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KROK 1 Medicine 2006 Questions | KROKEXAM
Browse 2006 KROK 1 Medicine exam questions with answers and explanations.
Exam questions
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A 60-year-old patient was admitted to the surgical department because of infection caused by blue pus bacillus (Pseudomonas aeruginosa) which is sensative to penicillin antibiotics. Indicate which of the given penicillins has marked activity to the Pseudomonas aeruginosa?
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Under some diseases it is observed aldosteronism accompanied by hypertension and edema due to sodium retention in the organism. What organ of the internal secretion is affected under aldosteronism?
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A patient with rheumatoid arthritis who had been treated with indometacin has got signs of gastropathy. What activity of the drug can this complication be connected with?
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A woman who was infected with toxoplasmosis during the pregnancy has born a child with multiple congenital defects.This is a result of
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Glomerular filtration rate (GFR) increased by 20% as a result of prolonged starvation of an individual. The most evident cause of filtration changes under this conditions is:
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A 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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Microscopic examination of the sputum of a patient with pneumonia occasionally revealed some larvae. Eosi-nophiles were detected on blood examination. What helminthiasis can be diagnosed?
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A patient with thrombophlebitis of lower extremities had got chest pains, blood spitting, growing respiratory failure that caused his death. Autopsy revealed multiple pulmonary infarctions. What is the most probable reason of their development?
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A 45-year-old woman suffers from seasonal allergic rhinitis 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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A patient had been taking glucocorticoids for a long time. When the preparation was withdrawn he developed the symptoms of disease aggravation, decreased blood pressure and weakness. What is the reason of this condition?
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A 25-year-old woman with red and itchy eczematoid dermatitis visits your office. She had a dental procedure one day earlier with administration of a local anesthetic. There were no other findings, although she indicated that she had a history of allergic reactions. Which of the following drugs is most likely involved?
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A considerable increase of activity of MB-forms of CPK (creatinephosphoki-nase) and LDH-1 was revealed on the examination of patient's blood. What is the most likely pathology?
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The ovary specimen colored with hematoxylin-eosin contains a follicle, in which cubic-shaped follicle epithelium cells are placed in 1-2 layers, and scarlet membrane is seen around the ovocyte. Name this follicle:
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A patient working at a chemical plant was admitted to the toxicological department with mercury poisoning. What medicine should be used?
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A 40-year-old woman was admitted to the infectious diseases department with high body temperature. Objectively: marked meningeal symptoms. A spinal cord punction was made. What anatomic formation was puncturated?
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Diabetes mellitus causes ketosis as a result of activated oxidation of fatty acids. What disorders of acid-base equilibrium may be caused by excessive accumulation of ketone bodies in blood?
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A young man felt acute pain in the back during active drawing up on the horizontal bar. Objectively: pain while moving upper extremity, reduced pronation and adduction functions. Sprain of what muscle can be observed here?
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A patient has tissue ischemia below the knee joint accompanied with intermittent claudication. What artery occlusion should be suspected?
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In course of metabolic process active forms of oxygen including superoxide anion radical are formed in the human body. By means of what enzyme is this anion inactivated?
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An 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 occurs?
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A 42-year-old man suffering from gout has increased level of urinary acid in blood. Allopurinol was prescribed to decrease the level of urinary acid. Competitive inhibitor of what enzyme is allopurinol?
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A 63-year-old woman shows symptoms of rheumatoid arthritis. The increase of what blood indices could be the most significant for proving the diagnosis?
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The energy inputs of a healthy man have been measured. In what state was the patient if his energy inputs were less than the main exchange?
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A woman with 0 (I) bllod group has born a child with AB blood group. This woman's husband has A blood group. What genetic interaction explains this phenomenon?
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A 52-year-old patient has the following diagnosis: systemic amebiasis with involvment of intestines, liver, lungs. What drug should be prescribed?
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An experiment proved that UV-radiated cells of patients with xeroderma pigmentosum restore the native DNA structure slower than cells of healthy individuals as a result of reparation enzyme defection. What enzyme helps this process?
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A patient has elbow joint trauma with avulsion of medial epicondyle of humerus. What nerve can be damaged in this trauma?
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A 16-year-old boy was performed an appendectomy. He has been hospitalized for right lower quadrant abdominal pain within 18 hours. The surgical specimen is edematous and erythematous. Infiltration by what of the following cells is the most typical for the process occuring here?
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A child has inhaled a button. Where is it likely to be?
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An autopsy revealed large (1-2 cm) brownish-red, easy crumbling formations covering ulcerative defects on the external surface of the aortic valve. What is the most likely diagnosis?
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Examination of a newborn boy's genitals revealed a cleft of urethra that opens on the inferior surface of his penis. What developmental anomaly is meant?
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A 30-year-old woman was diagnosed with insufficiency of exocrinous function of pancreas. Hydrolisis of what nutrients will be disturbed
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A 38-year-old man who poisoned himself with mercury dichloride was taken to the admission room in grave condition. What antidote should be immediately introduced?
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A patient, who suffers from congenital erythropoietic porphyria, has skin photosensitivity. The accumulation of what compound in the skin cells can cause it?
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A student is writing a thorough summary of a lecture. Quality of summarizing has considerably worsened when his neighbours started talking. What kind of inhibition in the cerebral cortex caused this effect?
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ATP synthesis is totaly blocked in a cell. How will the value of membrane rest potential change?
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A patient with serious damage of muscular tissue was admitted to the traumatological department. What biochemical urine index will be increased in this case?
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A 7-year-old girl has signs of anemia. Laboratory examination revealed pyruvate kinase deficiency in erythrocytes. What process disturbance plays the main role in anemia development?
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To prevent long-term effects of 4-day malaria a 42-year-old patient was prescribed primaquine. On the 3-rd day from the begin of treatment there appeared stomach and heart pains, dyspepsia, general cyanosis, hemoglobinuria. What caused side effects of the preparation?
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A 39-year-old woman has madescence in the region of mammilla, a small ulcer with inflammatory hyperemia and cutaneous edema. Histologic examination of tissue sampling from this area revealed in the malpighian layer of thickened epidermis atypical cells with light and optically empty cytoplasm, with no intracellular bridges. Such cells were also found in the orifice of big mammal gland ducts. What is the most probable diagnosis?
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