Step 1 - Medicine 2008

After consumption of rich food a patient has nausea and heartburn, steatorrhea. This condition might be caused by:

Increased lipase secretion

Amylase deficiency

Bile acid deficiency

Disturbed tripsin synthesis

Disturbed phospholipase synthesis

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An infant has apparent diarrhea resulting from improper feeding. One of the main diarrhea effects is plentiful excretion of sodium bicarbonate. What form of acid-base balance disorder is the case?

Respiratory alkalosis

No disorders of acid-base balance will be observed

Metabolic alkalosis

Metabolic acidosis

Respiratory acidosis

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A3 year old child with fever was given aspirin. It resulted in intensified erythrocyte haemolysis. Hemolytic anemia might have been caused by congenital insufficiency of the following enzyme:

y-glutamiltransferase

Glycogen phosphorylase

Glycerol phosphate dehydrogenase

Glucose 6-phosphatase

Glucose 6-phosphate dehydrogenase

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A patient is ill with diabetes melli-tus accompanied by hyperglycemia on an empty stomach (7,2 millimole/l). The hyperglycemia rate can be retrospectively estimated (over the last 4-8 weeks before the examination) on the ground of the rate of the following blood plasma protein:

Fibrinogen

Albumin

C -reactive protein

Ceruloplasmin

Glycated hemoglobin

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In course of laparotomy a surgeon revealed gangrenous lesion of descending colon. It was caused by thrombosis of the following artery:

Median colic

Superior mesenteric artery

Sinister colic

Dexter colic

Ileocolic

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A 37 year old patient suffering from obliterating vascular endarteritis of lower limbs takes daily 60 microgram/kilogram of phenylin. Because of presentations of convulsive disorder ( craniocerebral trauma in anamnesis) he was prescribed phenobarbital. Withholding this drug caused nasal hemorhage. What is this complication connected with?

Conjugation of phenylin with glucuronic acid

Inhibition of microsomal oxidation in liver caused by phenobarbital

Induction of enzymes of microsomal oxidation in liver caused by phenobarbital

Oxidative deamination of phenylin

Aliphatic hydroxylation of phenobarbi-tal

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A 60 year old patient has impaired perception of high-frequency sounds. These changes were caused by damage of the following auditory analyzer structures:

Eustachian tube

Main cochlea membrane near the helicotrema

Middle ear muscles

Main cochlea membrane near the oval window

Tympanic membrane

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Researchers isolated 5 isoenzymic forms of lactate dehydrogenase from the human blood serum and studied their properties. What property indicates that the isoenzymic forms were isolated from the same enzyme?

The same electrophoretic mobility

The same molecular weight

Tissue localization

The same physicochemical properties

Catalyzation of the same reaction

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It was proved that a molecule of immature mRNA (precursor mRNA) contained more triplets than amino acids found in the synthesized protein. The reason for that is that translation is normally preceded by:

Reparation

Replication

Mutation

Processing

Initiation

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A patient has low rate of magnesium ions that are necessary for affixion of ribosomes to the endoplasmic reticulum. It is known that it causes disturbance of protein biosynthesis. At what stage is protein biosynthesis impaired?

Replication

Transcription

Amino acid activation

Translation

Termination

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A student takes notes of a lecture. Quality of his notes became significantly worse when his neighbours began talking. What type of conditional reflex inhibition was the cause of it?

Delayed

Differentiated

External

Extinctive

Protective

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A patient ill with neurodermatitis has been taking prednisolone for a long time. Examination revealed high rate of sugar in his blood. This complication is caused by the drug influence upon the following link of carbohydrate metabolism:

Intensification of glucose absorption in the bowels

Glycogenogenesis activation

Activation of insulin decomposition

Inhibition of glycogen synthesis

Gluconeogenesis activation

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Labelled amino acids alanine and tryptophane were injected to a mouse in order to study localization of protein synthesis in its cells. The labelled amino acids will be accumulated near the following organellas:

Lysosomes

Smooth endoplasmic reticulum

Ribosomes

Cell centre

Golgi apparatus

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A patient with frequent attacks of stenocardia was prescribed sustak-forte to be taken one tablet twice a day. At first the effect was positive but on the second day stenocardia attacks resumed. What can explain inefficiency of the prescribed drug?

Dependence

Idiosyncrasy

Sensibilization

Tachyphylaxis

Cumulation

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Inflammation of the tympanic cavity (purulent otitis media) was complicated by inflammation of mammillary process sockets. What wall of tympanic cavity did the pus penetrate into the sockets through?

Posterior

Lateral

Medial

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In order to speed up healing of a wound of oral mucosa a patient was prescribed a drug that is a thermostable protein occuring in tears, saliva, mother’s milk as well as in a new-laid hen’s egg. It is known that this protein is a factor of natural resistance of an organism. What is it called?

Interleukin

Imanine

Interferon

Lysozyme

Complement

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An aged man had raise of arterial pressure under a stress. It was caused by activation of:

Functions of adrenal cortex

Functions of thyroid gland

Parasympathetic nucleus of vagus

Hypophysis function

Sympathoadrenal system

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A 20 year old patient complains of general weakness, dizziness, quick fatigability. Blood analysis results: Hb- 80 g/l. Microscopical examination results: erythrocytes are of modified form. This condition might be caused by:

Obturative jaundice

Addison’s disease

Hepatocellular jaundice

Acute intermittent porphyria

Sickle-cell anemia

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Blood minute volume of a 30 year old woman at rest is 5 l/m. What blood volume is pumped through the pulmonary vessels per minute?

1,5 l

5 l

2,5 l

3,75 l

2,0 l

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As a result of long-term starvation the glomerular filtration of a man was accelerated by 20%. The most probable cause of filtration changes under such conditions is:

Growth of filtration coefficient

Rise of systemic arterial pressure

Fall of oncotic pressure of blood plasma

Increased permeability of renal filter

Increase of renal plasma flow

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A patient has yellow skin colour, dark urine, dark-yellow feces. What substance will have strengthened concentration in the blood serum?

Conjugated bilirubin

Unconjugated bilirubin

Mesobilirubin

Biliverdin

Verdoglobin

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A patient consulted a doctor about symmetric dermatitis of open skin areas. It was found out that the patient lived mostly on cereals and ate too little meat, milk and eggs. What vitamin deficiency is the most evident?

Tocopherol

Biotin

Nicotinamide

Calciferol

Folic acid

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A 46 year old patient applied to a doctor complaining about joint pain that becomes stronger the day before weather changes. Blood examination revealed strengthened concentration of uric acid. The most probable cause of the disease is the intensified disintegration of the following substance:

Uridine monophosphate

Cytidine monophosphate

Uridine triphosphate

Adenosine monophosphate

Thymidine monophosphate

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A 38 year old patient suffers from rheumatism in its active phase. What laboratory characteristic of blood serum is of diagnostic importance in case of this pathology?

Urea

Creatinine

Transferrin

C-reactive protein

Uric acid

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ECG of a patient with hyperfunction of thyroid gland showed heart hurry. It is indicated by depression of the following ECG element:

R — R interval

P — T interval

QRS complex

P — Q segment

P — Q interval

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A 62 year woman complains of frequent pain attacks in the area of her chest and backbone, rib fractures. Her doctor suspected myeloma (plasmocytoma). What of the following laboratory characteristics will be of the greatest diagnostic importance?

