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Medicine
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Thursday, 19 April 2012, 06:36 AM Thursday, 19 April 2012, 06:37 AM 18 secs 0/200 0 out of a maximum of 100 (0%)
Question1 Marks: 1 A patient presents with icteritiousness of skin, scleras and mucous membranes. Blood plasma the total bilirubin is increased, stercobilin is increased in feces, urobilin is increased in urine. What type of jaundice is it? Choose one answer.
e. Parenchymatous
Incorrect
a. Adrenal cortex b. Adrenal medulla c. Islets of Langerhans (pancreatic islets) d. Adenohypophysis e. Neurohypophysis
Incorrect
A man with a wound of his limb that had been suppurating for a long time died from intoxication. Autopsy revealed extreme emaciation, dehydration, brown atrophy of liver, myocardium, spleen and cross-striated muscles as well as renal amyloidosis. What diagnosis corresponds with the described presentations? Choose one answer.
a. Excentric
a. Blood, sugar broth b. Liquor, serum agar c. Pus, yolk saline agar d. Urine, beef-extract broth e. Lymph node punctate, cysteine agar
Incorrect
c. Of recurring infection with rubella virus d. The woman is healthy e. Of exacerbation of a chronic disease
Incorrect
a. Postishemic hyperemia b. Neurotonic hyperemia c. Neuroparalytic hyperemia d. Metabolic hyperemia e. Pathologic hyperemia
Incorrect
a. Phenylalanine hydroxylase b. Homogentisic acid oxidase c. Pyruvate dehydrogenase d. Dioxyphenylalanine decarboxylase e. Glutamate dehydrogenase
Incorrect
Question16 Marks: 1 After a craniocerebral trauma a patient lost the ability to execute learned purposeful movements (apraxia). The injury is most likely localized in the following region of the cerebral cortex: Choose one answer.
a. Gyrus supramarginalis b. Gyrus lingualis c. Gyrus paracentralis d. Gyrus angularis e. Gyrus parahippocampalis
Incorrect
a. It inhibits the activity of Na,K-ATP b. It blocks the activity of H1 histamine receptors c. It inhibits the activity of choline esterase d. It stimulates the activity of monoamine oxidase e. It blocks the adrenergic receptors
Incorrect
a. Rise of pressure of tubular fluid b. Reduction of functioning nephron number c. Renal artery embolism d. Reduction of renal blood flow e. Damage of glomerular filter
Incorrect
a. Hepatorenal ligament b. Hepatogastric ligament c. Hepatoduodenal ligament d. Venous ligament e. Round ligament of liver
Incorrect
a. Triple X syndrome b. Edwards' syndrome c. Patau's syndrome d. Klinefelter's syndrome e. Turner's syndrome
Incorrect
Question23 Marks: 1 Electronic microphotography of pulmonary alveole's wall presents a big cell. Its cytoplasm has a lot of mitochondria, developed Golgi apparatus, osmiophil lamellated corpuscles. What is the main function of this cell? Choose one answer.
a. It warms the air b. It purifies the air c. It absorbs microorganisms d. It is a component of blood-air barrier e. It produces surfactant
Incorrect
a. Fibrinolysis intensification b. Decrease in fibrin production c. Increase in thromboplastin production d. Increase in fibrinogen synthesis e. Decrease in thrombin production
Incorrect
a. Ca2+ loss by cardiac hystiocytes b. Cardiac hystiocyte dehydration c. Mg2+ loss by cardiac hystiocytes
a. Noncompetitive antagonism b. Competitive antagonism c. Independent antagonism d. Indirect functional antagonism e. Direct functional antagonism
Incorrect
Question30 Marks: 1 A patient with myocardial infarction was admitted to the cardiological department. For pain relief it was decided to potentiate fentanyl action with a neuroleptic. Which of the following neuroleptics is the most suitable for neuroleptanalgesia? Choose one answer.
a. Chronic persistent hepatitis b. Autoimmune hepatitis c. Alcoholic hepatitis d. Chronic aggressive hepatitis e. Acute viral hepatitis
Incorrect
a. Thymidine monophosphate b. Cytidine monophosphate c. Uridine monophosphate d. Uridine triphosphate e. Adenosine monophosphate
Incorrect
c. In the region of lumbosacral plexus d. In the posterior mediastinum e. In the region of aortic hiatus
Incorrect
e. Vitamin K
Incorrect
A 45-year-old patient was admitted to the cardiological department. ECG data: negative P wave overlaps QRS complex, diastolic interval is prolonged after extrasystole. What type of extrasystole is it? Choose one answer.
