Children's Health Assessment Quiz
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Questions and Answers

What is one criterion used to assess a newborn's health level?

  • Level of resistance of the organism (correct)
  • Parental education level
  • Socioeconomic status
  • Level of academic achievement
  • Which health group includes children who have no health deviations?

  • Group II B
  • Group IV
  • Group I (correct)
  • Group III
  • What characterizes children in Group II B?

  • Healthy with minor single deviations
  • Prone to chronic pathology and increased morbidity (correct)
  • Experiencing rehabilitation for chronic pathology
  • No health risks and optimal development
  • What is a primary goal of therapeutic measures for patients with stage I-II COPD?

    <p>To encourage physical training and exercise</p> Signup and view all the answers

    What is the goal of rehabilitation for sick and disabled individuals?

    <p>To ensure early return to productive activities</p> Signup and view all the answers

    What describes children in the fourth health group?

    <p>Sick children with chronic pathology in a state of subcompensation</p> Signup and view all the answers

    Which measure is essential for preventing disease progression in COPD patients?

    <p>Smoking cessation</p> Signup and view all the answers

    At which stages of COPD is oxygen therapy mandatory?

    <p>Stage III-IV</p> Signup and view all the answers

    Which criterion does NOT relate to the assessment of a child's health?

    <p>Dietary restrictions</p> Signup and view all the answers

    Which aspect of rehabilitation is highlighted as beneficial according to the American and European Respiratory Societies?

    <p>Quality of life improves</p> Signup and view all the answers

    Which group includes children who have chronic pathology but are in a rehabilitation state?

    <p>Group V</p> Signup and view all the answers

    Dispensary observation is aimed at achieving what outcome for children with diseases?

    <p>Maximizing compensation of defects or changes</p> Signup and view all the answers

    What is recommended as a part of rehabilitation for stage I COPD patients?

    <p>Regular sanatorium-and-spa treatment</p> Signup and view all the answers

    Which of the following is NOT included in the non-drug rehabilitation measures for COPD patients?

    <p>Medical surgery</p> Signup and view all the answers

    What type of exercises are indicated for all stages of COPD?

    <p>Breathing exercises</p> Signup and view all the answers

    What is a significant result of effective respiratory rehabilitation in COPD patients?

    <p>Reduction in the number of hospitalizations</p> Signup and view all the answers

    What is a primary requirement that screening research methods must satisfy?

    <p>Proven medical and economic efficiency</p> Signup and view all the answers

    Who should receive in-depth preventive counseling during the second stage of clinical examination?

    <p>Citizens under 72 with atherosclerosis</p> Signup and view all the answers

    At what stage is chronic obstructive pulmonary disease screened for patients?

    <p>At the first stage based on a questionnaire</p> Signup and view all the answers

    What type of monitoring forms are employed in active health monitoring?

    <p>Preliminary, targeted, periodic</p> Signup and view all the answers

    Which population is specifically assessed for risks of harmful consumption of substances?

    <p>Citizens at risk for substance abuse without prescriptions</p> Signup and view all the answers

    What distinguishes the third stage of clinical examination?

    <p>Invitations for patients under dispensary supervision</p> Signup and view all the answers

    What does the term 'targeted' refer to in medical examinations?

    <p>Exams designed for specific health conditions or populations</p> Signup and view all the answers

    Which option correctly aligns with the sensitivity and specificity requirement for screening methods?

    <p>High sensitivity and high specificity</p> Signup and view all the answers

    What is the primary goal of electrophoresis of novocaine?

    <p>Improving functional state of the liver</p> Signup and view all the answers

    What therapeutic effect does SMT therapy primarily aim to achieve?

    <p>Blood circulation in the liver</p> Signup and view all the answers

    Which of the following is NOT a purpose of mud applications?

    <p>Increasing appetite</p> Signup and view all the answers

    What is a common contraindication for mud therapy?

    <p>Subacute pancreatitis</p> Signup and view all the answers

    What therapeutic purpose does laser therapy serve?

    <p>Providing reparative and analgesic effects</p> Signup and view all the answers

    Which condition should be avoided when opting for shared baths?

    <p>Acute inflammatory conditions</p> Signup and view all the answers

    What is a primary objective of rehabilitation for urological diseases?

    <p>Restoring functional activity of the pelvic organs</p> Signup and view all the answers

    Which of the following is a notable aim of mud therapy?

    <p>Reducing lithogenic properties of bile</p> Signup and view all the answers

    What is the primary therapeutic component of speleotherapy in salt mines?

