MS system:

1. What is the name of nodal formations with whitish contents, localized in ear auricles and in
the joint area in patients with gout?

A. Nasal erythema

B. Subcutaneous nodules

C. Tophi

D. Erythema annulare

E. Furuncle

2. What changes in blood are typical for gout patients?

ВA. Increased cholesterol

B. Increased levels of creatinine

C. Increased calcium level

D. Increased uric acid level

E. Increased urea level

ариант 1

3. A gout attack can be triggered by everything except for:

A. drinking alcohol

B. consumption of carbohydrate-rich foods

C. consumption of products rich in purine bases

D. physical activity

E. injury

4. Ossalgia is:

A. painful sensations in a joint without objective signs of inflammation

B. painful sensations in cysts (spontaneous and during percussion on cysts),

C. condition characterized by joint inflammation

D. non-inflammatory joint disease (with or without deformation)

E. pain in limbs

5. Detection of rheumatoid factor confirms the diagnosis of

A. Systemic lupus erythematosus

B. Rheumatic polyarthritis

C. Rheumatoid polyarthritis

D. Deforming osteoarthritis

E. Gouty arthritis

6. Arthrosis is:

A. Painful sensations in a joint without objective signs of inflammation

B. Painful sensations in cysts (spontaneous and during percussion on cysts);

C. Condition characterized by joint inflammation

D. Non-inflammatory joint disease (with or without deformity)

E. Pain in limbs

7. Arthritis is:

A. Painful sensations in a joint without objective signs of inflammation

B. Painful sensations in cysts (spontaneous and during percussion on cysts);

C. Condition specific for joint inflammation

D. Non-inflammatory joint disease (with or without deformation)

E. Pain in limbs

8. The main signs of joint inflammation are:

A. Pain, local hyperemia, hyperthermia and edema, joint disorder

B. Pain, local hyperemia, hyperthermia and edema

C. Hyperthermia and edema, joint function disorders

D. Joint disorder, pain,

E. Pain, edema, joint function disorders

9. Gouty arthritis is:

A. Autoimmune lesion of joints with development of reactive polyarthritis to streptococcal

infection

B. Systemic autoimmune connective tissue disease, clinically manifested by chronic progressive

inflammation of joints, followed by persistent deformation thereof

C. Chronic non-inflammatory lesion of joints, which is based on primary degeneration and

destruction of articular cartilage

D. General disease of an organism, characterized by disturbance of purine bases`exchange

E. Infectious inflammation of joints

10. Gouty arthritis is:

A. Autoimmune lesion of joints with development of reactive polyarthritis to streptococcal

infection

B. Systemic autoimmune connective tissue disease, clinically manifested by chronic progressive

inflammation of joints, followed by persistent deformation there of

C. Chronic non-inflammatory lesion of joints, which is based on primary degeneration and

destruction of articular cartilage

D. General disease of an organism, characterized by disturbance of purine bases`exchange

E. Infectious inflammation of joints

Anemia:

5. The patient arrived to the hospital. He is unconsciousness. Blood Analyses: Hb-42 g/l., Er.-
1,5 x 1012 /l., Le.- 8,2 x 109 /l., Promyelocytes3%, E-4%, B-1%, St-6%, Se-58%, L-20%, M-8%,
ESR-42 mm/h. What is the syndrome?

A. Anaemic syndrome.

B. Hypersplenic syndrome.

C. Leukemic syndrome.

D. Inflammatory syndrome.

E. Allergic syndrome.

4. The woman 45 years complains of weakness, loss of appetite, burning of tongue, heaviness
after meal in the epigastric region, diarrhea. She has got problems for 3 years. Objectively:
skin is pale, dry. The abdomen is painful in the epigastric region. Blood Analysis: Hb-94 g/l.,
Er.-2.2 x 1012 /l., Col.ind.-1.2, ESR-28mm/h. Megalocytosis. Fiberoptic endoscopy of stomach
shows atrophy of the stomach mucous. What is the disease?

