Professional Documents
Culture Documents
A. Platelets A. Choline
B. Eosinophils B. DOPA
C. Monocytes C. Cholesterol
D. Lymphocytes D. Acetoacetate
E. Neutrophils E. Linoleic acid
31. A patient under test was subjected to 36. Vegetative abnormalities in the sleep,
a moderate physical stress. His minute heat regulation, all kinds of metabolism,
blood volume amounted 10 l/min. What diabetes insipidus are developing in the
blood volume was pumped through his patient due to grouth of the tumour in
lung vessels every minute? the III ventricle of brain. Irritation of the
nucleus of what part of the brain can cause
A. 10 l/min this symptoms?
B. 5 l/min
C. 4 l/min A. Hypothalamus
D. 6 l/min B. Cerebral peduncles (cruces cerebri)
E. 7 l/min C. Mesencephalic tegmentum
D. Pons cerebelli
32. A patient presents with the following E. Medulla
motor activity disturbances: tremor, ataxia
and asynergia movements, dysarthria. The 37. A patient complains about dyspnea
disturbances are most likely to be locali- provoked by the physical activity. Clini-
zed in: cal examination revealed anaemia and
presence of the paraprotein in the zone
A. Cerebellum of gamma-globulins. To confirm the
B. Basal ganglions myeloma diagnosis it is necessary to
C. Limbic system determine the following index in the pati-
D. Brainstem ent’s urine:
E. Medulla oblongata
A. Bence Jones protein
33. A man has a considerable decrease B. Bilirubin
in diuresis as a result of 1,5 l blood loss. C. Haemoglobin
The primary cause of such diuresis di- D. Ceruloplasmin
sorder is the hypersecretion of the followi- E. Antitrypsin
ng hormone:
38. Examination of a child who hasn’t
A. Vasopressin got fresh fruit and vegetables during wi-
B. Corticotropin nter revealed numerous subcutaneous
C. Natriuretic hemorrhages, gingivitis, carious cavities in
D. Cortisol teeth. What vitamin combination should
E. Parathormone be prescribed in this case?
34. The patient with thymoma (thymus A. Ascorbic acid and rutin
gland tumour) has cyanosis, extention of B. Thiamine and pyridoxine
subcutaneous venous net and edema of C. Folic acid and cobalamin
the soft tissues of face, neck, upper part D. Riboflavin and nicotinamide
of the trunk and upper extremities. What E. Calciferol and ascorbic acid
venous trunk is pressed with tumour?
39. A 2 year old child with mental
A. Superior vena cava and physical retardation has been deli-
B. External jugular vein vered to a hospital. He presents with
C. Clavicular vein frequent vomiting after having meals.
D. Internal jugular vein There is phenylpyruvic acid in urine. Whi-
E. Frontal jugular vein ch metabolism abnormality is the reason
for this pathology?
35. An experimantal animal that was kept
on protein-free diet developed fatty li- A. Amino-acid metabolism
ver infiltration, in particular as a result B. Lipidic metabolism
of deficiency of methylating agents. This C. Carbohydrate metabolism
is caused by disturbed generation of the D. Water-salt metabolism
following metabolite: E. Phosphoric calcium metabolism
40. 46 chromosomes were revealed on
Krok 1 Medicine 2012 5
karyotype examination of the 5 year old hemorrhage. What substance content has
girl. One of the 15th pair of chromosomes decreased in blood?
is longer than usual due to connected
chromosome from the 21 pair. What type A. Prothrombin
of mutation does this girl have? B. Haptoglobin
C. Heparin
A. Translocation D. Creatin
B. Deletion E. Ceruloplasmin
C. Inversion
D. Insufficiency 46. After severe viral hepatitis a 4 year
E. Duplication old boy presents with vommiting, occasi-
onal loss of consciousness, convulsions.