    <p>Fine aerosol of sodium and other salts</p> Signup and view all the answers

    How does inhalation of aerosols in speleotherapy benefit patients?

    <p>It promotes sputum liquefaction and removal.</p> Signup and view all the answers

    What effect do aerosols of salts have on the respiratory tract?

    <p>They have a bacteriostatic effect.</p> Signup and view all the answers

    What is a benefit of pulsed electrotherapy for patients with respiratory issues?

    <p>It causes relaxation of smooth muscles in the bronchi.</p> Signup and view all the answers

    What is the role of pelotherapy in the treatment of bronchial conditions?

    <p>It has anti-inflammatory and dissolving effects.</p> Signup and view all the answers

    What are vibro-thermomagnetic therapy devices used for?

    <p>To provide combined exposure to magnetic fields, vibration, and heat.</p> Signup and view all the answers

    What is the main cause of death and disability associated with cardiovascular pathology?

    <p>Cardiovascular diseases</p> Signup and view all the answers

    In Russia, how many people die annually from cardiovascular diseases per 100,000 population?

    <p>700</p> Signup and view all the answers

    What is the primary aim of physical methods of treatment for osteoarthritis?

    <p>To relieve pain and restore function</p> Signup and view all the answers

    Which method involves the use of low-frequency alternating magnetic fields?

    <p>Magnetic bracelets and knee pads</p> Signup and view all the answers

    What effect does UV irradiation have in the treatment of osteoarthritis?

    <p>Creates photodegradation products that aid in pain relief</p> Signup and view all the answers

    Which therapeutic method is NOT classified as analgesic?

    <p>Low-intensity UHF therapy</p> Signup and view all the answers

    What is the primary effect of transcutaneous electrical nerve stimulation in osteoarthritis treatment?

    <p>It reduces pain by suppressing pain signals</p> Signup and view all the answers

    Which biological components are believed to be influenced by UV irradiation during treatment?

    <p>Immunoglobulins A, M, and E</p> Signup and view all the answers

    What is the proposed mechanism behind the pain relief from magnetic therapy for knee osteoarthritis?

    <p>It modulates afferent signal flow to the CNS</p> Signup and view all the answers

    Which treatment method is specifically designed to address inflammation in osteoarthritis?

    <p>Low-intensity UHF therapy</p> Signup and view all the answers

    Signup and view all the answers

    Study Notes

    Family Medicine: General Provisions

    • Family medicine provides general care for patients, regardless of age or sex.
    • The main duties of a family doctor include outpatient care, home visits, and organizing day and home hospitals.
    • The doctor also carries out medical diagnostics and treatment, provides first and perinatal help, and conducts minor surgery.

    Principles of Dispensary

    • Dispensary care is a key part of preventive healthcare, focused on maintaining public health.
    • Dispensary care aims to identify, prevent and control disease, to prevent morbidity, disability and mortality, and to achieve active longevity.
    • A dispensary's purpose includes forming, preserving, and strengthening public health.

    Peculiarities of Medical Examination of Different Groups of the Population

    • Medical examinations are tailored to the individual needs and characteristics of different groups.
    • For example, specific considerations apply to monitoring pregnant women, children, workers in essential industries/agriculture, and chronically ill patients.

    Prevention in Medicine

    • Prevention encompasses various activities aimed at identifying and eliminating/reducing the causes of illnesses and injuries in individuals, groups, and the general population.
    • Primordial prevention focuses on eliminating risk factors for developing disease.

    Main Functions of a Family Physician

    • Outpatient reception & home visits.
    • Organization of day/home hospitals.
    • Medical/diagnostic, rehabilitation, and preventative measures.
    • Providing emergency and emergency medical care.
    • Assisting families in resolving medical/social problems.
    • Establishing trusting relationships with patients and their families.
    • Collaborating with colleagues & consultative services.
    • Anti-epidemic measures.
    • Reporting infectious disease cases to the relevant authorities.

    Clinical Examination

    • Clinical examination involves continuous monitoring of populations' health through preventive, diagnostic, and therapeutic measures
    • Comprehensive medical examination is a crucial component of public health.
    • The main objective of clinical examination is to combat socially dangerous diseases such as tuberculosis.

    Main Tasks of Medical Examination of the Population

    • Assessment of health status through regular preventive examinations.
    • Dynamic monitoring for people in various health conditions.
    • Identification/elimination of disease-causing factors.
    • Encouraging healthy lifestyles.
    • Implementing medical and recreational programs.
    • Enhancement of the quality and efficiency of medical care.

