Download ID_3558_The basis of internal medicine_English_sem_6

Назва наукового напрямку (модуля):
Семестр: 6
The basis of internal medicine (text test)
Опис:
3 course dental
Перелік питань:
1.
A.
B.
C.
D.
E. *
2.
A.
B.
C.
D.
E. *
3.
A.
B.
C.
D.
E. *
4.
A.
B.
C.
D.
E. *
5.
A.
B.
C.
D.
E. *
6.
A.
B.
C.
D.
E. *
7.
A.
B.
C.
D.
E. *
Which type of the chest is observed in bronchial asthma?
Paralitic
Pigeon
Funnel
Normal (normo-, hyper- or asthenoc)
Emphysematius
All factors can lead to chronic bronchitis, except of:
Cooling
Allergies
Genetically predisposition
Bad ecology
Bad feeding
Acute bronchitis is caused most often:
By fungi
By bacteria
By parasites
Mixed
By viruses
Bronchitis occurs most often in:
Town
Villages
The quantity of people is not important
Small villages
City
Bronchoobstructive syndrome is characterized by:
Paroxysmal breathing
Noisy inspiration
Silent breathing
Silent inspiration
Noisy prolonged expiration
Bronchoscopy in acute bronchitis reveals:
diffuse mucosal atrophy
diffuse mucosal hyperemia, thickening of bronchial walls
local changes
all answers are correct
diffuse mucosal hyperemia and mucous secretion
In complete blood count in patients with acute bronchitis there are:
leucopenia, lymphocytosis
significant leucopenia
moderate leucocytosis, anemia
everything is wrong
leucocytosis, accelerated erythrocyte sedimentation rate
8.
A.
B.
C.
D.
E. *
9.
A.
B.
C.
D.
E. *
10.
A.
B.
C.
D.
E. *
11.
A.
B.
C.
D.
E. *
12.
A.
B.
C.
D.
E. *
13.
A.
B.
C.
D.
E. *
14.
A.
B.
C.
D.
E. *
15.
A.
Dull percussion sound occurs in all diseases, except:
Pleuritis
Athelectasis
Pneumonia
Pneumpsclerosis
Bronchiolitis
Breathing rate 22 per min. in rest is typical for respiratory insufficiency of:
0 degree
І degree
ІІІ degree
І - ІІ degree
ІІ degree
Breathing rate 32 per min. in rest is typical for respiratory insufficiency of:
0 degree
І degree
ІІ degree
І - ІІ degree
ІІІ degree
Breathing rate 36 per min. in moderate physical load while 16 per min in norm - is typical for
respiratory insufficiency of:
0 degree
ІІ degree
ІІІ degree
І - ІІ degree
І degree
Cough in chronic bronchitis exacerbation is stronger:
at night
by the day
in the evening
all answers are correct
in the morning
Which medicine does not belong to drugs that have mucolytic effect?
Acetylcystein
Bromhexin
Ambroxol
Mucaltyn
Clarityn
Which medicine does not belong to antimicrobial agents used for treatment of bronchitis?
Penicillines
Macrolides
Cefalosporines
Phluoroquinolonwss
Sulfanilamides
What is the duration of antibiotic therapy in patients with acute bronchitis:
14 days
B.
21 days
C.
D.
E. *
16.
28 days
all answers are correct
7 days
A patient was admitted to gastroenterological department with chronic noncalculous cholecystitis.
Whch diet should e prescribed?
1
3
7
9
5
A 52-year-old patient has hypervolaemic type of essential hypertension. Which of the following is
necessary to prescribe either as monotherapy, or in a complex with other antihypertensive remedies?
Clophelin
Kapoten
Dibazol
Nifedipin
Hypothiazid
A patient with nosocomial pneumonia presents signs of collapse. Which of the following pneumonia
complications is most likely to be accompanied with collapse?
Exudative pleuritis
Bronchial obstruction
Toxic hepatitis
Emphysema
Septic shock
What auscultative data of the lungs does in lobar pneumonia exist at stage of hepatization?
Moist non-consonating rales.
Crepitation.
Moist consonating rales.
Increased vesicular breathing.
Bronchial breathing.
During examination of a young man by the commission of military registration there were found
pallor of patient’s skin, pulsation of carotids. What heart defect are these signs characteristic for?
Incompetence of mitral valve,
Stenosis of the mitral aperture,
Stenosis of the aortal rout,
Incompetence of rticuspid valve.
Incompetence of aortic valve,
What cause nowadays is the most typical for aortal stenosis?
Rheumatic fever,
Septic endocarditis,
Syphilis,
Traumatic injury.
Atherosclerosis,
What cause nowadays is the most typical for mitral stenosis?
A.
B.
C.
D.
E. *
17.
A.
B.
C.
D.
E. *
18.
A.
B.
C.
D.
E. *
19.
A.
B.
C.
D.
E. *
20.
A.
B.
C.
D.
E. *
21.
A.
B.
C.
D.
E. *
22.
A.
B.
C.
D.
E. *
23.
A.
B.
C.
D.
E. *
24.
A.
B.
C.
D.
E. *
25.
A.
B.
C.
D.
E. *
26.
A.
B.
C.
D.
E. *
27.
A.
B.
C.
D.
E. *
28.
A.
B.
C.
D.
E. *
Atherosclerosis,
Septic endocarditis,
Syphilis,
Traumatic injury.
Rheumatic fever.
In patient S, 26 years old, aortic incompetence was verified. What pulse is typical for this pathology?
Not changed,
Small and slow,
Equal,
Different on both arms.
Quick and high,
A patient, 47 years old, who has bronchial asthma with frequent attacks for 20 years, takes
Prednisolonum 3 times a day permanently. She notices rising of blood pressure. How would you
characterize this hypertension?
Essential hypertension,
Renal one,
Transitory hypertension,
Neurogenic one.
Drug-induced one,
In a patient T.,42 years old, mild arterial hypertension is diagnosed. Select the criteria of this disease.
Systolic blood pressure is 120-130 mm of Hg,
Systolic blood pressure is 130-135 mm of Hg ,
Systolic blood pressure is 136-140 mm of Hg,
Systolic blood pressure is 160-179 mm of Hg.
Systolic blood pressure is 140-159 mm of Hg,
In patient F., 35 years old, hypertension of the II degree was diagnosed. Indicate typical signs for this
type of hypertension,
High stable hypertension,
Hypertrophy of the left ventricle,
Generalized narrowing of retinal vessels,
Microalbuminuria,
All mentioned above.
In a man 25 years old stenosis of right kidney artery was found. The value of blood pressure is
220/100 mm Hg. What is type of hypertension?
Renoparenchimatous,
Endocrine,
Cerebral,
Hemodynamic.
Renaovascular,
A woman 56 years old with hypertension develops edema on lower extremities, moist wheezes in the
lower parts of lungs. What must be administered in the complex therapy of the patient?
Betaadrenomimetics,
Glucocorticoids,
Preparations of calcium,
M-cholinolitics.
Diuretics,
29.
A.
B.
C.
D.
E. *
30.
A.
B.
C.
D.
E. *
31.
A.
B.
C.
D.
E. *
32.
A.
B.
C.
D.
E. *
33.
A.
B.
C.
D.
E. *
34.
A.
B.
C.
D.
E. *
35.
A.
B.
C.
D.
A woman 56 years old has arterial hypertension. Which group of drugs may be used for her
treatment?
Betaadrenomimetics,
Glucocorticoids,
Preparations of calcium,
M-cholinolitics.
Angiotensin-converting enzyme inhibitors,
A man 36 years old has arterial hypertension. Which group of drugs may be used for her treatment?
Betaadrenomimetics,
Glucocorticoids,
Preparations of calcium,
M-cholinolitics.
Betabloqures,
A man 36, years old, has arterial hypertension. Which group of drugs may be used for her treatment?
Betaadrenomimetics,
Preparations of calcium,
Glucocorticoids,
M-cholinolitics.
Calcium_channel inhibitors,
In patient A. stomach cancer was revealed. Which symptoms are typical for this pathology?
Pain in the right hypochondrium after meals, nausea and vomiting, discoloured feces;
Pain in the left hypochondrium, meteorism;
Pain in epigastrium after meals, nausea and vomiting, constipation;
Pain in duodenal region on fasten stomach, nausea and vomiting, constipation;
Pain in epigastrium, diarrhea, tarry stools.
Patient P., 44 years old was hospitalized because of stomach ulcer complicated with bleeding. Which
signs are typical for this type of bleeding?
Vomiting with scarlet blood mixed with air;
Discolorated feces;
Increased arterial pressure;
Bradicardia.
Tarry stools (melena);
Patient K., 18 years old, suffers from pain in epigastric region after meals, nausea, vomiting. After
vomiting nausea decreases. The same symptoms were observed twice a year: in spring and autumn.
Which disease is it typical for?
Stomach cancer;
Pancreatitis;
Liver cirrhosis;
Colitis.
Stomach ulcer;
In patient P., 44 years old, who was hospitalized due to stomach ulcer, intestinal bleeding developed.
Which signs are useful to reveal this type of bleeding?
Vomiting with scarlet blood mixed with air;
Discolorated feces;
Hypertension;
Bradicardia.
E. *
36.
A.
B.
C.
D.
E. *
37.
A.
B.
C.
D.
E. *
38.
A.
B.
C.
D.
E. *
39.
A.
B.
C.
D.
E. *
40.
A.
B.
C.
D.
E. *
41.
A.
B.
C.
D.
E. *
Vomiting with “coffee ground”;
In patient С., 70 years old., obstructive type of respiratory failure was revealed by
pneumotachymetry. This type of respiratory failure is ovserved in:
Ishaemic heart disease,
Pneumonia,
Lung cancer,
Pneumothorax.
Bronchial asthma,
A patient suffers with pain in the right hypochondrium, nausea, bitter taste in the mouth. A doctor
supposed exacerbstion of chronic noncalculous cholecystitis and prescribed duodenal probing. In
which portion of bile should he expect pathologic changes?
С
А
А and С
С and В
В
A patient suffers with pain in the right hypochondrium which appeared suddenly after intake of fried
food and irradiated to the right shoulder. Which organ is affected?
intestine
pancreas
esophagus
stomach
Gallbladder
A patient is under dyspansery observastion because of calculous cholecystitis. He developed itching
and jaundice. What is type of jaundice?
Parenchymatous jaundice
Haemolythic jaundice
In false jaundice
In all types of jaundice
Mechanic jaundice
Patient Z. complains of crumping intensive pain in the right hypochondrium, which irradiates to the
back, appears after intake of fried fatty food.Which disease this pain pattern is typical for?
Chronic gastritis exacerbation
Chronic pancreatitis exacerbation
Chronic hepatitis
Chronic cholangitis
Chronic cholecystitis exacerbation
Patient with chronic hepatitis disturbs the considerable itch of skin. At inspection there were found
increase of bilirubin, cholesterol, alkaline phosphatase. What from the following preparations is it
needed to prescribe for the sick to diminish itch?
Analgin
Esentiale
Vitamin Е
Allochol
Cholestyramine
42.
A.
B.
C.
D.
E. *
43.
A.
B.
C.
D.
E. *
44.
A.
B.
C.
D.
E. *
45.
A.
B.
C.
D.
E. *
46.
A.
B.
C.
D.
E. *
47.
A.
B.
C.
D.
E. *
48.
A.
B.
C.
D.
In a patient with protracted disease of liver the following is observed: development of venous
collaterals are present on frontal abdominal wall, ascites, increase of spleen. For what syndrome these
signs are typical?
Jaundice.
Cholestasis.
Hemorrhagic syndrome
Hypersplenism
Portal hypertension.
During investigation of sizes of patient’s liver by Kurlov’s method they were equal to 12 cm, 10 cm
and 9 cm. The increase of liver is accompany all diseases, except for:
Chronic hepatitis
Liver cirrhosis
Cancer of a liver
Heart failure
Cholecystitis
A patient complains of feeling of heaviness in right hypochondrium, bitter taste in the mouth. After
an inspection chronic hepatitis is diagnosed. Which property of a liver obtained with palpation is not
typical fo this disease?
