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Test items for licensing examination

Krok 1
STOMATOLOGY
General Instruction
Every one of these numbered questions or unfinished statements in
this chapter corresponds to answers or statements endings. Choose the
answer (finished statements) that fits best and fill in the circle with the
corresponding Latin letter on the answer sheet.

ББК 54.1я73
УДК 61

Authors of items: Abakarov M.Kh., Alieksandrova E.M., Ambarova L.I., Ananko S.Ya., Barinov E.F.,
Berezniak M.A., Bielan S.M., Bisiarin Yu.V., Blinder O.O., Blyshchavenko Yu.V., Boikiv D.P., Boiko O.V.,
Bondarenko N.M., Bondarenko V.V., Bozhko O.H., Bredykhina L.P., Cherkas L.P., Chernikova H.M.,
Chernobay L.V., Cherviak M.M., Churilin O.O., Datsyshyn P.T., Demianenko I.A., Diakova T.Ye.,
Dron L.A., Dutchak U.M., Dzevulska I.V., Fartushok N.V., Fedchenko M.M., Fedorchenko O.M.,
Filchukov D.O., Filiushyna K.V., Habysheva L.S., Halata D.I., Haliuk U.M., Hanziy T.V., Harhin V.V.,
Herush I.V., Holieva N.V., Honsky Ya.I., Horchakova N.O., Hryhorieva N.P., Hrytsyna I.V.,
Hudyvok Ya.S., Hurmak I.S., Husarenko V.D., Istoshyn V.M., Izmailova L.V., Kaptiukh R.F.,
Kaptiukh R.P., Khodorovsky H.I., Khripkov I.S., Khromenkova O.B., Kiriakulov H.S., Klypych Ya.I.,
Koldunov V.V., Kolot E.H., Kononchuk M.A., Kopchuk T.H., Korolenko H.S., Kovalenko O.Yu.,
Kriuk Yu.Ya., Kryvobok H.K., Kukurychkin Ye.R., Kulish A.S., Kutsyk R.V., Kuziv O.Ye., Kyrychek P.V.,
Kyrychenko L.H., Lebedenko V.Yu., Levchuk O.V., Linchevska L.P., Lozynska R.V., Lyla N.L.,
Maksymchuk T.P., Manzheley O.Ye., Mashko T.V., Matiushenko P.M., Mazepa A.I., Melnyk O.I.,
Mikhieieva N.H., Mishchenko K.M., Morhun Z.K., Mruh V.M., Mykhailiuk I.O., Mysnyk O.F.,
Narbutova T.Ye., Nikolenko L.H., Novoseltseva T.V., Nuzhna O.K., Obraztsova O.H., Omelchenko O.A.,
Ostrivka O.I., Ovchynnikov S.O., Paltov Ye.V., Pandikidis N.I., Pavliy S.Y., Petriuk A.Ye.,
Piddubniak Yu.H., Posokhova K.A., Pototska I.I., Prokopchuk Z.M., Pryshliak A.M., Rodynsky O.H.,
Romanenko O.V., Rozghoniuk Yu.D., Rusalov V.L., Rykalo N.A., Sahan O.V., Serdiuchenko I.Ya.,
Shanko V.M., Shay A.M., Shcherbak L.F., Shemonaieva K.F., Shershun H.H., Shliakhovenko O.O.,
Shnaiderman O.Yu., Shvets V.I., Siedov V.I., Simachova A.V., Skorobohatova Z.M., Sliusarev A.A.,
Sohuiko Yu.M., Sokolenko V.M., Sokurenko N.D., Starlychanova L.D., Stebliuk M.V., Stepanchuk A.P.,
Stetsenko S.O., Stetsenko S.V., Stetsuk Ye.V., Suprunov K.V., Sverbylova T.L., Syrova H.O.,
Sysoienko O.P., Teliuk P.M., Terekhovska O.I., Tertyshny S.I., Tkachenko V.P., Tsiun M.P.,
Tverdokhlib I.V., Tvorko M.S., Usynsky R.S., Verkhova O.O., Voitsekhovsky V.H., Vorobets Z.D.,
Yashchenko A.M., Yelisieieva O.P., Yoltukhivsky M.V., Yurakh O.M., Zakharchuk I.I., Zavhorodniy I.V.,
Zazhaieva V.V., Zdykhovsky I.O., Zelenina N.M., Zholudeva V.I., Zhulinsky V.O., Zuikov S.O.

Item reviewers. Ananko S.YA., Basiy R.V., Bilash S.M., Chevelenkova A.V., Deyneka S.YE.,
Dyeltsova O.I., Fomina L.V., Gaydash I.S., Golovatyuk O.L., Gorgol N.I., Kava T.V., Korolenko G.S.,
Koldunov V.V., Kovalchuk L.YE., Linchevska L.P., Maliy K.D., Neporada K.S., Nikolenko O.G.,
Ovchinnikov S.O., Pikaluk V.S., Prokof’yeva N.V., Pushkar M.S., Sikora V.Z., Sklyarov O.YA.,
Skorobogatova Z.M., Tananakina T.P., Teleshova O.V., Tkachuk S.S., Trzhecinskiy S.D., Vinnikov YU.M.,
Vorobets Z.D., Yoltuhivskiy M.V., Zelenina N.M., Zinkovska L.YA., Zhadinskiy M.V., Zhulinskiy V.O.

The book includes test items for use at licensing integrated examination “Krok 1. Stomatology” and
further use in teaching.
The book has been developed for students of stomatological faculties and academic staff of higher
medical educational establishments.

Approved by Ministry of Public Health of Ukraine as examination and teaching


publication based on expert conclusions (Orders of MPH of Ukraine of
14.08.1998 №251, of 27.12.1999 №303, of 16.10.2002 №374, of 16.04.2003 №239,
of 29.05.2003 №233, of 23.07.2007 №414).

© Copyright Testing Board.


Krok 1 Stomatology 2017 1

1. Heterozygous parents with А (II) A. Placenta


and В (III) blood groups according to B. Yolk sac
AB0 system gave birth to a child. What C. Amnion
is the probability of the child having 0 (I) D. Serous tunic
blood group? E. Allantois

A. 25% 6. It is necessary to perform urinary


B. 100% bladder catheterization of an adult man.
C. 75% Resistance to the catheter can occur in
D. 50% the following structure or part of the
E. 0% urethra:

2. During dehelmintization a patient A. Membranous part


expelled long fragments of a segmented B. Prostatic part
helminth. In some segments their width C. Spongiose part
exceeds their length; there is a rosette- D. External urethral orifice
like uterus in the segment center. Name E. Internal urethral orifice
the helminth:
7. A woman has come to a dentist wi-
A. Diphylobotrium latum th complaints of bruising and swelling
B. Taenia solium around her eye. Anamnesis is as follows:
C. Taeniarhynchus saginatus several days prior her 1st premolar tooth
D. Echinococcus had been extracted, with infraorbital
E. Hymenolepis nana anaesthesia administered; several days
later hematoma appeared in the area of
3. Carious cavities of a 29-year-old foramen intraorbitale. The branch of the
patient contain parasitic protozoa. It following artery was damaged:
is established that they belong to the
Sarcodina class. Specify these protozoa: A. Maxillary artery
B. Facial artery
A. Entamoeba gingivalis C. Superficial temporal artery
B. Entamoeba coli D. Superior labial artery
C. Entamoeba histolutica E. Masseteric artery
D. Amoeba proteus
E. Lamblia intestinalis 8. A patient consulted a doctor about
an increased pain sensitivity of the ear
4. According to the law of constancy skin and ear canal. Palpation behind the
of chromosome numbers, most ani- sternocleidomastoid muscle was painful.
mal species have definite and constant Such clinical presentations are typical of
chromosome number. The mechani- the irritation of the following nerve:
sm that maintains this constancy duri-
ng sexual reproduction of organisms is A. N. auricularis magnus
called: B. N. occipitalis minor
C. Nn. supraclaviculares
A. Meiosis D. N. vagus
B. Schizogony E. N. transversus colli
C. Amitosis
D. Regeneration 9. In a 12-year-old patient an
E. - inflammatory process in the internal ear
spread to the meninges, diffusely affecti-
5. At a certain stage of human ng them. A doctor suspects the process
ontogenesis, physiological bond occurs to have spread through the connection
between circulatory systems of the between the subarachnoid space of the
mother and the fetus. This function is brain and perilymphatic space of the
being carried out by the following provi- internal ear. What anatomic structure
sory organ: became the pathway for the spreading
inflammation?
Krok 1 Stomatology 2017 2

