KROK 1 Medicine 2020 Questions | KROKEXAM
Browse 2020 KROK 1 Medicine exam questions with answers and explanations.
Exam questions
799 QuestionsA woman complains that her child is unwell: the child developed loss of appetite, insomnia, and irritability. Biochemical testing shows that there is no Glucocerebrosidase enzyme in the child’s blood. It is characteristic of the following pathology:
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A 48-year-old man has arterial hypertension of endocrine genesis, headache, muscle weakness, and convulsions. His blood levels of K+ (potassium) are low, while his blood levels of Na+ (sodium) are high, which is the result of hormone hypersecretion. What hormone is being overproduced in this case?
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Regional lymph nodes surrounding an infected wound are enlarged, histological examination shows increased number of macrophages, lymphocytes, and lymphatic follicles in the cortical layer of the lymph nodes, as well as a large amount of plasma cells. What process in the lymph nodes is indicated by these histological changes?
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One of the causes of pernicious anemia is the disturbed synthesis of transcorrin-Castle’s intrinsic factor- in the parietal cell of the stomach. What substance is called Castle’s extrinsic factor?
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Proliferation of the connective tissue in the hepatic parenchyma (librosis) caused by chronic diseases is often associated with disturbed blood circulation in the classical lobules. What blood flow direction can be observed in these lobules?
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Fasting energy expenditure is being measured in a person. Who is lying down in a state of physical and mental rest, while the room temperature is within the comfort zone. When will the energy expenditure be at its highest?
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T lymphocytes were affected by HIV In the process, viral enzyme reverse transcriptase (RNA-dependent DNA polymerase) catalyzes the synthesis of:
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A medical student was hospitalized into the infectious disease unit on the 2nd day after the disease onset. The patient is suspected to have infectious mononucleosis. What results of the laboratory analysis can confirm this diagnosis immediately on the day of hospitalization?
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After a domestic trauma a 34-year-old man has limited flexion of the middle phalanges of his fingers 2-5, which results in the overall limited mobility of the fingers. What muscles are likely to be functionally impaired in this case?
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A 45-year-old man complains of frequent levers, tachycardia, irritability, hair loss, weight loss, and hand tremor. In this case, blood test will show the high levels of the hormones produced in the:
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Histology of the liver of a diseased, who was an injection drug user, revealed the following: hydropic degeneration of hepatocytes, ground glass hepatocytes, acidophilic Councilman bodies Lymphocytic -macrophage infiltrations in the portal tracts. What is the most likely etiology of this disease?
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Biological studies proved that the intensity of testosterone secretion and spermatogenesis varices in men throughout 24 hours, these biorhythms are called:
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An experiment demonstrates that Jensen sarcoma leads to a significant increase in glucose uptake from the tumor afferent artery, while tumor efferent vein has high levels of lactic acid. This phenomenon indicates:
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After an out-of-hospital abortion, a woman developed progressing purulent endomyometritis, of which she died Autopsy of the body revealed numerous pulmonary abscesses, small subcapsular pustules in the kidneys, splenic hyperplasia. What type of sepsis developed in the woman?
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A man was hospitalized with a Lower limb trauma in the upper third of the shin. He is unable to extend his foot. What nerve is damaged because of trauma?
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The mother of a 2-year-old child came to the dentist. During her pregnancy she was randomly taking antibiotics to treat an infectious disease. Examination of the child revealed destruction of the incisors, yellow enamel, and a brown border near the dental cervices. What medicine has a marked teratogenic effect?
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A person received a head wound. To temporarily stop the bleeding, the doctor pressed with his finger an arterial vessel located in front of the auditory meatus and above the zygomatic arch. Name the damaged artery:
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Protein synthesis occurs in several stages. During one of them, messenger RNA is being synthesized on one of the strands of a DNA segment. Name this process:
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A patient with schizophrenia was prescribed a drug to stop the hallucinations. After a month of taking this drug the hallucinations stopped, but the patient developed signs of drug-induced parkinsonism. What drug was used for treatment in this case?
