A. Intensification of respiratory ferment icon

A. Intensification of respiratory ferment

Скачати 233.1 Kb.
НазваA. Intensification of respiratory ferment
Розмір233.1 Kb.
  1   2   3

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

A. Intensification of respiratory ferment

B. Inhibition of respiratory ferment synthesis

C. Specific binding of active centres of respi­
ratory ferments

D. Disjunction, oxydation and phosphorilati-

E. Competitive inhibition of respiratory

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

A. Bacteriological*

B. Allergic

C. Serological

E. Bacterioscopic

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

A. Reduced synthesis of albumins*

B. Reduced synthesis of hemoglobin

C. Reduced synthesis of glycoproteins

D. Reduced synthesis of globulins

E. Reduced synthesis of lipoproteins

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

A. Hydradenoma

B. Epidermal cancer*

C. Trichoepithelioma

D. Basalioma

E. Syringoadenoma

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

most probable diagnosis?

A. Rubella

B. Scarlet fever*

C. Infectious mononucleosis

D. Whooping cough

E. Diphtheria

6. A 45 y.o. woman suffers from Cushi-
ng's syndrome - steroid diabetes. Biochemi­
cal examination revealed: hyperglycemia,
hypochloremia. Which of the under­
mentioned processes is the first to be acti­

A. Gluconeogenesis*

B. Glycolysis

C. Glycogenolysis

D. Glucose transport to the cell

E. Glucose reabsorption

7. Examination of an isolated cardiomyocyte
revealed that it didn't generate excitation
impulses automatically. This cardiomyocyte
was obtained from:

A. Sinoatrial node

B. Purkinje's fibers
, C. Ventricles*

D. Atrioventricular node

E. His' bundle

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

A. Insulin

B. Glucagon

C. Thyroxin*

D. Cortisol

E. Somatotropin

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

A. Medial nuclei of reticular formation

B. Quadritubercular bodies

C. Black substance

D. Red nuclei

E. Vestibular nuclei*

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

A. Aedes

B. Mansonia

C. Culex

D. Culiseta

E. Anopheles*

11. A 35 y.o. patient who often consumes

alcohol was treated with diuretics. There appeared serious muscle and heart weakness, vomiting, diarrhea, AP- 100/60 mm Hg, depression. This condition is caused by intensified excretion with urine of:

A. Potassium*

B. Phosphates

C. Chlorine

D. Sodium

E. Calcium

12. On the 6th day of treatment a pati­
ent with acute renal insufficiency developed
polyuria. Diuresis intensification at the begi­
nning of polyuria stage of acute renal insuffi­
ciency is caused by:

A. Growth of natriuretic factor

B. Reduction of aldosteron content in plasma

C. Reduction of vasopressin content in

D. Renewal of filtration in nephrons*

E. Volume expansion of circulating blood

13. Osmotic pressure of a man's blood
plasma is 350 mosmole/1 (standard pressure
is 300 mosmole/1). First of all it will result in
high secretion of the following hormone:

A. Vasopressin*

B. Adrenocorticotropin

C. Cortisol

D. Natriuretic

E. Aldosteron

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

A. Middle cerebral artery*

B. Anterior communicating artery

C. Anterior cerebral artery

D. Basilar artery

E. Posterior cerebral artery

15. A 32 y.o. man is tall, he has gynecomastia,
adult woman pattern of hair distribution, hi­
gh voice, mental deficiency, sterility. Provisi­
onal diagnosis is Klinefelter's syndrome. In
order to specify diagnosis it is necessary to

A. Leukogram

B. Genealogy

C. Blood group

D. Spermatogenesis

E. Caryotype*

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

A. Ethionamide

B. Isoniazid*

C. Ethoxide

D. Sulfalen

E. Cyclocerine

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

A. HIV infection

B. Being infected with HBV

C. Having had AIDS recently*

D. Being ill with AIDS

E. HBV persistence

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

A. Operon repression

B. Operon depression

C. Reverse transcription*

D. Convariant replication

E. Reverse translation

19. A patient is ill with diabetes mellitus that
is accompanied by hyperglycemia of over 7,2
millimole/1 on an empty stomach. The level
of what blood plasma protein allows to esti­
mate the glycemia rate retrospectively (4-8
weeks before examination)?

