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5*
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10
11
2064.In the treatment of chronic pancreatitis with a view to appoint replacement
-
morfin
-
But silos
-
Panzinorm*
-
holosas
-
penicillin
2065.If the clinical examination of patients with chronic pancreatitis examined blood levels
-
squirrel
-
Glucose*
-
fibrinogena
-
cholesterol
-
pepsin
2066. Hacells of the pancreas synthesized
-
Insulin
-
Glucagon*
-
Gastrin
-
Pankretichesky polypeptide
-
Vasoactive intestinal peptide
2067. Pcells of the pancreas synthesized
-
Somatostatin
-
Secretin
-
Insulin*
-
Amylase
-
Glucagon
2068.The main etiological factor of chronic pancreatitis is considered
-
The abuse of fatty and spicy foods
-
Long forced a sitting position
-
Abuse of sweet food
-
Kidney stones
-
Stones in the gallbladder*
2069.The pathogenesis of chronic pancreatitis is
-
Accelerated evacuation of secretion of the pancreas
-
Lack of development of pancreatic secretion
-
Infection of pancreatic secretion
-
Intraorgan activation of pancreatic enzymes*
-
Increasing the concentration of bicarbonate in the pancreatic secretion
2070.Steatorrhea is
-
Elevated levels of fecal neutral fat*
-
Elevated levels of muscle fibers
-
Elevated fecal elastase
-
Elevated fecal chymotrypsin
-
Detection of fecal elements of inflammation
2071.Kreatoreya is
-
Elevated levels of fecal neutral fat
-
Elevated levels in the feces of the muscle fibers*
-
Increased lipase content in the feces
-
The remains of undigested food in the stool
-
Aholichny cal
2072. Lientereya is
-
Elevated levels of fecal neutral fat
-
Elevated levels of muscle fibers
-
Elevated levels of fecal elastase
-
Elevated levels of fecal chymotrypsin
-
The remains of undigested food in the stool*
2073.Development of flatulence in chronic pancreatitis is caused by
-
Diarrhea
-
Repeated vomiting
-
Hyperglycemia
-
To compression of the duodenum edematous head of the pancreas
-
Enzymatic pancreatic insufficiency*
2074."Pancreatogenic" gastroduodenal ulcers and erosion are the result of
-
Reduction in insulin secretion
-
Decrease glucagon secretion
-
Reduction in the level of bicarbonate secretion of pancreas*
-
Reducing the level of lipase in the pancreatic secretion
-
Decreased secretion of amylase secretion of the pancreas
2075.Clinical and laboratory evidence of exocrine pancreatic insufficiency in chronic pancreatitis is considered
-
Pain in the epigastric region
-
Kreatoreya, steatorrhea, weight loss*
-
Hypoglycemia
-
Jaundice
-
An increase in liver
2076.Clinical and laboratory evidence of endocrine pancreatic insufficiency in chronic pancreatitis is considered
-
'Wraparound' pain in the upper abdomen
-
Weight loss
-
Unformed stool
-
Frequent uncontrollable vomiting
-
Hyperglycemia*
2077.Zone Chauffard is
-
Skin hypersensitivity in the area of innervation of the left thoracic segment VIII
-
Epigastric region
-
Mesogastric area
-
Pyloroduodenal area
-
Holedohopankreatoduodenalnaya area*
2078.The main clinical syndrome of chronic pancreatitis is considered
-
Hypertension
-
Edematous ascitic
-
Pain*
-
Hepatorenal
-
Cardiac
2079.The most common laboratory test is the definition of the diagnosis of pancreatitis in the blood
-
Lipase
-
Amylase*
-
Elastazy
-
Trypsin
-
Carboxypeptidase
2080.Methods of assessment of exocrine pancreatic function
-
Determination of the level of Cpeptide in the blood
-
Secretinpankreoziminovy test*
-
Definition of radioimmunoassay of insulin in the blood
-
Endoscopic retrograde cholangiopancreatography
-
Angiography of the pancreas
2081.The main clinical and laboratory syndrome, chronic pancreatitis
-
Cytolytic
-
Inflammatory
-
Inflammatory and destructive*
-
Hypoxic
-
Hepatocellular insufficiency
2082.The cause of pain in chronic pancreatitis is considered
-
Infection of pancreatic secretion
-
Dyskinesia pancreatic duct
-
Accelerated evacuation of secretion of the pancreas
-
Stretching pancreatic ducts*
-
Reducing the concentration of bicarbonate secretion of the pancreas
2083.The clinical symptom of chronic pancreatitis
-
Symptom St GeorgeMusso
-
Symptom Kera
-
Symptom Pasternatskogo
-
Symptom GrekovOrtner
-
Symptom MayoRobson*
2084.Replacement therapy in exocrine pancreatic insufficiency include the appointment of
-
Insulin
-
Octreotide
-
Metoclopramide
-
Enzyme inhibitors
-
Enzymes*
2085.Indications for enzyme inhibitors in chronic pancreatitis are
-
Progressive malnutrition
-
Severe hyperglycemia
-
Severe hyperenzymemia in the absence of the effect of treatment by other means*
-
Obstruktsiya Pancreatic duct
-
Persistent diarrhea
2086.Which of the following dietary measures is of particular importance in the treatment of chronic pancreatitis