a. Toxic damage of B-lymphocytes b. Immune responsiveness and resistance disorders c. Pathometabolism in mother's organism d. Hereditary abnormality of immune system e. Embryonal development abnormalities
Incorrect
b. Increased activity of sympathoadrenal system c. Adrenaline action d. Noradrenaline action e. Increased tonus of sympathetic centres
Incorrect
Incorrect
a. Thrombosis of tomentum cerebri b. Thrombosis of basilar artery c. Thrombosis of the right posterior cerebral artery d. Thrombosis of the right anterior cerebral artery e. Thrombosis of the right medial cerebral artery
Incorrect
a. Slow calcium channels b. Sodium channels c. Potassium channels d. Sodium and calcium channels e. Fast calcium channels
Incorrect
a. G2 b. S c. Go d. M e. G1
Incorrect
d. Erythropoiesis e. Granulocytopoiesis
Incorrect
a. Virus informational RNA on the matrix of DNA b. Viral DNA on DNA matrix c. DNA on virus ribosomal RNA d. mRNA on the matrix of virus protein e. DNA on the matrix of virus mRNA
Incorrect
Question51 Marks: 1 A newborn child was found to have reduced intensity of sucking, frequent vomiting, hypotonia. Urine and blood exhibit increased concentration of citrulline. What metabolic process is disturbed? Choose one answer.
a. Lysis of leukocytes in the blood-forming organs b. Intensified elimination of leukocytes from the organism c. Redistribution of leukocytes in bloodstream
d. Leikopoiesis inhibition e. Disturbed going out of mature leukocytes from the marrow into the blood
Incorrect
a. Nongaseous alkalosis b. Gaseous alkalosis c. Gaseous acidosis d. Excretory acidosis e. Metabolic acidosis
Incorrect
a. Protein kinase A activation b. Adenylate cyclase activation c. Protein kinase A inhibition d. Phosphodiesterase inhibition e. Calcium ion liberation from cellular depot
Incorrect
Question58 Marks: 1 A patient has been diagnosed with a compression fracture of a lumbar vertebra. As a result he has a considerable increase in curvature of the lumbar lordosis. Which ligament damage can induce such changes in the spine curvature? Choose one answer.
a. Posterior longitudinal ligament b. Yellow ligament c. Interspinous ligament d. Iliolumbar ligament e. Anterior longitudinal ligament
Incorrect
a. Increased activity of anticoagulative system factors b. Decreased activity of coagulative factors c. Increased activity of fibrinolysis factors d. Thrombocytopenia e. Vascular wall damage
Incorrect
a. Ultraviolet intensity b. Moisture level c. Partial oxygen pressure d. Temperature e. Earth gravity
Incorrect
a. Pancreatic juice secretion b. Intestinal absorption c. Intestinal juice secretion d. Bile inflow into the bowel e. Gastric juice acidity
Incorrect
a. A. subclavia et A. ophthalmica b. A. carotis externa et A. carotis interna c. A. carotis externa et A. subclavia d. A. carotis interna et A. ophthalmica e. A. carotis interna et A. subclavia
Incorrect
a. Undifferentiated cell b. Principal cell c. Endocrine cell d. Mucous cell e. Parietal cell
Incorrect
A 32-year-old patient consulted a doctor about the absence of lactation after parturition. Such disorder might be explained by the deficit of the following hormone: Choose one answer.
a. Flavine adenine dinucleotide b. Coenzyme A c. Lipoic acid d. Thiamine pyrophosphate e. Nicotinamide adenine dinucleotide
Incorrect
a. A immunoglobulin
e. Hyperthermia
Incorrect
a. Acute focal tuberculosis b. Infiltrative tuberculosis c. Acute cavernous tuberculosis d. Tuberculoma e. Caseous pneumonia
Incorrect
a. Regulation of Ca2+ rate in mitochondria b. Oxidative phosphorylation c. Utilization of lactic acid d. Transport of fatty acids to mitochondria e. Substrate-linked phosphorylation
Incorrect
Question79 Marks: 1 Examination of the anterior abdominal wall of a pregnant woman revealed a tumour-like formation that arose on the spot of a tumour that was removed two years ago. The neoplasm was well-defined, dense, 21 cm large. Histological examination revealed that the tumour was composed of differentiated connective tissue with prevailing collagen fibres. What tumour might be suspected? Choose one answer.
