Step 1 - Stomatology 2012

A shepherd who has tended sheep together with dogs presents with chest pain and blood spitting. X-ray examination revealed a roundish neoplasm in his lungs. Immunological reactions confirmed the provisional diagnosis. Specify the helminth that might have caused this disease:

Common liver fluke

Dwarf tapeworm

Armed tapeworm

Broad tapeworm

Echinococcus

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Sdudying the mitotic cycle phases of an onion root the researchers revealed a cell with chromosomes lying in equatorial plane in form of a star. What phase of mitosis is it?

Telophase

Metaphase

Prophase

Anaphase

Interphase

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A patient has a right-sided fracture in the region of the frontal third of mandible accompanied by a haematoma in the region of chin. It is caused by the injury of the following artery:

Inferior labial

Facial

Palatine

Mental

Lingual

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As a result of a cold a patient has the abnormal pain and temperature sensitivity of the frontal 2 /3 of his tongue. Which nerve must have been damaged?

Trigeminus

Accessory

Sublingual

Vagus

Glossopharyngeal

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A patient was delivered to a hospital with the fracture of mandible and considerable bleeding in the region of fracture. What artery is likely to be dameged?

Lingual artery

Superior alveolar artery

Inferior alveolar artery

Ascending pharyngeal artery

Ascending palatine artery

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It is required to anaesthetize the right lower molars. The proper injection site for the conduction anaesthesia is:

The gums to the right of mandible

The region of the oval foramen

The region of suborbital foramen

The region of the right mandibular foramen

The region of the right mental foramen

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Trauma of occipital region of head resulted in crack fracture in the region of transverse sinus. What part of occipital bone is damaged?

Proximal

Condyle

Squama

Right lateral

Left lateral

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Examination of a 32-year-old patient revealed disproportional skeleton size, enlargement of superciliary arches, nose, lips, tongue, jaw bones, feet. What gland’s function was disturbed?

Pancreas

Suprarenal

Hypophysis

Epiphysis

Thyroid

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After a trauma of soft tissues in the region of the posterior sorface of medial condyle of humerus a patient has got a skin prickle of medial forearm surface. Which of the listed nerves is located in the affected region?

N.musculocutaneu

N.radialis

N.dorsalis scapularis

N.subscapularis

N.ulnaris

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A boy has fallen down from a tree. Now he finds it difficult to abduct his arm into horizontal position. Which muscle is most likely to be injured?

M.deltoideus

M.coracobrachialis

M.triceps brachii

M.anconeus

M.supinator

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A 60-year-old patient has problems with formation and moving of food mass, it disturbs eating process. His tongue is stiff, speaking is impossible. What nerve is damaged?

IX

VII

V

XI

XII

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A female patient with a tumour of pancreas has developed mechanic jaundice resulting from compression of a bile-excreting duct. Which duct is compressed?

Ductus hepaticus sinister

Ductus hepaticus communis

Ductus hepaticus dexter

Ductus cysticus

Ductus choledochus

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A 28-year-old woman has been diagnosed with extrauterine pregnancy complicated by tha fallopian tube rupture. The blood is most likely to penetrate the following peritoneal space:

Left mesenteric sinus

Right mesenteric sinus

Rectouterine

Vesicouterine

Intersigmoid sinus

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A 35-year-old patient diagnosed with sterility came to gynaecological department for diagnostic biopsy of endometrium. Microscopic examination revealed that mucous membrane is edematous, uterine glands are convoluted and filled with thick secreta. Such changes in the endometrium are caused by excess of the following hormon:

Testosterone

Somatotropin

Progesterone

Estrogen

ACTH

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Wound healing is accompanied by the development of a connective tissue cicatrice which is formed on the site of the tissue defect. What cells are responsible for this process?

Fibrocytes

Mastocytes

Fibroblasts

Melanocytes

Macrophages

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An electron microphotograph of duodenal epithelium clearly shows a cell with electron-dense granules in the basal pole. What cell is it?

Poorly differentiated

Parietal

Goblet

Prismatic with a limbus

Endocrine

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Gastroscopy of a patient revealed lack of mucus coating the mucous membrane. This may be caused by the dysfunction of the following cells of gastric wall:

Endocrinocytes

Cells of prismatic glandular epithelium

Cervical cells

Main exocrinocytes

Parietal cells of gastric glands

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As a result of a development anomaly a newborn has malformation of major salivary glands. This anomaly is caused by the damage of the following embryonal structure:

Entoderm

Splanchnotom

Ectoderm

Somites

Mesenchyme

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During postembryonal haemopoiesis in the red bone marrow the cells of one of the cellular differons demonstrate a gradual decrease in cytoplasmic basophilia as well as an increase in oxyphilia, the nucleus is being forced out. Such morphological changes are typical for the following haemopoiesis type:

Eosinophil cytopoiesis

Lymphopoiesis

Erythropoiesis

Basophil cytopoiesis

Neutrophil cytopoiesis

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Microspecimen of a child’s finger skin reveals subnormal development of epidermis. What embryonic leaf was damaged in course of development?

Mesenchyma

Mesoderm

Ectomesenchyma

Ectoderm

Entoderm

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A microspecimen of heart shows rectangular cells from 50 to 120 mcm large with central position of nucleus, developed myofibrils. The cells are connected by intercalated discs. These cells are responsible for the following function:

Function of impulse conduction

Regeneratory

Endocrine

Function of heart contractions

Protective

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Obliterating atherosclerosis causes changes in the vessels of the lower extermities. A histological specimen of such a vessel evidently presents both internal and external elastic membranes, middle membrane contains a lot of myocytes. What vessel is affected in case of this disease?

Artery of mixed type

Artery of muscular type

Lymph node

Artery of elastic type

Vein with strongly developed muscles

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While a 24-year-old woman was waiting for tooth extraction, tonus of sympathetic part of autonomic nervous system rose. What reaction will the patient display?

Increased frequency of heartbeat

Bronchus constriction

Hypersecretion of digestive juices

Hyperperistalsis

Miotic pupils

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A 30-year-old woman has subnormal concentration of enzymes in the pancreatic juice. This might be caused by the hyposecretion of the following gastrointestinal hormone:

Gastro-inhibiting peptide

Cholecystokinin-pancreozymin

Vaso-intestinal peptide

Somatostatin

Secretin

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A month after surgical constriction of rabbit’s renal artery the considerable increase of systematic arterial pressure was observed. What of the following regulation mechanisms caused the animal’s pressure change?

Noradrenaline

Serotonin

Adrenaline

Vasopressin

Angiotensin-II

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A child has abnormal formation of tooth enamel and dentin as a result of low concentration of calcium ions in blood. Such abnormalities might be caused by deficiency of the following hormone:

Thyroxin

Somatotropic hormone

Parathormone

Thyrocalcitonin

Triiodothyronine

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A man permanently lives high in the mountains. What changes of blood characteristics can be found in his organism?

Increase of erythrocytes number

Decrease of colour index of blood

Decrease of reticulocytes number

Erythroblasts in blood

Decrease of hemoglobin content

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A sportsman was examined after an intensive physical activity. The examination revealed disorder of movement coordination but the force of muscle contractions remained the same. It can be explained by retarded speed of excitement conduction through:

Conduction tracts

Neuromuscular synapses

Afferent nerves

Efferent nerves

Central synapses

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After a tourniquet application a patient was found to have petechial haemorrhages. The reason for it is the dysfunction of the following cells:

Platelets

Neutrophils

Monocytes

Eosinophils

Lymphocytes

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After a hemorrhage into the brainstem a patient has lost reflex of myosis as a reaction to increase of illumination. What structure was damaged?

