Transmural myocardial infarction in the patient was complicated with progressive acute left ventricle insufficiency. What is the most typical for this state?



A. Edema of the extremities

B. Cyanosis

C. Edema of the lungs

D. Arterial hypertension

E. Ascites

A 46 year-old man complains of difficult nose breathing. Mikulich cells, storage of epithelioid cells, plasmocytes, lymphocytes, hyaline balls are discovered in the biopsy material of the nose thickening. What is the most likely diagnosis?

A. Meningococcal nasopharyngitis

B. Scleroma

C. Rhinovirus infection

D. Allergic rhinitis

E. Virus rhinitis

A 59-year-old man has signs of the parenchymatous jaundice and portal hypertension. On histological examination of the puncture of the liver bioptate, it was revealed: beam-lobule structure is affected, part of hepatocytes has signs of fat dystrophy, port-portal connective tissue septa with formation of pseudo-lobules,with periportal lympho-macrophage infiltrations. What is the most probable diagnosis?

A. Viral hepatitis

B. Alcohol hepatitis

C. Chronic hepatosis

D. Liver cirrhosis

E. Toxic dystrophy

A 70-year-old man, who suffered from chronic bronchitis, was prescribed medicine for the cough - codeine. What is the mechanism of anticoughing effect?

A. Reflex

B. Local effect

C. Central

D. Competitive

E. Peripheral effect

A 32-year-old patient was admitted to the hospital with gross bloodloss due to auto accident trauma. Ps - 110Bpm, RR- 22 pm, BP- 100/60mm Hg. What changes in the blood will occur in an hour after the bloodloss?

A. Hypovolemia

B. Hypoproteinemia

C. Hypochromia of erythrocytes

D. Leukopenia

E. Erythropenia

Where should the cathetor for evacuation of the lymph from the thoracic lymph duct be inserted?

A. To the inferior vena cava

B. To the left inguinal vein

C. To the superior vena cava

D. To the left venous corner

E. To the right venous corner

 139 Woman applied to the medico-genetic consulting centre for information about the risk of haemophilia in her son. Her husband has been suffering from this disease since birth. Woman and her parents are healthy (don't have haemophilia). Is the boy likely to have the disease in this family?

A. All boys will be ill

B. 50% of the boys will be ill

C. All boys will be healthy

D. 75% of the boys will be ill

E. 25% of the boys will be ill

 140 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. Teres major

B. Deltoid

C. Infraspinous

D. Teres minor

E. Pectoral major

The specimens present sections of haemopoetic and immunogenetic organs. Organ has lymph tissue forming different structures (lymph nodes,lobules, bars). In what organ does antigen-independent proliferation and differantiation take place?

A. Thymus

B. Lymphatic nodes

C. Hemolymph nodes

D. Tonsil

E. Spleen

 142 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 В3

B. Avitaminosis В2

C. Avitaminosis В1

D. Avitaminosis E

E. Avitaminosis B6

On bacteriological examination of the defecation of a 4-months-old baby with the symptoms of acute bowel infection there were revealed red colonies spread in the large quantity in the Endo environment. What microorganism can it be?

A. Staphylococcus

B. Streptococcus

C. Shigell

D. Salmonella

E. Escherichia

The ventral roots of 5 frontal segment of spinal cord were cut during experiment in the animal. What changes will take place in the innervation region?

A. Loss of temperature sensitivity

B. Loss of touch sensitivity

C. Loss of movements

D. Loss of proprioceptive sensitivity

E. Hypersensitivity

Secretion of which gastrointestinal hormones is primerily decreased in patient with removed duodenum?

A. Gastrin and histamine

B. Gastrin

C. Neurotensin

D. Cholecystokinin and secretin

E. Histamine

The guide of the scientific expedition in India was native who always was with his dog. What invasive diseases can be transmitted by the dog if it is the source of invasion?

A. Fascioliasis

B. Teniasis

C. Echinococcosis

D. Dicroceliasis

E. Paragonimiasis


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