Modul 2 Symptoms and syndromes in diseases of internal organs Text test
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Data of auscultation of a heart: near the left edge of the sternum in third - fourth intercostal spaces the changeble murmur is listened. The murmur is synchronous with heart contractions. The examiner supposes pericardial friction sound in the patient. Which maneur may help in recognition of the murmur?
During examination of patient’s heart a student has felt systolic thrill at the basis of patient’s heart. Systolic thrill is the equivalent of:
During examination of patient S. aortal incompetence was revealed. The patient complains of headache, periodical dizziness. Skin palenes is visible as well as pulsation of carotic arteries. Which auscultaroty penomenon may be heard on femoral arteries?
In patient C. aortal incompetence was determined. Indicate, please, expected changes of his blood pressure.
In patient C. aortal incompetence was determined. Indicate, please, expected changes of his pulse.
In patient S. weakened І sound above the heart apex is heard. Mitral incompetence was diagnosed. What cardiac murmur is it possible to reveal by auscultation?
In patient S. weakened I and II heart sounds are heard as well as murmur in II intercostal space rightward of the sternum. Aortal stenosis was diagnosed. What cardiac murmur is it possible to reveal by auscultation?
In patient S. weakened I and II heart sounds are heard as well as murmur in Botkin-Erb’s point. Aortal incompetence was diagnosed. What cardiac murmur is it possible to reveal by auscultation?
Assess the following data of stomach probing: basal secretion: total acidity - 10 mmol/l; free НСІ - 5 mmol/l; combined НСІ - 1 mmol/l; debit-hour – 0,5 mmol/l. It is typical for:
A doctor has performed deep sliding palpation of patient’s intestine. In the norm the length of sigmoid intestine is equal to:
A doctor has performed deep sliding palpation of patient’s intestine. Which part of the intestine is is necessary to examine after caecum?
A doctor has performed deep sliding palpation of patient’s stomach. Small stomach curve may be revealed by palpation:
A doctor has performed deep sliding palpation of patient’s stomach. In the norm stomach lower border is situated:
A doctor has performed deep sliding palpation of patient’s intestine. Which part of the intestine is is necessary to examine first of all?
A doctor has performed deep sliding palpation of patient’s intestine. What is normal diameter of caecum?
A doctor has performed deep sliding palpation of patient’s intestine. Which part of the intestine is it necessary to examine after caecum?
A doctor performs deep sliding palpation of patient’s intestine. Which part of the intestine is examined in the last order?
A patient complaints of pain in epigastrium which intensifies after intake of spicy food. Sometimes he develops vomiting with previous nausea. Affection of which part of digestive tract should you suspect?
A patient developed symptomes: loss of appetite, disgust to meat, nausea, loss of body weight, feeling of stomach overdistension after meals, depression. These signs indicate on:
A patient developed vomiting with undigested food immediatelly after meals without previous nausea. Vomiting usually occurs if the patients decline forward. Affection of which part of digestive tract should you suspect?
A patient is troubled with nght hunger pain in epigasrium, nausea and heartburn. Which method is the most informative in verification of diagnosis?
A student is determining position of stomach lower border by palpation. He put the right hand 3 cm below xyphoid process revealed by palpation elastic cylinder 2 cm length which is slightly movable and painless, does not produce rumbling sounds. What the organ is this?
Assess the following data of stomach probing: basal secretion: total acidity - 50 mmol/l; free НСІ - 30 mmol/l; combined НСІ - 10 mmol/l; debit-hour - 3 mmol/l. It is typical for:
Assess the following data of stomach probing: basal secretion: total acidity - 0 mmol/l; free НСІ - 0 mmol/l; combined НСІ - 0 mmol/l; debit-hour – 0 mmol/l. It is typical for:
By percussion of a liver by Kurlov’s method the following liver sizes were revealed: 12 х 10 х 9 cm. It may be present in all pathological conditions except of:
Data of examination of a patient: sclera a slightly yellow, "spider angiomata" on the skin, palmary erytema, laffing off hairs, dilatation of veins of abdominal wall. Affection of which organ may you suspect?
