ࡱ> !bjbj$$4RF|F|%8Hl\y{"222   zzzzzzz$q|D{-     {223{000 22z0 z00sy2 ؖ|%vJzI{0y{vW-VWyWy  0     {{50   y{    W         ( :Primary cardiomyopathies in children Simple choice 1. The most frequent form of primary cardiomyopathy in children is: A. Hypertrophic cardiomyopathy B. Acute myocarditis C. Dilative cardiomyopathy D. Restrictive cardiomyopathy E. Peripartum cardiomyopathy 2. In the diagnosis of acute myocarditis in children the molecular biology techniques are used to confirm: Myocytar necrosis Virus presence Cellular apoptosis Myocardium inflammation Interstitial fibrosis In suckling babies acute fulminant myocarditis frequently begins with: A. Absence of cardiac failure signs B. Signs of acute respiratory infection C. Digestive signs D. Cardiogenic shock E. Febrile convulsions 4. Which clinical sign is characteristic for acute myocarditis onset in older children: A. Congestive cardiac failure B. Acute respiratory infection C. Arterial hypertension D. Acute gastrointestinal infection E. Difficulties of alimentation 5. In the diagnosis of acute myocarditis in children the characteristic echocardiographic sign is: Advanced pulmonary hypertension Decreased left ventricle ejection fraction Right ventricle myocardium hypertrophy Presence of pericardic effusion Mitral insufficiency 6. Which of the following is not recommended to administer in the treatment of acute viral myocarditis in children: Antivirals Steroid antiinflammatory preparations Antiarrhythmics Diuretics Inotrope positive preparations 7. The treatment of dilative cardiomyopathy in children includes the following except: Endocardectomy Therapy of cardiac failure syndrome Prevention of thromboembolic disoders Arrhythmia therapy E. Heart transplantation 8. The Holter monitoring is indicated in childrens primary cardiomyopathies in: Idioventricular rhythm on standard ECG Dyspnea at rest Each child suspected of primary cardiomyopathy Tachycardia Peripheral edemas 9. In primary cardiomyopathy in children the obligatory diagnosis methods are the following, except: A. Endomyocardial biopsy B. ECG with Holter recording C. Echocardiography D. Complete familial inquiry E. Cardiopulmonary radiography Hypertrophic cardiomyopathy in children differs from that in adults by the following criterion: A. Left ventricular hypertrophy B. More unfavourable prognosis C. It does not need any follow -up D. Absence of arrhythmic complications E. Syncopes Multiple choice 1. The etiological classification divides primary cardiomyopathies into the following groups: A. Genetic B. Acute C. Restrictive D. Viral E. Mixed 2. The blood specific markers used in the diagnosis of acute