Step 1 - Medicine 2007

A patient had to go through an operation. Doctors introduced him di-thylinum (listenone) and performed intubation. After the end of operation and cessation of anesthesia the independent respiration wasn’t restored. Which enzyme deficit prolongs the action of muscle relaxant?

Pseudocholinesterase

Succinate dehydrogenase

Carbanhydrase

A-acetyltransferase

K-Aa-adenosine triphosphatase

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A patient is ill with diabetes mellitus that is accompanied by hyperglycemia of over 7,2 millimole/l on an empty stomach. The level of what blood plasma protein allows to estimate the glycemia rate retrospectively (4-8 weeks before examination)?

C-reactive protein

Ceruloplasmin

Glycated hemoglobin

Fibrinogen

Albumin

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A 60 y.o. patient has a reduced perception of high-frequency sounds. What structures’ disorder of auditory analizer caused these changes?

Eustachian tube

Main membrane of cochlea near the oval window

Muscles of middle ear

Main membrane of cochlea near heli-cotrema

Tympanic membrane

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A patient ill with diabetes mellitus felt acute pain in his right foot. Objectively: foot thumb is black, foot tissues are edematous, there are foci of epidermis desquamation, stinking discharges. What clinicopathological form of necrosis is it?

Sequestrum

Infarction

Moist gangrene

Bedsore

Dry gangrene

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A patient with a stab wound of the anterior stomach wall is in surgical care. What formation of abdominal cavity did the stomach contents get into?

Right mesenteric sinus

Antegastrial bursa

Hepatic bursa

Omental bursa

Left mesenteric sinus

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A 4 y.o. child with signs of durative proteinic starvation was admitted to the hospital. The signs were as follows: growth inhibition, anemia, edemata, mental deficiency. Choose a cause of edemata development:

Reduced synthesis of lipoproteins

Reduced synthesis of globulins

Reduced synthesis of hemoglobin

Reduced synthesis of glycoproteins

Reduced synthesis of albumins

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Autopsy of a patient who suffered from croupous pneumonia and died from pneumococcal sepsis revealed 900 ml of turbid greenish-yellow liquid in the right pleural cavity. Pleural leaves are dull, plephoric. Name the clinicopathological form of inflammation in the pleural cavity:

Empyema

Phlegmon

Fibrinous inflammation

Chronic abscess

Acute abscess

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Examination of a patient revealed reduced contents of magnesium ions that are necessary for attachment of ribosomes to the granular endoplasmatic reticulum. It is known that it causes disturbance of protein biosynthesis. What stage of protein biosynthesis will be disturbed?

Transcription

Termination

Aminoacid activation

Replication

Translation

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Analysis of blood serum of a patient revealed increase of alanine aminotransferase and aspartate aminotransferase level. What cytological changes can cause such a situation?

Disturbance of cellular interrelations

Disturbed function of energy supply of cells

Disturbance of genetic apparatus of cells

Disorder of enzyme systems of cells

Cellular breakdown

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Power inputs of a boy increased from 500 to 2000 kj pro hour. What can be the

Physical exercise

Transition from sleep to wakefulness

Raise of outer temperatute

Mental activity

Food intake

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A patient presents high activity of LDH^, aspartate aminotransferase, creatine phosphokinase. In what organ (organs) is the development of a pathological process the most probable?

In connective tissue

In the heart muscle (initial stage of myocardium infarction)

In kidneys and adrenals

In liver and kidneys

In skeletal muscles (dystrophy, atrophy)

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According to the data of WHO, for about 250 mln of Earth population fall ill with malaria. This disease is mostly spread in tropical and subtropical regions. Range of its spread falls into the areal of the following mosquitoes:

Mansonia

Culex

Anopheles

Aedes

Culiseta

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Autopsy of a 58 y.o. man revealed that bicuspid valve was deformed, thickened and unclosed. Microscopically: foci of collagen fibrilla are eosinophilic, react positively to fibrin. The most probably it is:

Fibrinoid swelling

Amyloidosis

Fibrinous inflammation

Hyalinosis

Mucoid swelling

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Labeled aminoacids alanine and tryptophane were introducted to a mouse in order to study localization of protein biosynthesis in its cells. Around what organellas will the accumulation of labeled aminoacids be observed?

Agranular endoplasmic reticulum

Lysosomes

Golgi apparatus

Cell centre

Ribosomes

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In some regions of South Africa there is a spread sickle-shaped cell anemia, in which erythrocytes have shape of a sickle as a result of substitution of glutamin by valine in the hemoglobin molecule. What is the cause of this disease?

Gene mutation

Disturbance of mechanisms of genetic information realization

Transduction

Genomic mutations

Crossingover

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A patient died under conditions of cardiovascular insufficiency. Autopsy results: postinfarction cardiosclerosis, myocardium hypertrophy and dilatation of its cavities, especially of its right ventricle. Liver is enlarged, its surface is smooth, incision revealed that it was plethoric, with dark-red specks against the background of brownish tissue. Histologically: plethora of central parts of lobules; peritheral parts around portal tracts contain hepatocytes in a state of adipose degeneration. How are these liver changes called?

Liver steatosis

Liver cirrhosis

Pseudonutmeg liver

Amyloidosis

Nutmeg liver

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Autopsy of a man who died from chronic cardiovascular collapse revealed 'tiger heart'. Sidewards of endocardium a yellowish-white banding can be seen; myocardium is dull, darkyellow. What process caused this pathology?

Fatty parenchymatous degeneration

Carbohydrate degeneration

Fatty vascular-stromal degeneration

Amyloidosis

Hyaline degeneration

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In course of an experiment a skeletal muscle is being stimulated by a series of electric impulses. What type of muscle contraction will arise, if every subsequent impulse comes in the period of shortening of the previous single muscle contraction?

Muscle contracture

A series of single contractions

Asynchronous tetanus

Holotetanus

Partial tetanus

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Ammonia is a very toxic substance, especially for nervous system. What substance takes the most active part in ammonia detoxication in brain tissues?

Lysine

Proline

Glutamic acid

Alanine

Histidine

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A man was admitted to the hospital on the 5th day of disease that manifested itself by jaundice, muscle aching, chill, nose bleedings. In course of laboratory diagnostics a bacteriologist performed dark-field microscopy of the patient’s blood drop. Name a causative agent of this disease:

Bartonella bacilloformis

Rickettsia mooseri

Calymmatobacterium granulomatis

Borrelia dutlonii

Leptospira interrogans

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A patient has a transverse disruption of spinal cord below the IV thoracic segment. What changes of respiration will it cause?

Respiration will become deeper

Respiration will stay unchanged

Respiration will become less frequent

Respiration will stop

Respiration will become more frequent

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12 hours after an accute attack of retrosternal pain a patient presented a jump of aspartate aminotransferase activity in blood serum. What pathology is this deviation typical for?

Diabetes mellitus

Diabetes insipidus

Viral hepatitis

Myocardium infarction

Collagenosis

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A lightly dressed man is standing in a room, air temperature is +140C, windows and doors are closed. In what way does he emit heat the most actively?

Perspiration

Convection

Heat radiation

Heat conduction

Evaporation

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A 30 y.o. woman had been ill for a year when she felt pain in the area of joints for the first time, they got swollen and skin above them became reddened. Provisional diagnosis is rheumatoid arthritis. One of the most probable causes of this disease is a structure alteration of a connective tissue protein:

Myosin

Ovoalbumin

Mucin

Troponin

Collagen

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A patient with infectious mononucleosis has been taking glucocorticoids for two weeks. He was brought into remission, but he fell ill with acute attack of chronic tonsillitis. What action of glucocorticoids caused this complication?

