Systemic scleroderma

chlamydial infection*

violation of balance of T and Blymphocytes

metabolic disorders

autoimmune lesion

2329.Mark disease belonging to the group of seronegative spondiloarthrites

1. 
   disease starts from*
   
2. 
   Lyme disease
   
3. 
   Behcet's disease
   
4. 
   Raynaud's disease
   
5. 
   Goodpasture's disease
   

2330.Most noteworthy characteristics of seronegative spondiloarthrites

1. 
   lack of rheumatoid factor*
   
2. 
   are more likely to develop in women than in men
   
3. 
   subcutaneous nodules
   
4. 
   presence of rheumatoid factor
   
5. 
   presence of LE cells
   

2331.What are the clinical manifestation of encountered in seronegative spondiloarthropathias

1. 
   eye inflammation*
   
2. 
   pitting of the skin and mucous membranes
   
3. 
   nail defect
   
4. 
   lesion of the distal interphalangeal joints
   
5. 
   photosensitization
   

3101. 
      are more likely to suffer from Bechterew's disease
      

1. 
   Children
   
2. 
   Girls
   
3. 
   Women
   
4. 
   Men and women equally
   
5. 
   Young men*
   

2332. Radiographic signs of ankylosing spondylitis

1. 
   Unilateral sacroileitis
   
2. 
   Osteosclerosis
   
3. 
   Double sided sacroileitis*
   
4. 
   Diffuse osteoporosis
   
5. 
   Osteophytes
   

2333.What heart valve is the most frequently affected in ankylosing spondylitis

1. 
   Mitral
   
2. 
   Aortic*
   
3. 
   Tricuspid
   
4. 
   Pulmonary
   
5. 
   All valves are affected with equal frequency except pulmonary artery valve
   

2334.Mark a disease belonging to the group of seronegative spondiloarthrites

1. 
   Bekhterev's Disease
   
2. 
   Behcet's Disease
   
3. 
   Reiter's Disease
   
4. 
   All of the above
   
5. 
   Everything listed except for Behcet's disease*
   

2335.Mark the most characteristic features of the seronegative spondiloarthrites

1. 
   All of the above*
   
2. 
   Signs of sacroileitis
   
3. 
   Carriage of HLAB27
   
4. 
   Development of peripheral arthritis
   
5. 
   Frequent development of anterior uveitis
   

2336.What state enters into the concept of reactive arthritis

1. 
   Psoriatic arthritis
   
2. 
   Bekhterev's disease
   
3. 
   Sjogren's disease
   
4. 
   Reiter's disease*
   
5. 
   Behcet's disease
   

2337.23year patient complains of pain in the neck and the spine, sick for 2 years There is a limitation of motion in cervical spine, positive symptom of Kushelevsky Knee swelling is noted Your diagnosis is

1. 
   Bekhterev's disease mixed form
   
2. 
   Bechterew's disease peripheral form*
   
3. 
   Bekhterev's disease rhizomyelic form
   
4. 
   Bekhterev's disease central form
   
5. 
   Bechterew's disease Scandinavian form
   

2338.The classic triad of Reiter's disease

1. 
   Urethritis, arthritis, conjunctivitis*
   
2. 
   Urethritis, arthritis, synovitis
   
3. 
   Urethritis, arthritis, hyperkeratosis
   
4. 
   Synovitis, arthritis, hyperkeratosis
   
5. 
   Urethritis, conjunctivitis, hyperkeratosis
   

2339.Most suitable antibiotic administered when reactive arthritis associated with Chlamydia trachomatis

1. 
   Penicillin
   
2. 
   Gentamycin
   
3. 
   Doxacyclin*
   
4. 
   Clofarane
   
5. 
   Cefazolin
   

2340.Reactive arthritis often begins with joints of

1. 
   Elbow and radiocarpal
   
2. 
   Shoulder and elbow
   
3. 
   Ankle and knee*
   
4. 
   Hip and knee
   
5. 
   Proximal and distal interphalangeal
   

2341.Predisposing factors of ankylosing spondylitis

1. 
   Enzymopathy
   
2. 
   Bad habits
   
3. 
   Foci of chronic infection
   
4. 
   HLA B27 antigen*
   
5. 
   Overloading of joints
   

2342.Doublesided sacroileitis is most typical of

1. 
   Reactive arthritis
   
2. 
   Rheumatoid arthritis
   
3. 
   Deforming osteoarthrosis
   
4. 
   Reiter's Disease
   
5. 
   Bechterew's Disease*
   

2343.Patient, 22 years old, diagnosed with Bekhterev's disease Which drug you should administer to the patient

1. 
   Krizanol
   
2. 
   Prednisolone
   
3. 
   Rumalon
   
4. 
   Indometacin*
   
5. 
   Dpenicillinamin
   

2344.Which antibiotics should not be used with reactive arthritis associated with Chlamydia trachomatis

1. 
   Tetracycline 2g a day
   
2. 
   Doxacyclin 200 mg/day*
   
3. 
   Vibromicin 200 mg/day
   
4. 
   Penicillin 4 million units/day
   
5. 
   Ciprobay 1 g/day
   

2345.Baseline therapy for ankylosing spondylitis (Bechterew's disease) includes

1. 
   nonsteroidal antiinflammatory drugs
   
2. 
   opium analgesics
   
3. 
   sulfasalazine*
   
4. 
   antidepressants
   
5. 
   glucocorticosteroids
   

2346.Ankylosing spondylitis most often affects

1. 
   children
   
2. 
   elderly
   
3. 
   teenagers and young men (1530 years)*
   
4. 
   women menopausal
   
5. 
   young girls
   

2347.Ankylosing spondylitis (Bechterew's disease) is often characteristic of

1. 
   mitral stenosis
   
2. 
   mitral valve insufficiency
   
3. 
   aortic stenosis
   
4. 
   aortic insufficiency*
   
5. 
   tricuspid valve insufficiency
   

2348.Reiter's syndrome include

1. 
   asymmetrical polyarthritis, uveitis, polyvisceritis
   
2. 
   asymmetrical polyarthritis, ankylosing spondylitis, polyvisceritis,
   
3. 
   asymmetric polyarthritis, uveitis, urethritis*
   
4. 
   asymmetrical polyarthritis, ankylosing spondylitis, urethritis
   
5. 
   asymmetric arthritis, polyvisceritis, uveitis, ankylosing spondylitis, urethritis
   

2349.Soreness in the area of the sacroiliac joints in a patient with longterm current recurrent monoarthrithis of major joint axial skeleton reveals

1. 
   Bechterew's disease*
   
2. 
   Lumbosacral osteochondrosis
   
3. 
   Rheumatoid arthritis
   
4. 
   Lyme disease
   
5. 
   Psoriatic arthritis
   

2350.Crucial features of laboratory diagnosis of Bechterew's disease in clinical diagnosis

1. 
   Long increase in ESR
   
2. 
   Hypochromic anemia
   
3. 
   Increase of CRP and serum globulin fractions
   
4. 
   НLА B27 detection of antigens*
   
5. 
   Increased activity of lysosomal enzymes
   

2351.Persistent unilateral sacroileitis is characteristic of

1. 
   Reiter's syndrome*
   
2. 
   ankylosing spondylitis (Bechterew's disease)
   
3. 
   gout
   
4. 
   deforming osteoarthritis
   
5. 
   rheumatoid arthritis
   

2352.The electoral lesion of the joints of the lower limbs is more characteristic for

