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Systemic scleroderma
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səhifə | 7/9 | tarix | 30.05.2018 | ölçüsü | 1,45 Mb. | | #46793 |
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eclampsia
tromboembolic syndrome
2749.Diagnostic criteria of nephrotic syndrome are:
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proteinuria greater than 3 g/day*
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hypoalbuminemia8
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hypercholesterolemia
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Hyperά2globulinemia.
2750.Nephrotic syndrome is leaded by:
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chronic glomerulonephritis*
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amyloidosis*
-
tuberculosis of the lungs
-
thrombosis of the renal vein
2751. Manifestations of acute pyelonephritis:
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pain in the lumbar region*
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cloudy urine*
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loss of appetite
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tendency to poliuria.
2752.What of the values are allowed to be identified with renal ultrasound?
-
size, shape*
-
localization of kidneys and pelvicalyceal system*
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amount of renal blood flow
-
amount of renal plasma flow
2753.Nature of urinary sediment with acute nephrotic syndrome:
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hematuria + cylindruria + proteinuria*
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hematuria + cylindruria + proteinuria + hyperlipidemia*
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hematuria + pyuria
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hematuria + cylindruria
2754. Specify the stage of hepatic coma:
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Confusion, stupor, coma itself*
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I Stage actually coma
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II Stage supor
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III Stage a stupor
2755.Pathomorphology cirrhosis:
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Formation of regeneration nodes*.
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Zhirovoy Steatosis.
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Infringement normal architectonics of the liver*
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Mostovidnye Necrosis.
2756.Leading clinical syndromes, decompensated cirrhosis:
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Portal hypertension*
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Hepatic encephalopathy*
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Pochechnaya Failure.
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Bolevoy.
2757.Biochemical markers second stage of primary biliary cirrhosis:
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Total Bilirubin.
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Alaninovaya Transaminase.
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Alkaline phosphatase*
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Gammaglyutamiltransferaza*
2758.Indicators cholestasis:
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Bilirubin.
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Transaminazy.
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Alkaline phosphatase.*
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γ - glutamyl.*
2759.The clinical picture of cirrhosis with minimal activity:
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Bleeding gums.*
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Dark urine after intercurrent infection.*
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Astsit.
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"Vascular asterisks".
2760.Hepatocellular function in liver cirrhosis is evaluated in terms of:
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Bilirubin.*
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Transaminaz.
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Albumin.
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Schelochnoy Phosphatase.
2761.A disease in which the study identifies the cornea KayserFleischer ring:
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Tsirroz Liver viral etiology.
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Wilson's disease.*
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Bacterial endocarditis.*
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Gemohromatoz.
2762.The clinical picture of cirrhosis of the liver with the activity of:.
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Itching skin.*
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Otryzhka Sour.
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Jaundice.*
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Acidification
2763.The clinical manifestations of the third stage of primary biliary cirrhosis:
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Hepatomegaly.*
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Polimiozit.
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Xanthomas and xanthelasma.*
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Dizartriya.
2764.The clinical picture of alcoholic cirrhosis in the terminal stage:
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Ascites.*
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Pielonefrit.
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Obesity.
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Hemorrhagic syndrome.*
2765.An objective examination of patients with liver cirrhosis:
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Increase and seal liver.*
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Ikterichnost sclera.*
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Koltsevidnaya Erythema.
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Uzelki Osler.
2766.Biochemical analysis of blood with active liver cirrhosis:
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Alanine transaminase level increased. *
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Level increased aspartate transaminase.*
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Contents Albumin increased.
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Active γ glutamyltransferase reduced.
