Is tachycardia and smell of acetone from the mouth. Analysis results: blood glucose - 20,1
micromole/l (standard is 3,3-5,5 micromole/l), urine glucose - 3,5% (standard is - 0). What is
The most probable diagnosis?
A Hyperglycemic coma
B Hypoglycemic coma
C Acute heart failure
D Acute alcoholic intoxication
E Anaphylactic shock
72
Profuse foam appeared when dentist put hydrogen peroxide on the mucous of the oral cavity.
What enzyme caused such activity?
A Catalase
B Cholinesterase
C Acetyltransferase
D Glucose-6-phosphatdehydrogenase
E Methemoglobinreductase
73
A 62 y.o. woman complains of frequent pains in the area of her chest and backbone, rib
Fractures. A doctor assumed myelomatosis (plasmocytoma). What of the following laboratory
Characteristics will be of the greatest diagnostical importance?
A Paraproteinemia
B Hyperalbuminemia
C Proteinuria
D Hypoglobulinemia
E Hypoproteinemia
74
A newborn child has convulsions that have been observed after prescription of vitamin B6.
This most probable cause of this effect is that vitamin B6 is a componet of the following enzyme:
A Glutamate decarboxylase
B Pyruvate dehydrostase
C Netoglubarate dehydromine
D Aminolevulinate synthase
E Glycogen phosphorylase
75
Nappies of a newborn have dark spots that witness of formation of homogentisic acid.
Metabolic imbalance of which substance is it connected with?
A Thyrosine
B Galactose
C Methionine
D Cholesterine
E Tryptophane
76
Pathological changes of the liver and brain were revealed in a 27-year-old patient.The copper
Concentration is abruptly decreased in blood plasma and increased in the urine. Wilson's
Disease was diagnosed. Activity of what enzyme in the blood serum should be examined to
Prove diagnisis?
A Ceruloplasmin
B Carboanhydraze
C Xanthioxidase
D Leucinamineopeptidaze
E Alcoholdehydrogenaze
77
Parodontitis is treated with calcium preparations and a hormone that stimulates tooth
Mineralization and inhibits tissue resorption. What hormone is it?
A Calcitonin
B Parathormone
C Adrenalin
D Aldosterone
E Thyroxine
78
A child has an acute renal failure. What biochemical factor found in saliva can confirm this
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Diagnosis?
A Increase in urea concentration
B Increase in glucose concentration
C Decrease in glucose concentration
D Increase in concentration of higher fatty acids
E Decrease in nucleic acid concentration
79
After implantation of a cardiac valve a young man constantly takes indirect anticoagulants. His
State was complicated by hemorrhage. What substance content has decreased in blood?
A Prothrombin
B Haptoglobin
C Heparin
D Creatin
E Ceruloplasmin
80
After severe viral hepatitis a 4 year old boy presents with vommiting, occasional loss of
Consciousness, convulsions. Blood test revealed hyperammoniemia. Such condition is caused
By a disorder of the following biochemical hepatic process:
A Disorder of ammonia neutralization
B Disorder of biogenic amines neutralization
C Protein synthesis inhibition
D Activation of amino acid decarboxylation
E Inhibition of transamination enzymes
81
A 50-year-old patient complains about general weakness, appetite loss and cardiac arrhythmia.
The patient presents with muscle hypotonia, flaccid paralyses, weakened peristaltic activity of
The bowels. Such condition might be caused by:
A Hypokaliemia
B Hypoproteinemia
C Hyperkaliemia
D Hypophosphatemia
E Hyponatremia
82
An 18-year-old patient has enlarged inguinal lymphnodes, they are painless, thickened on
Palpation. In the area of genital mucous membrane there is a small-sized ulcer with thickened
edges and "laquer" bottom of greyish colour. What is the most probable diagnosis?
A Syphilis
B Tuberculosis
C Lepra
D Trophic ulcer
E Gonorrhea
83
Concentration of pyruvate is increased in the patient's blood, the most of which is excreted with
Urine. What avitaminosis is observed in the patient?
A Avitaminosis В 1
B Avitaminosis E
C Avitaminosis В 3
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D Avitaminosis B6
E Avitaminosis В 2
84
Carnitine including drug was recomended to the sportsman for improving results. What process
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