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Modul 2 Symptoms and syndromes in diseases of internal organs Text test
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Modul 2
Symptoms and syndromes in diseases of internal organs
Text test
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In chronic hepatitis with the expressed activity ALT exceeds the norm in:
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2-3 times
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3-5 times
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5-10 times
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* more than 10 times
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is standard
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In chronic hepatitis with the moderate activity ALT exceeds the norm in:
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up to 3 times
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3-5 times
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* 4-10 times
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10-20 times
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over 20 times
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In first stage of chronic hepatitis:
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fibrosis is absent
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* poorly expressed peryportal fibrosis
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moderate fibrosis with porto-portal septa
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expressed fibrosis with porto-central septa
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liver cirrhosis
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In the fourth stage of chronic hepatitis develops:
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moderate fibrosis poorly expressed fibrosis
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expressed fibrosis
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* liver cirrhosis
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hepatonecrosis
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In the second stage of chronic hepatitis fibrosis is:
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expressed
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* moderate
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poorly expressed
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absent
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liver cirrhosis develops
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In the third stage of chronic hepatitis fibrosis is:
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absent
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* expressed
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moderate
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poorly expressed
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liver cirrhosis develops
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Select the ultrasound data of cholecystocholangitis:
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enlarged liver;
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deformation of a gallbladder;
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presence of sediment in a gallbladder;
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* thickening of gallbladder walls;
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Liver is diminished
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Select the ultrasound data of hepatitis:
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deformation of bile ducts;
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thickness of bile ducts walls
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* diffuse thickness of the liver;
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single large conturated inclusion;
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deformation of a liver
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Diet at the pathology of hepatobiliary system includes:
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thermally, mechanically sparing meal;
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* chemically, mechanically sparing meal;
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thermally, chemically sparing meal;
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thermally, mechanically and chemically sparing meal;
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thermally sparing meal
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Select data of hypersplenism:
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anemia, thrombocytopenia;
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leukocytosis, anemia;
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leukocytosis, hyperbilirubinemia, thrombocytopenia;
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leukocytosis, anemia, thrombocytopenia;
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* leukopenia, anemia, thrombocytopenia
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What is typical for liver cirrhosis?
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splenomegaly, anemia, hypercoagulation
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splenomegaly, erythrocitosis, jaundice;
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* hepatosplenomegaly, anemia, jaundice;
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hepatosplenomegaly, anemia, hemorrhages;
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splenomegaly, anemia
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What is typical for mesenchimal-inflammatory syndrome is hepatitis?
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increase of АSТ, АLT
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decrease of prothrombin level
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increase of alkaline phosphatase level
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increase of indirect bilirubin
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dysproteinemia
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In treatment of billary colicks it is necessary to prescribe:
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analgetics
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* spasmolitics and sedatives
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antibiotics
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hepatoprotectors
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vitamins
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In treatment of chronic cholecystitis in remission phase it is necessary to prescribe
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analgetics
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* spasmolitics and sedatives
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antibiotics
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* choleretics and cholekinetics
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hepatoprotectors , vitamins
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Leading symptoms in case of chronic cholecystitis are:
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Pain, disuria
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* Pain, dyspepsia
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Renal failure
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Dyspepsia, disuria
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Pain, intoxication
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Medicine of choice at cholestasis is:
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essentiale;
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carsil;
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no-spa;
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* cholenzym;
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papaverin
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Medicine of choice at the cytolitic syndrome is:
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* essentiale;
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cholenzym;
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interferon;
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no-spa;
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papaverin
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Medicine of choice at the low synthetic function of liver is:
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essentiale;
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* carsyl;
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cholenzym;
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interferon
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papaverin
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Medicine of choice in case of chronic viral hepatitis is:
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prednisolon;
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essentiale;
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* interferon;
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cholenzym;
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papaverin
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Medicine of choice in case of lambliosis (giardiasis) is:
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gentamycin;
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penicillin;
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aspirin;
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* furasolidon;
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papaverin
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Mineral water in patients with cholelithiasis is appointed:
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* before meals
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after meals
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during meal
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everythinfg is right
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everythinfg is wrong
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Minimum activity of chronic hepatitis in case of:
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normal ALT
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* ALT up to 3 times exceed a norm
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ALT up to 5 times exceeds a norm
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ALT 5-10 times exceeds a norm
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ALT exceeds a norm more than 10 times
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Preparations of bile acids are prescribed for:
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bilirubin stones
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* cholesterol stones
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calcium stones
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phosphoric stones
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mixed stones
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Preparations of which bile acids have litholytic effect?