Data of rectoromanoscopy: mucosa of proctosigmoid part of the intestine is pink, lustrous, smooth with visible non-dilated vessels. What is your interpretation of these data?
During deep sliding palpation of parts of intestine a doctor revealed that sigmoid colon diameter is decreased, it is of solid consistence and painful. What these data indicate on?
During examination of a patient dyskinesia of bile ducts was revealed. Which method of examination is informative for verification of diagnosis?
During examination of a patient with peptic ulcer it was revealed pain in epigastrium when to percuss with tips of fingers on abdominal wall. This symptom is called:
During inquiry it was revealed that a patient complains on general weakness, dizziness and tarry stools. Which pathology chould you suspect?
During palpation of a liver a doctor revealed it in the right hypochondrium at midclavicular line. Liver lover border is 1 cm lower from the costal arch, its edge is acute, mild, painless. It is typical for:
During percussion splashing sound was revealed rightward from midline. Which symptome is positive in the patient?
During X-ray examination of a stomach “defect of filling” was revealed. Which disease is it typical for?
During X-ray examination of a stomach barium sulphate solution was revealed in it 24 hours after intake per os. How to interpret these data?
During X-ray examination of a stomach the “niche symptome” was revealed. Which disease is it typical for?
During inspection of a patient with liver disease “spider angiomata” were revealed. How do they look like?
Edema on lower limbs in liver cirrhosis indicates on:
Fractional stomach probing of patient I. shoves decreased acidity. Which appetite is typical for this condition?
Fractional stomach probing of patient I. shoves increased acidity. Which appetite is typical for this condition?
Fractional stomach probing of patient I. with stomach cancer shoves achilia. Which appetite is typical for this condition?
Fractional stomach probing was performed for a patient. It was revealed increased acidity of stomach content. Which stool is typical for these patients?
Fractional stomach probing was performed for a patient with gastritis type A. It was revealed decreased acidity of stomach content. Which stool is typical for these patients?
In a patient splashing sound was revealed by percutory palpation of the abdomen in 1 hour after the last meal. What this sign indicates on?
In a patient splashing sound was revealed by percutory palpation of the abdomen in 8 hours after the last meal. What this sign indicates on?
In patient H. which suffers from peptic ulcer during palpation of abdominal wall it was revealed muscular defence. Abdominal wall is rigid, the patient can not relax muscles by himself, liver dullness is absent. Which possible complication is present in the patient?
In patient L. chronic gastritis with considerably decreased secretory function of the stomach was diagnosed. Which will be appearance of patient’s tongue?
Intragastral pH-metry was performed for a patient. The result is: рН =7,0. What is indicate on?
Patient applies for medical advice because of pain in paraumbilical region which appears mostly in the morning, it is crumping and is followed with intestinal inflation. Affection of which part of digestive tract should you suspect?
A patient applies for medical advice with complaints on intensive attack-like crumping pain in the right hypochondrium irradiating to the right shoulder. Affection of which part of digestive tract should you suspect?
A patient applies for medical advice with complaints on belting pain after meals which decreases after usage of enzymes. Affection of which part of digestive tract should you suspect?
A patient complains of erructation with the smell of “rotten eggs” and on diarrhea. Such complaints are typical for:
A patient complains of impossibility to swallow, unpleasant sensations behind the sternum during meals. This symptome is named:
A patient complains of nausea, vomiting, erructation and heartburn. Which syndrome are these complaints typical for?
A patient complains of spastic pain in paraumbilical region and abdominal flatulence. The first step in examination of the patient by palpation should be the following:
Patient E. complains of heartburn, eructation with acid content. During fractional stomach probing it was revealed high acidity of the ocontent. Which will be appearance of patient’s tongue?
Patient F. which often uses alcohol, had viral hepatitis 5 years ago. During inspection "medusa head " was revealed. Which pathological condition is this sign typical for?
Patient G. is seeking for medical advise because of periodical crumping pain in the lower parts of abdominar region, pain does not depend on food intake and it arises before defecation. Affection of which part of digestive tract should you suspect?
