While performing an operation in the area of axillary crease a surgeon has to define an arterial vessel surrounded by fascicles of brachial plexus. What artery is it?



A. *A.axillaris

A patient with nephrotic syndrome has massive edemata of his face and limbs. What is the leading pathogenetic mechanism of edemata development?

E. *Drop of oncotic blood pressure

A patient underwent an operation on account of gall bladder excision that resulted in obstruction of Ca absorption through the bowels wall. What vitamin will stimulate this process?

C. *D3

143. While studying maximally spiralized chromosomes of human karyotype the process of cell division was stopped in the following phase:

D. *Metaphase

A patient ill with tuberculosis died from progressing cardiopulmonary decompensation. Autopsy in the area of the right lung apex revealed a cavity 5 cm in diameter communicating with lumen of a segmental bronchus. On the inside cavity walls are covered with caseous masses with epithelioid and Langhans cells beneath them. What morphological form of tuberculosis is it?

D. *Acute cavernous tuberculosis

A patient recovered from Sonne dysentery and was once more infected with the same causative agent. What is such infection form called?

E. *Reinfection

A 30 year old woman has applied a lipstick with a fluorescent substance for a long time. Then she got a limited erythema and slight peeling on her lip border, later there appeared transversal striae and cracks. Special methods of microscopic examination of the affected area helped to reveal sensibilized lymphocytes and macrophages in the connective tissue; cytolysis. What type of immunological hypersensitivity was developed?)

C. *IV type (cellular cytotoxicity)

Autopsy of a man who died from the sepsis in his femoral bone revealed phlegmonous inflammation that affected the marrow, haversian canals and periosteum. Under the periosteum there are multiple abscesses, adjoining soft tissues of thigh also have signs of phlegmonous inflammation. What pathological process was described?

D. *Acute hematogenous osteomyelitis

A patient was diagnosed with autoimmune hemolitic cytotoxic anemia. What substances are antigens in II type allergic reactions?

D. *Modified receptors of cell membranes

Rats being under stress have muscular hypertonia and high arterial pressure, high glucose concentration in blood and intensified secretion of corticotropin and corticosteroids. In what stress phase are these animals?

C. *Antishock phase

150. It was proved that a molecule of immature mRNA (precursor mRNA) contained more triplets than amino acids found in the synthesized protein. The reason for that is that translation is normally preceded by:

A. *Processing

A patient who has been treated in a neural clinic and has been taking a sedative for a long time got the following complication: cough, rhinitis, epiphora. What drug caused these disturbances?

A. *Sodium bromide

152. Examination of a newborn boy's genitalia revealed a urethral hiatus that opens on the undersite of his penis. What malformation is it?

E. *Hypospadias

A patient that entered the admission office had the following signs of acute cardiac insufficiency: paleness, acrocyanosis, frequent shallow respiration. What drug is indicated in this case?

A. *Corglycon

154. In order to speed up healing of a wound of oral mucosa a patient was prescribed a drug that is a thermostable protein occurring in tears, saliva, and mother’s milk as well as in a new-laid hen's egg. It is known that this protein is a factor of natural resistance of an organism. What is it called?

E. *Lysozyme

155. A 38 year old patient with full-blown jaundice, small cutaneous hemorrhages, general weakness and loss of appetite underwent puncture biopsy of liver. Histological examination revealed disseminated dystrophy, hepatocyte necrosis, Councilman's bodies. Lobule periphery has signs of significant infiltration by lymphocytes, there are also individual multinuclear hepatocytes. What is the most probable diagnosis?

C. *Acute viral hepatitis

A patient with acute morphine poisoning was delivered to a hospital. What specific narcotic antagonist should be chosen in this case?

C. *Digoxin

Autopsy of a man ill with severe hypothyroidism revealed that connective tissue, organ stroma, adipose and cartilaginous tissues were swollen, semitransparent, and mucus-like. Microscopic examination of tissues revealed stellate cells having processes with mucus between them. What type of dystrophy is it?

A. *Stromal-vascular carbohydrate

In order to estimate toxigenity of diphtheria agents obtained from patients the cultures were inoculated on Petri dish with nutrient agar on either side of a filter paper strip that was put into the centre and moistened with antidiphtheric antitoxic serum. After incubation of inoculations in agar the strip-like areas of medium turbidity were found between separate cultures and the strip of filter paper. What immunological reaction was conducted?

C. *Precipitation gel reaction

A patient ill with enteritis accompanied by massive diarrhea has low water rate in the extracellular space, high water rate inside the cells and low blood osmolarity. What is such disturbance of water-electrolytic metabolism called?

E. *Hypo-osmolar hypohydration

In course of a preventive examination of a miner a doctor revealed changes of cardiovascular fitness which was indicative of cardiac insufficiency at the compensation stage. What is the main proof of cardiac compensation?

A. *Myocardium hypertrophy

It was found out that some compounds, for instance fungi toxins and some antibiotics can inhibit activity of .RAM-polymerase. What process will be disturbed in a cell in case of inhibition of this enzyme?

C. *Transcription


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