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1.
Syndrome is:
*A.combination of symptoms that are interrelated and give rise to one another;
B.abnormal phenomena as pain, dizziness, nausea, vomiting, etc, occurring in sick persons;
C.summarize clinical examinations.
2. When percussion of the abdomen in a healthy person is heard:
A.dull sound
B.sound box
C.pulmonary sound
D.dullness of sound
*E.tympanic sound
3. The normal number of eosinophils in the blood test (%.:
A.0-0,1
*B.0.5-5.0
C.6-8
D.8-10
E.10-12
4. Polyuria is an increase in daily diuresis of more than:
A.1 liter
*B.2 liters
C.3 liters
5 liters
D.10 liters
5. Blood hemoglobin in women (g / l.:

A.100-110
B.110-120
*C.120-140
D.130-160
E.150-160
6. The normal number of segmented nuclear leukocytes (%.:
A.30-35
B.35-40
*C.47-72
D.75-80
E.80-85
7. The past history involves all listed except:
*A.habits;
B.history of present disease;
C.family history;
D.social history;
E.allergological history.
8. Percussion resonant and clear sound is defined over:
A.heart
B.liver
*C.lungs
D.spleen
E.kidneyend
9. Serum creatinine in healthy does not exceed (mmol.l.:
12
18
40
*110
145
10. The vascular bundle consists of the following vessels, except:
the aorta
*inferior vena cava
pulmonary trunk
superior vena cava
11. Moderate expressed visible interspaces, epigastric angle near 90° typical for:
*normosthenic chest;
hypersthenic chest;
asthenic chest;
there is no correct answer.

12. Patients with grave diseases should be percussed in:
standing position;
sitting position;
*lying position;
does not matter.
13. The ratio of daytime diuresis to night:
1: 1
1: 2
1: 3
*3: 1
5: 1
14. "Puerile respiration":
*physiological intensification of vesicular breathing
pathologically decreased vesicular respiration;
physiological intensification of bronchial breathing;
pathologically decreased bronchial breathing;
stenotic respiration
15. The horizontal electrical axis of the heart in standard leads:
RII> RI> RIII
*RI> RII> RIII
RIII> RII> RI
RIII= RII> RI
16. Disorientation in surroundings, loss of memory (amnesia., patient is exited, has pathologically high
spirits, is anxious, sometimes even aggressive, all that is signs of:
*Twilight state;
Delirium;
Stupor;
Coma.
17. Prapedeutics to internal discases is:
*the science atbout methods of clinical examination of the patient and diagnosis basing;
the study of the physical structure of organisms;
the study of the normal functioning of the body and the underlying regulatory mechanisms;
the study of disease—the causes, course, progression and resolution thereof

18. Normal cholesterol content in blood serum is:
2.0-3.8 mmol | l
*3.9-5.2 mmol | l
5.6-8.2 mmol | l
8.3-10.5 mmol | l
10.6-12.9 mmol | l
19. In healthy people GFR level is:
20-40 mL/min/1.73 m2
40-60 mL/min/1.73 m2
*90 to 120 mL/min/1.73 m2
130-150 mL/min/1.73 m2
155-160 mL/min/1.73 m2
20. Character of cyanosis in cardiovascular disease:
diffuse;
on the face;
*acrocyanosis;
in the lower extremities;

in some parts of the body
21. The duration of the QRS complex is normal:
0.01-0.02 sec
0.03-0.04 sec
0.05-0.06sec
*0.06-0.1 sec
0.11-0.13 sec
22. Normally, the content of total protein in serum is:
45-46g | l
*65-85g | l
85-105g | l
105-125g | l
125-145g | l
3. “Cobbler chest” also called:

emphysematous;
paralytic;
rachitic;
*funnel
24. Normal systolic blood pressure is:
100-110mm Hg
100-120mm Hg
100-130 mm hg.
*100-139mmHg
100-150mm Hg
25. What lung pathology is characterized by dry rales:
dry pleurisy;
emphysema;
bronchitis;
pneumonia;
*the attack of bronchial asthma
26. To determine the protein function of the liver is used:
determination of the content of total protein in serum

determination of protein fractions
protein sediment tests
determination of prothrombin index
*all of the above methods
27. Projections of the mitral valve on the anterior chest wall:
*at the 3-rd costosternal joint;
on the sternum midway between the 3-rd left and 5-th right costosternal joints;
in the 2-nd intercostal space, to the left of the sternum;
in the middle of the sternum at the level of the 3-rd costosternal joint.
28. The routine method for assessing the patients with disorders of the respiratory system is:
computer tomography;
ultrasound examination;
bronchoscopy;
*Chest X-ray
29. Anasarca - is:
edema on the legs;
edema on the lower back;
edema on the neck;
abdominal hydrops;
*edema of the all body.

30. The best auscultatory areas (points. for a pulmonary valve:
apical impulse
the base of the xiphoid process
2 intercostal space to the left of the sternum
2 intercostal space to the right of the sternum
*the Erbs point
31. What part of the heart represents the left border of relative dullness:
left atrium
pulmonary trunk
right ventricle
right atrium
*left ventricle
32. Dullness sound can be coursed by all except:
pulmonary tumor (airless tissue.;
when fluid occupies the pleural space (over fluid.:
pleural accumulation of serous blood (hemothorax.
*compressive atelectasis.
33. The normal time of blood clotting by Lee-White (in min.., determined in a glass test tube:
3-8
*5-10
11-12
4.15-20
5.20-22
34. How also called vesicular breathing:
bronchial;
amphoric;
alveolar;
*laryngotracheal;
metallic.
35. Active respiratory mobility of the lower border (diaphragmatic movement. of normal lungs by Lin.
axillaris media dextr. et sin.:
4-6 sm
3-5 sm
5-8 sm
6-8 sm
*14-16 sm
36. The position of the lower border of the lungs by Lin. medioclavicularis dextra:
*6-th rib
7-th rib
8-th rib
9-th rib
10-th rib
37. Arterial hypertension (according to WHO. is established with BP:
*systolic 140mm Hg and higher, diastolic-90mm Hg and higher
systolic 130-139 mm Hg, diastolic 85-89mm Hg
systolic 100-139mm Hg, diastolic 60-85mm Hg
systolic below 100mm Hg, diastolic below 60mm Hg.
systolic blood pressure above 160mm.rt.st., Diastolic pressure of 95
38. Renal edema starts from:
*Face
legs
ascites
everything is correct
everything is wrong
39. Vitiligo is:
*symmetrical white spots on the face, trunk, limbs;
the redness located on checks;
cyanotic color of the skin;
yellow color of the skin
40. Normal albumin from the total protein:
26.3-38.8%
40.3-55.3%
*56.3-68.8%
70.3-83.3%
83.3-93.8%
41. The size of liver according to M.G. Kurlov method:
*9:8:7 +-1cm
11:8:7 +-1cm
9:9:7 +-1cm
12:10:9 +-1cm
9:10:11 +-1cm
42. Harsh breathing:
*short jerky inspiration efforts interrupted by short pauses between them the expiration is usually
normal;
deeper vesicular breathing during which the inspiration and expiration phases are intensified;
inspiratory sounds last longer than expiratory ones.
43. Pigeon chest is typical for:
emphysema of the lungs;
rheumatoid arthritis;
pneumosclerosis;
*rachitis
44. The distance of the liver in the right parasternal line is normally :
6-8 cm
*8-10 cm
10-12 cm
13-15 cm
16-18 cm
45. Using comparative percussion determine:
the upper border of the lungs
*percussion sounds on symmetrical parts of the chest