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oleic
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palmitic
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* ursodeoxycholic
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corn
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everythinfg is wrong
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Products that have cholekinetic effect:
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milk products - yogurt
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buckwheat, oatmeal
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* eggs, honey
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spinach
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Apples, pears
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Products with choleretic effect:
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eggs
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honey
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* oat porridge, beef
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carrots
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melon
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Reduction of gall bladder is decreased by:
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cholekynetics
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gastrin
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secretin
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* glucagon
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tyreoidin
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Reduction of gall bladder is strengthened by:
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* cholekynetics
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glucagon
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calcitonin
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tyreoidin
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vitamins
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The main ethiologic factor of chronic cholecystitis is:
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Character of nutrition
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Anomaly of the liver development
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Genetic predisposition
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* Bile ducts dyskinesia
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Virus
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To immune suppressive therapy of chronic hepatitis belongs:
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indomethacin
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* azatioprin
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Penicillin
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Cholenzym
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vitamins
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Urgent therapy for biliary colic attack:
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neostigmine methylsulfate
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* baralgin
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prednisolone
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cefasolin
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ursophalc
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Ursophalc belongs to:
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choleretics
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cholekinetics
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* litholytics
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enzymes
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antacids
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Viferon is the medicine of group:
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glucocorticoids
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Antibiotics
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antihystamine
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* interferon
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vitamins
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What symptom appears simultaneously with the pain in biliary colic?
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hemorrhagic
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splenomegaly
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* nausea, vomiting
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belching, bloating, constipation
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diarrhea, flatulence
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What choleretic drug includes bile acids?
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flamen
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cholagol
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* cholenzym
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olimetin
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galstena
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What drugs are prescribed in case of Ursophalc long-term treatment?
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antibiotics
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* hepatoprotectors
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hormones
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anticoagulants
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choleretic
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What drugs of bile acids has litholytic effect?
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Flamen
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holagol
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* chenophalc
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allochol
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cholenzym
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What is an inhibitor of lithogenesis?
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somatotropin
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insulin
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* deoxycholic acid
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hydrochloric acid
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pepsinogen
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What is appointed to stimulate the synthesis of bile acids:
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flamin
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* phenobarbital
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allohol
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sorbitol
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chenophalc
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What is the mode in patients with cholelithiasis?
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decreasing sedentary
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hygienic gymnastics
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mobile games outdoors
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swimming, athletics
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* all of the above
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What kind of diet is prescribed to patients with cholelithiasis?
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№ 1
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№ 4
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* № 5
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№ 10
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№ 15
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What medicine belongs to interferons?
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Essentiale
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Cholenzym
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* Intron A
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Carsyl
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Prednisolon
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What must be added to food in patients with cholelithiasis?
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salt
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* cellulose
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sugar
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dairy products
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liquid
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What must be taken for electrophoresis in case of duodenogastral reflux?
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novocaine;
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* proserin;
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magnesium sulfate;
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papaverin;
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aspirin
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What should be restricted in the diet of patients with cholelithiasis?
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protein
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carbohydrates
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* high-melting fats
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vegetable fats
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aminoacids
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What sorbents are used in patients with cholelithiasis?
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cholestyramine
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polyphepan
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smectic
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karbolong
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* all of the above
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When the cholestasis, concentration of bile acids
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increases
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* decreases
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unchanged
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everything is true
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everything is wrong
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When the cholestasis, concentration of bile cholesterol and bilirubin in bile
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* increases
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decreases
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unchanged
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everything is true
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everything is wrong
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Which drug belongs to chloretics?
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smectic
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sorbitol
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* allochol
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festal
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almagel
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Which drug belongs to cholekinetics?
