exam test kontrol

7/31/2019 Exam Test Kontrol

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right line is:-1. Superior edge of VI rib+2. Inferior edge of VI rib-3. Superior edge of a V rib-4. Inferior edge of a V rib-5. Inferior edge of VII rib

9. Normal position of the inferior edge of lung on anterioraxillary line is:-1. Superior edge of VI rib-2. Inferior edge of VI rib-3. Superior edge of VII rib+4. Inferior edge of VII rib-5. Inferior edge of VIII rib

10. Normal position of the inferior edge of lung on midaxillaryline is:-1. Superior edge of VII rib

-2. Inferior edge of VII rib-3. Superior edge of VIII rib+4. Inferior edge of VIII rib-5. Inferior edge of IX rib

11. Normal position of the inferior edge of lung on posterioraxillary line is:-1. Superior edge of VIII rib-2. Inferior edge of VIII rib-3. Superior edge of IX rib+4. Inferior edge of IX rib

-5. Inferior edge of X rib

12. Normal position of the inferior edge of on scapular line is:-1. Superior edge of IX rib-2. Inferior edge of IX rib-3. Superior edge of X rib+4. Inferior edge of X rib rib-5. At a level of spinous process of XI thoracic vertebra

13. Inspiration is prolonged in:-1. Disorders of medium bronchipatency+2. Luminal narrowing of larynx or trachea

-3. Spasm or stricture of bronchi-4. Cavity of lung connected with a bronchus by fine-bored narrowopening-5. Increased air-filling of pulmonary tissue (pulmonaryemphysema)

14. The harsh (coarse) vesicular respiration is observed in:+1. Bronchitis-2. Pneumonia


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-3. Accumulation of fluid in pleural cavity-4. Accumulation of air in pleural cavity-5. Increased air-filling of pulmonary tissue

15. The basic auscultative symptom in diagnostics of dry pleurisyis:-1. Bronchial respiration

-2. Crepitation-3. Fine bubbling moist rales+4. Pleural friction rub-5. Dry rales

16. Causes of moist rales include:-1. Bronchospasm-2. Inflammatory swelling of bronchial mucosa+3. Accumulation of fluid sputum in lumen of bronchi or inpulmonary cavity-4. Development of pulmonary fibrosis

-5. Exudate in alveoli

17. Basic respiratory sounds include:-1. Rales-2. Crepitation+3. Vesicular respiration+4. Bronchial respiration-5. Pleural friction rub

18. Adventitious respiratory sounds include:+1. Rales+2. Crepitation-3. Vesicular respiration+4. Pleural friction rub-5. Bronchial respiration

19. Qualitative changes of vesicular respiration are:-1. Increased vesicular respiration-2. Weakened vesicular respiration+3. Harsh vesicular respiration+4. Vesicular respiration with prolonged expiration

20. Syndrome of increased airiness of the lungs is characteristic

of:-1. Pheumothorax+2. Emphysema of lungs-3. Cavity in lung connected to a bronchus-4. Dry pleurisy

21. An auscultative symptom connected with syndrome of focalconsolidation of pulmonary tissue is:+1. Bronchial respiration


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-2. Vesicular respiration-3. Indeterminate respiration-4. "Silent" lung-5. Harsh (coarse) respiration

22. An important auscultative sign of smooth-wall cavity in a lungis:

-1. Weakened vesicular respiration+2. "Amphoric" bronchial respiration-3. Dry rales-4. Moist rales-5. Crepitation.

23. Characteristics of fluid in a pleural cavity are:+1. Mediastinal displacement in the opposite direction fromaffected side of a thorax-2. Intensifying of respiratory sounds+3. Weakening of respiratory sounds

-4. Retraction of intercostals spaces on the side of affection

24. Criteria of assessment of the form of a thorax are:+1. Size of epigastricl angle+2. Contours of scapulas+3. Degree of manifestation of supra-and subclavial fosses+4. Interrelation between anteroposterior and transversaldimensions of thorax+5. Width and angle of ribs and intercostal spaces

25. It is typically of normosthenic form of thorax:+1. Epigastric angle is equal to 90 degrees+2. Supraclavicular fosses are well-marked, subclavial fosses aresmooth-3. Width of ribs is 2,5-3 sm, intercostal spaces are equal to 0,5-1 sm-4. Epigastric angle is less than 90 degrees+5. Width of ribs is 1-1,5 sm, intercostal spaces are equal to 1-1,5 sm

26. It is typically to asthenic form of thorax:+1. Supra-and subclavial fosses are well-marked+2. Epigastric angle is less than 90 degrees

-3. Epigastric angle is equal to 90 degrees+4. Scapulas lie down not closely to thorax-5. Scapulas contours lie down closely to chest

27. It is typically to hypersthenic form of thorax:+1. Epigastric angle is more than 90 degrees+2. Supra-and subclavial fosses are smooth-3. Ribs go almost horizontally-4. Width of ribs is 0,5-1 sm, intercostal spaces are 2-2,5 sm


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+5. Width of ribs is 2,0-2,5 sm, intercostal spaces are 0,5-1 sm

28. Pathological types of thorax are:+1. Emphysematous chest+2. Paralytic chest+3. Foveated chest+4. Funnel-shaped chest

+5. Kyphoscoliotic chest

29. It is typically to emphysematous forms of chest:+1. Epigastric angle is more than 90 degrees+2. Ribs are wide, intercostal spaces are narrow-3. Interrelation between anteroposterior and transversaldimensions of thorax is less than 0,55+4. Interrelation between anteroposterior and transversaldimensions of thorax is about 1,0-5. Epigastric angle is less than 90 degrees.

