Modul 2 Symptoms and syndromes in diseases of internal organs Text test



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Pleurisy with effusion

  • Pneumothorax

  • Dry pleurisy

  • Pneumonia

  • For patient X. with bronchial asthma and emphysema X-ray was made. Which changes may be revealed?

    1. Pulmonary tissue infiltration

    2. * Poor lung pattern, plan diafragm

    3. Multiple small focci in the lungs

    4. Cavity in the lung

    5. Norm

  • For patient X. with chronic bronchitis X-ray was made. Which changes may be revealed?

    1. Pulmonary tissue infiltration

    2. Lung emphysema

    3. Multiple small focci in the lungs

    4. Cavity in the lung

    5. * Pointed lung pattern

  • For patient X. with lobar pneumonia X-ray was made. Which changes may be revealed?

    1. * Pulmonary tissue infiltration

    2. Lung emphysema

    3. Pultiple smll focuses in the lungs

    4. Cavity in the lung

    5. Norm

  • For patient X. with tuberculosis X-ray was made. Which changes may be revealed in millaty form of the disease?

    1. Pulmonary tissue infiltration

    2. Lung emphysema

    3. * Multiple small focci in the lungs

    4. Cavity in the lung

    5. Norm

  • Forced expiratory volume for the 1st second (FEV1) was measured in a patient. Which index of FEV1 corresponds to norm?

    1. * >80 %, deviation

    2. >80 %, deviation \=20-30 %

    3. . 60-80 % , deviation >30 %

    4. 60 %, deviation > 30 %

    5. 55 %, deviation \= 25 %

  • In a patient with tuberculosis X-ray was recorded. It was revealed numerous pathological focci in upper lung lobes of both lungs. Which data of auscultation is to be expected?

    1. Bronchial breathing

    2. Amphoric breathing at the affected side

    3. Vesicular breathing

    4. * Bronchovesicular breathing

    5. Weakened vesicular breathing

  • In a patient with pneumonia X-ray was recorded. It was revealed fluid in pleural cavity. Which data of auscultation is to be expected?

    1. Bronchial breathing

    2. Amphoric breathing at the affected side

    3. Vesicular breathing

    4. Bronchovesicular breathing

    5. * Weakened vesicular breathing of even absent over affected side

  • In sputum of patient Ya., 42 years old, atypical cells were found. Which disease these elements indicate on?

    1. Croupous pneumonia

    2. Chronic obstructive bronchitis

    3. Bronchial asthma

    4. Lung abscess

    5. * Lung cancer

  • In sputum of patient Ya., 42 years old, elastic fibers were found. Which disease these elements indicate on?

    1. Croupous pneumonia

    2. Chronic obstructive bronchitis

    3. Bronchial asthma

    4. * Lung abscess

    5. Chronic non-obstructive bronchitis

  • In sputum of patient Ya., 42 years old, the following elements are present: eosinophils, Charcot-Leyden crystals, Curshman’s spirals. Which disease these elements indicate on?

    1. Croupous pneumonia

    2. Chronic obstructive bronchitis

    3. * Bronchial asthma

    4. Acute bronchitis

    5. Chronic non-obstructive bronchitis

  • Patient B. is seeking for medical advice because of increased body temperatute up to 39 °C, cough. Bronchopneumonia was diagnosed in the patient. What onset is typical for bronchopneumonia?

    1. Sharp

    2. Acute

    3. Prolonged

    4. * Gradual

    5. Dilated

  • Patient B. is seeking for medical advice because of increased body temperatute up to 39 °C, cough. Bronchopneumonia was diagnosed in the patient. What provoking factor is the most often in bronchopneumonia?

    1. Overeating

    2. Overcooling

    3. * Viral or bacterial bronchitis

    4. Physical overload

    5. All mentioned

  • Patient B. is seeking for medical advice because of increased body temperatute up to 39 °C, cough. Pleuropneumonia was diagnosed in the patient. What provoking factor is the most often in pleuropneumonia?