lower border of the lungs
mobility of the lower border of the lungs
width of the Kroenig's area
46. The extent to which venous pressure varies in healthy individuals:
40-80mm water column
*60-100mm water column
47. Normal albumin-globulin ratio is:
0.3-1.1
*1.2-2
2.1-2.9
3.0-3.8
3.9-4.6
48. In the Nechiporenko analysis of urine normal content of leukocytes in 1 ml:
up to 10
up to 100
*up to 2000
up to 10,000
49. The transverse length of relative cardiac dullness is (cm.:
3-4
5-6
7-8
9-10
*11-13
50. Purpura (hemopurpura. is:
*small pointed hemorrhages;
large black and blue spots;
red spots of different size;
a swelling from gross bleeding
1. The projection of the cells of ethmoid bone is located:
at the border of the scalp;
1.0-1.5 cm above the upper medial edge of the orbit;
*at the root/radix of the nose;
in the lower edge of the orbit;
in the middle of the upper jaw.

2. When the lymph nodes are palpated, they are assessed:
Size
Tenderness
Consistency
Soldered to the skin
Cohesion among themselves
*All above-said
3. Indirect percussion consists in:
percussion a finger on the body of the patient;
*percussion a plessimeter attached to the body of the patient.
4. Options normal shape of the chest are all listed, except:
asthenic;
normosthenic;
hypersthenic;
*emphysematous
5. In healthy people, the upper borders of the lungs are above the clavicles:
1-2sm
*3-4 sm
5-6 sm
7-8 sm
9-10 sm
6. The top of lungs apices in front is normally:
4 – 6 cm;
*3 – 4 cm;
2 – 5 cm;
6 – 8 cm;
1 – 2 cm.
Patient С., 34 years, observes a constant dispnoea at rest, especially at night, weakness, palpitation,
thirst, oliguria (insignificant amount of urine). Objectively: sits in armchair, with lean hands in armrests,
frequency of reath 36 per 1 minutes, cyanosis of the lips, sharp features of face; significant oedema of
the lower extremities, loin, forward belly wall – they are symmetric, on cruses – dense, on femurs – soft
(doughy). Note true about general condition of the patient:
Extremely grave
Good
Satisfactory
Moderate middle grave
Grave*
8. The type of breath can be:
surface, deep and mixed;
*thoracic, abdominal and mixed;
rhythmic and non-rhythmic;

deep, rhythmic, even;
correctly 1) and 3).
9. Determine biological factors which cause diseases.
Virus
Microbe
S. Protozoa
Rickettsia
All above-listed*
10. Active respiratory mobility of the lower border (diaphragmatic movement. of normal lungs by Lin.
axillaris media dextr. et sin.:
4-6 sm
3-5 sm
5-8 sm
6-8 sm*
14-16 sm
11. Kyphoscoliosis-bending of the spine:
go ahead;
back;
in the lateral direction;
to the side and back.*

12. Satisfactory patient ’s condition (status morboacili) is characterized by
*clear consciousness, active or active with restriction posture, free or partial deranged (specific) gait,
sensible facial expression, and adequate mental reaction;
deranged consciousness, alteration of facial expression and posture (forced), uncertain gait, partial
deranged mental state and may be observed in patients with recurrence of chronic disease, acute
diseases, or due to the traumas and poisoning;
disorders of practically all clinical features: deranged consciousness, changed facial expression (fear,
suffer, hopelessness, indifference). The patients have forced or passive posture, loss o f weight, edema,
and inadequate mental state;
13. The patient has dyspnea and cyanosis. The right half of the chest protrudes, delays in the act of
respiration. The voice resonance is decreased downward the middle of the scapula. What diagnosis can
be supposed?
*Hydrothorax, pneumothorax
Cavity in the lung
Pulmonary emphysema
Atelectasis
Pneumonia
14. Louis' angle is:
*the angle of connection of the body and the handle of the sternum;
the angle of the scapule to the chest;
the angle of the clavicle and sternum;

epigastric angle; E
all answers are not correct
15. BODY TEMPERATURE OF A HEALTHY PERSON IN THE ARMPIT is…
36.9°C-37.8°C
*36.4°C – 36.8°C
37.0°C – 38.2°C
16. IN AUSCULTATION OF THE LUNGS, COUGHING IS USED IN ORDER TO…
differences between pleural friction noise and crepitation and wheezing
detection of hidden bronchial obstruction
differences between dry rales and wet rales
*differences between wheezing and crepitation or pleural friction noise
better listening to pathological bronchial breathing.
17. Excessive pilosis/hairiness is called:
vitiligo;
albinism;
hirsutism;
*hypertrichosis;
nevus.
18. Active respiratory mobility of the lower border (diaphragmatic movement) of normal lungs by Lin.
medioclavicularis dextra:
*4-6 sm
3-5 sm
5-8 sm
6-10 sm
14-16 sm
19. Patient W. 64 years has skin changes- visible dilation of small subcutaneous blood vessels. Estimate
these skin changes:
*Teleangioectasia
Hyperpigmentation
Petechia
Urticaria
Vitiligo
20. A wobbly gait is characteristic of defeat:
joints of the lower extremities;
the cerebellum;
vestibular apparatus;
*(B) and C);
all of the above
21. CREPITATION IS FORMED