Immunosuppressive

Antishock

Antitoxic

Anti-inflammatory

Antiallergic

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A peripheral segment of vagus nerve on a dog’s neck was being stimulated in course of an experiment. The following changes of cardiac activity could be meanwhile observed:

Heart hurry

Enhancement of atrioventricular conduction

Heart rate fall

Increased excitability of myocardium

Heart rate and heart force amplification

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As a result of exhausting muscular work a worker has largely reduced buffer capacity of blood. What acidic substance that came to blood caused this phenomenon?

3- phosphoglycerate

-

Lactate

Pyruvate

1,3-bisphosphoglycerate

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A patient was delivered to the hospital by an emergency team. Objectively: grave condition, unconscious, adynamy. Cutaneous surfaces are dry, eyes are sunken, face is cyanotic. There is tachycardia and smell of acetone from the mouth. Analysis results: blood glucose -20,1 micromole/l (standard is 3,3-5,5 mi-cromole/l), urine glucose - 3,5% (standard is - 0). What is the most probable diagnosis?

Acute alcoholic intoxication

Acute heart failure

Hypoglycemic coma

Anaphylactic shock

Hyperglycemic coma

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A 62 y.o. woman complains of frequent pains in the area of her chest and backbone, rib fractures. A doctor assumed myelomatosis (plasmocytoma). What of the following laboratory characteristics will be of the greatest diagnostical importance?

Hypoproteinemia

Paraproteinemia

Hyperalbuminemia

Hypoglobulinemia

Proteinuria

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Nappies of a newborn have dark spots' that witness of formation of homogenti-sic acid. Metabolic imbalance of which substance is it connected with?

Thyrosine

Cholesterine

Galactose

Methionine

Tryptophane

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Having helped to eliminate consequences of a failure at a nuclear power plant, a worker got an irradiation doze of 500 roentgen. He complains of headache, nausea, dizziness. What changes in leukocytes quantity can be expected 10 hours after irradiation?

Neutrophilic leukocytosis

Lymphocytosis

Agranulocytosis

Leukemia

Leukopenia

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A12 y.o. boy who suffers from bronchial asthma has an acute attack of asthma: evident expiratory dyspnea, skin pallor. What type of alveolar ventilation disturbance is it?

Restrictive

Throracodiaphragmatic

Neuromuscular

Obstructive

Central

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A woman who has been keeping to a clean-rice diet for a long time was diagnosed with polyneuritis (beriberi). What vitamin deficit results in development of this disease?

Thiamine

Ascorbic acid

Riboflavin

Pyridoxine

Folic acid

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Removal of gall bladder of a patient has disturbed processes of Ca absorption through the intestinal wall. What vitamin will stimulate this process?

D3

B12

C

K

PP

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A hepatitis outbreak was registered in a settlement. This episode is connected with water factor. What hepatitis virus could have caused the infective outbreak in this settlement?

C

B

D

E

G

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Examination of a 43 y.o. patient revealed that his stomach has difficulties with digestion of protein food. Gastric juice analysis revealed low acidity. Function of which gastric cells is disturbed in this case?

Endocrinous cells

Mucous cells (mucocytes)

Parietal exocrinocytes

Main exocrinocytes

Cervical mucocytes

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A 16 y.o. boy from a countryside entered an educational establishment. Scheduled Manteux test revealed that the boy had negative reaction. What are the most reasonable actions in this case?

To repeat the reaction in a month

To perform rapid Price diagnostics

To isolate the boy temporarily from his mates

To perform BCG vaccination

To perform serodiagnostics of tuberculosis

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A patient complains of frequent diarrheas, especially after consumption of fattening food, and of body weight loss. Laboratory examination revealed steatorrhea; hypocholic feces. What can be the cause of this condition?

Obturation of biliary tracts

Lack of pancreatic lipase

Lack of pancreatic phospholipase

Mucous membrane inflammation of small intestine

Unbalanced diet

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A patient consulted a doctor about bowels disfunction. The doctor established symptoms of duodenitis and enteritis. Laboratory examination helped to make the following diagnosis: lambliosis. What medication should be administered?

Chingamin

Monomycin

Tetracycline

Erythromycin

Metronidazole

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A group of mountain climbers went through the blood analysis at the height of 3000 m. It revealed decrease of HCO3 to 15 micromole/l (standard is 2226 micromole/l). What is the mechanism of HCO3 decrease?

Decrease of bicarbonate reabsorption in kidneys

Hypoventilation

Decrease of ammoniogenesis

Intensification of acidogenesis

Hyperventilation

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Introduction of a pharmaceutical substance to an experimental animal resulted in reduction of salivation, pupil mydriasis. Next intravenous introduction of acetylcholine didn’t lead to any significant changes of heart rate. Name this substance:

Atropine

Proserin

Salbutamol

Adrenaline

Propranolol

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Continious taking of a drug can result in osteoporosis, erosion of stomach mucous membrane, hypokali-emia, retention of sodium and water, reduced content of corticotropin in blood. Name this drug:

Reserpine

Digoxin

Prednisolone

Hydrochlorothiazide

Indometacin

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A child is languid, apathetic. Liver is enlarged and liver biopsy revealed a significant excess of glycogene. Glucose concentration in the blood stream is below normal. What is the cause of low glucose concentration?

Low (absent) activity of hexokinase

High activity of glycogen synthetase

Deficit of a gene that is responsible for synthesis of glucose 1-phosphaturidine transferase

Low (absent) activity of glycogene phosphorylase in liver

Low (absent) activity of glucose 6-phosphatase

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A 63 y.o. man with collapse symptoms was delivered to the emergency hospital. A doctor chose noradrenaline in order to prevent hypotension. What is the action mechanism of this medication?

Activation of 3-adrenoreceptors

Activation of serotonin receptors

Activation of a-adrenoreceptors

Block of M-cholinoreceptors

Activation of dopamine receptors

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From pharynx of a child with suspected diphtheria a pure culture of microorganisms was isolated. Their morphological, tinctorial, cultural and biochemical properties appeared to be typical for diphtheria causative agents. What study should be conducted in order to drow a conclusion that this is a pathogenic diphtheria bacillus?

Estimation of cystinous activity

Estimation of urease activity

Estimation of ability to decompose starch

Estimation of toxigenic properties

Estimation of proteolytic properties

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Examination of a child revealed some whitish spots' looking like coagulated milk on the mucous membrane of his cheeks and tongue. Analysis of smears revealed gram-positive oval yeast-like cells. What causative agents are they?

Fusobacteria

Diphtheria bacillus

Candida

Staphylococci

Actinomycetes

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A 35 y.o. patient who often consumes alcohol was treated with diuretics. There appeared serious muscle and heart weakness, vomiting, diarrhea, AP- 100/60 mm Hg, depression. This condition is caused by intensified excretion with uri-

Sodium

Chlorine

Calcium

Phosphates

Potassium

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After intake of rich food a patient feels nausea and sluggishness; with time there appeared signs of steatorrhea. Blood cholesterine concentration is 9,2 micromole/l. This condition was caused by lack of:

Bile acids

Phospholipids

Chylomicrons

Triglycerides

Fatty acids

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Examination of a man who hadn’t been consuming fats but had been getting enough carbohydrates and proteins for a long time revealed dermatitis, poor wound healing, vision impairment. What is the probable cause of metabolic disorder?

Lack of oleic acid

Low caloric value of diet

Lack of palmitic acid

Lack of vitamins PP, H

Lack of linoleic acid, vitamins A, D, E, K

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An experimental animal has been given excessive amount of carbon-labeled glucose for a week. What compound can the label be found in?