a. Zones of diffuse opacification b. Precipitin lines c. Haemolysis zones d. Zones of lecithovitellinous activity e. Precipitin ring
Incorrect
An alcoholic has alcoholic psychosis with evident psychomotor agitation. What neuroleptic drug should be administered for emergency care? Choose one answer.
a. Systemic dilatation of the arterial resistive vessels b. Decrease in the circulating blood volume c. Systemic constriction of the venous vessels d. Weakening of the pumbing ability of heart e. Increase in the heart rate
Incorrect
As a result of continuous starvation the glomerular filtration rate has increased by 20%. The most probable cause of the glomerular filtration alteration under the mentioned conditions is: Choose one answer.
a. Increase of the renal blood flow b. Increase in the permeability of the renal filter c. Increase of the filtartion quotient d. Increase in the systemic arterial pressure e. Decrease in the oncotic pressure of blood plasma
Incorrect
a. Vagus nerve b. Vestibulocochlear nerve c. Intermediate nerve d. Trigeminal nerve e. Facial nerve
Incorrect
b. Epidermal muscular tissue c. Smooth muscular tissue d. Neural muscular tissue e. Skeletal muscular tissue
Incorrect
e. Condyle of femur
Incorrect
a. Septicopyemia b. Acute rheumatic valvulitis c. Septicemia d. Septic bacterial endocarditis e. Rheumatic thromboendocarditis
Incorrect
Question95 Marks: 1 A histological specimen shows a blood vessel. Its inner coat is composed by endothelium, subendothelium and internal elastic membrane. The middle coat is enriched with smooth myocytes. Such morphological characteristics are typical for the following vessel: Choose one answer.
a. Parasympathetic conditioned reflexes b. Catecholamines c. Parasympathetic unconditioned reflexes d. Sympathetic unconditioned reflexes e. Sympathetic conditioned reflexes
Incorrect
a. General chronic venous congestion b. General acute venous congestion c. Acute anaemia d. Chronic anaemia e. Arterial hyperaemia
Incorrect
Question102 Marks: 1 Blood analysis of a patient with jaundice reveals conjugated bilirubinemia, increased concentration of bile acids. There is no stercobilinogen in urine. What type of jaundice is it? Choose one answer.
a. Parenchymatous jaundice b. Obstructive jaundice c. Hemolytic jaundice d. Cythemolytic jaundice e. Hepatocellular jaundice
Incorrect
a. Hyaline degeneration b. Fatty vascular-stromal degeneration c. Fatty parenchymatous degeneration d. Carbohydrate degeneration e. Amyloidosis
Incorrect
a. Abductor muscle of thumb b. Long flexor muscle of thumb c. Short flexor muscle of thumb d. Short abductor muscle of thumb e. Opposer muscle of thumb
Incorrect
d. Replication e. Reparation
Incorrect
e. Plaque
Incorrect
a. Anaphylactic immune reaction b. Cell-mediated immune reaction c. Aggregate immune reaction d. Cellulotoxic immune reaction e. Stimulating immune reaction
Incorrect
A patient has pellagra. Interrogation revealed that he had lived mostly on maize for a long time and eaten little meat. This disease had been caused by the deficit of the following substance in the maize: Choose one answer.
a. Choline esterase block b. Energy metabolism c. Ribosome protein synthesis d. Microbial wall formation e. Nucleic acid synthesis
Incorrect
a. 10-12 a.m. b. 3-4 a.m. c. 7-8 a.m. d. 5-6 p.m. e. 2-3 p.m.
Incorrect
a. Superficial temporal artery b. Medial cerebral artery c. Anterior membranous artery d. Posterior auricular artery e. Medial membranous artery
Incorrect
Question118 Marks: 1 Microscopic examination of a gram-stained scrape from a patient's tongue revealed oval, round, elongated chains of dark-violet gemmating cells. What disease can be caused by this causative agent? Choose one answer.
a. Aldosterone reduction b. Vasopressin increase c. Aldosterone increase d. Vasopressin reduction e. Reduction of atrial natriuretic factor
Incorrect
a. Left and right halves of the left eye retina b. Left and right halves of both eyes retina c. Right half of both eyes retina d. Left and right halves of the right eye retina e. Left half of both eyes retina
Incorrect
a. Phase-contrast microscopy b. Immersion microscopy c. Immune and electron microscopy d. Electron microscopy e. Fluorescence microscopy
Incorrect
Question125 Marks: 1 A 70-year-old male patient died from acute coronary insufficiency. He had knee joint swelling, gonycampsis and gonalgia during his lifetime. Pathomorphologic examination of the deformed joints and synovial membranes revealed membrane hyperaemia with multiple perivascular inflammatory infltrations made by lymphocytes, plasmocytes and macrophagocytes. There was an accumulation of organized fibrin covering some areas of synovium membrane and looking like rice grains in the articular liquid. What is the most likely diagnosis? Choose one answer.