-
Increase The consumption of vitamins
-
Increased consumption of protein
-
Increasing the proportion of carbohydrates in the diet
-
Avoiding alcohol*
-
Increase consumption of vegetables
2087.Which of the following medication may improve symptoms of chronic pancreatitis
-
Vasodilators
-
Vitamins
-
Vicarious pancreatic enzymes*
-
Bile
-
Propranolol
2088.Which of the following is the main indication for surgery in chronic pancreatitis
-
Weight Loss
-
Portal hypertension
-
Pseudocyst
-
Pain Syndrome*
-
Calcinates in the pancreas
2089.If no vasculitis affects mainly largecaliber vessels
-
Diseases Burger
-
nodosus periartritis
-
arteritis Takoyasu*
-
hemorragic vasculitis
-
gepatitis
2090. What vasculitis occur mainly in the elderly
-
gemorragichesky vasculitis
-
temporal arteritis*
-
Diseases Takayasu
-
nodus arteritis
-
Diseases Kawasaki
2091. Note the most common manifestation of periarteritis nodosa except
-
fever
-
General joint pain
-
Discover HBs Ag in the serum
-
The plural Mononeuritis
-
high titers of rheumatoid factor*
2092. The most characteristic pathologic feature of polyarteritis nodosa is
-
arterii mixed type caliber
-
arterii muscular type of small and mediumsized
-
arterii muscular caliber
-
artery mixed type of medium caliber*
-
arterii and veins
2093. Who often suffers nodular periarthritis
-
older men*
-
molodye girl
-
were male middle age
-
pozhilye women
-
molodye men
2094. The most common clinical sign is a periarteritis nodosa
-
porazheniya joints
-
kidney damage*
-
porazheniya nervous system
-
Lesionsheart
-
Lesionsskin
2095. For the kidney damage if not typical nodular periarteritis
-
gematuriya
-
infarkt kidney
-
glomerulonefrit
-
polycystic*
-
razryvy artery aneurysm
2096. The most characteristic feature is a periarteritis nodosa
-
Hypergammaglobulinemia*
-
leykotsitoz
-
giperfermentemiya
-
Increase the CEC
-
poycilocitosis
2097. Flag of the disease, in which an observer can livedo reticularis
-
System Lupus erythematosus
-
Antifosfolipidny Syndrome
-
Tromboticheskaya Thrombocytopenic purpura
-
Ateroskleroticheskoe Vascular lesions
-
All listed above*
2098.Mark diseases in which livedo reticularis among the diagnostic criteria
-
System Lupus erythematosus
-
Obliteriruyuschy Thromboangigitis
-
Periarteritis nodosa*
-
System Scleroderma
-
Antifosfolipidny Syndrome
2099. If any of these rheumatic diseases have the highest incidence of lymphoproliferative tumors
-
System Lupus erythematosus
-
Rheumatoid arthritis
-
Shegren's syndrome*
-
System Scleroderma
-
Polimiozit
2100. What factors determine the increase in the incidence of malignant tumors in rheumatic diseases
-
Duration Treatment of corticosteroids
-
Duration Treatment with cytostatics
-
genetic Predisposition
-
General Etiological factors
-
All listed above*
2101. When Shegren's syndrome often reveal
-
Eozinofiliyu
-
Anemia*
-
Leykotsitoz
-
Limfotsitoz
-
Trombotsitoz
2102. For Shegren's disease is characterized by
-
Arthritis
-
High Titers of rheumatoid factor in the serum
-
Leykopeniya
-
Kseroftalmiya And dry mouth
-
All the above mentioned*
2103. For Shegren's syndrome is characterized by
-
Mainly Joint damage with the rapid development of deformations
-
Defeat the whole epithelial tissue*
-
gout
-
Muscular Contracture
-
All Listed above
2104. What vasculitis are more common in the elderly
-
Visochny Arteritis
-
Hemorrhagic vasculitis*
-
Diseases Takayasu
-
Uzelkovy Polyarteritis
-
Granulematoz Wegener
2105. What vasculitis more common in women than in men
-
Uzelkovy Nodosa
-
Kawasaki disease*
-
Visochny Arteritis
-
Granulematoz Wegener
-
All Listed above
2106. Mark clinical manifestations are not typical of Kawasaki disease
-
Eritematoznaya Rash on the palms and soles
-
Kozhnaya Rash on the trunk
-
Irit*
-
Conjunctivitis
-
"Crimson" language
2107. Which diseases can develop leukocyteclastic vasculitis
-
Smeshannaya Cryoglobulinemia
-
Bacterial Endocarditis
-
Sindrom Shegren
-
PurpuraHenoch purpura
-
all of the above*
2108. What are the implications of hemorrhagic vasculitis are not true
-
Syp Upper extremities is not typical
-
More Than in the abdomen are classic manifestation of the disease
-
Jade is usually manifested hematuria
-
Development Nephritis is associated with deposition of IgAcontaining immune complexes
-
High efficiency glucocorticosteroids*
2109. If any of these diseases can be observed syndrome of polymyalgia rheumatica
-
Pirofosfatnaya Arthropathy
-
Gigantocellular Arteritis
-
Zlokachestvennye Neoplasms
-
Bacterial Endocarditis
-
All the above mentioned*
2110. Mark rare manifestations of polyarteritis nodosa
-
Lesions Kidney in 80% of cases
-
Education Aneurysms in the blood vessels of medium caliber
-
Eozinofiliya
