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//// miekuTvneba SemaerTebeli qsovilis difuzuri

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//// romeli rentgenologiuri niSania damaxasiaTebeli mitraluri

stenozisTvis?

\\ saylapavis ukan gadanacvleba

\\\ marjvena winagulis gadideba

\\\ marcxena parkuWis hipertrofia

\\\ aRmavali aortis gafarToeba

//// romeli simptomi viTardeba mitraluri stenozis dros?

\\\ Tavbru da gulis wasvla

\\\ moWeriTi tkivili mkerdis Zvlis ukan

\\ sisxliani xvela

\\\ arteriuli hipertenzia

10

//// romeli niSani ar vlindeba rentgenologiurad trikuspidaluri

regurgtaciis dros?

\\\ plevruli gamonaJoni

\\ marcxena winagulis da parkuWis dilatacia

\\\ diafragmis maRla dgoma

\\\ marjvena winagulis da parkuWis dilatacia

//// ra SemTvevaSi ismeba mitraluri sarqvlis naklovanebis diagnozi:

\\\ hemodinamikuri gadatvirTvis Sedegad marcxena parkuWis Rrus da fibrozuli

rgolis gafarToveba

\\ mitraluri sarqvlis karedebis arasruli daxurva maTi organuli dazianebis

Sedegad

\\\ papilaruli kunTebis disfunqcia

\\\ qordis gaskdoma

44. romeli auskultaciuri niSani axasiaTebs mitraluri sarqvlis

naklovanebas?

\\ mwvervalze sistoluri Suili

\\\ tkacuna I toni

\\\ mezodiastoluri Suili

\\\ sistoluri Suili gulis fuZeze

45. CamoTvlilTagan romeli niSani axasiaTebs mitraluri sarqvlis

naklovanebas?

\\\ RviZlis pulsacia

\\\ asTeniuri konstitucia

\\ gulis marcxena sazRvris gadideba

\\\ sistoluri rxeva marjvniv II neknTaSua areSi

11

////romeli simptomia damaxasiaTebeli aortis stenozisTvis?

\\\ kanis difuzuri cianozi

\\ dabali sistoluri wneva

\\\ miuses simptomi

\\\ karotidebis cekva

//// romeli mankis dros viTardeba marcxena parkuWis maqsimaluri hipertrofia?

\\\ aortis sarqvlebis naklovaneba

\\ aortis xvrelis stenozi

\\\ mitraluri sarqvlis naklovaneba

\\\ samkariani sarqvlis naklovaneba

//// CamoTvlilTagan, romeli simptomokompleqsia tipiuri infeqciuri

endokarditisTvis?

\\\ cxeleba, anemia, splenomegalia, plevriti, albuminuria, kreatininemia

\\ cxeleba, anemia, splenomegalia, kanze sisxlCaqcevebi, hematuria, kreatininemia

\\\ cxeleba, anemia, splenomegalia, siyviTle, retikulocitozi,

mikrosferocitozi

\\\ cxeleba, pancitopenia, hepatosplenomegalia, asciti, siyviTle

//// yvelaze xSirad Tirkmlis romeli paTologia viTardeba infeqciuri

endokarditis dros?

\\\ kerovani nefriti

\\ difuzuri imunokompleqsuri nefriti

\\\ amiloidozi

\\\ Tirkmlis infarqti

12

//// romeli daavadebis dros aRiniSneba gulis absoluturi moyruebis

sazRvrebis gadideba SedarebiTi moyruebis sazRvrebamde?

\\\ mSrali perikarditi

\\\ miokarditi

\\ eqsudaciuri perikarditi

\\\ konstriqciuli perikarditi

//// romeli daavadebisTvisaa damaxasiaTebeli kanis `rZiani yavis~ Seferiloba?

\\\ revmatizmi

\\\ virusuli miokarditi

\\ infeqciuri endokarditi

\\\ gulis iSemiuri daavadeba

//// romeli daavadebis dros vlindeba libmanis simptomi (Tvalis qveda

quTuToze peteqiebi)?

\\\ revmatizmi

\\\ virusuli miokarditi

\\ infeqciuri endokarditi

\\\ dilataciuri kardiomiopaTia

//// miuTiTeT, romelia miokarditis ganmarteba?

\\\ perikardiumis anTeba

\\ gulis kunTis anTeba

\\\ endokardiumis anTeba

\\\ gulis samive Sris anTeba

13

//// miuTiTeT, romeli ekg cvlilebaa damaxasiaTebeli revmatuli

miokarditisTvis?

\\\ yvela kbilis voltaJis gadideba

\\\ maRali wvetiani T kbilebi

\\ PQ intervalis gadideba

\\\ QS kompleqsis ganviTareba

//// romeli organos an sistemis dazianebaa revmatizmis yvelaze xSiri

klinikuri gamovlineba?

\\\ nervuli sistemis

\\\ kanis

\\\ saxsrebis

\\ gulis

//// miuTiTeT, romelia saxsrebis revmatuli dazianebisTvis damaxasiaTebeli

niSani?

\\\ eroziuli arTriti

\\ msxvili saxsrebis gardamavali (migraciuli) dazianeba

\\\ mudmivi 6 Tveze meti lokaluri tkivili

\\\ wvrili saxsrebis upiratesi dazianeba

58. miuTiTeT, romelia osleris kvanZebis ganmarteba?

\\\ saxsrebis midamoSi xorkliani warmonaqmnebi

\\\ kapilarebis da wvrili sisxlZarRvebis lokaluri gafarToveba

\\ mtkivneuli warmonaqmnebi xelis da fexis TiTebze

\\\ sxeulze mravlobiTi xalebi

14

//// romeli daavadebisTvisaa damaxasiaTebeli CasunTqvisas kisris venebis

daberva?

\\\ difuzuri miokarditi

\\\ mSrali perikarditi

\\ eqsudaciuri perikarditi

\\\ infeqciuri endokarditi

//// romeli daavadebaa klasifikaciis ganmartebiT mSrali an eqsudaciuri da

konstriqciuli?

\\\ miokarditi

\\\ endokarditi

\\ perikarditi

\\\ pankarditi

\\\\ : \\\ \\\ \\ \\\ \\\\ : \\ \\\ \\\ - \\\ \\\\ ar SeiZleba iyos: \\\ \\ \\\ \\\ \\\\ ar aris: \\\ \\\ \\ \\\

15

\\\\ : \\\ \\ \\\ \\\ \\\\ 1 : \\\ 1-2 - \\\ 2 - \\\ 1 - \\ 2 - \\\\ 5 : \\\ 1-2 - \\\ 1-2 - \\ 1 - \\\ 1-2 - \\\\ 0-2 : \\\ -4 \\\ \\\ 1 - \\ -2 \\\\ y 0-2 : \\ 2 - \\\ 2 - \\\ 1 - \\\ \\\\ 7-12 : \\\ 2 - \\\ 2 - \\\ 1 - \\

16

\\\\ : \\ \\\ \\\ \\\ \\\\ : \\\ \\ \\\ \\\ 2-3 - \\\\ : \\\ \\\ \\ \\\ \\\\ : \\\ \\\ \\ \\\ \\\\ : \\\ \\\ \\ \\\ \\\\ : \\\ \\\ \\\ \\ \\\\ , : \\\ \\\ \\ \\\

17

\\\\ : \\ \\\ \\\ \\\ \\\\ : \\ \\\ \\\ \\\ \\\\ i : \\\ \\ \\\ \\\ \\\\ : \\ \\\ \\\ \\\ \\\\ \\\ -3 \\\ - -2 \\ - -2 \\\ -3 \\\\ : \\\ \\ \\\ \\\ \\\\ : \\\ \\\ \\ \\\

18

\\\\ : \\\ \\ \\\ \\\ \\\\ ? \\ \\\ \\\ - \\\ \\\\ : \\\ \\\ \\ \\\ \\\\ : \\ \\\ \\\ \\\

\\\\ : \\\ \\ - \\\ \\\ \\\\ : \\\ \\\ \\\ \\ \\\\ 11 -2 . ? \\\

19

\\\ \\\ \\ \\\ \\\\ 11 -2 . ? \\\ \\ \\\ \\\ \\\\ 10 -2 . ? \\ \\\ \\\ \\\ \\\\ 7 . ? \\\ \\\ \\\ \\ \\\\ 6 . ? \\\ \\\ \\\ \\ \\\\ : \\\ \\\ \\\ \\ \\\\ : \\\ \\\ \\ \\\

20

\\\\ ? \\\ \\\ \\ \\\ \\\\ ? \\ \\\ \\\ - \\\ \\\\ ? \\\ \\ \\\ - \\\ \\\\ : \\\ \\\ \\ - , S-T \\\ \\\\ : \\\ \\\ \\ \\\ - , S-T

\\\\ : \\\ \\\ \\ \\\ \\\\ ; \\\ uxSiresad \\\ \\

21

\\\ \\\\ ; \\\ \\\ \\ A beta hemolizuri \\\

\\\\ : \\\ \\ \\\ \\\ \\\\ : \\\ \\ \\\ \\\

//// traubes ormagi toni moismineba:

///samkariani xvrelis stenozis dros

///winagulTaSua Zgidis defeqtis dros

//orkariani sarqvlis naklovanebis dros

///aortis sarqvlis naklovanebis dros

//// xarisxis arasruli atrioventrikuluri blokadis ekg niSania:

/// QRS kompleqsis deformacia

/// orfaziani T kbili

// PR intervalis gaxangrZliveba 0,2 wm-ze metad.