*in the alveoli
in large bronchi
in small bronchi
into the trachea
in the pleural cavity.
22. Lateral curvature of the spine is observed in:
lordosis
*scoliosis
kyphosis
rachitis
kyphoscoliosis
23. The upper border of the lung is determined by changing the percussion sound:
*from resonant pulmonary to dull
from resonant pulmonary to blunted
from blunted to resonant
from dull to resonant pulmonary
from resonant pulmonary to tympanic
24. Where appears crepitation:
in the small bronchi:
in the large bronchiin;
*in the alveoli;

in the pleural cavity
5. Thickening of the nails occurs when:
myxedema;
heart defects;
acromegaly*;
anemia;
all listed diseases.
26. Determine the characteristic of coma.
*Unconsciousness.
Pathological deep sleep from which patient wake up only for short periods.
Twilling state.
Correct display of the reality in a brain of the person, the slowed answer on external irritant and signals.
Slow inadequate answers
the upper border of the lungs
*percussion sounds on symmetrical parts of the chest
lower border of the lungs
mobility of the lower border of the lungs
width of the Kroenig's area

28. Bronchial breathing is sounded:
At inhalation
At exhalation
At inhalation and 1/3 of exhalation
*During breathing in and out
At inhalation and at first 2/3 of exhalation
29. Barrel-shaped chest is typical for:
pulmonary tuberculosis
*emphysema of the lungs
exudation pleurisy
pneumothorax
acute bronchitis
31. Signs of hypersthenic form of the chest:
the epigastric angle is 90°;
the supra-and subclavian pits are smoothed;
the ribs are nearly horizontal;
*the rib width of 0.5–1.0 cm, the intercostal space is 2.0 — 2.5 cm;
the width of the rib 2.0-2.5 cm, intercostal space-0.5-1.0 cm.
32. Under the direction of the nurse the student of the 2nd rate draw a passport part in admission office
of the case record of patient D. 54 years, which hospitalize in connection with essential hypertension. At
this time has hardly come the man of 65 years old in the office. He was pale, with complaints to
dizziness, sharp weakness. Suddenly including patient has lost consciousness, has fallen, cramps have
begun. What medical and deontological tactics?
**Nurse should begin immediately external cardiac massage and artificial breath (on the floor). The
student should transfer patient D. in other room and urgently call a doctor.
Firstly he must finish registration of the case record.
Student should begin immediately external cardiac massage and artificial breath (on the floor). The
nurse should transfer patient D. in other room and urgently call a doctor.
The nurse should call the doctor immediately and wait his orders.
All above variants are allowable
33. GIVE A NAME TO THE FOLLOWING CHEST SHAPE: the chest is elongated, narrow and flat; the ratio of
the anteroposterior and lateral dimensions is approaching 0.5; the supra-and subclavian fossas are
clearly defined, but are located symmetrically; the epigastric angle is acute, the slope of ribs is located
obliquely; intercostal spaces are wide; the scapulas are situated asymmetrically; expressed atrophy of
the chest muscles.
*paralytic
Emphysematous
asthenic
hypersthenic
normosthenic
34. DURATION OF THERMOMETRY WHEN MEASURED WITH A MERCURY THERMOMETER…
5-10 min*.
20 min.
7 min.
10 min.
36. "Puerile respiration":

*physiological intensification of vesicular breathing
pathologically decreased vesicular respiration;
physiological intensification of bronchial breathing;
pathologically decreased bronchial breathing;
stenotic respiration.
37. The chest is ball-shaped. The ratio of anterior-posterior size to transverse size is 8.0. The area of the
costal cartilages is thickened. What diagnosis can be supposed?
Asthenic chest
*Rachitic chest
Hypersthenic chest
Emphysema chest
Paralytic chest
38. THE AVERAGE BREATHING RATE IN AN ADULT…
24 in 1 minute
*from 14 to 20 in 1 minute
from 10 to 12 in 1 minute
39. Determine physical factors which cause diseases.
High pressure action
*Low temperature action (-350С)
Electric current action
Exposure of electromagnetic field

All above-listed
40. Patient anamnesis:
Results of resort treatment
*Labour activity in the past
Home address
Features of the beginning of disease
Results of previous treatment
41. BRONCHOPHONIA IS…
determination of the vibration of the chest
listening to bronchial breathing
*listening to whispered speech
42. Patient F. 38 years has specific changes of fingers and nails - clubbing of the fingers (bulbous swelling
of the tip of the fingers) and nail in form of watch glass. What is typical reason of these changes?
Endocrine disease
Chronic liver disease
**Chronic cardiac disease
Chronic intestinal pathology
Haemolytic jaundice
43. Bronchial respiration occurs when air passes through:

*the glottis;
large bronchi;
small bronchi;
bronchioles;
the alveoli.
44. Determine characteristic of asthenic habitus from the physiological point of view.
Prevalence of the transversal sizes of a thorax
Right epigastric angle
Significant prevalence of the transversal sizes of a body above longitudinal
**Significant prevalence ratio of extremities to trunk
Significant prevalence ratio of abdomen to thorax
45. Bronchophony is:
vibration of the chest at the heart apex
vibration of the chest in the area heart base
vibration of thorax caused by vibration of the vocal cords
the main respiratory noise that occurs when air passes through the glottis
**listening to whispered speech on the surface of the chest
46. The patient has an attack of dyspnea. His position is forced; he is sitting resting his hands on the
edge of the bed. The voice resonance over the lungs is weak. What diagnosis can be supposed?
Pulmonary emphysema
**Bronchial asthma
Kussmaul respiration
atelectasis
Cheyne-Stokes respiration
47. The diseases caused by negative interrelation of medical staff and patients are called:
Social
**Iatrogenic
Somatogenic
Professional
Psychogenic
48. The forced position of the patient is that:
Position which the doctor recommended for a quicker recovery
Position which the patient assumes due to the progressiveness of the disease
Position which the patient cannot change independently
**Position which the patient assumes to reduce the occurrence of the illness (dyspnoea, cough, pain
etc.)
Position with the patient assumes due to immobilization of the extremities. (The use of skeletal traction,
splints etc).
49. Syndrome is:
**combination of symptoms that are interrelated and give rise to one another;
abnormal phenomena as pain, dizziness, nausea, vomiting, etc, occurring in sick persons;
summarize clinical examinations.
50. Normally bronchophonia:

listened to clearly;
very weakly listened to;
not listened to;
correct A) and B);
(B) and C).**
1. Normally, the content of total protein in serum is:
45-46g | l
65-85g | l
*85-105g | l
105-125g | l
2. Serum creatinine in healthy does not exceed (mmol.l):
12
18
40
**110
3. “Cobbler chest” also called
Emphysematous
Paralytic
Rachitic;
Funnel**
4. What lung pathology is characterized by dry rales