-
Discover HbS antigen serum
-
Reducing the concentration of complement component C3*
2111. Mark signs of giant cell arteritis
-
Lesions Popliteal arteries
-
Aortic aneurysm
-
Blindness*
-
City Loss in young adults
-
All Listed above
2112. What are the conclusions about Henoch's disease are correct
-
Chasche Common in children than in adults
-
Porazhayutsya Mostly boys
-
Is the characteristic symptom is purple
-
Purpura development correlates with a decrease in concentration of platelets*
-
Is the characteristic symptoms are abdominal pain, joint damage and stomach bleeding
2113. The combination of fever, polyneuritis, hypertension and bronchial obstruction typical for
-
Periarteritis nodosa*
-
Dermatomiozita
-
System Lupus erythematosus
-
Ostrogo Rheumatic fever
-
Bacterial Endocarditis
2114. The cause of hypertension in nonspecific aortoarteriit often is
-
Increase The formation of catecholamines
-
The defeat of the renal arteries*
-
Giperproduktsiya Corticosteroids
-
Vospalitelnye Kidney disease
-
Reninactivity does not change
2115. Diagnostic criterion periarteritis nodosa is
-
Myocarditis
-
Renal arterial hypertension*
-
Bacterial Endocarditis
-
Availability LEcells
-
Sklerodaktiliya
2116. The reason for hemorrhagic vasculitis are more often
-
Stafilokokk Gold
-
βhemolytic streptococci
-
Zelenyaschy Streptococcus
-
Escherichia coli
-
Pseudomonas aeruginosa*
2117. If no vasculitis affects mainly largecaliber vessels
-
Diseases Burger
-
Uzelkovy Nodosa
-
Takayasu's arteritis*
-
Gemorragichesky Vasculitis
-
Uzelkovy Priarteriit
2118. Note the most common manifestation of periarteritis nodosa except
-
Fever
-
General Joint pain
-
Discover HBsAg in serum
-
The plural Mononeuritis
-
High titers of rheumatoid factor*
2119. The most characteristic pathologic feature of polyarteritis nodosa is
-
Arterii Mixed type of large caliber
-
Arterii Muscular type of small and mediumsized
-
Arterii Muscular caliber
-
Arteries mixed type of medium caliber*
-
Arterii And veins
2120. The most common clinical sign is a periarteritis nodosa
-
Porazheniya Joints
-
Kidney damage*
-
Porazheniya Nervous system
-
Lesions Heart
-
Lesions Skin
2121. For the kidney damage if not typical nodular periarteritis
-
Gematuriya
-
Infarkt Kidney
-
Glomerulonefrit
-
Polycystic*
-
Artery aneurysm
2122. The most characteristic feature is a periarteritis nodosa
-
Hypergammaglobulinemia*
-
Leykotsitoz
-
Giperfermentemiya
-
Increase The CEC
-
the Presence of rheumatoid factor
2123.The reason for hemorrhagic vasculitis are more often
-
stafilokokk gold
-
βhemolytic streptococcus
-
green streptococcus
-
Escherichia coli
-
Pseudomonas aeruginosa*
2124. Treatment of Dressler syndrome
-
Prednisone*
-
penicillin
-
Klaforan
-
aspirin
-
pepsin
2125. The early complications of myocardial infarction include
-
Pulmonary edema*
-
Dressler's syndrome
-
Chronic cardiac aneurysm
-
Chronic heart failure
-
anemia
2126. The most common complication of acute myocardial infarction is
-
Break infarction
-
Embolism brain
-
Rhythm disorders*
-
Dressler's syndrome
-
Shock
2127. When a complication of acute myocardial infarction, complete atrioventricular block shows the introduction of
-
Atropine
-
Noradrenaline
-
Izadrina
-
Probe electrode in the right ventricle*
-
All of the above
2128. Pulse pressure in cardiogenic shock
-
Increases
-
Decreases
-
Decreases and then increases*
-
Remains unchanged
-
There is no right answer
2129. The greatest risk of fatal myocardial infarction associated with the development of
-
Pulmonary edema
-
Aneurysm
-
Cardiogenic shock*
-
Paroxysm of atrial fibrillation
-
hepatitis
2130. Acute myocardial infarction on ECG is characterized by
-
High T wave
-
STsegment depression
-
ST elevation arcuate slot
-
Deep Q wave
-
Atrial fibrillation
2131. What is the sign of the most characteristic of transmural myocardial infarction
-
Pronounced Q wave
-
Negative T waves
-
Education tooth QS*
-
Decrease in the amplitude of the R wave
-
ST elevation arcuate slot
2132. Increased ESR myocardial infarction is usually marked
-
In the early hours
-
on the second day
-
3-4 days
-
The end of the first week*
-
10-12 days*
2133. At what stage of myocardial infarction is characterized by the formation of pathological tooth Q
2134. Which biochemical parameters changed in the early hours of myocardial infarction
-
ALT AST*
-
Thymol turbidity test
-
Decrease in fibrinogen
-
Increase of CPK, LDH
-
eritrocitosis
2135. The early complications of myocardial infarction do not apply
-
pulmonary edema
-
Cardiogenic shock
-
Cardiac tamponade
-
Dressler's syndrome*
-
pericarditis
2136. One choice for the treatment of ventricular tachycardia in the acute phase of myocardial infarction are
