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Krok 1
STOMATOLOGY
General Instruction
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this chapter corresponds to answers or statements endings. Choose the
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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.
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
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
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
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