Hyperalbuminemia

Hypoproteinemia

Paraproteinemia

Hypoglobulinemia

Proteinuria

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While playing volleyball a sportsman made a jump and landed on the outside edge of his foot. He felt acute pain in the talocrural joint, active movements are limited, passive movements are unlimited but painful. A bit later there appeared a swelling in the area of external ankle, the skin became red and warm. What type of peripheral circulation disturbance is the case?

Arterial hyperemia

Stasis

Embolism

Venous hyperemia

Thrombosis

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Bacterioscopic examination of a smear from the pharynx of a diphtheria suspect revealed bacilli with volutine granules. What etiotropic drug should be chosen in this case?

Bacteriophage

Diphtheritic anatoxin

Eubiotic

Interferon

Antidiphtheritic antitoxic serum

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A patient underwent an operation on account of gall bladder excision that resulted in obstruction of Ca absorption through the bowels wall. What vitamin wil stimulate this process?

D:i

PP

C

K

B12

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A woman underwent an operation on account of extrauterine (tubal) pregnancy. In course of the operation the surgeon should ligate the branches of the following arteries:

Superior cystic and ovarian

Uterine and superior cystic

Inferior cystic and ovarian

Uterine and ovarian

Uterine and inferior cystic

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A 6 month old baby ill with bronchitis was taken for an X-ray of chest. Apart of changes associated with bronchi the X-ray film showed a shadow of thymus gland. What might have caused such changes?

It is caused by thymus inflammation

It is caused by neoplastic process

It’s the effect of bronchitis

It is caused by abnormal position

The above-mentioned condition is a normal variant for this age

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A patient complains of frequent diarrheas, especially after consumption of rich food, weight loss. Laboratory examination revealed steatorrhea; his feces were hypocholic. What might have caused such condition?

Obturation of biliary tracts

Unbalanced diet

Lack of pancreatic lipase

Lack of pancreatic phospholipase

Inflammation of mucous membrane of small intestine

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Examination of a patient with pustular skin lesions allowed to isolate a causative agent that forms in the blood agar roundish yellow middle-sized colonies surrounded by haemolysis zone. Smears from the colonies contain irregularshaped clusters of gram-positive cocci. The culture is oxidase- and catalasepositive, ferments mannitol and synthesizes plasmocoagulase. What causative agent was isolated?

Staphylococcus epidermidis

Staphylococcus aureus

Streptococcus pyogenes

Staphylococcus saprophyticus

Streptococcus agalactiae

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A 65 year old man suffering from gout complains of kidney pain. Ultrasound examination revealed renal calculi. The most probable cause of calculi formation is the strengthened concentration of the following substance:

Urea

Uric acid

Bilirubin

Cystine

Cholesterol

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Microscopic examination of a Gram-stained scrape from patient’s tongue revealed oval, round, elongated chains of dark-violet gemmating cells. What disease can be caused by this causative agent?

Actinomycosis

Candidosis

Staphylococcic infection

Streptococcic infection

Diphtheria

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A 44 year old woman complains of general weakness, heart pain, significant increase of body weight. Objectively: moon face, hirsutism, AP is 165/100 mm Hg, height - 164 cm, weight - 103 kg; the fat is mostly accumulated on her neck, thoracic girdle, belly. What is the main pathogenetic mechanism of obesity?

Reduced production of thyroid hormones

Increased mineralocorticoid production

Increased production of glucocorticoids

Increased insulin production

Reduced glucagon production

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Blood of a patient with presumable sepsis was inoculated into sugar broth. There appeared bottom sediment. Repeated inoculation into blood agar caused growth of small transparent round colonies surrounded by hemolysis zone. Examination of a smear from the sediment revealed gram-positive cocci in form of long chains. What microorganisms are present in blood of this patient?

Staphylococci

Tetracocci

Streptococci

Micrococci

Sarcina

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2 years ago a patient underwent resection of pyloric part of stomach. He complains of weakness, periodical dark shadows beneath his eyes, dyspnea. In blood: Hb - 70 g/l, erythrocytes - 3,0 • 1012//, colour index - 0,7 What changes of erythrocytes in blood smears are the most typical for this condition?

Megalocytes

Ovalocytes

Microcytes

Macrocytes

Schizocytes

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A patient is ill with hepatocirrhosis. State of antitoxic liver function can be characterized by examination of the following substance exreted by urine:

Hippuric acid

Amino acids

Ammonium salts

Creatinine

Uric acid

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The territory of an old burial ground for animal refuse that hasn’t been used for over 50 years is meant for house building. But soil investigation showed the presense of viable spores of a causative agent causing a very dangerous disease. What microorganism might have been preserved in soil for such a long period of time?

Bacillus anthracis

Francisella tularensis

Brucella abortus

Mycobacterium bovis

Yersinia pestis

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Autopsy of a man who had been working as a miner for many years and died from cardiopulmonary decompensation revealed that his lungs were airless, sclerosed, their apexex had emphysematous changes, the lung surface was greyish-black, the incised lung tissue was coal-black. What disease caused death?

Aluminosis

Silicosis

Talcosis

Asbestosis

Anthracosis

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Microscopy of stained (Ziehl-Neelsen staining) smears taken from the sputum of a patient with chronic pulmonary disease revealed red bacilli. What property of tuberculous bacillus was shown up?

Capsule formation

Acid resistance

Sporification

Alcohol resistance

Alkali resistance

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Parents of a 10 year old 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 cortisol

Of testosterone

Of progesterone

Of oestrogen

Of somatotropin

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

Myocarditis

Diffusive cardiosclerosis

Postinfarction cardiosclerosis

Tiger heart

Myocardium infarction

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It was revealed that T-lymphocytes were affected by HIV. Virus enzyme -reverse transcriptase ( EVA-dependent DNA polymerase) - catalyzes the synthesis of :

mRNA on the matrix of virus protein

DNA on virus ribosomal RNA

Viral DNA on DNA matrix

DNA on the matrix of virus mRNA

Virus informational RNA on the matrix of DNA

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A 35 year old man with a trauma of his left hand was admitted to the traumatology department. Objectively: cut wound of palmar surface of left hand; middle phalanxes of II-V fingers don’t bend. What muscles are damaged?

Superficial finger flexor

Palmar interosseous muscles

Dorsal interosseous muscles

Profound finger flexor

Lumbrical muscles

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Histological examination of a skin tissue sampling revealed granulomas consisting of macrophagal nodules with lymphocytes and plasmatic cells. There are also some big macrophages with fatty vacuoles containing causative agents of a disease packed up in form of spheres (Virchow’s cells). Granulation tissue is well vascularized. What disease is this granuloma typical for?

Lepra

Rhinoscleroma

Syphilis

Glanders

Tuberculosis

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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?

Opsonization reaction

Rings precipitation reaction

Coomb’s test

Precipitation gel reaction

Agglutination reaction

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A patient taking clonidine for essential hypertension treatment was using alcohol that caused intense inhibition of central nervous system. What may it be connected with?

Intoxication

Cumulation

Idiosyncrasy

Effect summation

Effect potentiating

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Examination of an ovary specimen stained by hematoxylin-eosine revealed a follicle in which follicular epithelium consisted of 1-2 layers of cubic cells. There was also a bright red membrane around the ovocyte. What follicle is it?