Patient is troubled with periodical pain in epigastrium, which appears 20-30 min after meals. This pain is called:
Patient K. after party, where he used alcohol, had developed unpleasant sensations in epigastrium, general weakness, salivation and nausea. Which pathological condition theses symptoms are typical for?
Patient L. complains of pain in epigastrium which occurs mostly at night and disappears after meals. This problem arises in autumn and spring. Which disease this pain pattern is typical for?
Patient R. complains of increased frequency of defecation till 4-5 times a day within the last weak. Volume of stool and amount of liquid in it are also increased. Which possible cause of this condition do you know?
Peptic ulcer was diagnosed in a patient. Which method is useful in recognition of Helicobacter pylori infection?
In patient L. chronic gastritis with considerably inecreased secretory function of the stomach was diagnosed. Which will be appearance of patient’s tongue?
In patient L. perforation of peptic ulcer was diagnosed complicated with peritonitis. Which will be appearance of patient’s tongue?
In patient L. chronic hepatitis was diagnosed. Which will be appearance of patient’s tongue?
Fractional stomach probing was performed for a patient with gastritis type B. It was revealed increased acidity of stomach content. Which stool is typical for these patients?
In patient L. chronic gastritis with considerably inecreased secretory function of the stomach was diagnosed. Which will be appearance of patient’s tongue?
In patient L. perforation of peptic ulcer was diagnosed complicated with peritonitis. Which will be appearance of patient’s tongue?
In patient L. chronic hepatitis was diagnosed. Which will be appearance of patient’s tongue?
Fractional stomach probing was performed for a patient with gastritis type B. It was revealed increased acidity of stomach content. Which stool is typical for these patients?
A 29-year-old woman is critically ill. The illness was manifested by high fever, chills, sweating, aching pain in lumbar area, a discomfort in urination, and frequent voiding. Pasternatsky’s sigh is positive on both sides. On lab exam, WBC of 20.000/mcL; on urinalysis protein of 0.6g/L, leukocyturia, bacteriuria. Which pathological condition is it typical for?
A 40-year-old man complained of headache in occipital area. On physical examination, the skin was pale; there was face and hand edema, blood pressure of 170/130 mm Hg. On EchoCG, there was hypertrophy of the left ventricle. Ultrasound examination of the kidneys revealed thinned cortical layer. Urinalysis showed proteinuria of 3.5 g/day. Which pathological condition is it typical for?
A blood test was prescribed to a patient with iron-deficiency anemia for determination of iron. Specify, what amount of iron of blood serum is in norm (mk m/l)
Patient E, 42 y.o., who is for 8 years ill with chronic glomerulonephritis, complains of head pains, nausea, vomit, itch of skin. What changes may be expected in blood?
Patient E., 52 y.o., who is ill with chronic pyelonephritis, biochemical blood test is conducted. What changes may be?
In patient F., 30 y.o., urine is taken for analysis. Casts were found out in urine. What is this?
In patient F., 30 years old., urine is taken for analysis. Hyaline casts were found out in urine. What are hyaline casts?
In patient M., 37 y.o., it was found out violation of process of urine filtration. What department of nephrone is filtration of urine located in?
Patient M. develops pyelonephritis. What laboratory sign is most characteristic for this pathology?
At the blood analysis of patient A. was determined the level of haemoglobin – 92 gr/l. Specify, what level of haemoglobin is normal for women:
During research of patient’s urine the following findings were revealed: 5-6 leukocytes are found in 1 vision field, single fresh red cells in 1 vision field. What research must be appointed to a patient for clarification of diagnosis?
During the routine inspection of a teenager blood test was made, in which were foun the following data of leukocytes formula: juvenile neutrophils – 3 %, stab neutrophils – 10 %. Which cells of granulocytic row are normally in the perypheric blood flow?
In a patient A., 30 years old, urine was taken for analysis. There was found out a lot of changed red cells in the urine (1/2 of every vision field). What is the possible cause of their origin in the urine?
For a patient E., 38 y.o., there are attack-like pains in a counter-clockwise lumbar area, which irradiate downward. Wqhat these data indicate on?