1. 
   deforming osteoarthritis
   
2. 
   ankylosing spondylitis
   
3. 
   Reiter's syndrome*
   
4. 
   Psoriatic arthritis
   
5. 
   Rheumatoid arthritis
   

2353.Eye involvement as uveitis and iritis are more characteristic for

1. 
   Bechterew's disease*
   
2. 
   rheumatoid arthritis
   
3. 
   rheumatic fever
   
4. 
   gout
   
5. 
   osteoarthritis
   

2354.Keratoderma is characteristic for

1. 
   Reiter's syndrome*
   
2. 
   ankylosing spondylitis
   
3. 
   osteoarthritis
   
4. 
   rheumatoid arthritis
   
5. 
   rheumatic fever
   

2355.Entesopathia tend to occur when

1. 
   Bechterew's disease*
   
2. 
   rheumatoid arthritis
   
3. 
   gout
   
4. 
   osteoarthritis
   
5. 
   rheumatic fever
   

2356.”Wiener”like fingers are typical for

1. 
   Rheumatoid arthritis
   
2. 
   Psoriatic arthritis*
   
3. 
   osteoarthritis
   
4. 
   rheumatic fever
   
5. 
   SLE
   

2357.Typical xray changes when reactive arthritis are

1. 
   usuras
   
2. 
   singlesided sacroileitis*
   
3. 
   ankylosing spine
   
4. 
   erosive arthritis
   
5. 
   subchondral sclerosis
   

2358.All seronegative spondyloarthrities have following similar signs, except

1. 
   absence of rheumatoid nodules
   
2. 
   rheumatoid nodules*
   
3. 
   skin or nail lesions
   
4. 
   early development of entesites
   
5. 
   inflammatory diseases of the eye
   

2359.Sacroileitis often develops in

1. 
   rheumatoid arthritis
   
2. 
   osteoarthritis
   
3. 
   rheumatic fever
   
4. 
   Bechterew's disease*
   
5. 
   gouty arthritis
   

2360.Carrier of HLA B27 antigens is except

1. 
   urogenic arthritis (Reiter's syndrome)
   
2. 
   ankylosing spondylitis
   
3. 
   gout*
   
4. 
   psoriatic arthritis
   
5. 
   chronic nonspecific ulcerated colitis
   

2361.Mutilating arthritis is a form of

1. 
   juvenile rheumatoid arthritis*
   
2. 
   Reiter's syndrome
   
3. 
   psoriatic arthritis
   
4. 
   joints in systemic lupus erythematosus
   
5. 
   ankylosing spondylitis
   

2362.Characteristic laboratory signs of Reiter's disease are

1. 
   rheumatoid factor
   
2. 
   leukopenia
   
3. 
   detection of chlamydia in scrape from urethra*
   
4. 
   proteinuria
   
5. 
   anaemia
   

2363.Radiological signs of ankylosing spondylitis (Bechterew's disease) are

1. 
   singlesided sacroileitis
   
2. 
   rounded defects of the skull bones
   
3. 
   double sided sacroileitis*
   
4. 
   osteophytes of tuber bones and pelvic bones
   
5. 
   usuras
   

2364.Carriers of HLAB27antigens are tending to

1. 
   rheumatoid arthritis
   
2. 
   ankylosing spondylitis (Bechterew's disease)*
   
3. 
   dermatomyositis
   
4. 
   osteoarthritis
   
5. 
   all of the above is true
   

2365.In ankylosing spondylitis laboratory data are as follows

1. 
   LE cells
   
2. 
   increased CRP levels*
   
3. 
   leukopenia
   
4. 
   positive RF test
   
5. 
   positive test for ACCP
   

2366.Group of seronegative spondiloarthrites includes, except

1. 
   microcrystalline arthritis*
   
2. 
   ankylosing spondylitis
   
3. 
   psoriatic arthropathia
   
4. 
   urogenic arthritis
   
5. 
   enteropathic arthritis
   

2367.Postenterocolitic reactive arthritis do not develop in

1. 
   Iersiniosis
   
2. 
   Salmonellosis
   
3. 
   Shigellosis
   
4. 
   Bowel tumors*
   
5. 
   Escherichiosis
   

2368.Clinical signs of reactive arthritis include everything except

1. 
   asymmetric arthritis of the lower limbs
   
2. 
   eye involvement
   
3. 
   urethritis or diarrhea
   
4. 
   symmetric arthritis hands*
   
5. 
   keratoderma
   

2369.What diseases are diagnostic for shaped heel spurs

1. 
   Reiter's Syndrome*
   
2. 
   Ankylosing spondylitis
   
3. 
   Syphilis
   
4. 
   Paget's Disease
   
5. 
   osteoarthritis
   

2370. Name 2 drug used to treat ankylosing spondylitis

1. 
   Sulfasalazin*
   
2. 
   NSAIDs
   
3. 
   Cuprenil
   
4. 
   Tauredon
   
5. 
   penicillin
   

2371.The main cause of acquired heart disease

1. 
   acute rheumatic fever*
   
2. 
   hypertonic disease
   
3. 
   myocardial infarction
   
4. 
   angina
   
5. 
   osteoarthrosis
   

2372.Complaints of the patient with compensated mitral valve insufficiency

1. 
   no complaints*
   
2. 
   headache
   
3. 
   dyspnea
   
4. 
   swelling
   
5. 
   arthralgia
   

2373.Skin color in mitral stenosis

1. 
   cyanotic*
   
2. 
   pale
   
3. 
   icteric
   
4. 
   normal color
   
5. 
   red
   

2374.The symptom of "cat purring" is defined in

1. 
   mitral stenosis*
   
2. 
   myocardial infarction
   
3. 
   angina
   
4. 
   mitral regurgitation
   
5. 
   anemia
   

2375. The appearance of the noise at the apex indicates lesion of the … heart valve

1. 
   Mitral*
   
2. 
   aortic
   
3. 
   pulmonary
   
4. 
   tricuspid
   
5. 
   arterial
   

2376.Auscultation data in mitral insufficiency

1. 
   systolic murmur at the apex*
   
2. 
   diastolic murmur at the apex
   
3. 
   diastolic murmur in the 2nd intercostal space on the right side of sternum
   
4. 
   systolic murmur in the 2nd intercostal space on the right side of sternum
   
5. 
   diastolic aortic murmur
   

2377.Pulsation of the carotid arteries ("carotid shudder") is observed at

1. 
   aortic insufficiency*
   
2. 
   aortic stenosis
   
3. 
   mitral regurgitation
   
4. 
   mitral stenosis
   
5. 
   atrial stenosis
   

2378.High pulse pressure is observed in

1. 
   aortic insufficiency*
   
2. 
   aortic stenosis
   
3. 
   mitral regurgitation
   
4. 
   mitral stenosis
   
5. 
   arterial stenosis
   

2379.The appearance of the noise in the second intercostal space to the right of the sternum, and the BotkinErb’s point indicates lesion of the valve

1. 
   Aortic*
   
2. 
   mitral
   
3. 
   blood
   
4. 
   pulmonary
   
5. 
   tricuspid
   

2380.Hemoptysis is a common feature of

1. 
   mitral stenosis*
   
2. 
   aortic insufficiency
   
3. 
   myocardial infarction
   
4. 
   angina
   
5. 
   anemia
   

2381.Bacterial endocarditis most affects the … valve

1. 
   aortic*
   
2. 
   pulmonary
   
3. 
   mitral
   
4. 
   venous
   
5. 
   tricuspid
   

2382.The area of the mitral orifice normally is

1. 
   46 cm²
   
2. 
   34cm^2*
   
3. 
   67 cm²
   
4. 
   2 cm²
   
5. 
   7 cm²
   

2383.A critical stenosis of the mitral valve is

1. 
   1 sq cm*
   
2. 
   17 sq cm
   
3. 
   19 sq cm
   
4. 
   15 sq cm
   
5. 
   3 sq cm
   

2384. The main auscultatory sign of failure of the mitral valve

1. 
   systolic murmur throughout the systole at the apex*
   
2. 
   diastolic murmur in II intercostal space on the right
   
3. 
   short systolic murmur at the apex
   
4. 
   diastolic murmur at the BotkinErb’s point
   
5. 
   systolic murmur at the BotkinErb’s point
   

2385. The third degree of mitral regurgitation according to catheterization of the heart chambers

1. 
   30 50%*
   
2. 
   Less than 15% of the stroke volume of the left ventricle
   
3. 
   15 30%
   
4. 
   50 70%
   
5. 
   12 20%
   

2386. The mean gradient of pressure in moderate aortic stenosis

1. 
   50%*
   
2. 
   30%
   
3. 
   70%
   
4. 
   90%
   
5. 
   15%
   

2387. Auscultation presentation of the aortic stenosis

1. 
   scraping systolic murmur in II intercostal space to the right of the sternum*
   
