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10. In the 40 weeks pregnant woman in *Laborstimulation Strict bed regimen Complex therapy Cesarian section Complex therapy
intrinsic obstetric investigation: the cervix after preparation for 1 month. of gestosis for 2 immediately. of gestosis for 7
of a uterus is undeveloped. The oxytocin days days
test is negative. Upon inspection at 32
weeks it is revealed: AP 140/90 mm. Hg,
proteinuria 1 g/l, peripheric edemas.
Reflexes are normal. Choose the most
correct tactics of guiding the pregnant.
11. The 26-year old woman had the second for *Atony of the Failure of cervix of Hysterorrhesis. Delay of the part of Hypotonia of the
the last 2 years labor with Oxytocin uterus. the uterus placenta. uterus
application.The the child’s weight - 4080
gr. After the placent birth there was a
massive bleeding, signs of hemorrhagic
shock.Despite the introduction of
contractive agents,good contraction of the
uterus and absence of any uterus cervix
and the vagina failures, the bleeding
proceeds.Choose the most probable cause
of bleeding.
12. The woman is admitted to the maternity *Hysterorrhesis. Presentation of the Placental Abjointing the Premature
home with discontinued patrimonial cord. presentation mucous fuse from expultion of the
activity and slight bloody discharges from cervix of the uterus amniotic waters.
the vagina. The condition is serious, the
skin is pale, consciousness is confused.
AP 80/40 mm Hg. The palpitation of the
fetus is not determined. In anamnesis
there was a Cesarian section a year ago.
Establish the diagnosis:
13. In the woman of the first day after labor *Metroendometritis Thrombophlebitis of Infected hematoma Infective Apostatis of
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the rise of temperature up to 39?С was veins of the pelvis contamination of junctures after the
registered. The breakage of the fetal the urinary system episiotomy.
membranes has taken place 36 hours prior
to labors. The investigation of the bacterial
flora of cervix of the uterus revealed –
hemocatheretic streptococcus of a group
A. The uterus body is soft, tender.
Discharges are bloody, with a mixing of
pus. Establish the most probable postnatal
complication.
14. The woman from a groop of risk (chronic *Infection Thrombophlebitis of Infected Endometritis. Apostatis of
pyelonephritis in anamnesis) had labor contamination of veins of the pelvis. hematoma. junctures after
through natural patrimonial pathes. In day the urinary system. episiotomy
after labors she complains of fever and
loin pains, often urodynia. Establish the
most probable complication.
15. The 24-years patient in 13 months after *Determination of USI of organs of a Progesteron assay Computer Determination of
the first labors has addressed with the the level of small pelvis tomography of the the contents of
complaint on amenorrhea. Pregnancy has Gonadotropins head Testosteron-
concluded by a Cesarian section Depotum in Serum
concerning to a premature detachment of of blood.
normally posed placenta hemorrhage has
made low fidelity 2000 ml owing to
breakdown of coagulability of blood.
Choose the most suitable investigation:
16. In the woman of 24 years about earlier *Computer Determination of USI of organs of a Progesteron assay. Determination of
normal menstrual function, cycles became tomography of the the level of small pelvis the contents of
irregular, according to tests of function head. Gonadotropins. Testosteron-
diagnostics- anovulatory. The contents of Depotum in Serum
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perform:
28. The pregnant woman of 29 years old has *Threat of Threat of Threat of bleeding Threat of delicacy Threat of
been suffering from urolithiasis, development of a patrimonial of patrimonial isosensibilisation
secondary-chronic pyelonephritis during gestosis traumatism activity
8 years. What group of risk the occured
complication of pregnancy should be
related to?
29. The patient of 23 years old has been *Hepatosis Early gestosis Spontaneous Anemia pregnant Dermatosis of
registered in female consultation with 4 pregnant abortion pregnant
years ago undergone contagious
hepatitis, chronic cholecystopancreatitis.
Point one of the most probable
complication of pregnancy in the first
trimester.