A. Ceruloplasmin

B. Glycated hemoglobin*

C. Fibrinogen

D. Albumin

E. C-re active protein

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

A. Synthesis of ketone bodies

B. Synthesis of steroid hormones

C. Tissue respiration

D. Fatty acids transport to mitochondrions*

E. Synyhesis of lipids

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

A. Tetracycline

B. Monomycin

C. Metronidazole*

D. Erythromycin

E. Chingamin

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

A. Expiratory reserve volume

B. Functional residual capacity

C. Residual volume

D. Vital lung capacity

E. Respiratory volume

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

A. Sertoli's cells

B. Leidig cells*

C. Sustentocytes

D. Spermatozoa

E. Supporting cells

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

A. To isolate the boy temporarily from his

B. To perform serodiagnostics of tuberculosis

C. To perform BCG vaccination*

D. To perform rapid Price diagnostics 7| yfy

E. To repeat the reaction in a month

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

A. Brain edema

B. Brain abscess

C. Hemorrhage

D. Hemorrhagic infarction

E. Ischemic stroke*

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

A. Fatty parenchymatous degeneration*

B. Hyaline degeneration

C. Carbohydrate degeneration

D. Fatty vascular-stromal degeneration

E. Amyloidosis

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

A. Ribosomes*

B. Golgi apparatus

C. Agranular endoplasmic reticulum <

D. Cell centre

E. Lysosomes

28. 48 hours after performing tuberculin
test (Mantoux test) to a child a 10
mm papule appeared on the spot of
tuberculin introduction. What hypersensi-
tivity mechanism underlies these changes?

A. Antibody-dependent cytotoxicity*

B. Granulomatosis

C. Cellular cytotoxicity

D. Immune complex cytotoxicity

E. Anaphylaxis

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

A. Functional cumulation

B. Tachyphylaxis

C. Habituation

D. Sensibilization

E. Material cumulation*

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

A. Aminoacid activation

B. Translation*

C. Termination

D. Replication

E. Transcription

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

A. Roentgenoscopy

B. Duodenal contents analysis

C. Scraping from perianal folds*

D. Immune diagnostics

E. Biopsy of muscle tissue

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

A. Genomic mutations

B. Crossingover

C. Gene mutation*

D. Transduction

E. Disturbance of mechanisms of genetic
information realization

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

A. Thiamine chloride

B. Tocopherol acetate

C. Retinol acetate*

D. Vicasol

E. Pyridoxine

34. A patient presents high activity of
LDi/12, aspartate aminotransferase, creati-
ne phosphokinase. In what organ (organs) is
the development of a pathological process
the most probable?

A. In the heart muscle (initial stage of
myocardium infarction)*

B. In skeletal muscles (dystrophy, atrophy)

C. In kidneys and adrenals

D. In liver and kidneys

E. In connective tissue

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

A. Thiamine*

B. Pyridoxine

C. Ascorbic acid

D. Folic acid

E. Riboflavin

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

A. Ulcerous

B. Purulent

C. Necrotic •

D. Fibrinous

E. Catarrhal*

37. A 70 y.o. man has cut an abscess off
in the area of mammiform process duri­
ng shaving. Two days later he was admi­
tted to the hospital with inflammation of
arachnoid membranes. How did the infecti­
on penetrate into the cavity of skull?

A. V.v.auriculares

B. V.v.labyrinthi

C. V.facialis

D. V.v .tympanicae

E. V.emissariae mastoideae*

38. 24 hours after appendectomy blood of a
patient presents neutrophilic leukocytosis
with regenerative shift. What is the
most probable mechanism of leukocytosis

A. Amplification of leucopoiesis*

B. Decelerated leukocyte destruction

C. Redistribution of leukocytes in the organi­

D. Deceleratied emigration of leukocytes to
the tissues

E. Amplification of leukopoiesis and
decelerated emigration of leukocytes to
the tissues

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

A. Phenylketonuria

B. Galactosemia

C. Gout

D. Tay-Sachs disease*

E. Wilson disease

40. A group of mountain climbers went
through the blood analysis at the height of
3000 m. It revealed decrease of ^ HCO^ to 15
micromole/1 (standard is 22-26 micromole/1).
What is the mechanism of HCO3 decrease?