Enlarged liver
Solid consistence
Smooth surface
acute painful edge
Tuberous surface
Which elements in sputum are typical for bronchial asthma?
Fridlender’s bacilli
Mycobacteria
Pneumococci
erythrocytes
Charcot-Leyden’s crystals
Crepitation is the symptom of
Acute bronchitis
Dry pleurisy
Chronic bronchitis
Pulmonary emphysema
Croupous pneumonia
Curshman’s spirals are observed in sputum of patients with:
Acute bronchitis
Bronchopneumonia
Croupous pneumonia
Lung cancer
bronchial asthma
Decreased Tiffneu index indicates on:
Presence of cavity in the lungs
Restrictive disorders of lung ventilation
Compensatory erythraemia
Spontaneous pneumothorax
E. *
49.
A.
B.
C.
D.
E. *
50.
A.
B.
C.
D.
E. *
51.
A.
B.
C.
D.
E. *
52.
A.
B.
C.
D.
E. *
53.
A.
B.
C.
D.
E. *
54.
A.
B.
C.
D.
E. *
55.
A.
B.
C.
D.
E. *
56.
Obstructive disorders of lung ventilation
Dry whistling rales are typical for:
appearance of liquid secretion in fine bronchi,
appearance of liquid secretion in large bronchi,
appearance of liquid secretion in alveoli,
dry pleurisy.
appearance of viscous secretion in fine bronchi,
Diffuse dry whistling high pitched rales are heard in:
Bronchiectatic disease
Croupous pneumonia
Bronchopneumonia
cardiac asthma attack
Bronchial asthma attack
Glass-like viscous transparent white sputum is typical for:
Acute bronchitis.
Chronic bronchitis.
Pneumothorax
exudative pleurisy
Bronchial asthma
Harsh breathing indicates on:
Dry pleurisy
Pleurisy with effusion
Pulmonary emphysema
Pneumonia
Bronchitis
Intensification of bronchopulmonary pattern on X-ray film is typical for:
Focal pneumonia
Lobar pneumonia
Bronchial asthma
Pleurisy with effusion
Acute bronchitis
Which elements in sputum are typical for bronchial asthma?
Fridlender’s bacilli
Mycobacteria
Pneumococci
erythrocytes
Charcot-Leyden’s crystals
Poor bronchopulmonary pattern, elevation of diaphragm and horizontal ribs direction on X-ray film
are typical for:
Lobar pneumonia
Acute bronchitis
Bronchial asthma
Pleurisy with effusion
Pulmonary emphysema
Respiratory insufficiency of obstructive type develops due to:
A.
B.
C.
D.
E. *
57.
A.
B.
C.
D.
E. *
58.
A.
B.
C.
D. *
E.
59.
A.
B.
C.
D.
E. *
60.
A.
B.
C.
D.
E. *
61.
A.
B.
C.
D.
E. *
62.
A.
B.
C.
D.
E. *
63.
A.
B.
C.
Appearance of air in the pleural cavity,
Limitation of the chest wall movements.
Diminishing of lungs' respiratory surface.
Diminishing of lungs parenchyma elasticity,
Obstruction of bronchial lumen,
Spyragraphic examination lets to determine:
Arterial blood gases
Signs of pulmonary hypertension
Location of pathological process in the lungs
Ethiology of disease of respiratory system
Function of external respiration
The following auscultative criteria are typical for the syndrome of pulmonary emphysema:
Bronchial breathing
Vesicular breathing
Crepitation
Weakened vesicular breathing and prolonged expiration
Weakened vesicular breathing and prolonged inspiration
The most informative method for determination of origin of hemopthysis is:
Pneumotachymetry
Spyrography
Termography
13С-respiratory test
Bronchoscopy
Weakened harsh breathing with prolonged expiration are the signs of the following syndrome:
Consolidation of pulmonary tissue
Air accumulation on pleural cavity
Fluid accumulation in pleural cavity
Accumulation of air and fluid in pleural cavity
Bronchial obstruction
What is pulmonary emphysema?
It is a condition when air penetrates into pleural cavity
It is a condition when liquid is accumulated pleural cavity
It is a condition when lungs parenchyma becomes solid
Presence of cavity in the lungs
It is a condition when lungs are overfilled with air
Which pathological conditions dry rales are typical for?
pneumonia, especially lobar one,
dry pleurisy,
lung emphysema.
atelectasis
bronchitis
Which pathological conditions dry low-pitched rales are typical for?
pneumonia
dry pleurisy,
pulmonary emphysema
D.
E. *
64.
A.
B.
C.
D.
E. *
65.
A.
B.
C.
D.
E. *
66.
A.
B.
C.
D.
E. *
67.
A.
B.
C.
D.
E. *
68.
A.
B.
C.
D.
E. *
69.
A.
B.
C.
D.
E. *
70.
A.
B.
C.
D.
E. *
71.
pleurisy with eefusion.
chronic bronchitis
Cough with expectoration of viscous glass-like sputum is observed in:
at the top of lung edema
In resolution of croupous pneumonia
in penetration of lung abscess into the bronchus
In tuberculosis with exudative pleurisy
In resolution of bronchial asthma attack
Bandbox percutorial sound above the lungs is caused by
hydrothorax
cavern
pneumothorax
pulmonary emphysema
Bronchial asthma
During inspection of a patient with respiratory failure you may observe the following skin color:
Acrocyanosis
Hyperemia
Yellow color
spider angiomata
Diffuse cyanosis
The active mobility of the lower lungs border decreases in the case of:
deep breathing;
enteroptosis
physical examination;
dyspnea
emphysema of the lungs;
The sign of bronchial obstruction is the following percutorial sound:
Dull above both lungs
Dull above one lung
absolute dullness
resonant
bandbox
Vocal fremitus is weakened above the whole lungs on both sides in the case of :
lung abscess
Croupous pneumonia
Lobular pneumonia
Dry pleurisy
Pulmonary emphysema
What is an average respiratory rate per min. in I degree respiratory failure?
Normal in rest and in physical load
20-25 in rest
More than 25 in rest
No correct answer
Normal in rest and increased in physical load
What is an average respiratory rate per min. in II degree respiratory failure?
A.
B.
C.
D.
E. *
72.
A.
B.
C.
D.
E. *
73.
A.
B.
C.
D.
E. *
74.
A.
B.
C.
D.
E. *
75.
A.
B.
C.
D. *
E.
76.
A.
B.
C.
D.
E. *
77.
A.
B.
C.
D.
E.
78.
A.
B.
Normal in rest and in physical load
Normal in rest and increased in physical load
More than 25 in rest
No correct answer
20-25 in rest
What is an average respiratory rate per min. in III degree respiratory failure?
Normal in rest and in physical load
Normal in rest and increased in physical load
20-25 in rest
No correct answer
More than 25 in rest
Which type of the chest is observed in chronic non-obstructive bronchitis in patient without other
concomitant diseases?
Paralitic
Emphysematius
Pigeon
Funnel
Normal (normo-, hyper- or asthenic)
Which type of the chest is observed in COPD?
Paralitic
Pigeon
Funnel
Normal (normo-, hyper- or asthenoc)
Emphysematius
Which type of the chest is observed in terminal stage of tuberculosis or lung cancer?
Pigeon
Funnel
Normal (normo-, hyper- or asthenoc)
Paralitic
Emphysematius
How long is the bed regimen during acute bronchitis?
During all term of treatment
2-3 days
2 – 3 weeks
During all time of hypertermia
Is not prescribed
Which symptom is absent in the patient with COPD exacerbation?
Cyanosis
Dyspnoe
Wheezing
Hyperthermia
Dry cough
Which auscultation phenomenon is not typical for COPD?
Dry rales
Harsh breathing
C.
D.
E. *
79.
A.
B.
C.
D.
E. *
80.
A.
B.
C.
D.
E. *
81.
A.
B.
C.
D.
E. *
82.
A.
B.
C.
D.
E. *
83.
A.
B.
C.
D.
E. *
84.
A.
B.
C.
D.
E. *
85.
A.
B.
C.
D.
E. *
Prolonged expiration
Moist diffuse rales
Local decrease of vesicular breathing
Which auscultation phenomenon is not typical for COPD?
Diffuse moist rales
Dry rales
Harsh breathing
Prolonged expiration
Bronchial breathing
Which factor does not participate in pathogenesis of bronchial asthma?
Edema of mucous membrane
Viscous secretion in bronchi
Spasm of bronchial muscles
No correct answer
Sclerosis and deformation of bronchial tree
Ethiotropic therapy of viral infection in acute bronchitis is more effective when it is started:
is not effective
in 5-7 days from the disease beginning
throughout the disease
all answers are correct
in the first 2 days of illness
What reveals auscultation in acute bronchitis with transient bronchial obstruction?
Dull percussion sound
Emphysematous chest
diffuse fine and medium moist rales
all answers are correct
dry rales, medium moist rales on inspiration, expiration is prolonged
In chronic bronchitis are affected:
bronchi
lung parenchyma
alveoli
everything is wrong
all the structures of the bronchopulmonary system
What does not belong to the acute bronchitis treatment :
Mucolitics
Physiotherapy
Antipyretics
Antibiotics
Antacids
What is typical for complete blood count in acute bronchitis?
severe leucocytosis
leucopenia
Anemia
Monocytosis
Moderate leucocytosis
86.
A.
B.
C.
D.
E. *
87.
A.
B.
C.
D.
E. *
88.
A.
B.
C.
D.
E. *
89.
A.
B.
C.
D.
E. *
90.
A.
B.
C.
D.
E. *
91.
A.
B.
C.
D.
E. *
92.
A.
B.
C.
D.
E. *
93.
A.
B.
What is not typical for the chest X-ray in the chronic bronchitis remission?
deformation of pulmonary pattern
expansion and infiltration of pulmonary roots
increased pulmonary pattern on both sides
all is true
normal X-ray picture
When is it better to use a postural drainage in the treatment of chronic bronchitis exacerbation?
after breakfast
in the afternoon
at bedtime
everything is wrong
after awakening
In what disease moist rales are diffuse?
Pneumonia
Bronchial asthma
Alveolitis
Acute bronchiolitis
Bronchitis
In what disease crepitation is diffuse?
Pneumonia
Bronchoectases
Local pulmonary fibrosis
Chronic bronchiolitis with obliteration
Acute bronchiolitis
Which condition is a contraindication for the diagnostic bronchoscopy?
Presence of pulmonary atelectasis
The suspicion of the chronic food aspiration
Suspicion of the trachea and bronchus foreign body
Chronic diseases with bronchus and lung deformity
Bronchial asthma
What investigation is the most informative in diagnostics of bronchitis?
Auscultation
X-ray examination
Laboratory investigations
Anamnesis
Bronchoscopy
Name the criteria for chronic non-obstructive bronchitis:
stable localized wheezing in the lungs
hemopthysis
emphysematous chest
all answers are correct
diffuse non-permanent rales in the lungs
Percussion in patients with COPD exacerbation reveals:
clear lung sound
shortening of sound in the lower parts
C.
D.
E. *
94.
A.
B.
C.
D.
E. *
95.
A.
B.
C.
D.
E. *
96.
A.
B.
C.
D.
E. *
97.
A.
B.
C.
D.
E. *
98.
A.
B.
C.
D.
E. *
99.
A.
B.
C.
D.
E. *
100.
A.
B.
C.