Palmitic acid

Arachidonic acid

Choline

Methionine

Vitamin A

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RNA that contains AIDS virus penetrated into a leukocyte and by means of reverse transcriptase forced a cell to synthetize a viral DNA. This process is based upon:

Operon repression

Reverse translation

Convariant replication

Reverse transcription

Operon depression

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Examination of a patient with frequent hemorrhages from internals and mucous membranes revealed proline and lysine being a part of collagene fibers. What vi- tamin absence caused disturbance of their hydroxylation?

Vitamin K

Vitamin A

Vitamin E

Thiamine

Vitamin C

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A patient who suffers from pneumonia has high body temperature. What biologically active substance plays the leading part in origin of this phenomenon?

Histamine

Leukotrienes

Serotonin

Interleukin-I

Bradykinin

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A 27 y.o. patient put eye drops that contain penicillin. After a few minutes she felt itching and burning of her body, there appeared lip and eye-lid edemata; arterial pressure began to drop. What immunoglobulins took part in the development of this allergic reaction?

IgE and IgG

IgM and IgD

IgA and IgM

IgM and IgG

IgG and IgD

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A patient suffers from hepatic cirrhosis. Examination of which of the following substances excreted by urine can characterize the state of antitoxic function of liver?

Aminoacids

Kreatinine

Uric acid

Ammonium salts

Hippuric acid

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A 2 y.o. child has convulsions as a result of lowered concentration of calcium ions in blood plasma. It is caused by reduced function of:

Pineal gland

Hypophysis

Thymus

Parathyroid glands

Adrenal cortex

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Inflammation of a patient’s eye was accompanied by accumulation of turbid liquid with high protein at the bottom of anterior chamber that was called hypopyon. What process underlies the changes under observation?

Primary alteration

Disturbance of microcirculation

Proliferation

Secondary alteration

-

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Heart rate of a man permanently equals 40 beats pro minute. What is the pacemaker?

His’ bundle branches

His’ bundle

Purkinje’s fibers

Atriventricular node

Sinoatrial node

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A 48 y.o. patient was admitted to the hospital with complaints about weakness, irritability, sleep disturbance. Objectively: skin and scleras are yellow. In blood: conjugated bilirubin, cholalemia. Feces are acholic. Urine is of dark colour (bilirubin). What jaundice is it?

Mechanic

Crigler-Najjar syndrome

Parenchymatous

Hemolytic

Gilbert’s syndrome

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Bacteriological examination of a patient with food poisoning required inoculation of a pure culture of bacteria with the following properties: gramnegative movable bacillus that grows in the Endo’s medium in form of colourless colonies. A representative of which species caused this disease?

Shigella

Citrobacter

Salmonella

Iersinia

Esherichia

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A patient was diagnosed with active focal pulmonary tuberculosis. What drug should be prescribed in the first place?

Sulfalen

Ethoxide

Isoniazid

Ethionamide

Cyclocerine

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Examination of a young man in the AIDS centre produced a positive result of immune-enzyme assay with HIV antigens. Patient’s complaints about state of his health were absent. What can the positive result of immune-enzyme assay be evidence of?

Being ill with AIDS

HIV infection

Having had AIDS recently

Being infected with HBV

HBV persistence

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Parents of a 10 y.o. boy consulted a doctor about extension of hair-covering, growth of beard and moustache, low voice. Intensified secretion of which hormone must be assumed?

Of oestrogen

Of testosterone

Of cortisol

Of progesterone

Of somatotropin

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A patient who suffers from severe disorder of water-salt metabolism experienced cardiac arrest in diastole. What is the most probable mechanism of cardiac arrest in diastole?

Hypokaliemia

Hyperkaliemia

Hypernatremia

Organism dehydratation

Hyponatremia

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Examination of coronary arteries revealed atherosclerotic calcific plaques that close vessel lumen by 1/3. The muscle has multiple whitish layers of connective tissue. What process was revealed in myocardium?

Myocardium infarction

Diffuse cardiosclerosis

Tiger heart

Myocarditis

Postinfarction cardiosclerosis

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Reaction of passive hemagglutination conducted with erythrocytic typhoid Vi-diagnosticum helped to reveal some antibodies in the dilution of the patient’s serum at a ratio of 1:80 that exceeds the diagnostic titer. Such result witnesses of:

Being ill with acute typhoid fever

Incubation period of typhoid fever

Being a potential carrier of typhoid bacilli

Reconvalescence of a patient ill with typhoid fever

Typhoid fever recurrence

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A teenager was irradiated with high radiation dose that resulted in serious damages of lymphoid system, lysis of many lymphocytes. Restoration of normal hemogram is possible due to the functioning of the following gland:

Pancreas

Thymus

Liver

Thyroid

Adrenal

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A man with cut wound of his right foot sole was admitted to the hospital ward. The patient has limited elevation of the lateral foot edge. In course of wound management the injury of a muscle tendon was revealed. What muscle is injured?

Long peroneal

Long extensor muscle of toes

Anterior tibial

Short peroneal

Triceps muscle of crus

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A patient who suffers from heart failure has enlarged liver, edemata of lower extremities, ascites. What is the leading mechanism in the development of this edema?

-

Lymphogenous

Membranogenic

Hydrodynamic

Colloid osmotic

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A 32 y.o. man is tall, he has gynecomastia, adult woman pattern of hair distribution, high voice, mental deficiency, sterility. Provisional diagnosis is Klinefelter’s syndrome. In order to specify diagnosis it is necessary to analize:

Caryotype

Leukogram

Genealogy

Spermatogenesis

Blood group

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Examination of a miner revealed pulmonary fibrosis accompanied by disturbance of alveolar ventilation. What is the main mechanism of this disturbance?

Constriction of superior respiratory tracts

Limitation of respiratory surface of lungs

Limitation of breast mobility

Disturbance of neural respiration control

Bronchi spasm

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A man took a quiet expiration. Name an air volume that is meanwhile contained in his lungs:

Functional residual capacity

Respiratory volume

Residual volume

Vital lung capacity

Expiratory reserve volume

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Examination of an isolated cardi-omyocyte revealed that it didn’t generate excitation impulses automatically. This cardiomyocyte was obtained from:

Purkinje’s fibers

Ventricles

Atrioventricular node

Sinoatrial node

His’ bundle

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Examination of a man established that cardiac output equaled 3500 ml, systolic output - 50 ml. What is the man’s heart rate pro minute?

50

80

60

90

70

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A man who went for a ride on a roundabout had amplification of heart rate, sweating and nausea. What receptors stimulation is it primarily connected with?

Visual

Proprioceptors

Auditory

Tactors

Vestibular

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In order to estimate toxigenity of diphtheria agents obtained from patients the cultures were inoculated on Petri dish with nutrient agar on either side of a filter paper strip that was put into the centre and moistened with antidiphtheric antitoxic serum. After incubation of inoculations in agar the strip-like areas of medium turbidity were found between separate cultures and the strip of filter paper. What immunological reaction was conducted?

Agglutination reaction

Opsonization reaction

Coomb’s test

Rings precipitation reaction

Precipitation gel reaction

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A man’s intrapleural pressure is being measured. In what phase did the man hold his breath, if his pressure is 7,5 cm Hg?

-

Forced inspiration

Quiet inspiration

Forced expiration

Quiet expiration

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A 49 y.o. woman consulted a doctor about heightened fatigue and dyspnea during physical activity. ECG: heart rate is 50/min, PQ is extended, QRS is unchanged, P wave quanity exceeds quantity of QRS complexes. What type of arrhythmia does the patient have?

