Merging Result PDF

1. Active respiratory mobility of the lower border (diaphragmatic movement. of normal lungs by Lin.
axillaris media dextr. et sin.:
4-6 sm
3-5 sm
5-8 sm
6-8 sm+
14-16 sm
2. “Cobbler chest” also called:
emphysematous;
paralytic;
rachitic;
Funnel+
3. Syndrome is:
combination of symptoms that are interrelated and give rise to one another;+
abnormal phenomena as pain, dizziness, nausea, vomiting, etc, occurring in sick persons;
summarize clinical examinations.
4. To determine the protein function of the liver is used:
determination of the content of total protein in serum
determination of protein fractions
protein sediment tests
determination of prothrombin index
all of the above methods+
5. When percussion of the abdomen in a healthy person is heard:
dull sound
sound box
pulmonary sound
dullness of sound
tympanic sound.+
6. In healthy people GFR level is:
20-40 mL/min/1.73 m2
40-60 mL/min/1.73 m2
90 to 120 mL/min/1.73 m2+
130-150 mL/min/1.73 m2
155-160 mL/min/1.73 m2
7. The distance of the liver in the right parasternal line is normally :
6-8 cm
8-10 cm+
10-12 cm
13-15 cm
16-18 cm
8. In the Nechiporenko analysis of urine normal content of leukocytes in 1 ml:
up to 10
up to 100
up to 2000+
up to 10,000
9. Percussion resonant and clear sound is defined over:
heart
liver
Lungs+
spleen
kidneyend
10. Purpura (hemopurpura. is:
small pointed hemorrhages;+
large black and blue spots;
red spots of different size;
a swelling from gross bleeding.
11. Projections of the mitral valve on the anterior chest wall:
at the 3-rd costosternal joint;+
on the sternum midway between the 3-rd left and 5-th right costosternal joints;
in the 2-nd intercostal space, to the left of the sternum;
in the middle of the sternum at the level of the 3-rd costosternal joint.
12. The vascular bundle consists of the following vessels, except:
the aorta
inferior vena cava+
pulmonary trunk
superior vena cava
13. The best auscultatory areas (points. for a pulmonary valve:
apical impulse
the base of the xiphoid process
2 intercostal space to the left of the sternum+
2 intercostal space to the right of the sternum
the Erbs point
14. Harsh breathing:
short jerky inspiration efforts interrupted by short pauses between them the expiration is usually
normal;+
deeper vesicular breathing during which the inspiration and expiration phases are intensified;
inspiratory sounds last longer than expiratory ones.
15. The normal time of blood clotting by Lee-White (in min.., determined in a glass test tube:
3-8
5-10+
11-12
4.15-20
5.20-22
16. Serum creatinine in healthy does not exceed (mmol.l.:
12
18
40
110 +
145
17. The normal number of segmented nuclear leukocytes (%.:
30-35
35-40
47-72+
75-80
80-85
18. What part of the heart represents the left border of relative dullness:
left atrium
pulmonary trunk
right ventricle
right atrium
left ventricle+
19. Renal edema starts from:
Face+
legs
ascites
everything is correct
everything is wrong
20. Prapedeutics to internal discases is:
the science atbout methods of clinical examination of the patient and diagnosis basing;+
the study of the physical structure of organisms;
the study of the normal functioning of the body and the underlying regulatory mechanisms;
the study of disease—the causes, course, progression and resolution thereof.
21. The past history involves all listed except:
habits;+
history of present disease;
family history;
social history;
allergological history.
22. Dullness sound can be coursed by all except:
pulmonary tumor (airless tissue.;
when fluid occupies the pleural space (over fluid.:
pleural accumulation of serous blood (hemothorax.
compressive atelectasis.+
23. The ratio of daytime diuresis to night:
1: 1
1: 2
1: 3
3: 1+
5: 1
24. The horizontal electrical axis of the heart in standard leads:
RII> RI> RIII

RI> RII> RIII+
RIII> RII> RI
RIII= RII> RI
25. Using comparative percussion determine:
the upper border of the lungs
percussion sounds on symmetrical parts of the chest+
lower border of the lungs
mobility of the lower border of the lungs
width of the Kroenig's area
26. Normal systolic blood pressure is:
100-110mm Hg
100-120mm Hg
100-130 mm hg.
100-139mmHg+
100-150mm Hg
27. The extent to which venous pressure varies in healthy individuals:
40-80mm water column
60-100mm water column+
28. Polyuria is an increase in daily diuresis of more than:
1 liter
2 liters +
3 liters
5 liters
10 liters
29. Vitiligo is:
symmetrical white spots on the face, trunk, limbs;+
the redness located on checks;
cyanotic color of the skin;
yellow color of the skin.
30. Patients with grave diseases should be percussed in:

standing position;
sitting position;
lying position;+
does not matter.
31. Moderate expressed visible interspaces, epigastric angle near 90° typical for:
normosthenic chest;+
hypersthenic chest;
asthenic chest;
there is no correct answer.
32. Arterial hypertension (according to WHO. is established with BP:
systolic 140mm Hg and higher, diastolic-90mm Hg and higher+
systolic 130-139 mm Hg, diastolic 85-89mm Hg
systolic 100-139mm Hg, diastolic 60-85mm Hg
systolic below 100mm Hg, diastolic below 60mm Hg.
systolic blood pressure above 160mm.rt.st., Diastolic pressure of 95
33. Normal albumin from the total protein:
26.3-38.8%
40.3-55.3%
56.3-68.8%+
70.3-83.3%
83.3-93.8%
34. The normal number of eosinophils in the blood test (%.:
0-0,1
0.5-5.0+
6-8
8-10
10-12
35. How also called vesicular breathing:
bronchial;
amphoric;
alveolar;
Laryngotracheal;+
metallic.
36. Pigeon chest is typical for:
emphysema of the lungs;
rheumatoid arthritis;
pneumosclerosis;
Rachitis+
37. Anasarca - is:
edema on the legs;
edema on the lower back;
edema on the neck;
abdominal hydrops;
edema of the all body.+
38. The transverse length of relative cardiac dullness is (cm.:
3-4
5-6
7-8
9-10
11-13+
39. Normally, the content of total protein in serum is:
45-46g | l
65-85g | l+
85-105g | l
105-125g | l
125-145g | l
40. What lung pathology is characterized by dry rales:
dry pleurisy;
emphysema;
bronchitis;
pneumonia;
the attack of bronchial asthma+
41. "Puerile respiration":
physiological intensification of vesicular breathing+
pathologically decreased vesicular respiration;
physiological intensification of bronchial breathing;

pathologically decreased bronchial breathing;
stenotic respiration.
42. The routine method for assessing the patients with disorders of the respiratory system is:
computer tomography;
ultrasound examination;
bronchoscopy;
Chest X-ray+
43. Character of cyanosis in cardiovascular disease:
diffuse;
on the face;
acrocyanosis;+
in the lower extremities;
in some parts of the body.
44. Disorientation in surroundings, loss of memory (amnesia., patient is exited, has pathologically high
spirits, is anxious, sometimes even aggressive, all that is signs of:
Twilight state;+
Delirium;
Stupor;
Coma.
45. Blood hemoglobin in women (g / l.:
100-110
110-120
120-140+
130-160
150-160
46. The position of the lower border of the lungs by Lin. medioclavicularis dextra:
6-th rib+
7-th rib
8-th rib
9-th rib
10-th rib
47. The size of liver according to M.G. Kurlov method:
9:8:7 +-1cm+
11:8:7 +-1cm
9:9:7 +-1cm
12:10:9 +-1cm
9:10:11 +-1cm
48. Normal cholesterol content in blood serum is:
2.0-3.8 mmol | l
3.9-5.2 mmol | l+
5.6-8.2 mmol | l
8.3-10.5 mmol | l
10.6-12.9 mmol | l
49. Normal albumin-globulin ratio is:
0.3-1.1
1.2-2+
2.1-2.9
3.0-3.8
3.9-4.6
50. The duration of the QRS complex is normal:
0.01-0.02 sec
0.03-0.04 sec
0.05-0.06sec
0.06-0.1 sec +
1. The diseases caused by negative interrelation of medical staff and patients are called:
Social
Iatrogenic+
Somatogenic
Professional
Psychogenic
2. CREPITATION IS FORMED
in the alveoli +
in large bronchi
in small bronchi
into the trachea

in the pleural cavity.
3. BODY TEMPERATURE OF A HEALTHY PERSON IN THE ARMPIT is…
36.9°C-37.8°C
36.4°C – 36.8°C+
37.0°C – 38.2°C
4. The top of lungs apices in front is normally:
4 – 6 cm;
3 – 4 cm;+
2 – 5 cm;
6 – 8 cm;
1 – 2 cm.
5. IN AUSCULTATION OF THE LUNGS, COUGHING IS USED IN ORDER TO…
differences between pleural friction noise and crepitation and wheezing
detection of hidden bronchial obstruction
differences between dry rales and wet rales
differences between wheezing and crepitation or pleural friction noise+
better listening to pathological bronchial breathing.
6. Bronchophony is:
vibration of the chest at the heart apex
vibration of the chest in the area heart base
vibration of thorax caused by vibration of the vocal cords
the main respiratory noise that occurs when air passes through the glottis
listening to whispered speech on the surface of the chest+
percussion sounds on symmetrical parts of the chest +
8. Satisfactory patient ’s condition (status morboacili) is characterized by
clear consciousness, active or active with restriction posture, free or partial deranged (specific) gait,
sensible facial expression, and adequate mental reaction;+
deranged consciousness, alteration of facial expression and posture (forced), uncertain gait, partial
deranged mental state and may be observed in patients with recurrence of chronic disease, acute
diseases, or due to the traumas and poisoning;
disorders of practically all clinical features: deranged consciousness, changed facial expression (fear,
suffer, hopelessness, indifference). The patients have forced or passive posture, loss o f weight,
edema, and inadequate mental state;
9. Patient anamnesis:
Results of resort treatment
Labour activity in the past+
Home address
Features of the beginning of disease
Results of previous treatment
10. Active respiratory mobility of the lower border (diaphragmatic movement) of normal lungs by Lin.
medioclavicularis dextra:
4-6 sm+
3-5 sm
5-8 sm
6-10 sm
14-16 sm
11. The chest is ball-shaped. The ratio of anterior-posterior size to transverse size is 8.0. The area of
the costal cartilages is thickened. What diagnosis can be supposed?
Asthenic chest
Rachitic chest+
Hypersthenic chest
Emphysema chest
Paralytic chest
12. Patient W. 64 years has skin changes- visible dilation of small subcutaneous blood vessels.
Estimate these skin changes:
Teleangioectasia+
Hyperpigmentation
Petechia
Urticaria
Vitiligo
13. The upper border of the lung is determined by changing the percussion sound:
from resonant pulmonary to dull +
from resonant pulmonary to blunted

from blunted to resonant
from dull to resonant pulmonary
from resonant pulmonary to tympanic
14. Options normal shape of the chest are all listed, except:
asthenic;
normosthenic;
hypersthenic;
emphysematous.+
15. The type of breath can be:
surface, deep and mixed;
thoracic, abdominal and mixed; +
rhythmic and non-rhythmic;
deep, rhythmic, even;
correctly 1) and 3).
16. Active respiratory mobility of the lower border (diaphragmatic movement of normal lungs by Lin.
4-6 sm
3-5 sm
5-8 sm
6-8 sm+
14-16 sm
17. DURATION OF THERMOMETRY WHEN MEASURED WITH A MERCURY THERMOMETER…
5-10 min.+
20 min.
7 min.
10 min.
18. Suggestion formulation of question:
What do you complain of?
Does the compressing pain trouble you at walking at the precordial area because of what you have to
stop?+
What's brought you along today?
What troubles you?
Do you have complaints now?
19. Bronchial breathing is sounded:

At inhalation
At exhalation
At inhalation and 1/3 of exhalation
During breathing in and out+
At inhalation and at first 2/3 of exhalation
20. Barrel-shaped chest is typical for:
pulmonary tuberculosis
emphysema of the lungs+
exudation pleurisy
pneumothorax
acute bronchitis
physiological intensification of vesicular breathing+
22. Where appears crepitation:
in the small bronchi:
in the large bronchiin;
in the alveoli;+
in the pleural cavity
23. THE AVERAGE BREATHING RATE IN AN ADULT…
24 in 1 minute
from 14 to 20 in 1 minute+
from 10 to 12 in 1 minute
24. The patient has an attack of dyspnea. His position is forced; he is sitting resting his hands on the
edge of the bed. The voice resonance over the lungs is weak. What diagnosis can be supposed?
Pulmonary emphysema
Bronchial asthma+
Kussmaul respiration
atelectasis
Cheyne-Stokes respiration
25. GIVE A NAME TO THE FOLLOWING CHEST SHAPE: the chest is elongated, narrow and flat; the ratio
of the anteroposterior and lateral dimensions is approaching 0.5; the supra-and subclavian fossas are
clearly defined, but are located symmetrically; the epigastric angle is acute, the slope of ribs is located
obliquely; intercostal spaces are wide; the scapulas are situated asymmetrically; expressed atrophy of
the chest muscles.
Paralytic+
Emphysematous
asthenic
hypersthenic
normosthenic
26. When the lymph nodes are palpated, they are assessed:
Size
Tenderness
Consistency
Soldered to the skin
Cohesion among themselves
All above-said.+
27. The patient has dyspnea and cyanosis. The right half of the chest protrudes, delays in the act of
respiration. The voice resonance is decreased downward the middle of the scapula. What diagnosis
can be supposed?
Hydrothorax, pneumothorax+
Cavity in the lung
Pulmonary emphysema
Atelectasis
Pneumonia
28. Kyphoscoliosis-bending of the spine:
go ahead;
back;
in the lateral direction;
to the side and back.+
29. A wobbly gait is characteristic of defeat:
joints of the lower extremities;
the cerebellum;
vestibular apparatus;
(B) and C);+

all of the above.
30. Thickening of the nails occurs when:
myxedema;
heart defects;
acromegaly;+
anemia;
all listed diseases.
31. Indirect percussion consists in:
percussion a finger on the body of the patient;
percussion a plessimeter attached to the body of the patient.+
32. In healthy people, the upper borders of the lungs are above the clavicles:
1-2sm
3-4 sm+
5-6 sm
7-8 sm
9-10 sm.
33. Determine biological factors which cause diseases.
Virus
Microbe
S. Protozoa
Rickettsia
All above-listed+
34. BRONCHOPHONIA IS…
determination of the vibration of the chest
listening to bronchial breathing
listening to whispered speech.+
35. Louis' angle is:
the angle of connection of the body and the handle of the sternum;+
the angle of the scapule to the chest;
the angle of the clavicle and sternum;
epigastric angle
all answers are not correct.
36. Determine physical factors which cause diseases.

High pressure action
Low temperature action (-350С)+
Electric current action
Exposure of electromagnetic field
All above-listed
37. Syndrome is:
combination of symptoms that are interrelated and give rise to one another;+
38. The projection of the cells of ethmoid bone is located:
at the border of the scalp;
1.0-1.5 cm above the upper medial edge of the orbit;
at the root/radix of the nose;+
in the lower edge of the orbit;
in the middle of the upper jaw.
39. Determine characteristic of asthenic habitus from the physiological point of view.
Prevalence of the transversal sizes of a thorax
Right epigastric angle
Significant prevalence of the transversal sizes of a body above longitudinal
Significant prevalence ratio of extremities to trunk +
Significant prevalence ratio of abdomen to thorax
40. Excessive pilosis/hairiness is called:
vitiligo;
albinism;
hirsutism;
hypertrichosis;+
nevus.
41. Determine the characteristic of coma.
Unconsciousness.+
Pathological deep sleep from which patient wake up only for short periods.
Twilling state.
Correct display of the reality in a brain of the person, the slowed answer on external irritant and
signals.
Slow inadequate answers
42. Under the direction of the nurse the student of the 2nd rate draw a passport part in admission
office of the case record of patient D. 54 years, which hospitalize in connection with essential
hypertension. At this time has hardly come the man of 65 years old in the office. He was pale, with
complaints to dizziness, sharp weakness. Suddenly including patient has lost consciousness, has fallen,
cramps have begun. What medical and deontological tactics?
Nurse should begin immediately external cardiac massage and artificial breath (on the floor). The
student should transfer patient D. in other room and urgently call a doctor.+
Firstly he must finish registration of the case record.
Student should begin immediately external cardiac massage and artificial breath (on the floor). The
nurse should transfer patient D. in other room and urgently call a doctor.
The nurse should call the doctor immediately and wait his orders.
All above variants are allowable
43. Lateral curvature of the spine is observed in:
lordosis
scoliosis +
kyphosis
rachitis
kyphoscoliosis
44. Choose correct sequence of parts in case report:
General biographic information, anamnesis of life, complaints, history of present disease, objective
examination, inquiring about all organ and system
General biographic information, history of present disease, objective examination, anamnesis of life,
inquiring about all organ and system, complaints
General biographic information, history of present disease, objective examination, complaints,

anamnesis of life, inquiring about all organ and system
General biographic information, anamnesis of life, history of present disease, inquiring about all organ
and system, objective examination, complaints
General biographic information, complaints, inquiring about all organ and system, history of present
disease, anamnesis of life, objective examination.+
45. Bronchial respiration occurs when air passes through:
the glottis;+
large bronchi;
small bronchi;
bronchioles;
the alveoli.
46. Normally bronchophonia:

listened to clearly;
very weakly listened to;
not listened to;
correct A) and B);
(B) and C).+
47. Patient F. 38 years has specific changes of fingers and nails - clubbing of the fingers (bulbous
swelling of the tip of the fingers) and nail in form of watch glass. What is typical reason of these
changes?
Endocrine disease
Chronic liver disease
Chronic cardiac disease+
Chronic intestinal pathology
Haemolytic jaundice
48. Grade III obesity is determined if the BMI is:
25.0 - 25.9;
34.9;
≥ 40;+
18.5 - 24.9;
≤18.5.
49. There should not be elements of answers ("help") in the questions, set to the patient i.e.
suggestion as it is easy to run into a mistake – to assume disease which is not present at the patient
actually. In the list of questions resulted below specify incorrect (suggestion) formulation of question:
Does the dyspnoea trouble you laying position?+
What troubles you?
50. The forced position of the patient is that:
Position which the doctor recommended for a quicker recovery
Position which the patient assumes due to the progressiveness of the disease
Position which the patient cannot change independently
Position which the patient assumes to reduce the occurrence of the illness (dyspnoea, cough, pain
etc.) +
Position with the patient assumes due to immobilization of the extremities. (The use of skeletal
traction, splints etc).
The science atbout methods of clinical examination of the patient and diagnosis basing;+
The study of the physical structure of organisms
The study of the normal functioning of the body and the underlying regulatory mechanisms;
The study of disease—the causes, course, progression and resolution thereof.
2. The normal number of segmented nuclear leukocytes (%):
30-35
35-40
47-72+
75-80
Pulmonary tumor (airless tissue)
When fluid occupies the pleural space (over fluid)
Pleural accumulation of serous blood (hemothorax)
Compressive atelectasis+
45-46g | l
65-85g | l
85-105g | l +
105-125g | l
5. In healthy people GFR level is
20-40 mL/min/1.73 m2
40-60 mL/min/1.73m2
90 to 120 mL/min/1.73 m2+
130-150 mL/min/1.73 m2
6. To determine the protein function of the liver is used
Determination of the content of total protein in serum
Determination of protein fractions
Protein sediment tests
All of the above methods+

7. Serum creatinine in healthy does not exceed (mmol.l):
12
18
40
110+
At the 3-rd costosternal joint;+
On the sternum midway between the 3-rd left and 5-th right costosternal joints
In the 2-nd intercostal space, to the left of the sternum
In the middle of the sternum at the level of the 3-rd costosternal joint
Bronchial
Amphoric
Alveolar+
Laryngotracheal
10. Purpura (hemopurpura) is:
Small pointed hemorrhages +
Large black and blue spots
Red spots of different size
A swelling from gross bleeding.
Up to 10
Up to 10,000
Up to 100
Up to 2000 +
12. The size of liver according to M.G. Kurlov method
9:8:7 +-1cm +
11:8:7 +-1cm
9:9:7 +-1cm
12:10:9 +-1cm
Habits;+
History of present disease;

Family history;
Social history;
14. Arterial hypertension (according to WHO) is established with BP:
Systolic 140mm Hg and higher, diastolic-90mm Hg and higher +
Systolic 130-139 mm Hg, diastolic 85-89mm Hg
Systolic 100-139mm Hg, diastolic 60-85mm Hg
Systolic below 100mm Hg, diastolic below 60mm Hg.
15. Vitiligo is
Symmetrical white spots on the face, trunk, limbs;+
The redness located on checks;
Cyanotic color of the skin
Yellow color of the skin
16. Patients with grave diseases should be percussed in
Standing position
Sitting position;
Lying position;+
Does not matter.
17. Character of cyanosis in cardiovascular disease
Diffuse
On the face
Acrocyanosis +
In the lower extremities
18. “Cobbler chest” also called
Emphysematous
Paralytic
Rachitic;
Funnel+
19. Active respiratory mobility of the lower border (diaphragmatic movement) of normal lungs by Line
axillaris media dextra et sinistra.
4-6 sm
3-5 sm
5-8 sm
6-8 sm +
20. What lung pathology is characterized by dry rales
Emphysema;
Bronchitis
Pneumonia
The attack of bronchial asthma +
21. The vascular bundle consists of the following vessels, except
The aorta
Inferior vena cava+
Pulmonary trunk
Superior vena cava
22. Renal edema starts from
Face +
Legs
Ascites
Everything is correct
23. Disorientation in surroundings, loss of memory (amnesia), patient is exited, has pathologically high
Twilight state+
Delirium;
Stupor;
Coma
0.3-1.1
1.2-2+
2.1-2.9
3.0-3.8
25. The normal number of eosinophils in the blood test (%):
0-0,1
0.5-5.0+
6-8
8-10
26. Syndrome is:
Combination of symptoms that are interrelated and give rise to one another
Abnormal phenomena as pain, dizziness, nausea, vomiting, etc, occurring in sick persons
Summarize clinical examinations
Dry pleurisy+
27. The transverse length of relative cardiac dullness is (cm)
3-4
5-6
7-8
11-13+
28. The routine method for assessing the patients with disorders of the respiratory system is
Computer tomography
Ultrasound examination;
Bronchoscopy
Chest X-ray+
29. Percussion resonant and clear sound is defined over
Heart
Liver
Lungs+
Spleen
30. Harsh breathing
Short jerky inspiration efforts interrupted by short pauses between them the expiration is usually
normal+
Deeper vesicular breathing during which the inspiration and expiration phases are intensified;
Inspiratory sounds last longer than expiratory ones
Emphysema
Left atrium
Pulmonary trunk
Right ventricle
Left ventricle+
32. Anasarca - is:
Edema on the legs
Edema on the lower back
Edema on the neck