Vegetative nuclei of oculomotor nerve

Black substance

Medial reticular nuclei

Lateral reticular nuclei

Red nuclei

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A patient under test was subjected to a moderate physical stress. His minute blood volume amounted 10 l/min. What blood volume was pumped through his lung vessels every minute?

4 l/min

7 l/min

10 l/min

6 l/min

5 l/min

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A patient presents with the following motor activity disturbances: tremor, ataxia and asynergia movements, dysarthria. The disturbances are most likely to be localized in:

Medulla oblongata

Brainstem

Cerebellum

Limbic system

Basal ganglions

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The value of basal metabolism of a man under examination exceeds the due value by 8%. This means that the man has the following intensity of energy metabolism processes:

Moderately increased

Considerably decreased

Normal

Considerably increased

Moderately decreased

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A man has a considerable decrease in diuresis as a result of 1,5 l blood loss. The primary cause of such diuresis disorder is the hypersecretion of the following hormone:

Corticotropin

Natriuretic

Cortisol

Vasopressin

Parathormone

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Examination of a child who hasn’t got fresh fruit and vegetables during winter revealed numerous subcutaneous hemorrhages, gingivitis, carious cavities in teeth. What vitamin combination should be prescribed in this case?

Ascorbic acid and rutin

Calciferol and ascorbic acid

Thiamine and pyridoxine

Folic acid and cobalamin

Riboflavin and nicotinamide

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A man is in the state of rest. He has been forcing himself to breath deeply and frequently for 3-4 minutes. What effect will it have upon acid-bace balance of the organism?

Respiratory alkalosis

There will be no change in acid-base balance

Metabolic alkalosis

Respiratory acidosis

Metabolic acidosis

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A 34-year-old patient has low endurance of physical loads. At the same time skeletal muscles have increased concentration of glycogen. This is caused by the reduced activity of the following enzyme:

Glycogen phosphorylase

Glycogen synthase

Glucose-6-phosphate dehydrogenase

Glucose-6-phosphatase

Phosphofructokinase

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A patient has been delivered to a hospital with a provisional diagnosis of progressing muscle dystrophy. This diagnosis can be confirmed by the increased concentration of the following substance found in urine:

Kreatine

Carnosine

Hydroxyproline

Pyruvate

Troponin

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Before the cells can utilize the glucoze, it is first transported from the extracellular space through the plasmatic membrane inside theml. This process is stimulated by the following hormone:

Adrenalin

Aldosterone

Glucagon

Thyroxin

Insulin

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Parodontitis is treated with calcium preparations and a hormone that stimulates tooth mineralization and inhibits tissue resorption. What hormone is it?

Adrenalin

Parathormone

Calcitonin

Thyroxine

Aldosterone

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After implantation of a cardiac valve a young man constantly takes indirect anticoagulants. His state was complicated by hemorrhage. What substance content has decreased in blood?

Heparin

Creatin

Haptoglobin

Ceruloplasmin

Prothrombin

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Chronic overdosage of glucocorticoids leads to the development of hyperglycemia. What process of carbohydrate metabolism is responsible for this effect?

Pentose-phosphate cycle

Glycogenolysis

Gluconeogenesis

Aerobic glycolisis

Glycogenesis

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After prolonged exercising people usually experience intense muscle pain. What is its most likely cause?

Intensified disintegration of muscle proteins

Increased concentratioon of ADP in muscles

Accumulation of lactic acid in muscles

Accumulation of creatinine in muscles

Increased muscle excitability

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A 62-year-old patient with cerebral haemorrhage was admitted to the neurological department in grave condition. Objectively: increase of respiration depth and rate with its following reduction to apnoea, thereafter respiration cycle restores. What respiration type is it?

Cheyne-Stokes

Gasping

Apneustic

Biot’s

Kussmaul’s

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A patient with diabetes mellitus lapsed into diabetic coma as a result of acid-base disbalance. Specify the type of disbalance:

Metabolic alkalosis

Gaseous alkalosis

Respiratory acidosis

Metabolic acidosis

Non-gaseous alkalosis

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An employee was working with radioactive substances and as a result of an incident he was irradiated with 4 Gy. He complains about headache, nausea, di-zzyness. What changes of blood formula can be expected 10 hours after irradiation?

Agranulocytosis

Leukopenia

Neutropenia

Neutrophilic leukocytosis

Lymphocytosis

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A patient with a trigeminus inflammation has been suffering from progressing parodontitis for the last few years. What is the leading factor in the parodontitis development in this case?

Increase of vagus tonus

Neurodystrophical changes in parodentium

Hypoactivity of leukocytic elastase

Hypoactivity of kallicrein-kinin system

Low immunoglobulin production

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After the traumatic tooth extraction a patient is complaining of acute, dull, poorly-localized pain in gingiva, body temperature rise up to 37,5oC. The patient has been diagnosed with alveolitis. Specify the kind of pain in this patient:

Visceral

Protopathic

Heterotopic

Phantom

Epicritic

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A patient with anacydic gastritis has the following blood formula: erythrocytes - 2,5 • 1012/l; Hb - 50 g/l; colour index - 0,6; reticulocytes - 0,02%; microcytosis. What type of anaemia is it?

Protein-deficient

Aplastic

Folic acid-deficient

Hypoplastic

Iron-deficient

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A 50-year-old male patient suffers from chronic bronchitis, complains about dyspnea during physical activity, sustained cough with sputum. After examination he was diagnosed with pulmonary emphysema. This complication is caused by:

Decrease in alveolar ventilation

Decrease in lung compliance

Decrease in lung perfusion

Ventilation-perfusion disbalance

Decrease in lung elasticity

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A patient suffering from chronic myeloleukemia has got the following symptoms of anemia: decreased number of erythrocytes and low haemoglobin concentration, oxyphilic and polychromatophilic normocytes, microcytes. What is the leading pathogenetic mechanism of anemia development?

Chronic haemorrhage

Intravascular hemolysis of erythrocytes

Reduced synthesis of erythropoietin

Substitution of haemoblast

Deficiency of vitamin B12

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Autopsy of a woman with cerebral atherosclerosis revealed in the left cerebral hemisphere a certain focus that is presented by flabby, anhistic, greyish and yellowish tissue with indistinct edges. What pathological process is the case?

Focal encephalitis

Multifocal tumor growth with cystic degeneration

Senile encephalopathy

Ischemic stroke

Multiple foci of fresh and old cerebral hemorrhage

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Examination of a 30-year-old man’s mandible revealed in the region of his molar a dense tumour-like formation that significantly deformed the mandible. Here and there the formation wasn’t fully detached from the bone tissue. Microscopical examination of a tissue sampling revealed that stroma had some cords and follicles with odontogenous cylindric epithelial cells in peripheria and stellate cells resembling of the enamel oragan pulp in the centre. What is the most likely diagnosis?

Ameloblastoma

Adenomatoid tumour

Osteoclastoma

Adenocarcinoma

Primary intraosteal cancer

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Histological examination of a lymph node removed from the posterior triangle of neck of an 18year-old patient revealed some cell agglomerations that included single multinuclear ReedSternberg cells, major Hodgkin’s cells, minor Hodgkin’s cells and many lymphocytes, single plasmatic cells, eosinophils. What is the most likely diagnosis?