/// wvetiani P kbili

22

//// parkuWovani eqstrasistolis ekg niSania:

/// ST segmentis elevacia izoxazis zemoT

//deformirebuli parkuWovani kompleqsi sruli kompensatoruli pauziT

/// Seucvleli parkuWovani ko0mpleqsi arasruli kompensatoruli pauziT

/// Tanabari R_R intervali

//// parkuWebis naadrevi agznebis (WPW) sindromis ekg niSnebia:

/// araTanabari RR intervali da deformiuli parkuWovani kompleqsi

// Semoklebuli PQ intervali da delta talRa

/// mravlobiTi P kbilebi da araTanabari RR intervalebi

/// paTologiuri Q kbili da ST segmentis depresia

//// mwvave fibrinozuli perikarditis ekg niSnebia:

/// ST segmentis elevacia da paTologiuri Q kbili

/// ST segmentis diskordantuli elevacia da PR intervalsi depresia

// ST segmentis konkordantuli elevacia da PR intervalis depresia

/// araTanabari RR intervali da deformiuli parkuWovani kompleqsi

//// mitraluri xvrelis stenozis dros ekg-ze aRiniSneba:

/// marcxena parkuWis hipertrofia

/// II x. arasruli av blokada

// marjvena parkuWis hipertrofia

/// eleqtruli alternacia

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//// kvinkes fenomeni da miuses simptomi gamoxatulia:

/// mitraluri xvrelis stenozis dros

/// falos tetradas dros

/// trikuspidaluri naklovanebi dros

// aortis sarqvelebis naklovanebis dros

//// morgani-edems-stoqsis sindromi viTardeba:

/// winagulebis normosistoluri fibrilaciis dros

/// parkuWzeda eqstrasistolis dros

// sruli atrioventrikuluri blokadis dros

/// mwvave perikarditis dros

//// PR intervalis TandaTanobiTi zrda QRS kompleqsis Semdgomi gamovardniT,

araTanabari RR intervalebi axasiaTebs:

/// winagulebis fibrilacias

// II xarisxis I tipis av blokadas

/// II xarisxis II tipis av blokadas

/// frederikis sindroms

//// winagulebis TrTolvis da sruli av blokadis erToblioba aris:

/// morgani-edems-stoqsis sindromi

// frederikis sindromi

/// volf-parkinson-uaitis sindromi

/// romani-uordos sindromi

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\\\\ axalSobilebSi SereSevski-terneris sindromisTvis yvelaze

damaxasiaTebelia:

\\\ kunTovani hipertonusi

\\ terfebisa da xelis mtevnebis lokaluri SeSupeba

\\\ cianozi

\\\ makroglosia

\\\\ memkvidreobis romeli tipiT gadaecema fenilketonuria?

\\Autosomur-recesiuli tipiT

\\\Aautosome-dominanturi tipiT

\\\Ddominanturi, X qromosomasTan SeWiduli

\\\ recesiuli, X qromosomasTan SeWiduli

\\\\ CamoTvlili qromosomuli daavadebebidan romlis diagnostireba

SeiZleba dabadebisTanave?

\\\ qromosomTa V wyvilis mokle mxris delecia

\\\ edvardsis sindromi

\\\ daunis sindromi

\\ yvela CamoTvlili

\\\\ romel asakSi SeiZleba autosomur qromosomTa darRvevebiT gamowveul

daavadebaTa umravlesobis diagnostireba?

\\ dabadebisTanave

\\\ sicocxlis erT Tveze

\\\ sicocxlis erT welze

\\\ sicocxlis erTi wlis Semdeg

\\\\ romel qromosomul daavadebas miekuTvneba daunis daavadeba?

\\ trisomia 21

\\\ trisomia 18

\\\ trisomia 13

\\\ kariotipi 47 XXY

\\\\ rogoria kalainfelteris sindromis kariotipi?

\\\ 47 XYY

\\ 47 XXY

\\\ 45 XO

\\\ 47XY+18c

\\\\ miuTiTeT memkvidruli daavadebebis wamyvani klinikuri kriteriumebi:

\\\ daavadebis morecidive an qronikuli mimdinareoba

\\\ specifiuri simptomebis ararseboba

\\\ paTologiuri procesSi mravali oraganos da sisTemis Catreva

(polimorfizmi), displaziis niSnebi;

\\ yvela pasuxi sworia

25

\\\\ fenilketonuriis dros mSoblebidan romeli aris mutagenuri genis

matarebeli?

\\\ Mmama

\\\ Ddeda

\\ Oorive mSobeli

\\\ arcerTi

\\\\ rogoria mukoviscidozis memkvidruli gadacemis tipi?

\\ Aautosomur recesiuli;

\\\Aautosomur-dominanturi;

\\\ recesiuli, sqesTan SeWiduli;

\\\ poligenuri

\\\\ rogoria fenilketonuriis memkvidreobiT gadacemis tipi?

\\\ Ppoligenuri;

\\ Aautosomur-recesiuli;

\\\ Aautosomur dominanturi;

\\\ X qromosomTan SeWiduli.

\\\\ romeli etiologiuri faqtoris gavlenam SeiZleba gamoiwvios

Canasaxis dazianeba orsulobis 3-8 kviraze?

\\\ radiacia

\\\ samkurnalo preparatebi

\\\ infeqciuri agentebi

\\ yvela zemoT CamoTvlili faqtori

\\\\ galaqtozemiiis dros galaqtoz 1 fosfaturidil transferazis

deficitis Sedegad ar ziandeba:

\\\ centraluri nervuli sisitema;

\\\ Tvalis broli;

\\ bronqo filtvis sistema;

\\\ RviZli.

\\\\ galaqtozemiisTvis ar aris damaxasiaTebeli:

\\\ hipoglikemia;

\\\ galaqtozemia;

\\ hiperqolesterinemia;

\\\ galaqtozuria.

\\\\Ggalaqtozemiis mkurnaloba efeqturia, Tu dawyebulia:

\\ 2 Tvemde asakSi;

\\\ 6 Tvemde asakSi;

\\\ 1 wlamde asakSi;

\\\ 1.5 wlamde asakSi.

\\\\ galaqtozemiis mkurnaloba mdgomareobs SemdegSi:

\\\ Qqalis rZis dozis Semcireba

26

\\\ Qqalis rZis mTlianad Secvla adaptirebuli xelovnuri narevebiT;

\\\ Bostneuli damaTebiTi sakvebis adreuli seyvana rZis narevebis

fonze;

\\ bavSvis kvebidan rZisa da rZis produqtebis sruli gamoricxva.

\\\\ rezus antisxeulebi, romelic warmoiqmneba dedis organizmSi da

nayofSi cirkulirebs miekuTvneba imunoglobulinebis Semdeg klass:

\\\ IgA

\\\ IgM

\\ IgG

\\\ IgE

\\\\ saSvilosnosSidan ganviTarebis romeli Tvidan SeuZlia nayofs

antisxeulebis gamomuSaveba antigenTan Sexvedrisas?

\\\ 3-4 Tvidan

\\ 5-6 Tvidan;

\\\ 7-8 Tvidan;

\\\ 9 Tvidan.

\\\\ Tandayolili wiTurasTvis damaxasiaTebeli Semdegi garTulebebi:

\\Qqorioretiniti

\\\Kkataraqta;

\\\ miokarditi;

\\\Hhemoragiuli sindromi.

\\\\ Tandayolili toqsoplazmosiTvis yvelaze damaxasiaTebelia:

\\\Qqorioretiniti;

\\ kataraqta;

\\\ Kmiokarditi;


\\\\ saSvilosnosSida romeli infeqciis dros aRiniSneba yvelaze xSirad

koniuqtiviti?

\\\ toqsoplazmozis dros;

\\\ Mmikoplazmozis dros;

\\ Qqlamidiozis dros;

\\\ citomegaliis dros.

\\\\ ra SemTxvevaSi xdeba toqsoplazmoziT nayofis saSvilosnosSida

dainficireba?

\\\ xangrZlivi, duned mimdinare infeqciuri procesisas;

\\\ qronikuli procesis gamwvavebisas;

\\ orsulobis dros qalis mwvave, pirveladi inficirebisas;

27

\\\ infeqciis wyarosTan xanmokle kontaqtis SemTxvevaSi.

\\\\ Eembrioni iTvleba nayofad:

\\\ saSvilosnoSida ganviTarebis 5-6 kviridan;


\\ saSvilosnosSidan ganviTarebis 11-12 kviridan;

\\\ saSvilossnoSidan ganvitarebis 15-16 kviridan.

\\\\ Pplacentis funqciebia:

\\\ kvebiTi da eqskretoruli;

\\\ sunTqviTi da endokrinuli;

\\\ barieruli da imunologiuri dacvis;

\\ yvela zemoTCamoTvlili.

\\\\ mZime, xanmokle saSvilosnosSida hipoqsia iwvevs nayofis organizmSi:

\\\ bradikardias da arteriul hipertenzias;

\\\ bradikardias da arteriul hipotenzias;

\\ taqikardias da arteriul hipertenzias;

\\\ taqikardias da arteriul hipotenzias.

\\\\ Ppirveladi apnoes mdgomareobaSi dabadebuli bavSvis kanis

Seferiloba aris:

\\\ vardisferi;

\\\ cianozuri;

\\ mkrTali;

\\\ ruxi.

\\\\ terminaluri apnoes mdgomareobaSi dabadebuli bavSvis kanis

Seferiloba aris:

\\\ vardisferi;

\\\ cianozuri;

\\\ mkrTali;

\\ ruxi.

\\\\ sisxlis airebis da mJava-tutovani mdgomareobis romeli cvlilebebi

aReniSnebaT mSobiarobis dros asfiqsiagadatanil bavSvebs:

\\\ Mmetaboluri acidozi;

\\\ Hhipoqsemia;

\\\ Hhiperkapnia;

\\Yyvela pasuxi sworia.

\\\\ Aapgaris Skala aucilebelia:

\\\Ddroul da dRenalul axalSobilebSi asfiqsiis simZimis

dasadgenad;

\\ samSobiaro blokSi axalSobilisTvis daxmarebis moculobis

dasadgenad;

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\\\ axalSobilisTvis prognozis gansazRvrisTvis;

\\\ yvela pasuxi sworia.

\\\\ riT aris ganpirobebuli mekoniumis muqi mwvane Seferiloba?

\\\ Ppirdapiri bilirubiniT;

\\\ Aarapirdapiri bilirubiniT;

\\\ naRvliT;

\\ yvela CamoTvlili konmonentiT.

\\\\ Qqalis rZeSi arsebuli saWmlis momnelebeli fermentebia:

\\\ Ddisaqaridazebi;

\\\ lipazebi;

\\\ Pproteazebi;

\\ Yyvela CamoTvlili.

\\\\ Kkvebis romeli saxe uzrunvelyofs bavSvis optimalur inteleqtualur

ganviTarebas?

