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KROK 1 Dentistry 2018 Questions | KROKEXAM

Browse 2018 KROK 1 Dentistry exam questions with answers and explanations.

Exam questions

200 Questions
161

During ultrasound a patient with atherosclerosis was diagnosed with bilateral stenosis of the renal arteries. Specify the bioactive substance that is the key pathogenetic link in the development of arterial hypertension in this case:

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162

A 72-year-old man with hepatocirrhosis developed hepatic coma. Its development is caused by the substances, that are being neutralized in the liver, entering into general circulation through portacaval shunts (portal hypertension syndrome) and necrosis of hepatic cells. What type of hepatic coma is characterized by these presentations?

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163

After a traffic accident a man presents with severe blood loss, consciousness disturbance, low blood pressure, as well as compensatory activation of the renin angiotensin system, which results in:

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164

Laboratory analysis revealed UDP-glucuronyl transferase deficiency in the patient. What blood values can confirm this enzymopathy?

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165

Examination revealed the patient to have decreased secretory function of the nasal cavity glands. What nerve provides parasympathetic innervation of these glands?

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166

A 67-year-old man was delivered to a cardiology department with complaints of periodical pains in his heart, dyspnea caused by even slight exertion, cyanosis and edemas. ECG shows additional excitations of heart ventricles. Name this type of rhythm disturbance:

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167

A 40-year-old woman is being treated at the therapeutics department. Her temperature chart shows cyclic fevers alternating with periods of temperature normalization that last for several days. What type of temperature profile is it?

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168

A patient with heatstroke was delivered to the admission room. What compensatory reactions develop in the patient’s body in such case?

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169

During a brain surgery stimulation of the cerebral cortex resulted in tactile and thermal sensations in the patient. What gyrus was stimulated?

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170

Cells of sensory spinal ganglions are apart of reflex arches. What type of neurons are these cells?

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171

A patient with damaged muscles of the lower limbs has been delivered to a first-aid center. What cells enable reparative regeneration of muscle fibers and restoration of muscle function?

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172

2 days after a hunter cut a ground squirrel’s body, he developed fever up to 39°C, his lymph nodes enlarged.Later he developed pneumonia with serohemorrhagic exudate that contained egg-shaped microorganisms with bipolar staining. What provisional diagnosis can be made in this case?

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173

Various types of muscle contractions occurring in the alimentary canal of a test animal were studied and their different functional purposes were determined. It was noted that only one type of motor activity occurred in the circular and longitudinal muscles. Name this motor activity:

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174

A child presents with a wound behind the mastoid bone. Bright red blood streams from the wound. Damage was sustained to the branches of the following artery:

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175

A man presents with suppurative wound in the area of mastoid bone, which resulted in development of cerebral meningitis in the patient. Specify the way of infection penetration into the patient’s cranial cavity:

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176

Rotenone is known to inhibit respiratory chain. What complex of mitochondrial respiratory chain is inhibited by this substance?

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177

In 8 days after a surgery the patient developed tetanus. The surgeon suspects this condition to be caused by suture material contaminated by tetanus agent. The material is delivered to a bacteriological laboratory. What nutrient medium is required for primary inoculation of the suture material?

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178

A patient is diagnosed with deformed posterior portion of the nasal septum. What bone is deformed?

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179

A patient suffers from disturbed blood supply of superior lateral surface of the cerebral hemispheres. What blood vessel is damaged?

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180

X-ray detected pus accumulation in the sphenoidal sinus. The pus is being excreted into the following nasal meatus:

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181

Dentists have high risk of contracting viral hepatitis type B in the course of their duties and therefore are subject to mandatory vaccination. What vaccine is used in such cases?

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182

Differentiation of B-lymphocytes into plasma cells leads to synthesis of immunoglobulins that ensure specific immune response of the body. Differentiation of B-lymphocytes takes place in the following organ of immune system:

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183

On tooth section in the area of the root apex there is a tissue consisting of cells with processes surrounded by mineralized intercellular substance. Name this tissue:

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184

During oral cavity examination a dentist noticed eruption of the permanent canines in a child. The child grows and develops normally. Determine the child’s age:

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185

A surgeon accidentally damaged a nerve that innervates mylohyoid muscle. Name this nerve:

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186

At the crown apex of the second molar, on the surface that comes into contacts with the cheek, the doctor detected a carious cavity. Name the affected crown surface:

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187

Autopsy of a 46-year-old man, who had untreated enteric infection and died of sepsis, revealed the following: perirectal phlegmon, multiple ulcers of the rectum and sigmoid colon, some of which are perforated; mucosa of these intestinal segments is thickened and covered with ?rmly attached grayish ?lms. What is the most likely disease in this case?

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188

Autopsy of a 52-year-old man revealed changes in his lungs: there is a segmented area of caseous necrosis in the upper right lung; the segments merge with each other.The lung is enlarged, dense, yellowish-colored on section; there are fibrinous films on the pleura. Name the type of tuberculosis:

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189

A 3-year-old child presents with facial deformation that was gradually developing over the course of 6 months and manifests as symmetrical enlargement of both mandibular angles. Microscopy shows the space between the bone trabeculae to be filled with connective tissue that contains numerous blood vessels and smaller primitive bone trabeculae. What disease is the most likely in this case?

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190

Autopsy of a 72-year-old man with recurrent transmural myocardial infarction revealed his epicardium and pericardium membranes to be swollen, thickened, coarce, as if covered in hair. Name the type of inflammation that occurred in the cardiac membranes:

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191

During autopsy of the patient, who died of cardiovascular insufficiency, the patient’s right foot is darkly colored. The vessels of the patient’s thigh are partially obstructed by grayish-red clots. On the vessel walls there are yellowish-gray spots and fibrous plaques, some of which areof stony density. What clinicopathological type of atherosclerosis was complicated in the patient?

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192

During examination of the patient’s oral cavity a dentist noticed deformation of the teeth and a crescent indentation on the upper right inscisor. The teeth are undersized, barrel-shaped - tooth cervix is wider than its edge. The patient uses a hearing aid, suffers from visual impairment. What type of syphilis affects teeth in such a way?

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193

Autopsy of a 7-year-old child, who died of uncompensated congenital heart disease, revealed increase in mass and volume of the thymus. On microscopy thymus structure is normal. What pathologic process had occurred in the thymus?

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194

A patient came to the doctor with complaints of general weakness and sleep disturbances. Objectively the patient’s skin is yellow. In blood there is increased concentration of direct bilirubin and bile acids. Acholic stool is observed. What condition can be characterized by these changes?

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195

A diver that submerged to the depth of 75 meters detected signs of CNS functional disturbance: excitation, lapse of concentration, euphoria leading to professional errors. What substance has toxic effect on the neurons, thus leading to the development of these signs?

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196

A patient with dislocated jaw was given a short-acting muscle relaxant by a doctor. Name this drug:

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197

A doctor has made a diagnosis of gingivitis and recommended the patient to rinse the oral cavity with an oxidizing agent. Specify this agent:

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198

To treat osteomyelitis, a patient was prescribed an antibiotic that easily penetrates into bone tissue. Name this drug:

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199

A person in the state of nervous tension develops transverse wrinkles on the forehead. What muscle contracts to produce this result?

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200

A girl presents with high fever and sore throat. Objectively the soft palate is swollen, the tonsils are covered with gray films that are firmly attached and leave deep bleeding lesions when removed. What is the most likely disease in this case?

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