D I p h t h e r I a

TEST

1. Tetanus is an acute infectious disease characterized by painful spasms of the muscles and caused by the …which gains entrance into the body through a wound or break in the skin.

a. Bacillus anthrax

b. Bacillus tetani

c. Bacillus drumstick

d. Bacillus gas-producing

e. Bacillus Koch’s

2. The incubation period varies on an average….

a. from 5 to 10 days

b. from 15 to 25 days

c. from 5 to 25 days

d. from 1 to 5 days

e. from 5 to 15 days

3. The patient is restless, irritable; …nightmare, and may become delirious.

a. he suffer from

b. he suffers from

c. he suffering from

d. he is suffering from

e. he suffered from

4. In the majority of cases following a short period when there is pain…, a tonic spasm of the masticating muscles occurs so that the patient is unable to open his mouth, producing the characteristic picture known as lockjaw (trismus).

a. in the back of the head and in the muscles of the jaw

b. in the back of the neck and in the muscles of the face

c. in the back of the neck and in the joints of the leg

d. in the back of the neck and in the muscles of the jaw

e. in the back of the head and in the muscles of the trunk

5. Gradually all muscles of the body become affected except …the forearm and of the hand.

a. that of

b. these of

c. this of

d. of those

e. those of

6. At the height of the disease there occurs the typical facial expression known as risus sardonicus, where…, due to the drawing up of the angles of the mouth.

a. the patient appears to be laughing

b. the patients appears to be laughing

c. the patient appears be laughing

d. the patient appears to laughing

e. the patient appears to be being laughing

7. …the slightest stimulus the entire body may go into a convulsive seizure of the utmost severity, accompanied by severe pain.

a. On

b. At

c. Before

d. In

e. Upon

8. There is no characteristic temperature; the patient may be afebrile or … during the attacks.

a. rans a fever as high as 104°F

b. ran a fever as high as 104°F

c. ranning a fever as high as 40°C

d. run a fever as high as 104°F

e. ran a fever as low as 104°F

9. Death may ensue … or at any time up to one week after onset.

a. in the first 28 hours

b. within the first 48 hour

c. within first 48 hours

d. within the first 48 hours

e. after the first 48 hours

10. …the first week, his chances of recovery are greatly improved, the spasms gradually lessening in frequency and severity.

a. If the patients survives

b. If the patient survives

c. If the patient survive

d. If the patient survived

e. If the patient to survive

PRE – TEXT ASSIGNMENT

Exercise 1. Practice the pronunciation:

leterious [ delitiəriəs ], temperate [ 'tempərit ], throughout [θru(:)'aut ], susceptible [sə'səptəbl], menace [ 'menəs ], robust [ rəu'bΛst], faucial [ fə:siəl ], raw [rə:], myocarditis [maio(u)ka:daitis], mandatory [ 'mændətəri ], quarantine

['kwərənti:n ], successive [sək'sesiv ].

Exercise 2. Topic vocabulary:

fibrin – фибрин

deleterious – вредный, вредоносный

temperate – умеренный

dissemination – распространение

experience – испытывать

susceptible – восприимчивый

menace – угроза, опасность

predispose – предрасполагать

robust – крепкий, здоровый

pillar of fauces – небные дужки

dreadful – плохой, ужасный

apt to smth – склонный, подверженный

employment – использование, применение

stiffness – онемение, одеревенение, окостенелость

raw – лишенный кожи, свежий, чувствительный

mandatory – обязательный, принудительный

successive – следующий один за другим, последующий

culture – выращивание бактерий

Exercise 3. Match the following English word combinations with Russian ones:

1. absorbed by blood stream 1. распространяться при прямом контакте

2. produce deleterious effect on 2. внезапное начало

3. spread by direct contact 3. всасываться кровотоком

4. put in an appearance 4. производить вредное действие на

5. healthy carrier 5. по расположению

6. according to the distribution 6. появиться ненадолго

7. insidious onset 7. здоровый носитель

Exercise 4. Read and translate the following sentences. Define the form and function of Participle I in the sentences:

1. Looking at some case reports the doctor explained something to his assistants. 2. The student is examining the patient together with the doctor- in-charge. 3. As the patient complains of a severe headache the nurse is giving him some medicines. 4. Examining the patient the doctor noticed some changes in his recovery. 5. The moaning patient didn’t hear when the doctor on duty entered the ward.

Exercise 5. Find the Participles and explain their functions in the following sentences. Translate them.

1. The blood will have less oxygen combined with hemoglobin because the need of the active muscles has withdrawn more oxygen in a restful state. 2. Cardiac failure may be present when the heart is functioning at 90 per cent efficiency. 3. A drug extracted from a plant of the digitalis group is indicated in almost all cases of heart failure. 4. The diseased heart may have such a handicap as to be unable to move the blood satisfactory. 5. the patient received an adequate treatment with diphtheria antitoxin which contributed to the clearing up of the throat.

Exercise 6. Read and translate the text:

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