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correct answer - A

1. The 28 y.o. woman applied to doctor because of limited loss of the hair. In the anamnesis - she
had frequent headache indisposition, arthromyalgia, fever, irregular casual sexual life, drug
user. RW is negative. What examination must be done first?
AExamination for HIV
BExamination for neuropathology
CExamination for gonorrhea
DExamination for fungi
EExamination for trichomoniasis
2. A patient was admitted to the hospital on the 7th day of the disease with complaints of high
temperature, headache, pain in the muscles, especially in calf muscles. Dermal integuments and
scleras are icteric. There is hemorrhagic rash on the skin. Urine is bloody. The patient was
fishing two weeks ago. What is the most likely diagnosis?
3. A 22-year-old girl has been complaining of having itching rash on her face for 2 days. She
associates this disease with application of cosmetic face cream. Objectively: apparent
reddening and edema of skin in the region of cheeks, chin and forehead; fine papulovesicular
rash. What is the most likely diagnosis?
AAllergic dermatitis
BDermatitis simplex
4. Medical examination of a 19-year-old worker revealed generalized lymphadenopathy mainly
affecting the posterior cervical, axillary and ulnar lymph nodes. There are multiple injection
marks on the elbow bend skin. The man denies taking drugs, the presence of injection marks
ascribes to influenza treatment. Blood count: RBCs- $3,2\cdot10^{12}$/l, Hb- 100 g/l, WBCs$3,1\cdot10^9$/l, moderate lymphopenia. What study is required in the first place?
CSternal puncture
DX-ray of lungs
ELymph node biopsy
5. After a wasp-bite there was an itching of skin, hoarse voice,
barking cough, anxiety. On physical exam: there is edema of lips, eyelids, cyanosis. What
medicine is to be taken first?

6. A 16-year-old adolescent was vaccinated with DTP. In eight days there was stiffness and pain
the joints, subfebrile temperature, urticarial skin eruption, enlargement of inguinal, cervical
lymph nodes and spleen. What kind of allergic reaction is observed?
BHypersensitivity of immediate type
DHypersensitivity of delayed type
E7. A 20-year-old adolescent lives in the nidus of tuberculous infection. The tuberculine Mantoux
test with 2 TU was determined as hyperergic. What signs determine the hyperergic test of this
A6 mm papula, necrosis
B20 mm papula
C24 mm hyperemia
D4 mm papula
E12 mm hyperemia
8. A 52 y.o. woman complains of weakness, painful itching after washing and bathing,
sensation of
heaviness in the head. On examination: hyperemia of skin of face, neck, extremities. P180/100 mm Hg. Speeln is 4 cm below the rib arch edge. What is the most probable diagnosis?
BEssential hypertension
DAllergic dermatitis
ESystemic sclerodermia
9. A 30 y.o. male patient complains of itching of the skin which intensifies in the evening. He
been ill for 1,5 months. On examination: there is rash with paired papules covered with bloody
crusts on the abdomen, hips, buttocks, folds between the fingers, flexor surfaces of the hand.
There are traces of line scratches. What additional investigations are necessary to make
AExamination of rash elements scrape
BDetermination of dermographism
CSerologic blood examination
DBlood glucose
EExamination for helmints
10. After a serious nervous stress a 35-year-old patient has developed on the dorsal surface of
hands redness and swelling that were later replaced by small inflammatory nodules, vesicles and
following erosion with a significant serous discharge. The process is accompanied by severe
itching. What is the most likely diagnosis?
ATrue eczema
BAllergic dermatitis
CMicrobal eczema
DSimple contact dermatitis