A. Hypoventilation

B. Intensification of acidogenesis

C. Hyperventilation*

D. Decrease of bicarbonate reabsorption in

E. Decrease of ammoniogenesis

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

A. Infarction

B. Dry gangrene

C. Moist gangrene*

D. Bedsore

E. Sequestrum

42. Power inputs of a boy increased from 500
to 2000 kJ pro hour. What can be the cause
of it?

A. Food intake

B. Raise of outer temperatute

C. Mental activity

D. Transition from sleep to wakefulness

E. Physical exercise*

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

A. Potassium permanganate*

B. Chlorhexidine

C. Sodium bicarbonate

D. Boric acid

E. Furacilin

44. Bacteriological examination of a patient
with food poisoning required inoculation of
a pure culture of bacteria with the following
properties: gram-negative movable bacillus
that grows in the Endo's medium in form of
colourless colonies. A representative of whi­
ch species caused this disease?

A.^ E sherichia

B. Salmonella*

C. Shigella

D. Citrobacter

E. Iersinia

45. A lymph node punctate of a patient wi­
th suspected protozoal disease was exami­
ned. Examination of the stained speci­
men (Romanovsky's stain) revealed some
crescent bodies with pointed end, blue
cytoplasm and red nucleus. What protozoan
were revealed in the smears?

A. Viscerotropic leishmania

B. Toxoplasms

C. Trypanosomes*

D. Malarial plasmodiums

E. Dermotropic leishmania

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

A. Decrease of hematocrit

B. Increase of hematocrit

C. Decrease of ESR*

D. Hypercoagulation

E. Increase of ESR

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

A. Accidental involution

B. Atrophy

C. Dystrophy

D. Hypotrophy

E. Age involution*

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

A. Facial artery

B. Dorsal lingual artery

C. Ascending pharyngeal artery

D. Lingual artery*

E. Deep lingual artery

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

A. Osseous plate

B. Metaphyseal plate*

C. Osteon

D. Osseous cuff

E. Layer of interior general plates

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

A. Triceps muscle of crus

B. Long extensor muscle of toes

C. Long peroneal*

D. Short peroneal

E. Anterior tibial

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

A. Deep femoral artery*

B. Deep external pudendal artery

C. Descending genicular artery

D. Superficial circumflex artery of hip bone

E. Superficial epigastric artery

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

A. Immediate hypersensitivity

B. Granulomatosis

C. Reaction of transplantation immunity

D. Delayed-type hypersensitivity*

E. Normergic reaction

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

A. Acute abscess

B. Empyema*

C. Phlegmon

D. Fibrinous inflammation

E. Chronic abscess

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

A. Hypoglycemic coma

B. Acute heart failure

C. Anaphylactic shock

D. Hyperglycemic coma*

E. Acute alcoholic intoxication

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

A. Of bile pigments

B. Of sodium ions

C. Of bile acids*

D. Of lipolytic enzymes

E. Of liposoluble vitamins

56. An injured man has bleeding from
branches of carotid artery. For a temporary

arrest of bleeding it is necessary to press the carotid artery to the tubercle of a cervical vertebra. Which vertebra is it?

A. VI*



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

A. Typhoid fever recurrence

B. Being a potential carrier of typhoid bacilli*

C. Being ill with acute typhoid fever

D. Incubation period of typhoid fever

E. Reconvalescence of a patient ill with
typhoid fever

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

A. Decrease of natural killer cell rate

B. Decrease of T-lymphocytes rate*

C. Insufficiency of effector cells of humoral

D. Decrease of B-lymphocytes rate

E. Decrease of complement system rate

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

A. Oxytocin

B. Corglycon

C. Furosemide

D. Pancreatine

E. Glibenclamid*

60. In order to estimate toxigenity of di­
phtheria 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 moi­
stened 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?

A. Opsonization reaction

B. Coomb's test

C. Agglutination reaction

D. Rings precipitation reaction

E. Precipitation gel reaction*


61. A woman with /// (B), Rh blood group
born a child with // (A) blood group. The
child is diagnosed with hemolytic disease of
newborn as a result of rhesus incompatibi­
lity. What blood group is the child's father
likely to have?