In patient A. it was found out violation of concentration function of kidneys. What area of nephrone does participate in the concentration of urine?
For patient E., 52 years old, who is ill with chronic pyelonephritis for 12 yers, biochemical blood test is conducted. What changes may be found if the patient has renal failure?
For patient I., 54 years old, paranephritis is diagnosed. What position does patient with paranephritis assume?
For the patient of 43 y.o., in the urinalysis it is found out the changed red cells. What is the cause of appearance red cells in urine?
For what purpose Tompson’s test is performed (tree-glass test)?
In patient T., 30 y.o., it was found iron-deficiency anemia, confirmed by laboratory blood test. Specify the most typical complaints for iron deficiency.
In patient T., 30 y.o., it was found iron-deficiency anemia, confirmed by laboratory blood test. Specify the most typical complaints for iron deficiency
In patient T., 30 years old iron-deficiency anemia was found, confirmed by laboratory blood test. Specify the most typical complaints for iron deficiency.
In the complete blood count of a patient it was found that the concentration of haemoglobin is 92 g/l, color index is 0,8. A patient is undergone treatment because of iron-deficiency anaemia. What changes are characteristic in the complete blood count in this disease?
In urine of the patient of 43 years old, it were found out the changed red cells . What is appearance in urine of the changed red corpuscles related to?
A patient, 38 y.o., complains on weakness, dizziness, dyspnea, burning sensations in the tongue. During examination there were found signs of folic acid-deficiency anemia. What kind of tongue is typical for this disease?
A patient, 38 years old, complains on weakness, dizziness, dyspnea, burning sensations in the tongue. During examination there were found the signs of folic acid-deficiency anemia. What kind of tongue does this patient have?
A patient, 40 years old, has massive uterine bleeding. During inspection the signs of hypochromic anemia were found. Which research is specific for the assessment of treatment efficiency and regeneration function of the bone marrow?
Patient A., 35 years old, is troubled with appearance of sediment in his urine which make the urine cloudy but disappear in an hour. Appearance of what substance in urine can you suspect?
Patient A., 35 years old, is troubled with appearance of sediment in his urine which make the urine cloudy and don’t disappear in an hour. Appearance of what substance in urine can you suspect?
Patient A., 35 years old, is troubled with appearance of sediment in his urine which make the urine cloudy but disappear in an hour. Appearance of what matter in urine can you suspect?
Patient A., 35 years old, is troubled with increased amount of urine excreted per day. During examination is was revealed that urine specific gravity is increased. Appearance of what matter in urine makes its gravity increased?
Patient A.complains of unpleasant feelings in lumbar region, oedema below eyes in the morning. She was fallen ill sharply 3 days ago. 2 weeks ago he had influenza. What inspection must be conducted?
Patient E. 48 years old., is ill with chronic pyelonephritis for 10 years. What changes in biochemical blood test do indicate on kidney insufficiency?
Patient E. has renal failure. By physical examination it was revealed swelling of subcutaneous tissue of whole the body. Accumulation of liquid in subcutaneous fat tissue on whole the body is called:
Patient E., 38 years old, complains of attack-like pains in lumbar area, which irradiate downward. What does can this symptom testify about?
Patient I. 40 years old, 5 years ago was undergone the resection of stomach because of peptic ulcer complication. The expressed general weakness, shortness of breath, appeared lately. Blood test: er. 3,1x1012/l, Hb 60 gr/l, color index 0,6, leukocytes 4,5x109/l, eosynophiles 2%, stub 3%, segm. neutr. 55%, lymph. 32%, mon. 8%, ESR 5 mm/hour. What laboratory test will help in clarification of diagnosis?
Patient M., 27 years old, is ill for 7 years with chronic glomerulonephritis. Name possible changes of cardiovascular system?
Patient M., 52 years old., experienced edema. Acute glomerulonephritis was diagnosed. What is the pattern of edema in this disease?
Patient P, a woman, complains of dizziness, faintness, dyspnea. Data of inspection: skin is pale with yellow tint. What data will prove diagnosis “anemia”?
Patient A., 38 years old , developed acute nephritis. What color of urine may be found in this patient?