A. Аqueductus vestibuli A. Gum


B. Fossa subarcuata B. Inferior surface of tongue
C. Hiatus canalis n. petrosi majoris C. Labial mucosa
D. Hiatus canalis n. petrosi minoris D. Uvula
E. Fissura petrosquamosa E. Soft palate
10. A woman with essential hypertensi- 15. During gastrulation an embryo
on has been hospitalized. The patient proceeds from histiotrophic to
presents with aneurysm of a. communi- hematotrophic nutrition. What provi-
cans posterior of the cerebrum arterial sory organ makes it possible at first?
circle. What vessels of arterial circle are
normally joined with this artery? A. Chorion
B. Trophoblast
A. A. carotis interna et a. cerebri posterior C. Yolk sac
B. A. carotis interna et a. cerebri media D. Amnion
C. A. carotis externa et a. cerebri anterior E. Allantois
D. A. cerebri anterior et a. cerebri media
E. A. cerebri media et a. cerebri posterior 16. One of the coats of a hollow organ
has anastomotic fibers with nuclei.
11. In the skin biopsy material in the The fibers consist of cells that form
epidermis there are cells with processes intercalated disks at the places of
and cytoplasm that contains dark brown contact. What tissue forms this coat?
granules. Name these cells:
A. Cross-striated cardiac muscle
A. Melanocytes B. Cross-striated skeletal muscle
B. Intraepidermal macrophages C. Unstriped muscle
C. Keratinocytes D. Loose fibrous connective tissue
D. Merkel’s cells E. Dense irregular connective tissue
E. Lymphocytes
17. A 30-year-old woman has decreased
12. Gastroscopy of a patient revealed enzyme content in the pancreatic juice.
the lack of mucus in the coating of the This condition can be caused by insuffici-
mucous membrane. This can be caused ent secretion of the following hormone:
by the dysfunction of the following cells
of gastric wall: A. Cholecystokinin-pancreozymin
B. Somatostatin
A. Cells of prismatic glandular epitheli- C. Secretin
um D. Gastric inhibitory polypeptide
B. Parietal cells of gastric glands E. Vasoactive intestinal peptide
C. Main exocrinocytes
D. Cervical cells 18. Electric current has affected skeletal
E. Endocrinocytes muscle fiber resulting in depolarisati-
on of the membrane. Depolarisation
13. Alcoholic intoxication is accompani- develops due to the following ions
ed by disturbed motor coordination and penetrating the membrane:
equilibrium due to the damage caused
to structural elements of the cerebellum. A. Na+
Functional disturbance of the following B. HCO 3−
cells occurs in the first place: C. Ca2+
D. Cl−
A. Pyriform cells E. K +
B. Basket cells
C. Granule cells 19. Psychological evaluation determined
D. Stellate cells that a person is able to quickly adapt
E. Fusiform cells to changing situation, has good memory,
is emotionally stable, possesses of high
14. Histologic specimen demonstrates an working ability. This person is the most
oral cavity organ with mucosa covered likely to be:
with keratinized stratified squamous epi-
thelium. Specify this organ or its part:
Krok 1 Stomatology 2017 3

A. Sanguine A. Glycosaminoglycans
B. Choleric B. Homopolysaccharides
C. Melancholic C. Disaccharides
D. Phlegmatic D. Oligosaccharides
E. Phlegmatic with melancholic traits E. Glucose
20. An oculist has detected increased ti- 25. Along with normal hemoglobin types
me of darkness adaptation of a patient’s there can be pathological ones in the
eye. What vitamin deficiency can cause body of an adult. Specify one of them:
such symptom?
A. HbS
A. А B. HbF
B. Е C. HbA1
C. С D. HbA2
D. К E. HbO2
E. D
26. Chronic overdosage of glucocorti-
21. A patient suffers from diabetes melli- coids leads to the development
tus with fasting hyperglycemia over 7,2 of hyperglycemia. What process of
mmol/l. What blood plasma protein carbohydrate metabolism is responsible
would allow to assess the patient’s for this effect?
glycemia level retrospectively (4-8 weeks
prior to examination)? A. Gluconeogenesis
B. Glycogenolysis
A. Glycated hemoglobin C. Aerobic glycolisis
B. Albumin D. Pentose-phosphate cycle
C. Fibrinogen E. Glycogenesis
D. C-reactive protein
E. Ceruloplasmin 27. After anaesthetic application during
tooth extraction the patient developed
22. A patient is in the state of marked soft tissue edema of the upper
hypoglycemic coma. What hormone can and lower jaw, skin rash on the face,
cause this condition if overdosed? reddening, and itching. What pathologi-
cal process results in such reaction to the
A. Insulin anaesthetic?
B. Progesterone
C. Cortisol A. Allergy
D. Somatotropin B. Toxic action of a drug
E. Corticotropin C. Inflammation
D. Circulatory deficiency
23. A 24-year-old patient has been admi- E. Disturbed lymph drainage
nistered glutamic acid to treat epilepsy.
Medicinal effect in this case occurs not 28. Due to morbid affection of the
due to glutamate itself, but due to the supraoptic and paraventricular nuclei
product of its decarboxylation: of the hypothalamus a 40-year-old pati-
ent has developed polyuria (10-12 liters
A. γ -aminobutyric acid per day) and polydipsia. The following
B. Histamine 4-monooxygenase hormone is deficient, thus leading to this
C. Serotonin disturbance:
D. Dopamine
E. Taurine A. Vasopressin
B. Oxytocin
24. Mucin aggregates retain water, whi- C. Corticotropin
ch results in their viscosity and protecti- D. Somatotropin
ve action. It is possible because mucin E. Thyrotropin
structure contains:
29. A patient with glossitis presents
with disappearance of lingual papi-
llae, reddening and burning pain in
the tongue. Blood test: erythrocytes -
2, 2 · 1012 /l, hemoglobin - 103 g/l, color
Krok 1 Stomatology 2017 4

index - 1,4. What type of anemia is it? A. Karyorrhexis


B. Karyolysis
A. B12 folate-deficient C. Karyopyknosis
B. Iron deficiency D. Mitotic activity of nuclei
C. α-thalassemia E. Apoptosis
D. β -thalassemia
E. Iron refractory 34. During inspection of dental tools
for sterility in one case gram-positive
30. A patient with chronic renal failure cocci were detected. They were situated
presents with reduced inulin clearance of in clusters and yielded positive plasma
60 ml/min. The following renal function coagulation reaction; the cocci were
is disturbed: fermenting mannitol in anaerobic condi-
tions and exhibiting lecithinase activity.
A. Glomerular filtration What microorganism was detected?
B. Tubular secretion
C. Reabsorption in the proximal tubular A. Staph. aureus
segment of the nephron B. St. epidermidis
D. Reabsorption in the distal tubular C. St. saprophiticus
segment of the nephron D. Str. pyogenes
E. Reabsorption in the tubules of collecti- E. Corinebacterium xerosis
ng duct
35. Analysis of sputum taken from a pati-
31. Histological investigation of an ent with suspected pneumonia revealed
extracted tooth revealed presence of slightly elongated gram-positive di-
necrotic detritus with fatty acid crystals plococci with tapered opposite ends.
and numerous microbe colonies in the What microorganisms were revealed in
pulp chamber. What diagnosis is the the sputum?
most likely?
A. Streptococcus pneumoniae
A. Pulp gangrene B. Staphylococcus aureus
B. Chronic pulpitis C. Klebsiella pneumoniae
C. Complicated chronic pulpitis D. Neisseria meningitidis
D. Serous pulpitis E. Neisseria gonorrhoeae
E. Purulent pulpitis
36. Microscopic examination of pus
32. Autopsy of a man with tuberculosis sample taken from mandibular fistula
has revealed a 3x2 cm large cavity in canal and stained by Gram’s method
the superior lobe of the right lung. has revealed druses with gram-positive
The cavity was interconnected with a coloring in the center and cone-shaped
bronchus, its wall was dense and consi- structures with gram-negative coloring.
sted of three layers: the internal layer Such morphology is characteristic of the
was pyogenic, the middle layer was made agent of:
of tuberculous granulation tissue and the
external one was made of connective ti- A. Actinomycosis
ssue. What is the most likely diagnosis? B. Candidiasis
C. Anaerobic infection
A. Fibrous cavernous tuberculosis D. Staphylococcal osteomyelitis
B. Fibrous focal tuberculosis E. Fusobacteriosis
C. Tuberculoma
D. Acute focal tuberculosis 37. A puncture sample has been taken
E. Acute cavernous tuberculosis from the inguinal lymph nodes of a pati-
ent provisionally diagnosed with plague.
33. Histological investigation of renal bi- The sample was inoculated into hard
opsy material taken from a patient wi- nutrient medium. What shape will the
th tuberculosis has revealed chaotically colonies have, if the diagnosis is confi-
located chromatin granules in the focus rmed?
of caseous necrosis. These changes are
the result of:
Krok 1 Stomatology 2017 5