-
Cordarone
-
Procainamide
-
Betablockers
-
Lidocaine*
-
Verapamil
2137. The main cause of death in patients with myocardial infarction is
-
ventricular asystole
-
Ventricular fibrillation*
-
Ventricular bigimenia
-
II degree atrioventricular block
-
Sinoauricular block II degree
2138. The most common cause of acute pulmonary heart is
-
Pneumonia
-
Asthmatic condition
-
Pulmonary embolism*
-
Spontaneous pneumothorax
-
Pulmonary heart occurs at approximately the same frequency in all these states
2139. Clinical symptoms of cardiogenic shock
-
fever, lymphadenopathy
-
fever, cough with a "rusty" sputum
-
sharp decline in blood pressure, rapid thread pulse*
-
a sharp increase in blood pressure, intense pulse
-
Hypertension
2140. An increase in temperature, leukocytosis, increased erythrocyte sedimentation rate are observed at
-
hypertension
-
myocardial infarction*
-
cardiosclerosis
-
angina
-
hepatitis
2141. An aneurysm of the heart it
-
left ventricular hypertrophy
-
right ventricular hypertrophy
-
a reduction of the left ventricle of the heart
-
bulging portion*
-
right atrial hypertrophy
2142. Pulmonary edema
-
a form of acute disease
-
coronary artery
-
left ventricular*
-
right heart
-
vascular
2143. Increase some serum enzymes observed in the first 6-12 hours of myocardial infarction
-
Creatine phosphokinase
-
Lactate dehydrogenase*
-
Aminotransferase
-
alkaline phosphatase
-
anemia
2144. For myocardial infarction characterized by the following echocardiographic features
-
Diffuse hyperkinesis
-
Diffuse hypokinesis
-
Local hypokinesia*
-
Local hyperkinesis
-
total hyperkinesis
2145. What are the possible complications during thrombolytic therapy in acute myocardial infarction
-
Hypotension
-
anaphylactic shock
-
Hemorrhagic shock
-
Hematuria
-
All of the above*
2146. What are the medicines used for the treatment of cardiogenic shock
-
Mezaton
-
Dopamine*
-
penicillini
-
cefozalini
-
omezi
2147. What complication observed in atrial fibrillation
-
Thromboembolism*
-
Myocardial infarction
-
hypertensive crisis
-
Hepatitis
-
Gout
2148. The most unfavorable prognostic sign in patients with acute myocardial infarction
-
Atrial fibrillation
-
Early ventricular arrythmia
-
Group PVEs*
-
Politop PVEs
-
Supraventricular arrhythmias
2149. Which of the complications of myocardial infarction is the most common, the earliest and the most dangerous
-
Cardiogenic shock
-
Pulmonary edema
-
Ventricular fibrillation*
-
A heart attack
-
Asystole
2150. Percentage of mass destruction attack in the development of cardiogenic shock
-
More Than 20%
-
Over 30%
-
More than 40%*
-
More Than 50%
-
More Than 10%
2151. 6 hours after the onset of pain in acute myocardial infarction can be upgraded Level
-
Creatine phosphokinase*
-
Lactate dehydrogenase
-
Aspartate
-
Aldolase
-
Αhydroxybutyrate
2152. Specify early complication of myocardial infarction
-
cardiogenic shock*
-
congestive heart failure
-
Dressler's syndrome
-
Chronic pulmonary heart
-
hepatitis
2153. Select an atypical variant of myocardial infarction
-
Abdominal*
-
latent
-
Nephrotic
-
Mixed
-
acute
2154.Bacterial endocarditis is more common
-
Men*
-
Women
-
children
-
Infants
-
baby
2155.The etiology BE distinguished
-
Gram + - Bacteria*
-
Human immunodeficiency virus
-
The herpes virus
-
Campylobacter pylori
-
pneumococcus
2156. For stage I BE characteristic feature
-
Leukocytosis with a shift to the left*
-
Slowing the ESR
-
Leukopenia
-
Lymphocytosis
-
erithremia
2157.Pathogenetic second phase of infective endocarditis
-
Dystrophic
-
Hidden
-
Immunoinflammatory*
-
Infectious and toxic
-
Sclerotic
2158.The most common during infectious endocarditis
-
Acute
-
Subacute*
-
chronic
-
Latent
-
Progressive
2159.infective endocarditis most affected
-
Tricuspid valve
-
mitral valve
-
semilunar valves of the pulmonary artery
-
semilunar aortic valve*
-
All equally
2160.Infective endocarditis can be caused
-
Mushrooms
-
Staphylococcus
-
Brucella and rickettsia
-
Viridans streptococcus
-
All the mentioned microorganisms*
2161.How many pathogenic phases in the pathogenesis of infectious endocarditis
-
One
-
Two
-
Three*
-
four
-
More than four
2162.The incidence of infective endocarditis in recent years
-
Increased*
-
Decreased
-
Doubled
-
Decreased twice
-
Stagnant
2163.The most common causative agents of infectious endocarditis include
-
Lactobacillus
-
Pseudomonas aeruginosa
-
Escherichia coli
-
Saureus*
-
Meningococcus
2164.The probability of infective endocarditis is greatest in patients with
-
Atrial septal defect
-
Ventricular septal defect*
-
Mitral stenosis
-
Mitral valve prolapse without regurgitation
-
Hypertrophic cardiomyopathy
2165.When endocarditis, caused by the fungus, shows the assignment