Edema of the all body +
33. "Puerile respiration"
Physiological intensification of vesicular breathing +
Pathologically decreased vesicular respiration
Physiological intensification of bronchial breathing
Pathologically decreased bronchial breathing;
1 liter
2 liters+
3 liters
5 liters
The upper border of the lungs
Percussion sounds on symmetrical parts of the chest+
Lower border of the lungs
Mobility of the lower border of the lungs
36. Blood hemoglobin in women (g / l):
100-110
110-120
120-140+
130-160
37. The distance of the liver in the right parasternal line is normally
6-8 cm
8-10 cm +
8-10 cm
13-15 cm
26.3-38.8%
40.3-55.3%
56.3-68.8% +
70.3-83.3%
39. Pigeon chest is typical for
Emphysema of the lungs

Rheumatoid arthritis
Pneumosclerosis
Rachitis +
1: 1
1: 2
1: 3
3: 1+
41. When percussion of the abdomen in a healthy person is heard
Dull sound
Sound box
Dullness of sound
Tympanic sound +
42. The normal time of blood clotting by Lee-White (in min.), determined in a glass test tube
3-8
5-10 +
11-12
4.15-20
2.0-3.8 mmol | l
3.9-5.2 mmol | l+
5.6-8.2 mmol | l
8.3-10.5 mmol | l
Normosthenic chest +
Hypersthenic chest
Asthenic chest
There is no correct answer
45. Normal systolic blood pressure is
100-110mm Hg
100-120mm Hg
100-130 mm hg
100-139mmHg+
46. The position of the lower border of the lungs by Lin. medioclavicularis dextra
6-th rib+
7-th rib
8-th rib
9-th rib
47. The best auscultatory areas (points) for a pulmonary valve:
Apical impulse
The base of the xiphoid process
2 intercostal space to the left of the sternum+
48. The duration of the QRS complex is normal
0.01-0.02 sec
0.03-0.04 sec
0.05-0.06sec
0.06-0.1 sec +
60-100mm water column+
RII> RI> RIII
RI> RII> RIII+
RIII> RII> RI
RIII= RII> RI
1. Excretory anuria
Violation of urine formation by kidneys +
Lack of urine because of constraints in the urinary tract

Daily urine output less than 500 ml
Urinary excretion of acetone
2. Oligouria is a daily diuresis less than:
500ml+
1000ml
2 liters
5 liters
3. What is the sequence of examination of pulse rate:
Synchronicity, rhythm, frequency, voltage, filling +
Rhythm, frequency, synchronicity, content, stress
The frequency, rhythm, synchronicity, content, stress
Filling, strain, frequency, rhythm, synchronicity
4. Where the apical impulse is normally defined:
On the parasternal line
1.5 cm outside from the midclavicular line
1.5 cm inside from the midclavicular line+
On the midaxillary line
5. What method of examination has the greatest value in diagnosis of gallstone disease:
Questioning
Palpation
Cholecystography; +
Irrigoscopy
6. The position of the lower border of the lungs by Lin. medioclavicularis dextr.:
6-th rib +
7-th rib
8-th rib
9-th rib
7. Grade III hypertension established at the level:
120-129 SBP (mm Hg) and/or 80-84 DBP (mm Hg)
180 SBP (mm Hg) and/or > 110 DBP (mm Hg+
8. Respiratory excursion of the lower border of leftt lung by scapular line

1 – 2 cm
2 – 3 cm
4 – 6 cm +
6 – 8 cm.
9. Prothrombin is synthesized only in:
Spleen
Kidney
Pancreas
Liver+
10. What is the cardialgia
Pain in the liver
Heart pain;+
Feeling of "disruptions" in the heart
Muscle pain
11. In the Nechiporenko analysis of urine normal content of erythrocytes in 1 ml
Up to 10
Up to 100
Up to 1000
Up to 10,000 +
medioclavicularis dextra
4-6 sm
3-5 sm
5-8 sm
6-10 sm+
13. The resonant sound of the percussion of a healthy person is determined above the:
Heart
Spleen
Lung tissue+
Muscles
14. Diastolic trembling ("cat purring") on apex of the heart palpated in case of:
Insufficiency the aortic valve;
Aortic stenosis
Mitral stenosis+
Insufficiency left atrioventricular valve;
15. Normal value of Lymphocytes:
0.02-0.3 x 109 /1(0.5-5 %);
0-0.065 x 109 /1 (0-1 %)
1.2-3.0 x 109 /1(19-37%); +
0.09-0.60 x 109 /1 (3-11 %).
16. Pulse pressure is normal:
35-45mmHg
40-50mm Hg++
45-55mmHg
50-60mmHg
17. What is normal heart rate
40 - 60 per 1 min
90 - 120 per 1 min
60 - 80 per 1 min;
120-240 per 1 min
18. Projections of the tricuspid valve on the anterior chest wall:
At the 3-rd costosternal joint;
On the sternum midway between the 3-rd left and 5-th right costosternal joints;+
19. With the feces of a healthy person stands out
Free bilirubin
Associated bilirubin
Urobilin
Urobilinogen +
20. S2 consists of:
One component
Two components;+
Three components
Four components
21. Glycosuria is often typical for:

Misuse of sweet food;
Emotional turmoil
Diabetes;+
Glomerulonephritis
22. Vomiting that arose through 4-6 hours after eating is a consequence of:
Ulcer or cancer of cardiac part of the stomach acute gastritis;
Ulcer or cancer of the stomach body
Ulcer of the pylorus or duodenum +
Cecum
23. Displacement left border of cardiac dullness to the left can occur in case of:
Hypertrophy of the right atrium
Hypertrophy of the left atrium
Hypertrophy of the right and left atrium
Hypertrophy and dilatation of left ventricular +
24. The distance of the liver in the right anterior axillary line is normally is
6-8 cm
8-9 cm
10-12 cm
13-15 cm+
25. The content of total protein in serum 106g | l, this:
Hypoproteinemia
Dysproteinemia
Hypergammaglobulinemia
Hyperproteinemia+
26. Laboratory examination includes all listed except
Blood analysis
Sonography+
Urine analysis
Sputum analysis
27. The vertical electrical axis of the heart in standard leads:
RII> RI> RIII
RI> RII> RIII
RIII= RII> RI+

28. In what lead T wave is always normally negative
I standard lead;
II standard lead
III standard lead
AVR +
29. Normally, the prothrombin index is:
20-40%
40-60%
60-80%
80-100%+
30. Specify the localization of the upper border of the relative dullness of the heart
2nd rib
2nd intercostal space
3rd rib+
4th rib
31. Enlarged superciliary arches, zygomatic bones, ears, auricles nose, lips, tongue, growth and
putting forward of low jaw (prognotism) is also called
Facies in patients with Cushing’s syndrome
Facies Hyppocratica
Facies as a “wax-doll”
Facies acromegalica.+
Clear consciousness, active or active with restriction posture, free or partial deranged (specific) gait,
sensible facial expression, and adequate mental reaction; +
Deranged consciousness, alteration of facial expression and posture (forced), uncertain gait, partial
diseases, or due to the traumas and poisoning
Disorders of practically all clinical features: deranged consciousness, changed facial expression (fear,
suffer, hopelessness, indifference). The patients have forced or passive posture, loss o f weight,
edema, and inadequate mental state;
Edema, and inadequate mental state;
33. Deficiency of pulse is
A disharmony between a heart rate and a number of pulse waves on periphery +
A disharmony between a breath rate and a number of pulse waves on periphery
A disharmony between a heart rate and breath rate

All answers are correct
34. A boxed sound above the lungs indicates:
Reducing the airiness of the lung tissue
Accumulation of fluid in the pleural cavity
The formation of a cavity in the lung
Increased airiness of lung tissue+
35. Prothrombin is synthesized with the participation of the vitamin:
K+
B1
36. What is early sign of pancreatic insufficiency
The presence stercobilin in the stool
Steatorrhea+
Black feces
The presence of urobilin in the stool
37. P wave on the ECG is:
Ventricular excitation
Excitation of interventricular septum
Atrial excitation;+
Ventricular repolarizatio
38. To distinguish small focuses in pulmonary tissue more sensitive is
Magnetic resonance imaging+
Radiography;
Computer tomography;
Pulmonary angiography.
39. The pulse rate corresponds to the heart rate and is equal to
50-70 per minute
55-75 per minute
60-90 per minute+
68-89 per minute
40. The best auscultatory areas (points) for a tricuspid valves
Apical impulse
The base of the xiphoid process+
2 intercostal space to the left of the sternum
41. In the urine of men leukocytes
Not contained
1-2 in sight+
5-6 in sight
6-8 in sight
42. In which intercostal space the width of the vascular bundle is normally determined:
2+
43. From what of the intestines segment begins deep palpation by Obraztsov-Strazhesko
Cecum
The transverse colon
Appendix cecum
The sigmoid colon +
44. The distance of the in the right midclavicular line is normally:
6-8 cm
8-9 cm
10-12 cm
9-11 cm+
45. 16.The normal number of leukocytes in the peripheral blood (x109 / l):
1-2
2-3
4-9 +
9-10
46. The normal electrical axis of the heart in standard leads:
RII> RI> RIII+
RI> RII> RIII
RIII> RII> RI
RIII= RII> RI
47. What kind of blood is typical for hemoptysis
Bright red;+
Dark brown
Black
With the content of food.
48. How many urine samples are collected for Zimnitsky analysis:
8+
49. Melena may indicate:
Botkin's disease
Hemorrhoids
Chronic pancreatitis
Bleeding from the veins of the esophagus+
50. The best auscultatory areas (points) for a mitral valve
Apical impulse+
1. What percussion sound is determined above the zone of absolute dullness of the heart
Pulmonary
Boxed
Dull +
Tympanic
2. The method of palpation of the chest does not reveal
Vocal fremitus
Weakened vesicular respiration
Painful areas
Stiffness of the intercostal spaces+
3. The symptom of "Digiti hippocratici" is observed in patients with:
Bronchial asthma
Bronchiectasis +
Focal pneumonia
Acute bronchitis
30-35
35-40
47-72+
75-80
Vocal fremitus
Weakened vesicular respiration +
Painful areas
Stiffness of the intercostal spaces
0.02-0.3 x 109 /1(0.5-5 %)
0-0.065 x 109 /1 (0-1 %)
1.2-3.0 x 109 /1(19-37%);+
0.09-0.60 x 109 /1 (3-11 %)
7. The normal number of leukocytes in the peripheral blood (x109 / l)
1-2
2-3
4-9 +
9-10
8. Where the apical impulse is normally defined
On the midclavicular line
1.5 cm inside from the midclavicular line +

9. The position of the lower border of the lungs by Lin. Scapularis
6-th rib
7-th rib
8-th rib
10-th rib +
0.02-0.3 x 109 /1(0.5-5 %)
0-0.065 x 109 /1 (0-1 %)
1.2-3.0 x 109 /1(19-37%);+
0.09-0.60 x 109 /1 (3-11 %)
I standard lead
II standard lead
III standard lead
AVR +
12. The horizontal electrical axis of the heart in standard leads
RII> RI> RIII
RI> RII> RIII+
RIII> RII> RI
RIII= RII> RI
Left atrium
Pulmonary trunk
Right ventricle
Left ventricle+
14. The indicator of liver pigment function is the content in the serum
Cholesterol
Total protein and protein fractions
Fibrinogen
Bilirubin and its fractions +
15. Respiratory excursion of the lower border of leftt lung by scapular line:
1 – 2 cm
2 – 3 cm
4 – 6 cm+
6 – 8 cm
Magnetic resonance imaging +
Radiography
Computer tomography
Pulmonary angiography
Bronchial
Amphoric
Alveolar +
Laryngotracheal
All of the above methods+
19. In which intercostal space the width of the vascular bundle is normally determined
2+
20. Xanthelasma is determined by:
Mitral stenosis
Pulmonary emphysema
Biliary cirrhosis +
500ml +
1000ml
2 liters
5 liters

Pneumosclerosis
Rachitis +
23. The normal electrical axis of the heart in standard leads
RII> RI> RIII +
RI> RII> RIII
RIII> RII> RI
RIII= RII> RI
24. Unequal pulse often typical for:
Hole aortic stenosis;
Myocarditis
Atrial fibrillation +=
Exudative pericarditis
25. The Hippocratic face is a sign of
Thyrotoxicosis
Nephritis
Heart failure
Peritonitis; +
26. Right border of the relative cardiac dullness is formed by
Right atrium +
Left atrium
Right ventricle
Left ventricle
1-2sm
3-4 sm +
5-6 sm
7-8 sm
Chronic pancreatitis +
Mitral stenosis
Pulmonary emphysema
Biliary cirrhosis
29. Tendency to diarrhea typical for
Duodenal ulcer disease intestine
Erosive duodenitis
Chronic pancreatitis+
Chronic gastritis with increased gastric acidity juice
30. With the feces of a healthy person stands out:
Free bilirubin
Urobilin
Stercobilin +
Percussion sounds on symmetrical parts of the chest +
Bright red+;
Dark brown
Black
With the content of food
33. Physiological weakening of vesicular breathing is determined when
Obesity+
Hydrothorax
Pneumothorax
Emphysema
34. The best auscultatory areas (points) for a pulmonary valve
Apical impulse
2 intercostal space to the left of the sternum +
35. Normal Diastolic blood pressure is
60-70mmHg
60-80mm Hg
60-89mm Hg+
60-100mm Hg
36. Decreasing of both heart sounds typical for
Aortic heart defects
Mitral heart defects
Myocarditis +
Hypertension
37. Polyuria is an increase in daily diuresis of more than
1 liter
2 liters+
3 liters
5 liters
Face +
Legs
Ascites
Everything is correct
39. Excretory anuria
Violation of urine formation by kidneys;+
Urinary excretion of acetone.
40. Percussion tympanic sound is detected over the area
Liver
Stomach +
Lungs
Spleen
41. Normal albumin-globulin ratio is
0.3-1.1
1.2-2 +
2.1-2.9
3.0-3.8
42. The right border of relative cardiac dullness is normal:
On the right edge of the sternum
On the left edge of the sternum
1 cm laterally of the right edge of the sternum +
2cm laterally from the right edge of the sternum
43. Laboratory examination includes all listed except:
Blood analysis
Sonography +
Urine analysis
Sputum analysis
0.02-0.3 x 109 /1(0.5-5 %)
0-0.065 x 109 /1 (0-1 %)
1.2-3.0 x 109 /1(19-37%); +
0.09-0.60 x 109 /1 (3-11 %)
45. Epigastric pulsation, more clearly visible in the standing position and inhalation, indicates
Hypertrophy and dilation of the left atrium;
Hypertrophy and dilation of the right ventricle of the heart +
Hypertrophy and dilation of the left ventricle of the heart
Abdominal aortic aneurysm;
46. Purpura (hemopurpura) is
Small pointed hemorrhages +
A swelling from gross bleeding
47. The orthopnea position relieves the condition by reducing
Pain in the heart
Interruptions in the work of the heart
Lower extremity edema;
Shortness of breath; +
48. ECG heart rate (HR) formula is
60 (seconds in 1 minutes)/R-R(sec) +
600 (seconds in 1 minutes)/R-R(sec)

60 (seconds in 1 minutes)/R-R(big squares)
49. Nocturia is
Daily diuresis more than 1 liter
Daily diuresis less than 1 liter
The prevalence of nocturnal diuresis over daytime +
The prevalence of daytime diuresis over night
50. Causes of physiological weakening of vesicular breath
Poor development of the chest muscles
Performing heavy physical exertion
Excessive development of muscles and fatty tissue +
Children's age
1. The position of the lower border of the lungs by Lin. axillaris Media dextra et sinistra
6-th rib
7-th rib
8-th rib +
9-th rib
2. An alternating pulse is:
Alternation of pulse waves of large and small filling;+
A decrease or disappearance of the inhalation pulse waves;
Discrepancy between the number of pulse waves and the number of heartbeats;
Unequal pulse wave interval
3. Hemorrhagic syndrome in liver diseases is a consequence of:
Hhyperbilirubinemia;
Hepatocellular failure syndrome+
Hyperestrogenemia;
Hypoalbuminemia;
4. Puerile respiration":
A)Physiological intensification of vesicular breathing +
B)Pathologically decreased vesicular respiration;
C)Physiological intensification of bronchial breathing;
D)Pathologically decreased bronchial breathing;

5. What color index values indicate the normochromia:
Less than 0.8;
1.2-1.5;
More than 1.1;
0.85-1.1. +
6. The properties of the apical impulse are determined by:
Left ventricle +
Right atrium
Aortic arch
Left atrium
Dry pleurisy;
Emphysema;
Bronchitis;
The attack of bronchial asthma+
8. Inspiratory dyspnea is typical for:
Bronchial asthma;
Bronchiolitis;
Chronic obstructive pulmonary disease;
Tracheal tumors.+
9. ."Moon-shaped" Face is observed when:
Myxedema;
Acute glomerulonephritis
Bronchial asthma;
Itsenko-cushing disease.+
Small pointed hemorrhages;+
Large black and blue spots;
Red spots of different size;
A swelling from gross bleeding.
11. What means the large number of red blood cells in the gastric contents
Duodenal ulcer;
Gastritis;
Stenosis;
Gastric cancer +
12. The size (width)of the vascular bundle is (cm):
1-2
3-4
5-6 +
7-8
9:8:7 +-1cm +
11:8:7 +-1cm
9:9:7 +-1cm
12:10:9 +-1cm
Up to 10
Up to 100
Up to 2000+
Up to 10,000
15. Bronchial breathing in a healthy person is heard:
Over the trachea region and its bifurcation+
Below 2 ribs on the left lateral to the parasternal line
In the axillary lines
Below the axillary lines
Habits; +
Family history;
Social history;
Bronchoscopy;
Chest x-ray +
18. Aortic valves are projected on the anterior chest wall:

On the sternum midway between the 3-rd left and 5-th right costosternal joints;
In the 2-nd intercostal space, to the left of the sternum;
In the middle of the sternum at the level of the 3-rd costosternal joint. +
19. By using what method can be examine in vivo the morphology of the liver:
Scan;
Biopsy; +
Laparoscopy;
Splenoportography.
At the 3-rd costosternal joint; +
In the middle of the sternum at the level of the 3-rd costosternal joint.
21. The position of the lower border of the lungs by Lin. axillaris anterior dextra et sinistra.:
6-th rib
7-th rib +
8-th rib
9-th rib
0.01-0.02 sec
0.03-0.04 sec
0.05-0.06sec +
0.06-0.1 sec
23. Pulsus paradoxus” Is:
Alternation of pulse waves of large and small filling;
A decrease or disappearance of the inhalation pulse waves; +
Unequal intervals between pulse waves.
Normosthenic chest; +
Hypersthenic chest;
Asthenic chest;
There is no correct answer.
30-35
35-40
47-72+
75-80
0-0,1
0.5-5.0 +
6-8
8-10
27. Auscultation point of left atrioventricular valve located in:
Heart apex; +
2nd intercostal space to the right of the sternum;
To the left of the sternum at the 3rd costosternal articulation
2nd intercostal space to the left of the sternum;
Percussion sounds on symmetrical parts of the chest +
29. Chronic tonsillitis, tuberculosis, infectious mononucleosis, chronic lympholeucosis,

lymphogranulomatosis, lymphosarcoma may lead to increased:
Occipital lymph nodes;
Cervical lymph nodes; +
Axillary lymph nodes;
Cubital (local) lymph nodes.
Science about methods of clinical examination of the patient and diagnosis basing;+
The study of the physical structure of organisms;