A. ”Lace handkerchief” failure has been administered a quick-


B. ”Mercury drops” relief cardiac glycoside. Which of the
C. ”Dewdrops” following drugs has been given to the
D. ”Shagreen leather” patient?
E. ”Lion’s mane”
A. Strophanthin
38. To perform conduction anesthesia a B. Adonisidum
patient had been administered a drug C. Digitoxin
used in dental surgery. The patient D. Celanid
developed the symptoms of poisoni- E. Milrinone
ng: central nervous system excitation
followed by paralysis and acute cardi- 43. A patient suffering from ciliary
ovascular insufficiency (collapse). Addi- arrhythmia with anamnesis of bronchi-
tionally there were allergic reactions al asthma should be prescribed an anti-
(itching, swelling, erythema). Name this arrhythmic drug. What antiarrhythmic
drug: drug is CONTRAINDICATED in this
case?
A. Lidocaine
B. Suxamethonium chloride A. Anaprilin (Propranolol)
C. Thiopental sodium B. Ajmaline
D. Tubocurarin chloride C. Verapamil
E. Pipecuronium bromide D. Nifedipine
E. Novocainamide (Procainamide)
39. Enzymes and other active substances
regulating connective tissue density and 44. A 35-year-old woman is diagnosed
permeability are being produced in with faucial diphtheria. The patient di-
connective tissue cells. What enzyme ed with signs of acute heart failure. On
drug is used to make the connecti- autopsy: heart cavities are enlarged in
ve tissue growths looser and more the diameter, heart muscle is dull, flaccid,
permeable? striped on section, with yellowish areas
under the endocardium. What type of
A. Lydase degeneration was detected in cardiac
B. Amylase hystiocytes?
C. Lipase
D. Cocarboxylase A. Fatty
E. Cholinesterase B. Carbohydrate
C. Ballooning
40. A schizophrenic patient has D. Hyaline droplet
been prescribed aminazine. What E. Hydropic
pharmacodynamic action of this drug
justifies its prescription in this case? 45. A 67-year-old patient has ordered a
full functional denture. It was necessary
A. Antipsychotic to extract his left upper canine. After
B. Antiemetic infraorbital anaesthesia the patient
C. Hypothermic presented with progressing hematoma in
D. Muscle relaxant the frontal part of his face. The patient
E. Hypotensive was found to have an injury of the artery
that is the branch of:
41. A patient with maxillofacial joint
arthritis has come to a dentist. The denti- A. A. maxillaris
st prescribed an ointment with an anti- B. A. facialis
inflammatory agent that is a pyrazolone C. A. temporalis superficialis
derivative. Name this agent: D. A. ophthalmica
E. A. labialis superior
A. Butadion (Phenylbutazone)
B. Mefenamic acid 46. A woman, who had undergone
C. Ibuprofen mastectomy due to breast cancer, was
D. Indometacin prescribed a course of radiation therapy.
E. Diclofenac sodium What vitamin preparation has marked
antiradiation effect due to its antioxidant
42. A 55-year-old man with acute heart activity?
Krok 1 Stomatology 2017 6

51. A 45-year-old patient with essential


A. Tocopherol acetate hypertension, who has been taking an
B. Ergocalciferol antihypertensive drug for 4 days, notes
C. Riboflavin that his blood pressure is normalized;
D. Cyanocobalamin however the patient complains of sleepi-
E. Folic acid ness and sluggishness. What drug is the
patient taking?
47. Often the cause of secondary
immunodeficiency is an infectious A. Clophelin (Clonidine)
affection of an organism, when agents B. Prazosin
reproduce directly in the cells of immune C. Captopril
system and destroy them. Specify the di- D. Enalapril
seases, during which the described above E. Apressin (Hydralazine)
occurs:
52. Due to trauma the patient’s
A. Infectious mononucleosis, AIDS parathyroid glands have been removed,
B. Tuberculosis, mycobacteriosis which resulted in inertness, thirst, sharp
C. Poliomyelitis, viral hepatitis type A increase of neuromuscular excitability.
D. Dysentery, cholera Metabolism of the following substance is
E. Q fever, typhus disturbed:
48. Premature babies often develop A. Calcium
respiratory distress syndrome. This B. Manganese
pathology is caused by the deficiency C. Chlorine
of a certain component of the blood–air D. Molybdenum
barrier. Name this component: E. Zinc
A. Surfactant 53. A doctor has established signifi-
B. Capillary endothelium cant growth retardation, disproportional
C. Endothelial basement membrane body build, and mental deficiency of a
D. Alveolar basement membrane child. What is the most likely cause of
E. Alveolocytes this pathology?
49. A forensic laboratory received A. Hypothyroidism
clothes of a citizen, who a day before B. Insufficient nutrition
was reported missing. The clothes were C. Hyperthyroidism
found in a shed, there are red stai- D. Genetic defects
ns identified as blood by an expert. E. Hypopituitarism
What reaction should be performed to
determine whether these red stains are 54. To terminate hypertensive crisis the
dried human blood? patient was administered solution of
magnesium sulfate. What route of drug
A. Circular precipitation administration should be chosen?
B. Complement binding
C. Flocculation A. Intravenous
D. Enzyme immunoassay B. Duodenal
E. Agglutination C. Rectal
D. Oral
50. A patient has a history of chronic E. Intra-arterial
heart failure. Which of the following
hemodynamic parameters is a major 55. A specimen presents an endocri-
symptom of cardiac decompensation ne system organ covered with capsule
development? made of connective tissue. Septa branch
off from the capsule inwards and divi-
A. Decreased stroke volume de the organ into lobules. Each lobule
B. Tachycardia development consists of two cell types: neurosecretory
C. Tonogenic dilatation pinealocytes (polygonal cells with
D. Increased peripheral vascular resi-
stance processes) located in the center and gli-
E. Increased central venous pressure acytes (astrocytes) located at the peri-
phery. What organ is represented in this
specimen?
Krok 1 Stomatology 2017 7

systemic arterial pressure. This pressure


A. Epiphysis change was caused by the intensified
B. Pituitary gland realization of the following reflexes:
C. Hypothalamus
D. Thyroid gland A. Conditioned sympathetic
E. Adrenal medulla B. Conditioned parasympathetic
C. Conditioned sympathetic and
56. After introdiction of adrenaline the parasympathetic
patient’s blood glucose level increased. D. Unconditioned parasympathetic
It is caused by intensified: E. Unconditioned sympathetic
A. Glycogenolysis in the liver 61. A connective tissue specimen stained
B. Glycolysis in the liver with hematoxylin-eosin shows isogenous
C. Glycolysis in the skeletal muscles cell groups surrounded with basophi-
D. Glycogen synthesis lic intercellular substance. No fibrous
E. Glycogenolysis in the muscles structures are detected. What type of
connective tissue is it?
57. A 20-year-old young man, who
started to train systematically in athleti- A. Hyaline cartilage tissue
cs, has the following resting-state blood B. Elastic cartilage tissue
values: erythrocytes - 5, 5 · 1012 /l, reti- C. Dense fibrous tissue
culocytes - 12%, hemoglobin - 160 g/l, D. Loose fibrous tissue
color index - 1,03. Such blood values E. Splenial bone tissue
indicate erythropoiesis stimulation due
to the following occurring in the process 62. A 46-year-old patient consulted an
of his training: oculist about drooping of the upper
eyelid. On examination he was di-
A. Hypoxemia agnosed with a brain tumor. The
B. Hypercapnia pathological process must have affected
C. Physical activity the nuclei of the following pair of cranial
D. Hyperventilation nerves:
E. Hyperglycemia
A. III
58. In the armpits of a patient there B. II
are small (1-1,5 mm), dorsoventrally C. IV
flattened, wingless, blood-sucking D. VI
insects. Their larvae have been developi- E. VII
ng in the armpits as well. What disease is
caused by these insects? 63. A 36-year-old patient consulted an
ophthalmologist about eye ache. The
A. Phthiriasis examination revealed erosion of the
B. Sleeping sickness cornea, that is the lack of superficial and
C. Chagas’ disease spinous layers of the epithelium. What
D. Plague cells will provide regeneration of the
E. Relapsing fever damaged epithelium?
59. To treat peptic ulcer disease of the A. Cells of stratum basale
stomach a patient has been prescribed B. Cells of stratum corneum
famotidine. Specify the mechanism of C. Cells of stratum granulosum
action of this drug: D. Cells of stratum lucidum
E. Cells of stratum superficiale
A. H2 histamine receptors block
B. Effect on ion channels of cell 64. A patient undergoing treatment with
membranes nitrofurans has imbibed a small amount
C. Antienzyme action of alcohol, which resulted in severe poi-
D. Physicochemical interaction soning. The poisoning developed due to:
E. Effect on cell membrane transport
system
60. A student, who unexpectedly met
his girlfriend, developed an increase in
Krok 1 Stomatology 2017 8