30. It is typically to the paralytic form of chest:+1. Epigastric angle is less than 90 degrees+2. Ribs are narrow, intercostal spaces are wide-3. Ribs are wide, intercostal spaces are narrow+4. Interrelation between anteroposterior and transversaldimensions of thorax are less than 0,55-5. Interrelation between anteroposterior and transversaldimensions of thorax is more than 1,0

31. Palpation of thorax is used for:+1. Definition of fremitus pectoralis (voice tremor)+2. Definition of resistance of thorax-3. Definition of inferior border of lungs+4. Definition of localization of tender area of thorax-5. Definition of height of lung apexes

32. Increase of voice tremor is observed in:+1. Infarct-pneumonia+2. Pneumosclerosis-3. Increased air-filling of lung (pulmonary emphysema)+4. Second stage of lobar (croupous) pneumonia-5. Accumulation of air in a plural cavity (pheumothorax)

33. Weakening of fremitus pectoralis (voice tremor) is observed in:+1. Accumulation of air in pleural cavities (pheumothorax)+2. Accumulation of fluid in a pleural cavity+3. Obturation atelectasis of a lung lobe-4. Pneumosclerosis+5. Increased air-filling of lung (pulmonary emphysema)

34. Quantitative changes of vesicular respiration are:-1. Harsh (coarse) vesicular respiration


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-2. Vesicular respiration with prolonged expiration+3. Increased vesicular respiration+4. The weakened vesicular respiration

35. Bronchophony is intensifyied in:+1. Infarct-pneumonia+2. Pneumosclerosis

-3. Increased air-filling of lung (emphysema)+4. Second stage of a croupous (lobar) pneumonia-5. Accumulation of air in pleural cavities (pheumothorax)

36. Bronchophony is not determined in:+1. Accumulation of air in pleural cavities (pheumothorax)+2. Accumulation of fluid in pleural cavities (pleurisy)-3. Pneumosclerosis-4. Atelectasis of a lung lobe+5. Increased air-filling of lung (emphysema)

37. Syndrome of restrictive type of respiratory failure is acharacteristic of patients with:

+1. Pleurisy with effusion (exudative pleurisy)+2. Focal pneumonia-3. Chronic obstructive bronchitis+4. Lobar pneumonia-5. Bronchial asthma

38. Syndrome of obstructive type of respiratory failure is acharacteristic of patients with:-1. Pleurisy with effusion

-2. Focal pneumonia+3. Chronic obstructive bronchitis+4. Bronchial asthma-5. Lobar pneumonia

39. It is typically to pleural friction rub:+1. It is auscultated in time of inspiration and expiration+2. It does not variated after coughing+3. It is better auscultated at imitation of respiration-4. It is auscultated only in time of inspiration+5. It is increased by pressing of a stethoscope and at inclinationof a trunk forward

40. Enlargement of one half of chest is observed in:-1. Fibrous changes in lungs-2. Emphysema of lungs+3. Accumulation of fluid in a pleural cavity+4. Accumulation of air in a pleural cavity-5. Presence of a cavity in lung

41. Survey of the patient with exudative pleurisy detects:


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-1. Barrel-shaped chest-2. Retraction of intercostal spaces at inspiration+3. Lagging of the one side of thorax at respiration+4. Protrusion of affectioned side half of chest-5. Compelled position of patient (orthopnea)

42. Rules of comparative percussion are the following:

+1. Percussion by intercostal spaces+2. Beginning with front surface of thorax+3. Percussion strictly on symmetric fields of thorax+4. Quiet or medium percussion

43. Rules of topographical percussion are the following:+1. Percussion by intercostal spaces+2. Beginning with front surface of thorax-3. Percussion strictly on symmetric fields of thorax+4. Quiet percussion

44. Pathological bronchial respiration is observed in:+1. Croupous pneumonia+2. Atelectasis of lung+3. Cavity in lung connected with bronchus-4. Bronchitis+5. Bronchiectasias

45. Causes of appearance of dry rales are:+1. Spasm of fine bronchi+2. Swelling of bronchial mucosa in inflammation-3. Exudate in alveoli+4. Accumulation of viscid sputum in lumen of bronchi-5. Development of fibrosis in pulmonary tissue

46. The patient has made maximal inspiration and expiration. Whatvolumes are in his expired air?+1. Reserve volume of inspiration (IRV)+2. Reserve volume of expiration (ERV)-3. Residual air volume (RAV)+4. Respiratory volume (RV)

47. Index of Tiffeneau is:-1. Ratio of forced expiratory vital capacity for 1-th second

(FEVC1) and maximum-lung ventilation (MLV)-2. Ratio of forced expiratory vital capacity (FEVC) and vitalcapacity (VC)-3. Ratio of forced expiratory vital capacity for 1-th second(FEVC1) and vital capacity (VC)+4. Ratio of forced expiratory vital capacity for 1-th second FEVC1and forced expiratory vital capacity (FEVC)

48. What parameter of spirogram is variated in respiratory failure


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of obstructive type?-1. Residual air volume (RAV)-2. Total lung capacity (TLC)-3. Maximum lung ventilation (MLV)-4. Vital capacity (VC)+5. Forced expiratory vital capacity for 1-th second (FEVC1)

49. What parameter of spirogram is variated in respiratory failureof restrictive type?-1. Residual air volume (RAV)+2. Total lung capacity (TLC)+3. Maximum lung ventilation (MLV)+4. Vital capacity (VC)-5. Forced expiratory vital capacity for 1-th second (FEVC1)

50. Vital capacity consists of such volumes of lungs as:+1. Reserve volume of inspiration (IRV)+2. Reserve volume of expiration (ERV)

-3. Residual air volume (RAV)+4. Respiratory volume (RV)


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1. The patient complains of intensive gripping pains behind abreastbone. The pains have appeared on background of exercisestress. Pains last 50-60 minutes and are not stopped byNitroglycerinum. What is it with the patient?-1. Myocarditis+2. Myocardial infarction-3. Angina pectoris (stenocardia)-4. Neurocirculatory dystonia

2. The patient complains of moderate gripping pains behind a breastbone. The pains have appeared at exercise stress continuing up to30 minutes and are stopped by Nitroglycerinum. What is it with thepatient?--1. Myocarditis-2. Myocardial infarction+3. Angina pectoris (stenocardia)-4. Neurocirculatory dystonia

3.