2767.I stage of hepatic coma 2 includes the following features:
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confusion*
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apathy, lethargy, alternating excitation*
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is a positive Babinski
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Record acetone breath
2768.II stage of hepatic coma includes 2 main features:
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soporous state*
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muscle twitching*
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Record acetone breath
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ikterichnost sclera
2769.The main ways to combat hepatic coma consists of 2 stages:
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eliminate complicating factors (bleeding, infection, etc.)*
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elimination of vitamin deficiency*
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removal of hyperglycemia
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removal hyperenzymemia
2770.List 2 main complaints of patients with portal cirrhosis stage subkompenchatsii:
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loss of appetite*
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decreased performance*
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Increase appetite
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haroshaya tolerability of fatty foods
2771.2 Describe the clinical manifestations of portal cirrhosis decompensated:
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Increase the abdomen*
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nosebleeds*
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reduction abdomen
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Varicose veins
2772.2 What are the clinical signs of portal cirrhosis:
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spider veins*
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palmar erythema*
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rozeoleznye rashes
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gipoholesterinemiya
2773.List 2 somatic and neurologic manifestations of alcoholism in the portal liver cirrhosis:
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testicular atrophy*
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Increase the parotid glands*
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gipertrofiya testicles
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gipotrofiya parotid glands
2774.2 Specify the main features of physical examination in the process of sub or decompensation in cirrhosis:
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unexpressed jaundice*
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significant weight loss*
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vyrazhennaya jaundice
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varikoznoe veins of shins
2775.2 Describe changes in the biochemical study of blood with decompensated liver cirrhosis portal:
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hypocholesterolemia*
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moderate increase in transaminases*
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negative sediment samples
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giperfibrinogenemiya
2776.List 2 main morphological changes leading to cirrhosis of the liver:
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hepatocyte necrosis*
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connective tissue activating*
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Kupffer cells distrofiya
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gipotrofiya liver cells
2777.2 Determine the main factors for the development of ascites:
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portal hypertension*
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hypoalbuminemia*
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portalnaya hypotension
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giperalbuminemiya
2778.2 Specify the major complications of cirrhosis:
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bleeding from the gastrointestinal tract*
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hepatic coma*
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nosovye bleeding
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krovoizliyaniya brain
2779.The clinical picture of severe ulcerative colitis:
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Jaundice.
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Diarrhea.*
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Swelling of Feet.
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Anemia.*
2780.2 indications for surgical treatment of ulcerative colitis:
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Perforation. *
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Toxic dilation.*
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Erosion.
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Fissure of Mucosa.
2781.Ulcerative colitis in the 2 clinical course:
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Septic.
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Acute. *
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Chronic.*
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Pseudo tumor
2782. 2 Name of morphological features of hepatic coma:
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massive necrosis of liver cells*
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microcirculation disturbance to thrombus*
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Kupffer cells proliferatsiya
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periportalny sclerosis
2783.Describe the three concepts included in the definition of systemic sclerosis
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is a systemic disease of the connective tissue and small vessels*
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is characterized by common fibrosclerotic skin changes*
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stromal internal organs*
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characterizable symptoms of obliterating endarteritis
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system disease mainly affecting the joints
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characterizable symptomatic nodular periarthritis
2784.What 3 factors do provoke SSD
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Vibration*
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contact with the chemical action*
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longterm cooling*
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sedentary lifestyle
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abuse table salt
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smoking
2785.Which 3 types of the SSc classifications are characterized by NT Gusev
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Acute*
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sub acute*
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chronic*
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fulminant
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a slowlyprogressing
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a fast progressing
2786.3 features are characterized of sub acute SSD
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relapsing arthritis, polymyositis less*
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polyserositis*
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visceritis*
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relapsing arthralgia, arthritis less
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tendovaginit
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teleangioektazia
2787.Describe the three stages of the current SSD classification by NGGusevoy
