A patient suffering from chronic myeloleukemia has got the following symptoms of anemia:
Decreased number of erythrocytes and low haemoglobin concentration, oxyphilic and
Polychromatophilic normocytes, microcytes. What is the leading pathogenetic mechanism of
Anemia development?
A Substitution of haemoblast
B Intravascular hemolysis of erythrocytes
C Deficiency of vitamin B12
D Reduced synthesis of erythropoietin
E Chronic haemorrhage
70
A 7-year-old child can't abduct the shoulder, raise it to the horizontal level. He can raise the
Hand to the face only with dorsal side with abduction of the shoulder (with help of supraspinous
muscle ) - "bugler" arm. Active function of what muscle is absent?
A Deltoid
B Infraspinous
C Pectoral major
D Teres minor
E Teres major
71
A 7-year-old girl has signs of anemia. Laboratory examination revealed pyruvate kinase
Deficiency in erythrocytes. What process disturbance plays the main role in anemia
Development?
A Anaerobic glycolysis
B Oxidative phosphorylation
C Tissue respiration
D Peroxide decomposition
E Aminoacids desamination
72
A patient complained about being unable to adduct and abduct fingers in the
Metacarpophalangeal articulations towards and away from the 3rd finger. Which muscles'
Function is impaired?
A Interosseous muscles
B Lumbrical muscles
C Breviflexors of fingers
D Long flexors of fingers
E Extensors
73
A 45-year-old patient was admitted to the surgical department with complaints of abrupt sharp
Pain in the epigastric region. After examination it was diagnosed: perforated ulcer of the
Posterior wall of the stomach. Where did content of the stomach flow out while perforation?
A To the omental bursa
B To the liver bursa
C To the proventriculus sack
D To the left mesenteric sinus
E To the right mesenteric sinus
74
A 25-year-old patient complained of the decreased vision. Accommodation disorders, dilated
Pupil, not reacting on the light were revealed on examination. Function of what muscles is
Disturbed?
A Pupil narrowing muscle, ciliary
B Pupil dilating muscle, ciliary
C Inferior oblique muscle, ciliary
D Lateral rectus muscle, pupil narrowing
E Pupil narrowing and dilating muscle
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75
Microspecimen of spinal cord contains a nucleus that should be analyzed. Its neurons form
Motor endings in the skeletal muscles. What nucleus of spinal cord is meant?
A Proper nucleus of the anterior horn
B Thoracic nucleus
C Intermediate lateral nucleus
D Proper nucleus of the posterior horn
E Proper nucleus of gray substance
76
A man with cut wound of his right foot sole was admitted to the hospital ward. The patient has
Limited elevation of the lateral foot edge. In course of wound management the injury of a muscle
Tendon was revealed. What muscle is injured?
A Long peroneal
B Anterior tibial
C Long extensor muscle of toes
D Triceps muscle of crus
E Short peroneal
77
A 35 year old man with a trauma of his left hand was admitted to the traumatology department.
Objectively: cut wound of palmar surface of left hand; middle phalanxes of II–V fingers don't
Bend. What muscles are damaged?
A Superficial finger flexor
B Profound finger flexor
C Lumbrical muscles
D Palmar interosseous muscles
E Dorsal interosseous muscles
78
A 38-year-old patient came to a traumatology centre and complained about an injury of his right
Hand. Objectively: the patient has a cut wound in the region of the thenar eminence on the right
Hand; distal phalanx of the I finger cannot be flexed. What muscle was injured?
A Long flexor muscle of thumb
B Short flexor muscle of thumb
C Short abductor muscle of thumb
D Opposer muscle of thumb
E Abductor muscle of thumb
79
A patient with neuritis of femoral nerve has disturbed flexion of thigh as well as disturbed crus
Extension in the knee joint. What muscle's function is disturbed?
A Quadriceps muscle of thigh
B Biceps muscle of thigh
C Triceps muscle of thigh
D Semitendinous muscle
E Semimembranous muscle
80
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In the specimen of one of the parts of respiratory system a tubular organ was found. It has low
Epithelium, well developed muscular tunic, glands and cartilage are absent. Name this organ:
A Minor bronchs
B Trachea
C Larynx
D Major bronchs
E Median bronchs
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