    Types of Counseling

    • Preventive counseling is a critical component of the medical examination process, aimed at encouraging patient engagement in health maintenance and disease prevention.
    • Individualized preventive counseling is tailored to patients with specific risk factors.
    • Brief counseling is focused, efficient, and regularly incorporated into clinical appointments.
    • In-depth counseling is a more comprehensive intervention used in targeted populations.

    Medical Examination by Categories

    • Citizens under 72 with cardiovascular diseases, chronic ischemic lower extremities are subject to medical examinations.
    • Citizens with risk factors for alcohol, drug or substance abuse also need medical examinations.
    • Citizens over 75 are assessed for risk factors that may lead to senile asthenia.

    Diagnostic Criteria for Risk Factors and Other Pathological Conditions

    • Elevated blood pressure is a systolic blood pressure of 140 mm Hg or higher, or a diastolic pressure of 90 mm Hg or higher
    • Hypercholesterolemia involves a total cholesterol level of 5 mmol/L or more.
    • Hyperglycemia means fasting plasma glucose level of 6.1 mmol/L or more.
    • Smoking involves cigarette use of one or more cigarettes daily.

    Basis of Preventive Work of a Pediatrician

    • Pediatricians use a six-criterion assessment system.
    • First criterion evaluates developmental deviations in the ontogenetic/biological, sociological, and genealogical aspect.
    • Second criterion evaluates levels of physical development.
    • Third criterion analyzes neuropsychological development.
    • Fourth criterion assesses the organism's resilience.
    • Fifth criterion evaluates the body's functional state.
    • Sixth criterion checks for the presence/absence of chronic diseases or developmental defects.

    Groups of Dispensary Observation

    • Group I - Healthy individuals without noticeable deviations.
    • Group II- Healthy but with a potentially unfavorable genetic history, or with elevated risk factors for chronic disease.
    • Group III - Diagnosed with chronic disorders requiring supervision.
    • Group IV- Children with chronic/acute disorders.
    • Group V - Children with chronic disorders that need special attention.

    Medical Rehabilitation

    • Includes various specialists (medical, social, pedagogical, legal, occupational).
    • Aims at restoring patients to complete health or achieving maximum compensation for defects and illnesses.
    • Includes specific measures to meet patient health needs and to adjust the medical examination methods.
    • Utilizes various methods, including physiotherapy, drug therapy, and clinical nutrition.

    Organization Principles of Medical Rehabilitation

    • Early use of rehabilitation measures for childhood diseases
    • Tailor-made rehabilitation programs to address the specific characteristics of each child.
    • Continuous and consistent use of all the available rehabilitation methods.
    • Simple and affordable rehabilitation methods and healthcare facilities.
    • Active and informed participation of parents in planning child's rehabilitation program.
    • Including therapeutic, medications, mineral waters and herbal medicine.

    Stages of Medical Rehabilitation

    • First stage: stabilizing the treatment result during acute/exacerbated periods
    • Second stage: continuous dispensary observation and monitoring of treatment effectiveness
    • Third stage: rehabilitation through sanatorium resorts, aiming for complete resolution of the disease

    Documents & Procedures for Admission to a Sanatorium

    • Sanatorium card, providing information on diseases, tests done and vaccinations.
    • Certificates from different specialists (infectious patients, dermatologist and doctor of the general practice), confirming the absence of infectious diseases
    • Specific study results on causative agents of certain diseases

    Types of Rehabilitation

    • Social rehabilitation: securing resources, including accommodations and mobility aids, for people with disabilities.
    • Vocational rehabilitation: providing vocational training or employment support.
    • Medical rehabilitation: focused physical therapy, and other treatment modalities.

    Medical Rehabilitation Methods

    • Psychotherapy: Addressing psychological issues, taking into account the individual's preferences and attitude towards the disease.
    • Physical: Exercise therapy, massage, breathing exercises, and other.
    • Medications: Using targeted pharmacotherapy to aid in recovery.
    • Procedures: Using interventions like operations and prosthetics.
    • Diet therapy : Establishing dietary recommendations for healthy eating habits.
    • Employment therapy: Encouraging patient engagement in daily tasks, including household chores, to enable functional abilities.

    Principles of Medical Rehabilitation for Patients with Myocardial Infarction

    • Early intervention within the first stage of the acute condition.
    • Post-hospital rehabilitation in a specialist facility or local sanatorium.
    • Continuous secondary prevention (outpatient/clinic) and spa procedures.
    • The most effective methods include laser therapy (low-intensity infrared or red light).
    • The therapy also has other effects, including reducing platelet aggregation, improving microvascularization and having antiarrhythmic effects.