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I stage initial manifestations (mostly joints)*
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II stage the generalization of working processes (polysindrom lesions)*
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III stage an advanced changes (endstage)*
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I Stage initial manifestations (mostly joints)
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III Stage initial manifestations (mostly joints)
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II Stage an advanced changes (endstage) sclerotic and degenerative processes
2788.Describe the three powers of the activity SSD
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I degree a minimum (often with chronic and sub acute*
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II degree moderate (in sub acute and chronic course of an exacerbation)*
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III degree the maximum (acute and sub acute)*
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III Degree the minimum (often with chronic and sub acute
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I Degree moderate (in sub acute and chronic course of an exacerbation)
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II Degree the maximum (acute and sub acute)
2789.Raynaud's syndrome is one of the early and constant signs and SSc is characterized by a threephase vasospastic reaction after cooling, excitement, etc
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Blanching*
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Cyanosis*
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Hyperemia*
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parasitize
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ulcerous
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calcinosis
2790.Name of the 3 stages, characteristics of scleroderma skin lesions
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Stage dense edema*
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stage of induration*
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stage atrophy*
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stage of loosing edema
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stage of ulcer
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stage of calcification
2791.What 3 characteristics has stage of induration of the skin with the SSD
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change of skin color*
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distinctiveness vascular pattern*
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the presence of telangiectasias on the face and chest*
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roseolous rashes
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no vascular pattern
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hemorragic rash on the feet
2792.Describe the 3 concepts which incorporated in CRESTsyndrome in SSc
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Calcification*
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Raynaud's syndrome*
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Esophagitis*
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duodenitis
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diverticulitis of esophagus
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pnevmonit
2793.Mark clinical manifestations are not characteristic of CREST syndrome
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Fenomen Reynaud
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angiotelectasis
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Kidney*
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Pulmonary hypertension*
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The defeat of the intestine*
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Hard swelling
2794.Cutaneous syndrome in dermatomyositis is characterized by
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Purplepurple erythema on the face and neck*
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Erythema nodosum*
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Upper eyelid erythema (paroorbital edema)*
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ring shaped Erythema
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rash
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The lower extremities
2795.Balloon angioplasty in aortic stenosis is indicated in
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severe aortic stenosis in pregnancy*
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when aortic stenosis due to congenital valve changes*
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patients refuse radical surgery*
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arthralgia
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headache
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generalized weakness
2796.List 3 auscultatory signs of rheumatic heart disease
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weakened I tone*
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appearance of III tone*
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systolic murmur*
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intense I tone
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systolic clicks
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diastolic murmur at the apex
2797.3 Name the ways of suppression of secretion of the pancreas
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designation hunger*
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constant pumping of gastric juice through a nasal gastric tube *
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designation cold on epigastric*
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naznachenie warmer at epigastrium
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naznachenie enzyme preparations
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naznachenie gastric juice
2798.Which of the following clinical symptoms occur in chronic pancreatitis
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Pain*
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Jaundice*
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Steatorrhea*
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Anemia
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Obesity
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cough
2799.Which of the following techniques can be used in the treatment of pancreatic ascites
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Parenteral nutrition*
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Laparocentesis*
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Diuretics
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Propranolol
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Surgery*
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penicillin
2800.3 What are the clinical forms of Pancreatitis
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chronic relapsing pancreatitis
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chronic pancreatitis with constant pain
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chronic pancreatitis painless
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hronichesky persistent pancreatitis
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active chronic pancreatitis
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hronichesky pancreatitis with cholestasis
2801.3 What are the main syndrome in Pancreatitis
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Inflammatorydestructive*
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deficit disorder exocrine*
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syndrome endocrine disorders*
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vospalitelnoproliferative
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DVS Syndrome
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gemorragichesky syndrome