-
Ampicillin
-
Tetracycline
-
Amphotericin B*
-
Kanamycin
-
Carbenicillin
2166.The duration of treatment with antibiotics for infective endocarditis usually is
-
2 weeks or less
-
2-4 weeks
-
4-6 weeks*
-
8-10 weeks
-
More than 10 weeks
2167.In subacute infective endocarditis anemia observed
-
In most patients*
-
rarely
-
During recovery
-
In combination with leukopenia
-
At normal ESR
2168.The most common cause of infectious endocarditis is
-
Gram - microflora
-
Grampositive microorganisms*
-
Mushrooms
-
Viruses
-
Chlamydia, Rickettsia
2169. Infective endocarditis most affected
-
mitral valve
-
Aortic valve*
-
Tricuspid valve
-
atrial
-
venous
2170. The indications for early surgery for endocarditis are all except
-
Severe heart failure
-
Uncontrolled infection
-
Loss of two or more valves*
-
High risk of embolic complications
-
High risk of anembolic complications
2171. The most common renal disease in infective endocarditis are
-
pyelonephritis
-
glomerulonephritis*
-
amyloidosis
-
hepatitis
-
uremia
2172. The special forms of infective endocarditis does not include
-
Infective endocarditis previously modified valve*
-
Infective endocarditis in drug addicts
-
Infective endocarditis in patients with implanted devices
-
Infective endocarditis in patients on hemodialysis
-
Infective endocarditis in the elderly
2173.Specify the most common cause of death in infective endocarditis
-
thromboembolic complications
-
heart rhythm disturbances
-
heart failure*
-
renal failure
-
anemia
2174.Fever in infective endocarditis usually has the character
-
Hectic*
-
Subfebrile
-
Intermittent
-
Normal
-
febrile
2175. Alleged nature of streptococcal infective endocarditis shows the assignment
-
Penicillins or cephalosporins*
-
Aminoglycosides
-
Macrolides
-
Fluoroquinolones
-
omeprazole
2176. Patients with infective endocarditis and staphylococcal etiology intolerant of penicillins shows the assignment
-
Vancomycin in combination with gentamicin*
-
Ciprofloxacin
-
Teicoplanin
-
Fluoroquinolones
-
calcium
2177.Identify morphological feature dilatation cardiomyopathy:
-
the cavity of the heart greatly expanded*
-
epicardium hypertrophied
-
endocardium thinned
-
in the heart of a Dutch shoe fluoroscopy
-
the cavity of the left atrium dramatically expanded
2178.Identify morphological feature dilatation cardiomyopathy:
-
cavities of the heart are narrowed sharply
-
hypertrophied myocardium*
-
epicardium thinned
-
endocardium thinned
-
in the heart of a Dutch shoe fluoroscopy
2179.Identify morphological feature dilatation cardiomyopathy:
-
cavities of the heart are narrowed sharply
-
the myocardium is not changed
-
spherical shape of the heart during fluoroscopy*
-
endocardium thinned
-
in the heart of a Dutch shoe fluoroscopy
2180.List symptom in dilatation cardiomyopathy:
-
Cardiomegaly*
-
hypertension
-
cardiomiodistrophy
-
splenomegaly
-
ascites
2181.List symptom in dilatation cardiomyopathy:
-
circulatory failure*
-
lack of coordination
-
cardiomyodistrophy
-
splenomegaly
-
ascites
2182.List symptom in dilatation cardiomyopathy:
-
the size of the heart is not changed
-
violation of rhythm and conduction*
-
cardiomiodistrophy
-
splenomegaly
-
ascites
2183.To determine the morphological sign of hypertrophic cardiomyopathy:
-
asymmetrical left ventricular hypertrophy*
-
endocardium thinned
-
heart is shaped holand shoes under fluoroscopy
-
mitral regurgitation
-
Ushape of the mitral valve ECS
2184.To determine the morphological sign of hypertrophic cardiomyopathy:
-
dilatation of the left atrium*
-
endocardium thinned
-
heart is shaped holand shoes under fluoroscopy
-
mitral regurgitation
-
Ushape of the mitral valve ECS
2185.List the symptoms of dilatation cardiomyopathy
-
cardiomegaly, circulatory failure, arrhythmias and conduction*
-
cardiomiodistrophy, hepatomegaly
-
Ascites
-
cerebrovascular accident
-
splenomegaly
2186.Indicate signs of ECG dilatation cardiomyopathy:
-
a decrease in the voltage of the teeth, the appearance of Q waves or QS*
-
degenerative changes in the myocardium
-
lifting ST interval
-
the appearance of the tooth U
-
high peaked T waves
2187.List EchoCG sign of dilatation cardiomyopathy :
-
diffuse dilatation of the cavities of the heart*
-
dilation of the left ventricle
-
myocardial dyscinesia
-
mitral regurgitation
-
aortal regurgitation
2188.3 Names of form of flow dilatation cardiomyopathy:
-
progressive, relapsing, stable*
-
lightning, sub acute, chronic
-
slowprogressive
-
Unstable
-
Chronic, sub acute, stable
2189.Systolic murmur in hypertrophic obstructive cardiomyopathy similar with noise generated
-
with aortic stenosis*
-
coarctasion of aorta
-
tricuspid regurgitation
-
