Clinical diagnosis of a female patient was gonorrhoe A. What examination method can be applied for confirmation of this diagnosis?



A. Test with bacteriophage

B. Immobilization reaction

C. Hemagglutination reaction

D. Infection of laboratory animals

E. Microscopy of pathological material

A patient staggers and walks astraddl E. He has hypomyotonia of arm and leg muscles, staccato speech. In what brain section is this affection localized?

A. Cerebellum

B. Red nucleus

C. Caudate nucleus

D. Motor cortex

E. Putamen

A bacteriological laboratory received sputum sample of a patient suffering from tuberculosis. Bacterioscopic examination of smears and detection of tuberculosis bacillus can be realized by one of enrichment methods that involves processing of sputum only with solution of caustic sod A. What is this method called?

A. Inactivation

B. Neutralization

C. Homogenization

D. Flotation

E. Filtration

Examination of an ovary specimen stained by hematoxylin-eosine revealed a follicle in which follicular epithelium consisted of 1-2 layers of cubic cells. There was also a bright red membrane around the ovocyt E. What follicle is it?

A. Mature

B. Primary

C. Secondary

D. Atretic

E. Primordial

Laboratory examination of a child revealed increased concentration of leucine, valine, isoleucine and their ketoderivatives in blood and urin E. Urine smelt of maple syrup. This disease is characterized by the deficit of the following enzyme:

A. Dehydrogenase of branched amino acids

B. Phosphofructomutase

C. Aminotransferase

D. Glucose-6-phosphatase

E. Phosphofructokinase

Autopsy of a man who died from burn disease revealed brain edema, liver enlargement as well as enlargement of kidneys with wide light-grey cortical layer and plethoric medullary are A. Microscopic examination revealed necrosis of tubules of main segments along with destruction of basal membranes, intersticium edema with leukocytic infiltration and haemorrhages. What is the most probable postmortem diagnosis?

A. Pyelonephritis

B. Tubulointerstitial nephritis

C. Necrotic nephrosis

D. Gouty kidney

E. Myeloma kidney

 24 A couple had a child with Down's diseas E. Mother is 42 years ol D. This disease is most probably caused by the following impairment of prenatal development:

A. Blastopathy

B. Gametopathy

C. Embryopathy

D. Non-specific fetopathy

E. Specific fetopathy

A patient suffering from pheochromocytoma complains of thirst, dry mouth, hunger. Blood test for sugar revealed hyperglycemi A. What type of hyperglycemia is it?

A. Adrenal

B. Alimentary

C. Hypercorticoid

D. Somatotropic

E. Hypoinsulinemic

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

A. Cryptorhidism

B. Monorchism

C. Epispadia

D. Hermaphroditism

E. Hypospadias

Blood of a 12 year old boy presents low concentration of uric acid and accumulation of xanthine and hypoxanthin E. This child has genetic defect of the following enzyme:

A. Ornithine carbamoyltransferase

B. Arginase

C. Xanthine oxidase

D. Glycerylkinase

E. Urease

 28 Cytogenetic examination of a patient with reproductive dysfunction revealed normal karyotype 46 ХY in some cells, but most cells have karyotype of Klinefelter's syndrome - 47 ХХY. Such cell heterogenity is called:

A. Mosaicism

B. Duplication

C. Inversion

D. Monomorphism

E. Transposition

A patient got an injury of spinal marrow in a road accident that caused loss of tactile sensation, posture sense, vibration sens E. What conduction tracts are damaged?

A. Anterior spinocerebellar tract

B. Tectospinal tract

C. Fascicle of Goll and cuneate fascicle

D. Rubrospinal tract

E. Reticulospinal tract

 30 A 15 year old girl has pale skin, glossitis, gingivitis. Blood count: erythrocytes - 3,3*1012/l, hemoglobin - 70 g/l, colour index - 0,5. Examination of blood smear revealed hypochromia, microcytosis, poikilocytosis. What type of anemia is it?

A. Sickle-cell

B. Thalassemia

C. B12-folic acid-deficient

D. Hemolytic

E. Iron-deficient

 31 Blood group of a 30 year old man was specified before an operation. His blood is Rh-positiv E. Reaction of erythrocyte agglutination was absent with standard sera of 0 a \ b (I), А b (II), В a (III) groups. The blood under examination is of the following group:

A. А b (II)

B . 0 a \ b ( I )

C . АВ ( IV )

D . В a ( III )

E. -

A female patient underwent liver transplantation. 1,5 month after it her condition became worse because of reaction of transplant rejection. What factor of immune system plays the leading part in this reaction?

A. T-killers

B. B-lymphocytes

C. T-helpers

D. Interleukin-1

E. Natural killers

A patient was admitted to the surgical department with inguinal herni A. During the operation the surgeon performs plastic surgery on posterior wall of inguinal canal. What structure forms this wall?


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