Burkitts tumour

Nodular lymphoma

Chronic lymphoid leukosis

Lymphocytic lymphoma

Lymphogranulomatosis

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A female patient suffering from secondary syphilis got foci of skin depi- gmentation in the upper parts of her back. What pathological process is it?

Metaplasia

Leukoderma

Parakeratosis

Leukoplasia

Dysplasia

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A 14-year-old patient has been diagnosed with Hutchinson’s triad: screwdriver-shaped teeth, parenchymatous keratitis and deafness. What disease are these signs typical for?

Lepra

Toxoplasmosis

Opisthorchiasis

Syphilis

Tuberculosis

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Macroscopic examination of lung tissue revealed areas of high airiness with small bubbles, histological examination revealed thinning and rupture of alveolar septa accompanied by formation of large diversiform cavities. What disease was revealed in a lung?

Pulmonary emphysema

Cavernous tuberculosis

Fibrosing alveolitis

Multiple bronchiectasis

Chronic bronchitis

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A 55-year-old man had been suffering from chronic glomerulonephritis. He died from chronic renal failure. Macroscopi-cal examination revealed on the surface of epicardium and pericardium some greyish-white villous depositions. After their removal dilated and plethoric vessels were uncovered. What process took place in the pericardium?

Arterial hyperemia

Organization

Haemorrhagic inflammation

Proliferative inflammation

Fibrinous inflammation

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Autopsy of a man, who died from typhoid fever on the 5th day of disease, revealed the following changes: aggregated follicles of ileum were enlarged and plethoric; they protruded over the mucous membrane, and multiple sulci and convolutions could be seen on their surface. Histological examinatio revealed plethority and edema of tissues, presense of granulomas composed of big cells with light cytoplasm and containing typhoid bacilli. These local changes are compliant with the following period of typhoid fever:

Stage of ulceration

Stage of clean ulcers

Stage of ulcer healing

Stage of medullary swelling

Stage of necrosis

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Autopsy of a man who had tuberculosis revealed a 3x2 cm large cavity in the superior lobe of the right lung. The cavity was interconnected with a bronchus, its wall was dense and consisted of three layers: the internal layer was pyogenic, the middle layer was made by tuberculous granulation tissue and the external one was made by connective tissue. What is the most likely diagnosis?

Fibrous focal tuberculosis

Tuberculoma

Acute focal tuberculosis

Acute cavernous tuberculosis

Fibrous cavernous tuberculosis

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Autopsy of a 68-year-old man who died from chronic cardiac insufficiency revealed deformed, thickened, conjoined cusps of mitral valve. Along the edge of joining there were small (1-2 mm) thrombs. What form of endocarditis caused development of chronic cardiac insufficiency?

Acute verrucous

Recurrent verrucous

Fibroplastic

Polypoulcerous

Diffuse

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A 57-year-old patient experiences periodical uterine haemorrhages. Diagnostic biopsy of lining of uterus has revealed among the blood elements some glandular complexes of different forms and sizes made by atypic cells having hyperchromic nuclei with multiple mitoses (including pathological ones). What is the most likely diagnosis?

Endometritis

Glandular endometrium hyperplasia

Adenocarcinoma

Uterus fibromyoma

Chorioepithelioma

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Autopsy of a man who died from ethylene glycol poisoning revealed that his kidneys are a little bit enlarged, edematic; their capsule can be easily removed. Cortical substance is broad and light-grey. Medullary substance is dark- red. What pathology had this man?

Acute glomerulonephritis

Acute pyelonephritis

Lipoid nephrosis

Acute tubular-interstitial nephritis

Necrotic nephrosis

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Bacterioscopy of nasopharyngeal mucus taken from a 2,5-year-old child with nasopharyngitis revealed grampositive diplococci looking like coffee grains. What organs of the child are most likely to be affected if these microorganisms penetrate the blood?

Brain tunics

Renal glomeruli

Cardiac valves

Lymph nodes

Urogenital tracts

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Histologic analysis of uterus mucous membrane revealed twisting glands, serrated and spinned, they were extended by stroma growth with proliferation of its cells. Formulate a diagnosis:

Glandular hyperplasia of endometrium

Acute endometritis

Cystic mole

Leiomyoma

Placental polyp

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Analysis of sputum taken from a patient with suspected pneumonia revealed rather elongated gram-positive diplococci with somewhat pointed opposite ends. What microorganisms were revealed in the sputum?

Klebsiella pneumoniae

Neisseria meningitidis

Staphylococcus aureus

Neisseria gonorrhoeae

Streptococcus pneumoniae

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Serological diagnostics of infectious diseases is based upon specific interaction with antigenes. Specify the serological reaction that underlies adhesion of microorganisms when they are affected by specific antibodies in presence of an electrolyte:

Hemadsorption reaction

Precipitation reaction

Neutralization reaction

Agglutination reaction

Complement-binding reaction

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The immunoblot detected gp120 protein in the blood serum. This protein is typical for the following disease:

Tuberculosis

Poliomyelitis

HIV-infection

Virus B hepatitis

Syphilis

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A patient of oral surgery department has developed a purulent complication. Bacteriological analysis of the wound discharge allowed to isolate a culture producing a blue-and-green pigment. Which of the listed microorganisms may be a causative agent of the infection?

Proteus vulgaris

Klebsiella pneumoniae

Staphylococcus epidermidis

Bacillus subtilis

Pseudomonas aeruginosa

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Dentists are at increased risk of being infected with the type B hepatitis. What preparation should be used for reliable active prevention of this disease?

Live type B hepatitis vaccine

Recombinant vaccine of HBsAg proteins

Specific immunoglobulin

Monoclonal HBsAg antibodies

Antihepatitis serum

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HIV has gp41 and gp120 on its surface interacts with target cells of an organism. Which of the following human lymphocyte antigens is gp120 complementary bound with?

CD 4

CD 19

CD 28

CD 3

CD 8

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A 65-year-old patient with chronic heart failure has been taking digitoxin in self-administered dosages for a long time. She was admitted to the hospital for general health aggravation, arrhythmia, nausea, reduced diuresis, insomnia. What is the primary action to be taken?

To administer strophanthine intravenously

To withhold digitoxin

To administer digoxin

To give an intravenous injection of calcium gluconate solution

To reduce digitoxin dosage

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A patient has myocardial infarcti- on with thrombosis of the left coronary artery. What pharmocological preparation group should be used to reestablish blood flow?

Glucocorticoids

Angiotensin-converting enzyme inhibitors

a-adrenergic blockers

Narcotic analgesics

Fibrinolysis activators

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For the purpose of disinfection of nonmetallic surgical instruments the formaldehyde solution was used. What group does this anticeptic preparation belong to according to its chemical structure?

Aromatics

Alcohols

Aliphatics

Halogenated compounds

Detergents

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Before the infiltration anaesthesia a patient had been tested for sensitivity to novocaine. The reaction turned out to be positive. Which of the below listed drugs can be used for anaesthetization in this case?

Anesthezin

Procainamide hydrochloride

Trimecaine

Lidocaine

Tetracaine

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A stomatologists examined first-grade pupils and revealed that one of children had yellowish brown teeth, two of them were split. Heretofore the pupil was treated with 'some pills' on account of pneumonia. What medication could have had such a negative effect upon teeth?

Doxycycline

Erythromycin

Biseptol

Oxacillin

Ampicillin

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A patient has a slowly healing fracture. What medicine can be used to accelerate formation of connective tissue matrix?

Prednisolone

Cyclosporine

Methyluracil

Methotrexate

Cyclophosphan

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Leukoses are treated with anti- metabolite methotrexate. What vitamin is its antagonist?