Emphysema;
Bronchitis
Pneumonia
The attack of bronchial asthma**
5. Active respiratory mobility of the lower border (diaphragmatic movement) of normal lungs by Line
axillaris media dextra et sinistra.
4-6 sm
3-5 sm
5-8 sm
6-8 sm**
6. The ratio of daytime diuresis to night:
1: 1
1: 2
1: 3
3: 1**
7. The best auscultatory areas (points) for a pulmonary valve:
Apical impulse
The base of the xiphoid process
**2 intercostal space to the left of the sternum
8. Normal systolic blood pressure is
100-110mm Hg
100-120mm Hg
100-130 mm hg
**100-139mmHg
9. Arterial hypertension (according to WHO) is established with BP:
**Systolic 140mm Hg and higher, diastolic-90mm Hg and higher
Systolic 130-139 mm Hg, diastolic 85-89mm Hg
Systolic 100-139mm Hg, diastolic 60-85mm Hg
Systolic below 100mm Hg, diastolic below 60mm Hg.
10. Polyuria is an increase in daily diuresis of more than:
1 liter
2 liters**
3 liters
5 liters
11. The distance of the liver in the right parasternal line is normally
6-8 cm
8-10 cm**
8-10 cm
13-15 cm
12. The normal number of eosinophils in the blood test (%):
0-0,1
0.5-5.0**
6-8
8-10
13. Normal albumin from the total protein:
26.3-38.8%
40.3-55.3%
56.3-68.8%**
70.3-83.3%
14. Pigeon chest is typical for
Emphysema of the lungs
Rheumatoid arthritis
Pneumosclerosis
Rachitis**
15. The transverse length of relative cardiac dullness is (cm)
3-4
5-6
7-8
11-13**
17. The position of the lower border of the lungs by Lin. medioclavicularis dextra
6-th rib
7-th rib
8-th rib**
9-th rib
18. The extent to which venous pressure varies in healthy individuals:
60-100mm water column**
**The science atbout methods of clinical examination of the patient and diagnosis basing;
The study of the physical structure of organisms
The study of the normal functioning of the body and the underlying regulatory mechanisms;
The study of disease—the causes, course, progression and resolution thereof.
20. Percussion resonant and clear sound is defined over
Heart
Liver
Lungs**
Spleen
21. The size of liver according to M.G. Kurlov method
9:8:7 +-1cm**
11:8:7 +-1cm
9:9:7 +-1cm
12:10:9 +-1cm
The upper border of the lungs
**Percussion sounds on symmetrical parts of the chest
Lower border of the lungs
Mobility of the lower border of the lungs
Bronchial
Amphoric
Alveolar**
Laryngotracheal
24. Patients with grave diseases should be percussed in
Standing position
Sitting position;
Lying position;**
Does not matter.
25. The normal time of blood clotting by Lee-White (in min.), determined in a glass test tube
3-8
5-10**
11-12
4.15-20
26. To determine the protein function of the liver is used
Determination of the content of total protein in serum
Determination of protein fractions
Protein sediment tests
All of the above methods**
2.0-3.8 mmol | l
3.9-5.2 mmol | l**
5.6-8.2 mmol | l
8.3-10.5 mmol |
28. Harsh breathing
**Short jerky inspiration efforts interrupted by short pauses between them the expiration is usually
normal
Deeper vesicular breathing during which the inspiration and expiration phases are intensified;
Inspiratory sounds last longer than expiratory ones
Emphysema
29. The normal number of segmented nuclear leukocytes (%):
30-35
35-40
47-72**
75-80
30. Blood hemoglobin in women (g / l):
100-110
110-120
120-140**
130-160
31. Dullness sound can be coursed by all except:
Pulmonary tumor (airless tissue)
When fluid occupies the pleural space (over fluid)
Pleural accumulation of serous blood (hemothorax)
Compressive atelectasis**
At the 3-rd costosternal joint**;
On the sternum midway between the 3-rd left and 5-th right costosternal joints
In the 2-nd intercostal space, to the left of the sternum
In the middle of the sternum at the level of the 3-rd costosternal joint
33. Purpura (hemopurpura) is:
Small pointed hemorrhages**
Large black and blue spots
Red spots of different size
A swelling from gross bleeding
Left atrium
Pulmonary trunk
Right ventricle
Left ventricle**
35. The duration of the QRS complex is normal
0.01-0.02 sec
0.03-0.04 sec
0.05-0.06sec
0.06-0.1 sec**
36. The routine method for assessing the patients with disorders of the respiratory system is
Computer tomography
Ultrasound examination;
Bronchoscopy
Chest X-ray**
37. Anasarca - is:
Edema on the legs
Edema on the lower back
Edema on the neck
Edema of the all body**
In healthy people GFR level is
20-40 mL/min/1.73 m2
40-60 mL/min/1.73m2
90 to 120 mL/min/1.73 m2**
130-150 mL/min/1.73 m2
39. Character of cyanosis in cardiovascular disease
Diffuse
On the face
Acrocyanosis**
In the lower extremities
40. Normal albumin-globulin ratio is:
0.3-1.1
1.2-2**
2.1-2.9
3.0-3.8
Habits;**
History of present disease;
Family history;
Social history;
42. Disorientation in surroundings, loss of memory (amnesia), patient is exited, has pathologically high
spirits, is anxious, sometimes even aggressive, all that is signs of:
Twilight state**
Delirium;
Stupor;
Coma
Up to 10
Up to 10,000
Up to 100
Up to 2000**
Normosthenic chest**
Hypersthenic chest
Asthenic chest
There is no correct answer
46. Vitiligo is
Symmetrical white spots on the face, trunk, limbs;**
The redness located on checks;
Cyanotic color of the skin
Yellow color of the skin
47. When percussion of the abdomen in a healthy person is heard
Dull sound
Sound box
Dullness of sound
Tympanic sound**
48. The vascular bundle consists of the following vessels, except
The aorta
Inferior vena cava**
Pulmonary trunk
Superior vena cava
49. "Puerile respiration"
**Physiological intensification of vesicular breathing
Pathologically decreased vesicular respiration
Physiological intensification of bronchial breathing
Pathologically decreased bronchial breathing;
50. The horizontal electrical axis of the heart in standard leads:
RII> RI> RIII
RI> RII> RIII**
RIII> RII> RI
RIII= RII> RI
1. In the urine of men leukocytes
Not contained
1-2 in sight**
5-6 in sight
6-8 in sight
2. What kind of blood is typical for hemoptysis
Bright red;**
Dark brown
Black
With the content of food.
3. Specify the localization of the upper border of the relative dullness of the heart
2nd rib
2nd intercostal space
3rd rib**
4th rib
4. The distance of the liver in the right anterior axillary line is normally is
6-8 cm
8-9 cm
10-12 cm
13-15 cm**
5. Active respiratory mobility of the lower border (diaphragmatic movement) of normal lungs by Lin.
medioclavicularis dextra
4-6 sm
3-5 sm
5-8 sm
6-10 sm**
6. What method of examination has the greatest value in diagnosis of gallstone disease:
Questioning
Palpation
Cholecystography;**
Irrigoscopy
7. Prothrombin is synthesized only in:
Spleen
Kidney
Pancreas
Liver**
8. How many urine samples are collected for Zimnitsky analysis:
8*
9. Projections of the tricuspid valve on the anterior chest wall:
At the 3-rd costosternal joint;
**On the sternum midway between the 3-rd left and 5-th right costosternal joints;
In the 2-nd intercostal space, to the left of the sternum
In the middle of the sternum at the level of the 3-rd costosternal joint
10. Deficiency of pulse is
**A disharmony between a heart rate and a number of pulse waves on periphery
A disharmony between a breath rate and a number of pulse waves on periphery
A disharmony between a heart rate and breath rate
All answers are correct
11. Diastolic trembling ("cat purring") on apex of the heart palpated in case of:
Insufficiency the aortic valve;
Aortic stenosis
Mitral stenosis**
Insufficiency left atrioventricular valve;
12. Vomiting that arose through 4-6 hours after eating is a consequence of:
Ulcer or cancer of cardiac part of the stomach acute gastritis;
Ulcer or cancer of the stomach body
Ulcer of the pylorus or duodenum**
Cecum
13. In the Nechiporenko analysis of urine normal content of erythrocytes in 1 ml
Up to 10
Up to 100
Up to 1000
Up to 10,000**
14. The content of total protein in serum 106g | l, this:
Hypoproteinemia
Dysproteinemia
Hypergammaglobulinemia
Hyperproteinemia**
15. With the feces of a healthy person stands out
Free bilirubin
Associated bilirubin
Urobilin
Urobilinogen**
16. 16.The normal number of leukocytes in the peripheral blood (x109 / l):
1-2
2-3
4-9**
9-10
17. From what of the intestines segment begins deep palpation by Obraztsov-Strazhesko
Cecum
The transverse colon
Appendix cecum
The sigmoid colon**
18. Laboratory examination includes all listed except