30. The primagravida of 20 years old which *Hyperglycemic Spontaneous Hypoglycemic Bronchial asthma of Anemia of the
has diabetis for 8 years is hospitalised into coma abortion coma the pregnant pregnant woman
the gynaecology department with early woman
gestosis of average gravity. Point the most
probable complication.
31. Name a statistical observation unit for * The patient in a An amount of The analysis of a The patient who has The patient who
determination of influence amount of postoperative blood-sugar. blood. a wound surface. was discharge on
bloodsugar on the healing of wound's period. an after-care.
surface in a postoperative period:
32. What methods of the collecting of the *Questioning. Interviewing. Selecting of A method of the Statistical.
information is preferable for study of materials. directed selection.
housing conditions of students of medical
HIGH SCHOOL for a training period?
33. Define the observation unit, at study the *The patient with The patient who is Average duration Delivery times of The clinical form
average duration of hospitalization of appendectomy. entered in the of patient's stay the patient. of appendicitis.
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the profound study of a case rate with personal account of reasons of a disability. medical card. medical.
temporary lost labor ability at the a case rate. temporary lost labor
industrial enterprise: ability".
40. Head of department and a trade-union *To keep the To discharge from The leaf of A ambulatory To shift a solution
group have addressed to the head of worker on a post office the worker disability. medical card . of this problem on
hospital about dismissal of the senior with the prevention with, i.e. to satisfy other officials or
nurse that works during 17 years. The of dismissal in case demands of public
facts of charge were confirmed and of repeated collective. organizations.
recognized as the main nurse. This nurse violation of a labor
lives with a daughter (which does not discipline.
work, she is divorced) and 9 month
grandson. Make a solution from items of
management.
41. On the basis of the application form of *To conduct To not accept any To discharge from To notify the chief To transmit the
parents and explanatory note from the service activity. office the senior of medical service official report og
senior nurse of reception department the investigation by sister. about excess by him chief of medical
chief of medical service sent the official results of which to the official duties . service to the chief
report to the head of hospital about realize the of a reception
granting for a money by the senior nurse administrative department for
of hospital the medicines from order according to acceptance of
humanitarian fundfor treatment the child . the revealed effective measures
What should make the head of hospital in circumstances. He for elimination
this situation from items of management? should to inform henceforth similar
the chief of practice.
medical service ,
and in case of
acknowledgement
of the facts inform
the collective.
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42. 25 unorganized children in the age 2 -3 *50. 20. 40. 100. 200.
year will be observed on a pediatric
district it in the current year . What
scheduled number of initial visitations will
make to this group of children?
43. The child is 6 years old. For one year of *I-st. II-d. III (a). III (b). III (c).
observation he has URI duration 8 days.
Physical worked out satisfactory. Define
group of health:
44. The 9 years child with diagnosis “chronic *III (a). II-d. I-st. III (b). III (c).
tonsillitis” stands dispanserization control.
For 1 year of observation there was one
exacerbation of disease. Physical
condition is satisfactory. The general state
is not infringed. Define group of health:
45. The employee was invalid during 6 *MSEC. Head physician of DCC. DCC together with Deputy a head
months in connection with fracture of a the polyclinic. the head physician physician on a
hip. Who has the right to authorize for of a polyclinic. working capacity.
issue a leaf of disability for the last 2
months?
46. The employee 6.03.2001 made abortion *For 12 days. For 3 days. For 4 days. For 10 days. For 11 days.
under medical signs and she was in a
hospital till 17.03.2001. On what term the
leaf of disability is issued to her?
47. The man of 38 years was admitted in the *Specialized DCC. The head Interdistrict general Regional MSEC.
hospital from a place of job in July 19, (trоumatologic) physician of a MSEC.
concerning fracture of a hip. He was MSEC. polyclinic.
invalid till November 19. Requires
prolongation of treatment. Who solves the
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58. A girl 9 years old, has an average height *2nd group 1st group 3rd group 4th group 5th group
and harmonic growth development. She
was ill with acute respiratory infection for
five times. Define the group of her health.