Atrioventricular block

Ciliary arhythmia

Extrasystole

Sinoatrial block

Sinus bradycardia

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A patient with neuritis of femoral nerve has disturbed flexion of thigh as well as disturbed crus extension in the knee joint. What muscle’s function is disturbed?

Quadriceps muscle of thigh

Biceps muscle of thigh

Semimembranous muscle

Semitendinous muscle

Triceps muscle of thigh

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Autopsy of a newborn boy revealed polydactylia, microcephalia, cheiloschisis and uranoschisis as well as hypertrophy of parenchimatous organs. These defects correspond with the description of Patau’s syndrome. What is the most probable cause of this pathology?

Nondisjunction of sex chromosomes

Trisomy of the 21st chromosome

Trisomy of the 13th chromosome

Partial monosomy

Trisomy of the 18th chromosome

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An ovary specimen stained by hematoxylin-eosin presents a follicle, where cells of follicular epithelium are placed in 1-2 layers and have cubic form, there is a bright-red membrane around the ovocyte. What follicle is it?

Primary

Primordial

Secondary

Mature

Atretic

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A woman has been applying a new cosmetic preparation for a week that resulted in eye-lid inflammation accompanied by hyperemia, infiltration and painfulness. What type of allergic reaction was developed?

IV

I

II

V

III

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Examination of a patient revealed extremely myotic pupils, sleepiness, infrequent ChainStoke’s respiration, urinary retention, slowing-down of heart rate, enhancement of spinal reflexes. What substance caused the poisoning?

Atropine

Barbital

Caffeine

Morphine

Phosphacole

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A patient is followed up in an endocrinological dispensary on account of hyperthyreosis. Weight loss, tachycardia, finger tremor are accompanied by hypoxia symptoms - headache, fatigue, eye flicker. What mechanism of thyroid hormones action underlies the development of hypoxia?

Disjunction, oxydation and phosphori-lation

Competitive inhibition of respiratory ferments

Inhibition of respiratory ferment synthesis

Specific binding of active centres of respiratory ferments

Intensification of respiratory ferment synthesis

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A doctor administered a patient with allergic dermatitis a Hi -histamine blocker as a part of complex treatment. Name this medication:

Hydrocortisone

Adrenaline

Prednisolone

Loratadine

Cromolyn sodium

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An injured man has bleeding from branches of carotid artery. For a temporary arrest of bleeding it is necessary to press the carotid artery to the tubercle of a cervical vertebra. Which vertebra is it?

VI

II

III

V

IV

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As a result of an accident a patient has intense painfullness and edema of the anterior crus surface; dorsal flexion of foot is hindered. Function of which crus muscle is most likely to be disturbed?

M.peroneus brevis

M.tibialis anterior

M.flexor hallucis longus

M.flexor digitorum longus

M.peroneus longus

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The first grade pupils were examined in order to sort out children for tuberculosis revaccination. What test was applied for this purpose?

Supracutaneous tularin test

Schick test

Anthraxine test

Mantoux test

Burnet test

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The permeability of the irritable cell membrane has been increased for potassium ions during an experiment. What changes of membrane electric status can occur?

Action potential

Depolarization

Hyperpolarization

No changes

Local response

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A patient with II stage hypertension has been taking one of hypotensive medications for the purpose of treatment. After a time arterial pressure decreased, but the patient started complaining of flaccidity, sleepiness, indifference. A bit later he felt stomach pain. He was diagnosed with ulcer. What hypotensive medication has the patient been taking?

Verapamil

Furosemide

Reserpine

Dibazole

Captopril

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6 months after delivery a woman had uterine bleeding. Gynecological examination revealed in the uterine cavity a dark-red tissue with multiple cavities that resembled of 'sponge'. Microscopic examination of the tumour revealed some atypic light epithelial Langhans cells and giant cells of cyncytiotrophoblast in blood lacunas. What tumour is it?

Fibromyoma

Squamous cell nonkeratinous carcinoma

Chorioepithelioma

Adenocarcinoma

Vesicular mole

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A 40 y.o. patient complains of intensive heartbeats, sweating, nausea, vision impairment, arm tremor, hypertension. From his anamnesis: 2 years ago he was diagnosed with pheochromocytoma. Hyperproduction of what hormones causes the given pathology?

Glucocorticoids

Catecholamines

ACTH

Thyroid hormones

Aldosterone

‹ Назад

Далі ›

A 56 y.o. patient has been suffering from thyreotoxicosis for a long time. What type of hypoxia can be developed?

Circulatory

Hemic

Respiratory

Tissue

Mixed

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A sportsman was recommended to take a medication that contains carnitine in order to improve his results. What process is activated by carnitine the most?

Synthesis of ketone bodies

Synthesis of steroid hormones

Fatty acids transport to mitochondrions

Tissue respiration

Synyhesis of lipids

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Далі ›

A patient has symptoms of inflammation of urogenital tracts. Examination of a vaginal smear revealed big monocellular, pear-shaped organisms with the pointed spike at the posterior end of body, big nucleus and undulating membrane. What protozoa were found in the smear?

Trichomonas vaginalis

Trichomonas hominis

Trichomonas buccalis

Trypanosoma gambiense

Lamblia intestinalis

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Далі ›

A patient has extrasystole. ECG shows no P wave, QRS complex is deformed, there is a full compensatory pause. What extrasystoles are these?

Atrial

-

Sinus

Atrioventricular

Ventricular

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A patient who suffers from cancer of back of tongue has an intense bleeding as a result of affection of dorsal lingual artery by the tumour. What vessel should be ligated to stop bleeding?

Deep lingual artery

Facial artery

Dorsal lingual artery

Ascending pharyngeal artery

Lingual artery

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In course of an experiment a big number of stem cells of red bone marrow was in some way destructed. Regeneration of which cell populations in the loose connective tissue will be inhibited?

Of pigment cells

Of lipocytes

Of macrophags

Of pericytes

Of fibroblasts

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Histological examination of a 40 y.o. man’s thymus revealed decreased share of parenchymatous gland elements, increased share of adipose and loose connective tissue, its enrichment with thymus bodies. The organ’s mass was unchanged. What phenomenon is it?

Age involution

Dystrophy

Accidental involution

Atrophy

Hypotrophy

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Mucous membrane of the right palatine tonsil has a painless ulcer with smooth lacquer fundus and regular cartilagenous edges. Microscopically: inflammatory infiltration that consists of lymphocytes, plasmocytes, a small number of neutrophils and epithelioid cells; endovasculitis and perivasculitis. What disease is it?

Pharyngeal diphtheria

Actinomycosis

Ulcerous necrotic Vincent’s angina

Tuberculosis

Syphilis

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Bacteriological laboratory examines canned meat whether it contains botulinum toxin. For this purpose an extract of test specimen and antitoxic antibotulinic serum of A, B, E types were introducted to a group of mice under examination; a control group of mice got the extract without antibotulinic serum. What serological reaction was applied?

Opsono-phagocytic

Complement binding

Double immune diffusion

Precipitation

Neutralization

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To prevent postoperative bleeding a 6 y.o. child was administered vicasol that is a synthetic analogue of vitamin K. Name post-translational changes of blood coagulation factors that will be activated by vicasol:

Polymerization

Carboxylation of glutamin acid

Phosphorylation of serine radicals

Glycosylation

Partial proteolysis

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As a result of spinal-cord trauma a 33 y.o. man has a disturbed pain and temperature sensitivity that is caused by damage of the following tract:

Medial spinocortical

Anterior spinocerebellar

Posterior spinocerebellar

Spinothalamic

Lateral spinocortical

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For the preparation of a patient’s burn skin surface a certain medication was used. Its antiseptic action is provided by free oxygen that segregates in presence of organic substances. Choose the right answer:

Chlorhexidine

Furacilin

Potassium permanganate

Boric acid

Sodium bicarbonate

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After a 2 y.o. child has had flu, there appeared complaints about ear ache. A doctor revealed hearing impairment and inflammation of the middle ear. How did the infection penetrate into the middle ear?

