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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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Shock and signs of acute renal failure (ARF) developed in the patient due to severe injury. What is the leading cause of development of ARF in the case?
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A malarial plasmodium (haemamoeba) - the pathogene of vivax malaria - has two strains: southern and northern. They differ by the duration of their incubation period: the southern has short and the northern - long one. What selection works in this case?
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A patient with bronchial asthma is administered inhalation of 0,5% isadrine solution. Bronchospasm was releaved, but the patient began complaining of pain in the heart region and palpitation. It is connected with the stimulation of:
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During the expirement performed on a rabbit the superior cervical node of sympathatic stem was removed. On the side of the extraction there is redness and rising temperature of the head skin. What form of peripheral circulation disorder developed in this case?
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A woman complaining of coryza, phonastenia, eyelids redness and lacrymation during spring period came to the doctor. What type of allergic reaction by Gell and Coombs classification develops in this case?
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A patient with burn disease died due to progressive septicaemia. The autopsy in the anterior abdominal wall by means of microscopic examination revealed diffuse infiltration of intermuscular spaces by segmentonuclear leukocytes, tissues edema and lysis of muscular fibres. Determine the nature of the pathological process
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During investigation of patient, it was found formation in the white substance of cerebral hemispheres with location in the knee and frontal part of posterior crus of internal capsule. Fibres of what conductive tract of the brain will be disrupted?
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A 25-year-old patient complained of vision reduction. Accommodation disorder, dilated pupil, not reacting on the light were revealed on examination. Function of what muscles is disturbed?
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A patient with iron deficiency anemia has been treated at the in-patient hematological department of the regional childrens hospital during 13 years. What hypoxia type does this patient have?
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Decreased blood supply to the organs causes hypoxia that activates fibroblasts function. Volume of what elements is increased in this case?
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A 6-months-old baby has got frequent and extensive subdermal hemorrhages. The administration of the synthetic analogue of vitamin K (vicasol) was effective. ?-carboxylation of glutamic acid of what protein of blood coagulation system does this vitamin take part in?
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A 45-year-old man with domestic apper arm injuiry applied to the trauma unit. The objective data are: no extension, adduction and pronation functions of the arm. What muscle damage caused this condition?
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A 30-year-old man with cutting wound of his forearm has got an impairment of his fingers extension. What nerve is damaged?
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The energy inputs of a healthy man have been identified. What position was the patient if his energy inputs were less than the main exchange?
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A patient with brain bloodstream disorder has got difficulties with swallowing, he can choke over while eating liquid food. What part of the brain is damaged?
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During total (with water) alimentary starvation the generalized edemata have developed. Which of the pathogenic factors is dominant in this case?
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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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Highly injured person gradually died. Please choose the indicator of biological death:
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Collagen, elastin and reticulin belong to the fibrillar elements of connective tissue. Indicate the aminoacid which constitutes only collagen, and identification of which in biological fluids is used for the diagnosing of the connective tissue diseases
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A patient suffers from hemeralopia. Which of the suggested substances will have curable effect?
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The examination of an youth with mental retardation revealed eunuchoid body construction and genitals underdevelopment. The cells of the oral cavity cantained chromatine. What method of genetic investigation should be performed to make more specified diagnosis?
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4 months ago a 43-year-old man underwent traumatic amputation of his left lower extremity. At the time of his examination the patient complaints of feeling of present amputated extremity and constant sometimes unbearable pain in it. What pain type does the patient have?
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On examination of the person it was revealed that minute volume of heart is 3500mL, systolic volume is 50 mL. What is the frequency of cardiac contraction?
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An 18-year-old man with asthenic body constitution: tall, narrow shoulders, broad pelvis and with poor hair on his face came to the geneticist. There was marked mental retardatoin. The preliminary diagnosis was Klinefelters syndrome. What method of medical genetics can confirm the diagnosis?
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A patient with fibrillation, who has had bronchial asthma in his anamnethis, should be administered antiarrhythmic drug. Which preparation from the suggested group is contraindicated for this patient?
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A histological spacemen presents parenchymal organ, which has cortex and medulla. Cortex consists of epitheliocytes bars, between them there are blood capillaries; the bars form three zones. Medulla consists of chromaffinocytes and venous sinusoids. What organ has these morphological features?
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Complaints and objective data allow to suggest that a patient has inflammation in his gallblader, bile colloidoclasia, probability of gallstones formation. What can be the main cause of gallstones formation?
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The microscopic examination of liver biopsy revealed granulomata, consisting of plasmatic, lymphoid, giant polynuclear cells of Pirogov-Lachgans type, small vessels with the signs of endo- and perivasculitis, and there were focuses of caseation necrosis. What disease are these granulomata typical for?
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A patient after trauma has developed paralyses, algesthia impairment on the righf; there are no paralyses on the left but temperature and pain sensivity are also impaired. What is the cause of this?
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Buffer capacity of blood was decreased in the worker due to exhausting muscular work. Entry of what acid substance to the blood can this state be explained by?
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After trauma a 44-year-old patient had a rupture of left palm muscle tendons and of the surface of blood vessels. After operation and removal of the most part of the necrotically changed muscle tissue the bloodstream was normalized. What vessels helped to restore the bloodstream?
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A patient died with uremia. The autopsy demonstrated kidneys to be enlarged, of flabby consistence, cortex was broad, edematous, with red spots; medulla was dark red in colour. Microscopic examination in the glomeruli capsule cavity revealed "semilunar formations", squeezing capillaries, nephrocytes dystrophy, edema and infiltration of stroma. What disease caused the death of the patient?
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During the postsynthetic period of mitotic cycle the synthesis of proteins - tubulines, which take part in the mitosis formation, was destroyed. It can cause the impairment of:
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A 35-year-old woman with chronic renal disease has developed osteoporosis. Deficiency of which from the below mentioned substances causes such complication?
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A 43-year-old man suffers from chronic atrophic gastritis and megaloblastic hyperchromic anemia. He also has methylmalonic aciduria. Insufficiency of what vitamin led to the development of such complex of symptoms?
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On autopsy of the 58-year-old man it is revealed: mitral valve is deformed, thickened, not totally closed. Microscopically: centers of collagen fibers are eosinophilic, have positive fibrin reaction. The most likely it is:
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A man in a quiet condition has increased activity of the muscles, responsible for the inspiration. What from the below mentioned can cause this?
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A child with diphtheria 10 days after injection of antitoxic antidiphtherial serum has developed skin rash, accompanied by severe itch, rising temperature up to 38°C and joints pain. What is the cause of these symptoms?
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The autopsy of the dead body revealed enlarged, solid with rounded margins liver, on section the tissue was yellow-brown in colour with dark red spots and stripes, which resembled nutmeg. What pathological process led to such liver changes?
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A 40-year-old man was admitted to the surgical department withe spleen rupture. What anatomic formation will accumulate the blood?
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