0.3-1.1
1.2-2 +
2.1-2.9
3.0-3.8
32. In healthy people gfr level is:
20-40 ml/min/1.73 m2
40-60 ml/min/1.73 m2
90 to 120 ml/min/1.73 m2+
130-150 ml/min/1.73 m2
Twilight state; +
Delirium;
Stupor;
Coma.
34. Skin with thyrotoxicosis:
Soft, hot, wet, hyperemic, warm hands+;
Rough, cold, dry, pale, cold hands;
Soft, cold, dry, pale, cold hands;
Thickened, hot, moist, hyperemic, warm hands.
35. The duration of the p wave is normal:
0.06-0.07 sec
0.07-0.08 sec
0,08-0,09 sec
0.08-0.1 sec+
36. Characteristic of cardiac edema
Appear in the morning on the face;
Swelling of one leg with local cyanosis;
Swelling of the legs and feet at the end of the working day; +
Swelling of the eyelids, accompanied by itching.
2.0-3.8 mmol | 1
3.9-5.2 mmol | 1 +
5.6-8.2 mmol | 1
8.3-10.5 mmol | 1
38. Orthopnoe position is:
Sitting position, facilitating shortness of breath; +
Sitting, relieving pain;
Prone position, relieving pain;
Standing, stopping hiccups.
39. Where the primary urine is formed:
In glomerulus;+
In the proximal tubules;
In the distal tubules;
In the loop of the nephron;
40. Sings of stage iii hypertension:
No objective signs of organic changes;
At least one of the following signs of organ involvement without symptoms or dysfunction;
Both symptoms and signs have appeared as result of organ damage; +
Signs of a absence of consciousness and / or failure of organs.
41. A decrease in the volume of one half of the chest is not observed when:
Obstructive atelectasis;
Cirrhosis of the lung;
Emphysema of the lungs+
Pulmonectomy.
6-8 cm
8-10 cm +
10-12 cm
13-15 cm
Bronchial;
Amphoric;
Alveolar;+
Laryngotracheal;
44. Indicate the type of temperature curve, if the patient has fever within 38.0–38.8º for 1 week.
Febris continua; +
Febris remitens;
Febris intermittens;
Febris hectica;
45. Edema of cardiac origin:
Blue, cold, dense +
Pale, warm, soft
Blue, warm, soft;
Pale, cold, dense
46. Resistant apical beat indicates:
Insufficiency of the mitral valve;
Aortic insufficiency;
Aortic stenosis;
Left ventricular hypertrophy;+
47. Increasing area of absolute cardiac dullness observed in case of:
Left-sided pneumothorax;
Emphysema;
Attack of bronchial asthma;
Hydropericarditis.+
48. Heartburn (pyrosis) is
As a sensation of “sticking” Or obstruction of the passage of food through the mouth, pharynx, or
esophagus;
A specific burning sensation behind the sternum associated with regurgitation of gastric contents into
the inferior portion of the esophagus; +
Return of the part of wallowed food into the mouth due to backward movement of esophagus and
stomach with open cardia without contraction of diaphragm and abdominal muscles;
Reflex act associated with irritation of the vagus nerve;
49. Normal value of eosinophils:
0.02-0.3 x 109 /1(0.5-5 %);+
0-0.065 x 109 /1 (0-1 %);
1.2-3.0 x 109 /1(19-37%);
0.09-0.60 x 109 /1 (3-11 %).
50. The appearance of "Melena" Is characteristic:
Gastric bleeding;+
Long-term administration of calcium preparations;
Bleeding from the sigmoid colon;
Dysentery;
1. Syndrome is:
*A.combination of symptoms that are interrelated and give rise to one another;
B.abnormal phenomena as pain, dizziness, nausea, vomiting, etc, occurring in sick persons;
C.summarize clinical examinations.
2. When percussion of the abdomen in a healthy person is heard:
A.dull sound
B.sound box
C.pulmonary sound
D.dullness of sound
*E.tympanic sound
3. The normal number of eosinophils in the blood test (%.:
A.0-0,1
*B.0.5-5.0
C.6-8
D.8-10
E.10-12
A.1 liter
*B.2 liters
C.3 liters
5 liters
D.10 liters
5. Blood hemoglobin in women (g / l.:

A.100-110
B.110-120
*C.120-140
D.130-160
E.150-160
6. The normal number of segmented nuclear leukocytes (%.:
A.30-35
B.35-40
*C.47-72
D.75-80
E.80-85
*A.habits;
B.history of present disease;
C.family history;
D.social history;
E.allergological history.
8. Percussion resonant and clear sound is defined over:
A.heart
B.liver
*C.lungs
D.spleen
E.kidneyend
9. Serum creatinine in healthy does not exceed (mmol.l.:
12
18
40
*110
145
10. The vascular bundle consists of the following vessels, except:
the aorta
*inferior vena cava
pulmonary trunk
superior vena cava
*normosthenic chest;
hypersthenic chest;
asthenic chest;

standing position;
sitting position;
*lying position;
does not matter.
1: 1
1: 2
1: 3
*3: 1
5: 1
*physiological intensification of vesicular breathing
stenotic respiration
RII> RI> RIII
*RI> RII> RIII
RIII> RII> RI
RIII= RII> RI
16. Disorientation in surroundings, loss of memory (amnesia., patient is exited, has pathologically high
*Twilight state;
Delirium;
Stupor;
Coma.
*the science atbout methods of clinical examination of the patient and diagnosis basing;
the study of disease—the causes, course, progression and resolution thereof

2.0-3.8 mmol | l
*3.9-5.2 mmol | l
5.6-8.2 mmol | l
8.3-10.5 mmol | l
10.6-12.9 mmol | l
19. In healthy people GFR level is:
20-40 mL/min/1.73 m2
40-60 mL/min/1.73 m2
*90 to 120 mL/min/1.73 m2
130-150 mL/min/1.73 m2
155-160 mL/min/1.73 m2
20. Character of cyanosis in cardiovascular disease:
diffuse;
on the face;
*acrocyanosis;
in the lower extremities;

in some parts of the body
0.01-0.02 sec
0.03-0.04 sec
0.05-0.06sec
*0.06-0.1 sec
0.11-0.13 sec
45-46g | l
*65-85g | l
85-105g | l
105-125g | l
125-145g | l

emphysematous;
paralytic;
rachitic;
*funnel
24. Normal systolic blood pressure is:
100-110mm Hg
100-120mm Hg
100-130 mm hg.
*100-139mmHg
100-150mm Hg
dry pleurisy;
emphysema;
bronchitis;
pneumonia;
*the attack of bronchial asthma
26. To determine the protein function of the liver is used:
determination of the content of total protein in serum

determination of protein fractions
protein sediment tests
determination of prothrombin index
*all of the above methods
*at the 3-rd costosternal joint;
on the sternum midway between the 3-rd left and 5-th right costosternal joints;
in the 2-nd intercostal space, to the left of the sternum;
in the middle of the sternum at the level of the 3-rd costosternal joint.
computer tomography;
ultrasound examination;
bronchoscopy;
*Chest X-ray
29. Anasarca - is:
edema on the legs;
edema on the lower back;
edema on the neck;
abdominal hydrops;
*edema of the all body.

30. The best auscultatory areas (points. for a pulmonary valve:
apical impulse
the base of the xiphoid process
*the Erbs point
left atrium
pulmonary trunk
right ventricle
right atrium
*left ventricle
pulmonary tumor (airless tissue.;
when fluid occupies the pleural space (over fluid.:
pleural accumulation of serous blood (hemothorax.
*compressive atelectasis.
33. The normal time of blood clotting by Lee-White (in min.., determined in a glass test tube:
3-8
*5-10
11-12
4.15-20
5.20-22
bronchial;
amphoric;
alveolar;
*laryngotracheal;
metallic.
4-6 sm
3-5 sm
5-8 sm
6-8 sm
*14-16 sm
*6-th rib
7-th rib
8-th rib
9-th rib
10-th rib
37. Arterial hypertension (according to WHO. is established with BP:
*systolic 140mm Hg and higher, diastolic-90mm Hg and higher
systolic 130-139 mm Hg, diastolic 85-89mm Hg
systolic 100-139mm Hg, diastolic 60-85mm Hg
systolic below 100mm Hg, diastolic below 60mm Hg.
systolic blood pressure above 160mm.rt.st., Diastolic pressure of 95
*Face
legs
ascites
everything is correct
everything is wrong
39. Vitiligo is:
*symmetrical white spots on the face, trunk, limbs;
the redness located on checks;
cyanotic color of the skin;
yellow color of the skin
26.3-38.8%
40.3-55.3%
*56.3-68.8%
70.3-83.3%
83.3-93.8%
*9:8:7 +-1cm
11:8:7 +-1cm
9:9:7 +-1cm
12:10:9 +-1cm
9:10:11 +-1cm
42. Harsh breathing:
*short jerky inspiration efforts interrupted by short pauses between them the expiration is usually
normal;
deeper vesicular breathing during which the inspiration and expiration phases are intensified;
inspiratory sounds last longer than expiratory ones.
43. Pigeon chest is typical for:
emphysema of the lungs;
rheumatoid arthritis;
pneumosclerosis;
*rachitis
6-8 cm
*8-10 cm
10-12 cm
13-15 cm
16-18 cm
*percussion sounds on symmetrical parts of the chest

*60-100mm water column
0.3-1.1
*1.2-2
2.1-2.9
3.0-3.8
3.9-4.6
up to 10
up to 100
*up to 2000
up to 10,000
49. The transverse length of relative cardiac dullness is (cm.:
3-4
5-6
7-8
9-10
*11-13
50. Purpura (hemopurpura. is:
*small pointed hemorrhages;
large black and blue spots;
red spots of different size;
a swelling from gross bleeding
*at the root/radix of the nose;

Size
Tenderness
Consistency
*All above-said
3. Indirect percussion consists in:
*percussion a plessimeter attached to the body of the patient.
4. Options normal shape of the chest are all listed, except:
asthenic;
normosthenic;
hypersthenic;
*emphysematous
1-2sm
*3-4 sm
5-6 sm
7-8 sm
9-10 sm
6. The top of lungs apices in front is normally:
4 – 6 cm;
*3 – 4 cm;
2 – 5 cm;
6 – 8 cm;
1 – 2 cm.
Patient С., 34 years, observes a constant dispnoea at rest, especially at night, weakness, palpitation,
thirst, oliguria (insignificant amount of urine). Objectively: sits in armchair, with lean hands in armrests,
frequency of reath 36 per 1 minutes, cyanosis of the lips, sharp features of face; significant oedema of
the lower extremities, loin, forward belly wall – they are symmetric, on cruses – dense, on femurs – soft
(doughy). Note true about general condition of the patient:
Extremely grave
Good
Satisfactory
Moderate middle grave
Grave*
8. The type of breath can be:
surface, deep and mixed;
*thoracic, abdominal and mixed;
rhythmic and non-rhythmic;

deep, rhythmic, even;
correctly 1) and 3).
Virus
Microbe
S. Protozoa
Rickettsia
All above-listed*
4-6 sm
3-5 sm
5-8 sm
6-8 sm*
14-16 sm
go ahead;
back;
to the side and back.*

*clear consciousness, active or active with restriction posture, free or partial deranged (specific) gait,
sensible facial expression, and adequate mental reaction;
deranged consciousness, alteration of facial expression and posture (forced), uncertain gait, partial
diseases, or due to the traumas and poisoning;
disorders of practically all clinical features: deranged consciousness, changed facial expression (fear,
suffer, hopelessness, indifference). The patients have forced or passive posture, loss o f weight, edema,
and inadequate mental state;
13. The patient has dyspnea and cyanosis. The right half of the chest protrudes, delays in the act of
respiration. The voice resonance is decreased downward the middle of the scapula. What diagnosis can
be supposed?
*Hydrothorax, pneumothorax
Cavity in the lung
Pulmonary emphysema
Atelectasis
Pneumonia
14. Louis' angle is:
*the angle of connection of the body and the handle of the sternum;
the angle of the scapule to the chest;
the angle of the clavicle and sternum;

epigastric angle; E
all answers are not correct
36.9°C-37.8°C
*36.4°C – 36.8°C
37.0°C – 38.2°C
16. IN AUSCULTATION OF THE LUNGS, COUGHING IS USED IN ORDER TO…
detection of hidden bronchial obstruction
*differences between wheezing and crepitation or pleural friction noise
17. Excessive pilosis/hairiness is called:
vitiligo;
albinism;
hirsutism;
*hypertrichosis;
nevus.
medioclavicularis dextra:
*4-6 sm
3-5 sm
5-8 sm
6-10 sm
14-16 sm
19. Patient W. 64 years has skin changes- visible dilation of small subcutaneous blood vessels. Estimate
these skin changes:
*Teleangioectasia
Hyperpigmentation
Petechia
Urticaria
Vitiligo
the cerebellum;
*(B) and C);
all of the above
21. CREPITATION IS FORMED

*in the alveoli
in large bronchi
in small bronchi
into the trachea
in the pleural cavity.
lordosis
*scoliosis
kyphosis
rachitis
kyphoscoliosis
23. The upper border of the lung is determined by changing the percussion sound:
*from resonant pulmonary to dull
24. Where appears crepitation:
in the small bronchi:
in the large bronchiin;
*in the alveoli;

in the pleural cavity
myxedema;
heart defects;
acromegaly*;
anemia;
*Unconsciousness.
Twilling state.
Correct display of the reality in a brain of the person, the slowed answer on external irritant and signals.
*percussion sounds on symmetrical parts of the chest

At inhalation
At exhalation
*During breathing in and out
29. Barrel-shaped chest is typical for:
pulmonary tuberculosis
*emphysema of the lungs
exudation pleurisy
pneumothorax
acute bronchitis
31. Signs of hypersthenic form of the chest:
the epigastric angle is 90°;
the supra-and subclavian pits are smoothed;
the ribs are nearly horizontal;
*the rib width of 0.5–1.0 cm, the intercostal space is 2.0 — 2.5 cm;
the width of the rib 2.0-2.5 cm, intercostal space-0.5-1.0 cm.
32. Under the direction of the nurse the student of the 2nd rate draw a passport part in admission office
of the case record of patient D. 54 years, which hospitalize in connection with essential hypertension. At
this time has hardly come the man of 65 years old in the office. He was pale, with complaints to
dizziness, sharp weakness. Suddenly including patient has lost consciousness, has fallen, cramps have
begun. What medical and deontological tactics?
**Nurse should begin immediately external cardiac massage and artificial breath (on the floor). The
student should transfer patient D. in other room and urgently call a doctor.
33. GIVE A NAME TO THE FOLLOWING CHEST SHAPE: the chest is elongated, narrow and flat; the ratio of
the anteroposterior and lateral dimensions is approaching 0.5; the supra-and subclavian fossas are
clearly defined, but are located symmetrically; the epigastric angle is acute, the slope of ribs is located
obliquely; intercostal spaces are wide; the scapulas are situated asymmetrically; expressed atrophy of
the chest muscles.
*paralytic
Emphysematous
asthenic
hypersthenic
normosthenic
34. DURATION OF THERMOMETRY WHEN MEASURED WITH A MERCURY THERMOMETER…
5-10 min*.
20 min.
7 min.
10 min.

*physiological intensification of vesicular breathing
37. The chest is ball-shaped. The ratio of anterior-posterior size to transverse size is 8.0. The area of the
costal cartilages is thickened. What diagnosis can be supposed?
Asthenic chest
*Rachitic chest
Hypersthenic chest
Emphysema chest
Paralytic chest
24 in 1 minute
*from 14 to 20 in 1 minute
39. Determine physical factors which cause diseases.
High pressure action
*Low temperature action (-350С)
Electric current action
Exposure of electromagnetic field

All above-listed
*Labour activity in the past
Home address
Features of the beginning of disease
Results of previous treatment
41. BRONCHOPHONIA IS…
determination of the vibration of the chest
listening to bronchial breathing
*listening to whispered speech
42. Patient F. 38 years has specific changes of fingers and nails - clubbing of the fingers (bulbous swelling
of the tip of the fingers) and nail in form of watch glass. What is typical reason of these changes?
Endocrine disease
Chronic liver disease
**Chronic cardiac disease
Chronic intestinal pathology
Haemolytic jaundice
43. Bronchial respiration occurs when air passes through:

*the glottis;
large bronchi;
small bronchi;
bronchioles;
the alveoli.
44. Determine characteristic of asthenic habitus from the physiological point of view.
Prevalence of the transversal sizes of a thorax
Right epigastric angle
Significant prevalence of the transversal sizes of a body above longitudinal
**Significant prevalence ratio of extremities to trunk
Significant prevalence ratio of abdomen to thorax
45. Bronchophony is:
**listening to whispered speech on the surface of the chest
46. The patient has an attack of dyspnea. His position is forced; he is sitting resting his hands on the
edge of the bed. The voice resonance over the lungs is weak. What diagnosis can be supposed?
Pulmonary emphysema
**Bronchial asthma
atelectasis
Cheyne-Stokes respiration
47. The diseases caused by negative interrelation of medical staff and patients are called:
Social
**Iatrogenic
Somatogenic
Professional
Psychogenic
48. The forced position of the patient is that:
Position which the doctor recommended for a quicker recovery
Position which the patient assumes due to the progressiveness of the disease
Position which the patient cannot change independently
**Position which the patient assumes to reduce the occurrence of the illness (dyspnoea, cough, pain
etc.)
Position with the patient assumes due to immobilization of the extremities. (The use of skeletal traction,
splints etc).
49. Syndrome is:
**combination of symptoms that are interrelated and give rise to one another;
50. Normally bronchophonia:

listened to clearly;
very weakly listened to;
not listened to;
correct A) and B);
(B) and C).**
45-46g | l
65-85g | l
*85-105g | l
105-125g | l
2. Serum creatinine in healthy does not exceed (mmol.l):
12
18
40
**110
3. “Cobbler chest” also called
Emphysematous
Paralytic
Rachitic;
Funnel**
4. What lung pathology is characterized by dry rales

Emphysema;
Bronchitis
Pneumonia
The attack of bronchial asthma**
5. Active respiratory mobility of the lower border (diaphragmatic movement) of normal lungs by Line
axillaris media dextra et sinistra.
4-6 sm
3-5 sm
5-8 sm
6-8 sm**
1: 1
1: 2
1: 3
3: 1**
7. The best auscultatory areas (points) for a pulmonary valve:
Apical impulse
**2 intercostal space to the left of the sternum
8. Normal systolic blood pressure is
100-110mm Hg
100-120mm Hg
100-130 mm hg
**100-139mmHg
9. Arterial hypertension (according to WHO) is established with BP:
**Systolic 140mm Hg and higher, diastolic-90mm Hg and higher
Systolic 130-139 mm Hg, diastolic 85-89mm Hg
Systolic 100-139mm Hg, diastolic 60-85mm Hg
Systolic below 100mm Hg, diastolic below 60mm Hg.
1 liter
2 liters**
3 liters
5 liters
11. The distance of the liver in the right parasternal line is normally
6-8 cm
8-10 cm**
8-10 cm
13-15 cm
0-0,1
0.5-5.0**
6-8
8-10
26.3-38.8%
40.3-55.3%
56.3-68.8%**
70.3-83.3%
Pneumosclerosis
Rachitis**
15. The transverse length of relative cardiac dullness is (cm)
3-4
5-6
7-8
11-13**
17. The position of the lower border of the lungs by Lin. medioclavicularis dextra
6-th rib
7-th rib
8-th rib**
9-th rib
60-100mm water column**
**The science atbout methods of clinical examination of the patient and diagnosis basing;
The study of the physical structure of organisms
20. Percussion resonant and clear sound is defined over
Heart
Liver
Lungs**
Spleen
21. The size of liver according to M.G. Kurlov method
9:8:7 +-1cm**
11:8:7 +-1cm
9:9:7 +-1cm
12:10:9 +-1cm
**Percussion sounds on symmetrical parts of the chest
Bronchial
Amphoric
Alveolar**
Laryngotracheal
24. Patients with grave diseases should be percussed in
Standing position
Sitting position;
Lying position;**
Does not matter.
25. The normal time of blood clotting by Lee-White (in min.), determined in a glass test tube
3-8
5-10**
11-12
4.15-20
All of the above methods**
2.0-3.8 mmol | l
3.9-5.2 mmol | l**
5.6-8.2 mmol | l
8.3-10.5 mmol |
28. Harsh breathing
**Short jerky inspiration efforts interrupted by short pauses between them the expiration is usually
normal
Deeper vesicular breathing during which the inspiration and expiration phases are intensified;
Inspiratory sounds last longer than expiratory ones
Emphysema
30-35
35-40
47-72**
75-80
30. Blood hemoglobin in women (g / l):
100-110
110-120
120-140**
130-160
Pulmonary tumor (airless tissue)
When fluid occupies the pleural space (over fluid)
Pleural accumulation of serous blood (hemothorax)
Compressive atelectasis**
At the 3-rd costosternal joint**;
On the sternum midway between the 3-rd left and 5-th right costosternal joints
Small pointed hemorrhages**
Left atrium
Pulmonary trunk
Right ventricle
Left ventricle**
35. The duration of the QRS complex is normal
0.01-0.02 sec
0.03-0.04 sec
0.05-0.06sec
0.06-0.1 sec**
36. The routine method for assessing the patients with disorders of the respiratory system is
Computer tomography
Bronchoscopy
Chest X-ray**
37. Anasarca - is:
Edema on the legs
Edema on the lower back
Edema on the neck
Edema of the all body**
In healthy people GFR level is
20-40 mL/min/1.73 m2
40-60 mL/min/1.73m2
90 to 120 mL/min/1.73 m2**
130-150 mL/min/1.73 m2
39. Character of cyanosis in cardiovascular disease
Diffuse
On the face
Acrocyanosis**
In the lower extremities
0.3-1.1
1.2-2**
2.1-2.9
3.0-3.8
Habits;**
Family history;
Social history;
Twilight state**
Delirium;
Stupor;
Coma
Up to 10
Up to 10,000
Up to 100
Up to 2000**
Normosthenic chest**
Hypersthenic chest
Asthenic chest
There is no correct answer
46. Vitiligo is
Symmetrical white spots on the face, trunk, limbs;**
The redness located on checks;
Cyanotic color of the skin
Yellow color of the skin
47. When percussion of the abdomen in a healthy person is heard
Dull sound
Sound box
Dullness of sound
Tympanic sound**
48. The vascular bundle consists of the following vessels, except
The aorta
Inferior vena cava**
Pulmonary trunk
Superior vena cava
49. "Puerile respiration"
**Physiological intensification of vesicular breathing
Pathologically decreased vesicular respiration
Physiological intensification of bronchial breathing
Pathologically decreased bronchial breathing;
RII> RI> RIII
RI> RII> RIII**
RIII> RII> RI
RIII= RII> RI
1. In the urine of men leukocytes
Not contained
1-2 in sight**
5-6 in sight
6-8 in sight
Bright red;**
Dark brown
Black
With the content of food.
3. Specify the localization of the upper border of the relative dullness of the heart
2nd rib
2nd intercostal space
3rd rib**
4th rib
4. The distance of the liver in the right anterior axillary line is normally is
6-8 cm
8-9 cm
10-12 cm
13-15 cm**
medioclavicularis dextra
4-6 sm
3-5 sm
5-8 sm
6-10 sm**
6. What method of examination has the greatest value in diagnosis of gallstone disease:
Questioning
Palpation
Cholecystography;**
Irrigoscopy
7. Prothrombin is synthesized only in:
Spleen
Kidney
Pancreas
Liver**
8. How many urine samples are collected for Zimnitsky analysis:
8*
9. Projections of the tricuspid valve on the anterior chest wall:
**On the sternum midway between the 3-rd left and 5-th right costosternal joints;
10. Deficiency of pulse is
**A disharmony between a heart rate and a number of pulse waves on periphery
A disharmony between a breath rate and a number of pulse waves on periphery
A disharmony between a heart rate and breath rate
All answers are correct
11. Diastolic trembling ("cat purring") on apex of the heart palpated in case of:
Insufficiency the aortic valve;
Aortic stenosis
Mitral stenosis**
Insufficiency left atrioventricular valve;
12. Vomiting that arose through 4-6 hours after eating is a consequence of:
Ulcer or cancer of cardiac part of the stomach acute gastritis;
Ulcer or cancer of the stomach body
Ulcer of the pylorus or duodenum**
Cecum
13. In the Nechiporenko analysis of urine normal content of erythrocytes in 1 ml
Up to 10
Up to 100
Up to 1000
Up to 10,000**
14. The content of total protein in serum 106g | l, this:
Hypoproteinemia
Dysproteinemia
Hypergammaglobulinemia
Hyperproteinemia**
15. With the feces of a healthy person stands out
Free bilirubin
Urobilin
Urobilinogen**
16. 16.The normal number of leukocytes in the peripheral blood (x109 / l):
1-2
2-3
4-9**
9-10
17. From what of the intestines segment begins deep palpation by Obraztsov-Strazhesko
Cecum
The transverse colon
Appendix cecum
The sigmoid colon**
18. Laboratory examination includes all listed except