Blood analysis
Sonography**
Urine analysis
Sputum analysis
19. The distance of the in the right midclavicular line is normally:
6-8 cm
8-9 cm
10-12 cm
9-11 cm**
20. Excretory anuria
Violation of urine formation by kidneys**
Lack of urine because of constraints in the urinary tract
Daily urine output less than 500 ml
Urinary excretion of acetone
21. In which intercostal space the width of the vascular bundle is normally determined:
2**
22. S2 consists of:

One component
Two components;**
Three components
Four componentS
23. Pulse pressure is normal:
35-45mmHg
40-50mm Hg**
45-55mmHg
50-60mmHg
24. What is early sign of pancreatic insufficiency
The presence stercobilin in the stool
Steatorrhea**
Black feces
The presence of urobilin in the stool
25. Melena may indicate:
Botkin's disease
Hemorrhoids
Chronic pancreatitis
Bleeding from the veins of the esophagus**
26. The best auscultatory areas (points) for a mitral valve
Apical impulse**
27. What is the sequence of examination of pulse rate:
Synchronicity, rhythm, frequency, voltage, filling**
Rhythm, frequency, synchronicity, content, stress
The frequency, rhythm, synchronicity, content, stress
Filling, strain, frequency, rhythm, synchronicity
28. What is the cardialgia
Pain in the liver
Heart pain**;
Feeling of "disruptions" in the heart
Muscle pain
29. The normal electrical axis of the heart in standard leads:
RII> RI> RIII**
RI> RII> RIII
RIII> RII> RI
RIII= RII> RI
30. In what lead T wave is always normally negative
I standard lead;
II standard lead
III standard lead
AVR**
31. Where the apical impulse is normally defined:
On the parasternal line
**1.5 cm outside from the midclavicular line
1.5 cm inside from the midclavicular line
On the midaxillary line
32. Grade III hypertension established at the level:
120-129 SBP (mm Hg) and/or 80-84 DBP (mm Hg)
180 SBP (mm Hg) and/or > 110 DBP (mm Hg)**
33. The vertical electrical axis of the heart in standard leads:
RII> RI> RIII
RI> RII> RIII
RIII> RII> RI**
RIII= RII> RI
34. The pulse rate corresponds to the heart rate and is equal to
50-70 per minute
55-75 per minute
60-90 per minute**
68-89 per minute

35. To distinguish small focuses in pulmonary tissue more sensitive is
Magnetic resonance imaging**
Radiography;
Computer tomography;
Pulmonary angiography.
36. What is normal heart rate
40 - 60 per 1 min
90 - 120 per 1 min
60 - 80 per 1 min**;
120-240 per 1 min
37. Normally, the prothrombin index is:
20-40%
40-60%
60-80%
80-100%**
38. The best auscultatory areas (points) for a tricuspid valves
Apical impulse
The base of the xiphoid process**

