidan III dRes

xvela mkveTrad gaZlierda da miiRo SeteviTi xasiaTi. obieqturigamokvlevisas yuradRebas iqcevs sunTqvis gaZneleba, vizingi,nestoebis berva, gulmkerdis zomieri Seberva. auskultaciiTdifuzurad ismis mstvinavi xasiaTis mSrali xixini. daisvaobstruqciuli bronqitis diagnozi. CamoTvlilTagan yvelaze ufroromeli SesaZloa iyos savaraudo paTogeni?\\\ oqrosferi stafilokoki\\\ pnevmokoki\\ respiratorul – sincitialuri virusi\\\ adenovirusi.

////romeli pacienti saWiroebs pirvel rigSi daxmarebas, mas visacgamoxatuli aqvs:/// komatozuri mdgomareoba// obstruqciuli sunTqva/// dehidrataciis niSnebi/// gulyra//// mastenozirebeli laringotraqeitis dros pirvel rigSi radaxmarebas vuwevT pacients/// intubacia// danotivebuli grili Jangbadis miwodeba/// adrenaliniT inhalacias/// deqsametazonis ineqcia//// saWiroa Tu ara asTmuri statusis dros arteriul sisxlSigazebis gansazRvra?// ki/// ara/// zogierT SemTxvevaSi/// venur sisxlSi ufro informatiulia

//// asTmuri statusis dros Cvilebsa da mozrdilebSi ra ganzavebisadrenalini gamoiyeneba kanqveS ineqciisaTvis?// 1: 1000/// 1: 10000/// 1: 100/// 1: 10//// sasunTq gzebSi ucxo sxeulis moxvedrisas ufro xSiradromel bronqSi xvdeba igi?/// traqeaSi// marjvena bronqSi///marcxena bronqSi/// Tanabari sixSiriT SeiZleba moxvdes orive bronqSi//// bronqiolitis gamomwvevi uxSiresad aris/// stafilokoki/// streptokoki

// respiratorul- sincitialuri virusi/// hemofilus influenca//// epiglotitis diagnozis dasazusteblad romeli kvleva iTvlebamniSvnelovnad?///sisxlis saerTo analizi///Sardis saerTo analizi// kisris gverdiTi rentgenografia/// arteriul sisxlSi gazebis gansazRvra//// peritonzilaruli abscesis gamomwvevi uxSiresad aris/// gripis virusi/// stafilokoki// streptokoki/// eSerixia koli//// romeli kvleva iTvleba gadamwyvetad diagnozis dasmisasdifteriaze eWvis dros?///sisxlis saerTo analizi/// Sardis saerTo analizi// xaxis nacxis baqteriologiuri kvleva/// arteriul sisxlSi gazebis gansazRvra//// pnevmoToraqsis dros dazianebul mxares rogoriauskultaciuri monacemebia/// krepitacia// Sesustebuli sunTqva/// vezikuluri sunTqva/// gafantuli mSrali xixini

//// baqteriuli plevritis dros mkurnaloba eniSnebaT// antibiotikiT/// antivirusuli preparatebiT/// anTebis sawinaaRmdego preparatebiT/// antihistaminuri preparatebiT

//// daxrCobis dros pirveladi daxmareba moicavs/// infuzuri Terapiis Catarebas// sasunTqi gzebis gamavlobis aRdgenas/// inhalaciis Catarebas/// Jangbadis miwodebas //// siTburi dakvris dros naCvenebia///pacientis gaTboba// gagrileba/// oqsigenoTerapia/// filtvebis dadebiTi wneviT ventilacia//// hipoTermiis dros romeli organos dazianeba iwvevssicocxlisaTvis saSiS mdgomareobas/// filtvis/// RviZlis

// gulis/// tvinis//// Tu pacients SeuZlia peroralurad saWiro raodenobissiTxeebis miReba esaWiroeba Tu ara intravenurad siTxeebisgadasxma?// ki/// ara/// zogierT SemTxvevaSi/// TiTqmis yovelTvis//// ra raodenobis siTxea fiziologiurad saWiro 10 kg-ianibavSvisaTvis?// 1000 ml/// 1500ml/// 2000 ml/// 1200 ml//// dehidrataciis xarisxis dasadgenad ra maCvenebeliamniSvnelovani// hematokriti/// Sardovana/// hemoglobini/// eleqtrolitebi

//// sisxlis plazmaSi K –is norma Seadgens

// 3,5-5 meqv/l/// 5-6 meqv/l/// 2,5-3 meqv/l/// 2- 4 meqv/l

//// sisxlis plazmaSi Na- is norma Seadgens

// 135- 145 meqv/l

/// 115- 125 meqv/l

/// 155- 165 meqv/l

/// 140- 155 meqv/l

//// sisxlis plazmaSi Ca-- is norma Seadgens

// 8,4-10,2 mg/dl

/// 6,4-12,2 mg/dl

/// 7,4-14,2 mg/dl

/// 6,5 – 10,5 mg/dl//// gadasasxmeli siTxeebis ra proporcia unda iyos koloidebsada kristaloidebs Soris// 1: 4/// 1: 5/// 1: 2/// 1: 3//// respiratoruli acidozis koregireba gulisxmobs

// adeqvaturi ventilacias/// sodis intravenur Seyvanas/// kalciumis Seyvanas/// kaliumis Seyvanas//// metaboluri acidozis koregireba gulisxmobs/// kalciumis Seyvanas// sodis intravenur Seyvanas/// adeqvaturi ventilacias/// natriumis Seyvanas//// romelia sodis Seyvanis swori meTodi// intravenurad, nela, did ganzavebaSi/// intramuskularad/// endotraqealurad/// kanqveS

//// acidozis dros pH maCvenebeli

// < 7,35/// > 7,35/// > 8,35/// < 6,35

//// alkalozis dros pH maCvenebeli

/// < 7,35// > 7,45/// > 6,35/// < 6,45

//// arteriul sisxlSi metia Tu venurSi p O2 maCvenebeli?

/// venurSi// arteriulSi/// kapilarulSi

//// arteriul sisxlSi metia Tu venurSi p CO 2maCvenebeli?

// venurSi/// arteriulSi/// kapilarulSi

//// saWiroa Tu ara febriluri gulyris pirveli epizodis drosrutinulad eeg gadaReba?// ar aris saWiro/// saWiroa/// yovelTvis ar aris saWiro/// saWiroa kompiuteruli tomografiis Catareba//// epistatusis dros pirvel rigSi ra preparatia mowodebuli?///kalci glukonati/// luminali// diazepami/// gomki//// komis mizezi SeiZleba iyos

/// intoqsikacia/// nevrologiuri problema// samive pasuxi sworia/// metaboluri darRvevebi

//// glazgos skalis mixedviT 15 qula niSnavs// srul mentalur statuss/// qerqis sikvdils/// tvinis sikvdils/// komatozur mdgomareobas//// romeli niSnebiT xdeba glazgos skaliT Sefaseba// Tvalebis gaxela, verbaluri reaqcia, motoruli reaqcia/// arteriuli wneva, pulsi, sunTqva/// rqovanas , gugis reaqcia, meningialuri niSnebi./// meningialuri niSnebi//// paracetamoliT intoqsikaciis dros antidotia:// acetilcisteini/// beta-karotini/// askorbinis mJava/// nurofeni//// ras warmoadgens hematokriti:// formiani elementebis plazmasTan fardobis maCvenebels /// plazmis formian elementebTan fardobis maCvenebels

/// eriTrocitebis leikocitebTan fardobis maCvenebels /// leikocitebis saerTo raodenobis maCvenebels

//// dehidrataciis tipebia:/// izotonuri/// hipertonuli/// hipotonuri// yvela pasuxi sworia//// kalciumis gadasxmis Cvenebebia:/// dadasturebuli ionizirebuli hipokalcemia/// hiperkalemia/// kalciblokatorebiT gamowveuli hipotonia, bradikardia// yvela pasuxi sworia //// SIDS-is 91% viTardeba asakobriv jgufSi:// 6 Tvemde/// 8 Tvemde /// 2 wlamde /// 4 wlamde//// krunCxvis ganviTarebis SesaZlo mizezebia:/// hiperTermia /// hipoglikemia/// hipokalcemia// yvela pasuxisworia//// ras niSnavs BLS:

// sicocxlis SenarCunebis sabaziso gaidlaini /// sicocxlis SenarCunebis daxvewili gaidlaini

/// AABC reanimaciis safexurebi

/// sococxlis gadarCenis damxmare gaidlaini///

\\\\2 Tvis CvilisaTvis rkinis maragis Sevsebis yvelaze efeqturiwyaro aris: \\\ xili\\ qalis rZe\\\ Zroxis rZe\\\ rkinis Semcveli formula\\\\ meoradi enurezis yvelaze xSiri mizezia\\\ velosipedis xSiri gamoyeneba\\\ Txeli sacvali\\\ Sardis buStis mcire moculoba\\ saSarde gzebis infeqcia

\\\\ romeli vitaminis deficiti SeiZleba ganuviTardes socialuraddaucveli ojaxis ZuZuTi kvebaze myof axalSobils?\\\ vitamin K\\\ vitamin D\\ vitamin B12\\\ vitamin E\\\\ 4 Tvis Cvils vitamin D deficituri raqitiT SesaZlebeliagamouvlindes yvela simptomi, garda erTisa:\\\ kraniotabesi\\ gamrudebuli qveda kidurebi\\\ SratSi fosforis dabali Semcveloba\\\ tute fosfatazis koncentraciis mateba SratSi\\\\ 9 Tvis Cvils vitamin D deficituri raqitiT SesaZlebeliagamouvlindes yvela simptomi, garda erTisa:\\\ sarZeve kbilebis dagvianebiT amoWra\\\ harisonis Rari\\\ raqituli krialosani\\ gamrudebuli qveda kidurebi

\\\\ romeli vitaminis Semcveloba aris ufro maRali Zroxis rZeSiqalis rZesTan SedarebiT?