Through canalis nasolacrimalis

Through foramen jugularis

Through canalis caroticus

Through the auditory tube

Through atrium mastoideum

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A 50 y.o. patient with chronic cardiac insufficiency and tachyarrythmia was prescribed a cardiotonic drug. What drug was prescribed?

Dopamine

Dobutamine

Mildronate

Digoxin

Amyodarone

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Microscopical examination of a removed appendix revealed an edema, diffuse neutrophilic infiltration of appendix wall along with necrosis and defect of mucous membrane with affection of its muscle plate. What appendicitis form was developed?

Ulcerophlegmonous

Gangrenous

Apostematous

Superficial

Phlegmonous

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A 39 y.o. woman went through an operation in course of which surgeons removed her uterine tube that was enlarged and a part of an ovary with a big cyst. Histological examination of a tube wall revealed decidual cells, chorion villi. What was the most probable diagnosis made after examination of the uterine tube?

Choriocarcinoma

Papyraceous fetus

Tubal pregnancy

Placental polyp

Lithopedion

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A 4 y.o. boy has had recently serious viral hepatitis. Now there are such clinical presentations as vomiting, loss of consciousness, convulsions. Blood analysis revealed hyperammoniemia. Disturbunce of which biochemical process caused such pathological condition of the patient?

Inhibition of transamination enzyms

Increased putrefaction of proteins in bowels

Disturbed neutralization of ammonia in liver

Activation of aminoacid decarboxylation

Disturbed neutralization of biogenic amines

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Examination of a patient revealed hyperkaliemia and hyponatremia. Low secretion of which hormone may cause such changes?

Aldosteron

Parathormone

Cortisol

Vasopressin

Natriuretic

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In course of indirect histogenesis of tubular bone tissue a plate is formed between epiphyseal and diaphyseal ossification centres that provides further lengthwise growth of bones. What structure is it?

Osteon

Osseous cuff

Osseous plate

Layer of interior general plates

Metaphyseal plate

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A 40 y.o. woman was admitted to the infectious diseases department with high body temperature. Objectively: evident meningeal symptoms. A spinal cord punction was made. What anatomic formation was punctured?

Spatium subdurale

Spatium epidurale

Cisterna cerebellomedullaris posterior

Spatium subarachnoideum

Cavum trigeminale

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After resection of the middle third of femoral artery obliterated by a thromb the lower extremity is supplied with blood due to the surgical bypass. Name an artery that plays the main role in reestablishment of blood flow:

Deep external pudendal artery

Superficial epigastric artery

Deep femoral artery

Superficial circumflex artery of hip bone

Descending genicular artery

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A patient’s knee joint doesn’t extend, there is no knee-jerk reflex, skin sensitivity of the anterior femoral surface is disturbed. What nerve structures are damaged?

Inferior gluteal nerve

Big fibular nerve

Femoral nerve

Superior gluteal nerve

Obturator nerve

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An electron micrograph of a kidney fragment presents an afferent arteriole. Under its endothelium some big cells can be seen that contain secretory granules. What type of cells is it?

Juxtavascular

Mesangeal

Juxtaglomerular

Interstitial

Smooth muscle cells

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For the purpose of retrtospective diagnostics of recent bacterial dysentery it was decided to perform serological examination of blood serum in order to determine antibody titer towards Shiga bacilli. What of the following reactions should be applied?

Bordet-Gengou test

Hemolysis

Precipitation

Bacteriolysis

Passive hemagglutination

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Examination of a 43 y.o. anephric patient revealed anemia symptoms. What is the cause of these symptoms?

Iron deficit

Folic acid deficit

Reduced synthesis of erythropoietins

Vitamin B12 deficit

Enhanced destruction of erythrocytes

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A 50 y.o. patient was admitted to the hospital with complaints about pain behind his breastbone, asphyxia during physical activity. Angiography revealed pathological changes in the posterior interventricular branch of the right coronary artery. What heart parts are affected?

Right atrioventricular valve

Right atrium

Left atrium

Posterior wall of the right and left ventricles

Anterior wall of the right and left ventricles

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48 hours after performing tuberculin test (Mantoux test) to a child a 10 mm papule appeared on the spot of tuberculin introduction. What hypersensitivity mechanism underlies these changes?

Anaphylaxis

Antibody-dependent cytotoxicity

Cellular cytotoxicity

Granulomatosis

Immune complex cytotoxicity

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Examination of a newborn boy’s genitals revealed a cleft of urethra that opens on the inferior surface of his penis. What developmental anomaly is it?

Hypospadia

Epispadia

Monorchism

Hermaphroditism

Cryptorchism

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A patient has a disturbed absorbtion of fat hydrolysates. It might have been caused by a deficit in the small intestine cavity:

Of bile pigments

Of bile acids

Of sodium ions

Of lipolytic enzymes

Of liposoluble vitamins

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Inhabitants of territories with cold climate have high content of an adaptive thermoregulatory hormone. What hormone is meant?

Cortisol

Thyroxin

Insulin

Glucagon

Somatotropin

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Violation of safety rules resulted in calomel intoxication. Two days later the daily diuresis was 620 ml. A patient experienced headache, vomiting, convulsions, dyspnea, moist rales in lungs. What pathology is it?

Pyelonephritis

Uraemic coma

Acute renal insufficiency

Chronic renal insufficiency

Glomerulonephritis

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A newborn child with pylorostenosis has often repeating vomiting accompanied by apathy, weakness, hypertonicity, sometimes convulsions. What disorder form of acid-base balance is it?

Gaseous alkalosis

Metabolic acidosis

Nongaseous alkalosis

Excretory acidosis

Gaseous acidosis

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Glutamate decarboxylation results in formation of inhibitory transmitter in CNS. Name it:

GABA

Glutathione

Serotonin

Asparagine

Histamine

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In course of histidine catabolism a biogenic amin is formed that has powerful vasodilatating effect. Name it:

Serotonin

Dioxyphenylalanine

Noradrenalin

Dopamine

Histamine

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Utilization of arachidonic acid via cyclooxigenase pathway results in formation of some bioactive substances. Name them:

Biogenic amins

Thyroxine

Insulin-like growth factors

Somatomedins

Prostaglandins

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As a result of damage to certain structures of brainstem an animal lost orientation reflexes. What structures were damaged?

Quadritubercular bodies

Black substance

Medial nuclei of reticular formation

Red nuclei

Vestibular nuclei

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Osmotic pressure of a man’s blood plasma is 350 mosmole/l (standard pressure is 300 mosmole/l). First of all it will result in high secretion of the following hormone:

Adrenocorticotropin

Aldosteron

Natriuretic

Cortisol

Vasopressin

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A young man consulted a doctor about disturbed urination. Examination of his external genitals revealed that urethra is split on top and urine runs out of this opening. What anomaly of external genitals development is the case?

Paraphimosis

Hypospadia

Phimosis

Hermaphroditism

Epispadia

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A patient complains of pain in the area of his liver. Duodenal intubation revealed yellowish, oval, narrowed at the poles eggs with an operculum at the end. Size of these eggs is the smallest among all helminth eggs. What is the most probable diagnosis?