ventricular septal defect
-
open arterial (Botallov) duct
2190.For hypertrophic characteristic obstructive cardiomyopathy
-
outflow tract contraction of the left ventricle
-
mitral valve insufficiency
-
left ventricular hypertrophy
-
sudden death
-
all of the above*
2191.Clinical manifestations of dilated (congestive) cardiomyopathy is
-
shortness of breath
-
heart
-
paroxysmal tachycardia and atrial fibrillation
-
violation of cardiac conduction
-
all of the above*
2192.List form of cardiomiopaty:
-
Hypertrophic*
-
eosinophilic
-
obstructive
-
trombembolic
-
cardiogenic
2193.What are the most important method of diagnosis of hypertrophic cardiomyopathy:
-
Echocardiography*
-
ECG
-
Xrays
-
auscultation
-
PCG
2194.What characteristic feature has restrictive cardiomiopaty:
-
an increase in the size of the left atrium*
-
dilatation of the left ventricular cavity
-
dilatation of the right ventricular cavity
-
left ventricular hypertrophy
-
narrowing of the aortic orifice
2195.For the treatment of arrhythmias hypertrophic cardiomyopathy shown most applications:
-
quinidine
-
novokainamid
-
isoptin
-
kordaron*
-
inderal
2196.What are the daily doses of βblockers used for hypertrophic cardiomyopathy?
-
40-80 mg
-
120-240 mg
-
320-480 mg*
-
10-30 mg
-
500-750 mg
2197.Unfavorable prognostic factors point to the possibility of sudden death in hypertrophic cardiomyopathy, it is:
-
angina
-
the development of heart failure
-
a complete blockade of the left leg a bunch of Hiss
-
ventricular arrhythmia*
-
incomplete right bundle branch block
2198.Crucial in the differential diagnosis of coronary artery disease and has dilatation cardiomyopathy
-
the age and sex of the patient
-
High levels of plasma lipids
-
Echocardiography
-
coronary angiography*
-
ECG
2199.In the treatment of hypertrophic cardiomyopathy preference from the group of calcium antagonists is given to:
-
Verapamil*
-
diltiazem
-
nifedipine
-
enalapril
-
Corinfar
2200.the best antiarrhythmic drug that relieves and prevents the development of arrhythmias heart of hypertrophic cardiomyopathy, is:
-
kordaron*
-
diltiazem
-
nifedipine
-
enalapril
-
Corinfar
2201.The main indication for amiodarone in hypertrophic cardiomyopathy, is:
-
complete right bundle branch block
-
incomplete blockade
-
ventricular arrhythmias*
-
supraventricular arrhythmias
-
complete left bundle branch block
2202.In the treatment of diseases applies leucocitoferez:
-
dilatation cardiomyopathy
-
restrictive cardiomyopathy*
-
hypertrophic cardiomyopathy
-
hypertension
-
angina
2203.Which type of cardiomyopathy is disturbed systolic myocardial function:
-
in restrictive cardiomyopathy
-
in hypertrophic cardiomyopathy
-
in dilatation cardiomyopathy*
-
angina pectoris
-
supraventricular arrhythmias
2204.Which disease is first necessary to differentiate restrictive cardiomyopathy :
-
constrictive pericarditis*
-
Queen metal angina
-
myocardial infarction
-
PE
-
myxoma
2205.Note drugs whose purpose is undesirable in hypertrophic cardiomyopathy:
-
omeprazole
-
cardiac glycosides*
-
antiarrhythmics
-
βblockers
-
calcium antagonists
2206.Myocardial disease of unknown etiology is
-
Infective endocarditis
-
Rheumatic myocarditis
-
Cardiomyopathy*
-
Of alcoholic myocardiodystrophy
-
IHD
2207. Hypertrophy interventricular septum and the left ventricle with decreasing cavity is observed for any form of cardiomyopathy
-
Hypertrophic*
-
Dilated
-
Restrictive
-
Cardiogenic
-
Thromboembolic
2208.Systolic murmur in hypertrophic obstructive cardiomyopathy is similar to the noise generated
-
For aortic stenosis*
-
When koartatsii aorta
-
When tricuspid regurgitation
-
With ventricular septal defect
-
With an open arterial (Botallova) duct
2209.Systolic murmur in the hypertrophic cardiomyopathy is reduced when the patient:
-
Conducting sample Valsalvy
-
Lies*
-
Inhale amyl nitrite
-
Gets
-
Accepted cardiac glycosides
2210.Clinical manifestations of dilated (congestive) cardiomyopathy are:
-
dyspnea
-
Palpitations
-
Paroxysmal tachycardia
-
A violation of cardiac conduction
-
Mark all listed*
2211.If you marked dilated cardiomyopathy
-
Diffuse decrease in myocardial contractility*
-
Local decrease myocardial contractility
-
Increasing reduction of myocardial contractility
-
Thickening of the interventricular septum
-
All of the above
2212.When hypertrophic cardiomyopathy ECG is most characteristic:
-
Axis deviation to the left and left ventricular hypertrophy*
-
Axis deviation to the right and left ventricular hypertrophy
-
Right ventricular hypertrophy
-
Dome STsegment elevation
-
P «Pulmonale»
2213.To EhoKG changes in hypertrophic cardiomyopathy include:
-
Hypertrophy of the interventricular septum*
-
Insufficiency of the aortic valve