41. A 62 year old woman complai- Blood test revealed hyperammoniemia.
ns of frequent pain attacks in the Such condition is caused by a disorder of
area of her chest and backbone, rib the following biochemical hepatic process:
fractures. Her doctor suspected myeloma
(plasmocytoma). What of the following A. Disorder of ammonia neutralization
laboratory characteristics will be of the B. Disorder of biogenic amines neutrali-
greatest diagnostic importance? zation
C. Protein synthesis inhibition
A. Paraproteinemia D. Activation of amino acid decarboxylati-
B. Hyperalbuminemia on
C. Proteinuria E. Inhibition of transamination enzymes
D. Hypoglobulinemia
E. Hypoproteinemia 47. Having helped to eliminate
consequences of a failure at a nuclear
42. Before the cells can utilize the glucoze, power plant, a worker got an irradiati-
it is first transported from the extracellular on doze of 500 roentgen. He complai-
space through the plasmatic membrane ns of headache, nausea, dizziness. What
inside theml. This process is stimulated by changes in leukocytes quantity can be
the following hormone: expected 10 hours after irradiation?
A. Insulin A. Neutrophilic leukocytosis
B. Glucagon B. Lymphocytosis
C. Thyroxin C. Leukopenia
D. Aldosterone D. Agranulocytosis
E. Adrenalin E. Leukemia
43. Parodontitis is treated with calcium 48. Bacterioscopic examination of a smear
preparations and a hormone that sti- from the pharynx of a diphtheria suspect
mulates tooth mineralization and inhibits revealed bacilli with volutine granules.
tissue resorption. What hormone is it? What etiotropic drug should be chosen
in this case?
A. Calcitonin
B. Parathormone A. Antidiphtheritic antitoxic serum
C. Adrenalin B. Bacteriophage
D. Aldosterone C. Diphtheritic anatoxin
E. Thyroxine D. Eubiotic
E. Interferon
44. A child has an acute renal failure.
What biochemical factor found in saliva 49. A patient with a history of
can confirm this diagnosis? chronic glomerulonephritis presents
with azotemia, oliguria, hypo- and
A. Increase in urea concentration isosthenuria, proteinuria. What is the
B. Increase in glucose concentration leading factor in the pathogenesis of these
C. Decrease in glucose concentration symptoms development under chronic
D. Increase in concentration of higher fatty renal failure?
acids
E. Decrease in nucleic acid concentration
45. After implantation of a cardiac valve a
young man constantly takes indirect anti-
coagulants. His state was complicated by
Krok 1 Medicine 2012 6
A. Brain tunics A. CD 4
B. Cardiac valves B. CD 3
C. Renal glomeruli C. CD 8
D. Urogenital tracts D. CD 19
E. Lymph nodes E. CD 28
68. Histologic analysis of uterus mucous 73. A 65 year old patient with chronic
membrane revealed twisting glands, heart failure has been taking digitoxin in
serrated and spinned, they were extended self-administered dosages for a long ti-
by stroma growth with proliferation of its me. She was admitted to the hospital for
cells. Formulate a diagnosis: general health aggravation, arrhythmia,
nausea, reduced diuresis, insomnia. What
A. Glandular hyperplasia of endometrium is the primary action to be taken?
B. Acute endometritis
C. Leiomyoma A. To withhold digitoxin
D. Cystic mole B. To reduce digitoxin dosage
E. Placental polyp C. To administer strophanthine
intravenously
69. Analysis of sputum taken from a pati- D. To administer digoxin
ent with suspected pneumonia revealed E. To give an intravenous injection of
rather elongated gram-positive diplococci calcium gluconate solution
with somewhat pointed opposite ends.
