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

. 60-80 % , deviation >30 %.

60 %, deviation > 30 %.

55 %, deviation = 25 %.

Which examination method is it necessary to execute for verification of pneumonia?

1. 
   * X-ray of the chest
   
2. 
   Computer tomography
   
3. 
   Bronchoscopy
   
4. 
   Bronchigraphy
   
5. 
   ECG
   

Which pathological conditions is crepitation typical for?

1. 
   * Congestive heart failure
   
2. 
   Bronchitis
   
3. 
   Dry pleurisy
   
4. 
   Lung emphysema
   
5. 
   Pleurisy with effusion
   

Which pathological conditions crepitation is typical for?

1. 
   * Pneumonia
   
2. 
   Bronchitis
   
3. 
   Dry pleurisy
   
4. 
   Lung emphysema
   
5. 
   Pleurisy with eefusion
   

Which pathological conditions are dry rales typical for?

1. 
   Pneumonia, especially lobar one
   
2. 
   * Bronchitis
   
3. 
   Dry pleurisy
   
4. 
   Lung emphysema
   
5. 
   Atelectasis
   

Which pathological conditions are dry low-pitched rales typical for?

1. 
   Pneumonia
   
2. 
   * Chronic bronchitis
   
3. 
   Dry pleurisy
   
4. 
   Pulmonary emphysema
   
5. 
   Pleurisy with eefusion
   

Which reasons for pulmonary tissue consolidation do you know?

1. 
   Accumulation of liquid in alveoli
   
2. 
   Replacement of pulmonary tissue to connective one
   
3. 
   Tumour in the lungs
   
4. 
   Atelectasis
   
5. 
   * All mentioned above
   

Accentuation of II heart sound above pulmonary artery occurs in:

1. 
   Aortal stenosis;
   
2. 
   * Pulmonary artery thrombembolism
   
3. 
   Syphilitic mesaortitis;
   
4. 
   Atherosclerosis of aorta;
   
5. 
   Acute catarrhal bronchitis.
   

Accentuation of II heart sound above pulmonary artery occurs in:

1. 
   Aortal stenosis;
   
2. 
   * Mitral incompetence
   
3. 
   Syphilitic mesaortitis;
   
4. 
   Atherosclerosis of aorta;
   
5. 
   Acute catarrhal bronchitis
   

Accentuation of II heart sound above pulmonary artery occurs in:

1. 
   Aortal stenosis;
   
2. 
   * Bronchial asthma attack
   
3. 
   Syphilitic mesaortitis;
   
4. 
   Atherosclerosis of aorta;
   
5. 
   Acute catarrhal bronchitis
   

Accentuation of П heart sound above the aorta is observed in:

1. 
   Mitral incompetence;
   
2. 
   Mitral stenosis;
   
3. 
   * Aortal stenosis
   
4. 
   Hypertension in lesser circulation;
   
5. 
   arterial hypotension.
   

Conduction of murmur in aortic valvular defects:

1. 
   Left axillary region
   
2. 
   Botkin-Erb’s point;
   
3. 
   Right axillary region
   
4. 
   * Intascapular space
   
5. 
   Epigastyrium
   

Conduction of murmur in mitral valvular defects:

1. 
   * Left axillary region
   
2. 
   Botkin-Erb’s point;
   
3. 
   Right axillary region
   
4. 
   Intascapular space
   
5. 
   Epigastyrium
   

Durosier’s murmur at femoral artery is observed in:

1. 
   Anemias
   
2. 
   * Aortal incompetence
   
3. 
   Aortal stenosis
   
4. 
   Mitral incompetence
   
5. 
   Mitral stenosis
   

Evaluate such ECG findings: P wave in I, aVL and V5-6 is double-headed and broad, in III, aVF and V1 it is flat?

1. 
   Hyperthrophy of the left ventricle
   
2. 
   Hyperthrophy of the right ventricle,
   
3. 
   Hyperthrophy of the right atrium,
   
4. 
   * Hyperthrophy of the left atrium,
   
5. 
   Norm
   

Evaluate such ECG findings: P wave is high and acute in leads III, aVF, in V1 is 3-4 mm, of acute shape, in I, aVL and V5-6 is flat?