a. Ankylosing spondylitis b. Tuberculous arthritis c. Deforming arthrosis d. Atrophic arthritis e. Periarteritis nodosa
Incorrect
a. Aseptic renal affection b. Urinary tracts inflammation c. Autoimmune renal affection d. Urinary bladder inflammation e. Ischemic renal affection
Incorrect
A patient suffering from myasthenia has been administered proserin. After its administration the patient has got nausea, diarrhea, twitch of tongue and skeletal muscles. What drug would help to eliminate the intoxication? Choose one answer.
a. Inhibition of microsomal liver enzymes b. Associated disease of target organ c. Exhaustion of substrate interacting with pharmaceutical substance d. Accumulation of pharmaceutical substance e. Hereditary enzymopathy
Incorrect
b. Both filtration and reabsorption will be decreased c. Metabolism will stay unchanged d. Both filtration and reabsorption will be increased e. Filtration will be decreased, reabsorption - increased
Incorrect
a. Median nasal concha b. Inferior nasal concha c. Superior nasal concha d. Common nasal meatus e. Vestibule of nose
Incorrect
e. 5-oxytryptofane
Incorrect
a. The same molecular weight b. Tissue localization c. Catalyzation of the same reaction d. The same electrophoretic mobility e. The same physicochemical properties
Incorrect
A 46-year-old female patient has a continuous history of progressive muscular (Duchenne's) dystrophy. Which blood enzyme changes will be of diagnostic value in this case? Choose one answer.
a. Pyruvate dehydrogenase b. Glutamate dehydrogenase c. Adenylate cyclase d. Lactate dehydrogenase e. Creatine phosphokinase
Incorrect
a. Increased production of calcitonin b. Increased production of thyroliberin c. Increased production of thyroxin d. Reduced production of thyroxin e. Reduced production of parathormone
Incorrect
a. External intercostal muscles b. Diaphragm c. Abdominal muscles d. Pectoral muscles e. Trapezius muscles
Incorrect
Incorrect
a. Parasympathetic nucleus of vagus b. Functions of thyroid gland c. Sympathoadrenal system d. Functions of adrenal cortex e. Hypophysis function
Incorrect
a. Acidosis b. Phospholipase activation c. Lipid peroxidation d. Enzyme inhibition e. Osmotic membrane distension
Incorrect
a. 250 and 2 b. 250 and 4 c. 2 and 500 d. 500 and 2 e. 4 and 250
Incorrect
Question146 Marks: 1 A 30-year-old patient complains about having abdominal pain and diarrhea for five days; body temperature rise up to 37,5oC along with chills. The day before a patient had been in a forest and drunk from an open water reservoir. Laboratory analyses enabled to make the following diagnosis: amebic dysentery. What is the drug of choice for its treatment? Choose one answer.
a. Motoneuron activation induced by stroke b. Reduction of descending inhibitory influence c. Ihibition of cerebral cortex motoneurons d. Activation of synaptic transmission e. Activation of excitatory influence from the focus of stroke
Incorrect
a. Insulin-dependent diabetes mellitus b. Addison's disease c. Steroid diabetes d. Type I glycogenosis e. Myxoedema
Incorrect
a. Campilobacter jejuni b. Campilobacter fetus c. Helicobacter pylori d. Chlamydia trachomatis e. Mycoplasma hominis
Incorrect
a. For increasing renal excretion of phenobarbital b. For arterial pressure normalization c. For bringing the patient to consciousness d. For breathing stimulation e. For phenobarbital inactivation
Incorrect
A patient who has been treated in a neural clinic and has been taking a sedative for a long time got the following complication: cough, rhinitis, epiphora. What drug caused these disturbances? Choose one answer.
a. Parasympathetic unconditioned reflexes b. Sympathetic unconditioned reflexes c. Sympathetic conditioned reflexes d. Peripheric reflexes
a. Biliverdin b. Heme c. Indirect reacting (unconjugated) bilirubin d. Direct reacting (conjugated) bilirubin e. Protoporphyrin
Incorrect
A child with a history of frequent angine and pharyngitis has been diagnosed with lymphadenopathy and splenomegaly. His appearance is characterised by pastosity and paleness, muscular tissue is poorly developed. Lymphocytosis is present. What kind of diathesis is it? Choose one answer.
