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KROK 1 Medicine 2004 Questions | KROKEXAM
Browse 2004 KROK 1 Medicine exam questions with answers and explanations.
Exam questions
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A patient during a visit to his dentist developed severe hypotension. Which of the medicines, stimulating adrenergic structures, should be used to normalise blood pressure?
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A student is thoroughly summarising a lecture. When his groupmates began talking the quality of the summarising worsened greatly. What type of the inhibition in the cerebral cortex is the cause of this?
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Galactosemia is revealed in a child. Concentration of glucose in the blood is not considerably changed. Deficiency of what enzyme caused this illness?
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Careless student occasionaly met his dean. The concentration of what hormone will most likely increase in the blood of the student?
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Analeptical remedy of reflective type from the H-cholinomimetics group was given to the patient for restoration of breathing after poisoning with carbon monoxide. What medicine was prescribed to the patient?
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Some time later after the intensive physical training a sportman activates his gluconeogenesis. What is its main substance?
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Because of suspected intrahospital infection in the neonatal department of the maternity home the inspection was carried out. In some children and on some general things Staphylococcus aureus was revealed. What properties of these cultures allow to establish their origin from one source?
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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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A 40-year-old pregnant woman underwent amniocentesis. The examination of fetus karyotype revealed 47ХУ 21. What pathology of the fetus was found out?
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In the micropreparation made from patients regional lymph node punctate and stained according to Romanovsky-Giemsa method, the doctor found out thin microorganisms with 12-14 equal ringlets and pale-pink sharp pointes 10-13 mkm in length. The pathogen of what disease is it about?
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A 50-year-old man suddenly began having severe palpitation, pain in the heart, sharp weakness, high blood pressure; arrhythmic pulse, with deficiency. The ECG revealed no P waves and there was different duration of R-R intervals. What disorder of heart rhythm did the patient have?
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The heart rate and the systemic arterial blood pressure of a man have increased due to voluntary respiratory delay for 40 c. Realisation of what regulation mechanism caused these changes?
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A patient with diabetes mellitus suddenly began having sharp pain in his right foot. The examination revealed black hallux, swallen foot tissues, focuses of epidermis detachment, secreta with unpleasant smell. What clinico-morphological form of necrosis developed in a patient?
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A patient who had been suffering for many years from bronchial asthma died from asphyxia. The histological examination of his lungs revealed the following: much mucus with eosinophils contents in the lumen of bronchioles and small bronci, sclerosis of interalveolar septa, dilation of alveolar lumen. Which of the mechanisms of allergy development is it?
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2 weeks since the blood transfusion a recepient has developed fever. What protozoal disease can it be?
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A patient died 3 days after the operation because of perforated colon with the manifestations of diffuse purulent peritonitis. The autopsy demonstrated: colon mucos membrane was thickened and covered with a fibrin film, isolated ulcers penetrated into different depth. Results of histology: mucous membrane necrosis, leukocytes infiltration with hemorrhages focuses. The complication of what disease caused the patients dea
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The examination of a foreigner revealed intestinal schistosomiasis. How could the patient be infected?
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For serological diagnostics of the whooping cough there was made a large-scale reaction with parapertussis and pertussis diagnostici. At the bottom of the test-tubes with diagnosticum of Bordetella parapertussis grain-like sediment was formed. What antibodies have this reaction revealed?
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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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A woman with myasthenia developed respiratory disorders, which required artificial ventilation. What type pf respiratory insufficiency did the woman have?
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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 46-year-old man on his head skin has got a little bulged out nevus pigmentosis of a dark colour which didnt trouble him. For the last time the nevus began growing in size, a pain developed, the colour became black-brown; the palpation of it demonstrated a node at its base. The histological examination of the removed tissue revealed spindle-shaped and polymorphic cells, the cytoplasm of which contained the pigment of fulvous colour. What tumor is it about?
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A 26-year-old woman is complaining of thirst and dryness in her mouth. The examination has revealed glucosuria and blood glucose content of 6,5 mmol/l. What condition are these symptoms the most typical for?
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After the radiactive exposure a patient has stem cells disorder. The regeneration of what cells of friable connective tissue will be damaged?
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The study of the genealogy of a family with hypertrichosis (helix excessive poliosis) demonstrated, that this feature is manifested in all generations only in men and is inherited by son from his father. What is the type of hypertrichosis inheritance?
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The speed of excitement conduction through the atrioventricular node in a healthy adult is 0,02-0,05 mps. What does artrioventricular delay supply?
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A patient has got frequent internal organs and mucosal hemorrhages. The analysis indicated insufficiency of hydroxyproline and hydroxylysine in the collagenous fibres. The insufficiencuy of what vitamin caused the impairment of hydroxylysation of abovementioned aminoacids in a patient?
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Patient in the unconscious state was admitted to the emergency room. Skin is cold, pupils are delayed, breathing is heavy, with cycles of the Cheyne-Stokes type, blood pressure is decreased, urinary bladder is overloaded. Poisoning with what substance is the most likely?
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A 65-year-old man with signs of profuse obesity and risk of fatty liver dystrophy was recommended high-lipotropic diet. The contents of what substance in his diet is the most effective in this case?
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A patient died from acute cardiac insufficiency.The histological examination of his heart revealed in myocardium of the left ventricle the necrotized section, which was separated from undamaged tissue by the zone of hyperimic vessels, small hemorrhages and leukocytic infiltration. What is the most likely diagnosis?
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Ion cells have been blocked in the excitative cell. It doesnt change significantly the quiet potential, but the cell has lost its capacity to the generation of AP (action potential). What canals have been blocked?
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A 44-year-old woman was admitted to the therapeutic department because of right-side pleuritis. The examination confirmed the presence of liquid in the pleural cavity. What sinus of the pleura will have the biggest accumulation of the serosity?
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Patient was admitted to the infection unit with diagnosis of bacterial dysentery. On laboratory studies it was revealed that causative element is sensitive to many antimicrobial medicines, but patient had anemia. What medicine was contra-indicated to the patient?
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A 63-year-old man, suffering from cancer of esophagus, has metastases to mediastenum, lymph nodes and cancer cachexy. What is the pathogenetic stage of the given tumorous process?
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A 58-year-old man has a clinical picture of acute pancreatitis. The increase of what substance in the urine from below mentioned will confirm the diagnosis?
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A patient after tooth extraction developed persistent substernal pain. Sublingual antianginal substance releaved the substernal pain, but the patient complained of headache and dizziness. What medicine did the patient use?
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During ultrasound examination of the heart the doctor observes the leaves of the mitral valve. What happends to them during the systole?
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Blood sampling for bulk analysis is recommended to be performed on an empty stomack and in the morning. What changes in blood count can occur if to perform blood sampling after food intake?
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A patient with ascariasis was administered a medicine which influenses the immune system and is used as immunomodulator. What medicine was administered?
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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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