11. A 36-year-old patient complains of skin rash that appeared a week ago and doesn't cause any
subjective problems. Objectively: palm and sole skin is covered with multiple lenticular
disseminated papules not raised above the skin level. The papules are reddish, dense on
palpation and covered with keratinous squamae. What is the provisional diagnosis?
ASecondary syphilis
CPalmoplanar psoriasis
DPalmoplanar rubrophytosis
EPalm and sole callosity
12. A 32-year-old patient has a 3-year history of asthma attacks, that can be hardly stopped
berotec. Over a few last months he has experienced pain in the joints and sensitivity disorder of
legs and feet skin. Ps - 80/min, AP - 210/100 mm Hg. In blood: eosinophilia at the rate of 15\%.
What disease can be suspected in this case?
APeriarteritis nodosa
BSystemic lupus erythematosus
CSystemic scleroderma
EWegener's disease
13. A 5-grade pupil complains about extensive skin rash accompanied by intensive itch,
at night. Objectively: there are small red papules set mostly in pairs in the region of interdigital
folds on both hands, on the flexor surface of radicarpal articulations, abdomen and buttock skin
as well as internal surface of thighs. In the centre of some papules vesicles or
serohaemorrhagic crusts can be seen. There are multiple excoriations. What is the most likely
CRingworm of body
14. A welder at work got the first-degree burns of the middle third of his right shin. 5 days later
skin around the burn became edematic and itchy. Objectively: on a background of a welldefined
erythema there is polymorphic rash in form of papules, vesicles, pustules, erosions with serous
discharge. What is the most likely diagnosis?
AMicrobal eczema
BTrue eczema
DOccupational eczema
EStreptococcal impetigo
15. A 43-year-old female patiet complains of eruption on her right leg skin, pain, weakness,
temperature rise up to $38^oC$. The disease is acute. Objectively: there is an edema on the
right leg skin in the region of foot, a well-defined bright red spot in form of flame tips which

hot. There are isolated vesicles in focus. What is your provisional diagnosis?
BMicrobial eczema
CContact dermatitis
EHaemorrhagic vasculitis
16. A 45-year-old patient complains of some painless nodular elements tending to peripheral
and fusion. He has a 2-year history of this disease. Aggravation takes place mainly in spring. In
anamnesis: the patient's father had similar skin lesions. Objectively: pathological elements
like guttate and nummular nodules, plaques covered with white scales. What is your
BLichen ruber planus
DPityriasis rosea
ESeborrheic eczema
17. 2 days ago a patient presented with acute pain in the left half of chest, general weakness,
and headache. Objectively: between the 4 and 5 rib on the left the skin is erythematous, there
are multiple groups of vesicles 2-4 mm in diameter filled with transparent liquid. What diease
these symptoms typical for?
AHerpes zoster
CHerpes simplex
DStreptococcal impetigo
EHerpetiform Duhring's dermatosis
18. HIV displays the highest tropism towards the following blood cells:
19. A female patient consulted a dermatologist about the rash on the trunk and extremities.
Objectively: interdigital folds, flexor surfaces of wrists and navel region are affected with pairs
nodulo-cystic eruptions and crusts. The rash is accompanied by skin itch that is getting stronger
at night. What external treatment should be administered?
A20\% benzyl benzoate emulsion
B5\% sulfuric ointment
C2\% sulfuric paste
D5\% naphthalan ointment
E5\% tetracycline ointment

20. A patient is being prepared for the operation on account of varix dilatation of lower
veins. Examination of the patient's soles revealed flour-like desquamation along the skin folds.
All the toenails are greyish-yellow, thickened and partially decayed. What dermatosis should be
BPityriasis versicolor
EMicrobial eczema
21. A 3 year old child has been suffering from fever, cough, coryza, conjunctivitis for 4 days. He
been taking sulfadimethoxine. Today it has fever up to $39^oC$ and maculopapular rash on its
face. Except of rash the child's skin has no changes. What is your diagnosis?
BAllergic rash
DScarlet fever
22. A 2 year old girl has been ill for 3 days. Today she has low grade fever, severe catarrhal
presentations, slight maculopapular rash on her buttocks and enlarged occipital lymph nodes.
What is your diagnosis?
BScarlet fever
DAdenoviral infection
23. A 7 y.o. girl fell ill abruptly: fever, headache, severe sore throat, vomiting. Minute bright red
appear in her reddened skin in 3 hours. It is more intensive in axillae and groin. Mucous
membrane of oropharynx is hyperemic. Greyish patches is on the tonsills. Submaxillary lymph
nodes are enlarged and painful. What is your diagnosis?
AScarlet fever
EEnteroviral infection
24. A 7 y.o. boy has crampy abdominal pain and a rash on the back of his legs and buttocks as
as on the extensor surfaces of his forearms. Laboratory analysis reveals proteinuria and
microhematuria. He is most likely to be affected by:
AAnaphylactoid purpura
BSystemic lupus erythematosus
CPoststreptococcal glomerulonephritis
DPolyarteritis nodosa
25. The girl of 11 y.o. She is ill for 1 month. She has "butterfly"-type rash on face (spots and