A. / (0), Rh+

B. /// (B), Rh+

C. / (0), Rfr

D. // (A), Rh~

E. // (A), Rh+*

62. A 12 y.o. boy who suffers from bronchial
asthma has an acute attack of asthma: evi­
dent expiratory dyspnea, skin pallor. What
type of alveolar ventilation disturbance is it?

A. Central

B. Neuromuscular

C. Throracodiaphragmatic

D. Restrictive

E. Obstructive*

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

A. Microsomal oxydation

B. Formation of paired compounds

C. Desamination

D. Decarboxylation*

E. Transamination

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

A. To the orbit

B. To the subgaleal temporal space

C. To the tympanic cavity

D. To the interpterygoid space*

E. To the frontal sinus

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

A. 60 B.90 C.50 D.80 E.70*

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


B. Thyroid hormones

C. Aldosterone

D. Glucocorticoids

E. Catecholamines*

67. Mucous membrane of the right palati­
ne tonsil has a painless ulcer with smooth
lacquer fundus and regular cartilagenous
edges. Microscopically: inflammatory infi­
ltration that consists of lymphocytes,
plasmocytes, a small number of neutrophi-
ls and epithelioid cells; endovasculitis and
perivasculitis. What disease is it?

A. Actinomycosis

B. Pharyngeal diphtheria

C. Ulcerous necrotic Vincent's angina

D. Tuberculosis

E. Syphilis*

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

A. Passive hemagglutination*

B. Bordet-Gengou test

C. Hemolysis

D. Precipitation

E. Bacteriolysis

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

A. Fibrous cavernous tuberculosis*

B. Tuberculoma

C. Acute focal tuberculosis

D. Caseous pneumonia

E. Acute cavernous tuberculosis

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

A. Forced expiration

B. Quiet inspiration

D. Quiet expiration*

E. Forced inspiration

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

A. Serologi'caf identification

B. Microscopical examination

C. Phagotyping*

D. Biochemical identification

E. Estimation of antibiotic susceptibility

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

A. His' bundle

B. Purkinje's fibers

C. His' bundle branches

D. Sinoatrial node

E. Atriventricular node*

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

A. Disturbed neutralization of ammonia in

B. Inhibition of transamination enzyms

C. Increased putrefaction of proteins in

D. Activation of aminoacid decarboxylation

E. Disturbed neutralization of biogenic

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

A. Spastic peripheral

B. Spastic central

C. Extrapyramidal

D. Flaccid peripheral

E. Flaccid central*

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

A. Fibrinoid swelling*

B. Fibrinous inflammation

C. Hyalinosis

D. Mucoid swelling

E. Amyloidosis

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

A. Middle lobe

^ B. Bronchopulmonary segment*

C. Superior lobe

D. Inferior lobe

E. Pulmonary lobule

77. Vitamin A deficit results in the impai­
rment of twilight vision. Name the cells that
have the above-mentioned photoreceptor

A. Ganglion neurocytes

B. Rod receptor cell*

C. Cone receptor cells

D. Horizontal neurocytes

E. Bipolar neurons

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

A. Gangrenous

B. Ulcerophlegmonous

C. Apostematous

D. Superficial

E. Phlegmonous*

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

A. Proserin

B. Atropine*

C. Propranolol

D. Adrenaline

E. Salbutamol

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

A. Folic acid deficit

B. Iron deficit

C. Reduced synthesis of erythropoietins*

D. Vitamin B12 deficit

E. Enhanced destruction of erythrocytes

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

A. Cryptorchism

B. Epispadia

C. Monorchism

D. Hermaphroditism

E. Hypospadia*

82. A patient ill with collagenesis has
been taking prednisolone for a long time.
Hypokaliemia development caused spastic

pain of skeletal muscles. What medication should be used in order to correct potassium exchange?

A. Dithylinum

B. Panangin*

C. Thyrocalcitonin

D. Diazepam

E. Noshpa

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

A. Estimation of proteolytic properties

B. Estimation of urease activity

C. Estimation of cystinous activity

D. Estimation of ability to decompose starch

E. Estimation of toxigenic properties*

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

A. ^ Leptospira interrogans*

B. Bartonella bacilloformis

C. Calyrnmatobacterium granulomatis

D. Rickettsia mooseri

E. Borrelia dutlonii

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

A. Methionine

B. Thyrosine*

C. Galactose

D. Tryptophane

E. Cholesterine

86. 12 hours after an accute attack of
retrosternal pain a patient presented a jump
of aspartate aminotransferase activity in
blood serum. What pathology is this devi­
ation typical for?