A. Accumulation of acetic aldehyde A. Hydrochlorothiazide


B. Allergic reaction B. Spironolactone
C. Neural disorder C. Panangin
D. Cardiovascular collapse D. Silibor
E. Disturbed renal function E. Lisinopril
65. During development of a frostbite 70. A patient, who had been eating
the exposed skin becomes pale and its only polished rice, developed polyneuri-
temperature drops. What mechanism is tis caused by thiamine deficiency. What
the basis of these developments? compound can be indicative of this kind
of avitaminosis when excreted with uri-
A. Reflex vasoconstriction ne?
B. Dermal and subcutaneous vasodi-
latation A. Pyruvic acid
C. Visceral vasoconstriction B. Malate
D. Decreased heart rate C. Methylmalonic acid
E. Closure of arteriovenous anastomoses D. Uric acid
E. Phenylpyruvate
66. A patient during fasting developed
ketoacidosis as a result of increased fatty 71. A doctor examined a patient, studi-
acids decomposition. This decompositi- ed the patient’s blood analyses and
on can be inhibited with: concluded that the peripheral organs
of immunogenesis are damaged. What
A. Insulin organs are the most likely to be affected?
B. Glucagon
C. Adrenaline A. Tonsils
D. Thyroxin B. Thymus
E. Cortisol C. Kidneys
D. Red bone marrow
67. Examination of a patient revealed E. Yellow bone marrow
glycosuria and hyperglycemia. He
complains of dry mouth, itchy skin, 72. In what organ biotransformation
frequent urination, thirst. He has been (metabolic transformation) of most
diagnosed with diabetes mellitus. What medicinal agents occurs upon their
is the cause of polyuria in this patient? introduction into an organism?
A. Increased urine osmotic pressure A. Liver
B. Decreased plasma oncotic pressure B. Kidneys
C. Increased filtration pressure C. Intestine
D. Decreased cardiac output D. Skin
E. Increased plasma oncotic pressure E. Lungs
68. Due to overdosage of a vasodilator a 73. A patient with diabetes mellitus has
58-year-old patient has developed acute been delivered to a hospital unconsci-
vascular insufficiency. What drug would ous. BP is low, Kussmaul’s respiration
be advisable for termination of this is observed, the smell of acetone can
pathological condition? be detected from the patient’s mouth.
What mechanism is leading in the coma
A. Mesaton (Phenylephrine) development in this case?
B. Euphyllin (Aminophylline)
C. Dopamine A. Accumulation of ketone bodies in
D. Cordiamin blood
E. Aethimizolum (Methylamide) B. Accumulation of potassium ions
C. Accumulation of sodium ions
69. To treat chronic heart failure a D. Accumulation of chlorine ions
patient takes digoxin. What diuretic E. Accumulation of urea
can increase digoxin toxicity due to
increased excretion of K + ions? 74. A patient has been diagnosed with bi-
cuspid valve insufficiency. Where is this
valve located?
Krok 1 Stomatology 2017 9

A. Between the left atrium and left 79. A 12-year-old boy has tetanic
ventricle convulsions. What gland can be functi-
B. Between the right atrium and right onally impaired in this case?
ventricle
C. Between the left and right atria A. Glandulae parathyroidae
D. Between the left and right ventricles B. Hypophisis
E. At the aortic orifice C. Glandula thyroidea
D. Thymus
75. In the epicenter of the registered E. Glandula pinealis
rabies cases among wild animals a 43-
year-old man came to a clinic and clai- 80. A man came to a surgeon with
med to have been bitten by a stray dog. complains of pain in his lower right
He was given a course of anti-rabies abdomen. On deep palpation the doctor
vaccine. This preparation belongs to the detected a painful area in the right ingui-
following type of vaccines: nal region. What part of the intestine
is the most likely to be affected with
A. Attenuated pathological process?
B. Inactivated
C. Molecular A. Cecum
D. Toxoids B. Transverse colon
E. Synthetic C. Descending colon
D. Sigmoid colon
76. In Western Europe nearly half of all E. Rectum
congenital malformations occur in the
children conceived in the period when 81. During investigation of skin epitheli-
pesticides were used extensively in the um it was determed, that it consists of
region. These congenital conditions are several cellular layers. Epithelial cells of
the result of the following factor: the external layer have no nuclei. What
type of epithelium is it?
A. Teratogenic
B. Carcinogenic A. Keratinized stratified squamous epi-
C. Malignization thelium
D. Mutagenic B. Non-keratinized stratified squamous
E. Mechanical epithelium
C. Transitional epithelium
77. Gastrulation is the period of D. Multirow ciliary epithelium
embryogenesis, when germinal layers E. Multirow columnar epithelium
are formed, resulting in three-layered
structure of an embryo. What gastrulati- 82. A histological specimen shows termi-
on mechanism is characteristic of a nal secretory parts of glands made of
human embryo? conic cells with basophilic cytoplasm and
a roundish nucleus in the centre. Specify
A. Delamination and immigration the type of terminal secretory parts by
B. Invagination the type of secretion:
C. Epiboly
D. Immigration and invagination A. Serous
E. Delamination and epiboly B. Sebaceous
C. Combined
78. A 19-year-old young man has been D. Mucous
examined in a nephrological hospi- E. Seromucous
tal. Increased potassium content was
detected in secondary urine of the pati- 83. Electron diffraction pattern of a
ent. Such alterations are the most likely spermatozoon clearly presents a sheath-
to be caused by the increased secretion like structure localized in the spermi-
of the following hormone: ocalyptrotheca and participating in di-
ssolution of ovular membranes. Name
A. Aldosterone this structure:
B. Oxytocin
C. Adrenaline
D. Glucagon
E. Testosterone
Krok 1 Stomatology 2017 10

A. Acrosome
B. Centriole A. Complete
C. Microtubules B. Complete with continued hydration
D. Axoneme C. Quantitative
E. Segmented columns D. Qualitative
E. Incomplete
84. A patient complains of toothache.
On examination he has been di- 89. Micromanipulator was used to
agnosed with pulpitis. Which factor extract one of the two centrioles
played the main pathogenic role in the of centrosome (cell center) from
development of pain syndrome in this hepatocyte (liver cell). What process will
case? STOP OCCURRING in this cell?
A. Increased intratissular pressure in the A. Division
dental pulp B. Energy exchange
B. Vasospasm C. Glycogen synthesis
C. Inadequate stimulation of the mandi- D. Protein biosynthesis
bular nerve branch E. Lipid synthesis
D. Activation of one of the complement
system components 90. During an experiment aimed as study
E. Interleukin action of respiration regulation processes the
peripheral chemoreceptors of test ani-
85. The patient’s saliva has been tested mals were stimulated, which resulted
for antibacterial activity. What saliva in changed respiratory rate and depth.
component has antibacterial properties? Where are these receptors localized?
A. Lysozyme A. Aortic arch, carotid sinus
B. Amylase B. Capillary bed, aortic arch, carotid
C. Ceruloplasmin sinus
D. Parotin C. Capillary bed, aortic arch
E. Cholesterol D. Capillary bed, carotid sinus
E. Atria, carotid sinus
86. A patient with a bleeding knife
wound in the area of carotid triangle has 91. After an abortion a 25-year-old
been delivered to a hospital. Blood flowi- woman developed oliguria, anuria, and
ng from the wound is dark. What vessel increasing azotemia. The patient di-
is injured? ed of acute renal failure. Autopsy
revealed degeneration and necrosis of
A. Internal jugular vein the convoluted renal tubules epithelium.
B. External jugular vein What disease was the cause of death in
C. Internal carotid artery this case?
D. Facial artery
E. Facial vein A. Acute necrotizing nephrosis
B. Acute pyelonephritis
87. A patient with symptoms of C. Chronic glomerulonephritis
acute heart failure, namely pallor, D. Renal amyloidosis
acrocyanosis, and rapid shallow breathi- E. Rapidly progressive glomerulonephri-
ng, has been delivered to an emergency tis
department. Which of these drugs is indi-
cated in this case? 92. A child with a foreign body in
the lungs has been hospitalized. What
A. Corglycon bronchus is the most likely to contain
B. Digitoxin this foreign body, if its diameter approxi-
C. Cordiamine mates to 1,5 cm?
D. Nitroglycerine
E. Adrenalin hydrochloride A. Right primary bronchus
B. Lobar bronchus
88. A victim of an earthquake has been C. Left primary bronchus
remaining under debris for 7 days wi- D. Left segmental bronchus
thout food or water. What type of E. Right segmental bronchus
starvation is it?
Krok 1 Stomatology 2017 11

93. During examination of the oral lateral surface of the first upper molar
cavity at the vestibular surface of the there was detected a cone-shaped cari-
lower right incisor there was detected ous cavity with base oriented towards
a rounded growth on the thin pedicle. the tooth surface and apex - towards the
Histologically: in the connective tissue tooth center. Softened dentin is visible at
there are numerous thin-walled sinusoi- the floor of the carious cavity. Make the
ds, hemorrhage areas, hemosiderin foci, diagnosis:
and giant cells resembling osteoclasts.
Make the diagnosis: A. Dentin caries
B. Enamel caries
A. Giant cell epulis C. Cement caries
B. Granular cell ameloblastoma D. Tooth erosion
C. Angiomatous epulis E. -
D. Gingival fibromatosis
E. Cavernous hemangioma 98. After restoration of maxllary inci-
sors with artificial crowns a 44-year-old
94. A 35-year-old man has come to a woman was found to have a brownish
dentist with complaints of decreased growth in the form of a node 15 mm in di-
density of the dental tissue and increased ameter. Histological study revealed that
brittleness of his teeth during consumpti- under the stratified squamous epitheli-
on of hard food. Laboratory analysis um of the gingiva there was a connecti-
measured Ca/P correlation in the ve tissue mass with numerous sinusoi-
enamel sample. What value of Ca/P dal vessels, oval-shaped mononuclear
indicates increased demineralization? cells forming osteoid substance, and
polynuclear giant cells that destroyed the
A. 0,9 alveolar ridge of the upper jaw. What is
B. 1,67 the most likely diagnosis?
C. 1,85
D. 2,5 A. Giant cell epulis
E. 1,5 B. Fibromatous epulis
C. Angiomatous epulis
95. During examination a dentist noti- D. Gingival fibromatosis
ced bowl-shaped defects on the frontal E. Eosinophilic granuloma
surface of the patient’s canines in the
cervical area. Microscopically the pulp 99. A woman is diagnosed with fatty ti-
is covered with compacted dentin, sli- ssue inflammation located between the
ghtly atrophied and sclerosed. What leaves of broad ligament of the uterus.
pathological process occurs in the pati- Name this anatomical structure:
ent?
A. Parametrium
A. Cuneiform defects B. Perimetrium
B. Superficial caries C. Myometrium
C. Median caries D. Endometrium
D. Stage of chalky white spots E. Mesometrium
E. Deep caries
100. Normal metabolic rate and energy
96. A patient complains of frequent expenditure should be taken into
bowel movements and stool with blood account when actual basal metabolic
admixtures (”raspberry jelly” stool). Mi- rate of a patient is being determied by
croscopic examination revealed large means of indirect calorimetry. Normal
mononuclear cells with absorbed red metabolic rate can be determined most
blood cells. What protozoon is this accurately based on the patient’s:
morphological structure typical of?
A. Sex, age, height and weight
A. Entamoeba histolytica B. Body surface area and weight
B. Giardia lamblia C. Respiratory coefficient and body
C. Campylobacter jejuni surface area
D. Toxoplasma gondii D. Height and respiratory coefficient
E. Balantidium coli E. Respiratory coefficient and caloric
coefficient of oxygen
97. During teeth examination on the
Krok 1 Stomatology 2017 12

