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KROK 1 Dentistry 2010 Questions | KROKEXAM

Browse 2010 KROK 1 Dentistry exam questions with answers and explanations.

Exam questions

200 Questions
161

A histological specimen presenting a tooth slice shows that the intercellular dentin substance contains collagen fibers being tangential to the dentinoenamel junction and perpendicular to the dentinal tubules (Ebner's fibers). This dentin layer is called:

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162

A patient has increased pyruvate concentration in blood. Large amount of it is excreted with urine. What vitamin deficiency is observed?

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163

A patient complains about shin pain which is getting worse during walking. Objectively: there is an edema and reddening along the vein. A doctor administered a direct coagulant to be applied topically. What drug can be applied for this purpose?

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164

Coprological examination of a patient's feces revealed small operculate eggs. It is known from the anamnesis that the patient often consumes fish. What fluke parasitizes in the patient's organism?

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165

A patient with gastric ulcer underwent a course of treatment, which led to digestion normalization, pain relief, better mood. However in a few weeks the epigastric pain as well as heartburn and sour eructation recurred. Such course of the disease can be characterized as:

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166

Prophylactic examination of a patient revealed hyperglycemia, ketonuria, polyuria, glycosuria. What form of acid-base balance disorder is the case?

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167

A 5-month-old boy was hospitalized for tonic convulsions. He has a lifetime history of this disease. Examination revealed coarse hair, thinned and fragile nails, pale and dry skin. In blood: calcium - 1,5 millimole/l, phosphor - 1,9 millimole/l. These changes are associated with:

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168

A patient suffering form tuberculosis was treated with rifampicin, which caused drug resistance of tuberculosis mycobacteria. In order to reduce mycobacteria resistance, rifampicin should be combined with the following drug:

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169

A 35 y.o. patient diagnosed with sterility came to gynaecological department for diagnostic biopsy of endometrium. Microscopic examination revealed that mucous membrane is edematous, uterine glands are convoluted and filled with thick secreta. Such changes in the endometrium are caused by excess of the following hormon:

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170

A man is in the state of rest. He has been forcing himself to breath deeply and frequently for 3-4 minutes. What effect will it have upon acid-bace balance of the organism?

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171

A patient complains about retrosternal pain, dyspnea and palpitation. After examination he was diagnosed with coronary heart disease and prescribed verapamil. What is the mechanism of its action?

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172

While on holiday in the countryside a boy found a spider with the following morphological peculiarities: body length at the rate of 2 cm, round black abdomen with two rows of red dots on its dorsal surface, four pairs of segmented extremities covered with tiny black hairs. Identify this arthropod:

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173

In hemotransfusions it is recommended to transfuse only phenotype-matched blood. According to the AB0 system, blood group is determined by:

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174

A specimen of connective tissue of derma was stained with Sudan III and hematoxylin. There are clusters of big polygonal cells that turned orange. Their nuclei are flattened and located on periphery. What tissue is it?

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175

A 60-year-old patient presents with intestinal hypoperistalsis. Which of the following foodstuffs will stimulate peristalsis most of all?

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176

A patient consulted a dentist about pains, reddening and swelling of gums. The dentist assumed herpetic gingivostomatitis. What virus might have caused this disease?

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177

Blood analysis of a 16-year-old girl suffering from the autoimmune inflammation of thyroid gland revealed multiple plasmatic cells. Such increase in plasmocyte number is caused by proliferation and differentiation of the following blood cells:

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178

A patient with high obesity was recommended to take carnitine as a food additive for better fat burning. What function is fulfilled by carnitine in the process of fat oxidation?

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179

A patient consulted a dentist about the temporomandibular joint arthritis. The dentist administered an ointment containing diclofenac sodium. What is its mechanism of action?

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180

Clinical examination of a female patient revealed reduction of basal metabolism by 40%, gain in body mass, drop of body temperature, face puffiness, sexual disfunctions, inertness and apathy, lowered intelligence. These symptoms are caused by dysfunction of the following endocrine gland:

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181

A 35-year-old man got a trauma that resulted in complete rupture of spinal cord at a level of the first cervical segment. What changes of respiration will be observed?