papules), pain and swelling of small joints on arms and legs, signs of stomatitis (small-sized
ulcers in mouth). CBC: b 80 g/L, RBC $2,9*10^{12}$/L, WBC $15*10^9$/L, ESR- 40
mm/hour. Urinalysis: protein 0,33 g/L. What is the most probable diagnosis?
ASystemic lupus erythematosus
BJuvenile rheumatoid arthritis, systemic type
CPeriarteriitis nodosa
DAcute rheumatic fever
26. A 13 y.o. patient was treated in dermatological hospital for atopic dermatitis exacerbation.
was discharged in the condition of clinical remission. What recommendations should the doctor
give to prevent exacerbations?
AUse of neutral creams to protect skin
BFrequent skin washing with detergents
CSystematic use of local corticosteroids
DSystematic skin disinfection
EAvoidance of skin insolation
27. A child is 4 years old, has been ill for 5 days. There are complaints of cough, skin rash,
$t^o$$38,2^oC$, face puffiness, photophobia, conjunctivitis. Objectively: there is bright,
maculo-papulous, in some areas confluent rash on the face, neck, upper chest. The pharynx is
hyperemic. There are seropurulent discharges from the nose. Auscultation revealed dry rales in
lungs. What is the most likely diagnosis?
BAdenoviral infection
CScarlet fever
EEnterovirus exanthema
28. A full-term infant is 3 days old. On the different parts of skin there are erythemas, erosive
cracks, areas of epidermis peeling. The infant has scalded skin syndrome. Nikolsky's symptom
is positive. General condition of the infant is grave. Anxiety, hyperesthesia, febrile temperature
are evident. What is the most probable diagnosis?
AExfoliative dermatitis
BPhlegmon of newborn
CFinger's pseudofurunculosis
DImpetigo neonatorum
EMycotic erythema
29. A 12 y.o. girl took 2 pills of aspirine and 4 hours later her body temperature raised up to
$39-40^0$. She complains of general indisposition, dizziness, sudden rash in form of red
spots and blisters. Objectively: skin lesions resemble of second-degree burns, here and there
with erosive surface or epidermis peeling. Nikolsky's symptom is positive. What is the most
probable diagnosis?
AAcute epidermal necrolisis
BPemphigus vulgaris
CPolymorphous exudative erythema
DBullous dermatitis
EDuhring's disease

30. Examination of a 4 month old child revealed some lemon-yellow squamae with fatty crusts
on the
scalp. What is the most probable diagnosis?
BMilk crust
EInfantile eczema
31. A child was taken to a hospital with focal changes in the skin folds. The child was anxious
examination, examination revealed dry skin with solitary papulous elements and ill-defined
lichenification zones. Skin eruption was accompanied by strong itch. The child usually feels
better in summer, his condition is getting worse in winter. The child has been artificially fed
he was 2 months old. He has a history of exudative diathesis. Grandmother by his mother's
side has bronchial asthma. What is the most likely diagnosis?
AAtopic dermatitis
BContact dermatitis
CSeborrheal eczema
32. A 4 month old child fell seriously ill: body temperature rose up to $38,5^oC$, the child
inert and had a single vomiting. 10 hours later there appeared rash over the buttocks and lower
limbs in form of petechiae, spots and papules. Some haemorrhagic elements have necrosis in
the centre. What is the most probable disease?
DHaemorrhagic vasculitis
EScarlet fever
33. A 13 year old girl was admitted to the cardiological department because of pain in the
and joints. Examination of her face revealed an edematic erythema in form of butterfly in the
region of nose bridge and cheeks. What is the most probable diagnosis?
ASystemic lupus erythematosus
DRheumatoid arthritis
EPeriarteritis nodosa
34. A 2 m.o. breast-fed child suffers from cheek skin hyperemia, sporadic papulous elements on
skin of the chest and back following the apple juice introduction. The child is restless. What is
the initial pediatritian's tactics?
AClarify mother's diet and exlude obligate allergens
BRefer to prescribe dermathologist
CAdminister general ultraviolet irradiation