\\ Bbunebrivi;

\\\ xelovnuri araadaptirebuli nareviT;

\\\ xelovnuri, minelaruli nivTierebebiT da vitaminebiT gamdidrebuli

narevebiT;

\\\ Sereuli.

\\\\ Qqalis rZis romeli imunoglobulinebi uzrunvelyofen axalSobilis

kuW-nawlavis traqtis adgilobriv imunitets?

\\\ IgE;

\\\ IgM;

\\ IgA;

\\\ IgG.

\\\\ romeli Saqari dominirebs qalis rZis naxSirwylebSi?

\\\ saqaroza;

\\\ maltoza;

\\ laqtoza;

\\\ galaqtoza.

\\\\ Aarasfecifiuri imunitetis romel faqtors eniWeba wamyvani

mniSvneloba paTogenuri mikroflorisgan lorwovanis garsebis dacvaSi?

\\\ interferons;

\\ lizocims;

\\\ properdins;

\\\ kompleqsur sistemas.

\\\\ rasTan aris dakavSirebuli hemoglobinis daqveiTeba sicocxlis

pirvel Tveze janmrTel, droul axalSobilSi?

\\\ eriTrocitebis bunebriv hemolizTan;

\\\ Zvlis tvinis funqciis daqveiTebasTan;

29

\\\ retikulo-histiocituri sistemis aqtivaciasTan;

\\ Yyvela CamoTvlil faqtorTan.

\\\\ axalSobili bavSvis kuW-nawlavis traqtis romeli anatomiur-

fiziologiuri Tavisebureba ganapirobebs amoRebinabas?

\\\ Mmokle saylapavi;

\\\ kuWis kardialuri nawilis arasakmarisi ganviTareba;

\\\ kuWis piloruli nawilis SEdarebiTi hipertonusi;

\\ yvela pasuxi sworia.

\\\\ axalSobilis sasunTqi gzebis gawmendis wamyvani fiziologiuri

meqanizmia:

\\\ xvela;

\\\ cemineba;

\\\ zeda sasunTqi gzebis SigTavsis pasiuri transporti mocimcime

epiTeliumiT;


\\\\ axalSobili bavSvis xorxi ganlagebulia Semdeg doneze:

\\ kisris meore malis;

\\\ kisris meoTxe malis;

\\\ kisris meeqvse malis;

\\\ kisris meSvide malis.

\\\\ axalSobili bavSvis xorxis yvelaze viwro nawili ganlagebulia:

\\\ xorxsarqvelis doneze;

\\ xmovani iogebis doneze;

\\\ beWdiseburi xrtilis doneze;

\\\ farisebri xrtilis doneze.

\\\\ axalSobilTa hemolizuri daavadebis siyviTliT mimdinare formis

dros prognozulad yvelaze mZimea:

\\\ anemia;

\\\ RviZlis dazianeba;

\\ cns-is dazianeba;

\\\ gulis ukmarisoba.

\\\\ Ddabadebisas gamovlinebuli anemiis romeli mizezia yvelaze xSiri?

\\ sisxlis dakargva da hemolizi;

\\\ Mmemkvidruli mikrosferocitozi;

\\\ eriTrocituli fermentebis deficiti;

\\\ memkvidruli hipoplastiuri anemia

\\\\ axalSobil bavSvebSi miokarditis yvelaze xSiri gamomwvevia:

\\\ koksakis virusi;

\\\ stafilokoki;

\\\ streptokoki;

30

\\ klebsiela.

\\\\ romeli fermentebis aqtioba matulobs meqanikuri siyviTlis dros?

\\\Aaspartataminotransferazis;

\\\ Aalaninaminotransferazis;

\\\Aaldolazis;

\\ tute fosfatazis.

\\\\ romeli daavadebis dros vlindeba koprogramaSi neitraluri cximis

didi raodenoba da misi siWarbe cximovan mJavebze?

\\\ Llaqtazuri ukmarisobis dros;

\\\ Mmukoviscidozis dros;

\\\ Eeqsudaciuri enteropaTiis dris;


\\\\ axalSobilebSi nawlavuri infeqciebis yvelaze mZime formebs iwvevs:

\\\ gramdadebiTi baqteriebi;

\\ gramuaryofiTi baqteriebi;

\\\ virusebi;

\\\ yvela erTnairad.

\\\\Ggulis Tandayolili mankebidan romeli vlindeba gamoxatuli cianoziT

dabadebisTanave?

\\\ parkuWTaSua Zgidis defeqti;

\\ falos tetrada;

\\\ magistraluri sisxlZarRvebis transpozicia;

\\\ Ria arteriuli sadinari.

\\\\ sefsisis mTavar sadiferenciacio diagnostikur niSans warmoadgens

\\ infeqciis mravlobiTi, Tanmimdevrulad aRmocenebuli kerebi;

\\\ imunitetits darRvevebi da hemostazis Rrma cvlilebebi;

\\\ cns-is mZime dazianeba;

\\\Ggamoxatuli nawlavuri sindromi.

\\\\ romeli niSebis saSualebiT SeiZleba ganasxvaon eqsikozi hipotrofiisgan?

\\\ sxeulis masis daqveiTebis siCqare;

\\\Aanamnezis siTxis paTologiuri dakargvis ararseboba;

\\\Llorwovani garsebis namianoba;


\\\\Aarsebobs Tu ara sefsisis absoluturi laboratoriuli niSnebi?

\\\Ddiax;

\\Aara;

31

\\\ zogierT SemTxvevaSi;

\\\ mxolod sisxlSi gamomwvevis aRmoCenisas.

\\\\Ggestaciis romeli kvira iTvleba nayofis gvian fetalur sikvdilad:

\\ 29-e kvira

\\\ 27-e kvira

\\\ 24 e kvira

\\\ 26-e kvira

M\\\\ masis tranzitoruli daqveiTeba aRiniSneba dabadebidan:

\\\ 1-2 dRes

\\ Mme -3-4 dReze

\\\ Mme-5-6 dReze

\\\ Mme-10 dReze

\\\\ axalSobilTa SardmJava infarqtis dros saWiroa:

\\\ fiziologiuri anemiis mkurnaloba

\\\ cilovani cvlis koreqcia

\\ Careva saWiro ar aris

\\\ mSieri dieta

\\\\ axalSobilTa fiziologiuri albuminuria ganpirobebulia

\\\ eriTrocitebis gaZlierebuli daSliT da kapilarebis normaluri

SeRwevadobiT

\\ eriTrocitebis gaZlierebuli daSliT da kapilarebis SeRwevadobis

momatebiT

\\\ eriTrocitebis normaluri daSliT da kapilarebis SeRwevadobis

matebiT

\\\ samSobiaro travmiT da eriTrocitebis gaZlierebuli daSliT

\\\\ axalSobilTa dRenaklulobis gansamzRvreli ZiriTadi kriteriumebia:

\\\ dabadebisas axalSobilTa sxeulis masa

\\\ dabadebisas axalSobilTa sxeulis sigrZe

\\ gestaciuri asaki

\\\ axalSobilTa Tavis garSemoweriloba

\\\\ CamoTvlili niSnebidan romeli ar miekuTvneba dRenakluli axalSobilis

damaxasiaTebel morfologiur niSans

\\\ WarbTmianoba

\\\ yuris rbili niJarebi

\\ kisris frTisebri naoWi

\\\ frCxilebi bolomde ver faraven TiTis falangebs

32

\\\\ axalSobilTa sklerodermiis ganviTarebis mTavar mizezad miCneulia:

\\ axalSobilis xangrZlivi gadacieba

\\\ axalSobilis gadaxureba

\\\ dRenakluloba

\\\ diabeturi fetopaTia

\\\\ axalSobilTa oraluri avtomatizmis refleqsebs ar miekuTvneba:

\\\ wovis refleqsi

\\\ xorTumis refleqsi

\\\ babinskis refleqsi

\\ robinsonis refleqsi

B\\\\ qvemoT CamoTvlilTagan ra ar axasiaTebs axalSobilTa sefsiss:

\\\ acikluri mimdinareoba

\\ spontanuri gankurnebisken midreklileba

\\\ baqteriemia

\\\ barieruli funqciis daqveiTeba

\\\\ ras eniWeba gadamwyveti mniSvneloba axalSobilTa sefsisis paTogenezSi?

\\\ cns-is mdgomareobas

\\\ hormonuli homeostazis mdgomareobas

\\\Hhemokoagulaciuri sistemis mdgomareobas

\\ imunuri sistemis reaqtiulobas

\\\\ axalSobilta qlamidiuri sefsisisTvis damaxasiaTebelia:

\\ koniuqtiviti, ureTriti, arTriti

\\\ siyviTle, peteqiuri gamonayari kanze

\\\ osteomieliti

\\\ anemia, splenomegalia

\\\\ postnataluri sefsisis dros inficirebis uxSiresi gzaa:

\\\ kani

\\\ Tvali

\\\ yuri

\\ Wipi

\\\\\\\\\\\\\\\\ TandayoliliTandayoliliTandayoliliTandayolili citomegaliis dros axalSobilebSi vlindeba:

33

\\\ koniuqtiviti

\\ qorioretiniti

\\\ dakriocistiti

\\\ glaukoma

\\\\ axalSobilebSi Cirqovan otits ar axasiaTebs:

\\\ mousvenroba, cxeleba

\\\ yuridan Cirqovani gamonadeni

\\\ agZnebadoba

\\ hepatosplenomegalia

\\\\ toqsoplazmozis klinikuri simptomebia, garda erTisa:

\\\ iqteruloba

\\\ kalcifikatebi Tavis tvinSi

\\\ qorioretiniti

\\ vulviti

\\\\ ganviTarebis mankebi damaxasiaTebelia yvela Tandayolili infeqciisTvis,

garda:

\\\ toqsoplazmozi

\\\ enterovirusuli infeqcia

\\ qlamidiozi

\\\ herpes infeqcia

\\\\ citomegalovirusi xasiaTdeba giganturi ujredebis tipuri citoplazmuri

CanarTebis ganvitarebiT:

\\\ sanerwyve jirkvlebSi

\\\ Sinagan organoebSi

\\\ cns-Si

\\ yvela zemoTCamoTvlilSi

\\\\ citomegalovirusis gadacema axalSobilebSi SesaZlebelia yvela

SemTxvevaSi, garda:

\\\ transplacentarulad

\\\ intranataluriad

\\\ alimenturi gziT

\\ haer-wveTovnad

\\\\ citomegalovirusuli infeqciis diagnozis dadgena SeuZlebelia mxolod:

\\ klinikuri simptomatikiT

34

\\\ sxvadasxva organoebis bioptatebSi citomegalovirusis IgM-is

dadgeniT

\\\ SardSi, nerwyvSi, Tavzurgtvinis siTxeSi citomegalovirusuli

ujredebis gamovlinebiT

\\\ sisxlSi specifikuri IgG da IgM-is gansazRvriT

\\\\ citomegalovirusuli infeqciis dros diferencialuri diagnozi tardeba

Semdeg daavadebebTan:

\\\ toqsoplazma da wiTura

\\\ toqsoplazma, axalSobilTa hemolizuri daavadeba, listeriozi

\\ Tandayolili infeqciebi, axalSobilta hemolizuri daavadeba,

galaqtozemia

\\\ Tandayolili aTaSangi

\\\\ Tandayolili citomegalovirusuli infeqciis dros avadobis Sedegad

invalidobis maRali riski dakavSirebulia Semdeg paTologiur

sindromebTan:

\\\ hidrocefalia

\\\ siyrue da sibrmave

\\\ nefrozuli sindromi

\\ yvela zemoTCamoTvlili

\\\\ respiratoruli distres sindromi uxSiresad uviTardebaT:

\\\ vadagadacilebul axalSobilebs

\\ dRenaklul axalSobilebs

\\\ droul axalSobilebs

\\\ fiziologiur axalSobilebs

\\\\ hialinuri bembranebis ganviTarebis risks aqveiTebs:

\\ gaxangrZlivebuli mSobiaroba

\\\ gegmiuri sakeisro kveTa

\\\ mSobiaroba epiduraluri anesTeziiT

\\\ swrafi mSobiaroba

\\\\ surfaqtantis SemadgenlobaSi ZiriTadi adgili uWiravs:

\\\ cilebs

\\ lipidebs

\\\ naxSirwylebs

\\\ wyals

\\\\ surfaqtantis funqciebs miekuTvneba yvela, garda erTisa:

\\\ winaaRmdegoba alveolebis CafuSvisadmi

F\\\ filtvis alveolaruli epiTeliumis dacva

35

\\ filtvebSi makrofagaluri procesebis stimulireba

\\\ alveolebis membranebSi airTa aqtiuri transportis ganxorcieleba

\\\\ surfaqtantis gamomuSaveba iwyeba:

\\ mucladyofnis periodis me-20-24 kviraze

\\\ mucladyofnis periodis 28 kviris Semdeg

\\\ mxolod intranatalur periodSi

\\\Ddabadebidan pirveli 2-4 saaTis ganmalobaSi

\\\\ axalSobilebSi sunTqvis ukmarisobis sindromisTvis ar aris

damaxasiaTebeli:

\\\ hipoqsia

\\\ hiperkapnia

\\ Sereuli alkalozi

\\\ Sereuli acidozi

\\\\ respiratoruli distres sindromis Ziritad klinikur niSnebs ar

miekuTvneba:

\\\ cianozi

\\\ qoSini

\\\ gulmkerdis neknTaSua sivrceebis Cadreka

\\ gulmkerdis neknTaSua sivrceebis amodreka

\\\\ respiratoruli distres sindromis ganvitarebis prenataluri

diagnostika efuZneba:

\\\ sanayofe wyelbis baqteriologiur kvevas

\\\ sanayofe wylebis da dedis sisxlis jgufobrivi SeTavsebis kvlevas

\\ sanayofe wylebSi fosfolipidebis fraqciebis gansazRvras

\\\ birTvul-magnituri rezonansis Sedegebs

\\\\ respiratoruli sindromis samkurnalo kompleqsSi ar Sedis:

\\\ infuzuri Terapia

\\ sisxlis SenacvlebiTi gadasxma

\\\ oqsigenoTerapia

\\\ hormonoTerapia

\\\\ axalSobilTa mekoniuri aspiraciis sindromis ZiriTadi mizezia:

\\ nayofis ante- da intranataluri hipoqsia

\\\ sisxlis jgufuri SeuTavsebloba

\\\ embriopaTiebi

\\\ arcerTi zemoTCamoTvlilTagan

36

\\\\ romeli daavadebis dros SeiZleba aReniSnos axalSobils apnoes Setevebi?

\\\ sefsisis dros

\\\ parkuWTaSida sisxlCaqcevebis dros

\\\ hialinuri membranebis daavadebis dros

\\ yvela zemoTCamoTvlili sworia

\\\\ (1) :

\\\

\\ ,

\\\

\\\

\\\\ (2) :

\\\

\\

\\\

\\\ -

\\\\ ( 3 ) :

\\\

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\\

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\\\\ (5) :

\\\

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37

\\\\ (6) :

\\\

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\\\\ (7) :

\\

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\\\\ (8) :

\\

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\\\\ (9) :

\\\

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\\\\ (10) - :

\\\

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\\\\ (11) :

\\\

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\\\ -

\\\ -

38

\\\\ (12) :

\\\

\\

\\\

\\\

\\\\ (13) :

\\

\\\

\\\

\\\

\\\\ (14) :

\\\

\\\ -

\\

\\\

\\\\ (15)

( 75-90%-):

\\ E Escherichia coli \\\ Klebsiella pneumoniae \\\ Enterococcus faecalis \\\ Pseudomonas aeruginosa

\\\\ (16)

:

\\\

\\\ -

\\

\\\ -

\\\\ (17) 9

.

?

39

\\\

\\\ 2

\\ C3

\\\ < 15 /

\\\\ (18)

:

\\\ Yersinia \\\ Mycoplasma pneumonia

\\ Streptococcus

\\\ Mycobacterium

\\\\ (19) :

\\\ C3 -

\\ C3

\\\ C3

\\\ C3

\\\\ (20) :

\\\

\\\

\\

\\\

\\\\ (21)

:

\\

\\\

\\\

\\\

\\\\ (22)

:

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\\\

40

\\\

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\\\\ (23)

:

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\\\ -

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\\\\ (24) 4 - 39 0C,

, . :

\\\

\\\

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\\\\ (25) :

\\\

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\\\\ (26) :

\\\

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:

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41

\\\

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:

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\\\\ (30) :

\\\

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\\\\ (31) ()

, :

\\\

\\\

\\\

\\

sagamocdo testebi q.gogberaSvili

\\\\ gastroezofaguri refluqsis genezSi wamyvania:

\\\ infeqciuri agentis zemoqmedeba kuWis lorwovanze

\\\ kuWis wvenis dabali mJavianoba

\\ saylapavis qveda sfinqteris tonusis daqveiTeba

\\\ xelovnuri kveba

42

\\\\ uxSiresad romeli mikrobi iwvevs kuWis wylulovan daavadebas:

\\\ nawlavis Cxiri;

\\\ stafilokoki da kampilobaqteria;

\\\ streptokoki;

\\ helikobaqteria;

\\\\ disfagia niSnavs:

\\\ madis gaukuRmarTebas;

\\\ gaZlierebul madas;

\\ gaZnelebul ylapvas

\\\ sakvebis miRebis SiSs

\\\\ srulfasovani monelebisaTvis Tormetgoja nawlavis wvens emateba:

\\\ Tormetgoja nawlavis wveni sakmarisia srulfasovani monelebisaTvis,

\\\ kuWis wveni pilorusis gavliT,

\\\ marilmJava

\\ pankreasis da RviZlis sadinarebis sekreti

\\\\ bavSvis nawlavebi sruliad steriluria (aseptikuri faza):

\\ sicocxlis pirvel saaTebSi

\\\ adreuli axalSobilobis periodSi

\\\ ZuZumwovrobis periodSi

\\\ gviani axalSobilobis periodSi

\\\\ ra lokalizaciis paTologiaze miuTiTebs moyavisfro Savi feris

pirnaRebi masa:

\\\ saylapavSi

\\ kuWsa da Tormetgoja nawlavSi

43

\\\ cxvir-xaxaSi

\\\ filtvebSi

\\\\ qronikuli gastritis diagnostikaSi ras eniWeba gadamwyveti

mniSvneloba

\\\ klinikur simptomokompleqss

\\\ kuWis mJava warmomqmneli funqciis Seswavlas

\\\ rentgenologiur gamokvlevas

\\ endoskopiur gamokvlevas

\\\\ yabzobis uxSiresi mizezebia CvilebSi yvela CamoTvlili, garda:

\\ eqskluziuri ZuZuTi kveba

\\\ raqiti

\\\ nawlavis kunTovani Srisa da elastiuri boWkoebis susti ganviTareba

\\\ hirSprungis daavadeba

\\\\ kuWis wyluli yvelaze xSirad lokalizebulia

\\\ kardialur nawilSi

\\\ fundusSi

\\\ did simrudeze

\\ mcire simrudeze

\\\\ romeli asakidan Zlierdeba CvilebSi nerwyvis gamoyofa:

\\\ 2-3 Tve

\\\ 7-8 Tve

\\ 4-6 Tve

\\\ 8-9 Tve

44

\\\\ CvilebSi kuWSi rZis cilis SexaWoebaSi monawileobs:

\\ qimozini

\\\ lipaza

\\\ amilaza

\\\ pefsini

\\\\ didi raodenobiT wylis Semcveli ganavali axasiaTebs:

\\ enterits

\\\ kolits

\\\ pankreatits

\\\ gastrits

\\\\ bunebriv kvebaze myof bavSvTa nawlavis mikrofloraSi Warbobs:

\\\ E.Coli

\\ B.Bifidus

\\\ Clostridia def.