1. 
   Hyperthrophy of the left ventricle
   
2. 
   Hyperthrophy of the right ventricle,
   
3. 
   * Hyperthrophy of the right atrium,
   
4. 
   Hyperthrophy of the left atrium,
   
5. 
   Norm
   

Functional systolic murmur differs from organic one because it:

1. 
   Does not depend on a phase of respiration
   
2. 
   Is rasping, sonorous, long
   
3. 
   Does not vary at exertion;
   
4. 
   * Is not conducted
   
5. 
   Is heard at all points of auscultation.
   

Functional systolic murmur differs from organic one because it:

1. 
   Does not depend on a phase of respiration
   
2. 
   Is high-pitched, rasping, loud, long
   
3. 
   Does not vary at exertion;
   
4. 
   * Is always blowing and of low pitch
   
5. 
   Is heard at all points of auscultation.
   

Functional systolic murmur differs from organic one because it:

1. 
   Does not depend on a phase of respiration
   
2. 
   Is high-pitched, rasping, loud, long
   
3. 
   Does not vary at exertion;
   
4. 
   * May change in different situations
   
5. 
   Is heard at all points of auscultation.
   

Functional systolic murmur differs from organic one because it:

1. 
   * Depends on a phase of respiration
   
2. 
   Is high-pitched, rasping, loud, long
   
3. 
   Does not vary at exertion;
   
4. 
   Does not change in different situations (permanent)
   
5. 
   Is heard at all points of auscultation.
   

Functional systolic murmur differs from organic one because it:

1. 
   Does not depend on a phase of respiration
   
2. 
   Is high-pitched, rasping, loud, long
   
3. 
   * Varies at exertion;
   
4. 
   Does not change in different situations (permanent)
   
5. 
   Is heard at all points of auscultation.
   

Functional systolic murmur differs from organic one because it:

1. 
   Does not depend on a phase of respiration
   
2. 
   Is high-pitched, rasping, loud, long
   
3. 
   Does not vary at exertion;
   
4. 
   * Is heard only at pulmonary trunk or apex
   
5. 
   Is heard at all points of auscultation.
   

Horizontal heart electrical axis position: value of angle alfa is equal to:

1. 
   -30° to -60°;
   
2. 
   0° to -30°;
   
3. 
   * 0° to +30°;
   
4. 
   +30° to +69°;
   
5. 
   +70° to +90°.
   

Murmur in valvular heart defects is better heard above:

1. 
   Zone of relative heart dullness
   
2. 
   Heart apex
   
3. 
   Zone of absolute heart dullness
   
4. 
   At xyphoid process
   
5. 
   *Standard points of auscultation of valves
   

Select the normal duration of QRS complex:

1. 
   * 0,1 sec
   
2. 
   0,12 sec
   
3. 
   0,14 sec
   
4. 
   0,16 sec
   
5. 
   0,18 sec
   

Normal position of ST segment on ECG curve?

1. 
   On izoelectrical line
   
2. 
   * May deviate from izoelectrical line not more than on 1 mm
   
3. 
   May deviate from izoelectrical line not more than on 2 mm
   
4. 
   May deviate from izoelectrical line not more than on 3 mm
   
5. 
   May deviate from izoelectrical line not more than on 4 mm
   

Periodical intensification of 1 heart sound at heart apex is typical for:

1. 
   Mitral incompetence
   
2. 
   * Extrasystoly
   
3. 
   Hypertension
   
4. 
   Myocardial infarction
   
5. 
   Myocarditis
   

Place of auscultation of murmur in aortal incompetence except of second intercostal space righwards from the sternum :

1. 
   Heart apex;
   
2. 
   * Botkin-Erb’s point;
   
3. 
   Second intercostal space leftwards from the sternum;
   
4. 
   Jugular fossa.
   
5. 
   Xyphoid process
   

Place of auscultation of murmur in mitral incompetence:

1. 
   * Heart apex;
   
2. 
   Botkin-Erb’s point;
   
3. 
   Second intercostal space righwards from the sternum
   
4. 
   Second intercostal space leftwards from the sternum;
   
5. 
   Fifth intercostal space righwards from the sternum.
   

Place of auscultation of murmur in mitral stenosis:

1. 
   * Heart apex;
   
2. 
   Botkin-Erb’s point;
   
3. 
   Second intercostal space righwards from the sternum
   
4. 
   Second intercostal space leftwards from the sternum;
   
5. 
   Fifth intercostal space righwards from the sternum.
   

Pleuropericardial friction murmur is better heard above:

1. 
   * Borders of relative heart dullness
   
2. 
   Heart apex
   
3. 
   Zone of absolute heart dullness
   
4. 
   At xyphoid process
   
5. 
   Standard points of auscultation of valves
   

Splitting of IІ heart sound in a healthy children and young persons may be heard in:

1. 
   Deep expiration
   
2. 
   * Deep inspiration
   
3. 
   Physical exercises
   
4. 
   During sleep
   
5. 
   Is not heard in no any case
   

Splitting of І heart sound In a healthy children and young persons may be heard in:

1. 
   * Deep expiration
   
2. 
   Deep inspiration
   
3. 
   Physical exercises
   
4. 
   During sleep
   
5. 
   Is not heard in no any case
   

Vertical heart electrical axis position: value of angle alfa is equal to:

1. 
   -30° to -60°;
   
2. 
   0° to -30°;
   
3. 
   0° to +30°;
   
4. 
   +30° to +69°;
   
5. 
   * +70° to +90°.
   