59. An anestesiologist gives narcosis to the *air pollution with improper high level of noise mental overfatigue compelled working
patient, he uses a non-reversive contour. anesthetic occupational pose
Anesthetic is halothane. Air temperature microclimate
in the operation room is 21°С, humidity
50\%, level of noise 30 dB. What
occupational hazards is the principal one
in these conditions?
60. Student В. lives in the canalized house in *160-200 l 10-15 l 50-100 l 300-400 l 500 l
the flat with complete set of sanitary
equipment (WC, bath, shower, local water
heater). How much water consumption has
he got? А: 10-15 l В: 50-100 l
+С: 160-200 l D: 300-400 l Е:
500 l
61. What guarantees from the preconceived * Sanction of Draw up a statement Conduct an inquiry Utilisation copy of Conduct forensic
attitude to the physician in cases of public prosecutor, about forensic by preliminary medical documents medical
professional law violations do you know? conduct an inquiry medical investigator of examination by
by preliminary examination police department district forensic
investigator of medicine expert
prosecutor’s office,
committee of
experts
62. All enumerated included all kinds of * Structure Primary Addition, repeated Committee Complex
forensic medical documents with the
exemption of:
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63. Patient M., 37 years old. He came to the Laparotomy, Drainage of the Survey the wound Aseptic bandage. Suture the wound
clinic wounded after an hour.On the suevey organs of wound with rubber with canal probe.
abdominal skin there is pain around abdominal cavity. strip.
umbilicus due to prick and cut wound of Primary surgical
about 0,5 x 1 sm with slight bleeding. processing of the
What help would you provide to the wound.
patient?
64. The patient K. is 23 years old. He has Primary surgical Suture wound. Suture wound and Dry wound with Aseptic dressing of
wounded left arm due to the gunfire. The Processing with a dry it. towel gauzes. the wound.
bones of the arm are undamaged. What flowing suction.
appropriate surgical help must be provided
to such a patient?
65. If a chield has attached fingers in his right Synductylia Polyductilia Macroductilia Ectroductylia Ectromelia
hand, then what will be your diagnosis?
66. Patient K., 34 years old. A dog bit him 3 Wash wound with Aseptic bandage. Cream bandage. Complete suture of Incomplete suture
hours before. In the left arm there is detergent water and the wound. of the wound.
wound by the tooth of dog`s bitc without apply anti-septic.
bleeding . What surgical help would you
provide to such a patient?
67. Patient K., 37 years old complains of pain Phlebit Phlegmon Abscess Inflammation of Arizipeloid
in the right arm, which increases during lymph
motion, increase body temperature upto
39° C. In the right cubital fossa there is a
frace of injection, hyperemia and
thickening along the vein. Your diagnosis?
68. What developes most often after * Cardiac Cushing’s Kutling’s Deylads's Acute pancreatitis.
accidental intake of Hydrochloric acid: insufficiency. syndrome. syndrome. syndrome.
69. Purulent medisatinitis is diagnosed on a * Cervical Deep nech Perforation of the Perforation of the Iatrogenic injury of
63 year old patient. What of the below lymfadinitis. phlegmon. cervical part of the thoracic the the trachea.
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for patient:
82. What treatment is shown for the patient of * Conservative Emergency Urgent operation Antifermental Laparoscopic
63 years of age with an attack of bilious treatment operation after cupping an therapy cholecystotomy
colic, caused by gall-bladder stones? attack
83. Choose correct tactics at the patient of 53 * Operative Only conservative Emergency Scheduled Nasogastral
years of age at the initial stage of treatment at an treatment operation operation intubation
obturative intestinal obstruction inefficiency of
conservative
actions
84. 52-year-old man have recurrent transient * Ultrasound CT of the brain MRI of the brain. Cerebral Electroencephalogr
ischemic attacks. Auscultation of the dopplerography angiography aphy
carotid arteries detected murmur. What
diagnostic method is necessary to apply
the first?
85. On dispensary supervision at theraputist *Uterus body Gulet Liver External sexual Uterus neck
are the patients with diabetes mellitus, organs
hypertonic disease, obesity. The cancer
with what localizations in this group is
necessary to expect with a high degree of
risk?
