Krok2 – 2013 Base(Hygiene)

A number of viable fetuses per 1000 women at the age between 15 and 44 is determined by:

Point out the unit for statistical observation for the determination of blood sugar level influence on a wound surface healing during postoperative period

What information gathering method is preferable to study housing conditions of medical students during training period?

What methods of the collecting of the information is preferable for study of housing conditions of students of medical HIGH SCHOOL for a training period?

Choose a method of a graphic representation of monthly information about number of the registered cases of acute intestinal infection and their comparisons to the average monthly values, obtained for 5 previous years:

The parameter of infantile mortality for the last year was – 16.3, in present year – 15.7. Name a kind of the diagram that can be used for a graphic representation of it:

The average body lenth of newborn boys is 50.9 cm at a sigma 1.66; and average mass – 3432 at a sigma 5.00. What criterion is necessary in order to compare degree of variability of these signs?

What method is applied to establish rate of correlation between age of men and their mortality due to myocardial infarction?

Indicate the registration medical document for the patient, who 21.02. was addressed to the doctor with diagnosis ARVD for the first time in this year:

Define the basic registration document at the profound study of a case rate with temporary lost labor ability at the industrial enterprise:

Head of a department and a trade-union group have appealed to the head of a hospital about dismissal of the senior nurse who has 17 year record of service. The facts of charge were confirmed and recognized by the nurse herself. This nurse lives with a daughter (who is divorced and unemployed) and a 9-month-old grandson. Make an administrative decision:

25 unorganized children in the age 2-3 year will be observed on a pediatric district it in the current year. What scheduled number of initial visitations will make to this group of children?

A child is 6 years old. Within one year of observation he had URI that lasted 8 days. Physical state is satisfactory. Specify hi health group:

A 38 year old man was admitted to a hospital from his working place on July 19 because of hip fracture. He was invalid till November 19. Requires prolongation of treatment. Who decides on the issue of further temporary invalidity?

What is the maximum duration of medical certificate in case of tuberculosis?

An engineer-chemist at the age of 47 often fells ill with an occupational skin disease. Who makes a decision to transfer him to other job accepts?

A patient with high temperature came to a first-aid post in the evening. The fact of temporary disability was established. Indicate the order of examination in this case:

A sample of milk was taken for testing from a 5 ton milk batch. Lab analysis showed the following: fat content 2%, specific density- 1.04 g/cm³, acidity 210C, reductase probe – weak positive. What way the product is to be used in? What would you advise?

A 5 tons milk batch was sampled. The lab analysis revealed: fat content 2%, specific density – 1.04 g/cm³, acidity – 210C, reductase probe – weak-positive. What way is the product to be used in?

The student has the following devices: Geiger counter, Ebert counter, Krotovs apparatus, Mischuk device, Ebert device. What device can he use to assess air germ pollution?

Thyreotoxicosis patient is in the two-place hospital ward of therapeutic department. The area of the ward is 18 m², height is 3 m, ventilation rate is 2.5/h. Air temperature is 20°C, relative humidity is 45%, air movement velocity is 0.3 m/sec, light coefficient is 1/5, noise level constitutes 30 dB. Make a hygienic assessment of these conditions

A 9 y.o. girl has an average height and harmonic growth development. She was ill with acute respiratory infection for five times. Define the group of her health

A student lives in the modern house in the flat with a complete set of sanitary equipment (WC, bath, shower, local water heater). How much water consumption has he got?

A 30-year-old patient with complaints of occipital headache, disturbed sleep with nightmares came to a policlinic. BP was 150/95 mm Hg. He was diagnosed with hypertensic crisis. The patient should be registered in the following dispensary group for arterial hypertension surveillance:

A young patient who came to a policlinic was diagnosed with the 1 stage of hypertension. How often should he undergo the medical check-up?

25 children at the age of 2-3 years who dont attend any child welfare institutions should be observed by a district pediatrician within the current year. How many initial visits of this group of children should be planned?

Studying of pulmonary tuberculosis incidence provided data about patients socioeconomic living conditions and bad habits. What method allows to estimate the impact of these factors on tuberculosis incidence?

