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



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Questins to pictures

  1. Presented on the picture 1 changes may testify about:

    1. *Liver cirrhosis

    2. Chronic cholecystitis

    3. Chronic cholangitis

    4. Chronic hepatitis

    5. Polyserositis

  2. Look at the picture 2. In the patient you can see changes of skin which relate to “minor liver signs”. What is this?

    1. Varicous dilatation of veins

    2. Hemorrhage into the skin

    3. Intradfermal accumulation of hemosiderin

    4. Hemorrhagic rash

    5. *Weakly pulsationg angiomas (spider angiomata)

  3. Which disease can you suspect if you reveale on patient’s trunk signs presented on the picture 2?

    1. Cholelithiasis

    2. Chronic calculous cholecystitis

    3. hemophilia

    4. Vitamin В-12-defficiency anaemia

    5. *Liver cirrhosis

  4. Look at the picture 2. Pathology of which organ do the presented signs indicate on?

    1. Stomach

    2. Pancreas

    3. Gallbladder

    4. Spleen

    5. *Liver

  5. Look at the picture 3. Which disease is it possible to suspect if you see such signs as in the picture?

    1. *Liver cirrhosis

    2. Chronic pancreatitis

    3. Chronic cholecystitis

    4. Peptic ulcer

    5. Chronic colitis

  6. Look at the picture 3. Name the main mechanisms of presented pathological condition:

    1. Activation of lipids hyperperoxidation and dysbalance of minetal metabolism

    2. Disorders of cellular and humoral immunity

    3. *Blood flow block in the liver and development of portocaval anastomoses

    4. Gastrointestinal hormonal system dysfunction

    5. Vegetative nervous system dysfunction

  7. How are presented on the picture 4 changes called?

    1. Papilomas

    2. Spider angiomata

    3. Hemorrhagias

    4. Hematomas

    5. *Xanthelasmas

  8. Look at the picture 4. During examination of a . patient with liver cirrhosis there were revealed presented on the picture signs. Choos the proper characteristics for them:

    1. Angiomas elevated under the skin

    2. Skin excoriations

    3. Hemorrhages

    4. Nettle rash

    5. *Cholesterol plaques

  9. Look at the picture 5. This micropreparation of liver parenchyma is typical for:

    1. Acute viral hepatitis

    2. *Micronodular liver cirrhosis

    3. Macronodular liver cirrhosis

    4. Fat hepatosis

    5. Reactive hepatitis

  10. Look at the picture 5. This micropreparation of liver parenchyma is typical for:

    1. Acute viral hepatitis

    2. Micronodular liver cirrhosis

    3. Жирового гепатозу

    4. Reactive hepatitis

    5. *Macronodular liver cirrhosis

  11. At the picture 7 there are indicated zones of skin hyperesthesia in pancreatitis. Which number does indicate Shoffar’s zone?

    1. 2

    2. 3

    3. 4

    4. 1, 2

    5. *1

  12. At the picture 7 there are indicated zones of skin hyperesthesia in pancreatitis. Which number does indicate Gubergrits-Slkulsky’s zone?

    1. 1

    2. 3

    3. 4

    4. 1, 2

    5. *2

  13. At the picture 7 there are indicated zones of skin hyperesthesia in pancreatitis. Which number does indicate Dejarden’s point?

    1. 1

    2. 2

    3. 4

    4. 1, 2

    5. *3

  14. At the picture 7 there are indicated zones of skin hyperesthesia in pancreatitis. Which number does indicate Mayo-Robson’s point?

    1. 1

    2. 2

    3. 3

    4. 1, 2

    5. *4

  15. In which among enumerated diseases may be pain in the points and zones indicated on the picture 7?

    1. Cholecystitis

    2. Peptic ulcer

    3. Liver cirrhosis

    4. Gastritis

    5. *Pancreatitis

  16. Look at the picture 8. How is the zone on the picture 8, marked with oblique lines, called if pain in this point is the most characteristic for inflammation of the head of a pancreas?