\\ vitamin K\\\ vitamin A\\\ vitamin B6\\\ vitamin C

\\\\ romel SemTxvevaSia periferiuli perfuziis daqveiTeba (civikidurebi) Sokis simZimis arazusti indikatori?\\\ septiuri Soki\\ anafilaqsiuri Soki\\\ travmis Semdgomi Zlieri sisxldena\\\ Rebinebisa da diareis Semdgomi hipovolemia

\\\\ 3 wlis vaJs 12 saaTis win daewyo diarea wyliseburi ganavliT.mas aqvs Cacvenili Tvalebi, daqveiTebuli elastioba, lorwovanebissimSrale da oliguria. savaraudoT romel infeqciur agentsSeeZlo gamoewvia msgavsi suraTi?\\\ Shigella dysenteriae\\\ Helicobacter pylori\\\ Enteroinvasive Esherichia coli\\ Enterotoxigenic Esherichia coli

\\\\ 10 wlis pacienti uCivis epigastralur morecidive tkivilsRamis saaTebSi, romlis intensioba iklebs antacidebis miRebisSemdeg. dRes aReniSna kuprisferi ganavali. Hhemoglobini 80 g/l.romel infeqciur agents SeeZlo gamoewvia msgavsi klinikur-laboratoriuli suraTi?\\\ Salmonella typhi\\ Helicobacter pylori\\\ Shigella dysenteriae\\\ Esherichia coli

\\\\ 10 Tvis Cvils aqvs maRali cxeleba, diarea da generalizebuligulyra. romel infeqciur agentze ifiqrebT?\\\ Salmonella typhi\\\ Rotavirus gastroenteritis\\\ Helicobacter pylori\\ Shigella dysenteriae

\\\\ romel viruss SeuZlia gamoiwvios koniuqtiviti, diarea,faringiti, pnevmonia?\\\ respiraciul-sincitiuri virusi\\\ rinovirusi

\\ adenovirusi\\\ herpesis virusi

\\\\ romeli masalidan aris meti Sansi gamoiyos pnevmoniisgamomwvevi Pneomocystis carinii ?\\\ naxveli\\\ sisxli\\\ cxvir-xaxis Camonarecxi\\ bronqoalveoluri lavaJis Sedegad miRebuli masala

\\\\ romeli medikamenti iTvleba arCevis preparatad Pneomocystis carinii– iT gamowveuli pnevmoniis dros?\\\ amfotericini B\\\ acikloviri\\\ zidovudini\\ trimetoprim-sulfametoqsazoli

\\\\ pacients dadasturebuli SidsiT gamouvlinda bilateraluridifuzuri pnevmonia. romel gamomwvevze ifiqrebT?\\ Pneomocystis carinii\\\ Streptococcus pneumoniae\\\ Candida albicans\\\ Cytomegalovirus

\\\\ toqsoplazmiT inficireba SesaZlebelia yvela gziT, gardaerTisa:\\\ katis fekaliebiT dabinZurebuli miwiT\\ ZaRlis fekaliebiT dabinZurebuli miwiT\\\ Termulad cudaT damuSavebuli xorciT\\\ daavadebuli dedisagan nayofis transplacenturi inficireba

\\\\ 2 Tvis Cvils savaraudoT aqvs perinataluri infeqcia.diferencialuri diagnozi unda gatardes Tandayolil wiTurasada citomegalias Soris. romeli niSani metyvelebs TandayoliliwiTuras sasargeblod?\\ gulis manki\\\ smenis daqveiTeba\\\ hepatiti\\\ encefaliti

\\\\ 14 wlis praqtikulad janmrTeli vaJi 2 kviraa Tavs SeuZlodgrZnobs. mas aReniSneba progresuli xvela, dabali cxeleba, Tavistkivili, saerTo sisuste. periferiuli sisxlis Seswavlam aCvena,rom leikocitebis ricxvia 11X109, formula Secvlili ar aris.gulmkerdis rentgenologiuri kvleviT gamovlinda ormxriviperihilaruli infiltracia. savaraudo gamomwvevia:

\\\ Streptococcus pneumoniae\\\ Staphylococcus aureus\\ Mycoplasma pneumoniae\\\ Parainfluenza virus

\\\\ CamoTvlilidan yvela CaiTvleba tuberkulozis risk faqtoradadreuli asakis bavSvisaTvis, garda erTisa:\\\ ojaxSi mcxovreb biZas aqvs hemoptizi\\\ patimari mama cota xnis win dabrunda ojaxSi\\ mezobel bavSvs daudginda pirveladi tuberkulozi\\\ deda da mama daavadebulebi arian SidsiT

\\\\ ucnobi etiologiis cxelebis mizezi bavSvebSi infeqciuridaavadebebis Semdeg aris:\\\ onkologiuri daavadebebi\\\ nawlavis anTebiTi daavadebebi\\ SemaerTebeli qsovilis sistemuri dazianebiT mimdinaredaavadebebi\\\ alergiuli daavadebebi

\\\\ droul axalSobils, romelic samSobiarodan gamoeweradamakmayofilebel mdgomareobaSi, 40 dRis asakSi daudgindasefsisis diagnozi. CamoTvlili infeqciuri agentebidan romelianaklebad savaraudo?\\\ B jgufis streptokoki\\\ Streptococcus pneumoniae\\\ Esherichia coli\\ Pseudomonas aeruginosa

\\\\ droul axalSobils samSobiaro blokSi ganuviTarda cianozida respiraciuli distresi. intubaciis Semdeg mdgomareobadastabilurda. axalSobils aqvs Cavardnili muceli da bgeriTixmianoba ar ismis gulmkerdis marcxena mxares. savaraudodiagnozia;\\\ saylapavis atrezia\\\ ateleqtazi\\\ pnevmoToraqsi\\ diafragmis Tiaqari\\\\ siyviTlis mizezi pankreasis cistofibrozis dros SeiZlebaiyos:\\ qolestazi\\\ Zvlis tvinis aplazia\\\ hepatiti\\\ hemolizi

\\\\ 10 wlis praqtikulad janmrTel vaJs aqvs muclis Zlieritkivili da Seupovari Rebineba. anamnezidan sayuradReboa, rom 3dRis win mas hqonda muclis travma. raze ifiqrebT?\\ mwvave pankreatiti\\\ pielonefriti\\\ mwvave hepatiti\\\ peptiuri daavadeba

\\\\ axalSobili daibada masiT 2,9 kg. dabadebisas, 1 da 5 wuTzeapgaris SkaliT Sefaseba iyo 9 qula, dabadebidan 2 saaTis SemdegSeniSnes hipersalivacia didi raodenobiT qafiani lorwoTi.nazogastraluri zondis Cadgmis mcdeloba warumatebeli aRmoCnda.raze miitanT eWvs?\\\ qoanebis atrezia\\\ laringomalacia\\ saylapavis atrezia\\\ diafragmis Tiaqari

\\\\ orsul qals gestaciis 34 kviraze daudginda polihidramniozi.axalSobili daibada masiT 2,9 kg. dabadebisas, 1 da 5 wuTze apgarisSkaliT Sefaseba iyo 9 qula. axalSobils samSobiaro blokSiCautarda pirveli kveba, romlis drosac ganviTarda respiraciulidistresi. gamoixata cianozi da apnoe. savaraudo diagnozia:\\ saylapavis atrezia da traqeoezofaguri fistula\\\ qoanebis atrezia\\\ anusis atrezia\\\ laringomalacia.