A teacher of a secondary school was diagnosed with pulmonary tuberculosis. What is the maximum duration of his medical certificate?

An employee of a private company was ill with acute respiratory viral infection. Consulted a district doctor, who determined the fact of temporary loss of working ability, but refused to issue a sick-list, arguing that the patient worked in the private and not state-owned company. Should the sick-list be issued to the employees of private companies?

Clinic of a research instutute for occupational diseases examined a worker who works at a concentration plant and diagnosed him with chronic dust bronchitis. The case is investigated by a commission including the representatives of: the plant, clinic, territorial SES, department of Social Insurance Fund, trade union. According to the “regulation on investigation of…”, the commission should be headed by the representative of the following authority:

Basing upon the data of laboratory assessment of sanitary state of soil in a certain territory, the soil was found to be low-contaminated according to the sanitary indicative value; contaminated according to the coli titer; low-contaminated according to the anaerobe titer (Cl. Perfringens). This is indicative of:

A maternity hospital registered 616 live births, 1 stillbirth, 1 death on the 5^th day of life over a 1 year period. What index allows the most precise estimation of this situation?

A patient complained about problems with pain and tactile sensitivity, pain in the nail bones at the end of the working day. He works at a plant with mechanical devices. What pathology can be suspected?

Bacterial analysis of air in a living space in winter period by means of Krotovs apparatus revealed that total number of microorganisms in 1m³ of air was 7200. What is the permissible number of microorganisms for the air to be characterized as “pure”?

Maximum permissible concentration of carbon dioxide in the air is considered to be a sanitary index of air purity in a classroom. What concentration of carbon dioxide in the air is accepted as maximum permissible?

Study of actual diet of an adult revealed the following: proteins make up 16% of energy value of daily ration, fats – 25%, carbohydrates – 59%. Evaluate compliance of protein, fat and carbohydrate share in the energy value of daily ration with the recommended shares of these nutrients?

A patient who has been consuming refined foodstuffs for a long time complains about headache, fatiguability, depression, insomnia, irritability. Objectively: muscle asthenia, pain and cramps in the gastrocnemius muscles, during walking the patient lands onto his heel first, then on the external edge of foot. Cardiovascular system exhibits tachycardia, hypoxia, dystrophic changes of myocardium. There are also gastrointestinal disorders. What is the most likely diagnosis?

A patient who had eaten mushrooms in the morning was delivered to the infectious diseases hospital at night. The disease development was rapid. The patient presented with stomach pain, frequent diarrhea, intractable vomiting, burning thirst, headache and dizziness. He died on the third day. What mushrooms are most likely to have caused mycetismus?

Periodical survey of a worker of a chemicals plant revealed a malignant neoplasm on the urinary bladder. This occupational disease was the most probably caused by contact with the following industrial poison:

A 37 year old patient applied to a local therapeutist. As a result of exacerbation of chronic obstructive bronchitis the patient had been temporarily disabled for 117 days within 1 year. What tactics will be legally correct?

A 46-year-old patient once took part in elimination of breakdown at an atomic power plant. Currently he is being treated at an in-patient hospital. He was diagnosed with progressing vegetative insufficiency. This disease relates to the following group of ionizing radiation effects:

In treatment and prevention establishments, regardless of their organisational and proprietary form, the rights of patients should be observed. Which of these rights is the most significant?

A military unit stopped for 3-days rest in an inhabited locality after a long march. The sanitary-epidemiological reconnaissance found several water sources. It is necessary to choose the source complying with the hygienic standards for drinking water in the field conditions:

A district doctor was commissioned with a task to work out a plan of treatment-and-prophylaxis actions for the population of his district. What actions of secendary prophylaxis must he include into this plan?

The district pediatrician is charged with the analysis of infant mortality. What is taken for the unit of observation in infant mortality investigation?

Chief district pediatrician has to carry out analysis of infant mortality rate. What should he take as a unit of the observation?

Deputy of chief medical officer carried out a study of morbidity rate for population which had been served at the polyclinics within the last 5 years. What statistical values can help in calculation of morbidity rates?

