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Systemic sclerodermaPart ventricular arrythmia during ECG monitoring*
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səhifə | 6/9 | tarix | 30.05.2018 | ölçüsü | 1,45 Mb. | | #46793 |
| Part ventricular arrythmia during ECG monitoring*
Reduction in the concentration of potassium ions*
Reduction in the concentration of calcium ions
2657. 2 drugs used for the treatment of diastolic heart failure
-
Adrainomimetiki
-
Expectorants
-
Betablockers*
-
Inhibitors slow calcium channels*
2658. 2 formy heart failure (pobystrote of symptoms)
-
Acute*
-
Subacute
-
Chronic*
-
Recurrent
2659. 2 Pathogenesis left ventricular heart failure
-
Overload of left ventricular pressure*
-
Right ventricular pressure overload
-
Overload left ventricular volume*
-
Right ventricular volume overload
2660. 2 etiology of left ventricular chronic heart failure
-
CHD*
-
Chronic pulmonary heart
-
malformations of the aortic valve*
-
Constrictive pericarditis
2661. The etiology of chronic right ventricular heart failure
-
constrictive pericarditis*
-
chronic pulmonary heart*
-
Mitral insufficiency
-
Defects of the aortic valve
2662. Biventricular etiology of chronic heart failure
-
Myocarditis*
-
Alcohol heart damage*
-
Miksoma of right atrium
-
Defects of the aortic valve
2663. The pathogenesis of right heart failure (2)
-
Right ventricular pressure overload*
-
Atherosclerotic aortic
-
Right ventricular volume overload*
-
Left ventricular volume overload
2664. Etiology of acute heart failure with low cardiac output (2)
-
Anemia
-
Myocardial infarction*
-
Gipotireoz
-
Myocarditis*
2665. The etiology of acute heart failure with low cardiac output (2)
-
Hypothyroidism
-
Arrhythmias*
-
Myocarditis*
-
Arteriovenous fistula
2666. Echocardiographic criteria for chronic heart failure (2)
-
Left ventricular hypertrophy
-
Extension left ventricular cavity*
-
Increase the end systolic and diastolic dimensions of the left ventricle*
-
An increase in ejection fraction
2667.Echocardiographic criteria for chronic heart failure (2)
-
Left ventricular hypertrophy
-
Narrowing of the left ventricular cavity
-
Increase the end systolic and diastolic dimensions of the left ventricle*
-
Reduced ejection fraction*
2668. 2 of biochemical markers of chronic heart failure
-
troponin T
-
troponin I
-
brain natriuretic peptide*
-
Atrial natriuretic peptide*
2669. 2 stage of pulmonary edema
-
Fibrosis
-
Interstitial*
-
Alveolar*
-
Calsification
2670.III Stage of chronic heart failure, N.D. Strazhesko, V.H. Vasilenko (2)
-
Severe hemodynamic systemic circulation*
-
Severe hemodynamic pulmonary circulation*
-
Hidden heart failure
-
Encephalopathy
2671.2 clinical manifestations of left ventricular failure
-
dyspnea, cardiac asthma*
-
Hydrothorax*
-
Swelling of the feet
-
Increase the liver
2672.Stage IIA Stage circulatory failure of Strazhesko Vasilenko characterized
-
Constant shortness of breath and worse after a small load*
-
Tachycardia continued and intensified after a small load*
-
The appearance of shortness of breath, fatigue only under load
-
Ascites, hydrothorax
2673.Stage IIA Stage circulatory failure of Strazhesko - Vasilenko is characterized by 2 symptoms
-
Tachycardia continued and intensified after a small load*
-
Exists myogenic dilatation of the heart, the stagnation in the small circle*
-
The appearance of shortness of breath, fatigue only under load
-
Ascites, hydrothorax
2674.Diagnostics of chronic heart failure (2)
-
ECG by Holter*
-
Spirography
-
Echocardiography*
-
angiography
2675.2 Specify the state with high cardiac output
-
Massive obesity*
-
Cirrhosis*
-
Hypothyroidism
-
Pericarditis
2676. Gout is a disease associated with metabolic disorders of purine and is characterized by the following features:
-
The increase of serum uric acid*
-
Loss of urate in the tissues of the joints, kidneys, and blood vessels*
-
Increase in the content of uric acid in urine
-
Redness of the skin
2677.What are the 2 primary pathogenic forms of gout:
-
Metabolic (increase of uric acid synthesis in the body)*
-
Kidney (impaired excretion of uric acid in the body)*
-
Metabolic (increased excretion of uric acid in the kidneys)
-
