1. A human body cools in water much                 C. Maturefaster that in the air. What way of heat emission   D. Atreti...
examination a 7 year old boy was diagnosed        B. Intensification of glucose absorption mwith Lesch-Nyhan syndrome (onl...
21. ECG of a patient with hyperfunction of          D. Biotinthyroid gland showed heart hurry. It is indicated   E. Vitami...
D. Age-specific                                      traumatology department. Objectively: cutE. Hemolytic                ...
B. B1                                                  46. While palpating mammary gland of aC. A                         ...
E. Humoral                                        "progressing muscular dystrophy" got his51. A histological specimen of s...
transcapillary water exchange?                       C. M.rhomboideus minorA. Exchange will stay unchanged .              ...
inhibit the following proteinase:                     heart structure:A. Trypsin                                          ...
section of vagus of an expiremental animal          B. Retinol acetateis being stimulated. What changes will be           ...
D. Co-trimoxazole                                  diagnosis?E. Metronidazole                                   A. Pedicul...
revealed plephora of microvessels and diffuse      D. Sodiuminfiltration of stroma by lymphocytes              E. Calciuma...
D. Basal cell carcinoma                             114. The territory of an old burial ground forE. Syringoadenoma       ...
A. It will become shallow and frequent            C. HeterotransplantationB. It will become shallow and infrequent        ...
cells of the tumour lost susceptibility to this     face, hirsutism, AP is 165/100 mm Hg, heightdrug. There is change of g...
E. Aminazine                                      dysentery and was once more infected with140. While performing an operat...
D. Erectile                                        155. A 38 year old patient with full-blownE. Shock phase               ...
E. Opsonization reaction                          caused complete disruption of spinal cord at159. A patient ill with ente...
C. Malignant neurinoma                            chromophilic and chromophobic. IdentifyD. Neuroblastoma                 ...
B. It is caused by abnormal position               rhinitis and loss of sense of smell for a week.C. It is caused by neopl...
A. Benzohexamethonium                             C. Louis-BarB. Potassium chloride                             D. Wiskott...
obliterating vascular endarteritis of lowerlimbs takes daily 60 microgram/kilogramof phenylin. Because of presentationsof ...
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2008

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2008

  1. 1. 1. A human body cools in water much C. Maturefaster that in the air. What way of heat emission D. Atreticin water is much more efficient? E. PrimaryA. Convection 7. 2 hours after a skeletal extension wasB. Heat radiation performed to a 27 year old patient withC. Heat conduction multiple traumas (closed injury of chestD. Sweat evaporation closed fracture of right thigh) his conditionE. - abruptly became worse and the patient died2. A driver who got a trauma in a road accident from acute cardiopulmonary decompensation.and is shocked has reduction of daily Histological examination of pulmonaryurinary output down to 300 m1. What is the and cerebral vessels stained with Sudan IIImain pathogenetic factor of such diuresis revealed orange drops occluding the vesselchange? lumen. What complication of polytraumaA. Drop of arterial pressure. was developed?B. Secondary hyperaldosteronism A. Air embolismC. Increased vascular permeability B. ThromboembolismD. Decreased number of functioning C. Fat embolismglomerules D. Microbal embolismE. Drop of oncotic blood pressure E. Gaseous embolism3. Myocyte cytoplasm contains a big number 8. A patient complains of frequent diarrheas,of dissolved metabolites of glucose oxidation. especially after consumption ofName one of them that turns directly rich food, weight loss. Laboratory examinationinto a lactate: revealed steatorrhea; his feces wereA. Pyruvate hypocholic. What might have caused suchB. Glycerophosphate condition?C. Glucose 6-phosphate A. lnflammation of mucous membrane ofD. Oxaloacetate small intestineE. Fructose 6-phosphate B. Obturation of biliary tracts4. Continuous taking of some drugs foregoing C. Lack of pancreatic lipasethe pregnancy increase the risk of giving D. Lack of pancreatic phospholipasebirth to a child with genetic defects. What is E. Unbalanced dietthis effect called? 9. A 12 year old child has intolerance toA. Mutagenic effect some foodstuffs. Their consumption causesB. Blastomogenic effect an allergic reaction in form of itching skinC. Fetotoxical effect eruptions. What antihistaminic drug shouldD. Embryotoxic effect be admistered so that the child could attendE. Teratogenic effect school?5. A patient has yellow skin colour, dark urine A. Loratadinedark-yellow feces. What substance will B. Dimedrolhave strengthened concentration in the C. Ephedrineblood scrum? D. AminophyllineA. Verdoglobin E. DiclofenacB. Conjugated bilirubin 10. Labelled amino acids alanine andC. Biliverdin tryptophane were injected to a mouseD. Unconjugated bilirubin in order to study localization of proteinE. Mesobilirubin synthesis in its cells. The labelled amino acids6. Examination of an ovary specimen stained will be accumulated near the followingby hematoxylin-eosine revealed a follicle organellas:in which follicular epithelium consisted A. Smooth endoplasmic reticulumof 1-2 layers of cubic cells. There was also B. Ribosomesa bright red membrane around the ovocyte. C. LysosomesWhat follicle is it? D. Cell centreA. Secondary E. Golgi apparatusB. Primordilal 11. As a result of prophylactic meedical
  2. 2. examination a 7 year old boy was diagnosed B. Intensification of glucose absorption mwith Lesch-Nyhan syndrome (only boys fall the bowelsill with it). The boys parents are healthy but C. Gluconeogenesis activationhis grandfather bv his mothers side suffers D. Glycogenogenesis activationfrom the same disease. What type or disease E. Inhibition of glycogen synthesisinheritance is it? 16. A man with a stab wound in the area ofA. Dominant, sex-linked quadrilateral foramen applied to a doctor.B. Recessive, sex-linked Examination revealed that the patient wasC. Autosomal recessive unable to draw his arm aside from his body.D. Autosomal dominant What nerve is most probably damaged?E. Semidominance A. N.axillaris12. A patient ill with chronic cardiac B. N.radialisinsufficiency was prescribed an C. N.subclaviusaverage therapeutic dose of digoxin. Two D. Nmedianusweeks after begin of its taking there E. N ulnarisappeared symptoms of drug intoxication 17. Ultramicroscopical examination of(bradycardia, extrasystole, nausea). Name "dark" hepatocyte population in the cellthe phenomenon that caused accumulation cytoplasm detected a developed granularof the drug in the organism? endoplasmic reticulum. What function hasA. Material cumulation this organella in these cells?B. Tolerance A. Bile productionC. Functional cumulation B. Deintoxicative functionD. Idiosyncrasy C. Calcium ion depositingE. Tachyphylaxis D. Carbohydrate synthesis13. Bacterioscopic examination of a smear E. Synthesis of blood plasma proteinsfrom the pharynx of a diphtheria suspect 18. A 17 year old boy fell seriously ill, therevealed bacilli with volutine granules. What body temperature rose up to 38,5°C, thereetiotropic drug should be chosen in this appeared cough, rhinitis, lacrimation, nasalcase? discharges. What inflammation is it?A. Eubiotic A. HemorrhagicB. Antidiphtheritic antitoxic serum B. PurulentC. Bacteriophage C. FibrinousD. Diphtheritic anatoxin D. CatarrhalE. Interferon E. Serous14. A culture of monkey cells (Vero) and 19. Researchers isolated 5 isoenzymic formsa group of mouse sucklings were infected of lactate dehydrogenase from the humanwith an inoculum taken from a child with blood serum and studied their properties.provisional diagnosis "enterovirus infection". What property indicates that the isoenzymicThere was no cytopathic effect on the forms were isolated from the same enzyme?cell culture but mouse sucklings died. What A. The same electrophoretic mobilityenteric viruses might have caused disease of B. Tissue localizationthis child? C. The same molecular weightA. Coxsackie B D. The same physicochemical propertiesB. Coxsackie A E. Catalyzation of the same reactionC. Unclassified enteric viruses 68-71 20. A 60 year old patient has impairedD. ECHO virus perception of high-frequency sounds. TheseE. Polioviruses changes were caused by damage of the15. A patient ill with neurodermatitis has following auditory analyzer structures:been taking prednisolone for a long time. A. Tympanic membraneExamination revealed high rate of sugar in B. Main cochlea membrane near the ovalhis blood. This complication is caused by windowthe drug influence upon the following link C. Eustachian tubeof carbohydrate metabolism: D. Middle ear musclesA. Activation of insulin decomposition E. Main cochlea membrane near the helicotrema