Echinococcosis

Teniasis

Opisthorchosis

Beef tapeworm infection

Diphyllobothriasis

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Colonoscopy of a patient ill with dysentery revealed that mucous membrane of his large intestine is hyperemic, edematic, its surface was covered with grey-and-green coats. Name the morphological form of dysenteric collitis:

Catarrhal

Fibrinous

Purulent

Necrotic

Ulcerous

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24 hours after appendectomy blood of a patient presents neutrophilic leukocytosis with regenerative shift. What is the most probable mechanism of leukocytosis development?

Redistribution of leukocytes in the organism

Deceleratied emigration of leukocytes to the tissues

Decelerated leukocyte destruction

Amplification of leukopoiesis

Amplification of leukopoiesis and decelerated emigration of leukocytes to the tissues

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Arterial pressure of a surgeon who performed a long operation rised up to 140/110 mm Hg. What changes of humoral regulation could have caused the rise of arterial pressure in this case?

Inhibition of sympathoadrenal system

Activation of renin angiotensive system

Activation of formation and excretion of aldosterone

Activation of sympathoadrenal system

Activation of kallikrein kinin system

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A hypertensive glucose solution was introduced to a patient. It will intensify water movement:

From the capillaries to the intercellular liquid

There will be no changes of water movement

From the intercellular liquid to the capillaries

From the intercellular liquid to the cells

From the cells to the intercellular liquid

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A 36 y.o. man has a craniocerebral trauma. Objectively: diminished breath sounds, thready pulse, no reflexes. What way of pyracetam introduction will be the most apropriate in this case?

Subcutaneous

Peroral

Rectal

Inhalation

Intravenous

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A child complains of general weakness, loss of appetite, a troubled sleep, itching in the perianal area. The provisional diagnosis is enterobiasis. In order to specify this diagnosis it is necessary to perform:

Biopsy of muscle tissue

Duodenal contents analysis

Roentgenoscopy

Scraping from perianal folds

Immune diagnostics

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A patient was ill with burn disease that was complicated by DIC syndrome. What stage of DIC syndrome can be suspected if it is known that the patient’s blood coagulates in less than 3 minutes?

Terminal

Hypocoagulation

Transition phase

Hypercoagulation

Fibrinolysis

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In course of practical training students studied a stained blood smear of a mouse with bacteria phagocyted by leukocytes. What cell organella completes digestion of these bacteria?

Golgi apparatus

Mytochondrions

Ribosomes

Lisosomes

Granular endoplasmic reticulum

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A 55 y.o. woman consulted a doctor about having continuous cyclic uterine hemorrhages for a year, weakness, dizziness. Examination revealed skin pallor. Hemogram: Hb- 70 g/l, erythrocytes -3, 2 • 1012/l, color index - 0,6, leukocytes - 6,0 • 109/l, reticulocytes -1%; erythrocyte hypochromia. What anemia is it?

B12-folate-deficiency anemia

Aplastic anemia

Iron-deficiency anemia

Hemolytic anemia

Chronic posthemorrhagic anemia

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According to audiometry data a patient has a disturbed perception of medium-frequency sounds. It might have been caused by a damage of:

Cochlear nuclei

Middle part of helix

Spiral ganglion

Quadritubercular structure

Lateral geniculate bodies

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A patient diagnosed with carcinoid of bowels was admitted to the hospital. Analysis revealed high production of serotonin. It is known that this substance is formed of tryptophane aminooacid. What biochemical mechanism underlies this process?

Formation of paired compounds

Microsomal oxydation

Decarboxylation

Transamination

Desamination

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A 23 y.o. patient complains of weakness, temperature rise up to 38 — 40°G. Objectively: liver and spleen are enlarged. Hemogram: Hb- 100 g/l, erythrocytes - 2,9 • 1012/l, leukocytes -4,4 • 109 /l, thrombocytes - 48 • 109/l, segmentonuclear neutrophils - 17%, lymphocytes - 15%, blast cells - 68%. All cytochemical reactions are negative. Make a hematological conclusion:

Acute erythromyelosis

Acute lymphoblastic leukosis

Undifferentiated leukosis

Chronic myeloleukosis

Acute myeloblastic leukosis

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A patient ill with bronchial asthma didn’t inform his doctor that he had attacks of stenocardia. Doctor administered him a medication, which taking resulted in less frequent attacks of bronchial asthma, but stenocardia attacks became more frequent. What medication was administered?

Isadrin

Phenotherol

Salbutamol

Cromolyn sodium

Aminophylline

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A patient who has been suffering from cardiac insufficiency for several months has been taking digoxin on an outpatient basis. At a certain stage of treatment there appeared symptoms of drug overdose. What phenomenon underlies the development of this complication?

Sensibilization

Functional cumulation

Material cumulation

Tachyphylaxis

Habituation

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A patient who has been treated with diazepam on account of neurosis complains of toothache. Doctor administered him an analgetic, but its dose was lower than average therapeutic dose. What phenomenon did the doctor take into account while prescribing the patient an underdose?

Tolerance

Cumulation

Drug dependence

Potentiation

Summation

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A child’s blood presents high content of galactose, glucose concentration is low. There are such presentations as cataract, mental deficiency, adipose degeneration of liver. What disease is it?

Galactosemia

Diabetes mellitus

Steroid diabetes

Fructosemia

Lactosemia

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According to clinical indications a patient was administered pyridoxal phosphate. What processes is this medication intended to correct?

Protein synthesis

Transamination and decarboxylation of aminoacids

Synthesis of purine and pyrimidine bases

Desamination of purine nucleotide

Oxidative decarboxylation of ketonic acids

‹ Назад

Далі ›

In course of an operation surgeon removed a part of a lung that was ventilated by a tertiary bronchus accompanied by branches of pulmonary artery and other vessels. What part of a lung was removed?

Bronchopulmonary segment

Middle lobe

Inferior lobe

Superior lobe

Pulmonary lobule

‹ Назад

Далі ›

A patient with clinical presentations of immunodeficiency went through immunological examinations. They revealed significant loss of cells that form rosettes with erythrocytes of a ram. What conclusion can be made according to the analysis data?

Decrease of B-lymphocytes rate

Decrease of natural killer cell rate

Insufficiency of effector cells of humoral immunity

Decrease of complement system rate

Decrease of T-lymphocytes rate

‹ Назад

Далі ›

A woman with III (B), Rh blood group born a child with II (A) blood group. The child is diagnosed with hemolytic disease of newborn as a result of rhesus incompatibility. What blood group is the child’s father likely to have?

II (A), Rh+

III (B), Rh+

II (A), Rh-

I (0), Rh-

I (0), Rh+

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A 45 y.o. woman suffers from Cushing’s syndrome - steroid diabetes. Biochemical examination revealed: hyperglycemia, hypochloremia. Which of the under-mentioned processes is the first to be activated?

Gluconeogenesis

Glycogenolysis

Glycolysis

Glucose reabsorption

Glucose transport to the cell

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Histological specimen presents a vessel the wall of which consists of endothelium, basal membrane and loose connective tissue. What type of vessel is it?

Artery

Vein of muscular type

Vein of non-muscular type

Hemocapillary

Lymphocapillary

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Autopsy of a 48 y.o. man revealed a round formation 5 cm in diameter with clear-cut outlines in the region of the 1st segment of his right lung. This formation was encircled with a thin layer of connective tissue full of white brittle masses. Make a diagnosis of the secondary tuberculosis form:

Tuberculoma

Acute cavernous tuberculosis

Caseous pneumonia

Acute focal tuberculosis

Fibrous cavernous tuberculosis

‹ Назад

Далі ›

A patient who suffers from acute myocarditis has clinical signs of cardiogenic shock. What of the under-mentioned pathogenetic mechanisms plays the main part in shock development?

