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KROK 1 Medicine 2003 Questions | KROKEXAM
Browse 2003 KROK 1 Medicine exam questions with answers and explanations.
Exam questions
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Due to cranial trauma the patient developed the symptoms: intention tremor, dysmetry, adiadochokinesis, dysarthria. What structure of the brain is injured?
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A 37-year-old man was admitted to the surgical department with symptoms of acute pancreatitis: vomiting, diarrhea, bradycardia, hypotention, weakness, dehydration of the organism. What medicine should be used first of all?
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A 12-year-old boy often suffers from virus and bacterial infections and eczematous skin lesions. Enlargement of T-lymphocytes and IgM with normal IgA and IgG was revealed on examination. What type of immune system pathology is presented in the patient?
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Dystrophic changes of the heart muscle are accompanied with cardiac cavity enlargement, decrease of the strength of heart contraction, increased amount of blood, which remains in the heart during systolic phase, overfilled veins. For what state of heart is it characteristic?
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Usage of oral contraceptives with sex hormones inhibits secretion of the hypophysiae hormones. Secretion of which of the indicated hormones is inhibited while using oral contraceptives with sex hormones?
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Person has stable HR, not more than 40 bpm. What is the pacemaker of the heart rhythm in this person?
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A 56-year-old patient with complains of thirst and frequent urination was diagnosed to have diabete mellitus and butamin was prescribed. What is the mechanism of action of this medicine?
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A 62-year-old patient was admitted to the neurological department due to cerebral haemorrage. Condition is grave. There is observed progression of deepness and frequency of breath that turnes into reduction to apnoea,and the cycle repeates. What respiration type has developed in the patient?
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While registering the child to the school Mantus test was made to define whether revaccination was needed test result is negative. What does this result of the test mean?
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Patient experienced increased susceptibility of the skin to the sunlight. His urine after some time became dark-red. What is the most likely cause of this?
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Necrosis focus appeared in the area of hyperemia and skin edema in few hours after burn. What mechanism strengthens destructive events in the inflammation area?
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On simulation of inflammation of the lower extremity the animal experienced rise in temperature, increase of amount of antibodies and leukocytes in the blood. What substances caused this general reaction of the organism on inflammation?
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Transmural myocardial infarction in the patient was complicated with progressive acute left ventricle insufficiency. What is the most typical for this state?
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A 46-year-old man complains of difficult nose breathing. Mikulich cells, storage of epithelioid cells, plasmocytes, lymphocytes, hyaline balls are discovered in the biopsy material of the nose thickening. What is the most likely diagnosis?
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A 59-year-old man has signs of the parenchymatous jaundice and portal hypertension. On histological examination of the puncture of the liver bioptate, it was revealed: beam-lobule structure is affected, part of hepatocytes has signs of fat dystrophy, port-portal connective tissue septa with formation of pseudo-lobules,with periportal lympho-macrophage infiltrations. What is the most probable diagnosis?
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A 70-year-old man, who suffered from chronic bronchitis, was prescribed medicine for the cough - codeine. What is the mechanism of anticoughing effect?
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A 32-year-old patient was admitted to the hospital with gross bloodloss due to auto accident trauma. Ps - 110Bpm, RR- 22 pm, BP- 100/60 mm Hg. What changes in the blood will occur in an hour after the bloodloss?
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Where should the cathetor for evacuation of the lymph from the thoracic lymph duct be inserted?
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Woman applied to the medico-genetic consulting centre for information about the risk of hemophilia in her son. Her husband has been suffering from this disease since birth. Woman and her parents are healthy (dont have hemophilia). Is the boy likely to have the disease in this family?
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A 7-year-old child cant abduct the shoulder, raise it to the horizontal level. He can raise the hand to the face only with dorsal side with abduction of the shoulder (with help of supraspinous muscle ) - "bugler" arm. Active function of what muscle is absent?
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The specimens present sections of haemopoetic and immunogenetic organs. Organ has lymph tissue forming different structures (lymph nodes,lobules, bars). In what organ does antigen-independent proliferation and differantiation take place?
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Concentration of pyruvate is increased in the patients blood, the most of which is excreted with urine. What avitaminosis is observed in the patient?
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On bacteriological examination of the defecation of a 4-months-old baby with the symptoms of acute bowel infection there were revealed red colonies spread in the large quantity in the Endo environment. What microorganism can it be?
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The ventral roots of 5 frontal segment of spinal cord were cut during experiment in the animal. What changes will take place in the innervation region?
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Secretion of which gastrointestinal hormones is primerily decreased in patient with removed duodenum?
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The guide of the scientific expedition in India was native who always was with his dog. What invasive diseases can be transmitted by the dog if it is the source of invasion?
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RNA-polymeraseB(II) is blocked due to amanitine poisoning (poison of death-cup). It disturbes:
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Patient with pneumonia has intolerance to antibiotics. Which of the conbined sulfanilamide medicines should be prescribed to the patient?
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Isolated muscle of a frog is rhythmically irritated with electric impulses. Every next impulse is in a period of relaxation from the previus contraction. What contraction of the muscle appears?
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Moving of the daughter chromatids to the poles of the cell is observed in the mitotically dividing cell. On what stage of the mitotic cycle is this cell?
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On autopsy it is revealed: soft arachnoid membrane of the upper parts of cerebral hemisphere is plethoric, it is of yellowish-green color, soaked with purulent and fibrose exudate, it lookes like cap. For what disease is it characteristical picture
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Profuse foam appeared when dentist put hydrogen peroxide on the mucous of the oral cavity. What enzyme caused such activity?
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Periodic renal colics attackes are observed in the woman with primery hyperparathyroidizm. Ultrasonic examination revealed small stones in the kidneys. What is the cause of the formation of the stones?
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Disorder of the airways passage in small and middle bronchi was revealed in the patient. What disorder of the acid-base equilibrium can be detected in the blood?
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Gonorrhoea was revealed in the patient on bacterioscopy of the smear from urethra. Taking into account that medecines for gonorrhoea are fluorquinolones, patient should be prescribed:
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Patient with diabetes mellitus experienced loss of consciousness and convulsions after injection of insulin. What is the result of biochemical blood analysis for concentration of the sugar?
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A 45-year-old woman suffers from allergic seasonal coryza caused by the ambrosia blossoming. What medicine from the stabilizer of the adipose cells group can be used for prevention of this disease?
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During histological examination of the stomach it was found out that glands contain very small amount of parietal cells or they are totally absent. Mucous membrane of what part of the stomach was studied?
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The patient has taken the mixture prescribed by neuropathologist for neurasthenia for 2 weeks. Patient felt better but developed coryza, conjunctivitis, rash, inertia, decrease of memory. Bromizm was diagnosed. What should be prescribed to decrease symptoms?
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During surgery in a 17-year-old patient it was revealed the tumor of 4,5х5,0х3,5 cm in size on the lower surface of the liver with sub-serous localization, of dark-red color. On the section tumor has cavities with marked amount of blood. What is preliminary diagnosis?
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