\\\\ mozard gogonas ukanaskneli 3 Tvea aReniSneba wonis kleba,subfebriliteti, saerTo sisuste, muclis tkivili da diarea.ramdenime dRea defekacia mtkivneuli gaxda da ganavals mohyvebaalisferi sisxli. proqtologis mier daisva fistulis diagnozi.romel daavadebas axasiaTebs aseTi simptomokompleqsi?\\\ araspecifiuri wylulovani koliti\\\ mwvave gastroenteriti\\ kronis daavadeba\\\ gaRizianebuli nawlavis sindromi

\\\\ 2 wlis janmrTel gogonas 12 saaTis win daewyo periodulitirili CabJirebamde. savaraudoT mas tkiva muceli, radgantirilis epizodebis dros moxrili fexebi mucelze aqvs mibjenili.erTi saaTis win mas hqonda defekacia mcire odenobis lorwos dasisxlis Semcveli ganavliT. muceli daWimulia. savaraudodiagnozia:\\ invaginacia\\\ saSarde gzebis infeqcia\\\ pilorostenozi

\\\ apendiciti

\\\\ 4 wlis pacients aqvs wonis deficiti da zrdaSi CamorCena. dedaaRniSnavs, rom ganavali mudmivad uxvia, myrali da cximiani. romeldaavadebaze ifiqrebT?\\\ lambliozi\\\ hipoTireozi\\\ laqtozas autanloba\\ celiakia

\\\\ 3 wlis gogonas aqvs morecidive pnevmonia. gasinjvisasyuradRebas ipyrobs fizikur ganviTarebaSi CamorCena da dolisCxiris formis frCxilebi. anamnezidan sayuradReboa, rom misi ded-mamiSvili daiRupa mekoniuri gauvalobiT. CamoTvlili kvlevebidanromlis Catareba migaCniaT aucileblad?\\\ imunoglobulinebis koncentracia\\\ naxvelis kultura\\\ spirometria\\ oflis testi

\\\\ bronquli asTmis dros adgili aqvs yvela cvlilebas, gardaertisa:\\\ bronqospazmi\\\ qveda sasunTqi gzebis anTebiTi SeSupeba\\ subgloturi SeSupeba\\\ hipersekrecia

\\\\ CamoTvlili testebidan yvela informatiulia bronqopulmonuridisplaziis sadiagnostikod, garda erTisa:\\\ sunTqvis sixSire\\ oflis testi\\\ gulmkerdis radiografia\\\ Jangbadis saturacia

\\\\ rotavirusuli infeqciisaTvis tipiuri ar aris:\\\ Rebineba da wyliseburi diarea\\\ zeda sasunTqi gzebis dazianebis niSnebi (kataruli movlenebi)\\\ laqtozas tranzitoruli autanloba\\ sisxliani diarea

\\\\ hepatitis B sawinaaRmdego vaqcinacia rekomendebulia Cautardesyvela bavSvs, garda erTisa:\\\ HBsAg dadebiTi dedis pirmSos\\\ hemofiliiT daavadebul pacients\\\ qronikul hemodializze myof pacients\\ bavSvs, romlis Tanaklaseli B hepatitis virusmtarebelia

\\\\ axalSobilTa wylulovan-nekrozuli enterokolitis tipiurisimptomi ar aris;\\ siyviTle\\\ pnevmatozi\\\ apnoe\\\ muclis Zlieri Seberva

\\\\ Cvilebis uecari sikvdilis sindromis risk faqtori ar aris:\\\ dRenakluloba\\\ anamnezSi apnoes Setevis epizodi\\ zurgze Zili\\\ mucelze Zili

\\\\ 12 wlis vaJs ukanaskneli 7 Tvea aqvs sisxliani diarea, muclistkivili, cxeleba. man daiklo wonaSi. romel daavadebaze ifiqrebT?\\\ naRvelkenWovani daavadeba\\\ qronikuli pankreatiti\\\ kronis daavadeba\\ araspecifiuri wylulovani koliti

\\\\ 13 wlis gogonas ukanaskneli 4 Tvea aqvs diarea, muclistkivili, cxeleba. man daiklo wonaSi. eWvi iqna mitanili nawlavisanTebiT daavadebaze. romeli kvleva aris aucilebeli diagnozisdasadastureblad?\\ qveda segmentis endoskopia\\\ mimoxilviTi rentgenografia\\\ irigoskopia\\\ swori nawlavis biofsia

\\\\ janmrTel 18 Tvis pacients TamaSis dros daewyo xvelis Seteva,romelic ramdenime wuTs gagrZelda. bavSvi ar gamoiyureba avad,magram aqvs gaZlierebuli nerwyvdena da uars acxadebs sakvebismiRebaze. amis axsna SeiZleba iyos:\\\ gastroezofaguri refluqsi\\ saylapavis ucxo sxeuli\\\ ucxo sxeuli sasunTq gzebSi\\\ epiglotiti

\\\\ pediatriuli asakis yvelaze xSiri onkologiuri daavadebaa:\\\ mkerdis simsivne\\\ filtvis simsivne\\\ vilmsis simsivne\\ mwvave limfoblasturi leikemia

\\\\ glomeruluri hematuria ar aris damaxasiaTebeli CamoTvlilidaavadebebidan erT-erTisaTvis:\\\ hemolizur-uremiuli sindromi

\\ Tirkmlis polikistozi\\\ sistemuri vaskuliti\\\ glomerulonefriti

\\\\ mwvave pielonefritis yvelaze xSiri gamomwvevi bavSvebSi;\\ Esherichia coli\\\ Proteus mirabilis\\\ Klebsiella\\\ Staphylococcus epidermitis

\\\\ baqteriuli meningitis SesaZlo garTuleba bavSvebSi arSeiZleba iyos:\\\ cmenis daqveiTeba\\\ hidrocefalia\\\ metyvelebis problema\\ subduruli hematoma

\\\\ respiraciuli distresis gamovlineba bavSvebSi SesaZloa iyosyvela, garda erTisa\\\ gruntingi\\\ cxviris nestoebis daZabva\\ sunTqvis sixSire 24/wT\\\ subkostaluri retraqciebi

\\\\ virusuli meningitis semTxvevaSi sworia yvela, garda ertisa:\\\ uxSiresi gamomwvevi enterovirusebia\\\ cerebrospinalur siTxeSi aris pleocitozi\\\ pleocitozis mizezi upiratesad limfocitebia\\ diferencireba baqteriuli meningitisagan Cveulebriv adviliaklinikuri suraTis mixedviT

\\\\ 2 dRis axalSobils, romlis deda daavadebulia diabetiTgamouvlinda leTargia da krunCxvebi. savaraudoT amis mizezia:\\\ hipokalcemia\\ hipoglikemia\\\ parkuWSida sisxlCaqceva\\\ meningitis

\\\\ orsuli dedis CutyvaviliT daavadeba axalSobilis mZimeTandayolil Sutyvavilas gamoiwvevs, Tu\\\ deda daavadda orsulobis I trimestrSi\\\ deda daavadda orsulobis II trimestrSi\\\ deda daavadda orsulobis III trimestris dasawyisSi\\ dedas klinikuri simptomebi gamouvlinda mSobiarobamde erTikviriT adre an mSobiarobidan erTi kviris ganmavlobaSi

\\\\ mwvave diareis uxSiresi mizezi CvilebSi aris:\\\ enteraluri adenovirusi\\\ salmonella\\ rotavirusi\\\ dizenteriis Cxiri

\\\\ qvemoT CamoTvlili mdgomareobebidan hipernatriemiis mizezi araris:\\\ dehidratacia\\ pankreasis cistofibrozi\\\ uSaqro diabeti\\\ sakvebi formulis momzadebis wesis darrveva

\\\ 3 wlis gogonas gamouvlinda cxeleba da xvela. mas aqvs cxelebada inspiraciuli stridori. CamoTvlilidan romel daavadebaze armiitanT eWvs?\\\ difteria\\\ epiglotiti\\\ baqteriuli traqeiti\\ saylapavis ucxo sxeuli

\\\\ 6 wlis vaJs 10 dRis win kanze Cirqovani gamonayari gauCnda.guSin mas gaumuqda Sardi. gasinjviT gamovlinda hipertenzia,periorbitaluri SeSupeba da dispnea. raze ifiqrebT?\\\ pielonefriti\\\ nefrozuli sindromi\\\ IgA nefropaTia\\ poststreptokokuli glomerulonefriti

\\\\ ÏÒÓÖËÏÁÉÓ ÐÄÒÉÏÃÛÉ ØÀËÉÓ ÌÉÄÒ ÂÀÃÀÔÀÍÉËÉ ÜÀÌÏÈÅËÉËÉ ÃÀÀÅÀÃÄÁÄÁÉÃÀÍ ÒÏÌÄËÉ ÀáÃÄÍÓ ÍÀÚÏ×ÆÄÚÅÄËÀÆÄ ÀÒÀÓÀÓÖÒÅÄË ÂÀÅËÄÍÀÓ?\\\ ÏÒÓÖËÏÁÉÓ ÐÉÒÅÄËÉ ÍÀáÄÅÒÉÓ ÔÏØÓÉÊÏÆÉ;\\ ÂÄÓÔÏÆÉ;\\\ ÀÍÄÌÉÀ;\\\ ÌßÅÀÅÄ ÒÄÓÐÉÒÀÔÏÒÖËÉ ÉÍ×ÄØÝÉÀ.\\\ /ÓÀÛÅÉËÏÓÍÏÓÛÉÃÀ ÒÏÌÄËÉ ÉÍ×ÄØÝÉÉÓ ÃÒÏÓ ÀÙÉÍÉÛÍÄÁÀ ÚÅÄËÀÆÄ áÛÉÒÀÃ ÊÏÍÉÖØÔÉÅÉÔÉ?\\\ ÔÏØÓÏÐËÀÆÌÏÆÉÓ ÃÒÏÓ;\\\ ÌÉÊÏÐËÀÆÌÏÆÉÓ ÃÒÏÓ;\\ ØËÀÌÉÃÉÏÆÉÓ ÃÒÏÓ;\\\ ÝÉÔÏÌÄÂÀËÉÉÓ ÃÒÏÓ.