    1. Overeating

    2. * Overcooling

    3. Viral or bacterial bronchitis

    4. Physical overload

    5. All mentioned

  • Patient B. is seeking for medical advice becаuse of increased body temperatute up to 39 ≥C, pain in the left part of the chest. Pleuroneumonia was diagnosed in the patient. What onset is typical for pleuropneumonia?

    1. Sharp

    2. * Acute

    3. Prolonged

    4. Gradual

    5. Dilated

  • Patient M., 46 years old, suffers with bronchiectatic disease for 20 years. Which method of diagnostics is the most informative in verification of diagnosis?

    1. Bronchoscopy

    2. Fluorography

    3. Ultrasound examination of pleural cavities

    4. * Computer tomography

    5. Bronchigraphy

  • Patient N. developed trauma of the chest in accident 2 hours before. He complains of progressing inspiratory dyspnea and pain in the chest. Tympanic percussion sound and absent vesicular breathing are revealed over the right part of the chest during physical examination. Which pathological condition these signs testify about?

    1. Consolidation of pulmonary tissue

    2. Lung emphysema

    3. Accumulation of fluid in pleural cavity

    4. * Accumulation of air in pleural cavity

    5. Norm

  • Patient N. is suffering from expiratory dyspnea. Bandbox percussion sound and weakened vesicular breathing were revealed. Which pathological condition these signs testify about?

    1. Consolidation of pulmonary tissue

    2. * Lung emphysema

    3. Thin chest wall

    4. Physical loading

    5. Norm

  • Patient N. is suffering from progressing inspiratory dyspnea. Dull percussion sound and absent vesicular breathing were revealed over the lower part of the right lung. Which pathological condition these signs testify about?

    1. Consolidation of pulmonary tissue

    2. Lung emphysema

    3. * Accumulation of fluid in pleural cavity

    4. Accumulation of air in pleural cavity

    5. Norm

  • Patient N. is suffering from cough, fever, dyspnea. Retardation of the left half of the chest during breathing was revealed as well as dull percussion sound and weakened vesicular breathing at the zone located downward from the VІ intercostal space. Which pathological condition these signs testify about?

    1. * Consolidation of pulmonary tissue

    2. Lung emphysema

    3. Thin chest wall

    4. Physical loading

    5. Norm

  • Patient P., 40 years old, was admitted to the hospital with complaints on cough with expectoration of sputum. Data of examination: dull percussion sound in the lower parts of the lungs. By auscultation bronchial breathing and adventitious crucking sound was heard. How to recognise this adventitious sound (is it crepitation of fine moist rales)? Select the proper characteristics.

    1. * Crepitation is heard only on the top of inspiration while moist rales are heard in both respiratory phases

    2. Moist rales are heard only on the top of inspiration while crepitation is heard in both respiratory phases

    3. During coughing rales are not changed

    4. Crepitation intensifies when to press phonendoscope to the chest

    5. Crepitation will change after coughing

  • Patient S. has experienced acute bronchitis. Which findings may be revealed during auscultation of his chest?

    1. Bronchial breathing all over the lungs

    2. Amphoric breathing on both sides of the chest

    3. Vesicular breathing

    4. * Harsh breathing

    5. Weakened vesicular breathing with prolonged expiration

  • Patient А. is ill for 20 years with chronic bronchitis. Now he complains of cough with difficult expectoration of viscous sputum especially in the morning. Wery often it he has prolonged attacks of cough with difficulty before expectoration of sputum. Which syndrome are such symptoms typical for?

    1. * Mucociliary insufficiency

    2. Bronchial obstruction

    3. Respiratory failure

    4. Pulmonary tissue consolidation

    5. Pulmonary tissue hyperpneumatization

  • Patient В. for a long time complains of subfebrine fever and general weaknes. In patient’s sputum atypical cells are found. What does it indicate on?