2. 
   systolic murmur in II intercostal space to the left of the sternum
   
3. 
   blowing diastolic murmur in II intercostal space to the right of the sternum
   
4. 
   systolic murmur at the apex
   
5. 
   diastolic murmur at the apex
   

2388.Echocardiography in constant Doppler of aortic valve stenosis may visualize

1. 
   the pressure gradient between the left ventricle and the aorta* 
   
2. 
   the pressure gradient between the left atrium and left ventricle
   
3. 
   the pressure gradient between the right atrium and right ventricle
   
4. 
   decrease in blood pressure
   
5. 
   bradycardia
   

2389.Surgical treatment of aortic stenosis is recommended if the aortic opening is

1. 
   0,5 cm² per 1 m² of the body surface*
   
2. 
   1 cm²
   
3. 
   1,5 cm² per 1 m² of the body surface
   
4. 
   5 cm²
   
5. 
   3 cm²
   

2390.Symptom of de Musset (head shaking back and forth) is characteristic of

1. 
   aortic valve*
   
2. 
   mitral stenosis
   
3. 
   aortic stenosis
   
4. 
   failure of tricuspid valve
   
5. 
   rheumatoid arthritis
   

2391. AP in aortic valve insufficiency

1. 
   160/40 mm Hg* 
   
2. 
   180/100 mm Hg
   
3. 
   160/80 mm Hg
   
4. 
   90/60 mm Hg
   
5. 
   120/80 mm Hg
   

2392.Direct sign of aortic valve regurgitation in the Doppler examination

1. 
   regurgitation jet from aorta to the left ventricle*
   
2. 
   regurgitation jet from the left atrium to the left ventricle
   
3. 
   regurgitation jet from the right atrium to the right ventricle
   
4. 
   decrease in blood pressure
   
5. 
   bradycardia
   

2393. The most frequent combination of stenosis of the right atrioventricular opening

1. 
   mitral valve stenosis*
   
2. 
   aortic valve stenosis
   
3. 
   mitral valve insufficiency
   
4. 
   rheumatoid arthritis
   
5. 
   anemia
   

2394.What disease is complicated by aortic insufficiency

1. 
   bacterial endocarditis*
   
2. 
   Marphan’s syndrome
   
3. 
   hyperthyroidism
   
4. 
   anemia
   
5. 
   cirrhosis of the liver
   

2395.Mitral valve insufficiency is characterized by

1. 
   blowing systolic murmur*
   
2. 
   sound I tone at the apex
   
3. 
   rhythm of quail
   
4. 
   cantering rhythm
   
5. 
   diastolic murmur
   

2396.Systolic noise of hypertrophic cardiomyopathy is similar to the noise that occurs when

1. 
   aortic stenosis*
   
2. 
   mitral valve prolapse
   
3. 
   tricuspid insufficiency
   
4. 
   mitral insufficiency
   
5. 
   thyrotoxicosis
   

2397.Enlarged heart up and right, diastolic murmur and clapping I tone at the apex, accent of II tone on the pulmonary artery is representative of

1. 
   narrowing of the mitral orifice*
   
2. 
   aortic stenosis
   
3. 
   pulmonary artery stenosis
   
4. 
   tricuspid valve
   
5. 
   mitral valve insufficiency
   

2398.The diagnostic sign of the mitral stenosis is

1. 
   clapping I tone at the apex*
   
2. 
   weakened I tone at the apex
   
3. 
   systolic murmur at the apex
   
4. 
   decrease in blood pressure
   
5. 
   clapping II tone at the apex
   

2399. Necessary diagnostic method to confirm the presence of mitral insufficiency

1. 
   EchoCS*
   
2. 
   spirography
   
3. 
   pneumotachometry
   
4. 
   heart scan
   
5. 
   radiography
   

2400. Name the complication of mitral insufficiency

1. 
   hemoptysis and pulmonary edema*
   
2. 
   glaucoma
   
3. 
   cirrhosis of the liver
   
4. 
   uremia
   
5. 
   anemia
   

2401. The ECG relevant of the mitral stenosis

1. 
   signs of left atrium and right ventricular hypertrophy*
   
2. 
   signs of left ventricular hypertrophy
   
3. 
   left anterior bundle branch block
   
4. 
   bradycardia
   
5. 
   signs of hypertrophy of the right atrium
   

2402.The signs of active pulmonary hypertension in mitral stenosis are all the listed, except

1. 
   normal II tone on the pulmonary artery*
   
2. 
   fixed reduce of minute and stroke volume
   
3. 
   high pressure gradient revealed by catheterization of the pulmonary artery or Doppler echocardiography
   
4. 
   hypertrophy of the right heart ECG
   
5. 
   right ventricular hypertrophy
   

2403.Hemoptysis is most frequently observed in …

1. 
   mitral stenosis*
   
2. 
   mitral regurgitation
   
3. 
   aortic valve insufficiency
   
4. 
   aortic stenosis
   
5. 
   osteoarthrosis
   

2404.Diastolic murmur over the apex of the heart is characteristic

1. 
   for mitral stenosis*
   
2. 
   for mitral regurgitation
   
3. 
   for aortic valve
   
4. 
   for aortic stenosis
   
5. 
   for venous stasis
   

2405.Increased systolic murmur in the lower third of the sternum, at the end of the forced inhalation is typical

1. 
   for tricuspid valve insufficiency*
   
2. 
   for mitral regurgitation
   
3. 
   for mitral stenosis
   
4. 
   for aortic stenosis
   
5. 
   for mitral defect
   

2406.Mitral insufficiency can be caused mainly by

1. 
   Rheumatism*
   
2. 
   infectiousallergic myocarditis
   
3. 
   thyrotoxic cardiomyodystrophy
   
4. 
   arterial hypertension
   
5. 
   anemia
   

2407.The necessary method of study to confirm the presence of mitral insufficiency 

1. 
   EchoCS*
   
2. 
   ECG
   
3. 
   EEG
   
4. 
   densitometry
   
5. 
   pneumoarthrography
   

2408.The most reliable sign of stenosis of the left atrioventricular opening is

1. 
   the presence of "opening clicks" of the mitral valve*
   
2. 
   increase in the left border of the heart
   
3. 
   facies mitrales
   
4. 
   the presence of atrial fibrillation
   
5. 
   bradycardia
   

2409.Diastolic murmur in mitral stenosis is

1. 
   better auscultated in position on the left side in the expiratory phase*
   
2. 
   better auscultated in position on the right side
   
3. 
   accompanied by a third tone
   
4. 
   better auscultated in an upright position
   
5. 
   accompanied by a IV tone
   

2410.Mitral insufficiency is characterized by all the signs, except

1. 
   slapping first tone at the apex*
   
2. 
   systolic murmur at the apex
   
3. 
   decreased cardiac output
   
4. 
   weakening of the first tone
   
5. 
   normal blood pressure
   

2411.How does the blood pressure change in aortic insufficiency

1. 
   increased systolic blood pressure and decreased diastolic one*
   
2. 
   not changed
   
3. 
   increased systolic only
   
4. 
   reduced systolic blood pressure and diastolic increases
   
5. 
   only diastolic one increases
   

2412.Which of the following symptoms is characteristic of mitral stenosis

1. 
   presystolic murmur at the apex*
   
2. 
   systolic murmur at the apex
   
3. 
   weakened first tone at the apex
   
4. 
   protodiastolic noise in the 2nd intercostal space on the right
   
5. 
   systolic murmur at the aorta
   

2413.Stenosis of the left atrioventricular opening can develop due to

1. 
   rheumatism*
   
2. 
   myocardial infarction
   
3. 
   chest trauma
   
4. 
   infectious myocarditis
   
5. 
   hypothyroidism
   

2414.Mesodiastolic or presystolic noise at the apex of the heart is associated

1. 
   with mitral stenosis*
   
2. 
   with mitral insufficiency
   
3. 
   with aortic insufficiency
   
4. 
   with aortic stenosis
   
5. 
   with the presence of VSD
   

2415."Angina pectoris" in the absence of coronary artery disease is most common for