\\\\ ÚÅÄËÀÆÄ ÀÒÀÓÀÓÖÒÅÄË ÆÄÂÀÅËÄÍÀÓ ÍÀÚÏ×ÉÓ ÂÀÍÅÉÈÀÒÄÁÀÆÄ ÏÒÓÖËÏÁÉÓ ÐÉÒÅÄËÉ 2 ÈÅÉÓ ÂÀÍÌÀÅËÏÁÀÛÉÀáÃÄÍÓ:\\\ ÌÏÌÀÔÄÁÖËÉ ×ÉÆÉÊÖÒÉ ÃÀÔÅÉÒÈÅÀ;\\ ÅÉÒÖÓÖËÉ ÉÍ×ÄØÝÉÄÁÉ;

\\\ ÀÒÀÓßÏÒÉ ÊÅÄÁÀ;\\\ ÏÒÓÖËÏÁÉÓ ÐÉÒÅÄËÉ ÍÀáÄÅÒÉÓ ÔÏØÓÉÊÏÆÉ.\\\ ÓáÅÀÃÀÓáÅÀ ÌÀÅÍÄ ×ÀØÔÏÒÉÓ ÆÄÌÏØÌÄÃÄÁÀ ÏÒÓÖËÏÁÉÓ ÐÉÒÅÄËÉ 2 ÈÅÉÓ ÂÀÍÌÀÅËÏÁÀÛÉ ÚÅÄËÀÆÄ áÛÉÒÀÃ ÉßÅÄÅÓ:\\\ ÃÉÓÔÒÏ×ÉÖËÉ ÃÀ ÍÄÅÒÏÆÖËÉ ÐÒÏÝÄÓÄÁÉÓ ÂÀÍÅÉÈÀÒÄÁÀÓ;\\\ ÀÍÈÄÁÉÈÉ ÐÒÏÝÄÓÄÁÉÓ ÂÀÍÅÉÈÀÒÄÁÀÓ;\\ ÌÀÍÊÄÁÉÓ ÂÀÍÅÉÈÀÒÄÁÉÓ ×ÏÒÌÉÒÄÁÀÓ;\\\ ÉÌÖÍÖÒÉ ÓÉÓÔÄÌÉÓ ÐÀÈÏËÏÂÉÀÓ.

\\\\ ÈÖ ÏÒÓÖË ØÀËÓ ÃÀÖÃÂÉÍÃÀ ÌÒÀÅÀËßÚËÉÀÍÏÁÀ, ÖÍÃÀ É×ÉØÒÏÍ:\\\ ÍÀÚÏ×ÉÓ ÓÀÛÅÉËÏÓÍÏÓÛÉÃÀ äÉÐÏØÓÉÀÆÄ;\\\ ÍÀÚÏ×ÉÓ ÀÍÔÄÍÀÔÀËÖÒ ÃÀÙÖÐÅÀÆÄ;\\ ÓÀÛÅÉËÏÓÍÏÓÛÉÃÀ ÉÍ×ÄØÝÉÀÆÄ;\\\ ÅÀÃÉÓ ÂÀÃÀÝÉËÄÁÀÆÄ.

\\\\ ÒÀ ÛÄÌÈáÅÄÅÀÛÉ áÃÄÁÀ ÔÏØÓÏÐËÀÆÌÏÆÉÈ ÍÀÚÏ×ÉÓ ÓÀÛÅÉËÏÓÍÏÓÛÉÃÀ ÉÍ×ÉÝÉÒÄÁÀ?\\\ áÀÍÂÒÞËÉÅÉ, ÃÖÍÄÃ ÌÉÌÃÉÍÀÒÄ ÉÍ×ÄØÝÉÖÒÉ ÐÒÏÝÄÓÉÓÀÓ;\\\ ØÒÏÍÉÊÖËÉ ÐÒÏÝÄÓÉÓ ÂÀÌßÅÀÅÄÁÉÓÀÓ;\\ ÏÒÓÖËÏÁÉÓ ÃÒÏÓ ØÀËÉÓ ÌßÅÀÅÄ ÃÀÀÅÀÃÄÁÉÓÀÓ;\\\ ÉÍ×ÄØÝÉÉÓ ßÚÀÒÏÓÈÀÍ áÀÍÌÏÊËÄ ÊÏÍÔÀØÔÉÓ ÛÄÌÈáÅÄÅÀÛÉ.

\\\\ ÄÌÁÒÉÏÍÉ ÉÈÅËÄÁÀ ÍÀÚÏ×ÀÃ:\\\ ÓÀÛÅÉËÏÓÍÏÓÛÉÃÀ ÂÀÍÅÉÈÀÒÄÁÉÓ 5-6 ÊÅÉÒÉÃÀÍ;\\\ ÓÀÛÅÉËÏÓÍÏÓÛÉÃÀ ÂÀÍÅÉÈÀÒÄÁÉÓ 7-8 ÊÅÉÒÉÃÀÍ;\\ ÓÀÛÅÉËÏÓÍÏÓÛÉÃÀ ÂÀÍÅÉÈÀÒÄÁÉÓ 11-12 ÊÅÉÒÉÃÀÍ;\\\ ÓÀÛÅÉËÏÓÍÏÓÛÉÃÀ ÂÀÍÅÉÈÀÒÄÁÉÓ 15-16 ÊÅÉÒÉÃÀÍ.

\\\\ ÐËÀÝÄÍÔÉÓ ×ÖÍØÝÉÄÁÉÀ:\\\ ÊÅÄÁÉÈÉ ÃÀ ÄØÓÊÒÄÔÏÒÖËÉ;\\\ ÓÖÍÈØÅÉÈÉ ÃÀ ÄÍÃÏÊÒÉÍÖËÉ;\\\ ÁÀÒÉÄÒÖËÉ ÃÀ ÉÌÖÍÏËÏÂÉÖÒÉ ÃÀÝÅÉÓ;\\ ÚÅÄËÀ ÜÀÌÏÈÅËÉËÉ.

\\\\ ÏÒÓÖËÏÁÉÓ ÃÒÏÓ ßÏÍÀÛÉ ÃÀÓÀÛÅÄÁÆÄ ÌÄÔÉÓ ÌÏÌÀÔÄÁÉÓ ÛÄÌÈáÅÄÅÀÛÉ ÀÒÉÓ ÓÀÛÉÛÒÏÄÁÀ ÂÀÍÅÉÈÀÒÃÄÓ:\\\ ÀÒÔÄÒÉÖËÉ äÉÐÄÒÔÄÍÆÉÀ;\\\ ÐÒÄÄÊËÀÌ×ÓÉÀ;\\\ ÍÀÚÏ×ÉÓ ÂÀÍÅÉÈÀÒÄÁÉÓ ÛÄ×ÄÒáÄÁÉÓ ÓÉÍÃÒÏÌÉ;\\ ÚÅÄËÀ ÐÀÓÖáÉ ÓßÏÒÉÀ.

\\\\ ÏÒÓÖËÏÁÉÓ ÃÒÏÓ ØÀËÉÓ ÌÉÄÒ ÈÀÌÁÀØÏÓ ßÄÅÀÌ ÛÄÉÞËÄÁÀ ÂÀÌÏÉßÅÉÏÓ ÃÀÁÀÃÄÁÀ:\\\ ÃÙÄÍÀÊËÉ ÁÀÅÛÅÉÓ;\\\ ÓÀÛÅÉËÏÓÍÏÓÛÉÃÀ äÉÐÏÔÒÏ×ÉÉÓ ÌØÏÍÄ ÁÀÅÛÅÉÓ;\\\ ÂÄÓÔÀÝÉÖÒÉ ÀÓÀÊÉÓ ÌÉÌÀÒÈ ÐÀÔÀÒÀ ÁÀÅÛÅÉÓ;\\ ÚÅÄËÀ ÐÀÓÖáÉ ÓßÏÒÉÀ.