    1. Chronic bronchitis in exacerbation

    2. Pulmonary tuberculosis

    3. * Lung cancer

    4. Pulmonary tissue destruction

    5. Bronchial asthma

  • Patient Н. complains of low grade fever for last week as well as on moist cough. No data of respiratory disease in the past. In patient’s sputum there were found alveolar macrophages, leukocytes, coccal microflora. What does it indicate on?

    1. * Pneumonia

    2. Pulmonary tuberculosis

    3. Lung cancer

    4. Chronic bronchitis in exacerbation

    5. Bronchial asthma

  • Patient Х was treated because of acute respiratory infection for the last 4 days. Following examination of this patient revealed crepitation in the lower lobe of the left lung. Which pathological process do this phenomenon indicate on?

    1. Accumulation of viscous mucus in bronchi

    2. * Inflammation of pulmonary tissue (pneumonia)

    3. Lung emphysema

    4. Accumulation of liquid in the pleural cavity

    5. Attack of bronchial asthma

  • Which disease are presented below data of pleural fluid examination typical for: specific gravity - 1020, protein - 50 g/l, Rivolt’s test is positive (++), leuk. - 2-4 in v.f., erythrocites 50 in v.f., atypical cells:

    1. Pleurisy in tuberculosis

    2. Pleural empyema

    3. Pleurisy in pneumonia

    4. * Pleurisy in malignant tumour of pleura or lung tissue

    5. Congestive heart failure

  • Which disease are presented below data of pleural fluid examination typical for: specific gravity - 1020, protein - 35 g/l, Rivolt’s test is positive, leuk. - 15-20 in v.f., prevalence of neutrophils; erythrocites 1-2 in v.f., atypical cells are absent:

    1. Pleurisy in tuberculosis

    2. Pleural empyema

    3. * Pleurisy in pneumonia

    4. Pleurisy in malignant tumour of pleura or lung tissue

    5. Congestive heart failure

  • Which disease are presented below data of pleural fluid examination typical for: red color, smell is absent, viscous consistency, leuk. - 6-8 in v.f., erythrocytes 20-30 in v.f., mycobacteria are absent, moderate amount of atypical cells, elastic fibers 20-30 in v.f.:

    1. Focal pneumonia

    2. Chronic bronchitis

    3. Croupous pneumonia

    4. Lung abscess

    5. * Lung cancer

  • Which disease are presented below data of pleural fluid examination typical for: rusty color, smell is absent, viscous consistency, leuk. - 50-60 in v.f., erythrocites 3-5 in v.f., coccal mycroflora, macrophages 3-5 in v.f., mycobacteria and atypical cells are absent:

    1. Focal pneumonia

    2. Chronic bronchitis

    3. * Croupous pneumonia

    4. Lung abscess

    5. Lung cancer

  • Which disease are presented below data of pleural fluid examination typical for: specific gravity - 1035, protein - 14 g/l, Rivolt’s test is negative, leuk. – cove all vision field, erythrocytes 0-1 in v.f., atypical cells re absent:

    1. Pleurisy in tuberculosis

    2. * Pleural empyema

    3. Pleurisy in pneumonia

    4. Pleurisy in malignant tumour of pleura or lung tissue

    5. Congestive heart failure

  • Patient A. complaint of dyspnea. Vocal fremitus is weakened on the left side. By percussion the area of dullness on the left scapular line from the level of VІth rib downwards was revealed. It is necessary to carry out pleural puncture to this patient. Which indications to this procedute do you know?

    1. Bronchiectatic disease, complicated by emphysema of the lungs

    2. About high level of diaphragm, because of enlargement of the liver and spleen

    3. Acute bronchitis

    4. Pneumonia of the lower part of the right lung

    5. * Hydrothorax

  • A patient developed syndrome of air accumulation in pleural cavity. Which specific sound may be heard at the zone of air accumulation?

    1. Bronchial breathing above the whole affected side

    2. Amphoric breathing at the affected side

    3. Vesicular breathing

    4. Bronchovesicular breathing

    5. * Metallic respiration

  • A student during inspection of a patient with heart failure has found edema on patient's legs. Such edema in initial stage of heart failure occur:

    1. * In the evening

    2. In the morning

    3. At night

    4. Are persisting

    5. Are not typical

  • A student during inspection of a patient with 1st stage of heart failure has found edema. What is typical location of edema in initial stage of heart failure?

