TASK 2

1. Patient K. was born on October 27th, 1951, died on February 09th this year at 17.15. in the
City hospital No. 1 of the city N. The attending physician made the final clinical diagnosis: type
II diabetes mellitus, decompensated, wet gangrene of the right foot; sepsis; chronic bilateral
pyelonephritis in remission.
Fill in the "Medical death certificate".

2. Patient P. was born on 28.06.1976, died on 17.04 this year at 14 h 22 min. in the City
hospital No.4 of the city M. The attending physician made the final clinical diagnosis: chronic
glomerulonephritis, nephritic form, chronic renal failure, auric stage.
Fill in the "Medical death certificate".

3. Citizen A. was born on November 12, 1931, died on March 15 this year at 19 h 15 min. at
home. Based on previous observation and medical records the attending doctor established the
cause of death: ovarian cancer, intoxication.
Fill in the "Medical death certificate".

4. Patient S., 52 years old, an accountant of a private enterprise, applied to the city polyclinic
on March 25 this year. After examination general practitioner diagnosed hypertensive crisis and
prescribed treatment. The patient was disabled until April 4.
Fill in a certifying disability document.

5. Patient G., 47 years old, cook in a canteen, turned up on March 15 this year in a polyclinic to
the district doctor for lacunar tonsillitis. He got since 13.03, stayed at home and didn`t visit
doctor on that day. After examination, the doctor certified temporary disability and extended its
term until 22.03.
Fill in a certifying disability document.

6. A resident of the village I., 48 years old, an agricultural worker, had inpatient treatment in
the Central Regional Hospital due to an exacerbation of peptic ulcer disease since 15.04. until
10.05 this year.
Fill in a document certifying disability.
7. Employee V. had an abortion 30.08 this year. She was in the gynecological department of
the City Maternity Hospital until 17.09 due to a postoperative complication.
Fill in a document certifying disability.

8. Employee K. was injured during regular vacation and was disabled during 9 days (from
15.04 till 23.04).
Fill in a document certifying disability.

9. Worker U. was disabled due to a fractured femur. During the first 2 months (15.03 - 14.05.
this year) was in a hospital, and the, discharged to continue outpatient treatment.
Determine the patient management at the outpatient stage.
Fill in a document certifying disability during inpatient treatment.

10. In the kindergarten, which was attended by child V., 4 years old, quarantine was announced
for measles from 1.10. until 15.10. current year. The parents are builders at a state enterprise.
Fill in a document certifying disability.

11. Employee`s first 9-year-old child got sick 04.02 this year, and second 5-year-old child got
sick 07.02. The first child recovered on February 10, the second - on February 18.
Fill in a document certifying disability.

12. The pharmacist L., 28 years old, until 20.04 this year was in a regular vacation. Her 4-year-
old child got sick 13.04 and had treatment at home during 6 days with the diagnosis «flu». The
child's condition worsened 19.04. The pediatrician diagnosed pneumonia and the child was
hospitalized with his mother for 18 days.
Fill in a document certifying disability.

13. Patient R., born in 2010, suffers from acute upper respiratory tract diseases more than 5
times a year. Define a group of health and dispensary observation. Fill in the relevant form to
manage this patient.

14. Miner D., 42 years old, was diagnosed with 1st degree anthracosis during a periodic medical
examination. The patient was temporarily disabled from 15.08 to 15.09. this year.
Fill in a document certifying disability.
15. Patient M., 48 years old, felt the heart ache in the evening on 13.11 this year, and called an
ambulance. After examination, the doctor dismissed him from work on the night shift and
suggested to see doctor in a local polyclinic next morning. The patient went to the polyclinic
only on November 16 when the doctor certified the patient as able-bodied. Citizen M. did not go
to work on November 16. Fill in the relevant document in this case.

16. The lawyer K., 44 years old, during 35 days since 10.06. this year was on prosthetics
treatment in a hospital of a prosthetic and orthopedic institution in another city.
Fill in a document certifying disability.

17. Citizen P., 29 years old, schoolteacher on 13.10. this year gave birth to a premature baby at
32 weeks of gestation in the city maternity hospital.
Fill in a document certifying disability.