The patient with pernicious anemia has suddenly increased temperature to 39,20С. What is the reason of temperature rise?
Skin paleness in patients with kidney diseases usually is combined with:
During palpation of a person of asthenic constitution in vertical position a doctor revealed the lower pole of the right kidney. Kidney surface is smooth, painless and solid. The left kidney was nor felt by palpation. What these data testify about?
During palpation of kidneys the following was revealed: it is possible to palpate all the kidney, it is easly displaceble, but does not move to the opposite side of the body. Which degree of nephroptosis is present?
A patient complains of gingival bleedings, incraesed body temperature till 38`C,marked general weakness.He feels himself sick for the recent 2weeks.Data of objective examination: petechnia on the skin,by palpation enlarged submandibular axillary and femoral lymph nodes.Data of CBC: thrombocytes-120000/l, Le-18,6 .10`9/l, blast cels-80%, ESR-36 mm/hr. Acute leukaemia is diagnosed. Which symptom indicate an intoxication syndrome?
A patient complains of gingival bleedings,incraesed body temperature till 38`C,marked general weakness.He feels himself sick for the recent 2weeks.Data of objective examination,petectnia on the skin,by palpation enlarged submandibular axillary and femoral lymph nodes.Data of CBC: thrombocytes-120000/l, Le-18,6 .10`9/l, blast cels-80%, ESR-36 mm/hr. Acute leukaemia is diagnosed. Which symptoms indicate a malignant proliferation?
A patient complains of gingival bleedings,incraesed body temperature till 38`C,marked general weakness.He feels himself sick for the recent 2weeks.Data of objective examination,petectnia on the skin,by palpation enlarged submandibular axillary and femoral lymph nodes.Data of CBC: thrombocytes-120000/l, Le-18,6 .10`9/l, blast cels-80%, ESR-36 mm/hr. Acute leukaemia is diagnosed. Which symptoms indicate on hemorrhagic syndrome?
A patient suffers of peptic ulcer. The last exacerberation starts 1week ago. Since the last evening the patient has noticed dissappearance of pain. Data of examination:moderate severity,skin is pale and covered with cold sweat. BP is 105/70mm of Hg. PS-105 per min. Which hematologic problem may arise in the patient in 3days?
A patient suffers of peptic ulcer. The last exacerberation starts 1week ago.Since the last evening the patient has noticed dissappearance of pain. Data of examination:moderate severity,skin is pale and covered with cold sweat. BP is 105/70mm of Hg. PS-105 per min. Which complication of the main disease are thsese signs typical for?
A 54-year-old woman complains of increasing fatigue and easy bruising of 3 weeks’ duration. Physical findings included pale, scattered ecchymoses and petechiae and mild hepatosplenomegaly. CBC: RBC – 2.5x1012/L; Hb – 73 g/L; HCT 20%; PLT – 23.000/mcL; and WBC – 162x109/L with 82% of blasts. What is the most probable diagnosis?
A 60-year-old man complains of fever, significant weight loss, bone and joint pain, and bleeding gums. On exam, paleness, lymphadenopathy, hepato- and splenomegaly. CBC\: WBC – 270•109/L with 13\% lymphocytes, 1\% monocytes, 21\% basophiles, 29\% neutrophils, 9\% blasts, 12% promyelocytes, 12\% myelocytes, 2\% metamyelocytes, 1\% eosinophils. ESR – 22 mm/h. What is the most probable diagnosis?
A patient complains of gingival bleedings,incraesed body temperature till 38`C,marked general weakness.He feels himself sick for the recent 2weeks.Data of objective examination,petectnia on the skin,by palpation enlarged submandibular axillary and femoral lymph nodes.Data of CBC: erythrocythes-2,1.10 9/l,Hb-80g/l, thrombocytes-120000/l, Le-18,6 .10`9/l, l%,stub-2%,segm-9%, lymph-5%, mon-3%, blast cels-80%, ESR-36mm/hr.Which data of CBC directly proves diagnosis of acute leukaemia?