  3. 3. 21. ECG of a patient with hyperfunction of D. Biotinthyroid gland showed heart hurry. It is indicated E. Vitamin Aby depression of the following ECG 26. A patient ill with essential hypertensionelement: was recommended a drug that preventsA. QRS complex thrombosis. It is to be taken parenterally.B. R - R interval What drug is it?C. P – Q interval A. Protamine sulfateD. P – Q segment B. AmbenE. P - T interval C. Heparin22 A patient taking clonidine for essential D. Neodicumarinhypertension treatment was using alcohol E. Syncumarthat caused intense inhibition of central 27. A 38 year old patient suffers fromnervous system. What may it be connected rheumatism in its active phase. Whatwith? laboratory characteristic of blood serumA. Intoxication is of diagnostic importance in case of thisB. Idiosyncrasy pathology?C. Cumulation A. Uric acidD. Effect potentiating B. CreatinineE. Effect summation C. C-reactive protein23. A patient is ill with diabetes mellitus D. Transferrinaccompanied by hyperglycemia on E. Ureaan empty stomach (7,2 millimole/l). The 28. A 28 year old man had a gunshot woundhyperglycemia rate can be retrospectively of shin that resulted in an ulcer from the sideestimated (over the last 4-8 weeks before of the injury. What is the main factor ofthe examination) on the ground of the rate neurodystrophy pathogenesis in this case?of the following blood plasma protein: A. Microcirculation disturbanceA.Albumin B. InfectionB. Ceruloplasmin c. Tissue damageC. Fibrinogen D. Psychical stressD. Glycated hemoglobin E. Traumatization of peripheral nerveE. C-reactive protein 29. A 26 year old man is in the torpid shock24. 6 months after labour a woman had Phase as a result of a car accident. In blood:uterine hemorrhage. Gynaecological examination 3,2· 109/1. What is the leading mechanism ofof uterine cavity revealed a dark-red leukopenia development?tissue with multiple cavities resembling of A. Leikopoiesis inhibitiona "sponge". Microscopic examination of a B. Redistribution of leukocytes mtumour revealed in blood lacunas atypic light bloodstreamepithelial Langhans cells and giant cells C. Disturbed going out of mature leukocytesof syncytiotrophoblast. What tumour is it? from the marrow into the bloodA. Adenocarcinoma D. Lysis of leukocytes in the blood-formingB. Cystic mole organsC. Fibromyoma E. Intensified elimination of leukocytes fromD. Chorioepithelioma the organismE. Squamous cell nonkeratinous carcinoma 30. Parents of a 3 year old child have25. A 3 year old child with symptoms of been giving him antibiotics with purpose ofstomatitis, gingivitis and dermatitis of open preventing enteric infections for a long time.skin areas was delivered to a hospital. A month later the childs condition changedExamination revealed inherited disturbance for the worse. Blood examination revealedof neutral amino acid transporting in the apparent leukopenia and granulocytopenia.bowels. These symptoms were caused by the What is the most probable mechanism ofdeficiency of the following vitamin: blood changes?A. Niacin A. AutoimmuneB. Pantothenic acid B. MyelotoxicC. Cobalamin C. Redistributive
  4. 4. D. Age-specific traumatology department. Objectively: cutE. Hemolytic wound of palmar surface of left hand: middle31. Examination of a 12 year old boy with phalanxes of II-V fingers dont bend.developmental lag revealed achondroplasia: What muscles are damaged?shortening of upper and lower limbs as a A. Palmar interosseous musclesresult of growth disorder of epiphyseal cartilages B. Profound finger flexorof long tubal bones. This disease is: C. Dorsal interosseous musclesA. Acquired D. Lumbrical musclesB. Inherited, dominant E. Superficial finger flexorC. Inherited, sex-linked 36. A 65 year old man suffering fromD. Congenital gout complains of kidney pain. UltrasoundE. Inherited, recessive examination revealed renal calculi. The32. Hartnup disease is caused by point most probable cause of calculi formationmutation of only one gene which results in is the strengthened concentration of thedisturbance of tryptophane absorption in following substance:the bowels and its resorption in the renal A. Uric acidtubules. It is the reason for disorder of B. Cholesterolboth digestive and urination systems. What C. Bilirubingenetic phenomenon is observed in this D. Ureacase? E. CystineA. Polymery 37. A patient with frequent attacks ofB. Complementary interaction stenocardia was prescribed sustak-forte toC. Pleiotropy be taken one tablet twice a day. At firstD. Semidominance the effect was positive but on the secondE. Codominance day stenocardia attacks resumed. What can33. A 46 year old patient applied to a doctor explain inefficiency of the prescribed drug?complaining about joint pain that becomes A. Tachyphylaxisstronger the day before weather changes. B. SensibilizationBlood examination revealed strengthened C. Dependenceconcentration of uric acid. The most D. Cumulationprobable cause of the disease is the intensified E. Idiosyncrasydisintegration of the following substance: 38. An aged man had raise of arterialA. Uridine triphosphate pressure under a stress. It was caused byB. Thymidine monophosphate activation of:C. Uridine monophosphate A. Functions of thyroid glandD. Adenosine monophosphate B. Sympathoadrenal systemE. Cytidine monophosphate C. Functions of adrenal cortex34. A 28 year old patient had high arterial D. Hypophysis functionpressure, hematuria and facial edemata. In E. Parasympathetic nucleus of vagusspite of treatment renal insufficiency was 39. A cerebral trauma caused increasedprogressing. 6 months later the patient died ammonia generation. What amino acidfrom uremia. Microscopic examination participates in the excretion of ammoniaof his kidneys and their glomerules revealed from the cerebral tissue?proliferation of capsule nephrothelium and A. Glutamicof podocytes with "demilune "formation, B. Lysinesclerosis and hyalinosis of glomerules. What C. Tyrosinedisease corresponds with the described picture? D. TryptophanA. Acute glomerulonephritis E. ValineB. Subacute glomerulonephritis 40. As a result of posttranslative modificationsC. Nephrotic syndrome some proteins taking part in bloodD. Chronic glomerulonephritis coagulation, particularly prothrombin,E. Acute pyelonephritis become capable of calcium binding. The35. A 35 year old man with a trauma following vitamin takes part in this process:of his left hand was admitted to the A. B2