    1. Zakhariin’s point

    2. Gubergrits-Skulsky’s point

    3. *Shoffar’s point

    4. Vasylenko’s point

    5. Orthner’s point

  17. Look at the picture 9. How is the point indicatedа on the picture, called if pain in this point is the most characteristic for inflammation of the head of a pancreas?

    1. Gubergrits-Skulsky’s point

    2. Mayo-Robson’s point

    3. *Dejarden’s point

    4. Kach’s point

    5. Male-Gy’s point

  18. Look at the picture 9. How is the point indicatedа on the picture, called if pain in this point is the most characteristic for inflammation of the tail of a pancreas?

    1. Gubergrits-Skulsky’s point

    2. Dejarden’s point

    3. Kach’s point

    4. Male-Gy’s point

    5. *Mayo-Robson’s point

  19. Look at the picture 11. How is method of examination callsed?

    1. Cholecystography

    2. Fibrosocpy

    3. Irrigography

    4. Colonoscopy

    5. *Duodenal probing

  20. A patient suffers of chronic noncalculous pancreatitis. She was prescribed examination presented on the picture 11. Which stimulator should be used for obtaining gallbladder bile (portion "В")?

    1. 7% decoction of dry cabbage

    2. 0,2% caffeine solution

    3. 5% alcohol solution

    4. meat-stock

    5. *33% Magnium sulfate solution

  21. A patient suffers of chronic noncalculous pancreatitis. She was prescribed examination presented on the picture 11. Select, which changes of bile are typical for this disease:

    1. Leukocytes, mucus in portion А.

    2. *Leukocytes, mucus, desquamated epithelium in portion B.

    3. Erythrocytes, бактерії in portion А.

    4. Leukocytes, mucus, desquamated epithelium in portion С.

    5. Erythrocytes in portion В.

  22. Look at the picture 1. This symptom is called «caput medusae». What is this?

    1. Abdominal enlargement

    2. Change of skin color

    3. Spider angiomata

    4. Intradermal accumulation of chalesterol

    5. *Dilatation of subcutaneous veins of anterior abdominal wall

  23. On the picture 1 a patient with liver cirrhosis is presented. Which syndrome indicate on presented on the picture signs?