39. A boxed sound above the lungs indicates:
Reducing the airiness of the lung tissue
Accumulation of fluid in the pleural cavity
The formation of a cavity in the lung
Increased airiness of lung tissue**
40. Glycosuria is often typical for:
Misuse of sweet food;
Emotional turmoil
Diabetes;**
Glomerulonephritis
41. Satisfactory patient ’s condition (status morboacili) is characterized by
**Clear consciousness, active or active with restriction posture, free or partial deranged (specific) gait,
sensible facial expression, and adequate mental reaction;
Deranged consciousness, alteration of facial expression and posture (forced), uncertain gait, partial
deranged mental state and may be observed in patients with recurrence of chronic disease, acute
diseases, or due to the traumas and poisoning
Disorders of practically all clinical features: deranged consciousness, changed facial expression (fear,
suffer, hopelessness, indifference). The patients have forced or passive posture, loss o f weight, edema,
and inadequate mental state;
Edema, and inadequate mental state;
42. The resonant sound of the percussion of a healthy person is determined above the:
Heart
Spleen
Lung tissue**
Muscles
43. Enlarged superciliary arches, zygomatic bones, ears, auricles nose, lips, tongue, growth and putting
forward of low jaw (prognotism) is also called
Facies in patients with Cushing’s syndrome
Facies Hyppocratica
Facies as a “wax-doll”
Facies acromegalica.**
44. The position of the lower border of the lungs by Lin. medioclavicularis dextr.:
6-th rib**
7-th rib
8-th rib
9-th rib
45. Respiratory excursion of the lower border of leftt lung by scapular line
1 – 2 cm
2 – 3 cm
4 – 6 cm**
6 – 8 cm.
46. Oligouria is a daily diuresis less than:
500ml**
1000ml
2 liters
5 liters
47. P wave on the ECG is:
Ventricular excitation
Excitation of interventricular septum
Atrial excitation**;
Ventricular repolarizatio
48. Displacement left border of cardiac dullness to the left can occur in case of:
Hypertrophy of the right atrium
Hypertrophy of the left atrium
Hypertrophy of the right and left atrium
Hypertrophy and dilatation of left ventricular**
49. Prothrombin is synthesized with the participation of the vitamin:
K*
B1
50. Normal value of Lymphocytes:
0.02-0.3 x 109 /1(0.5-5 %);
0-0.065 x 109 /1 (0-1 %)
1.2-3.0 x 109 /1(19-37%)**;
0.09-0.60 x 109 /1 (3-11 %)

1. Where the apical impulse is normally defined
On the parasternal line
1.5 cm outside from the midclavicular line
On the midclavicular line
1.5 cm inside from the midclavicular line**
2. To distinguish small focuses in pulmonary tissue more sensitive is
Magnetic resonance imaging**
Radiography
Computer tomography
Pulmonary angiography
30-35
35-40
47-72**
75-80
Bronchial
Amphoric
Alveolar**
Laryngotracheal
5. The horizontal electrical axis of the heart in standard leads

RII> RI> RIII
RI> RII> RIII**
RIII> RII> RI
RIII= RII> RI
The symptom of "Digiti hippocratici" is observed in patients with:
Bronchial asthma
Bronchiectasis**
Focal pneumonia
Acute bronchitis
10. Laboratory examination includes all listed except:
Blood analysis
Sonography*
Urine analysis
Sputum analysis
11. Polyuria is an increase in daily diuresis of more than
1 liter
2 liters**
3 liters
5 liters
12. Physiological weakening of vesicular breathing is determined when
Obesity
Hydrothorax**
Pneumothorax
Emphysema
13. Xanthelasma is determined by:
Chronic pancreatitis
Mitral stenosis
Pulmonary emphysema
Biliary cirrhosis**
14. Pigeon chest is typical for
Emphysema of the lungs
Rheumatoid arthritis
Pneumosclerosis
Rachitis**
15. Normal value of Lymphocytes:
0.02-0.3 x 109 /1(0.5-5 %)
0-0.065 x 109 /1 (0-1 %)
1.2-3.0 x 109 /1(19-37%);**
0.09-0.60 x 109 /1 (3-11 %)
16. Epigastric pulsation, more clearly visible in the standing position and inhalation, indicates
Hypertrophy and dilation of the left atrium;**
Hypertrophy and dilation of the right ventricle of the heart
Hypertrophy and dilation of the left ventricle of the heart

Abdominal aortic aneurysm
18. To determine the protein function of the liver is used
Determination of the content of total protein in serum
Determination of protein fractions
Protein sediment tests
All of the above methods**
19. ECG heart rate (HR) formula is
60 (seconds in 1 minutes)/R-R(sec)**
600 (seconds in 1 minutes)/R-R(sec)
60 (seconds in 1 minutes)/R-R(big squares)
30 (seconds in 1 minutes)/R-R(sec)
20. The normal number of leukocytes in the peripheral blood (x109 / l)
1-2
2-3
4-9**
9-10
21. The normal electrical axis of the heart in standard leads
RII> RI> RIII**
RI> RII> RIII
RIII> RII> RI
RIII= RII> RI
22. Normal albumin-globulin ratio is

0.3-1.1
1.2-2**
2.1-2.9
3.0-3.8
23. The right border of relative cardiac dullness is normal:
On the right edge of the sternum
On the left edge of the sternum
1 cm laterally of the right edge of the sternum**
2cm laterally from the right edge of the sternum
24. Respiratory excursion of the lower border of leftt lung by scapular line:
1 – 2 cm
2 – 3 cm
4 – 6 cm**
6 – 8 cm
25. Decreasing of both heart sounds typical for
Aortic heart defects
Mitral heart defects
Myocarditis**
Hypertension
26. The method of palpation of the chest does not reveal
Vocal fremitus
Weakened vesicular respiration

