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KROK 2 Medicine 2021 Questions | KROKEXAM
Browse 2021 KROK 2 Medicine exam questions with answers and explanations.
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A 68-year-old man diagnosed with acute myocardial infarction is in an intensive care unit. Suddenly he fell unconscious. Objectively, his pulse and blood pressure cannot be detected. ECG shows frequent irrregular waves of varying shape and amplitude. What complication occurred in this patient?
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A pregnant woman at the term of 11-12 weeks was hospitalized into the gynecological department with uterine bleeding and cramping pain in her lower abdomen. Vaginal examination shows that her vagina is filled with blood clots and her cervical opening is 2 cm. A tense amniotic sac can be detected in the birth canal. The uterus is tense and enlarged to the size that corresponds to the period of 11-12 weeks of pregnancy. The discharge is profuse and bloody. What must the doctor do in this case?
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A 72-year-old man on the 7th day after a surgical reposition of an intertrochanteric hip fracture has suddenly developed dyspnea and an intense pain in the left side of his chest. Examination reveals distended cervical veins and cyanosis. His respiration rate is 26/min. Auscultation detects weakened breathing over the left lung Heart rate-98/min. Blood pressure -120/70 mm Hg. CT scan shows significant disappearance of the lung pattern on the left. Echocardiography shows no signs of right ventricle overload. What next step will be the most advisable in this case?
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A 25-year-old woman was hospitalized into the gynecological department with complaints of pain in her lower abdomen and high temperature of 39.7°C. Objectively, her blood pressure is 120/80 mm Hg, pulse- 108/min., of satisfactory rength and volume. The abdomen is moderately distended and sharply painful its lower segments. The Bloomberg's sign is positive in the hypogastrium. During vaginal examination, the uterus and its appendages cannot be palpated because of anterior abdominal wall rigidity. The posterior vaginal fornix is overhanging and sharply painful. What is the most likely daignosis in this case?
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A 72-year-old man has been brought into a vascular surgery department with complaints of pain and chills in his legs. Ultrasound of his leg arteries shows atherosclerotic lesions of the vascular wall. What diagnostic method is necessary to determine the localization and the extent of the pathologic process in this case?
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Having examined a 52-year-old patient, the doctor diagnosed him with obesity (body mass index - 34 kg/m². circumference 112 cm) and arterial hypertension (170/105 mm Hg). 2-hour waist postprandial blood sugar is 10.8 mmol/L. What biochemical blood analysis needs to be conducted to diagnose the patient with metabolic syndrome X?
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A 75-suffers from dyspnea at rest, marked weakness, and arrhythmia. Abdominal Iman in a severe condition aortic pulsation is observed, further on there is a systolic murmur detected. Palpation reveals a volumetric formation in the mesogastrium. Blood pressure is 70/40 mm Hg. There is no pulsation over the femoral arterics. Oliguria is detected. Which diagnosis is the correct one?
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A child is 4 months old. The disease onset was acute and manifested as a temperature of 37.8°C and a slight cough. On the third day after the onset, the cough intensified and became accompanied by dyspnea. Percussion detects a tympanic sound over the lungs, while auscultation reveals numerous wet fine bubbling and sibilant wheezes during the exhalation. Make the provisional diagnosis:
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A 35-year-old man complains of rapidly incresing fatigue, palpitations, «visual snow», dizziness. He has a history of peptic ulcer of the stomach. Objectively the skin is pale. Vesicular respiration is observed in the lungs. Systolic murmur is detected over the cardiac apex, heart rate is 100/min., blood pressure is 100/70 mm Hg. The epigastrium is slightly tender on palpation. Blood test: erythrocytes 3.2 × 1012/L, Hb - 100 g/L, color index 0.95. What type of anemia is the most likely present in this case?
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A 42-year-old man has received a polytrauma in a car accident: closed displaced fractures of his right humerus and the bones of his left forearm and a closed blunt abdominal trauma. He was brought into the admission room 30 minutes after the trauma. His skin is pale. His blood pressure is 90/20 mm Hg. the fracture sites are deformed and painful. The abdomen is rigid and its palpation causes sharp pain. The Bloomberg's sign is positive. What medical procedures must be performed first in this case?
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