During a surgery with the use of hygronium the patient had an abrupt fall in blood pressure.



Blood pressure can be normalized by the representatives of the following drug group:

A α -adrenergic agonists

B α -blockers

C Ganglionic blockers

D M-cholinergic agents

E N-cholinergic agents

135

A patient with a dislocated shoulder had been admitted to a hospital. With the purpose of

Skeletal muscle relaxation he was given an injection of relaxant dithylinum acting normally 5-7

Minutes. However, the effect of dithylinum in this patient lasted up to 8 hours. What is the most

Likely cause of the prolonged effect of dithylinum in this patient?

A Genetic deficiency of blood cholinesterase

B Reduced activity of microsomal liver enzymes

C Reduced drug excretion

D Material accumulation of the drug

E Potentiation by another drug

135

A patient with biliary dyskinesia and constipations has been prescribed a cholagogue having

Also a laxative effect. What drug has been administered?

A Magnesium sulfate

B Allochol

C Cholosas

D Cholenzyme

E Nicodinum

136

It is known that individuals with genetically caused deficiency of glucose-6-phosphate

Dehydrogenase may develop RBC hemolysis in response to the administration of some

Antimalarial drugs. Manifestation of adverse reactions to drugs is called:

A Idiosyncrasy

B Allergy

C Sensibilization

D Tachyphylaxis

E Tolerance

137

A comatose patient was taken to the hospital. He has a history of diabetes mellitus. Objectively:

Kussmaul breathing, low blood pressure, acetone odor of breath. After the emergency treatment

The patient's condition improved. What drug had been administered to the patient?

A Insulin

B Adrenaline

C Isadrinum

D Glibenclamide

E Furosemide

138

In order to stimulate breathing in a child born with asphyxia, the doctor gave him a drug injection

Into the umbilical vein. What drug might have been injected?

A Aethimizolum

B Corazolum

C Cordiaminum

D Sulfocamphocainum

E Coffeinum

139

A patient with urolithiasis has unbearable spasmodic pain. To prevent pain shock, he has been

Given an injection of atropine along with a narcotic analgesic having antispasmodic effect. What

Drug was it?

A Promedol

B Nalorphine

C Tramadol

D Ethylmorphine hydrochloride

E Morphine hydrochloride

                                                6.0 Патологічна фізіологія

1

Patient with hypochromic anemia has splitting hair and loss of hair, increased nail brittling and

Taste alteration. What is the mechanism of the development of these symptoms?

A Deficiency of iron-containing enzymes

B Deficiency of vitamin В 12

C Decreased production of parathyrin

D Deficiency of vitamin А

E Decreased production of thyroid hormones

      2

A 27- year-old woman has dropped penicillin containing eye drops. In few minutes there

Appeared feeling of itching, burning of the skin,  lips and eyelids edema, whistling cough,

Decreasing of BP. What antibodies take part in the development of this allergic reaction?

A IgE and IgG

B IgM and IgG

C IgA and IgM

D IgM and IgD

E IgG and IgD

      3

A patient underwent a surgery for excision of a cyst on pancreas. After this he developed

Haemorrhagic syndrome with apparent disorder of blood coagulation. Development of this

Complication can be explained by:

A Activation of fibrinolytic system

B Insufficient fibrin production

C Reduced number of thrombocytes

D Activation of anticoagulation system

E Activation of Christmas factor

      4

A 43-year-old patient has thrombopenia, reduction of fibrinogen, products of degradation of

Fibrin presented in the blood, petechial haemorrhage along with septic shock. What is the most

Likely cause of the changes?

A DIC-syndrom

B Autoimmune thrombocytopenia

C Haemorrhagic diathesis

D Disorder of thrombocytes production

E Exogenous intoxication

      5

Pyruvate concentration in the patient’s urine has increased 10 times from normal amount. What

vitamin deficiency can be the reason of this change:

A Vitamin B1

B Vitamin C

C Vitamin A

D Vitamin E

E Vitamin B6

      6

Person has stable HR, not more than 40 bpm. What is the pacemaker of the heart rhythm in this

Person?

A Atrioventricular node

B Sinoatrial node

C His' bundle

D Branches of His' bundle

E Purkinye' fibers

      7


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