Juvenile Rheumatoid Arthritis Risk Factors

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Questions and Answers

What may not be a risk factor for the development of juvenile rheumatoid arthritis in children?

a history of exudative-catarrhal diathesis

joint injury

reaction to vaccination (correct)

frequent ARVI

What is not typical for neuro-arthritic diathesis in children?

accelerated psychomotor development

acetonemic vomiting

urolithiasis

frequent ARVI (correct)

Which test will not help establish the diagnosis of hemorrhagic vasculitis?

titer ASLO, ASG

blood platelets

bleeding time

hemoglobin level (correct)

What does not cause the pathogenesis of hemorrhagic syndrome in hemorrhagic vasculitis?

hemolysis of erythrocytes Signup and view all the answers

What is the most common daily blood pressure profile in a healthy person?

dipper Signup and view all the answers

Which ECG lead is the most informative for bicycle ergometry for the diagnosis of ischemia?

V5 Signup and view all the answers

What is not characterized by a lengthening of the bleeding time?

hemolytic anemia Signup and view all the answers

What does not increase plasma osmolarity?

drinking alcohol Signup and view all the answers

Where can medical assistance be provided?

Outside a medical organization, on an outpatient basis, in a day hospital, and on an inpatient basis Signup and view all the answers

When was the idea of social progress explicitly formulated?

In the philosophy of the Enlightenment Signup and view all the answers

What is the most optimal model of communication between a medical professional and a patient in a market form of healthcare organization?

Negotiable model Signup and view all the answers

Which Russian writer's work belongs to the 'golden age' of Russian literature?

A.S.Pushkin Signup and view all the answers

Who is the outstanding medieval surgeon who created the doctrine of the treatment of gunshot wounds?

Ambroise Paré Signup and view all the answers

What is the clinical term for 'inflammation of the tonsils'?

Tonsillitis Signup and view all the answers

What are the objective characteristics of sound?

Volume, intensity, frequency of sound Signup and view all the answers

What is the scope of medical assistance in terms of supervision and treatment?

Various levels of medical supervision and treatment Signup and view all the answers

Blood circulation in the mesentery of the intestine is not disturbed when?

shrinkage Signup and view all the answers

Which of the following symptoms is characteristic of hydropic gallbladder?

Pain in the right subcostal area Signup and view all the answers

What is the characteristic of deep caries?

Spontaneous pains, radiating, constant Signup and view all the answers

Where are non-gunshot open diaphyseal fractures more common?

Lower leg Signup and view all the answers

What is not a characteristic of the clinical picture of acute blood loss?

Bradycardia Signup and view all the answers

What is the most informative method for diagnosing endometrial pathology?

Histological examination of scrapings from the uterine cavity Signup and view all the answers

When is abortion characteristic for isthmic-cervical insufficiency?

After 16 weeks of pregnancy Signup and view all the answers

Which of the following is not a symptom of hydropic gallbladder?

Eosinophilia Signup and view all the answers

What is the first aid in case of a penetrating wound of the eyeball with the prolapse of the membranes?

imposition of an aseptic dressing and urgent transportation to the ophthalmological department Signup and view all the answers

What is the cause of death in reflex (syncope) type of drowning?

reflex cardiac arrest Signup and view all the answers

What is the main purpose of the medical evacuation route?

to reduce mortality and disability of people Signup and view all the answers

What is the characteristic onset of pneumonia in injuries and wounds of certain anatomical areas?

in the first hours and days Signup and view all the answers

Where is the characteristic localization of pain in the pathology of the pancreas?

in the epigastric region above the navel Signup and view all the answers

What is the primary goal of the medical evacuation route?

to reduce mortality and disability of people Signup and view all the answers

What is the main purpose of the first aid in case of a penetrating wound of the eyeball?

to transport the patient to the ophthalmological department Signup and view all the answers

What is the medical evacuation route?

a set of measures for the delivery of the wounded and sick from the area of occurrence of sanitary losses to medical centers Signup and view all the answers

What is the most informative method for diagnosing the disease?

gastroduodenoscopy Signup and view all the answers

What contributes to the development of strangulated intestinal obstruction?

all of the above Signup and view all the answers

What is a typical complication of acute cholecystitis?

Biliary peritonitis Signup and view all the answers

What is the percussion response in acute apical periodontitis?

sharply painful Signup and view all the answers

What determines the severity of an open non-ballistic fracture?

the severity and extent of soft tissue damage Signup and view all the answers

What treatment is typically used for fractures of the 'Malgenya' type?

osteosynthesis of the pelvic bones Signup and view all the answers

What symptoms are not typical for the clinic of preeclampsia?

diarrhea, vomiting Signup and view all the answers

What is the most effective method for removing a submucous myomatous node on a thin base?

hysteroresectoscopy Signup and view all the answers

Study Notes

Risk Factors for Juvenile Rheumatoid Arthritis

A history of exudative-catarrhal diathesis is not a risk factor for the development of juvenile rheumatoid arthritis in children.
Frequent ARVI (Acute Respiratory Viral Infections), reaction to vaccination, and an increase in temperature with ARVI are potential risk factors for juvenile rheumatoid arthritis.

Neuro-Arthritic Diathesis in Children

Acetonemic vomiting, urolithiasis, and arthralgia are typical characteristics of neuro-arthritic diathesis in children.
Frequent ARVI and accelerated psychomotor development are not typical characteristics of neuro-arthritic diathesis in children.