The patient has edemas of foots with the cyanotic colour,appeared in the evening. Pressure of fingers leaves slowlylevelling impressions. The given description is related to thepersons suffering by diseases of:-1. Lungs+2. Hearts-3. Kidneys-4. Alimentary system organs

4. What signs are important to diagnosis of acute vascular failure:-1. Paradoxical pulse

+2. Systolic BP is lower than 90 mm Hg-3. Rhythm of "gallop"-4. Rhythm of "quail"+5. Thready-like pulse

5. Normal localization of apical beat is:-1. VI-th intercostal space-2. VII-th intercostal space+3. V-th intercostal space+4. 1-1,5 sm inside from the left midclavicular line-5. 1-1,5 sm outwards from the left midclavicular line

6. Normal area of apical beat is:-1. 3-4 sq. sm-2. 2,5-3,5 sq. sm+3. 1-2 sq. sm-4. 0,5-1,5 sq. sm 5.4-6 sq. sm

8. Superior border of heart relative dullness in the leftparasternalis line is on the level of:+1. Superior edge of III-th rib


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-2. Inferior edge of III-th rib-3. Superior edge of IY-th rib-4. Inferior edge of IV-th rib

9. Right border of relative dullness of heart is:-1. Right edge of breast bone+2. 1,0 sm outward from right edge of breast bone

-3. 1,0-1,5 sm outward from right edge of breast bone-4. Left edge of breast bone-5. 0,5-1,0 sm outward from left edge of breast bone

10. Width of vascular bundle of heart in II intercostal space is:+1. 4-6 sm-2. 7-8 sm-3. 3-5 sm-4. 1-4 sm-5. 6-9 sm

11. Left border of relative heart dullness in the fifth intercostalspace is:-1. 2,0 sm outward from left midclavicular line+2. 1,0 sm inside from left midclavicular line-3. 2,0 sm inside from left midclavicular line-4. Left midclavicular line-5. 1,0 sm outward from left outward line

12. "Rhythm of a quail" is auscultated in:+1. Mitral stenosis-2. Incompetence of mitral valve

-3. Aortic stenosis-4. Aortic incompetence

13. Pathological III and IV sounds (summated gallop) can belistened in a serious affection of a myocardium. In what phase of adiastole does it occur?-1. Protodiastole+2. Msodiastole-3. Presystole

14. Pulsus differens is a symptom of:-1. Incompetence of aortal valve

-2. Aortic stenosis-3. Incompetence of mitral valve+4. Mitral stenosis

15. Palpation of heart region allows to:+1. Determine apical beat+2. Characterize properties of apical beat+3. Reveal a presence of cardiac beat+4. Find pulsations in heart region


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+5. Reveal a tremor of thorax -a sign of "the cat's purring"

16. Properties of apical beat are:+1. Localization+2. Area+3. Height-4. Filling

+5. Resistance

17. Components of II cardiac sound are:-1. Muscle-2. Atrial-3. Valves+4. Vascular

18. Diffuse apical beat occurs in:+1. Mitral incompetence+2. Aortic incompetence

+3. Arterial hypertension-4. Pulmonary emphysema+5. Tumours of posterior mediastinum

19. Increased systolic arterial pressure and decreased diastolicarterial pressure are typical in the following heart disease:-1. Mitral stenosis-2. Aortic stenosis-3. Mitral incompetence+4. Aortic incompetence-5. Tricuspid valve incompetence

20. Components of I cardiac sound are:+1. Muscle-2. Atrial+3. Valves+4. Vascular

21. The rhythm of "quail" consists of:+1. I clapping sound-2. II sound is amplified+3. II sound is not changed-4. I sound not changed

+5. Sound of opening of mitral valve

22. "Gallop rhythm" can be depending on the time of additionaldiastolic sound:+1. Protodiastolic+2. Mesodiastolic+3. Presystolic

23. The soft pulse (pulsus mollis) occurs in:


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+1. Arterial hypotension+2. Mitral stenosis+3. Massive hemorrhage-4. Atherosclerosis of periferic arteries-5. Essential arterial hypertension

24. Compelled position of a patient (rthopna) is typical in:

+1. Heart failure-2. Attacks of angina pectoris (stenocardia)+3. Respiratory failure of obstructive type-4. Arterial hypertension-5. Arterial hypotension

25. Diastolic murmurs are better auscultated:-1. At a horizontal position+2. At a vertical position-3. During a physical exercises-4. At an inspiration

-5. At recumbency (horizontal position) turning on a left side

26. Systolic murmurs are better auscultated:+1. In a horizontal position-2. In a vertical position-3. During a pause after expiration at forward inclination-4. At inspiration-5. During physical exercise stress

27. Syndrome of cardiogenic shock is the most frequent complicationin:-1. Focal pneumonia-2. Acute bronchitis+3. Myocardial infarction-4. Peptic ulcer of stomach and duodenum-5. Stable angina pectoris (stenocardia)