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allohol
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* epsom salt (MgSO4)
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cholosas
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cholagon
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galstena
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Which drugs are used in cholelithiasis?
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* choleretics and cholekinetics
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cholesympatolytics and cholestatics
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cholelitics, cholemimetics
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all of the above
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everything is wrong
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Which radiopaque preparation is not used for cholecystography?
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Bilignost
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Bilitrast
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Cholevid
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Iopagnost
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* All mentioned
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According to location of pathological process chronic pyelonephritis may be:
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Unilateral
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Bilateral
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Pyelonephritis of a single kidney
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No correct answer
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* All enumerated
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Anticoagulants are prescribed in the following caurse of glomerulonephritis:
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With uric syndrome
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With uric syndrome and hematuria
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In resistant hypertension
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* With nephrotic syndrome
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With acute nephritic syndrome
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For treatment of primary acute pyelonephritis all the following drugs are used except of:
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Ampicillin
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Palin
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Biseptol
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Nevigramon
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* prednisolon
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For treatment of primary acute pyelonephritis are used:
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* Antibiotics, sulfa drugs, uroseptics, phitodiuretics
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sulfa drugs, spasmolythics
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Antibiotics, uroseptics, hemostatics
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Antibiotics, spasmolythics, phitodiuretics
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sulfa drugs, spasmolythics, vitamina
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For treatment of pyelonephritis all the following drugs are used except of:
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Antibiotics
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uroseptics
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Preparations which improve urine outflow
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Nonsteroid anti-inflammatory agents
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* prednisolon
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For treatment of pyelonephritis it is necessary to prescribe:
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uroseptics
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Preparations which improve urine outflow
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Nonsteroid anti-inflammatory agents
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antibiotics
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* all mentioned
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For which period of time is it necessary to prescribe a bed mode for a patient with acute glomerulonephritis?
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Till disappearance of uric syndrome
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On 1-3 days
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* Till disappearance of edema and normalization of blood pressure
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On 3-5 days
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On 10-14 days
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Hypertonic type of chronic glomerulonephritis is manifested with:
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Normal blood pressure (BP) and uric syndrome
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High BP
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Edema and uric syndrome
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* High BP and edema
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Total edema
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In acute pyelonephritis in urine sediments may be found:
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* Protein and erythrocytes
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Protein and uric acid salts crystals
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Leukocytes
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Leukocytes and hyaline casts
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Erythrocytes and calcium oxalatis crystals
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In pathogenesis of chronic glomerulonephritis the most important role belongs to:
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Inflammation
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* Authoimmune process
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Immune disorders
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Disorders of hemostasis
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Liver disease
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In which age pyelonephritis usually develop in women?
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In childhood
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In young age
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* In moderate age
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In declining years
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In elderly people
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Main principle of treatment chromic pyelonephritis:
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To avoid overcooling
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* To remove disorders of urine outflow
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Sanation of focci of infection
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To avoid sulfa drugs
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Usage of adequate volume of liquid
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Most often the causative agent of acute glomerulonephritis is:
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* Hemolythic streptococcus group A
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Viruses
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Staphylococci and pneumococci
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Coli
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Fungi
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Most often the causative agent of acute pyelonephritis is:
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* E. Coli
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Proteus
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Streptococcus
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Viruses
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Chlamidia
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Progression of chronic glomerulonephritis is usually caused by:
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Infection
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* Hemodynamic changes in glomeruli
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Immune disorders
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disorders of urine outflow
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hyperuricemia
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Select complication of acute glomerulonephritis:
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* Acute renal failure
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Chronic renal failure
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Toxic shock
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Bleeding
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All mentioned
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Select complication of chronic glomerulonephritis:
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Acute renal failure
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* Chronic renal failure
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Toxic shock
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Bleeding
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All mentioned
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Select complication of chronic glomerulonephritis:
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Acute renal failure
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Chronic renal failure
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Toxic shock
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Bleeding
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* Hypertonic crisis