Rutin

Cyanocobalamin

Folic acid

Piridoxine

Phyllochinone

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A patient consulted a dentist about the temporomandibular joint arthritis. The dentist administered an ointment containing diclofenac sodium. What is its mechanism of action?

Opiate receptor block

Cyclooxigenase activation

Phospholipase inhibition

Cyclooxigenase inhibition

Opiate receptor activation

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As a result of a trauma a patient has damaged anterior roots of spinal cord. What structures have been affected?

Peripheral processes of sensitive spinal ganglions

Axons of motoneurons and axons of neurons of lateral horns

Central processes of sensitive neurons of spinal ganglions

Dendrites of neurons of spinal ganglions

Axons of neurons of lateral horns

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A woman who had taken alcohols during her pregnancy had a child with cleft palate and upper lip. These presentations are indicative of some chromosomal anomalies. What process do they result from?

Mutagenesis

Phylogenesis

Carcinogenesis

Teratogenesis

Ontogenesis

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A 67-year-old patient ordered a full functional denture. It was necessary to extract his left upper canine. After infraorbital anaesthesia a patient presented with a progressing haematoma in the frontal part of his face. The patient was found to have an injury of an artery which is the branch of:

A. ophthalmica

A. temporalis superficialis

A. facialis

A. maxillaris

A. labialis superior

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The contents of vesicles that appeared on the mucous membrane of a patient with variola was sent to a virological laboratory. Which of the listed changes were revealed during the smear microscopy?

Babes-Ernst bodies

Syncytium

Babes-Negri bodies

Guarnieri bodies

Paschen bodies

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Examination of a 40-year-old man ill with stenosing (without metastases) esophageal carcinoma revealed the folowing changes: atrophy of skeletal muscles and fatty tissue. His skin is sallow, epidermis is attenuated, heart has grown smaller. Myocardium and liver are brown. What is the most probable diagnosis?

Brown atrophy

Alimentary cachexia

Cancerous cachexia

Myasthenia

Addison’s disease

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While examining a blood smear taken form a patient and stained by Romanovsky’s method a doctor revealed some protozoa and diagnozed the patient with Chagas disease. What protozoan is the causative agent of this disease?

Toxoplasma gondii

Leishmania donovani

Trypanosoma brucei

Trypanosoma cruzi

Leishmania tropica

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A patient underwent esophagogastroduoder Analysis of the biopsy material enabled doctors to diagnose him with heli-cobacteriosis. What property of the bacteria found in this patient had to be obligatory taken into account during their cultivation?

Colonisation of gastral cells

Microaerophilic ability

Presence of six polar flagella

Absence of spores and capsules

Presence of urease

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A 38-year-old man died all of a sudden. Autopsy revealed myocardial infarction in the posterior wall of the left ventricle. What are the most likely alterations in myocardiocyte structure that can be revealed microscopically in the infarction focus?

Karyolysis

Carbohydrate degeneration

Protein degeneration

Calcification

Adipose degeneration

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A patient at the early stage of diabetes mellitus was found to have polyuria. What is its cause?

Hypocholesterolemia

Ketonemia

Hyperglycemia

Hyperkaliemia

Hypercholesterolemia

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An 18-year-old boy applied to a geneticist. The boy has asthenic constitution: narrow shoulders, broad pelvis, nearly hairless face. Evident mental deficiency. The provisional diagnosis was Klinefelter’s syndrome. What method of clinical genetics will enable the doctor to confirm this diagnosis?

Genealogical

Dermatoglyphics

Cytogenetic

Twin study

Population-and-statistical

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During cytoscopy mucous membrane of urinary bladder normally makes folds except for a single triangular area with smooth mucosa. This triangle is located in the following part of urinary bladder:

Bladder body

Bladder cervix

Bladder isthmus

Bladder apex

Bladder floor

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A 67-year-old patient has atherosclerosis of cardiac and cerebral vessels. Examination revealed hyperlipidemia. What class of blood plasma lipoproteids is most important in atherosclerosis pathogenesis?

Chylomicrons

a-lipoproteids

High-density lipoproteids

-

Low-density lipoproteids

‹ Назад

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After a serious psychoemotional stress a 48-year-old patient suddenly developed acute heart ache irradiating to the left arm. Nitroglycerine relieved pain after 10 minutes. What is the leading pathogenetic mechanism of this process development?

Increase in myocardial oxygen consumption

Dilatation of peripheral vessels

Spasm of coronary arteries

Compression of coronary vessels

Obstruction of coronary vessels

‹ Назад

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A comatose patient has been delivered to a hospital. He has a 5-year history of type 2 diabetes mellitus. Objectively: breathing is deep and noisy, there is a smell if acetone around the patient. The concentration of glucose in blood is 15,2 millimole/l, of ketone bodies - 100 micromole/l. These disorders are typical for the following complication of this disease:

Hyperglycemic coma

Hepatic coma

Ketoacidotic coma

Hyperosmolar coma

Hypoglycemic coma

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A 42-year-old patient complains of pain in the epigastral area, vomiting; vomit masses have the colour of 'coffee-grounds', the patient has also melena. Anamnesis records gastric ulcer. Blood formula: erythrocytes - 2,8 • 1012/l, leukocytes - 8 • 109/l, Hb- 90 g/l. What complication is it?

Haemorrhage

Perforation

Canceration

Penetration

Pyloric stenosis

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While under barbituric anaesthesia a 65-year-old male patient developed respiratory inhibition. Anesthesiologist made him a 10 ml intravenous injection of 0,5% bemegride solution. The patient’s condition got better, the pulmonary ventilation volume increased. What phenomenon underlies the interaction of these medi-vcations?

Unilateral antagonism

Direct antagonism

Indirect synergism

Direct synergism

Indirect antagonism

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A blood sample of a pregnant woman was typed. Erythrocyte-agglutination reaction was present with standard sera 0a, ft (I), Ba(lII), reaction was absent with the serum Aft(II). The blood under examination relates to the following group:

0 a, p(I )

-

AB (IV)

Ap(II)

Ba(III)

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After the second abortion a 23-year-old woman has been diagnosed with toxoplasmosis. Which drug should be used for toxoplasmosis treatment?

Acyclovir

Itraconazole

Mebendazole

Co-trimoxazole

Azidothimidine

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After 4 months of treatment for tuberculosis the patient began complaining of toes and fingers numbness, sensation of creeps. He was diagnosed with polyneuritis. What antituberculous drug might have caused these complications?

Alcohol iodine solution

Sodium salt of benzylpenicillin

Rifampicin

Ciprofloxacin

Isoniazid

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As a result of a trauma apatient has developed traumatic shock. The patient is fussy, talkative, pale. AP- 140/90 mm Hg, Ps- 120 bpm. This condition is consistent with the following shock phase:

Terminal

Latent

Torpid

Erectile

-

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According to the phenotypic diagnosis a female patient has been provisionally diagnosed with X-chromosome polysomia. This diagnosis can be confirmed by a cytogenetic method. What karyotype will allow to confirm the diagnosis?

48( XXYY )

46( XX )

47( XXY )

48( XXXY )

47(XXX)

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As a result of a chest trauma the costal cartilage was damaged. The cartilage regenerates due to the following layer of perichondrium:

Sharpey’s fibers

Fibrous

Chondrogenic

Collagen

Elastic

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There is a strict time limit for people to stay at a height of 8000 m above sea level without oxigen cyllinders. Specify the life-limiting factor in this case:

Humidity rate

Rate of ultraviolet radiation

Temperature

Earth gravity

Partial pressure of oxygen in air

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A woman consulted an otolaryngologist about an olfactory disorder. Examination revealed atrophic alterations of regio olfactoria of the nasal cavity mucosa. Where is it located?

