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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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Low level of albumins and fibrinogen was detected in the patients blood. Decreased activity of what organelle of the liver hepatocytes can cause it?
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Increased production of thyroidal hormones T3 and T4, weight loss, tachycardia, psychic excitement and so on present on thyrotoxicosis. How do thyroidal hormones effect energy metabolism in the mitochondrion of cells?
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Increased amount of free fat acids is observed in the blood of the patients with diabetes mellitus. It can be caused by:
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Parents with ill child came to the infectionist. They worked in one of the Asian countries for a long time. Child has eathy colored skin, loss of appetite, laxity, enlarged liver, spleen, peripheral glands. What protozoan illness can this child have?
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A 10-year-old girl often experiences acute respiratory infections with multiple spotty haemorrages in the places of clothes friction. Hypovitaminosis of what vitamin is present at the girl?
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While examining the child the doctor revealed symmetric cheeks roughness, diarrhea, disfunction of the nervous system. Lack of what food components caused it?
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Unpainfull formation without marked borders appeared in the soft tissues of the thigh of a young man. On the tissue bioptate the formation looks like the meat of a fish, consisting of immature fibroblast-like cells with multiple mitosis, which grow through the muscles. What is the most likely diagnosis?
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In result of the damage of one of the Atomic Power Plant reacttor the run-out of radioelements happened. People in the increased radiation zone were radiated with approximately 250-300 r. They were immediately hospitalized. What changes in the blood count would be typical?
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The increased intraocular tension is observed in the patient with glaucoma. Secretion of aqueous humor by the ciliar body is normal. Injury of what structure of the eyeball wall caused the disorder of flow-out from the anterior chamber?
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Ovarian tumour was diagnozed in the woman. Surgery was indicated. What ligament should be cut by the surgeon to disconnect the ovary and the uterus?
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During the fetal period of the development in the vascular system of the fetus large arterial (Botallos) duct is functioning which converts into lig. arteriosum after birth. What anatomical formations does this duct connect between each other?
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A 57-year-old patient was admitted to the gastroenterological department with suspicion on Zollinger-Ellison syndrom because of rapid increase of gastrin level in the blood serum. What disorder of the secretory function of the stomach is the most likely?
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Carnitine including drug was recommended to the sportsman for improving results. What process is activated most of all with help of carnitine?
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Patient complaines of weakness, dyspnea, low extremities oedema. Diagnosis: chronic cardiac insufficiency. What medicine should be prescribed first of all?
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Chronic inflammation and transformation of the one-layer ciliated epithelium into multiple-layers flat epithelium was revealed in the thickened mucous membrane of the bronchus bioptate of the patient with smoke abuse. Which of the processes is the most likely?
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The intraoperational biopsy of mammal gland has revealed the signs of atypical tissue with disorder of parenchyma stroma proportion with domination of the last, gland structures of the different size and shape, lined with single-layer proliferative epithelium. What is the most appropriate diagnosis?
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Pain along large nervous stems and increased amount of pyruvate in the blood were revealed in the patient. Insufficiency of what vitamin can cause such change?
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Purulent endometritis with fatal outcome was progressing in the woman after abortion performed not at the hospital. On autopsy multiple lung abscesses, subcapsule ulcers in the kidneys, spleen hyperplasia were revealed. What form of sepsis developed in the patient?
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Signs of gastropathy develop in the patient with rheumatoid arthritis who was treated with indometacin. With what activity of the drug can this complication be connected?
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On bacteriological study of rinsing water of the patient with food poisoning, the pure bacterial culture was inoculated with the following properties: gram-negative motile bacillus in the Endo environment grows like achromic colony. Representative of what genus has caused the illness?
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From the nasopharynx of a 5-year-old child it was excreted amicroorganism which is identical to Corynebacterium diphtheriae dose according to morphological and biochemical signs.Microorganism does not produce exotoxin. As a result of what process can this microorganism become toxigenic?
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Increased breaking of vessels, enamel and dentine destruction in scurvy patients are caused by disorder of collagen maturing. What stage of modification of procollagen is disordered in this avitaminosis?
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From the group of children who were eating sweet sappy watermelon two kids developed the signs of poisoning: rapid weakness, dizziness, headache, vomiting, edema, tachycardia, cyanosis of mouth, ears, tips of the fingers cyanosis. High concentration of nitrates was detected. What is the leading mechanism of the pathogenesis of the poisoning in the two children?
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A 38-year-old woman was admitted to the admission-diagnostic department with uterine bleeding. What are the most likely changes of blood?
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For serological diagnostics of the whooping cough it was made large-scale reaction with parapertussis and pertussis diagnosticums. At the bottom of the test-tubes with diagnosticum of Bordetella parapertussis grain-like sediment formed. What antibodies have this reaction revealed?
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The patient was treated medically for psychosis for 2 weeks. Patients condition improved but rigidity, tremor, hypokinesia developed. Which of the drugs can cause such complications?
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Punctata hemorrhage was found out in the patient after application of a tourniquet. With disfunction of what blood cells is it connected?
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Intrapleural pressure is being measured in a person. In what phase has a person hold his breath if the pressure is - 25 cm H2O?
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In the blood of a 26-year-old man it was revealed 18% of erythrocytes of the spherical, ball-shaped, flat and thorn-like shape. Other eritrocytes were in the form of the concavo-concave disks. How is such phenomenon called?
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Tere is observed inhibited fibrillation in the patients with bile ducts obstruction, bleeding due to low level of absorbtion of some vitamin. What vitamin is in deficit?
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Victim has elbow joint trauma with avulsion of medial epicondyle of humerus. What nerve can be damaged in this trauma?
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Systemic amebiasis with involvment of intestines, liver, lungs was diagnosed in a 52-year-old patient. What drug should be prescribed?
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A man with internal abdominal right side injury and suspicion of liver rupture was admitted to the traumatological department. In what peritonial structure will blood accumulate?
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The patient with complaints of permanent thirst applied to the doctor. Hyperglycemia, polyuria and increased concentration of 17-ketosteroids in the urine were revealed. What disease is the most likely?
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Patients with similar complaints applied to the doctor: weakness, pain in the intestines, disorder of GIT. Examination of the faeces revealed that one patient with four nucleus cysts should be hospitalized immidiately. For what protozoa are such cysts typical?
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A man who was bitten by the unknown dog applied to the surgeon. Wide ragged woundes were localised on the face. What curative-prophylactic aid should be given to prevent rabies?
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Patient with abscess of the cut wound applied to the traumatological department. Doctor for the cleaning of the wound from the pus washed it with 3% hydrogen peroxide. Foam was absence. What caused the absents on the drug activity?
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Multiple oval ulcers along the intestine were revealed on autopsy of the person, who died from diffuse peritonitis in the distal part of the small intestine. Bottom parts of the ulcers are clear, smooth, formed with muscular or serous covering, edges of ulcers are flat, rounded. There are perforations up to 0,5 cm in diameter in two ulcers. What disease can be diagnosed?
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White-haired, with blue eyes girl was born in healthy parents. Irritability, anxiety, troubled sleep and feeding developed in the first months of life of the infant. What method of genetic investigation should be used for the exact diagnosis?
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Patient suffering from trombophlebitis of the deep veins suddenly died. Autopsy has shown freely lying red friable masses with dim crimped surface in the trunk and bifurcation of the pulmonary artery. What pathologic process was revealed by morbid anatomist?
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