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The main difference between primary and secondary chronic pyelonephritis:
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Diabetes mellitus
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tonsillitis, caries
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chronic prostatitis
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decreased immune reactivity
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* disorders of urine outflow
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The most often complication of acute pyelonephritis is:
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Hypotension
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Hypertension
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Acute renal failure
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* Paranephritis
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Cardiopulmonary insufficiency
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The most typical causes of acute secondary pyelonephritis:
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Stricture of a urether
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* Stones of kidneys and urethers
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Prostatic gland cancer
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Pregnancy
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Iatrogenic affection of urethers
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The most typical provoking factor of primary pyelonephritis:
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Violation of diet
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Disorders in urine outflow
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* Decreased immune defense
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Hemodynamic disorders in kidney
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Diabetes mellitus
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The most typical provoking factor of secondary pyelonephritis:
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Violation of diet
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* Disorders in urine outflow
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Decreased immune defense
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Hemodynamic disorders in kidney
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Diabetes mellitus
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The most typical symptoms of acute pyelonephritis:
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Bacteriuria
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Chills and hectic fever
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Leukocyturia, pain
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Hematuria and leukocyturia
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* Lumbar pain, chills and hectic fever
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The most typical triad of symptoms in acute pyelonephritis:
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Thirst, anorexia, nausea
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Vomiting, diarrhoea, abdominal pain
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Disuria, nicturia, pollakiuria
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* Chills, lumbar pain, dysuria
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Pain in bones, joints and muscles
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The obvious condition for development of pyelonephritis:
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Arterial hypertension
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Heart failure
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* Disordered urine outflow
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Increased body weight
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Renal failure
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What is not typical for acute pyelonephritis:
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Leukocyturia
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proteinuria
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* edema
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Leukocytosis
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Increased ESR
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What is the main principle of diet in acute pyelonephritis?
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Restriction of proteins (beans) and water
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* Restriction of proteins (beans), spicy food
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Restriction of fats
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Restriction of products containing uric acid
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Increased caloric supplement
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What is the main principle of diet in chronic renal failure?
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* Restriction of proteins (beans) and water
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Restriction of proteins (beans), spicy food
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Restriction of fats
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Restriction of products containing uric acid
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Increased caloric supplement
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When in pyelonephritis th mass of affected kidney decreases?
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In acute serous inflammation
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In kidney carbuncul
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In fat dystrophy
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* In sclerosis of the kidney
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In pyonephrosis
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Which antibiotics used for treatment of glomerulonephritis are nephrotoxic?
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* Hentamycin
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Penicillin
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Phthorchynolones
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Macrolides
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Cephalosporines
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Which clinical sign is not typical for the beginning of pyelonephritis?
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Febril fever
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Lumbar pain
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Dysuria
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* Arterial hypertension
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chills
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Which is main drug for treatment of acute glomerulonephritis?
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Antibiotics
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* Glucocortecoids
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Immunodepressants
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Diuretics
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Calcium channel antagonists
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Which is main drug for treatment of acute pyelonephritis?
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* Antibiotics
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Glucocortecoids
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Immunodepressants
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Diuretics
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Calcium channel antagonists
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Which microorganism is the causative agent acute glomerulonephritis?
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* Beta-hemolythic streptococcus, type A
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Pneumococcus
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Mycoplasma
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Influenza virus
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Multiple bacterial microflora
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Which process in pyelonephritis is manifested with chills?
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Infection contamination of urinary ducts
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Fever
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* Appearance of bacteria in perypheric blood
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disorders of urine outflow
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disorders of kidney filtration function
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Which results of excretory urography are typical for secondary chronic pyelonephritis?
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Uneven shadows of kidneys
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Decreased sizes of kidneys, asymmetrically decreased secretion and excretion of raduipaque preparation
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* Deformation of calicies and caliculi system, asymmetrically decreased secretion and excretion of raduipaque preparation
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Dilataion of calicies and caliculi system
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Increased secretion of raduipaque preparation, decreased sizes of kidneys
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Which results of ultrasound examination should be expected in chronic glomerulonephritis?
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* Thin kidney parenchyma because of sclerosis on both sides symmetrically
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Thin kidney parenchyma because of sclerosis on one side
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