a. Gouty diathesis b. Lymphohypoplastic diathesis c. Exudative diathesis d. Asthenic diathesis e. Hemorrhagic diathesis
Incorrect
a. Coronary insufficiency b. Heart overload by resistance c. Primary myocardial insufficiency d. Heart overload by volume e. Cardiac tamponade
Incorrect
d. Levamisole e. Prednisolone
Incorrect
a. Until 3 months b. Until the end of the first year of life c. Before the child is born d. Until the end of the second year of life e. Until 6 months
Incorrect
Question169 Marks: 1 During starvation muscle proteins break up into free amino acids. These compounds will be the most probably involved into the following process: Choose one answer.
a. Glycogenolysis b. Decarboxylation c. Gluconeogenesis in muscles d. Synthesis of higher fatty acids e. Gluconeogenesis in liver
Incorrect
a. De-Nol
a. Papillae vallatae b. Papillae foliatae c. Papillae filiformes d. Papillae conicae e. Papillae fungiformes
Incorrect
a. B3 b. B2 c. E d. B1 e. B6
Incorrect
Examination of a pregnant woman having Rh-negative blood revealed high level of antierythrocytic antibodies. For its reduction she was implanted with her husband's Rhpositive skin graft. The graft was rejected in two weeks. Its microscopic examination revealed circulatory disturbance, edema and cellular infiltration with lymphocytes, neutrophils and macrophages predominance. What is the most likely pathology? Choose one answer.
a. Graft immunity b. Interstitial inflammation c. Granulomatous inflammation d. Immediate hypersensitivity e. Delayed-type hypersensitivity
Incorrect
a. Accumulation of K+ and Mg2+ ions in the myocardium cells b. Reduction of K+ and Mg2+ ions in the extracellular space c. Reduction of Na+ and Ca2+ ions in the myocardium cells d. Reduction of Na+ and Ca2+ ions in the extracellular space e. Accumulation of Na+ and Ca2+ ions in the myocardium cells
Incorrect
a. Infectious mononucleosis, AIDS b. Tuberculosis, mycobacteriosis c. Q-febris, epidemic typhus d. Dysentery, cholera
a. Dorsal scapular nerve b. Thoracodorsal nerve c. Subclavicular nerve d. Axillary nerve e. Subscapular nerve
Incorrect
A patient with high-titer antinuclear antibodies died from progressing renal impairment. Autopsy revealed mesangioproliferative glomerulonephritis and abacterial polypous endocarditis. There was periarterial bulbar sclerosis in spleen and productive proliferative vasculitis in skin. What is the most likely diagnosis? Choose one answer.
a. Strong paroxysmal cough b. Pulmonary edema c. Toxic lesions of myocard, liver and kidney d. Intermittent fever e. Papulous skinrash
Incorrect
a. B2 b. B6 c. C d. B1 e. A
Incorrect
a. Seroreaction b. Arthus phenomenon c. Atopic reaction d. Type II hypersensitivity reaction e. Type IV hypersensitivity reaction
Incorrect
a. Calcium ion depositing b. Carbohydrate synthesis c. Synthesis of blood plasma proteins d. Bile production e. Deintoxicative function
Incorrect
Question190 Marks: 1 Autopsy of a 1,5-year-old child revealed haemorrhagic skin rash, moderate hyperaemia and edema of nasopharyngeal mucous membrane, small haemorrhages in the mucous membranes and internal organs; dramatic dystrophic alterations in liver and myocardium; acute necrotic nephrosis; massive haemorrhages in the adrenal glands. What disease are these alterations the most typical for? Choose one answer.
a. Edwards' syndrome b. Cat cry syndrome c. Turner's syndrome d. Down's syndrome e. Patau's syndrome
Incorrect
a. Pharmacokinetic, biotransformation stage b. Pharmacokinetic, absorption stage c. Pharmacodynamic d. Pharmaceutic e. Direct antagonism
Incorrect
a. Vascularization b. Vanishing of elastic fibers c. Intima changes by shagreen leather type d. Muscle layer atrophy e. Vanishing of collagen fibers
Incorrect
A child has mental and physical retardation, grave damage of internal connective tissue. Urine analysis reveals keratan sulfates. What metabolic process is disturbed? Choose one answer.