Atretic

Secondary

Primordial

Primary

Mature

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A patient with clinical signs of encephalitis was delivered to the infectious diseases hospital. Anamnesis registers a tick bite. Hemagglutination-inhibition reaction helped to reveal antibodies to the causative agent of tick-borne encephalitis in the dilution 1:20 which is not diagnostic. What actions should the doctor take after he had got such result?

To examine the same serum

To repeat the examination with serum taken 10 days later

To apply more sensitive reaction

To repeat examination with another diagnosticum

To deny diagnosis of tick-borne encephalitis

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A 40 year old man noticed a reddening and an edema of skin in the area of his neck that later developed into a small abscess. The incised focus is dense, yellowish-green. The pus contains white granules. Histological examination revealed drusen of a fungus, plasmatic and xanthome cells, macrophages. What type of mycosis is the most probable?

Coccidioidomycosis

Actinomycosis

Aspergillosis

Candidosis

Sporotrichosis

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Continuous taking of some drugs foregoing the pregnancy increase the risk of giving birth to a child with genetic defects. What is this effect called?

Fetotoxical effect

Teratogenic effect

Embryotoxic effect

Mutagenic effect

Blastomogenic effect

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A man with a wound of his limb that had been suppurating for a long time died from intioxication. 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 picture?

Chernogubov’s syndrome

Septicopyemia

Septicemia

Chroniosepsis

Brucellosis

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6 months after labour a woman had uterine hemorrhage. Gynaecological examination of uterine cavity revealed a dark-red tissue with multiple cavities resembling of a 'sponge'. Microscopic examination of a tumour revealed in blood lacunas atypic light epithelial Langhans cells and giant cells of syncyti-otrophoblast. What tumour is it?

Squamous cell nonkeratinous carcinoma

Adenocarcinoma

Fibromyoma

Cystic mole

Chorioepithelioma

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An animal with aortic valve insufficiency got hypertrophy of its left heart ventricle. Some of its parts have local contractures. What substance accumulated in the myocardiocytes caused these contractures?

Lactic acid

Calcium

Sodium

Carbon dioxide

Potassium

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A girl is diagnosed with adrenogenital syndrome (pseudohermaphroditism). This pathology was caused by hypersecretion of the following adrenal hormone:

Adrenalin

Estrogen

Cortisol

Aldosterone

Androgen

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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 lipocytes

Of fibroblasts

Of macrophags

Of pigment cells

Of pericytes

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Examination of a 70 year old patient rrevealed insulin-dependent diabetes. What drug should be administered?

Mercazolilum

Parathyroidin

Insulin

Glibenclamid

Cortisone

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A human body cools in water much faster that in the air. What way of heat emission in water is much more efficient?

Sweat evaporation

Heat radiation

-

Convection

Heat conduction

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A patient suffering from chronic cardiac insufficiency was recommended to undergo a prophylactic course of treatment with a cardiological drug from the group of cardiac glycosides that is to be taken enterally. What drug was recommended?

Corglycon

Cordiamin

Cordarone

Digoxin

Strophanthine

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An ophthalmologist used a 1% mesaton solution for the diagnostic purpose (pupil dilation for eye-ground examination). What is the cause of mydriasis induced by the drug?

Activation of M-cholinoreceptors

Activation of Pi adrenoreceptors

Block of ai adrenoreceptors

Activation of a2 adrenoreceptors

Activation of ai adrenoreceptors

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Prophylactic medical examination of a 36 year old driver revealed that his AP was 150/90 mm Hg. At the end of working day he usually hears ear noise, feels slight indisposition that passes after some rest. He was diagnosed with essential hypertension. What is the leading pathogenetic mechanism in this case?

Nephric

Endocrinal

Humoral

Reflexogenic

Neurogenetic

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A cerebral trauma caused increased ammonia generation. What amino acid participates in the excretion of ammonia from the cerebral tissue?

Tyrosine

Valine

Lysine

Tryptophan

Glutamic

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While studying maximally spiralized chromosomes of human karyotype the process of cell division was stopped in the following phase:

Metaphase

Anaphase

Telophase

Interphase

Prophase

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48 hours after tuberculine test (Mantoux test) a child had a papule 10 mm in diameter on the spot of tuberculine injection. What hypersensitivity mechanism underlies these changes?

Cellular cytotoxicity

Granulomatosis

Antibody-dependent cytotoxicity

Anaphylaxy

Immunocomplex cytotoxicity

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A patient was admitted to the surgical department with suspected inflammation of Meckel’s diverticulum. What part of bowels should be examined in order to discover the diverticulum in course of an operation?

Duodenum

Colon ascendens

Caecum

Ileum

Jejunum

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Power inputs of a man were measured. In what state was this man if his power inputs were lower than basal metabolism?

Nervous tension

Sleep

Rest

Relaxation

Simple work

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Examination of a newborn boy’s genitalia revealed an urethral hiatus that opens on the undersite of his penis. What malformation is it?

Hypospadias

Epispadia

Monorchism

Cryptorhidism

Hermaphroditism

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A concentrated solution of sodium chloride was intravenously injected to an animal. This caused decreased reabsorption of sodium ions in the renal tubules. It is the result of the following changes of hormonal secretion:

Aldosterone reduction

Reduction of atrial natriuretic factor

Vasopressin increase

Aldosterone increase

Vasopressin reduction

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As a result of destruction of certain brainstem structures an animal has lost its orientative reflexes in response to strong photic stimuli. What structures were destroyed?

Black substance

Anterior tubercles of quadrigeminal plate

Red nuclei

Vestibular nuclei

Posterior tubercles of quadrigeminal plate

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Myocyte cytoplasm contains a big number of dissolved metabolites of glucose oxidation. Name one of them that turns directly into a lactate:

Oxaloacetate

Fructose 6-phosphate

Pyruvate

Glycerophosphate

Glucose 6-phosphate

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Mother of a 2 year old child consulted a stomatologist. In the period of pregnancy she was irregularly taking antibiotics for an infectious disease. Examination of the child revealed incisor destruction, yellow enamel, brown rim around the dental cervix. What drug has apparent teratogenic effect?

Furosemide

Xantinol nicotinate

Ampiox

Doxacycline

Octadine

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A 59 year old patient is a plant manager. After the tax inspection of his plant he felt intense pain behind his breastbone irradiating to his left arm. 15 minutes later his condition came to normal. Which of the possible mechanisms of stenocardia development is the leading in this case?

Functional heart overload

Coronary atherosclerosis

Intravascular aggregation of blood corpuscles

Coronary thrombosis

High catecholamine concentration in blood

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A patient recovered from Sonne dysentery and was once more infected with the same causative agent. What is such infection form called?

Superinfection

Persisting infection

Recidivation

Reinfection

Chronic infection

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A 56 year old patient came to a hospital with complaints about general weakness, tongue pain and burning, sensation of limb numbness. In the past he underwent resection of forestomach. In blood: Hb- 80 g/l; erythrocytes - 2,0 • 1012/l; colour index - 1,2, leukocytes - 3,5 • 109/l. What anemia type is it?

Aplastic

Hemolytic

Iron-deficient

B12-folate deficient

Posthemorrhagic

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A 35 year old patient applied to a doctor with complaints about having intense rhinitis and loss of sense of smell for a week. Objectively: nasal cavity contains a lot of mucus that covers mucous membrane and blocks olfactory receptors. In what part of nasal cavity are these receptors situated?