28. Normal level of the BP is:+1. 100/70-139/89 mm Hg-2. 160/100-179/109 mm Hg-3. 140/90-159/99 mm Hg-4. >180/111 mm Hg

29. What is typically to the mitral incompetence?+1. Decreasing systolic murmur at apex of heart-2. Diastolic murmur at an apex of heart+3. Decreasing systolic murmur at an apex of heart+4. Conduction of murmur to the left axillary region-5. No conduction of murmurs to anywhere

30. What is typically to mitral stenosis?+1. Right border of heart relative dullness is shifted upwards and


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to the right+2. Apical beat is placed in the typical place, restricted, notresistant, and low-3. Apical beat is placed in the typical place, diffuse, resistant,and high-4. Systolic "cat's purr"+5. Diastolic "cat's purr"

31. What is typically in aortic stenosis?+1. Apical beat is displaced to the left and downwards+2. Apical beat is diffuse, high, and resistant-3. Apical beat is restricted, low, and not resistant-4. Diastolic "cat's purr" above aorta+5. Systolic "cat's purr" above aorta

32. ECG-signs of ventricular extrasystole are:+1. Premature appearance of cardiac complex+2. Widening and deformation of QRS-complex

+3. Absence of atrial P-wave+4. Direction of the main wave of QRS-complex is opposite to T-wave+5. Compensatory pause is complete. Interval between pre-extrasystolic and post-extrasystolic R-waves is equal two normal R-R-intervals

33. ECG-signs of atrial extrasystole are:+1. Premature appearance of cardiac complex+2. -wave is preserved, a little bit deformed+3. Form of ventricular complex QRS is preserved-4. Form of ventricular complex QRS is deformed

+5. Compensatory pause is incomplete

34. ECG-signs of atrial paroxysmal tachycardia are:+1. Heart rate is more than 160 in one minute.+2. Form of ventricular complex QRS is preserved+3. Distance between R-R is identical-4. Form of ventricular complex QRS is changed+5. -waves are placed before complex QRS

35. ECG- signs of normosystolic form of atrial fibrillation:+1. Different intervals R-R+2. Form of ventricular complex QRS is preserved

-3. Heart rate is 200 per minute+4. Multiple small waves instead of -waves-5. Form of ventricular complex QRS is deformed

36. What is typically to II stage of chronic circulatoryinsufficiency?+1. Dyspnea in routine exercise stress+2. Cyanosis+3. Edemas


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-4. Dyspnea in rest-5. Hemoptysis (bloody expectorations)

37. ECG-signs of complete block of the left His bundle-branch blockare:+1. Increased, dilated or splitted R-wave in I standard lead+2. Increased, dilated or splitted R-wave in VL

+3. Increased, dilated or splitted R-wave in left chest leads (V5-V6)-4. Increased, dilated or splitted R-wave in III standard lead+5. Disconcordant shift of S-segment and -wave in relation to R-wave

38. ECG-signs of atrioventricular block of I degree are:-1. Form of ventricular QRS-complex is changed-2. Gradual elongation of P-Q-interval+3. The constatnt prolongation of P-Q-interval+4. Form of QRS ventricular complex is preserved

-5. Periodic missing of QRS ventricular complex

39. ECG-signs of atrioventricular block of III degree are:+1. Number of ventricular complexes QRS in 1,5-2 times is lesserthan atrial P-waves number+2. Intervals R-R are identical-3. Quantity of ventricular QRS complexes is equal to quantity ofatrial P-wave+4. -wave is placed variously in relation to QRST complex withoutnatural connections with it-5. QRST complex is stable deformed

40. For ECG recorded during the attack of the angina pectoris it istypically:-1. S-T interval is on isoelectric line-2. Increased depth of Q-wave+3. Depression of S-T interval is more than 1 mm downward fromisoelectric line+4. Acuminate, symmetric or negative -wave-5. -wave is not changed

41. Superior border of absolute heart dullness in leftparasternalis line is:

-1. Superior edge of III-th rib-2. Superior edge of IY-th rib-3. Inferior edge of III-th rib+4. Inferior edge of IV-th rib

42. Right border of absolute heart dullness is:-1. Right edge of sternum-2. 0,5-1,0 sm externally from right edge of sternum-3. 1,0-1,5 sm externally from right edge of sternum


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+4. Left edge of sternum-5. 0,5-1,0 sm externally from left edge of sternum.

43. Left border of absolute heart dullness in fifth intercostalsspace is:

-1. 1,5-2,0 sm externally from left midclavicular line

-2. 2,5-3,0 sm inside from left midclavicular line+3. 1,5 sm inside from left midclavicular line-4. Left midclavicular line-5. 0,5-1,0 sm externally from left midclavicular line

44. Pathological duplication of I sound can be observed in:-1. Sinoauricular block-2. Atrioventricular block+3. Block of a His bundle branche+4. Aortic incompetence-5. Atrial fibrillation

45. What are typically for pericardium friction rub?-1. It is auscultated above absolute heart dullness-2. It is auscultated in systole and diastole-3. It is weakly conducted from a place of the formation+4. It is better auscultated at imitation of respiration-5. It is intensified by pressing by a stethoscope and at anforward inclination of a trunk

46. It is typical of a left electric axis deviation:-1. R II> R I> R III+2. R I> R II> R III

-3. R III> R II> R I

47. It is possible to diagnose a myocardial necrosis with the helpof ECG changes of:-1. -wave+2. Q-wave-3. ST segment-4. P-wave-5. P-Q interval

48. ECG-signs of left atrium hypertrophy are:

+1. Increased, duplicated -wave in I and II standard leads+2. Increased, duplicated -wave in V5-6+3. Prolongation of -wave is more than 0,1 s+4. Increased, duplicated -wave in VL-5. Increased, duplicated -wave in V1-2 chest leads

49. ECG- signs of right ventricle hypertrophy are:+1. Deviation of cardiac electrical axis to the right+2. Increased R-wave in VF


