Krok 1 – 2020(Oct 30) (General Medicine)

Results

#1. A 2-year old child presents with delay in psychomotor development, vision, hearing deterioration, marked enlargement of liver and spleen. The child diagnosed with hereditary Niemann-pick disease. What genetic defect is the cause of this disease?

#2. A 47-year-old woman with chronic pancreatitis accompanied by exocrine pancreatic insufficiency was prescribed pancreatic enzymes. What type of therapy is it?

#3. It has been found experimentally that activation of amino acids and their binding to the tRNA is an important stage of preparation for protein synthesis in the cells .what substance takes part in this process?

#4. An infant developed darkened sclerae, mucosa, and auricles. The urine becomes dark, when exposed to the air. Blood and urine contain homogentisic acid. What is the most likely disease in this case

#5. Blood of a patient with bladder cancer has high levels of serotonin and hydroxyanthranilic acid, because of excessive intake of a certain amino acid. Name this amino acid:




#6. To study a normal menstruation cycle, the OB-GYN specialist, taking into account the pyrogenic effect of progesterone, measured the patient’s rectal basal body temperature. At what phase of the cycle will the rectal temperature increase by 0.4-0.5C?

#7. A man for a long time of suffering from hemoblastosis. Autopsy of the body revealed brown color of bone marrow, spleen, liver and lymph nodes. Perl’s histochemical reaction was performed. It was determined that reticular, endothelial and histiocytic elements of the affected organs contain blue granules. What pigment was detected using the Perl’s histochemical reaction?

#8. A patient who for a long time was Suffering from rheumatism and had mitral stenosis died of cardiopulmonary failure Autopsy revealed brown in duration of the lungs. What circulatory disorder leads to such changes in the lungs?

#9. Secretion of orotic acid many times exceeds the norm in patients with hereditary orotic aciduria. This pathology is associated with disturbed synthesis of:

#10. A woman has lately been excessively excitable and irritable and had insomnia. She was prescribed diazepam. What is the main mechanism of action of this drug?