18. Citizen S., 44 years old, gave birth on June 24 at 38 weeks of gestation. Pregnancy was
accompanied by arterial hypertension and anemia of pregnant. The child was born with a weight
of 2050 g., height of 46 cm, according to the Apgar scale - 3-4 points. The newborn was
diagnosed with asphyxia, severe degree, congenital heart disease. Despite the resuscitation
measures, the child died on the 2nd day of life.
Fill in a medical certificate of perinatal death.

19. Citizen N. on 22.02. this year visited a polyclinic with a sore throat. The family doctor
diagnosed follicular tonsillitis.
Fill in the relevant medical registration form.

20. Market worker D., 45 years old, applied to the polyclinic on 30.09 this year with heartburn
and stomach pain. The doctor diagnosed the exacerbation of chronic gastritis. This patient is
under dispensary observation for 2 years.
Fill in the relevant medical document for registration of morbidity.

21. Factory worker N., 29 years old, visited the medical clinic this year with flu on 04.04, with
sore throat – on 10.05. Previously, he did not visit doctor due to these problems. After the
examination on 26.05, he was diagnosed with chronic pyelonephritis, an exacerbation stage.
Determine and fill in the relevant medical documents in last case.
22. Patient R. in February of this year was hospitalized and operated due to a perforated
stomach ulcer. Previously, he did not have any complaints and was not examined by a
gastroenterologist.
Determine and fill in the relevant medical document.

23. When examining 6 years old child on 27.08 this year, the district pediatrician diagnosed
acute dysentery.
Fill in the relevant medical registration form.

24. When visiting 4 years old child at home, the district doctor diagnosed "mumps". The child
goes to kindergarten; mother and father work and there are no other family members.
Fill in the relevant document to certify disability.

25. Pregnancy of a woman, 32 years old, a cafe waitress, was physiological and ended on June
20 with delivery on time.
Determine and fill in the relevant document to certify disability.

26. The preventive examination of 150 schoolchildren in grades 3-4 found, that the number of
children with mild myopia is 15, with scoliosis of I and II degrees – 19. Last year 19 children got
sick 5-8 times with ARVI, 2 - with whooping cough and chicken pox; 1 children was diagnosed
bronchial asthma without functional disorders, 2 - congenital heart disease with NC, another 1 -
chronic gastritis in the stage of stable remission.
Divide school students into health groups.

27. Patient L., 57 years old, had care due to chronic obstructive pulmonary disease for 10
months in total this year. Medical commission examined this patient several times during the
year and members made decision to send the patient to the MSE.
Determine and fill in the relevant medical document.

28. Pregnancy in a woman S., 25 years old, a coach of a children's sports school, proceeded
without pathology and ended on February 18 of this year with twins delivered on time in a
maternity hospital.
Determine and fill in the document to certify disability.

29. The city population is 100,000. During the current year, 2,760 cases of hypertension disease
were registered in the city's polyclinics, including 627 cases - first detected this year.
Identify the documents should be fill in each case of a disease.
Explain the registration order and fill in the relevant form for a case first identified in a
given year.

30. This year, 400 children up to 1 year were under the supervision of the pediatrician of the
children's polyclinic, including 60 children have never been sick and have not doctor`s advice.
Calculate and analyze the health index of infants.

31. On New Year's Eve, an employee M., 30 years old, was admitted to the maternity hospital
on 24 weeks of pregnancy with premature birth. A child was born alive with body mass 700 g,
but died on the 6th day.
Determine and fill in the document to certify disability.

32. Muscovite K., 35 years old, with a Moscow compulsory health insurance policy, went to
Crimea, where she fell ill. The woman applied to the nearest health care institution on 20.09 this
year with high temperature, but medical staff refused her in free care. The woman was disabled
for 9 days.
Which legislative document regulates the patient` rights in this case?
Determine and fill in the document to certify disability.

33. Technician P., 43 years old, during the regular vacation (from 1 to 24 July this year) got sore
throat, saw a district doctor at the polyclinic on 17 July and was disabled for 12 days.
Decide on the examination of temporary disability in this situation and fill. in the relevant
document.