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-3. Deviation of cardiac electrical axis to the left+4. Increased R-wave in right chest leads (V1-2)-5. Increased R-wave in I standard and left chest leads (V4-6)

50. ECG-attributes of left ventricle hypertrophy are:+1. Deviation of cardiac electrical axis to the left-2. Deviation of an electrical axis to the right

+3. Increased R-wave in left chest leads (V5-6)+4. Increased R-wave in I standard and VL-5. Increased R-wave in right chest leads (V1-2)


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1. What is the basic clinical symptom of a vomiting of the centralorigin (central nervous system)?-1. Preceding nausea-2. Abundant volume of vomiting masses (a vomiting "fountain")-3. Signs of the expressed intoxication dominate in a clinicalpattern-4. Vomiting relieves a state of the patient+5. Vomiting does not relieve a state of the patient.

2. Appearance of abdominal pain while eating is typically topathology of:-1. Transverse colon-2. Duodenum+3. Stomach-4. Gall bladder-5. Intestines

3. Appearance of abdominal pain in 1,5-2 hours after eating is

typically to pathology of:-1. Transverse colon+2. Duodenum-3. Stomach-4. Intestines-5. Gall bladder

4. Appearance of a bitter taste in mouth is typical to pathologyof:-1. Transverse colon-2. Duodenum

-3. Stomach-4. Intestines+5. Gallbladder

5. Patient has visible pulsation in the epigastric region, it iscloser to xiphoid process and better visible in vertical positionand intensifies at deep inspiration. What is it?+1. Pulsation of right ventricle-2. Pulsation of liver-3. Pulsation of abdominal aorta

6. Normal height of hepatic dullness in right midclavicular line:

-1. 10-13 sm-2. 8-10 sm+3. 9-11 sm-4. 7-9 sm-5. 11-13 sm

7. Normal height of hepatic dullness in right anterior axillaryline:-1. 9-11 sm


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+2. 10-12 sm-2. 8-10 sm-4. 7-9 sm-5. 12-14 sm

8. How do you differ between an induration of anterior abdominalwall and intra-abdominal formations during surface palpation:

-1. Perform palpation on symmetric fields+2. Ask the patient to strain abdominal wall during palpation-3. Perform palpation in position of the patient on a side-4. Perform palpation at a pause of respiration-5. Perform palpation in vertical and horizontal position of thepatient having compared received results

9. Palpation of the greater curvature of stomach is performed afterpalpation:-1. Pylorus+2. Terminal end of ileum

-3. Ascending part of colon-4. Transverse colon-5. Caecum

10. Palpation of transverse colon is performed after palpation:-1. The greater curvature of stomach+2. Pylorus-3. Terminal end of ileum-4. Ascending part of colon-5. Caecum

11. It is used to percussion of absolute dullness of liver:-1. Loud percussion-2. Quiet percussion-3. Percussion of medium force+4. Quietest percussion-5. None of specified kinds of percussion

12. The dimensions of liver accordingly to M.G. Kurlov are:-1. 12-11-10 sm-2. 11-10-9 sm+3. 9-8-7 sm-4. 11-9-7 sm

-5. 10-9-8 sm

13. The percussion dimensions of a lien are:+1. Diameter - 4-6 sm, length - 6-8 sm-2. Diameter - 3-5 sm, length - 4-6 sm-3. Diameter - 5-8 sm, length - 8-10 sm-4. Diameter - 2-4 sm, length - 5-7 sm-5. Diameter - 6-9 sm, length - 9-11 sm


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14. While percussion of superior border of lien the percussionsound varies:-1. From dull to clear pulmonary sound-2. From tympanic to dull sound-3. From dulled to dull sound-4. From clear pulmonary to dull sound+5. From clear pulmonary to dulled sound

15. A patient complains of periodic sharp back pains withirradiation in inguinal region. Pains have appeared after sportsexersices. What is at the patient?-1. Pyelonephritis+2. Urolithiasis-3. Glomerulonephritis-4. Cholelithiasis

16. What is typically to ascites?

+1. Enlargement of abdomen-2. Protrusion of umbilicus+3. "Frog" shape of abdomen in horizontal position of patient-4. Venous network on anterior abdominal wall is well visible+5. The symptom of fluctuation is determined

17. Surface palpation of abdomen reveals:+1. Palpatory tenderness+2. Defects of anterior abdominal wall+3. Muscle strain-4. Position of organs in abdominal cavity

+5. Difference between edema of skin and thickening of hypodermicfatty tissue

18. What characteristics of various parts of bowels can bedetermined by deep palpation of abdomen?+1. Consistence+2. Diameter+3. Character of surface+4. Depth of locating in abdomen+5. Shape of a palpated intestine

19. Bimanual palpation are used to research of the following

departments of a gastrointestinal tract:-1. Caecum+2. Greater curvature of stomach+3. Ascending colon+4. Descending colon-5. Terminal end of an ileum

20. Procedure of deep palpation of abdomen includes:+1. Formation of a skin fold


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+2. Dipping fingers of a palpating arm in abdomen+3. Installation of fingers of palpating arm-4. Assessment of participation of an abdomen in the act ofrespiration+5. Sliding tips of fingers of a palpating arm on posterior wall ofabdominal cavity

21. The isolated enlargement of lien can be caused by:+1. Thrombosis of splenic vein+2. Tumour of lien+3. Cyst of lien-4. Cardiac insufficiency-5. Chronic myeloleukemia

22. The symptom of melena is typically in:-1. Bleeding hemorrhoids-2. Anal fissure-3. Ulcerative colitis

-4. Cancer of colon+5. Stomach bleeding

23. What is used to definition of occult blood:-1. Assay of Bogomolov-2. Assay of Florens+3. Assay with benzidine (reaction of Gregersen)-4. Assay of Lang