1. 
   aortic stenosis*
   
2. 
   mitral stenosis
   
3. 
   mitral insufficiency
   
4. 
   pulmonary artery stenosis
   
5. 
   mitral valve prolapse
   

2416.The rapid rise of the pulse wave followed by a rapid decrease is characteristic

1. 
   for aortic insufficiency*
   
2. 
   for mitral stenosis
   
3. 
   for mitral insufficiency
   
4. 
   for aortic stenosis
   
5. 
   for aortic coarctation
   

2417.Patients with mitral stenosis are often being diagnosed for

1. 
   atrial flutter*
   
2. 
   paroxysmal atrial tachycardia
   
3. 
   sinus tachycardia
   
4. 
   atrioventricular dissociation
   
5. 
   ventricular premature beats
   

2418.Unusual sign in mitral stenosis is

1. 
   nausea and vomiting*
   
2. 
   pain behind the breastbone
   
3. 
   hoarseness
   
4. 
   cough
   
5. 
   hemoptysis
   

2419.The maximum risk of thromboembolic complications is observed at

1. 
   mitral stenosis atrial fibrillation*
   
2. 
   aortic regurgitation atrial fibrillation
   
3. 
   aortic stenosis in sinus rhythm
   
4. 
   sinus tachycardia on the background of the mitral stenosis
   
5. 
   atrial premature beats
   

2420.Dilatation of the left ventricle is not characteristic for

1. 
   mitral stenosis*
   
2. 
   aortic insufficiency
   
3. 
   complex mitral defect
   
4. 
   complex aortic defect
   
5. 
   artery stenosis
   

2421.Fouttatarou – "the quail’s rhythm " is a characteristic feature of

1. 
   mitral stenosis*
   
2. 
   aortic stenosis
   
3. 
   mitral regurgitation
   
4. 
   aortic insufficiency
   
5. 
   arrythmia
   

2422.Weakened II tone on the aorta can be caused by

1. 
   aortic regurgitation*
   
2. 
   mitral insufficiency
   
3. 
   arterial hypertension
   
4. 
   reduction of myocardial contractility
   
5. 
   tachycardia
   

2423.After implantation of mechanical mitral prosthesis indirect anticoagulant therapy is administered

1. 
   for the life term*
   
2. 
   for 1 month after surgery
   
3. 
   for 2 months after surgery
   
4. 
   within 10 years after surgery
   
5. 
   is not being carried out at all
   

2424.Increased I tone at the apex, the tone of opening mitral valve and protodiastolic noise at the apex are characteristic of

1. 
   mitral stenosis*
   
2. 
   mitral regurgitation
   
3. 
   mitral valve prolapse
   
4. 
   healthy heart
   
5. 
   aortic stenosis
   

2425.Specify the heart disease, in which a large pulse pressure and Musset’s symptom mey be observed

1. 
   aortic regurgitation*
   
2. 
   tricuspid insufficiency
   
3. 
   mitral insufficiency
   
4. 
   aortic stenosis
   
5. 
   mitral stenosis
   

2426.Aortic stenosis is most characteristic of

1. 
   rough systolic murmur at the aorta*
   
2. 
   systolic click on the apex
   
3. 
   systolic murmur at the apex
   
4. 
   clapping I tone on the apex
   
5. 
   strengthening II tone of the aorta
   

2427.In aortic stenosis boundaries of the relative dullness are extended

1. 
   left and down*
   
2. 
   right and up
   
3. 
   left and up
   
4. 
   up
   
5. 
   left and right
   

2428.Which heart defect is characterized by regurgitation of blood from the aorta into the left ventricle

1. 
   aortic regurgitation*
   
2. 
   tricuspid insufficiency
   
3. 
   stenosis of the aortic orifice
   
4. 
   mitral insufficiency
   
5. 
   mitral stenosis
   

2429.What blood pressure is characteristic of insufficiency of the aortic valve

1. 
   160/30 mm Hg* 
   
2. 
   100/60 mm Hg
   
3. 
   120/70 mm Hg
   
4. 
   160/120 mm Hg
   
5. 
   180/100 mm Hg
   

2430.Note the typical complaints in aortic stenosis

1. 
   all the listed*
   
2. 
   fear
   
3. 
   hemoptysis
   
4. 
   intermittence in the heart beat
   
5. 
   retrosternal pain and dizziness
   

2431. Acute nephritic syndrome is characterized by:

1. 
   edema, hypo and disproteinemia, hypercholesterolemia
   
2. 
   arterial hypertension, hypercholesterolemia
   
3. 
   arterial hypertension, proteinuria, hematuria*
   
4. 
   proteinuria, oedema, hypo and disproteinemia
   
5. 
   arterial hypertension, azotemia, anemia.
   

2432.Indication for treatment of nephritis by 4component scheme is:

1. 
   first caused nephrotic syndrome*
   
2. 
   malignant arterial hypertension
   
3. 
   acute nephritic syndrome
   
4. 
   nephrotic syndrome with renal amyloidosis
   
5. 
   a subjective condition of the patient.
   

2433.Fourcomponent treatment of nephrotic syndrome includes the following combination of drugs:

1. 
   prednisone + heparin + indomethacin + kurantil
   
2. 
   prednisone + heparin + kurantil + diuretic
   
3. 
   prednisone + cytostatics + heparin + kurantil*
   
4. 
   prednisone + heparin + kurantil + aminophylline
   
5. 
   indometacin + heparin + kurantil + aminophylline.
   

2434.Nephrotic syndrome can occur in: 1. amyloidosis 2. systemic lupus erythematosus 3. diabetic nephropathy 4. SchonleinHenoch's hemorrhagic vasculitis.

1. 
   correct answers are 1, 2 and 3
   
2. 
   correct answers are 1 and 3
   
3. 
   correct answers are 2 and 4
   
4. 
   correct answer is 4
   
5. 
   correct answers are 1, 2, 3 and 4*
   

2435.Patient with nephrotic syndrome suddenly complaints on abdominal pain without precise localization, nausea, vomitting, fever up to 39 degrees Celcium, erythema on the skin of the anterior abdominal wall and hips. The most likely cause:

1. 
   bacterial peritonitis
   
2. 
   abdominal nephrotic crisis*
   
3. 
   renal colic
   
4. 
   apostematous pyelonephritis
   
5. 
   intestinal colic.
   

2436.Prognostically unfavorable clinical manifestations of nephropathy are: 1. frequent relapses of nephrotic syndrome 2. combination of nephrotic hypertensive syndromes 3. combination of proteinuria with hematuria and swelling 4. tubulointerstitial lesion overlay.

1. 
   correct answers are 1, 2 and 3
   
2. 
   correct answers are 1 and 3
   
3. 
   correct answers are 2 and 4
   
4. 
   correct answer is 4
   
5. 
   correct answers are 1, 2, 3 and 4*
   

2437.Renal failure in subacute glomerulonephritis develops:

1. 
   after 3-5 months from the onset of the disease*
   
2. 
   after 1 year
   
3. 
   after 3 years
   
4. 
   from the first weeks of the disease
   
5. 
   depending on the severity of hypertension.
   