Vestibule of nose

Inferior nasal turbinate

Superior nasal turbinate

Common nasal meatus

Median nasal turbinate

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A 17 year old boy fell seriously ill, the body temperature rose up to 38,5oC, there appeared cough, rhinitis, lacrimati-on, nasal discharges. What inflammation is it?

Serous

Catarrhal

Hemorrhagic

Fibrinous

Purulent

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A patient with disturbed cerebral circulation has problems with deglutition. What part of brain was damaged?

Brainstem

Cervical part of spinal cord

Forebrain

Interbrain

Midbrain

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Vitamin B1 deficiency results in disturbance of oxidative decarboxylation of o-ketoglutaric acid. This will disturb synthesis of the following coenzyme:

Nicotinamide adenine dinucleotide (NAD)

Lipoic acid

Coenzyme A

Flavine adenine dinucleotide (FAD)

Thiamine pyrophosphate

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A chemical burn caused esophagus stenosis. Difficulty of ingestion led to the abrupt loss of weight. In blood: 3,0 • 1012/l, Hb - 106 g/l, crude protein - 57 g/l. What type of starvation is it?

Complete

Proteinic

Water

Absolute

Incomplete

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A 30 year old woman has face edemata. Examination revealed proteinuria (5,87 g/l), hypoproteinemia, dysproteinemia, hyperlipidemia. What condition is the set of these symptoms typical for?

Acute renal failure

Chronic renal failure

Nephritic syndrome

Chronic pyelonephritis

Nephrotic syndrome

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Skin of a man who died from cardiac insufficiency has an eruption in form of spots' and specks. There are also bedsores in the area of sacrum and spinous vertebral processes. Microscopical examination of CNS, skin, adrenal glands revealed in the vessels of microcirculatory bed and in small arteries destructive-proliferative endothrombovasculitis with Popov’s granulomas; interstitial myocarditis. What diagnosis corresponds with the described picture?

Nodular periarteritis

Q fever

Enteric fever

HIV

Spotted fever

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Autopsy of a man who died from the sepsis in his femoral bone revealed phlegmonous inflammation that affected the marrow, haversian canals and periosteum. Under the periosteum there are multiple abscesses, adjoining soft tissues of thigh also have signs of phlegmonous inflammation. What pathological process was described?

-

Acute hematogenous osteomyelitis

Osteopetrosis

Chronic hematogenous osteomielitis

Osteoporosis

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A patient has a decreased vasopressin synthesis that causes polyuria and as a result of it evident organism dehydratati-on. What is the mechanism of polyuria development?

Reduced tubular reabsorption of protein

Reduced glucose reabsorption

Reduced tubular reabsorption of Na ions

Reduced tubular reabsorption of water

Acceleration of glomerular filtration

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A patient with nephrotic syndrome has massive edemata of his face and limbs. What is the leading pathogenetic mechanism of edemata development?

Increase of vascular permeability

Rise of hydrodynamic blood pressure

Lymphostasis

Increase of lymph outflow

Drop of oncotic blood pressure

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Examination of a 55 year old woman revealed under the skin of submandibular area a movable slowly growing pasty formation with distinct borders 1,0x0,7 cm large. Histological examination revealed lipocytes that form segments of diffrent forms and sizes separated from each other by thin layers of connective tissue with vessels. What is the most probable diagnosis?

Angioma

Liposarcoma

Fibroma

Fibrosarcoma

Lipoma

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An unconscious young man with signs of morphine poisoning entered admission office. His respiration is shallow and infrequent which is caused by inhibition of respiratory centre. What type of respiratory failure is it?

Ventilative restrictive

Perfusive

Ventilative obstructive

Ventilative dysregulatory

Diffusive

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A patient with cholelithiasis fell ill with mechanic jaundice. Examinati- on revealed that the stone was in the common bile duct. What bile-excreting ducts make up the obturated duct?

Ductus hepaticus dexter et sinister

Ductus hepaticus dexter et ductus cysti-cus

Ductus hepaticus communis et ductus choledochus

Ductus hepaticus sinister et ductus cysticus

Ductus hepaticus communis et ductus cysticus

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A patient is 44 years old. Laboratory examination of his blood revealed that content of proteins in plasma was 40 g/l. What influence will be exerted on the transcapillary water exchange?

Exchange will stay unchanged

Filtration will be decreased, reabsorption - increased

Filtration will be increased, reabsorption - decreased

Both filtration and reabsorption will be decreased

Both filtration and reabsorption will be increased

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The cerebrospinal fluid is being examined for the purpose of diffrential meningitis diagnostics. At what site is the lumbal puncture safe?

Th XII-L I

L III-L IV

L I-L II

L II-L III

L V-SI

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An isolated cell of human heart automatically generates excitement impulses with frequency of 60 times per minute. This cell was taken from the following heart structure :

Atrium

His’ bundle

Atrioventricular node

Sinoatrial node

Ventricle

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

Pancreatine

Furosemide

Glibenclamid

Oxytocin

Corglycon

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As a result of posttranslative modifications some proteins taking part in blood coagulation, particularly prothrombin, become capable of calcium binding. The following vitamin takes part in this process:

Bi

C

B2

K

A

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Examination of a man who had been working hard under higher temperature of the environment revealed abnormal quantity of blood plasma proteins. What phenomenon is the case?

Relative hyperproteinemia

Paraproteinemia

Dysproteinemia

Absolute hyperproteinemia

Absolute hypoproteinemia

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A patient ill with thrombophlebitis of his lower limbs had chest pain, blood spitting, progressing respiratory insufficiency that led to his death. Autopsy diagnosed multiple lung infarctions. What is the most probable cause of their development?

Thromboembolism of bronchial arteries

Thrombosis of pulmonary veins

Thrombosis of pulmonary artery branches

Thromboembolism of pulmonary artery branches

Thrombosis of bronchial arteries

‹ Назад

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A woman suffering from osteochondrosis felt acute pain in her humeral articulation that became stronger when she abducted her shoulder. These symptoms might be caused by damage of the following nerve:

Throracodorsal nerve

Subclavicular nerve

Subscapular nerve

Axillary nerve

Dorsal scapular nerve

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A patient has a deep cut wound on the posterior surface of his shoulder in its middle third. What muscle might be injured?

Coracobrachial muscle

Brachial muscle

Biceps muscle of arm

Anconeus muscle

Triceps muscle of arm

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A patient has acne on his face. Mi- crospcopic examination of scrapings from the affected areas revealed living porrect vermiform arthropoda 0,2-0,5 mm large with four pairs of short extremities in the front part of their bodies. What is the laboratory diagnosis?

Pediculosis

Phthiriasis

Scabies

Myiasis

Demodicosis

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A 28 year old man had a gunshot wound of shin that resulted in an ulcer from the side of the injury. What is the main factor of neurodystrophy pathogenesis in this case?

Microcirculation disturbance

Psychical stress

Traumatization of peripheral nerve

Tissue damage

Infection

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A 45 year old man consulted a doctor about a plaque-like formation on his neck. Histological examination of a skin bi-optate revealed clusters of round and oval tumour cells with a narrow border of basophilic cytoplasm resembling of cells of basal epidermal layer. What tumour is it?