A. Hemolytic anemia.

B. Iron deficiency anemia.

C. Thrombocytopenic purpura.

D. B12-dificiency anemia.

E. Erytremia (Vaquez's disease).

2. The patient is donor. He gave blood for many years. His complains on developed during
some last years dizziness, dyspnoe after insignificant physical exercise. Blood test: Er.-3.0 x
1012 /l.,Col.ind.-0.7, anisocytosis and poikilocytosis. What is the disease?
A. Hemolytic anemia

B. Iron deficiency anemia

C. Thrombocytopenic purpura.

D. Adison-Birmer disease.

E. Erytremia (Vaquez's disease)

9. Which of these groups is the most likely to have anemia?

A. Men

B. Women.

C. Teenagers.

D. Older adults

10. The patient 22 years-old complains on headache, anorexia, periodical nasal hemorrhages.
Face is hyperemic. Heart rate is 78, B.P. – 180/80 mm.Hg. Blood Analyses: Hb-195 g/l., Er.- 8.3
x 1012 /l., Le.- 10 x 109 /l., Thr.-410 x 109 /l. What kind of examination should we prescribe?

A. Ultrasound of the spleen

B. Ultrasound of the liver

C. X-ray of the chest

D. X-ray of the abdominal

E. Sternal puncture

7. The woman 45 years complains of weakness, loss of appetite, burning of tongue, heaviness
after meal in the epigastric region, diarrhea. She has got problems for 3 years. Objectively:
skin is pale, dry. The abdomen is painful in the epigastric region. Blood Analysis: Hb-94 g/l.,
Er.-2.2 x 1012 /l., Col.ind.-1.2, ESR-28mm/h. Megalocytosis. Fiberoptic endoscopy of stomach
shows atrophy of the stomach mucous. About what disease do you think?

A. Hemolytic anemia

B. Iron deficiency anemia.

C. Thrombocytopenic purpura.

D. B12-dificiency anemia.

E. Erytremia (Vaquez's disease).

8. Hemotransfusion was done for treatment of gastro-intestinal bleeding. In few hours patient
felt heaviness in the lumbar region, pain in the left area below theribs, dyspnoea, obstruction
in the chest. Objectively: skin is pale and a slight yellow. Splenomegaly. Blood Analyses: Hb-70
g/l., Er.- 2,1 x 1012 /l., Le.- 16 x109 /l., E-4%, B-1%, St10%, Se-55%, L-20%, M-10%, ESR-45
mm/h. What diagnosis is more probably?

A. Hypoplastic anemia.

B. Iron deficiency anemia.

C. Hemolytic anemia.

D. Acute posthemorrhagic anemia.

E. B12-dificiency anemia.

3. Woman 65 years-old complains of weakness, bout of diarrhea, dull pain in the epigastric
fossa. He is unsteady on his legs. Inspection: skin is pale. Brittleness of nails. Dullness of the
hair. Lips and tongue are scarlet. Blood Analysis: Hb-80 g/l., Er.-2.1 x 1012 /l., Col.ind.-1.2, Le.-
3.2 x 109 /l. Diagnosis is Addison-Biermer anemia. What examination can confirm this
diagnosis?

A. X-ray of the chest

B. Ultrasonic kidney

C. Ultrasonic heart

D. Colonoscopy

E. Sternal puncture

6. Pernicious anaemia is a form of what class of anemia.

A. Macrocytic megoblastic.

B. Macrocytic non megoblastic.

C. Microcytic hypochromic.

D. Microcytic normochromic.

E. Normocytic normochromic.

1. The patient entered to the hematology department. He complains of pain in hypochondriac

regions, fever and dizziness. Objectively: skin is pale and a slight yellow. Hepatomegaly and
splenomegaly were revealed. Blood test: anemia, reticulocytosis, acceleration of ESR. What is
the disease?

A. Liver cirrhosis

B. Iron deficiency anemia

C. Hemolytic anemia

D. Adison-Birmer’s disease

E. Hypersplenism
Thyroid gland:

8. Which of given below symptoms is characteristic for hypothyroidism:

A. Bradycardia

B. Body mass lessening

C. Increased basal metabolism

D. All mentioned above

10. What syndrome includes exophthalmos, corneal ulceration?

A. Hyperglycemic

B. Hypoglycemic

C. Hyperthyroidism

D. Hypothyroidism

6. The patient of 32 years complains of permanent irritability, palpitation, pain in eyes,

lacrimation, tremor of extremities and all body, hy-perhydrosis, weight loss of 10 kg for 4
months. Objectively: skin is warm, moist, mild exophthalmos, there are symptoms of Grefe,
Kokher, Mebius. A thyroid glandis diffusely enlarged, that is seen at swallowing, painless.
Pulse - 108/min, blood pressure is 140/66 mmHg. Shallow tremor of fngers of hands. Your
diagnosis?