myocarditis in children are : Creatininkinase fraction MB Cardiac troponine T Lactatdehydrogenase fractions 1,2 Antistreptolysin O Cardiac troponine I 3. The most common etiological viral factors involved in childrens acute myocardites development are: Coxsackie A Coxsackie B Adenovirus Herpesvirus TrCpanosoma cruzi 4. The instrumental noninvasive investigations used in children to confirm the diagnosis of myocarditis are: X-ray chest Endomyocardial biopsy Electrocardiography Cardiac catheterism Echocardiography 5. The electrocardiographic changes suggestive for acute myocarditis in children are: A. Incomplete block of His fascicle right bundle Sinus tachycardia ST segment and T wave changes Ventricular preexcitation syndrome Atrioventricular block by II or III degree 6. The most common criteria of echocardiographic diagnosis in acute myocarditis in children are: Left ventricle cavity dilation Hypo-/akinesia of the left ventricle wall Hypertrophy of the right ventricle wall Ejection fraction decrease Left ventricle walls hyperkinesia 7. The most frequent complications of acute myocarditis in older children are: Dilative cardiomyopathy Congestive cardiac failure Vascular cerebral disoders Arterial hypertension Disorders of rhythm and conductibility 8. The following signs are characteristic for acute fulminant myocarditis in infant: A. Short viral prodromal period B. Cardiogenic shock C. Arterial hypertension D. Convulsive syndrome E. Normal heart dimensions on cardiopulmonary radiography. 9. The differential diagnosis of acute myocarditis in infants is made with the following clinical factors: A. Deficit of carnitine B. Primary pulmonary hypertension C. Abnormal origin of the left coronary artery D. Atrio-ventricular congenital block E. Coarctation of the aorta 10. The common characteristics of dilative cardiomyopathy in children are: A.It is the most commmon form of primary cardiomyopathy B. Mixed etiology (acute/genetic) C. Onset with hypoxic attacks D. Association with left ventricle systolic dysfunction E. It is the most frequent cause of sudden death of cardiac origin 11. Choose the suggestive ECG modifications of hypertrophic cardiomyopathy in children: A. ST segment and T-wave changes B. Normal ECG in sucklings C. Signs of right ventricle hypertrophy D. Association of long QT interval E. Pathologic Q wave 12. The differential diagnosis of hypertrophic cardiomyopathy in sucklings is made with the following disorders: A. Aortic stenosis B. Down syndrome C. Restrictive cardiomyopathy D. Acute myocarditis E. Glycogenosis 13. The clinical examination of I degree relatives of a child with hypertrophic cardiomyopathy will