-
Ventricular septal defect
-
Dilatation of the ventricles
-
Atrial Hypertrophy
2214.The patient with dilated cardiomyopathy the most reliable method for diagnosis is:
-
ECG
-
Echocardiography*
-
Veloergometry
-
Myocardial scintigraphy
-
Coronary angiography
2215.Specific cardiomyopathy include:
-
Thyrotoxic cardiomyopathy*
-
Arrhythmogenic right ventricular cardiomyopathy
-
Idiopathic dilated cardiomyopathy
-
Idiopathic hypertrophic cardiomyopathy
-
Restrictive cardiomyopathy
2216.To restrictive cardiomyopathy include:
-
Myxoma
-
Endomyocardial fibrosis*
-
Hemochromatosis Heart
-
Alcoholic cardiomyopathy
-
Primary amyloidosis of the heart
2217.When idiopathic dilated cardiomyopathy does not appear
-
Hypertension*
-
Violation of rhythm and conduction of the heart
-
Symptoms of right heart failure
-
Symptoms of left ventricular failure
-
A tendency to thromboembolic complications
2218.For the idiopathic dilated cardiomyopathy auscultation most characteristic:
-
Systolic murmur at the apex*
-
Clapping tone I on the top
-
Diastolic murmur at the apex
-
Systolic murmur at the aorta
-
Accent II tone of the aorta
2219.The radical treatment of dilated cardiomyopathy:
-
Mitral valve replacement
-
Prosthetic tricuspid valve
-
Heart transplantation*
-
The use of diuretics
-
ACE inhibitors
2220.For the idiopathic dilated cardiomyopathy auscultation is characterized by:
-
The rhythm of "gallop"*
-
Clapping tone I on the top
-
Diastolic murmur at the apex
-
Systolic murmur at the aorta
-
Accent II tone of the aorta
2221.Specify the most characteristic clinical sign of idiopathic dilated cardiomyopathy:
-
Shortness of breath, attacks of cardiac asthma*
-
Arthritis, arthralgia
-
Fever
-
Splenomegaly
-
Cough with phlegm muco purulent
2222. Highlight auscultatory sign of the most characteristic of dilated cardiomyopathy:
-
Rhythm "canter"*
-
The rhythm of "quail"
-
Diastolic murmur
-
Noise Flint
-
Accent II tone of the aorta
2223.The leading cause of sudden death in patients with hypertrophic cardiomyopathy is:
-
pulmonary edema
-
Cardiac arrhythmias*
-
Myocardial infarction
-
Acute ischemic stroke
-
Congestive heart failure
2224. The most common cause of heart failure
-
AН
-
Amyloidosis heart
-
CHD*
-
Myocarditis
-
Atrial fibrillation
2225. In the pathogenesis of chronic heart failure leading role played by the violation
-
Chronotropic function of the heart
-
Dromotropic heart function
-
Inotropic function of the heart
-
Bathmotropic heart function
-
Infringement of automaticity of the heart*
2226. Neurohormonal activation in CHF appears
-
Activation SAS and RAAS*
-
Increased levels of cortisol
-
Activation of the RAAS
-
Hyperthyroidism
-
Activation of CAC
2227.The main pathogenetic factors of edema formation in CHF are
-
Increase the delay Na and fluid*
-
An increase in central venous pressure
-
The deterioration of the drainage function of the lymphatic system
-
The reduction of plasma albumin and reducing the colloidosmotic pressure
-
Increase transcapillary pressure gradient
2228. The classic triad of symptoms of CHF are
-
Chest pain with deep breathing, coughing, and dyspnoea
-
A feeling of heaviness in the chest, shortness of breath and palpitations
-
Shortness of breath, weakness and swelling of the feet*
-
Hepatomegaly, ascites and portal hypertension
-
Attacks of dyspnea at night, coughing, and palpitations
2229. Signs of heart failure stage I
-
Hidden circulatory insufficiency, occurs only during exercise*
-
At rest, there are signs of circulatory failure in a small circle
-
At rest, there are signs of circulatory failure in a large circle
-
Dystrophic stage with severe hemodynamic and irreversible structural changes in organs
-
At rest, there are signs of stagnation in the small and large circulation
2230. Signs of heart failure stage II A
-
Hidden circulatory insufficiency, occurs only during exercise
-
At rest, there are signs of circulatory failure, the small and the large circle
-
With a small load, there are signs of circulatory failure in a large circle
-
B alone, there are signs of circulatory failure, or small or large circle*
-
Dystrophic stage with severe hemodynamic and irreversible structural changes in organs
2231. Signs of heart failure stage II B
-
Hidden circulatory insufficiency, occurs only during exercise
-
At rest, there are signs of circulatory failure, or small or large circle
-
With a small load, there are signs of circulatory failure in a large circle
-
B alone, there are signs of circulatory failure, the small and the large circle*
-
Dystrophic stage with severe hemodynamic and irreversible structural changes in organs
2232. Signs of heart failure stage III
-