    1. * On legs

    2. Below eyes

    3. On arms

    4. All ower the body

    5. Are not typical

  • A student during inspection of a patient with heart failure revealed edema. The patient was on the bed mode for long time. In this case edema will be located:

    1. On legs

    2. Below eyes

    3. On arms

    4. All ower the body

    5. * On lumbar region

  • A student should perform inspection of a patient with final stage of heart failure and anasarca. In this case edema will be located:

    1. On legs

    2. Below eyes

    3. On arms

    4. * All ower the body

    5. Lumbar region

  • By palpation patient’s pulse is dull. In which case is it possible?

    1. Myocarditis

    2. Pericarditis

    3. Mitral defects

    4. * Atherocsclerotic induration of arteril wall

    5. Heart insufficiency

  • By palpation patient’s pulse is high and quick. How is this called in Latine?

    1. Pulsus parvus and tardus

    2. * Pulsus celler et altus

    3. Pulsus alternans

    4. Pulsus dicroticus

    5. Pulsus mollis

  • By palpation patient’s pulse is high and quick. Which heart valvular defect is it typical for?

    1. * Aortal incompetence

    2. Aortal stenosis

    3. Mitral incompetence

    4. Mitral stenosis

    5. Tricuspid incompetence

  • By palpation patient’s pulse is low and slow. How is this called in Latine?

    1. * Pulsus parvus and tardus

    2. Pulsus celler et altus

    3. Pulsus alternans

    4. Pulsus dicroticus

    5. Pulsus mollis

  • By palpation patient’s pulse is low and slow. Which heart valvular defect is it typical for?

    1. Aortal incompetence

    2. * Aortal stenosis

    3. Mitral incompetence

    4. Mitral stenosis

    5. Tricuspid incompetence

  • During examination of patient’s pulse a student revealed bradycardia. Rare pulse is observed in the case of:

    1. Increased body temperature

    2. Heart failure

    3. * Brain affections

    4. Myocarditis

    5. Thyrotoxicosis

  • During examination of patient’s pulse a student revealed bradycardia. Rare pulse is observed in the case of:

    1. Increased body temperature

    2. Heart insufficiency

    3. * Hypothyreosis

    4. Myocarditis

    5. Thyrotoxicosis

  • During examination of patient’s pulse a student revealed tachycardia. Tachycarida is observed in the case of:

    1. Narrowing of aortic aperture

    2. Hunger

    3. Brain affection

    4. * Fever

    5. Jaundice

  • During examination of patient’s pulse a student revealed tachycardia. Tachycarida is observed in the case of:

    1. Narrowing of aortic aperture

    2. Hunger

    3. Brain affection

    4. * Thyrotoxicosis

    5. Jaundice

  • During examination of patient’s pulse a student revealed tachycardia. Tachycarida is observed in the case of:

    1. Narrowing of aortic aperture

    2. Hunger

    3. Brain affection

    4. * Decompensation of heart failure

    5. Jaundice

  • How apex beat will be changed in aortal valve defects?

    1. Low

    2. Reduced

    3. Negative

    4. * Diffuse

    5. Not changed

  • How apex beat will be changed in arterial hypertension?

    1. Low

    2. Reduced

    3. Negative

    4. Not changed

    5. * Diffuse

  • How apex beat will be changed in chronic left ventricular heart failure?

    1. Low

    2. Reduced

    3. Negative

    4. Not changed

    5. * Resistant

  • During general inspection of a patient the specific cyanotic color of his lips, as well as skin pallor with yellowish tint and flash on the cheeks were revealed. What pathological condition are thеse signs typical for?