    1. *Portal hypertension

    2. Hypersplenismus

    3. Liver enczephalopathy

    4. Hepatorenal syndrome

    5. Syndrome of minor liver signs

  24. Sign of which disease is presented on the picture 12 symptom?

    1. Left-ventricular failure

    2. Hepatic insufficiency

    3. Renal failure

    4. Vascular insufficiency

    5. *Right-ventricular failure

  25. How is presented on picture 12 symptom called?

    1. Anasarca

    2. Caput medusae

    3. Acromegaly

    4. Hydrothorax

    5. *Аscites

  26. Look at the picture 13. Which disease are indicated with number 1 changes typical for?

    1. Aortal stenosis

    2. Mitral incompetence

    3. Aortal incompetence

    4. Tricuspid incompetence

    5. *Mitral stenosis

  27. Look at the picture 13. Which disease are indicated with number 2 changes typical for?

    1. Mitral stenosis

    2. Mitral incompetence

    3. Aortal incompetence

    4. Tricuspid incompetence

    5. *Aortal stenosis

  28. Look at the picture 13. Which disease are indicated with number 3 changes typical for?

    1. Aortal stenosis

    2. Mitral stenosis

    3. Mitral incompetence

    4. Tricuspid incompetence

    5. *Aortal incompetence

  29. Which heart defect are presented on the picture 14 changes typical for?

    1. Aortal stenosis

    2. Mitral incompetence

    3. Aortal incompetence

    4. Tricuspid incompetence

    5. *Mitral stenosis

  30. What are presented on the picture 15 changes typical for?

    1. Aortal stenosis

    2. *Norm

    3. Mitral stenosis

    4. Mitral incompetence

    5. Aortal incompetence

  31. How is presented on the picture 16 heart configuration called?

    1. Mitral

    2. Tricuspid

    3. Pulmonary

    4. Mixed

    5. *Aortal

  32. What is presented on the picture 16 heart configuration typical for?

    1. Mitral stenosis

    2. Mitral incompetence

    3. Tricuspid incompetence

    4. Aortal and mitral incompetence

    5. *Aortal stenosis

  33. At the picture 17 you can see that a student detremines a symptom by palpation. How is this symptom called?

    1. Ascites

    2. Anasarca

    3. Caput medusae

    4. Acromegaly

    5. *Cat’s purr

  34. On the picture 17 you can see determination of diastolic cat’s purr. Where should this symptom be determined?

    1. *Heart apex

    2. Aorta

    3. Pulmonary artery

    4. Xyphoid process

    5. Heart basis

  35. On the picture 17 you can see determination of systolic cat’s purr. Where should this symptom be determined?

    1. *Aorta

    2. Heart apex

    3. Pulmonary artery

    4. Xyphoid process

    5. Heart basis

  36. Which valve (it is presented on the picture 18) is the most often affected in rheumatic heart disease?

    1. Aortal

    2. Tricuspid

    3. *Mitral

    4. Pulmonary

    5. All valves are affected equally

  37. Which valve (it is presented on the picture 18) is the most often affected in infectious endocarditis?

    1. Mitral

    2. Tricuspid

    3. Pulmonary

    4. All valves are affected equally

    5. *Aortal

  38. Which valve (it is presented on the picture 18) is the most often affected in atherosclerosis?

    1. Mitral

    2. Tricuspid

    3. Pulmonary

    4. All valves are affected equally

    5. *Aortal

  39. Which valve (it is presented on the picture 18) is the lest often affected in rheumatic heart disease?

    1. Aortal

    2. Mitral

    3. Tricuspid

    4. All valves are affected equally

    5. *Pulmonary

  40. Look at the picture 18. Which heart defect the presented symptom is the most often develops in?

    1. Mitral stenosis

    2. Tricuspid stenosis

    3. Pulmonary artery stenosis

    4. All of them are observed equally often

    5. *Aortal stenosis

  41. How is presented on the picture 19 symptom called?

    1. Variant angina pectoris

    2. Unstable angina pectoris

    3. Stable angina pectoris

    4. Angina pectoris on exertion

    5. *hemodynamic angina pectoris

  42. In which heart defect is presented on the picture 20 symptom left ventricular hypertrophy observed more often ?

    1. Mitral stenosis

    2. Tricuspid stenosis

    3. Pulmonary trunk stenosis

    4. All of them are observed equally often

    5. *Aortal stenosis

  43. How is presented on the picture 20 symptom called?

    1. Hyperthrophy of the left atrium

    2. Hyperthrophy of the left atrium

    3. Hyperthrophy of the right ventricle

    4. Hyperthrophy of both atriums

    5. *Hyperthrophy of the lleft ventricle

  44. How is presented on the picture 21 symptom called?

    1. Hyperthrophy of the left atrium

    2. Hyperthrophy of the right atrium

    3. Hyperthrophy of the right ventricle

    4. Hyperthrophy of both atriums

    5. *Hyperthrophy of the lleft ventricle

  45. In which heart defect is presented on the picture 21 symptom observed more often?

    1. Mitral stenosis

    2. *Aortal stenosis