DTreat with claritine

EApply ointment with corticosteroids to affected skin areas
35. A 5-year-old child developed an acute disease starting from body temperature rise up to
$38,5^oC$, running nose, cough and conjunctivitis. On the 4th day the child presented with
maculo-papular rash on face. Body temparature rose again up to $39,2^oC$. Over the next few
days the rash spread over the whole body and extremities. Mucous membrane of palate was
hyperemic, there was whitish deposition on cheek mucous membrane next to molars. What is
your provisional diagnosis?
BAcute viral respiratory infection
DEnterovirus diseases
36. A 13 y.o. girl complains of having temperature rises up to febrile figures for a month, joint
periodical skin rash. Examination revealed steady enhancing of ESR, LE-cells. What is the most
probable diagnosis?
ASystematic lupus erythematosus
BJuvenile rheumatoid arthritis
CSystematic scleroderma
DAcute lymphoblast leukosis
37. An 8-year-old girl has been admitted to the cardiology department. Objectively: there is a
lesion over the extensor surfaces of joints with atrophic cicatrices, depigmentation, symmetrical
affection of skeletal muscles (weakness, edema, hypotrophy). What disease are these changes
most typical for?
BSystemic scleroderma
CNodular periarteritis
DSystemic lupus erythematosus
EReiter's disease
38. After a 10-year-old child had been bitten by a bee, he was delivered to a hospital. There
lip, face and neck edemata. The patient felt hot and short of breath. Objectively: breathing was
laboured and noisy. There were foamy discharges from the mouth, cough. The skin was pale
and cold. There was bradypnoea. Heart sounds were muffled and arrhythmic. Thready pulse
was present. What diagnosis was made by the expert in resuscitation?
AAnaphylactic shock
BQuincke's edema
CBronchial asthma
DAcute cardiovascular collapse
ECerebral coma
39. Examination of a newborn revealed skin redness that appeared immediately after birth and
reached the maximum intensity on the second day of life. What is your provisional diagnosis?
ASimple erythema
BToxic erythema

CTransient erythema
DErythema nodosum
EAnnular erythema
40. A child is 2 days old. He was born with a weight of 2900 kg, body length of 50 cm. On
examination the skin is intensely red, elastic, with preserved turgor. Puerile respiration is
present. Respiration rate - 40/min, cardiac sounds are rhythmic, sonorous. HR- 138/min. The
abdomen is soft. The liver extends 2 cm below the costal margin. Diuresis is sufficient. Stool is
in form of meconium. What is the most likely diagnosis?
APhysiological erythema of the newborn
BToxic erythema of the newborn
CNeonatal phlegmon
EExfoliative Ritter's dermatitis
41. On the 6th day of life a child got multiple vesicles filled with seropurulent fluid in the region
occiput, neck and buttocks. General condition of the child is normal. What disease should be
BImpetigo neonatorum
EEpidermolysis bullosa
42. An 8-year-old boy has a 2-year history of blotchy itchy rash appearing after eating citrus
The first eruption occurred at the age of 6 months after the introduction of juices to the baby's
diet. Father has a history of bronchial asthma, mother - that of allergic rhinitis. What is the most
likely diagnosis?
AAtopic dermatitis
CPityriasis Rosea
EQuincke's edema
43. A 3-year-old child with ARVI had been administered biseptol, paracetamol, nazoferon. On
third day of treatment the baby's condition deteriorated: he developed sore throat, stomatitis,
conjunctivitis, hypersalivation, painful dark red spots on the neck, face, chest and legs, then the
spots were replaced with vesicles. Examination revealed lesions of mucous membranes around
the mouth and anus. What is your provisional diagnosis?
AStevens-Johnson syndrome
BAtopic dermatitis
DSerum sickness
EBullous dermatitis
44. A 10 y.o. boy was ill with angina 2 weeks ago, has complaints of joint pain and stiffness of
left knee and right elbow. There was fever ($38,5^0$) and ankle disfunction, enlargement of
cardiac dullness by 2 cm, tachycardia, weakness of the 1st sound, gallop rhythm, weak systolic