    1. * Mitral stenosis

    2. Aortal stenosis

    3. Septic endocarditis

    4. Rheumatic fever

    5. Hypertonic crisis

  • During general inspection of patient К. a doctor had noticed specific light-brown colouring of patient’s skin (“coffee with milk”). Petechial hemorrhagic rash is observed on conjunctivas and skin of the trunk (Lukin’s symptom). What pathological condition are these data typical for?

    1. Angina pectoris

    2. Myocardial infarction

    3. * Septic endocarditis

    4. Rheumatic fever

    5. Hypertonic crisis

  • Patient A., a woman of 67 years old, complains of attacks of retrosternal pain, dyspnea in physical load and in rest. Data of examination: the face is pale, cyanosis of lips, edema on the legs. The absolute heart dullness borders are as follows: the right – at the right edge of the sternum, the left –2 cm laterally from midclavisular line in VI intercostal space, the upper – at the cartilage of the IV rib on the right parasternal line. What is the probably reason for the pain?

    1. Ischemic heart disease

    2. * Left ventricular hyperthrophy and relative coronary insufficiency

    3. Pneumonia

    4. Pneumothorax

    5. No any of mentioned above

  • Patient L., 75 years old, suffers with atherosclerosis. Aortic valve stenosis was diagnosed. What change of pulse filling is typical for this pathology?

    1. Increased

    2. * Decreased

    3. Different

    4. Not changed

    5. All mentilned above

  • Patient L., 75 years old, suffers with atherosclerosis. Atrial fibrillation was diagnosed. What change of pulse filling is typical for this pathology?

    1. Increased

    2. Decreased

    3. * Different

    4. Not changed

    5. All mentilned above

  • Patient L., 75 years, suffers with atherosclerosis. The aortic valve incompletence was diagnosed. What change of pulse filling is typical for this pathology?

    1. * Increased

    2. Decreased

    3. Different

    4. Not changed

    5. All mentilned above

  • Patient M., 22 years old, suffers with rheumatic heart disease since childhood. By inspection it was revealed movements of his head in anterioposterior direction synchronous with cardiac beats, the skin is pallid. Pulsation of carotic arteries is present on the neck. How is this phenomenon called?

    1. norm

    2. * ”Carotic shudder”

    3. Kurvuazie’s sign

    4. Koher’s sign

    5. any answer is correct

  • Patient P. is sufferind with hypertension of І stage (blood pressure -140/90 mm Hg). After intramuscular injection of medicamentous preparation suddenly abrupt skin paleness appeard, and the patient had lost consciousness. Data of inspection: blood pressure is 90/50 mm of Hg, tachycardia. What patological condition has developed?

    1. * Collapse

    2. Shock

    3. Hypertonic crisis

    4. Heart attack

    5. Bronchospasm

  • Patient S. with heart failure developed edema. Why cardiac edema is always located on the lower parts of patient’s body?

    1. Due to decrease of oncotic pressure of the blood

    2. Due to decrease of hydrostatic pressure in the vascular bed

    3. * Due to increase of hydrostatic pressure in the leg veins, slowing of blood flow, especially in the lower parts of patient’s body

    4. Due to increase concentration of antidiuretic hormone

    5. Due to increase concentration of aldosterone

  • Patient D., 70 years old, is on long-standing treatment in therapeutic department because of ischemic heart disease. He tends to sit with the lowered legs. What position does take place in this case?

    1. Passive

    2. Active

    3. Forced passive

    4. * Ortopnoe

    5. Horizontal

  • Patient К., 37 years old, is occupying a forced posture: he is sitting, and bending forward. Data of general inspection: cyanosis, edema on the face, hands and neck, as well as swelling of jugular veins (Stock’s symptom). What pathological condition are these signs typical for?

    1. Mitral stenosis

    2. * Exudative pericarditis

    3. Septic endocarditis

    4. Rheumatic fever

    5. Hypertonic crisis

  • Patient К. was hospitalised to the therapeutic department of a clinic with disease of a heart. His pulse is irregular and of different filling and tension, pulse waves come after each othe in absolutelly different periods of time. What kind of arhythmia is such a pulse typical for?

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