\\\ Salmonella

\\\\ Helicobacter pylori-s eradikaciisaTvis gamoiyeneba:

\\ poliTerapia 3 da 4 komponentiani sqemiT

\\\ monoTerapia bismutis marilebiT

\\\ monoTerapia metronidazoliT

\\\ amoqsicilinisa da eriTromicinis kombinacia

\\\\ ra simptomebia damaxasiaTebeli qronikuli gastritisaTvis

hiperaciduriiT:

\\\ kuWis avsebisa da simZimis SegrZneba

45

\\\ madis daqveiTeba

\\\ laye kvercxis gemo pirSi

\\ boyini da gulZmarva


hipoaciduriiT, garda:

\\\ boyini laye kvercxis suniT


\\\ simZimis SegrZneba epigastriumis midamoSi

\\ madis gaZliereba

\\\\ ganavalSi eriTrocitebis raodenobis mateba mikroskopuli kvlevisas

miuTiTebs:

\\ kolitze

\\\ enteritze

\\\ pankreatitze

\\\ hepatitize

\\\\ pilorospazms axasiaTebs yvela CamoTvlili, garda erTisa:

\\\ Sadrevanisebri Rebineba

\\\ aqvs naTeli periodebi

\\\ naRebinebi masa naklebia miRebul sakvebze

\\ klinikuri niSnebi vlindeba 3-4 kviris asakidan

\\\\ pilorostenozs axasiaTebs yvela CamoTvlili, garda erTisa:


\\\ vlindeba masaSi CamorCena

\\\ naRebinebi masa metia miRebul sakvebze

\\ klinikuri nisnebi vlindeba dabadebisTanave

46

\\\\ SeafaseT 5 wlis biWis ganavali. feri muqi yavisferi, konsistencia mkvrivi,

lorwo didi raodenobiT, brtyeli epiTeli 12-15 mx/areSi, leikocitebi 30-

40 mx/areSi, eriTrocitebi 20-30 mx/areSi:

\\\ enteriti

\\\ pankreatiti

\\ koliti

\\\ gastriti

\\\\ mZime gauwyloebisTvis damaxasiaTebelia yvela niSani, garda erTisa:

\\ agzneba

\\\ siTxes ver svams

\\\ kanis naoWi swordeba nela

\\\ Cacvenili Tvalebi

\\\\ Tqven sinjavT 2 wlis pacients, romelsac uvlindeba diarea. nawlavTa

moqmedeba 6-jer siTxis semcveli ganavliT. vlindeba kanis simsrale,

Tvalebi ar aris cavardnili, bavSvi Tamasobs, svams wyals, Tumca ara

xarbaT. kanis naoWi swordeba swrafad. Ra mkurnalobas daniSnavT?

\\\ antibiotikoTerapia

\\\ sarehidratacio xsnaris miwodeba intravenurad 100ml/kg

\\\ sarehidratacio xsnaris miwodeba oralurad 4 sT-is ganmavlobaSi 75ml/kg

\\ sarehidratacio xsnaris miwodeba yoveli nawlavTa moqmedebis Semdeg 100 ml

\\\\ Tqven sinjavT 3 wlis pacients, romelsac uviTardeba diarea- nawlavTa

moqmedeba 6-jer siTxis Semcveli ganavliT. vlindeba kanis simSrale,

Tvalebi ar aris Cacvenili, bavSvi TamaSobs, svams wyals, Tumca ara xarbad.

kanis naoWi swordeba swrafad. rogoria Tqveni diagnozi?

\\\ diarea mZime gauwyloebiT

\\\ diarea zomieri gauwyloebiT

\\ diarea gauwyloebis gareSe

47

\\\ diarea msubuqi gauwyloebiT

\\\\ gastriezofaguri refluqsisaTvis damaxasiaTebelia yvela niSani, garda

erTisa:

\\\ xSiri SeteviTi xvela

\\\ boyini

\\\ asTmuri sunTqva

\\ temperaturuli reaqcia

\\\\ gastriezofaguri refluqsis mkurnaloba moicavs:

\\\ kortikosteroidebs

\\\ antibiotikebsa da mukolitikebs

\\\ antibiotikebsa da antioqsidantebs

\\ antisekretorul da antacidur preparatebs

\\\\ SeafaseT bavSvis dehidrataciia xarisxi, Tu sxeulis masis

daqveiTeba 9%-mdea, Tvalebi odnav Cacvenilia, piris lorwovani

mSralia, kanis nakeci swordeba 2wm-Si, gaZlierebuli aqvs wyurvilis

SegrZneba, diurezi Semcirebulia:

\\\ SefasebisaTvis esaWiroeba ganavlis koprologiuri kvleva

\\ saSualo simZimis dehidratacia

\\\ minimaluri dehidratacia

\\\ mZime dehidratacia

\\\\ SeafaseT bavSvis dehidrataciis xarisxi, Tu sxeulis masis

daqveiTeba metia 9%-ze, bavSvi apaTiuria, leTargiuli, xarbad svams

wyals, Tvalebi Cacvenili, kapilaruli avseba gaxangrZlivebulia,

kidurebi civia, Sardis gamoyofa minimaluria:

\\\ saSualo simZimis

48

\\ mZime


\\\ ar aris dehidratacia

\\\\ janmos monacemebiT, gauwyloebis niSnebi vlindeba mas Semdeg, Tu

siTxis minimaluri danakargi:

\\\ sxeulis masis 10%-s aRemateba


\\ sxeulis masis 5%-s aRemateba

\\\ sxeulis masis 20% aRemateba

\\\\ saSualo dehidrataciis marTva gulisxmobs:

\\ oraluri rehidratacia 6sT-is ganmavlobaSi, Tu Rebineba ar

aRiniSneba

\\\ diagnozis dasmisTanave iwyeba intravenuri rehidratacia

\\\ kvebis koreqcia da xanmokle oraluri rehidratacia

\\\ mkacri dieta cximisa da rZis produqtebis amoRebiT

\\\\ mZime dehidrataciis marTva gulisxmobs:

\\\ oraluri rehidratacia 6sT-is ganmavlobaSi, Tu Rebineba ar aRiniSneba

\\ diagnozis dasmisTanave iwyeba intravenuri rehidratacia,

eleqtrolitebis kontroliT

\\\ kvebis koreqcia da xanmokle oraluri rehidratacia masis

kontroliT


\\\\ sistemuri wiTeli mgluras paTogenezSi wamyvani roli ar miekuTvneba:

49

\\ streptokokul infeqcias

\\\ imunur kompleqsebs;

\\\ autoimunur reaqciebs;

\\\ limfocitebis disfunqcias;

\\\\ revmatiuli cxeleba xSiria:

\\ 6-10 wlis asakis bavSvebSi;


\\\ sqesobrivi momwifebis periodSi;

\\\ yvela asakSi Tanabari sixSiriT aris gavrcelebuli;

\\\\ jonsis mixedviT revmatuli cxelebis did sadiagnostiko kriteriumebs ar

miekuTvneba:

\\\ karditi;

\\\ poliarTriti;

\\ anti-0 streptolizinis titris mateba;

\\\ anularuli eriema;

\\\\ 8 wlis gogonas aReniSneba muclis SeteviTi tkivili, proteinuria,

hematuria, eqsudaciur-hemoragiuli xasiaTis simetriuli peteqiuri gamonayari

kidurebis gamSlel zedapirze da dunduloebze. Tqveni savaraudo diagnozia:

\\\ sistemuri wiTeli mglura;

\\ hemoragiuli vaskuliti;

\\\ Trombocitopeniuri purpura

\\\ mwvave glomerulonefriti

//// qvemoT CamoTvlilTagan ra ar axasiaTebs revmatizms?

/// mwvave dasawyisi

/// saxsrebis anTebis mfrinavi xasiaTi

50

// saxsrebis deformacia da ankilozi

/// anularuli eriTema

//// iuveniluri revmatoiduli arTritisaTvis damaxasiaTebelia, garda

/// dilis SeboWiloba

/// revmatoiduli kvanZebi

/// 3 kviraze meti xangrZlivobis arTriti

// disfagia

//// iuveniluri revmatoiduli arTritis dros prognozulad gansakuTrebiT

arakeTilsaimedoa:

/// sisxlSi edsis momateba;

// daavadebis adreul stadiaSi revmatoiduli faqtoris aRmoCena;

/// anemia;

/// leokocitozi.

\\\\ aRniSneT daavadeba, mimdinare muclis tkiviliT, romelic ar aris

dakavSirebuli muclis Rrus organoebis paTologiasTan:

\\\ mwvave apendiciti

\\\ mwvave pankreatiti

\\\ peritoniti

\\ -

//// sistemuri wiTeli mgluras dros yvelaze informaciul kriteriums

warmoadgens:

///

/// maRali edsi

// antisxeul -

51

/// leikopenia

//// , .

.

, .

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56

asagamocdo testebi q.gogberaSvili

\\\\ gastroezofaguri refluqsis genezSi wamyvania:

\\\ infeqciuri agentis zemoqmedeba kuWis lorwovanze

\\\ kuWis wvenis dabali mJavianoba

\\ saylapavis qveda sfinqteris tonusis daqveiTeba

\\\ xelovnuri kveba

\\\\ uxSiresad romeli mikrobi iwvevs kuWis wylulovan daavadebas:

\\\ nawlavis Cxiri;

\\\ stafilokoki da kampilobaqteria;

\\\ streptokoki;

\\ helikobaqteria;

\\\\ disfagia niSnavs:

\\\ madis gaukuRmarTebas;

\\\ gaZlierebul madas;

\\ gaZnelebul ylapvas

\\\ sakvebis miRebis SiSs

\\\\ srulfasovani monelebisaTvis Tormetgoja nawlavis wvens emateba:

\\\ Tormetgoja nawlavis wveni sakmarisia srulfasovani monelebisaTvis,

\\\ kuWis wveni pilorusis gavliT,

\\\ marilmJava

57

\\ pankreasis da RviZlis sadinarebis sekreti

\\\\ bavSvis nawlavebi sruliad steriluria (aseptikuri faza):

\\ sicocxlis pirvel saaTebSi

\\\ adreuli axalSobilobis periodSi

\\\ ZuZumwovrobis periodSi

\\\ gviani axalSobilobis periodSi

\\\\ ra lokalizaciis paTologiaze miuTiTebs moyavisfro Savi feris

pirnaRebi masa:

\\\ saylapavSi

\\ kuWsa da Tormetgoja nawlavSi

\\\ cxvir-xaxaSi

\\\ filtvebSi

\\\\ qronikuli gastritis diagnostikaSi ras eniWeba gadamwyveti

mniSvneloba

\\\ klinikur simptomokompleqss

\\\ kuWis mJava warmomqmneli funqciis Seswavlas

\\\ rentgenologiur gamokvlevas

\\ endoskopiur gamokvlevas

\\\\ yabzobis uxSiresi mizezebia CvilebSi yvela CamoTvlili, garda:

\\ eqskluziuri ZuZuTi kveba

\\\ raqiti

\\\ nawlavis kunTovani Srisa da elastiuri boWkoebis susti ganviTareba

\\\ hirSprungis daavadeba

58

\\\\ kuWis wyluli yvelaze xSirad lokalizebulia

\\\ kardialur nawilSi

\\\ fundusSi

\\\ did simrudeze

\\ mcire simrudeze

\\\\ romeli asakidan Zlierdeba CvilebSi nerwyvis gamoyofa:

\\\ 2-3 Tve

\\\ 7-8 Tve

\\ 4-6 Tve

\\\ 8-9 Tve

\\\\ CvilebSi kuWSi rZis cilis SexaWoebaSi monawileobs:

\\ qimozini

\\\ lipaza

\\\ amilaza

\\\ pefsini

\\\\ didi raodenobiT wylis Semcveli ganavali axasiaTebs:

\\ enterits

\\\ kolits

\\\ pankreatits

\\\ gastrits

\\\\ bunebriv kvebaze myof bavSvTa nawlavis mikrofloraSi Warbobs:

\\\ E.Coli

\\ B.Bifidus

59

\\\ Clostridia def.

\\\ Salmonella

\\\\ Helicobacter pylori-s eradikaciisaTvis gamoiyeneba:

\\ poliTerapia 3 da 4 komponentiani sqemiT

\\\ monoTerapia bismutis marilebiT

\\\ monoTerapia metronidazoliT

\\\ amoqsicilinisa da eriTromicinis kombinacia


hiperaciduriiT:

\\\ kuWis avsebisa da simZimis SegrZneba


\\\ laye kvercxis gemo pirSi

\\ boyini da gulZmarva


hipoaciduriiT, garda:

\\\ boyini laye kvercxis suniT


\\\ simZimis SegrZneba epigastriumis midamoSi

\\ madis gaZliereba

\\\\ ganavalSi eriTrocitebis raodenobis mateba mikroskopuli kvlevisas

miuTiTebs:

\\ kolitze

\\\ enteritze

\\\ pankreatitze

\\\ hepatitize

60

\\\\ pilorospazms axasiaTebs yvela CamoTvlili, garda erTisa:


\\\ aqvs naTeli periodebi

\\\ naRebinebi masa naklebia miRebul sakvebze

\\ klinikuri niSnebi vlindeba 3-4 kviris asakidan

\\\\ pilorostenozs axasiaTebs yvela CamoTvlili, garda erTisa:


\\\ vlindeba masaSi CamorCena

\\\ naRebinebi masa metia miRebul sakvebze

\\ klinikuri nisnebi vlindeba dabadebisTanave

\\\\ SeafaseT 5 wlis biWis ganavali. feri muqi yavisferi, konsistencia mkvrivi,

lorwo didi raodenobiT, brtyeli epiTeli 12-15 mx/areSi, leikocitebi 30-

40 mx/areSi, eriTrocitebi 20-30 mx/areSi:

\\\ enteriti

\\\ pankreatiti

\\ koliti

\\\ gastriti

\\\\ mZime gauwyloebisTvis damaxasiaTebelia yvela niSani, garda erTisa:

\\ agzneba

\\\ siTxes ver svams

\\\ kanis naoWi swordeba nela

\\\ Cacvenili Tvalebi

\\\\ Tqven sinjavT 2 wlis pacients, romelsac uvlindeba diarea. nawlavTa

moqmedeba 6-jer siTxis semcveli ganavliT. vlindeba kanis simsrale,

61

Tvalebi ar aris cavardnili, bavSvi Tamasobs, svams wyals, Tumca ara

xarbaT. kanis naoWi swordeba swrafad. Ra mkurnalobas daniSnavT?

\\\ antibiotikoTerapia

\\\ sarehidratacio xsnaris miwodeba intravenurad 100ml/kg

\\\ sarehidratacio xsnaris miwodeba oralurad 4 sT-is ganmavlobaSi 75ml/kg

\\ sarehidratacio xsnaris miwodeba yoveli nawlavTa moqmedebis Semdeg 100 ml

\\\\ Tqven sinjavT 3 wlis pacients, romelsac uviTardeba diarea- nawlavTa

moqmedeba 6-jer siTxis Semcveli ganavliT. vlindeba kanis simSrale,

Tvalebi ar aris Cacvenili, bavSvi TamaSobs, svams wyals, Tumca ara xarbad.

kanis naoWi swordeba swrafad. rogoria Tqveni diagnozi?

\\\ diarea mZime gauwyloebiT

\\\ diarea zomieri gauwyloebiT

\\ diarea gauwyloebis gareSe

\\\ diarea msubuqi gauwyloebiT

\\\\ gastriezofaguri refluqsisaTvis damaxasiaTebelia yvela niSani, garda

erTisa:

\\\ xSiri SeteviTi xvela

\\\ boyini

\\\ asTmuri sunTqva

\\ temperaturuli reaqcia

\\\\ gastriezofaguri refluqsis mkurnaloba moicavs:

\\\ kortikosteroidebs

\\\ antibiotikebsa da mukolitikebs

\\\ antibiotikebsa da antioqsidantebs

\\ antisekretorul da antacidur preparatebs

\\\\ SeafaseT bavSvis dehidrataciia xarisxi, Tu sxeulis masis

62

daqveiTeba 9%-mdea, Tvalebi odnav Cacvenilia, piris lorwovani

mSralia, kanis nakeci swordeba 2wm-Si, gaZlierebuli aqvs wyurvilis

SegrZneba, diurezi Semcirebulia:

\\\ SefasebisaTvis esaWiroeba ganavlis koprologiuri kvleva

\\ saSualo simZimis dehidratacia


\\\ mZime dehidratacia

\\\\ SeafaseT bavSvis dehidrataciis xarisxi, Tu sxeulis masis

daqveiTeba metia 9%-ze, bavSvi apaTiuria, leTargiuli, xarbad svams

wyals, Tvalebi Cacvenili, kapilaruli avseba gaxangrZlivebulia,

kidurebi civia, Sardis gamoyofa minimaluria:

\\\ saSualo simZimis

\\ mZime


\\\ ar aris dehidratacia

\\\\ janmos monacemebiT, gauwyloebis niSnebi vlindeba mas Semdeg, Tu

siTxis minimaluri danakargi:



\\ sxeulis masis 5%-s aRemateba

\\\ sxeulis masis 20% aRemateba

\\\\ saSualo dehidrataciis marTva gulisxmobs:

\\ oraluri rehidratacia 6sT-is ganmavlobaSi, Tu Rebineba ar

aRiniSneba

\\\ diagnozis dasmisTanave iwyeba intravenuri rehidratacia

63

\\\ kvebis koreqcia da xanmokle oraluri rehidratacia


\\\\ mZime dehidrataciis marTva gulisxmobs:

\\\ oraluri rehidratacia 6sT-is ganmavlobaSi, Tu Rebineba ar aRiniSneba

\\ diagnozis dasmisTanave iwyeba intravenuri rehidratacia,

eleqtrolitebis kontroliT

\\\ kvebis koreqcia da xanmokle oraluri rehidratacia masis

kontroliT


\\\\ sistemuri wiTeli mgluras paTogenezSi wamyvani roli ar miekuTvneba:

\\ streptokokul infeqcias

\\\ imunur kompleqsebs;

\\\ autoimunur reaqciebs;

\\\ limfocitebis disfunqcias;

\\\\ sistemuri wiTeli mgluras diagnostikuri kriteriumi ar aris:

\\\ antinuklearuli antisxeulebi;

\\\ saxezE ,, pepelasebri eriTema;

\\ leikocitozi;

\\\ Tirkmlis dazianeba;

\\\\ revmatiuli cxeleba xSiria:

\\ 6-10 wlis asakis bavSvebSi;


\\\ sqesobrivi momwifebis periodSi;

64

\\\ yvela asakSi Tanabari sixSiriT aris gavrcelebuli;

\\\\ revmatiuli cxelebis ganviTareba dakavSirebulia, yvela CamoTvlilTan

garda:

\\\ A streptokokiT gamowveuli cxvir-xaxis mwvave da qronikul infeqciasTan;

\\\ st

\\\A zogjer streptokokis da virusis asociaciis Sedegia;

\\ stafilokokiT gamowveul infeqciasTan

\\\\ jonsis mixedviT revmatuli cxelebis did sadiagnostiko kriteriumebs ar

miekuTvneba:

\\\ karditi;

\\\ poliarTriti;

\\ anti-0 streptolizinis titris mateba;

\\\ anularuli eriema;

\\\\ revmatizmis dros kortikosteroidebi ar gamoiyeneba:

\\\ pirveladi revmokarditis dros, rodesac maRalia riski ganviTardes gulis

sarqvlovani manki;

\\\ meoradi revmokarditis dros, rodesac valvulitis progresirebis

SiSroebaa;

\\\ eqsudaciuri perikarditiT garTulebisas

\\ ;

\\\\ revmatuli cxelebis mkurnalobis efeqturobis maCvenebeli ar aris:

\\ sisxlSi bioqimiuri cvlilebebis gaxangrZliveba;

\\\ sxeulis temperaturis myari normalizeba;

\\\ poliarTritis movlenebis alageba;

\\\ gulis mxriv fizikaluri monacemebis normalizeba;

65

\\\\ mwvave revmatuli cxelebis paTogenezSi wamyvania, yvela garda:

\\\ autoagresiis movlena;

\\\ SemaerTebeli qsovilis sistemuri dazianeba;

\\\ streptokokuli infeqcia;

\\ D hipovitaminozi

\\\\ revmatuli cxelebis diagnozisaTvis anamnezSi mniSvnelovania:

\\ xSiri streptokokuli angina;

\\\ xSiri avadoba mwvave respiratoruli infeqciebiT;

\\\ gadatanili wiTela;

\\\ saSarde gzebis infeqcia.