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182

Injection of an anaesthetic before the tooth extraction resulted in development of anaphylactic shock accompanied by oliguria. What pathogenetic mechanism caused a decrease in diuresis in this case?

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183

Liver puncture biopsy in a patient with hepatocellular insufficiency revealed vacuolar, balooning degeneration of hepatocytes, necrosis of single cells, Councilman's bodies, infiltartion of portal and lobular stroma mainly by lymphocytes and macrophages with a small number of polymorphonuclear leukocytes. What is the most likely diagnosis?

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184

Autopsy of a 35 y.o. woman revealed not only enlargement of many lymph nodes but also enlarged spleen weighting 600,0. Its incision showed that it was heterogeneous, dark red, dense with greyish-yellow necrotic areas up to 1 cm in diameter (porphyritic spleen). What disease can be assumed?

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185

A patient underwent gastroscopy that revealed insufficient amount of mucus covering the mucous membrane. This phenomenon is caused by the dysfunction of the following cells of stomach wall:

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186

Examination of urine in a newborn revealed presence of citrulline and high ammonia concentration. This baby is most likely to have the disorder of the following substance production:

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187

A newborn didn't take his first breath. Autopsy revealed that in spite of unobstructed respiratory tracts the baby's lungs didn't expand. What might be the cause of it?

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188

Examination of a patient with an interbrain injury revealed the hearing impairment. What structures must be damaged?

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189

Examination of a patient, suffering from atrophic gastritis, revealed megaloblastic anemia. The anemia is likely to be caused by the deficiency of the following substance:

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190

A patient was admitted to a hospital because of a penetrating wound of mouth floor. Which muscle is injured?

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191

A sample taken from the pharynx of a patient with angina was inoculated on the blood-tellurite agar. This resulted in growth of grey, radially striated (in form of rosettes) colonies up to 4-5 mm in diameter. Microscopically there can be seen gram-positive rods with club-shaped ends arranged in form of spread fingers. What microorganisms are these?

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192

A patient suffering form stomatitis was prescribed oral rinsing. Which antiseptic from the oxidant group is the most suitable for this purpose?

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193

During postembryonal haemopoiesis in the red bone marrow the cells of one of the cellular differons demonstrate a gradual decrease in cytoplasmic basophilia as well as an increase in oxyphilia, the nucleus is being forced out. Such morphological changes are typical for the following haemopoiesis type:

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194

Pellagra may be caused by maize domination and low quantity of animal foodstuffs in the dietary intake. This pathology results from lack of the following amino acid:

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195

A patient is found to have increased permeability of blood vessel walls accompanied by increased gingival hemorrhage, petechial skin hemorrhages, dedentition. What pathology is observed in this patient?

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196

As a result of a trauma apatient has developed traumatic shock. The patient is fussy, talkative, pale. AP- 140/90 mm Hg, Ps- 120 bpm. This condition is consistent with the following shock phase:

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197

A patient suffering from syphilis was prescribed a drug the action of which based upon disturbed generation of murein leading to death of the causative agent. What drug is it?

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198

A patient with fracture of femoral bone in the area of surgical neck got symptoms of acute dextroventricular insufficiency as a result of pulmonary embolism. What type of embolism is it?

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199

Cytogenetic examination of a patient with dysfunction of the reproductive system revealed normal karyotype 46,XY in some cells, but most cells have Klinefelter's syndrome karyotype - 47,XXY Such phenomenon of cell inhomogeneity is called:

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200

Examination of a 60 y.o. man's oral cavity revealed the following changes: the 26th and 27th tooth are covered with metallic crowns that plunge deep into the gums. There is a parodontal pouch 0,7 cm deep between them containing some pus. Gingival papillae of these teeth are hyperemic, edematic, cyanotic, bleed as a reaction to touching by a dental explorer. X-ray picture shows resorption of interdental septa of 1/2 of tooth root. What is the most probable diagnosis?

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