Disturbance of pumping ability of heart

Increase of peripheral vascular resistance

Decrease of vascular tone

Depositing of blood in organs

Reduction of diastolic flow to the heart

‹ Назад

Далі ›

On the 6th day of treatment a patient with acute renal insufficiency developed polyuria. Diuresis intensification at the beginning of polyuria stage of acute renal insufficiency is caused by:

Growth of natriuretic factor

Reduction of aldosteron content in plasma

Volume expansion of circulating blood

Reduction of vasopressin content in plasma

Renewal of filtration in nephrons

‹ Назад

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Long-term starvation cure of a patient resulted in diminished ratio of albumi-nes and globulines in plasma. What of the following will be result of these changes?

Hypercoagulation

Decrease of hematocrit

Increase of ESR

Decrease of ESR

Increase of hematocrit

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An experimental animal was first sensibilized whereupon an antigen dose was introduced subcutaneously. This injection resulted in the development of a fibrinous inflammation with alteration of vessel walls, basal substance and fibrous structures of connective tissue in form of mucoid and fibrinoid swelling and necrosis. What immunological reaction took place?

Immediate hypersensitivity

Granulomatosis

Normergic reaction

Reaction of transplantation immunity

Delayed-type hypersensitivity

‹ Назад

Далі ›

A patient suffers from vision impairment - hemeralopy (night blindness). What vitamin preparation should be administered the patient in order to restore his vision?

Thiamine chloride

Pyridoxine

Tocopherol acetate

Vicasol

Retinol acetate

‹ Назад

Далі ›

A 1 y.o. child with symptoms of muscle affection was admitted to the hospital. Examination revealed carnitine deficit in muscles. Biochemical base of this pathology is disturbed process of:

Transporting of fatty acids to mi-tochondrions

Actin and myosin synthesis

Substrate phosphorylation

Regulation of Ca2+ rate in mitochondri-ons

Lactic acid utilization

‹ Назад

Далі ›

A patient suffers from severe postoperative pseudomonadous infection. What of the following antibiotics should be administered in this case?

Cephazolin

Doxycycline

Benzylpenicillin

Erythromycin

Amicacin sulfate

‹ Назад

Далі ›

A 9 m.o. child has delayed dentition, it is also out of order. Upper jaw configuration is horizontal ('high' palate); mi- croscopically - irregular mineralization of tooth enamel, wrinkled enamel prisms, some of them are vacuolized. Predentin zone is extended; there are solitary denticles. What disease is it?

Early rickets

Osteomalacia

Hypervitaminosis D

Late rickets

Gout

‹ Назад

Далі ›

Examination of a patient revealed an abscess of pterygopalatine fossa. Where can the infection spread to unless the disease is managed in time?

To the orbit

To the interpterygoid space

To the tympanic cavity

To the subgaleal temporal space

To the frontal sinus

‹ Назад

Далі ›

Microscopical renal examination of a 36 y.o. woman who died from renal insufficiency revealed in the glomerules proliferation of capsule nephrothelium as well as of podocytes and phagocytes accompanied by formation of 'crescents', capillary loop necrosis, fibrinous thrombs in their lumens; sclerosis and hyalinosis of glomerules, atrophy of tubules and fibrosis of renal stroma. What is the most probable diagnosis?

Membranous nephropathy

Chronic glomerulonephritis

Focal segmentary sclerosis

Acute glomerulonephritis

Subacute glomerulonephritis

‹ Назад

Далі ›

A forensic medical expert examines the body of a 58 y.o. man who had been consuming large amounts of alcochol for a long time and died at home. Microscopicaly: the right lung is dense and enlarged, its incision revealed that the tissue is greyish and homogenous, pleura is covered with greyish layers. Microscopically - alveolar cavities contain fibrin, hemolyzed erythrocytes. Make a diagnosis:

Interstitial pneumonia

Croupous pneumonia

Caseous pneumonia

Focal pneumonia

Primary pulmonary tuberculosis

‹ Назад

Далі ›

Two days after consumption of smoked pork a patient got face and eyelid edemata, gastrointestinal disturbances, abrupt temperature rise, muscle pain. Blood analysis showed full-blown eosi-nophilia. What helminth could the patient be infected with?

Hookworm

Whipworm

Ascarid

Pinworm

Trichina

‹ Назад

Далі ›

After a tooth extraction a patient felt persistent pain behind his breast bone. After sublingual intake of an antianginal drug the pain behind the breast bone disappeared, but the patient complained of headache and dizziness. What drug are these properties typical for?

Nitroglycerin

Verapamil

Validol

Metoprolol

Propranolol

‹ Назад

Далі ›

A patient with fracture of his lower jaw was admitted to the maxillofacial department. It was decided to fix his bones surgically under anaesthetic. After intravenous introduction of muscle relaxant there arose short fibrillar contractions of the patient’s facial muscles. What muscle relaxant was applied?

Diazepam

Melictine

Tubocurarin chloride

Dithylinum

Pipecuronium bromide

‹ Назад

Далі ›

Autopsy of a 56 y.o. man revealed in the right temporal part of brain a big focus of softened grey matter that was semiliquid and light grey. Arteries of cerebral tela contain multiple whitish-yellow thickenings of intima that abruptly narrow the lumen. What is your diagnosis?

Hemorrhagic infarction

Ischemic stroke

Hemorrhage

Brain edema

Brain abscess

‹ Назад

Далі ›

Vitamin A deficit results in the impairment of twilight vision. Name the cells that have the above-mentioned photoreceptor function:

Ganglion neurocytes

Horizontal neurocytes

Bipolar neurons

Cone receptor cells

Rod receptor cell

‹ Назад

Далі ›

Neurological examination of a 65 y.o. patient revealed a haemorrhage within the superior temporal gyrus. In the blood supply area of which artery is it?

Middle cerebral artery

Basilar artery

Anterior communicating artery

Posterior cerebral artery

Anterior cerebral artery

‹ Назад

Далі ›

A 70 y.o. man has cut an abscess off in the area of mammiform process during shaving. Two days later he was admitted to the hospital with inflammation of arachnoid membranes. How did the infection penetrate into the cavity of skull?

V.v.auriculares

V.emissariae mastoideae

V.v.tympanicae

V.v.labyrinthi

V.facialis

‹ Назад

Далі ›

A 22 y.o. woman has enlarged lymph nodes. Histologically: a lymph node contains lymphocytes, histiocytes, reticular cells, small and big Hodgkin’s cells, multinucleated Sternberg cells, isolated foci of caseous necrosis. What disease are these changes typical for?

Acute leukosis

Lung cancer metastasis

Lymphogranulomatosis

Chronic leukosis

Lymphosarcoma

‹ Назад

Далі ›

A lymph node punctate of a patient with suspected protozoal disease was examined. Examination of the stained specimen (Romanovsky’s stain) revealed some crescent bodies with pointed end, blue cytoplasm and red nucleus. What protozoan were revealed in the smears?

Trypanosomes

Dermotropic leishmania

Viscerotropic leishmania

Malarial plasmodiums

Toxoplasms

‹ Назад

Далі ›

During pubescence the cells of male sexual glands begin to produce male sex hormon testosterone that calls forth secondary sexual characters. What cells of male sexual glands produce this hormone?

Supporting cells

Leidig cells

Sustentocytes

Sertoli’s cells

Spermatozoa

‹ Назад

Далі ›

An isolated cell of human heart automatically generates excitation impulses with frequency 60 times pro minute. What heart structure was this cell obtained from?

Ventricle

Atrioventricular node

His’ bundle

Sinoatrial node

Atrium

‹ Назад

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Examination of a patient revealed a strong, balanced, inert type of higher nervous activity according to Pavlov. What temperament type does the patient have (according to Hippocrates classification)?

