1. The increased intraocular tension              6. A 32-year-old patient has been diagnosedis observed in a patient with...
A.3-phosphoglycerate                             the bars form three zones. Medulla consistsB.l,3-bisphosphoglycerate     ...
B. Reciprocal                                    C. In the collecting duckC. Lateral                                      ...
and two short vacuoles. For whom are the         degrees due to gamma radiation. What typedescribed attributes typical?   ...
vitamin. What vitamin is in deficiency?             B. EscherichiaA. Carotene                                         C. S...
place on the face has to be pressed to stop    by what of the following cells is the mostbleeding?                        ...
has revealed an affected beam-lobule                 blood pressure. Increasing of the osmoticstructure, part of hepatocyt...
72. A 37-year-old man was admitted              and small-grained. Microscopically:to the surgical department with the    ...
C. Glutamate receptors                           injured?D. GABA receptors                                A. The mind-brai...
A. Glycerol                                           B. Anconeus muscleB. Diacylglycerol                                 ...
proportion with domination of the last,             E. Increased pressure in Bowmans capsulegland structures of different ...
should be prescribed:                                E. Pathological anisocytosisA. Amilorid                              ...
D. Testicle                                     A. Macrophages, monocytesE. Ovaries                                      B...
the follicle                                        human blood sample is lower than normal.C. Increased numbers of parafo...
lig .arteriosum after birth. What anatomical     B. Monocvtesformations does this duct connect?               C. Eosinophi...
150. A mother of a newborn complains                 C. Autosomal dominantof her babys constant belching with undigested  ...
161. A patient with the symptoms of acute           E. Mineralocorticoidsalcoholic poisoning was brought to the           ...
D. Central paralysis                                Malaria. What method of laboratory diagnosticsE. Reflex paresis       ...
lymphocites, eosinophiles, atypical cells        C. Decreased lungs elasticityof the large size with mu1tiple-Iobule      ...
191. To anaesthetize the manipulation             between tibia and fibula . What kind of bonerelated to burn surface trea...
appeared. BP dropped down to 70/40mmHg. Oligura has developed. What is themain reason for the development of thiscondition...
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  1. 1. 1. The increased intraocular tension 6. A 32-year-old patient has been diagnosedis observed in a patient with glaucoma. with bartholinitis (inflammationSecretion of aqueous humor by the ciliar of Bartholins glands ). In what part of thebody is normal. Injury of what structure of female urogenital system are the Bartholinsthe eyeball caused the disorder of flow-out glands located?from the anterior chamber? A. The vaginaA. Back epithelium of cornea B. The uterusB. Choroid C. The labia minorC. Ciliary muscle D. The clitorisD. Venous sinus E. The labia majorE. Ciliar body 7. The calcium canals of cardiomyocytes2. A patient visited a dentist with complaints have been blocked on an isolated rabbitsof redness and edema of his mouth heart. What changes in the hearts activitymucous membrane in a month after dental can happen as a result?prosthesis. The patient was diagnosed with A. Decreased rate and force of heart beatallergic stomatitis. What type of allergic B. Heart stops in systolereaction by Gell and Cumbs underlies this C. Decreased force of the contractiondisease? . D. Decreased heart beat rateA. Cytotoxic E. Heart stops in diastoleB. Immunocomplex 8. Substitution of the glutamic acid onC. Anaphylactic valine was revealed while examining initialD. Delayed type hypersensitivity molecular structure. For what inheritedE. Stimulating pathology is this symptom typical?3. An autopsy revealed large (1-2 cm) A. Thalassemiabrownish-red, easy crumbling formations B. Sickle-cell anemiacovering ulcerative defects on the external C. Favismsurface of the aortic valve. What is the most D. Minkowsky-Shauffard diseaselikely diagnosis? E. HemoglobinosisA. Diffusive endocarditis 9. A patient has undergone an amputationB. Polypus-ulcerative endocarditis of lower extremity. Some time later painfulC. Fibroplastic endocarditis nodules appeared in a stump. AmputatiousD. Acute warty endocarditis neuromas were found out at the microscopicE. Recurrent warty endocarditis examination. To what pathological4. A patient with suspicion on epidemic processes do those formations relate?typhus was admitted to the hospital. Some A. Metaplasiaarachnids and insects have been found in B. Inflammationhis flat. Which of them may be a carrier of C. Regenerationthe pathogen of epidemic typhus? D. DystrophyA. Bed-bugs E. HyperemiaB. Houseflies 10. A patient with injured muscles ofC. Lice the lower extremities was admitted toD. Spiders the traumatological department. Due toE. Cockroaches what cells is reparative regeneration of the5. A 27- year-old woman has used penicillin muscle fibers and restoration of the musclecontaining eye drops. In a few minutes itching, function possible?skin burning. lips and eyelids edema. A. Satellite-cellswhistling cough. decreasing BP appeared. B. FibroblastsWhat antibodies can lead to this allergic C. Myoepithelial cellsreaction? D. MyoblastsA. IgE and IgG E. MyofibroblastsB. IgM and IgD 11. A worker has decreased buffer capacityCo IgA and IgM of blood due to exhausting muscular workD. IgG and IgD The influx of what acid substance in theE. IgM and IgG blood can cause this symptom?
  2. 2. A.3-phosphoglycerate the bars form three zones. Medulla consistsB.l,3-bisphosphoglycerate of chromaffinocytes and venous sinusoids.C. Pyruvate Which organ has these morphologicalD. α-ketoglutarate features?E. Lactate A. Thyroid12. A 63-year-old woman developed B. Lymph nodesymptoms of rheumatoid arthritis. Their C. Kidneyincrease of which blood values indicators D. Adrenal glandcould be the most significant in proving the E. Thymusdiagnosis? 17. The study of the genealogy of a familyA. Additive glycosaminoglycans with hypertrichosis (helix excessive pilosis)B. Acid phosphatase has demonstrated that this symptomC. Lipoproteids is manifested in all generations only in menD. General cholesterol and is inherited by son from his father. WhatE. R-glycosidase is the type of hypertrichosis inheritance?13. A 50-year-old man has felt vague A. Y-linked chromosomeabdominal discomfort within past 4 B. Autosome-dominantmonths. Physical examination revealed C. Autosome-recessiveno lymphadenopathy, and no abdominal D. X-linked dominant chromosomemasses or organomegaly at palpation. E. X-linked recessive chromosomeBowel sounds are heard. An abdominal CT 18. Succinate dehydrogenase catalyses thescan shows a 20 cm retroperitoneal soft tissue dehydrogenation of succinate. Malonic acidmass obscuring the left psoas muscle. HOOC-CH2-COOH is used to interruptA stool specimen tested for occult blood is the action of this enzyme. Choose the inhibitionnegative. Which of the following neoplasms type:is this man most likely to have? A. Non-competitiveA. Adenocarcinoma B. Limited proteolysisB. Lymphoma C. AllostericC. Lipoma D. CompetitiveD. Melanoma E. DephosphorylationE. Hamartoma 19. A patient has a malignisation of thoracic14. The penetration of the irritable cell part of esophagus. What lymphatic nodesmembrane for potassium ions has been are regional for this organ?increased during an experiment. What A. Nodi lymphatici mediastinales posterioreschanges of membrane electric status can B. Nodi lymphatici paratrachealisoccur? C. Nodi lymphatici prevertebralisA. Action potential D. Nodi lymphatici pericardiales lateralesB. Depolarization E. Anulus lymphaticus cardiaeC. Hyperpolarization 20. A patient with bronchial asthma hadD. No changes been taking tablets which caused insomnia,E. Local response headache, increased blood pressure. What15. Examination of a person revealed that medecine can cause such complications?minute volume of heart is 3500 mL, systolic A. Ephedrinevolume is 50 mL. What is the frequency of B. Chromolin sodiumcardiac contraction? C. EuphylineA. 50bpm D. AdrenalineB. 70bpm E. IzadrineC. 80bpm 21. Inhibition of alpha-motoneuron of theD. 60bpm extensor muscles was noticed after stimulationE. 90bpm of a-motoneuron of the flexor16. A histological spacemen presents muscles during the experiment on the spinalparenchymal organ, which has cortex and column. What type of inhibition can bemedulla. Cortex consists of epitheliocytes caused by this process?bars with blood capillaries between them; A. Depolarizational
  3. 3. B. Reciprocal C. In the collecting duckC. Lateral D. In distal tubule of nephronD. Presynaptic E. In proximal tubule of nephronE. Recurrent 27. A patient suffering from trombophlebitis22. During histological examination of the of deep veins suddenly died. The autopsystomach it was found out that glands contained has shown freely lying red friable massesvery small amount of pariental cells or with dim crimped surface in the trunk andthey were totally absent. Mucose membrane bifurcation of the pulmonary artery. Whatof what part of the stomach was studied) pathologic process was revealed by theA. - morbid anatomist?B. Cardia A. Tissue embolismC. Body of stomach B. Fat embolismD. Pyloric part C. TromboembolismE. Fundus of stomach D. Thrombosis23. A businessman came to India from E. Embolism with foreign bodySouth America. On examination the physician 28. On autopsy of a still-born infantfound that the patient was suffering abnormalities have been revealed: ventriclesfrom sleeping-sickness. What was the way are not separated, a single arterial trunkof invasion? originates from the right part. For what classA. After contact with a sick dogs of vertebrates is such heart constructionB. Through dirty hands characteristic?C. As a result of mosquitos bites A. FishesD. With contaminated fruits and vegetables B. BirdsE. As a result of bugs bites C. Amphibian24. A patient has been taking a mixture D. Reptilesprescribed by neuropathologist for E. Mammalsneurasthenia for two weeks. The patient 29. A man after 1,5 litre blood loss hasfeels better but has developed coryza, suddenly reduced diuresis. TIle increasedconjunctivitis, rash, inertia, decrease of secretion of what hormone caused such diuresismemory. She is diagnosed with bromizm. alteration?What should be prescribed to decrease the A. Parathormonesymptoms? B. CorticotropinA. Glucose solution 5% C. VasopressinB. Polyglucin D. CortisolC. Asparcam E. NatriureticD. Natrium chloride 30. Blood analysis of a patient showed signsE. - of HIV infection (human immunodeficiency25. When the pH level of the stomach lumen virus). Which cells does HIV-virus primarilydecreases to less than 3, the antrum of affect?the stomach releases peptide that acts in A. Specialized nervous cells (neurons)paracrine fashion to inhibit gastrin release. B. Cells that contain receptor IgM (B-This peptide is: lymphocytes)A. Gastrin-releasing peptide (GRP) C. Cells that contain receptor T4 (T-helpers)B. GIF D. Proliferating cells (stem hematoplasticC. Somatostatin cells)D. Vasoactive intestinal peptide (VIP) E. Mast cellsE. Acetylcholine 31. Slime, blood and protozoa 30-200 microns26. The low specific gravity of the secondary of length have been revealed in aurine (1002) was found out in the sick mans feces. The body is covered with ciliasperson. What is the most distant part of and has correct oval form with a little bitnephron where concentration of secondary narrowed forward and wide round shapedurine takes place? back end. On the forward end a mouth is visible.A. In the nephrons glomerulus In cytoplasm there are two nucleusesB. In ascending part of loop of Henle
  4. 4. and two short vacuoles. For whom are the degrees due to gamma radiation. What typedescribed attributes typical? of mutation took place in the DNA chain?A. Balantidium A. ReplicationB. Trichomonas B. InversionC. Intestinal amoeba C. TranslocationD. Dysenteric amoeba D. DoublingE. Lamblia E. Deletion32. A doctor administered Allopurinol to a 38. Periodic renal colics attacks are26-year-old young man with the symptoms observed in a woman with primer!of gout. What pharmacological action of hyperparathyroidizm. Ultrasonic examinationAllopurinol ensures therapeutical effect? revealed small stones in the kidneys.A. By increasing uric acid excretion What is the most plausible reason of theB. By inhibiting leucocyte migration into the stoness formation?joint A. HyperphosphatemiaC. By inhibiting uric acid synthesis B. HyperuricemiaD. By general analgetic effect C. HypercalcemiaE. By general anti-inflammatory effect D. Hyperkalemia33. A person has steady HR not exceeding E. Hypercholesterinemia40 bpm. What is the pacemaker of the heart 39. The gluconeogenesis is activated in therhythm in this person? liver after intensive physical trainings .WhatA. Atrioventricular node substance is utilized in gluconeogenesis firstB. His bundle of all in this case:C. Sinoatrial node A. GlutamateD. Purkinye libelS B. PyruvateE. Branches of His bundle C. Lactate34. In the ovary specimen colored with D. Glucosehematoxylin-eosin, follicle is determined E. Alaninewhere cubic-shaped follicle epithelium cells 40. From the nasopharynx of a 5-year-are placed in 1-2 layers, and scarlet covering old child 3 microorganism was excretedis seen around ovocyte. Name this follicle: which is identical to Corynebacterium diphtheriaeA. Primordial dose according to morphologicalB. Secondary and biochemical signs. Microorganism doesC. Mature . not produce exotoxin. As a result of whatD. Atretic process can this microorganism becomeE. Primary toxigenic?35. A denaturation of proteins can be found A. Phage conversionin some substances. Specify the substance B. Passing through the organism of thethat is used for the incomplete denaturation sensative animalsof hemoglobin: C. Chromosome mutationA. Toluene D. Growing with antitoxic serumB. Sulfuric acid E. Cultivation in the telluric environmentC. Nitric acid 41. Necrosis focus was observed in the areaD. Urea of hyperemia. and skin edema in a few hoursE. Sodium hydroxide after burn. What mechanism strengthens36. Ovarian tumour was diagnozed in a destructive effects in the inftamn1ationwoman. Surgery should be perfomed. What area?ligament should be extracted by the surgeon A. Primary alterationto disconnect the ovary and the uterus? B. Emigration of lymphocytesA. Lateral umbilical ligament C. Diapedesis of erythrocytesB. Suspensory ligament of ovary D. Proliferation of fibroblastsC. The ovarial ligament E. Secondary alterationD. Round ligament of uterus 42. There is an inhibited coagulation in theE. Broad ligament of uterus patients with bile ducts obstruction, bleeding37. Part of the DNA chain turned about 180 due to the low level of absorbtion of a
  5. 5. vitamin. What vitamin is in deficiency? B. EscherichiaA. Carotene C. ShigellB. E D. StreptococcusC. K E. StaphylococcusD. A 48. A 58-year-old female has undergoneE. D surgery for necrotic bowel. Despite having43. In case of enterobiasis acrihine - the been treated with antibiotics, onstructural analogue of vitamin B2 - is postoperative day 5, she develops symptomsadministered. (fever, hypotension, tachycardia, decliningThe synthesis disorder of which urine output, and confusion) consistent withenzymes does this medicine cause in septic shock. What hemodynamic supportmicroorganisms? would be helpful?A. NAD-dependet dehydrogenases A. Fluid administrationB. Cytochromeoxidases B. Dobutamine infusionC. Aminotransferases C. Fluids and Dobutamine infusionD. Peptidases D. Atropine administrationE. FAD-dependent dehydrogenases E. Antibiotic administration44. A patient with hypochromic anemia 49. A man died 8 days after the beginninghas splitting and loss of hair, increased nail of the disease. He was diagnosed withbrittling and taste alteration. What IS the dysentery. At the autopsy it was foundmechanism of the symptoms development? out a thickened wall of the sigma andA. Decreased production of parathyrin rectum. fibrinous membrane on the surfaceB. Deficiency of vitamin A of mucous membrane. Histologically: thereC. Deficiency of iron-containing enzymes is a deep necrosis of mucous membrane withD. Decreased production of thyroid infiltration of necrotic masses with fibrin.hormones What kind of colitis does correspond to theE. Deficiency of vitamin B12 changes?45. Blood sampling for bulk analysis is A. Catarrhalrecommended to be performed on an B. Diphtheriticempty stomack and in the morning. What C. Ulcerativechanges in blood composition can occur if to D. Chronicperform blood sampling after food intake? E. GangrenousA. Increased plasma proteins 50. The electronic microphoto of kidneyB. Increased contents of leukocytes fragment has exposed afferent glomerularC. Reduced contents of erythrocytes arteriole, which has giant cells under itsD. Increased contents of erythrocytes endothelium, containing secretory granules.E. Reduced contents of thrombocytes Name the type of these cells:46. The high level of Lactate Dehydrogenase A. Interstitial(LDH) isozymes concentration showed the B. Mesangialincrease of LDH-l and LDH-2 in a patients C. Smoothmuscularblood plasma. Point out the most probable D. Juxtavasculardiagnosis: E. JuxtaglomerularA. Myocardial infarction 51. When a patient with traumatic impairmentB. Acute pancreatitis of the brain was examined, it was discoveredC. Skeletal muscle dystrophy that he had stopped to distinguishD. Viral hepatitis displacement of an object on the skin. WhatE. Diabetes mellitus part of the brain was damaged?47. Red colonies spread in the large quantity A. Posterior central gurusin the Endo culture medium were revealed B. Frontal zoneon bacteriological stool examination of a 4month- C. Frontal central gurusold baby with the symptoms of acute D. Parietal zone of the cortexbowel infection. What microorganism can it E. Occipital zone of the cortexbe? 52. A 30-year-old patient was hospitalizedA. Salmonella due to bleeding of the facial artery. What
  6. 6. place on the face has to be pressed to stop by what of the following cells is the mostbleeding? typical for the process occuring here? A. The mandibles branch A. MonocytesB. The noses back B. LimphocytesC. The molar bone C. NeutrophilsD. The mental process D. EosinophilsE. The mandibles edge E. Basophils53. A patient with complaints of 3-day-long 58. Marked increase of activity of MB-formsfever, general weakness, loss of appetite of CPK (creatinephosphokinase) andcame to visit the infectionist. The doctor LDH-l was revealed by examination of thesuspected enteric fever. Which method of patients blood. What is the most probab1elaboratory diagnosis is the best to confirm pathology?the diagnosis? A. RheumatismA. Detachment of myeloculture B. HepatitisB. Detachment of urine culture C. Miocardial infarctionC. Detachment of feces culture D. PancreatitisD. Detachment of blood culture E. CholecystitisE. Detachment of pure culture 59. A patient who came to the doctor54. A 50-year-old patient with typhoid fever because of his infertility was administeredwas treated with Levomycetin, the next day to make tests for toxoplasmosis and chronichis condition became worse, temperature gonorrhoea. Which reaction should berose to 39,6°. What caused the complication? performed to reveal latent toxoplasmosisA. Secondary infection addition and chronic gonurrhoea of the patient?B. Irresponsiveness of an agent to the A. IFA .. Immunofluorescence assaylevomycetin B. RIHA - Reverse indirect hemagglutinationC. The effect of endotoxin agent assayD. Allergic reaction C. (R)CFT- Reiters complement fixationE. Reinfection test55. A student is thoroughly summarising a D. RDHA - Reverse direct hemagglutinationlecture. When his groupmates begin talking assaythe quality of the summarising worsens E, Immunoblot analysisgreatly. What type of inhibition in the 60. A 45-year-old woman suffers fromcerebral cortex is the cause of it? allergic seasonal COr/Z2 caused by theA. Differential ambrosia blossoming. What adipose cellsB. Dying group stabilizer medicine can be used forC. Protective prevention of this disease?D. External A. PhencarolE. Delayed B. Diazoline56. A 46 year-old man complains of difficult C. Ketotifennose breathing. Mikulich cells, storage of D. Dimedrolepithelioid cells, plasmocytes, lymphocytes. E. Tavegylhyaline balls are discovered in the biopsy 61. A patient after pathological process hasmaterial of the nose thickening. What is the a thickened alveolar membrane. The directmost likely diagnosis? consequence of the process will be theA. Virus rhinitis reduction of:B. Rhinovirus infection A. Reserve expiratiory capacityC. Meningococcal nasopharyngitis B. Minute respiratory capacityD. Allergic rhinitis C. Alveolar lung ventilationE. Scleroma Do Oxygen capacity of blood57. A 16-year-old boy was performed an E. Diffuse lung capacityappendectomy. He has been hospitalized 62. A 59-year-old man has symptomsfor right lower quadrant abdominal pain of parenchymatous jaundice and portalwithin 18 hours. The surgical specimen is hypertension. Histological examinationedematous and erythematous. Infiltration of the puncture of the liver bioptate
  7. 7. has revealed an affected beam-lobule blood pressure. Increasing of the osmoticstructure, part of hepatocytes has signs of concentration and dispersity of proteinfat dystrophy, port-portal connective tissue structures can be found in the intercellularsepta with formation of pseudo-lobules, with fluid. What kind of edema are to beperiportal lympho-macrophage infiltrations. observed in this case?What is the most probable diagnosis? A. LymphogenicA. Liver cirrhosis B. MixedB. Alcohol hepatitis C. Colloid-osmoticC. Toxic dystrophy D. MembranogenicD. Chronic hepatosis E. HydrodynamicE. Viral hepatitis 68. A patient died from acute cardiac63. The preventive radioprotector was given insufficiency. The histological examinationto a worker of a nuclear power station. of his heart revealed the necrotized sectionWhat mechanism from the below mentioned in myocardium of the left ventricle, whichis considered to be the main mechanism was separated from undamaged tissueof radioprotection? by the zone of hyperimic vessels, smallA. Activation of oxidation reactions hemorrhages and leukocytic infiltration.B. Prevention of tissues hypoxia What is the most likely diagnosis?C. Increasing of tissue blood supply A. Myocardial infarctionD. Inhibition of free radicals formation B. Myocardial ischemic dystrophyE. Increasing of respiration C. Productive myocarditis64. After the trauma. the patients right D. Focal exudate myocarditisn.vagus was damaged. Which violation of E. Diffuse exudate myocarditisthe cardiac activity is possible in this case? 69. A 56-year-old patient complaining ofA. Violation of a conductivity in the right thirst and frequent urination was diagnosedauricle with diabete mellitus. Butamin was prescribed.B. Violation of the automatism of a How does the medicine act?atrioventricular A. It inhibits α-cells of Langergans isletsnode B. It inhibits absorption of glucose in theC. Block of a conductivity in the atrioventricular intestinesnode C. It relieves transport of glucose throughD. Violation of the automatism of a Kiss-Fleck the cells membranesnode D. It stimulates β-cells of Langergans isletsE. Arrhythmia E. It helps to absorb the glucose by the cells65. A highly injured person has gradually died. of the organism tissuesPlease choose the indicator of biological 70. Galactosemia has been revealed indeath: a child. Concentration of glucose in theA. Disarray of chemical processes blood has not considerably changed. WhatB. Autolysis and decay in the cells enzyme deficiency caused this illness?C. Absence of palpitation and breathing A. GalactokinaseD. Absence of movements B. Galactose-1-phosphate uridyltransferaseE. Loss of consciousness C. Hexokinase66. During the experiment on the influence D. Amylo-1,6-glucosidaseof chemical substances in the muscles the E. Phosphoglucomutasereaction of Ca2+ - pump is weakened. Which 71. During the endoscopy the inflammationphenomenum will be observed? of a major papilla of the duodenumA. Prolonged duration of the AP and the disturbances of bile secretion wereB. Decreased AP found. In which part of duodenum were theC. Prolonged relaxation problems found?D. Decreased velocity of the AP distribution A. Lower horizontal partE. Activation of the sodium-potassium pump B. Ascendant part67. Inflamation is characterised by increasing C. Descendent partpenetration of vessels of microcirculation D. Upper horizontal partstream, increasing of their fluid dynamic E. Bulb
  8. 8. 72. A 37-year-old man was admitted and small-grained. Microscopically:to the surgical department with the fibrinogenoussymptoms of acute pancreatitis: vomiting, inflammation of serous anddiarrhea, bradycardia, hypotention, mucous capsules, dystrophic changes ofweakness, dehydration of the organism. parenchymatous organs, brain edema. WhatWhat medicine should be used first of all? complication can cause such changes of A. Ephedrine serous capsules and inner organs?B. Platyphylline A. SepsisC. No-spa B. UraemiaD. Etaperazine C. ThrombopeniaE. Contrycal D. DIC-syndrome73. Hydroxylation of endogenous substrates E. Anemiaand xenobiotics requires a donor of protons. 78. A 13-year-old girl with history ofWhich of the following vitamins can play asthma complained of cough, dyspneathis role? and wheezing. Her symptoms became soA. Vitamin B6 severe that her parents brought her toB. Vitamin A the emergency room. Physical examinationC. Vitamin P revealed diaphoresis, dyspnea, tachycardiaD. Vitamin C and tachypnea. Her respiratory rate wasE. Vitamin E 42/min. pulse rate was 110 beats per minute,74. Obturative jaundice developed in a and blood pressure was l30/70 mm60-year-old patient because of malignant Hg. Choose from the following list thetumour of the big papillary of the duodenal. most appropriate drug to reverse theLumen of what anatomical structure is bronchoconstriction rapidly:squeezed with tumour? A. MethylprednidsoloneA. Right hepatic duct B. SalbutamolB. Common hepatic duct C. BeclomethasoneC. Hepatopancreatic ampulla D. CromolynD. Cystic duct E. IpratropiumE. Left hepatic duct 79. Chronic glomerulonephritis was diagnosed75. A couple came for medical genetic in a 34-year-old patient 3 yearscounseling. The man has hemophilia, the ago. Edema has developed within the lastwoman is healthy and there were no cases 6 monthes. What caused the edema?of hemophilia in her family. What is the risk A. Hyperosmolarity of plasmaof having a sick child in this family? B. HyperaldosteronismA.O C. Liver disfunction of protein formationB.25% D. Hyperproduction of vasopressinC.50% E. ProteinuriaD.I00% 80. An isolated muscle of a frog is rhythmicallyE. 75% irritated with electric impulses. Every76. Different functional groups can be next impulse is in a period of relaxationpresented in the structure of L-amino acids from the previus contraction. Whatradicals. Identify the group that is able contraction of the muscle occurs?to form ester bond: A. Continuous (smooth) tetanusA. -CH3 B. AsynchronousB.-CONH2 C. SingleC.-OH D. Waved tetanusD. -NH2 E. TonicE.-SH 81. The CNS stimulation produced by77. For a long time a 49-year-old woman methylxanthines, such as caffeine, is mosthad suffered from glomerulonephritis which likely due to the antagonism of one of thecaused death. The autopsy revealed following recertors:that the size of her kidneys was 7x3x2,5 A. Glycine receptorssm, weight 65,0 g, they were dense B. Adenosine receptors
  9. 9. C. Glutamate receptors injured?D. GABA receptors A. The mind-brainE. Cholinergic muscarinic receptors B. The medulla oblongata82. During complicated labour the C. The cerebellumsymphysis pubis ruptured. What organ can D. The inter-brainbe damaged mostly? E. The spinal cordA. Uterus 87. The alveolar ventilation of the patient isB. Rectum 5 L/min, the breath frequency is 10 per/min,C. Ovaria and the tidal volume is 700 ml. What is theD. Urinary blader patients dead space ventilation?E. Uterine tubes A. 2,0 L/min83. A patient with abscess of the cut B. 4,3 L/minwound applied to the traumatological c.-department. The wound was washed with D. 0,7 L/min3% hydrogen peroxide to be cleaned from E. 1,0 L/minthe pus. Foam was not observed. What 88. An old woman was hospitalized withcaused inefficiency of the drug? acute pain, edema in the right hip joint; theA. Pus in the wound movements in the joint are limited. WhichB. Shallow wound bone or part of it was broken?C. Inherited insufficiency of catalase A. Pubic boneD. Low concentration H202 B. The neck of the thighE. Inherited insufficiency erythrocytes C. Condyle of the thighphosphatdehydrogenase D. Ischial bone84. A woman suffering from dysfunctional E. The body of the thigh bonemetrorrhagia was made a diagnostic abortion. 89. A patient, who suffers from congenitalHistologically in the scrape there were erythropoietic porphyria, has skina lot of small stamped glandulars covered photosensitivity. The accumulation of whatwith multirowed epithelium. The lumens of compound in the skin can cause it?some glandulars were cystically extended. A. HemeChoose the variant of general pathologic B. Uroporphyrinogen 2process in the endometrium. C. Coproporphyrinogen 3A. Glandular-cystic hyperplasia of D. Protoporphyrinendometrium E. Uroporphyrinogen 1B. Neoplasm of endometrium 90. A patient died 3 days after the operationC. Atrophy of endometrium because of perforated colon with manifestationsD. Metaplasia of endometrium of diffuse purulent peritonitis.E. Hypertrophic growth The autopsy revealed: colon mucos85. An autopsy revealed: soft arachnoid membrane was thickened and covered withmembrane of the upper parts of cerebral a fibrin film, isolated ulcers penetrated athemisphere is plethoric, of yellowish-green differentcolor, soaked with purulent and fibrose depth. The histology result: mucousexudate, it lookes like a cap. What disease is membrane necrosis, leukocytes infiltrationcharacterised by these symtoms? with hemorrhages focuses. What diseaseA. Tuberculous meningitis complication caused the patients death?B. Meningitis at typhus A. DysenteryC. Influenza meningitis B. Crohns diseaseD. Meningitis at anthrax C. AmebiasisE. Meningococcal meningitis D. Typhoid86. A 50 year-old patien was injured on E. Nonspecific ulcerative colitisthe occipital region of the head. The closed 91. The formation of a secondary mediatorskulls trauma was diagnosed. She was taken is obligatory in membrane-intracellularto the hospital. The medical examination: mechanism of hormone action. Point outderegulation of walking and balance. the substance that is unable to be atrembling of arms. What part of brain was secondary mediator:
  10. 10. A. Glycerol B. Anconeus muscleB. Diacylglycerol C. Tendon of the triceps muscleC. CAMP D. Aponeurosis of biceps muscleD. CA2+ E. Brachioradial muscle E. Inositol-3,4,5-triphosphate 97. The reason of occurrence of some diseases92. A 45-year-old man with domestic apper of an oral cavity is connected witharm injuiry came to the trauma unit. The structural peculiarities of its mucousobjective data are: there are no extension, membrane. What morphological attributesadduction or pronation functions of characterize these features?the arm. What muscle damage caused this A. Transitional epithelium, no submucosacondition? B. No muscularis mucosa, stratified A. Subscapular squamous epitheliumB. Teres major C. Transitional epithelium, no muscularisC. Subspinous mucosaD. Supraspinous D. Simple columnar ciliated epitheliumE. Teres minor E. Well developed muscularis, no submucosa93. The conjugated protein necessarily 98. A journalists body temperaturecontains special component as a nonprotein has sharply increased in the morningpart. Choose the substance that three weeks after his mission in India,cant carry out this function: it was accompanied with shivering andA. Thiamine pyrophosphate bad headache. A few hours later theB. Glucose temperature decreased. The attacks beganC. HN03 to repeat in a day. He was diagnosedD. AMP with tropical malaria. What stage ofE. ATP development of Plasmodium is infective for94. M-r S presents all signs of the hepatic anopheles-female?coma: loss of consciousness, absence of A. Merozoitesreflexes, cramps, convulsion, disorder of B. Gametocytesheart activity, recurrent (periodical) respiration. C. SporozoitesWhat are cerebrotoxical substances D. Microgametewhich accumulate in blood under hepar E. Shizontesinsufficiency? 99. A sick man with high temperature andA. Autoantibody a lot of tiny wounds on the body has beenB. IL-l admitted to the hospital. Lice have beenC. Necrosogenic substances found in the folds of his clothing. What diseaseD. Ammonia can be suspected in the patient?E. Ketonic body A. Plague95. A 60-year-old patient was hospitalised B. Scabiesto the surgical department because c. Malariaof infection caused by blue pus bacillus D. Epidemic typhus(Pseudomonas aeruginosa) which is sensative E. Tularemiato penicillin antibiotics. Indicate which of 100. The sterile Petri dishes and pipettesthe given penicillins has marked activity to are necessary to prepare for microbiologicalthe Pseudomonas aeruginosa? tests in bacteriological laboratory. WhatA. Oxacillin way of sterilization should be applied in thisB. Benzylpenicillin case?C. Methicillin A. Dry-heat sterilizationD. Phenoxymethylpenicillin B. BoilingE. Carbenicillin disodium C. Pasteurization96. Usually the intravenous injection is done D. Tyndallizationinto median cubital vein because it is slightly E. Steam sterilizntion in autoclavemovable due to fixation by the soft 101. An intraoperational biopsy of mammaltissues. What does it fix in the cubital fossa? gland has revealed the signs of atypical tissueA. Brachial muscle with disorder of parenchyma stroma
  11. 11. proportion with domination of the last, E. Increased pressure in Bowmans capsulegland structures of different size and shape, 106. If strong oxidizers get into thelined with single-layer proliferative epithelium. bloodstream. a methemoglobin is formed.What is the most probable diagnosis? It is a compound, where iron (II) becomesA. Fibroadenoma iron (III). What has to be done to save theB. Papilloma patient?C. Noninfiltrative cancer A. He has to be calmed down and put to bedD. Mastitis B. Interchangeable hemotransfusion has toE. Infiltrative cancer be done102. A 10-year-old child complains of C. He has to be given pure oxygenweakness, nausea, irritability. Helminthes D. Patient has to be exposed to the fresh airof white color and 5-10 mm long have been E. Respiratory centers have to be stimulatedfound on the underwear. On microscopy of 107. Patient 54 year-old, 5th daythe scrape from the perianal folds achromic after surgical operation. Blood count:ova of the unsvmmetrical form have been Erythrocytes 3, 6* 1012/l, Hemoglobin 95 g/l,revealed. Which helminth is in the organism Erythrocytes hemoglobin content (colorof the child? index) 0,78; Leukocytes 16 * 109/l, PlateletsA. Trichina 450*109/l. Blood picture: anizocytosis,B. Enterobins vermicularis poikilocytosis,C. Ascaris lumbricoides reticulocytes- 3,8%. What anemiaD. Ancylostoma duodenalis does this patient have?E. Trichuris A. Acquired hemolytic anemia103. A 68-year-old woman can not move B. Acute posthemorragic anemiaher upper and lower right extremities after C. Hypoplastic anemiastroke. Muscle tone of these extremities and D. Anemia from iron deficiencyreflexes are increased. There are pathological E. Chronic posthemorragic anemiareflexes. What form of the paralysis is it? 108. A woman who was sick with rubellaA. Hemiplegia during the pregnancy gave birth to a deafB. Dissociation child with hare lip and cleft palate. ThisC. Paraplegia congenital defect is an example of:D. Monoplegia A. Downs syndromeE. Tetraplegia B. Edwards syndrome104. After breathing with poisonous steams C. Genocopythere is an increased quantity of slime in D. Phenocopyrespiratory passages of a chemical production E. Pataus syndromeworker. What of respiratory tract epithelial 109. A 22-year-old patient was admittedcells participate in mucousa moistening? to the hospital with complaints of heavyA. Intercalated cells nasal breathing. During the examinationB. Goblet cells of her nasal cavity the doctors found thickenedC. Endocrine cells mucous membrane, a lot of mucusD. Langergans cells and nodular infiltrates without erosions inE. Fibroblasts the nose. The nasal rhinoscleroma was diagnosed.105. A 16 year-old patient got numerous The biopsy was taken. What typicaltraumas in automobile accident. Now the morphological changes may be found?patient is having a shock. AP - 80/60 mm A. Granulomas with Virchows cellsHg. daily urine volume 60-80 m!. What B. Granulomas with foreign body cellspathogenic mechanism leads to kidneys C. Interstitial inflammationfunction violation? D. Granulomas with Mikuliczs cellsA. Decreased hydrostatic pressure m E. Granulomas with Langhans cellsglomerular capillaries 110. The alternate usage of dichlotiazide,B. Increased vasopressin blood concentration etacrin acid and lasex did not cause markedC. Trauma of the urinary bladder diuretic effect in the patient with markedD. Increased osmotic pressure in glomerular peripheral edema. The aldosterone level incapillaries the blood is increased. Indicate which medicine
  12. 12. should be prescribed: E. Pathological anisocytosisA. Amilorid 116. Glomerular filtration rate (GFR)B. Urea increased by 20% due to prolonged starvationC. Clopamid of the person. The most evident cause ofD. Mannit filtration changes under this conditions is:E. Spironolacton A. Increase of filtration coefficient111. A patient with tissue trauma was taken B. Increase of penetration of the renal filtera blood sample for the determination of C. Decrease of oncotic pressure of bloodblood clotting parameters. Specify the right plasmasequence of extrinsic pathway activation. D. Increase of systemic blood pressureA. III- VIIa - Xa E. Increase of renal plasma streamB. IV - VIII: TF - Xa 117. There is the change of teeth at the 6,8year-C. IV - VIIa-Xa old children: deciduous are replacedD. III- VIII: TF - Xa by permanent. What embrionic tissues areE. III-IV-Xa the sources of formation of permanent teeth112. A damage of the atomic power plant tissues?reactor resulted in the run-out of radioelements. A. I, II brachial archesPeople in the superstandard radiation zone were B. Mesodermal epithelium and mesenhimeradiated with approximately C. Ectodermal epithelium of a tooth plate250-300 r. and were immediately and Inesenhin1chospitalized. What changes in the blood D. Entodermal epithelium of a tooth platecount would be typical? and mesenhimeA. Lymphopenia E. Entodermal epithelium and mesodermB. Neutropenia 118. A 50 year-old patient had hemorrhageC. Leukopenia of the brain and was taken to the hospital.D. Thrombopenia The place of hemorrhage was revealedE. Anemia on the lateral hemispheres surfaces during113. Decreased blood supply to the organs the medical examination. What artety wascauses hypoxia that activates fibroblasts injured?function. Volume of what elements is A. The middle cerebral arteryincreased in this case? B. The posterior cerebral arteryA. Nerve elements C. The anterior cerebral arteryB. Lymphatic vessels D. The posterior communicating arteryC. Vessels of microcircular stream E. The anterior conmmunicating arteryD. Parenchymatous elements of the organ 119. While enrolling a child to schoolE. Intercellular substance Mantus test was made to define whether114. Live vaccine is injected into the human revaccination was needed. The test result isbody. Increasing activity of what cells of negative. What does this test result mean?connective tissue can be expected? A. Absence of antitoxic immunity to theA. Fibroblasts and labrocytes tuberculosisB. Adipocytes and adventitious cells B. Presence of cell immunity to theC. Pigmentocytes and pericytes tuberculosisD. Plasmocytes and lymphocytes C. Presence of antibodies for tubercle bacillusE. Macrophages and fibroblasts D. Absence of antibodies for tubercle bacillus115. In the blood of a 26-year-old man E. Absence of cell immunity to the18% of erythrocytes of the spherical, ball-shaped, tuberculosisflat and thorn-like shape have been 120. Some diseases reveal symptomsrevealed. Other eritrocytes were in the form of aldosteronism with hypertension andof the concavo-concave disks. How is this edema due to sodium retention in thephenomenon called? organism. What organ of the internalA. Erytrocytosis secretion is affected on aldosteronism?B. Physiological anisocytosis A. Adrenal glandsC. Pathological poikilocytosis B. PancreasD. Physiological poikilocytosis C. Hypophysis
  13. 13. D. Testicle A. Macrophages, monocytesE. Ovaries B. NK-cells121. Oval and round organelles with double C. Fibroblasts. T-Iymphocytes, B-lymphocyteswall are seen at the electron micrograph. D. T-Iymphocytes, B-IymphocytesThe outer membrane is smooth, the inner E. O-lymphocytesmembrane folded into cristae contain 126. An autopsy has revealed that kidneysenzyme ATPase synthetase. These are: are enlarged, surface is large-granularA. Golgi complex because of multiple cavities with smoothB. Centrioles wall, which are filled with clear fluid. WhatCo Mitochondria kidney disease did the patient have?D. Lysosomes A. PyelonephritisE. Ribosomes B. Infarction122. A patient with encephalopathy was C. Glomerulonephritisadmitted to neurological department. D. Polycystic kidneyCorrelation of increasing encephalopathy E. Necrotic nephrosisand substances absorbed by the 127. During the operation on the hip jointbloodstream from the intestines was revealed. of a 5-year-old child her ligament wasWhat substances created in the damaged which caused bleeding. What ligamentintestines can cause endotoxemia? was damaged?A. Biotin A. IliofemoralB. Indole B. IschiofemoralC. Ornithine C. The head of the thighD. Butyrate D. Perpendicular of the acetabuleE. Acetacetate E. Pubofemoral123. A 19 year-old patient was diagnosed 128. A 57-year-old patient was admittedwith appendicitis and was hospitalized. The to the gastroenterological department withsurgical operation on ablating appendix suspicion of Zollinger-Ellison syndromvermiformis is to be performed. What because of rapid increase of gastrin level inartery must be fixed to stop bleeding during the blood serum. What the most probablethe surgical operation? disorder of the secretory function of theA. The colica media stomach here?B. The iliac A. Hypoacidity hyposecretionC. The colica dextra B. Hyperacidity hypersecretionD. The ileocolic artery C. AchyliaE. The colica sinistra D. Hypoacidity hypersecretion124. Methotrexate (structural analogue of E. Hyperacidity hyposecretionthe folic acid which is competitive inhibitor 129. A 2-year-old child has got intestinalof the dihydrofolatreductase) is prescribed dysbacteriosis, which results in hemorrhagicfor treatment of the malignant tumour. syndrome. What is the most likely cause ofOn which level does methotrexate hinder hemorrhage of the child?synthesis of the nucleic acids? A. HypocalcemiaA. Processing B. PP hypovitaminosisB. Mononucleotide synthesis C. Activation of tissue thromboplastinC. Transcription D. Fibrinogen deficiencyD. Reparation E. Vitamin K insufficiencyE. Replication 130. A patient suffering from thyrotoxicosis125. A patient with clinical signs symptoms of vegetoasthenic syndromeof immunodeficiency has unchanged was revealed. What of the following wouldnumber and functional activity of show the histological appearance of aT and B lymphocytes. Dysfunctions thyroid gland being stimulated bydefect of antigen-presentation to the thyroidstimulatingimmunocompetent cells was found during hormone (TSH)?investigation on the molecule level. Defect A. Columnar-shaped follicular cellsof what cells is the most probable here? B. An abundance of colloid in the lumen of
  14. 14. the follicle human blood sample is lower than normal.C. Increased numbers of parafollicular cells This leads to edema of tissues. What bloodD. Decreased numbers of parafollicular function is damaged?capillaries A. Maintaining the Ph levelE. Decreased numbers of follicular cells B. Maintaining the. blood sedimentation131. The action of electric current on the systemexitable cell caused depolarization of its C. All answers are correctmembrane. Movement of what ions through D. Maintaining the oncotic blood pressurethe membrane caused depolarisation? E. Maintaining the body temperatureA. Ca2+ 136. In the microspecimen of red boneB. HCO3- marrow multiple capillares were revealedC. K+ through the walls of which mature bloodD. CL- cells penetrated. What type of capillares isE. Na+ it?132. A young man has an unpainfull A. Fenestrationalformation without marked borders in the B. Somaticalsoft tissues of his thigh. On the tissue bioptate C. Visceralthe formation lookes like flesh of D. Sinusoidalfish and consists of immature fibroblast-like E. Lymphaticcells with multiple mitosis growing through 137. A lung of a premature infant isthe muscles. What is the most likely diagnosis? presented on electronic photomicrographyA. Myosarcoma of biopsy material. Collapse of the alveolarB. Cancer wall caused by the deficiency of surfactantc. Myoma was revealed. Disfunction of what cells ofD. Fibrosarcoma the alveolar wall caused it?E. Fibroma A. Secretory cells133. A 46 year-old patient has complained B. Alveolar macrophagesof headache, fatigue, thirst, pains in the spine C. Alveocytes type IIand joints for the last 2 years. Clinically D. Fibroblastsobserved disproportional enlargement of E. Alveocytes type Ihands, feet, nose, superciliary arches. He 138. A patient had been taking glucocorticoidsnotes that he needed to buy bigger shoes for a long time. When the preparationthree times. What is the main reason of such was withdrawn he developed the symptomsdisproportional enlargement of different of disease aggravation, decreased bloodparts of the body? pressure and weakness. What is the reasonA. Increased sensitivity of the tissues to of this condition?insulin . A. SensibilizationB. Joints dystrophy development B. Appearance of adrenal insufficiencyC. Cartilaginous tissue proliferation under C. Cumulationgrowth hormone influence n. Hyperproduction of ACTHD. Increased sensitivity of the tissues to E. Habituationgrowth hormone 139. A 2-vear-old child experiencedE. Joints chronic inflammation development convulsions because of lowering calcium134. A tissue sample of benign tumor was ions concentration in the blood plasma.studied under the electron microscope. A Function of what structure is decreased?lot of small (15-20 nm) spherical bodies, A. Parathyroid glandsconsisting of 2 unequal subunits were B. Hypophysisdetected. These are: C. Adrenal cortexA. Microtubules D. Pineal glandB. Smooth endoplasmic reticulum E. ThymusC. Ribosomes 140. During the fetal period of theD. Mitochondria development in the vascular system ofE. Golgi complex the fetus a large arterial (Botallos)135. The concentration of albumins in duct is functioning which converts into
  15. 15. lig .arteriosum after birth. What anatomical B. Monocvtesformations does this duct connect? C. EosinophilesA. Aorta and superior vena cava D. LymphocytesB. Pulmonary trunk and aorta E. PlateletsC. Right and left auricle 146. A 55-year-old patient with continuingD. Aorta and inferior vena cava ventricular arrhythmias was admitted toE. Pulmonary trunk and superior vena cava the hospital. The patient is taking timolol141. The B cells of endocrine portion of drops for glaucoma, daily insulin injectionspancreas are selectively damaged by alloxan for diabetes mellitus, and an ACE inhibitorpoisoning. How will it be reflected in blood for hypertension. You have decided to useplasma? phenytoin instead of procainamide. What isA. The content of globulins decreases the reason?B. The level of sugar decreases A. The hypertensive effects of procainamideC. The content of albumins decreases would aggravate the hypertensionD. The content of sugar increases B. The anticholinergic effect of procainamideE. The content of fibrinogen decrease would aggravate glaucoma142. A consumptive patient has an open C. The cholinergic effects of procainamidepulmonary form of disease. Choose what would aggravate the diabetessputum staining should be selected for finding D. The local anesthetic effect of procainamideout the tubercle (Kochs) bacillus? would potentiate diabetesA. Method of Burry-Gins E. The local anesthetic effect of procainamideB. Method of Ziel-Neelsen would aggravate the hypertensionC. Method of Gram 147. Patient with diabetes mellitus experiencedD. Method of Romanowsky-Giemsa loss of consciousness and convulsionsE. Method of Neisser . after an injection of insulin. What might be143. During the breakout of acute respiratory the result of biochemical blood analysis forinfection in order to diagnose concentration of sugar?influenza the express-diagnosis, based on A. 3,3 mmol/Lrevealing of specific viral antigen in the B. 8,0 mmol/Lexamined material (nasopharyngial lavage), C. 10,0 mmol/Lis carried out. Which reaction is used for D. 1.5 mmol/Lthis? E. 5,5 mmol/LA. Opsonization 148. Moving of the daughter chromatids toB. Complement binding the poles of the cell is observed in the mitoticallyC. Immunofluorescence dividing cell. On what stage of theD. Agglutination mitotic cycle is this cell?E. Precipitation A. Anaphase144. A 62-year-old patient was admitted to B. Interfasethe neurological department due to cerebral C. Prophasehaemorrage. His condition is grave. There is D. Telophaseevident progression of deep and frequent E. Metaphasebreath that turnes into reduction to apnoea 149. A 25-year-old woman with red andand the cycle repeates. What respiration itchy eczematoid dermatitis visits yourtype has developed in the patient? office, She had a dental procedure oneA. Gasping respiration day earlier with administration of a localB. Biots respiration anesthetic. There were no other findings,C. Cheyne-Stockes respiration although she indicated that she had a historyD. Apneustic respiration of allergic reactions. Which of theE. Kussmaul respiration following drugs is most likely involved?145. Punctata hemorrhage was found out in A. Procainethe patient after application of a tourniquet. B. EtidocaineWith disfunction of what blood cells is it C. Bupivacaineconnected? D. CocaineA. Neutrophiles E. Lidocaine
  16. 16. 150. A mother of a newborn complains C. Autosomal dominantof her babys constant belching with undigested D. X-linked recessivemilk. Which developmental anomaly E. Y-linkedis it an evidence of? 156. A patients blood was analyzed andA. Esophageal atresia the decreased erythrocytes sedimentationB. Esophageal fistula rate (ESR) was discovered. What diseaseC. Labium leporium from the listed below is accompanied withD. Faux lupinum decreased ESR?E. Anal atresia A. Vitamin B deficiency151. Autopsy of the 58-year-old man hads B. Hepatitisrevealed that mitral valve is deformed, thickened, C. Polycytemiadoes not totally close, Microscopically: D. Myocardial infarctioncenters of collagen fibers are eosinophilic, E. Splenomegalyhave positive fibrin reaction. The 157. The pulmonalis embolism has suddenlymost probable diagnosis is: developed in a 40 year-old patient withA. Mucoid swelling opened fracture of the hip. Choose theB. Fibrinoid inflammation possible kind of embolism.C. Amyloidosis A. Thrombus-embolusD. Fibrinoid swelling B. AirE. Hyalinosis C. Tissue152. During surgical operation a blood D. Foreign bodytransfusion was made. The blood must be E. Fatchecked to find antigens of some disease. 158. Where should the cathetor forWhat disease is expected to be found? evacuation of the lymph from the thoracicA. Virus of hepatitis A lymph duct be inserted?B. Enterovirus A. To the inferior vena cavaC. Virus of hepatitis B B. To the right venous cornerD. Virus of hepatitis E C. To the left inguinal veinE. Adenovirus D. To the left venous corner153. Electrocardiogram of a 45-year-old E. To the superior vena cavaman showed absence of P-wave in all the 159. A 42-year-old man who has beenleads. What part of the conducting system is injured in a car accident is brought into theblocked? emergency room. His blood alcohol level onA. Atrioventricnlar node admission is 250 mg/dL. Hospital recordsB. Common branch of the bundle of His show a prior hospitalization for alcoholC. Purkinjes fibres related seizures. His wife confirms that heD. Branches of the bundle of His has been drinking heavily for 3 weeks. WhatE. Sinu-atrial node treatment should be provided to the patient154. Nowadays about 50 minor bases have if he goes into withdrawal?been found ill the t-RNA structure besides A. Nonethe main four nitrogenous bases. Choose B. Pentobarbitalthe minor nitrogenous base: C. PhenobarbitalA. Adenine D. DiazepamB. Cytosine E. PhenytoinC. Cysteine 160. Synthesis of phospholipids is disorderedD. Uracil under the liver fat infiltration.E. Dihydrouracil Indicate which of the following substances155. A healthy woman has three sons can enhance the process of methylationaffected by color blindness who were born during phospholipids synthesis?after her two marriages. Children both of A. Citrateher husbands are healthy. What is the most B. Ascorbic acidpossible pattern of inheritance of this disease? C. MethionineA. Autosomal recessive D. GlycerinB. X-linked dominant E. Glucose
  17. 17. 161. A patient with the symptoms of acute E. Mineralocorticoidsalcoholic poisoning was brought to the 165. A 60-year-old patient was diagnosedhospital. What carbohydrates metabolism with hypothalamic lateral nuclei stroke.changes are typical for this condition? What changes in patients behavior may beA. The g]uconeogenesis is increased in liver expected?B. The anaerobic glucose metabolism A. Depressionpredominates in muscles B. Aggressive behaviourC. The breakage of glycogen is increased in C. Thirstliver D. Unsatisfied hungerD. The anaerobic breakage of glucose is E. The rejection of foodincreased in muscles 166. A 55-year-old patient was hospitalizedE. The gluconeogenesis velocity in liver is in result of the trauma of the medialdecreased group of femoral muscles. What kind of162. An individual is characterized by movements is the patient unable to do?rounded face, broad forehead, a mongollan A. Abduction of femurtype of eyelid fold, flattened nasal bridge, B. Adduction of femurpermanently open mouth. projecting C. Flexion of femurlower lip, protruding tongue, short neck, flat D. Extension of femurhands, and stubby fingers. What diagnosis E. Suppination of femurcan be put to the patient? 167. The process of heart transplantationA. Klinefelters syndrome determined the viability of myocardial cells.B. Supermales The determination of what myocardiumC. Downs syndrome parameter is the most important?D. Alkaptonuria A. Concentration of Ca-ions in heart vesselsE. Turners syndrome B. Concentration of oxygen in heart vessels163. A 40-year-old woman has had a feeling of C. Rest potential of cardiomyocytesabdominal discomfort for the past D. Concentration of calcium-ions in myofibrils8 months. On pelvic examination, there is E. Heart temperaturethe right adnexal mass. Abdominal CT scan 168. A woman who was infected withdemonstrates a 7 Cm cystic mass involving toxoplasmosis during the pregnancy has athe right ovary with small areas of child with multiple congenital defects. Thiscalcification. The uterus is normal in size. is a result of:The right fallopian tube and ovary have A. Recombinationbeen removed surgically. Grossly, the mass B. Biological mutogenesison sectioning is filled with abundant hair C. Teratogenesisand sebum. Microscopically, the mass has D. Chemical mutogenesisglandular spaces lined by columnar epithelium, E. Cancerogenesissquamous epithelium with hair follicles 169. The energy inputs of a healthy mancartilage, and dense connective tissue. What have been measured. In what position wastype of tumour is it? the patient if his energy inputs were lessA. Teratoma than the main exchange?B. Squamous cell carcinoma of ovary A. Nervous exertionC. Metastase of cervical carcinoma B. Easy workD. Melanoma C. SleepE. Sarcoma of ovary D. Rest164. A 19-year-old female suffers from E. Calmnesstachycardia in rest condition, weight loss, 170. A patient after hypertension strokeexcessive sweating, exophtalmos and irritability. does not have voluntary movements in hisWhat hormone would you expect to right arm and leg with the increased musclefind elevated in her scrum? tone in these extremites. What type of disfunctionA. Cortisol of nervous system is it?B. Insulin A. Peripheral paresisC. Thyroxine B. Peripheral paralysisD.ACTH C. Central paresis
  18. 18. D. Central paralysis Malaria. What method of laboratory diagnosticsE. Reflex paresis is necessary to use?171. The patient has come to the hospital A. Immunological testsfrom the smelting workshop in the condition B. Blood examinationof hyperthermia. What is the direct cause C. Urine examinationof loss of consciousness at the heat stroke? D. Stool examinationA. Decreased brain blood supply E. Examination of vaginal and urethralB. Dilatation of peripheral vessels dischargeC. Decrease of heart output 176. The patient with pneumonia wasD. Arterial pressure drop treated with antibiotics for a long period,E. Increased water loss through sweating After treatment patient complains of172. Scraps of the mycelium of a fungus, frequent and watery stool, abdomenal pain.spores, air bubbles and fat drops were discovered What is the reason of intestine function disorder?on microscopy of the patients A. Bacteria toxins influencehair excluded from the infected areas, What B. Intestinal disbacteriosis developmentfungus disease is characterised by this C. Antibiotics toxic influence on the GITmicroscopic D. Autoimmune reaction developmentpicture? E. Hereditary enzyme defectA. Epidermophytosis 177. Analeptical remedy of reflective typeB. Favus from the H-cholinomimetics group was givenC. Trichophytosis to the patient for restoration of breathingD. Microspory after poisoning with carbon monoxide,E. Sporotrichosis What medicine was prescribed to the patient?173. A person was selling "homemade pork A. Adrenalin hydrochloride"sausages on the market. State sanitary B. Atropine sulphateinspector suspected falcification of the c. Mesatonsausages, What serological immune reaction D. Pentamincan identifiy food substance? E. Lobeline hydrochlorideA. Complement- fixation test 178. A patient complains of frequent andB. Agglutination test difficult urination, Imperfection of whatC. Precipitation test formation can cause it?D. Immunofluorescence test A. ProstateE. Indirect hemagglutination test B. Testicle adnexa174. A 45-year-old man fell on the right C. Testiclesknee and felt the acute pain in the joint On D. Sperm bubblesexamination: severe edema on the anterior E. Bulb-uretic glandssurface of the knee joint. Crunching sounds 179. A 10-year-old child complains ofare heard, while moving the joint. Which weakness, nausea, irritability. Helminthes ofbone is destroyed? while color and 5-10 mm long were found onA. Left epicondyle of the thigh the underwear. On microscopy of the scrapeB. Knee-cap from the perianal folds achromic ovums ofC. Head of the thigh bone unsymmetrical form were revealed. IndicateD. Neck of the thigh bone what helminth is parasiting on the child?E. Right epicondyle of the thigh A. Trichina175. A patient has been brought to the B. Trichurishospital with the complaints of headache, C. Enterobins vermicularispain in left hypochondrium. He has been D. Ancylostoma duodenalisill for 1,5 weeks, the sudden illness began E. Ascaris lumbricoideswith the increase of body temperature up 180. A microscopic examination of theto 39,9°C. In 3 hours the temperature enlarged neck gland of a 14-year-old girldecreased and hydropoiesis began. The revealed destruction of the tissue structureattacks repeat rhythmically in 48 hours. of the node, absence of the lymph follicles,The patient had visited one an African sclerotic and necrosis parts. CellCountry. The doctors have suspected constitution of the node is polymorphous,
  19. 19. lymphocites, eosinophiles, atypical cells C. Decreased lungs elasticityof the large size with mu1tiple-Iobule D. Inhibition of respiratory centernuclei (Beresovsky-Shternberg cells) and E. Excitation of respiratory centeronenucleus large size cells are observed. 186. There is only One hormone among theWhat is the most likely diagnosis? neurohormones which refers to the derivativesA. Fungous mycosis of amino acids according to classification.B. Acute lympholeucosis Point it out:C. Berkitts lymphoma A. SomatotropinD. Chronic lympholcucosis B. OxytocinE. Lymphogranulomatous C. Vasopressin181. Only one factor can influence the D. Melatonincharge of amino acid radicals in the active E. Thyroliberincentre of enzyme, Name this factor: 187. At the "laboratory experimentA. The surplus of a product the eukocyte culture was mixed withB. pH medium staphylococci. Neutrophile leukocytesC. Temperature engulfed and digested bacterial cells. ThisO. The presence of a competitive inhibitor processes are termed:E. Pressure A. Phagocytosis182. The donor who had not donated the B. Facilitated diffusionblood for a long time was examined with C. PinocytosisIFA method, Anti-HBs antibodies were D. Osmosisrevealed, What does positive result of IFA E. Diffusionin this case mean? 188. A 50-year-old male farm worker hasA. Chronic hepatitis C been brought to the emergency room. HeB. Acute hepatitis C was found confused in the orchard and sinceC. Acute hepatitis B then has remained unconscious. His heartD. Previous hepatitis B rate is 45 and his blood pressure is 80/40 mmE. Chronic hepatitis B Hg. He is sweating and salivating profusely.183. A patient has elbow joint trauma with Which of the following should be prescribed?avulsion of medial epicondyle of humerus. A. PentamineWhat nerve can be damaged in this trauma? B. NorepinephrineA. Radial C. PhysostigmineB. Medial cutaneous nerve of forearm D. AtropineC. Cardiac cutaneous nerve E. ProserineD. Musculocutaneous nerve 189. A young man felt sharp pain in the backE. Ulnar during active tightening on the horizontal184. A 35-year-old man under the treatment bar. Objectively: pain while moving upperfor pulmonary tuberculosis has acute-onset extremity, limited pronation and adductionof right big toe pain, swelling, and low-grade functions. Sprain of what muscle can befever. The gouty arthritis was diagnosed and observed here?high serum uric acid level was found. Which A. M.subscapularisof the following antituberculosis drugs are B. M.latissimus dorsiknown for causing high uric acid levels? C. M.romboideus majorA. Rifampicin D. M.levator scapulaeB. Aminosalicylic acid E. M.trapeziusC. Thiacetazone 190. Intrapleural pressure is being measuredD. Pyrazinamide in a person. In what phase does a personE. Cycloserine hold his breath if the pressure is - 25 cm185. X-rav examination discovered lungs H20?emphysema in the patient. What is the A. Forced expirationreason of short breath development in this B. Quiet inspirationcase? c.-A. Increased lungs elasticity D. Forced inspirationB. Decreasing of alveoli receptors sensitivity E. Quiet expiration
  20. 20. 191. To anaesthetize the manipulation between tibia and fibula . What kind of bonerelated to burn surface treatment, a patient connection was injured?was intravenously injected a medication A. Fontanelfor short-acting narcosis. 1 minute B. Ligamentlater the patient being under anaesthesia C. Membranehad increased blood pressure, tachycardia, D. Sutureincreased tone of sceletal muscles; reflexes E. Gomphosisremained. After awakening the patient had 196. On autopsy a 35-year-old man the focusdesorientation and visual hallucinations. of carnification 5 cm in diametre enclosedWhat medication was the patient injected? in a thin capsule was revealed in the secondA. Nitrous oxide segment of the right lung. The focus consistsB. Thiopental sodium of a tough dry friable tissue with aC. Ketamine dim surface. For what disease are theseD. Diethyl ether morphological changes typical?E. Sombrevin A. Lung cancer192. The patient with diabetes mellitus has B. Tumorous form of silicosisbeen delivered in hospital in the state of C. Postinftammatory pneumosclerosisunconsciousness. Arterial pressure is low. D. TuberculomaThe patient has acidosis. Point substances, E. Chondromawhich accumulation in the blood results in 197. A I8-year-old patient came to the outpatientthese manifestations: department wiith the complaints ofA. Cholesterol esters bleeding trauma in the vestibule of his nose.B. High fatty acids On examination: the mechanical injure ofC. Monosaccharides the mucous laver of the vestibule withoutD. Amino acids continuation into nasal cavity proper. WhatE. Ketone bodies is the boundary between the vestibule and193. A patient with hypersecretion of the nasal cavity proper?gastric juices was recomended to exclude A. Nasal limenconcentrated bouillons and vegetable B. Nostrilsdecoctions from the diet because of their C. Nasal septastimulation of gastric secretion. What is D. Choanesdominating E. Nasal rollermechanism of stimulation of secretion 198. A 52 year-old patient with bronchialin this case? asthma was treated with glucocorticoids.A. Stimulation of excretion of secretion in the Fever reaction appeared as a result ofduodenum postinjectiveB. Irritation of taste receptors abscess. The patient had subfebrileC. Stimulation of gastrin production by temperature, which didnt correspondG-cells to latitude and severity of inflamnmatoryD. Irritation of mechanoreceptors of the process. Why did patient have low feverstomach reaction?E. Irritation of mechanoreceptors of the oral A. Inhibited endogen pyrogens productioncavity B. Violation of heat-producing mechanisms194. Pyruvate concentration in the patients C. Thermoregulation center inhibitionurine has increased 10 times from normal D. Inflammatory barrier formation in injectionamount. What vitamin deficiency can be the placereason of this change: E. Violation of heat loss through lungsA. Vitamin Bl 199. Purulent endometritis developed in a womanB. Vitamin Bb after delivery. Treating with antibioticsC. Vitamin C inhibitors of murein synthesis wasD. Vitamin A ineffective. Wide spectrum bactericidalE. Vitamin E antibiotic was administered to her. In 6195. A 6-year-old child fell on the cutting hours temperature rapidly increased upobject and traumatized soft tissues to 40°C with shiver. Muscle pains have
  21. 21. appeared. BP dropped down to 70/40mmHg. Oligura has developed. What is themain reason for the development of thiscondition?A. Toxic effect of preparationB. Endotoxic shockC. Internal bleedinD. Anaphylactic shockE. Bacteremia200. A patient in three weeks after acutemyocardial infarction has pain in the heartand joints and pneumonia. What is themain mechanism of development ofpostinfarctionDresslers syndrome?A. Autoimmune inflammationB. Resorption of enzymes from necrotizedarea of myocardiumC. Secondary infectionD. Ischemia of myocardiumE. Thrombosis vessels