A patient complains of gingival bleedings,incraesed body temperature till 38`C,marked general weakness.He feels himself sick for the recent 2weeks.Data of objective examination,petectnia on the skin,by palpation enlarged submandibular axillary and femoral lymph nodes.Data of CBC: erythrocythes-2,1.10 9/l,Hb-80g/l, thrombocytes-120000/l, Le-18,6 .10`9/l, l%,stub-2%,segm-9%, lymph-5%, mon-3%, blast cels-80%, ESR-36mm/hr.Which disease has developed in the patient:
A patient had stomach resection a year ago. He complains of general weakness, giddiness. Blood count: Er 2,6 g/L, Hb 80 g/L, color index 0.7, L – 3.7 g/L, reticulocytes 1%, segm. neutroph. 56%, lymph. 34%, mon. 6%, ESR 17 mm/hour. Erythrocytes are hypochromic; there are anisocytosis and poikilocytosis. Serum iron 5 mcmol/L. Which pathological condition are these data typical for?
A patient suffers of peptic mucous disease for more than 5 years. The last exacerberation starts 1week ago.Since the last evening the patient has noticed dissappearance of pain. Data of examination:moderate severity,skin is pale and covered with cold sweat. BP is 105/70mm of Hg. PS-105 per min. Which examination is necessary to prescribe for verification of diagnosis?
A patient who suffers from postheamorrhagic anemia was treated with tardiferon. Within five weeks. Now erythrocytes and hemoglobin contents correspond to norm. Which criteria of laboratory test are necessary to for control of treatment efficacy?
A patient, 35yrs old, complains of weakness, palpitation, flickering before eyes, dizziness. He has peptic ulcer in anamnesis. Data of examination: skin palor, vesicular breathing in lungs, systolic murmur at heart apex, pulse rate-100/min, BP-100/70 mm of Hg. Data of CBC: erythrocytes-3,2.1012/l, Hb-75g/l CI-0,7. What is probable cause of anemia in this case?
A patient, 35yrs old, complains of weakness, palpitation, flickering before eyes, dizziness. He has peptic ulcer in anamnesis. Data of examination: skin palor, vesicular breathing in lungs, systolic murmur at heart apex, pulse rate-100/min, BP-100/70 mm of Hg. Data of CBC: erythrocytes-3,2.1012/l, Hb-75g/l CI-0,7. Which type of anemia is present?
A patient, 40yrs old, complains of weakness, fragility of nails, loss of hair. He has duodenal ulcer in anamnesis. Data of fibrogastroscopy: duodenal deformation because of scars. Data of CBC: erythrocytes-3,6.1012/l, Hb-90g/l, CI-0,7, serum iron-8,7micmol/l. What is the pathogenesis of anemia in this case?
A patient, 48yrs old, suffers from prolonged menses with severe discharge of blood. Last 3months she complained of general weakness, dizziness, attacks of palpitation, flickering before eyes. Data of examinations: skin pallor, fragility of nails. On ECG, extrasystoly is recorded. Data of CBC: erythrocytes-2,8.1012/l, Hb-96g/l, CI-0,7, anisocytosis, poikilocytosis. ESR-4mm/hr. What is the cause of anemia?
A patient, 55yrs old, complains of pain in sternal bone and in ribs. 6 months ago he had pathological fracture of the left shin. Data of lab tests: protein-110g/l, positive M-gradient. The patient is suspected plasma cell myeloma. Which rest is necessary to prescribe?
A patient, 60yrs old, complains of general weakness, fatigue, parestesia in limbs. He had resection of stomach 3years ago because of peptic ulcer. Data of examination: the tongue is of raspberry colour and smooth, the patient is not stable in Romberg’s position. Data of CBC: erythrocytes-2,5.1012/l, Hb-88g/l CI-1,3, macrocytosis. What disease is present?
A patient, 60yrs old, complains of general weakness, fatigue, parestesia in limbs. He had resection of stomach 3years ago because of peptic ulcer. Data of examination: the tongue is of raspberry colour and smooth, the patient is not stable in Romberg’s position. The patient is diagnosed vitamin B12 deficiency anemia. How do you explain parestesia?