Which auscultative fenomenon (cardiac melody) includes opening snup sound?

1. 
   Presystolic gallop rrhythm
   
2. 
   Pendulum rrhythm
   
3. 
   Protodiastolic gallop rrhythm
   
4. 
   *Tripple rrhythm
   
5. 
   All mentioned
   

Which auscultative fenomenon is observed above femoral artery in aortal incompetence?

1. 
   * Durosier’s murmur
   
2. 
   Opening snup sound
   
3. 
   Pendulum rrhythm
   
4. 
   Gallop rrhythm
   
5. 
   Pericardial click
   

Which auscultative fenomenon is observed above femoral artery in aortal incompetence?

1. 
   * Double Traube’s sound
   
2. 
   Opening snup sound
   
3. 
   Pendulum rrhythm
   
4. 
   Gallop rrhythm
   
5. 
   Pericardial click
   

Which auscultative fenomenon is observed in mitral stenosis?

1. 
   Durosier’s murmur
   
2. 
   * Opening snup sound
   
3. 
   Pendulum rrhythm
   
4. 
   Gallop rrhythm
   
5. 
   Pericardial click
   

Which auscultative fenomenon is observed in pericardial adhesions?

1. 
   Durosier’s murmur
   
2. 
   Opening snup sound
   
3. 
   Pendulum rrhythm
   
4. 
   Gallop rrhythm
   
5. 
   * Pericardial click
   

Which auscultative fenomenon is observed in severe tachycardia?

1. 
   Durosier’s murmur
   
2. 
   Opening snup sound
   
3. 
   * Pendulum rrhythm
   
4. 
   Gallop rrhythm
   
5. 
   Pericardial click
   

Which auscultative fenomenon is observed in severe myocardial affections?

1. 
   Durosier’s murmur
   
2. 
   Opening snup sound
   
3. 
   Pendulum rrhythm
   
4. 
   * Gallop rrhythm
   
5. 
   Pericardial click
   

Which heart defect is the organic ejection diastolic murmur typical for?

1. 
   * Mitral incompetence
   
2. 
   Aortal incompetence
   
3. 
   Aortic stenosis
   
4. 
   Stenosis of pulmonary artery;
   
5. 
   Tricuspid valve stenosis.
   

Which heart defect is the organic ejection diastolic murmur typical for?

1. 
   Mitral valve stenosis
   
2. 
   Aortal incompetence
   
3. 
   Aortic stenosis
   
4. 
   Stenosis of pulmonary artery;
   
5. 
   * Tricuspid incompetence.
   

Which heart defect is the organic ejection systolic murmur typical for?

1. 
   Stenosis of mitral orifice
   
2. 
   * Stenosis of aortic orifice
   
3. 
   Aortic incompetence
   
4. 
   Pulmonary artery valvular stenosis;
   
5. 
   Tricuspid valve incompetence.
   

Which heart defect is the organic ejection systolic murmur typical for?

1. 
   Stenosis of mitral orifice
   
2. 
   Mitral incompetence
   
3. 
   Aortic incompetence
   
4. 
   * Stenosis of pulmonary artery valve;
   
5. 
   Tricuspid valve incompetence.
   

Which heart defect is the organic regurgitation diastolic murmur typical for?

1. 
   * Aortal incompetence
   
2. 
   Mitral incompetence
   
3. 
   Aortic incompetence
   
4. 
   Stenosis of pulmonary artery;
   
5. 
   Tricuspid valve stenosis.
   

Which heart defect is the organic regurgitation diastolic murmur typical for?

1. 
   Aortal stenosis
   
2. 
   Mitral incompetence
   
3. 
   Aortic incompetence
   
4. 
   * pulmonary artery valve incompetence;
   
5. 
   Tricuspid valve stenosis.
   

Which heart defect is the organic regurgitation systolic murmur typical for?

1. 
   Aortal incompetence
   
2. 
   * Mitral incompetence
   
3. 
   Aortic incompetence
   
4. 
   Stenosis of pulmonary artery;
   
5. 
   Tricuspid valve stenosis.
   

Which heart defect is the organic regurgitation systolic murmur typical for?