2802.3 What are the symptoms of the destructive inflammatory syndrome in pancreatitis
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Pain*
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pancreatic hyperenzymemia and giperamilazuriya*
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increase in nonspecific acute phase of laboratory parameters*
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dizuriya
-
nikturiya
-
enuresis
2803.3 What are the main clinical and morphological laboratrnyh and violations of external secretion of pancreatitis
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weakness, weight loss*
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change the skin and its derivatives*
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with symptoms of intestinal dyspepsia kaprologic signs*
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increasing food
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bulemiya
-
gipoglikemiya
2804.3 What are characteristic syndrome of internal secretion of pancreatitis
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glucose intolerance*
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Diabetes*
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decrease in the secretion of insulin and glucagon*
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Violation fructose intolerance
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nesaharny diabetes
-
increasing the secretion of insulin and glucagon
2805.3 What are the signs of mechanical (liver), jaundice Pseudotumor pancreatitis
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jaundice
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dark urine
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stool discoloration
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ksantomy
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giperpigmentatsiya
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vitiligo
2806.3 What objective evidence of exacerbation of Mts pancreatitis, determined by palpation
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tenderness in the projection of the pancreas*
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Positive symptom relief mesentery*
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symptom of the "tail" (pokalachivanie rear left, along the long axis of the gland leads to increased pain)*
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is a positive sign ShchetkinaBlumberg
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Vasilenko is a positive symptomOrtner
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is a positive sign of Boas
2807.3 What are the specific instrumental methods of the pancreas
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computed tomography*
-
endoscopic retrograde holangiopankreatikografiya*
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Angiography*
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venokavagrafiya
-
spirografiya
-
ventrikulografiya
2808.3 What are the indicators defined in the duodenal sounding before and after intravenous secretin stimulation of the pancreas and pancreozymin
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volume of juice (duodenal content)*
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Amylase*
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Trypsin*
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is the volume of the gallbladder bile
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gastrin
-
histamine
2809.3 Name of major complications Pancreatitis
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Bleeding*
-
Pleurisy*
-
Arthritis*
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pneumonia
-
pericarditis
-
gipoglikemiya
2810.3 What are the causes of bleeding in the cartilage pancreatitis
-
compression enlarged pancreas portal and splenic veins causes varicose veins of the esophagus and stomach*
-
gap pseudocysts*
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erosion and ulceration of the gastrointestinal mucosa when developing violation clotting*
-
gipofibrinogenemiya
-
trombotsitopeniya
-
trombotsitopatiya
2811.3 What are characteristic clinical signs chronic pancreatitis
-
pain of a certain character, localization and irradiation*
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violations digestion of fats and proteins (steatorrhea, kreatoreya, intestinal dyspepsia, SORT)*
-
glucose intolerance*
-
headache
-
golovokruzheniya
-
Increase appetite
2812.3 Name the ways of suppression of secretion of the pancreas
-
designation antacids*
-
Manticholinergics*
-
H2 blockers gistaminoretseptorov*
-
dieta rich in protein
-
naznachenie warmer at epigastrium
-
naznachenie gastric juice
2813. For Shegren's disease is characterized by three symptoms
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Arthritis*
-
high titers of rheumatoid factor in the serum*
-
Leukopenia*
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Increase language
-
leykotsitoz
-
low titers of rheumatoid factor in the serum
2814. 3 Mark characteristic feature of Wegener's granulomatosis
-
development of the disease before the age of 10 years
-
development of the disease before the age of 30 years
-
purulent sinusitis*
-
pulmonary infiltrates*
-
detection of antibodies to neutrophils*
-
Discover antinuclear factor
2815. 3 What are the mechanism of occurrence of vasculitis are granulomatous
-
Gigantokletony arteritis*
-
Takayasu's arteritis*
-
Wegener's granulomatosis*
-
Uzelkovy Nodosa
-
Diseases Kavavsaki
-
Purpura Henoch Genoha
2816. 3 What are the mechanism of occurrence of vasculitis related to immune complex
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Periarteritis nodosa*
-
Disease Kavavsaki*
-
Henoch Genoha*
-
Gigantokletony Arteritis
-
Arteriit Takayasu
-
Granulematoz Wegener
2817. 3 For what vasculitis affects mostly small caliber vessels
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Diseases Burger
-
uzelkovy nodosa
-
Wegener's granulomatosis*
-
arteriit Takayasu
-
vasculitis Churg Strauss*
-
hyperergic vasculitis*
2818. Erythema nodosum is typical for these 3 diseases
-
to iersinioza*
-
to sarcoidosis*
-
to Behcet's syndrome*
-
for rheumatism
-
for ankylosing spondylitis
-
for osteoarthritis
2819. List 3 atypical variant of acute myocardial infarction
-
Asthmatic*
-
Abdominal*
-
Cerebral*
-
chronic
-
anginoz
-
peripheral
2820.List the three main drug for the treatment of arrhythmia extrasystolic
-
Lidocaine*
-
etmozin (etatsizin)*
-
Bblockers*
-
verapamil
-
nifedipin
-
heart glycosides
2821.List 3 clinical forms of angina pectoris
-
voltage (denova, stable and progressive)*
-
horizontal position (de cubitas)*
-
X syndrome
-
variant (Prinzmetal)*
-
Sports angina
-
diffuse cardiosclerosis
2822. In the pathogenesis of BE distinguish the following three phases
-
Infectioustoxic*
-
Immunoinflammatory*
-
Dystrophic*
-
Infectiousallergic
-
Uremic
-
Necrotic
2823. Manifestation of EB can be represented by the following syndromes
-
Syndrome thromboembolic changes*
-
Valve syndrome of defeat*
-
Lesions syndrome of immune organs and systems*
-
Nephrotic syndrome
-
Asthenicneurotic syndrome
-
Uremic syndrome
2824. For stage I BE characterized by the following symptoms of laboratory
-
Increase in ESR*
-
Leukocytosis with a shift to the left*
-
Increase of fibrinogen*
-
Slowing the ESR
-
Leukopenia
-
Lymphocytosis
2825. For stage II EB 3 characterized by the following feature of laboratory
-
Leukopenia*
-
Anemia*
-
Thrombocytopenia sharp increase in gamma globulin*
-
Leukocytosis
-
Polycythemia
-
Thrombocytosis
2826. Manifestation of infective endocarditis can be represented by the following 3 syndromes
-
Syndrome thromboembolic changes*
-
Valve syndrome of defeat*
-
Lesions syndrome of immune organs and systems*
-
Nephritic syndrome
-
Asthenicneurotic syndrome
-
uremic syndrome
2827. For stage II infective endocarditis 3 characterized by the following feature of laboratory
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Leukopenia*
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