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testi -pediatriamarine Ciqovani

\\\\ ras ewodeba muclis qronikuli tkivili?\\\ tkivilis 3 da met epizods 1 Tvis ganmavlobaSi;\\\ mudmiv tkivils 3 Tvis ganmavlobaSi;\\ tkivilis 3 da met epizods 3Tvis ganmavlobaSi fizikuriaqtivobis SezRudviT;\\\ 1-2 epizods 6 Tvis ganmavlobaSi

\\\\ muclis qronikuli tkivili uxSiresad aris:\\\ organuli warmoSobis;\\ funqciuri warmoSobis;\\\ fsiqogenuri warmoSobis;

\\\ yvela mizezis tkivili erTnairi sixSiriT gvxvdeba

\\\\ funqciuri warmoSobis abdominur sindroms safuZvlad udevs:\\ motorikis cvlilebebi;\\\ visceruli organoebis iSemia;\\\ nawlavuri hiperalgezia;\\\ WeSmaiti mizezi ucnobia

\\\\ funqciuri warmoSobis muclis morecidive tkivilisaTvis araris damaxasiaTebeli:\\\ tkivilis araregularuli xasiaTi;\\\ arasdros ar aRviZebs bavSvs RamiT;\\ tkivilis progresuli xasiaTi;\\\ bavSvis fizikuri ganviTareba ar ferxdeba

\\\\ kuWis mwvave wyluli SeiZleba gamoiwvios:\\\ steroidulma hormonebma;IIantacidebma;\\\ anTebis sawinaaRmdego arasteroidulma preparatebma\\\ zogierTma antibiotikma

\\\\ romeli Sexedulebaa mcdari?\\\ peptiuri daavadeba gvxvdeba nebismier asakSi;IIpeptiuri daavadeba skolamdel asakSi 7-jer ufro xSiria, vidresaskolo asakSi;\\\ duodenumis wylulovani procesi gvxvdeba SemTxvevebis 81%,kuWis 13%, kombinirebuli 6%-Si\\\ peptiuridaavadebis garTulebebi vaJebSi xSiria

\\\\ wylulovani daavadebis dros wamyvani Civilia:\\ muclis tkivili;\\\ gulZmarva;\\\ boyini\\\ gulisreva/Rebineba\\\\ ras ewodeba muclis “adreuli tkivili”?\\\ epigastriul tkivils, romelic warmoiqmneba sakvebis miRebisprocesSi;\\\ Wamamde tkivils;\\\ uzmoze tkivils;\\ tkivils, romelic Wamidan 30-60 wT. Semdeg vlindeba

\\\\ muclis “adreuli” tkivilis eqvivalentia:\\ kuWis gadavsebis SegrZneba an swrafi dakmayofilebis SegrZneba;\\\ tkivili sakvebis miRebidan 1-2 saaTis Semdeg;\\\ tkivilis gaZliereba cximiani sakvebis miRebis Semdeg;\\\ uzmoze tkivili

\\\\ kuWis lorwovanis amomfenis efeqti aqvs:\\ sukralfats;\\\ cimetidins;\\\ omeprazols;\\\ maaloqss

\\\\ romeli jgufis preparati ar gamoiyeneba helikobaqteriseradikaciisTvis?\\\ antibiotiki;\\\ protonis tumbos inhibitori;\\ prokineturi saSualeba;\\\ antiprotozouli saSualeba

\\\\ sekretoruli funqciis dasaregulireblad peptiuri wylulisdros upiratesoba eniWeba:\\ H2-histaminoblokatorebs;\\\ antacidebs;\\\ sinTezur prostaglandins;\\\ bismutis preparatebs

\\\\ galaqtozemias ar axlavs:\\\ Rebineba, diarea;\\\ nevrologiuri simptomatika;\\ hemolizuri anemia;\\\ hepatomegalia, siyviTle

\\\\ qvemoT CamoTvlili niSnebidan romelia damaxasiaTebeliqronikuli pnevmoniisaTvis?\\\ taqikardia;\\\ Seupovari xvela;\\\ taqipnoe\\ gulmkerdis emfizematozuri gaganiereba\\\\ bronquli asTmils Seteva ufro xSirad iwyeba:\\ RamiT an dilas 4-6 saaTisaTvis;\\\ kvebis dros;\\\ fizkuri datvirTvisas;

\\\ arc erTi ar aris swori

\\\\ brutonisagamaglobulinemias ar axasiaTebs:\\ mokle kidurebi;\\\ sinusiti;\\\ bronqiti;\\\ pnevmonia

\\\\ di-jorjis sindroms ar axasiaTebs:\\\ tetania;\\\ “Tevziseburi piri”;\\\ yuris niJarebis dabla dogma;\\ teleangieqtazia

\\\\ Tandayolili imunodeficitis romeli daavadebisTvis arisdamaxasiaTebeli: gulis manki, dizmorfia, Timusis hipoplazia,hipokalcemia:\\\ brutonis daavadeba;\\\ lui-baris sindromi;\\\ IgA –deficiti;\\ di-jorjis sindromi

\\\\ viskot-oldrijis sindroms ar axasiaTebs:\\\ morecidive infeqciebi;\\\ ekzema;\\\ hemoragiuli sindromi;\\ krunCxva

\\\\ muclisvisceruli warmoSobis tkivilis gamomwveviapaTologiuri impulsebi:\\\ peritoniumidan;\\\ badeqonidan;\\ muclis Rrus organoebidan;\\\ diafragmidan

\\\\ visceruli warmoSobis muclis tkivili uxSiresadaris:\\ yru, mRrRneli an wvis xasiaTis, difuzuri, cudadlokalizebuli;\\\ intensiuri, mWreli, zusti lokalizaciis;\\\ movliTi xasiaTis, zusti lokalizaciis;\\\ intensiuri,yovelTvis periumbilikaluri

\\\\ mwvave apendicitis klinikuir xasiaTis simulacia bavSvebSiSeiZleba gamoiwvios yvelam, garda erTisa:\\\ mezenteriuli limfadeniti;\\\ mekelis divertikuli;\\ proqtiti;\\\ kronis daavadeba

\\\\ romeli mwvave qirurgiuli paTologiisTvisaa tipiuri sisxlisTiTze reqtaluri gasinjvis dros?\\\ apendiciti;\\ invaginacia;\\\ hirSprungis daavadeba;\\\ kronis daavadeba

\\\\ ras ewodeba muclis qronikuli tkivili?\\\ tkivilis 3 da met epizods 1 Tvis ganmavlobaSi;\\\ mudmiv tkivils 3 Tvis ganmavlobaSi;\\ tkivilis 3 da met epizods 3Tvis ganmavlobaSi fizikuriaqtivobis SezRudviT;\\\ 1-2 epizods 6 Tvis ganmavlobaSi

\\\\ termini peptiuri daavadeba ar gulisxmobs erT-erTnozologias:\\\ gastriti;\\\ duodeniti;\\\ kuWisa da Tormetgoja nawlavis wyluli;\\ gastroezofaguri refleqsi

\\\\ peptiuri wylulis yvelaze xSiri garTuleba bavSvebSi aris:\\\ perforacia;\\ sisxldena kuWnawlavis traqtidan;\\\ penetracia;\\\ pilorostenozi

\\\\ alisferi sisxliThematemezisi metyvelebs, rom dazianeba:\\ kuWis zeviTaa;\\\ kuWSia;\\\ duodenumSia;\\\ wvril nawlavSia

\\\\ romeli mtkicebulebaa araswori wamoqafebis dasaxasiaTeblad?\\\ gamodevnili masa mcire odenobisaa;\\\ wamoqafeba mosdevs kvebas 5-60 wuTSi da win uZRvis gulisrevisSegrZneba;\\\ ar aisaxeba madaze, masis matebis tempze, guneba-ganwyobaze;\\ sakvebi gamoidevneba wneviT\\\\ diareaze marTebulia saubari, Tu adgili aqvs:\\\ defekaciis sixSiris gazrdas;\\\ ganavlis konsistenciis Secvlas;\\\ defekaciis gaxSirebas da ganavlis konsistenciis Secvlas;\\ defekaciis gaxSirebas da ganavlis konsistenciis Secvlas damoculobis gazrdas

\\\\ gauwyloebis xarisxis dasadgenad janmo-s rekomendaciiTfasdeba 4 niSani. CamoTvlilidan romels ar iTvaliswinebs esrekomendacia?\\\ wyurvilis SegrZneba;\\\ mentaluri statusi;\\ ucremlod tirili;\\\ kanis naoWi

\\\\ diareis marTva gulisxmobs pirvel rigSi:\\\ koprologiur gamokvlevas\\\ baqteriologiur gamokvlevas;\\\ antibiotikoTeapiis dauyovnebliv dawyebas;\\ gauwyloebis xarisxis dadgenas da rehidrataciis gegmisSemuSavebas

\\\\ mwvave respiraciuli virusuli infeqciis dawyebidan meoredRes Ramis saaTebSi 2 wlis bavSvS daewyo xmauriani sunTqva dainspiraciuli qoSini, gamoixata neknTaSua arrebis Cadreka,cxviris nestoebis berva, myefavi xasiaTis xvela. Savaraudodiagnozi:\\\ bonquli asTma;\\\ epiglotiti;\\\ bronqioliti;\\ cru krupi

\\\\ arahospitaluri pnevmoniis gamomwvevi 5 wlis zemoT asakisbavSvebSi SesaZlebelia iyos yvela qvemoT CamoTvlili, gardaerTisa:\\\ Streptoccoccus pneumoniae;\\ Pseudomonas aeruginosa;

\\\ Mycoplasma pneumoniae\\\ Haemophilus influenzae

\\\\ romeli Sexedulebaa mcdari bronqiolitis SemTxvevaSi?\\\ uxSiresad gamowveulia respiraciul-sincitiurivirusiT;\\\ gvxvdeba 2 wlamde asakis bavSvebSi;\\\ obstruqcias adgili aqvs wvrili bronqebisa da bronqiolebisdoneze;\\ respiraciuli distresis movlenebi Cveulebriv ar vlindeba\\\\ mwvave Sua yuris anTebis manifestacia Cveulebriv ar xdebaerT-erTi simptomiT:\\\ otalgia, otorea;\\\ cxeleba, Wirveuloba, uari sakvebis miRebaze;\\\ dafis apkis hyperemia da gasqeleba;\\ damxmare kunTebis monawileoba sunTqvaSi