What microorganisms were revealed in 74. A 20 year old patient complains of
the sputum? morbid thirst and huperdiuresis (up to 10
l daily). Glucose concentration in blood is
A. Streptococcus pneumoniae normal but it is absent in urine. The pati-
B. Staphylococcus aureus ent has been diagnosed with diabetes insi-
C. Klebsiella pneumoniae pidus. What hormonal drug is the most
D. Neisseria meningitidis appropriate for management of this di-
E. Neisseria gonorrhoeae sorder?
70. Serological diagnostics of infectious A. Vasopressin
diseases is based upon specific interacti- B. Cortisol
on with antigenes. Specify the serologi- C. Thyroxin
cal reaction that underlies adhesion of D. Oxytocin
microorganisms when they are affected E. Insulin
by specific antibodies in presence of an
electrolyte: 75. A patient has myocardial infarcti-
on with thrombosis of the left coronary
A. Agglutination reaction artery. What pharmocological preparation
B. Precipitation reaction group should be used to reestablish blood
C. Complement-binding reaction flow?
D. Hemadsorption reaction
E. Neutralization reaction A. Fibrinolysis activators
B. Narcotic analgesics
71. The immunoblot detected gp120 C. β-adrenergic blockers
protein in the blood serum. This protein is D. Angiotensin-converting enzyme inhibi-
typical for the following disease: tors
A. HIV-infection E. Glucocorticoids
B. Virus B hepatitis 76. A nurse accidentally injected a nearly
C. Tuberculosis double dose of insulin to a patient with di-
D. Syphilis abetes mellitus. The patient lapsed into a
E. Poliomyelitis hypoglycemic coma. What drug should be
72. HIV has gp41 and gp120 on its injected in order to help him out of coma?
surface interacts with target cells of A. Glucose
an organism. Which of the following B. Lidase
human lymphocyte antigens is gp120 C. Insulin
complementary bound with? D. Somatotropin
E. Noradrenaline
77. A patient has a slowly healing fracture.
Krok 1 Medicine 2012 9
A. Vestibular ampullar
B. Proprioceptors A. Natriuretic hormone
C. Vestibular otolithic B. Aldosterone
D. Auditory C. Renin
E. Visual D. Angiotensin
E. Vasopressin
86. A patient underwent esophagogastroduodenoscopy.
Analysis of the biopsy material enabled 91. After a serious psychoemotional stress
doctors to diagnose him with heli- a 48 year old patient suddenly developed
cobacteriosis. What property of the acute heart ache irradiating to the left
bacteria found in this patient had to be arm. Nitroglycerine relieved pain after 10
obligatory taken into account during their minutes. What is the leading pathogenetic
cultivation? mechanism of this process development?
A. Microaerophilic ability A. Spasm of coronary arteries
B. Presence of urease B. Dilatation of peripheral vessels
C. Colonisation of gastral cells C. Obstruction of coronary vessels
D. Absence of spores and capsules D. Compression of coronary vessels
E. Presence of six polar flagella E. Increase in myocardial oxygen
consumption
87. A 38 year old man died all of a sudden.
Autopsy revealed myocardial infarction 92. A 42 year old patient complains
in the posterior wall of the left ventri- of pain in the epigastral area, vomiti-
cle. What are the most likely alterations ng; vomit masses have the colour of
in myocardiocyte structure that can be "coffee-grounds", the patient has also
revealed microscopically in the infarcti- melena. Anamnesis records gastric ulcer.
on focus? Blood formula: erythrocytes - 2, 8 · 1012 /l,
leukocytes - 8 · 109 /l, Hb- 90 g/l. What
A. Karyolysis complication is it?
B. Adipose degeneration
C. Carbohydrate degeneration A. Haemorrhage
D. Calcification B. Penetration
E. Protein degeneration C. Perforation
D. Canceration
88. During cytoscopy mucous membrane E. Pyloric stenosis
of urinary bladder normally makes folds
except for a single triangular area with 93. A 56 year old patient suffering from
smooth mucosa. This triangle is located in cardiac insufficiency has edema of feet
the following part of urinary bladder: and shins, edematous skin is pale and cold.
What is the leding mechanism of edema
A. Bladder floor pathogenesis?
B. Bladder cervix
C. Bladder apex A. Rise of hydrostatic pressure in venules
D. Bladder body B. Drop of oncotic pessure in capillaries
E. Bladder isthmus C. Increase of capillary permeability
D. Disorder of lymph outflow
89. A child suffers from drug idiosyncrasy. E. Positive water balance
What is the cause of such reaction?
94. A disaster fighter at a nuclear power
A. Hereditary enzymopathy plant developed hemorrhagic syndrome
B. Exhaustion of substrate interacting with on the background of acute radiation di-
pharmaceutical substance sease. What is the most important factor
C. Accumulation of pharmaceutical of syndrome pathogenesis?
substance
D. Inhibition of microsomal liver enzymes A. Thrombocytopenia
E. Associated disease of target organ B. Vascular wall damage
C. Increased activity of fibrinolysis factors
90. Atria of an experimental animal were D. Increased activity of anticoagulative
superdistended by blood that resulted in system factors
decreased reabsorption of Na+ and water E. Decreased activity of coagulative factors
in renal tubules. This can be explained by
the influence of the following factor upon 95. To prevent postoperative bleeding a 6-
kidneys: year-old child was administered vicasol
Krok 1 Medicine 2012 11
the adipocytes. What secondary mediator toxoplasmosis. Which drug should be used
takes part in this process? for toxoplasmosis treatment?