101. On microscopic examination of determine activity of a number of


leftovers of the canned meat eaten by enzymes and their izoenzymes in the
a patient with severe food toxicoinfecti- blood. What enzyme assay is considered
on the following was detected: gram- to be optimal for confirming or ruling
positive bacilli with subterminal staini- out cardiac infarction at the early stage,
ng defect and configuration alteration after the patient develops thoracic pain?
of bacilli generally resembling a tennis
racket. What agent was detected? A. Creatine kinase MB isoenzyme
B. Creatine kinase MM isoenzyme
A. C. botulinum C. LDH1 isoenzyme
B. S. aureus D. LDH5 isoenzyme
C. E. coli E. Cytoplasmic isoenzyme of aspartate
D. S. enteritidis aminotransferase
E. P. vulgaris
106. A 56-year-old man presents wi-
102. The patient’s examination in th parathyroid tumor. The followi-
a hospital specialised in diseases of ng is observed: muscle weakness,
nervous system has revealed absence of osteoporosis, bone deformation,
light-induced miosis. It is caused by the nephroliths consisting of oxalates and
damage of the following brain structures: phosphates. The patient’s condition is
caused by:
A. Vegetative nuclei of the 3rd pair of
cranial nerves A. Increased secretion of parathyroid
B. Red nuclei of mesencephalon hormone
C. Reticular nuclei of mesencephalon B. Decreased secretion of parathyroid
D. Hypothalamus nuclei hormone
E. Reticular nuclei of medulla oblongata C. Increased secretion of calcitonin
D. Decreased secretion of calcitriol
103. A newborn boy has been diagnosed E. Increased secretion of thyroxin
with hydrocephalus. Doctors consider
it to be caused by teratogenic factors. 107. There is increased activity of AST,
What germ layers are affected by the LDH1, LDH2 , and CPK in the patient’s
teratogen? blood. Pathological process most likely
occurs in the:
A. Ectoderm
B. All embryo germ layers A. Heart
C. Endoderm and mesoderm B. Skeletal muscles
D. Endoderm C. Kidneys
E. Mesoderm D. Liver
E. Adrenal glands
104. A patient on the 2nd day after
cardiac infarction presents with acute 108. A patient suffering from acute
decrease of systolic blood pressure vascular purpura is prescribed a first-
down to 60 mm Hg with tachycardia generation antihistamine with local
140/min., dyspnea, loss of consciousness. anaesthetic, antispasmodic, and sedati-
What mechanism is essential in the ve action. Specify this drug:
pathogenesis of shock developed in this
case? A. Dimedrol (Diphenhydramine)
B. Diazolin (Mebhydrolin)
A. Decreased cardiac output C. Dithylin
B. Increased myocardial excitability D. Droperidol
caused by products of necrotic disi- E. Dibazol (Bendazol)
ntegration
C. Decreased circulating blood volume 109. A patient with autoimmune thyroi-
D. Development of paroxysmal ditis has been prescribed a peptide
tachycardia hormonal agent. Specify this agent:
E. Development of anaphylactic reaction
to myocardial proteins
105. For biochemical diagnostics of
cardiac infarction it is necessary to
Krok 1 Stomatology 2017 13

A. L-thyroxin epileptic seizures. He has been admini-


B. Trimethoprim stered a biogenic amine synthetized from
C. Triamcinolone glutamate and responsible for central
D. Triquilar inhibition. What substance is it?
E. Tamoxifen
A. γ -aminobutyric acid
110. A 42-year-old woman, who has B. Serotonin
been keeping to a vegetarian diet for a C. Dopamine
long period of time, consulted a doctor. D. Acetylcholine
Examination revealed negative nitrogen E. Histamine
balance in the patient. What factor is the
most likely cause of such a condition? 115. Red bone marrow has been
damaged under radioactive emission of
A. Insufficient amount of proteins in the 5 Gy. What determines the red bone
diet marrow sensitivity towards ionizing radi-
B. Insufficient amount of dietary fiber ation?
C. Excessive amount of fats in the diet
D. Insufficient amount of fats in the diet A. Intensive cell division
E. Decreased rate of metabolic processses B. High content of free radicals in the
cells
111. Cytogenetic analysis allowed to C. High content of peroxides in the cells
determine the patient’s karyotype - 47, D. Radiosensitizers in the cells
XY, +21/46, XY. Name this condition: E. Destructive effect of radiotoxins on
DNA synthesis
A. Mosaicism
B. Deletion 116. A 40-year-old patient suffers from
C. Translocation intolerance of dairy products. This
D. Genocopy condition has likely developed due to
E. Phenocopy insufficiency of the following digestive
enzyme:
112. A patient, who after a trauma
suffers from impeded active flexion of A. Lactase
elbow, consulted a traumatologist. What B. Lipase
muscle is the most likely to be damaged? C. Maltase
D. Invertase
A. M. biceps brachii E. Amylase
B. M. pectoralis major
C. M. deltoideus 117. A patient has been diagnosed wi-
D. M. coracobrachialis th severe B12 -deficient anemia with
E. M. latissimus dorsi hemopoiesis disturbance. Anamnesis
states total gastrectomy. What cells allow
113. In the patient’s feces there were to confirm this diagnosis, if they are
eggs of Fasciola hepatica. The doctor, absent in the peripheral blood?
however, refrained from making di-
agnosis and insisted on a repeat of A. Megalocytes
analysis, with beef liver excluded from B. Microcytes
the patient’s diet. What led the doctor to C. Ovalocytes
make such decision? D. Normocytes
E. Anulocytes
A. Possible phenomenon of transient
eggs 118. To prevent wound infection associ-
B. Absent symptoms of invasion ated with surgical procedures a patient
C. Uncertainty regarding the analysis was given a synthetic antiprotozoan drug
precision demonstrating high activity against Heli-
D. Insufficient qualification of a cobacter pylori. Specify this drug:
laboratory assistant
E. Lack of trust towards the investigation A. Metronidazole
method B. Doxycycline hydrochloride
C. Chingamin
114. A patient presents with dysfunction D. Acyclovir
of the cerebral cortex accompanied by E. Isoniazid
Krok 1 Stomatology 2017 14

119. A specimen of intestine A. Atropine sulphate


demonstrates complex branching B. Proserin
tubuloalveolar glands with their ends C. Adrenalin hydrochloride
embedded in the submucous layer. What D. Pilocarpine hydrochloride
organ is it? E. Dithylinum
A. Duodenum 124. A patient consulted a therapeuti-
B. Jejunum st with complaints of pain in the chest,
C. Ileum cough, fever. X-ray revealed eosinophi-
D. Colon lic infiltrates in the lungs, further investi-
E. Cecum gation of which allowed to detect
presence of larvae. What helminthiasis
120. After examining a patient a doctor is it characteristic of?
recommended him to exclude rich
meat and vegetable broths, spices, and A. Ascariasis
smoked products from the diet, since the B. Echinococcosis
patient was found to have: C. Fascioliasis
D. Cysticercosis
A. Increased secretion of hydrochloric E. Trichiniasis
acid by the stomach glands
B. Reduced secretion of hydrochloric 125. As a result of an injury a child
acid by the stomach glands developed an abscess of adipose tissue of
C. Reduced motility of the gastrointesti- the cheek. With time the process spread
nal tract to the lateral surface of the pharynx. Pus
D. Reduced salivation had spread along the following fascia:
E. Biliary dyskinesia
A. Bucco-pharyngeal
121. Roentgenologically confirmed B. Temporal
obstruction of common bile duct C. Masticatory
resulted in preventing bile from inflowi- D. Parotid
ng to the duodenum. What process is E. -
likely to be disturbed?
126. Brain investigation by means of
A. Fat emulgation nuclear magnetic resonance revealed the
B. Protein absorption patient to have a hematoma in the genu
C. Carbohydrate hydrolysis of the internal capsule. What pathway is
D. Hydrochloric acid secretion in stomach damaged in this case?
E. Salivation inhibition
A. Tr. cortico-nuclearis
122. Typical signs of food poisoning B. Tr. cortico-spinalis
caused by C. botulinum include diplopia, C. Tr. cortico-fronto-pontinus
swallowing and respiration disorders. D. Тr. cortico-thalamicus
These signs develop due to: E. Tr. thalamo-corticalis
A. Exotoxin action 127. Cytochemical investigation revealed
B. Enterotoxin action high content of hydrolytic enzymes
C. Enterotoxic shock development in the cytoplasm. This phenomenon
D. Adenylate cyclase activation indicates the activity of the following
E. Adhesion of the agent to enterocyte organelles:
receptors
A. Lysosomes
123. A patient in a grave condition has B. Endoplasmic reticulum
been delivered to an admission ward. C. Mitochondria
Examination revealed pupil mydriasis, D. Polysomes
no reaction to the light, considerable E. Cell center
reddening and dryness of skin and
mucous membranes. What drug could 128. A victim of a traffic accident has
have caused the intoxication symptoms? lost thoracic respiration but retaines di-
aphragmal. The spinal cord is most likely
to be damaged at:
Krok 1 Stomatology 2017 15