In the region of common nasal meatus

In the region of inferior nasal meatus

-

In the region of superior nasal meatus

In the region of median nasal meatus

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A patient with evident pneumosclerosis that developed after infiltrative pulmonary tuberculosis presents with respiratory failure. What is its pathogenetic type?

Obstructive

Restrictive

Apneustic

Disregulative

Reflectory

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Microscopic study of an endocrine gland revealed that its parenchyma consisted of follicular structures. Their wall was formed by monolayer cubic epithelium, and their cavity was filled up with oxyphilic substance. What hormon is secreted by this gland?

Aldosterone

Cortisol

Thyroxin

Parathyrin

Oxytocin

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A patient has been diagnosed with acute glomerulonephritis that developed after he had had streptococcal infection. It is most likely that the affection of basal glomerular membrane is caused by an allergic reaction of the following type:

Stimulating

Immune complex

Anaphylactic

Cytotoxic

Delayed

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A sportsman needs to improve his sporting results. He was recommended a drug containing carnitine. What process is activated by this compound in the first place?

Transport of fatty acids

Transport of amino acids

Transport of glucose

Transport of vitamin K

Transport of calcium ions

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An embryon has signs of disturbed process of dorsal mesoderm segmentation and somite generation. What part of skin is most likely to have developmental abnormalities?

Hair

Epidermis

Sudoriferous glands

Derma

Sebaceous glands

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An elderly patient has chronic constipations induced by large intestine hypotonia. What drug should be administered?

Atropine

Sodium sulphate

Castor oil

Bisacodyl

Novocaine amide

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Morphological examination of an amputated gangrenous extremity revealed that the lumen of femoral artery was constricted due to stony, partly ulcerated plaques with obturating thrombi. What is the most likely diagnosis?

Nodular periarthritis

Atherosclerosis

Non-specific aortoartheriitis

Obliterating thromboangiitis

Obliterating endartheriitis

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Examination of patients with periodontitis revealed the interdependence between the rate of affection of periodontal tissues and the amount of lysozymes in saliva and gingival liquid. These results can be obtained during studying the following protection system of an organism:

Tolerance

Non-specific resistance

Cellular immunity

Humoral immunity

Autoresponsiveness

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Specific prophylaxis involved application of a vaccine containing microorganisms and exotoxin detoxicated by formalin. It relates to the following type of vaccine:

Live

Chemical

Genetically engineered

Anatoxin

Combined

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A 30-year-old driver complains of allergic rhinitis that usually excerbates in spring. He has been administered an antihistamine drug with a slight sedative effect and 24-hour period of action. Which of the listed drugs has been administered?

Oxytocin

Loratadine

Vicasol

Heparin

Dimedrol

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A patient consulted an otolaryngologist about voice changes. Examination revealed a tumour within the posterior part of rima vocalis. This part is located between the following cartilages of larynx:

Cartilago cricoidea

Cartilago thyroidea

Cartilago arytenoidea

Cartilago corniculata

Cartilago cuneiformis

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After restoration of blood circulation in damaged tissue accumulation of lactate comes to a stop and speed of glucose consumption slows down. These metabolic changes are caused by activation of the following process:

Anaerobic glycolysis

Aerobic glycolysis

Gluconeogenesis

Glycogen biosynthesis

Lipolysis

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A patient with epilepsy and depressive reaction has been administered a drug that reduced epilepsy manifestations and improved the patient’s psychic condition.

Amitriptyline

Phenobarbital

Ethosuxemide

Sodium valproate

Phenytoin

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To prevent possible negative effect upon the gastric mucsa a patient with rheumatoid arthritis was administered a nonsteroid anti-inflammatory drug - a COX-2 selective inhibitor. Specify this drug:

Celecoxib

Butadion

Analgine

Acetylsalicinic acid

Ibuprofen

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As a result of dysfunction of protein synthesis in liver a patient with hepatic insufficiency has disturbed synthesis of procoagulants, prothrombin, fibrinogen. Which of the listed syndromes can be expected in this patient?

Portal haemorrhagic syndrome

Cholaemia syndrome

Acholia syndrome

Hepatolienal syndrome

Haemorrhagic

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A patient suffering from non-insulin-dependent diabetes mellitus was prescribed glibenclamid internally. What is the mechanism of its hypoglycemic action?

It stimulates generation of endogenous insulin by beta cells

It intensifies utilization of glucose by peripheral tissues

It inhibits alpha glucosidase and polysaccharide breakdown

It inhibits glucose absorption in the bowels

It inhibits gluconeogenesis in liver

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A man got poisoned with mushrooms. They contain muscarine that stimulates muscarinic cholinoreceptors. What symptom is typical for poisoning with inedible mushrooms?

Heart rate rise

Bronchi dilation

Miosis

Arterial pressure rise

Mydriasis

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A 45-year-old woman has been diagnosed with endemic goiter. What mechanism has caused hyperplasia of thyroid gland in this patient?

Increased hydration of derma and hypodermic cellulose

Increased thyrotropin production

Increased iodine absorption

Increased thyroxine production

Increased catecholamine production

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On examination a male patient was diagnosed with acute radiation dsease. Laboratory examination revealed abrupt decrease in serotonin found in blood platelets. A likely cause of decrease in serotonin concentration would be metabolic imbalance of the following substance:

Tyrosine

5-oxytryptophane

Serine

Phenyl alanine

Histidine

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A 39-year-old man who had been operated for the stomach ulcer died 7 days after the surgery. Autopsy revealed that peritoneal leaves were dull, plephoric, covered with massive yellowgreenish films, the peritoneal cavity contained for about 300 ml of thick yellow-greenish liquid. What pathologic process was revealed in the peritoneal cavity?

Peritoneal commissures

Fibrinous suppurative peritonitis

Serous peritonitis

Fibrinous haemorrhagic peritonitis

Fibrinous serous peritonitis

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A patient was delivered to a hospital after having been exposed to ionizing radiation. He presents with vomiting, anorexia, pain in different region of abdomen, bloody feces, elevation of body temperature, inertness. Such clinical presentations are typical for the following form of acute radiation disease:

Intestinal

Bone-marrow

Combined

Toxemic

Cerebral

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A 60-year-old patient was found to have a dysfunction of main digestive enzyme of saliva. This causes the disturbance of primary hydrolysis of:

Carbohydrates

Cellulose

Proteins

Fats

Lactose

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For infection prevention a patient who underwent appendectomy was prescribed a cephalosporin antibiotic. Antimicrobial activity of these antibiotics is called forth by the disturbance of the following process:

Cholinesterase block

Microbial wall formation

Nucleic acid synthesis

Ribosomal protein synthesis

Energy metabolism

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A patient presented to a hospital with complaints about quick fatigability and significant muscle weakness. Examination revealed an autoimmune disease that causes functional disorder of receptors in the neuromuscular synapses. This will result in the disturbed activity of the following mediator:

Dopamine

Acetylcholine

Noradrenaline

Serotonin

Glycine

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Microscopic examination of a parenchymatous organ revealed that its epithelial cords formed glomerular, fascicular and reticular zones. The central part of the organ was presented by accumulations of chromaffin cells. Specify this organ:

Liver

Thyroid gland

Adrenal gland

Hypophysis

Epiphysis

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A child presents with body shortness, mental deficiency, mongoloid palpebral fissures, epicanthal fold, enlarged grooved tongue protruding from the mouth, high palate, maldentition, diastema, cross stri-ation of lips. What hereditary disease are these presentations typical for?