There were registered 500 cases of urolithiasis per 10000 inhabitants. What kind of statictical indices is presented?

At year-end hospital administration has obtained the following data: annual number of treated patients and average annual number of beds used for patients treatment. What index of hospital work can be calculated on the base of this data?

Examination of a 13-year-old boy reveals that his body length is 147 cm (+2), body weight – 38 kg (+1.5), circumference of chest – 72 cm (+0.2). Estimate the harmonicity of the childs physical development:

A children’s health camp received a party of tinned food. External examination of the tins revealed that they had deep dents, could be easily concaved when pressed and wouldn’t immediately return to the initial state; rust was absent; the tins were greased with inedible fat. Specify the bloat type:

On physiologic-sanitary examination of railway department work it was revealed that loaders work is of III degree of difficulty. They unload vagons with sand, manually break coagulated mass by shovel and shift it. What criteria was used to evaluate work of loaders?

Workers of fishery are subjected to low temperatures of the air (from 5 till 15⁰C). Diseases of what organs and systems are the most frequent among workers of such enterprises?

During the periodic medical examination an assembly fitter (works on soldering details) didn’t report any health problems. Closer examination revealed signs of asthenic-vegetative syndrome. Blood included red blood cells with basophilic aggregations and a somewhat higher number of reticulocytes, urine had a high concentration of delta-aminolevulinic acid. The complex of symptoms indicates the initial stage of chronic intoxication with:

An outpatient hospital made record of 11600 diseases within one year. Among them influenza and ARD make up 5800, circulatory system diseases – 3480, digestion diseases – 1300, other diseases – 1020. What relative index can be calculated according this data?

Prevalence of a disease in region N amounted 1156 occurences per 1000 of inhabitants. What of the mentioned indices characterizes the disease prevalence?

A pupil of the 8^th form after trauma has acute atrophy of the left arm muscles, tonus of which is distinctly decreased, active movements are only in the left joint, pupils foot is deformed. Function of support of the left leg is absent, support function of the right leg is preserved. The boy wears an orthopedic footwear. What group of physical training does the boy belong to?

District physician was charged with plan drafting concerning medical and preventive measures among the population in the area he is assigned to. What measures must he include in this plan as regards primary prevention of illness?

A therapeutist needs to analyze adult health in the area of service. Which groups of indicators will be included into this analysis?

A district pediarician has carried out infant mortality rate analysis in his area. What data has been used?

At the radiological unit of a hospital gamma-devices of radiotherapy of “Agat” type and other closed sources of ionizing radiation are used for treatment of malignant neoplasms. What measures are to be taken to protect personnel during working with radioactive sources of such type?

A patient undergoes inpatient treatment with the diagnosis of acute pancreatitis. To spare pancreas as much as possible the doctor prescribed for him starvation for 1-3 days. What products is the patient allowed to eat during recovery period after cancelling of starvation?

A local doctor has to prepare a report about the health condition of the population of his region. What medical indexes of population health condition should he use?

To study physical development of children and adolescents, anthropometric studies are widely used. Choose a physiometric method of study from the below given

Study of morbidity with temporary disability among workers of a machine building plant revealed that average duration of a case was 20 days. What diseases influenced upon the index value?

A patient consulted a doctor about acute respiratory viral infection. The patient was acknowledged to be off work. The doctor issued him a medical certificate for 5 days. The patient is not recovering. What measures should the doctor take in order to legalize the further disability of patient?

A patient is on the sick leave for 4 months continuously from the date of injury. The treatment is going to last for 1-2 months more. Who has the right to extend the duration of medical certificate for this patient?

Working conditions of a building company worker are characterized by cooling microclimate effect, silica-containing dust, caustic alkali (quicklime) and noise. What medical expert should be the chief of the commission that periodically examines the workers of the mentioned category?

It is determined that 30 of a 100 women with risk factor had preterm labor, and of a 100 women without risk factor 5 women had preterm labor. What method of statistic data processing should the doctor use in order to estimate reliability of differences between the compared groups?

