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KROK 1 Dentistry 2021 Questions | KROKEXAM

Browse 2021 KROK 1 Dentistry exam questions with answers and explanations.

Exam questions

300 Questions
1

A histology slide with a section of a dental crown shows a small number of radially positioned collagen fibers (Korff fibers) in the intercellular substance of dentin. What layer of dentin is it?

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2

A 5-year-old boy complains of intense headache and vomiting. Objectively, he has nuchal rigidity, vomiting without nausea, herpes rash on his face, and fever. What pathologic material should be obtained for bacteriology, to confirm the diagnosis of cerebrospinal meningitis?

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3

Formation of dental bone tissue requires calcium. The active form of vitamin D plays a large role in calcium metabolism and is produced in:

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4

The patient is in the state of cardiogenic shock, he needs to be given a non-glycoside cardiotonic drug. What will be the drug of choice in this case?

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5

A man, who accidentally rinsed his mouth with vinegar essence instead of chlorhexidine solution, was brought to a dental clinic. He complains of burning pain during eating. Examination revealed a dense whitish-gray film on his oral mucosa. What keratoplastic drug was prescribed by the dentist in the course of treatment in this case?

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6

To take a sample of cerebrospinal fluid for analysis, a doctor makes a puncture into subarachnoid space. To prevent damage to the spinal cord, the needle must be inserted between the two following vertebrae:

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7

During kidney microscopy, the pathologist noticed crescent-shaped epithelial formations in the outer layer of the Bowman's capsule in 80% of the glomeruli. He concluded that such clinical presentation corresponds with:

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8

An enzyme, connected to substrate, interacts with it only with a part of its molecule. Name this part:

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9

Phenylketonuria has autosomal recessive pattern of inheritance. What parental genotypes result in the risk of phenylketonuria in their children?

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10

During an exacerbation of rheumatoid arthritis, the patient with a history of concomitant chronic gastritis was prescribed celecoxib. What decreases the digestive tract side effects of this drug?

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11

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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12

A car accident victim presents with a spinal hematoma accompanied by retrosternal pain, tachycardia, and elevated blood pressure. The patient's condition results from the damage to the following segments of the spinal cord:

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13

Urinalysis shows glucosuria in a patient with diabetes mellitus. What is the renal threshold for glucose?

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14

A 59-year-old man has signs of parenchymal jaundice and portal hypertension. Histology of the puncture biopsy material, obtained from the patient's liver, shows the following: disturbed lobar and trabecular structure, signs of fatty degeneration in a portion of hepatocytes, formation of porto-portal connective tissue septa with pseudolobules and periportal lympho-macrophageal infiltrations. Make the diagnosis:

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15

In some Ukrainian regions, local cases of malaria were detected. What insects take part in such outbreaks?

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16

A 58-year-old man with acute heart failure developed decreased daily diuresis - oliguria. What is the mechanism of this phenomenon?

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17

Broad-spectrum antibiotics can cause various complications, including intestinal candidiasis. What drug is used for treatment of this complication?

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18

A 43-year-old cattle farm worker is brought to the surgeon with fever, malaise, and inflamed lesions on his hands and arms. He reports that about 2 weeks before his presentation at the hospital he noticed small, painless, pruritic papules that quickly enlarged and developed a central vesicle. The vesicles developed into erosion and left painless necrotic ulcers with black, depressed eschar. Gram's staining of the ulcer reveals gram-positive spore-forming bacilli. Which of the following discases is the most likely cause of these findings?

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19

A patient developed anaphylactic shock after administration of novocaine (procaine) for conduction anesthesia. What is the drug of choice for shock relief in this case?

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20

A patient with alcoholism has hepatic cirrhosis. Within the last half a year he developed varicose abdominal veins, splenomegaly, and ascites (portal hypertension syndrome). What complication is the most likely cause of the patient's death?

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21

Prolonged taking of large doses of aspirin (acetylsalicylic acid) leads to inhibition of prostaglandin synthesis because of decreased activity of the following enzyme:

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22

38. In the surgical department, dressing material was being sterilized in an autoclave. Because of nurse's oversight, the sterilization regimen was disturbed and temperature in the autoclave chamber reached only 100°C instead of required 120°C. What microorganisms could remain viable under such conditions?

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23

A patient with a many-year-long history of mandibular osteomyelitis developed edema, massive proteinuria, and hyperlipidemia. What condition is the most likely in this patient?

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24

Some unicellular organisms, i.e. amoebae, feed via phagocytosis. What cells of the human body use this method not as a means of feeding, but as a defensive mechanism against foreign bodies (microorganisms, dust, etc.)?

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25

A patient with trauma has an epidural hematoma in the temporal region. What artery was damaged?

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26

A sick child has signs of achondroplasia (dwarfism). It is known that this discase is monogenic and the gene that causes the development of this anomaly is dominant. The natural brother of this child has normal development. Genotypically, the healthy child is:

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27

The costal margin is an important topographic landmark of the human body. It is formed by the cartilage of the following vertebrae:

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28

Before a maxillofacial surgery, the patient received a drug that is a natural anticoagulant that directly affects blood coagulation factors. It is rapidly acting, if administered intravenously. In dental practice, it is used for prevention of thromboembolic complications during extensive maxillofacial surgery. Name this drug:

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29

Combined therapy of chronic heart failure with digitoxin and furosemide resulted in acute muscle weakness in the patient. What electrolyte imbalance can be detected in the patient's blood?

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30

Dependence of blood pressure from vascular resistance was studied in an experiment on a test animal. In what vessel will the resistance be the highest?

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31

In an experiment, an excitatory cell was placed into a salt solution without sodium ions. How will it affect the process of excitation?

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32

During an appointment, a patient developed atrioventricular block. What medicinal substance can be used as an emergency aid in this case?

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33

A patient presents with acute onset of the 'disease: high fever and enlarged painful spleen. On the 10th day since the onset the patient developed a maculopapular rash on the abdomen. On the 21st day the patient died of peritonitis. Postmortem study of the body shows deep ulcers in the area of necrotic aggregate lymphoid follicles (Peyer's patches) in the ileum of the deceased. One of the ulcers is perforated and diffuse fibrinopurulent peritonitis is observed. What disease can be suspected in this case?

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34

An electronic microphotograph of a cell shows two different protein-destroying organelles. Name them:

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35

A patient with acne is prescribed doxycycline hydrochloride. What should the patient be warned against, regarding administration of this drug?

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36

Lately, the laboratory diagnostics of hepatitis B includes detecting the presence of viral DNA in the patient's blood. What reaction is used to determine it?

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37

During tooth extraction, novocaine (procaine) is administered to the area of a sensitive nerve, which results in an anesthetic effect because of disturbed:

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38

During a class in molecular biology, the mutations resulting in production of abnormal hemoglobin are being studied. What amino acid substitution occurs when S-hemoglobin is being produced, resulting in the development of sickle-cell anemia?

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39

The patient's salivary porphyrin concentration allowed diagnosing him with porphyria. This discase leads to disturbed synthesis of the following compound:

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40

A patient complaining of polydipsia, polyphagia, and polyuria excretes glucose with urine. What disease can be suspected?

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