  5. 5. B. B1 46. While palpating mammary gland of aC. A patient a doctor revealed an indurationD. C in form of a node in the inferior medialE. K quadrant. Metastases may extend to the41. A student takes notes of a lecture. Quality following lymph nodes:of his notes became significantly worse when his A. Superior diaphragmalneighbours began talking. What B. Profound lateral cervicaltype of conditional reflex inhibition was the C. Bronchopulmonarycause of it? D. Posterior mediastinalA. Protective E. ParasternalB. Differentiated 47. A gynaecologist was examining a patientC. External and revealed symptoms of genital tractD. Delayed inflammation. A smear from vagina containsE. Extinctive pyriform protozoa with a spine, flagella42. A 7 vear old child is ill with bronchilis. It is at their front: there is also an undulatingnecessary to administer him an membrane. What disease can be suspected?antibacterial drug. What drug of fluoroquinolone A. Intestinal trichomoniasisgroup is CONTRA-INDICATED at B. Toxoplasmosisthis age? C. LambliasisA. Cyprofloxacin D. Urogenital trichomoniasisB. Sulfadimethoxine E. BalantidiasisC. Ampiox 48. In course of an experiment a big numberD. Ampicillin of stem cells of red bone marrow was inE. Amoxicillin some way destructed. Regeneration of which43. A patient is ill with hepatocirrhosis. cell populations in the loose connectiveState of antitoxic liver function can be tissue will be inhibited?characterized by examination of the following A. Of lipocytessubstance exreted by urine: B. Of fibroblastsA. Uric acid C. Of pericytesB. Hippuric acid D. Of pigment cellsC. Ammonium salts E. Of macrophagsD. Amino acids 49. A pregnant woman had her blood groupE. Creatinine identified. Reaction of erythrocyte agglutination44. A patient suffering from chronic cardiac with standard serums of 0αβ (I), Bαinsufficiency was recommended to undergo (III) groups didnt proceed with standarda prophylactic course of treatment with a serum of Aβ (II) group. The blood groupcardiological drug from the group of cardiac under examination is:glycosides that is to be taken enterally. What A. Aβ (II)drug was recommended) B. AB (IV)A. Corglycon C. Bα (III)B. Cordiamin D. -C. Strophanthine E. 0αβ(I)D. Cordarone 50. Prophylactic medical examination of aE. Digoxin 36 year old driver revealed that his AP was45. 48 hours after tuberculine test (Mantoux 150/90 mm Hg. At the end of working day hetest) a child had a papule 10 mm in diameter usually hears ear noise, feels slight indispositionon the spot of tuberculine injection. What that passes after some rest. He was diagnosedhypersensitivity mechanism underlies these with essential hypertension. Whatchanges? is the leading pathogenetic mechanism inA. Anaphylaxy this case?B. Granulomatosis A. NeurogeneticC. Antibody-dependent cytotoxicity B. EndocrinalD. Cellular cytotoxicity C. ReflexogenicE. Immunocomplex cytotoxicity D. Nephric
  6. 6. E. Humoral "progressing muscular dystrophy" got his51. A histological specimen of spleen urine tested. What compound will confirmshows a vessel with a wall consisting this diagnosis if found in urine?of endothelium and subendothelial layer, A. Kreatinemedian membrane is absent, exterior B. Calmodulinmembrane inosculates with the layers of C. Collagenspleen connective tissue. What vessel is it? D. MyoglobinA. Artery of muscular type E. PorphyrinB. Capillary 57. While playing volleyball a sportsmanC. Vein of muscular type made a jump and landed on the outsideD. Arteriole edge of his foot. He felt acute pain in theE. Vein of non-muscular type talocrural joint, active movements are limited,52. It was revealed that T-lymphocytes passive movements are unlimited butwere affected by HIY. Virus enzyme reverse painful. A bit later there appeared a swellingtranscriptase (RN A -dependent in the area of external ankle, the skinDNA polymerase) - catalyzes the synthesis became red and warm. What type of peripheralof: circulation disturbance is the case?A. Viral DNA on DNA matrix A. Arterial hyperemiaB. Virus informational RNA on the matrix of B. Venous hyperemiaDNA C. StasisC. DNA on virus ribosomal RNA D. EmbolismD. DNA on the matrix of virus mRNA E. ThrombosisE. mRNA on the matrix of virus protein 58. Autopsy of a man who had been working53. Planned mass vaccination of all newborn as a miner for many years and died from5-7 day old children against tuberculosis plays cardiopulmonary decompensation revealedan important role in tuberculosis prevention. that his lungs were airless, sclerosed, theirIn this case the following vaccine is apexex had emphysematous changes, theapplied: lung surface was greyish-black, the incisedA.BCG lung tissue was coal-black. What diseaseB. Adsorbed diphtheria vaccine caused death?C. Diphteria and tetanus toxoids and A. Silicosispertussis vaccine B. TalcosisD. Diphtheria and tetanus anatoxin vaccine C. AnthracosisE. - D. Aluminosis54. Life cycle of a cell includes the process E. Asbestosisof DNA autoreduplieation. As a result of it 59. Examination of a 55 year old womanmonochromatid chromosomes turn into revealed under the skin of submandibularbichromatid area a movable slowly growing pastyones. What period of cell cycle formation with distinct borders l,0x0,7 cmdoes this phenomenon fall into? large. Histological examination revealedA. G2 IipocytesB. Go that form segments of diffrent formsC. G1 and sizes separated from each other byD. S thin layers of connective tissue with vessels.E. M What is the most probable diagnosis?55. Rest potential of a cell equals -80 mV. A. LipomaAt what stage of action potential did the B. Fibromamembrane potential equal +30 mV? C. LiposarcomaA. After depolarization D. FibrosarcomaB. After hyperpolarization E. AngiomaC. Reverse polarization 60. A patient is 44 years old. LaboratoryD. - examination of hrs blood revealed thatE. Depolarization content of proteins in plasma was 40 g/l.56. A patient with suspected diagnosis What influence will be exerted on the
  7. 7. transcapillary water exchange? C. M.rhomboideus minorA. Exchange will stay unchanged . D. M.latissimus dorsiB. Filtration will be increased, reabsorption- E. M.sternocleidomastoideusdecreased 65. A patient with a knife wound in theC. Filtration will be decreased, reabsorption left lumbal part was delivered to the- increased emergency hospital. In course of operationD. Both filtration and reabsorption will be a surgeon found that internal organs wereincreased not damaged but the knife injured one ofE. Both filtration and reabsorption will be muscles of renal pelvis. What muscle is it?decreased A. Iliac muscle61. A 30 year old woman has face edemata. B. Abdominal internal oblique muscleExamination revealed proteinuria (5,87 g/l), C. Erector muscle of spinehypoproteinemia, dysproteinemia, D. Greater psoas musclehyperlipidemia. E. Abdominal external oblique muscleWhat condition is the set of these 66. A 56 year old patient came to a hospitalsymptoms typical for? with complaints about general weakness,A. Chronic renal failure tongue pain and burning, sensation of limbB. Nephritic syndrome numbness. In the past he underwent resection ofC. Nephrotic syndrome forestomach. In blood: Hb- 80 g/l;D. Chronic pyelonephritis erythrocytes – 2,0*1012/l; colour index - 1.2,E. Acute renal failure leukocytes – 3,5*109/l. What anemia type is62. Vitamin B1 deficiency results in disturbance it?of oxidative decarboxylation of α-ketoglutaric A. Hemolyticacid. This will disturb synthesis B. B12-folate deficientof the following cocnzyme: C. AplasticA. Nicotinamide adenine dinucleotide D. Posthemorrhagic(NAD) E. Iron-deficientB. Lipoic acid 67. A patient ill with thrombophlehitis of hisC. Flavine adenine dinucleotide (FAD) lower limbs had chest pain, blood spitting,D. Thiamine pyrophosphate progressing respiratory insufficiency that ledE. Coenzyme A to his death. Autopsy diagnosed multiple63. Skin of a man who died from cardiac lung a infarctions. What is the most probableinsufficiency has an eruption in form cause of their development?of spots and specks. There are also A. Thromboembolism of pulmonary arterybedsores in the area of sacrum and spinous branchesvertebral processes. Microscopical B. Thrombosis of bronchial arteriesexamination of CNS, skin, adrenal glands C. Thrombosis of pulmonary artery branchesrevealed in the vessels of microcirculatory D. Thrombosis of pulmonary veinsbed and in small arteries destructiveproliferative E. Thromboembolism of bronchial arteriesendothrombovasculitis with 68. A concentrated solution of sodiumPopovs granulomas; interstitial myocarditis. chloride was intravenously injected to anWhat diagnosis corresponds with the described animal. This caused decreased reabsorptionpicture? of sodium ions in the renal tubules. It is theA. Spotted fever result of the following changes of hormonalB. Q fever secretion:C. Nodular periarteritis A. Aldosterone increaseD. Enteric fever B. Reduction of atrial natriuretic factorE. HIV C. Vasopressin increase64. A man with an injury of the dorsal area D. Aldosterone reductionof his neck was admitted to the resuscitation E. Vasopressin reductiondepartment. What muscle occupies this 69. A patient had hemorrhagic stroke. Bloodarea? examination revealed strengthened kininA. M.trapezius concentration.The patient was prescribedB. M.scalenus anterior contrical. It was administered in order to