Epidermal cancer

Syringoadenoma

Basal cell carcinoma

Trichoepithelioma

Hydroadenoma

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A patient ill with essential hypertension was recommended a drug that prevents thrombosis. It is to be taken parenterally. What drug is it?

Amben

Syncumar

Heparin

Neodicumarin

Protamine sulfate

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Packed cell volume of a man was 40% before the trauma. What packed cell volume will be observed 24 hours after blood loss of 750 ml?

40 %

50 %

55 %

45 %

30%

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Two hours after an exam a student had a blood count done and it was revealed that he had leukocytosis without significant leukogram modifications. What is the most probable mechanism of leukocytosis development?

Leukopoiesis intensification and deceleration of leukocyte lysis

Redistribution of leukocytes in the organism

Deceleration of leukocyte lysis

Deceleration of leukocyte migration to the tissues

Leukopoiesis intensification

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Golgi complex exports substances from a cell due to the fusion of the membrane saccule with the cell membrane. The saccule contents flows out. What process is it?

Endocytosis

Exocytosis

All answers are false

Active transport

Facilitated diffusion

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A boy found a spider with the following morphological characteristics: it is 2 cm long, has roundish black abdomen with two rows of red spots' on its dorsal side; four pairs of jointed limbs are covered with small black hairs. What arthropod is it?

Mite

Tarantula

Scorpion

Karakurt spider

Solpuga

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A 3 year old child with symptoms of stomatitis, gingivitis and dermatitis of open skin areas was delivered to a hospital. Examination revealed inherited disturbance of neutral amino acid transporting in the bowels. These symptoms were caused by the deficiency of the following vitamin:

Niacin

Cobalamin

Biotin

Vitamin A

Pantothenic acid

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A patient with suspected diagnosis 'progressing muscular dystrophy' got his urine tested. What compound will confirm this diagnosis if found in urine?

Myoglobin

Calmodulin

Porphyrin

Kreatine

Collagen

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A patient being treated for viral hepatitis type B got symptoms of hepatic insufficiency. What blood changes indicative of protein metabolism disorder will be observed in this case?

Proteinic blood composition is unchanged

Absolute hyperalbuminemia

Absolute hyperfibrinogenemia

Absolute hyperglobulinemia

Absolute hypoalbuminemia

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A pregnant woman had her blood group identified. Reaction of erythrocyte agglutination with standard serums of 0aft (I), Ba (III) groups didn’t proceed with standard serum of Aft (II) group. The blood group under examination is:

Ba (III)

AB (IV)

0 aft (I )

-

Aft (II)

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A sensitive neural ganglion consists of roundish neurocytes with one extension that divides into axon and dendrite at some distance from the perikaryon. What are these cells called?

Multipolar

Unipolar

Apolar

Bipolar

Pseudounipolar

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A doctor examined a child and revealed symptoms of rachitis. Development of this desease was caused by deficiency of the following compound:

Tocopherol

Retinol

Biotin

Naphtaquinone

1,25 [OH]-dichydroxycholecalciferol

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An embryo displays disturbed process of dorsal mesoderm segmentation and somite formation. What part of skin will have developmental abnormalities?

Sudoriferous glands

Sebaceous glands

Hair

Derma

Epidermis

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It was found out that some compounds, for instance fungi toxins and some antibiotics can inhibit activity of ENA-polymerase. What process will be disturbed in a cell in case of inhibition of this enzyme?

Reparation

Translation

Processing

Replication

Transcription

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A 7 year old child is ill with bronchitis. It is necessary to administer him an antibacterial drug. What drug of fluoroquinolone group is CONTRAINDICATED at this age?

Sulfadimethoxine

Ampiox

Amoxicillin

Ampicillin

Cyprofloxacin

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A culture of monkey cells (Vero) and a group of mouse sucklings were infected with an inoculum taken from a child with provisional diagnosis 'enterovirus infection'. There was no cytopathic effect on the cell culture but mouse sucklings died. What enteric viruses might have caused disease of this child?

ECHO virus

Unclassified enteric viruses 68-71

Coxsackie A

Polioviruses

Coxsackie B

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A patient died from cardiopulmonary decompensation. Histological examination revealed diffused pulmonary lesion together with interstitial edema, infiltration of tissue by limphocytes, macrophages, plasmocytes; pulmonary fibrosis, panacinar emphysema. What disease corresponds with the described picture?

Bronchopneumonia

Chronic bronchitis

Bronchial asthma

Fibrosing alveolitis

Pulmonary atelectasis

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Vagus branches that innervate heart are being stimulated in course of an experiment. As a result of it the excitement conduction from atria to the ventricles was brought to a stop. It is caused by electrophysical changes in the following structures:

Sinoatrial node

Atria

His’ bundle

Ventricles

Atrioventricular node

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If a man has an attack of bronchi-ospasm it is necessary to reduce the effect of vagus on smooth muscles of bronchi. What membrane cytoreceptors should be blocked for this purpose?

3- adrenoreceptors

N-cholinoreceptors

a- and 3-adrenoreceptors

^-adrenoreceptors

M-cholinoreceptors

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A patient of surgical department complains about pain in the small of her back and in the lower part of her belly; painful and frequent urination. Bacteriological examination of urine revealed gram-negative oxidase-positive rod-like bacteria forming greenish mucoid colonies with specific smell. What causative agent can it be?

Proteus mirabilis

Pseudomonas aeruginosa

E.coli

Mycoplasma pneumonie

Str.pyogenes

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There are several groups of molecular mechanisms playing important part in pathogenesis of insult to cells which contributes to the pathology development. What processes are stimulated by proteinic damage mechanisms?

Lipid peroxidation

Osmotic membrane distension

Phospholipase activation

Acidosis

Enzyme inhibition

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A child was born with cleft palate. Examination revealed aorta defects and reduced number of T-lymphocytes in blood. What immunodeficient syndrome is it?

Louis-Bar

Chediak-Higashi

DiGeorge

Swiss-type

Wiskott-Aldrich

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A 16 year old boy after an illness has diminished function of protein synthesis in liver as a result of vitamin K deficiency. It will cause disturbance of:

Osmotic blood pressure

Anticoagulant generation

Erythrocyte sedimentation rate

Blood coagulation

Erythropoietin secretion

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Life cycle of a cell includes the process of DNA autoreduplication. As a result of it monochromatid chromosomes turn into bichromatid ones. What period of cell cycle does this phenomenon fall into?

Gi

5

M

G0

G2

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A driver who got a trauma in a road accident and is shocked has reduction of daily urinary output down to 300 ml. What is the main pathogenetic factor of such diuresis change?

Secondary hyperaldosteronism

Increased vascular permeability

Drop of oncotic blood pressure

Drop of arterial pressure

Decreased number of functioning glomerules

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Systemic arterial pressure of an adult dropped from 120/70 to 90/50 mm Hg that led to reflectory vasoconstriction. The vasoconstriction will be maximal in the following organ:

Adrenals

Heart

Kidneys

Bowels

Brain

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Examination of a 12 year old boy with developmental lag revealed achondroplasia: disproportional constitution with evident shortening of upper and lower limbs as a result of growth disorder of epiphyseal cartilages of long tubal bones. This disease is:

Congenital

Inherited, recessive

Inherited, sex-linked

Acquired

Inherited, dominant

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A patient was diagnosed with autoimmune hemolitic cytotoxic anemia. What substances are antigens in II type allergic reactions?