    Medical Rehabilitation after Operations on Digestive Organs

    • Rehabilitation programs begin within 2-3 weeks post-surgery, focused on recovery and prevention.
    • Medicinal and non-medicinal remedies are used to reduce postoperative inflammation.
    • Methods include physical therapy, such as mineral water drinking.
    • Other methods may include techniques like novocaine and mud electrophoresis, diadynamic therapy and amplipulse therapy.

    Medical Rehabilitation for Patients after Gallbladder Surgery and Bile Ducts

    • The program aims to prevent issues and accelerate return to work/daily life.
    • Rehabilitation focuses on balneological and physiotherapy methods.
    • Crucial methods to rehabilitate patients rapidly include mineral water drinking with predominant sulfate, magnesium, calcium, sodium in the water.
    • UHF therapy is used to address inflammation and promote tissue regeneration.

    Medical Rehabilitation in Urological and Nephrological Diseases

    • The program aims to reduce the duration of disability and improve body functions.
    • Methods focus on addressing inflammation, improving tissue development and restoring organ function.
    • General contraindications are acute/severe illnesses, and severe mental illnesses hindering effective rehabilitation.
    • Physical methods: managing pain, promoting urination (diet and exercises),
    • Methods such as mud or electrophoresis therapy

    Medical Rehabilitation after Injuries and Diseases of the Musculoskeletal System

    • The purpose is to reduce disability, improve body functions and reduce pain.
    • Rehabilitation involves methods to prevent joint deformities.
    • Effective treatment normally involves eliminating the source of pain/loss of function.
    • General contraindications involve conditions such as severe illnesses, intellectual/non-intellectual impairments, and conditions impacting a patient's ability to effectively participate in treatment.

    Bruises

    • Physical methods:
      • Local cryotherapy (applying cold)
      • Electrophoresis (medications through electrical mediums)
      • UV irradiation
      • Diadynamic and amplipulse therapy
      • Interference therapy

    Vasoconstrictive & Lymphatic Drainage Methods

    • Cooling compress
    • Alcohol compresses (increasing osmotic pressure)

    Vasodilating Methods

    • Infrared irradiation: enhancing capillary dilation
    • Magnetotherapy: improving blood circulation and lymphatic drainage
    • Warming compresses: local heating

    Anti-inflammatory Methods

    • Using heat exposure methods carefully as they can worsen inflammation
    • Targeting and suppressing inflammation
    • Stimulating immune response using leukocytes
    • Using methods that aid the body's healing response

    Trophostimulating Methods

    • Physical therapy exercises during and outside of disease exacerbation periods
    • Dynamic exercises to improve functioning/reduce pain
    • Exercises are specifically designed for the stage of the disease (acute or remission)

    Massage Methods

    • Effective in improving peripheral blood flow
    • Activating peripheral nervous tissue

    Sanatorium Treatment

    • Employing various therapeutic methodologies, including balneotherapy, to alleviate metabolic disorders, and functional problems/syndromes in the body

    Therapeutic Mud Stimulates

    • Promoting anabolic processes and inhibiting catabolic processes in joint tissues
    • Improving nutrient/energy delivery to cartilage tissues
    • Triggering steroid formation processes and modulating body's immune response, therefore aiding in tissue recovery.

    Anti-inflammatory Methods (continued)

    • Focusing efforts on suppressing inflammatory components and improving cellular functioning
    • Promoting immune reactions, targeting underlying causes and accelerating healing
    • Assisting in the reduction of swelling, pain, and the prevention of complications

    Principles of Medical Rehabilitation for Patients with Myocardial Infarction (continued)

    • Immediate measures to stabilize conditions in acute MI
    • Post-hospital rehabilitation program to restore function and prevent complications/syndromes
    • Constant supervision and guidance throughout the rehabilitation process
    • Laser therapy's effectiveness in improving circulation.

    Fundamentals of Medical Rehabilitation for Post-Stroke Patients

    • Early start in hospital, addressing early complications rapidly.
    • Specialized rehabilitation centers or local sanatorium.
    • Emphasizing on restoring function/addressing neurological or physical impairments.
    • Rehabilitation therapy includes treatments like medicine, massage, electrical stimulation, and physiotherapy exercises.

    The Second Stage of Medical Rehabilitation

    • Focus on restoring motor skills, improving compensatory mechanisms.
    • Emphasizing on physiotherapy which may involve manual therapy, cryotherapy, magnetotherapy and heat treatments.
    • Active participation for patients to re-engage in their communities through physical activity and occupational therapy.

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