  8. 8. inhibit the following proteinase: heart structure:A. Trypsin A. VentricleB. Chemotrypsin B. Sinoatrial nodeC. Pepsin C. Atrioventricular nodeD. Collagenase D. His bundleE. Kallikrein E. Atrium70. Packed cell volume of a man was 40% 76. Examination of coronary arteriesbefore the trauma. What packed cell volume revealed atherosclerotic calcified plaqueswill be observed 24 hours after blood loss of closing vessel lumen by 1/3. The muscle has750 ml? multiple whitish layers of connective tissue.A.40% What process was revealed in the myocardium?B.30% A. Postinfarction cardiosclerosisC.55% B. Myocardium infarctionD.50% C. Diffusive cardiosclerosisE.45% D. Myocarditis71. On the 2-3rd day after stomach resection E. Tiger heartintestinal peristalsis wasnt restored. What 77. A patient with cholelithiasis fell ill withis to be administered for stimulation of mechanic jaundice. Examination revealedgastrointestinal tract? that the stone was in the common bileA. Atropine sulfate duct. What bile-excreting ducts make up theB. Prasosin obturated duct?C. Acetylcholine A. Ductus hepaticus sinister et ductus cysticusD. Proserin B. Ductus hepaticus dexter et sinisterE. Cyclodole C. Ductus hepaticus communis et ductus72. An ophthalmologist used a 1% mesaton choledochussolution for the diagnostic purpose (pupil dilation D. Ductus hepnriclls C0l11111W1lS et ductusfor eve-ground examination). What is cllOledochllsthe cause of mydriasis induced by the drug? E. Ductus hepaticus dexter ct ductus cysticusA. Activation of α1 adrenoreceptors 78. 2 years ago a patient underwent resectionB. Activation of β1 adrenoreceptors of pyloric part of stomach. He complainsC. Activation of M-cholinoreceptors of weakness, periodical dark shadowsD. Block of α1 adrenoreceptors beneath his eyes, dyspnea. In blood: Hb - 70E. Activation of α2 adrenoreceptors g/l erythrocytes - 3,0 * 1012 /1, colour index73. A patient with disturbed cerebral circulation - 0,7. What changes of erythrocytes in bloodhas problems with deglutition. smears are the most typicat for this condition?What part of brain was damaged? A. MacrocytesA. Interbrain B. OvalocytesB. Cervical part of spinal cord C. MegalocytesC. Midbrain D. SchizocytesD. Brainstem E. MicrocytesE. Forebrain 79. A 6 year old child was delivered to a74. A 16 year old boy after an illness has hospital. Examination revealed that the childdiminished function of protein synthesis in couldnt fix his eves, didnt keep his eyesliver as a result of vitamin K deficiency. It on toys, eye ground had the cherry-red spotwill cause disturbance of: sign. Laboratory analyses showed that brain,A. Blood coagulation Iiver and spleen had high rate of gangliosideB. Anticoagulant generation glycometide. What congenital disease is theC. Erythropoietin secretion child ill with?D. Erythrocyte sedimentation rate A. Wilsons syndromeE. Osmotic blood pressure B. MacArdle disease75. An isolated cell of human heart C. Niemann-Pick diseaseautomatically generates excitement D. Tay-Sachs diseaseimpulses with frequency of 60 times per minute. E. Turners syndromeThis cell was taken from the following 80. In course of an experiment a peripheral
  9. 9. section of vagus of an expiremental animal B. Retinol acetateis being stimulated. What changes will be C. Levamisoleobserved? D. PrednisoloneA. Heart rate fall E. RetabolilB. Heart hurry 86. A stomatologist injected a patient withC. Increase of respiration rate a certain drug in order to reduce salivationD. Bronchi dilation during tooth filling. What drug is it?E. Pupil dilation A. Mesaton81. A patient with bacterial pneumonia B. Proserinwas prescribed benzylpenicillin. What is the C. Atropine sulfatemechanism of its antibacterial effect? D. Adrenaline hydrochlorideA. Abnormal permeability of cytoplasmic E. Pilocarpine hydrochloridemembrane 87. Vagus branches that innervate heart areB. Inhibition of SH-groups of microorganism being stimulated in course of an experiment.enzymes As a result of it the excitement conductionC. Inhibition of synthesis of microorganism from atria to the ventricles was brought to awall stop. It is caused by electrophysical changesD. Inhibition of intracellular protein in the following structures:synthesis A. His bundleE. Antagonism with p-amino-benzoic acid B. Atria82.Blood minute volume of a 30 year old woman C. Atrioventricular nodeat rest is 5 l/m. What blood volume D. Sinoatrial nodeis pumped through the pulmonary vessels E. Ventriclesper minute? 88. A doctor examined a child and revealedA. 3,75 l symptoms of rachitis. Development of thisB. 1,5 l desease was caused by deficiency of theC. 2,5 l following compound:D. 2,0 l A. NaphtaquinoneE. 5,1 B. Retinol83. In course of an experiment a toads right C. Biotinlabyrinth was destroyed. It will cause D. 1,25 [OH]-dichydroxycholecalciferolamyotonia of the following muscles: E. TocopherolA. Right and left extensors 89. Histological examination of a skin tissueB. Right extensors sampling revealed granulomas consistingC. Left flexors of macrophagal nodules with lymphocytesD. Right flexors and plasmatic cells. There are also some bigE. Left extensors macrophages with fatty vacuoles containing84. A patient died from cardiopulmonary causative agents of a disease packed up indecompensation. Histological examination form of spheres (Virchows cells). Granulationrevealed diffused pulmonary lesion together tissue is well vascularized. What diseasewith interstitial edema. infiltration of tissue is this granuloma typical for?by limphocytes, macrophages, plasmocytes, A. Rhinoscleromapulmonary fibrosis, panacinar emphysema. B. SyphilisWhat disease corresponds with the described C. Leprapicture? D. TuberculosisA. Pulmonary atelectasis E. GlandersB. Bronchial asthma 90. A patient consulted a stomatologistC. Fibrosing alveolitis about purulent inflammation of his gums.D. Chronic bronchitis What drug will be the most effective if itE. Bronchopneumonia is suspected that a causative agent is an85. In order to accelerate healing of a radiation anaerobe?ulcer a vitamin drug was administered. A. Oxacillin sodiumWhat drug is it? B. GentamicinA. Methyluracil C. Nitroxoline
  10. 10. D. Co-trimoxazole diagnosis?E. Metronidazole A. Pediculosis91. Microscopy of stained (Ziehl-Neelsen B. Myiasisstaining) smears taken from the sputum C. Scabiesof a patient with chronic pulmonary disease D. Demodicosisrevealed red bacilli. What property E. Phthiriasisof tuberculous bacillus was shown up? 96. Examination of a patient with pustularA. Acid resistance skin lesions allowed to isolate a causativeB. Alcohol resistance agent that forms in the blood agar roundishC. Capsule formation yellow middle-sized colonies surrounded byD. Sporification haemolysis zone. Smears from the coloniesE. Alkali resistance contain irregular-shaped clusters of grampositive92. The upper lobe of the right lung cocci. The culture is oxidase- andis enlarged, grey and airless, the inscision catalase-positive, ferments mannitol andsurface is dripping with turbid liquid, synthesizes plasmocoagulase. What causativethe pleura has many fibrinogenous films; agent was isolated?microscopical examination of alveoles A. Staphylococcus saprophyticusrevealed exudate containing neutrophils, B. Staphylococcus aureusdesquamated alveolocytes and fibrin fibers. C. Staphylococcus epidermidisThe bronchus wall is intact. What is the most D. Streptococcus agalactiaeprobable diagnosis? E. Streptococcus pyogenesA. Focal pneumonia 97. Inoculum from pharynx of a patientB. Pulmonary abscess ill with angina was inoculated into bloodtelluriteC. Inf1uenzalpneumonia agar. It resulted in growth of grey, radiallyD. Croupous pneumonia striated (in form of rosettes) colonies 4-5 -mm inE. Interstitial pneumonia dian1eter. Gram-positive bacilli with clublike93. A patient has a decreased vasopressin thickenings on their endssynthesis that causes polyuria and as a result placed in form of spread wide apart fingersof it evident organism dehvdratation. What are visible by microscope. What