A. VI-VII cervical segments What muscle had displaced the coronoid


B. I-II cervical segments process?
C. XI-XII cervical segments
D. I-II lumbar segments A. Right temporal muscle
E. I-II sacral segments B. Right masticatory muscle
C. Right lateral pterygoid muscle
129. Preventative examination of a 55- D. Right medial pterygoid muscle
year-old patient revealed type II di- E. Left masticatory muscle
abetes mellitus. An endocrinologist
detected an increase in body weight 133. A patient with bronchial asthma
and liver enlargement. The man is a has developed a bronchial spasm duri-
non-smoker and does not abuse alcohol ng the visit to a dentist. Name the drug
but likes to have a ”hearty meal”. Hi- necessary to arrest the spasm:
stological examination by means of di-
agnostic liver puncture revealed that the A. Salbutamol
hepatocytes were enlarged mostly on the B. Naphthizin
lobule periphery, their cytoplasm had C. Mesaton (Phenylephrine)
transparent vacuoles that reacted positi- D. Anaprilin (Propranolol)
vely with sudan III. What liver pathology E. Bisoprolol
was revealed?
134. Microscopy of an oval cell, 150
A. Fatty hepatosis micron in size, revealed the following:
B. Acute viral hepatitis cytoplasm has yolk inclusions but no
C. Chronic viral hepatitis centrioles. Name this cell:
D. Alcohol hepatitis
E. Portal liver cirrhosis A. Oocyte
B. Leucocyte
130. On microscopic examination of a C. Myocyte
surgical biopsy material (part of the lip D. Fibroblast
with an ulcer) near the ulcer margins E. Macrophage
and under the ulcer floor in the connecti- 135. A worker of a cattle farm consulted
ve tissue of mucosa there are epithelial a surgeon about fever up to 40o C ,
complexes composed of atypical stratifi- headache, weakness. Objective exami-
ed epithelium with pathological mitotic nation of his back revealed hyperemia
figures. Within these complexes there are and a dark red infiltration up to 5 cm in
accumulations of bright pink concentric diameter with black bottom in its center,
formations. What pathology is it? which was surrounded with pustules.
A. Squamous cell keratinous carcinoma What disease are these presentations
B. Squamous cell nonkeratinous carci- typical of?
noma A. Anthrax
C. Papilloma B. Plague
D. Transitional cell carcinoma C. Tularemia
E. Basal cell carcinoma D. Furuncle
131. During examination of a patient E. Abscess
with a periodontal disease it would be 136. The autopsy of a 37-year-old man
advisable to investigate functional state has revealed the following: in the aorta
of blood vessels of the dentomaxillary on the smooth glossy ivory-colored inti-
area. What method can be applied in this ma there are yellowish-gray spots blendi-
case? ng with each other, which form stripes
A. Rheography that do not protrude from the intima
B. Gnathodynamometry surface. Microscopy reveals swelling and
C. Sphygmography destruction of elastic membranes, di-
D. Chronaximetry ffuse impregnation of aortic wall with
E. Electroodontodiagnostics orange granules (if stained with Sudan
III), orange coloring of macrophage
132. A patient with displaced fracture of cytoplasm and nonstriated muscle
the right coronoid process of mandible elements. Specify this process:
has been delivered to a first-aid center.
Krok 1 Stomatology 2017 16

A. Lipoidosis of the aorta ty 5x5 cm in size with uneven margins,


B. Liposclerosis of the aorta filled with dark red blood clots. What
C. Atheromatosis of the aorta cerebral circulation disorder developed
D. Atherocalcinosis of the aorta in the patient?
E. Imbibition of the aorta with cadmium
salts A. Hematoma
B. Hemorrhagic infiltration
137. A patient with acute bronchitis has C. Thrombosis
been prescribed sulfanilamide drugs for D. Petechial hemorrhage
treatment. In an hour after administrati- E. Local venous hyperemia
on the patient developed itching and
vesicles filled with light transparent li- 141. What factor results in the highest
quid on the face, palms and soles. Name energy expenditure under the normal vi-
the mechanism of immune response: tal activity conditions?
A. Reaginic reaction A. Action of skeletal muscles
B. Antibody-mediated cytolysis B. Increase of environment temperature
C. Cell cytotoxicity C. Decrease of environment temperature
D. Immune complex-mediated D. Mental work
hypersensitivity E. Food rich in calories
E. -
142. To drain the oral cavity a dentist
138. A 47-year-old man consulted a places a tampon between the cheek and
dentist about difficult mouth opening the 2nd upper molar. This way secreti-
(trismus). The patient has a history of on of the following salivary gland WILL
a stab wound of the lower extremity. NOT be able to accumulate in the oral
What infection can be manifested by cavity:
these symptoms?
A. Parotid gland
A. Tetanus B. Submandibular gland
B. Brucellosis C. Sublingual gland
C. Whooping cough D. Lingual gland
D. Anaerobic wound infection E. Labial glands
E. Tularemia
143. During thermal stimulation it is
139. A 69-year-old patient developed characteristic of oral cavity blood vessels
a small plaque with subsequent to:
ulceration on the skin of the lower
eyelid. The formation was removed. A. Dilate in response to both cold and
Microscopic examination of dermis hot stimuli
revealed complexes of atypical epitheli- B. Present no response towards thermal
al cells arranged perpendicularly to the stimuli
basal membrane on the periphery. The C. Respond with constriction to cold
cells were dark, of polygonal prismatic stimuli
shape, and had hyperchromic nuclei with D. Respond with constriction to hot
frequent mitoses. What is the histologi- stimuli
cal form of carcinoma in this patient? E. Respond depending on the vessel
functional condition
A. Basal cell carcinoma
B. Keratinizing squamous cell carcinoma 144. After the cerebral hemorrhage a
C. Nonkeratinizing squamous cell carci- patient developed aphasia - lost the abi-
noma lity to articulate words. The hemorrhage
D. Adenocarcinoma is localized in the:
E. Undifferentiated carcinoma A. Inferior frontal gyrus
140. A 68-year-old man, who had been B. Superior frontal gyrus
suffering from essential hypertension for C. Middle frontal gyrus
a long time, was delivered to a resusci- D. First temporal convolution
tation unit with hemiplegia. The patient E. Second temporal convolution
died after 7 hours. On autopsy: in the 145. To assess the rate of collagen di-
right cerebral hemisphere there is a cavi-
Krok 1 Stomatology 2017 17

sintegration during certain connective uncommon for oral mucosa to be


tissue disturbances, it is necessary to injured. However, bleeding quickly stops
measure the urine content of the followi- on its own. What substances in saliva qui-
ng: ckly staunch the flow of blood during mi-
nor oral injuries?
A. Oxyproline
B. Ornithine A. Procoagulants
C. Proline B. Lipolytic enzymes
D. Lysine C. Amylolytic enzymes
E. Urea D. Mineral substances
E. Lysozyme and mucin
146. Deaf parents with genotypes DDee
and ddEE gave birth to a girl with 151. The autopsy of a 45-year-old man,
normal hearing. Specify the form of D who worked in organic acids producti-
and E genes interaction: on and died from uremia, has revealed
reduced and completely destroyed
A. Complementary interaction crowns of the upper and lower incisors.
B. Complete dominance Microscopy detects destruction of dentin
C. Epistasis and enamel, the pulp is covered with
D. Polymery dense replacing dentin. What pathologi-
E. Overdominance cal process occurred in the teeth in this
case?
147. A 33-year-old man has a cystic
growth connected to the 2nd molar of A. Necrosis of the hard tooth tissues
the lower jaw. Within the cystic cavity B. Fluorosis
there is a rudimentary tooth. On mi- C. Teeth erosion
croscopy: inner cystic surface is covered D. Cuneiform defects
with stratified squamous epithelium, E. Hypercementosis
there are groups of mucin-producing
cells. What diagnosis is the most likely? 152. During postmortem examinati-
on of a 9-month-old infant it was
A. Follicular cyst determined that the cause of death was
B. Periodontitis cerebral edema. What water-electrolyte
C. Primordial cyst imbalance is the most likely cause of the
D. Radicular cyst edema development?
E. Follicular ameloblastoma
A. Hypoosmolar hyperhydration
148. In the course of an experiment B. Hyperosmolar hyperhydration
researchers stimulate a branch of the C. Isoosmolar dehydration
sympathetic nerve that innervates heart. D. Isoosmolar hyperhydration
What alterations of cardiac activity E. Hyperosmolar dehydration
should be registered?
153. An accident had resulted in a
A. Increase in heart rate and heart force 65-year-old man drowning in a lake.
B. Decrease in heart force Resuscitation measures allowed to
C. Increase in heart rate restore his respiration and cardiac functi-
D. Increase in heart force on. What factor prolongs the period of
E. Increase in arterial pressure apparent death?
149. A patient with a nasal trauma A. Hypothermia
presents with skull fracture that circles B. Hyperthermia
the piriform opening. What bone is C. Prolonged preagony and agony
damaged? D. Elderly age
E. -
A. Nasal
B. Lacrimal 154. An athlete (a long-distance runner)
C. Maxillary during competition has developed acute
D. Frontal heart failure. This pathology developed
E. Ethmoid due to:
150. During tooth brushing it is not
Krok 1 Stomatology 2017 18