\\\\ mwvave pnevmonia naklebad savaraudoa, Tu pacients axvelebs dasaxezea:\\\ cxeleba > 38 gradusze 3 da meti dRis ganmavlobaSi;\\\ saerTo sisuste da tkivili gulmkerdi midamoSi;\\ anamnezSi gadacdenis da moulodnelad ganviTarebbuli xvelisepizodi\\\ Jangisferi naxveli

\\\\ jan.mo-s rekomendaccis mixedviT 2 Tvemdeasakis CvilisaTvissunTqvis sixSiris zRvrul maCveneblad iTvleba:\\\ 30 da meti;\\\ 40 da meti;\\\ 50 da meti;\\ 60 da meti

\\\\ funqciuri warmoSobis abdominur sindroms safuZvlad udevs:\\\ motorikis cvlilebebi;\\\ visceruli organoebis iSemia;\\\ nawlavuri hiperalgezia;\\ WeSmariti mizezi ucnobia

\\\\ funqciuri wrmoSobis muclis morecidive tkivilisTvis araris damaxasiaTebeli:\\\ tkivilis araregularuli xasiaTi;\\\ arasdros ar aRviZebs bavSvs RamiT;\\ tkivilis progresuli xasiaTi;\\\ bavSvis fizikuri ganviTarebaar ferxdeba

\\\\ kuWis mwvave wyluli ar SeiZleba gamoiwvios:\\\ steroidulma hormonebma;\\ antacidebma;\\\ anTebis sawinaaRmdego arasteroidulma preparatebma;\\\ zogierTma antibiotikma

\\\\ CamoTvlilTagan romeli daavadebis diagnostika SeiZlebaoflis testiT?\\\ celiakia;\\\ glikogenozi;\\\ galaqtozemia;\\ cistofibrozi\\\\ 3 wlis bavSvs Txilis miRebis Semdegmoulodneladgamouvlinda generalizebuli gamonayariqaviliT, tuCebisa daTvalebis SeSUpeba, sunTqvis gaZneleba. Temperature 36.8, sunTqvissixSire 32, maja 90, arteriuli wneva 85/65 mm. vwy. Romelmedicaments ixmarT pirvel rigSi?\\\ suprastini i/v;\\\ prednizoloni oralurad;\\\ hidrokortizoni;\\ epinefrini kanqveS

\\\\ 8 dRis axalSobils, romelic daavadebulia stafilokokuripnevmoniiT, SesaZlebelia, ganuviTardes yvela garTuleba,gardaerTisa:\\\ abscesi;\\\ pnevmoToraqsi;\\ epiglotiti;\\\ empiema

\\\\ romeli Tandayolili imunodeficiturimdgomareobagamovlindeba tetaniiT dabadebisTanave?\\\ viskot-oldrijis sindromi;\\ di-jorjis sindromi;\\\ lui-baris sindromi;\\\ brutonis agamaglobulinemia

\\\\ Sidsis manifestacia bavSvebSi Cveulebriv xdeba CamoTvlilisimptomebidan erT-erTiT:\\\ diarea;\\\ gamonayari kanze;\\\ faringotonzilti;\\ otiti

\\\\ profilaqtikuri acrebis Catarebis winaaRmdeg CvenebadiTvlebaCamoTvlilidan erTi:\\\ diarea;\\\ febriluri gulyra anamnezSi;\\\ atopia;\\ moprogresire nerv-kunTovani daavadebebi

\\\\ dehidrataciis romel xarisxze miuTiTebsuariwylis dalevaze,Cacvenili Tvalebi, kanis naoWiswordeba 2 wamze met droSi?\\\ I xarisxi\\\ \\ xarisxi;\\ \\\ xarisxi;\\\ dehidrataciis klinikuri niSnebi ar aris

\\\\ muclis parituli warmoSobis tkivili gamowveuliapaTologiuri impulsebiT:\\\ nawlavebidan;\\\ RviZlidan, pankreasidan, sanaRvle gzebidan;\\\ saSarde sistemidan;\\ peritoniumidan, jorjlidan, badeqonidan

\\\\ muclis parituli warmoSobis tkivili uxSiresad aris:\\\ yru, mRrRneli xasiaTis, cudad lokalizebuli;\\\ Zlieri intensivobis, sustad lokalizebuli;\\ saSualo an Zlieri intensivobis, zusti lokalizaciis,Zlierdeba xvelis dros;\\\ intensiuri, Zlierdeba defekaciis Semdeg

\\\\ romelma eqstraabdominalurma daavadebebma ar SeiZlebagamoiwvios muclis mwvve tkivili?\\\ respiraciulma daavadebebma (faringiti, pnevmonia, plevriti)\\\ metabolurma darRvevebma (porfiria, Tirkmelzeda jirkvlisukmarisoba, diabeti);\\\ namglisebubrma anemiam;\\ periorbitalurma celulitma

\\\\ peritoneumis gaRizianebis niSnebs ar miekuTvneba:\\\ lokaluri mtkivneuloba;\\\ kunTebis lokaluri rigidoba;\\\ blumbegis niSani;

\\ merfis niSani

\\\\ muclis qronikuli tkivili uxSiresad aris:\\ organuli warmoSobis;\\ funqciuri warmoSobis;\\\ fsiqogenuri warmoSobis;\\\ yvela warmoSobis tkivili erTnairi sixSiriT gvxvdeba

\\\\ wylulovani daavadebebis dros wamyvani Civilia:\\ muclis tkivili;\\\ gulZmarva;\\\ boyini;\\\ gulisreva/Rebineba

\\\\ romeli mtkicebulebaa swori wamoqafebis dasaxasiaTeblad?\\ fiziologiuria 6 Tvemde asakis bavSvebisaTvis;\\\ sakvebi gamoidevneba wneviT;\\\ win uZRvis gulisrevis SegrZneba;\\\ yvela SemTxvevaSi saWiroebs samkurnalo RonisZiebebisgatarebas\\\\ mwvave diareis uxSiresi mizezi yvela asakSi aris:\\ infeqciuri gastroenteritis;\\\ naxSirwylebis malabsorbcia;\\\ adrenogenitaluri sindromi;\\\ antibiotikebis xmareba

\\\\ oraluri rehidraciis winaaRmdegCvenebaa:\\ Seupovari Rebineba;\\\ nawlavTa gaxSirebuli moqmedeba;\\\ meteorizmi;\\\ bavSvis negatiuri damokidebuleba ramis miRebis mimarT

\\\\ rahospitaluri pnevmoniis gamomwvevi 5 wlis zemoT asakisbavSvebSi SesaZlebelia iyos yvela qvemoT CamoTvlili, gardaerTisa:\\\ Streptoccoccus pneumoniae;\\ Clamydia trachomatis;\\\ Mycoplasma pneumoniae;\\\ Haemophilus influenzae

\\\\ 6 Tvidan 5 wlamde asakis bavSvebSi arahospitaluri pnevmoniisuxSiresi gamomwvevebia:\\\ Staphyloccoccus aureus;\\ Streptoccoccus pneumoniae da Haemophilus influenzae;\\\ E. coli;\\\ Clamydia trachomatis;

\\\\ bronqiolitis klinikuri suraTisaTvis ar arisdamaxasiaTebeli:\\\ mkveTri taqipnoe;\\\ sunTqvis meqanikis gaZlierebis niSnebi (vizingi, retrqciebi,damxmare kunTebis monawileoba);\\ intoqsikaciis maRali xarisxi;\\\ difuzuri gafantuli wvrilbuStukovani sveli xixini\\\\ jan.mo-s rekomendaciis mixedviT 1-5 wlis asakisCvilisaTvissunTqvis sixSiris zRvrul maCveneblad iTvleba:\\\ 30 da meti;\\ 40 da meti;\\\ 50 da meti;\\\ 60 da meti

\\\\ pnevmoniis kardinaluri niSnis yvela, garda erTisa\\\ taqipnoe da Sereuli tipis qoSini;\\\ retraqcia da sunTqvaSi damxmare kunTebis monawileoba;\\\ lokaluri perkutoruli da auskultaciuri cvlilebebi;\\ gafantuli wvrilbuStukovani svelixixinebi

\\\\ romeli mosazrebaa mcdari sinusitis SemTxvevaSi:\\\ frontiti iSviaTia 10 wlamde asakis bavSvebSi;\\\ xvelis mizezi postanalizuri drenirebaa;\\\ diagnozi efuZneba klinikur suraTsa da entgenologiurikvlevis Sedegebs;\\ sinusiti saerTod ar gvxvdeba bavSvTa asakSi

\\\\ romeli daavadebis sadiagnostikod ris aucilebeli wvrilinawlavis biofsia?\\\ hirSprungis daavadeba;\\\ cistofibrozi;\\\ gaRizianebuli nawlavis sindromi;\\ celiakia

\\\\ di-jorjis sindromisTvis ar aris tipiuri:\\\ tetania;\\\ yuris niJarebis dabla dogma;\\\ “Tevziseburi” piri\\ telengieqtaziebi

\\\\ romeli daavadebis dros aris xSiri oportunistuliinfeqciebi: kandidozi, kriptokokozi, pnevmocistozi?\\\ tuberkulozi;\\\ autoimunuri daavadebebi;\\ Sidsi;\\\ TORCH infeqciebi