microorganismsis the mechanism of polyuria development? are these?A. Reduced tubular reabsorption of protein A. StreptococciB. Reduced tubular reabsorption of Na ions B. Botulism clostridiaC. Reduced glucose reabsorption C. Diphtheria corynebacteriaD. Reduced tubular reabsorption of water D. StreptobacilliE. Acceleration of glomerular filtration E. Diphtheroids94. A patient of surgical department 98. A man with a wound of his limb that hadcomplains about pain in the small of her been suppurating for a long time died fromback and in the lower part of her belly; painful intioxication. Autopsy revealed extremeand frequent urination. Bacteriological emaciation, dehydration, brown atrophy ofexamination of urine revealed gramnegative liver. myocardium, spleen and cross-striatedoxidase-positive rod-like bacteria muscles as well as renal amyloidosis. Whatforming greenish mucoid colonies with. specific diagnosis corresponds with the described picture?smell. What causative agent can it be? A. ChroniosepsisA. Mycoplasma pneumonie B. BrucellosisB. E.coli C. Chernogubovs syndromeC. Pseudomonas aeruginosa D. SepticopyemiaD. Proteus mirabilis E. SepticemiaE. Str.pyogenes 99. In course of severe respiratory viral95. A patient has acne on his face. Microspcopic infection there appeared clinical signs ofexamination of scrapings from progressing cardiac insufficiency that causedthe affected areas revealed living porrect death of a patient in the 2nd week of disease.vermiform arthropoda 0,2-0,5 mm large with Autopsy revealed that the heart wasfour pairs of short extremities in the front sluggish, with significant cavity dilatation.part of their bodies. What is the laboratory Histological examination of myocardium
  11. 11. revealed plephora of microvessels and diffuse D. Sodiuminfiltration of stroma by lymphocytes E. Calciumand histiocytes. What disease corresponds 104. An unconscious young man with signswith the described picture? of morphine poisoning entered admissionA. Stenocardia office. His respiration is shallow andB. Cardiomyopathy infrequent which is caused by inhibition ofC. Acute coronary insufficiency respiratory centre. What type of respiratoryD. Myocardium infarction failure is it?E. Myocarditis A. Ventilative restrictive100. A patient consulted a doctor about B. Perfusivesymmetric dermatitis of open skin areas. It C. Ventilative obstructivewas found out that the patient lived mostly D. Ventilative dysregulatoryon cereals and ate too little meat, milk and E. Diffusiveeggs. What vitamin deficiency is the most 105. A patient being treated for viralevident? hepatitis type B got symptoms of hepaticA. Nicotinamide insufficiency. What blood changes indicativeB. Biotin of protein metabolism disorder will beC. Tocopherol observed in this case?D. Folic acid A. Absolute hyperfibrinogenemiaE. Calciferol B. Absolute hyperalbuminemia101. A patient with clinical signs of C. Absolute hypoalbuminemiaencephalitis was delivered to the infectious D. Proteinic blood composition is unchangeddiseases hospital. Anamnesis registers a tick E. Absolute hyperglobulinemiabite. Hemagglutination-inhibition reaction 106. A patient ill with essential arterialhelped to reveal antibodies to the causative hypertension had a hypertensic crisis thatagent of tick-borne encephalitis in the dilution resulted in an attack of cardiac asthma.1:20 which is not diagnostic. What actions What is the leading mechanism of cardiacshould the doctor take after he had got such ins insufficiency in this case?result? A. Absolute coronary insufficiencyA. To repeat examination with another B. Heart overload caused by increased blooddiagnosticum volumeB. To repeat the examination with scrum C. Heart overload caused by high pressuretaken 10 days later D. Myocardium damageC. To deny diagnosis of tick-borne encephalitis E. Blood supply disturbanceD. To examine the same serum 107. Surgical removal of a part of stomachE. To apply more sensitive reaction resulted in disturbed absorption of vitamin102. Parents of a 10 year old boy consulted B12 , it is excreted with feces. The patienta doctor about extension of hair-covering, was diagnosed with anemia. What factor isgrowth of beard and moustache, low voice. necessary for absorption of this vitamin?Intensified secretion of which hormone must A. Gastromucoproteinbe assumed? B. Hydrochloric acidA. Of testosterone C. GastrinB. Of somatotropin D. Folic acidC. Of progesterone E. PepsinD. Of oestrogen 108. A 45 year old man consulted a doctorE. Of cortisol about a plaque-like formation on his neck.103. An animal with aortic valve insufficiency Histological examination of a skin bioptategot hypertrophy of its left heart ventricle. revealed clusters of round and oval tumourSome of its parts have local contractures. cells with a narrow border of basophilicWhat substance accumulated in the cytoplasm resembling of cells of basal epidermalmyocardiocytes caused these contractures? layer. What tumour is it?A. Lactic acid A. Epidermal cancerB. Potassium B. HydroadenomaC. Carbon dioxide C. Trichoepithelioma
  12. 12. D. Basal cell carcinoma 114. The territory of an old burial ground forE. Syringoadenoma animal refuse that hasnt been used for over109. A 45 year old woman is ill with breast 50 years is meant for house building. But soilcancer. Her left arm has symptoms of investigation showed the presense of viablelymphatic system insufficiency - limb edema, spores of a causative agent causing a verylymph node enlargement. What form of dangerous disease. What microorganism mightlymphatic circulation insufficiency is it? have been preserved in soil for such aA. Mechanic insufficiency long period of time?B. - A. Bacillus anthracisC. Dynamic insufficiency B. Francisella tularensisD. Combined insufficiency C. Mycobacterium bovisE. Resorption insufficiency D. Brucella abortus110. Mother of a 2 year old child consulted E. Yersinia pestisa stomatologist. In the period of pregnancy 115. During starvation muscle proteinsshe was irregularly taking antibiotics for an break up into free amino acids. Theseinfectious disease. Examination of the child compounds will be the most probablyrevealed incisor destruction, yellow enamel, involved into the following process:brown rim around the dental cervix. What A. Glycogenolysisdrug has apparent teratogenic effect? B. DecarboxylationA. Ampiox C. Gluconeogenesis in musclesB. Octadine D. Gluconeogenesis in liverC. Furosemide E. Synthesis of higher fatty acidsD. Doxacycline 116. A 62 year woman complains of frequentE. Xantinol nicotinate pain attacks in the area of her chest111. A man who has been taking a drug for and backbone, rib fractures. Her doctora long time cannot withhold it because this suspected myeloma (plasmocytoma). Whatcauses impairment of psychic, somatic and of the following laboratory characteristicsvegetative functions. Name the syndrome will be of the greatest diagnosticof different disturbances caused by drug importance?discontinuation: A. Idiosyncrasy A. HypoproteinemiaB. Sensibilization B. HyperalbuminemiaC. Tachyphylaxis C. HypoglobulinemiaD. Abstinence D. ParaproteinemiaE. Cumulation E. Proteinuria112. A chemical burn caused esophagus 117. The cerebrospinal fluid is being examinedstenosis. Difficulty of ingestion led to the for the purpose of diffrential meningitisabrupt loss of weight. In blood: 3,0 * 1012/l, diagnostics. At what site is the lumbalHb - 106 g/,. crude protein - 57 g/l. What puncture safe?type of starvation is it? A. L II - L IIIA. Water B. L V – S IB. Incomplete C. Th XIl - L IC. Complete D. L III – L IVD. Proteinic E. L I - L IIE. Absolute 118. Power inputs of a man were measured.113. As a result of long-term starvation In what state was this man if his powerthe glomerular filtration of a man was inputs were lower than basal metabolism?accelerated by 20%. The most probable A. Nervous tensioncause of filtration changes under such conditions B. Sleepis: C. RestA. Fall of oncotic pressure of blood plasma D. RelaxationB. Increase of renal plasma flow E. Simple workC. Growth of filtration coefficient 119. Vagi of an experimental animal wereD. Rise of systemic arterial pressure cut on both sides. What respiration changesE. Increased permeability of renal filter will be observed?