350 workers of a metalurgical plant had to undergo a yearly preventive examination. A territorial polyclinic carried out preventive examination of 325 workers. As a result of it, 1 worker was recognized as temporarily disabled, 15 workers underwent further rehabilitation at an after-work sanatorium, 10 workers were provided with diet meal. What index characterizing the preventive work of the polyclinic should be applied in this case?

District doctor of rural medical department was called to a 42-year-old patient. While examining the patient, the doctor suspected the dysentery. What document must the doctor issue?

During coal extraction in a mine the concentration of coal dust in the working area is 450 mg/m³ (MPC is 10 mg/m³). What occupational respiratory disease may develop in miners?

A district doctor keeps the record of reconvalescents after infectious diseases, people who are disposed to frequent and long-lasting diseases, patients with chronic pathologies. What category of patients should belong to the III health group?

Over a current year among workers of an institution 10% haven’t been ill a single time, 30% have been ill once, 15% – twice, 5% – 4 times, the rest – 5 and more times. What is the percentage of workers relating to the I health group?

During a regular medical examination at a metallurgical plant 20% of workers were found overweight (body weight was 5-14% higher than normal), and had early signs of obesity (grade I-II) with Quetelet index from 26 to 30. What products share must be reduced in the diet of this group of people in the first place in order to normalize their body weight?

Chief physician of a polyclinic incharged a district doctor with a task to determine the pathological prevalence of disease N in his district. What document allows to estimate the disease prevalence in the population of a medical district?

In a forest summer camp children have variable procedures to harden their organisms. What procedure has the most hardening power?

There is a dynamic growth of number of congenital abnormalities such as central paralysis, newborns blindness, idiocy among the population that lives near to pesticides production enterprise. Compounds of which pollutant can cause the development of this pathology?

Ats planned to construct multifield a new hospital in one of the cental city districts. What building type is the most appropriate in this case?

During inspection of sanitary conditions of studying at a technical university it was necessary to evaluate the visual regimen of students, who study from 9 a.m to 3 p.m. What index of natural light will be the most informative?

200 patients suffering from essential hypertension were examined in order to obtain data about patients arterial pressure and age. What statistic value should be applied in order to measure relation between these characteristics?

A doctor of the general practice has registered the following death causes for the previous year: the first place was taken by cardiovascular diseases (60%), the second – by tumors (18%), then – traumas (8.3%) etc. What diagrams will provide the most substantial information about the registered ocurrences?

On medical observation a doctor identified girl (162 cm tall and 59 kg weight) who complained loss of ability to see surrounding objects clearly in the evening. On examination: dry skin, hyperkeratosis. Her daily ration includes the following vitamines: vitamine A– 0.5 mg, vit.B1– 2.0 mg, vit.B2– 2.5 mg, vit.B6– 2 mg, vit.C– 70 mg. What is the hypovitaminosis type?

As a result of prophylactic medical examination a 35 year old woman was diagnosed with alimentary and constitutive obesity of the III degree. It is known from her anamnesis that the patient doesn’t observe rules of rational nutrition: she often overeats, the last food intake is usually 10-15 minutes before going to bed, prefers fattening and rich in carbohydrates food. What is the main alimentary risk factor of obesity development?

The air of a foundry workers working zone contains condensation aerosol with dust particles sized 2 nm (90%), 2-5 nm (2%), over 5 nm(6%), below 2 nm (about 2%). Characterize the dust dispersivity:

The major repair of a hospital included renewal of colour design of hospital premises because it is of great psychological and aesthetical importance; and so the walls of patient wards will be painted under consideration of:

Atmospheric air of an industrial centre is polluted with the following wastes of metallurgical plants: sulphuric, nitric, metal, carbon oxides that have negative influence upon the inhabitant’s health. The effect of these hazards can be characterized as:

Study of morbidity rate in a city N revealed that population of different administrative districts differed in age structure. What statistic method allows to eliminate influence of this factor upon morbidity indices?

A driver had been fixing a car in a closed garage and afterwards complained about headache, dizziness, nausea, muscle asthenia, sleepiness. Objectively: pulse and respiratory rate elevation, excitement, hypertension, delirium of persecution. What is the most likely diagnosis?