2438.Treatment that may reduce the glomerular filtering:

1. 
   prednisolone
   
2. 
   cytostatics
   
3. 
   indomethacin*
   
4. 
   kurantil
   
5. 
   heparin
   

2439.Uremic intoxication is irrelevant with:

1. 
   cutaneous itching
   
2. 
   erithrocytosis*
   
3. 
   polyuria, polydipsia
   
4. 
   nausea, vomiting
   
5. 
   muscle cramps.
   

2440.The degree of chronic renal insufficiency is most accurately reflects by increasing in serum levels:

1. 
   urea
   
2. 
   residual nitrogen
   
3. 
   creatinine*
   
4. 
   potassium
   
5. 
   uric acid.
   

2441.The earliest manifestations of chronic renal failure:

1. 
   increased blood pressure
   
2. 
   polyuria, polydipsia*
   
3. 
   hyperkalemia
   
4. 
   metabolic acidosis
   
5. 
   cramps
   

2442.Leading clinical feature of nephrotic syndrome is:

1. 
   hematuria
   
2. 
   proteinuria more than 3.5 g/day*
   
3. 
   arterial hypertension
   
4. 
   piuria
   
5. 
   hypoisostenuria.
   

2443.Drug, requiring special regulation of its dose for the patients with kidney diseases:

1. 
   gentamycin*
   
2. 
   metacycline
   
3. 
   erythromycin
   
4. 
   levomycetin
   
5. 
   ampicillin.
   

2444.What percussion sound occurs in percussion in patient over the effected area with a lobular pneumonia

1. 
   Dulled*
   
2. 
   Dull
   
3. 
   Tympanic
   
4. 
   Metallic
   
5. 
   Clear lung sound
   

2445.What pathological respirator noises in auscultation are characteristic for lobular pneumonia

1. 
   Sonorous finely wheezing*
   
2. 
   Crepitus indux
   
3. 
   Crepitus redux
   
4. 
   Pleural rub sound
   
5. 
   Scattered wheezing
   

2446.Characteristic features on xray for lobular pneumonia

1. 
   Lobular or segmental, a very prominent area of airspace consolidation*
   
2. 
   Lobular or segmental enlightenment of lung fields
   
3. 
   Wedgeshaped shadow
   
4. 
   Annular shadow on the lung field
   
5. 
   No characteristic signs
   

2447.Find another name of lobular pneumonia

1. 
   Bronchopneumonia*
   
2. 
   Pleuropneumonia
   
3. 
   Lobar pneumonia
   
4. 
   The atypical pneumonia
   
5. 
   Acute pneumonia
   

2448.What are the changes in the indices of general blood analysis are characteristic for lobular pneumonia

1. 
   Leucocytosis with a shift to the left formula*
   
2. 
   Eosinophilia
   
3. 
   Anaemia
   
4. 
   Increasing the number of platelets
   
5. 
   Limphopenia
   

2449.What are the changes in the indices of general blood analysis are characteristic for lobular pneumonia

1. 
   Acceleration of ESR*
   
2. 
   Eosinophilia
   
3. 
   Anaemia
   
4. 
   Increasing the number of platelets
   
5. 
   Limphopenia
   

2450.What is the nature of sputum at a lobular pneumonia

1. 
   Mucopurulent sputum*
   
2. 
   Rusty Sputum
   
3. 
   Vitreous sputum
   
4. 
   MucoBloody sputum
   
5. 
   Bloody Sputum
   

2451.What are the changes in total sputum are characteristic for lobular pneumonia

1. 
   Increase the number of white blood cells and cells of columnar epithelium*
   
2. 
   Items Destruction of lung tissue elastic fibers and alveolar epithelium
   
3. 
   Atypical Cells
   
4. 
   Increase the number of eosinophil
   
5. 
   CharcotLeyden crystals and Curshman spirals
   

2452.What complaints impose patients with lobular pneumonia

1. 
   At the beginning of the disease, dry cough, which is replaced after 34 days with wet separation mucopurulent sputum*
   
2. 
   Blood spitting
   
3. 
   Cough with sputum, which can be up to a litre.
   
4. 
   Inspiratorydyspnoea
   
5. 
   Strong chest pain
   

2453.The most common causative agent of pneumonia

1. 
   Streptococcus pneumoniae (pneumococcus)*
   
2. 
   Staphylococcus
   
3. 
   Streptococcus aureginosa
   
4. 
   Escherichia coli
   
5. 
   Virus
   

2454.A factor contributing to the development of pneumonia

1. 
   Mark all listed*
   
2. 
   Overwork
   
3. 
   Emotionally stress
   
4. 
   Alcohol consumption
   
5. 
   Cold
   

2455.The basic principle of classification of pneumonia in ICD10

1. 
   by the aetiology*
   
2. 
   by pathogenesis
   
3. 
   by clinical and morphological characteristics
   
4. 
   by the location and extent of
   
5. 
   by severity
   

2456.The main pathogenetic mechanism of lobular pneumonia

1. 
   Bronchogenic*
   
2. 
   Haematogenous
   
3. 
   Limphogenous
   
4. 
   Urogenous
   
5. 
   Extrogen
   

2457.What are the changes in the indices blood count typical for lobular pneumonia

1. 
   Leucocytosis with a shift to the left formula*
   
2. 
   Acceleration of ESR*
   
3. 
   Anaemia, Thrombocytopenia
   
4. 
   Limphopenia
   
5. 
   Eosinophilia
   

2458.What are the changes in the general analysis of sputum is characteristic for lobular pneumonia

1. 
   Mucopurulent sputum*
   
2. 
   Increase the number of white blood cells and cells of columnar epithelium*
   
3. 
   Sputum with elements of degradation of lung tissue elastic fibers and alveolar epithelium
   
4. 
   MucoBloody sputum
   
5. 
   Presence of CharcotLeyden crystals, spirals of Curshman
   

2459.How to classify pneumonia European Respiratory Society (1993)

1. 
   Communityacquired; Nosocomial*
   
2. 
   Pneumonia in immunodeficient states; inhalation pneumonia*
   
3. 
   Parenchymatic Pneumonia – Lobar and lobular
   
4. 
   Interstitial
   
5. 
   Bacterial, Viral, rickettsia, mycoplasma, yeast, mixed, allergic, infectious, allergic, idiopathic
   

2460.Describe the appearance of a patient with lobular pneumonia

1. 
   External view of a patient with focal pneumonia is not changed, cyanosis is very rare (only polysegmental drain and pneumonia)*
   
2. 
   Can lagging behind the affected part of the chest in breathing*
   
3. 
   Acrocyanosis, Forced position of the patient
   
4. 
   White skin tone.
   
5. 
   Diffuse Cyanosis
   

2461.Attributes of lobular pneumonia on palpation

1. 
   Characteristic changes there*
   
2. 
   Voice jitter can be strengthened if the seal center is close to the surface of the chest*
   
3. 
   Soreness on the chest because of the defeat of the pleura
   
4. 
   Reduction Voice trembling over the fire seal
   
5. 
   Increase the resistance of the chest, on the grounds that the chest is a hotbed of seals
   

2462. The etiology of secondary biliary cirrhosis:

1. 
   Alcohol.
   
2. 
   Obstruction of biliary tract*
   
3. 
   virus
   
4. 
   infection
   
5. 
   avitaminosis
   

2463.The normal level of total serum bilirubin in SI units:

1. 
   3,4 - 22,2 mmol / l*
   
2. 
   12,5- 28,5 Mmol / l.
   