\\\\ SemaerTebeli qsovilis sistemuri dazianebiT mimdinare daavadebebisaTvis

damaxasiaTebelia yvela CamoTvlili, garda:

\\\ memkvidruli datvirTva revmatoiduli daavadebebis mxriv;

\\\ klinikur simptomTa mravalferovneba;

\\ anamnezSi gadatanili saSarde gzebis infeqcia;

\\\ sisxlSi antinuklearuli faqtoris aRmoCena.

\\\\ iuveniluri revmatoiduli arritis oligoarTritul formas ar

axasiaTebs:

\\\ keTilsaimedo mimdinareoba;

\\\ SemTxvevaTa 1/3-Si poliarTritul formaSi;

\\ letaluri gamosavali;

\\\ sistemuri gamovlinebani

\\\\ Snlain-henoxis daavadebas ar axasiaTebs:

66

\\\ purpura;

\\\ poliarTralgia an poliarTriti Seqcevadi xasiaTis;

\\\ abdominalgia sisxldena kuW-nawlavis traqtidan;

\\ cistiti;

\\\\ 8 wlis gogonas aReniSneba muclis SeteviTi tkivili, proteinuria,

hematuria, eqsudaciur-hemoragiuli xasiaTis simetriuli peteqiuri gamonayari

kidurebis gamSlel zedapirze da dunduloebze. Tqveni savaraudo diagnozia:

\\\ sistemuri wiTeli mglura;

\\ hemoragiuli vaskuliti;

\\\ Trombocitopeniuri purpura

\\\ mwvave glomerulonefriti

\\\\ Sonlain-henoxis daavadebas ar axasiaTebs:

\\ cistiti;

\\\ purpura;

\\\ abdominluri sindromi;

\\\ imunokompleqsuri nefriti

\\\\ Sonlain-henoxis daavadebis klinikuri forma ar aris:

\\\ kanis, saxsrovani,

\\ filtvis,

\\\ abdominaluri,

\\\ Tirkmlis.

//// mwvave revmatuli cxelebis sadianostiko didi kriteriumebia, garda

/// karditi

/// poliarTriti

67

/// beWdiseburi eriTema

// abdominalgia

//// mwvave revmatiuli cxelebis sadiagnostiko mcire kriteriumebia, garda

/// arTralgia

/// cxeleba

/// e.d.s is momateba

/// c reaqtiuli proteini

// revmatoiduli faqtori

//// mwvave revmatizmisTvis damaxasiTevbelia kanis mxriv cvlilebebi

/// saxeze pepelas formebi

/// wertilovani sisxlCaqceva

// anularuli eriTema

/// papulur-makulozuri gamonayari

//// revmatizmi azianebs gulis sarqvlovan aparats, maT Sors pirvel adgilzea

/// aortis sarqvlis stenozi

// orkariani sarqvlis naklovaneba

/// samkariani sarqvlis naklovaneba

/// filtvis arteriis stenozi

//// qvemoT CamoTvlilTagan ra ar axasiaTebs revmatizms?

/// mwvave dasawyisi

/// saxsrebis anTebis mfrinavi xasiaTi

// saxsrebis deformacia da ankilozi

/// anularuli eriTema

68

//// revmatizmi ganekuTvneba

// imunopaTologiur daavadebaTa ricxvs

/// nivTierebaTa cvlis moSliT ganpirobebul daavadebebs

/// ostoqondropaTiebs

/// reaqtiul arTritebs

//// qvemoT CamoTvlilTagan sistemuri wiTeli mgluras dros gvxvdeba yvela,

garda

/// nefriti

/// karditi

/// pnevmoniti

// saxsrebis myari kontraqtura

//// iuveniluri revmatoiduli arTritisaTvis paTognomuria sisxlSi aRmoCena

/// leikocitozi

// revmatoiduli faqtori

/// leikopeniis

/// eozinofiliis

//// iuveniluri revmatoiduli arTritisaTvis damaxasiaTebelia, garda

/// dilis SeboWiloba

/// revmatoiduli kvanZebi

/// 3 kviraze meti xangrZlivobis arTriti

// disfagia

//// iuveniluri revmatoiduli arTritis adreul sadiagnozo kriteriumebSi

Sedis yvela niSani, garda:

69

/// erTze meti saxsris anTeba 1.5-2 Tvis xangrZlivobiT;

/// wvrili saxsrebis simetriuli dazianeba;

// ;

/// edsis maRali done.

//// iuveniluri revmatoiduli arTritis dros saxsrebis tkivili gansakuTrebiT

:

/// saRamos;

// diliT adre;

/// SuadRisas;

/// Ramis pirvel naxevarSi.

//// iuveniluri revmatoiduli arTritis dros prognozulad gansakuTrebiT

arakeTilsaimedoa:

/// sisxlSi edsis momateba;

// daavadebis adreul stadiaSi revmatoiduli faqtoris aRmoCena;

/// anemia;

/// leokocitozi.

//// sistemuri wiTeli mgluras diagnostikuri kriteriumi ar aris:

/// fotosensibilizacia;

/// antinuklealuri antisxeulebi;

/// Tirkmlis dazianeba;

// mioziti.

//// SeZenili gulis mankis ganviTarebas ganapirobebs:

/// sefsisi;

/// arTriti;

70

/// nawlavuri infeqcia;

// revmatiuli cxeleba.

//// rematiuli cxelebis SesaZlo garTuleba ar aris:

/// gulis sarqvlovani manki;

/// Tromboembolia;

/// septiuri endokarditi;

// saxsrovani ankilozi

\\\\ aRniSneT daavadeba, mimdinare muclis tkiviliT, romelic ar aris

dakavSirebuli muclis Rrus organoebis paTologiasTan:

\\\ mwvave apendiciti

\\\ mwvave pankreatiti

\\\ peritoniti

\\ -

\\\\ kanze gamoxatuli purpura da sisxlSi Trombocitebis normaluri

raodenoba CamoTvlilTagan romeli daavadebisaTvis aris damaxasiaTebeli?

\\\ sistemuri wiTeli mglura

\\\ leikemia

\\ henox-Sonlainis daavadeba

\\\ imunuri Trombocitopenia

//// revmatizmis dros kanis damaxasiaTebeli dazianebaa:

/// hiperpigmentacia

/// eqsudaciuri eriTema

// beWdisebri eriTema

/// hiperkeratozi

71

//// sistemuri wiTeli mgluras dros yvelaze informaciul kriteriums

warmoadgens:

///

/// maRali edsi

// antisxeul -

/// leikopenia

////

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\\\\ axalSobilebSi SereSevski-terneris sindromisTvis yvelaze

damaxasiaTebelia:

\\\ kunTovani hipertonusi

\\ terfebisa da xelis mtevnebis lokaluri SeSupeba

\\\ cianozi

\\\ makroglosia

\\\\ memkvidreobis romeli tipiT gadaecema fenilketonuria?

\\Autosomur-recesiuli tipiT

\\\Aautosome-dominanturi tipiT

\\\Ddominanturi, X qromosomasTan SeWiduli

\\\ recesiuli, X qromosomasTan SeWiduli

\\\\ CamoTvlili qromosomuli daavadebebidan romlis diagnostireba

SeiZleba dabadebisTanave?

\\\ qromosomTa V wyvilis mokle mxris delecia

\\\ edvardsis sindromi

\\\ daunis sindromi

\\ yvela CamoTvlili

112

\\\\ romel asakSi SeiZleba autosomur qromosomTa darRvevebiT gamowveul

daavadebaTa umravlesobis diagnostireba?

\\ dabadebisTanave

\\\ sicocxlis erT Tveze

\\\ sicocxlis erT welze

\\\ sicocxlis erTi wlis Semdeg

\\\\ romel qromosomul daavadebas miekuTvneba daunis daavadeba?

\\ trisomia 21

\\\ trisomia 18

\\\ trisomia 13

\\\ kariotipi 47 XXY

\\\\ rogoria kalainfelteris sindromis kariotipi?

\\\ 47 XYY

\\ 47 XXY

\\\ 45 XO

\\\ 47XY+18c

\\\\ miuTiTeT memkvidruli daavadebebis wamyvani klinikuri kriteriumebi:

\\\ daavadebis morecidive an qronikuli mimdinareoba

\\\ specifiuri simptomebis ararseboba

\\\ paTologiuri procesSi mravali oraganos da sisTemis Catreva

(polimorfizmi), displaziis niSnebi;

\\ yvela pasuxi sworia

\\\\ fenilketonuriis dros mSoblebidan romeli aris mutagenuri genis

matarebeli?

\\\ Mmama

\\\ Ddeda

\\ Oorive mSobeli

\\\ arcerTi

\\\\ rogoria mukoviscidozis memkvidruli gadacemis tipi?

\\ Aautosomur recesiuli;

\\\Aautosomur-dominanturi;

\\\ recesiuli, sqesTan SeWiduli;

\\\ poligenuri

\\\\ rogoria fenilketonuriis memkvidreobiT gadacemis tipi?

\\\ Ppoligenuri;

\\ Aautosomur-recesiuli;

\\\ Aautosomur dominanturi;

\\\ X qromosomTan SeWiduli.

\\\\ romeli etiologiuri faqtoris gavlenam SeiZleba gamoiwvios

Canasaxis dazianeba orsulobis 3-8 kviraze?

113

\\\ radiacia

\\\ samkurnalo preparatebi

\\\ infeqciuri agentebi

\\ yvela zemoT CamoTvlili faqtori

\\\\ galaqtozemiiis dros galaqtoz 1 fosfaturidil transferazis

deficitis Sedegad ar ziandeba:

\\\ centraluri nervuli sisitema;

\\\ Tvalis broli;

\\ bronqo filtvis sistema;

\\\ RviZli.

\\\\ galaqtozemiisTvis ar aris damaxasiaTebeli:

\\\ hipoglikemia;

\\\ galaqtozemia;

\\ hiperqolesterinemia;

\\\ galaqtozuria.