Hepatic (delayed release of urate in the liver)
2678.What are the 2 diseases that often cause secondary gout:
-
Obesity*
-
Diabetes*
-
Chronic liver failure
-
Chronic hepatitis
2679.What are 2 common risk factors for gout:
-
Consumption of foods rich in purines (meat, brain, liver, beans, chocolate)*
-
Decreased physical activity*
-
Genetic predisposition
-
Increased physical activity
2680.Enter the normal uric acid in the blood of men and women:
-
For men 0.3-0.42 mmol/l*
-
For women 0.24-0.36 mmol/l*
-
For men 0.25-0.3 mmol/l
-
For women 0.20-0.26 mmol/l
2681.Name 2 causes of joints deformation in gout:
-
Destruction of the articular surfaces*
-
Periarticularurateinfiltration of tissue with the tophiformation*
-
Subluxations
-
Proliferative changes in periarticular tissues
2682.Specify the 2 basic radiographic changes typical for gout:
-
Joint space narrowing*
-
"Punch" sign*
-
Expansion of joint space
-
"Niche" symptom
2683.Tophi are the depositions of urate under the skin to form dense, quite clearly demarcated arthritic knots risingabove the surface of the skin. What is characteristic of these signs:
-
Localized in the ears, elbow, knee, feet and hands*
-
Content of tophi white curdled mass (urate crystals)*
-
Develop in the first few months of illness
-
Content of tophi – cartilage tissue
2684.Specify 2 diseases, which must be differentiated with gout:
-
Reactive arthritis*
-
Osteoarthritis with synovitis*
-
Rheumatic fever
-
Systemic lupus erythematosus
2685.What are 2 diseases that often cause secondary gout:
-
Leukemias*
-
Chronic renal failure*
-
Chronic liver failure
-
Chronic hepatitis
2686.What are 2 metabolic diseases, often associated with gout:
-
Obesity*
-
Diabetes*
-
Atherosclerosis
-
Hyperthyroidism
2687.Name 2 "malicious sisters",i.e. metabolic blood disorders, most often marked in gout:
-
hypercholesterolemia*
-
hyperglycemia*
-
uremia
-
proteinuria
2688.Specify the contingent of people most vulnerable to the gout disease:
-
35 men over 40 years*
-
brainworkers*
-
15-16 years old boys
-
physical laborers
2689.What are 2 reasons that can provoke gouty arthritis:
-
Consumption of foods rich in purines (meat, beans)*
-
Alcohol*
-
Use of cultured milk foods
-
Consumption of food rich in purines (rice, cheese, onions)
2690.Describe the symptoms of intermittent gout:
-
arthritis attacks 1 to 3 times per year, for up to 6 to 10 days; in periods of remission the health state of the patient is satisfactory*
-
intermittenthyperuricemia*
-
arthritisattacks 1 to 2 times per year for up to 6 months
-
constant hyperuricemia
2691.What is better to use for relief of acute gouty arthritis?
-
Colchicine*
-
NSAIDs*
-
Allopurinol
-
Anturane
2692.What symptoms are characteristic of acute gouty arthritis?
-
Single joint is affected*
-
Joint inflammation begins suddenly*
-
Affects several joints
-
Inflammation of the joints begins gradually
2693.What causes kidney damage in gout?
-
Interstitial nephritis*
-
Formation of stones in the renal pelvis*
-
Glomerulonephritis
-
Amyloidosis
2694.What is not allowed in acute gouty arthritis?
-
Administration of furosemide*
-
Routing to spa treatment*
-
Administration of colchicine
-
Administration of NSAIDs
2695.What sign can be used for differential diagnosis of gout and osteoarthritis in favor of the gout?
-
Sharp, starting in the morning with intense attacks of arthritis pain, redness of joints, fever*
-
Rough deformation of joints without tendency to ankylosis*
-
Heberden’snodules
-
Start pain
2696.What foods contain the greatest amount of uric acid and purines:
-
legumes*
-
beef, pork, veal*
-
chicken eggs
-
milk and milk products
2697.Gout is characterized by:
-
asymmetric lesion*
-
lesion ofI metatarsal joint*
-
impairment of cervical and thoracic spinejoints
-
symmetricallesion
2698.Xray specificsigns of gout:
-
Round "stamped" defects of epiphyses*
-
Joint space narrowing*
-
Usuras of epiphysis
-
Osteophytes
2699.Following statements are true for the gout except one:
-
Most suffering middleaged men*
-
Characterized by the development of urolithiasis and secondary pyelonephritis*
-
Attack of gouty arthritis usually blocked by analginum
-
More common in middleaged women
2700.What are the tophi?
