Krok Medicine. 2005 icon

Krok Medicine. 2005




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Krok 1. Medicine. 2005

1 A 25-year-old woman with red and itchy eczematoid dermatitis visits your office. She had a dental procedure one day earlier with administration of a local anesthetic. There were no other findings, although she indicated that she had a history of allergic reactions. Which of the following drugs is most likely involved?

A. Procaine

B. Bupivacaine

C. Lidocaine

D. Etidocaine

E. Cocaine


2 After the trauma, the patient’s right n.vagus was damaged. Which violation of the cardiac activity is possible in this case?

A. Violation of a conductivity in the right auricle

B. Violation of the automatism of a atrio-ventricular node

C. Block of a conductivity in the atrio-ventricular node

D. Arrhythmia

E. Violation of the automatism of a Kiss-Fleck node


3 Some diseases reveal symptoms of aldosteronism with hypertension and edema due to sodium retention in the organism. What organ of the internal secretion is affected on aldosteronism?

A. Hypophysis

B. Testicle

C. Ovaries

D. Pancreas

E. Adrenal glands


4 A patient complains of frequent and difficult urination. Imperfection of what formation can cause it?

^ A. Bulb-uretic glands

B. Prostate

C. Testicles

D. Testicle adnexa

E. Sperm bubbles


5 On autopsy of a still-born infant abnormalities have been revealed: ventricles are not separated, a single arterial trunk originates from the right part. For what class of vertebrates is such heart construction characteristic?

A. Fishes

B. Birds

C. Mammals

D. Amphibian

E. Reptiles


6 A 22-year-old patient was admitted to the hospital with complaints of heavy nasal breathing. During the examination of her nasal cavity the doctors found thickened mucous membrane, a lot of mucus and nodular infiltrates without erosions in the nose.The nasal rhinoscleroma was diagnosed. The biopsy was taken. What typical morphological changes may be found?

^ A. Granulomas with Langhan’s cells

B. Granulomas with Mikulicz’s cells

C. Granulomas with Virchow’s cells

D. Granulomas with foreign body cells

E. Interstitial inflammation


7 A 46 year-old patient has complained of headache, fatigue, thirst, pains in the spine and joints for the last 2 years. Clinically observed disproportional enlargement of hands, feet, nose, superciliary arches. He notes that he needed to buy bigger shoes three times. What is the main reason of such disproportional enlargement of different parts of the body?

^ A. Increased sensitivity of the tissues to growth hormone

B. Joints dystrophy development

C. Joints chronic inflammation development

D. Increased sensitivity of the tissues to insulin

E. Cartilaginous tissue proliferation under growth hormone influence


8 Autopsy of the 58-year-old man hads revealed that mitral valve is deformed, thickened, does not totally close. Microscopically: centers of collagen fibers are eosinophilic, have positive fibrin reaction. The most probable diagnosis is:
^

A. Fibrinoid inflammation


B. Amyloidosis

C. Mucoid swelling

D. Fibrinoid swelling

E. Hyalinosis


9 Ovarian tumour was diagnozed in a woman. Surgery should be perfomed. What ligament should be extracted by the surgeon to disconnect the ovary and the uterus?

  1. Broad ligament of uterus

  2. Suspensory ligament of ovary

  3. Lateral umbilical ligament

  4. Round ligament of uterus

E. The ovarial ligament


10 The reason of occurrence of some diseases of an oral cavity is connected with structural peculiarities of its mucous membrane. What morphological attributes characterize these features?

  1. Transitional epithelium, no muscularis mucosa

  2. Well developed muscularis, no submucosa

  3. Transitional epithelium, no submucosa

  4. No muscularis mucosa, stratified squamous epithelium

E. Simple columnar ciliated epithelium


11 There is an inhibited coagulation in the patients with bile ducts obstruction, bleeding due to the low level of absorbtion of a vitamin. What vitamin is in deficiency?

  1. К

  2. Е

  3. D

  4. А

E. Carotene


12 The calcium canals of cardiomyocytes have been blocked on an isolated rabbit's heart. What changes in the heart's activity can happen as a result?

  1. Decreased force of the contraction

  2. Decreased heart beat rate

  3. Decreased rate and force of heart beat

  4. Heart stops in diastole

E. Heart stops in systole


13 During the breakout of acute respiratory infection in order to diagnose influenza the express-diagnosis, based on revealing of specific viral antigen in the examined material (nasopharyngial lavage), is carried out. Which reaction is used for this?
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