  13. 13. A. It will become shallow and frequent C. HeterotransplantationB. It will become shallow and infrequent D. IsotransplantationC. No changes will be observed E. AllotransplantationD. It will become deep and infrequent 125. A 40 year old man noticed a reddeningE. It will become deep and frequent and an edema of skin in the area of his neck120. Pharmacological effects of antidepressants that later developed into a small abscess.arc connected with inhibition The incised focus is dense, yellowish-green.of an enzyme catalyzing biogenic amines The pus contains white granules. Histologicalnoradrenaline and serotonine in the examination revealed drusen of a fungus,mitochondrions plasmatic and xanthome cells, macrophages.of cerebral neurons. What What type of mycosis is the most probable?enzyme participates in this process? A. SporotrichosisA. Lyase B. ActinomycosisB. Monoamine oxidase C. AspergillosisC. Transaminase D. CandidosisD. Peptidase E. CoccidioidomycosisE. Decarboxylase 126. An embryo displays disturbed process121. A pathological process in bronchi of dorsal mesoderm segmentation and somiteresulted in epithelium desquamation. What formation. What part of skin will havecells will regenerate bronchial epithelium? developmental abnormalities?A. Intercalary A. EpidermisB. Ciliate B. DermaC. Goblet C. Sudoriferous glandsD. Basal D. Sebaceous glandsE. Endocrinal E. Hair122. Examination of a man who had been 127. In course of a conditional experimentworking hard under higher temperature the development of mesenchyma cells wasof the environment revealed abnormal completely inhibited. Development of thequantity of blood plasma proteins. What following muscular tissue will be disturbed:phenomenon is the case? A. Cardiac muscular tissueA. Absolute hyperproteinemia B. Smooth muscular tissueB. Paraproteinemia C. Skeletal muscular tissueC. Relative hyperproteinemia D. Neural muscular tissueD. Absolute hypoproteinemia E. Epidermal muscular tissueE. Dysproteinemia 128. A girl is diagnosed with adrenogenital123. A 70 year old man IS ill with syndrome (pseudohermaphroditism). Thisvascular atherosclerosis of lower extremities pathology was caused by hypersecretion ofand coronary heart disease. Exan1ination the following adrenal hormone:revealed disturbance of lipidic A. Adrenalinblood composition. The main factor of B. Estrogenatherosclerosis pathogenesis is the excess C. Aldosteroneof the following lipoproteins: D. AndrogenA. Low-density lipoproteins E. CortisolB. Cholesterol 129. Golgi complex exports substances fromC. Chylomicrons a cell due to the fusion of the membraneD. High-density lipoproteins saccule with the cell membrane. The sacculeE. Intermediate density lipoproteins contents flows out. What process is it?124. For the purpose of myocardium A. Exocytosisinfarction treatment a patient was injected B. Facilitated diffusionwith embryonal stem cells derived from this C. Endocytosisvery patient by means of therapeutic cloning. D. Active- transportWhat transplantation type is it? E. All answers arc falseA. Autotransplantation 130. An oncological patient was prescribedB. Xenotransplantation methotrexate. With the lapse of time target
  14. 14. cells of the tumour lost susceptibility to this face, hirsutism, AP is 165/100 mm Hg, heightdrug. There is change of gene expression of - 164 cm, weight - 103 kg; the fat isthe folowing enzyme: mostly accumulated on her neck, thoracicA. Thiaminase girdle, belly. What is the main pathogeneticB. Deaminase mechanism of obesity?C. Dehydrofolate reductase A. Increased production of glucocorticoidsD. Folate decarboxylase B. Reduced glucagon productionE. Folate oxidase C. Increased insulin production131. An infant has apparent diarrhea resulting D. Reduced production of thyroid hormonesfrom improper feeding. One of the main E. Increased mineralocorticoid productiondiarrhea effects is plentiful excretion of sodium 136. A 20 year old patient died frombicarbonate. What form of acid-base intoxication 8 days after artificial illegalbalance disorder is the case? abortion performed in her 14-15th week ofA. Metabolic alkalosis pregnancy. Autopsy of the corpse revealedB. Respiratory alkalosis yellowish colour of eye sclera and of skin,C. No disorders of acid-base balance will be necrotic suppurative endometritis, multipleobserved pulmonary abscesses, spleen hyperplasiaD. Respiratory acidosis with a big number of neutrophils in its sinuses.E. Metabolic acidosis What complication after abortion was112. Workers of a hothouse farm work under developed?conditions of unfavourable microclimate: air A. Chroniosepsistemperature is +37°C relative humidity is B. Hemorrhagic shock90%, air speed is 0,2 m/s. The way of heat C. Septicopyemiaemission under these conditions will be: D. SepticemiaA. Radiation E. Viral hepatitis type AB. Convection 137. There are several groups of molecularC. Heat conduction mechanisms playing important part inD. All the ways pathogenesis of insult to cells which contributesE. Evaporation to the pathology development. What133. Examination of a 70 year old patient processes are stimulated by proteinicrrevealed insulin-dependent diabetes. What drug damage mechanisms?should be administered? A. Phospholipase activationA. Glibenclamid B. Osmotic membrane distensionB. Parathyroidin C. Enzyme inhibitionC. Insulin D. Lipid peroxidationD. Mercazolilum E. AcidosisE. Cortisone 138. A patient takes digoxin for treatment134. A 59 year old patient is a plant manager. of cardiac insufficiency. What diuretic mayAfter the tax inspection of his plant he felt increase digoxin toxicity due to the intensifiedintense pain behind his breastbone irradiating excretion of K+ ions?to his left arm. 15 minutes later his condition A. Lisinoprilcame to normal. Which of the possible B. Pananginemechanisms of stenocardia development is C. Siliborumthe leading in this case? D. SpironolactoneA. High catecholamine concentration m E. Hydrochlorothiazideblood 139. A patient ill with amebiasis was prescribedB. Coronary atherosclerosis a certain drug. The use of alcoholC. Functional heart overload together with this drug is contra-indicatedD. Coronary thrombosis because the drug inhibits metabolism ofE. Intravascular aggregation of blood ethyl alcohol. What drug is it?corpuscles A. Clonidine135. A 44 year old woman complains of B. Metronidazolegeneral weakness, heart pain, significant C. Reserpineincrease of body weight. Objectively: moon D. Diazepam
  15. 15. E. Aminazine dysentery and was once more infected with140. While performing an operation in the the same causative agent. What is sucharea of axillary crease a surgeon has to define infection form called?an arterial vessel surrounded by fascicles A. Persisting infectionof brachial plexus. What artery is it? B. Chronic infectionA. A.axillaris C. RecidivationB. A.profunda brachii D. SuperinfectionC. A. vertebralis E. ReinfectionD. A.subscapularis 146. A 30 year old woman has applied a lipstickE. A. transversa colli with a fluorescent substance for a141. A patient with nephrotic syndrome has long time. Then she got a limited erythemamassive edemata of his face and limbs. What and slight peeling on her lip border, lateris the leading pathogenelic mechanism of there appeared transversal striae and cracks.edemata development? Special methods of microscopic examinationA. Rise of hydrodynamic blood pressure of the affected area helped to revealB. Lymphostasis sensibilized lymphocytes and macrophagesC. Increase of vascular permeability in the connective tissue: cytolysis. WhatD. Increase of lymph outflow type of immunological hypersensitivity wasE. Drop of oncotic blood pressure developed?142. A patient underwent an operation on A. III type (immune complex cytotoxicity)account of gall bladder excision that resulted B. I type (reaginic)in obstruction of Ca absorption through the C. IVtype (cellular cytotoxicity)bowels wall. What vitamin will stimulate this D. II type (antihody cytotoxicity)process? E. GranulomatosisA.C 147. Autopsy of a man who died fromB. B12 the sepsis in his femoral hone revealedC. D3 phlegmonous inflammation that affected theD. K marrow, haversian canals and periosteum.E. PP Under the periosteum there are multiple143. While studying maximally spiralized abscesses, adjoining soft tissues of thigh alsochromosomes of human karyotype the have signs of phlegmonous inflammation.process of cell division was stopped in the What pathological process was described?following phase: A. Chronic henlatogenous osteomielitisA. Telophase B. OsteoporosisB. Interphase c. -C. Anaphase D. Acute hemalogenous osteomyelitisD. Metaphase E. OsteopetrosisE. Prophase 148. A patient was diagnosed with autoimmune144. A patient ill with tuberculosis died hemolitic cytotoxic anemia. Whatfrom progressing cardiopulmonary substances are antigens in II type allergicdecompensation. Autopsy in the area of reactions?the right lung apex revealed a cavity 5 A. Antibioticscm in diameter communicating with lumen B. Hormonesof a segmental bronchus. On the inside C. Serum proteinscavity walls are covered with caseous D. Modified receptors of cell membranesmasses with epithelioid and Langhans cells E. Inflammation modulatorsbeneath them. What morphological form of 149. Rats being under stress have musculartuberculosis is it? hypertonia and high arterial pressure, highA. Acute focal tuberculosis glucose concentration in blood and intensifiedB. Infiltrative tuberculosis secretion of corticotropin and corticosteroids.C. Caseous pneumonia In what stress phase are these animals?D. Acute cavernous tuberculosis A. ExhaustionE. Tuberculoma B. Terminal145. A patient recovered from Sonne C. Antishock phase