Blood analysis
Sonography**
Urine analysis
Sputum analysis
19. The distance of the in the right midclavicular line is normally:
6-8 cm
8-9 cm
10-12 cm
9-11 cm**
Violation of urine formation by kidneys**
Urinary excretion of acetone
21. In which intercostal space the width of the vascular bundle is normally determined:
2**
22. S2 consists of:

One component
Two components;**
Three components
Four componentS
23. Pulse pressure is normal:
35-45mmHg
40-50mm Hg**
45-55mmHg
50-60mmHg
24. What is early sign of pancreatic insufficiency
The presence stercobilin in the stool
Steatorrhea**
Black feces
The presence of urobilin in the stool
25. Melena may indicate:
Botkin's disease
Hemorrhoids
Bleeding from the veins of the esophagus**
26. The best auscultatory areas (points) for a mitral valve
Apical impulse**
27. What is the sequence of examination of pulse rate:
Synchronicity, rhythm, frequency, voltage, filling**
Rhythm, frequency, synchronicity, content, stress
The frequency, rhythm, synchronicity, content, stress
Filling, strain, frequency, rhythm, synchronicity
28. What is the cardialgia
Pain in the liver
Heart pain**;
Feeling of "disruptions" in the heart
Muscle pain
29. The normal electrical axis of the heart in standard leads:
RII> RI> RIII**
RI> RII> RIII
RIII> RII> RI
RIII= RII> RI
I standard lead;
II standard lead
III standard lead
AVR**
31. Where the apical impulse is normally defined:
**1.5 cm outside from the midclavicular line
1.5 cm inside from the midclavicular line
On the midaxillary line
32. Grade III hypertension established at the level:
180 SBP (mm Hg) and/or > 110 DBP (mm Hg)**
33. The vertical electrical axis of the heart in standard leads:
RII> RI> RIII
RI> RII> RIII
RIII> RII> RI**
RIII= RII> RI
34. The pulse rate corresponds to the heart rate and is equal to
50-70 per minute
55-75 per minute
60-90 per minute**
68-89 per minute

Magnetic resonance imaging**
Radiography;
Pulmonary angiography.
36. What is normal heart rate
40 - 60 per 1 min
90 - 120 per 1 min
60 - 80 per 1 min**;
120-240 per 1 min
37. Normally, the prothrombin index is:
20-40%
40-60%
60-80%
80-100%**
38. The best auscultatory areas (points) for a tricuspid valves
Apical impulse
The base of the xiphoid process**

39. A boxed sound above the lungs indicates:
Reducing the airiness of the lung tissue
Accumulation of fluid in the pleural cavity
The formation of a cavity in the lung
Increased airiness of lung tissue**
40. Glycosuria is often typical for:
Misuse of sweet food;
Emotional turmoil
Diabetes;**
Glomerulonephritis
**Clear consciousness, active or active with restriction posture, free or partial deranged (specific) gait,
sensible facial expression, and adequate mental reaction;
Deranged consciousness, alteration of facial expression and posture (forced), uncertain gait, partial
diseases, or due to the traumas and poisoning
Disorders of practically all clinical features: deranged consciousness, changed facial expression (fear,
suffer, hopelessness, indifference). The patients have forced or passive posture, loss o f weight, edema,
and inadequate mental state;
Edema, and inadequate mental state;
42. The resonant sound of the percussion of a healthy person is determined above the:
Heart
Spleen
Lung tissue**
Muscles
43. Enlarged superciliary arches, zygomatic bones, ears, auricles nose, lips, tongue, growth and putting
forward of low jaw (prognotism) is also called
Facies in patients with Cushing’s syndrome
Facies Hyppocratica
Facies as a “wax-doll”
Facies acromegalica.**
6-th rib**
7-th rib
8-th rib
9-th rib
45. Respiratory excursion of the lower border of leftt lung by scapular line
1 – 2 cm
2 – 3 cm
4 – 6 cm**
6 – 8 cm.
500ml**
1000ml
2 liters
5 liters
47. P wave on the ECG is:
Ventricular excitation
Excitation of interventricular septum
Atrial excitation**;
Ventricular repolarizatio
48. Displacement left border of cardiac dullness to the left can occur in case of:
Hypertrophy of the right atrium
Hypertrophy of the left atrium
Hypertrophy of the right and left atrium
Hypertrophy and dilatation of left ventricular**
49. Prothrombin is synthesized with the participation of the vitamin:
K*
B1
0.02-0.3 x 109 /1(0.5-5 %);
0-0.065 x 109 /1 (0-1 %)
1.2-3.0 x 109 /1(19-37%)**;
0.09-0.60 x 109 /1 (3-11 %)

1. Where the apical impulse is normally defined
On the midclavicular line
1.5 cm inside from the midclavicular line**
Magnetic resonance imaging**
Radiography
Computer tomography
Pulmonary angiography
30-35
35-40
47-72**
75-80
Bronchial
Amphoric
Alveolar**
Laryngotracheal
5. The horizontal electrical axis of the heart in standard leads

RII> RI> RIII
RI> RII> RIII**
RIII> RII> RI
RIII= RII> RI
The symptom of "Digiti hippocratici" is observed in patients with:
Bronchial asthma
Bronchiectasis**
Focal pneumonia
Acute bronchitis
10. Laboratory examination includes all listed except:
Blood analysis
Sonography*
Urine analysis
Sputum analysis
11. Polyuria is an increase in daily diuresis of more than
1 liter
2 liters**
3 liters
5 liters
12. Physiological weakening of vesicular breathing is determined when
Obesity
Hydrothorax**
Pneumothorax
Emphysema
Mitral stenosis
Pulmonary emphysema
Biliary cirrhosis**
Pneumosclerosis
Rachitis**
0.02-0.3 x 109 /1(0.5-5 %)
0-0.065 x 109 /1 (0-1 %)
1.2-3.0 x 109 /1(19-37%);**
0.09-0.60 x 109 /1 (3-11 %)
16. Epigastric pulsation, more clearly visible in the standing position and inhalation, indicates
Hypertrophy and dilation of the left atrium;**
Hypertrophy and dilation of the right ventricle of the heart
Hypertrophy and dilation of the left ventricle of the heart

Abdominal aortic aneurysm
All of the above methods**
19. ECG heart rate (HR) formula is
60 (seconds in 1 minutes)/R-R(sec)**
60 (seconds in 1 minutes)/R-R(big squares)
20. The normal number of leukocytes in the peripheral blood (x109 / l)
1-2
2-3
4-9**
9-10
21. The normal electrical axis of the heart in standard leads
RII> RI> RIII**
RI> RII> RIII
RIII> RII> RI
RIII= RII> RI
22. Normal albumin-globulin ratio is

0.3-1.1
1.2-2**
2.1-2.9
3.0-3.8
23. The right border of relative cardiac dullness is normal:
On the right edge of the sternum
On the left edge of the sternum
1 cm laterally of the right edge of the sternum**
2cm laterally from the right edge of the sternum
24. Respiratory excursion of the lower border of leftt lung by scapular line:
1 – 2 cm
2 – 3 cm
4 – 6 cm**
6 – 8 cm
25. Decreasing of both heart sounds typical for
Aortic heart defects
Mitral heart defects
Myocarditis**
Hypertension
Vocal fremitus
Weakened vesicular respiration

Painful areas
Stiffness of the intercostal spaces**
27. Purpura (hemopurpura) is
Small pointed hemorrhages**
Left atrium
Pulmonary trunk
Right ventricle
Left ventricle**
Vocal fremitus
Weakened vesicular respiration**
Painful areas
Stiffness of the intercostal spaces
1-2sm
3-4 sm**
5-6 sm
7-8 sm
31. The indicator of liver pigment function is the content in the serum
Cholesterol
Total protein and protein fractions
Fibrinogen
Bilirubin and its fractions**
32. With the feces of a healthy person stands out:
Free bilirubin
Urobilin
Stercobilin**
33. What percussion sound is determined above the zone of absolute dullness of the heart
Pulmonary
Boxed
Dull**
Tympanic
34. The orthopnea position relieves the condition by reducing
Pain in the heart
Interruptions in the work of the heart
Lower extremity edema;
Shortness of breath;**
35. The position of the lower border of the lungs by Lin. Scapularis
6-th rib
7-th rib
8-th rib
10-th rib**
500ml**
1000ml
2 liters
5 liters
37. Tendency to diarrhea typical for
Duodenal ulcer disease intestine
Erosive duodenitis
Chronic pancreatitis**
38. Right border of the relative cardiac dullness is formed by
Right atrium
Left atrium**
Right ventricle
Left ventricle
**Violation of urine formation by kidneys;

Urinary excretion of acetone.
42. Normal Diastolic blood pressure is
60-70mmHg
60-80mm Hg**
60-89mm Hg
60-100mm Hg
Bright red**;
Dark brown
Black
With the content of food
44. Unequal pulse often typical for:
Hole aortic stenosis;
Myocarditis
Atrial fibrillation**
Exudative pericarditis
45. The best auscultatory areas (points) for a pulmonary valve
Apical impulse
2 intercostal space to the left of the sternum**
46. The Hippocratic face is a sign of
Thyrotoxicosis
Nephritis
Heart failure
Peritonitis;**
48. Causes of physiological weakening of vesicular breath
Poor development of the chest muscles
Performing heavy physical exertion
**Excessive development of muscles and fatty tissue
Children's age
49. In which intercostal space the width of the vascular bundle is normally determined
2**
5
50. Nocturia is
Daily diuresis more than 1 liter
Daily diuresis less than 1 liter
The prevalence of nocturnal diuresis over daytime**
The prevalence of daytime diuresis over night
Characteristic of cardiac edema
Appear in the morning on the face;
Swelling of one leg with local cyanosis;
**Swelling of the legs and feet at the end of the working day;
Swelling of the eyelids, accompanied by itching.
6-8 cm
8-10 cm**
10-12 cm
13-15 cm

6. The properties of the apical impulse are determined by:
Left ventricle**
Right atrium
Aortic arch
Left atrium
7. Indicate the type of temperature curve, if the patient has fever within 38.0–38.8º for 1 week.
Febris continua;**
Febris remitens;
Febris intermittens;
Febris hectica;
8. Pulsus paradoxus” Is:
Alternation of pulse waves of large and small filling;
**A decrease or disappearance of the inhalation pulse waves;
Unequal intervals between pulse waves.
9. Puerile respiration":
*A)Physiological intensification of vesicular breathing
B)Pathologically decreased vesicular respiration;
C)Physiological intensification of bronchial breathing;
D)Pathologically decreased bronchial breathing;
10. Resistant apical beat indicates:
Insufficiency of the mitral valve;
Aortic insufficiency;
Aortic stenosis;
**Left ventricular hypertrophy
Auscultation point of left atrioventricular valve located in:
**Heart apex;
2nd intercostal space to the right of the sternum;
To the left of the sternum at the 3rd costosternal articulation
2nd intercostal space to the left of the sternum
Bronchoscopy;
Chest x-ray**
Hemorrhagic syndrome in liver diseases is a consequence of:
Hhyperbilirubinemia;
Hepatocellular failure syndrome**
Hyperestrogenemia;
Hypoalbuminemia;
15. Orthopnoe position is:
**Sitting position, facilitating shortness of breath;
Sitting, relieving pain;
Prone position, relieving pain;

Standing, stopping hiccups
."Moon-shaped" Face is observed when:
Myxedema;
Acute glomerulonephritis
Bronchial asthma;
Itsenko-cushing disease.**
17. Where the primary urine is formed:
In glomerulus**;
In the proximal tubules;
In the distal tubules;
In the loop of the nephron;
9:8:7 +-1cm**
11:8:7 +-1cm
9:9:7 +-1cm
12:10:9 +-1cm
At the 3-rd costosternal joint**;

In the middle of the sternum at the level of the 3-rd costosternal joint.
Small pointed hemorrhages;**
Large black and blue spots;
Red spots of different size;
22. Normal value of eosinophils:
0.02-0.3 x 109 /1(0.5-5 %);**
0-0.065 x 109 /1 (0-1 %);
1.2-3.0 x 109 /1(19-37%);
0.09-0.60 x 109 /1 (3-11 %)
Bronchial;
Amphoric;
Alveolar;**
Laryngotracheal
24. The duration of the p wave is normal:
0.06-0.07 sec
0.07-0.08 sec
0,08-0,09 sec
0.08-0.1 sec**
25. Aortic valves are projected on the anterior chest wall:
In the middle of the sternum at the level of the 3-rd costosternal joint.**
26. What color index values indicate the normochromia:
Less than 0.8;
1.2-1.5;
More than 1.1;
0.85-1.1.**
Habits;**
Family history;
Social history;
28. Edema of cardiac origin:
Blue, cold, dense
Pale, warm, soft
Blue, warm, soft;
Pale, cold, dense
29. The position of the lower border of the lungs by Lin. axillaris anterior dextra et sinistra.:
6-th rib
7-th ri**
8-th rib
9-th rib
30. Increasing area of absolute cardiac dullness observed in case of:
Left-sided pneumothorax;
Emphysema;
Attack of bronchial asthma;
Hydropericarditis.**
31. What means the large number of red blood cells in the gastric contents
Duodenal ulcer;
Gastritis;
Stenosis;
Gastric cancer**
2. Heartburn (pyrosis) is
As a sensation of “sticking” Or obstruction of the passage of food through the mouth, pharynx, or
esophagus;
(**A specific burning sensation behind the sternum associated with regurgitation of gastric contents
into the inferior portion of the esophagus;
Return of the part of swallowed food into the mouth due to backward movement of esophagus and
stomach with open cardia without contraction of diaphragm and abdominal muscles;
Reflex act associated with irritation of the vagus nerve;
33. The size (width)of the vascular bundle is (cm):
1-2
3-4
5-6**
7-8
34. By using what method can be examine in vivo the morphology of the liver:
Scan;
Biopsy;**
Laparoscopy;
Splenoportography.
35. An alternating pulse is:
**Alternation of pulse waves of large and small filling;
A decrease or disappearance of the inhalation pulse waves;
Unequal pulse wave interval
36. The position of the lower border of the lungs by Lin. axillaris Media dextra et sinistra
6-th rib
7-th rib**
8-th rib
9-th rib
37. Sings of stage iii hypertension:
No objective signs of organic changes;
At least one of the following signs of organ involvement without symptoms or dysfunction;
**Both symptoms and signs have appeared as result of organ damage;
Signs of a absence of consciousness and / or failure of organs.
38. In healthy people gfr level is:
20-40 ml/min/1.73 m2
40-60 ml/min/1.73 m2
90 to 120 ml/min/1.73 m2**
130-150 ml/min/1.73 m2
39. A decrease in the volume of one half of the chest is not observed when:
Obstructive atelectasis;
Cirrhosis of the lung;
Emphysema of the lungs**
Pulmonectomy.
2.0-3.8 mmol | 1
3.9-5.2 mmol | 1**
5.6-8.2 mmol | 1
8.3-10.5 mmol | 1
**Science about methods of clinical examination of the patient and diagnosis basing;
The study of the physical structure of organisms;

42. Chronic tonsillitis, tuberculosis, infectious mononucleosis, chronic lympholeucosis,

Occipital lymph nodes;
Cervical lymph nodes;**
Axillary lymph nodes;
Cubital (local) lymph nodes.
43. The appearance of "Melena" Is characteristic:
**Gastric bleeding;
Long-term administration of calcium preparations;
Bleeding from the sigmoid colon;
Dysentery;
44. Inspiratory dyspnea is typical for:
Bronchial asthma;
Bronchiolitis;
Chronic obstructive pulmonary disease;
Tracheal tumors.**
**Over the trachea region and its bifurcation
Below 2 ribs on the left lateral to the parasternal line

In the axillary lines
Below the axillary lines
30-35
35-40
47-72**
75-80
0.01-0.02 sec
0.03-0.04 sec
0.05-0.06sec
0.06-0.1 sec**
48. Skin with thyrotoxicosis:
***Soft, hot, wet, hyperemic, warm hands;
Rough, cold, dry, pale, cold hands;
Soft, cold, dry, pale, cold hands;
Thickened, hot, moist, hyperemic, warm hands
**Normosthenic chest;
Hypersthenic chest;
Asthenic chest;
There is no correct answer.
Up to 10
Up to 100
Up to 2000++
Up to 10,000
Module part 2
1. What is bedsore?
Affection of tissue, which developed under the pressure
Affection of tissue, which developed under the beating
Infection of the skin
Ulcer after the sunburn
Ulcer after the acid affection
2. DURATION OF THERMOMETRY WHEN MEASURED WITH A MERCURY

THERMOMETER…
5-10 min.
20 min.
7 min.
10 min.
3. The chest is ball-shaped. The ratio of anterior-posterior size to transverse size is

8.0. The area of the costal cartilages is thickened. What diagnosis can be
supposed?
Asthenic chest
Rachitic chest
Hypersthenic chest
Emphysema chest
Paralytic chest
4. VESICULAR BREATHING RESEMBLES THE FOLLOWING SOUND…
the sound "hhh"
the sound of "FFF"
the friction sound of the hair
the sound of snow crunching.

5. Decreased voice resonance is observed in
hydrothorax
exudation pleurisy
pulmonary emphysema
pneumothorax
Acute pneumothorax
Size
Tenderness
Consistency
All above-said.
7. Patient N. 45 years female was admitted to the endocrinological department.

During physical examination enlargement of tongue was revealed. Which disease
may cause these changes?
Anaemia
Thyrotoxicosis
Retrobulbar tumours
Acromegaly
Uraemia
8. THE DOCTOR CAN NOT GET INFORMATION ABOUT THE ORGAN BY

PERCUSSION
organ soreness/ painfulness
the size of the body
the border/edge of the organ
the volume of the organ

mobility of the organ.
9. The tympanic sound of the percussion of a healthy person is determined above

the:
heart
spleen
lung tissue
muscles
intestinesend
10. +Set of morphological and functional features of a person
emphysematous;
paralytic;
rachitic;
funnel
the:
heart
spleen
lung tissue
muscles
intestinesend
13. Alpinist climb of mountains on height about 3 km became feel worse, developed
weakness, loss of consciousness, tachycardia. What is reason of this state?
Hypoxemia.
Alkalosis.
Acidosis.
Hypercapnia.
Hyperglycemia.
14. Information about heredity refers to :
Life history/ Anamnesis vitae
History of present desease/ Anamnesis morbi
Objective examination
Complaints
15. The place where vesicular respiration occurs is the bronchi:
Yes;
no;
sometimes.
Virus
Microbe
S. Protozoa
Rickettsia
All above-listed
17. Direct percussion consists in:
percussion a plessimeter attached to the body of the patient.
18. Physiological weakening of vesicular breathing is determined when:
obesity
hydrothorax
pneumothorax
emphysema
everything is correct.
19. Kyphosis is a bend in the spine:
forward;
back;
to the side and backwards.
20. The history of the present disease:
Domestic conditions
21. Pre-obesity is determined if BMI:
30.0 - 34.9;
35.0 - 39.9;
18.5 - 24.9;
30.0;
25.0 - 29.9.
22. Propedeutics to internal diseases is:
the science about methods of clinical examination of the patient and diagnosis basing;
the study of the normal functioning of the body and the underlying regulatory
mechanisms;
23. Slow, tired gait is observed in patients:
strokes;
with debilitating chronic diseases;
rheumatism;
elderly;
with occlusion of the vessels of the lower extremities.

25. What is bedsore?
26. AREAS OF THE BODY WHERE BODY TEMPERATURE IS USUALLY

MEASURED…
in the armpit or rectally
vaginally
popliteal fossa
in the groin fold
27. The chest is asymmetrical, its right half protrudes. The voice resonance
downward the middle of the scapula is weak. What diagnosis can be supposed?
Hydrothorax, pneumothorax
Pulmonary emphysema
atelectasis
pneumonia
cavity in the lung
28. Determine chemical factors which cause diseases.
Contact with water
Contact with the concentrated sulfuric acid
Contact with physiological solution
Contact with a solution of baking soda

at the root/radix of the nose;
30. In the list of complaints specify those of them which concern not to a category
of the main, don‘t prove expressed organic changes in an organism.
Diarrheas up to 8 times per day
Bad sleep
Sudden occurrence of bloody urine without of pain
Fast lost weight (10 kg for 2 months)
Paroxysmal pains in the right hypohondrium, accompanying with a rising of the

temperature up to 37.8 and darkening of urine color (color of beer).
6-th rib
7-th rib
8-th rib
9-th rib
10-th rib.
32. Navicular chest:
has an indentation in the lower part of the sternum;
elongated, narrow, flat;
has a cylindrical shape;
occurs in patients with emphysema of the lungs;
has an indentation in the upper and middle part of the sternum.