    3. Tricuspid stenosis

    4. Pulmonary trunk stenosis

    5. All of them are observed equally often

  46. Presented on the picture 22 symptom is the sign of such pathological condition as:

    1. *Right ventricular failure

    2. Left ventricular failure

    3. Liver insufficiency

    4. Total heart failure

    5. Renal failure

  47. How is presented on the picture 23 device called?

    1. *Colonoscop

    2. Fibrogastroscop

    3. Rectoscop

    4. Bronchoscop

    5. Irrigoscop

  48. What is indicated on the picture 24 with number 1?

    1. Upper anterior segment of a kidney

    2. Lower anterior segment of a kidney

    3. Lower segment of a kidney

    4. Posterior segment of a kidney

    5. *Upper segment of a kidney

  49. What is indicated on the picture 24 with number II ?

    1. Upper segment of a kidney

    2. Lower anterior segment of a kidney

    3. Lower segment of a kidney

    4. Posterior segment of a kidney

    5. *Upper anterior segment of a kidney

  50. What is indicated on the picture 24 with number III ?

    1. Upper segment of a kidney

    2. Upper anterior segment of a kidney

    3. Lower segment of a kidney

    4. Posterior segment of a kidney

    5. *Lower anterior segment of a kidney

  51. What is indicated on the picture 24 with number IY?

    1. Upper segment of a kidney

    2. Upper anterior segment of a kidney

    3. Lower anterior segment of a kidney

    4. Posterior segment of a kidney

    5. *Lower segment of a kidney

  52. What is indicated on the picture 24 with number Y?

    1. Upper segment of a kidney

    2. Upper anterior segment of a kidney

    3. Lower anterior segment of a kidney

    4. Lower posterior segment of a kidney

    5. *Posterior segment of a kidney

  53. Patient У. is on the long-standing treatment because of terminal stage of kidney disease. He developed changes of skin presented on the picture 25. How is the syndrome called which develops in terminal stige of kidney disens

    1. Eclampsy

    2. Slin-muscular syndrome

    3. Hemorrhagic syndrome

    4. Spider angiomata

    5. *Renal failure

  54. How is element presented on the picture 26 called?

    1. Glomeruli

    2. Renal calicies

    3. Renal calilulis

    4. Renal columns

    5. Renal complex

  55. What is presented on the picture 27 symptom the most typical for?

    1. Glomerulonephritis

    2. *Renal failure

    3. Pyelonephritis

    4. Urolithiasis

    5. Pulmonary insufficiency

  56. What may be the reason for changes on ECG presented on the picture 28 in a patient with glomerulonephritis?

    1. Arterial hypotension

    2. *Arterial hypertension

    3. Myocarditis

    4. Metabolic changes

    5. Affection of coronary atreries

  57. What may be the reason for changes presented on the picture 31 in a patient with glomerulonephritis?

    1. Heart failure

    2. Vascular insufficiency

    3. *Renal failure

    4. Lymphostasis

    5. Adrenal insufficiency

  58. Which symptom is presented on the picture 27 present in a patient with kidney disease?

    1. *Facies nephritica

    2. Facies hippocratica

    3. Corvisar’s face

    4. Botkin’s face

    5. Gumprecht’s face

  59. Look at the picture 30. Hemodialisis is performed for a patient. In which case is this procedure prescribed?

    1. Heart failure

    2. Vascular insufficiency

    3. Lymphostasis

    4. Adrenal insufficiency

    5. *Renal failure

  60. How is presented on the picture 29 symptom called?

    1. Corvisar’s face

    2. Botkin’s symptom

    3. Gumprecht’s symptom

    4. Strazjesko’s symptom

    5. *Pasternstsky’s symptom

  61. How is presented on the picture 30 procedure called if it is executed for a patient with terminal stage of kidney disease?

    1. Hemosrption

    2. *Hemodialysis

    3. Plasmapheresis

    4. Bloodletting

    5. Ozonazing

  62. Look at the picture 32. In which disease the layer of a kidney indicated with number 1 is affected?

    1. Pyelonephritis

    2. Urolithiasis

    3. Renal failure

    4. Kidney amyloidosis

    5. *Glomerulonephritis

  63. Look at the picture 32. In which disease the layer of a kidney indicated with number 2 is affected?

    1. Glomerulonephritis

    2. Urolithiasis

    3. Renal failure

    4. Kidney amyloidosis

    5. *Pyelonephritis

  64. What is indicated on the picture 33 with number 1?

    1. A. efferent

    2. A. communis

    3. V. afferent

    4. V. efferent

    5. *A. afferent

  65. What is indicated on the picture 33 with number 2?

    1. A. afferent

    2. A. communis

    3. V. afferent

    4. V. efferent

    5. *A. efferent

  66. What is indicated on the picture 34 with number 1?

    1. Glomerulonephritis

    2. *Hydronephrosis

    3. Pyelonephritis

    4. Renal failure

    5. Амілоїдоз нирок

  67. При якій хворобі нирок спостерігається зображений на рисунку 29 симптом?

