A patient taking clonidine for essential hypertension treatment was using alcohol that caused intense inhibition of central nervous system. What may it be connected with?
D. *Effect potentiating
23. A patient is ill with diabetes mellitus accompanied by hyperglycemia on an empty stomach (7, 2 millimole/1). The hyperglycemia rate can be retrospectively estimated (over the last 4-8 weeks before the examination) on the ground of the rate of the following blood plasma protein:
D. *Glycated hemoglobin
24. 6 months after labour a woman had uterine hemorrhage. Gynaecological examination of uterine cavity revealed a dark-red tissue with multiple cavities resembling of a "sponge". Microscopic examination of a tumour revealed in blood lacunas atypic light epithelial Langhans cells and giant cells of syncytiotrophoblast. What tumour is it?
D. *Chorioepithelioma
25. A 3 year old child with symptoms of stomatitis, gingivitis and dermatitis of open skin areas was delivered to a hospital. Examination revealed inherited disturbance of neutral amino acid transporting in the bowels. These symptoms were caused by the deficiency of the following vitamin:
A. *Niacin
A patient ill with essential hypertension was recommended a drug that prevents thrombosis. It is to be taken parenterally. What drug is it?
C. *Heparin
A 38 year old patient suffers from rheumatism in its active phase. What laboratory characteristic of blood serum is of diagnostic importance in case of this pathology?
C. *C-reactive protein
A 28 year old man had a gunshot wound of shin that resulted in an ulcer from the si de of the injury. What is the main factor of neurodystrophy pathogenesis in this case?
E. *Traumatization of peripheral nerve
29. A 26 year old man is in the torpid shock phase as a result of a car accident. In blood: 3,2 • 109/1. What is the leading mechanism of leukopenia development?
B. *Redistribution of leukocytes in bloodstream
30. Parents of a 3 year old child have been giving him antibiotics with purpose of preventing enteric infections for a long time. A month later the child's condition changed for the worse. Blood examination revealed apparent leukopenia and granulocytopenia. What is the most probable mechanism of blood changes?
B. *Myelotoxic
31. Examination of a 12 year old boy with developmental lag revealed achondroplasia: disproportional constitution with evident shortening of upper and lower limbs as a result of growth disorder of epiphyseal cartilages of long tubal bones. This disease is:
B. *Inherited, dominant
Hartnup disease is caused by point mutation of only one gene which results in disturbance of tryptophane absorption in the bowels and its resorption in the renal tubules. It is the reason for disorder of both digestive and urination systems. What genetic phenomenon is observed in this case?
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C. *Pleiotropy
33. A 46 year old patient applied to a doctor complaining about joint pain that becomes stronger the day before weather changes. Blood examination revealed strengthened concentration of uric acid. The most probable cause of the disease is the intensified disintegration of the following substance:
D. *Adenosine monophosphate
34. A 28 year old patient had high arterial pressure, hematuria and facial edemata. In spite of treatment renal insufficiency was progressing. 6 months later the patient died from uremia. Microscopic examination of his kidneys and their glomerules revealed proliferation of capsule nephrothelium and of podocytes with "demilune" formation, sclerosis and hyalinosis of glomerules. What disease corresponds with the described picture?
B. *Subacute glomerulonephritis
35. A 35 year old man with a trauma of his left hand was admitted to the traumatology department. Objectively: cut wound of palmar surface of left hand; middle phalanxes of II-V fingers don't bend. What muscles are damaged?
E. *Superficial finger flexor
36. A 65 year old man suffering from gout complains of kidney pain. Ultrasound examination revealed renal calculi. The most probable cause of calculi formation is the strengthened concentration of the following substance:
A. *Uric acid
A patient with frequent attacks of stenocardia was prescribed sustak-forte to be taken one tablet twice a day. At first the effect was positive but on the second day stenocardia attacks resumed. What can explain inefficiency of the prescribed drug?
A. *Tachyphylaxis
38. An aged man had raise of arterial pressure under a stress. It was caused by activation of:
B. *Sympathoadrenal system
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