24. How does specific gravity of urine variate in diabetesmellitus?-1. It is not changed+2. It is increased-3. It is decreased

25. Normal specific gravity of urine is:-1. 1005-1010+2. 1012-1025-3. 1030-1040

26. The most sensitive test to definition of protein in urine(equally to 0,015 %) is:-1. Assay with acetic acid

+2. Assay with salicyl-sulphonic acid-3. Assay with hydrogen nitrate-4. Assay with reagent of Gaynes

27. The largest quantity of protein in urine can be in:-1. Acute glomerulonephritis+2. Nephrotic syndrom-3. Chronic pyelonephritis-4. Pyelitis


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28. Normal variations of specific gravity between maximum andminimum in analysis of urine according to Zimnitsky should be:-1. 1-5 units+2. 8-10 units-3. 15-20 units

29. The decreased ESR (erythrocyte sedimentation rate) is typicalin:-1. Pneumonia-2. Rheumatic disease-3. Pyelonephritis+4. Peptic ulcer of stomach

30. Syndrome of dysphagia includes:-1. Heartburn-2. Eructation by air and eaten food

-3. Diarrhea-4. Vomiting+5. Difficulties at swallowing of food

31. Syndrome of stomach dyspepsia includes:+1. Eructation+2. Nausea-3. Meteorism+4. Vomiting-5. Diarrhea

32. It is typical to a pain in peptic ulcer of stomach:

+1. Periodicity+2. Seasonal prevalence+3. Association with reception of nutrition-4. Association with the act of defecation+5. Relief after vomiting

33. It is typically to a pain in pathology of intestines:+1. Periodicity+2. Association with the act of defecation-3. Association with reception of nutrition-4. Relief after vomiting

+5. Relief after defecation or passages of gas

34. It is typically to syndrome of portal hypertension:+1. Ascites+2. Varicose dilation of hemorrhoid veins+3. Varicose dilation of esophageal veins+4. Enlargement of lien+5. Varicose phlebectasia of anterior abdominal wall caputMedusae


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35. Clinical signs of cholestasis syndrome are:+1. Yellow-green colour of skin+2. Skin itching+3. Dark urine (colour of "beer")-4. Dark feces+5. Decolorization of feces

36. It is typically in hepatic jaundice:+1. Free and bound bilirubin in blood are increased+2. Detection of bilirubin in urine+3. Detection of urobilin in urine-4. Increased contents of stercobilin in a feces+5. Decreased contents of stercobilin in feces

37. It is typically in syndrome of putrid dyspepsia:+1. Sharp and stinking odor of feces+2. Unformed dark feces+3. Colicy pains in abdomen

+4. Meteorism+5. There are remains of undigested nutrition in feces

38. It is typical in syndrome of fermentative dyspepsia:+1. Slight acidic smell of feces+2. Foamy feces of grey-dirty colour+3. Colicy pains in abdomen+4. Meteorism+5. There are remains of undigested nutrition in feces

39. Urinary syndrome includes combination of the following signs:+1. Proteinuria-2. Arterial hypertension+3. Hematuria-4. Edemas+5. Cylindruria

40. What is typically in nephrotic syndrome?+1. Edemas+2. High proteinuria (more than 3,5 g daily)+3. Hypoproteinemia+4. Disproteinemia (hypoalbuminemia)+5. Hypercholesterinemia

41. What is typically in syndrome of renal edema?+1. Pale skin+2. Localization on a face+3. Quick development-4. Cyanosis+5. Appearance in the morning

42. What is typically in syndrome of uremia:


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+1. Hypercreatininemia+2. Hyperurecemia-3. Hyperproteinemia+4. Increased residual nitrogen in blood-5. Hyperbilirubinemia

43. Basic pathogenetic mechanisms of syndrome of uremia are:

+1. Disorders of renal blood-curculation+2. Decrease of glomerular filtration+3. Activation of renin-angiotensin system+4. Decrease of canalicular secretion+5. Decrease of canalicular reabsorption

44. Normal proportion of diurnal and night diuresis is:-1. 5:2-3. 2:1-5. 1:4+2. 3:1

-4. 1:2

45. Presence of a bilirubin in urine is typical in:-1. Hemolytic jaundice-2. Uremia+3. Obstructive jaundice+4. Hepatic parenchymatous jaundice-5. Chronic glomerulonephritis.

46. Hematuria is characteristic symptome in:+1. Glomerulonephritis

-2. Urolithiasis+3. Infarct of kidney-4. Pyelonephritis+5. Malignant neoplasm of kidney

47. Organized sediment of urine includes:+1. Epithelial cells+2. Cylinders+3. Erythrocytes-4. Urates+5. Leucocytes

48. Non-organized sediment of urine includes:+1. Urates-2. Epithelial cells+3. Uric acid+4. Phosphates-5. Cylinders

49. Analysis of urine according to Zimnitsky takes into account:+1. Daily urine


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+2. Interrelation of diurnal and night diuresis-3. Maintenance of diurnal protein+4. Variations of specific gravity of urine

50. It is typical to normal analysis of urine according toNechiporenko:+1. Leucocytes count is up to 4000 in 1 ml+2. Erythrocytes count is up to 1000 in 1 ml-3. Erythrocytes count is up to 2000 in 1 ml-4. Leucocytes count is up to 5000 in 1 ml+5. Cylinders count is up to 250 in 1 ml.