  16. 16. D. Erectile 155. A 38 year old patient with full-blownE. Shock phase jaundice, small cutaneous hemorrhages,150. It was proved that a molecule of general weakness and loss of appetiteimmature mRNA (precursor mRNA) underwent puncture biopsy of liver. Histologicalcontained more triplets than amino acids examination revealed disseminatedfound in the synthesized protein. The dystrophy, hepatocyte necrosis,reason for that is that translation is normally Councilmans bodies. Lobule peripherypreceded by: has signs of significant infiltration byA. Processing lymphocytes, there are also individualB. Initiation multinuclearC. Reparation hepatocytes. What is the mostD. Replication probable diagnosis?E. Mutation A. Acute alcoholic hepatitis151. A patient who has been treated in a B. Toxic degeneration of liverneural clinic and has been taking a sedative C. Acute viral hepatitisfor a long time got the following complication: D. Chronic hepatitiscough, rhinitis, epiphora. What drug E. Miliary hepatic cirrhosiscaused these disturbances? 156. A patient with acute morphine poisoningA. Sodium bromide was delivered to a hospital. What specificB. Valerian narcotic antagonist should be chosen in thisC. Phenazepam case?D. Reserpine A. UnithiolE. Diazepam B. Paracetamol152. Examination of a newborn boys C. Digoxingenitalia revealed an urethral hiatus that D. Methacinopens on the undersite of his penis. What E. Naloxonemalformation is it? 157. Autopsy of a man ill with severeA. Cryptorhidism hypothyroidism revealed that connective tissue,B. Epispadia organ stroma, adipose and cartilaginousC. Hermaphroditism tissues were swollen, semitransparent,D. Monorchism mucus-like. Microscopic examination of tissuesE. Hypospadias revealed stellate cells having processes153. A patient that entered the admission office with mucus between them. What type ofhad the following signs of acute cardiac dystrophy is it?insuffiency: paleness, acrocyanosis, frequent A. Stromal-vascular carbohydrateshallow respiration. What drug is B. Strornal-vascular proteinaceousindicated in this case? C. Parenchymatous adiposeA. Corglycon D. Parenchymatous proteinaceousB. Adrenaline hydrochloride E. Stromal-vascular adiposeC. Nitroglycerine 158. In order to estimate toxigenity of diphtheriaD. Cordiamin agents obtained from patients theE. Digitoxin cultures were inoculated on Petri dish with154. In order to speed up healing of a wound nutrient agar on either side of a filter paperof oral mucosa a patient was prescribed a strip that was put into the centre and moisteneddrug that is a thermostable protein occuring with antidiphtheric antitoxic serum.in tears, saliva, mothers milk as well as in After incubation of inoculations in agar thea new-laid hens egg. It is known that this strip-like areas of medium turbidity wereprotein is a factor of natural resistance of an found between separate cultures and theorganism. What is it called? strip of filter paper. What immunologicalA. Complement reaction was conducted?B. Imanine A. Rings precipitation reactionC. lnterleukin B. Agglutination reactionD. Interferon C. Precipitation gel reactionE. Lysozyme D. Coombs test
  17. 17. E. Opsonization reaction caused complete disruption of spinal cord at159. A patient ill with enteritis accompanied the level of the first cervical segment. Whatby massive diarrhea has low water rate in respiration changes will be observed?the extracellular space, high water rate inside A. No changes will be observedthe cells and low blood osmolarity. What B. It will become infrequent and deepis such disturbance of water-electrolytic C. Thoracic respiration will be maintained,metabolism called? diaphragmal respiration will disappearA. Hyperosmolar hypohydration D. It will come to a standstillB. Hyperosmolar hyperhydration E. Diaphragmal respiration will be maintained,C. Osmolar hypohydration thoracic respiration will disappearD. Hypo-osmolar hyperhydration 165. Systemic arterial pressure of an adultE. Hypo-osmolar hypohydration dropped from 120/70 to 90/50 mm Hg160. In course of a preventive examination that led to reflectory vasoconstriction. Theof a miner a doctor revealed changes of vasoconstriction will be maximal in thecardiovascular fitness which was indicative following organ:of cardiac insufficiency at the compensation A. Bowelsstage. What is the main proof of cardiac B. Heartcompensation? C. KidneysA. Myocardium hypertrophy D. AdrenalsB. Tachycardia E. BrainC. Cyanosis 166. A pregnant woman was registered inD. Dyspnea an antenatal clinic and underwent complexE. Rise of arterial pressure examination for a number of infections.161. It was found out that some compounds, Blood serum contained IgM to the rubellafor instance fungi toxins and some antibiotics virus. What is this result indicative of?can inhibit activity of RNA-polymerase. A. Of exacerbation of a chronic diseaseWhat process will be disturbed in a cell in B. Of recurring infection with rubella viruscase of inhibition of this enzyme? C. Of a chronic processA. Reparation D. The woman is healthyB. Translation E. Of primary infectionC. Transcription 167. A boy found a spider with the followingD. Replication morphological characteristics: it is 2 cmE. Processing long, has roundish black abdomen with two162. As a result of destruction of certain rows of red spots on its dorsal side; four pairsbrainstem structures an animal has lost of jointed limbs are covered with smallits orientative reflexes in response to black hairs. What arthropod is it?strong photic stimuli. What structures were A. Mitedestroyed? B. SolpugaA. Posterior tubercles of quadrigeminal plate C. Karakurt spiderB. Anterior tubercles of quadrigeminal plate D. ScorpionC. Red nuclei E. TarantulaD. Black substance 168. Examination of a young womanE. Vestibular nuclei revealed a node-like, soft and elastic163. Inflammation of the tympanic cavity homogenous tumour of pinkish-white(purulent otitis media) was complicated colour along the acoustic nerve. The tumourby inflammation of mammillary process contains cell bundles with oval nuclei.sockets. What wall of tympanic cavity did Cellular fibrous bundles form rhythmicthe pus penetrate into the sockets through? structures made up by parallel rows ofA. Lateral regularly oriented cells arranged in formB. Medial of a palisade with cell-free homogenousC. Anterior zone (Verocay bodies) between them. WhatD. Posterior tumour is it?E. Superior A. Neurinoma164. A 35 year old man got an injury that B. Ganglioneuroblastoma