murmur near apex. What diagnosis corresponds with such symptoms?

AAcute rheumatic fever
BSystemic lupus erythematosis
CJuvenile rheumatoid arthritis
DReiter's disease
EReactive arthritis
45. A 25-year-old woman complains of profuse foamy vaginal discharges, foul, burning and
in genitalia region. She has been ill for a week. Extramarital sexual life. On examination:
hyperemia of vaginal mucous, bleeding on touching, foamy leucorrhea in the urethral area.
is the most probable diagnosis?
ATrichomonas colpitic
DVagina candidomicosis
EBacterial vaginosis
46. A 27-year-old sexually active female complains of numerous vesicles on the right sex lip,
and burning. Eruptions regularly turn up before menstruation and disappear 8-10 days later.
What is the most likely diagnosis?
AHerpes simplex virus
CPrimary syphilis
DCytomegalovirus infection
EGenital condylomata
47. A 51-year-old patient complains of having intensive bloody discharges from vagina for 15
after delay of menstruation for 2,5 months. In anamnesis: disorders of menstrual function during
a year, at the same time she felt extreme irritability and had sleep disorders. US examination
results: uterus corresponds with age norms, appendages have no pecularities, endometrium is
14 mm thick. What is the doctor's tactics?
ADiagnostic curettage of uterine cavity
BConservative treatment of bleeding
DSupravaginal amputation of uterus without appendages
ETORCH-infection test
48. A 28-year-old patient has been admitted to the gynecological department three days after a
casual coitus. She complains about pain in her lower abdomen and during urination, profuse
purulent discharges from the vagina, body temperature rise up to $37,8^oC$. The patient was
diagnosed with acute bilateral adnexitis. Supplemental examination revealed: the 4th degree of
purity of the vaginal secretion, leukocytes within the whole visual field, diplococcal bacteria
located both intra- and extracellularly. What is the etiology of acute adnexitis in this patient?

49. On the fifth day after a casual sexual contact a 25-year-old female patient consulted a doctor
about purulent discharges from the genital tracts and itch. Vaginal examination showed that
vaginal part of uterine cervix was hyperemic and edematic. There was an erosive area around
the external orifice of uterus. There were mucopurulent profuse discharges from the cervical
canal, uterine body and appendages exhibited no changes. Bacterioscopic examination
revealed bean-shaped diplococci that became red after Gram's staining. What is the most likely
AAcute gonorrheal endocervicitis
BTrichomonal colpitis
CCandidal vulvovaginitis
DClamydial endocervicitis
EBacterial vaginism
50. A 38 year old man, previously in good health, suddenly develops severe abdominal pain
radiating from the left loin to groin and accompanied by nausea, perspiration and the need for
frequent urination. He is restless, tossing in bed but has no abnormal findings. The most likely
diagnosis is:
ALeftsided renal colic
BHerpes zoster
CSigmoid diverticulitis
DTorsion of the left testicle
ERetroperitoneal haemorrhage
51. For the persons who live in a hot area after an accident at a nuclear object, the greatest risk
within the first decade is represented by cancer of:
AThyroid gland
CReproduction system organs
52. What preparations are used for prevention of fungal infection?
AFluconozol, Orungol, Nisoral
BRubomycin, Bleomycin, Mytomycin C
CCytosar, Cormyctin, Lomycitin
DCaptopril, Enalapril
EIsoniazid, Ftibazid, Pyrazinamid
53. A 22 y.o. man complains of acute throat pain, increasing upon swallowing during 3 days.
temperature $38,3^0$, neck lymph nodules are slightly enlarged and painful.
Pharyngoscopically - tonsilar hyperemia, enlargement and edema, tonsils are covered by round
yellow fibrinous patches around crypts openings. Beta-haemolytic streptococcus in swab
analysis. What is the diagnosis?
AAcute membranous tonsilitis
BAcute follicular tonsilitis
CPharyngeal diphtheria
Dnfectious mononucleosis
EPharyngeal candidosis
54. A 33 y.o. patient was admitted to the reception room of the Central District Hospital. He