86. For the persons who are taking place in a * Thyroid gland Skin. Reproduction Breast Lungs
zone of failure on nuclear object, the system organs
greatest risk of development within the
first decade is represented by cancer:
87. 40 year old a patient is diagnosed: 1. * Operation Operation on Krail’s operation Subtotal resection Vanach’s operation
Medular thyroid gland cancer. 2. concerning thyroid gland of thyroid gland and
Feochromatcitoma. What operation should feochromatcitoma fascicular resection
be made at first? of limphatic nodes
88. To the doctor 28 years old a woman has * Incision biopsy Yaks’s reaction Radioisotope Termography Glass-print
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to the tumors of renal pelvis and ureter radiation and take place multiple one frequently nephrurenerectomy
besides: chemotherapy [ with resection of
improve survival the urinary bladder]
100. Female-patient Z.,of 27 years old, was * Supination of the Load along the axis Direct blow. Pronation of the Load along the axis
admitted to the clinic with complaints of foot. with planter flexion foot. with dorsal flexion
pain in right ankle joint, non-bearable of foot. of foot.
extremity. On the clinical examination:
the patient had a fracture of anterior part
of distal metaepiphisis of tibia [Pott-
Desto`s fracture]. What is the mechanism
of such an injury?
101. Patient K.,of 22 years old, was admitted to * At right angle In position of In position of In position of In position of
trauma center with complaints of pain in with varus planter flexion of pronation supination. dorsal flexion of
left ankle joint, which increased while positioning of the foot. foot.
movements and weight bearing. On the foot.
clinical examination it was found, that the
patient had the closed fracture of medial
malleolus without displacement. In which
position the foot has to be fixed in plaster
cast?
102. Female-patient K, of 45 years old, was * At right angle In position of In position of In position of In position of
admitted to the traumatological ward with with varus planter flexion of pronation. supination. dorsal flexion of
the closed fracture of the medial positioning of the foot. foot.
malleolus with its displacement up to 3 foot.
mm. In which position the foot has to be
fixed with a plaster cast?
103. What wall of the inguinal canal is *Anterior Posterior Inferior Superior Posterior-inferior
strngthenel in case of indirect inguinal
hernia?
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104. Triangl Callot is orientation for exposure *Cystic artery Cystic duct Common bill duct Common hepatic Hepatic artery
of: duct
105. The 10 years old child has complaints on *Acute Acute Dysmetabolic Acute cystitis Urolithiasis
fever [39?], frequent painful urination pyelonephritis. glomerulonephritis nephropathy
[pollakiuria]. Urinalysis: proteinuria
[0,066 g/l], leukocytouria [entirely within
eyeshot], bacteriuria [105 colony forming
units/ml]. Which diagnosis is the most
probable?
106. The 8 years old boy has suffered from *Prednisone Cefazolin Delagil Diprazinum Erythromycin
angina. In 2 weeks he has complaints on
migratory joint pain, joint oedema and
restriction of movement, fever. After
examination there was diagnosed acute
rheumatic heart disease, activity of III-rd
degree, primary rheumo-carditis,
polyarthritis; acute course, cardio-vascular
insufficiency IIA. Which of medicines
should be prescribed?
107. The 10 years old boy suffered from angina *Acute rheumatic Systemic lupus Juvenile Reiter’s disease Reactive arthritis
2 weeks ago has complaints on joint pain heart disease erythematosus rheumatoid
and impossibility of movement in left arthritis
knee and right elbow. There was fever
[38,50] and ankle dysfunction,
enlargement of cardiac dullness on 2 cm,
tachycardia, weakness of 1st sound, gallop
rhythm, weak systolic murmur near apex.
Which diagnosis corresponds to such
symptoms?