A. Cyclic adenosine monophosphate A. Co-trimoxazole
B. Cyclic guanosine monophosphate B. Itraconazole
C. Adenosine monophosphate C. Mebendazole
D. Diacylglycerol D. Azidothimidine
E. Ions of 2+ E. Acyclovir
106. A patient has been diagnosed with 111. Autopsy of a 17 year old girl who
alkaptonuria. Choose an enzyme whose died from pulmonary failure revealed
deficiency can be the reason for this a small area of caseous necrosis in the
pathology: inferior lobe of the right lung, and
occurences of caseous necrosis in the
A. Homogentisic acid oxidase bronchopulmonary, bronchial and bi-
B. Phenylalanine hydroxylase furcational lymph nodes. What is the most
C. Glutamate dehydrogenase probable postmortem diagnosis?
D. Pyruvate dehydrogenase
E. Dioxyphenylalanine decarboxylase A. Primary tuberculosis
B. Hematogenous progression of primary
107. A 10 year old child had the mantoux tuberculosis
tuberculin test administered. 48 hours C. Hematogenous tuberculosis with
later a papule up to 8 mm in diameter predominant lung affection
appeared on the site of the injection. D. Tuberculoma
What type of hypersensitivity reaction E. Caseous pneumonia under secondary
developed after the tuberculin injection? tuberculosis
A. Type IV hypersensitivity reaction 112. After 4 months of treatment for
B. Arthus phenomenon tuberculosis the patient began complaini-
C. Seroreaction ng of toes and fingers numbness, sensati-
D. Atopic reaction on of creeps. He was diagnosed with
E. Type II hypersensitivity reaction polyneuritis. What antituberculous drug
might have caused these complications?
108. The patient with acute miocardi-
al infarction was given intravenously A. Isoniazid
different solutions during 8 hours B. Rifampicin
with medical dropper 1500 ml and C. Ciprofloxacin
oxygen intranasally. He died because D. Sodium salt of benzylpenicillin
of pulmonary edema. What caused the E. Alcohol iodine solution
pulmonary edema?
113. Examination of a 55 year old woman
A. Volume overload of the left ventricular revealed under the skin of submandi-
B. Decreased oncotic pressure due to bular area a movable slowly growing pasty
hemodilution formation with distinct borders 1,0x0,7 cm
C. Allergic reaction large. Histological examination revealed
D. Neurogenic reaction lipocytes that form segments of diffrent
E. Inhalation of the oxygen forms and sizes separated from each other
by thin layers of connective tissue with
109. In course of an operation surgeon vessels. What is the most probable di-
removed a part of a lung that was venti- agnosis?
lated by a tertiary bronchus accompani-
ed by branches of pulmonary artery and A. Lipoma
other vessels. What part of a lung was B. Fibroma
removed? C. Angioma
D. Liposarcoma
A. Bronchopulmonary segment E. Fibrosarcoma
B. Middle lobe
C. Inferior lobe 114. According to the phenotypic di-
D. Superior lobe agnosis a female patient has been provi-
E. Pulmonary lobule sionally diagnosed with X-chromosome
polysomia. This diagnosis can be confi-
110. After the second abortion a 23 year rmed by a cytogenetic method. What
old woman has been diagnosed with karyotype will allow to confirm the di-
Krok 1 Medicine 2012 13
agnosis?
A. Sodium valproate
A. 47(ХХХ) B. Ethosuxemide
B. 48(XXXY) C. Amitriptyline
C. 48(XXYY) D. Phenytoin
D. 47(XXY) E. Phenobarbital
E. 46(XX) 120. A patient diagnosed with morphini-
115. A patient has been diagnosed with sm has been admitted to the narcological
acute glomerulonephritis that developed department. A doctor noted a decrease
after he had had streptococcal infecti- in pharmacological activity of morphi-
on. It is most likely that the affection of ne. Repetitive use of a drug may result
basal glomerular membrane is caused by in tolerance to its effect, and this
an allergic reaction of the following type: phenomenon is called:
a result of frequent vomiting. What kind 129. A patient suffers from stenocardia
of acid-base disbalance is it? and takes isosorbide mononitrate. He was
prescribed a complementary drug with di-
A. Excretory alkalosis saggregating effect. What drug is it?
B. Excretory acidosis
C. Metabolic acidosis A. Acetylsalicinic acid
D. Exogenous nongaseous acidosis B. Nitroglycerine
E. Gaseous alkalosis C. Propranolol
D. Nifedipine
125. During influenza epidemic 40% of E. Validol
pupils who didn’t go in for sports were
affected by the disease, and among the 130. A 49 year old woman spent a lot of
pupils who regularly did physical exercises time standing. As a result of it she got leg
this index was only 20%. What adaptati- edema. What is the most likely cause of
ve mechanisms determined such a low si- the edema?