34. Patient S., 45 years old, is under dispensary observation with a family doctor due to chronic
obstructive pulmonary disease. Last year she had inpatient care due to disease exacerbation three
times.
Define a health group and fill in a card of dispensary observation.

35. Pensioner N., 67 years old, was hospitalized in the surgical department on 22.03. this year,
where a malignant neoplasm of the stomach was diagnosed.
Assess the situation and fill in the relevant statistical document to register this type of
morbidity.
36. A patient under dispensary observation with a hypertension disease, stage II, saw a
cardiologist to have regular check-up. There were no complaints and doctor registered normal
blood pressure.
Determine and fill in the relevant medical documents.
Determine what accounting documents the doctor should fill out for this appeal and fill them out.

37. Woman P., 28 years old, with two children aged 1,6 months and 4 years old and stayed on
social leave, on 13.10 this year was admitted to a hospital with acute appendicitis. During her
illness on 18.10, the eldest son was diagnosed with ARVI and was ill until 23.10. The father took
care of the sick child.
Determine and fill in the relevant document to certify disability.

38. Citizen K., 32 years old, a salesman in a department store, is under antenatal care at the
women consultation since the 15th week of pregnancy. When conducting the ultrasound
examination at the 18th week, multiple pregnancy was established.
Since what week of pregnancy the maternity leave should be issued and for how long?
Fill it in.

39. The district doctor during service at house of citizen K. on March 17 of this year diagnosed
acute pneumonia. The patient stayed in a hospital for 17 days.
Determine and fill in the document to certify disability.

40. Locksmith M., 40 years old, during regular vacation in another city, received burns and was
hospitalized in a surgical department of the Central District Hospital. Diagnosis: superficial
burns of both upper extremities of 1-2 degrees. The patient stayed 8 days in the hospital and was
discharged for outpatient treatment at the place of residence.
Determine and fill in the document to certify disability.

41. A 23-year-old woman, an employee, is under antenatal care in the women consultation clinic
with 28 weeks pregnancy. She came to register a maternity leave.
Determine the term and document to certify disability.

42. A resident of Crimea, during a business trip in Moscow, was operated due to acute
appendicitis, stayed in a hospital from May 15 to May 23 this year and was discharged for
outpatient treatment at the place of residence.
Determine and fill in the document to certify disability.

43. Patient V., 43 years old, died due to bleeding during perforation of a stomach ulcer.
Fill in the "Medical Death Certificate".

44. A 6-year-old child fell ill with ARVI. The doctor during visit at home prescribed outpatient
treatment. The child's mother and father are working people. The child was ill from 12.11 to
21.11 this year.
Determine and fill in the document to certify disability.

45. In citizen V., 32 years old, the second pregnancy was proceeding against the background of
the threat of termination, arterial hypertension and chronic pyelonephritis. In the 30th week of
pregnancy, premature birth occurred, which ended in a stillbirth.
Fill in a medical certificate of perinatal death.

46. The woman's pregnancy was physiological and ended on June 20 with delivery on time.
Labor was complicated by perineal lacerations and bleeding.
Determine and fill in the document to certify disability.

47. At night on 10.12 this year, a worker came to the plant's health center with headache and
chills. The feldsher revealed a fever (37.9 º) and tachycardia, released him from work and
offered to see doctor in the morning. The doctor declared the worker disabled for 5 days.
Determine and fill in the documents to certify disability.

48. In a bakery worker K., 40 years old, the district therapist detected an allergic reaction
(urticarial) to an antibiotic on 20.01 this year.
Assess the situation and complete the relevant statistical documents.

49. The pharmacist L., 28 years old, is in a regular vacation until 20.04. Her 4-year-old child
fell ill on 13.04 with the "flu" and had treatment at home for 6 days. On April 19, the child's
condition worsened, the pediatrician diagnosed pneumonia. The child was hospitalized with his
mother for 18 days.
Fill in the relevant document certifying disability.
50. Patient R., 50 years old, is under dispensary observation with a family doctor due to gastric
ulcer. This year, he twice had inpatient care due to exacerbation of the disease.
Define a group of health and dispensary observation.
Fill in the relevant records to manage this patient.