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108. The child is 1,5 years old. Symptoms: *Enzymes + Cholepoietic+adapt Н2-blockaders + Vitamins+antibiotic Vitamins +
chronic cough with purulent sputum, antibiotics ogenetic medicines hepatoprotectors s mucolytics
dyspnea, retardation of physical
development, large amount of stool. Sweat
chloride 150 mEq/l. The child has been ill
since 2nd month of age. Diagnosis: cystic
fibrosis. Choose the best therapy.
109. The 10 years old boy has complaints on *Pneumonia Intestinal infection Acute appendicitis Acute cholecystitis Flu
headache, weakness, fever [400С], croupousa
vomiting, expressed dyspnea, pale skin
with flush on right cheek, lag of right
hemithorax respiratory movement,
dullness on percussion over low lobe of
right lung, weakness of vesicular
respiration in this zone. The abdomen is
painless and soft under palpation. Which
disease lead to these symptoms and signs?
110. The patient with acute respiratory viral *Acute interstitial Acute renal failure Acute Acute cystitis Acute renal colic
infection [3rd day of disease] has nephritis glomerylonephritis
complaints on pain in lumbar region,
nausea, dysuria, oliguria. Urinalysis –
hematuria [100-200 RBC in eyeshot spot],
specific gravity – 1002. The blood
creatinin level is 0,18 mmol/l, potassium
level - 6,4 mmol/l. Make the diagnosis.
111. The baby boy was born at term from 1st * Hemolytic Jaundice due to Hepatitis Physiological Hemolytic disease
pregnancy. The jaundice was revealed at disease of newborn conjugation disorder jaundice of newborn [Rh -
2nd day of life, then it increased. The [АВО incompatibility]
adynamia, vomiting and hepatomegaly incompatibility],
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aerisation.
180. The primary bronchopneumonia more * Complication of Complication of Complication of Complication of Complication of
often arises as … acute bronchitis. pneumorrhagia. stagnation of blood infarct of the lungs. pneumoconiosis.
in the lungs.
181. What auscultative data of the lungs does in * Bronchial Crepitation. Moist consonating Moist non- Increased vesicular
lobar pneumonia exist at stage of breathing. rales. consonating rales. breathing.
hepatization ?
182. What is the basic of crepitation ? * The separation of Existence of Existence of a Stenosis of a clear Friction of the
alveoli during bronchiectasis filled cavern containing space of bronchus. inflamed pleural
inspiration on walls by pus. liquid and air. layers during
of which the fibrin respiration.
has put.
183. Sputum “full mouth” [is more often in * Bronchoectatic Pulmonary Focal pneumonia. Acute bronchitis. Empyema of
morning time] is characteristic for: disease. tuberculosis. pleura.
184. What is auscultated in syndrome of * Pathological Intensified vesicular Decreased Harsh. Amphoric
infiltration of pulmonary tissue ? bronchial breathing. vesicular breathing.
breathing. breathing, dry
rales.
185. When can pulmonary bleeding arise ? * Bronchoectatic Diffuse catarrhal Bronchiolitis. Lobar pneumonia in Bronchopneumonia
disease. bronchitis. a stage of red .
hepatization.
186. What auscultative phenomenon arises at * Harsh. Moist fine bubbling Crepitation. Moist medium Vesiculo-bronchial
beginning of acute bronchitis ? rales. bubbling rales. breathing.
187. Symptoms of the effected pallidar system *Hemibalism Plastic hypertension Bradikinesia Hipomimia Micrografy
do not include?
188. What of the mentioned symptoms isn't *Disturbance of Hypotension Hyporeflexia Hypotrophy Torpid distal
characteristic of poliomyelitis? sensitiveness paralysis
189. Name the symptom of stretching of the *Lasseg's Lessage's Brudzinsky's Kernig's Vasserman's
ishiatic nerve?
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190. Name the nuclei of the cranial nerves *Oculomotor Accessory Glossopharyngeal Vagus Hypoglossal
which are affected Weber's alternating
syndrome?