-
Deposition of uric acid saltsin tissues*
-
White curdled mass*
-
Osteophytes
-
Inflammatory granulomas
2701.Note disease belonging to the group of seronegative spondiloarthrites
-
disease starts from*
-
Reiter's syndrome*
-
Lyme disease
-
Behcet's disease
2702.Most characteristic features of seronegative spondiloarthrites
-
family aggregation*
-
lack of rheumatoid factor*
-
are more likely to develop in women than in men
-
subcutaneous nodules
2703.Which of the following signs allow suspect ankylosing spondylitis
-
lower back pain, sacral pain and spine*
-
expressed morning stiffness*
-
progression of radiological changes in peripheral joints
-
Bursitis
2704.Which of the following is characteristic of ankylosing spondylitis
-
develops more frequently in men than in women*
-
eye involvement may be the first manifestation of the disease*
-
regular physical exercise is contraindicated
-
skin rash on the face
2705.Note radiographic change characteristic of ankylosing spondylitis
-
quadratization of vertebrae*
-
formation of osteophytes
-
Osteoporosis
-
Sacroileitis*
2706.Mark disease belonging to the Group of seronegative spondiloarthrites
-
Bechterew's Disease*
-
Behcet's Disease
-
Rheiter's Disease*
-
Raynaud's Disease
2707.Change of 2 laboratory values observed at ankylosing spondylitis
-
Increased ESR*
-
Antinuclear factor
-
Positive rheumatoid factor
-
negative rheumatoid factor*
2708.All seronegative spondyloarthropathies have following similar signs
-
signs of sacroileitis*
-
association with HLA B27*
-
presence of LE cells
-
symptom of "punch"
2709.Which disease is diagnostic for more frequent carriers of HLAB27
-
ankylosing spondylitis*
-
Reiter's syndrome*
-
inflammatory bowel disease
-
all listed
2710.What 2 conclusions of the role of HLAB27 are correct
-
identification of HLAB27 is set to diagnose rheumatoid arthritis
-
absence of HLAB27 excludes the diagnosis of seronegative spondylarthritis
-
identifying carriers of HLAB27 is indicative of the presence of seronegative spondylitis*
-
definition of HLAB27 is shown in case of ankylosing spondylitis*
2711.Name most likely 2 Exciter reactive arthritis urinogenous etiology
-
Ureoplasma*
-
Yersinia
-
Shigella
-
Chlamydia*
2712.What are most likely 2 etiologic factors of reactive arthritis
-
Postenterocolitic
-
Yersinia*
-
Salmonella*
-
Chlamydia
2713.Name 2 antibiotics for the longterm treatment of reactive arthritis
-
Ampicillin
-
Doxacyclin*
-
Linkomicin
-
Vibramicin*
2714.Specify 2 modified clinicallaboratory values in ankylosing spondylitis
-
increased ESR*
-
increased CRP*
-
antinuclear factor
-
rheumofactor
2715. Characteristic symptoms of Reiter's disease laboratory are
-
rheumatoid factor
-
increase in ESR*
-
detection Chlamydia in smear from the urethra*
-
proteinuria
2716.Typical radiographic changes in reactive arthritis
-
"friable" heel spurs*
-
singlesided sacroileitis*
-
ankylosing of the spine
-
usuras
2717.Sacroileitis often develops when
-
Rheumatoid arthritis
-
Osteoarthritis
-
Psoriatic arthritis*
-
ankylosing spondylitis*
2718.Exception criteria of psoriatic arthritis
-
Availability
-
Rheumatoid nodules
-
Sacral osteolysis*
-
Tophuses*
2719.Entesopathia tend to occur when
-
Bechterew's disease8
-
Rheumatoid arthritis
-
gout
-
Reiter's disease*
2720.Radiological signs of ankylosing spondylitis (Bechterew's disease) are
-
unilateral sacroileitis
-
double sided sacroileitis*
-
osteophytes tuber bones and pelvic bones
-
Spinal ligament ossification*
2721.Patents with ankylosing spondylitis have the following laboratory data
-
accelerated ESR*
-
increased CRP levels*
-
leukopenia
-
positive RF test
2722.The main complaint of patients with mitral stenosis
-
shortness of breath*
-
asphyxia (cardiac asthma)*
-
epigastric pain
-
nausea, vomiting
2723. P «mitrale» is
-
broadening of the P wave for more than 012 seconds*
-
twohumped P wave in I, II, AVL, V5, V6 leads*
-
increasing height of P wave
-
lengthening of PQ interval
