Revealed hypercapnia and hypoxemia respectively. What kind of hypoxia occurred in this case?



A Respiratory

B Hemic

C Circulatory

D Tissue

E Histotoxic

167

A patient with respiratory failure has blood pH of 7,35. pCO2 test revealed hypercapnia.

Urine pH test revealed an increase in the urine acidity. What form of acid-base imbalance is the

Case?

A Compensated respiratory acidosis

B Compensated metabolic acidosis

C Decompensated metabolic acidosis

D Compensated respiratory alkalosis

E Decompensated respiratory alkalosis

168

A 35-year-old male patient has been referred by an andrologist for the genetic counselling for

The deviations of physical and mental development. Objectively: the patient is tall, has asthenic

Constitution, gynecomastia, mental retardation. Microscopy of the oral mucosa cells revealed

sex chromatin (single Barr body) in 30% of cells. What is the most likely diagnosis?

A Klinefelter syndrome

B DiGeorge syndrome

C Down syndrome

D Recklinghausen's disease

E Cushing pituitary basophilism

169

A 12-year-old patient has been admitted to a hospital for hemarthrosis of the knee joint. From

Early childhood he suffers from frequent bleedings. Diagnose the boy's disease:

A Hemophilia

B Hemorrhagic vasculitis

C Hemolytic anemia

D B12 (folic acid)-deficiency anemia

E Thrombocytopenic purpura

170

A patient with lobar pneumonia has had body temperature of 39oC with daily temperature

fluctuation of no more than 1oC for 9 days. This fever can be characterized by the following

Temperature curve:

A Persistent

B Hectic

C Remittent

D Hyperpyretic

E Recurrent

171

A patient with extensive burns of torso skin exhibits signs of severe intoxication. What stage of

The burn disease is this typical for?

A Burn toxemia

B Burn shock

C Burn infection

D Burn emaciation

E Terminal

172

A patient with a pathology of the cardiovascular system developed edemata of the lower

Extremities. What is the mechanism of cardiac edema development?

A Increased hydrostatic pressure at the venous end of the capillary

B Increased oncotic pressure

C Increased hydrostatic pressure at the arterial end of the capillary

D Reduced osmotic pressure

E Lymph efflux disorder

173

Amniocentesis revealed two sex chromatin bodies (Barr bodies) in each cell of the sample.

What disease is this character typical for?

A Trisomy X

B Klinefelter syndrome

C Turner's syndrome

D Down's syndrome

E Patau syndrome

                                                  4.0 Нормальна фізіологія

1

Patient with hypersecretion of the gastric juices was recomended to exclude from the diet

Concentrated bouillons and vegetable decoctions because of their stimulation of gastric

Secretion. What is dominating mechanism of stimulation of secretion in this case?

A Stimulation of gastrin production by G-cells

B Irritation of taste receptors

C Irritation of mechanoreceptors of the oral cavity

D Irritation of mechanoreceptors of the stomach

E Stimulation of excretion of secretin in the duodenum

      2

Person felt thirsty after staying in heat for a long time. Signals of what receptors caused it first

Of all?

A Osmoreceptors of hypothalamus

B Sodium receptors of hypothalamus

C Osmoreceptorsof the liver

D Glucoreceptors of hypothalamus

E Baroreceptors of aortic arch

      3

An individual is characterized by rounded face, broad forehead, a mongolian type of eyelid fold,

Flattened nasal bridge, permanently open mouth, projecting lower lip, protruding tongue, short

Neck, flat hands, and stubby fingers. What diagnosis can be put to the patient?

A Down's syndrome

B Klinefelter's syndrome

C Alkaptonuria

D Supermales

E Turner's syndrome

      4

Purulent endometritis developed in a woman after delivery. Treating with antibiotics inhibitors of

Murein synthesis was ineffective. Wide spectrum bactericidal antibiotic was administered to her.

 In 6 hours temperature rapidly increased up to 400C with shiver. Muscle pains have

Appeared. BP dropped down to 70/40 mmHg. Oligura has developed. What is the main reason

For the development of this condition?

A Endotoxic shock

B Toxic effect of preparation

C Internal bleeding

D Anaphylactic shock

E Bacteremia

      5


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