Down syndrome

Patau’s syndrome

Turner’s syndrome

Edwards’ syndrome

Klinefelter’s syndrome

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A patient has roundish ulcers on his face, inflammation and enlargement of lymph nodes. These symptoms turned up as a result of mosquito bites. Laboratory examination of discharge from the ulcers revealed unicellular aflagellar organisms. What is the most probable diagnosis?

Trypanosomiasis

Toxoplasmosis

Scabies

Myasis

Dermatotropic leishmaniasis

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A 67-year-old patient underwent extraction of a tumour of the right parotid region. Macroscopical examination revealed a soft encapsulated node up to 35 cm in diameter, the tissue was whitish-grey and included many small cysts. Microscopical examination revealed that the duct structures of large diameter were lined with bilayer prismatic epithelium, they had eosinophilic cytoplasm, the duct lumens contained papillary structures, the stroma was infiltrated with lymphocytes, there were some solitary lymphoid follicles. Specify the kind of tumour:

Mucoepidermal tumour

Adenolymphoma

Adenocystic carcinoma

Monomorphic carcinoma

Pleomorphic adenoma

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A histological specimen shows terminal secretory parts of glands made by conic cells with basophilic cytoplasm and a roundish nucleus in the centre. Specify the type of terminal secretory parts by the type of secretion:

Sebaceous

Mucous

Serous

Seromucous

Combined

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An electron microphotograph of an enamel organ shows a prismatic cell with developed granular endoplasmatic reticulum and Golgi complex. The apical part of the cell has Tomes process containing secretory granules and small vesicles. Specify the cell:

Cell of intermediate layer of enamel organ

Secretory active enameloblast

Pre-enameloblast

External cell of an enamel organ

Cell of enamel organ pulp

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Harmful stimulations of tooth ti- ssues resulted in formation of denticle structures along the peripheral zone of pulp. This phenomenon induces the following risk for the tooth:

Loss of enamel regenerability

Loss of cement regenerability

Loss of dentine regenerability

Loss of tooth innervation

Loss of pulp regenerability

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Autopsy of a 75-year-old patient who had been suffering from disseminated atherosclerosis and died under chronic cardiac failure revealed constriction and deformation of coronary arteries, tuberous intima whose section appeared to be white and petrosal. Specify the stage of atherosclerosis morphogenesis:

Lipoidosis

Atheromatosis

Bilipid

Atherocalcinosis

Liposclerosis

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Examination of a bronchial tissue sample revealed atrophy of mucous membrane, cystic degeneration of glands, focal metaplastic changes of lining prismatic epithelial cells into multilayer squamous cells; increase in goblet cell number; in some parts of bronchial wall and especially in the mucous membrane there was marked cellular inflammatory infiltration and growth of granulation tissue bulging into the bronchial lumen in form of a polyp. What is the most likely diagnosis?

Interstitial pneumonia

Acute bronchitis

Lobar pneumonia

Bronchopneumonia

Chronic bronchitis

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In the process of tooth tissue histogenesis dentin wasn’t formed in time for some reasons. What process of further histogenesis will be delayed or will not take place at all?

Pulp formation

Acellular cement formation

Enamel formation

Predentinal space formation

Cellular cement formation

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Osteolaterism is charcterized by a decrease in collagen strength caused by much less intensive formation of crosslinks in collagen fibrils. This phenomenon is caused by the low activity of the followi- ng enzyme:

Monoamino-oxidase

Lysyl hydroxylase

Collagenase

Lysyl oxidase

Prolyl hydroxylase

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A child with renal insufficiency exhibits delayed teeth eruption. This is most likely caused by the abnormal formation of the following substance:

o-ketoglutarate

Hydroxylysine

Glutamate

1,25 (OH)2D3

Glycocyamine

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A histological specimen of ovary cortex shows a follicle with a large cavity. The first-order ovocyte is located in the region of cumulus oophorus, it is surrounded by transparent zone and radiate crown. Specify the type of follicle:

Secondary

Primordial

Tertiary

Primary

Atertiary

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A histological specimen of kidney shows a structure consisting of a glomerulus of fenestrated capillaries and a bilayer epithelial capsule. Specify this structure:

Henle’s loop

Receiving tube

Renal corpuscle

Proximal tubule

Distal tubule

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A 12-year-old child presents with intolerance to some foodstuffs. Their consumption causes an allergic reaction in form of itching skin eruption. What anti-histaminic drug should be administered that won’t have any negative impact on the child’s school studies (with no sleepiness effect)?

Loratadine

Aminophylline

Mesatonum

Sodium diclofenac

Dimedrol

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Далі ›

In the second week of being ill wit viral hepatitis a patient presented with sleep disorder, headache, aggressiveness, unbearable skin itch. Objectively: AP drop, decrease in blood coagulation and reflectory activity, bradycardia. What is the cause of these changes?

Cholemia

Stercobilinemia

Hyperlipemia

Hypercholesterolemia

Urobilinemia

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As a result of a road accident a 26-year-old man is in the torpid phase of shock. Blood count: leukocytes - 3,2 • 109/l. What is the leading mechanism of leukopenia development?

Increased excretion of the leukocytes from the organism

Faulty release of mature leukocytes from the bone marrow into the blood

Leukopoiesis inhibition

Leukocyte destruction in the hematopi-etic organs

Leukocyte redistribution in the bloodstream

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A 5-month-old boy was hospitalized for tonic convulsions. He has a lifetime history of this disease. Examination revealed coarse hair, thinned and fragile nails, pale and dry skin. In blood: calcium - 1,5 millimole/l, phosphor - 1,9 milli-mole/l. These changes are associated with:

Hypoparathyroidism

Hypothyroidism

Hyperparathyroidism

Hyperaldosteronism

Hypoaldosteronism

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A 46-year-old female patient needs a surgery in the maxillofacial region. It is known that the patient is disposed to increased hemocoagulation. What natural anticoagulant can be used in order to prevent thrombosis?

Fibrinolysin

Sodium citrate

Hirudin

Heparin

None of the listed drugs

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A sample taken from the pharynx of a patient with angina was inoculated on the blood-tellurite agar. This resulted in growth of grey, radially striated (in form of rosettes) colonies up to 4-5 mm in diameter. Microscopically there can be seen gram-positive rods with club-shaped ends arranged in form of spread fingers. What microorganisms are these?

Streptococci

Clostridium botulinum

Corynebacteria diphtheriae

Diphtheroids

Streptobacilli

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Далі ›

Cytogenetic examination of a patient with dysfunction of the reproductive system revealed normal karyotype 46,XY in some cells, but most cells have Klinefelter’s syndrome karyotype 47,XXY Such phenomenon of cell inhomogeneity is called :

Mosaicism

Heterogeneity

Duplication

Transposition

Inversion

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An oncological patient had been administered methotrexate. With time target cells of the tumour lost sensitivity to this drug. At the same time the change in gene expression of the following enzyme is observed:

Thiaminase

Dehydropholate reductase

Pholate decarboxylase

Pholate oxidase

Deaminase

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Autopsy revealed that the upper lobe of the right lung was enlarged, grey, airless; surface of incision was dripping with turbid liquid; pleura had a lot of fibrinous plicae. Microscopical examination of alveoles revealed exudate containing neutrophils, desquamated alveolocytes and fibrin fibres. Bronchus wall was intact. What is the most probable diagnosis?