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1. Hemorrhagic syndrome is characteristic of such diseases as:+1. Haemophilia+2. Acute leucosis-3. Cholecystitis-4. Pyelonephritis+5. Chronic leukosis

2. Following syndromes are characteristic of chronic lymphoidleukosis:+1. Hemorrhagic syndrome+2. Lymphoadenopathy+3. Anemia-4. Cerebral syndrome+5. Infectious-toxic syndrome

3. Chronic bronchitis is characterized by:+1. Diffuse character of an affection of bronchi+2. Seasonal exacerbations and remissions

+3. Clinical symptoms: coughing, expectoration and dyspnea-4. Presence of elastic fibers in sputum+5. Development of structural changes of bronchial mucosa

4. Objective examination of patient with bronchial asthma isrevealed:+1. Tympanic percussion sound above lungs+2. Lowering of inferior border of lung+3. Decrease of active mobility of inferior border of lung-4. Increase of active mobility of inferior border of lung+5. Increase of lung apexes height

5. It is typical in acute focal pneumonia:-1. Acute onset of disease with rise of a body temperature up to39-40C-2. Herpes labialis on the side of lung affection+3. Gradual development against the background of acute respiratoryinfection or bronchitis+4. Crepitation in the focus of affection-5. Bronchial respiration in the focus of lung affection

6. It is typical of an acute lobar (croupous) pneumonia:+1. Acute onset of disease with rise of a body temperature up to39-40C+2. Herpes labialis on the side of lung affection+3. Crepitation in the focus of affection-4. Gradual development against the background of acute respiratoryinfection or bronchitis+5. Bronchial respiration in the focus of lung affection

7. Pains in dry pleurisy are intensified:-1. In position of a patient on a side of affection


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-2. During daylight hours+3. At a deep inspiration+4. At an inclination in the opposite side from affection-5. At fall of a body temperature

8. What symptoms are typical in exudative pleurisy?-1. Constricting pain in precardiac region

-2. Intensifying of voice tremor (fremitus pectoralis)+3. Lagging of a chest on affection side at respiration+4. Weakening or absence of respiratory sounds on affection side-5. Amphoric respiration

9. According to a classification of World Health Organizationarterial hypertension of II (moderate) degree corresponds to thefollowing level of BP:-1. 130/80-139/89 mm Hg-2. 140/90-159/99 mm Hg+3. 160/100-179/109 mm Hg

-4. Higher than 180/110 mm Hg

10. It is typically in acute rheumatic polyarthritis:+1. Affection of large joints+2. Symmetrical affection of joints+3. Migrating character of arthritis-4. Affection of small joints+5. Hyperemia and a swelling of joints

11. It is typical of II stage of essential arterial hypertension:+1. Left ventricle hypertrophy

+2. Changes of eye ground (fundus of eye) are present-3. Changes of eye ground are absent-4. Right ventricle hypertrophy+5. Hypertensive crisis

12. It is characterized to patients with onset of angina pectoris:+1. Pressing pains in region of heart last up to 30 minutes+2. Pains occur against background of the exercise stress-3. Pains occur in rest+4. First pains have appeared about one month back-5. First pains have appeared about one year back

13. It is typically to a clinic of myocardial infarction:+1. Pressing pains behind a breast bone last more 30 minutes+2. Pains are not stopped by sublingual reception ofNitroglycerinum-3. Pressing pains behind a breast bone last not more than 30minutes-4. Pains are stopped by a sublingual reception of Nitroglycerinum+5. Fall of arterial blood pressure and loss of consciousness


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14. It is observed in a common blood analysis in acute myocardialinfarction:+1. Leucocytosis since 2-nd day+2. Acceleration of ESR (erythrocyte sedimentation reactiom) by 7-10-th day-3. Acceleration of ESR from the first hour of disease-4. Leucocytosis since 7-10-th days of disease+5. Decreased quantity of leucocytes by 10-14-th day of disease

15. What enzymes are increased in biochemical blood analysis inacute myocardial infarction?+1. sA+2. LDG1-2+3. lA-4. Alkaline phosphatase (AP)+5. Creatinphosphokinase (CK)

16. Typical forms of myocardial infarction include:

-1. Peripheric form+2. Abdominal (gastralgic) form-3. Painless form+4. Anginous form+5. Asthmatic form

17. What syndrome distinguishes between chronic hepatitis andcirrhosis of liver?

-1. Asthenic-vegetative syndrome-2. Dyspeptic syndrome+3. Expressed portal hypertension-4. Pain syndrome

18. It is typical in chronic gastritis of type A:+1. Primary localization in fundus and body of stomach+2. Expressed atrophy of mucosa+3. Hypoacidity-4. Infection factor+5. Development of anemia

19. It is typical in chronic gastritis of type B:+1. Primary localization in antrum

+2. Various stomach secretion-3. Expressed atrophy of mucosa+4. Infectious factor-5. Development of anemia

20. What syndromes are typically in chronic active hepatitis?+1. Cytolysis+2. Mesenchymal inflammation-3. Cholestasis


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+4. Hepato-cellular failure

21. Clinical variants of functional stomach dyspepsia include:-1. Pain variant+2. Ulcer-like variant+3. Dyskinetic variant-4. Hyperkinetic variant

+5. Nonspecific variant

22. Extra-esophageal manifestations of gastro-esophageal refluxdiseases (GERD) include:+1. Pulmonary manifestations+2. Otolaryngologic manifestations+3. Stomach manifestations+4. Cardiac manifestations-5. Intestinal manifestations

23. It is typically in nonspecific ulcerative colitis:

-1. Affection of distal parts of small intestines+2. Affection of distal parts of large intestines+3. Diarrhea with blood-4. Constipation+5. Tenesmus

24. It is typically in irritable bowel syndrome:-1. Malabsorbtion+2. Absence of the expressed loss of mass+3. Diarrhea+4. Constipation+5. Psychoneurotic distresses

