Results
#1. Parents of a sick child came to the infectious disease specialist. The parents were working in India for a long time. The child has the following signs: a gray tint to the skin tone, loss of appetite, inertness, enlarged liver, spleen and lymph nodes. What protozoan disease can be suspected in the child?
#2. ECG of the patient shows increased duration of the QRS complex. What is the most likely causes?
#3. Blood test shows the following: Sodium – 115 mmol/L, chlorides – 85 mmol/L, glucose – 6 mmol/L, total protein – 65 g/L. The first consequence of such changes will be the decrease of:
#4. A patient complains of frequent and excessive urination and thirst. Urinalysis revealed the following: 24 hour diuresis – 19 liters, specific gravity – 1.001. These values are characteristic of:
#5. A 16-year-old girl has no hair on the pubis and in the armpits, her mammary glands are underdeveloped, no menstruation. This condition can be caused by the following hormone imbalance:
#6. A patient has an allergic response with itching, edemas and skin redness. In the tissues there is an increased concentration of a certain biogenic amine. Name this biogenic amine:
#7. It is known that hepatitis D virus belongs to defective viruses and can reproduce in the host cells only in the presence of another hepatitis virus. Name this other hepatitis virus:
#8. Genealogical analysis of a child with myotonic dystrophy determined that this disease manifests in every generation, is in equal measure present in the relatives of both genders, the risk of inheriting this disease is equal no matter which parent is affected. If one of the parents is heterozygous for this disease and the other parent is healthy, the risk of them giving birth to a sick child is 50%. What type of disease inheritance is it?
#9. A certain vitamin is a component of glutamic acid decarboxylase as a coenzyme, takes part in the formation of gamma-aminobutyric acid and its deficiency manifests as convulsions. Name this vitamin:
#10. Histological specimen shows parenchyma of an organ that consist of lymphoid tissue that forms lymph nodules; the nodules are located diffusely and have a central artery. What anatomical structure has such morphological characteristic?
#11. A medical student was hospitalized into the infectious diseases unit on the 2nd day after the disease onset. The patient is suspected to have infectious mononucleosis. What results of laboratory analysis can confirm this diagnosis immediately on the day of the hospitalization.
#12. After a spinal trauma the patient was lost proprioceptive sensitivity in the lower half of the body and in the lower limbs. What sensory conduction pathway was likely damaged, leading to the loss of sensitivity?
#13. A patient presents with an acute attack of cholelithiasis. Laboratory examination of the patient’s feces will show the following in this case:
#14. Autopsy of the body of 72-year-old woman, who was suffering from rheumatoid arthritis and died of uremia, revealed enlarged pale gray kidneys with glossy lardaceous surface on section. Based on the macroscopic changes, the pathologist suspected:
#15. The patient notes frequent diarrheas, especially after eating fatty food and loss of weight. Laboratory testing detected steatorrhea and hypocholic feces. What is the likely cause of this condition?
#16. A person developed increased pulmonary ventilation due to physical exertion. What indicator of external respiration will be significantly increased compared to the resting state?
#17. A 48-year-old man is unconscious. He has a history of several syncopal episodes with convusions. ECG shows deformed QRS complexes unconnected with P waves, atrial contractions are approximately 70/min, ventricular contractions are 25-30/min. Name the type of arrhythmia in this case:
#18. An oncology patient is to undergo a surgery on the descending colon. Name the main source of the blood supply to this organ:
#19. Body fluids, especially urine, of a sick child produce a specific sweet odor. It is associated with the disturbed metabolism of such amino acids as leucine, isoleucine and valine. What diagnosis will be made by the doctor in this case?
#20. Examination of the femoral bone detected chronic suppurative inflammation of the compact substance and bone marrow, formation of bone sequestra. What disease is associated with such changes?