A. Volume overload has been prescribed antibotulinic serum


B. Coronary blood flow disturbance for treatment. What immunity will be
C. Direct damage to myocardium formed in the given patient?
D. Pericardial pathology
E. Pressure overload A. Antitoxic passive immunity
B. Antitoxic active immunity
155. In postabsorptive state glycogen C. Antimicrobic active immunity
synthesis is increased in liver and D. Antimicrobic passive immunity
muscles. The syntesis involves the E. Infection immunity
following substance:
160. An 84-year-old patient suffers from
A. Uridine triphosphate (UTP) parkinsonism. One of the pathogenetic
B. Guanosine triphosphate (GTP) development elements of this disease is
C. Cytidine triphosphate (CTP) deficiency of a certain mediator in some
D. Thymidine triphosphate (TTP) of the brain structures. Name this medi-
E. Adenosine triphosphate (ATP) ator:

156. A 50-year-old man, who has been A. Dopamine


suffering for a long time from vi- B. Adrenaline
ral hepatitis, developed mental impai- C. Noradrenaline
rments, impairments of consciousness, D. Histamine
and motor disturbances (tremor, ataxia, E. Acetylcholine
etc.). What is the mechanism of such 161. High-altitude dwellers typically
condition? demonstrate chronically intensified
A. Decreased detoxification function of respiration and decreased pCO2 value
the liver of blood. What mechanism is leading
B. Insufficient phagocytic function of in the compensation of their asid-base
stellate macrophages imbalance?
C. Decreased synthesis of albumins and A. Desreased renal reabsorption of
globulins in the liver bicarbonate
D. Disturbed lipid exchange in the liver B. Increased ammonia excretion with
E. Alterations in the lipid composition of urine
blood C. Decreased pulmonary ventilation
157. A 30-year-old man had suffered a D. Increased pulmonary ventilation
thoracic trauma in a traffic accident, whi- E. -
ch resulted in disturbance of external 162. A patient has suffered a head injury.
respiration. What ventilatory failure can On examination there is a subcutaneous
be observed in this case? hematoma in the temporal area. What
A. Extrapulmonary restrictive vessel was damaged, thus resulting in
B. Pulmonary restrictive hematoma development?
C. Obstructive A. А. temporalis superficialis
D. Dysregulatory B. А. maxillaris
E. Mixed type C. А. auricularis posterior
158. A girl is diagnosed with pri- D. А. buccalis
mary microcephaly that is a monogenic E. А. occipitalis
autosomal recessive disease. Her natural 163. Due to severe pain syndrome a
brother develops normally. What patient has been prescribed a narcotic
genotypes do the parents of these chi- analgesic. Specify the prescribed drug:
ldren have?
A. Morphine
A. Аа х Аа B. Analgin (Metamizole)
B. АА х АА C. Nimesulid
C. аа х аа D. Dimexid
D. АА х аа E. Indometacin
E. ААВВ х ААВВ
164. A 50-year-old man came to a
159. A patient diagnosed with botulism
Krok 1 Stomatology 2017 19

hospital with complaints of memory di- reactions of tricarboxylic acid cycle?


sorders, painful sensations along the
nerve trunks, decreased mental abili- A. Flavin adenine dinucleotide (FAD)
ty, circulatory disorders and dyspepsia. B. Flavin mononucleotide (FMN)
Anamnesis states excessive alcohol C. Nicotinamide-adenine dinucleotide
consumption. What vitamin deficiency (NAD+)
can result in such symptoms? D. Thymidine diphosphate (TDP)
E. Heme
A. Thiamine
B. Niacin 170. A patient is diagnosed with
C. Retinol inflammatory process in the area of the
D. Calciferol excretory duct of submandibular gland.
E. Riboflavin This duct opens to:
165. A young man has been performi- A. Caruncula sublingualis
ng physical exercises, holding a weight B. Vestibulum oris
for a long time. What kind of muscle C. Foramen caecum linguae
contraction is the most characteristic of D. Linea terminalis
these exercises? E. Recesus gingivalis
A. Isometric 171. A patient suffering from arthritis is
B. Isotonic prescribed a COX2 selective inhibitor
C. Single with anti-inflammatory action. Specify
D. Asynchronous this drug:
E. Isovolumetric
A. Celecoxib
166. A patient presents with B. Butadion (Phenylbutazone)
lymphocytic-monocytic leukogram C. Dimexid
pattern. It is characteristic of: D. Indometacin
E. Analgin (Metamizole)
A. Chronic inflammatory process
B. Acute inflammatory process 172. A patient has undergone recurri-
C. Allergies ng blood tests that revealed sharp
D. Chronic radiation sickness fluctuations of glucose content: signi-
E. - ficant increase in absorptive state and
significant decrease in postabsorptive
167. A patient has been hospitalised with state. What pathology can be the cause
provisional diagnosis of diphyllobothri- of it?
asis. What food products can be the
cause of this condition? A. Aglycogenosis (glycogenosis type 0)
B. Diabetes mellitus type I
A. Fish C. Diabetes mellitus type II
B. Pork D. Acromegaly
C. Beef E. Endemic goiter
D. Milk and eggs
E. Fruit and vegetables 173. A person found oneself in an emoti-
onally straining situation. As the result
168. During examination of a woman she the blood adrenaline level has risen,
was found to have a luminal narrowing therefore increasing the strength of
of the right jugular foramen (foramen cardiac contractions. In what way does
jugulare). What cranial bones form this adrenaline increase the strength of cardi-
foramen? ac contractions?
A. Temporal and occipital A. Activates cardiac β -adrenergic
B. Occipital and frontal receptors
C. Temporal and cuneiform B. Activates vascular baroreceptors
D. Occipital and cuneiform C. Decreases tone of vagus nerves
E. Cuneiform and palatine D. Activates peripheral chemoreceptors
E. Decreases excitability of pacemaker
169. What coenzyme of flavin-dependent cells
dehydrogenases participates in the
Krok 1 Stomatology 2017 20

174. During a brain surgery stimulation


of the cerebral cortex resulted in tacti- A. Relapse
le and thermal sensations in the patient. B. Remission
What gyrus was stimulated? C. Development of chronic disease
D. Latent period
A. Postcentral gyrus E. Pathological state
B. Cingulate convolution
C. Parahippocampal gyrus 179. Autosomal nondisjunction had
D. Superior temporal gyrus occurred in a woman during meiosis.
E. Precentral gyrus An ovum with the third copy of the 18th
chromosome was formed. The ovum was
175. A patient suffering from malaria impregnated by normal spermatozoon.
has developed hemolytic anemia after The resulting child will suffer from:
taking primaquine antimalarial drug.
Hereditary insufficiency of the following A. Edwards’ syndrome
enzyme in erythrocytes will be observed B. Klinefelter’s syndrome
in this case: C. Patau’s syndrome
D. Turner’s syndrome
A. Glucose 6-phosphate dehydrogenase E. Down’s syndrome
B. Triosephosphate isomerase
C. Lipase 180. Amino acids join to each other in
D. Fructose 1-phosphate aldolase ribosomes of granular endoplasmic reti-
E. Phosphofructokinase culum. Knowing the sequence of ami-
no acids and applying genetic code, it is
176. Bacilli were extracted from possible to determine the sequence of
the investigated sample. The bacilli nucleoids in:
are curved, extremely mobile, gram-
negative, form no spores or capsules, A. mRNA
have anaerobic form of respiration. They B. Introns
form transparent smooth colonies in C. Proteins
alkaline agar, ferment saccharose and D. Carbohydrates
mannose into acid, produce exotoxin, E. rRNA
fibrinolysin, collagenase, and hyaluroni-
dase. What agent was extracted? 181. A patient suffers from an
inflammatory process in the area of
A. Comma bacillus the lower wall of orbital cavity. What
B. Blue pus bacillus anatomical structure makes it possible
C. Proteus for the inflammatory process to spread
D. Colibacillus to the pterygopalatine fossa?
E. Dysentery bacillus
A. Inferior orbital fissure
177. A 30-year-old man with B. Superior orbital fissure
glomerulonephritis has developed C. Supraorbital incisure
nephrotic syndrome. What symptom D. Posterior ethmoidal foramen
invariably accompanies nephrotic E. Optic canal
syndrome?
182. In 8 days after a surgery the patient
A. Proteinuria developed tetanus. The surgeon suspects
B. Glucosuria this condition to be caused by suture
C. Low urine specific gravity material contaminated by tetanus agent.
D. Anemia The material is delivered to a bacteri-
E. Azotemia ological laboratory. What nutrient medi-
um is required for primary inoculation
178. Ulcer disease of the duodenum has of the suture material?
been detected in a 38-year-old man. A
treatment was prescribed after which A. Kitt-Tarozzi medium
the patient considered himself to be B. Endo agar
healthy. However, half a year later the C. Sabouraud agar
patient developed pain in the epigastri- D. Egg-yolk salt agar
um, heartburn, and insomnia. The pati- E. Hiss medium
ent’s condition can be estimated as a:
Krok 1 Stomatology 2017 21