include: A. Electrocardiography B. Echocardiography C. Troponins and cardiac enzymes D. Genetic consultation E. Myocardium scintigraphy 14. The management of a child with hypertrophic cardiomyopathy includes: A. Moderate restrictions of physical activity with professional sport avoidance B. Calcium channels blockers in asymptomatic children C. -adrenoblockers in children with obstructive type of disease D. Prophylaxis of infectious endocarditis E. Digoxin Primary cardiomyopathies in children Simple choise 1. C 2. B 3. D 4. A 5. B 6. B 7. A 8. C 9. A 10. B Multiple choice A, B, E A, B, C,E A, B, C, D A, C,E B, C, E A, B, D A, B,E A, B, E A, C, D, E A, B, D B,D,E A,C,E A,B,D A,C,D     PAGE  PAGE 3  $%&'459OPZbcgijxz}    - . G H Z [ d o q ȻȻȻȻȻȬȻȻȻȄh!5CJaJmHsHhlh,CJaJmHsHh,CJaJmHsHhlhECJaJmHsHh,5CJaJmHsHhlhE5CJaJmHsHh!>*CJaJh;3_>*CJaJhlhE>*CJaJh,>*CJaJ4'5z q  @ i } $ & F h```a$gdE $ & Fa$gdE $^a$gdE$a$gdE$a$gd,gdEq r s u v y     ? D L Q h m n v |    # ( ɼ٣٣٣٣ɖɖɉ٣٣hM5CJaJmHsHh 5CJaJmHsHh CJaJmHsHhzn5CJaJmHsHh!5CJaJmHsHhlhE5CJaJmHsHhlhECJaJmHsHh,CJaJmHsHhznCJaJmHsH6  $ D _  3 ` 2 3 > e u  $ & F a$gdE$ & F h8^`a$gdE$a$gdE $^a$gdE $ a$gdE( - 8 9 : C H S [ ^ c y z     $ % & 2 3 ? I _ ` $ % 0 ȻȮȮȕȕȕȮhs_C5CJaJmHsHhTwCJaJmHsHh 5CJaJmHsHh!5CJaJmHsHhlhE5CJaJmHsHhVv5CJaJmHsHhlhECJaJmHsHh CJaJmHsH80 1 2 3 < = > G P Q T V W c k t } ~  ÷÷÷÷÷÷÷÷÷÷÷êxxxxxkxhu5CJaJmHsHh65CJaJmHsH(hVvhE5B*CJaJmHphsHhVvhE5CJaJmHsHhVv5CJaJmHsHh6CJaJmHsHhlhECJaJmHsHhlhE5CJaJmHsHhTh 5CJaJmH sH hT5CJaJmHsH* +Qd~ ?L^ $^a$gdE$ & F h,,^,a$gdE $ a$gdE$ h^a$gdE$ & F h,,^,a$gdE$ & F h,^,a$gdE $ ha$gdE *+8:;?PQ[ch}~  "#-56:<໫ԂԂԂԂȂԂԂhlhECJaJmHsHhu5CJaJmHsHh65CJaJmHsHhlhE5CJaJmHsHhVv5CJaJmHsHhuCJaJmHsHh6CJaJmHsHhVvhECJaJmHsHhVvhE5CJaJmHsH3<ABCDIJL]^_denvw{}~  7=>KXY]_ȻȮȮȮȮxxhE`hE`5CJaJmHsHhP5CJaJmHsHhE`5CJaJmHsHhE`CJaJmHsHh65CJaJmHsHh#5CJaJmHsHhlhE5CJaJmHsHhVv5CJaJmHsHh6CJaJmHsHhlhECJaJmHsH/9YIz &0: $^a$gdE`$a$gdE $ a$gdE`$a$gdE`$ & F h`^``a$gdE` $^a$gdE(HIyz &/0ɺɺɮɺɺɺɺՄ՞՞՞w՞՞՞ɺɺh>|5CJaJmHsHhhk5CJaJmHsHh45CJaJmHsHhlhE5CJaJmHsHhPCJaJmHsHhlhECJaJmHsHhE`CJaJmHsHhE`5CJaJmHsHhE`hE`5CJaJmHsHhP5CJaJmHsH*09:F *-{ &f6@nsйаСйvfZN?hE`hE`CJaJmHsHhF!dCJaJmHsHhF!dCJaJmH sH hE`hE`5CJaJmHsHhE`hE`5CJaJmHsHhE`hE`>*CJaJmH sH hE`hE`CJaJhE`hE`CJaJmH sH hP>*CJaJhs>*CJaJhE`hE`5>*CJaJhE`hE`>*CJaJhk9>>*CJaJhlhECJaJmHsHh>|CJaJmHsHf{  Lt$ & F ,^a$gdE` $^a$gdE`$ & F `a$gdE` $^a$gdE`$ & F ,^a$gdE`6n2Tswwwww$ & F ,^a$gdE` $^a$gdE`$ & F ,^`a$gdF!d$ & F ,~`~a$gdF!d$ & F ,^`a$gdF!d$ & F ,~`~a$gdF!d$a$gdF!d$a$gdE` +78BNTv);DMSƽƽƽƯsfsYfsJhE`hE`CJaJmHsHhq,5CJaJmHsHhID5CJaJmHsHhE`hE`5CJaJmHsHhID5>*CJaJhID5>*CJaJmHsH"hE`hE`5>*CJaJmHsHhE`hE`5>*CJaJhu>*CJaJhE`hE`>*CJaJhE`hE`>*CJaJmHsHhE`hE`CJaJmHsHhE`hE`CJaJmH sH Sl6^t<Sr"m!h^hgdE`gdE`$ & F ,^a$gdE`$a$gdE` 46(<QRS"m!