Hidden circulatory insufficiency, occurs only during exercise
-
At rest, there are signs of circulatory failure, the small and the large circle
-
With a small load, there are signs of circulatory failure in a large circle
-
At rest, there are signs of circulatory failure, the small and the large circle
-
Dystrophic stage with severe hemodynamic and irreversible structural changes in organs*
2233. Manifestations of CHF, corresponds to I functional class (FC)
-
The appearance of fatigue, palpitations and / or shortness of breath with little exertion
-
Edema during exercise greater than usual
-
The appearance of fatigue, palpitations and / or shortness of breath during normal physical activity
-
The emergence of pain in the legs with a little exertion
-
The appearance of fatigue, palpitations and / or shortness of breath on exertion beyond what is normal for the patient*
2234. Manifestations of CHF, corresponding to class II
-
The appearance of fatigue, palpitations and / or shortness of breath with little exertion
-
Development of syncope during normal physical activity
-
The appearance of fatigue, palpitations and / or shortness of breath during normal physical activity*
-
The emergence of pain in the legs with a little exertion
-
The appearance of fatigue, palpitations and / or shortness of breath with exertion, beyond what is normal for the patient
2235. Manifestations of CHF, corresponding to FC III
-
The appearance of fatigue, palpitations and / or shortness of breath with little exertion*
-
Development of syncope during normal physical activity
-
The appearance of fatigue, palpitations and / or shortness of breath during normal physical activity
-
The emergence of pain in the legs with a little exertion
-
The emergence of edema with little physical effort
2236. Manifestations of CHF, corresponding to FC IV
-
The appearance of fatigue, palpitations and / or shortness of breath with little exertion
-
Have manifestations of CHF alone*
-
Development of syncope with little physical effort
-
The emergence of pain in the legs with a little exertion
-
The emergence of edema with little physical effort
2237. The drugs that slow the progression of heart failure
-
Diuretics and spironolactone
-
Cardiac glycosides
-
Antiplatelet and indirect anticoagulants
-
Peripheral vasodilators
-
ACEinhibitors and betta blockers*
2238. Indication for ACE inhibitors are
-
Atrial fibrillation
-
The presence of edema
-
CHF any stage and etiology*
-
Sinus tachycardia
-
Low blood pressure
2239. Indication for cardiac glycosides are
-
Atrial fibrillation in any CHF FC*
-
Sinus tachycardia
-
Low blood pressure
-
Left ventricular diastolic dysfunction
-
The young age of the patients
2240. Indications for use of diuretics are
-
Atrial fibrillation at any FC CHF
-
Left ventricular diastolic dysfunction
-
Any stage of heart failure and the etiology
-
CHF PA III stage in the presence of stagnation*
-
EF <25%
2241. Electrophysiological treatments CHF
-
Resynchronization of left and right ventricular pacemakers statement, cardioverterdefibrillator*
-
Coronary artery bypass grafting
-
Surgical correction of valvular
-
Heart transplantation
-
Ablation AV connection
2242. Indications for heart transplantation
-
Valvular heart disease
-
LVEF> 40%
-
LVEF <20%*
-
III FC
-
Expressed edema syndrome
2243. The method by which is possible to determine LVEF
-
ECG
-
Echocardiography*
-
ECG monitoring
-
Daily monitoring of blood pressure
-
Chest Xray
2244. What are the most common cause of chronic heart failure is currently
-
Rheumatic heart disease
-
CHD*
-
Arterial gipertneziya
-
Cardiomyopathy
-
Myocarditis and kardiodistrofii
2245. If no heart disease develop heart failure is a consequence of diastolic dysfunction of the myocardium
-
Myocardial infarction
-
Hypertrophic cardiomyopathy*
-
Dilyatatsionnayakardiomiopatiya
-
Hypotension
-
Anemia
2246. Which of the following radiological signs is the earliest sign of stagnation in heart failure
-
Redistribution of blood flow in favor of the upper lobes and increase the diameter of blood vessels*
-
Interstitial pulmonary edema to form lines Curley
-
alveolyarny swelling in the form of blackout spreads from the roots of the lungs
-
Often the right pleural effusion
-
Usually the left pleural effusion
2247. Furosemide has the following effects
-
Has venodilatiruyuschim property
-
Increases diuresis
-
uvelichivaet hlorurez
-
It increases natriuresis
-
Mark all answers are correct*
2248. In some cases, verapamil can be used in the treatment of heart failure
-
Nonsevere heart failure, coronary artery disease type
-
Patients with the same cardiac output and impaired diastolic function of the heart*
-
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