An outbreak of food poisoning was recorded in an urban settlement. The illness was diagnosed as botulism on the grounds of clinical presentations. What foodstuffs should be chosen for analysis in the first place in order to confirm the diagnosis?

A worker who undergoes regular medical check-up for duodenal ulcer received a subsidized 24-day sanatorium voucher from his plant. The term of annual leave of a worker is 24 calender days, it will take 4 days more to get to the sanatorium and back home. What is the procedure of obtaining a 4-day sick-leave?

A 42 year old metalworker has been working at the turning machine for production of heavy large-size parts for 5 years. His work requires using of hand and pedal levers that involves considerable physical force. What means for osteoarthrosis prevention should be recommended?

Administration of a plant producing red lead paint intends to form a group of medical specialists for periodical medical examinations. What specialist must be obligatory included into this group?

The total area of a ward at the therapeutical department is 28 m². What is the maximum number of beds that can be exploited in this ward?

The amount of ultraviolet radiation dose was measured in minutes. What device was applied for measurement of the biodose?

The institutions which take part in medical examinations can be prevention and treatment facilities, medical board of Ministry of Defense, medical board of Ministry of Home Affairs, medico-social expert commissions, forensic medical boards etc. What institutions are responsible for temporary disability examination?

A mother who is on partially paid maternity leave got sick and was hospitalized. What document is to be issued to a working father who will be taking care of a child during his mother’s illness?

Clinical and statistical study was devoted to the effect of a new pharmacological medication upon the patients with coronary heart disease. What parametric criterion (coefficient) can be used for estimation of results validity?

It is planned to make complete isolation boxes in the infectious department in order to prevent nosocomial airborne infections. The boxes consist of a tambour, a ward and a lock chamber. What structure should be also included in a complete isolation box?

Educational rooms are illuminated with various lighting fittings. What type of lighting fittings is the most appropriate in respect of hygienic norms?

In terms of megacalorie (1000 kcal = 4184 kJ) the ration of an adult includes 30 g of proteins, 37 g of fats, 137 g of carbohydrates, 15 mg of vitamin C, 0 mg of thiamine (vitamin D1). The ration is text of UNBALANCED as to the contents of:

A city somatic hospital with 300 beds consists of the main building which houses the therapeutic and surgical departments. Several separate buildings house the maternity, pediatric and radiologic departments that are connected to the main building by underground walkways and above-ground covered skybridges. Specify the building system of the hospital:

A heat station working on solid fuel is located in a residential district. On cloudy foggy days in december there was an increase in diseases with upper airway affection and signs of general intoxication. There were also mortal cases among the elderly people. What is the most likely factor that provoked toxic effect?

Indices that characterize population health include demographic indices. What environment is used for calculation of these indices?

While making sanitary examination of burn unit for adults it was stated that wards for 4 persons are of 28 m² square. What should be the minimum ward area in this unit?

The results of 5 year monitoring allowed to estimate the level of environmental influence upon health indices of population. What statistic method should be chosen?

In order to improve organism tolerance of boarding-school pupils a doctor developed a program. The program is based upon the following principles: graduality, consistency, individuality, coomplexity. What of the main principles of organism tempering wasn’t taken into account?

A student analyzes noise level of cold-pressing process. What device should be applied for this hygienic study?

Environmental pollution is prevented by mechanical separation of nontoxic solid domestic waste. Specify the method which can be used for mechanical utilization of these wastes:

An emergency situation at a chemical plant caused acute occupational intoxication. A doctor who revealed the case of “acute occupational disease (intoxication)” must notify the following authority:

At a machine-building plant the casts are cleaned by means of abrasion machines that are a source of local vibration. What are the most efficient preventive measures for preventing harmful effect of vibration on workers organisms?