&4Ȼ墓wjjjȓ^RRRRh=TCJaJmHsHh1CJaJmHsHh15CJaJmHsHh1CJaJmHsHhE`hE`5CJaJmHsHhE`hE`CJaJmHsHhGECJaJmHsHh>5CJaJmHsHhq,5CJaJmHsHhE`hE`5CJaJmHsHh5CJaJmHsHhE`hE`CJaJmHsHhIDCJaJmHsH 4Teo~v[np) S V t ȡ塕wkhlhO>*CJaJhlhECJaJmHsHhE`hECJaJmHsHhj CJaJmHsHhgCJaJmHsHh>CJaJmHsHhE`hE`CJaJmH sH hE`hE`5CJaJmHsHh2^5CJaJmHsHhE`hE`CJaJmHsHh=TCJaJmHsH(!e3[v@[p@]~ W gdE`h^hgdE` !!!!!!$!*!0!6!*CJaJhlhE>*CJaJh26k>*CJaJ*e!m!w!!!!!!!!!!!!!!!!!!!!!!!gdE & FgdE $ & Fa$gdE $ & Fa$gdE $ & Fa$gdE!!!!!!!!!!!!!!!!!!!!!!!hlh2=>9 H@8DB 0170F0XiX 1KG=0O B01;8F04 l4a .k . 5B A?8A:0 L>@L E0720=85$h^ha$5>*CJ mHsHJ @J E86=89 :>;>=B8BC;  E$4)@4 E><5@ AB@0=8FKH!H E` 0720=85 =0:5>*CJ mHsHtHPK![Content_Types].xmlj0Eжr(΢Iw},-j4 wP-t#bΙ{UTU^hd}㨫)*1P' ^W0)T9<l#$yi};~@(Hu* Dנz/0ǰ $ X3aZ,D0j~3߶b~i>3\`?/[G\!-Rk.sԻ..a濭?PK!֧6 _rels/.relsj0 }Q%v/C/}(h"O = C?hv=Ʌ%[xp{۵_Pѣ<1H0ORBdJE4b$q_6LR7`0̞O,En7Lib/SeеPK!kytheme/theme/themeManager.xml M @}w7c(EbˮCAǠҟ7՛K Y, e.|,H,lxɴIsQ}#Ր ֵ+!,^$j=GW)E+& 8PK!Ƶtheme/theme/theme1.xmlYnE#;8U i-qN3'JH DA\8 R>CW]{'ސ{g?x݈]"$q+_,y>8{7 K }xLވHe 2{Rܜaˋ??<ߟdžSr$L].<İT̟72S"ѵ_JwL&BJ05kZVyVy|xC OO|x>+<>@(:??/>5{yxFDdm 3^q5'=q6nib-$RB}}YGq=xK@;)^qbha79g . pUʹ;bbmc[$c'a}5KKfH5HL!ݦ&|mK{N6M6hq v|y 58+zH  *~ HHy\K*t@G>{sA}"))y sGfۡqǾ'w E1 [8>ܤ4Aбt׎~ls14_>,Ȭ7TT GqME=w-i>mo[oiBszbP:j5if F 9Pɉ* k\ A ;!N`.{I SցD p3˅5veU}AbvyA/g 氚 Z N+lR~aeԩj9&&CLgMʼn7a A0ƀHEA3~{q q1vƨl効9)>൜fN1N FIrdq8Y^:_73.|3 f%Jش?MOY s 3;} Rc0`d[鯠$ÿ - έhǴ"P 6T{TUٴ+9E28Y*MOt0O9Bݍqg7Ŕ9O)z?7#]u rBIHAאTpl>՟,SpT4@~BA%}'0+{eRF&rĪ#uu\{BHuM6`pG}N+!'_oN콶3a3dXZzCyCUɪ嶂ZZZ۱f,fAg-@`g v6V?Dhf6t=M&ʺ6ײ'݉#֚>d8s9xN=ڮjAv11;u2%M2oN1uo%տPK! ѐ'theme/theme/_rels/themeManager.xml.relsM 0wooӺ&݈Э5 6?$Q ,.aic21h:qm@RN;d`o7gK(M&$R(.1r'JЊT8V"AȻHu}|$b{P8g/]QAsم(#L[PK-![Content_Types].xmlPK-!֧6 +_rels/.relsPK-!kytheme/theme/themeManager.xmlPK-!Ƶtheme/theme/theme1.xmlPK-! ѐ' theme/theme/_rels/themeManager.xml.relsPK]  R $$$'q ( 0 <04 !!!"%' ! e!!! #$&(  '!!8@0(  B S  ? $'/9OPZ[bjx}-.=>GHZ[deoqrz?DLMQShmnw|  #(-:CHQchiy &24=>?C_` $(03<>@FGWceku}*+89:HPQ[h}  #-?AL]degn~  7=>MX^_klz % G S u  * / 4 6 : A G     . f j y {     ! + . 0 ; K Q f g n o { }     8 ; > J K n o "05IJX]24FOdoqy|$9>?IQSnq (<Odiuw~+4Z]+:=?@[_goru} &CQ_`bmp|  8<>ENR_ls*.2GMNZaipx   (9>IQbkvgz&'45yzpq?@hi|}#$CD^_24_`13=>detu~*+PQcd}~  >?KL]^89X^ % H S y   % & / 0 9 :  e j z  / 0 ; < Q R e f z {  , K n o IJqr34NOde  !9;QS%GO}STuvho !"t| {)*rxHNQy~"#-.45<=DEKLST^_fglmrsxy~q@Dim}$(DH_c3d ?^ =Y  * 0  j 0  - K o rvu N~v%% A F * - xx " BvX S$)= ~+ * n4 1IԖG;J"=8TԖGw~+ aQk4Nm=&ZdX'lN`00<5,~)7;8n$>\<Cu~? ݄AFI4Q'R1X ݄1M`FxN`F+d>jYF,kԖG %p&-uġ)yp:,,^,`o(.^`o(.  L ^ `LhH.   ^ `hH. ll^l`hH. <L<^<`LhH.   ^ `hH. ^`hH. L^`LhH.