Influenzal pneumonia

Croupous pneumonia

Interstitial pneumonia

Focal pneumonia

Pulmonary abscess

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A patient underwent the extraction of his isuperior medial incisor. It is supplied with blood by the branches of the following artery:

A.alveolaris inferior

A.sphenopalatina

A.buccalis

A.infraorbitalis

A.palatina descendens

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A 35-year-old patient with chronic periodontitis underwent excision of a cyst 3 cm in diameter found at a root of the 15th tooth. Histological examination revealed that it had thin wall formed by mature connective tissue infiltrated by lymphocytes and plasmatic cells. Its internal surface was lined with multilayer pavement epithelium with no signs of keratinization; the cavity contained serous exudate. What is the most likely diagnosis?

Primordial cyst

Cherubism

Follicular ameloblastoma

Follicular cyst

Radicular cyst

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Histological examination of myocardium of a 47-year-old patient with rheumatic heart disease ( section material) revealed some big visually empty vacuoles within the cardiomyocytes. They turn black when stained with osmic acid, and yellow-red when stained with sudan III. What pathological process is it?

Dysproteinosis

Carbohydrate degeneration

Adipose degeneration

Hydropic degeneration

Hyaline drop degeneration

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A patient consulted a dentist about itching and burning in the oral cavity; high temperature. The patient was diagnosed with trichomonal gingivostomatitis. What drug should be chosen for his treatment?

Doxycycline hydrochloride

Metronidazole

Gentamicin sulfate

Ampicillin

Nystatin

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Examination of a patient revealed that dental hypoplasia was caused by hypovitaminosis of vitamins A and D. These vitamins were administered perorally but they didn’t have any medicinal effect. What is the probable cause of disturbed vitamin assimilation?

Hyperchlorhydria

Achylia

Hypochlorhydria

Bile acid deficiency

Achlorhydria

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A 20-year-old patient has multiple yellow-brown and black erosions of tooth enamel. The teeth crumble and break, some of them are decayed. Make a diagnosis:

Fluorosis

Acidic necrosis of teeth

-

Teeth erosion

Deep caries

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A patient suffering form stomatitis was prescribed oral rinsing. Which antiseptic from the oxidant group is the most suitable for this purpose?

Chloramine

Potassium permanganate

Ethyl alcohol

Alcoholic iodine solution

Boric acid

‹ Назад

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In the course of evolution there appeared molecular mechanisms for correction of damaged DNA molecules. This process is called:

Translation

Reparation

Transcription

Replication

Processing

‹ Назад

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When water affects mucous membrane of the inferior nasal meatuses, this causes 'diver reflex' that provokes:

Reflectory hyperpnea

Reflectrory dyspnea

Reflectory apnea

Cough

Bronchospasm

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Далі ›

A 42-year-old woman has been administered propranolol for the ischemic heart disease. Yet she has been found to have a disease in case of which the use of propranolol is contraindicated. What disease is it?

Myasthenia

Cholecystitis

Bronchial asthma

Duodenal ulcer

Arterial hypertension

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Deficiency of linoleic and linolenic acids in an organism induces skin damages, hair loss, slow wound healing, thrombocytopenia, low resistance to infectious diseases. These symptoms are most likely to be caused by the disturbed synthesis of the following substances:

Catecholamines

Interferons

Corticosteroids

Eicosanoids

Interleukins

‹ Назад

Далі ›

A man got into ice-cold water and died soon as a result of abrupt exposure to cold. In such cases an organism loses heat most intensively by the way of:

Convection

Radiation

Heat conduction

Heat conduction and radiation

-

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A woman had taken synthetic hormones during her pregnancy. Her newborn girl presents with excessive hairiness which has formal resemblance to adrenogenital syndrome. This sign of variability is called:

Phenocopy

Mutation

Replication

Recombination

Heterosis

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Microelectrode technique allowed to register a potential following 'all-or-none' law and being able of undecremental spreading. Specify this potential:

Rest potential

Inhibitory postsynaptic potential

Receptor potential

Excitatory postsynaptic potential

Action potential

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A patient has been diagnosed with transmural myocardial infarction. What drug should be given in order to prevent cardiogenic shock?

Phentolamine

Analgin

Reserpin

Octadine

Promedol

‹ Назад

Далі ›

A woman with A (II), Rh-negative blood had a child with B (III), Rh-positive blood. The child was diagnosed with congenital anaemia of newborns. What is the most likely cause of its development?

Intrauterine infection

Rhesus incompatibility

Intrauterine intoxication

Hereditary chromosomal pathology

AB0-incompatibility

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Далі ›

Skin of patients with pigment xeroderma is very sensitive to the sun radiation, there is a risk of skin cancer development. The reason for this is hereditary deficiency of UF-endonuclease. As a result of this defect the following process is disturbed:

Translation

DNA replication

DNA reparation

Transcription

Initiation

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Далі ›

After a surgery on thyroid gland a patient complains of hoarse voice. What nerve has been damaged during the surgery?

N. laryngeus superior

N. glossopharyngeus

N. laryngeus reccurens

N. hypoglossus

N. accessorius

‹ Назад

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A group of students who were climbing up a mountain presented with euphoria, tachypnea, tachycardia. Specify the immediate reason for hypocapnia accompanying mountain sickness:

Anaemia

Erythrocytosis

Decrease in respiration depth

Increase in respiration rate and depth

Increase in heart rate

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Examination of a patient revealed II grade obesity. It is known that he consumes a lot of sweets and rich food, has sedentary way of life. That’s why anabolic metabolism has the priority in his organism. Which of the following pathways is amphibolic?

Fatty acids oxidation

Cycle of tricarboxylic acids

Lipolysis

Glycolysis

Glyconeogenesis

‹ Назад

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A few days before an operation a patient should be administered vitamin K or its synthetic analogue Vicasol. Vitamin K takes part in the following posttranslational modification of the II, VII, IX, X blood clotting factors:

Carboxylation

Deamination

Decarboxylation

Transamination

Glycosylation

‹ Назад

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A patient who abuses smoking has chronic bronchitis. Biopsy of his primary bronchus revealed multilayer pavement epithelium. What pathological process was revealed in the bronchus?

Metaplasia

Reparative regeneration

Hyperplasia

Physiological regeneration

Dysplasia

‹ Назад

Далі ›

A 67-year-old patient complains of periodic heart ache, dyspnea during light physical activities. ECG reveals extraordinary contractions of heart ventricles. Such arrhythmia is called:

Flutter

Tachycardia

Fibrillation

Bradycardia

Extrasystole

‹ Назад

Далі ›

A patient with ischemic heart disease has been administered an anti-anginal drug that reduces the myocardial oxygen consumption and improves blood supply of myocardium. What drug is it?

Nitroglycerine

Retabolil

Validol

Propranolol

Promedol

‹ Назад

Далі ›

There was a record of some anthrax cases among animals in a countryside. The spread of disease can be prevented by means of immunization. What kind of vaccine should be used?

BCG vaccine

Salk vaccine

STI live vaccine

Sabin’s vaccine

Diphteria and tetanus toxoids and pertussis vaccine

‹ Назад

Далі ›

An infectious disease unit admitted a patient with signs of jaundice caused by hepatitis virus. Select an indicator that is specific only for parenchymatous jaundice:

Increase in ALT and AST rate

Urobilinuria

Cholaemia

Hyperbilirubinemia

Bilirubinuria

‹ Назад

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A patient presents with dysfunction of cerebral cortex accompanied by epileptic seizures. He has been administered a biogenic amine synthetized from glutamate and responsible for central inhibition. What substance is it?