3. 
   05 -1 Mmol / l
   
4. 
   0.5-2.5 Mmol / l
   
5. 
   0.7-1.5 Mmol / l
   

2464.The etiology of the disease KonovalovaWilson:

1. 
   Obstruktsiya Biliary tract.
   
2. 
   Violation synthesis*
   
3. 
   viral infection
   
4. 
   pohidanie
   
5. 
   Violation food
   

2465.Drug for the treatment of cirrhosis of viral etiology:

1. 
   Prednizolon.
   
2. 
   Metotreksat.
   
3. 
   Interferon alfa*
   
4. 
   Holestiramin.
   
5. 
   Vitamin
   

2466.Drug for the treatment of liver cirrhosis, which developed as a result of autoimmune hepatitis:

1. 
   Interferon alpha.
   
2. 
   Ursodezoksiholevaya Acid.
   
3. 
   Prednisolone*
   
4. 
   Holestiramin.
   
5. 
   Vitamin
   

2467.Drug for the treatment of alcoholic liver cirrhosis etiology:

1. 
   Prednizolon.
   
2. 
   Ursodeoxycholic acid*
   
3. 
   Tsiklofosfan.
   
4. 
   Bilignin.
   
5. 
   Vitamin
   

2468.Basic drugs at Wilson's disease:

1. 
   Prednizolon.
   
2. 
   Penicillamine*
   
3. 
   Interferon.
   
4. 
   Holestiramin.
   
5. 
   Metotreksat
   

2469.What is the symptom or syndrome of the following is not characteristic of cirrhosis of the liver:

1. 
   dispepsichesky
   
2. 
   astvegetative
   
3. 
   flatulence
   
4. 
   portalnaya hypertension
   
5. 
   acute pain*
   

2470.Which method allows to verify the diagnosis of cirrhosis of the liver:

1. 
   biohimicheskoe study;
   
2. 
   UZI;
   
3. 
   biopsy;*
   
4. 
   scanning;
   
5. 
   computed tomography.
   

2471.What are the morphological changes characteristic of liver cirrhosis:

1. 
   fibrosis, nodular regeneration, reconstruction of the vascular bed,
   
2. 
   vospalitelygoinfiltrative reaction;*
   
3. 
   fibroz, inflammatory infiltration;
   
4. 
   zhirovaya dystrophy;
   
5. 
   No one listed.
   

2472.Which of the signs does not reflect portal hypertension:

1. 
   astsit;
   
2. 
   'head of jellyfish;
   
3. 
   varikoznoe esophageal varices;
   
4. 
   jaundice;*
   
5. 
   splenomegaly.
   

2473.What sign is not associated with hypersplenism:

1. 
   pantsitopeniya;
   
2. 
   splenomegaly;
   
3. 
   jaundice*
   
4. 
   gpokaltsemiya
   
5. 
   gipoglikemiya
   

2474.For MKD cirrhosis usually leads:

1. 
   perenesenny viral hepatitis;
   
2. 
   zloupotreblenie alcohol;
   
3. 
   zabolevaniya biliary tract;
   
4. 
   zhirovoy steatosis;
   
5. 
   mark all the above reasons*
   

2475.When CKD cirrhosis (early decompensation) is dominated by manifestations:

1. 
   portal hypertension;
   
2. 
   pechenochnocell disease
   
3. 
   holestaza;
   
4. 
   all of the above*
   
5. 
   No one of these.
   

2476.For largecirrhosis often results in:

1. 
   zloupotreblenie alcohol;
   
2. 
   viral hepatitis*
   
3. 
   disbalans power;
   
4. 
   zabolevanie gastrointestinal tract.
   
5. 
   zabolevanie intestine
   

2477.Who usually suffers with primary biliary cirrhosis of the liver:

1. 
   were male;
   
2. 
   female*
   
3. 
   pozhilye
   
4. 
   kurilshiki
   
5. 
   young
   

2478.Ascites with cirrhosis of the liver is formed as a result of:

1. 
   vtorichnogo hyperaldosteronism;
   
2. 
   gipoalbuminemii;
   
3. 
   portalnoy hypertension;
   
4. 
   all of the above;*
   
5. 
   nothing of the above.
   

2479.The immediate cause of hepatic coma in patients with cirrhosis of the liver can be:

1. 
   krovotechenie of esophageal varices;
   
2. 
   reception thiazides;
   
3. 
   longterm use of barbiturates;*
   
4. 
   No one of the following reasons;
   
5. 
   all these reasons.
   

2480.With the threat of hepatic coma in the diet should be restricted:

1. 
   proteins;
   
2. 
   fats;*
   
3. 
   uglevody;
   
4. 
   liquid;
   
5. 
   Mineral salts.
   

2481.In the diagnosis of cirrhosis of the liver biochemical tests is decisive:

1. 
   proba with bromsulfaleinom;
   
2. 
   definition of bilirubin;*
   
3. 
   determination aminotransferase;
   
4. 
   No one of the following tests;
   
5. 
   vse'perechislennye tests.
   

2482.Point to the complication is not characteristic of cirrhosis of the liver:

1. 
   krovotechenie varices;
   
2. 
   coma;
   
3. 
   liver tumor;*
   
4. 
   cholecystitis;
   
5. 
   All of the above.
   

2483.Which drug is not used for the treatment of cirrhosis of the liver:

1. 
   prednisone;*
   
2. 
   delagil;
   
3. 
   azatioprin;
   
4. 
   Liv 52;
   
5. 
   kordaron.
   

2484.The main symptom of liver cirrhosis:

1. 
   proliferation of connective tissue in the lobules*
   
2. 
   gepatomegaliya
   
3. 
   gipersplenizm
   
4. 
   periholetsistit
   
5. 
   jaundice
   

2485.1 of the main species of cirrhosis of morphological features:

1. 
   SKD, CKD, mixed*
   
2. 
   lestnichnym necrosis of hepatocytes
   
3. 
   bulyzhnym necrosis of hepatocytes
   
4. 
   gepatofibroz
   
5. 
   All listed
   

2486.What are the main etiological factor of cirrhosis of the liver:

1. 
   hepatitis*
   
2. 
   diabetes
   
3. 
   hr. gastritis
   
4. 
   hr. enteritis
   
5. 
   hr. colitis
   

2487.The main morphological changes leading to cirrhosis of the liver:

1. 
   hepatocyte necrosis*
   
2. 
   distrofiya hepatocytes
   
3. 
   Kupffer cells distrofiya
   
4. 
   gipotrofiya liver cells
   
5. 
   skleroz Glisson capsule
   

2488.Specify the primary factor in the development of ascites:

1. 
   portal hypertension*
   
2. 
   portalnaya hypotension
   
3. 
   giperalbuminemiya
   
4. 
   gipoaldosteronizm
   
5. 
   levozheludochkovaya failure
   

2489.The main cause of splenomegaly:

1. 
   portal hypertension*
   
2. 
   portalnaya hypotension
   
3. 
   gipoalbuminemiya
   
4. 
   gipersplenizm
   
5. 
   arterial hypertension
   

2490.The main feature of hypersplenism:

1. 
   anemia*
   
2. 
   eritrotsitoz
   
3. 
   leykotsitoz
   
4. 
   trombotsitoz
   
5. 
   the acceleration of ESR
   

2491.The main syndrome of liver cirrhosis:

1. 
   portal hypertension*
   
2. 
   nefrotichesky
   
3. 
   hypertensive
   
4. 
   stenokarditichesky
   
5. 
   dizurichesky
   

2492.If you can detect liver cirrhosis

1. 
   Decrease in view
   
2. 
   Increase the parotid glands
   
3. 
   rigidnost ears
   
4. 
   sky high
   
5. 
   Dupuytren's contracture*
   

2493.The most rare physical signs of cirrhosis is

1. 
   palpiruemaya liver
   
2. 
   jaundice*
   
3. 
   palpiruemaya spleen
   
4. 
   sosudistye asterisk
   
5. 
   astsit
   

2494.A characteristic feature of primary biliary cirrhosis is

1. 
   zlokachestvennoe clinical course
   
2. 
   vyrazhennaya hepatomegaly
   
3. 
   nonmechanical nature of jaundice*
   
4. 
   Increase in serum lipids
   
5. 
   Increase of aminotransferases
   

2495.Name the morphological feature of hepatic coma:

1. 
   massive necrosis of liver cells*
   
2. 
   ochagovaya degeneration of hepatocytes
   
3. 
   Kupffer cells proliferatsiya
   
4. 
   periportalny sclerosis
   
5. 
   ochagovy sclerosis
   

2496.What is the main reason leading to hepatic coma:

1. 
   liver necrosis caused by hepatotoxic substances and drugs*
   
2. 
   obostrenie chronic gastritis
   
3. 
   obostrenie hr.kolita
   
4. 
   obostrenie hr.enterita
   
5. 
   obostrenie hr.holetsistita
   

2497.I stage of hepatic coma include:

1. 
   confusion*
   
2. 
   is a positive Babinski
   
3. 
   Record acetone breath
   
4. 
   supor
   
5. 
   tonicheskie seizures
   

2498.II stage of hepatic coma:

1. 
   soporous state*
   
2. 
   coma
   
3. 
   tetanicheskie seizures
   
4. 
   Record acetone breath
   
5. 
   ikterichnost sclera
   

2499. Preparations for the treatment of primary biliary cirrhosis and primary sclerosing cholangitis:

1. 
   Prednizolon.
   
2. 
   Antibiotiki.
   
3. 
   Ursodeoxycholic acid. *
   
4. 
   Holestiramin. *
   
5. 
   Bilignin. *
   

2500.What are the main forms of ulcerative colitis:

1. 
   acute, chronic, relapsing*
   
2. 
   acute
   
3. 
   latent, chronic
   
4. 
   creeping form
   
5. 
   subacute
   

2501.What versions onset of the disease ulcerative colitis:

1. 
   with a gradual onset of diarrhea in a few days mucus and blood in the stool*
   
2. 
   begin latently, the disease manifests its complications
   
3. 
   like lightning onset ends with death
   
4. 
   creeping onset shows persistent constipation
   
5. 
   acute beginning, the disease manifests its complications
   

2502.When ulcerative colitis often affects:

1. 
   Front descending colon, sigmoid colon, rectum*
   
2. 
   stomach, sigmoid colon
   
3. 
   liver, rectum
   
4. 
   duodenum
   
5. 
   pancreatic gland, sigmoid colon
   

2503.The main complaints in ulcerative colitis:

1. 
   abdominal pain, loose stools or constipation*
   
2. 
   heartburn, vomiting
   
3. 
   Increase blood pressure
   
4. 
   Belch
   
5. 
   Lower temperater
   

2504.Main causes of NUC:

1. 
   emotional stress, excessive use of antibiotics, eating disorders*
   
2. 
   invasion of worms
   
3. 
   diverticulosis
   
4. 
   constipation
   
5. 
   diarrhea
   

2505.Definition of NUC

1. 
   chronic autoimmune inflammation of the colon*
   
2. 
   chronic autoimmune inflammation of the small intestine mucosa
   
3. 
   chronic mucositis of 12 f. colon
   
4. 
   inflammation of mucosa of the colon
   
5. 
   inflammation of colonic mucosa
   

2506.1 laborotor clinical signs typical of ulcerative colitis:

1. 
   Change the chair: frequent, unformed with a mixture of pus and blood*
   
2. 
   changes of defecation: persistent constipation
   
3. 
   no changes in scatological study
   
4. 
   catarrhal mucosal changes in colonoscopy
   
5. 
   reinforcement of haustration in barium enema
   

2507.localization of NUC:

1. 
   left part of the colon. *
   
2. 
   rule parts of the colon.
   
3. 
   iliac intestine.
   
4. 
   small intestine.
   
5. 
   12 f. Intestine
   

2508.At the beginning of the disease ulcerative colitis colon wall:

1. 
   flabby, tears easily*
   
2. 
   thickening
   
3. 
   deformed
   
4. 
   lengthened
   
5. 
   truncation
   

2509.How many layers of the intestine can capture at UC.

1. 
   mark all layer of the intestinal wall*
   
2. 
   muscular
   
3. 
   slimy
   
4. 
   under slimy
   
5. 
   mucosa and muscle
   

2510.Option onset of the disease ulcerative colitis:

1. 
   with a gradual onset of diarrhea in a few days mucus and blood in the stool*
   
2. 
   latent beginning, the disease manifests its complications
   
3. 
   like lightning onset ends with death
   
4. 
   creeping onset shows persistent constipation
   
5. 
   creeping onset shows persistent meteorizm
   

2511.What are the clinical syndrome with ulcerative colitis:

1. 
   ulcerative haemorrhagic*
   
2. 
   cholestatic
   
3. 
   hypertension
   
4. 
   stenocarditic
   
5. 
   dispeptic
   

2512. T he complication of ulcerative colitis:

1. 
   perianal abscesses*
   
2. 
   rectovaginal fistulas and rectum
   
3. 
   tromboembolic
   
4. 
   colon diverticulosis
   
5. 
   prolapse of rectum
   

2513.What are the changes going on in the stage of scarring NUC:

1. 
   colon deformation *
   
2. 
   thinning
   
3. 
   elongation
   
4. 
   thinning and elongation
   
5. 
   not changes
   

2514.What are the clinical and laboratory characteristic feature of UC:

1. 
   Changes of defecation: frequent, unformed with a mixture of pus and blood*
   
2. 
   changes of defecation: persistent constipation
   
3. 
   no changes in scatological study
   
4. 
   catarrhal mucosal changes in colonoscopy
   
5. 
   reinforcement of haustration in barium enema
   

2515.Main cliniclaboratory study of UC:

1. 
   rectoromonoscopy, irrigoscopy, fluoroscopy*
   
2. 
   bacteriological examination of feces
   
3. 
   immunological blood tests
   
4. 
   USG
   
5. 
   EGDFS
   

2516.rectoromonocsopical characteristic feature of UC:

1. 
   redness, swelling, diffuse bleeding, petechiae, erosions, ulcers, pseudopolyps*
   
2. 
   catarrhal hyperemia
   
3. 
   swelling
   
4. 
   the restriction
   
5. 
   scarring
   

2517.uncharacteristic sign of ulcerative colitis:

1. 
   gangrenous change*
   
2. 
   hyperemia, swelling
   
3. 
   diffuse bleeding,
   
4. 
   ulcers
   
5. 
   pseudopolypus
   

2518.serious complication of UC

1. 
   perforation*
   
2. 
   hepatitis
   
3. 
   anemia
   
4. 
   hypoproteinemia
   
5. 
   hypocalemia
   

2519.rentenological characteristics of UC:

1. 
   edge jaggedness and loss of normal haustration colon, narrowing*
   
2. 
   niche
   
3. 
   deceleration of peristalsis
   
4. 
   flatulence
   
5. 
   Cloyberg bowls
   

2520.What specific changes in the intestinal mucosa in UC:

1. 
   contact bleeding*
   
2. 
   bleeding of surrounded formation
   
3. 
   reinforcement of vascular pattern
   
4. 
   atrophy of colonic mucosa
   
5. 
   pseudodiverticulosis
   

2521.What are the basic system of complication of NUC:

1. 
   due to the defeat of the colon*
   
2. 
   mediated lesion of the small intestine
   
3. 
   mediated damagind of gallbladder
   
4. 
   mediated gastric lesion
   
5. 
   mediated liver
   

2522.Parenteral correction of metabolic disorders in UC includes the following measures:

1. 
   use of a mixture of amino acids and protein hydrolysates*
   
2. 
   antibiotics
   
3. 
   antibacterial funds
   
4. 
   antifungus drugs
   
5. 
   nonsteroid against inflammatory drugs
   

2523.What are the main drug used in ulcerative colitis:

1. 
   sulphasalazine*
   
2. 
   citostatics
   
3. 
   contrical
   
4. 
   prednizolon
   
5. 
   retabolil
   

2524.What are the main drug in treatment of NUC:

1. 
   sulfasalazine, hydrocortisone*
   
2. 
   treatmental enema with chamomile
   
3. 
   diet
   
4. 
   hemodes, glucose,
   
5. 
   ascorbic acid
   

2525.Rapid elimination of the acute phase of UC provides the following type of activities:

1. 
   struggle with inflammation*
   
2. 
   Bed mode
   
3. 
   refuse bad habits
   
4. 
   Duration antibiotic therapy
   
5. 
   nonsteroid against inflammatory drugs
   

2526.Motility and gut flora affect the following drugs:

1. 
   Manticholinergics*
   
2. 
   MHolinomimetics
   
3. 
   InBlockers
   
4. 
   nonsteroid against inflammatory drugs
   
5. 
   nitraty
   

2527.Type of defecation "raspberry jelly" characteristic of:

1. 
   Chronic Enteritis.
   
2. 
   Erythematic nodosum.
   
3. 
   Chronic Colitis.
   
4. 
   Ulcerative colitis. *
   
5. 
   Diseases Crohn's.
   

2528.These barium enema: shortening, narrowing, no haustration, type "water pipe", typical for:

1. 
   Diseases Crohn's.
   
2. 
   Anemia
   
3. 
   Chronic Colitis.
   
4. 
   Ulcerative colitis.*
   
5. 
   Intestine tumors.
   

2529.Table №4 appointed by Pevzner:

1. 
   Chronic Glomerulonephritis.
   
2. 
   Chronic Hepatitis.
   
3. 
   IHD.
   
4. 
   Acute Rheumatic fever.
   
5. 
   Ulcerative colitis.*
   

2530.The average dose of sulphasalazine in the mild and moderate forms of ulcerative colitis:

1. 
   2-4 g / day.
   
2. 
   8-12 g / day.
   
3. 
   4-8 g / day. *
   
4. 
   20-22 g / day.
   
5. 
   30-35 g / day.
   

2531.At the heart of the development of ulcerative colitis are:

1. 
   Hereditary+ fermentopathy. *
   
2. 
   Infection-Inflammation.
   
3. 
   No infection-Inflammation.
   
4. 
   Lattice anomalies of the colon.
   
5. 
   Dystrophic Process.
   

2532.Changes in colonic mucosa in ulcerative colitis occur in the original:

1. 
   In The cecum.
   
2. 
   As The transverse colon.
   
3. 
   In The sigmoid colon. G.
   
4. 
   straight intestine.
   
5. 
   All the parts of the colon. *
   

2533In the pathogenesis of ulcerative colitis are the most important:

1. 
   Heredity.
   
2. 
   Invasion of helminths.
   
3. 
   Neuropsychiatric disorders.*
   
4. 
   Changing the immunological reactivity.
   
5. 
   Digestive Allergy.
   

2534.When ulcerative colitis often affects:

1. 
   Stomach.
   
2. 
   Esophagus.
   
3. 
   Liver.
   
4. 
   Small intestine.
   
5. 
   Colon.*
   

2535.List the morphological changes of the colonic mucosa in acute ulcerative colitis:

1. 
   Swelling, Flushing.
   
2. 
   The restriction of the lumen of the intestine.
   
3. 
   Disappearance of Haustrum.
   
4. 
   Erosion, ulcers. *
   
5. 
   Pseudopolyps.
   

2536.List the main complaints of patients with ulcerative colitis:

1. 
   Diarrhea.
   
2. 
   Diarrhea with mucus.
   
3. 
   Loose stools mixed with blood. *
   
4. 
   More Than in the abdomen associated with the act of defecation.
   
5. 
   More Than in the abdomen associated with eating.
   

2537.Specify the most informative instrumental methods of research used in the diagnosis of ulcerative colitis:

1. 
   EGDFS.
   
2. 
   USG Abdominal organs.
   
3. 
   Sigmoidoscopy. *
   
4. 
   Computer tomography.
   
5. 
   Colonoscopy.
   

2538.What are the complications of ulcerative colitis:

1. 
   Anemia.
   
2. 
   Arthritis.
   
3. 
   Bowel perforation. *
   
4. 
   Bleeding.
   
5. 
   Blepharitis.
   

2539.What are the basic drugs used for treatment of patients with ulcerative colitis:

1. 
   Antibiotic.
   
2. 
   Glucocorticoids. *
   
3. 
   NSaID.
   
4. 
   Drugs of 5aminosalicylic acid.
   
5. 
   Antacid.
   

2540.The main risk factors to develop ulcerative colitis are:

1. 
   Smoking.
   
2. 
   Insolation.
   
3. 
   Alcohol abuse. *
   
4. 
   Overeating.
   
5. 
   Reception Antibiotics.
   

2541.Motility and gut flora affect the following drugs:

1. 
   Manticholinergics*
   
2. 
   MHolinomimetiki
   
3. 
   InBlockers
   
4. 
   nesteroidnye antiinflammatory drugs
   
5. 
   nitraty
   

2542.What is the wording corresponds to the definition of ulcerative colitis?

1. 
   Hronicheskoe An autoimmune disease that causes ulcerative necrotic lesions in the colon and small intestine, as well as multiple system failure.
   
2. 
   Hronicheskoe An autoimmune disease that causes ulcernecrotic changes in the small intestine, as well as multiple system failure.
   
3. 
   Hronicheskoe An autoimmune disease that causes disturbances in motor function of the colon, as well as multiple system failure.
   
4. 
   Chronic autoimmune disease that causes ulcerative necrotic lesions in the colon, as well as multiple system failure. *
   
5. 
   Hronicheskoe An autoimmune disease that causes ulcernecrotic changes in the gut with the involvement of the serous membrane, forming adhesive disease, multiple system lesions.
   

2543.What does not belong to the pathogenesis of ulcerative colitis?

1. 
   Fiksatsiya In the intestinal wall of immune complexes.
   
2. 
   Neytrofilnaya Infiltration, swelling of the colon wall.
   
3. 
   Izyazvleniya, Microabscesses, perforation of the colon wall.
   
4. 
   Fibroz Mucosa, submucosa, pseudopolyposis.
   
5. 
   All the concerns.*
   

2544.What forms of clinical course of the disease is not typical of ulcerative colitis?

1. 
   Ostraya.
   
2. 
   Subacute.*
   
3. 
   Hronicheskaya.
   
4. 
   Retsidiviruyuschaya.
   
5. 
   All Forms typical.
   

2545.What are the clinical features are not typical for the acute form of ulcerative colitis?

1. 
   Vstrechaetsya Rare.
   
2. 
   Protekaet Extremely difficult.
   
3. 
   Porazhaet Entire colon.
   
4. 
   Rarely complicated bowel perforation, toxic megacolon.*
   
5. 
   Frequently Fatal.
   

2546.What are the clinical features are not typical for relapsing forms of ulcerative colitis?

1. 
   The Most common form of the disease.
   
2. 
   Protekaet With periods of exacerbation and remission longer.
   
3. 
   Can A spontaneous cure.
   
4. 
   All the typical. *
   
5. 
   All Are not typical.
   

2547.What is not typical of the first manifestations of ulcerative colitis?

1. 
   Appearance Red blood in the stool normally formed.
   
2. 
   Total Weakness, lack of appetite.
   
3. 
   Diskomfort, Abdominal pain.
   
4. 
   Nausea, vomiting.*
   
5. 
   "Causeless" fever.
   

2548.What is not typical for an initial period of ulcerative colitis?

1. 
   Constant nausea, vomiting periodically. *
   
2. 
   Sklonnost To constipation.
   
3.