25. Urinary syndrome in acute glomerulonephritis includes:+1. Hematuria+2. Proteinuria+3. Cylindruria-4. Leukocyturia+5. Oliguria

26. It is typically in chronic glomerulonephritis:+1. Arterial hypertension+2. Changes of eyeground (fundus of eye)

+3. Hematuria+4. Cylindruria+5. Proteinuria

27. Urinary syndrome in chronic pyelonephritis includes:+1. Hematuria+2. Proteinuria+3. Cylindruria+4. Leukocyturia


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-5. Oliguria

28. Clinical variants of chronic glomerulonephritis include:+1. Nephrotic form+2. Hypertensive form+3. Latent form+4. Hematuric form

-5. Septic form

29. It is typically in vitamin 12-(folic acid)-deficiency anemia:+1. Weakness and giddiness+2. Burning sensation of a tongue+3. Paresthesias, paralyses-4. Alternating constipations and diarrheas+5. Breakdown of a work capacity

30. *It is typical syndrome in an acute leukosis:+1. Feverish

+2. Ulcer-necrotic-3. Nephrotic+4. Septic-5. Edema

31. It is typically in chronic myeloid leucosis:+1. Hepatomegaly+2. Splenomegaly+3. Leukemic infiltrates of skin+4. Enlarged lymphoid nodes+5. Hemorrhagic eruptions on skin

32. Typical changes of common blood analysis in chronic myeloidleucosis are:+1. Eosinophilic-basophilic association+2. Presence of blast forms+3. Presence of premature forms of neutrophils+4. Presence of mature forms of neutrophils+5. Decrease of erythrocytes

33. It is typically for clinic of anaphylactic shock:+1. Obstruction of respiratory pathes+2. Urticaria

+3. Vascular collapse-4. Development of reaction in 24 hours after introduction of anallergen+5. Quincke's edema

34. It is typically for I degree of nephroptosis:+1. Inferior pole of kidney is palpated-2. Kidney is palpated entirely, mobile (ren mobilis), does notpass midline of abdomen


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-3. Kidney is palpated entirely, mobile (ren migrans), passesmidline of abdomen-4. Kidneys are not palpated

35. It is typically for the II degree of nephroptosis:-1. Inferior pole of kidney is palpated+2. Kidney is palpated entirely, mobile (ren mobilis), does not

pass midline of abdomen-3. Kidney is palpated entirely, mobile (ren migrans), passesmidline of abdomen-4. Kidneys are not palpated

36. leukemic abortion (hiatus leucaemicus) is characteristic of:-1. Chronic leukosis+2. Acute leucosis-3. Lymphogranulomatosis-4. Aplastic anemia-5. Hemolytic anemia

37. It is typical localization of Quincke's edema:-1. Inferior extremities-2. Subcutaneous tissue of anterior surface of a neck+3. Mucosa of mouth, larynx, and esophagus

38. Basic laboratory difference between vitamin 12-deficiencyanemia and iron-deficiency anemia is:-1. Decrease of erythrocytes-2. Decrease of hemoglobin-3. Decrease of colour index

+4. Increase of colour index-5. Poikilocytosis

39. Basic laboratory differences between acute leukosis and chronicleukosis are:-1. Anemia-2. Thrombocytopenia+3. Predominance of blast forms of leucocytes+4. Absence of premature differentiated forms of leucocytes-5. Acceleration of ESR

40. Patient with insulin-dependent diabetes mellitus complains of:

+1. Thirst+2. Dryness in a mouth+3. Skin itching+4. Weakness+5. Often abundant urination (polyuria)

41. Complications of diabetes mellitus include:+1. Retinopathy+2. Neuropathy


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+3. Nephropathy-4. Encephalopathy+5. Hyperglycemic coma

42. Causes of hyperglycemic coma:-1. Excessive introduction of insulin-2. Deficient caloric intake of diurnal diet

+3. Sudden arrest of introduction of insulin+4. Insufficient quantity of injected insulin-5. Dehydration as result of diarrhea

43. In urticaria the erythematic eruption associates with:-1. Fever-2. Hyperinsolation+3. Intake of medicines+4. Food intake-5. Bacteriemia

44. Characteristics of hypothyroidism are the following:+1. Hypersomnia (excessive sleepiness)+2. Weakness+3. Bradycardia+4. Periodic convulsive contractions of muscles of extremities+5. Face is puffy (edematous)

45. Characteristics of hyperthyroidism are the following:+1. Loss of weight+2. Weakness+3. Tachycardia-4. Bradycardia+5. Exophthalm (protruded eyeballs)

46. What forms of an opportunistic infection are characteristic forpatients with AIDS?+1. Pulmonary form+2. Gastrointestinal form+3. Feverish form-4. Articular form+5. Affections of the central nervous system

47. The "big" clinical syndromes of AIDS include:

+1. Loss of weight on 10 % and more+2. Chronic diarrhea more than 1 month-3. Generalized itching dermatitis+4. Fever more than 1 month

48. What diseases are characterized by symptom of exophthalm?+1. Diffuse toxic struma (goitre) with a hyperthyroidism+2. Nodal struma with a hyperthyroidism-3. Nodal struma with a hypothyroidism


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-4. Myxedema+5. Thyrotoxicosis

49. What quantity of thrombocytes in blood is typically inthrombocytopeni purpura?-1. 60-120x10-9/l-2. 120-180x10-9/l

-3. 180-32010-9/l+4. 30-50x10-9/l-5. 320-48010-9/l

50. What method is the most informative to diagnosis of pepticulcer of stomach?-1. Common blood count-2. Occult blood nalysis of feces (benzidine [Gregersen's] test)-3. Radiological study+4. Gastro-intestinal endoscopy-5. Research of stomach secretion

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