2724.The most common cause of mitral stenosis
-
acute rheumatic fever*
-
atherosclerosis*
-
pulmonary hypertension
-
anemia
2725.The main complaints of patients with mitral stenosis
-
hemoptysis*
-
voice hoarseness*
-
swelling
-
joint pain
2726.Indications for surgical treatment of mitral stenosis
-
critical degree of stenosis*
-
pulmonary hypertension*
-
ulcer bleeding
-
circulatory insufficiency stage III
2727. Etiology of mitral regurgitation
-
acute rheumatic fever*
-
rupture of papillary muscle*
-
pulmonary hypertension
-
flu
2728.The direct sign of mitral valve insufficiency in Doppler study
throw of a blood jet from the left ventricle into the left atrium during systole
-
turbulent diastolic flow in the projection of the mitral valve*
-
aortic regurgitation jet into the left ventricle*
-
vegetation
-
rupture of a chord
2729.Indications for surgical treatment of mitral stenosis
-
cardiac asthma*
-
thromboembolism*
-
ulcer bleeding
-
anemia
2730. Etiology of mitral regurgitation
-
infective endocarditis*
-
postoperative failure*
-
pulmonary hypertension
-
hypothyroidism
2731.Etiology of aortic stenosis
-
acute rheumatic fever*
-
atherosclerosis*
-
hyperthyroidism
-
myocarditis
2732. Etiology of aortic valve regurgitation
-
acute rheumatic fever*
-
infective endocarditis*
-
hyperthyroidism
-
anemia
2733. Etiology of stenosis of the right atrioventricular opening
-
acute rheumatic fever*
-
myxoma of the right atrium and blood clots*
-
bacterial endocarditis
-
atherosclerosis
2734. The clinical presentation of stenosis of the right atrioventricular opening
-
swelling of the lower legs*
-
ascites*
-
dyspnea
-
cardiac asthma
2735.Primary diseases of tricuspid valve leading to its failure
-
acute rheumatic fever*
-
tricuspid valve prolapse*
-
anemia
-
thyrotoxicosis
2736.Multivalve defects of the heart are
-
mitral and aortic defects*
-
mitral and tricuspid defects*
-
mitral stenosis and insufficiency
-
aortic valve stenosis and insufficiency
2737.What a heart valve abnormality usually precedes the development of acquired heart disease
-
endocarditis with severe destruction and sclerosis chordal strands*
-
endocarditis with severe destruction and sclerosis of the valve leaflets*
-
anemia
-
cirrhosis of the liver
2738.Primary disease of tricuspid valve leading to its insufficiency
-
infective endocarditis*
-
rheumatoid arthritis*
-
reactive arthritis
-
osteoarthritis
2739.Most common acquired valvular defects
-
Mitral*
-
Aortic*
-
arterial
-
venous
2740.What defects are distinguished, according to poor circulation
-
compensated defect*
-
decompensated defect*
-
classical
-
ventricular
2741.What is the compensated heart disease
-
heart disease without evidence of heart failure*
-
disorders of peripheral blood circulation*
-
digestive disorders
-
high blood pressure
2742.Complaints of patients with aortic insufficiency
-
Palpitation*
-
heart pain*
-
hemoptysis
-
bradycardia
2743.List diseases, leading to the development of acquired heart disease
-
Brucellosis*
-
Syphilis*
-
Hypertonic disease
-
Pancreatitis
2744. Specify 2 basic auscultatory signs of stenosis of the ostium of the aorta
-
systolic noise in II intercostal space on the right from breastbone*
-
weakened II tone on aorta*
-
accent of the II tone on the pulmonary artery
-
weakening of the I tone at the apex
2745. Therapy of acute glomerulonephritis with nephritic syndrome includes:
-
hydrocortisone
-
kapoten*
-
intal
-
isoket*
2746.Acute glomerulonephritis with nephrotic syndrome is characterized by:
-
leukocyturia, hematuria and proteinuria
-
hematuria*
-
proteinuria and hypertension*
-
proteinuria, hypertension and hyperlipidemia
2747.Acute nephritic syndrome is manifested by:
-
Edemas*
-
shortness of breath*
-
hypertension
-
hematuria
2748.What are the complications of acute glomerulonephritis:
-
oligoanuria in the acute phase of the disease with the development of the ARF*
-
massive renal bleeding*
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