A. Diffuse toxic goiter

B. Hashimoto's disease

C. Diffuse nontoxic goiter

D.Nervous exhaustion

E. Diabetes mellitus

5. What is the 1st stage of enlargement of thyroid gland?

A. Thyroid gland palpation increase, it is visible during swallowing at thrown back position of
head

B. Thyroid gland is visible during swallowing at normal position of head

C. Thyroid gland palpatable, it size more than nail phalanx of pollex of hand of patient

D. Thyroid gland not palpation, it size less than nail phalanx of pollex of hand of Patient

1. What disease of thyroid can gynecomastia be at?

A. Hypothyroidism

B. Autoimmune thyroiditis
C. Diffuse toxic goiter

D. Juvenile strum

7. A woman of 47 years old complains of weakness, hyperhidrosis, shaking in a body, loss of

weight, palpitation, increasing the sizes of neck, lacrimation, photophobia. Objectively: a
thyroid gland is diffusely enlarged, elastic, mobile, painless. Heart rate - 128/min, atrial
fibrillation. What syndrome has women?

A. Hyperglycemic

B. Hypoglycemic

C. Hyperthyroidism

D. Hypothyroidism

2. Sick 72 years hospitalized with the first exposed tachisystolical form of blinking arrhythmia.
Marks diminishment of body mass on 5 kg for the last 2 months on a background an usual
appetite. At the objective inspection a knot is exposed in the left particle of thyroid. What
diagnosis is most credible?

A. Toxic adenoma of thyroid

B. Atherosclerotic myocardiosclerosis

C. Nodular nontoxic goiter

D. Cancer of thyroid

3. What syndrome includes fatigue, forgetfulness, sensitivity to cold, unexplained weight gain,
constipation?

A. Hyperthyroidism

B. Bronchial obstruction

C.Hypothyroidism

D. Coronary insufficiency

4. What changes of weight does patient with hyperthyroidism have?

A. Increase

B. Decrease

C. Unchanged

D. All mentioned above

9. After the subtotal resection of the thyroid gland the patient began to suffer from increasing
weakness, drowsiness and fatigability. Edema of eyelids appeared. Hypothyroid was
suspected. What is it necessary to determine?
A. Thyreotropin

B. Glycated hemoglobin

C. Estrogen levels

D. Thyrocalcitonin

Diabetes mellitus:

4. What glucose level suggests of glucosuria?

А) 3.3 mmol/l

B) 9.9 mmol/l

C) 5.5 mmol/l

D) 6.6 mmol/l

E) 11.1 mmol/l

10. Hypoglycemia can be:

А) Reversible and non-reversible

B) Fasting and postprandial

C) Medicamental and non-medicamental

D) Reactive and non-reactive

E) Diabetic and non-diabetic

6. What glycemia level in 2 hours after adequate glucose loading allowsto diagnose diabetes
mellitus?

А) Over 6.6 mmol/l

B) Over 7.7 mmol/l

C) Over 8.8 mmol/l

D) Over 9.9 mmol/l

E) Over 11.1 mmol/l

2. What are three principal hyperglycemia symptoms?

A) Frequent abnormal urination, increased fluid intake, abnormally high appetite

B) Abnormal urination, abnormal weakness, headache

C) Itchy skin, pustular skin lesions, abnormally high appetite

D) Excessive fluid intake, weakness, abnormally high appetite

E) Abnormally high appetite, weight loss, palpitation

3. Which of the below-listed causes can cause hypoglycemia?

А) Sleep disturbance

B) Significant physical activity

C) Administration of NSAIDs

D) Skipped dose of insulin

E) Emotional stress

5. Diabetic rubeosis is:

А) Redness of face skin

B) Redness of palms` skin

C) Redness of soles` skin

D) Redness of mucous membrane of the oral cavity

E) Generalized redness of body skin

1. According to WHO, hyperglycemia syndrome is:

А) Rising fasting glucose level in venous blood plasma over 3.3 mM/l

B) Rising fasting glucose level in venous blood plasma over 5.5 mM/l

C) Rising fasting glucose level in venous blood plasma over 6.1 mM/l

D) Rising fasting glucose level in venous blood plasma over 7.0 mM/l

E) Rising fasting glucose level in venous blood plasma over 11,0 mM/l

9. Rubeosis is a diagnostic sign of:

A) Thyrotoxicosis

B) Diabetes mellitus

C) Myxedema

D) Addison's Disease

E) Obesity

7. Criterion of impaired glucose tolerance is the following glucose levelwithin 2 hours after
loading:

А) Over 11.1 mmol/l

B) Over 6.1 and below 10.0 mmol/l

C) Over 7.8 and below 11.1 mmol/l

D) Over 6.8 and below 9.9 mmol/l

E) Over 6.8 and below 7.8 mmol/l

8. What is the main biological factor and stimulator of insulin secretion?

A) Glucose

B) Fat

C) Protein

D) Microelements and water

E) Vitamins С and D

Digestive 3 (hepar):

1. What pain pattern is typical for chronic hepatitis?

A. Epigastric pain on hunger or at night

B. Distension pain in the mesogastrium

C. Dull-boring or mild pressing pain in right subcostal area

D. Intensive, paroxysmal pain in right subcostal area

E. Discomfort in left subcostal area

2. What is the typical localization of pain in diseases of the liver?

A. pain in the upper abdomen having encircling, belting nature

B. pain in the right upper quadrant

C. pain in the epigastric region

D. pain below the navel

E. pain around the navel

3. The patient, 42 years, complains on dyspnea, increase of abdomen.In the history- alcohol
abuse. During inspection – abdomen is increased,umbilicus is protruded, around the umbilicus
- «caput medusae». Yourdiagnostic assumptions?

A. Obesity

B. Flatting
C. Cyst

D. Tumor

E. Ascites

4. What pain pattern is typical for chronic hepatitis?

A. Epigastric pain on hunger or at night

B. Distension pain in the mesogastrium

C. Dull-boring or mild pressing pain in right subcostal area

D. Intensive, paroxysmal pain in right subcostal area

E. Discomfort in left subcostal area

5. What signs are typical for liver cirrhosis?

A. splenomegaly, erythrocytosis, jaundice

B. splenomegaly, anemia

C. hepatosplenomegaly, anemia, hemorrhages

D. hepatosplenomegaly, anemia, jaundice

E. splenomegaly, anemia, hypercoagulation

6. Inflammatory diseases of the liver include

A. Hydatid disease of the liver

B. Gilbert’s syndrome

C. Hepatitis

D. Agenesis of the liver

E. Wilson’s disease

7. The main ethiologic factor of chronic hepatitis is:

A. Bile

B. Virus

C. Parasites

D. Fungi

E. Bacteria

8. In diseases of a liver and gallbladder pain may develop due toall reasons except of:

a. Distension of Glisson’s capsule

b. Spastic contractions of a gallbladder

c. Inflammation of Glisson’s capsule

d. Inflammation and distension of gallbladder walls

e. Destruction of hepatocites

9. During palpation of a liver a doctor revealed it in the righthypochondrium at midclavicular

line. Liver lower border is at level of thecostal arch; its edge is sharp and painless. It is typical
for:

a. Hepatitis

b. Cirrhosis

c. Norm

d. Congestion in the liver

10. The patient K., 39 years old, compliance of constant dull pain in the right hypochondrium,
abdominal distension, leg swelling and general weakness. He got ill for more 8 years ago. He
underwent treatment for cirrhosis several times . The patients noted deterioration during
year. He smokes a lot and consumes alcohol. Objectively: jaundice, telangioectasia,
hepatomegaly (+ 7 cm) and splenomegaly (+3 cm). There are a free fluid in the abdomen cavity
and edema of lower extremities. What complication is present?