Laboratory Tests for Hemorrhagic Vasculitis

Titer ASLO (Antistreptolysin O) and ASG (Antistreptococcal antibody) are laboratory tests that can help establish the diagnosis of hemorrhagic vasculitis.
Immunoglobulins, blood platelets, and bleeding time are not specific laboratory tests for hemorrhagic vasculitis.

Pathogenesis of Hemorrhagic Syndrome

Changes in the integrity of the vascular wall and thrombocytopenia contribute to the pathogenesis of hemorrhagic syndrome in hemorrhagic vasculitis.
A decrease in the procoagulant activity of coagulation factors, a decrease in the activity of 6-glucose phosphatesterase, and hemolysis of erythrocytes are not directly related to the pathogenesis of hemorrhagic syndrome.

Daily Blood Pressure Profile

A "dipper" type of daily blood pressure profile is characterized by a normal decrease in blood pressure during sleep.
"Over-dipper", "non-dipper", and "night-peaker" are other types of daily blood pressure profiles.

ECG Lead for Bicycle Ergometry

Lead V5 is the most informative ECG lead for bicycle ergometry in the diagnosis of ischemia.

Bleeding Time

A lengthening of the bleeding time is characteristic of thrombocytopenias of various origins, thrombocytopathies, and disseminated intravascular coagulation.

Plasma Osmolarity

An increase in sodium, hyperglycemia, and an increase in urea are reasons for the increase in plasma osmolarity.

Blood Circulation in the Mesentery

Tortion, obturation, and intussusception can disturb blood circulation in the mesentery of the intestine.
Nodulation and shrinkage are not directly related to blood circulation in the mesentery.

Clinical Symptoms of Hydropic Gallbladder

An increased gallbladder, pain in the right subcostal area, and jaundice are characteristic clinical symptoms of hydropic gallbladder.

Deep Caries

Deep caries is characterized by short-term pains from irritants, which quickly disappear after the elimination of the irritant.

Non-Gunshot Open Diaphyseal Fractures

Non-gunshot open diaphyseal fractures are more common in the area of the lower leg.

Clinical Picture of Acute Blood Loss

Weakness, thirst, dizziness, and tachycardia are characteristic of the clinical picture of acute blood loss.
Bradycardia is not typical of acute blood loss.

Diagnosing Endometrial Pathology

Hysteroscopy and histological examination of scrapings from the uterine cavity are the most informative methods for diagnosing endometrial pathology.

Isthmic-Cervical Insufficiency

Abortion is characteristic of isthmic-cervical insufficiency, and it usually occurs after 16 weeks of pregnancy.

Medical Assistance

Medical assistance can be provided in various conditions, including outside a medical organization, on an outpatient basis, in a day hospital, or on an inpatient basis.

The idea of social progress was formulated in the philosophy of the Enlightenment.

Models of Communication

The negotiable model is the most optimal model of communication between a medical professional and a patient within the framework of the market form of healthcare organization.

Russian Literature

The work of A.S. Pushkin belongs to the "golden age" of Russian literature.

Medieval Surgeon

Ambroise Paré is an outstanding medieval surgeon who created the doctrine of the treatment of gunshot wounds.

Clinical Term for Inflammation of the Tonsils

Tonsillitis is the clinical term for inflammation of the tonsils.

Objective Characteristics of Sound

Volume, intensity, and frequency of sound are the objective characteristics of sound.

First Aid in the Polyclinic

In case of a penetrating wound of the eyeball with the prolapse of the membranes, first aid in the polyclinic consists of the imposition of an aseptic dressing and urgent transportation to the ophthalmological department.

Cause of Death in Reflex Drowning

Reflex cardiac arrest is the cause of death in reflex (syncope) type of drowning.

Medical Evacuation Route

A medical evacuation route is a system of measures aimed at the fastest and possibly complete return to work, the maximum reduction in mortality and disability of people who have received injuries or diseases.

Pneumonia

The onset of early pneumonia is characteristic of injuries and wounds of the shoulder-scapular, maxillofacial, and pelvic areas.

Pancreas Pathology

The characteristic localization of pain in the pathology of the pancreas is in the epigastric region above the navel, or in the upper third of the abdominal cavity, girdle type.

Diagnosing Disease

Celiacography, ultrasound examination, and gastroduodenoscopy are informative methods for diagnosing disease.

Strangulated Intestinal Obstruction

A long narrow mesentery, adhesions of the abdominal cavity, a sudden increase in intra-abdominal pressure, and overeating after prolonged fasting contribute to the development of strangulated intestinal obstruction.

Complications of Acute Cholecystitis

Perivesical abscess, biliary peritonitis, and empyema of the gallbladder are typical complications of acute cholecystitis.

Acute Apical Periodontitis

In acute apical periodontitis, percussion response is sharply painful.

Open Non-Ballistic Fracture

The severity of an open non-ballistic fracture is determined by the presence of a bone fragment protruding into the wound, the presence of arterial, venous or mixed bleeding from the wound, and the severity and extent of soft tissue damage.

Treatment of Fractures

For fractures of the "Malgenya" type, treatment should be in the position according to Volkovich, with coxite plaster cast, or with skeletal traction.

Preeclampsia

Arterial hypertension, proteinuria, edema, tachycardia, headache, and vision changes are typical symptoms of preeclampsia.

Submucous Myomatous Node

Hysteroresectoscopy is the most effective method for removing a submucous myomatous node on a thin base.

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Description

Identify the risk factors for the development of juvenile rheumatoid arthritis in children. Answer questions about medical history, diathesis, and joint health.