A. Myocardium infarction*

B. Viral hepatitis

C. Diabetes mellitus

D. Collagenosis

E. Diabetes insipidus

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

A. Heart rate and heart force amplification

B. Enhancement of atrioventricular

C. Heart rate fall*

D. Heart hurry

E. Increased excitability of myocardium

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

A. Tubal pregnancy*

B. Placental polyp

C. Papyraceous fetus

D. Lithopedion

E. Choriocarcinoma

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

A. Focal pneumonia

B. Caseous pneumonia

C. Interstitial pneumonia

D. Primary pulmonary tuberculosis

E. Croupous pneumonia*

90. A 40 y.o. woman was admitted to the
infectious diseases department with hi­
gh body temperature. Objectively: evident
meningeal symptoms. A spinal cord puncti-
on was made. What anatomic formation was

A. ^ Cisterna cerebellomedullaris posterior

B. Spatium subdurale

C. Spatium epidurale

D. Spatium subarachnoideum*

E. Cavum trigeminale

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

A. Captopril

B. Dibazole

C. Reserpine*

D. Furosemide

E. Verapamil

92. A patient had to go through an operati­
on. Doctors introduced him dithylinum
(listenone) and performed intubation.
After the end of operation and cessation
of anesthesia the independent respirati­
on wasn't restored. Which enzyme deficit
prolongs the action of muscle relaxant?

A. Psendocholinesterase*

B. K-iVa-adenosine triphosphatase

C. iV-acetyltransferase

D. Succinate dehydrogenase

E. Carbanhydrase

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

A. Glutamic acid*

B. Alanine

D. Histidine

E. Lysine

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

A. Galactosemia*

B. Steroid diabetes

C. Lactosemia

D. Diabetes niellitus

E. Fructosemia

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

A. Of fibroblasts

B. Of pericytes

C. Of pigment cells

D. Of lipocytes

E. Of macrophags*

96. 6 months after delivery a woman had
uterine bleeding. Gynecological examinati­
on revealed in the uterine cavity a dark-red
tissue with multiple cavities that resembled
of "sponge". Microscopic examination of
the tumour revealed some atypic light epi­
thelial Langhans cells and giant cells of
cyncytiotrophoblast in blood lacunas. What
tumour is it?

A. Vesicular mole

B. Fibromyoma

C. Adenocarcinoma

D. Squamous cell nonkeratinous carcinoma

E. Chorioepithelioma*

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

A. Dobutamine

B. Mildronate

C. Amyodarone

D. Digoxin*

E. Dopamine

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

A. Paraphimosis

B. Epispadia*

C. Hypospadia

D. Hermaphroditism

E. Phimosis

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

A. Acute renal insufficiency*

B. Chronic renal insufficiency

C. Uraemic coma

D. Pyelonephritis

E. Glomerulonephritis

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

A. Respiration will become more frequent

B. Respiration will stay unchanged*

C. Respiration will stop

D. Respiration will become less frequent

E. Respiration will become deeper

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

A. Right mesenteric sinus

B. Hepatic bursa

C. Omental bursa

D. Left mesenteric sinus

E. Antegastrial bursa*

102. A patient with infectious mononucleosis
has been taking glucocorticoids for two
weeks. He was brought into remission, but

he fell ill with acute attack of chronic tonsi­llitis. What action of glucocorticoids caused this complication?

A. Anti-inflammatory

B. Immunosuppressive*

C. Antiallergic

D. Antishock

E. Antitoxic

  1   2   3


A. Intensification of respiratory ferment iconAcute respiratory failure

A. Intensification of respiratory ferment iconModule disease of upper respiratory tracts

A. Intensification of respiratory ferment iconM. Gorky Donetsk National Medical University Department No. 2 of Pediatrics Head of the Department Dr. Churilina A. V., Ph. D. Respiratory failure in children

Додайте кнопку на своєму сайті:

База даних захищена авторським правом ©zavantag.com 2000-2013
При копіюванні матеріалу обов'язкове зазначення активного посилання відкритою для індексації.
звернутися до адміністрації