Does stomach pain increase after taking a meal?
What troubles you?
6-th rib
7-th rib
8-th rib
9-th rib
10-th rib.
over the trachea region and its bifurcation
below 2 ribs on the left lateral to the parasternal line
in the axillary lines
below the axillary lines
the lower part of interscapular.
36. Lordosis is a bend in the spine:
forward;
back;
37. The right part of the thorax is protruding, delays in the act of respiration, the
voice resonance is not observed. The respiration is superficial. The respiratory rate
is 32 per min. What diagnosis can be supposed?
Pneumonia
Pulmonary emphysema
atelectasis
bronchial asthma
38. Increased voice resonance is observed in:
hydrothorax
compression atelectasis
pulmonary emphysema
pneumothorax
pneumothorax
listening to whispered speech on the surface of the chest
6-th rib
7-th rib
8-th rib
9-th rib
10-th rib.
41. IN AUSCULTATION OF THE LUNGS, FORCED EXHALATION IS USED IN ORDER

TO…
to detect hidden bronchial obstruction (dry wheezing)

differences between wheezing and crepitation or pleural friction noise
Unconsciousness.
Twilling state.
Correct display of the reality in a brain of the person, the slowed answer on external
irritant and signals.
43. Dynamic inspection of the chest includes assessing:
Values of the epigastric/costal angle
Expession of supra-and subclavian fossas
Symmetry of its two halves
Participation of chest muscles in breathing act
Scapulae positions.
25.0 - 25.9;
34.9;
≥ 40;
18.5 - 24.9;
≤18.5.
36.9°C-37.8°C
36.4°C – 36.8°C
37.0°C – 38.2°C
46. Patient A. 66 years with cardiovascular pathology has specific changes of
fingers and nails - clubbing of the fingers (bulbous swelling of the tip of the fingers)
and nail in form of watch glass. What is pathogenesis of these changes?
Chronic hypoxia
Reduction in output of adrenocortical hormones
Anaemia
Increased consentration of bilirubin
Myxoedema
47. The human Constitution is:
48. BRONCHIAL BREATHING IN A HEALTHY PERSON CAN BE LISTENED TO…
under the scapulas
over the trachea
above the side sections of the thorax
on the anterior side of the chest.
the:
heart
spleen
lung tissue
muscles
intestinesend
the cerebellum;
(B) and C)
• 1. The top of lungs apices in front is normally:
• 4 – 6 cm;
• 3 – 4 cm;
• 2 – 5 cm;
• 6 – 8 cm;
• 1 – 2 cm.
• 2. Options normal shape of the chest are all listed, except:

• asthenic;
• normosthenic;
• hypersthenic;
• emphysematous.
• 3. Determine physical factors which cause diseases.

• High pressure action
• Low temperature action (-350С)
• Electric current action
• Exposure of electromagnetic field
• All above-listed
• 4. Choose correct sequence of parts in case report:

• General biographic information, anamnesis of life, complaints, history of present
disease, objective examination, inquiring about all organ and system
• General biographic information, history of present disease, objective
examination, anamnesis of life, inquiring about all organ and system, complaints
examination, complaints, anamnesis of life, inquiring about all organ and system
• General biographic information, anamnesis of life, history of present disease,
inquiring about all organ and system, objective examination, complaints
• General biographic information, complaints, inquiring about all organ and system,
history of present disease, anamnesis of life, objective examination.
• 5. GIVE A NAME TO THE FOLLOWING CHEST SHAPE: the chest is

elongated, narrow and flat; the ratio of the anteroposterior and lateral
dimensions is approaching 0.5; the supra-and subclavian fossas are clearly
defined, but are located symmetrically; the epigastric angle is acute, the
slope of ribs is located obliquely; intercostal spaces are wide; the scapulas
are situated asymmetrically; expressed atrophy of the chest muscles.
• paralytic
• Emphysematous
• asthenic
• hypersthenic
• normosthenic
• 6. BRONCHOPHONIA IS…
• determination of the vibration of the chest
• listening to bronchial breathing
• listening to whispered speech.
• 7. The upper border of the lung is determined by changing the percussion

sound:
• from resonant pulmonary to dull
• from resonant pulmonary to blunted
• from blunted to resonant
• from dull to resonant pulmonary
• from resonant pulmonary to tympanic
• 8. The type of breath can be:

• surface, deep and mixed;
• thoracic, abdominal and mixed;
• rhythmic and non-rhythmic;
• deep, rhythmic, even;
• correctly 1) and 3).
• 9. Barrel-shaped chest is typical for:

• pulmonary tuberculosis
• emphysema of the lungs
• exudation pleurisy
• pneumothorax
• acute bronchitis
• 10. Satisfactory patient ’s condition (status morboacili) is characterized by

• clear consciousness, active or active with restriction posture, free or partial
deranged (specific) gait, sensible facial expression, and adequate mental
reaction;
• deranged consciousness, alteration of facial expression and posture (forced),
uncertain gait, partial deranged mental state and may be observed in patients
with recurrence of chronic disease, acute diseases, or due to the traumas and
poisoning;
• disorders of practically all clinical features: deranged consciousness, changed
facial expression (fear, suffer, hopelessness, indifference). The patients have
forced or passive posture, loss o f weight, edema, and inadequate mental state;
• 11. Active respiratory mobility of the lower border (diaphragmatic

movement) of normal lungs by Lin. medioclavicularis dextra:
• 4-6 sm
• 3-5 sm
• 5-8 sm
• 6-10 sm
• 14-16 sm
• 12. DURATION OF THERMOMETRY WHEN MEASURED WITH A MERCURY
THERMOMETER…
• 5-10 min.
• 20 min.
• 7 min.
• 10 min.
• 13. CREPITATION IS FORMED

• in the alveoli
• in large bronchi
• in small bronchi
• into the trachea
• in the pleural cavity.
• 14. Bronchophony is:

• vibration of the chest at the heart apex
• vibration of the chest in the area heart base
• vibration of thorax caused by vibration of the vocal cords
• the main respiratory noise that occurs when air passes through the glottis
• listening to whispered speech on the surface of the chest
• 15. Signs of hypersthenic form of the chest:

• the epigastric angle is 90°;
• the supra-and subclavian pits are smoothed;
• the ribs are nearly horizontal;
• the rib width of 0.5–1.0 cm, the intercostal space is 2.0 — 2.5 cm;
• the width of the rib 2.0-2.5 cm, intercostal space-0.5-1.0 cm.
• 16. A wobbly gait is characteristic of defeat:

• joints of the lower extremities;
• the cerebellum;
• vestibular apparatus;
• (B) and C);
• all of the above.
• 17. Patient anamnesis:

• Results of resort treatment
• 18. Patient F. 38 years has specific changes of fingers and nails - clubbing
of the fingers (bulbous swelling of the tip of the fingers) and nail in form of
watch glass. What is typical reason of these changes?
• Endocrine disease
• Chronic liver disease
• Chronic cardiac disease
• Chronic intestinal pathology
• Haemolytic jaundice
• 19. Kyphoscoliosis-bending of the spine:
• go ahead;
• back;
• in the lateral direction;
• to the side and back.
• 20. Normally bronchophonia:

• listened to clearly;
• very weakly listened to;
• not listened to;
• correct A) and B);
• (B) and C).
• 21. Patient С., 34 years, observes a constant dispnoea at rest, especially at

night, weakness, palpitation, thirst, oliguria (insignificant amount of urine).
Objectively: sits in armchair, with lean hands in armrests, frequency of
reath 36 per 1 minutes, cyanosis of the lips, sharp features of face;
significant oedema of the lower extremities, loin, forward belly wall – they
are symmetric, on cruses – dense, on femurs – soft (doughy). Note true
about general condition of the patient:
• Extremely grave
• Good
• 22. Determine the characteristic of coma.

• Unconsciousness.
• Pathological deep sleep from which patient wake up only for short periods.
• Twilling state.
• Correct display of the reality in a brain of the person, the slowed answer on
external irritant and signals.
• Slow inadequate answers
• 23. The chest is ball-shaped. The ratio of anterior-posterior size to

transverse size is 8.0. The area of the costal cartilages is thickened. What
diagnosis can be supposed?
• Asthenic chest
• Rachitic chest
• Hypersthenic chest
• Emphysema chest
• Paralytic chest
• 24. The projection of the cells of ethmoid bone is located:

• at the border of the scalp;
• 1.0-1.5 cm above the upper medial edge of the orbit;
• at the root/radix of the nose;
• in the lower edge of the orbit;
• in the middle of the upper jaw.
movement. of normal lungs by Lin. axillaris media dextr. et sin.:
• 4-6 sm
• 3-5 sm
• 5-8 sm
• 6-8 sm
• 14-16 sm
• 26. BODY TEMPERATURE OF A HEALTHY PERSON IN THE ARMPIT is…

• 36.9°C-37.8°C
• 36.4°C – 36.8°C
• 37.0°C – 38.2°C
• 27. Indirect percussion consists in:

• percussion a finger on the body of the patient;
• percussion a plessimeter attached to the body of the patient.
• 28. The forced position of the patient is that:

• Position which the doctor recommended for a quicker recovery
• Position which the patient assumes due to the progressiveness of the disease
• Position which the patient cannot change independently
• Position which the patient assumes to reduce the occurrence of the illness
(dyspnoea, cough, pain etc.)
• Position with the patient assumes due to immobilization of the extremities. (The
use of skeletal traction, splints etc).
• 29. Syndrome is:

• combination of symptoms that are interrelated and give rise to one another;
• abnormal phenomena as pain, dizziness, nausea, vomiting, etc, occurring in sick
persons;
• summarize clinical examinations.
• 30. Lateral curvature of the spine is observed in:

• lordosis
• scoliosis
• kyphosis
• rachitis
• kyphoscoliosis
• 31. Louis' angle is:

• the angle of connection of the body and the handle of the sternum;
• the angle of the scapule to the chest;
• the angle of the clavicle and sternum;
• epigastric angle; E
• all answers are not correct.
• 32. Excessive pilosis/hairiness is called:
• vitiligo;
• albinism;
• hirsutism;
• hypertrichosis;
• nevus.
• 33. Grade III obesity is determined if the BMI is:

• 25.0 - 25.9;
• 34.9;
• ≥ 40;
• 18.5 - 24.9;
• ≤18.5.
• 34. The patient has an attack of dyspnea. His position is forced; he is

sitting resting his hands on the edge of the bed. The voice resonance over
the lungs is weak. What diagnosis can be supposed?
• Pulmonary emphysema
• Bronchial asthma
• Kussmaul respiration
• atelectasis
• Cheyne-Stokes respiration
• 35. Thickening of the nails occurs when:

• myxedema;
• heart defects;
• acromegaly;
• anemia;
• all listed diseases.
• 36. The patient has dyspnea and cyanosis. The right half of the chest
protrudes, delays in the act of respiration. The voice resonance is
decreased downward the middle of the scapula. What diagnosis can be
supposed?
• Hydrothorax, pneumothorax
• Cavity in the lung
• Atelectasis
• Pneumonia
• 37. Determine biological factors which cause diseases.

• Virus
• Microbe
• S. Protozoa
• Rickettsia
• 38. Where appears crepitation:
• in the small bronchi:
• in the large bronchiin;
• in the alveoli;
• in the pleural cavity
• 39. Patient W. 64 years has skin changes- visible dilation of small

subcutaneous blood vessels. Estimate these skin changes:
• Teleangioectasia
• Hyperpigmentation
• Petechia
• Urticaria
• Vitiligo
• 40. Bronchial breathing is sounded:

• At inhalation
• At exhalation
• At inhalation and 1/3 of exhalation
• During breathing in and out
• At inhalation and at first 2/3 of exhalation
• 41. The diseases caused by negative interrelation of medical staff and

patients are called:
• Social
• Iatrogenic
• Somatogenic
• Professional
• Psychogenic
• 42. "Puerile respiration":

• physiological intensification of vesicular breathing
• pathologically decreased vesicular respiration;
• physiological intensification of bronchial breathing;
• pathologically decreased bronchial breathing;
• stenotic respiration.
• 43. THE AVERAGE BREATHING RATE IN AN ADULT…

• 24 in 1 minute
• from 14 to 20 in 1 minute
• 44. IN AUSCULTATION OF THE LUNGS, COUGHING IS USED IN ORDER

TO…
• differences between pleural friction noise and crepitation and wheezing
• detection of hidden bronchial obstruction
• differences between dry rales and wet rales
• differences between wheezing and crepitation or pleural friction noise
• better listening to pathological bronchial breathing.
• 45. Determine characteristic of asthenic habitus from the physiological

point of view.
• Prevalence of the transversal sizes of a thorax
• Right epigastric angle
• Significant prevalence of the transversal sizes of a body above longitudinal
• Significant prevalence ratio of extremities to trunk
• Significant prevalence ratio of abdomen to thorax
• 46. In healthy people, the upper borders of the lungs are above the
clavicles:
• 1-2sm
• 3-4 sm
• 5-6 sm
• 7-8 sm
• 9-10 sm.
• 47. When the lymph nodes are palpated, they are assessed:
• Size
• Tenderness
• Consistency
• Soldered to the skin
• Cohesion among themselves
• All above-said.
• 48. Bronchial respiration occurs when air passes through:

• the glottis;
• large bronchi;
• small bronchi;
• bronchioles;
• the alveoli.
• 49. Under the direction of the nurse the student of the 2nd rate draw a
passport part in admission office of the case record of patient D. 54 years,
which hospitalize in connection with essential hypertension. At this time
has hardly come the man of 65 years old in the office. He was pale, with
complaints to dizziness, sharp weakness. Suddenly including patient has
lost consciousness, has fallen, cramps have begun. What medical and
deontological tactics?
• Nurse should begin immediately external cardiac massage and artificial breath
(on the floor). The student should transfer patient D. in other room and urgently
call a doctor.
• Firstly he must finish registration of the case record.
• Student should begin immediately external cardiac massage and artificial breath
(on the floor). The nurse should transfer patient D. in other room and urgently call
a doctor.
• The nurse should call the doctor immediately and wait his orders.
• All above variants are allowable
• 50. Using comparative percussion determine:

• the upper border of the lungs
• percussion sounds on symmetrical parts of the chest
• lower border of the lungs
• mobility of the lower border of the lungs
• width of the Kroenig's area
• 1. Normal cholesterol content in blood serum is:

• 2.0-3.8 mmol | l
• 3.9-5.2 mmol | l
• 5.6-8.2 mmol | l
• 8.3-10.5 mmol | l
• 10.6-12.9 mmol | l
• 2. The normal number of segmented nuclear leukocytes (%.:

• 30-35
• 35-40
• 47-72
• 75-80
• 80-85
• 3. The past history involves all listed except:

• habits;
• history of present disease;
• family history;
• social history;
• allergological history.
• 4. Moderate expressed visible interspaces, epigastric angle near 90° typical

for:
• normosthenic chest;
• hypersthenic chest;
• asthenic chest;
• there is no correct answer.
• 5. The routine method for assessing the patients with disorders of the
respiratory system is:
• computer tomography;
• ultrasound examination;
• bronchoscopy;
• Chest X-ray
• 6. What lung pathology is characterized by dry rales:

• dry pleurisy;
• emphysema;
• bronchitis;
• pneumonia;
• the attack of bronchial asthma
• 7. To determine the protein function of the liver is used:

• determination of the content of total protein in serum
• determination of protein fractions
• protein sediment tests
• determination of prothrombin index
• all of the above methods
• 8. Blood hemoglobin in women (g / l.:

• 100-110
• 110-120
• 120-140
• 130-160
• 150-160
• 9. The ratio of daytime diuresis to night:

• 1: 1
• 1: 2
• 1: 3
• 3: 1
• 5: 1
• 10. Prapedeutics to internal discases is:

• the science atbout methods of clinical examination of the patient and diagnosis
basing;
• the study of the physical structure of organisms;
• the study of the normal functioning of the body and the underlying regulatory
mechanisms;
• the study of disease—the causes, course, progression and resolution thereof.
• 11. What part of the heart represents the left border of relative dullness:
• left atrium
• pulmonary trunk
• right ventricle
• right atrium
• left ventricle
• 12. The duration of the QRS complex is normal:

• 0.01-0.02 sec
• 0.03-0.04 sec
• 0.05-0.06sec
• 0.06-0.1 sec
• 0.11-0.13 sec.
• 13. The horizontal electrical axis of the heart in standard leads:

• RII> RI> RIII
• RI> RII> RIII
• RIII> RII> RI
• RIII= RII> RI
• 14. Projections of the mitral valve on the anterior chest wall:

• at the 3-rd costosternal joint;
• on the sternum midway between the 3-rd left and 5-th right costosternal joints;
• in the 2-nd intercostal space, to the left of the sternum;
• in the middle of the sternum at the level of the 3-rd costosternal joint.
• 15. “Cobbler chest” also called:

• emphysematous;
• paralytic;
• rachitic;
• funnel
• 16. The extent to which venous pressure varies in healthy individuals:

• 40-80mm water column
• 17. Character of cyanosis in cardiovascular disease:

• diffuse;
• on the face;
• acrocyanosis;
• in the lower extremities;
• in some parts of the body.
• 18. Renal edema starts from:

• Face
• legs
• ascites
• everything is correct
• everything is wrong
• 19. Normally, the content of total protein in serum is:

• 45-46g | l
• 65-85g | l
• 85-105g | l
• 105-125g | l
• 125-145g | l
• 20. The vascular bundle consists of the following vessels, except:

• the aorta
• inferior vena cava
• pulmonary trunk
• superior vena cava
• 21. Harsh breathing:

• short jerky inspiration efforts interrupted by short pauses between them the
expiration is usually normal;
• deeper vesicular breathing during which the inspiration and expiration phases are
intensified;
• inspiratory sounds last longer than expiratory ones.
• 22. Dullness sound can be coursed by all except:

• pulmonary tumor (airless tissue.;
• when fluid occupies the pleural space (over fluid.:
• pleural accumulation of serous blood (hemothorax.
• compressive atelectasis.
• 23. Patients with grave diseases should be percussed in:

• standing position;
• sitting position;
• lying position;
• does not matter.

• 25. When percussion of the abdomen in a healthy person is heard:

• dull sound
• sound box
• pulmonary sound
• dullness of sound
• tympanic sound.
• 26. Serum creatinine in healthy does not exceed (mmol.l.:

• 12
• 18
• 40
• 110
• 145
• 27. The normal number of eosinophils in the blood test (%.:

• 0-0,1
• 0.5-5.0
• 6-8
• 8-10
• 10-12
• 28. The best auscultatory areas (points. for a pulmonary valve:

• apical impulse
• the base of the xiphoid process
• 2 intercostal space to the left of the sternum
• 2 intercostal space to the right of the sternum
• the Erbs point
• 29. The position of the lower border of the lungs by Lin. medioclavicularis
dextra:
• 6-th rib
• 7-th rib
• 8-th rib
• 9-th rib
• 10-th rib
• 30. Purpura (hemopurpura. is:

• small pointed hemorrhages;
• large black and blue spots;
• red spots of different size;
• a swelling from gross bleeding.
• 31. Disorientation in surroundings, loss of memory (amnesia., patient is

exited, has pathologically high spirits, is anxious, sometimes even
aggressive, all that is signs of:
• Twilight state;
• Delirium;
• Stupor;
• Coma.
• 32. The distance of the liver in the right parasternal line is normally :
• 6-8 cm
• 8-10 cm
• 10-12 cm
• 13-15 cm
• 16-18 cm
• 33. Percussion resonant and clear sound is defined over:

• heart
• liver
• lungs
• spleen
• kidneyend

persons;
• 35. Normal systolic blood pressure is:

• 100-110mm Hg
• 100-120mm Hg
• 100-130 mm hg.
• 100-139mmHg
• 100-150mm Hg
• 36. The size of liver according to M.G. Kurlov method:

• 9:8:7 +-1cm
• 11:8:7 +-1cm
• 9:9:7 +-1cm
• 12:10:9 +-1cm
• 9:10:11 +-1cm
• 37. Vitiligo is:

• symmetrical white spots on the face, trunk, limbs;
• the redness located on checks;
• cyanotic color of the skin;
• yellow color of the skin.
• 38. Normal albumin from the total protein:

• 26.3-38.8%
• 40.3-55.3%
• 56.3-68.8%
• 70.3-83.3%
• 83.3-93.8%
• 39. Anasarca - is:
• edema on the legs;
• edema on the lower back;
• edema on the neck;
• abdominal hydrops;
• edema of the all body.
• 40. In healthy people GFR level is:

• 20-40 mL/min/1.73 m2
• 40-60 mL/min/1.73 m2
• 90 to 120 mL/min/1.73 m2
• 130-150 mL/min/1.73 m2
• 155-160 mL/min/1.73 m2
• 41. Polyuria is an increase in daily diuresis of more than:

• 1 liter
• 2 liters
• 3 liters
• 5 liters
• 10 liters

• 43. In the Nechiporenko analysis of urine normal content of leukocytes in 1

ml:
• 0
• up to 10
• up to 100
• up to 2000
• up to 10,000
• 44. Arterial hypertension (according to WHO. is established with BP:

• systolic 140mm Hg and higher, diastolic-90mm Hg and higher
• systolic 130-139 mm Hg, diastolic 85-89mm Hg
• systolic 100-139mm Hg, diastolic 60-85mm Hg
• systolic below 100mm Hg, diastolic below 60mm Hg.
• systolic blood pressure above 160mm.rt.st., Diastolic pressure of 95
• 45. The transverse length of relative cardiac dullness is (cm.:

• 3-4
• 5-6
• 7-8
• 9-10
• 11-13
• 46. How also called vesicular breathing:

• bronchial;
• amphoric;
• alveolar;
• laryngotracheal;
• metallic.
• 47. Pigeon chest is typical for:

• emphysema of the lungs;
• rheumatoid arthritis;
• pneumosclerosis;
• rachitis

• 4-6 sm
• 3-5 sm
• 5-8 sm
• 6-8 sm
• 14-16 sm
• 49. Normal albumin-globulin ratio is:

• 0.3-1.1
• 1.2-2
• 2.1-2.9
• 3.0-3.8
• 3.9-4.6
• 50. The normal time of blood clotting by Lee-White (in min.., determined in
a glass test tube:
• 3-8
• 5-10
• 11-12
• 4.15-20
• 5.20-22
• 1. Active respiratory mobility of the lower border (diaphragmatic movement) of normal
lungs by Line axillaris media dextra et sinistra.
• 4-6 sm
• 3-5 sm
• 5-8 sm
• 6-8 sm
• The science atbout methods of clinical examination of the patient and diagnosis basing;
• The study of the physical structure of organisms
• The study of the normal functioning of the body and the underlying regulatory
mechanisms;
• The study of disease—the causes, course, progression and resolution thereof.
• 3. "Puerile respiration"
• Physiological intensification of vesicular breathing
• Pathologically decreased vesicular respiration
• Physiological intensification of bronchial breathing
• Pathologically decreased bronchial breathing;
• 4. “Cobbler chest” also called
• Emphysematous
• Paralytic
• Rachitic;
• Funnel
• 5. Serum creatinine in healthy does not exceed (mmol.l):
• 12
• 18
• 40
• 110
• 6. The position of the lower border of the lungs by Lin. medioclavicularis dextra
• 6-th rib
• 7-th rib
• 8-th rib
• 9-th rib
• 7. Harsh breathing
• Short jerky inspiration efforts interrupted by short pauses between them the expiration is
usually normal
• Deeper vesicular breathing during which the inspiration and expiration phases are
intensified;
• Inspiratory sounds last longer than expiratory ones
• Emphysema
• 8. Disorientation in surroundings, loss of memory (amnesia), patient is exited, has
pathologically high spirits, is anxious, sometimes even aggressive, all that is signs of:
• Twilight state
• Delirium;
• Stupor;
• Coma
• Left atrium
• Pulmonary trunk
• Right ventricle
• Left ventricle
• Edema on the legs
• Edema on the lower back
• Edema on the neck
• Edema of the all body
• 45-46g | l
• 65-85g | l
• 85-105g | l
• 105-125g | l
• 12. The distance of the liver in the right parasternal line is normally
• 6-8 cm
• 8-10 cm
• 8-10 cm
• 13-15 cm
• 13. In the Nechiporenko analysis of urine normal content of leukocytes in 1 ml:
• Up to 10
• Up to 10,000
• Up to 100
• Up to 2000
• 14. What lung pathology is characterized by dry rales
• Emphysema;
• Bronchitis
• Pneumonia
• The attack of bronchial asthma
• Habits;
• History of present disease;
• Family history;
• Social history;
• Bronchial
• Amphoric
• Alveolar
• Laryngotracheal
• 17. Normal systolic blood pressure is
• 100-110mm Hg
• 100-120mm Hg
• 100-130 mm hg
• 100-139mmHg
• Pulmonary tumor (airless tissue)
• When fluid occupies the pleural space (over fluid)
• Pleural accumulation of serous blood (hemothorax)
• Compressive atelectasis
• The upper border of the lungs
• Percussion sounds on symmetrical parts of the chest
• Lower border of the lungs
• Mobility of the lower border of the lungs
• 20. Arterial hypertension (according to WHO) is established with BP:
• Systolic 140mm Hg and higher, diastolic-90mm Hg and higher
• Systolic 130-139 mm Hg, diastolic 85-89mm Hg
• Systolic 100-139mm Hg, diastolic 60-85mm Hg
• Systolic below 100mm Hg, diastolic below 60mm Hg.
• 21. When percussion of the abdomen in a healthy person is heard
• Dull sound
• Sound box
• Dullness of sound
• Tympanic sound
• 26.3-38.8%
• 40.3-55.3%
• 56.3-68.8%
• 70.3-83.3%
• 23. Renal edema starts from
• Face
• Legs
• Ascites
• Everything is correct
• 24. The duration of the QRS complex is normal
• 0.01-0.02 sec
• 0.03-0.04 sec
• 0.05-0.06sec
• 0.06-0.1 sec
• 25. Blood hemoglobin in women (g / l):
• 100-110
• 110-120
• 120-140
• 130-160
• 26. Character of cyanosis in cardiovascular disease
• Diffuse
• On the face
• Acrocyanosis
• In the lower extremities
• 2.0-3.8 mmol | l
• 3.9-5.2 mmol | l
• 5.6-8.2 mmol | l
• 8.3-10.5 mmol | l
• 28. Vitiligo is
• Symmetrical white spots on the face, trunk, limbs;
• The redness located on checks;
• Cyanotic color of the skin
• Yellow color of the skin
• Combination of symptoms that are interrelated and give rise to one another
• Abnormal phenomena as pain, dizziness, nausea, vomiting, etc, occurring in sick
persons
• Summarize clinical examinations
• Dry pleurisy
• 30. In healthy people GFR level is
• 20-40 mL/min/1.73 m2
• 40-60 mL/min/1.73m2
• 90 to 120 mL/min/1.73 m2
• 130-150 mL/min/1.73 m2
• 31. Pigeon chest is typical for
• Emphysema of the lungs
• Rheumatoid arthritis
• Pneumosclerosis
• Rachitis
• 32. Patients with grave diseases should be percussed in
• Standing position
• Sitting position;
• Lying position;
• Does not matter.
• 1 liter
• 2 liters
• 3 liters
• 5 liters
• 34. The transverse length of relative cardiac dullness is (cm)
• 3-4
• 5-6
• 7-8
• 11-13
• 35. The normal number of segmented nuclear leukocytes (%):
• 30-35
• 35-40
• 47-72
• 75-80
• 37. The normal number of eosinophils in the blood test (%):
• 0-0,1
• 0.5-5.0
• 6-8
• 8-10
• 1: 1
• 1: 2
• 1: 3
• 3: 1
• 39. Purpura (hemopurpura) is:
• Small pointed hemorrhages
• Large black and blue spots
• Red spots of different size
• A swelling from gross bleeding.
• 40. The best auscultatory areas (points) for a pulmonary valve:
• Apical impulse
• The base of the xiphoid process
• At the 3-rd costosternal joint;
• On the sternum midway between the 3-rd left and 5-th right costosternal joints
• In the 2-nd intercostal space, to the left of the sternum
• In the middle of the sternum at the level of the 3-rd costosternal joint
• 42. The vascular bundle consists of the following vessels, except
• The aorta
• Inferior vena cava
• Pulmonary trunk
• Superior vena cava
• 43. Percussion resonant and clear sound is defined over
• Heart
• Liver
• Lungs
• Spleen
• 44. To determine the protein function of the liver is used
• Determination of the content of total protein in serum
• Determination of protein fractions
• Protein sediment tests
• All of the above methods
• 45. The normal time of blood clotting by Lee-White (in min.), determined in a glass test
tube
• 3-8
• 5-10
• 11-12
• 4.15-20
• 0.3-1.1
• 1.2-2
• 2.1-2.9
• 3.0-3.8
• 47. The size of liver according to M.G. Kurlov method
• 9:8:7 +-1cm
• 11:8:7 +-1cm
• 9:9:7 +-1cm
• 12:10:9 +-1cm
• 48. The routine method for assessing the patients with disorders of the respiratory
system is
• Computer tomography
• Ultrasound examination;
• Bronchoscopy
• Chest X-ray
• 49. Moderate expressed visible interspaces, epigastric angle near 90° typical for:
• Normosthenic chest
• Asthenic chest
• There is no correct answer
• RII> RI> RIII
• RI> RII> RIII
• RIII> RII> RI
• RIII= RII> RI
• The best auscultatory areas (points) for a tricuspid valves

• Apical impulse
• 2. Diastolic trembling ("cat purring") on apex of the heart palpated in case of:
• Insufficiency the aortic valve;
• Aortic stenosis
• Mitral stenosis
• Insufficiency left atrioventricular valve;
• 3. The distance of the liver in the right anterior axillary line is normally is
• 6-8 cm
• 8-9 cm
• 10-12 cm
• 13-15 cm
• 4. A boxed sound above the lungs indicates:
• Reducing the airiness of the lung tissue
• Accumulation of fluid in the pleural cavity
• The formation of a cavity in the lung
• Increased airiness of lung tissue
• 5. Oligouria is a daily diuresis less than:
• 500ml
• 1000ml
• 2 liters
• 5 liters
• 6. How many urine samples are collected for Zimnitsky analysis:
• 2
• 4
• 5
• 8
• 7. Melena may indicate:
• Botkin's disease
• Hemorrhoids
• Chronic pancreatitis
• Bleeding from the veins of the esophagus
• 8. What is the sequence of examination of pulse rate:
• Synchronicity, rhythm, frequency, voltage, filling
• Rhythm, frequency, synchronicity, content, stress
• The frequency, rhythm, synchronicity, content, stress
• Filling, strain, frequency, rhythm, synchronicity
• 9. Deficiency of pulse is
• A disharmony between a heart rate and a number of pulse waves on periphery
• A disharmony between a breath rate and a number of pulse waves on periphery
• A disharmony between a heart rate and breath rate
• All answers are correct
• 10. In which intercostal space the width of the vascular bundle is normally determined:
• 2
• 3
• 4
• 5
• 11. The distance of the in the right midclavicular line is normally:
• 6-8 cm
• 8-9 cm
• 10-12 cm
• 9-11 cm
• 12. Pulse pressure is normal:
• 35-45mmHg
• 40-50mm Hg
• 45-55mmHg
• 50-60mmHg
• 13. To distinguish small focuses in pulmonary tissue more sensitive is
• Magnetic resonance imaging
• Radiography;
• Computer tomography;
• Pulmonary angiography.
• 14. What kind of blood is typical for hemoptysis
• Bright red;
• Dark brown
• Black
• With the content of food.
• 15. Respiratory excursion of the lower border of leftt lung by scapular line
• 1 – 2 cm
• 2 – 3 cm
• 4 – 6 cm
• 6 – 8 cm.
• 16. The position of the lower border of the lungs by Lin. medioclavicularis dextr.:
• 6-th rib
• 7-th rib
• 8-th rib
• 9-th rib
• 17. Laboratory examination includes all listed except
• Blood analysis
• Sonography
• Urine analysis
• Sputum analysis
• 18. Normal value of Lymphocytes:
• 0.02-0.3 x 109 /1(0.5-5 %);
• 0-0.065 x 109 /1 (0-1 %)
• 1.2-3.0 x 109 /1(19-37%);
• 0.09-0.60 x 109 /1 (3-11 %).
• 19. Enlarged superciliary arches, zygomatic bones, ears, auricles nose, lips, tongue,
growth and putting forward of low jaw (prognotism) is also called
• Facies in patients with Cushing’s syndrome
• Facies Hyppocratica
• Facies as a “wax-doll”
• Facies acromegalica.
• 20. Vomiting that arose through 4-6 hours after eating is a consequence of:
• Ulcer or cancer of cardiac part of the stomach acute gastritis;
• Ulcer or cancer of the stomach body
• Ulcer of the pylorus or duodenum
• Cecum
• 21. The resonant sound of the percussion of a healthy person is determined above the:
• Heart
• Spleen
• Lung tissue
• Muscles
• 22. Where the apical impulse is normally defined:
• On the parasternal line
• 1.5 cm outside from the midclavicular line
• 1.5 cm inside from the midclavicular line
• On the midaxillary line
• 23. With the feces of a healthy person stands out
• Free bilirubin
• Associated bilirubin
• Urobilin
• Urobilinogen
• 24. In the Nechiporenko analysis of urine normal content of erythrocytes in 1 ml
• Up to 10
• Up to 100
• Up to 1000
• Up to 10,000
• 25. The vertical electrical axis of the heart in standard leads:
• RII> RI> RIII
• RI> RII> RIII
• RIII> RII> RI
• RIII= RII> RI
• 26. Glycosuria is often typical for:
• Misuse of sweet food;
• Emotional turmoil
• Diabetes;
• Glomerulonephritis
lungs by Lin. medioclavicularis dextra
• 4-6 sm
• 3-5 sm
• 5-8 sm
• 6-10 sm
• 28. The content of total protein in serum 106g | l, this:
• Hypoproteinemia
• Dysproteinemia
• Hypergammaglobulinemia
• Hyperproteinemia
• 29. Specify the localization of the upper border of the relative dullness of the heart
• 2nd rib
• 2nd intercostal space
• 3rd rib
• 4th rib
• 30. Prothrombin is synthesized with the participation of the vitamin:
• A
• K
• C
• B1
• 31. What is early sign of pancreatic insufficiency
• The presence stercobilin in the stool
• Steatorrhea
• Black feces
• The presence of urobilin in the stool
• 32. Normally, the prothrombin index is:
• 20-40%
• 40-60%
• 60-80%
• 80-100%
• 33. S2 consists of:
• One component
• Two components;
• Three components
• Four components
• 34. Grade III hypertension established at the level:
• 120-129 SBP (mm Hg) and/or 80-84 DBP (mm Hg)
• 180 SBP (mm Hg) and/or > 110 DBP (mm Hg)
• 35. In what lead T wave is always normally negative
• I standard lead;
• II standard lead
• III standard lead
• AVR
• 36. The normal electrical axis of the heart in standard leads:
• RII> RI> RIII
• RI> RII> RIII
• RIII> RII> RI
• RIII= RII> RI
• 37. Prothrombin is synthesized only in:
• Spleen
• Kidney
• Pancreas
• Liver
• Clear consciousness, active or active with restriction posture, free or partial deranged
(specific) gait, sensible facial expression, and adequate mental reaction;
• Deranged consciousness, alteration of facial expression and posture (forced), uncertain
gait, partial deranged mental state and may be observed in patients with recurrence of
chronic disease, acute diseases, or due to the traumas and poisoning
• Disorders of practically all clinical features: deranged consciousness, changed facial
expression (fear, suffer, hopelessness, indifference). The patients have forced or
passive posture, loss o f weight, edema, and inadequate mental state;
• Edema, and inadequate mental state;
• 39. 16.The normal number of leukocytes in the peripheral blood (x109 / l):
• 1-2
• 2-3
• 4-9
• 9-10
• 40. Projections of the tricuspid valve on the anterior chest wall:
• On the sternum midway between the 3-rd left and 5-th right costosternal joints;
• 41. What method of examination has the greatest value in diagnosis of gallstone
disease:
• Questioning
• Palpation
• Cholecystography;
• Irrigoscopy
• 42. Excretory anuria
• Violation of urine formation by kidneys
• Lack of urine because of constraints in the urinary tract
• Daily urine output less than 500 ml
• Urinary excretion of acetone
• 43. From what of the intestines segment begins deep palpation by Obraztsov-
Strazhesko
• Cecum
• The transverse colon
• Appendix cecum
• The sigmoid colon
• 44. In the urine of men leukocytes
• Not contained
• 1-2 in sight
• 5-6 in sight
• 6-8 in sight
• 45. The pulse rate corresponds to the heart rate and is equal to
• 50-70 per minute
• 46. P wave on the ECG is:
• Ventricular excitation
• Excitation of interventricular septum
• Atrial excitation;
• Ventricular repolarizatio
• 47. What is normal heart rate
• 40 - 60 per 1 min
• 90 - 120 per 1 min
• 60 - 80 per 1 min;
• 120-240 per 1 min
• 48. Displacement left border of cardiac dullness to the left can occur in case of:
• Hypertrophy of the right atrium
• Hypertrophy of the left atrium
• Hypertrophy of the right and left atrium
• Hypertrophy and dilatation of left ventricular
• 49. The best auscultatory areas (points) for a mitral valve
• Apical impulse
• 50. What is the cardialgia
• Pain in the liver
• Heart pain;
• Feeling of "disruptions" in the heart
• Muscle pain
• Bronchial
• Amphoric
• Alveolar
• Laryngotracheal
• 2. In which intercostal space the width of the vascular bundle is normally determined
• 2
• 3
• 4
• 5
• 500ml
• 1000ml
• 2 liters
• 5 liters
• Left atrium
• Pulmonary trunk
• Right ventricle
• Left ventricle
• I standard lead
• II standard lead KO
• AVR
• 6. Decreasing of both heart sounds typical for
• Aortic heart defects
• Mitral heart defects
• Myocarditis
• Hypertension
• 7. Normal Diastolic blood pressure is
• 60-70mmHg
• 60-80mm Hg
• 60-89mm Hg
• 60-100mm Hg
• Violation of urine formation by kidneys;
• Urinary excretion of acetone.
• 9. The Hippocratic face is a sign of
• Thyrotoxicosis
• Nephritis
• Heart failure
• Peritonitis;
• 10. With the feces of a healthy person stands out:
• Free bilirubin
• Urobilin
• Stercobilin
• 11. What percussion sound is determined above the zone of absolute dullness of the
heart
• Pulmonary
• Boxed
• Dull
• Tympanic
• 12. Physiological weakening of vesicular breathing is determined when
• Obesity
• Hydrothorax
• Pneumothorax
• Emphysema
• 13. Laboratory examination includes all listed except:
• Blood analysis
• Sonography
• Urine analysis
• Sputum analysis
• 14. Respiratory excursion of the lower border of leftt lung by scapular line:
• 1 – 2 cm
• 2 – 3 cm
• 4 – 6 cm
• 6 – 8 cm
• 15. Xanthelasma is determined by:
• Mitral stenosis
• Biliary cirrhosis
• 0.02-0.3 x 109 /1(0.5-5 %)
• 0-0.065 x 109 /1 (0-1 %)
• 1.2-3.0 x 109 /1(19-37%);
• 0.09-0.60 x 109 /1 (3-11 %)
• Radiography
• Pulmonary angiography
• 18. The horizontal electrical axis of the heart in standard leads
• RII> RI> RIII
• RI> RII> RIII
• RIII> RII> RI
• RIII= RII> RI
• 19. The method of palpation of the chest does not reveal
• Vocal fremitus
• Weakened vesicular respiration
• Painful areas
• Stiffness of the intercostal spaces
• 20. Epigastric pulsation, more clearly visible in the standing position and inhalation,
indicates
• Hypertrophy and dilation of the left atrium;
• Hypertrophy and dilation of the right ventricle of the heart
• Hypertrophy and dilation of the left ventricle of the heart
• Abdominal aortic aneurysm;
• 21. The position of the lower border of the lungs by Lin. Scapularis
• 6-th rib
• 7-th rib
• 8-th rib
• 10-th rib
• 22. The symptom of "Digiti hippocratici" is observed in patients with:
• Bronchiectasis
• Focal pneumonia
• Acute bronchitis
• 0.02-0.3 x 109 /1(0.5-5 %)
• 0-0.065 x 109 /1 (0-1 %)
• 1.2-3.0 x 109 /1(19-37%);
• 0.09-0.60 x 109 /1 (3-11 %)
• 24. Normal albumin-globulin ratio is
• 0.3-1.1
• 1.2-2
• 2.1-2.9
• 3.0-3.8
• 26. The orthopnea position relieves the condition by reducing
• Pain in the heart
• Interruptions in the work of the heart
• Lower extremity edema;
• Shortness of breath;
• 0.02-0.3 x 109 /1(0.5-5 %)
• 0-0.065 x 109 /1 (0-1 %)
• 1.2-3.0 x 109 /1(19-37%);
• 0.09-0.60 x 109 /1 (3-11 %)
• 28. Purpura (hemopurpura) is
• A swelling from gross bleeding
• Pneumosclerosis
• Rachitis
• 30. Unequal pulse often typical for:
• Hole aortic stenosis;
• Myocarditis
• Atrial fibrillation
• Exudative pericarditis
• 31. Tendency to diarrhea typical for
• Duodenal ulcer disease intestine
• Erosive duodenitis
• Chronic gastritis with increased gastric acidity juice
• Face
• Legs
• Ascites
• 34. ECG heart rate (HR) formula is
• 60 (seconds in 1 minutes)/R-R(sec)
• 60 (seconds in 1 minutes)/R-R(big squares)
• Vocal fremitus
• Painful areas
• 36. Where the apical impulse is normally defined
• On the midclavicular line
• 37. In healthy people, the upper borders of the lungs are above the clavicles:
• 1-2sm
• 3-4 sm
• 5-6 sm
• 7-8 sm
• 30-35
• 35-40
• 47-72
• 75-80
• 39. The best auscultatory areas (points) for a pulmonary valve
• Apical impulse
• Mitral stenosis
• 41. The normal electrical axis of the heart in standard leads
• RII> RI> RIII
• RI> RII> RIII
• RIII> RII> RI
• RIII= RII> RI
• 42. The normal number of leukocytes in the peripheral blood (x109 / l)
• 1-2
• 2-3
• 4-9
• 9-10
• Bright red;
• Dark brown
• Black
• With the content of food
• 44. The indicator of liver pigment function is the content in the serum
• Cholesterol
• Total protein and protein fractions
• Fibrinogen
• Bilirubin and its fractions
• 45. Causes of physiological weakening of vesicular breath
• Poor development of the chest muscles
• Performing heavy physical exertion
• Excessive development of muscles and fatty tissue
• Children's age
• 46. Nocturia is
• Daily diuresis more than 1 liter
• Daily diuresis less than 1 liter
• The prevalence of nocturnal diuresis over daytime
• The prevalence of daytime diuresis over night
• 47. Percussion tympanic sound is detected over the area
• Liver
• Stomach
• Lungs
• Spleen
• 48. Right border of the relative cardiac dullness is formed by
• Right atrium
• Left atrium
• Right ventricle
• Left ventricle
• 49. Polyuria is an increase in daily diuresis of more than
• 1 liter
• 2 liters
• 3 liters
• 5 liters
• 50. The right border of relative cardiac dullness is normal:
• On the right edge of the sternum
• On the left edge of the sternum
• 1 cm laterally of the right edge of the sternum
• 2cm laterally from the right edge of the sternum
skipped question
• 1. Increasing area of absolute cardiac dullness observed in case of:

• Left-sided pneumothorax;
• Emphysema;
• Attack of bronchial asthma;
• Hydropericarditis.
• 2. Normal value of eosinophils:
• 0.02-0.3 x 109 /1(0.5-5 %);
• 0-0.065 x 109 /1 (0-1 %);
• 1.2-3.0 x 109 /1(19-37%);
• 0.09-0.60 x 109 /1 (3-11 %).
• 3. What means the large number of red blood cells in the gastric contents
• Duodenal ulcer;
• Gastritis;
• Stenosis;
• Gastric cancer
• Dry pleurisy;
• Emphysema;
• Bronchitis;
• 5. The appearance of "Melena" Is characteristic:
• Gastric bleeding;
• Long-term administration of calcium preparations;
• Bleeding from the sigmoid colon;
• Dysentery;
• 6. Heartburn (pyrosis) is
• As a sensation of “sticking” Or obstruction of the passage of food through the mouth,
pharynx, or esophagus;
• A specific burning sensation behind the sternum associated with regurgitation of gastric
contents into the inferior portion of the esophagus;
• Return of the part of swallowed food into the mouth due to backward movement of
esophagus and stomach with open cardia without contraction of diaphragm and
abdominal muscles;
• Reflex act associated with irritation of the vagus nerve;
• 8. An alternating pulse is:
• Alternation of pulse waves of large and small filling;
• A decrease or disappearance of the inhalation pulse waves;
• Discrepancy between the number of pulse waves and the number of heartbeats;
• Unequal pulse wave interval
• 9. Bronchial breathing in a healthy person is heard:
• Over the trachea region and its bifurcation
• Below 2 ribs on the left lateral to the parasternal line
• In the axillary lines
• Below the axillary lines
• 10. By using what method can be examine in vivo the morphology of the liver:
• Scan;
• Biopsy;
• Laparoscopy;
• Splenoportography.
• 11. The position of the lower border of the lungs by Lin. axillaris Media dextra et sinistra
• 6-th rib
• 7-th rib
• 8-th rib
• 9-th rib
• 12. Edema of cardiac origin:
• Blue, cold, dense
• Pale, warm, soft
• Blue, warm, soft;
• Pale, cold, dense
• Twilight state;
• Delirium;
• Stupor;
• Coma.
• 14. The duration of the p wave is normal:
• 0.06-0.07 sec
• 0.07-0.08 sec
• 0,08-0,09 sec
• 0.08-0.1 sec
• 9:8:7 +-1cm
• 11:8:7 +-1cm
• 9:9:7 +-1cm
• 12:10:9 +-1cm
• 16. Inspiratory dyspnea is typical for:
• Bronchial asthma;
• Bronchiolitis;
• Chronic obstructive pulmonary disease;
• Tracheal tumors.
• In the 2-nd intercostal space, to the left of the sternum;
• In the middle of the sternum at the level of the 3-rd costosternal joint.
• 18. Resistant apical beat indicates:
• Insufficiency of the mitral valve;
• Aortic insufficiency;
• Aortic stenosis;
• Left ventricular hypertrophy;
• 19. The position of the lower border of the lungs by Lin. axillaris anterior dextra et
sinistra.:
• 6-th rib
• 7-th rib
• 8-th rib
• 9-th rib
• 20. Orthopnoe position is:
• Sitting position, facilitating shortness of breath;
• Sitting, relieving pain;
• Prone position, relieving pain;
• Standing, stopping hiccups.
• 21. The properties of the apical impulse are determined by:
• Left ventricle
• Right atrium
• Aortic arch
• Left atrium
• 22. Puerile respiration":
• A)Physiological intensification of vesicular breathing
• B)Pathologically decreased vesicular respiration;
• C)Physiological intensification of bronchial breathing;
• D)Pathologically decreased bronchial breathing;
• 23. Hemorrhagic syndrome in liver diseases is a consequence of:
• Hhyperbilirubinemia;
• Hepatocellular failure syndrome
• Hyperestrogenemia;
• Hypoalbuminemia;
• 0-0,1
• 0.5-5.0
• 6-8
• 8-10
• 6-8 cm
• 8-10 cm
• 10-12 cm
• 13-15 cm
• 26. Aortic valves are projected on the anterior chest wall:
• 0.01-0.02 sec
• 0.03-0.04 sec
• 0.05-0.06sec
• 0.06-0.1 sec
• 28. In healthy people gfr level is:
• 20-40 ml/min/1.73 m2
• 40-60 ml/min/1.73 m2
• 90 to 120 ml/min/1.73 m2
• 130-150 ml/min/1.73 m2
• Small pointed hemorrhages;
• Large black and blue spots;
• Red spots of different size;
• 2.0-3.8 mmol | 1
• 3.9-5.2 mmol | 1
• 5.6-8.2 mmol | 1
• 8.3-10.5 mmol | 1
• 30-35
• 35-40
• 47-72
• 75-80
• Bronchial;
• Amphoric;
• Alveolar;
• Laryngotracheal;
• 33. Chronic tonsillitis, tuberculosis, infectious mononucleosis, chronic lympholeucosis,
• Occipital lymph nodes;
• Cervical lymph nodes;
• Axillary lymph nodes;
• Cubital (local) lymph nodes.
• Up to 10
• Up to 100
• Up to 2000
• Up to 10,000
• 0.3-1.1
• 1.2-2
• 2.1-2.9
• 3.0-3.8
• 36. Where the primary urine is formed:
• In glomerulus;
• In the proximal tubules;
• In the distal tubules;
• In the loop of the nephron;
• Habits;
• Family history;
• Social history;
• 38. A decrease in the volume of one half of the chest is not observed when:
• Obstructive atelectasis;
• Cirrhosis of the lung;
• Pulmonectomy.
• 39. Auscultation point of left atrioventricular valve located in:
• Heart apex;
• 2nd intercostal space to the right of the sternum;
• To the left of the sternum at the 3rd costosternal articulation
• 2nd intercostal space to the left of the sternum;
• Normosthenic chest;
• Hypersthenic chest;
• Asthenic chest;
• There is no correct answer.
• Science about methods of clinical examination of the patient and diagnosis basing;
• The study of the physical structure of organisms;
mechanisms;
• 42. ."Moon-shaped" Face is observed when:
• Myxedema;
• Acute glomerulonephritis
• Itsenko-cushing disease.
• 43. Skin with thyrotoxicosis:
• Soft, hot, wet, hyperemic, warm hands;
• Rough, cold, dry, pale, cold hands;
• Soft, cold, dry, pale, cold hands;
• Thickened, hot, moist, hyperemic, warm hands.
• 44. Characteristic of cardiac edema
• Appear in the morning on the face;
• Swelling of one leg with local cyanosis;
• Swelling of the legs and feet at the end of the working day;
• Swelling of the eyelids, accompanied by itching.
• 45. The size (width)of the vascular bundle is (cm):
• 1-2
• 3-4
• 5-6
• 7-8
• 46. Pulsus paradoxus” Is:
• Unequal intervals between pulse waves.
• 47. Indicate the type of temperature curve, if the patient has fever within 38.0–38.8º for 1
week.
• Febris continua;
• Febris remitens;
• Febris intermittens;
• Febris hectica;
• 48. Sings of stage iii hypertension:
• No objective signs of organic changes;
• At least one of the following signs of organ involvement without symptoms or
dysfunction;
• Both symptoms and signs have appeared as result of organ damage;
• Signs of a absence of consciousness and / or failure of organs.
system is:
• Bronchoscopy;
• Chest x-ray
• 50. What color index values indicate the normochromia:
• Less than 0.8;
• 1.2-1.5;
• More than 1.1;
• 0.85-1.1.
Propedtherapy part 3
normosthenic chest;
hypersthenic chest;
asthenic chest;
2. Intermittent lameness is observed in patients:
strokes;
rheumatism;
elderly;
3. Krönig’s area determined by the change of percussion sound:
from resonant pulmonary to dullz
from resonant pulmonary to tympanic.
4. Diminished one part of the chest is observed in:
Exudation pleurisy
pneumothorax
bronchopneumonia
pneumosclerosis
pulmonary emphysema
Virus
Microbe
S. Protozoa
Rickettsia
All above-listed
6. Under the direction of the nurse the student of the 2nd rate draw a passport part in admission
office of the case record of patient D. 54 years, which hospitalize in connection with essential
hypertension. At this time has hardly come the man of 65 years old in the office. He was pale, with
complaints to dizziness, sharp weakness. Suddenly including patient has lost consciousness, has
fallen, cramps have begun. What medical and deontological tactics?
Nurse should begin immediately external cardiac massage and artificial breath (on the floor). The
student should transfer patient D. in other room and urgently call a doctor.
8. Spots of skin depigmentation are called:
vitiligo;
albinism;
hirsutism;
hypertrichosis;
nevus.
lordosis
scoliosis
kyphosis
rachitis
kyphoscoliosis
10. THE TECHNIQUES OF AUSCULTATION, WHICH IS USED FOR THE ESTIMATION (DETECTION) SIDE
OF THE RESPIRATORY NOISE…
deep breathing with your nose
deep breathing with open or half-open mouth
11. The tympanic sound of the percussion of a healthy person is determined above the:
heart
spleen
lung tissue
muscles
intestinesend
12. The lower border of the lung is determined by changing the percussion sound:
from resonant pulmonary to dull
forward;
back;
14. Scoliosis is a bend in the spine:

forward;
back;
in lateral directions;
15. Disorientation in surroundings, loss of memory (amnesia), patient is exited, has pathologically
high spirits, is anxious, sometimes even aggressive, all that is signs of:
Twilight state;
Delirium;
Stupor;
Coma.
16. ONE OF THE SIGNS OF VESICULAR RESPIRATION IS…
shortness of breath on inhalation
breathing is heard throughout the inhalation and exhalation
the sound is similar to the breath heard over the larynx
breathing very rough timbre; resembles the sound of " HHH"
breathing has a soft timbre; resembles the sound of "F"
17. Respiratory movements are interrupted with pauses lasting up to 30 seconds. What diagnosis
can be supposed?
Biots respiration
Cheyne-Stocks respiration
Bronchial asthma
pneumothorax
18. Using a static inspection of the chest, you can determine ... .
type of breathing
the location of the clavicle, the state of the intercostal spaces

Symmetry of the participation of the chest halves in the act of breathing
participation of auxiliary muscles in breathing
standing position;
sitting position;
lying position;
does not matter
20. In the list of complaints specify those of them which concern to a category of the main, prove
expressed organic changes in an organism.
Compressing pains in precardial area at walking
Weakness
Fast fatigue
Irritation
Depressed mood
21. Using a static inspection of the chest, you can determine ... .
type of breathing
the location of the clavicle, the state of the intercostal spaces
Symmetry of the participation of the chest halves in the act of breathing
participation of auxiliary muscles in breathing
22. Disorientation in surroundings, loss of memory (amnesia., patient is exited, has pathologically
high spirits, is anxious, sometimes even aggressive, all that is signs of:
Twilight state;
Delirium;
Stupor;
Coma.
23. THE EXTREME DEGREE OF EMACIATION/ EXHAUSTION IS CALLED…
hypotrophy
atrophy
atony
cachexia
24. The following forms of the chest are distinguished in healthy people:
normosthenic, asthenic;
emphysematous;
hypersthenic;
paralytic;
emphysematous, hypersthenic.
25. The larynx is normal on palpation:
is easily displaced, painless;
limited mobility, painless;
immobile, painless;
immobile, slightly painful;
can have different properties.
26. VESICULAR RESPIRATION IS FORMED…
in the bronchi
in the alveoli.
27. Determine the characteristic of stupor.
Correct display of the reality in a brain of the person, adequate reaction on external irritant and
signals.
Twilling state./ Twilight
Correct display of the reality in a brain of the person, the slowed answer on external irritant and
signals.
Absence of reaction

myxedema;
heart defects;
acromegaly;
anemia;
29. The method of palpation of the chest does not determine:
the symmetry of the respiratory movements;
chest resistance;
painful places;
vocal fremitus;
wet ringing wheezing.
30. The right part of the thorax is protruding, delays in the act of respiration, the voice resonance is
not observed. The respiration is superficial. The respiratory rate is 32 per min. What diagnosis can be
supposed?
Pneumonia
Pulmonary emphysema
atelectasis
bronchial asthma
At inhalation
At exhalation
During breathing in and out
32. Obesity grade II is determined if the BMI:
≥40.0;
30.0 - 34.9;
25.0 - 29.9;
35.0 - 39.9;
18.5 - 24.9.
33. The sternal angle (angle of Louis/ manubriosternal junction) is:
connection of the costal arcs at the xiphoid process
clipping the handle of the sternum
articulation of the manubrium and the body of the sternum
- articulation of the clavicle and manubrium.
habits;
history of present disease;
family history;
social history;
allergological history.
36. Spots of skin depigmentation are called:
vitiligo;
albinism;
hirsutism;
hypertrichosis;
nevus.
riant-3
6-th rib
7-th rib
8-th rib
9-th rib
10-th rib.
hydrothorax
pulmonary emphysema
pneumothorax
pneumothorax
39. Patient W. 64 years has skin changes- visible dilation of small subcutaneous blood vessels.
Estimate these skin changes:
Teleangioectasia
Hyperpigmentation
Petechia
Urticaria
Vitiligo
40. IN AUSCULTATION OF THE LUNGS, FORCED EXHALATION IS USED IN ORDER TO…

Complaints
go ahead;
back;
to the side and back.
43. The following position of the patient is called passive…
the patient is capable of self-care; there is no restriction on physical activity
a certain position; which the patient takes to relieve suffering
the patient is unable to self-serve; there is no physical activity.
44. In the list of complaints specify those of them which concern not to a category of the main, don‘t
prove expressed organic changes in an organism.
Dyspnoea at walking
Attacks of an asthma
Expectoration of blood
Pains in epigastrium area right after meal
Palpitation at excitement
45. The tympanic sound of the percussion of a healthy person is determined above the:
heart
spleen
lung tissue
muscles
intestinesend
46. Patient С., 34 years, observes a constant dispnoea at rest, especially at night, weakness,
palpitation, thirst, oliguria (insignificant amount of urine). Objectively: sits in armchair, with lean
hands in armrests, frequency of reath 36 per 1 minutes, cyanosis of the lips, sharp features of face;
significant oedema of the lower extremities, loin, forward belly wall – they are symmetric, on cruses
– dense, on femurs – soft (doughy). Note true about general condition of the patient:
Extremely grave
Good
Satisfactory
Moderate middle grave
Grave
24 in 1 minute
The totality of only morphological features of a person
Set of morphological and functional features of a person
A set of only functional features of a person.
49. THE DOCTOR CAN NOT GET INFORMATION ABOUT THE ORGAN BY PERCUSSION
50. The complete absence of pigment in the skin is called:
vitiligo;
albinism;
hirsutism;
hypertrichosis;
nevus.
Module part 2
1. What is bedsore?

THERMOMETER…
5-10 min.
20 min.
7 min.
10 min.

supposed?
Asthenic chest
Rachitic chest
Hypersthenic chest
Emphysema chest
Paralytic chest
the sound "hhh"
the sound of "FFF"

hydrothorax
exudation pleurisy
pulmonary emphysema
pneumothorax
Acute pneumothorax
Size
Tenderness
Consistency
All above-said.

Anaemia
Thyrotoxicosis
Retrobulbar tumours
Acromegaly
Uraemia

PERCUSSION


the:
heart
spleen
lung tissue
muscles
intestinesend
emphysematous;
paralytic;
rachitic;
funnel
the:
heart
spleen
lung tissue
muscles
intestinesend
Hypoxemia.
Alkalosis.
Acidosis.
Hypercapnia.
Hyperglycemia.
Complaints
Yes;
no;
sometimes.
Virus
Microbe
S. Protozoa
Rickettsia
All above-listed
obesity
hydrothorax
pneumothorax
emphysema
forward;
back;
Domestic conditions
30.0 - 34.9;
35.0 - 39.9;
18.5 - 24.9;
30.0;
25.0 - 29.9.
mechanisms;
strokes;
rheumatism;
elderly;


MEASURED…
vaginally
popliteal fossa
in the groin fold
Pulmonary emphysema
atelectasis
pneumonia
cavity in the lung
Contact with water

Bad sleep

6-th rib
7-th rib
8-th rib
9-th rib
10-th rib.

What troubles you?
6-th rib
7-th rib
8-th rib
9-th rib
10-th rib.
forward;
back;
Pneumonia
Pulmonary emphysema
atelectasis
bronchial asthma
hydrothorax
pulmonary emphysema
pneumothorax
pneumothorax
6-th rib
7-th rib
8-th rib
9-th rib
10-th rib.

TO…

Unconsciousness.
Twilling state.
Scapulae positions.
25.0 - 25.9;
34.9;
≥ 40;
18.5 - 24.9;
≤18.5.
36.9°C-37.8°C
36.4°C – 36.8°C
37.0°C – 38.2°C
Chronic hypoxia
Anaemia
Myxoedema
under the scapulas
over the trachea
the:
heart
spleen
lung tissue
muscles
intestinesend
the cerebellum;
(B) and C)
• 1. The top of lungs apices in front is normally:
• 4 – 6 cm;
• 3 – 4 cm;
• 2 – 5 cm;
• 6 – 8 cm;
• 1 – 2 cm.
• 2. Options normal shape of the chest are all listed, except:

• asthenic;
• normosthenic;
• hypersthenic;
• emphysematous.
• 3. Determine physical factors which cause diseases.

• High pressure action
• Low temperature action (-350С)
• Electric current action
• Exposure of electromagnetic field
• 4. Choose correct sequence of parts in case report:

• General biographic information, anamnesis of life, complaints, history of present
disease, objective examination, inquiring about all organ and system
examination, anamnesis of life, inquiring about all organ and system, complaints
examination, complaints, anamnesis of life, inquiring about all organ and system
• General biographic information, anamnesis of life, history of present disease,
inquiring about all organ and system, objective examination, complaints
• General biographic information, complaints, inquiring about all organ and system,
history of present disease, anamnesis of life, objective examination.
• 5. GIVE A NAME TO THE FOLLOWING CHEST SHAPE: the chest is

elongated, narrow and flat; the ratio of the anteroposterior and lateral
dimensions is approaching 0.5; the supra-and subclavian fossas are clearly
defined, but are located symmetrically; the epigastric angle is acute, the
slope of ribs is located obliquely; intercostal spaces are wide; the scapulas
are situated asymmetrically; expressed atrophy of the chest muscles.
• paralytic
• Emphysematous
• asthenic
• hypersthenic
• normosthenic
• 7. The upper border of the lung is determined by changing the percussion

sound:
• 8. The type of breath can be:

• surface, deep and mixed;
• thoracic, abdominal and mixed;
• rhythmic and non-rhythmic;
• deep, rhythmic, even;
• correctly 1) and 3).

• pneumothorax

• clear consciousness, active or active with restriction posture, free or partial
deranged (specific) gait, sensible facial expression, and adequate mental
reaction;
• deranged consciousness, alteration of facial expression and posture (forced),
uncertain gait, partial deranged mental state and may be observed in patients
with recurrence of chronic disease, acute diseases, or due to the traumas and
poisoning;
• disorders of practically all clinical features: deranged consciousness, changed
facial expression (fear, suffer, hopelessness, indifference). The patients have
forced or passive posture, loss o f weight, edema, and inadequate mental state;

movement) of normal lungs by Lin. medioclavicularis dextra:
• 4-6 sm
• 3-5 sm
• 5-8 sm
• 6-10 sm
• 14-16 sm
• 12. DURATION OF THERMOMETRY WHEN MEASURED WITH A MERCURY
THERMOMETER…
• 5-10 min.
• 20 min.
• 7 min.
• 10 min.

• in the alveoli
• 14. Bronchophony is:

• vibration of the chest at the heart apex
• vibration of the chest in the area heart base
• vibration of thorax caused by vibration of the vocal cords
• the main respiratory noise that occurs when air passes through the glottis
• listening to whispered speech on the surface of the chest
• 15. Signs of hypersthenic form of the chest:

• the epigastric angle is 90°;
• the supra-and subclavian pits are smoothed;
• the ribs are nearly horizontal;
• the rib width of 0.5–1.0 cm, the intercostal space is 2.0 — 2.5 cm;
• the width of the rib 2.0-2.5 cm, intercostal space-0.5-1.0 cm.

• the cerebellum;
• (B) and C);

• 18. Patient F. 38 years has specific changes of fingers and nails - clubbing
of the fingers (bulbous swelling of the tip of the fingers) and nail in form of
watch glass. What is typical reason of these changes?
• 19. Kyphoscoliosis-bending of the spine:
• go ahead;
• back;
• to the side and back.

• (B) and C).
• 21. Patient С., 34 years, observes a constant dispnoea at rest, especially at

night, weakness, palpitation, thirst, oliguria (insignificant amount of urine).
Objectively: sits in armchair, with lean hands in armrests, frequency of
reath 36 per 1 minutes, cyanosis of the lips, sharp features of face;
significant oedema of the lower extremities, loin, forward belly wall – they
are symmetric, on cruses – dense, on femurs – soft (doughy). Note true
about general condition of the patient:
• Extremely grave
• Good
• 22. Determine the characteristic of coma.

• Unconsciousness.
• Pathological deep sleep from which patient wake up only for short periods.
• Twilling state.
• Slow inadequate answers

• Asthenic chest
• Rachitic chest
• Emphysema chest
• Paralytic chest

• 4-6 sm
• 3-5 sm
• 5-8 sm
• 6-8 sm
• 14-16 sm
• 26. BODY TEMPERATURE OF A HEALTHY PERSON IN THE ARMPIT is…

• 36.9°C-37.8°C
• 36.4°C – 36.8°C
• 37.0°C – 38.2°C



persons;
• 30. Lateral curvature of the spine is observed in:

• lordosis
• scoliosis
• kyphosis
• rachitis
• kyphoscoliosis

• epigastric angle; E
• 32. Excessive pilosis/hairiness is called:
• vitiligo;
• albinism;
• hirsutism;
• hypertrichosis;
• nevus.
• 33. Grade III obesity is determined if the BMI is:

• 25.0 - 25.9;
• 34.9;
• ≥ 40;
• 18.5 - 24.9;
• ≤18.5.

