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KROK 1 Medicine 2004 Questions | KROKEXAM

Browse 2004 KROK 1 Medicine exam questions with answers and explanations.

Exam questions

200 Questions
81

A 39-year-old man has got an increased risk of infectious processes development, hyperkeratinizattion, disorder of mesopic vision. What vitamin should be administered?

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82

During the complicated labour the symphysis pubis ruptured. What organ can be damaged the most?

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83

The electrocardiogramme analysis demonstrated that the duration of mans heart cycle is 1sec. What is the heart rate per minute?

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84

A patient suffers from arterial hypertension strokes, accompanied by tachycardia, excessive sweat, sharp pain in the epigastric region. Which of the mentioned tumorous diseases are these symptoms the most typical for?

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85

A 42-year-old man suffering from gout has increased level of urinary acid in the blood. Allopurinol was prescribed to decrease the level of urinary acid. Competitive inhibitor of what enzyme is allopurinol?

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86

A patient has increased contents of uric acid in his blood, what is clinically manifested by pain syndrome due to accumulation of urates in his joints. What process does the formation of this acid result from?

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87

A patient with chronic heart failure being treated by digitalis drugs developed the symptoms, which confirmed the beginning of cardiac glycosides toxic activity. What drug should be administered to reduce the negative effect of cardiac glycosides?

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88

A child was diagnosed to have fracture of humerus. The broken arm began retarding in growth. What part of the bone was damaged?

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89

Extensive thromboembolic infarction of the left cerebral hemispheres, large septic spleen, immunocomplex glomerulonephritis, ulcers on the edges of the aortic valves, covered with polypous thrombus with colonies of staphylococcus were revealed on autopsy of the young man who died in coma. What disease caused cerebral thromboemboly?

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90

A patient in winter fall down into ice-hole, froze and fall ill. The temperature increased up to 39,70С and ranged from 39,0°C tо 39,80С . Name the type of temperature curve of this patient

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91

After the genealogy analysis a geneticist came to the conclusion: a feature is manifested in each generation, men and women inherit the feature with equal frequency, parents in the equal way give this feature to their offspring. What type of inheritance does the investigated feature have?

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92

The examination of blood serum of a patient with immunodeficiency signs revealed antybodies to gP120 i gP41 proteins. The presence of what infection of this patient does it confirm?

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93

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 fluid flow-out from the anterior chamber?

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94

A patientl liver can not normally detoxify its natural metabolites and xenobiotics.The reduced activity of what cytochrome can cause this?

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95

A patient with prolonged bronchopneumonia was admitted to the therapeutic department. Antibiotic therapy was ineffective. What medicine should be added to the complex therapy of the patient to increase the immune status?

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96

During the examination of a patient with bleeding wounds the doctor found out that the tissue was damaged by maggots, there were local maturations. The diagnosis was obligate myiasis. The maggots of what insect caused the disease?

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97

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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98

Local lymphonodules enlarged near the infected wound. Increased amount of macrophages, lymphocytes, lymphatic follicles in the cortical layer and large amount of plasma cells were revealed on histological examination. What process in the lymphatic nodules represent these histological changes?

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99

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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100

During the intraoperative biopsy of thyroid gland the histological examination revealed lymphoid structures with growth centers, which were among the folliculi full of colloid. What disease was it?

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101

On blood grouping on the system ABO, standart serum of the I and II groups caused erythrocytes agglutination of the examined blood and serum group of the III didnt. What agglutinogens are in this erythrocytes?

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102

The microscopic examination of wound lavage of a patient with acute woundy process of his shin revealed big contents of irregular extended-formed cells, with tough nucleus, the basophilic cytoplasm of which includes many lysosomes, phagosomes and pinocytotic bubbles. What cells are found out in the wound?

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103

To anaesthetize the manipulation connected with burn surface treatment, a patient was intravenously injected a medication for short-acting narcosis. 1 minute later the patient being under anaesthesia had elevated blood pressure, tachycardia, increased tone of sceletal muscles; the reflexes were reserved. After awakening the patient had desorientation and visual hallucinations. What medication was injected to the patient?

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104

A patient, undergoing a course of curative starvation, has a normal glucose level of the blood mainly due to glucogenesis. What aminoacid in human liver the most actively synthesizes glucose?

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105

During the football match a player injuried his knee joint. The X-ray examination showed fracture of the bone, which is situated in the tendon thickness of musculus quadriceps femoris. What of the mentioned groups does this bone belong to?

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106

A 27-year-old man has purulent inflammation of gallblader. What region of the peritoneal cavity will the pus fall into if gallblader ruptures in his typical position?

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107

A man because of 1,5 litre blood loss has suddenly reduced diuresis. The increased secretion of what hormone caused such diuresis alteration?

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108

A 60-year-old man after cerebral hemorrhage felt asleep for a long time. Damage of what structure caused this state?

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109

A woman, who was keeping a diet for a long time and eating refined rice, has developed polyneuritis (beriberi disease). The absence of what vitamin in the diet causes the development of such disease?

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110

A 16-year-old patient died because of diffuse fibrinopurulent peritonitis. The autopsy in the inferior region of small intestine revealed an ulcer with a form of Peyers plaque, with the perforation of intestine wall. The microscopic examination revealed lymph tissue pattern vagueness, the displacement of this tissue with proliferating monocytes, which were forming granulomata. Complication of what disease caused the death?

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111

After the usage of acetylsalicylic acid a patient developed epigastric pain because of exacerbation of his ulcer. What are the principles of this medication ulcerogenity?

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112

Because of present gallstone in the common bile duct, a patient has no bile excretion into duodenum. What disorder can it cause?

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113

In the microspacemen of spinal medulla it is necessary to analyze the condition of the nucleus, neurons of which form the motor endings in the skeletal musculature. What nucleus of the spinal medulla is it about?

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114

A patient suffers from nocturnal paroxysms of bronchial asthma accompanied by bradycardia, spastic intestinal pains and diarrhea. Medicine of what group can releave these symptoms?

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115

A patient becomes quickly tired during his work. In vertical position with closed eyes he is dizzying and loosing equilibrium. Skeletal muscle tone is reduced. Which of the below mentioned brain structures is damaged?

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116

A young man increased his energy inputs from 500 to 2000 kJ per hour. What from the suggested can cause it?

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117

A 30-year-old patient with bacteriologically proved dysentery developed the signs of paraproctitis. What is the stage of local changes of this patient?

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118

Genetic structure of eukaryote is "exon-intron-exon". This structure-functional organization of gene caused transcription peculiarities. What will be pro-i-RNA according to the scheme?

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119

A 42-year-old woman with trigeminal nerve neuralgia complaints of redness of right part of her face and neck, feeling of heat rush and increased dermal sensitiveness. What is the arterial hyperemia in this case according to pathophysiological mechanism?

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120

A 56-year-old patient with complains of thirst and frequent urination was diagnosed to have diabetes mellitus and butamin was prescribed. What is the mechanism of action of this medicine?

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