\\\\Ggalaqtozemiis mkurnaloba efeqturia, Tu dawyebulia:

\\ 2 Tvemde asakSi;

\\\ 6 Tvemde asakSi;


\\\ 1.5 wlamde asakSi.

\\\\ galaqtozemiis mkurnaloba mdgomareobs SemdegSi:

\\\ Qqalis rZis dozis Semcireba

\\\ Qqalis rZis mTlianad Secvla adaptirebuli xelovnuri narevebiT;

\\\ Bostneuli damaTebiTi sakvebis adreuli seyvana rZis narevebis

fonze;

\\ bavSvis kvebidan rZisa da rZis produqtebis sruli gamoricxva.

\\\\ rezus antisxeulebi, romelic warmoiqmneba dedis organizmSi da

nayofSi cirkulirebs miekuTvneba imunoglobulinebis Semdeg klass:

\\\ IgA

\\\ IgM

\\ IgG

\\\ IgE

\\\\ saSvilosnosSidan ganviTarebis romeli Tvidan SeuZlia nayofs

antisxeulebis gamomuSaveba antigenTan Sexvedrisas?

\\\ 3-4 Tvidan

\\ 5-6 Tvidan;

\\\ 7-8 Tvidan;

\\\ 9 Tvidan.

\\\\ Tandayolili wiTurasTvis damaxasiaTebeli Semdegi garTulebebi:

\\Qqorioretiniti

114

\\\Kkataraqta;

\\\ miokarditi;


\\\\ Tandayolili toqsoplazmosiTvis yvelaze damaxasiaTebelia:

\\\Qqorioretiniti;

\\ kataraqta;

\\\ Kmiokarditi;


\\\\ saSvilosnosSida romeli infeqciis dros aRiniSneba yvelaze xSirad

koniuqtiviti?

\\\ toqsoplazmozis dros;

\\\ Mmikoplazmozis dros;

\\ Qqlamidiozis dros;

\\\ citomegaliis dros.

\\\\ ra SemTxvevaSi xdeba toqsoplazmoziT nayofis saSvilosnosSida

dainficireba?

\\\ xangrZlivi, duned mimdinare infeqciuri procesisas;

\\\ qronikuli procesis gamwvavebisas;

\\ orsulobis dros qalis mwvave, pirveladi inficirebisas;

\\\ infeqciis wyarosTan xanmokle kontaqtis SemTxvevaSi.

\\\\ Eembrioni iTvleba nayofad:



\\ saSvilosnosSidan ganviTarebis 11-12 kviridan;

\\\ saSvilossnoSidan ganvitarebis 15-16 kviridan.

\\\\ Pplacentis funqciebia:

\\\ kvebiTi da eqskretoruli;

\\\ sunTqviTi da endokrinuli;

\\\ barieruli da imunologiuri dacvis;

\\ yvela zemoTCamoTvlili.

\\\\ mZime, xanmokle saSvilosnosSida hipoqsia iwvevs nayofis organizmSi:

\\\ bradikardias da arteriul hipertenzias;

\\\ bradikardias da arteriul hipotenzias;

\\ taqikardias da arteriul hipertenzias;

\\\ taqikardias da arteriul hipotenzias.

115

\\\\ Ppirveladi apnoes mdgomareobaSi dabadebuli bavSvis kanis

Seferiloba aris:

\\\ vardisferi;

\\\ cianozuri;

\\ mkrTali;

\\\ ruxi.

\\\\ terminaluri apnoes mdgomareobaSi dabadebuli bavSvis kanis

Seferiloba aris:

\\\ vardisferi;

\\\ cianozuri;

\\\ mkrTali;

\\ ruxi.

\\\\ sisxlis airebis da mJava-tutovani mdgomareobis romeli cvlilebebi

aReniSnebaT mSobiarobis dros asfiqsiagadatanil bavSvebs:

\\\ Mmetaboluri acidozi;

\\\ Hhipoqsemia;

\\\ Hhiperkapnia;


\\\\ Aapgaris Skala aucilebelia:

\\\Ddroul da dRenalul axalSobilebSi asfiqsiis simZimis

dasadgenad;

\\ samSobiaro blokSi axalSobilisTvis daxmarebis moculobis

dasadgenad;

\\\ axalSobilisTvis prognozis gansazRvrisTvis;

\\\ yvela pasuxi sworia.

\\\\ riT aris ganpirobebuli mekoniumis muqi mwvane Seferiloba?

\\\ Ppirdapiri bilirubiniT;

\\\ Aarapirdapiri bilirubiniT;

\\\ naRvliT;

\\ yvela CamoTvlili konmonentiT.

\\\\ Qqalis rZeSi arsebuli saWmlis momnelebeli fermentebia:

\\\ Ddisaqaridazebi;

\\\ lipazebi;

\\\ Pproteazebi;

\\ Yyvela CamoTvlili.

\\\\ Kkvebis romeli saxe uzrunvelyofs bavSvis optimalur inteleqtualur

ganviTarebas?

\\ Bbunebrivi;

\\\ xelovnuri araadaptirebuli nareviT;

\\\ xelovnuri, minelaruli nivTierebebiT da vitaminebiT gamdidrebuli

narevebiT;

116

\\\ Sereuli.

\\\\ Qqalis rZis romeli imunoglobulinebi uzrunvelyofen axalSobilis

kuW-nawlavis traqtis adgilobriv imunitets?

\\\ IgE;

\\\ IgM;

\\ IgA;

\\\ IgG.

\\\\ romeli Saqari dominirebs qalis rZis naxSirwylebSi?

\\\ saqaroza;

\\\ maltoza;

\\ laqtoza;

\\\ galaqtoza.

\\\\ Aarasfecifiuri imunitetis romel faqtors eniWeba wamyvani

mniSvneloba paTogenuri mikroflorisgan lorwovanis garsebis dacvaSi?

\\\ interferons;

\\ lizocims;

\\\ properdins;

\\\ kompleqsur sistemas.

\\\\ rasTan aris dakavSirebuli hemoglobinis daqveiTeba sicocxlis

pirvel Tveze janmrTel, droul axalSobilSi?

\\\ eriTrocitebis bunebriv hemolizTan;

\\\ Zvlis tvinis funqciis daqveiTebasTan;

\\\ retikulo-histiocituri sistemis aqtivaciasTan;

\\ Yyvela CamoTvlil faqtorTan.

\\\\ axalSobili bavSvis kuW-nawlavis traqtis romeli anatomiur-

fiziologiuri Tavisebureba ganapirobebs amoRebinabas?

\\\ Mmokle saylapavi;

\\\ kuWis kardialuri nawilis arasakmarisi ganviTareba;

\\\ kuWis piloruli nawilis SEdarebiTi hipertonusi;


\\\\ axalSobilis sasunTqi gzebis gawmendis wamyvani fiziologiuri

meqanizmia:

\\\ xvela;

\\\ cemineba;

\\\ zeda sasunTqi gzebis SigTavsis pasiuri transporti mocimcime

epiTeliumiT;


\\\\ axalSobili bavSvis xorxi ganlagebulia Semdeg doneze:

\\ kisris meore malis;

\\\ kisris meoTxe malis;

117

\\\ kisris meeqvse malis;

\\\ kisris meSvide malis.

\\\\ axalSobili bavSvis xorxis yvelaze viwro nawili ganlagebulia:

\\\ xorxsarqvelis doneze;

\\ xmovani iogebis doneze;

\\\ beWdiseburi xrtilis doneze;

\\\ farisebri xrtilis doneze.

\\\\ axalSobilTa hemolizuri daavadebis siyviTliT mimdinare formis

dros prognozulad yvelaze mZimea:

\\\ anemia;

\\\ RviZlis dazianeba;

\\ cns-is dazianeba;

\\\ gulis ukmarisoba.

\\\\ Ddabadebisas gamovlinebuli anemiis romeli mizezia yvelaze xSiri?

\\ sisxlis dakargva da hemolizi;

\\\ Mmemkvidruli mikrosferocitozi;

\\\ eriTrocituli fermentebis deficiti;

\\\ memkvidruli hipoplastiuri anemia

\\\\ axalSobil bavSvebSi miokarditis yvelaze xSiri gamomwvevia:

\\\ koksakis virusi;

\\\ stafilokoki;

\\\ streptokoki;

\\ klebsiela.

\\\\ romeli fermentebis aqtioba matulobs meqanikuri siyviTlis dros?

\\\Aaspartataminotransferazis;

\\\ Aalaninaminotransferazis;

\\\Aaldolazis;

\\ tute fosfatazis.

\\\\ romeli daavadebis dros vlindeba koprogramaSi neitraluri cximis

didi raodenoba da misi siWarbe cximovan mJavebze?

\\\ Llaqtazuri ukmarisobis dros;

\\\ Mmukoviscidozis dros;

\\\ Eeqsudaciuri enteropaTiis dris;


\\\\ axalSobilebSi nawlavuri infeqciebis yvelaze mZime formebs iwvevs:

\\\ gramdadebiTi baqteriebi;

\\ gramuaryofiTi baqteriebi;

\\\ virusebi;

\\\ yvela erTnairad.

118

\\\\Ggulis Tandayolili mankebidan romeli vlindeba gamoxatuli cianoziT

dabadebisTanave?

\\\ parkuWTaSua Zgidis defeqti;

\\ falos tetrada;

\\\ magistraluri sisxlZarRvebis transpozicia;

\\\ Ria arteriuli sadinari.

\\\\ sefsisis mTavar sadiferenciacio diagnostikur niSans warmoadgens

\\ infeqciis mravlobiTi, Tanmimdevrulad aRmocenebuli kerebi;

\\\ imunitetits darRvevebi da hemostazis Rrma cvlilebebi;

\\\ cns-is mZime dazianeba;

\\\Ggamoxatuli nawlavuri sindromi.

\\\\ romeli niSebis saSualebiT SeiZleba ganasxvaon eqsikozi hipotrofiisgan?

\\\ sxeulis masis daqveiTebis siCqare;

\\\Aanamnezis siTxis paTologiuri dakargvis ararseboba;

\\\Llorwovani garsebis namianoba;


\\\\Aarsebobs Tu ara sefsisis absoluturi laboratoriuli niSnebi?

\\\Ddiax;

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