ckness rate of pupils participating in the
sports? A. Increase in hydrostatic pressure of
blood in veins
A. Cross adaptation B. Decrease in hydrostatic pressure of
B. Specific adaptation blood in veins
C. Physiological adaptation C. Decrease in hydrostatic pressure of
D. Biochemical adaptation blood in arteries
E. Genetic adaptation D. Increase in oncotic pressure of blood
plasma
126. A 39 year old man who had been E. Increase in systemic arterial pressure
operated for the stomach ulcer died 7 days
after the surgery. Autopsy revealed that 131. A patient presented to a hospital wi-
peritoneal leaves were dull, plephoric, th complaints about quick fatigability and
covered with massive yellow-greenish fi- significant muscle weakness. Examinati-
lms, the peritoneal cavity contained for on revealed an autoimmune disease that
about 300 ml of thick yellow-greenish causes functional disorder of receptors
liquid. What pathologic process was in the neuromuscular synapses. This wi-
revealed in the peritoneal cavity? ll result in the disturbed activity of the
following mediator:
A. Fibrinous suppurative peritonitis
B. Serous peritonitis A. Acetylcholine
C. Fibrinous serous peritonitis B. Noradrenaline
D. Peritoneal commissures C. Dopamine
E. Fibrinous haemorrhagic peritonitis D. Serotonin
E. Glycine
127. Preventive examination of a pati-
ent revealed an enlarged lymph node of 132. Blood test of a patient suffering
metastatic origin on the medial wall of the from atrophic gastritis gave the followi-
left axillary crease. Specify the most likely ng results: RBCs - 2, 0 · 1012 /l, Hb- 87 g/l,
localization of the primary tumour: colour index - 1,3, WBCs - 4, 0 · 109 /l,
A. Mammary gland thrombocytes - 180 · 109 /l. Anaemia mi-
B. Submandibular salivary gland gh have been caused by the following
C. Lung substance deficiency:
D. Stomach A. Vitamin B12
E. Thyroid gland B. Vitamin A
128. A 60 year old patient was found C. Vitamin K
to have a dysfunction of main digesti- D. Iron
ve enzyme of saliva. This causes the di- E. Zinc
sturbance of primary hydrolysis of: 133. A 45 year old man consulted a doctor
A. Carbohydrates about a plaque-like formation on his neck.
B. Fats Histological examination of a skin bi-
C. Proteins optate revealed clusters of round and
D. Cellulose oval tumour cells with a narrow border of
E. Lactose basophilic cytoplasm resembling of cells
of basal epidermal layer. What tumour is
it?