Acetylcholine

Histamine

Gamma-amino butyric acid

Dopamine

Serotonin

‹ Назад

Далі ›

Toxic affection of liver results in dysfunction of protein synthesis. It is usually accompanied by the following kind of dysproteinemia:

Absolute hyperproteinemia

Relative hypoproteinemia

Relative hyperproteinemia

Absolute hypoproteinemia

Paraproteinemia

‹ Назад

Далі ›

Examination of duodenal contents revealed some pyriform protozoa with twin nuclei and four pairs of flagella. There were two supporting filaments between the nuclei and a suctorial disc on the ventral side. What representative of protozoa was revealed in this patient?

Lamblia

Intestinal trichomonad

Trypanosome

Toxoplasma

Leishmania

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A patient complains of difficulty in closing of jaws during chewing. He has been found to have atrophy of masticatory muscles. This indicates the dysfunction of the following nerve:

N. ophthalmicus

N. facialis

N. trigeminus

N. vagus

N. glossopharyngeus

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A 30-year-old comatous patient with type I diabetes mellitus had been admitted to a hospital. Laboratory tests revealed hyperglycemia, ketonemia. Which of the following metabolic disorders might be found in this patient?

Metabolic acidosis

Normal acid-base state

Respiratory acidosis

Metabolic alkalosis

Respiratory alkalosis

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In order to prevent wound infection associated with surgical procedures a patient was given a synthetic antiprotozoan drug with a high activity against Helicobacter pylori. Specify this drug:

Acyclovir

Isoniazid

Chingamin

Doxycycline hydrochloride

Metronidazole

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In order to prevent massive haemorrhage in the region of oral cavity floor it is required to ligate an artery which is located within Pirogov’s triangle. What artery is it?

Ascending pharyngeal artery

Superior thyroid artery

Facial artery

Maxillary artery

Lingual artery

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A shepherd who has tended sheep together with dogs consulted a doctor about pain in his right subcostal area, nausea, vomiting. Roentgenoscopy revealed a tumour-like formation. What kind of helminthiasis might be suspected?

Taeniasis

Echinococcosis

Ascaridiasis

Taeniarhynchosis

Enterobiasis

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Roentgenologically confirmed obstruction of common bile duct resulted in preventing bile from inflowing to the duodenum. What process is likely to be disturbed?

Hydrochloric acid secretion in stomach

Salivation inhibition

Fat emulgation

Carbohydrate hydrolysis

Protein absorption

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For relief of hypertensive crisis a doctor administered a patient a drug that apart from antihypertensive effect has also sedative, spasmolytic and anticonvulsive effect. The drug was taken parenterally. When it is taken enterally it acts as a laxative and cholagogue. What drug was administered?

Reserpine

Apressin

Magnesium sulfate

Dibasolum

No-spa

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A patient with chronic bronchitis has been administered an expectorant that disintegrates disulphide bonds of sputum glycosaminoglycan thus reducing its viscosity. The patient has been also warned about possible bronchospasm. What drug has been administered?

Libxine

Thermopsis herb

Sodium hydrocarbonate

Bromhexine

Acetylcysteine

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A patient with diabetes mellitus complicated by angiopathy has been recommended a drug which is a sulphonyl urease derivate of the second generation. It improves microcirculation and is known for its relatively good tolerance. What drug is it?

Acarbose

Insulin

Adrenalin

Glibutidum

Glibenclamide

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A patient in grave condition has been deliveredf to the admission ward. Examination revealed pupil mydriasis, no reaction to the light, considerable reddening and dryness of skin and mucous membranes. What drug might have caused the intoxication symptoms?

Proserin

Pilocarpine hydrochloride

Dithylinum

Atropine sulphate

Adrenalin hydrochloride

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A cell of granular endoplasmatic reticulum is at the stage of translation, when mRNA advances to the ribosomes. Amino acids get bound by peptide bonds in a certain sequence thus causing polypeptide biosynthesis. The sequence of amino acids in a polypeptide corresponds with the sequence of:

tRNA nucleotides

mRNA codons

tRNA anticodons

rRNA nucleotides

rRNA anticodons

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A 26-year-old pregnant woman is under treatment at an in-patient hospital. After a continuous attack of vomiting she was found to have reduced volume of circulating blood. What kind of change in general blood volume is the case?

Polycythemic hypervolemia

Polycythemic hypovolemia

Oligocythemic hypovolemia

Simple hypovolemia

Oligocythemic hypervolemia

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A 32-year-old patient who lives in the countryside consulted a doctor about a painful swelling and a fistula in the submandibular region. Examination revealed an infiltration with a fistula discharging thick pus and containing white granules. On dissection the infiltration tissues turned out to be dense, yellow-green and had honeycomb structure because of multiple abscesses. What is the most likely diagnosis?

Syphilis

Tuberculosis

Lepra

Submandibular abscess

Actinomycosis

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A 45-year-old male died from disseminated tuberculosis. On autopsy the symptoms of tuberculosis were confirmed by both microscopical and histological analyses. All the affected organs had epithelioid cell granulomas with caseous necrosis in the centre. What kind of hypersensitivity reaction underlies the process of granuloma development?

Immune complex

Anaphylactic

Complement-dependent cytotoxicity

Antibody-dependent cytotoxicity

Delayed

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A patient with a fracture of mandibular angle has been admitted to a hospital. A haematoma in the region of the fracture usually results from the injury of the following artery:

Facial

Lingual

Internal carotid

Maxillary

Inferior alveolar

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Preventive examination of a 55-year-old patient revealed type II diabetes mellitus. An endocrinologist revealed an increase in body weight and liver enlargement. The man is nonsmoker and doesn’t abuse alcohol but likes to have a good meal. Histological examination by means of diagnostic liver puncture revealed that the hepatocytes were enlarged mostly on the lobule periphery, their cytoplasm had transparent vacuoles showing positive reaction with sudan III. What liver pathology was revealed?

Acute viral hepatitis

Chronic viral hepatitis

Alcohol hepatitis

Fatty hepatosis

Portal liver cirrhosis

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An oral surgery unit admitted a woman with a phlegmon on the anterior surface of neck in the region of carotid triangle. What muscle demarcates the posterior wall of this triangle?

Sternothyroid

Thyrohyoid

Omohyoid

Sternohyoid

Sternocleidomastoid

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In order to fix dislocated mandible it is necessary to pull it down. What anatomic structure requires this action?

Condylar process of mandible

Articulate tubercule of temporal bone

Mandibular incisure

Coronal process of mandible

Mandibular fossa of temporal bone

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A worker of a cattle farm consulted a surgeon about fever up to 40oC, headache, weakness. Objective examination of his back revealed hyperaemia and a dark red infiltration up to 5 cm in diameter with black bottom in the centre and some pustules. What disease are these presentations typical for?

Abscess

Furuncle

Anthrax

Plaque

Tularemia

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After a car accident a patient has been diagnosed with a fracture of spine. He is unable to move his lower extremities. This form of motor disorder is called:

Paresis

Quadriplegia

Paralysis

Paraplegia

Hemiplegia

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In course of an experiment researchers stimulate a branch of a sympathetic nerve that innervates heart. What changes in cardiac activity should be registered?

Increase in heart rate and heart force

Increase in arterial pressure

Increase in heart rate

Increase in heart force

Decrease in heart force

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