Painful areas
Stiffness of the intercostal spaces**
27. Purpura (hemopurpura) is
Small pointed hemorrhages**
Large black and blue spots
Red spots of different size
Left atrium
Pulmonary trunk
Right ventricle
Left ventricle**
29. The method of palpation of the chest does not reveal
Vocal fremitus
Weakened vesicular respiration**
Painful areas
Stiffness of the intercostal spaces
30. In healthy people, the upper borders of the lungs are above the clavicles:
1-2sm
3-4 sm**
5-6 sm
7-8 sm
31. The indicator of liver pigment function is the content in the serum
Cholesterol
Total protein and protein fractions
Fibrinogen
Bilirubin and its fractions**
32. With the feces of a healthy person stands out:
Free bilirubin
Associated bilirubin
Urobilin
Stercobilin**
33. What percussion sound is determined above the zone of absolute dullness of the heart
Pulmonary
Boxed
Dull**
Tympanic
34. The orthopnea position relieves the condition by reducing
Pain in the heart
Interruptions in the work of the heart
Lower extremity edema;
Shortness of breath;**
35. The position of the lower border of the lungs by Lin. Scapularis
6-th rib
7-th rib
8-th rib
10-th rib**
36. Oligouria is a daily diuresis less than:
500ml**
1000ml
2 liters
5 liters
37. Tendency to diarrhea typical for
Duodenal ulcer disease intestine
Erosive duodenitis
Chronic pancreatitis**
38. Right border of the relative cardiac dullness is formed by
Right atrium
Left atrium**
Right ventricle
Left ventricle
40. Excretory anuria
**Violation of urine formation by kidneys;
Lack of urine because of constraints in the urinary tract

Daily urine output less than 500 ml
Urinary excretion of acetone.
42. Normal Diastolic blood pressure is
60-70mmHg
60-80mm Hg**
60-89mm Hg
60-100mm Hg
43. What kind of blood is typical for hemoptysis
Bright red**;
Dark brown
Black
With the content of food
44. Unequal pulse often typical for:
Hole aortic stenosis;
Myocarditis
Atrial fibrillation**
Exudative pericarditis
45. The best auscultatory areas (points) for a pulmonary valve
Apical impulse
2 intercostal space to the left of the sternum**
46. The Hippocratic face is a sign of
Thyrotoxicosis
Nephritis
Heart failure
Peritonitis;**
48. Causes of physiological weakening of vesicular breath
Poor development of the chest muscles
Performing heavy physical exertion
**Excessive development of muscles and fatty tissue
Children's age
49. In which intercostal space the width of the vascular bundle is normally determined
2**
5
50. Nocturia is
Daily diuresis more than 1 liter
Daily diuresis less than 1 liter
The prevalence of nocturnal diuresis over daytime**
The prevalence of daytime diuresis over night
Characteristic of cardiac edema
Appear in the morning on the face;
Swelling of one leg with local cyanosis;
**Swelling of the legs and feet at the end of the working day;
Swelling of the eyelids, accompanied by itching.
2. The distance of the liver in the right parasternal line is normally :
6-8 cm
8-10 cm**
10-12 cm
13-15 cm

6. The properties of the apical impulse are determined by:
Left ventricle**
Right atrium
Aortic arch
Left atrium
7. Indicate the type of temperature curve, if the patient has fever within 38.0–38.8º for 1 week.
Febris continua;**
Febris remitens;
Febris intermittens;
Febris hectica;
8. Pulsus paradoxus” Is:
Alternation of pulse waves of large and small filling;
**A decrease or disappearance of the inhalation pulse waves;
Discrepancy between the number of pulse waves and the number of heartbeats;
Unequal intervals between pulse waves.
9. Puerile respiration":
*A)Physiological intensification of vesicular breathing
B)Pathologically decreased vesicular respiration;
C)Physiological intensification of bronchial breathing;
D)Pathologically decreased bronchial breathing;
10. Resistant apical beat indicates:
Insufficiency of the mitral valve;
Aortic insufficiency;
Aortic stenosis;
**Left ventricular hypertrophy
Auscultation point of left atrioventricular valve located in:
**Heart apex;
2nd intercostal space to the right of the sternum;
To the left of the sternum at the 3rd costosternal articulation
2nd intercostal space to the left of the sternum
13. The routine method for assessing the patients with disorders of the respiratory system is:
Computer tomography;
Ultrasound examination;
Bronchoscopy;
Chest x-ray**
Hemorrhagic syndrome in liver diseases is a consequence of:
Hhyperbilirubinemia;
Hepatocellular failure syndrome**
Hyperestrogenemia;
Hypoalbuminemia;
15. Orthopnoe position is:
**Sitting position, facilitating shortness of breath;
Sitting, relieving pain;
Prone position, relieving pain;

Standing, stopping hiccups
."Moon-shaped" Face is observed when:
Myxedema;
Acute glomerulonephritis
Bronchial asthma;
Itsenko-cushing disease.**
17. Where the primary urine is formed:
In glomerulus**;
In the proximal tubules;
In the distal tubules;
In the loop of the nephron;
18. The size of liver according to M.G. Kurlov method:
9:8:7 +-1cm**
11:8:7 +-1cm
9:9:7 +-1cm
12:10:9 +-1cm
At the 3-rd costosternal joint**;
On the sternum midway between the 3-rd left and 5-th right costosternal joints;
In the 2-nd intercostal space, to the left of the sternum;