Hormones

Antibiotics

Inflammation modulators

Serum proteins

Modified receptors of cell membranes

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While performing an operation in the area of axillary crease a surgeon has to define an arterial vessel surrounded by fascicles of brachial plexus. What artery is it?

A.profunda brachii

A.vertebralis

A.axillaris

A.transversa colli

A.subscapularis

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A patient takes digoxin for treatment of cardiac insufficiency. What diuretic may increase digoxin toxicity due to the intensified excretion of K + ions?

Hydrochlorothiazide

Siliborum

Panangine

Spironolactone

Lisinopril

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During starvation muscle proteins break up into free amino acids. These compounds will be the most probably involved into the following process:

Gluconeogenesis in liver

Gluconeogenesis in muscles

Decarboxylation

Synthesis of higher fatty acids

Glycogenolysis

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A patient ill with amebiasis was prescribed a certain drug. The use of alcohol together with this drug is contraindicated because the drug inhibits metabolism of ethyl alcohol. What drug is it?

Clonidine

Diazepam

Aminazine

Reserpine

Metronidazole

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Surgical removal of a part of stomach resulted in disturbed absorption of vitamin B12, it is excreted with feces. The patient was diagnosed with anemia. What factor is necessary for absorption of this vitamin?

Folic acid

Gastrin

Gastromucoprotein

Pepsin

Hydrochloric acid

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A patient ill with chronic cardiac insufficiency was prescribed an average therapeutic dose of digoxin. Two weeks after begin of its taking there appeared symptoms of drug intoxication ( bradycardia, extrasystole, nausea). Name the phenomenon that caused accumulation of the drug in the organism?

Material cumulation

Functional cumulation

Idiosyncrasy

Tachyphylaxis

Tolerance

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In course of a preventive examination of a miner a doctor revealed changes of cardiovascular fitness which was indicative of cardiac insufficiency at the compensation stage. What is the main proof of cardiac compensation?

Dyspnea

Myocardium hypertrophy

Cyanosis

Rise of arterial pressure

Tachycardia

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Rest potential of a cell equals —80 mV. At what stage of action potential did the membrane potential equal +30 mV?

-

Depolarization

After hyperpolarization

Reverse polarization

After depolarization

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A 35 year old man got an injury that caused complete disruption of spinal cord at the level of the first cervical segment. What respiration changes will be observed?

It will become infrequent and deep

No changes will be observed

Diaphragmal respiration will be maintained, thoracic respiration will disappear

It will come to a standstill

Thoracic respiration will be maintained, diaphragmal respiration will disappear

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In course of an experiment a peripheral section of vagus of an expiremental animal is being stimulated. What changes will be observed?

Increase of respiration rate

Pupil dilation

Heart rate fall

Bronchi dilation

Heart hurry

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2 hours after a skeletal extension was performed to a 27 year old patient with multiple traumas (closed injury of chest, closed fracture of right thigh) his condition abruptly became worse and the patient died from acute cardiopulmonary decompensation. Histological examination of pulmonary and cerebral vessels stained with Sudan III revealed orange drops occluding the vessel lumen. What complication of polytrauma was developed?

Fat embolism

Thromboembolism

Microbal embolism

Gaseous embolism

Air embolism

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In course of severe respiratory viral infection there appeared clinical signs of progressing cardiac insufficiency that caused death of a patient in the 2nd week of disease. Autopsy revealed that the heart was sluggish, with significant cavity dilatation. Histological examination of myocardium revealed plephora of microvessels and diffuse infiltration of stroma by lymphocytes and histiocytes. What disease corresponds with the described picture?

Cardiomyopathy

Stenocardia

Acute coronary insufficiency

Myocarditis

Myocardium infarction

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A specimen stained by Ozheshko method contains rod-like microorganisms stained blue with round terminal components stained red. What are these components called?

Spores

Mesosomas

Flagella

Capsules

Cilia

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A 38 year old patient with full-blown jaundice, small cutaneous hemorrhages, general weakness and loss of appetite underwent puncture biopsy of liver. Histological examination revealed disseminated dystrophy, hepatocyte necrosis, Councilman’s bodies. Lobule periphery has signs of significant infiltration by lymphocytes, there are also individual multinuclear hepatocytes. What is the most probable diagnosis?

Toxic degeneration of liver

Miliary hepatic cirrhosis

Chronic hepatitis

Acute viral hepatitis

Acute alcoholic hepatitis

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A man with an injury of the dorsal area of his neck was admitted to the resuscitation department. What muscle occupies this area?

M.trapezius

M.scalenus anterior

M.sternocleidomastoideus

M.rhomboideus minor

M.latissimus dorsi

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In course of an experiment a toad’s right labyrinth was destroyed. It will cause amyotonia of the following muscles:

Right flexors

Left extensors

Right and left extensors

Right extensors

Left flexors

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A 20 year old patient died from intoxication 8 days after artificial illegal abortion performed in her 14-15th week of pregnancy. Autopsy of the corpse revealed yellowish colour of eye sclera and of skin, necrotic suppurative endometritis, multiple pulmonary abscesses, spleen hyperplasia with a big number of neutrophils in its sinuses. What complication after abortion was developed?

Septicopyemia

Chroniosepsis

Septicemia

Viral hepatitis type A

Hemorrhagic shock

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A patient complains of dizziness and hearing loss. What nerve is damaged?

Trigeminus

Vagus

Vestibulocochlear

Sublingual

Trochlear

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A 6 year old child was delivered to a hospital. Examination revealed that the child couldn’t fix his eyes, didn’t keep his eyes on toys, eye ground had the cherry-red spot sign. Laboratory analyses showed that brain, liver and spleen had high rate of ganglioside glycometide. What congenital disease is the child ill with?

MacArdle disease

Niemann-Pick disease

Turner’s syndrome

Tay-Sachs disease

Wilson’s syndrome

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A patient has a cluster of matted together dense lymph nodes on his neck. Histological examination of a removed lymph node revealed proliferation of reticular cells, presense of Reed-Sternberg cells. What disease is meant?

Lymphogranulomatosis

Lymphoblastic leukosis

Myelocytic leukosis

Myeloblastic leukosis

Lymphocytic leukosis

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While palpating mammary gland of a patient a doctor revealed an induration in form of a node in the inferior medial quadrant. Metastases may extend to the following lymph nodes:

Parasternal

Bronchopulmonary

Superior diaphragmal

Posterior mediastinal

Profound lateral cervical

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A pregnant woman was registered in an antenatal clinic and underwent complex examination for a number of infections. Blood serum contained IgM to the rubella virus. What is this result indicative of?

Of exacerbation of a chronic disease

The woman is healthy

Of primary infection

Of a chronic process

Of recurring infection with rubella virus

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Parents of a 3 year old child have been giving him antibiotics with purpose of preventing enteric infections for a long time. A month later the child’s condition changed for the worse. Blood examination revealed apparent leukopenia and granulocytopenia. What is the most probable mechanism of blood changes?

Age-specific

Redistributive

Hemolytic

Autoimmune

Myelotoxic

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A pathological process in bronchi resulted in epithelium desquamation. What cells will regenerate bronchial epithelium?