D.
clear sound with a short bandbox between the scapulas
all answers are correct
bandbox sound
Radiological signs of acute bronchitis are:
symmetrical attenuation of lung pattern
symmetrical strengthening of lung pattern with small focal hilar infiltration
symmetrical strengthening of lung pattern in hilar and lowermedial zones
everything is wrong
symmetrical intensification of lung pattern
Chronic bronchitis exacerbation begins from:
allergic rash
inspiratory dyspnea
asthma
all answers are correct
cathar because of nasopharyngeal infection
Bronchitis, which lasts more than 2 years with total duration of exacerbations 2 month each year, is
cosidered to be:
asthma
scoliosis
polyhypovitaminosis
everything is wrong
chronic bronchitis
90 % blood saturation is present during respiratory insufficiency of:
0 degree
ІІ degree
ІІІ degree
І - ІІ degree
І degree
The auscultation date during bronchitis is:
Puerile breathing
Decrease breathing
Moist local rales
Crepitating
Harsh breathing
The basic criteria of acute catarrhal bronchitis are everything, except:
Subfebrile temperature
Cough
Sweating
Rales
Acrocyanosis
The duration of acute bronchitis is:
2 – 3 days
7 – 14 days
10 – 20 days
14 – 24 days
E. *
101.
A.
B.
C.
D.
E. *
102.
A.
B.
C.
D.
E. *
103.
A.
B.
C.
D.
E. *
104.
A.
B.
C.
D.
E. *
105.
A.
B.
C.
D.
E. *
106.
A.
B.
C.
D.
E. *
107.
A.
B.
C.
D.
E. *
108.
A.
5 – 7 days
The effectiveness of expectorants in acute bronchitis depends on:
appointment of antiviral drugs
appointment of antihistamines
appointment of vitamins
all answers are correct
sufficient drinking
The main symptom of chronic bronchitis is:
running nose
fever
dyspnea
all answers are correct
persistent cough
The main symptom of acute bronchitis is:
sore throat
running nose
dyspnea
everything is wrong
cough
To ausculltative features of acute bronchitis does not belong:
symmetrical rales
scattered rales
rales decrease or disappear after coughing
all is true
local rales
To ausculltative features of acute bronchitis does not belong:
Rough breathing
Dry rales
Moist diffuse rales
Decrease or disappeared of rales after cough
Weakened vesicular breathing
To the clinical signs of simple bronchitis does not belong:
subfebryle themperature
cough
harsh breathing
all is true
dyspnea
To the type of rales during bronchitis it is not typical:
Diffuse character
Symmetrical character
Decrease or disappeared of rales after cough
Dry rales
Local character
Typically, bronchitis exacerbation is absent in:
spring
B.
C.
D.
E. *
109.
A.
B.
C.
D.
E. *
110.
A.
B.
C.
D.
E. *
111.
A.
B.
C.
D.
E. *
112.
A.
B.
C.
D.
E. *
113.
A.
B.
C.
D.
E. *
114.
A.
B.
C.
D.
E. *
115.
A.
B.
C.
D.
winter
autumn
all answers are correct
summer
What is the criterion to prescribe antibiotic in acute respiratory infection?
Cough
Participation of additional muscles in act of breathing
Rhinitis
Pharyngitis
Yellow sputum, fever
What examinations is most important in suspition on bronchitis?
Complete blood count
Bacteriological examination of sputum
Bacteriological examination of alveolar fluid
Biochemical examination of the blood (hyponatremia, hypokalemia)
Chest X-ray.
What is the duration of antibiotic therapy to patient with chronic bronchopulmonary pathology?
2 months
7 - 14 days
1 month
all answers are correct
10-14 days
What is the most often respiratory failure severity in acute bronchitis?
1st degree
2nd degree
3rd degree
all answers are correct
0 degree
What X-ray features are useful in the diagnosis of pneumonia?
Particularly clear lung field
Emphysema
Occasional scattered areas of consolidation
Local infiltration of lung tissue
Perivascular and peribronhial infiltration
What radiological changes are characteristic for chronic bronchopulmonary pathology?
infiltration of lung tissue in the basal zones
infiltration of lung tissue on the tips of the lungs
presence of "bullas"
all answers are correct
strengthening and distortion of lung pattern
What radiological signs are typical for bronchitis exacerbation:
attenuated pulmonary picture, especially in the area of the roots
increased lung pattern, especially in the area of the roots
attenuated lung pattern
all answers are correct
E. *
116.
A.
B.
C.
D.
E. *
117.
A.
B.
C.
D.
E. *
118.
A.
B.
C.
D.
E. *
119.
A.
B.
C.
D.
E. *
120.
A.
B.
C.
D.
E. *
121.
A.
B.
C.
D.
E. *
122.
A.
B.
C.
D.
E. *
increased lung pattern, especially in the area of the roots, enlarged roots
When (after exacerbation of chronic broncho-pulmonary pathology) patient may be sent to the resort
treatment?
In 1 month
Directly into the second degree
In 6 months
In 3 weeks
In 3 months
Which of the symptoms indicate prolonged hypoxemia?
productive cough, more in the morning
hyperhidrosis
perynasal cyanosis
everything is wrong
clubbing fingers
X-ray criterion of acute bronchitis is:
Symmetrical decreasing of lung pattern
Infiltration of lung tissue
Infiltration of lung tissue near roots
Symmetrical decreasing of lung pattern and infiltration of lung tissue
Symmetrical intensification of lung pattern
Cefalosporine antibiotics, III generation are most active toward:
gram-negative microorganisms
intracellular microorganisms
pseudomonas aeruginosa
viruses
Gram-positive microorganisms
If setting of antibiotic is for pneumonias, even in maximally high doses does not result in a positive
clinical effect, it follows to consider that:
low biotavailability of antibacterial preparation takes a place
low absorption of preparation takes a place
all of the afore-named states
not one of the afore-named states
resistance of microorganism takes a place to the appointed antibiotic
The basic representative of cefalosporines preparations of I generation is:
cefuroxim
ceftriaxon
fecepim
not one of the transferred preparations
cefazolin
The reason of appearance of blood in sputum in COPD exacerbation is:
congestion in the veins of bronchial tree
involvement of pleura in the pathological process
all of the above-mentioned reasons
not one of the above-mentioned reasons
rupture of dilated veins of bronchial tree due to cough
123.
A.
B.
C.
D.
E. *
124.
A.
B.
C.
D.
E. *
125.
A.
B.
C.
D.
E. *
126.
A.
B.
C.
D.
E. *
127.
A.
B.
C.
D.
E. *
128.
A.
B.
C.
D.
E. *
129.
A.
B.
C.
D.
E. *
130.
A.
B.
The reason of appearance of blood in sputum is:
lobar pneumonia
viral affection of mucus of tracheo- bronchial tree
mitral stenosis
bronchiaectatic illness
all of the above-stated pathosiss.
Which antibacterial preparation belongs to group of phthorchynolones?
Ciprofloxacin (ciprinol)
ofloxacin, pefloxacin
levofloxacin
not one of the above enumerated preparations
all above mentioned preparations
Rheumatic heart disease is more frequent due to:
flu;
sinusitis;
measles;
rhinitis
scarlet fever;
Etiology of rheumatic heart disease is:
pneumococcus
the virus of influenza
fungi
staphylococcus
streptococcus
What confirms streptococcal etiology of rheumatic heart disease?
previous influenza
previous sepsis
previous measles
previous pneumonia
previous acute tonsillitis
The proof of streptococcus etiology of rheumatic heart disease is:
increased seromucoid
increased syalic acids
increased LDG
increased ALT
increased antistreptolysin О
The proof of streptococcus etiology of rheumatic heart disease is:
increased seromucoid
increased syalic acids
increased LDG
increased ALT
increased antihyaluronidase
The proof of streptococcus etiology of rheumatic heart disease is:
increased seromucoid
increased syalic acids
C.
D.
E. *
131.
A.
B.
C.
D.
E. *
132.
A.
B.
C.
D.
E. *
133.
A.
B.
C.
D.
E. *
134.
A.
B.
C.
D.
E. *
135.
A.
B.
C.
D.
E. *
136.
A.
B.
C.
D.
E. *
137.
A.
B.
C.
D.
E. *
increased LDG
increased ALT
increased antistreptokinase
The proof of streptococcus etiology of rheumatic heart disease is:
efficiency of immunosuppressive therapy
efficiency of vitaminotherapy
efficiency of bacterial therapy
efficiency of symptomatic therapy
efficiency of antiinflammatory therapy
The main role in the pathogenesis of rheumatic heart disease belongs to:
bacterial inflammation
aseptic inflammation
allergic reactions
septic inflammation
immune complex reactions
The pathogenetic chain of rheumatic heart disease is:
intracellular sensibilization
constant persistancy of the streptococcus in a blood
persistancy of the streptococcus in connecting tissues
persistancy of the staphylococcus in connecting tissues
primary streptococcus sensibilization
Morphological changes at rheumatic heart disease are mainly in:
lymph
blood
muscles
fat tissue
connective tissue
Duration of active process in rheumatic heart disease is:
3 - 4 months
5 - 6 months
7 - 8 months
9-11 months
1 - 2 months
Duration of the 1st phase of rheumatic process is:
10 -20 days
20 - 30 days
40 -50 days
50-60 days
30 - 40 days
Duration of the 2nd phase of rheumatic process is:
10 -20 days
20 - 30 days
30 - 40 days
40-60 days
40 -50 days
138.
A.
B.
C.
D.
E. *
139.
A.
B.
C.
D.
E. *
140.
A.
B.
C.
D.
E. *
141.
A.
B.
C.
D.
E. *
142.
A.
B.
C.
D.
E. *
143.
A.
B.
C.
D.
E. *
144.
A.
B.
C.
D.
E. *
145.
A.
B.
The 1st phase of rheumatic process is:
fibrinoid edema
granulomatosis
sclerosing
fibrosclerosing
mucoid edema
The 2nd phase of rheumatic process is:
mucoid edema
granulomatosis
sclerosing
fibrosclerosing
fibrinoid edema
The 3rd phase of rheumatic process is:
mucoid edema
fibrinoid edema
sclerosing
fibrosclerosing
granulomatosis
The 4th phase of rheumatic process is:
mucoid edema
fibrinoid edema
granulomatosis
no correct answer
sclerosing
What phases of rheumatic process are reversible?
mucoid edema and sclerosing
fibrinoid edema and sclerosing
granulomatosis and sclerosing
mucoid edema and sclerosing
mucoid edema and fibrinoid edema
What parts of the heart are damaged more frequently in patients with rheumatic heart disease?
endocardium;
myocardium;
all;
pericardium
endomyocardium
What heart defect is most often formed on a background of rheumatic heart disease?
stenosis of aorta valves;
incompetence of aortic valves;
tricuspid valve incompetence;
stenosis of mitral valve
mitral valve incompetence;
The main criteria of rheumatic heart disease are:
hepatitis
nephritis
C.
D.
E. *
146.
A.
B.
C.
D.
E. *
147.
A.
B.
C.
D.
E. *
148.
A.
B.
C.
D.
E. *
149.
A.
B.
C.
D.
E. *
150.
A.
B.
C.
D.
E. *
151.
A.
B.
C.
D.
E. *
152.
A.
B.
C.
D.
E. *
pneumonia
gastritis
carditis
The main criteria of rheumatic heart disease are:
encephalitis
nephritis
pneumonia
gastritis
chorea
The main criteria of rheumatic heart disease are:
hepatitis
dermatitis
pneumonia
gastritis
polyartritis
The main criteria of rheumatic heart disease are:
dermatitis
nephritis
pneumonia
gastritis
rheumatic nodules
The main criteria of rheumatic heart disease are:
papulas
hemorrhages
pneumonia
gastritis
anular erythema
The additional criteria of rheumatic heart disease are
pain in the muscles
pain in the back
headache
petechia
artralgias
The additional criteria of rheumatic heart disease are
cardiomegaly
hepatomegaly
hypothermia
lumbar pain
increased body temperature
The criteria of carditis are
cardialgias
damage of epicardium
only pericarditis
hypothermia
damage of myocardium and endocardium
153.
A.
B.
C.
D.
E. *
154.
A.
B.
C.
D.
E. *
155.
A.
B.
C.
D.
E. *
156.
A.
B.
C.
D.
E. *
157.
A.
B.
C.
D.
E. *
158.
A.
B.
C.
D.
E. *
159.
A.
B.
C.
D.
E. *
160.
A.
B.
Quite often rheumatic heart disease of high activity inflammation is manifested with
only arthritis
only myocarditis
with arthritis and chorea
only pericarditis
pancarditis
For myocarditis is typically:
increase of arterial pressure
arterial pressure within the norm
high pulse pressure
СLС syndrome
decrease of arterial pressure
What joints are often damaged in case of rheumatic heart disease?
intraphalangeal;
mandibular;
of the neck part of spinal cord;
elbow
knee;
For rheumatic polyartritis is typically:
morning stiffness;
constant deformations of the joints;
damage of spine;
damage of neck
inconstant damage of joints;
Small chorea is characterized by:
violation of consciousness;
central paralyses;
damage of the cranial-cerebral nerves;
decrease of tendon reflexes
increase of tendon reflexes;
Small chorea is characterized by:
violation of consciousness;
central paralyses;
damage of the cranial-cerebral nerves;
decrease of tendon reflexes
violation of coordination
Small chorea is characterized by:
violation of consciousness;
central paralyses;
damage of the cranial-cerebral nerves;
decrease of tendon reflexes
hyperkineses of the face musculature
Rheumatic endocarditis is characterized by:
accent of ІІ tone above the aorta;
soft systolic murmur on the apex;
C.
D.
E. *
161.
A.
B.
C.
D.
E. *
162.
A.
B.
C.
D.
E. *
163.
A.
B.
C.
D.
E. *
164.
A.
B.
C.
D.
E. *
165.
A.
B.
C.
D.
E. *
166.
A.
B.
C.
D.
E. *
167.
A.
B.
C.
D.
E. *
systolic murmur above the pulmonary artery;
soft systolic murmur on the aorta
rough systolic murmur on the apex;
Rheumatic pancarditis is characterized by:
strengthening of cardiac tones
the increase of Arterial pressure
decreasment of heart's sizes
the decrease of Arterial pressure
considerable cardiomegalia
The additional criteria of rheumatic heart disease are:
arthritis;
pneumonia;
raised fatigueability;
soft systolic murmur on the aorta
hectic fever;
The antibiotic of choice at rheumatic heart disease is
ampicillin;
gentamycin
kefzol;
canamycin
benzylpenicillin;
What is prescribed in case of penicillin allergy in rheumatic heart disease etiological treatment?
gentamycin;
klaforan;
chloramphenicol;
canamycin
erythromycin;
For the yearly prophylaxis of rheumatic heart disease is used:
aspirin;
bicillin;
delagyl;
analgin
benzylpenicillin;
Duration of the dispensarization in case of complicated rheumatic heart disease is:
2 years
3 years
4 years
6 years
5 years
Duration of the dispensarization in case of uncomplicated rheumatic heart disease is:
2 years
4 years
5 years
6 years
3 years
168.
A.
B.
C.
D.
E. *
169.
A.
B.
C.
D.
E. *
170.
A.
B.
C.
D.
E. *
171.
A.
B.
C.
D.
E. *
172.
A.
B.
C.
D.
E. *
173.
A.
B.
C.
D.
E. *
174.
A.
B.
C.
D.
E. *
175.
A.
B.
The complication of rheumatic heart disease is:
tricuspid valve incompetence
stenosis pulmonary artery
pulmonary artery valves incompetence
pulmonary artery valves stenosis
mitral valve incompetence
Name complications of the rheumatic heart disease:
myocardial infarction
hypertonic disease
myocardial dystrophy
hypotonic disease
myocardiosclerosis
For myocardiosclerosis is typically
low blood pressure
high blood pressure
bradypnea
tachypnea
arrhythmia
In non-rheumatic carditis often are affected:
all of the heart layers
endocardium
pericardium
endo- and pericardium
myocardium
On the ECG in acute carditis is observed:
lengthening PQ
shortening of the PQ
increased spikes’ voltage
all answers are correct
ventricular extrasystoles
The left ventricular heart failure is characterized by:
hepatomegaly
swelling of the neck veins
swelling of the hands veins
swellings on the feet
moist rales in the lungs
The right ventricular heart failure is characterized by:
wet cough
moist rales in the lungs
splenomegaly
hemoptysis
swelling of the neck veins
Left ventricular heart failure is characterized by:
swollen feet
swelling of the neck veins
C.
D.
E. *
176.
A.
B.
C.
D.
E. *
177.
A.
B.
C.
D.
E. *
178.
A.
B.
C.
D.
E. *
179.
A.
B.
C.
D.
E. *
180.
A.
B.
C.
D.
E. *
181.
A.
B.
C.
D.
E. *
182.
A.
B.
C.
swelling of the hands veins
hepatomegaly
wet cough
The right ventricular heart failure is characterized by:
wet cough
moist rales in the lungs
splenomegaly
2-nd tone accent on the LA
swollen feet
For right ventricular heart failure is characterized by:
wet cough
moist rales in the lungs
splenomegaly
2-nd sound accent on the pulmonary artery
hepatomegaly
For heart failure 2-B stage the following it is typical:
dyspnea on physical exertion
anasarca
dry cough
everything is wrong
moist rales in the lungs
What percutorial findings can you obtain in II stage of crourous pneumonia located in the lower lung
lobe?
Tympanic sound,
Resonant sound,
Dull-to-thympanic sound,
Bandbox sound.
Dull sound,
What percutorial findings can you obtain in I stage of croupous pneumonia located in the lower lung
lobe?
Tympanic sound,
Resonant sound,
Dull sound,
Bandbox sound.
Dull-to-thympanic sound,
What pathology “caput medusae” is typical for?
Liver tumor,
Obesity,
Cholecystitis,
Umbilical hernia.
Liver cirrhosis,
Sign of fluctuation in abdominal cavity is observed at:
Meteorism,
Edema of anterior abdominal wall,
stomach ulcer,
D.
E. *
183.
A.
B.
C.
D.
E. *
184.
A.
B.
C.
D.
E. *
185.
A.
B.
C.
D.
E. *
186.
A.
B.
C.
D.
E. *
187.
A.
B.
C.
D.
E. *
188.
A.
B.
C.
D.
E. *
189.
A.
B.
C.
D.
Enteroptosis.
Ascites,
Rusty sputum is the symptom of:
Bronchiectatic disease,
Lung tuberculosis,
Lung abscess,
Lung cancer.
Croupous pneumonia,
Gastro-intestinal bleeding can be revealed on the basis of following symptoms:
Discolorated feces,
Dark urine,
Vomiting with red blood,
Fresh blood in urine.
Vomiting with blood and tarry stools (melena),
Gallbladder enlargement may be revealed by palpation in:
Peptic ulcer,
Chronic pancreatitis,
Doudenitis,
Hepatitis.
Mechanical jaundice,
Belching with rotten eggs smell is typical for:
Stomach ulcer,
Pancreatitis,
Liver cirrhosis,
Colitis.
Stomach cancer,
What results of topographical percussion can be obtained in patient with dry pleurisy?
Displacement downward lower lungs borders,
Displacement upward lower lungs borders,
Extension of the Krenig’s area,
Reduction of the of the lungs’ apexes.
Decreased lungs active mobility at the affected side,
In which cases among following the vocal fremitus disappears or become weakened on the affected
part of the chest:
Lung infarction,
Bronchiectatic disease,
Lung emphysema,
Above the cavern, filled with liquid.
The I stage of lobar pneumonia,
What pulmonary sound occurs at percussion in the stage of inflow in patients with croupous
pneumonia?
Dull,
Dull-to-resonance,
Resonance,
Tympany.
E. *
190.
A.
B.
C.
D.
E. *
191.
A.
B.
C.
D.
E. *
192.
A.
B.
C.
D.
E. *
193.
A.
B.
C.
D.
E. *
194.
A.
B.
C.
D.
E. *
195.
A.
B.
C.
D.
E. *
196.
A.
B.
C.
D.
E. *
Dull-to-tympany,
In which between following cases moist consonant rales may be heard:
In lung emphysema,
Accumulation of exudate in the pleural cavity,
Accumulation of transsudate in the pleural cavity,
In attack of bronchial asthma.
In pneumonia,
Sign of chronic inflammatory process in bile ducts:
Leucocites presence into the 1st phase of chromatic duodenal probing,
Leucocites into 2nd phase of chromatic duodenal probing,
Leucocites in portion A of bile obtained with duodenal probing,
Leucocites in portion B of bile obtained with duodenal probing,
Leucocites in С portion of bile obtained with duodenal probing.
Data of palpation of a liver: dense consistance and tuberculous surface with sharp edge. These signs
are observed in:
Chronic hepatitis,
Multiple cancer metastases in the liver,
Amiloidosis,
Liver echinococcosis.
Liver cirrhosis,
Haemoptysis is typical for:
Diffuse catarrhal bronchitis,
Bronchiolitis,
Focal pneumonia,
Pharingitis.
Lung cancer,
Pain in the chest which occur at the top of inspiration and cough is typical for:
Bronchitis,
Bronchiectatic disease,
Diffuse bronchitis,
Pleurisy with effusion.
Dry pleurisy,
Limits of normal systolic arterial pressure?
90-119 mm Hg,
100-159 mm Hg,
105-1590 mm Hg,
110-179 mm Hg.
100-139 mm Hg,
Limits of normal diastolic arterial pressure?
50-79 mm Hg,
50-89 mm Hg,
60-95 mm Hg,
70-95 mm Hg .
60-89 mm Hg,
197.
A.
B.
C.
D.
E. *
198.
A.
B.
C.
D.
E. *
199.
A.
B.
C.
D.
E. *
200.
A.
B.
C.
D.
E. *
201.
A.
B.
C.
D. *
E.
202.
A.
B.
C.
D.
E. *
203.
A.
B.
C.
D.
At measuring of blood pressure of a patient it was discovered that the value of systolic BP is 160 mm
Hg and diastolic one is 75mm Hg. What is the kind of hypertension?
Isolated diastolic hypertension,
Normal value of hypertension,
Associated hypertension,
Mild hypertension.
Isolated systolic hypertension,
Hypertrophy of what heart chamber is typical for essential hypertension?
Right ventricle,
Right atrium,
Left ventricle,
No any one.
Left ventricle,
The most characteristic auscultatory phenomenon at arterial hypertension is:
Opening snup sound,
Split of the I sound,
Accentuation of the II heart sound at pulmonary artery,
Systolic murmur at aorta.
Accentuation of the II heart sound at aorta,
Hypertonic crisis is more frequently complicated by:
Rupture of aorta,
Edema of limbs,
Kidney insufficiency,
Dyspnoe.
Myocardial infarction,
Attack-like pain of squeezing character behind a breastbone with irradiation to the left arm, that
diminish after usage of nitroglycerine, is characteristic for:
Myocarditis,
Vegetative dystonia,
Myocardial infarction,
Angina pectoris,
Neuralgias.
In a patient with attack of retrosternal pain which lasts for 35 min a doctor suspects myocardial
infarction. Results of what blood test does the doctor need for early verification of the diagnosis?
Alaninaminotransferase,
Bilirubin,
Alkaline phosphatase,
Cholesterol.
Troponins, myoglobin,
Displacement of ST interval on 1 mm above isoelectrical line with negative T wave reversion on
ECG are typical for:
Acute stage of myocardial infarction,
Subacute stage of myocardial infarction,
Transmural myocardial infarction,
Presense of scar after myocardial infarction.
E. *
204.
A.
B.
C.
D.
E. *
205.
A.
B.
C.
D.
E. *
206.
A.
B.
C.
D.
E. *
207.
A.
B.
C.
D.
E. *
208.
A.
B.
C.
D.
E. *
209.
A.
B.
C.
D.
E. *
210.
A.
B.
C.
Angina pectoris,
Displacement of interval of ST on more than 2 mm below isoelectrical line, negative reversion of T
wave and deep Q wave on ECG are typical for:
Angina pectoris,
Subacute stage of myocardial infarction,
Transmural myocardial infarction,
Presence of scar after myocardial infarction.
Acute stage of myocardial infarction,
Deep Q wave on ECG in normal position of interval of ST on ECG are typical for:
Angina pectoris,
Acute stage of myocardial infarction,
Transmural myocardial infarction,
Superacute stage of MI.
Subacute stage of myocardial infarction,
Decreased voltage of R wave, lifted ST segment above isoelectrical line which fuses with wave T
(nophase curve) on ECG are typical for the following stage of myocardial infarction:
Acute stage,
Subacute stage,
The stage of scarring,
Is not typical for myocardial infarction at all.
Superacute stage,
A deep wide Q wave on ECG is typical for:
myocardial ischemia,
For myocarditis,
angina pectoris,
hypertrophy of myocardium.
necrosis of cardiac muscle,
The direct signs of myocardial infarction of the postrerior heart wall on ECG are registered in the
followings leads:
I, aVL, VI- V4,
I, aVL, V5 - V6,
aVL, V1-V2 ,
V1-V6.
II, III, aVF,
The signs of anterior myocardial infarction are registered on ECG in leads:
II, III, aVF,
aVL, V1-V2,
I, II, aVL,
V1-V6.
I, aVL, VI- V6,
What kind of respiratory sounds are the most typical for patients with acute left ventricular
insufficiency?
Dry rales,
Pleural friction sound,
Pleuropericardial friction sound,
D.
E. *
211.
A.
B.
C.
D.
E. *
212.
A.
B.
C.
D.
E. *
213.
A.
B.
C.
D.
E. *
214.
A.
B.
C.
D.
E. *
215.
A.
B.
C.
D.
E. *
216.
A.
B.
C.
D.
E. *
217.
A.
B.
C.
D.
Crepitation.
Moist fine rales,
For what clinical situation the most characteristic are appearance of the bubbling breathing, audible
in the distance, expectoration of foamy rose sputum and the masses of moist rales above all the chest:
Chronic right ventricular insufficiency,
Chronic bronchitis,
Acute left ventricular insufficiency: cardiac asthma,
Pulmonary artery thromboembolism.
Acute left ventricular insufficiency: lung edema,
Which symptoms are characteristic for the syndrome of bronchial obstruction?
Shortness of breath at inspiration,
Shortness of breath of mixed character,
Moist cough,
Hemopthysis.
Shortness of breath at expiration,
Inspection of skin of a patient with pulmonary insufficiency discovers:
Acrocianosis,
Hyperemia,
Jaundice,
Spider angiomata.
Diffuse cyanosys,
In the case of bronchial asthma attack a patient occupies the forced position:
Lying on the side,
Lying on a stomach,
Lying on the back,
Upright with the dropped head.
Sitting with fixing of knees by the hands,
The face appearance in a patient with croupous pneumonia will be the following:
Pale, puffy,
Moon-shaped, red,
Puffy, rather yellow pale,
with paraorbital erythema,
With blush on cheeks.
During the attack of bronchial asthma a patient develops the following syndrome:
Apnoe, compression athelectasis of the lungs,
Bronchiectasia, hypocrinia,
Pulmonary hypotension, hydropneumothorax,
Obturation athelectasis of the lungs, hypocapnia, inflammation of bronchial mucosa.
Dyscrinia, bronchoconstriction, swelling of mucous membrane of bronchi,
Patient A. complains of belching with smell like rotten eggs. Which pathology this symptom is
typical for?
Stomach ulcer,
Pancreatitis,
Liver cirrhosis,
Colitis.
E. *
218.
A.
B.
C.
D.
E. *
219.
A.
B.
C.
D.
E. *
220.
A.
B.
C.
D.
E. *
221.
A.
B.
C.
D.
E. *
222.
A.
B.
C.
D.
E. *
223.
A.
B.
C.
D.
E. *
224.
A.
B.
C.
Stomach cancer,
In patient C. duodenal ulcer was revealed. Which symptoms are typical for this pathology?
Pain in the right hypochondrium after meals, nausea and vomiting, discoloured feces;
Pain in the left hypochondrium, meteorism;
Pain in epigastrium after meals, nausea and vomiting, constipation;
Pain in epigastrium, diarrhea, dark stool.
Pain in duodenal region on fasten stomach, nausea and vomiting, constipation;
Patient B. developed stomach ulcer. Which symptoms are typical for this pathology?
Pain in the right hypochondrium after meals, nausea and vomiting, discoloured feces;
Pain in the left hypochondrium, meteorism;
Pain in duodenal region on fasten stomach, nausea and vomiting, constipation;
Pain in epigastrium, diarrhea, dark stool.
Pain in epigastrium after meals, nausea and vomiting, constipation;
A patient with jaundice complains of skin itching. Which type of jaundice skin itching is typical for?
Hemolitic;
Parenchimatous;
Is not typical,
For all types.
Obstructive;
Patient A. complains of heartburn. Which pathology this symptom is typical for?
Stomach cancer,
Pancreatitis,
Liver cirrhosis,
Colitis.
Stomach ulcer,
At research in a patient the enlarged abdomen was revealed with dilated veins on the frontal
abdominal wall. Which patology this sign is typical for?
Peritoneal inflammation,
Meteorism,
Ascites,
Cholecystitis
Portal hypertension;
Dry pleurisy was revealed in patient М., 45 years old. What is the most typical symptom for this
disease?
Dyspnoe,
Moist cough,
Increased body temperature,
Expectoration of sputum.
Pain in one part of the chest at the top of inspiration,
Which from the following indexes indicate absence of respiratory failure?
Peak velosity of expiration or and volume of forced expiration for the first second <80 %, from
prognosed rate, violation - 20-30 %,
Peak velosity of expiration or and volume of forced expiration for the first second 60-79 % from
prognosed rate,, violation >30%,
Peak velosity of expiration or and volume of forced expiration for the first second <60 % from
prognosed rate, violation >30 %,
D.
C.
Peak velosity of expiration or and volume of forced expiration for the first second <50 % from
prognosed rate, violation >35 %.
Peak velosity of expiration or volume of forced expiration for the first second - 80 % from prognosed
rate, violation <20 %,
Main cause of development of a lung inflammation (pneumonia):
Influence of toxicants,
Professional factor,
Hypothermia,
Grippe virus.
Bacteriological agents ( pneumococci and other),
In the first stage of pneumonia percussion sound over the affected zone is:
Clear pulmonary,
Dull,
Bandboxe,
Thympanic.
Dull-to-thympanic,
In the second stage of pneumonia percussion sound over the affected zone is:
Clear pulmonary,
Dull-to-thympanic,
Bandboxe,
Thympanic.
Dull,
The complication which may develop in pneumonia is:
Anemia,
Bronchial obstruction,
Anaphylactic shock,
Acute myocarditis.
Abscess of lung parenchyma,
The complication which may develop in severe pneumonia is:
Anemia,
Atelectasis,
Bronchial opbstruction,
Acute myocarditis.
Toxic shock,
The complication which may develop in severe pneumonia is:
Anemia,
Atelectasis,
Bronchial opbstruction,
D.
E. *
231.
A.
B.
C.
D.
Acute myocarditis,
Pleural effusion.
In what time after meal the patients with peptic ulcer located in pyloric region have pain in
epigastrium?
In 10-15 minutes ;
In 1-2 hours ;
In 2-3 hours;
In 3-4 hours.
E. *
225.
A.
B.
C.
D.
E. *
226.
A.
B.
C.
D.
E. *
227.
A.
B.
C.
D.
E. *
228.
A.
B.
C.
D.
E. *
229.
A.
B.
C.
D.
E. *
230.
A.
B.
E. *
E. *
238.
In 30-50 minutes;
In what time after meal the patients with peptic ulcer located in upper parts of the stomach have pain
in epigastrium?
In30-50 minutes;
In 1-2 hours ;
In 2-3 hours;
In3-4 hours.
In 10-15 minutes ;
What character of pain is typical for pleurisy with effusion:
Dull boring permanent;
Crumping;
Stabbing at the top of inspiration;
Burning.
Compressive;
Hemorrhagic type of pleural effusion is present in the following pathological condition:
Tuberculosis;
Rheumatic fever;
Empyema pleurae;
Lymphogranulomatosis.
lung cancer;
Aseptic pleural effusion is present in the following pathological condition:
Tuberculosis;
lung cancer;
Empyema pleurae;
Bronchitis,
Rheumatic fever;
What method of research is obvious in diagnostics of pleurisy with effusion:
Bronchography;
Thoracoscopy;
Thermography;
Ultrasonic.
X-ray;
Choose the necessary component of therapy of pneumonia complicated by pleurisy with effusion:
Inhibitors of proteinases;
Diuretic;
Antiviral therapy;
Cardiac glycosides.
Pleurocentesis;
Choose the necessary component of therapy of pneumonia complicated by pleurisy with effusion:
A.
B.
C.
D.
E. *
239.
Inhibitors of proteinases;
Diuretic;
Antiviral therapy;
Cardiac glycosides.
Antibiotics;
In what time after meal the patients with peptic duodenal ulcer develop pain in abdominal region?
232.
A.
B.
C.
D.
E. *
233.
A.
B.
C.
D.
E. *
234.
A.
B.
C.
D.
E. *
235.
A.
B.
C.
D.
E. *
236.
A.
B.
C.
D.
E. *
237.
A.
B.
C.
D.
A.
B.
C.
D.
E. *
240.
A.
B.
C.
D.
E. *
241.
A.
B.
C.
D.
E. *
242.
A.
B.
C.
D.
E. *
243.
A.
B.
C.
D.
E. *
244.
A.
B.
C.
D.
E. *
245.
A.
B.
C.
D.
E. *
246.
A.
B.
In 5-10 min,
In 10-15 min;
In 15-30 min;
In 3-4 hour.
In 2-2,5 hour,
Which peculiarities of pain are typical for stomach bleeding:
Pain become permanent;
Pain become stronger;
Pain remains on same intensity level;
Pain spread to all abdominal cavity.
Pain considerably dimishes or disapears;
Which research method is obvious in diagnostics of peptic ulcer:
X-ray;
Research of gastric contents;
Ultrasound investigation;
Coprogram;
Endoscopic examination.
What complaints of patients with heart diseases are caused by increased blood pressure in pulmonary
circulation?
Dizziness, headache;
Pain in the heart area, palpitation;
Palpitation, edema on legs;
Nausea, vomiting.
Dyspnea, cough, asthma, blood spitting;
What kind of forced posture is typical for the patient with attack of bronchial asthma?
Knee-elbow;
Lying on the stomach;
Opistotonus;
Restless.
Orthopnea;
What kind of forced posture is typical for the patient with attack renal colick?
Knee-elbow;
Lying on the stomach;
Orthopnea;
Opistotonus;
Restless.
What characteristics of pain in the case of myocardial infarction do you know?
Burning, lasts by hours, days;
Dull, diffuse ache, irradiates to the left hand;
Retrosternal, burning paine, irradiates to the left hand, disappears after taking of validol or
nitroglycerin;
Aching pain in one point of precordium, does not irradiate.
Pressing, burning, irradiates to the left hand, does not disappears after taking of validol or
nitroglycerin;
A
How does the patient behaves during the attack of angina pectoris?
Is restless,
Restless, locomotory and speech excitation;
C.
253.
A.
Sits upright (orthopnea);
Stay in lnee-elbow position ;
Stiffs at one place, presses his hand to heart area
What is duration of pain in the case of the attack of angina pectoris at exertion?
For 1-2 minutes;
For 10-30 minutes;
From several seconds till 20-30 minutes;
For hours, days.
For 5-15 minutes;
What is duration of pain in the case of myocardial infarction?
For 1-2 minutes;
For 5-15 minutes;
For 10-30 minutes;
From several seconds till 20-30 minutes;
For some days.
Which heart defect is the organic systolic murmur typical for:
Stenosis of a mitral orifice;
Aortic incompetence;
pulmonary walve incompetence
tricuspid valve stenosis.
Stenosis of ostium of aorta;
What compensatory mechanism develops in heart failure:
Periferal vasoconstriction;
Reduction of heart’s rate;
All listened;
Any of them.
Acceleration of heart rate
The most frequent reason of acute right-ventricular failure are:
Status asthmaticus;
Massive pulmonary atelectasis;
Thromboembolism of pulmonary artery;
Spontaneous pneumothorax,
All mentioned above
The most important clinical symptom of pulmonary artery thromboembolism is:
Chest pain;
Cough with expectorating of sputum;
Sweating;
Fever.
Chest pain, dyspnea and hemoptysis;
What changes of volume of circulating blood are typical for chronic heart failure?:
Is not changed;
B.
C.
D.
E. *
Decreased;
Depends on its reasons;
All mentioned.
Increased;
D.
E. *
247.
A.
B.
C.
D.
E. *
248.
A.
B.
C.
D.
E. *
249.
A.
B.
C.
D.
E. *
250.
A.
B.
C.
D.
E. *
251.
A.
B.
C.
D.
E. *
252.
A.
B.
C.
D.
E. *
254.
A.
B.
C.
D.
E. *
255.
A.
B.
C.
D.
E. *
256.
A.
B.
C.
D.
E. *
257.
A.
B.
C.
D.
E. *
258.
A.
B. *
C.
D.
E.
259.
A.
B.
C. *
D.
E.
260.
A.
B.
C.
D.
E. *
261.
Ascites, hydrothorax, anasarca are observed in heart failure of:
I stage,
ІІ stage;
Acute right-ventricular;
Chronic left-ventricular.
ІІІ stage;
The most frequent reason of the left-atrial insufficiency is:
Hypotension;
Hypertension;
Aortal stenosis;
Defects of tricuspid valve.
Mitral stenosis;
Cardiac asthma is observed in the following type of heart failure:
Right-ventricular;
In all cases;
Right-atrial;
No any one.
Left-ventricular;
What symptom is typical for the acute left-ventricular heart failure?
Hepatomegalia;
Ascites;
Anasarca,
Emaciation.
Cardiac asthma;
What symptom is typical for the II A stage of right-ventricular heart failure?
Splenomegalia;
Cardiac asthma;
Emaciation;
No any one.
Anasarca;
What symptom is not observed only in III stage of heart failure?
Hepatomegalia;
Cardiac asthma;
Carotic shudder;
Anasarca,
Emaciation, muscular dystrophy.
In the patient pleurisy with effusion on the right side was defined. How the lower lung border will be
changed?
Shifted downward on both sides,
Shifted upward on both sides,
Shifted downward on the affected side,
Will be not changed.
Shifted upward on affected side,
In the patient pleurisy with effusion on the right side was defined. What method of examination may
be helpful in diagnostics?
A.
D.
Microscopy of sputum,
Bacteriological examination of sputum,
Bronchography,
Tomography.
Ultrasound examination of pleural cavity,
In the patient pleurisy with effusion on the right side was defined. What method of examination is of
first importance in diagnostics?
Microscopy of sputum,
Bacteriological examination of sputum,
Bronchigraphy,
Tomography.
Chest X-ray,
In a patient dry pleurisy on the right side was defined. What will be data of auscultation of the chest?
Dry high-pitched rales,
Dry low-pitched rales,
Moist rales,
Crepitation,
Pleural friction.
In a patient pleuropneumonia of the right lower lung lobe was defined. When crepitation will be
heard over the affected zone?
I stage,
II stage,
III stage,
In I and II stages,
In I and III stages.
In a patient dry pleurisy on the right side was defined. Which changes will be observed on
spyrogram?
No changes,
Obstructive type of respiratory insufficiency,
Mixed type of respiratory insufficiency,
Asphixia.
Restrictive type of respiratory insufficiency,
In a patient large cavern of the right lung was revealsed on X-ray film with diameter 7 cm. The
cavern is filled with liquid on one half. Which rales do you expect to reveal by auscultation?
Dry high-pitched rales,
Dry low-pitched rales,
Moist fine rales,
Moist medial rales,
Moist coarse rales.
The patient has chronic errosive gastritis. Maelena and bloody stools are observed in the patient.
Gregersen's reaction is positive. What complication of the illness the doctor must think about?
Perforation,
Penetration,
Stenosis,
Malignisation.
E. *
Stomach haemorrhage,
B.
C.
D.
E. *
262.
A.
B.
C.
D.
E. *
263.
A.
B.
C.
D.
E. *
264.
A.
B.
C.
D.
E. *
265.
A.
B.
C.
D.
E. *
266.
A.
B.
C.
D.
E. *
267.
A.
B.
C.
268.
A.
B.
C.
D.
E. *
269.
A.
B.
C.
D.
E. *
270.
A.
B.
C.
D.
E. *
271.
A.
B.
C.
D.
E. *
272.
A.
B.
C.
D.
E. *
273.
A.
B.
C.
D.
E. *
274.
A.
B.
C.
D.
E. *
275.
A.
Student answering on a question, took the definition of cholangitis. Cholangitis – this is:
Nonspecific inflammation of a gallbladder
Specific inflammation of intraheparic bile ducts
Nonspecific inflammation of extraheparic bile ducts
Specific inflammation of a allbladder and bile ducts.
Nonspecific inflammation of intra- and extrahepatic bile ducts
Patient В., 24 y.o. suffers of chronic cholangitis. Which among the following symptoms is not typical
for the disease?
Pain
Chills
Increased body temperature
Sweating
Vomiting
Patient А., 30 y.o. suffers on chronic cholangitis. Which among the following symptoms is not
typical for the disease?
Pain
Asthenic
Dyseptic
Intoxication
Intestinal bleeding
For the heart failure 3 stage the following it is typical:
pneumonia
meningitis
hepatitis
splenomegaly
anasarca
For heart failure 2-B stage the following it is typical:
dyspnea on physical exertion
anasarca
dry cough
splenomegaly
hepatomegaly
For heart failure 3 stage the following it is typical:
pneumonia
meningitis
hepatitis
splenomegaly
pulmonary edema
For the heart failure 2-A stage the following it is typical:
swollen feet
anasarca
dry cough
hepatomegaly
shortness of breath at rest
Which examination method is value in myocarditis diagnostics:
electrocardiography
B.
C.
D.
E. *
276.
A.
B.
C.
D.
E. *
277.
A.
B.
C.
D.
E. *
278.
A.
B.
C.
D.
E. *
279.
A.
B.
C.
D.
E. *
280.
A.
B.
C.
D.
E. *
281.
A.
B.
C.
D.
E. *
282.
A.
B.
C.
D.
radiography
contrasting the cavity of the heart
everything is wrong
Ultrasound of a heart
The prognosis of acute rheumatic myocarditis is (usually):
death of up to 3 years
permanent disability
death during the acute period
chronic heart failure
recovery
The prognosis of acute rheumatic arthritis is (usually):
death of up to 3 years
death in the early school age
death during the acute period
chronic heart failure
recovery
The prognosis of chronic myocarditis is (usually):
recovery
death in the early months of illness
persistent improvement in clinical symptoms
all answers are correct
progressive circulatory failure
Drug of choice for severe acute rheumocarditis is:
propranolol
Delago
indomethacin
penicillin
prednisolone
In heart failure it is necessary to prescribe the following drugs:
hypotensive
antibacterial
calcium antagonists
hormones
diuretics
Drugs that improve myocardial function and metabolism include:
prednisolone
corglycon
Methyluracil
digoxin
mildronant
In left ventricular failure it is necessary to prescribe:
antiaggregants
Saluretics
hormones
cardiotrope medicine
E. *
Angiotensin converting ensyme inhibitors
283.
A.
B.
C.
D.
E. *
284.
A.
B.
C.
D.
E. *
285.
In right ventricular failure it is necessary to prescribe:
prednisolone
aspirin
dipyridamol
Cardonat
verospiron
In cardiac arrhythmias is advisable to appoint
cardiac glycosides
glucocorticoids
diuretics
all answers are correct
beta-bloquers
If cardiac arrhythmias are given:
cardiac glycosides
glucocorticoids
diuretics
all answers are correct
cordarone
In heart failure the following drugs are not to be given:
diuretics
cardiac glycosides
ACEI
calcium antagonists
hypotensive
For drugs that improve myocardial function belong:
prednisolone
Nurofen
Methyluracil
veroshpiron.
thiotriazoline
Cardiac asthma is the sign of:
dry pericarditis
right ventricular failure
hepatomegaly
respiratory failure
left ventricular failure
A patied developed rheumatic pancarditis. What does it mean the therm “Pancarditis”?
affection of epicardium
affection of pericardium
endocardial affection
all answers are correct
affection of all heart layers
What is determining sign for pancarditis in rheumatic fever patient?
weakening of the heart sounds
A.
B.
C.
D.
E. *
286.
A.
B.
C.
D.
E. *
287.
A.
B.
C.
D.
E. *
288.
A.
B.
C.
D.
E. *
289.
A.
B.
C.
D.
E. *
290.
A.
B.
C.
D.
E. *
291.
A.
B.
C.
D.
E. *
292.
A.
B.
C.
D.
E. *
293.
A.
B.
C.
D.
E. *
294.
A.
B.
C.
D.
E. *
295.
A.
B.
C.
D.
E. *
296.
A.
B.
C.
D.
E. *
297.
A.
B.
C.
D.
significant increase of heart sounds
high blood pressure
pleural rub
Pericardial friction sound
The main medicines which are used to treat endocarditis are:
hormones
antiinflammatory drugs
bacterial drugs
quinoline drugs
antibiotics
Arterial hypotension is characteristic for
pulmonary valve stenosis
coarctation of the aorta
tetralogy of Fallot
transposition of great arteries
aortic valve stenosis
"Drumsticks" indicate
acute hypoxia
hypotension
hypertension
all answers are correct
prolonged hypoxia
Aspirin is the medicine from the group of:
Cardiotropic
Hormone
Cardiac glicoside
Diuretics
Nonsteroid antiinflamatiory drugs
Digoxin is the medicine from the group of:
Cardiotropic
Nonsteroid antiinflamation
Hormone
Diuretics
Cardiac glicosides
Drug which does not improve function of myocardium
Riboxin
Mildronat
Thiotriasolin
Cardonat
Methyluracil
Furosemide is the medicine from the group of:
Cardiotropic
Nonsteroid antiinflamation
Hormone
Cardiac glicoside
E. *
298.
A.
B.
C.
D.
E. *
299.
A.
B.
C.
D.
E. *
300.
A.
B.
C.
D.
E. *
301.
A.
B.
C.
D.
E. *
302.
A.
B.
C.
D.
E. *
303.
A.
B.
C.
D.
E. *
304.
A.
B.
C.
D.
E. *
305.
A.
Diuretics
Ibuprofen is the medicine from the group of:
Cardiotropic
Hormone
Cardiac glicoside
Diuretics
Nonsteroid antiinflamatory
In case of aortic stenosis we can see most probable:
Both left and right ventricles hypertrophy
Isolated right atrium hypertrophy
Right ventricle hypertrophy
Isolated left atrium hypertrophy
Left ventricle hypertrophy
Lasics is the medicine from the group of:
Cardiotropic
Nonsteroid antiinflamation
Hormone
Cardiac glicoside
Diuretics
Mildronat is the medicine from the group of:
Nonsteroid antiinflamation
Hormone
Cardiac glicoside
Diuretics
Cardiotropic
Prednisolone is the medicine from the group of:
Cardiotropic
Nonsteroid antiinflamation
Cardiac glicoside
Diuretics
Hormone
Riboxin is the medicine from the group of:
Nonsteroid antiinflamation
Hormone
Cardiac glicoside
Diuretics
Cardiotropic
Strofantin is the medicine from the group of:
Cardiotropic
Nonsteroid antiinflamation
Hormone
Diuretics
Cardiac glicoside
The main reason of rheumathoid arthritis is:
bacterial infection;
B.
C.
D.
E. *
306.
A.
B.
C.
D.
E. *
307.
A.
B.
C.
D.
E. *
308.
A.
B.
C.
D.
E. *
309.
A.
B.
C.
D.
E. *
310.
A.
B.
C.
D.
E. *
311.
A.
B.
C.
D.
E. *
312.
A.
B.
C.
D.
supercooling;
viral infection;
angina (acute tonsillitis)
nonspecific sensibilization of organism.
Polyarticular form of the rheumatoid arthritis is characterized by:
polyserositis,
chronic asymmetric arthritis of large joints,
polyarthritis or polyarthralgia,
hemarthroses
symmetric chronic pain and swelling of many joints;
Rheumatoid arthritis is characterized by:
hepatosplenomegaly,
asymmetric arthritis of large joints,
migratory polyarthritis;
massive bleeding after teeth extraction.
rheumatoid nodules,
The main role in the rheumatoid arthritis pathogenesis belongs to:
sensibilization
bacterial inflammation
aseptic inflammation
allergic reactions
autoimmune reactions
The main clinical criteria of rheumatoid arthritis are:
chorea
encephalitis
nephritis
pneumonia
symmetrical affection of small joints
The main clinical criteria of rheumatoid arthritis are:
polyartralgia
hepatitis
dermatitis
pneumonia
effusion in joint cavity
The main clinical criteria of rheumatoid arthritis are:
rheumatic nodules
dermatitis
nephritis
pneumonia
joint contracture
The main clinical criteria of rheumatoid arthritis are:
anular erythema
papulas
hemorrhages
pneumonia
E. *
313.
A.
B.
C.
D.
E. *
314.
A.
B.
C.
D.
E. *
315.
A.
B.
C.
D.
E. *
316.
A.
B.
C.
D.
E. *
317.
A.
B.
C.
D.
E. *
318.
A.
B.
C.
D.
E. *
319.
A.
B.
C.
D.
muscular atrophy
The main clinical criteria of rheumatoid arthritis are:
anular erythema
papulas
hemorrhages
pneumonia
morning stiffness
The main X-ray criteria of rheumatoid arthritis are:
No correct answer
Tendosynovitis or bursitis.
Muscular atrophy.
Morning stiffness of joints
Osteoporosis
The main X-ray criteria of rheumatoid arthritis are:
Symmetrical affection of small joints
Effusion in joint cavity
Tendosynovitis or bursitis.
Morning stiffness of joints
Narrowing of articular cavity
Sharp pressing pain behind the sternum, which irradiates toward left arm, is provoked by physical
load and lasts for 2 hrs is typical for
angina pectoris at exertion
variant angina pectoris
intercostal neuralgia
myositis
myocardial infarction
Pressing pain behind the sternum which lasts for 15 min and disappears after sublingual usage of
nitroglycerine is typical for:
cardioneuriosis
myocardial infarction
intercostal neuralgia
myositis
angina pectoris
Retrosternal pain with irradiation to the left arm, which arise at night in young patients, last for 20-30
min and disappears after usage of spasmolythics is typical for:
angina pectoris at exertion
myocardial infarction
intercostal neuralgia
myositis
variant angina pectoris
Which changes in urianalyses will be in a patient who suffers of hypertension more then 15 years?
monocyturia
erythrocyturia
casts in urine
glucosuria
E. *
320.
A.
B.
C.
D.
E. *
321.
A.
B.
C.
D.
E. *
322.
A.
B.
C.
D.
E. *
323.
A.
B.
C.
D.
E. *
324.
A.
B.
C.
D.
E. *
325.
A.
B.
C.
D.
E. *
326.
A.
proteinuria
In a patient with angina pectoris retrosternal pain arises if me walks on 50-100 m distance.Which
functional class of stable angina pectoris is present?
I
II
III
V
IV
In a patient with angina pectoris retrosternal pain arises if he walks on 120 m distance.Which
functional class of stable angina pectoris is present?
I
II
IV
V
III
In a patient with angina pectoris retrosternal pain arises if he walks on distance more than 1000
m.Which functional class of stable angina pectoris is present?
II
IV
V
III
I
In a patient with angina pectoris retrosternal pain arises if he walks on 500-600 m distance.Which
functional class of stable angina pectoris is present?
I
III
IV
V
II
In a patient with angina pectoris retrosternal pain arises if he is going upstairs on 2-3 floors.Which
functional class of stable angina pectoris is present?
III
IV
V
II
I
In a patient with angina pectoris retrosternal pain arises if he is going upstairs on 1 floor and
less.Which functional class of stable angina pectoris is present?
I
II
IV
V
III
Patient with angina pectoris IV functional class has developed pain attack. Describe patient’s
appearance:
cyanosis of lips, nose, finger tips
B.
C.
D.
E. *
327.
A.
B.
C.
D.
E. *
328.
A.
B.
C.
D.
E. *
329.
A.
B.
C.
D.
E. *
330.
A.
B.
C.
D.
E. *
331.
A. *
B.
C.
D.
E.
332.
A.
B.
C.
D.
E. *
red face, “mask” facial exprression
facies mitralis
diffuse cyanosis
skin paleness, suffering facial expression
Patient L., 52 y.o., has hypersentsion, IIst. Select characteristics of pulse:
dull and full
slow
quick, high
milk, high
quick, dull
In patient M. was diagnosed angina pectoris, III functional class. Retrosternal pain most often
irradiates towards:
right sholder, scapula ,arm
all chest wall
left part of the back, low jaw
right part of the back, low jaw
left shoulder, scapula, arm
In patient M. was diagnosed angina pectoris, III functional class. Anginous attacks occur if the
patient is walking on the distance:
more then 1000m
more then 500m
less then 100m
In rest
100-500m
In patient M. was diagnosed angina pectoris, II functional class. Anginous attacks occur if the patient
is walking on the distance:
more then 1000 m, severe physical load
100-500 m
less then 100 m
In rest
more then 500 m
In patient M. was diagnosed angina pectoris, I functional class. Anginous attacks occur if the patient
is walking on the distance:
more then 500 m
100-500m
less then 100 m
In rest
more then 1000 m, severe physical load
Patient O., 66 y.o., suffers of angina pectoris, IV functional class. Concervative treatment is not
effective. The patient needs operative treatment. Which examination is it necessary to execute before
operation?
ECG
ultrasound
X-ray of the chest
Holter’s 24 hrs ECG monitoring
coronarography
333.
A.
B.
C.
D.
E. *
334.
A.
B.
C.
D.
E. *
335.
A.
B.
C.
D.
E. *
336.
A.
B.
C.
D.
E. *
337.
A.
B.
C.
D.
E. *
338.
A.
B.
C.
D.
E. *
339.
A.
B.
C.
D.
E. *
What is the most typical sign of angina pectoris?
boring permanent pain in heart region
pressing permanent pain in heart region
dull pain in the left part of the chest
stubbing pain in heart apex
pressing retrosternal attack-like pain with typical irradiation
Which target organ affection is typical for second stage of hypertension?
renal failure
brain stroke
retinal hemorrhage
serum creatinine > 0.177 mmol/L
Retinal angiopathy
Which pathological chnges are typical for second stage of hypertension?
renal failure
brain stroke
retinal hemorrhage
serum creatinine > 0.177 mmol/L
serum creatinine is increasaed but < 4.177 mmol/l
Which complication is typical for III stage of hypertension?
Proteinuria
Encephalopathy
Retinal angiopathy
Erum creatinine is increasaed but < 4.177 mmol/l
Serum creatinine more than 0.177 mmol/L
Which target organ affection is typical for III stage of hypertension?
proteinuria
encephalopathy
Retinal angiopathy
serum creatinine < 0.177 mmol/L
brain stroke
Which target organ affection is typical for III stage of hypertension?
proteinuria
encephalopathy
Retinal angiopathy
serum creatinine < 0.177 mmol/L
myocardial infarction
In a patient, 40 years old, blood pressure violates within the limit of 190- 200/120-140 mm Hg. What
is the most propable type of hypertension ?
cardiovascular
essential
norm
endocrine
renal
340.
A.
B.
C.
D.
E. *
341.
A.
B.
C.
D.
E. *
342.
A.
B.
C.
D.
E. *
343.
A.
B.
C.
D.
E. *
344.
A.
B.
C.
D.
E. *
345.
A.
B.
C.
D.
E. *
346.
A.
Patient P., 38 years old, complains of periodical rise of BP to 230-250 / 100-110 mm Hg, which is
followed by palpitation, nervous excitation, sweating, redness of skin, feeling of heat. During
ultrasound examination adrenal gland tumpur was revealed. What is the most propable type of
hypertension ?
cardiovascular
essential
central
No any of them
endocrine
Patient 47 years old was working in a garden. Suddenly he felt severe retro sternal pain with
irradiation towards the left arm. The patient has taken three tablets of nitroglycerine each 5 minutes
and 1 tablete of anagin without any effects. What is the possible to susspect in the patient ?
angina pectoris attack
interstinal neuralgia
myositis
cardioneurosis
myocardial infarction
Patient 47 years old was working in a garden. Suddenly he felt severe retrosternal pain with
irradiation towards the left arm. The patient has Angina pectoris in anamnesis.Which drug is it
necessary
analgin to use?
corvalol
valeriana extract
aspirin
nitroglycerin
Patient P. 58 years old suffers from hypertension. His BP is 180/100 mm Hg. Pulse is 58-60/min,
edema on the legs. Which group of drugs should treatment be started from?
beta blockers
ACEI
Calcium channel blockers
inhibitors of angiotensine receptors.
Diuretics
Patient C. 37 years old recieves antihypertensive treatment with non- medicamentous agents for
several months. BP is ussually 150/95 mm of Hg. In which period of time she should start
medicamentous treatment if non- medicamentous one is not effective?
in one week
in one month
1 year
2-3 years
3-6 months
What is the most effective method to remove pain in angina pectoris ?
validol
barboval
rest
physical load
nitroglycerin
Patient suffers of hypertension. What instrumental examintaion should be prescribed in first order?
x-ray
B.
C.
D.
E. *
347.
A.
B.
C.
D.
E. *
348.
A.
B.
C.
D.
E. *
349.
A.
B.
C.
D.
E. *
350.
A.
B.
C.
D.
E. *
351.
A.
B.
C.
D.
E. *
352.
A.
B.
C.
D.
E. *
353.
A.
B.
C.
phenocardiogram
Ultrasound of heart and vessels
Computer tomograph
ECG
Which advice should be appropriate for patient with angina pectoris?
Limitation of sugar intake
Limitation of fat intake
Limitation of protein intake
Limitation of liquid intake
Limitation of salt intake
In patient 35 years old it was revealed hypertension of 1st stage. Select primary recommendation for
her?
change of life style
physical training
rest
medicamentus treatment
to remove phychotraumatic influences
Which changes may be expected in biochemical blood study of a patient with IHD, angina pectoris ?
hyperglycemia ,hypercholesterolemia
increased level of high density lipoproteides.
Hyperlipidemia, hyperproteidemia
Hypolipidema , hypocholestrolemia
Increased level of low density lipoproteids
In a patient with angina pectoris ECG was recorded after realising of attack. What may be expected ?
Changes of ST and T
Changes of QRS
Changes of Q and ST
Stable changes of ECG
Normalization of ECG
What is the most important in prophylaxis of anginons attacks?
low-caloric diet
sport
obstainance of alcohol
diet enriched in vitamins
avoiding of physical overload
Select another name of variant angina pectoris:
Heberden’s angina
Bushar’s angina
Osler’s angina
no correct ANSWER
Printzmetal’s angina, vasospastic angina
Which among presented methods is the most informative in diagnostics of angina pectoris?
test with physical load
ECG
ultrasound of a heart
D.
E. *
354.
A.
B.
C.
D.
E. *
355.
A.
B.
C.
D.
E. *
356.
A.
B.
C.
D.
E. *
357.
A.
B.
C.
D.
E. *
358.
A.
B.
C.
D.
E. *
359.
A.
B.
C.
D.
E. *
360.
A.
B.
C.
D.
E. *
pharmacologic tests
Holter’s 24 hrs ECG monitoring
Which mechanism is leading in pathogenesis of ischemic heart disease and angina pectoris?
Sympatoadrenal system activation
coronarospasm
disorders of micronirulation in myocardium
change of functional properties of blood cella
development of atherosclerotic plaque in coronary arteries
Which mechanism is leading in pathogenesis of variant (Printzmetal’s) angina pectoris?
changes in catecholamine’s metabolism
change in micronyrulation ot myocardium
atherosclerotic plaque
metabolic changes in myocardium
spasm f coronary arteries
Typical data of auscultation in angina pectoris attack:
extrasystolic arrhythmia
systemic murmur on aorta
systemic murmur heart apex
norm
weakened heart sounds
Which pathogenetic process plays the leading role in development of hemorrhagic brain stroke in
hypertension?
arosion of the artery
diapedesis of erythrocites
disseminated blood coagulation
brain edema
rupture of the artery
Hypertonic crisis of I type (hyperkynetic) most often is complicated with?
rupture of an aorta
lung edema
renal failure
heart failure
myocardial infarction
Hypertonic crisis of II type (hypokynetic) most atten is complicated with?
rupture of an aorta
lung edema
renal failure
heart failure
brain stroke
Deep Q wave on ECG is the sing of:
myocardial ischemia
myocarditis
angina pectoris
myocardial hypertrophy
necrosis of myocardium
361.
A.
B.
C.
D.
E. *
362.
A.
B.
C.
D.
E. *
363.
A.
B.
C.
D.
E. *
364.
A.
B.
C.
D.
E. *
365.
A.
B.
C.
D.
E. *
366.
A.
B.
C.
D.
E. *
367.
A.
B.
C.
D.
E. *
368.
A.
B.
Biphasic, negative or high acute T wave on ECG is the sing of:
necrosis of myocardium
myocarditis
angina pectoris
myocardial hypertrophy
myocardial ischemia
Dietary principles in hypertension are the following:
limitation of protein in diet
food enriched with plant fibers
avoiding of fatty food ( animal fats).
decreased caloric content
decreased consumption of salt and liquid
Dietary principles in ischemic heart disease?
limitation of protein in diet
food enriched with plant fibers
Decreased consumption of salt and liquid
decreased caloric content
avoiding of fatty food ( animal fats).
To reveal liquid in pleural cavity all methods are used except:
chest X-ray
chest ultrasound
comparative pecussion of lungs
pleural puncture
Rivolt’s test
For pleurisy with effnsion all complaints are typical except of:
dry cough
dyspnea
feeling of heaviness and pressing sensations on affected side of the chest
palpitation
pain in the affected side in breathing
Select the sign, typical for dry pleurisy:
dry cough
dyspnea
feeling of heaviness and pressing sensations on affected side of the chest
palpitation
pain in the affected side in breathing
All presented signs are typical for syndrome of liquid accumulation in pleural cavity except of:
Absence of main respiratory sounds
Weakened vesicular breathing
Chest wall protrusion on the affected side
Retardation of affected side in rpiration
Thympanic percutorial sound
Which sign does not belong to permanent signs of fluid accumulation in pleural cavity?
dyspnea
cyanosis
C.
D.
E. *
369.
A.
B.
C.
D.
E. *
370.
A.
B.
C.
D.
E. *
371.
A.
B.
C.
D.
E. *
372.
A.
B.
C.
D.
E. *
373.
A.
B.
C.
D.
E. *
374.
A.
B.
C.
D.
E. *
375.
A.
B.
C.
D.
E. *
protrusion of a chest wave on affected side.
Retardation of affected side in rpiration
coarse consonant moist rales
Appearance on ECG of complex QS is typical for:
subendocardial MI
sudepicardial MI
non – Q MI
angina pectoris
transmural MI
At zone of liquid accumulation in pleural cavity we can hear:
clear pulmonary sound
dull-to-thympany sound
bandbox sound
thympanic sound
dull percutory sound
Main syndrome in pleurisy with eftesion is:
Syndrome of air hyperinflation in lungs
Syndrome of respiratory failure
Syndrome of air accumulation in pleural cavity
Syndrome of broinchial ectasia
Syndrome of fluid accumulation in pleural cavity
During examination of a patient with dry pleurisy it is possible to reveal everything except:
Clear pulmonary sound
Retardation of affected side in respiration
Pleural friction sound
Weakened vesicular breathing
Chest wall protrusion on the affected side
Lukerini’s test is used for:
Assessment of pleural fluid specific gravity
To find atypical cells
Evacuation of large volume of fluid from pleural cavity
Microscopy of pleural fluid sediment
Differentiation between exsudate and transsudate
Pleural puncture is useful in:
Assessment of pleural fluid physical properties, microscopy of pleural fluid sediment
Administration of medicines into pleural cavity
To find atypical cells
Evacuation of large volume of fluid from pleural cavity
all mentioned
Serous exsudate is possible to find in pleural cavity in:
Empyema pleurae
Pleurisy with effusion
Tumor of pleura (mezotelioma)
Rupture of common lymph duct
Decompensated heart failure
376.
A.
B.
C.
D.
E. *
377.
A.
B.
C.
D.
E. *
378.
A.
B.
C.
D.
E. *
379.
A.
B.
C.
D.
E. *
380.
A.
B.
C.
D.
E. *
381.
A.
B.
C.
D.
E. *
382.
A.
B.
C.
D.
E. *
Fibrinous exsudate is possible to find in pleural cavity in:
Empyema pleurae
Decompensated heart failure
Tumor of pleura (mezotelioma)
Rupture of common lymph duct
Pleurisy with effusion
Purulent exsudate is possible to find in pleural cavity in:
Decompensated heart failure
Pleurisy with effusion
Tumor of pleura (mezotelioma)
Rupture of common lymph duct
Empyema pleurae
Hemorrhagic exsudate is possible to find in pleural cavity in:
Empyema pleurae
Decompensated heart failure
Pleurisy with effusion
Rupture of common lymph duct
Tumor of pleura (mezotelioma)
Hemorrhagic exsudate is possible to find in pleural cavity in:
Empyema pleurae
Decompensated heart failure
Pleurisy with effusion
Rupture of common lymph duct
Cancer metastases to lungs
In a young man BP on arms is 160/90 mmHg, on legs - 100/65 mmHg. What is probable cause?
Pheochromocytoma
Primary hyperaldosteronism
Hyperthyreosis
Kidney disease
Aortic coarctation
A patient is suspected to be developing myocardial infarction. Which test is necessary to precribe for
early diagnostics of MI to start thrombolythic therapy?
ALT
Bilirubin
Alkaline phosphatase
Cholesterol
serum myoglobin
A patient is suspected to be developing myocardial infarction. Which test is necessary to precribe for
early diagnostics of MI to start thrombolythic therapy?
ALT
Bilirubin
Alkaline phosphatase
Cholesterol
Troponin T level
383.
A.
B.
C.
D.
E. *
384.
A.
B.
C.
D.
E. *
385.
A.
B.
C.
D.
E. *
386.
A.
B.
C.
D.
E. *
387.
A.
B.
C.
D.
E. *
388.
A.
B.
C.
D.
E. *
389.
A.
B.
C.
D.
E. *
A patient complains of retrosternal pain with typical for angina pectoris irradiation, but ECG is
normal. The patient suffers from chronic polyarthritis with affection of knees, femoral joints of the III
degree. Which test will you choose to prove diagnosis”angina pectoris”?
Veloergometry
Tredmile test
Exposure to cold
Coronarography
Pharmacological tests
A patient presents clinical signs of angina pectoris but ECG is normal. Which test will you choose to
prove the diagnosis?
test with cold
test with nitroglycerine
test with propranolol
test with KCL solution
veloergometry
Inflammatory diseases of the liver include:
Wilson disease
Gilbert syndrome
Hydatid disease of the liver
Agenesis of the liver
Hepatitis
Cholelithiasis is a violation of metabolism:
cholesterol
bilirubin
bile acids
everything is wrong
all of the above
Where are formed gallstones?
in the hepatic bile ducts
in the common bile duct
in the gall bladder
everything is wrong
all of the above
Cholestasis is important in the development of:
urolithiasis
gastric ulcer
obesity
carditis
cholelithiasis
During cholestasis, concentration of bile cholesterol and bilirubin in bile:
decreases
unchanged
everything is true
everything is wrong
increases
390.
A. *
B.
C.
D.
E.
391.
A.
B.
C.
D.
E. *
392.
A.
B.
C.
D.
E. *
393.
A.
B.
C.
D.
E. *
394.
A.
B.
C.
D.
E. *
395.
A.
B.
C.
D.
E. *
396.
A.
B.
C.
D.
E. *
397.
A.
B.
During cholestasis, concentration of bile acids:
increases
unchanged
everything is true
everything is wrong
decreases
Factors contributing to the development of gallstone disease are:
viral diseases
prolonged hypothermia
insolation
all of the above
obesity
A patient has cholelithiasis. Select inhibitor of lithogenesis for his treatment among presented below:
somatotropin
insulin
hydrochloric acid
pepsinogen
deoxycholic acid
Gallstones can be divided into
bilirubin and phosphorous
calcium and cholesterol
pigment and magnesium
all of the above
pigment and cholesterol
Which symptom is characteristic for cholecystocholangitis?
Chvostek
Obraztsov
Mayo Robson
Troisier's
Murphy
Where pain in a hepatic colick is conducted?
in the left hypochondrium
epigastric
in the right iliac region
in the left iliac region
in the right shoulder
Where pain in the attack of biliary colick is conducted?
In right shoulder
In the neck
under the right scapula
everything is wrong
all of the above
Which symptoms arise in a patient with biliary colick simultaneously with pain attacks?
hemorrhagic
splenomegaly
C.
D.
E. *
398.
A.
B.
C.
D.
E. *
399.
A.
B.
C.
D.
E. *
400.
A.
B.
C.
D.
E. *
401.
A.
B.
C.
D.
E. *
402.
A.
B.
C.
D.
E. *
403.
A.
B.
C.
D.
E. *
404.
A.
B.
C.
D.
E. *
belching, bloating, constipation
diarrhea, flatulence
nausea, vomiting
How jaundice with occlusion of the common bile duct is called?
physiological
hemolytic
parenchymatous
combined
mechanical
What kind of diet is prescribed to patients with cholelithiasis?
№1
№4
№ 10
№ 15
№5
What should be restricted in the diet of patients with cholelithiasis?
protein
carbohydrates
vegetable fats
aminoacids
high-melting fats
What must be added to food in patients with cholelithiasis?
salt
sugar
dairy products
liquid
cellulose
What is appointed to stimulate the synthesis of bile acids?
flamin
allohol
sorbitol
chenophalc
phenobarbital
What sorbents are used in patients with cholelithiasis?
cholestyramine
polyphepan
smectic
karbolong
all of the above
Which drugs are used in cholelithiasis?
cholesympatolytics and cholestatics
cholelitics, cholemimetics
all of the above
everything is wrong
choleretics and cholekinetics
405.
A.
B.
C.
D.
E. *
406.
A.
B.
C.
D.
E. *
407.
A.
B.
C.
D.
E. *
408.
A.
B.
C.
D.
E. *
409.
A.
B.
C.
D.
E. *
410.
A.
B.
C.
D.
E. *
411.
A.
B.
C.
D.
E. *
Which drug belongs to chloretics?
smectic
sorbitol
festal
almagel
allochol
Which drug belongs to cholekinetics?
allohol
cholosas
cholagon
galstena
epsom salt (MgSO4)
Sorbitol belongs to:
choleretics
enzymes
antispasmodics
vitamins
cholekinetics
Preparations of which bile acids have litholytic effect?
oleic
palmitic
corn
everythinfg is wrong
ursodeoxycholic
Ursophalc belongs to:
choleretics
cholekinetics
enzymes
antacids
litholytics
Patient S. has acute bronchitis. Which findings may be revealed during auscultation of his chest?
Bronchial breathing all over the lungs
Amphoric breathing on both sides of the chest
Vesicular breathing
Weakened vesicular breathing with prolonged expiration
Harsh breathing
Eosynophiles are present in sputum in:
Acute broncitis
Bronchopneumonia
Croupous pneumonia
Lung cancer
bronchial asthma