1. 
   Aortal incompetence
   
2. 
   Mitral stenosis
   
3. 
   Aortic incompetence
   
4. 
   Stenosis of pulmonary artery;
   
5. 
   * Tricuspid valve incompetence.
   

Pericardial friction murmur is better heard above:

1. 
   Zone of relative heart dullness
   
2. 
   Heart apex
   
3. 
   * Zone of absolute heart dullness
   
4. 
   At xyphoid process
   
5. 
   Botkin-Erb’s point
   

Accentuation of II heart sound above pulmonary artery occurs in:

1. 
   . Hypertension in larger circulation
   
2. 
   * Hypertension in lesser circulation
   
3. 
   In systemic arterial hypertension
   
4. 
   In myocardial infarction
   
5. 
   In emotional stress
   

Accentuation of II heart sound above pulmonary artery occurs in:

1. 
   Aortal stenosis;
   
2. 
   * Mitral stenosis
   
3. 
   Syphilitic mesaortitis;
   
4. 
   Atherosclerosis of aorta;
   
5. 
   Acute catarrhal bronchitis.
   

Accentuation of П heart sound above the aorta is observed in:

1. 
   Mitral incompetence;
   
2. 
   Mitral stenosis;
   
3. 
   * Arterial hypertension;
   
4. 
   Hypertension in lesser circulation;
   
5. 
   Arterial hypotension.
   

Double Traube’s sound is observed in:

1. 
   Anemias
   
2. 
   * Aortal incompetence
   
3. 
   Aortal stenosis
   
4. 
   Mitral incompetence
   
5. 
   Mitral stenosis
   

During analysis of ECG a student has made a conclusion that electrical heart axis is not deviated. What signs are necessary to find out in ECG standard leads to make such a conclusion?

1. 
   In the I standard lead wave R is the highest while in the III the – wave S is the deepest.
   
2. 
   In the III standard lead wave R is the highest while in the I the – wave S is the deepest.
   
3. 
   Wave R is the highest in the I standard lead.
   
4. 
   * Wave R is the highest in the II standard lead
   
5. 
   Wave R is the highest in the III standard lead
   

During analysis of ECG a student has noticed that the wave P is negative in lead aVR, its duration is 0,08 sec. In which case may it be?

1. 
   Hyperthrophy of both atriums
   
2. 
   * In norm
   
3. 
   In intraatrial block
   
4. 
   In atrial extrasystole
   
5. 
   In myocardial infarction of anterriolateral wall of the left ventracle.
   

During examination of patient S. aortal stenosis was revealed. Which murmur may be heard by auscultation?

1. 
   * Systolic at aortal valve
   
2. 
   Diastolic at Botkin-Erb’s point,
   
3. 
   Systolic at heart apex
   
4. 
   Diastolic at aortal valve
   
5. 
   Diastolic at heart apex.
   

Evaluate such correlation of the waves: RI>RII>RIII; Rv6>Rv5>Rv4; RI + RII+ RIII =16 mm, prolongation of QRS.

1. 
   * Hyperthrophy of the left ventricle
   
2. 
   Hyperthrophy of the right ventricle,
   
3. 
   Hyperthrophy of the left atrium,
   
4. 
   Hyperthrophy of the left atrium,
   
5. 
   Norm
   

Evaluate such correlation of the waves: RIII> RII> RI; Rv1v2> Rv4> Rv5,v6, prolongation of QRS.

1. 
   Hyperthrophy of the left ventricle,
   
2. 
   * Hyperthrophy of the right ventricle
   
3. 
   Hyperthrophy of the left atrium
   
4. 
   Hyperthrophy of the left atrium,
   
5. 
   Norm
   

Functional murmurs in anemia are often:

1. 
   Systolic
   
2. 
   Diastolic
   
3. 
   Protodiastolic
   
4. 
   Presystolic
   
5. 
   * Systolodiastolic
   

In the norm it is possible to to listen to the:

1. 
   * III sound
   
2. 
   IV sound,
   
3. 
   Extra-pericardial sound
   
4. 
   Gallop rrhythm,
   
5. 
   Opening snup
   

In the V interspace 1-1,5 cm medially from the left midclavicular line it is possible to listen to:

1. 
   Aortal valve
   
2. 
   Pulmonary trunk valve
   
3. 
   * Mitral valve
   
4. 
   Tricuspid valve
   
5. 
   No any heart valve
   

In which disease is weakening of I heart sound observed?