Krok 1 Medicine 2012 15
Osteoporosis and muscle dystrophy are consumes a lot of sweets and rich food,
present. AP is 210/140 mm Hg. What is has sedentary way of life. That’s why
the most probable diagnosis? anabolic metabolism has the priority in
his organism. Which of the following
A. Cushing’s disease pathways is amphibolic?
B. Cushing’s syndrome
C. Conn’s disease A. Cycle of tricarboxylic acids
D. Diabetes mellitus B. Glyconeogenesis
E. Essential hypertension C. Lipolysis
D. Glycolysis
160. Microelectrode technique allowed E. Fatty acids oxidation
to register a potential following
"all-or-none"law and being able of 165. A patient who abuses smoking has
undecremental spreading. Specify this chronic bronchitis. Biopsy of his primary
potential: bronchus revealed multilayer pavement
epithelium. What pathological process
A. Action potential was revealed in the bronchus?
B. Excitatory postsynaptic potential
C. Rest potential A. Metaplasia
D. Inhibitory postsynaptic potential B. Physiological regeneration
E. Receptor potential C. Reparative regeneration
D. Hyperplasia
161. A patient has been diagnosed with E. Dysplasia
transmural myocardial infarction. What
drug should be given in order to prevent 166. A patient suffers from pulmonary
cardiogenic shock? tuberculosis. During treatment neuritis of
visual nerve arose. What drug has caused
A. Promedol this by-effect?
B. Reserpin
C. Octadine A. Isoniazid
D. Phentolamine B. Ethambutol
E. Analgin C. Kanamycin
D. Rifampicin
162. 2 days after labour a woman E. Streptomycin
developed shock along with DIC
syndrome that caused her death. Autopsy 167. A 67 year old patient complains of
revealed purulent endomyometritis, regi- periodic heart ache, dyspnea during light
onal purulent lymphangitis, lymphadeni- physical activities. ECG reveals extraordi-
tis and purulent thrombophlebitis. There nary contractions of heart ventricles. Such
were also dystrophic alterations and arrhythmia is called:
interstitial inflammation of parenchymal
organs. What is the most likely diagnosis? A. Extrasystole
B. Bradycardia
A. Septicemia C. Tachycardia
B. Syphilis D. Flutter
C. Tuberculosis of genital organs E. Fibrillation
D. Chorioadenoma destruens
E. Hydatid mole 168. A patient with ischemic heart disease
has been administered an anti-anginal
163. A patient got an injury of spinal drug that reduces the myocardial oxygen
marrow in a road accident that caused consumption and improves blood supply
loss of tactile sensation, posture sense, vi- of myocardium. What drug is it?
bration sense. What conduction tracts are
damaged? A. Nitroglycerine
B. Validol
A. Fascicle of Goll and cuneate fascicle C. Propranolol
B. Anterior spinocerebellar tract D. Promedol
C. Rubrospinal tract E. Retabolil
D. Reticulospinal tract
E. Tectospinal tract 169. A doctor asked a patient to breath
out fully after taking a normal breath.
164. Examination of a patient revealed What muscles contract during such
II grade obesity. It is known that he exhalation?
Krok 1 Medicine 2012 19
A. Homogenization
A. Lingual artery B. Inactivation
B. Superior thyroid artery C. Flotation
C. Facial artery D. Filtration
D. Ascending pharyngeal artery E. Neutralization
E. Maxillary artery
184. Electronic microphotography of
180. A patient with high-titer antinuclear pulmonary alveole’s wall presents a big
antibodies died from progressing renal cell. Its cytoplasm has a lot of mi-
impairment. Autopsy revealed mesangi- tochondria, developed Golgi apparatus,
oproliferative glomerulonephritis and osmiophil lamellated corpuscles. What is
abacterial polypous endocarditis. There the main function of this cell?
was periarterial bulbar sclerosis in spleen
and productive proliferative vasculitis in A. It produces surfactant
skin. What is the most likely diagnosis? B. It is a component of blood-air barrier
C. It warms the air
A. Systemic lupus erythematosus D. It purifies the air
B. Nephrotic syndrome E. It absorbs microorganisms
C. Rheumatism
D. Dermatomyositis 185. A patient with diabetes mellitus
E. Periarteritis nodosa complicated by angiopathy has been
recommended a drug which is a sulphonyl
181. A shepherd who has tended urease derivate of the second generati-
sheep together with dogs consulted a on. It improves microcirculation and is
doctor about pain in his right subcostal known for its relatively good tolerance.
area, nausea, vomiting. Roentgenoscopy What drug is it?
revealed a tumour-like formation. What
kind of helminthiasis might be suspected? A. Glibenclamide
B. Glibutidum
A. Echinococcosis C. Insulin
B. Ascaridiasis D. Acarbose
C. Enterobiasis E. Adrenalin
D. Taeniarhynchosis
E. Taeniasis 186. A child is pale, pastose, muscular ti-
ssue is bad developed, lymph nodes are
182. For relief of hypertensive crisis a enlarged. He often suffers from angi-
doctor administered a patient a drug na and pharyngitis, blood has signs of
that apart from antihypertensive effect lymphocytosis. The child is also predi-
has also sedative, spasmolytic and anti- sposed to autoallergic diseases. What type
convulsive effect. The drug was taken of diathesis can be presumed in this case?