In order to study impact of microclimate upon the human organism it is necessary to make systematic observation of air temperature over 3 days. Choose a device that will allow to make the most precise temperature records:

The Carpathian region is characterized by constant high humidity of atmospheric air (over 80%). Inhabitants of this region feel severe cold in corresponding season at a medium low temperature. Its caused by heat emission by:

Poorly refined wastes of an industrial plant are usually thrown into the river that supplies drinking water. It causes perishing of some microorganisms, disturbs processes of water self-purification and worsens its quality that can have negative influence upon people’s health. How is this effect of environmental factors called?

In order to reduce weed growth on agricultural land, some herbicides have been used for a long time. In terms of environmental stability these herbicides are rated as stable. Specify the most likely route of their entry into the human body:

In a city with population 400000 people 5600 fatal cases were recorded, including 3300 cases because of blood circulation diseases, 730 – because of tumors. What index will allow to characterize mortality from blood circulation diseases in this city?

A selective population research study was aimed at exploring the effect of air emissions from a metallurgical plant on the obstructive bronchitis morbidity in a city. The calculated correlation coefficient was +0.79. Evaluate the strength and direction of the relationship:

Statistic of patients of common medical practice displays constant increase in elderly and old people number. What kind of pathology is expected to prevail in the morbidity structure of population in question?

In the current year general practitioners of the municipal polyclinic have referred 11 patients with coronary artery disease to the in-patient hospital. In 3 cases the diagnosis wasn’t confirmed. What managerial decision should be made in such case?

Hygienic expertise of a sample taken from the batch of grain revealed that 2% of grains were infected with microscopic Fusarium fungi. On the ground of laboratory analyses this batch of grain should be:

Among the inhabitants of a workmens settlement located near an industrial plant the cases of nervous and endocrine system diseases as well as renal diseases became more frequent. Blood analyses revealed a decrease in sulfhydryl groups. These pathologies might have been caused by the following substance released into the environment:

Examination of a 43-year-old man objectively revealed pallor of skin and mucous membranes, loss of tongue papillae, transverse striation of fingernails, cracks in the mouth corners, tachycardia. Blood test results: Hb- 90 g/l, anisocytosis, poikilocytosis. The most likely causative agent of this state is inadequate intake of:

During the medical examination a port crane operator complained of dizziness, nausea, sense of pressure against tympanic membranes, tremor, dyspnoea, cough. He works aloft, the work is connected with emotional stress. Workers are affected by vibration (general and local), noise, ultrasound, microclimate that warms in summer and cools in winter. What factor are the worker’s complaints connected with?

It is required to analyze the level of daylight illumination in a ward of therapeutics unit. What device should be applied to estimate the level of daylight illumination?

During the medical examination at school the schoolchildren had to undergo plantography. After the analysis of footprints platypodia was found in 30% of pupils. What is the percentage of the flatfoot isthmus?

A factory’s sectorial doctor selects a group of persons who often fall ill for thorough monitoring. At the same time he takes into consideration the number of etiologically related cases with temporary disability in each of the employees over the last year. An employee falls into this group if the number of sickness cases is:

Production areas of a greenhouse complex have the following microclimate parameters: air temperature – 42°C, humidity – 98%, air velocity – 0.05 mps, temperature of enclosing surfaces – 15°C. Characterize the microclimate of production areas:

Sanitary-veterinary examination of a cow carcass revealed measle contamination (2-3 measles per 10 cm²). What tactics should be chosen in respect of this meat consumption?

A factory worker has ARD complicated by acute bronchitis. He receives treatment in the outpatient setting. The attending doctor has issued him a medical certificate for 5 days and then extended its duration by 5 more days. Patient cant get down to work because of his health status. Who should extend the duration of medical certificate for this patient?

Preventive examination of an 11 year old boy helped to determine his habitus type. It was established that the child’s shoulders were deviated and brought forward, with forward flexion of head, the thorax was flattened, abdomen was convex. The child’s backbone had signs of deepened cervical and lumbar curvatures. What habitus is it?

A plot of land with total area of 2.0 hectare was intended for building of a hospital. The maximal capacity of the hospital will be:

During hygienic examination of a hospital it was established that the area for each bed in a double ward was: in the infectious department for children – 7×2, in the infectious department for adults – 8×2, in the burns department – 9×2, in the radiological department – 10×2, in the critical care department – 13×2. In which wards the area for each bed doesnt correspond with hygienic requirements?