Goblet

Ciliate

Basal

Intercalary

Endocrinal

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A patient ill with tuberculosis died from progressing cardiopulmonary decompensation. Autopsy in the area of the right lung apex revealed a cavity 5 cm in diameter communicating with lumen of a segmental bronchus. On the inside cavity walls are covered with caseous masses with epithelioid and Langhans cells beneath them. What morphological form of tuberculosis is it?

Acute cavernous tuberculosis

Caseous pneumonia

Infiltrative tuberculosis

Tuberculoma

Acute focal tuberculosis

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Workers of a hothouse farm work under conditions of unfavourable microclimate: air temperature is +37oC, relative humidity is 90%, air speed is 0,2 m/s. The way of heat emission under these conditions will be:

Evaporation

All the ways

Heat conduction

Radiation

Convection

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A gynaecologist was examining a patient and revealed symptoms of genital tract inflammation. A smear from vagina contains pyriform protozoa with a spine, flagella at their front; there is also an undulating membrane. What disease can be suspected?

Intestinal trichomoniasis

Urogenital trichomoniasis

Lambliasis

Toxoplasmosis

Balantidiasis

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A boy has I (I°I°) blood group and his sister has IV (IAIB) blood group. What blood groups do their parents have?

I (I°I°) and IV (IAIB)

I (I°I°) and III (IBI°)

II (IAI°) and III (IBI0)

III (IBI°) and IV (IAIB)

II (IAIA) and III (IBI°)

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A patient ill with enteritis accompanied by massive diarrhea has low water rate in the extracellular space, high water rate inside the cells and low blood osmolari-ty. What is such disturbance of water-electrolytic metabolism called?

Hyperosmolar hypohydration

Hypo-osmolar hypohydration

Hypo-osmolar hyperhydration

Osmolar hypohydration

Hyperosmolar hyperhydration

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For the purpose of myocardium infarction treatment a patient was injected with embryonal stem cells derived from this very patient by means of therapeutic cloning . What transplantation type is it?

Autotransplantation

Allotransplantation

Xenotransplantation

Isotransplantation

Heterotransplantation

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A histological specimen of spleen shows a vessel with a wall consisting of endothelium and subendothelial layer, median membrane is absent, exterior membrane inosculates with the layers of spleen connective tissue. What vessel is it?

Artery of muscular type

Arteriole

Capillary

Vein of non-muscular type

Vein of muscular type

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In course of a conditional experiment the development of mesenchyma cells was completely inhibited. Development of the following muscular tissue will be disturbed:

Cardiac muscular tissue

Skeletal muscular tissue

Neural muscular tissue

Smooth muscular tissue

Epidermal muscular tissue

‹ Назад

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A patient ill with chronic gastritis went for endogastric pH-metry that allowed to reveal decreased acidity of gastric juice. It is indicative of diminished function of the following cells:

Cervical cells

Parietal exocrinocytes

Accessory cells

Chief exocrinocytes

Endocrinocytes

‹ Назад

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Vagi of an experimental animal were cut on both sides. What respiration changes will be observed?

It will become deep and frequent

It will become shallow and infrequent

No changes will be observed

It will become deep and infrequent

It will become shallow and frequent

‹ Назад

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A 70 year old man is ill with vascular atherosclerosis of lower extremities and coronary heart disease. Examination revealed disturbance of lipidic blood composition. The main factor of atherosclerosis pathogenesis is the excess of the following lipoproteins:

Low-density lipoproteins

High-density lipoproteins

Chylomicrons

Intermediate density lipoproteins

Cholesterol

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Далі ›

On the 2-3rd day after stomach resection intestinal peristalsis wasn’t restored. What is to be administered for stimulation of gastrointestinal tract?

Atropine sulfate

Prasosin

Acetylcholine

Proserin

Cyclodole

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A cardiac electric stimulator was implanted to a 75 year old man with heart rate of 40 bpm. Thereafter the heart rate rose up to 70 bpm. The electric stimulator has undertaken the function of the following heart part:

His’ bundle branches

Sinoatrial node

Atrioventricular node

His’ bundle fibers

Purkinje’s fibers

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A stomatologist injected a patient with a certain drug in order to reduce salivation during tooth filling. What drug is it?

Pilocarpine hydrochloride

Proserin

Atropine sulfate

Adrenaline hydrochloride

Mesaton

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A 30 year old woman has applied a lipstick with a fluorescent substance for a long time. Then she got a limited erythema and slight peeling on her lip border, later there appeared transversal striae and cracks. Special methods of microscopic examination of the affected area helped to reveal sensibilized lymphocytes and macrophages in the connective tissue; cytolysis. What type of immunological hypersensitivity was developed?

IV type (cellular cytotoxicity)

III type (immune complex cytotoxicity)

Granulomatosis

I type (reaginic)

II type (antibody cytotoxicity)

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A patient ill with essential arterial hypertension had a hypertensic crisis that resulted in an attack of cardiac asthma. What is the leading mechanism of cardiac insufficiency in this case?

Heart overload caused by high pressure

Heart overload caused by increased blood volume

Myocardium damage

Blood supply disturbance

Absolute coronary insufficiency

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A man who has been taking a drug for a long time cannot withhold it because this causes impairment of psychic, somatic and vegetative functions. Name the syndrome of different disturbances caused by drug discontinuation:

Cumulation

Sensibilization

Idiosyncrasy

Tachyphylaxis

Abstinence

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A patient consulted a stomatologist about purulent inflammation of his gums. What drug will be the most effective if it is suspected that a causative agent is an anaerobe?

Gentamicin

Oxacillin sodium

Metronidazole

Nitroxoline

Co-trimoxazole

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Rats being under stress have muscular hypertonia and high arterial pressure, high glucose concentration in blood and intensified secretion of corticotropin and corticosteroids. In what stress phase are these animals?

Terminal

Exhaustion

Erectile

Shock phase

Antishock phase

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Ultramicroscopical examination of 'dark' hepatocyte population in the cell cytoplasm detected a developed granular endoplasmic reticulum. What function has this organella in these cells?

Synthesis of blood plasma proteins

Calcium ion depositing

Carbohydrate synthesis

Deintoxicative function

Bile production

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A patient came to the hospital complaining about quick fatigability and apparent muscle weakness. Examination revealed an autoimmune disease that causes disorder of functional receptor condition in neuromuscular synapses. What transmitter will be blocked?

Dopamine

Glycine

Noradrenalin

Acetylcholine

Serotonin

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Examination of a 35 year old patient revealed high acidity of gastric juice. What receptors should be blocked in order to reduce it?

a2-adrenoreceptors

^-adrenoreceptors

( ^-adrenoreceptors

Histamine

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Examination of a young woman revealed a node-like, soft and elastic homogenous tumour of pinkish-white colour along the acoustic nerve. The tumour contains cell bundles with oval nuclei. Cellular fibrous bundles form rhythmic structures made up by parallel rows of regularly oriented cells arranged in form of a palisade with cell-free homogenous zone (Verocay bodies) between them. What tumour is it?

Ganglioneurinoma

Malignant neurinoma

Neuroblastoma

Neurinoma

Ganglioneuroblastoma

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A 45 year old woman is ill with breast cancer. Her left arm has symptoms of lymphatic system insufficiency - limb edema, lymph node enlargement. What form of lymphatic circulation insufficiency is it?

