B. Granulomas with foreign body cells



C. Interstitial inflammation

D. Granulomas with Virchow's cells

E. Granulomas with Mikulicz's cells

The alternate usage of dichlotiazide, etacrin acid and lasex did not influence diuretically upon the patient with marked peripheral edemata. The aldosterone rate in the blood is increased. Indicate which medicine should be prescribed:

A. Urea

B. Amilorid

C. Spironolacton

D. Mannit

E. Clopamid

 200 Slime, blood and protozoa 30-200 microns long have been revealed in a man's feces. The body is covered with cilias and has correct oval form with a little bit narrowed anterior and wide round shaped posterior end. At the anterior end a mouth is visible. In cytoplasm there are two nucleui and two short vacuoles. What are the described features typical for?

A. Lamblia

B. Balantidium

C. Trichomonas

D. Dysenteric amoeba

E. Intestinal amoeba

Krok 1. Medicine 2006

  1 Buffer capacity of a worker's blood was decreased due to exhausting muscular work. By coming of what acid substance in the blood can this state be explained?

A. 1,3-bisphosphoglycerate

B. 3-phosphoglycerate

C. Pyruvate

D. Lactate

E. б -ketoglutarate

A doctor administered Allopurinol to a 26-year-old young man with the symptoms of gout. What pharmacological action of Allopurinol ensures therapeutical effect?

A. By general anti-inflammatory effect

B. By inhibiting leucocyte migration into the joint

C. By general analgetic effect

D. By inhibiting uric acid synthesis

E. By increasing uric acid excretion

A 25-year-old patient complained of the decreased vision. Accommodation disorders, dilated pupil, lack of reaction for the light were revealed on examination. What muscles function is disturbed?

A. Inferior oblique muscle, ciliary

B. Pupil dilating muscle, ciliary

C. Pupil narrowing and dilating muscles

D. Pupil narrowing muscle, ciliary

E. Lateral rectus muscle, pupil narrowing

A 38-year-old man who poisoned himself with mercury dichloride was taken to the admission room in grave condition. What antidote should be immediately introduced?

A. Isonitrosine

B. Nalorphine

C. Dipiroxim

D. Atropine

E. Unithiol

An old woman was hospitalized with acute pain, edema in the right hip joint; the movements in the joint are limited. Which bone or part of it was broken?

A. The neck of the thigh

B. Pubic bone

C. The body of the thigh bone

D. Condyle of the thigh

E. Ischial bone

For a long time a 49-year-old woman had suffered from glomerulonephritis which caused death. The autopsy revealed that the size of her kidneys was 7 х 3 х 2,5 cm, weight 65,0 g, they were dense and small-grained. Microscopically: fibrinogenous inflammation of serous and mucous membranes, dystrophic changes of parenchymatous organs, brain edema. What complication can cause such changes of serous membranes and inner organs?

A. Anemia

B. Thrombopenia

C. Uraemia

D. Sepsis

E. DIC-syndrome

A man who was bitten by the unknown dog applied to the surgeon. Wide ragged woundes were localized on the face. What curative-prophylactic aid should be given to prevent rabies?

A. Start immunisation with rabies vaccine

B. Immediately inject normal gamma globulin

C. Prescribe combined antibiotic therapy

D. Immediate injection of DPT(Diphtheria, Pertusis, Tetanus) vaccine

E. Hospitalize the patient and keep under the doctor's supervision

 8 Different functional groups can be presented in the structure of L-amino acid's radicals. Identify the group that is able to form ester bond:

A. -NH2

B. -OH

C. -CONH2

D. -SH

E. -CH3

A 50-year-old patient was injured on the occipital region of the head. The closed skull trauma was diagnosed. She was taken to the hospital. The medical examination: deregulation of walking and balance, trembling of arms. What part of brain was injured?

A. The medulla oblongata

B. The inter-brain

C. The spinal cord

D. The cerebellum

E. The mind-brain

A patient with infectious mononucleosis had been taking glucocorticoids for two weeks. He was brought into remission, but he fell ill with acute attack of chronic tonsillitis. What action of glucocorticoids caused this complication?

A. Antiallergic

B. Immunosuppressive

C. Antitoxic

D. Antishock

E. Anti-inflammatory

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. Turner's syndrome

C. Klinefelter's syndrome

D. Supermales

E. Alkaptonuria


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