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After eating raw eggs the patient developed dermatitis. What type of avitaminosis is it
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A 26-year-old man has a large furuncle in the soft tissue of his face. It is located close to the nasal root and lower eyelid. A possible dangerous complication of this condition can lead to the infection spreading through the venous plexuses into the sinuses of the duramater. What sinus is most likely to be affected in this case?
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After a celebratory dinner, several people, who were eating a cake with duck Egg cream, developed food poisoning. What genus of bacteria is the most likely cause of food poisoning in this case?
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A 40-year-old woman on examination presents with intensified basal metabolic rate. What hormone present in excess leads to such condition?
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From the access of a patient with acute gastroenteritis a pure culture of microorganisms was obtained. The microorganisms are small mobile slightly curved gram-negative bacilli that within 6 hours grow into a light blue film on the 1% alkaline peptone water. Such properties are characteristic of the following microorganism:
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A patient hospitalized into the pulmonology department was diagnosed with pulmonary emphysema accompanied by the loss of elasticity in the pulmonary tissue, What type of respiration can be observed in this case?
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A diet must contain fats. What plasticity function do they fulfill in the body?
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A 65-year-old man periodically feels pain under his left shoulder blade and in his left shoulder. After a significant physical Excretion, the pain sharply intensified. Based on the ECG findings, the diagnosis of acute myocardial infarction was made. What type of pain was observed in this case?
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A patient who for a long time was Suffering from rheumatism and had mitral stenosis died of cardiopulmonary failure Autopsy revealed brown in duration of the lungs. What circulatory disorder leads to such changes in the lungs?
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A patient was brought by an ambulance to the impatient department. He was provisionally diagnosed with acute pancreatitis. To confirm this diagnosis, it is necessary to measure the activity of a certain enzyme in the patient’s blood and urine. Name the enzyme:
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Blood test of the patient revealed albumin content of 20 g/L and increased activity of lactate dehydrogenase isoenzyme 5(LDH5). These results indicate disorder of the following organ:
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A 25-year-old woman complains of deteriorating vision. Examination revealed a defect in accommodation, the pupil is dilated and unresponsive to light. What muscles are functionally disturbed in this case?
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One of the causes of pernicious anemia is the disturbed synthesis of transcorrin – Castle’s intrinsic factor in the parietal cells of the stomach. What substance is called Castle’s extrinsic factor?
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Proliferation of connective tissue in the liver parenchyma (fibrosis) that results from chronic disorders causes of blood flow disturbance in the classical hepatic lobules. Describe the blood flow direction in these lobules:
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Before a surgery, the blood type of a patient is being determined according to the ABO system, using monoclonal antibodies against blood group antigens. Neither anti-A and anti-B reagents caused agglutination. What blood type is it?
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When checking donor blood at the blood transfusion station, antibodies to human immunodeficiency virus were found in the blood serum of one of the donors. What method is recommended for confirmation of HIV infection diagnosis?
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During a surgery with application of inhalation narcosis and muscle relaxants, the anesthesiologist noticed rapid increase of the patient’s body temperature to 43 degree
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During the exercise testing on a training bicycle, the patient’s respiration rate increased. What is the main cause of the changed activity of respiration center in this case?
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A man was hospitalized on the 5th day after the onset of the disease. He was jaundice, myalgia, chills and nasal bleeding. During the laboratory diagnostics, the bacteriologist performed dark field microscopy of the blood drop obtained from the patient. Name the causative agent of this disease:
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A 5-year-old child presents with severe progression of bacterial diseases. During blood serum examination, a significant decrease of immunoglobin concentration and absence of B lymphocutes are observed. What immunodeficiency is it?
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Autopsy of the body revealed waxy degeneration of the rectus abdominis muscles. In the terminal segment of the small intestine there are ulcers 3-5 cm in diameter. The ulcer walls are covered in a crumbling grayish yellow substance. The ulcer edges are moderately raised above the mucosa. Widal test is positive. Make the diagnosis.
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