1. 
   Extrasystole
   
2. 
   Simultaneous systoles of atria and ventricles
   
3. 
   * Myocardiosclerosis
   
4. 
   Stenosis of mitral aperture
   
5. 
   Disorders of heart conduction
   

Intensification of 1 heart sound at heart apex is typical for:

1. 
   Mitral incompetence
   
2. 
   * Mitral stenosis
   
3. 
   Hypertension
   
4. 
   Myocardial infarction
   
5. 
   Myocarditis
   

Intensification of the first heart sound is observed in:

1. 
   Myocardial infarction;
   
2. 
   * Simultaneous systoles of atria and ventricles
   
3. 
   Complete atrioventricular block
   
4. 
   Myocarditis
   
5. 
   Heavy chronic anemia.
   

Weakening of the first heart sound is observed in:

1. 
   *Mirtal incompletence
   
2. 
   Mitral stenosis
   
3. 
   Aortal valve calcification;
   
4. 
   Pulmonary hypertension
   
5. 
   Arterial hypertension
   

Metallic tint of II heart sound above the aorta may be present in:

1. 
   Aortal incompetence
   
2. 
   Aortal stenosis of rheumatic origin;
   
3. 
   * Induration of aortal valve due to atherosclerosis;
   
4. 
   Left ventricular hyperthrophy
   
5. 
   Right ventricular hyperthrophy.
   

Place of auscultation of murmur in aortic incompetence:

1. 
   Heart apex;
   
2. 
   * Botkin-Erb’s point;
   
3. 
   3^rd intercostal space righwards from the sternum
   
4. 
   3^rd intercostal space leftwards from the sternum
   
5. 
   Fifth intercostal space righwards from the sternum
   

Place of auscultation of murmur in aortic stenosis:

1. 
   Heart apex;
   
2. 
   Botkin-Erb’s point;
   
3. 
   * Second intercostal space righwards from the sternum
   
4. 
   Second intercostal space leftwards from the sternum;
   
5. 
   Fifth intercostal space righwards from the sternum.
   

Projection of aortal valve on the chest wall is the following:

1. 
   II intercostal space leftward of the sternum
   
2. 
   * At the midpoint of the line connecting II costal cartilages of left and right ribs
   
3. 
   Leftward of the sternum at the point of junction of the Ш rib with the sternum
   
4. 
   At the midpoint of the line connecting junction of the Ш left rib and junction of V left rib to the sternum
   
5. 
   At the level of 3rd ribs at the midpoint of the sternum
   

Projection of mitral valve on the chest wall is the following:

1. 
   II intercostal space leftward of the sternum
   
2. 
   At the midpoint of the line connecting II costal cartilages of left and right ribs
   
3. 
   * Leftward of the sternum at the point of junction of the Ш rib with the sternum
   
4. 
   At the midpoint of the line connecting junction of the Ш left rib and junction of V left rib to the sternum
   
5. 
   At the level of 3rd ribs
   

Projection of pulmonary trunk valve to the chest wall is the following:

1. 
   * II intercostal space leftward of the sternum
   
2. 
   At the midpoint of the line connecting II costal cartilages of left and right ribs
   
3. 
   Leftward of the sternum at the point of junction of the Ш rib with the sternum
   
4. 
   At the midpoint of the line connecting junction of the Ш left rib and junction of V left rib to the sternum
   
5. 
   At the level of 3rd ribs
   

Projection of tricuspid valve on the chest wall

1. 
   II intercostal space leftward of the sternum
   
2. 
   At the midpoint of the line connecting II costal cartilages of left and right ribs
   
3. 
   Leftward of the sternum at the point of junction of the Ш rib to the sternum
   
4. 
   * At the midpoint of the line connecting junction of the III left rib and junction of V left rib to the sternum
   
5. 
   At the level of 3rd ribs
   

Protodiastolic, mesodiastolic or presystolic murmurs at heart apex are observed in:

1. 
   * Mitral stenosis
   
2. 
   Mitral incompetence
   
3. 
   Aortal incompetence
   
4. 
   Aortal stenosis
   
5. 
   The cause is not indicated
   

Relative systolic murmur differs from organic one in such a way:

1. 
   It doesn’t depend on respiratory phases;
   
2. 
   It is hough, loud and long;
   
3. 
   It doesn’t change in physical load
   
4. 
   * Is not transmitted (“dies at the place of occurence”);
   
5. 
   It is heard in all points of auscultation.
   

Slupping І sound at heart apex is typical for:

1. 
   Mitral incompetence;
   
2. 
   Aortal stenosis;
   
3. 
   Aortal incompetence;