183. A patient is diagnosed with this histologic specimen?


deformed posterior portion of the nasal
septum. What bone is deformed? A. Dentin
B. Enamel
A. Vomer C. Pulp
B. Medial pterygoid plate D. Cement
C. Lateral pterygoid plate E. Periodontium
D. Perpendicular plate of ethmoid bone
E. Vertical plate of palatine bone 189. To test teeth sensitivity they are
sprayed with cold or hot water. What
184. A patient suffers from disturbed structure of cerebral cortex provides
blood supply of superior lateral surface subjective estimation of this thermal
of the cerebral hemispheres. What blood test?
vessel is damaged?
A. Posterior central gyrus
A. Medial cerebral artery B. First temporal convolution
B. Anterior cerebral artery C. Precentral gyrus
C. Posterior cerebral artery D. Middle frontal gyrus
D. Anterior communicating artery E. Central fissure
E. Posterior communicating artery
190. During oral cavity examinati-
185. A victim of an accident has on a dentist noticed eruption of the
hemorrhage in the area of lateral surface permanent canines in a child. The child
of the mastoid process. What branch of grows and develops normally. Determi-
the external carotid artery supplies this ne the child’s age:
area with blood?
A. 11-13 years
A. A. auricularis posterior B. 13-16 years
B. А. temporalis superficialis C. 6-7 years
C. A. facialis D. 8-9 years
D. A. maxillaris E. 9-10 years
E. A. pharyngea ascendens
191. Autopsy of a 58-year-old man, who
186. A 33-year-old man presents with had been suffering from rheumatic heart
disturbed pain and thermal sensitivity disease and died of cardiopulmonary
after a spinal cord trauma. The following decompensation, revealed gray diffuse
ascending tract is injured: film- and fiber-shaped coating in his peri-
cardium. What type of inflammation is
A. Spinothalamic characteristic of this pericarditis?
B. Lateral corticospinal
C. Anterior corticospinal A. Croupous fibrinous
D. Ventral spinocerebellar B. Serous
E. Dorsal spinocerebellar C. Hemorrhagic
D. Diphtheritic fibrinous
187. A patient is diagnosed with E. Suppurative
pancreatitis. Starch decomposition di-
sturbance occurs in the patient’s intesti- 192. During examination of the patient’s
ne due to deficiency of the following oral cavity a dentist noticed deformation
pancreatic enzyme: of the teeth and a crescent indentation
on the upper right inscisor. The teeth are
A. Amylase undersized, barrel-shaped - tooth cervix
B. Tripsin is wider than its edge. The patient uses
C. Chymotrypsin a hearing aid, suffers from visual impai-
D. Lipase rment. What type of syphilis affects teeth
E. Carboxypeptidase in such a way?
188. Histologic specimen of a tooth slice A. Late congenital
shows a tissue consisting of intercellular B. Primary
substance permeated with tubules, in C. Early congenital
which cellular processes of odontoblasts D. Secondary
are situated. What tissue is presented in E. Neurosyphilis
Krok 1 Stomatology 2017 22

193. Autopsy of a 45-year-old man and died on the 9th day from the
revealed the following: wrinkled onset of disease with signs of cardi-
shagreen-resembling intima in the ac decompensation, has revealed the
ascending aorta; elastic staining is following: dilated cardiac cavities, dull
negative. Wall of the left ventricle is flaccid myocardium, myocardial secti-
up to 1,5 cm in width; no myocardial on is variegated. Microscopy revealed
alterations. Specify the most probable fatty degeneration of cardiac hystiocytes,
disease of the aorta: large foci of myocytolysis, stromal
edema with scant lymphocytic and
A. Syphilitic mesaortitis macrophageal infiltration. Specify the
B. Atherosclerosis of the aorta type of myocarditis in this case:
C. Rheumatic vasculitis
D. Aortic failure A. Alterative
E. - B. Granulomatous
C. Focal intermediate exudative
194. A patient has developed a pai- D. Septic
nful sore with soft ragged edges in E. Interstitial
the oral cavity. Microscopically there is
lymphocytic infiltration with epithelioid 198. A doctor has made a diagnosis of gi-
and giant multinucleate Langhans cells ngivitis and recommended the patient to
in the sore floor. What diagnosis is the rinse the oral cavity with an oxidizing
most likely? agent. Specify this agent:
A. Tuberculosis A. Hydrogen peroxide
B. Syphilis B. Boric acid
C. Ulcerative stomatitis (Vincent’s C. Salicylic acid
stomatitis) D. Phenol
D. Ulcer-cancer E. Brilliant green
E. Gangrenous stomatitis
199. In dental practice atropine sulfate is
195. Lateral X-ray of the occipital bone used to decrease salivation. This drug
area demonstrates fracture of the occi- belongs to the following group:
pital condyle. Integrity of the following
anatomical structure is disturbed: A. Muscarinic antagonists
B. α-adrenergic agonists
A. Canalis nervi hypoglossi C. β -adrenoceptor antagonists
B. Canalis caroticus D. Ganglionic blockers
C. Foramen ovale E. Muscle relaxants
D. Foramen stylomastoideum
E. Foramen mastoideum 200. A patient has developed a
grayish-white dense protruding focus
196. In the process of embryogenesis on the oral mucosa. Histologycally
of dentomaxillary system there was there are hyperkeratosis, parakeratosis,
an enamel disturbance detected. What and acanthosis of epithelium with
source of tooth development is damaged lymphocytic and plasmocytic infiltration
in this case? of underlaying connective tissue in this
area. What pathology has developed in
A. Oral cavity epithelium the oral mucosa?
B. Dental saccule
C. Dental bulb A. Leukoplakia
D. Mesenchyme B. Hyalinosis
E. Mesoderm C. Leukoderma
D. Local tumor-like amyloidosis
197. The autopsy of the body of a E. -
man, who suffered from toxic diphtheria
INSTRUCTIONAL BOOK

Ministry of public health of Ukraine (MPH of Ukraine)


Department of human recources policy, education and science
Testing Board

TEST ITEMS FOR LICENSING EXAMINATION: KROK 1. STOMATOLOGY.

Kyiv. Testing Board.


(English language).

Approved to print 03.01./№4. Paper size 60х84 1/8


Offset paper. Typeface. Times New Roman Cyr. Offset print.
Conditional print pages 20. Accounting publishing pages 24.
Issue. 252 copies.
List of abbreviations

A/G Albumin/globulin ratio HR Heart rate


A-ANON Alcoholics anonymous IDDM Insulin dependent diabetes mellitus
ACT Abdominal computed tomography IFA Immunofluorescence assay
ADP Adenosine diphosphate IHD Ischemic heart disease
ALT Alanin aminotranspherase IU International unit
AMP Adenosine monophosphate LDH Lactate dehydrogenase
AP Action potential MSEC Medical and sanitary expert committee
ARF Acute renal failure NAD Nicotine amide adenine dinucleotide
AST Aspartat aminotranspherase NADPH Nicotine amide adenine dinucleotide
phosphate restored
ATP Adenosine triphosphate NIDDM Non-Insulin dependent diabetes
mellitus
BP Blood pressure PAC Polyunsaturated aromatic
carbohydrates
bpm Beats per minute PAS Periodic acid & shiff reaction
C.I. Color Index pCO2 CO2 partial pressure
CBC Complete blood count pO2 CO2 partial pressure
CHF Chronic heart failure pm Per minute
CT Computer tomography Ps Pulse rate
DIC Disseminated intravascular coagualtion r Roentgen
DCC Doctoral controlling committee RBC Red blood count
DM-2 Non-Insulin dependent diabetes mellitus RDHA Reverse direct hemagglutination assay
DTP Anti diphtheria-tetanus vaccine Rh Rhesus
ECG Electrocardiogram (R)CFT Reiter's complement fixation test
ESR Erythrocyte sedimentation rate RIHA Reverse indirect hemagglutination
assay
FC Function class RNA Ribonucleic acid
FAD Flavin adenine dinucleotide RR Respiratory rate
FADH2 Flavin adenine dinucleotide restored S1 Heart sound 1
FEGDS Fibro-esphago-gastro-duodenoscopy S2 Heart sound 2
FMNH2 Flavin mononucleotide restored TU Tuberculin unit
GIT Gastrointestinal tract U Unit
Gy Gray USI Ultrasound investigation
GMP Guanosine monophosphate V/f Vision field
Hb Hemoglobin WBC White blood count
HbA1c Glycosylated hemoglobin X-ray Roentgenogram
Hct Hematocrit
HIV Human immunodeficiency virus

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