According to the report of water quality control, drinking city water has the following characteristics: turbidity – 1.5 mg/m³, odour – 3 points, metallic taste – 2 points, pale yellow colour, colour index – 20^o, temperature – 12^oC. Which of these factors doesn’t comply with hygienic requirements?

A 2 year old child has been ill with acute respiratory viral infection of upper thrice a year – in February, in April and in December. How should these occurrences be recorded?

A worker diagnosed with “acute dysentery” was sent to the infectious department by a doctor of aid post. What document should be used for registration of this disease?

Researchers studied disease incidence of influenza and acute respiratory viral infection within the last 5 years. What kind of graphic presentation should be used for the best visualization of this data?

The correlation between the service record and eosinophil concentration in blood was studied in workers at dyeing shops of textile factories. What index will be the most informative for the analysis of this data?

The objective of a statistical study was to find out the extent of seeking medical care by the population. For this purpose, 300 residents of the area were interviewed. Information was collected by means of a special questionnaire. What method of collecting information was used by researchers?

Analysis of organization of medical care in a regional centre has shown that every year about 12% of patients receive inpatient care for diseases that dont require round-the-clock monitoring and intensive care. What are the most appropriate organizational changes required to address this problem?

A city’s population is 400000 inhabitants in 2005 there were registered 5600 deaths, including 3300 cases caused by cardiovascular diseases, 730 – by tumours. Which of the following indicators allows to characterize the share of the circulatory system diseases as the cause of death in the city?

It is planned to organize a rural outpatient clinic. The patients will be able to visit the doctors of the following specialities:

In a rural health district, a child died in the first month of life. In order to analyze this situation it was necessary to complete expert evaluation of medical records. Which medical document was analysed in the first place?

A department chief of an in-patient hospital is going to inspect resident doctors as to observation of medical-technological standards of patient service. What documentation should be checked for this purpose?

The head of prenatal care department intends to complete expert evaluation of compliance with medical and technological standards of pregnancy follow-up. What documents must be verified for this purpose?

Workers of a laboratory producing measuring devices (manometers, thermometers etc.) complain about a metallic taste in mouth, stomatitis, dyspepsia, sleep disturbance, unsteady walk, abrupt decrease in cardiac activity. These presentations must have been caused by the intoxication with the following substance:

While assessing the health status of graduates of a secondary school, the doctor found one of them to have grade 3 tonsillar hypertrophy, chronic rhinitis and vegetative-vascular dystonia. The organism functionality is reduced. This student belongs to the following health group:

At first appointment with an obstetrician-gynaecologist a pregnant woman is referred to other medical specialists. She must be obligatory examined by the following specialists:

Estimation of physical development of a child involved dynamometry and estimation of body weight and length, annual gain in body length, chest circumference, number of permanent teeth, secondary sexual characters, lung vital capacity. Which of the mentioned indices relates to the physio metric ones?

Estimation of community health level involved analysis of a report on diseases registered among the population of district under charge (reporting form 12). What index is calculated on the grounds of this report?

A 50-year-old male suburbanite underwent treatment in rural outpatient clinic for pneumonia. The treatment didn’t have effect and the disease got complicated by exudative pleuritis. What prevention and treatment facility should the patient be referred to for further aid?

A 46-year-old patient was issued a 10-day sick list because of exacerbation of chronic cholecystitis. The patients general condition got better, but the clinical manifestations of the disease are still present. What authority is entitled to extend the sick list?

A 59-year-old male patient with essential hypertension of stage II is registered with the dispensary department of a polyclinic. The patient regularly takes ACE inhibitors and calcium antagonists. How often should a therapeutist examine this patient (except for exacerbation periods)?

A municipal hospital reported on the number of operated patients including fatal outcomes following the operations. Which index of hospital work can be calculated on the ground of this data?

It is planned to build a multi-disciplinary hospital with 500 beds in a town. Specify the location of a polyclinic within the medical centre: