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Англійська мова для студентів-медиків (Аврахова...doc
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          1. What are infectious diseases caused by?

          2. What pathogenic organisms are capable of producing toxins?

          3. What is the source of infections?

          4. What is the principal classification of contagious diseases accord­ing to the mode of infection?

          5. What are the ways of detecting microorganisms?

          6. What are special serologic tests?

          7. What stages are defined in the course of infectious diseases?

          8. What is spoken of as immunity?

          9. What are the kinds of immunity?

          10. What are the primary measures of preventing infectious diseases?

          11. Against what diseases is immunity created due to vaccination?

            1. Prove the following statements.

              1. Contagious diseases are classified according to the mode of infec­tion.

              2. Bacteriological studies are performed to identify the causative micro­organism.

              3. There are different ways of identification of the infecting agent.

              4. The cyclic course of acute infectious diseases is their characteris­tic feature

              5. Immunization against contagious diseases is a significant primary preventive measure.

            2. Give the summary of text.

MUMPS

The causative agent is a filtrable virus. It is found in the saliva of patients, where it may be present for at least 24 hours before swelling of the salivary glands develops, and throughout the entire period of glan­dular enlargement. Spread is by droplet infections or direct contact with materials contaminated with infected saliva. Most cases occur in children between 5 and 15 years of age; the disease is unusual in children under 2 years. Infants up to 10 months ordinarily are immuned. However, the dis­ease may occur at any age, and cases in the older age groups may be seen.

After an incubation period of 14 to 21 days onset is marked by chilly sensations, headache, anorexia and malaise. This is accompanied by a low to moderate fever which may last from 12 to 24 hours before any involve­ment of the salivary glands. In mild cases, these prodromal symptoms may be absent. Pain on chewing or swallowing is the earliest symptom of parotitis. There is marked sensitivity to pressure over the angle of the jaw. With development of parotitis, the temperature frequently rises to 103 or 104 F. Swelling of the gland reaches its maximum about the 2nd day and is associated with swelling, involving the cheek and area below the ear. In most cases, both parotid glands are involved. Occasionally the submaxillary and sublingual glands also may be swollen, or, more rarely, may be the only glands affected. In such cases, there is swelling of the negjt beneath the jaw.

Г The diagnosis of typical cases during an epidemic is simple, but spo­radic cases present a more difficult problem. Swelling of the parotid or other salivary glands due to the mumps virus must be distinguished from: (1) bacterial parotid involvement occuring in streptococcal throat infec­tions, diphtheria, or debilitated patients with poor oral hygiene, typhoid

or typhus fever; (2) malignant tumors of the salivary glands; (3) postop­erative parotitis.

In uncomplicated mumps, prognosis is extent. However, relapses may occur occasinally after about 2 weeks. In complicated cases, testicu­lar 'aS-ophy may follow orchitis, and deafness or facial paralysis has been known to occur following involvement of the nervous systemH

  1. Read the text and find sentences pertaining to description of symptoms and signs. Translate these sentences into Ukrainian.

  2. Find English equivalents of the following in the text. Use them in sentences of your own:

ураження, крапельна інфекція, розповсюдження, рецидив, глухота.

  1. Complete the following sentences.

    1. Testicular involvement is one of the complications in mumps and it occurs ....

    2. A filtrable virus is ... .

    3. The incubation period is marked by ... .

    4. Pain on chewing or swallowing is ... .

    5. Usually in uncomplicated mumps prognosis is ... .

  2. Put in the required words from those given in the right column.

  1. immuned

  2. parotitis to the strepto­coccal throat infection

  3. relapses

  4. virus

1. involvement

    1. The diagnosis of ... is simple but some cases present difficulty.

    2. Occasionally after about 2 weeks ... may occur.

    3. It is necessary to distinguish parotitis from bacterial parotid ...

    4. Filtrable ... is found in the saliva.

    5. Infants up to 10 months ordinarily are ....