  18. 18. C. Malignant neurinoma chromophilic and chromophobic. IdentifyD. Neuroblastoma this organ:E. Ganglioneurinoma A. Hypothalamus169. Two hours after an exam a student had B. Adrenal glandsa blood count done and it was revealed C. Hypophysisthat he had leukocytosis without significant D. Thyroid glandleukogram modifications. What is the E. Parathyroid glandmost probable mechanism of leukocytosis 174. A patient came to the hospital complainingdevelopment? about quick fatigability and apparentA. Redistribution of leukocytes in the organism muscle weakness. Examination revealedB. Deceleration of leukocyte migration to an autoimmune disease that causes disorderthe tissues of functional receptor condition inC. Leukopoiesis intensification and neuromuscular synapses. What transmitterdeceleration of leukocyte lysis will be blocked?D. Deceleration of leukocyte lysis A. NoradrenalinE. Leukopoiesis intensification B. Serotonin170. If a man has an attack of bronchiospasm C. Glyeineit is necessary to reduce the effect of D. Dopaminevagus on smooth muscles of bronchi. What E. Acetylcholinemembrane cytoreceptors should be blocked 175. Microscopic examination of a Gramstainedfor this purpose? scrape from patients tongueA. M-cholinoreceptors revealed oval, round, elongated chains ofB. β-adrenoreceptors dark-violet gemmating cells. What diseaseC. α- and β-adrenoreceptors can be caused by this causative agent?D. α-adrenoreceptors A. Staphylococcic infectionE. .N-cholinoreceptors B. Streptococcic infection171. Plasmic factors of blood coagulation C. Diphtheriaare exposed to post-translational modification D. Actinomycosiswith the participation of vitamin K. It E. Candidosisis necessary as a cofactor in the enzyme 176. A patient ill with chronic gastritis wentsystem of γ-carboxylation of protein factors for endogastric pH-metry that allowed tocif blood coagulation due to the increased reveal decreased acidity of gastric juice. Itaffinity of their molecules with calcium ions. is indicative of diminished function of theWhat amino acid is carboxylated in these following cells:proteins? A. Parietal exocrinocytesA. Valine B. Accessory cellsB. Arginine C. EndocrinocytesC. Phenylalanine D. Cervical cellsD. Glutamic E. Chief exocrinocytesE. Serine 177. Examination of a 60 year old patient172. A sensitive neural ganglion consists of revealed hyperglycemia and glucosuria. Aroundish neurocytes with one extension that doctor administered him a medication fordivides into axon and dendrite at some distance internal use. What medication is it?from the perikaryon. What are these A. Pancreatinecells called? B. FurosemideA. Multipolar C. OxytocinB. Pseudounipolar D. GlibenclamidC. Unipolar E. CorglyconD. Apolar 178. A 6 month old baby ill with bronchitisE. Bipolar was taken for an X-ray of chest. Apart173. An endocrinal gland with parenchyma of changes associated with bronchi the X-rayconsisting of epithelium and neural tissue film showed a shadow of thymus gland.is under morphological examination. Epithelial What might have caused such changes?trabecules have two types of cells: A. It is caused by thymus inflammation
  19. 19. B. It is caused by abnormal position rhinitis and loss of sense of smell for a week.C. It is caused by neoplastic process Objectively: nasal cavity contains a lot ofD. The above-mentioned condition is a mucus that covers mucous membrane andnormal variant for this age blocks olfactory receptors. In what part ofE. Its the effect of bronchitis nasal cavity are these receptors situated?179. A 20 year old patient complains of A. Common nasal meatusgeneral weakness, dizziness, quick fatigability. B. Vestibule of noseBlood analysis results: Hb- 80 C Median nasal turbinateg/l. Microscopical examination results: D. Inferior nasal turbinateerythrocytes are of modified form. This E. Superior nasal turbinatecondition might be caused by: 185. A cardiac electric stimulator wasA. Obturative jaundice implanted to a 75 year old man with heartB. Acute intermittent porphyria rate of 40 bpm. Thereafter the heart rateC. Sickle-cell anemia rose up to 70 bpm. The electric stimulatorD. Addisons disease has undertaken the function of the followingE. Hepatocellular jaundice heart part:180. In course of laparotomy a surgeon A. His bundle branchesrevealed gangrenous lesion of descending B. Sinoatrial nodecolon. It was caused by thrombosis of the C. His bundle fibelsfollowing artery: D. Purkinjes fibersA. Dexter colic E. Atrioventricular nodeB. Median colic 186. Blood of a patient with presumableC. Ileocolic sepsis was inoculated into sugar broth.D. Sinister colic There appeared bottom sediment. RepeatedE. Superior mesenteric artery inoculation into blood agar caused growth181. In course of a small pelvis operation it of small transparent round coloniesbecame necessary to ligate an ovarian artery. surrounded by hemolysis zone. ExaminationWhat formation may be accidentally ligated of a smear from the sediment revealedtogether with it? gram-positive cocci in form of long chains.A. Round ligament of uterus What microorganisms are present in bloodB. Urethra ~ of this patient?C. Uterine tube A. StreptococciD. Internal iliac vein B. TetracocciE. Ureter C. Sarcina182. A patient has a deep cut wound on the D. Staphylococciposterior surface of his shoulder in its middle E. Micrococcithird. What muscle might he injured? 187. A patient has low rate of magnesiumA. Anconeus muscle ions that are necessary for affixion of ribosomesB. Biceps muscle of arm to the endoplasmic reticulum. It isC Brachial muscle known that it causes disturbance of proteinD. Coracohrachial muscle biosynthesis. At what stage is proteinE. Triceps muscle of arm biosynthesis183. A patient was admitted to the surgical impaired?department with suspected inflammation of A. TerminationMeckel`s diverticulum. What part of bowels B. Translationshould be examined in order to discover the C. Amino acid activationdiverticulum in course of an operation? D. ReplicationA. Ileum E. TranscriptionB. Jejunmum 188. A patient with hypertensic crisis wasC Colon ascendens admitted to the cardiological department,D. Duodenum he was injected intravenously with anE. Caecum antihypertensive184. A 35 year old patient applied to a drug - salt of an alkaline-earthdoctor with complaints about having intense metal. What drug was injected?
  20. 20. A. Benzohexamethonium C. Louis-BarB. Potassium chloride D. Wiskott-AldrichC Sodium hydrocarbonate E. DiGeorgeD. Magnesium sulfate 195. A woman suffering from osteochondrosisE. Caleium lactate felt acute pain in her humeral articulation189. Examination of a 35 year old patient that became stronger when she abducted herrevealed high acidity of gastric juice. What shoulder. These symptoms might be causedreceptors should be blocked in order to by damage of the following nerve:reduce it? A. Dorsal scapular nerveA. α 1-adrenoreceptors B. Axillary nerveB. β2-adrenoreceptors C. Subscapular nerveC. β1 -adrenoreceptors D. Subclavicular nerveD. α2-adrenoreceptors E. Throracodorsal nerveE. Histamine 196. A boy has I (I0 I0) blood group and190. While performing an inguinal canal his sister has IV (IA IB) blood group. Whatoperation on account of hernia a surgeon blood groups do their parents have?damaged the canals contents. What exactly A. III (IB I0) and IV (IA IB)was damaged? B. II (IA IA) and III (IB I0)A. Funiculus spermaticus C. II (IA I0) and III (IB I0)B. Lig. teres uteri D. I (I0 I0) and III (IB I0)C. - E. I (I0 I0) and IV (IA IB)D. Lig. inguinale 197. A patient has a cluster of mattedE. Urarchus together dense lymph nodes on his neck.191. A 3 year old child with fever was given Histologicalaspirin. It resulted in intensified erythrocyte examination of a removed lymphhaemolysis. Hemolytic anemia might have node revealed proliferation of reticular cells,been caused by congenital insufficiency of presense of Reed-Sternberg cells. What diseasethe following enzyme: is meant?A. Glycogen phosphorylase A. Myeloblastic leukosisB. Glucose 6-phosphate dehydrogenase B. LyimphogranulomatosisC. Glycerol phosphate dehydrogenase C. Lymphoblastic leukosisD. Glucose 6-phosphatase D. Myelocytic leukosisE. γ-glutamiltransferase E. Lympholcytic leukosis192. After consumption of rich food a patient 198. A woman underwent an operation onhas nausea and heartburn, steatorrhea. account of extrauterine (tubal) pregnancy.This condition might he caused by: In course of the operation the surgeonA. Increased lipase secretion should ligate the branches of the followingB. Bile acid deficiency arteries:C. Amylase deficiency A. Uterine and superior cysticD. Disturbed phospholipase synthesis B. Superior cystic and ovarianE. Disturbed tripsin synthesis C. Uterine and inferior cystic193. A patient complains of dizziness and D. Uterine and ovarian hearing loss. What nerve is damaged? E. Inferior cystic and ovarianA. Vestibulocochlear 199. A specimen stained by OzheshkoB. Vagus method contains rod-like microorganismsC. Sublingual stained blue with round terminalD. Trochlear components stained red. What are theseE. Trigeminus components called?194. A child was born with cleft palate. A. CapsulesExamination revealed aorta defects and B. Ciliareduced number of T-Iymphocytes in blood. C. MesosomasWhat immunodeficient syndrome is it? D. SporesA. Swiss-type E. FlagellaB. Chediak-Higashi 200. A 37 year old patient suffering from
  21. 21. obliterating vascular endarteritis of lowerlimbs takes daily 60 microgram/kilogramof phenylin. Because of presentationsof convulsive disorder (craniocerebraltrauma in anamnesis) he was prescribedphenobarbital. Withholding this drugcaused nasal hemorhage. What is thiscomplication connected with?A. Aliphatic hydroxylation of phenobarbitalB. Inhibition of microsomal oxidation in livercaused by phenobarbitalC. Induction of enzymes of microsomaloxidation in liver caused by phenobarbitalD. Conjugation of phenylin with glucuronicacidE. Oxidative deamination of phenylin

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