To prevent the transplant rejection after organ transplantation it is required to administer



Hormonotherapy for the purpose of immunosuppression. What hormones are used for this

Purpose?

A Glucocorticoids

B Mineralocorticoids

C Sexual hormones

D Catecholamines

E Thyroid

      45

A patient caught a cold after which there appeared facial expression disorder. He cannot close

His eyes, raise his eyebrows, bare his teeth. What nerve is damaged?

A Facial

B Vagus

C Trigeminus

D Glossopharyngeal

E Infraorbital

      46

A patient with a history of chronic glomerulonephritis presents with azotemia, oliguria, hypo- and

Isosthenuria, proteinuria. What is the leading factor in the pathogenesis of these symptoms

Development under chronic renal failure?

A Mass decrease of active nephrons

B Intensification of glomerular filtration

C Tubular hyposecretion

D Disturbed permeability of glomerular membranes

E Intensification of sodium reabsorption

      47

After an attack of bronchial asthma a patient had his peripheral blood tested. What changes can

Be expected?

A Eosinophilia

B Leukopenia

C Lymphocytosis

D Thrombocytopenia

E Erythrocytosis

      48

After the traumatic tooth extraction a patient is complaining of acute, dull, poorly-localized pain in

 gingiva, body temperature rise up to 37,5oC. The patient has been diagnosed with alveolitis.

Specify the kind of pain in this patient:

A Protopathic

B Epicritic

C Visceral

D Heterotopic

E Phantom

      49

A 50 year old patient suffers from essential hypertension. After a physical stress he

Experienced muscle weakness, breathlessness, cyanosis of lips, skin and face. Respiration

Was accompanied by distinctly heard bubbling rales. What mechanism underlies the

Development of this syndrome?

A Acute left-ventricular failure

B Chronic right-ventricular failure

C Chronic left-ventricular failure

D Collapse

E Cardiac tamponade

      50

A patient with obliterating endarteritis underwent ganglionic sympathectomy. What type of

Arterial hyperaemia should have developed as a result of the surgery?

A Neuroparalytic

B Neurotonic

C Metabolic

D Functional

E Reactive

      51

A group of mountain climbers went through the blood analysis at the height of 3000 m. It

revealed decrease of HCO3 to 15 micromole/l (standard is 22-26 micromole/l). What is the

mechanism of HCO3 decrease?

A Hyperventilation

B Intensification of acidogenesis

C Hypoventilation

D Decrease of ammoniogenesis

E Decrease of bicarbonate reabsorption in kidneys

      52

ECG of a patient shows such alterations: P-wave is normal, P-Q-interval is short,

Ventricular QRST complex is wide, R-wave is double-peak or two-phase. What form of

Arrhythmia is it?

A WPW syndrome (Wolff-Parkinson-White)

B Frederick's syndrome (atrial flutter)

C Atrioventricular block

D Ventricular fibrillation

E Ciliary arrhythmia

      53

A patient who suffers from pneumonia has high body temperature. What biologically active

Substance plays the leading part in origin of this phenomenon?

A Interleukin-I

B Histamine

C Bradykinin

D Serotonin

E Leukotrienes

      54

A 34 year old woman was diagnosed with hereditary microspherocytic hemolytic anemia

Minkowsky-Shauffard disease). What mechanism caused haemolysis of erythrocytes?

A Membranopathy

B Enzymopathy

C Hemoglobinopathy

D Autoimmune disorder

E Bone marrow hypoploasia

      55

From the group of children who were eating sweet sappy watermelon two kids developed the

Signs of poisoning: rapid weakness, dizziness, headache, vomiting, edema, tachycardia,

Cyanosis of mouth, ears, tips of the fingers cyanosis. High concentration of nitrates was

Detected. What is the leading mechanism of the pathogenesis of the poisoning in the two

Children?  

A Insufficiency of met-Hb-reductase

B Insufficiency of superoxiddismutase

C Block cytochrome oxidase

D Insufficiency glutathione pyroxidase

E Insufficiency of catalase

      56

Years ago a patient underwent resection of pyloric part of stomach. He complains of

Weakness, periodical dark shadows beneath his eyes, dyspnea. In blood: Hb - 70 g/l,

erythrocytes - 3,0*1012l, colour index - 0,7. What changes of erythrocytes in blood


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