\\\\ profilaqtikuri acris winaaRmdeg Cveneba ar aris:\\ mwvave respiraciuli virusuli infeqcia;\\\ maRali cxeleba (>39 gradusze);\\\ imunodeficituri mdgomareoba;\\\ mZime postvaqcinaluri garTuleba wina analogiur acraze

\\\\ xalazia (gastroezofagurirefleqsi) 4 Tvis bavSvsSesaZlebela, gamouvlindes yvela simptomiT, garda erTisa:\\\ xvela;\\\ Rebineba;\\\ fizikur ganviTarebaSi CamorCena;\\ gonebriv ganviTarebaSi CamorCena

\\\\ ra aris stridori?\\ xmauriani CasunTqva;\\\ xmauriani amosunTqva;\\\ sunTqvis siRrmis gazrda;\\\ sunTqvis gaxSireba

\\\\ ra aris vizingi?\\ xmauriani, mkvnesare amosunTqva;

\\\ xmauriani CasunTqva;\\\ sunTqvis siRrmis gazrda;\\\ sunTqvis sixSiris gazrda

\\\\ ra aris hipernoe?\\\ xmauriani CasunTqva;\\\ xmauriani, mkvnesare amosunTqva;

\\ sunTqvis siRrmis gazrda;\\\ sunTqvis sixSiris gazrda

\\\\ ra aris grunTingi?\\\ xmaurini CasunTqva;\\\ xmauriani, mkvnesare amosunTqva;\\ forsirebuli (gaxangrZlivebuli) amosunTqva;\\\ sunTqvis sixSiris gazrda

\\\\ inspiraciuli retraqciebis saxeebia:\\ suprasternaluri, subkostaluri, interkostaluri;\\\ subkostaluri, interkostaluri, Sereuli;\\\ sternaluri, interkostaluri;\\\ suprastenuli, sternaluri, Sereuli

\\\\ gulmkerdis eqskursia CasunTqvis dros simetriulia orivemxares. eqskursia mcirdeba, roca aris:\\\ sasunTqi gzebis obstruqcia;\\\ ateleqtazi;\\\ pnevmoToraqsi, hemoToraqsi;\\ yvela zemoT CamoTvlili

\\\\ respiraciuli distresis damatebiTi klinikuri niSania:\\\ taqipnoe da/an hipernoe;\\\ inspirciuli retraqciebi;\\\ sunTqvaSi damxmare kunTebis monawileoba;\\ taqikardia

\\\\ qveda sasunTqi gzebis obstruqciis klinikuri niSnebi vlindebaeqspiraciis fazaSi. es niSnebia yvel garda erTisa:\\\ gaxangrZlivebuli amosunTqva;\\\ retraqciebi;\\\ mkvnesare amosunTqva, anu vizingi;\\ stidori

\\\\ filtvis parenqimis dazianebis SemTxvevSi filtvi ufrorigiduli xdeba. amitom saWiroa Zalisxmevis gazrda, saxezea yvelaqvemoT CamoTvlili garda:\\\ taqipnoe;\\\ retraqciebi;

\\\ mkvnesare amosunTqva anu vizingi;\\ grunTingi

\\\\ zeda sasunTqigzebis obstruqciis klinikuri niSnebia yvelagarda erTisa:\\\ stridori;\\\ inspiraciuli retraqciebi;

\\\ damxmare kunTebis monawileoba sunTqvaSi;\\ vizingi

\\\\ rodis aris marTebuli taqipnoeze saubari, roca:\\ sunTqvis sixSire normaze 10%-iT metia;\\\ sunTqvis sixSire normaze 15%_iT metia;\\\ sunTqvis sixSire normaze 20%_iT metia;\\\ sunTqvis sixSire normaze 30%_iT metia

\\\\ bavSvis sasunTqi sistema mozrdili adamianis identuri xdeba:\\ 7-8 wlis asakSi;\\\ 10 wlis asakSi;\\\ 12 wlis asakSi;\\\ 15 wlis asakSi

\\\\ sinusitis klinikuri niSnebia yvela garda:\\\ gaWedili cxviri;\\\ cudi gemo pirSi;

\\\ persistiuli lorwovan-Cirqovani rinorea;\\ hipersalivacia

\\\\ sinusitis instrumentuli kvlevidan kompiuterulitomografiis Cvenebebia:\\\ mZime da Zalian mZime sinusiti;\\\ eWvi garTulebebze;\\ mwvave sinusiti;\\\ morecidive da qronikuli sinusiti\\\\ sinusitis mkurnalobis dros, roca pacients aReniSnebaidiosinkrazia penicilinze alternatiuli saSualebaa:\\ makrolidebi:\\\ aminoglikozidebi;

\\\ sulfanamidebi;\\\ monoftorqinolonebi

IIIIsinusitis garTulebebia yvela garda:\\\ orbitaluri da periorbitaluri celuliti;\\\ epiduruli da subduruli empiema;

\\\ tvinis abscesi da meningiti;\\ evstaqiti

\\\\ romel TveebSi aRiniSneba yvelaze maRali avadoba krupisdros?\\\ seqtemberi-oqtomberi;\\\ ivlisi-agvisto;\\ noemberi-dekemberi;\\\ gvxvdeba erTnairi sixSiriT wlis nebismier dros

\\\\ virusuli krupis klinikuri niSnebia yvela garda erTisa:\\\ myefare xvela;\\\ CaxleCili xma, zogjer afonia;

\\\ stridori;;\\ vizingi

\\\\ saSualo simZimis krupis dros bavSvs areniSneba yvela garda:\\\ stridori mosvenebul mdgomareobaSi;\\\ gamoxatulia inspiraciuli retraqciebi;\\\ tqikardia;\\ Secvlilia cnobiereba

\\\\ mZime krupis dros pacients ar aReniSneba:\\ garemosadmi interesi, siTxis da sakvebis miRebis xalisi;\\\ Zlieri stridori;

\\\ mkveTrad gamoxatuli retraqciebi;\\\ taqikardia da cianozi

\\\\ hospitalizaciis Cvenebebi krupis dros Semdegia:\\\ asaki < 6 Tveze;\\\ saSualo da mZime krupi;

\\\ mZime obstruqciis epizodi anamnezSi;\\ yvela zemoT CamoTvlili

\\\\ virusuli genezis krupis dros mkurnaloba unda daviwyoT:\\\ antibiotikebi;\\\ sulfanamidebi;

\\ steroidebi;\\\ antihistaminuri saSualebebi

\\\\ mZime formis virusuli krupis dros mkurnaloba unda Catardesyvela qvemoT CamoTvlili saSualebiT garda:\\\ oqsigenoTerapia;\\\ budezonidi;\\\ deqsametazoni;\\ antibiotikebi

\\\\ epiglotitis tipiuri klinikuri simptomebia erTis garda:\\\ uecari mwvave dasawyisi;\\\ stridori;\\\ iZulebiTi mjdomare poza ukan gadweuli TaviT;\\ grunTingi

\\\\ epiglotitis uxSiresi etiologiur agentia:\\\ Micoplazma pneumoniae;\\\ Staphylococcus aureus;\\ Haemophilus influenzae B tipis;\\\ Streptococcus pyogenes.

\\\\ epiglotitis marTvaSi wmyvania:\\\ steroidebi;\\ antibiotikebi;\\\ sulfanamidebi;\\\ oqsigenoTerapia

\\\\ mwvave martivi bronqitis eTiologiaSi wamyvania:P\\ virusuli infeqcia;\\\ mikoplazma;\\\ adenovirusuli infeqcia;\\\ qlamidea

\\\\ mwvave martivi bronqitis klinikuri niSnebia yvela garda:L\\\ temperatura 2-3 dRis manZilze;\\\ xvela;\\\ tkivili da Caxexvis SegrZneba mkerdis Zvlis ukan\\ s. u.

\\\\ mwvave martivi bronqitis dros periferiuli sisxlis analizSiaRiniSneba yvela garda:\\ maRali leikocitebi;\\\ leikopenia;\\\ mcired aCqarebuli edsi;\\\ periferiul sisxlSi SeiZleba ar iyos cvlilebebi

\\\\ mwvave martivi bronqitis dros gulmkerdis R gramaze araRiniSneba:\\ wvrilkerovani dazianeba;\\\ sisxlZarRvovani qselis gaZliereba filtvis fesvis areSi:\\\ sisxlZarRvovani qselis gaZliereba qvemomedialurzonebSi;\\\ sisxlZarRvovani qselis gaZliereba

\\\\ mwvave obstruqciuli bronqitis dros aRinSneba yvela garda:\\\ eqspiraciuli qoSini;\\\ damxmare kunTebis monawileoba sunTqvaSi;\\\ vizngi;\\ stridori

\\\\ mwvave obstruqciuli bronqitis dros auskultaciiT armoismineba:\\ krepitacia;\\\ uxeSi mSrali xixini;\\\ sxvadasxva kalibris sveli xixini;\\\ mSrali mstvinavi xixini

33. mwvave bronqiolitis klinikur gamovlinebebSi mniSvnelovaniayvela qvemoT CamoTvlili garda:a) taqipnoe 70-90-mde;b) vizongi;g) grunTingi;\\ stredori

\\\\ mwvave bronqiolitis dros perkusiiT Terapia:\\\ filtvisxmianobis Semokleba;\\\ filtvebis perkusiiT moyrueba;\\ kolofiseburi xmianoba;\\\ ar aris Secvlili

\\\\ mwvave bronqiolitis dros gulmkerdis rentgenogramazeSeiniSneba yvela CamoTvlili garda:\\\ gadaberili filtvebi;\\\ peribronqialuri infiltracia;\\\ wvrili aTeleqtazuri ubnebi;\\ arc erTi zemoT CamoTvlili niSani

\\\\ mwvve bronqiolitisdros gulmkerdis R-gramaze SeiniSnebaqvemoT CamoTvliliyvela niSani garda:\\\ diafragmis qvemoT dogma;\\\ Suasayaris zomebis Semcireba;\\\ segmentis kolafsi;\\ pnevmoToraqsi

\\\\ mwvave bronqiolitis drossasargeblod metyvelebs yvelagarda:\\\ asaki 2 wlamde;\\\ subfebriliteti an febriliteti;\\\ qoSini 70-90;\\ asaki 2-4 weli

\\\\ mwvave obstruqciuli bronqitis dros sasargeblod metyvelebsyvela garda:\\\ kavSiri virusul infeqciasTan;\\\ temperature ar aris, an zomieria;\\\ respiraciuli distresi zomieria;\\ dasawyisi TandaTan

\\\\ mwvave bronqolioliti SeiZleba garTuldes garda:\\\ mediastinuri emfizema;\\\ baqteriuli pnevmonia;\\\ pnevmoToraqsi;\\ arc erTi zemoT CamoTvlili

\\\\ mwvave maoblitirebeli bronqiolitisTvis tipiuria yvelagarda:\\\ moprogresire s. u.\\\ cxeleba;\\\ xvela;\\ sulis SexuTvis Setevebi

\\\\ mwvave martivi bronqitis dros ar iniSneba:

\\ antihistaminuri saSualebebi;\\\ antibiotikebi 3 Tvemde;\\\ antipiretuli saSualebebi 38.5 >\\\ antivirusuli preparatebi

\\\\ mwvave obstruqciuli bronqitis da mwvave bronqiolitis droshospitalizaciis Cvenebebia:\\\ 6 Tveze naklebi asaki;\\\ mZime da Zalian mZime bronqioliti;\\\ oraluri kvebis problemebi;\\ yvela zemoT CamoTvlili

\\\\ neonatebSi pnevmoniis etiologiur stuqturaSi baqteriebidanwamyvania:\\ B jgufis streptokoki;\\\ Haemophylococcus aureus;\\\ Staphylococcus aureus;\\\ A jgufis streptococci

\\\\ nozokomiuri pnevmoniis dros etiologiur struqturaSiwamyvania:\\\ Pseudomonas aeroginoza;\\\ Staphylococcus aureus;\\\ Klebsiella pneumoniae;\\ yvelazemoT CamoTvlili

\\\\ arahospitaluri pnevmoniis gamomwvevi 5 wlis zemoT asakisbavSvebSi SeiZleba iyos yvela CamoTvlili garda erTisa:\\\ Streptococcus pneumoniae;\\ Pseudomoneas aeroginosa;\\\ Mycoplasma pneumoniae;\\\ Haemophylus influenzae

\\\\ mwvave pnevmonia naklebadaa savaraudo, Tu pacients axvelebsda saxezea:\\\ cxeleba > 38 gradusze sami da meti xangrZlivobiT;\\\ saerTo sisuste da tkivili gulmkerdis areSi;\\ anamnezi gadacdenis da uecrad ganviTarebuli xvelis epizodi;\\\ Jangisferi naxveli

\\\\ janmrTelobis msoflio organizaciis rekomendaciis mixedviT2 Tvemde asakis CvilebisaTvis sunTqvis sixSiris zRvrulmaCveneblad iTvleba:\\\ 30- da meti;\\\ 40-da meti;\\\ 50-da meti;\\ 60-da meti;

\\\\ pnevmoniis kardinaluri niSnebia yvelagarda erTisa:\\\ taqipnoe da Sereuli tipis qoSini;\\\ retraqciada sunTqvaSi damxmare kunTebis monawileoba;\\ gafantuli wvrilbuStukovani sveli xixini;\\\ lokaluri perkutoruli da auskultaciuri cvlilebebi

\\\\ saSualo simZimis sazogadoebrivi pnevmoniis mkurnalobaSesaZlebelia binis pirobebSi. Hospitalizaciis kriteriumebiayvela garda:\\\ 3 Tvemde asakis;\\\ saSualo simZimis da mZime respiraciuli distresi;\\\ Catarebuli oraluri antibiotikoTerapiis arefeqturoba;\\ gulmkerdis R-gramaze filtvis konsolidaciis ar arseboba

\\\\ arahospitaluri pnevmoniis antibiotikebiT mkurnaloba binazeunda xorcieldebodes:\\ oraluri gziT;\\\ parenteraluri gziT;\\\ venaSi SeyvaniT;\\\ zemoT CamoTvlili

\\\\ pnevmocisturi pnevmoniis dros pacientis menejmentSi wamyvania:\\ trimetoprim-sulfometaqsazoli;\\\ cefalosporinebi;\\\ aminoglikozidebi;\\\ makrolidebi

\\\\ morecidive bronqitze vsaubrobT maSin, roca is klinikuradgamovlindeba:\\\ xvela 2 Tvis ganmavlobaSi;\\ bronqitis epizodebi 3-4-jer bolo 2 wlis manZilze;

\\\ bronqitis epizodi weliwadSi 3-jer;\\\ bronqiti zamTris periodSi 3-jer

\\\\ mwvave obstruqciuli bronqitis dros paTologuri procesilokalizdeba:\\ msxvil da saSualo kalibris bronqebSi;\\\ wvrili kalibris bronqebSi;\\\ bronqiolebSi;\\\ alveolebSi

\\\\ romelia mwvave obstruqciuli bronqitis tipiuri simptomi?\\\ SeteviTi xvela;\\\ xvela uxvinaxveliT;\\ gafantuli mstvinavi xvela;\\\ wvrilbuStukovani sveli xixini

\\\\ romelia mwvave bronqiolitis ganviTarebisTvis pikuri asaki?\\ 5-6 Tve;\\\ 9-10 Tve;\\\ 1-3 weli;\\\ 2-4 weli

\\\\ romeli asakis pacientebi eqvemdebarebian hospitalizaciassazogadoebrivi pnevmoniis dros simZimis miuxedavad?\\ 3 Tvemde;\\\ 1 wlamde;\\\ 2 wlamde;\\\ 5 wlamde

\\\\ ra igulsxmeba pnevmoniis paTogenezur TerapiSi?\\\ xvelis Semcireba;\\\ temperaturis marTva;\\ hipoqsiis daZleva;\\\ tkivilis moxsna

\\\\ romeli preparatebi ar gamoiyeneba binaze ganviTarebulipnevmoniis inicialuriTerapiisTvis:\\\ makrolidi;\\\ penicilinis rigis preparatebi;\\ farTo speqtris cefalosporinebi;\\\ arc erTi CamoTvlili

\\\\ mukoviscidozis paTogenezs safuZvlad ar udevs:\\\ ekzokrinuli jirkvlebis dazianeba;\\\ eleqtrolituri cvlis darRveva;\\ endokrinuli jirkvlebis dazianeba;\\\ SemaerTebeli qsovilis dazianeba

\\\\ mukoviscidozis sadiagnostikod oflSi qloridebisSemcveloba unda iyos:\\\ 30 mmol/l-ze naklebi;\\\ 30 mmol/l-ze meti;\\\ 60 mmol/l-ze naklebi;\\ 60 mmol/l-ze meti

\\\\ bronqografiuli monacemebiTYmukoviscidozistvisdamaxasiaTebeli tipiuri niSnebi ar aris:\\\ bronqebis gavrcelebuli deformacia;\\\ wveTiseburi bronqoeqtazebi;\\ bronqebis gantotebebis ricxvis gazrda;\\\ sqeli, webovani naxveli, romelic msxvil bronqebSi ZafebissaxiTaa warmodgenili;

\\\\ mukiviscidozis dros dif. Ddiagnozi unda gatardes:\\\ celiakiasTan:\\\ brutonis agamaglobulinemisTan;\\\ disimunoglobulinemiis III tipTan (IgG-is deficiti);\\ yvela zemoT CaoTvlilTan

\\\\ romeli PH mgrZnobiare kafsulis mqone fermenti gamoiyenebamukoviscidozis dros:\\\ kreoni;\\\ prolipaza;\\\ likreaza;\\ yvela zemoT CamoTvlili

\\\\ romeli klinikuri formebi Sedis mukoviscidozisklasifikaciaSi?\\\ filtvisa da nawlavuri forma;\\\ RviZlisbiliaruli cirozi;\\\ siyviTliT mimdinare forma;\\ yvela zemoT CamoTvlili

\\\\ mukoviscidozis dros ganavalSi aRiniSneba:

\\\ lorwos arseboba;\\\ sisxlis arseboba;\\ trifsinis daqveiTeba;\\\ yvela zemoT CamoTvlili

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