complains of a severely painful swelling localized on posterior neck, fever up to $38,4^0C$ and
general weakness. In anamnesis: diabetes mellitus within 5 years. On physical examination on
the posterior neck surface there is an infiltrate elevated above surrounding skin. The tissues
affected by swelling are tense and blue reddish discoloration in central area. There are also
several purulent necrotic pustules which are connected with each other and form a large skin
necrosis. A thinned necrotic skin of this swelling has holes looking like sieve, pus discharges
through out. What disease should a doctor consider first of all?
CAcute skin cellulitis
DCarbuncle associated with anthrax
ESkin abscess
55. A 24 y.o. woman consulted a doctor about continued fever, night sweating. She lost 7 kg
the last 3 months. She had casual sexual contacts. Objectively: enlargement of all lymph nodes,
hepatolienal syndrome. Blood count: leukocytes - $2,2*10^9$/L. What disease can be
DInfectionous mononucleosis
56. The patient complains of a painful swelling in the chin region, malaise, headache.
reveals an acutely inflamed cone-shaped dense node. The skin over it is tense, red. In the
center of the node there is an ulcer with overhanging edges and a necrotic core of a dirty-green
colour. Submandibular lymph nodes on the right are enlarged and painful. What is the most
DTertiary syphilis (gummatous form)
EParasitic sycosis
57. On the 5th day after a surgery for colon injury a patient complains of bursting pain in the
postoperative wound, weakness, drowsiness, headache, fever up to $40^oC$. Objectively: the
skin around the wound is swollen, there is gas crepitation. The wound discharges are scarce
foul-smelling, of dark-gray colorl. What is the most likely diagnosis?
AAnaerobic clostridial wound infection
CPostoperative wound infection
58. To replace the blood loss replacement 1000 ml of the same group of Rhesus-compatible
donated blood was transfused to the patient. The blood was conserved by sodium citrate. At the
end of hemotransfusion there appeared excitement, pale skin, tachycardia, muscles cramps in
the patient. What complication should be suspected?
ACitrate intoxication

BCitrate shock
CAllergic reaction
DAnaphylactic shock
EPyrogenous reaction
59. A surgeon examined a 42-year-old patient and diagnosed him with right forearm furuncle at
purulo-necrotic stage. The furuncle was lanced. At the hydration stage the wound dressing
should enclose the following medication:
AHypertonic solution
BVishnevsky ointment
CIchthyol ointment
60. A 40-year-old woman with acute gastrointestinal hemorrhage was transfused 400 ml of the
preserved blood after having conducted all compatibility tests. After hemotransfusion the
condition of the patient became worse. She started having headache, muscles pain, her
temperature has risen up to $38,8^OC$. What is the reason for such condition of the patient?
APyrogenic reaction of medium severity
BHemotransfusional shock development
CAllergic reaction
DBacterial and toxic shock development
EAir embolism
61. A 40-year-old patient underwent an operation for a lumbar phlegmon. Body temparature
again up to $38^oC$, he got intoxication symptoms, there was an increase of leukocyte number
in blood. The wound that was nearly free from necrotic tissues and full of granulations started
discharge pus, the granulations turned pale. What complication dveloped in this patient?
BPutrid phlegmon
DAllergic reaction
62. A patient with frostbite of both feet was delivered to the admission ward. What actions
should be
ATo apply a bandage, to introduce vasodilating medications
BTo administer cardiac medications
CTo put feet into hot water
DTo rub feet with snow
ETo apply an alcohol compress