parenterally. When it is taken enterally
it acts as a laxative and cholagogue. What A. Lymphohypoplastic
drug was administered? B. Exudative
C. Gouty
A. Magnesium sulfate D. Asthenic
B. Dibasolum E. Hemorrhagic
C. Reserpine
D. No-spa 187. A 26 year old pregnant woman is
E. Apressin under treatment at an in-patient hospi-
tal. After a continuous attack of vomiting
183. A bacteriological laboratory received she was found to have reduced volume of
sputum sample of a patient suffering from circulating blood. What kind of change in
tuberculosis. Bacterioscopic examination general blood volume is the case?
of smears and detection of tuberculosis
bacillus can be realized by one of enri- A. Polycythemic hypovolemia
chment methods that involves processing B. Simple hypovolemia
of sputum only with solution of caustic C. Oligocythemic hypovolemia
soda. What is this method called? D. Polycythemic hypervolemia
E. Oligocythemic hypervolemia
188. Vomiting matters of a patient
suspected of having cholera were deli-
vered to the bacteriological laboratory.
Krok 1 Medicine 2012 21
The material was used for preparing a 193. Sex chromosomes of a woman didn’t
"hanging drop"specimen. What type of separate and move to the opposite poles
microscopy will be applied for identificati- of a cell during gametogenesis (meiosis).
on of the causative agent by its mobility? The ovum was impregnated with a normal
spermatozoon. Which chromosomal di-
A. Phase-contrast microscopy sease can be found in her child?
B. Electron microscopy
C. Immune and electron microscopy A. Turner’s syndrome
D. Fluorescence microscopy B. Down’s syndrome
E. Immersion microscopy C. Patau’s syndrome
D. Edwards’ syndrome
189. Examination of a 6-month-old child E. Cat cry syndrome
revealed a delay in closure of the occipi-
tal fontanelle. When should it normally 194. After taking poor-quality food a pati-
close? ent developed repeated episodes of di-
arrhea. On the next day he presented with
A. Until 3 months decreased arterial pressure, tachycardia,
B. Before the child is born extrasystole. Blood pH is 7,18. These
C. Until 6 months abnormalities were caused by the
D. Until the end of the first year of life development of:
E. Until the end of the second year of life
A. Nongaseous acidosis
190. A 45 year old male died from di- B. Gaseous acidosis
sseminated tuberculosis. On autopsy the C. Nongaseous alkalosis
symptoms of tuberculosis were confirmed D. Gaseous alkalosis
by both microscopical and histological E. Metabolic alkalosis
analyses. All the affected organs had
epithelioid cell granulomas with caseous 195. A patient has been diagnosed with
necrosis in the centre. What kind of influenza. His condition became drasti-
hypersensitivity reaction underlies the cally worse after taking antipyretic drugs.
process of granuloma development? His consciousness is confused, AP is 80/50
mm Hg, Ps is 140/m, body temperature
A. Delayed droped down to 35, 8oC. What complicati-
B. Antibody-dependent cytotoxicity on developed in this patient?
C. Complement-dependent cytotoxicity
D. Anaphylactic A. Collapse
E. Immune complex B. Hyperthermia
C. Hypovolemia
191. A male patient has been diagnosed D. Acidosis
with acute radiation disease. Laboratory E. Alkalosis
examination revealed a considerable
reduction of platelet serotonin level. The 196. One of sections of central nervous
likely cause of platelet serotonin reducti- system has layerwise arrangement of
on is the disturbed metabolism of the neurocytes. Among them there are cells
following substance: of the following forms: stellate, fusiform,
horizontal, pyramidal. What section of
A. 5-oxytryptofane central nervous system is this structure
B. Tyrosine typical for?
C. Histidine
D. Phenylalanine A. Cortex of cerebrum
E. Serine B. Spinal cord
C. Cerebellum
192. In course of a conditional experiment D. Medulla oblongata
the development of mesenchyma cells E. Hypothalamus
was completely inhibited. Development
of the following muscular tissue will be di- 197. Pharmacological effects of anti-
sturbed: depressants are based upon blocking
(inhibiting) the enzyme that acts as a
A. Smooth muscular tissue catalyst for the breakdown of biogenic
B. Neural muscular tissue amines noradrenalin and serotonin in the
C. Epidermal muscular tissue mitochondria of cephalic neurons. What
D. Cardiac muscular tissue enzyme takes part in this process?
E. Skeletal muscular tissue
Krok 1 Medicine 2012 22