In the middle of the sternum at the level of the 3-rd costosternal joint.
21. Purpura (hemopurpura) is:
Small pointed hemorrhages;**
Large black and blue spots;
Red spots of different size;
22. Normal value of eosinophils:
0.02-0.3 x 109 /1(0.5-5 %);**
0-0.065 x 109 /1 (0-1 %);
1.2-3.0 x 109 /1(19-37%);
0.09-0.60 x 109 /1 (3-11 %)
Bronchial;
Amphoric;
Alveolar;**
Laryngotracheal
24. The duration of the p wave is normal:
0.06-0.07 sec
0.07-0.08 sec
0,08-0,09 sec
0.08-0.1 sec**
25. Aortic valves are projected on the anterior chest wall:
At the 3-rd costosternal joint;
On the sternum midway between the 3-rd left and 5-th right costosternal joints;
In the 2-nd intercostal space, to the left of the sternum;
In the middle of the sternum at the level of the 3-rd costosternal joint.**
26. What color index values indicate the normochromia:
Less than 0.8;
1.2-1.5;
More than 1.1;
0.85-1.1.**
Habits;**
History of present disease;
Family history;
Social history;
28. Edema of cardiac origin:
Blue, cold, dense
Pale, warm, soft
Blue, warm, soft;
Pale, cold, dense
29. The position of the lower border of the lungs by Lin. axillaris anterior dextra et sinistra.:
6-th rib
7-th ri**
8-th rib
9-th rib
30. Increasing area of absolute cardiac dullness observed in case of:
Left-sided pneumothorax;
Emphysema;
Attack of bronchial asthma;
Hydropericarditis.**
31. What means the large number of red blood cells in the gastric contents
Duodenal ulcer;
Gastritis;
Stenosis;
Gastric cancer**
2. Heartburn (pyrosis) is
As a sensation of “sticking” Or obstruction of the passage of food through the mouth, pharynx, or
esophagus;
(**A specific burning sensation behind the sternum associated with regurgitation of gastric contents
into the inferior portion of the esophagus;
Return of the part of swallowed food into the mouth due to backward movement of esophagus and
stomach with open cardia without contraction of diaphragm and abdominal muscles;
Reflex act associated with irritation of the vagus nerve;
33. The size (width)of the vascular bundle is (cm):
1-2
3-4
5-6**
7-8
34. By using what method can be examine in vivo the morphology of the liver:
Scan;
Biopsy;**
Laparoscopy;
Splenoportography.
35. An alternating pulse is:
**Alternation of pulse waves of large and small filling;
A decrease or disappearance of the inhalation pulse waves;
Discrepancy between the number of pulse waves and the number of heartbeats;
Unequal pulse wave interval
36. The position of the lower border of the lungs by Lin. axillaris Media dextra et sinistra
6-th rib
7-th rib**
8-th rib
9-th rib
37. Sings of stage iii hypertension:
No objective signs of organic changes;
At least one of the following signs of organ involvement without symptoms or dysfunction;
**Both symptoms and signs have appeared as result of organ damage;
Signs of a absence of consciousness and / or failure of organs.
38. In healthy people gfr level is:
20-40 ml/min/1.73 m2
40-60 ml/min/1.73 m2
90 to 120 ml/min/1.73 m2**
130-150 ml/min/1.73 m2
39. A decrease in the volume of one half of the chest is not observed when:
Obstructive atelectasis;
Cirrhosis of the lung;
Emphysema of the lungs**
Pulmonectomy.
2.0-3.8 mmol | 1
3.9-5.2 mmol | 1**
5.6-8.2 mmol | 1
8.3-10.5 mmol | 1
**Science about methods of clinical examination of the patient and diagnosis basing;
The study of the physical structure of organisms;

The study of the normal functioning of the body and the underlying regulatory mechanisms;
The study of disease—the causes, course, progression and resolution thereof.
42. Chronic tonsillitis, tuberculosis, infectious mononucleosis, chronic lympholeucosis,

lymphogranulomatosis, lymphosarcoma may lead to increased:
Occipital lymph nodes;
Cervical lymph nodes;**
Axillary lymph nodes;
Cubital (local) lymph nodes.
43. The appearance of "Melena" Is characteristic:
**Gastric bleeding;
Long-term administration of calcium preparations;
Bleeding from the sigmoid colon;
Dysentery;
44. Inspiratory dyspnea is typical for:
Bronchial asthma;
Bronchiolitis;
Chronic obstructive pulmonary disease;
Tracheal tumors.**
45. Bronchial breathing in a healthy person is heard:
**Over the trachea region and its bifurcation
Below 2 ribs on the left lateral to the parasternal line

In the axillary lines
Below the axillary lines
30-35
35-40
47-72**
75-80
47. The duration of the QRS complex is normal:
0.01-0.02 sec
0.03-0.04 sec
0.05-0.06sec
0.06-0.1 sec**
48. Skin with thyrotoxicosis:
***Soft, hot, wet, hyperemic, warm hands;
Rough, cold, dry, pale, cold hands;
Soft, cold, dry, pale, cold hands;
Thickened, hot, moist, hyperemic, warm hands
**Normosthenic chest;
Hypersthenic chest;
Asthenic chest;
There is no correct answer.
Up to 10
Up to 100
Up to 2000++
Up to 10,000

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1.

C.summarize clinical examinations.

2. When percussion of the abdomen in a healthy person is heard:

3. The normal number of eosinophils in the blood test (%.:

4. Polyuria is an increase in daily diuresis of more than:

5. Blood hemoglobin in women (g / l.:

6. The normal number of segmented nuclear leukocytes (%.:

7. The past history involves all listed except:

B.history of present disease;

8. Percussion resonant and clear sound is defined over:

9. Serum creatinine in healthy does not exceed (mmol.l.:

10. The vascular bundle consists of the following vessels, except:

*inferior vena cava

superior vena cava

there is no correct answer.

does not matter.

13. The ratio of daytime diuresis to night:

14. "Puerile respiration":

*physiological intensification of vesicular breathing

pathologically decreased vesicular respiration;

physiological intensification of bronchial breathing;

pathologically decreased bronchial breathing;

RII> RI> RIII

*RI> RII> RIII

17. Prapedeutics to internal discases is:

the study of the physical structure of organisms;

the study of disease—the causes, course, progression and resolution thereof

19. In healthy people GFR level is:

*90 to 120 mL/min/1.73 m2

20. Character of cyanosis in cardiovascular disease:

in the lower extremities;

21. The duration of the QRS complex is normal:

22. Normally, the content of total protein in serum is:

3. “Cobbler chest” also called:

24. Normal systolic blood pressure is:

25. What lung pathology is characterized by dry rales:

*the attack of bronchial asthma

26. To determine the protein function of the liver is used:

determination of the content of total protein in serum

protein sediment tests

determination of prothrombin index

*all of the above methods

27. Projections of the mitral valve on the anterior chest wall:

*at the 3-rd costosternal joint;

in the 2-nd intercostal space, to the left of the sternum;

29. Anasarca - is:

edema on the legs;

edema on the lower back;

edema on the neck;

*edema of the all body.

the base of the xiphoid process

2 intercostal space to the left of the sternum

2 intercostal space to the right of the sternum

*the Erbs point

32. Dullness sound can be coursed by all except:

pulmonary tumor (airless tissue.;

when fluid occupies the pleural space (over fluid.:

pleural accumulation of serous blood (hemothorax.

34. How also called vesicular breathing:

37. Arterial hypertension (according to WHO. is established with BP:

*systolic 140mm Hg and higher, diastolic-90mm Hg and higher

systolic 130-139 mm Hg, diastolic 85-89mm Hg

systolic 100-139mm Hg, diastolic 60-85mm Hg