^`o(. ^`hH. pLp^p`LhH. @ @ ^@ `hH. ^`hH. L^`LhH. ^`hH. ^`hH. PLP^P`LhH.,,^,`o(.^`o(.  L ^ `LhH.   ^ `hH. ll^l`hH. <L<^<`LhH.   ^ `hH. ^`hH. L^`LhH.h ,,^,`hH.h ^`hH.h  L ^ `LhH.h   ^ `hH.h ll^l`hH.h <L<^<`LhH.h   ^ `hH.h ^`hH.h L^`LhH.,,^,`o(. ^`5o(.  L ^ `LhH.   ^ `hH. ll^l`hH. <L<^<`LhH.   ^ `hH. ^`hH. L^`LhH.hh^h`o(. ^`o(hH. ^`o(hH. pLp^p`LhH. @ @ ^@ `hH. ^`hH. L^`LhH. ^`hH. ^`hH. PLP^P`LhH.^`o(. ^`hH. pLp^p`LhH. @ @ ^@ `hH. ^`hH. L^`LhH. ^`hH. ^`hH. PLP^P`LhH.,,^,`o(. ^`o(.  L ^ `LhH.   ^ `hH. ll^l`hH. <L<^<`LhH.   ^ `hH. ^`hH. L^`LhH. ^`o(hH. ^`o(hH. pLp^p`LhH. @ @ ^@ `hH. ^`hH. L^`LhH. ^`hH. ^`hH. PLP^P`LhH.h ,,^,`hH.h ^`hH.h  L ^ `LhH.h   ^ `hH.h ll^l`hH.h <L<^<`LhH.h   ^ `hH.h ^`hH.h L^`LhH.^`o(.^`o(. pLp^p`LhH. @ @ ^@ `hH. ^`hH. L^`LhH. ^`hH. ^`hH. PLP^P`LhH.h ^`hH.h ^`hH.h pLp^p`LhH.h @ @ ^@ `hH.h ^`hH.h L^`LhH.h ^`hH.h ^`hH.h PLP^P`LhH.hh^h`o(.,,^,`o(.^`o(.  L ^ `LhH.   ^ `hH. ll^l`hH. <L<^<`LhH.   ^ `hH. ^`hH. L^`LhH. ^`o(hH.^`o(sH hH. pLp^p`LhH. @ @ ^@ `hH. ^`hH. L^`LhH. ^`hH. ^`hH. PLP^P`LhH. hh^h`hH.,,^,`o(. ^`hH.  L ^ `LhH.   ^ `hH. ll^l`hH. <L<^<`LhH.   ^ `hH. ^`hH. L^`LhH. 88^8`hH. hh^h`hH.^`o(.^`o(. pLp^p`LhH. @ @ ^@ `hH. ^`hH. L^`LhH. ^`hH. ^`hH. PLP^P`LhH.h ^`hH.h ^`hH.h pLp^p`LhH.h @ @ ^@ `hH.h ^`hH.h L^`LhH.h ^`hH.h ^`hH.h PLP^P`LhH.hh^h`o(.^`o(. ^`hH. pLp^p`LhH. @ @ ^@ `hH. ^`hH. L^`LhH. ^`hH. ^`hH. PLP^P`LhH.,,^,`o(.^`o(.  L ^ `LhH.   ^ `hH. ll^l`hH. <L<^<`LhH.   ^ `hH. ^`hH. L^`LhH.hh^h`o(.h ^`hH.h ^`hH.h pLp^p`LhH.h @ @ ^@ `hH.h ^`hH.h L^`LhH.h ^`hH.h ^`hH.h PLP^P`LhH.h,,^,`OJPJQJ^J.^`o(.h  L ^ `LhH.h   ^ `hH.h ll^l`hH.h <L<^<`LhH.h   ^ `hH.h ^`hH.h L^`LhH.hh^h`o(.^`o(. ^`hH. pLp^p`LhH. @ @ ^@ `hH. ^`hH. L^`LhH. ^`hH. ^`hH. PLP^P`LhH. ^`o(hH. ^`o(hH. pLp^p`LhH. @ @ ^@ `hH. ^`hH. L^`LhH. ^`hH. ^`hH. PLP^P`LhH.^`o(. ^`hH. pL^p`LhH. @ ^@ `hH. ^`hH. L^`LhH. ^`hH. ^`hH. PL^P`LhH.,,^,`o(. ^`o(.  L ^ `LhH.   ^ `hH. ll^l`hH. <L<^<`LhH.   ^ `hH. ^`hH. L^`LhH.h ^`hH.h ^`hH.h pLp^p`LhH.h @ @ ^@ `hH.h ^`hH.h L^`LhH.h ^`hH.h ^`hH.h PLP^P`LhH.")7`0h_{;8p_{n$>FI* BX'0<5=-u=&"=aA N`'RNm4Q S;J)yCu~?F+d1M` w1IF,kT1Xk %p""Z@H,p؅NK2|&0νޜ¾,꿀n:9j j j=T6O%:(q,f|.1)=k9>s_CIDGEHjJMkMPUOU,Y2^#^;3_E`F!d26khkuTw>|#! l!OP,9Tzn#s>VvE@@xxxx( `@``,@UnknownG.Cx Times New Roman5Symbol3. *Cx ArialA$BCambria Math"qh{ll  , ,qr4uu 3qHP?E2!xxAdminrom alex"                           ! Oh+'0  px  Admin Normal.dotm rom alex9Microsoft Office Word@@7y@x|՜.+,0 hp   diakov.net, u     !"#$%&'()+,-./013456789:;<=>?@ABCDEFGHIJKLMNOPQRSTUVWXYZ[\]^_`abcdefghijklmnopqstuvwxy{|}~Root Entry F=|Data *1Table2WordDocument4RSummaryInformation(rDocumentSummaryInformation8zCompObjy  F' Microsoft Office Word 97-2003 MSWordDocWord.Document.89q