Resorption insufficiency

Combined insufficiency

-

Dynamic insufficiency

Mechanic insufficiency

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An endocrinal gland with parenchyma consisting of epithelium and neural tissue is under morphological examination. Epithelial trabecules have two types of cells: chromophilic and chromophobic. Identify this organ:

Thyroid gland

Adrenal glands

Hypothalamus

Hypophysis

Parathyroid gland

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Далі ›

While performing an inguinal canal operation on account of hernia a surgeon damaged the canal’s contents. What exactly was damaged?

Urarchus

-

Funiculus spermaticus

Lig. inguinale

Lig. teres uteri

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A 12 year old child has intolerance to some foodstuffs. Their consumption causes an allergic reaction in form of itching skin eruptions. What antihistaminic drug should be admistered so that the child could attend school?

Ephedrine

Diclofenac

Loratadine

Aminophylline

Dimedrol

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A patient that entered the admi- ssion office had the following signs of acute cardiac insufficiency: paleness, acrocyanosis, frequent shallow respiration. What drug is indicated in this case?

Cordiamin

Adrenaline hydrochloride

Corglycon

Digitoxin

Nitroglycerine

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A 26 year old man is in the torpid shock phase as a result of a car accident. In blood: 3, 2 • 109 /l. What is the leading mechanism of leukopenia development?

Disturbed going out of mature leukocytes from the marrow into the blood

Redistribution of leukocytes in bloodstream

Intensified elimination of leukocytes from the organism

Leikopoiesis inhibition

Lysis of leukocytes in the blood-forming organs

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A patient had hemorrhagic stroke. Blood examination revealed strengthened kinin concentration.The patient was prescribed contrical. It was administered in order to inhibit the following proteinase:

Collagenase

Trypsin

Pepsin

Chemotrypsin

Kallikrein

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A patient with bacterial pneumonia was prescribed benzylpenicillin. What is the mechanism of its antibacterial effect?

Antagonism with p-amino-benzoic acid

Abnormal permeability of cytoplasmic membrane

Inhibition of SH-groups of microorganism enzymes

Inhibition of intracellular protein synthesis

Inhibition of synthesis of microorganism wall

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Hartnup disease is caused by point mutation of only one gene which results in disturbance of tryptophane absorption in the bowels and its resorption in the renal tubules. It is the reason for disorder of both digestive and urination systems. What genetic phenomenon is observed in this case?

Codominance

Semidominance

Polymery

Complementary interaction

Pleiotropy

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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?

Phenazepam

Diazepam

Reserpine

Sodium bromide

Valerian

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In order to accelerate healing of a radiation ulcer a vitamin drug was administered. What drug is it?

Levamisole

Prednisolone

Retinol acetate

Retabolil

Methyluracil

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Inoculum from pharynx of a patient ill with angina was inoculated into blood-tellurite agar. It resulted in growth of grey, radially striated (in form of rosettes) colonies 4-5 mm in diameter. Grampositive bacilli with clublike thickenings on their ends placed in form of spread wide apart fingers are visible by microscope. What microorganisms are these?

Streptococci

Diphtheria corynebacteria

Streptobacilli

Diphtheroids

Botulism clostridia

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Plasmic factors of blood coagulation are exposed to post-translational modification with the participation of vitamin K. It is necessary as a cofactor in the enzyme system of 7-carboxylation of protein factors of blood coagulation due to the increased affinity of their molecules with calcium ions. What amino acid is carboxylated in these proteins?

Arginine

Serine

Valine

Glutamic

Phenylalanine

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Pharmacological effects of antidepressants are connected with inhibition of an enzyme catalyzing biogenic amines noradrenaline and serotonine in the mi-tochondrions of cerebral neurons. What enzyme participates in this process?

Monoamine oxidase

Lyase

Decarboxylase

Transaminase

Peptidase

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An oncological patient was prescribed methotrexate. With the lapse of time target cells of the tumour lost susceptibility to this drug. There is change of gene expression of the folowing enzyme:

Deaminase

Dehydrofolate reductase

Folate decarboxylase

Folate oxidase

Thiaminase

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As a result of prophylactic medical examination a 7 year old boy was diagnosed with LeschNyhan syndrome (only boys fall ill with it). The boy’s parents are healthy but his grandfather by his mother’s side suffers from the same disease. What type of disease inheritance is it?

Semidominance

Dominant, sex-linked

Recessive, sex-linked

Autosomal dominant

Autosomal recessive

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Planned mass vaccination of all newborn 5-7 day old children against tuberulosis plays an important role in tuberculosis prevention. In this case the following vaccine is applied:

-

BCG

Diphteria and tetanus toxoids and pertussis vaccine

Diphtheria and tetanus anatoxin vaccine

Adsorbed diphtheria vaccine

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A patient with hypertensic crisis was admitted to the cardiological department, he was injected intravenously with an anti- hypertensive drug - salt of an alkaline-earth metal. What drug was injected?

Magnesium sulfate

Calcium lactate

Sodium hydrocarbonate

Benzohexamethonium

Potassium chloride

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In course of a small pelvis operation it became necessary to ligate an ovarian artery. What formation may be accidentally ligated together with it?

Internal iliac vein

Ureter

Uterine tube

Urethra

Round ligament of uterus

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A patient with acute morphine poisoning was delivered to a hospital. What specific narcotic antagonist should be chosen in this case?

Digoxin

Naloxone

Methacin

Unithiol

Paracetamol

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The upper lobe of the right lung is enlarged, grey and airless, the inscisi-on surface is dripping with turbid liquid, the pleura has many fibrinogenous films; microscopical examination of alveoles revealed exudate containing neutrophils, desquamated alveolocytes and fibrin fibers. The bronchus wall is intact. What is the most probable diagnosis?

Focal pneumonia

Influenzal pneumonia

Croupous pneumonia

Interstitial pneumonia

Pulmonary abscess

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A 28 year old patient had high arterial pressure, hematuria and facial edemata. In spite of treatment renal insufficiency was progressing. 6 months later the patient died from uremia. Microscopic examination of his kidneys and their glomerules revealed proliferation of capsule nephrothelium and of podocytes with 'demilune' formation, sclerosis and hyalinosis of glomerules. What disease corresponds with the described picture?

Acute glomerulonephritis

Chronic glomerulonephritis

Acute pyelonephritis

Nephrotic syndrome

Subacute glomerulonephritis

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A patient with a knife wound in the left lumbal part was delivered to the emergency hospital. In course of operation a surgeon found that internal organs were not damaged but the knife injured one of muscles of renal pelvis. What muscle is it?

Iliac muscle

Abdominal internal oblique muscle

Abdominal external oblique muscle

Greater psoas muscle

Erector muscle of spine

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A man with a stab wound in the area of quadrilateral foramen applied to a doctor. Examination revealed that the patient was unable to draw his arm asi- de from his body. What nerve is most probably damaged?

N.radialis

N. axillaris

N.ulnaris

N.subclavius

N.medianus

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Autopsy of a man ill with severe hypothyroidism revealed that connective tissue, organ stroma, adipose and cartilaginous tissues were swollen, semitransparent, mucus-like. Microscopic examination of tissues revealed stellate cells having processes with mucus between them. What type of dystrophy is it?

Stromal-vascular carbohydrate

Stromal-vascular proteinaceous

Stromal-vascular adipose

Parenchymatous adipose

Parenchymatous proteinaceous

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