A. Hepatic encephalopathy

B. Liver cancer

C. Portal hypertension

D. Hepatorenal syndrome

E. Heart failure

Urinary system:

1. Excretion of what metabolites causes hypercreatininemia?

A. All mentioned

B. Uric acid salts

C. Fats metabolites

D. Carbohydrates metabolites

E. Proteins metabolites

2. . What degree of nephroptosis is present if it is possible to palpate the lower kidney pole
and it is not displaceble?
A. IV

B. total nephroptosis

C. II

D. I

E. it is normal

3. Edema on face may be in:

A. Kidney diseases

B. Pneumonia

C. Bronchitis

D. Diseases of a heart

E. Hepatitis

4. . Choose the name of retention or suppression of the urine:

A. pollakiuria

B. polyuria

C. ischuria

D. stranguria

E. anuria

5. What is Pasternatsky’s sign?

A. Appearance of pain in the projection of ureter at passing of stone from a kidney

B. Appearance of pain at tapping of lumbar region in the area of kidneys

C. Appearance of pain in lumbar region in rotation of a trunk

D. Pain in palpation of lumbar region in the area of projection of kidneys

E. Appearance of pain in the lumbar area at coughing

6. Skin itching is typical for:

A. Jaundice

B. All mentioned

C. Renal failure

D. Allergic reaction

E. Scabies
7. What is the origin of destroyed erythrocytes in urinalyses?

A. Pyelonephritis

B. Acute glomerulonephritis

C. Acute cystitis

D. Urolithiasis

E. Paranephritis

8. . Which laboratory test is useful for assessment kidney concentration function?

A. Nechyporenko’s test

B. Clearance by endogenous creatinine (glomerular filtration)

C. Complete blood count

D. Canalicular reabsorption

E. Determination of daily proteinuria

9. Patient O., 39 years old, complains of nicturia. What pathology is this symptom typical for?

A. diencephalic syndrome

B. diabetes mellitus

C. chronic cardiac insufficiency

D. acute nephritis

E. chronic kidney insufficiency

10. . Oliguria in adults is defined as:

a. less than750 ml/24-hours of urine excreted

b. less than 400 ml/24-hours of urine excreted

c. less than 250 ml/24-hours of urine excreted

d. less than 100 ml/24-hours of urine excreted

Digestive 2:

1 What pain is typical for chronic enteritis?

A. in lower parts of abdomen X

B. In epigastrium
C. Diffuse pain in all abdominal region

D. In paraumbilical region

E. In the left iliac region

2. Skin itching is typical for:

A. Jaundice

B. All mentioned

C. Renal failure

D. Allergic reaction

E. Scabies

3. Select the typical sign for dyspepsic syndrome in a patient withdiseases of a gallbladder

A. Diarrhea is frequent, profuse

B. Diarrhea after the use of milk

C. Diarrhea before the use of milk

D. No changes

E. Periodical constipation

4. A patient has peptic ulcer and pylorostenosis. Which character ofvomiting masses will be in
this case?

A. Vomiting with food eaten a day before

B. Vomit with admixtions of bile

C. Mucus and pus in vomiting masses

D. Undigested food in vomiting masses X

E. Vomit with admixtions of blood

5. Where are formed gallstones?

A. In the gall bladder

B. All mentioned

C. In the common bile duct

D. In the hepatic bile ducts

E. Everything is wrong

6. Select the definition of constipation

A. black tarry stools

B. the absence of the stools more than two days

C. reflux of stomach contents into the esophagus

D. pain during defecation

E. loose stools

7. Yellow colour of skin and mucosa are caused by:

A. Increased level of serum creatinin

B. Increased level of serum hemoglobin

C. Increased level of serum cholesterol

D. Increased level of serum bilirubin

E. Increased level of serum urea

8. Select the definition of melena

A. absence of the stools more than two days

B. reflux of stomach contents into the esophagus

C. loose stools

D. black tarry stools

E. pain during defecation

9. A patient complains on general weakness, dizziness and tarrystools. Which pathology could
you suspect?

a. Stomach or intestinal bleeding

b. Lung bleeding

c. Fissure of the anus

d. Haemorrhoids

Вариант 5

10. . What colour of feces is in mechanical jaundice?

a. Bright-yellow

b. Black color

c. Pale

d. yellow
e. dark green

Digestive 1:

1. . Yellow colour of skin and mucosa are caused by:

A. Increased level of serum creatinin

B. Increased level of serum hemoglobin

C. Increased level of serum cholesterol

D. Increased level of serum bilirubin

E. Increased level of serum urea

2. Select the definition of melena

A. absence of the stools more than two days

B. reflux of stomach contents into the esophagus

C. loose stools

D. black tarry stools

E. pain during defecation

3. Typical complaints of a patient with chronic gastritis include:

A. All mentioned

B. nausea

C. heartburn

D. decreased appetite

E. none of listing out

4. . Which kind of pain is typical for chronic enteritis?

A. In paraumbilical region

B. In epigastrium

C. In the left iliac region

D. In lower parts of abdomen

E. Diffuse pain in all abdominal region

5. . A patient complains on general weakness, dizziness and tarrystools. Which pathology

could you suspect?

a. Stomach or intestinal bleeding

b. Lung bleeding

c. Fissure of the anus

d. Haemorrhoids

6. What pain pattern is typical for biliary colic?

a. Discomfort in right subcostal area

b. Intensive, paroxysmal pain in right subcostal area

c. Distension pain in the mesogastrium

d. Discomfort in left subcostal area

7. . During palpation of a liver a doctor revealed it in the righthypochondrium at midclavicular

line. Liver lower border is at level of thecostal arch; its edge is sharp and painless. It is typical
for:

a. Hepatitis

b. Cirrhosis

c. Norm

d. Congestion in the liver

8. The lower edge of normal liver is palpated at:

a. Parasternal line

b. Midclavicular line

c. Anterior axillary line

d. Midline

9. What colour of feces is in mechanical jaundice?

a. Bright-yellow

b. Black color

c. Pale

10. How many centimetres is liver size on the midline (obtained bypercussion by Kurlov’s
method)?

a. 9-11 сm

b. 8-10 сm

c. 7-9 сm
Respiratory 2:

1. A patient has pleurisy with effusion. What changes of vocal resonance (bronchophony) will
be?

A. Symmetrical weakening

B. Weakening on affected side

C. Absent on affected side

D. Intensification on affected side

E. Symmetrical intensification

2. What data of auscultation can be obtained over affected lung inpneumothorax?

A. Bronchovesicular breathing

B. Vesicular breathing

C. Absent respiratory breathing on affected side

D. Bronchial breathing

E. Amphoric breathing at the affected side

3. Topographic percussion is used for definition of:

A. Height of lungs apexes

B. Width of `Kroenig’s area

C. All mentioned

D. Mobility of lungs borders

E. The lower lungs borders position

4. A patient suffers of bronchial asthma. What is it necessary to ask todetermine possible

cause of the disease?

A. Social anamnesis

B. Data about hospital treatment in the past

C. Allergological anamnesis

D. Harmful habits

E. Tuberculosis in the past

5. What mechanism underlies restrictive type ventilation violation?

A. All mentioned
B. Adhesions in pleural cavity

C. Poor chest excursion

D. Disorders of alveolar perfusion

E. Decreased diaphragm mobility

6. Pathological bronchial breathing may be heard in the followingsyndrome:

A. Pneumothorax

B. Accumulation of fluid in pleural cavity

C. Consolidation of pulmonary tissue

D. Accumclation of air and fluid in pleural cavity

E. Pulmonary emphysema

7. Evening cough is typical for

A. Chronic bronchitis in remission phase

B. Bronchiectatic disease in remission phase

C. Heart failure

D. Lung cancer

E. Pneumonia

8. What data of palpation is it possible to obtain in pleurisy witheffusion?

A. Pleural friction

B. Vocal fremitus is absent over the affected area

C. Intensified vocal fremitus

D. Normal vocal fremitus

E. Pain in palpation

9. What mechanism underlies obstructive type ventilation violation?

A. Decreased diaphragm mobility

B. Adhesions in pleural cavity

C. Weak mobility of respiratory muscles

D. Disorders of perfusion

E. Narrowing of fine bronchi

10. What sputum characteristic is typical for focal pneumonia

A. Purulent

B. Mucoserous

C. Rusty

D. Glass-like

E. Mucopurulent