Melancholic

Phlegmatic

Sanguine

Choleric

-

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A patient has a haemorrhage into the posterior central gyrus. What type of sensitivity on the opposite side will be disturbed?

Auditory and visual

Visual

Auditory

Olfactory

Skin and proprioceptive

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Analysis of a punction biopsy material of liver revealed hepatocyte dystrophy with necroses as well as sclerosis with disorder of beam and lobulous structure, with formation of pseudolobules and regenerative nodes. What is the most probable diagnosis:

Progressive massive liver necrosis

Acute hepatitis

Liver cirrhosis

Chronic hepatosis

Chronic hepatitis

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Examination of a 60 y.o. patient revealed hyperglycemia and glucosuria. A doctor administered him a medication for internal use. What medication is it?

Pancreatine

Oxytocin

Furosemide

Glibenclamid

Corglycon

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A patient who had been working hard under conditions of elevated temperature of the environment, has now a changed quantity of blood plasma proteins. What penomenon is the case?

Relative hyperproteinemia

Absolute hypoproteinemia

Disproteinemia

Paraproteinemia

Absolute hyperproteinemia

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An experimental rat with extremity paralysis has no tendon and cutaneous reflexes, muscle tone is decreased, but muscles of the affected extremity maintain their ability to react with excitation to the direct action of continious current. What type of paralysis is it?

Extrapyramidal

Flaccid peripheral

Spastic peripheral

Spastic central

Flaccid central

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A liquidator of a breakdown at a nuclear power plant who was irradiated complained about vomiting that occurs all of a sudden. What medication should be prescribed?

Atropine

Metoclopramide

De-Nol

Aeron

Reserpine

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Urine examination of a patient with acute cystitis revealed leukocytes and a lot of gramnegative bacilli. Inoculation resulted in growth of colonies of mucous nature that formed green soluble pigment. What microorganism is the most probable cause of the disease?

Escherihia coli

Salmonella enteritidis

Proteus mirabilis

Pseudomonas aeruginosa

Klebsiella pneumoniae

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A 45 y.o. patient consulted a doctor about plaque-shaped formation on his neck. Histological examination of biopsy skin material revealed tumourous cells of round and oval form with thin ring of basophilic cytoplasma that resemble of cells of basal epidermal layer. What tumour is it?

Basalioma

Epidermal cancer

Trichoepithelioma

Syringoadenoma

Hydradenoma

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A patient has pain, edema and reddening of his skin in the anterosuperi-or area of his thigh and his foot’s thumb. What lymph nodes of his lower extremity responded to the inflammatory process?

General longitudinal

Internal longitudinal

Superficial inguinal

Deep inguinal

Superficial longitudinal

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A laboratory received a material from a patient’s wound. Ppreliminary diagnosis is gaseous gangrene. What microbiological method should be applied to determine species of causative agent?

RIA

Serological

Allergic

Bacteriological

Bacterioscopic

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Examination of cell culture got from a patient with lysosomal pathology revealed accumulation of great quantity of lipids in the lysosomes. What of the following diseases is this disturbance typical for?

Wilson disease

Galactosemia

Tay-Sachs disease

Gout

Phenylketonuria

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A patient got a craniocerebral trauma that resulted in right-side convergent strabismus. Damage of which craniocerebral nerve caused such consequences?

n.trigeminus

n.abducens

n.facialis

n.aculomotorius

n.trochlearis

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In case of a penetrating wound of the anterior abdominal wall the wound tract went above the lesser curvature of stomach. What peritoneum formation is most likely to be injured?

Ligamentum triangulare sinistrum

Ligamentum gastrocolicum

Ligamentum hepatogastricum

Ligamentum hepatoduoduodenale

Ligamentum hepatorenale

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A rabbit’s nerve that innervates the right ear was cut and its right superior cervical ganglion was removed. Immediately after operation the temperature of ear skin was measured. It was revealed that the temperature of the rabbit’s ear skin on the side of denervation was by 1,5°C higher than on the opposite intact side. What of the following is the most probable explanation of the above-mentioned effects?

Physiological arterial hyperemia

Atrerial hyperemia induced by metabolic factors

Arterial neurotopical hyperemia

Reactive arterial hyperemia

Arterial neuroparalytic hyperemia

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A 63 y.o. man fell ill with acute tracheitis and bronchitis accompanied by bronchial pneumonia. On the 10th day the patient died from cardiopulmonary insufficiency. Autopsy revealed fibrinous hemorrhagic laryngotracheobronchi-tis; lungs were enlarged, their incision revealed the 'coal-miner’s' effect caused by interlacing of sections of bronchial pneumonia, hemorrhages into the pulmonary parenchyma, acute abscesses and atelectases. Internal organs have di-scirculatory and dystrophic changes. What is the most probable diagnosis?

Adenoviral infection

Moderately severe influenza

Respiratory syncytial infection

Parainfluenza

Influenza, severe form

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Autopsy of a man who died from influenza revealed that his heart was slightly enlarged, pastous, myocardium was dull and had specks. Microscopical examination of myocardium revealed signs of parenchymatous adipose and hydropic dystrophy; stroma was edematic with poor macrophagal and lymphocytic infiltration, vessels were plethoric; perivascular analysis revealed petechial hemorrhages. What type of myocarditis was developed in this case?

Serous diffuse

Purulent

Granulomatous

Serous focal

Interstitial proliferative

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A patient with chronic cardiac insufficiency has been treated with cardiotonic drugs and a thiazide diuretic, but in spite of it there are still edemata and risk of ascites. What medication should be prescribed to amplify diuretic effect of the applied drugs?

Manitole

Furosemide

Spironolactone

Clopamide

Amyloride

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A patient ill with collagenesis has been taking prednisolone for a long time. Hypokaliemia development caused spastic pain of skeletal muscles. What medication should be used in order to correct potassium exchange?

Diazepam

Panangin

Thyrocalcitonin

Dithylinum

Noshpa

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A boy is 7 y.o. Objectively: against the background of hyperemic skin there is knobby brightpink rash on his forehead, neck, at the bottom of abdomen, in the popliteal spaces; nasolabial triangle is pale. Examination of oropharyngeal surface revealed localized bright-red hyperemia; tonsils are swollen, soft, lacunas contain pus, tongue is crimson. Cervical lymph nodes are enlarged, dense and painful. What is the most probable diagnosis?

Diphtheria

Rubella

Scarlet fever

Whooping cough

Infectious mononucleosis

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A patient complains of dryness of head skin, itching, fragility and loss of hair. After examination he was diagnosed with seborrhea. Disturbed activity of which cells caused this condition?

Cells of sebaceous glands

Epithelial cells

Adipocytes

Melanocytes

Cells of sudoriferous glands

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In the surgical department of a hospital there was an outbreak of hospital infection that showed itself in often postoperative wound abscesses. Bacteriological examination of pus revealed aurococcus. What examination shall be conducted to find out the source of this causative agent among the department personnel?

Phagotyping

Microscopical examination

Biochemical identification

Estimation of antibiotic susceptibility

Serological identification

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Short-term physical activity resulted in reflex amplification of heart rate and raise of systemic arterial pressure. What receptors activation was the main cause of pressor reflex realization?

Vascular chemoreceptors

Vascular baroceptors

Hypothalamus thermoreceptors

Vascular volume receptors

Proprioreceptors of active muscles

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In course of an experiment a skeletal muscle is being stimulated by a series of electric impulses. What type of muscle contraction will arise, if every subsequent impulse comes in the period of relaxation of single muscle contraction?

Partial tetanus

A series of single contractions

Asynchronous tetanus

Holotetanus

Muscle contructure

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