A patient,35yrs old, who suffers of autoimmune gastritis and vitamin B12-deficiency anemia, presents signs of funicular myelosis. Data of CBC: erythrocyte-2,2.1012/l, Hb-80g/l, LC-2,4.109/l, ESR-40mm/hr, direct bilirubin-8,6micmol/l, indirect bilirubin-27micmol/l. What is funicular myelosis?
A patient,35yrs old, who suffers of autoimmune gastritis and vitamin B12-deficiency anemia, presents signs of funicular myelosis. Data of CBC: erythrocyte-2,2.1012/l, Hb-80g/l, LC-2,4.109/l, ESR-40mm/hr, direct bilirubin-8,6micmol/l, indirect bilirubin-27micmol/l. Which substance is not produced with patient’s gastric mucosa responsible for vitamin B12 absorption in intestine?
A patient,35yrs old, who suffers of autoimmune gastritis and vitamin B12-deficiency anemia, presents signs of funicular myelosis. Data of CBC: erythrocyte-2,2.1012/l, Hb-80g/l, LC-2,4.109/l, ESR-40mm/hr, direct bilirubin-8,6micmol/l, indirect bilirubin-27micmol/l. What is probable reason of funicular myelosis?
During assessment of a patient at risk for hematologic problems, the doctor palpates the patient's spleen just below the ribs on the left side. What is correct interpretation of obtained results?
In a patient, 30yrs old, aplastic anemia was diagnosed. What is pathogenesis of anemia?
In patient B 46 y.o who suffers of chronic obstructive pulmonary disease for 15 years, in CBC it was revealed that erythrocytes account is equal to 4,5 .1012/l. there are no other changes in CBC and bone marrow puncture. What is the correct interpretation of obtained results?
In patient B 46 y.o who suffers of chronic obstructive pulmonary disease for 15 years, in CBC it was revealed that erythrocytes account is equal to 4,5 .1012/l. there are no other changes in CBC and bone marrow puncture. Select the main mechanism of erythrocytosis in chronic hypoxia in patients with bronchopulmonary diseases:
In patient who suffers from duodenal ulcer complains of general weakness, dyspnoe in insignificant physical load and desire to eat a chalk. Data of objective examination: skin paleness, throphic changes of skin. CBC: erythrocytes 3,3.1012/l Hb 90g/l Ci-0,75, reticulocytes-2%, serum iron-5,6 micmol/l. Which pathological condition takes place?
Patient 38 years old complains on weakness, dizziness, dyspnea, burning sensations in the tongue. During examination were found the signs of folic acid-deficiency anemia. In which diseases usually this type of anemia develops?
Patient 38 years old complains on weakness, dizziness, dyspnea, burning sensations in the tongue. During examination were found the signs of folic acid-deficiency anemia. In which diseases usually this type of anemia develops?
Patient V., 40 years old, has massive uterine bleeding. During inspection the signs of hypochromic anemia were found. Which research is specific for diagnostics?
Patient B, 25 years old, complains of weakness, dizziness, hemorrhagic rash on the skin. She is ill for the last month. Data of CBC: erythrocytes- 1,0. 1012/l, Hb-30g/l, CI-0,9, LC-1,2.109/l, thrombocytes-42.109/l. How to make interpretation of these results?
Patient B, 25 years old, complains of weakness, dizziness, hemorrhagic rash on the skin. She is ill for the last month. Data of CBC: erythrocytes- 1,0. 1012/l, Hb-30g/l, CI-0,9, WBC-1,2.109/l, thrombocytes-42.109/l. Which examination method is the most informative in verification of diagnosis?
Patient L., 46 years old, a woman, is inspected by a doctor. Data of inspection\: the face is of intensive red colour, round (like Moon), hair growth is present on patient's chin and under the upper lip. Which disease this facial expressionis typical for?
Patient L., 46 years old, a woman, is inspected by a doctor. Data of inspection\: the face is of intensive red colour, round (like Moon), hair growth is present on patient's chin and under the upper lip. Which disease this facial expressionis typical for?