191. Neuralgia of the trigeminal nerve is *Transient pain on Permanent pain in Loss of sensitivity Trophical Positives effect
characterized by? the face and trigger the area of on the face disturbances of from sponging by
areas innervation cornea and loss of 5\% solution of
corneal reflex cocaine on the
posterior surface of
the mucosa of the
middle turbinate
bone
192. Central paresis of the mimic muscles is * Affection of Affection of Prolapse of Trophic disorders Affection of mimic
characterized by: mimic muscles of masticatory group papillary reflex muscles of half of
the lower half of of muscles the face
the face?
193. The patient H., aged 36,works as a * An acute Chronic arsenious An acute Carbone bisulfide Leaden
nightman during 12 years.He applied with intoxication intoxication from poisoning by OPS intoxication intoxication
complaints of the headache, loss of pesticides
appetite, syncopal conditions, metallic
taste in the mouth, sometimes
stomachache, dispeptical frustration,
diarrhea and constipation. Objective:
fragility of nails, hyperkeratosis of palms.
Diagnosis?
194. A diagnosis of chronic arsenious * Haemolytic Aplastic anemia Iron deficiency Hyper sideric Normochromic
intoxication was defined in a patient Y., a anemia anemia anemia anemia
nightman. What form of anemia is
characteristic in this disease?
195. The man, aged 42, applied to the * Silicosis Tuberculosis of Silicatosis Bronchiectatic Chronic bronchitis
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initially was made in the USA by means epidemiological method method method method
of method
214. The contagious hypothesis by D. Frocastro * The alive germs, The environmental The miasma of The pathological Invasion of the
and D. Samoylovich being considered as a which are factors cosmotelluric discharges of an body by the evil
causative agent of infectious diseases transmitted from origin organism spirits
one person to
another
215. A 70yr. Old alcoholic male with poor *Amoxycillin Vancomycin Tetracycline Co-trimoxazole Imipenem
dental hygiene is to have his remaining
teeth extracted for subsequent dentures.He
has mitral valve stenosis with mild cardiac
insuffiency and is being treated with
сaptopril,digoxin and furosemide.The
dentist decides that his medical history
warrants prophylactic antibiotic therapy
prior to the procedure and prescribes:
216. A 20 yr old woman with a 3-4 month *Ulcerative colitis Gastroenteritis Carcinoid Zollinger-Ellison Granulomatous
history of bloody diarrhoea; stool syndrome syndrome colitis
examination negative for ova and
parasites;stool cultures negative for
clostridium,campylobacter and
yersinia;normal small bowel
series;oedema,hyperemia and ulceration of
the rectum and sigmoid colon seen on
sigmoidoscopic examination.Select the
most likely Diagnosis:
217. A patient treated for springtime allergies *Erythromycin Ampicillin Cefactor Doxycycline Co-trimoxazole
with terefenadine develops an upper
respiratory tract problem.He receives an
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foramen.Complainse on the
palpitation,fatigability progressing
dyspnea,attacks of a dyspnea and
hemoptysis.Now she can not execute even
the mild activities.What tactics is the most
expedient?
235. The man,42 years old, has died in a road *25-30\%. 6-9\%. 10-14\%. 15-20\%. 35-50\%.
accident after the hemorrhage on the place
,due to acute hemorrhagic anemia. What
minimum percent of all volume of blood
could result in death at acute hemorrhage?
236. In the woman of 42 years ,who suffers * Euphylinum Izardin. Corazolum. Morphinum Strophanthin
from bronchial asthma ,the acute attack of hydrochloride.. hydrochloride .
a bronchial asthma has developed. What
medication from listed below is
contraindicated at granting the first aid to
this woman?
237. Patient K., laboratory-assistant- * Chronic radiation Chronic radiation Acute radiation Acute radiation Acute radiation
radiograph; the amount of Gamma- disease of the disease of the third sickness of sickness of light sickness of severe
radiation per day is 0,65 R. Two years second degree of degree of severity. moderate degree degree degree
later with 60 Co while examining severity
irritability, head aches, poor appetite have
developed. Blood count is normal. While
examining 6 years later after cessation of
any contact with ionizing radiation she
complained of severe head - aches,
dizziness, cardiac pains, undue
fatigability, weakness; instability of
periphery blood indices [especially white]
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