    1. Гломерулонефрит

    2. *Пієлонефрит

    3. Сечокам”яна хвороба

    4. Ниркова недостатність

    5. Kidney amyloidosis

  68. Look at the picture 35. The patient develops pain during superficial palpation in points indicated on the picture with N 4, 5. 6. Which pathological condition can you suspect?

    1. Gastroduodenitis

    2. Pancreatitis

    3. Cholecystitis

    4. Peptic ulcer

    5. *Enterocolitis

  69. On eth picture 36 you can see the scheme of different parts of intestine. Which affection is indicated with letter А?

    1. Colitis

    2. Enterocolitis

    3. Proctitis

    4. Proctosigmoiditis

    5. *Enteritis

  70. On eth picture 36 you can see the scheme of different parts of intestine. Which affection is indicated with letter В?

    1. Colitis

    2. *Enterocolitis

    3. Enteritis

    4. Proctitis

    5. Proctosigmoiditis

  71. On eth picture 36 you can see the scheme of different parts of intestine. Which affection is indicated with letter С?

    1. *Colitis

    2. Enteritis

    3. Enterocolitis

    4. Proctitis

    5. Proctosigmoiditis

  72. What is indicated with letter «а» on the picture 49?

    1. Norm

    2. Complete AV-block

    3. Atrial fibrillation

    4. Q-myocardial infarction

    5. *Levogram, ischemia of anterior wall of the left ventricle, septum, apex and posterior wall of the left ventricle

  73. What is indicates with letter «б» on the picture 49?

    1. Levogram, ischemia of anterior wall of the left ventricle, septum, apex and posterior wall of the left ventricle

    2. Complete AV-block

    3. Atrial fibrillation

    4. Q-myocardial infarction

    5. *Norm

  74. What is indicates with letter «а» on the picture 50?

    1. Norm

    2. Complete AV-block

    3. Atrial fibrillation

    4. Q-myocardial infarction

    5. *Levogram, ischemia of anterior wall of the left ventricle, septum, apex and posterior wall of the left ventricle

  75. What is indicates with letter «б» on the picture 50?

    1. Levogram, ischemia of anterior wall of the left ventricle, septum, apex and posterior wall of the left ventricle

    2. Complete AV-block

    3. Atrial fibrillation

    4. Q-myocardial infarction

    5. *Norm

  76. On the picture 51 you can see changes on ECG and contrast angiography indicated with letter “a”. They are typical for

    1. Norm

    2. Complete AV-block

    3. Atrial fibrillation

    4. Q-myocardial infarction

    5. *Angina pectoris;

  77. On the picture 51 you can see changes on ECG and contrast angiography indicated with letter «б». They are typical for

    1. Norm

    2. Levogram, ischemia of anterior wall of the left ventricle, septum, apex and posterior wall of the left ventricle

    3. *Q-myocardial infarction

    4. Complete AV-block

    5. Atrial fibrillation

  78. On the picture 52 you can see process of development of coronary arteries atheroclerosis. It is the main cause of the following disease:

    1. Atrial fibrillation

    2. Complete AV-block

    3. Brain stroke

    4. Extrasystoly

    5. *Myocardial infarction

  79. On the picture 52 you can see a part of coronary artery. Which pathological process is indicated with number 1?

    1. Stenosis of the artery

    2. Development of aneurism

    3. Development of thrombus

    4. Sdimentation of cholesterol crystals

    5. *development of atherosclerotic plaque

  80. On the picture 53 are presented irradiation of pain in the following disease:

    1. Left-side pleurisy

    2. Atrial fibrillation

    3. Left-side intercostal neuralgia

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