Patient, 62yrs old, is hospitalized with complaints of enlargement of neck, subclavian and axillary lymph nodes, general weakness, increased sweating, subfebrile body temperature within the last 3months. Data of CBC:WBC-64.109/l, lymphocytes-72%. Which examination method is necessary for diagnosis?
Patient, 62yrs old, is hospitalized with complaints of enlargement of neck, subclavian and axillary lymph nodes, general weakness, increased sweating, subfebrile body temperature within the last 3months. Data of CBC: WBC-64.109/l, lymphocytes-72%. Blast cells 1-2%. Which disease is possible to suspect?
Patients P., a female, feels general and muscular weakness,dyspnoe, dizziness, fragidity of hair and nails, desire to eat chalk. She has data about uterine fibromyoma with frequent bleedings in the anamnesis. Data of CBC: 2,8.10`12/l, HB-105g/l, color index-0.78, anisocytosis, poikilocytosis, serum iron-10mmmol/l. Which diagnosis is prescribed?
When taking the blood pressure of a patient after a parathyroidectomy, the doctor notes that the patient's hand has gone into flexion contractions. What is the doctor’s interpretation of this observation?
Within the last year, a patient complained of weakness, fatigue, sweating, dry cough. 1month ago, he had severe herpes infection. Data of present examination:enlarged lymph nodes in the neck, in axillary region. The lymph nodes are slightly dense and painless. Data of CBC: leukocytes-4,0.109/l, lymphocytes-80%. Chronic lympholeukosis was diagnosed. Which properties of lymph nodes are typical for this disease?
Within the last year, a patient complained of weakness, fatigue, sweating, dry cough. 1month ago, he had severe herpes infection. Data of present examination:enlarged lymph nodes in the neck, in axillary region. The lymph nodes are slightly dense and painless. Data of CBC: leukocytes-4,0.109/l, lymphocytes-80%. Which examination should be performed in first line?
A student determined position of stomach lower border by percutory palpation. He put the right hand 3 cm lower downward than with the usage of deep sliding palpation he revealed elastic cylinder 2 cm in length slightly movable and painless without rumbling sounds. What the organ is this?
Patient applies for medical advice because of pain in paraumbilical region which appears mostly in the morning, they are crumping and are followed with intestinal inflation. Affection of which part of digestive tract should you suspect?
Patient G. is seeking for medical advise because of periodical crumping pain in the lower parts of abdominal region, pain does not depend on food intake and it arises before defecation. Affection of which part of digestive tract should you suspect?
Patient I., 26 y.o.., entered clinic with complaints on edema below eyes, increase of body temperature to 37,8 degree, discoloration of urine. 2 weeks ago he was ill with quinsy. What research must be conducted?
Patient R. complains of increased frequency of defecation till 4-5 times a day within the last weak. Volume of stool and amount of liquid in it are also increased. Which possible cause of this condition do you know?
Patient М. is seeking for medical advise because of complaints on poor appetite, disgust for meat, considerable loss of body weight during the last year, periodical blood admixtures to the stool. Which pathological condition should you suspect in the patient?
During auscultation of a young boy with fever a doctor found in him weakened vesicular breathing above the right lobe which is following with cough. Pneumonia was diagnosed. Which changes of vocal fremitus, bronchophony and percutory sound should be expected in this case?
During auscultation of a young boy a doctor found in him acute bronchitis. Which changes of vocal fremitus, bronchophony and percutory sound should be expected in this case?
Forced expiratory volume for the 1st second (FEV1) was measured in patient with bronchial asthma. Which index of FEV1 corresponds to the 3rd degree of respiratory failure?
Forced expiratory volume for the 1st second (FEV1) was measured in patient with bronchial asthma. Which index of FEV1 corresponds to the 1st degree of respiratory failure?{
Forced expiratory volume for the 1st second (FEV1) was measured in patient with bronchial asthma. Which index of FEV1 corresponds to the 2nd degree of respiratory failure?{
Patient R. complains of increase of body temperature, dyspnea, cough, sweating. Vocal fremitus is weakened on the right side, dull-to-thympanic percutory sound is revealed by percussion at this area. By auscultation weakened vesicular breathing and crepitation are heard. What the probable reason of this changes?
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