• atelectasis
• 35. Thickening of the nails occurs when:

• myxedema;
• heart defects;
• acromegaly;
• anemia;
• all listed diseases.
• 36. The patient has dyspnea and cyanosis. The right half of the chest
protrudes, delays in the act of respiration. The voice resonance is
decreased downward the middle of the scapula. What diagnosis can be
supposed?
• Atelectasis
• Pneumonia

• Virus
• Microbe
• S. Protozoa
• Rickettsia
• 38. Where appears crepitation:
• in the small bronchi:
• in the large bronchiin;
• in the alveoli;
• in the pleural cavity
• 39. Patient W. 64 years has skin changes- visible dilation of small

subcutaneous blood vessels. Estimate these skin changes:
• Hyperpigmentation
• Petechia
• Urticaria
• Vitiligo
• 40. Bronchial breathing is sounded:

• At inhalation
• At exhalation
• At inhalation and 1/3 of exhalation
• During breathing in and out
• At inhalation and at first 2/3 of exhalation
• 41. The diseases caused by negative interrelation of medical staff and

patients are called:
• Social
• Iatrogenic
• Somatogenic
• Professional
• Psychogenic

• 43. THE AVERAGE BREATHING RATE IN AN ADULT…

• 24 in 1 minute
• 44. IN AUSCULTATION OF THE LUNGS, COUGHING IS USED IN ORDER

TO…
• differences between pleural friction noise and crepitation and wheezing
• detection of hidden bronchial obstruction
• differences between dry rales and wet rales
• differences between wheezing and crepitation or pleural friction noise
• better listening to pathological bronchial breathing.
• 45. Determine characteristic of asthenic habitus from the physiological

point of view.
• Prevalence of the transversal sizes of a thorax
• Right epigastric angle
• Significant prevalence of the transversal sizes of a body above longitudinal
• Significant prevalence ratio of extremities to trunk
• Significant prevalence ratio of abdomen to thorax
• 46. In healthy people, the upper borders of the lungs are above the
clavicles:
• 1-2sm
• 3-4 sm
• 5-6 sm
• 7-8 sm
• 9-10 sm.
• 47. When the lymph nodes are palpated, they are assessed:
• Size
• Tenderness
• Consistency
• Soldered to the skin
• Cohesion among themselves
• All above-said.
• 48. Bronchial respiration occurs when air passes through:

• the glottis;
• large bronchi;
• small bronchi;
• bronchioles;
• the alveoli.
call a doctor.
a doctor.


• 2.0-3.8 mmol | l
• 3.9-5.2 mmol | l
• 5.6-8.2 mmol | l
• 8.3-10.5 mmol | l
• 10.6-12.9 mmol | l
• 2. The normal number of segmented nuclear leukocytes (%.:

• 30-35
• 35-40
• 47-72
• 75-80
• 80-85

• habits;
• family history;
• social history;
• allergological history.
• 4. Moderate expressed visible interspaces, epigastric angle near 90° typical

for:
• normosthenic chest;
• hypersthenic chest;
• asthenic chest;
• there is no correct answer.
• 5. The routine method for assessing the patients with disorders of the
respiratory system is:
• computer tomography;
• ultrasound examination;
• bronchoscopy;
• Chest X-ray

• dry pleurisy;
• emphysema;
• bronchitis;
• pneumonia;
• the attack of bronchial asthma
• 7. To determine the protein function of the liver is used:

• determination of the content of total protein in serum
• determination of protein fractions
• protein sediment tests
• determination of prothrombin index
• all of the above methods
• 8. Blood hemoglobin in women (g / l.:

• 100-110
• 110-120
• 120-140
• 130-160
• 150-160

• 1: 1
• 1: 2
• 1: 3
• 3: 1
• 5: 1

• the science atbout methods of clinical examination of the patient and diagnosis
basing;
mechanisms;
• left atrium
• pulmonary trunk
• right ventricle
• right atrium
• left ventricle

• 0.01-0.02 sec
• 0.03-0.04 sec
• 0.05-0.06sec
• 0.06-0.1 sec
• 0.11-0.13 sec.

• RII> RI> RIII
• RI> RII> RIII
• RIII> RII> RI
• RIII= RII> RI

• at the 3-rd costosternal joint;
• on the sternum midway between the 3-rd left and 5-th right costosternal joints;
• in the 2-nd intercostal space, to the left of the sternum;
• in the middle of the sternum at the level of the 3-rd costosternal joint.

• emphysematous;
• paralytic;
• rachitic;
• funnel

• 17. Character of cyanosis in cardiovascular disease:

• diffuse;
• on the face;
• acrocyanosis;
• in the lower extremities;
• in some parts of the body.

• Face
• legs
• ascites
• everything is correct
• everything is wrong

• 45-46g | l
• 65-85g | l
• 85-105g | l
• 105-125g | l
• 125-145g | l
• 20. The vascular bundle consists of the following vessels, except:

• the aorta
• inferior vena cava
• pulmonary trunk
• superior vena cava
• 21. Harsh breathing:

• short jerky inspiration efforts interrupted by short pauses between them the
expiration is usually normal;
• deeper vesicular breathing during which the inspiration and expiration phases are
intensified;
• inspiratory sounds last longer than expiratory ones.

• pulmonary tumor (airless tissue.;
• when fluid occupies the pleural space (over fluid.:
• pleural accumulation of serous blood (hemothorax.
• compressive atelectasis.
• 23. Patients with grave diseases should be percussed in:

• standing position;
• sitting position;
• lying position;
• does not matter.

• 25. When percussion of the abdomen in a healthy person is heard:

• dull sound
• sound box
• pulmonary sound
• dullness of sound
• tympanic sound.
• 26. Serum creatinine in healthy does not exceed (mmol.l.:

• 12
• 18
• 40
• 110
• 145
• 27. The normal number of eosinophils in the blood test (%.:

• 0-0,1
• 0.5-5.0
• 6-8
• 8-10
• 10-12
• 28. The best auscultatory areas (points. for a pulmonary valve:

• apical impulse
• the base of the xiphoid process
• the Erbs point
• 29. The position of the lower border of the lungs by Lin. medioclavicularis
dextra:
• 6-th rib
• 7-th rib
• 8-th rib
• 9-th rib
• 10-th rib
• 30. Purpura (hemopurpura. is:

• small pointed hemorrhages;
• large black and blue spots;
• red spots of different size;
• a swelling from gross bleeding.
• 31. Disorientation in surroundings, loss of memory (amnesia., patient is

exited, has pathologically high spirits, is anxious, sometimes even
aggressive, all that is signs of:
• Twilight state;
• Delirium;
• Stupor;
• Coma.
• 6-8 cm
• 8-10 cm
• 10-12 cm
• 13-15 cm
• 16-18 cm

• heart
• liver
• lungs
• spleen
• kidneyend

persons;
• 35. Normal systolic blood pressure is:

• 100-110mm Hg
• 100-120mm Hg
• 100-130 mm hg.
• 100-139mmHg
• 100-150mm Hg

• 9:8:7 +-1cm
• 11:8:7 +-1cm
• 9:9:7 +-1cm
• 12:10:9 +-1cm
• 9:10:11 +-1cm
• 37. Vitiligo is:

• symmetrical white spots on the face, trunk, limbs;
• the redness located on checks;
• cyanotic color of the skin;
• yellow color of the skin.

• 26.3-38.8%
• 40.3-55.3%
• 56.3-68.8%
• 70.3-83.3%
• 83.3-93.8%
• edema on the legs;
• edema on the lower back;
• edema on the neck;
• abdominal hydrops;
• edema of the all body.
• 40. In healthy people GFR level is:

• 20-40 mL/min/1.73 m2
• 40-60 mL/min/1.73 m2
• 90 to 120 mL/min/1.73 m2
• 130-150 mL/min/1.73 m2
• 155-160 mL/min/1.73 m2

• 1 liter
• 2 liters
• 3 liters
• 5 liters
• 10 liters

• 43. In the Nechiporenko analysis of urine normal content of leukocytes in 1

ml:
• 0
• up to 10
• up to 100
• up to 2000
• up to 10,000
• 44. Arterial hypertension (according to WHO. is established with BP:

• systolic 140mm Hg and higher, diastolic-90mm Hg and higher
• systolic 130-139 mm Hg, diastolic 85-89mm Hg
• systolic 100-139mm Hg, diastolic 60-85mm Hg
• systolic below 100mm Hg, diastolic below 60mm Hg.
• systolic blood pressure above 160mm.rt.st., Diastolic pressure of 95
• 45. The transverse length of relative cardiac dullness is (cm.:

• 3-4
• 5-6
• 7-8
• 9-10
• 11-13

• bronchial;
• amphoric;
• alveolar;
• laryngotracheal;
• metallic.

• rachitis

• 4-6 sm
• 3-5 sm
• 5-8 sm
• 6-8 sm
• 14-16 sm

• 0.3-1.1
• 1.2-2
• 2.1-2.9
• 3.0-3.8
• 3.9-4.6
• 50. The normal time of blood clotting by Lee-White (in min.., determined in
a glass test tube:
• 3-8
• 5-10
• 11-12
• 4.15-20
• 5.20-22
lungs by Line axillaris media dextra et sinistra.
• 4-6 sm
• 3-5 sm
• 5-8 sm
• 6-8 sm
• The science atbout methods of clinical examination of the patient and diagnosis basing;
• The study of the physical structure of organisms
mechanisms;
• 3. "Puerile respiration"
• Physiological intensification of vesicular breathing
• Pathologically decreased vesicular respiration
• Physiological intensification of bronchial breathing
• Pathologically decreased bronchial breathing;
• 4. “Cobbler chest” also called
• Emphysematous
• Paralytic
• Rachitic;
• Funnel
• 5. Serum creatinine in healthy does not exceed (mmol.l):
• 12
• 18
• 40
• 110
• 6. The position of the lower border of the lungs by Lin. medioclavicularis dextra
• 6-th rib
• 7-th rib
• 8-th rib
• 9-th rib
• 7. Harsh breathing
• Short jerky inspiration efforts interrupted by short pauses between them the expiration is
usually normal
• Deeper vesicular breathing during which the inspiration and expiration phases are
intensified;
• Inspiratory sounds last longer than expiratory ones
• Emphysema
• Twilight state
• Delirium;
• Stupor;
• Coma
• Left atrium
• Pulmonary trunk
• Right ventricle
• Left ventricle
• Edema on the legs
• Edema on the lower back
• Edema on the neck
• Edema of the all body
• 45-46g | l
• 65-85g | l
• 85-105g | l
• 105-125g | l
• 12. The distance of the liver in the right parasternal line is normally
• 6-8 cm
• 8-10 cm
• 8-10 cm
• 13-15 cm
• Up to 10
• Up to 10,000
• Up to 100
• Up to 2000
• 14. What lung pathology is characterized by dry rales
• Emphysema;
• Bronchitis
• Pneumonia
• Habits;
• Family history;
• Social history;
• Bronchial
• Amphoric
• Alveolar
• Laryngotracheal
• 17. Normal systolic blood pressure is
• 100-110mm Hg
• 100-120mm Hg
• 100-130 mm hg
• 100-139mmHg
• Pulmonary tumor (airless tissue)
• When fluid occupies the pleural space (over fluid)
• Pleural accumulation of serous blood (hemothorax)
• Compressive atelectasis
• 20. Arterial hypertension (according to WHO) is established with BP:
• Systolic 140mm Hg and higher, diastolic-90mm Hg and higher
• Systolic 130-139 mm Hg, diastolic 85-89mm Hg
• Systolic 100-139mm Hg, diastolic 60-85mm Hg
• Systolic below 100mm Hg, diastolic below 60mm Hg.
• 21. When percussion of the abdomen in a healthy person is heard
• Dull sound
• Sound box
• Dullness of sound
• Tympanic sound
• 26.3-38.8%
• 40.3-55.3%
• 56.3-68.8%
• 70.3-83.3%
• 23. Renal edema starts from
• Face
• Legs
• Ascites
• 24. The duration of the QRS complex is normal
• 0.01-0.02 sec
• 0.03-0.04 sec
• 0.05-0.06sec
• 0.06-0.1 sec
• 25. Blood hemoglobin in women (g / l):
• 100-110
• 110-120
• 120-140
• 130-160
• 26. Character of cyanosis in cardiovascular disease
• Diffuse
• On the face
• Acrocyanosis
• In the lower extremities
• 2.0-3.8 mmol | l
• 3.9-5.2 mmol | l
• 5.6-8.2 mmol | l
• 8.3-10.5 mmol | l
• 28. Vitiligo is
• Symmetrical white spots on the face, trunk, limbs;
• The redness located on checks;
• Cyanotic color of the skin
• Yellow color of the skin
• Combination of symptoms that are interrelated and give rise to one another
• Abnormal phenomena as pain, dizziness, nausea, vomiting, etc, occurring in sick
persons
• Summarize clinical examinations
• Dry pleurisy
• 30. In healthy people GFR level is
• 20-40 mL/min/1.73 m2
• 40-60 mL/min/1.73m2
• 90 to 120 mL/min/1.73 m2
• 130-150 mL/min/1.73 m2
• Pneumosclerosis
• Rachitis
• 32. Patients with grave diseases should be percussed in
• Standing position
• Sitting position;
• Lying position;
• Does not matter.
• 1 liter
• 2 liters
• 3 liters
• 5 liters
• 34. The transverse length of relative cardiac dullness is (cm)
• 3-4
• 5-6
• 7-8
• 11-13
• 30-35
• 35-40
• 47-72
• 75-80
• 0-0,1
• 0.5-5.0
• 6-8
• 8-10
• 1: 1
• 1: 2
• 1: 3
• 3: 1
• 40. The best auscultatory areas (points) for a pulmonary valve:
• Apical impulse
• On the sternum midway between the 3-rd left and 5-th right costosternal joints
• 42. The vascular bundle consists of the following vessels, except
• The aorta
• Inferior vena cava
• Pulmonary trunk
• Superior vena cava
• 43. Percussion resonant and clear sound is defined over
• Heart
• Liver
• Lungs
• Spleen
• 45. The normal time of blood clotting by Lee-White (in min.), determined in a glass test
tube
• 3-8
• 5-10
• 11-12
• 4.15-20
• 0.3-1.1
• 1.2-2
• 2.1-2.9
• 3.0-3.8
• 47. The size of liver according to M.G. Kurlov method
• 9:8:7 +-1cm
• 11:8:7 +-1cm
• 9:9:7 +-1cm
• 12:10:9 +-1cm
system is
• Bronchoscopy
• Chest X-ray
• Normosthenic chest
• Asthenic chest
• There is no correct answer
• RII> RI> RIII
• RI> RII> RIII
• RIII> RII> RI
• RIII= RII> RI
• The best auscultatory areas (points) for a tricuspid valves

• Apical impulse
• 2. Diastolic trembling ("cat purring") on apex of the heart palpated in case of:
• Insufficiency the aortic valve;
• Aortic stenosis
• Mitral stenosis
• Insufficiency left atrioventricular valve;
• 3. The distance of the liver in the right anterior axillary line is normally is
• 6-8 cm
• 8-9 cm
• 10-12 cm
• 13-15 cm
• 4. A boxed sound above the lungs indicates:
• Reducing the airiness of the lung tissue
• Accumulation of fluid in the pleural cavity
• The formation of a cavity in the lung
• Increased airiness of lung tissue
• 500ml
• 1000ml
• 2 liters
• 5 liters
• 6. How many urine samples are collected for Zimnitsky analysis:
• 2
• 4
• 5
• 8
• 7. Melena may indicate:
• Botkin's disease
• Hemorrhoids
• Bleeding from the veins of the esophagus
• 8. What is the sequence of examination of pulse rate:
• Synchronicity, rhythm, frequency, voltage, filling
• Rhythm, frequency, synchronicity, content, stress
• The frequency, rhythm, synchronicity, content, stress
• Filling, strain, frequency, rhythm, synchronicity
• 9. Deficiency of pulse is
• A disharmony between a heart rate and a number of pulse waves on periphery
• A disharmony between a breath rate and a number of pulse waves on periphery
• A disharmony between a heart rate and breath rate
• All answers are correct
• 10. In which intercostal space the width of the vascular bundle is normally determined:
• 2
• 3
• 4
• 5
• 11. The distance of the in the right midclavicular line is normally:
• 6-8 cm
• 8-9 cm
• 10-12 cm
• 9-11 cm
• 12. Pulse pressure is normal:
• 35-45mmHg
• 40-50mm Hg
• 45-55mmHg
• 50-60mmHg
• Radiography;
• Pulmonary angiography.
• Bright red;
• Dark brown
• Black
• With the content of food.
• 15. Respiratory excursion of the lower border of leftt lung by scapular line
• 1 – 2 cm
• 2 – 3 cm
• 4 – 6 cm
• 6 – 8 cm.
• 16. The position of the lower border of the lungs by Lin. medioclavicularis dextr.:
• 6-th rib
• 7-th rib
• 8-th rib
• 9-th rib
• 17. Laboratory examination includes all listed except
• Blood analysis
• Sonography
• Urine analysis
• Sputum analysis
• 0.02-0.3 x 109 /1(0.5-5 %);
• 0-0.065 x 109 /1 (0-1 %)
• 1.2-3.0 x 109 /1(19-37%);
• 0.09-0.60 x 109 /1 (3-11 %).
• 19. Enlarged superciliary arches, zygomatic bones, ears, auricles nose, lips, tongue,
growth and putting forward of low jaw (prognotism) is also called
• Facies in patients with Cushing’s syndrome
• Facies Hyppocratica
• Facies as a “wax-doll”
• Facies acromegalica.
• 20. Vomiting that arose through 4-6 hours after eating is a consequence of:
• Ulcer or cancer of cardiac part of the stomach acute gastritis;
• Ulcer or cancer of the stomach body
• Ulcer of the pylorus or duodenum
• Cecum
• 21. The resonant sound of the percussion of a healthy person is determined above the:
• Heart
• Spleen
• Lung tissue
• Muscles
• On the midaxillary line
• 23. With the feces of a healthy person stands out
• Free bilirubin
• Urobilin
• Urobilinogen
• 24. In the Nechiporenko analysis of urine normal content of erythrocytes in 1 ml
• Up to 10
• Up to 100
• Up to 1000
• Up to 10,000
• 25. The vertical electrical axis of the heart in standard leads:
• RII> RI> RIII
• RI> RII> RIII
• RIII> RII> RI
• RIII= RII> RI
• 26. Glycosuria is often typical for:
• Misuse of sweet food;
• Emotional turmoil
• Diabetes;
• Glomerulonephritis
lungs by Lin. medioclavicularis dextra
• 4-6 sm
• 3-5 sm
• 5-8 sm
• 6-10 sm
• 28. The content of total protein in serum 106g | l, this:
• Hypoproteinemia
• Dysproteinemia
• Hypergammaglobulinemia
• Hyperproteinemia
• 29. Specify the localization of the upper border of the relative dullness of the heart
• 2nd rib
• 2nd intercostal space
• 3rd rib
• 4th rib
• 30. Prothrombin is synthesized with the participation of the vitamin:
• A
• K
• C
• B1
• 31. What is early sign of pancreatic insufficiency
• The presence stercobilin in the stool
• Steatorrhea
• Black feces
• The presence of urobilin in the stool
• 32. Normally, the prothrombin index is:
• 20-40%
• 40-60%
• 60-80%
• 80-100%
• 33. S2 consists of:
• One component
• Two components;
• Three components
• Four components
• 34. Grade III hypertension established at the level:
• 180 SBP (mm Hg) and/or > 110 DBP (mm Hg)
• I standard lead;
• II standard lead
• AVR
• 36. The normal electrical axis of the heart in standard leads:
• RII> RI> RIII
• RI> RII> RIII
• RIII> RII> RI
• RIII= RII> RI
• 37. Prothrombin is synthesized only in:
• Spleen
• Kidney
• Pancreas
• Liver
• Clear consciousness, active or active with restriction posture, free or partial deranged
(specific) gait, sensible facial expression, and adequate mental reaction;
• Deranged consciousness, alteration of facial expression and posture (forced), uncertain
gait, partial deranged mental state and may be observed in patients with recurrence of
chronic disease, acute diseases, or due to the traumas and poisoning
• Disorders of practically all clinical features: deranged consciousness, changed facial
expression (fear, suffer, hopelessness, indifference). The patients have forced or
passive posture, loss o f weight, edema, and inadequate mental state;
• Edema, and inadequate mental state;
• 39. 16.The normal number of leukocytes in the peripheral blood (x109 / l):
• 1-2
• 2-3
• 4-9
• 9-10
• 40. Projections of the tricuspid valve on the anterior chest wall:
• 41. What method of examination has the greatest value in diagnosis of gallstone
disease:
• Questioning
• Palpation
• Cholecystography;
• Irrigoscopy
• Violation of urine formation by kidneys
• Urinary excretion of acetone
• 43. From what of the intestines segment begins deep palpation by Obraztsov-
Strazhesko
• Cecum
• The transverse colon
• Appendix cecum
• The sigmoid colon
• 44. In the urine of men leukocytes
• Not contained
• 1-2 in sight
• 5-6 in sight
• 6-8 in sight
• 45. The pulse rate corresponds to the heart rate and is equal to
• 46. P wave on the ECG is:
• Ventricular excitation
• Excitation of interventricular septum
• Atrial excitation;
• Ventricular repolarizatio
• 47. What is normal heart rate
• 40 - 60 per 1 min
• 90 - 120 per 1 min
• 60 - 80 per 1 min;
• 120-240 per 1 min
• 48. Displacement left border of cardiac dullness to the left can occur in case of:
• Hypertrophy of the right atrium
• Hypertrophy of the left atrium
• Hypertrophy of the right and left atrium
• Hypertrophy and dilatation of left ventricular
• 49. The best auscultatory areas (points) for a mitral valve
• Apical impulse
• 50. What is the cardialgia
• Pain in the liver
• Heart pain;
• Feeling of "disruptions" in the heart
• Muscle pain
• Bronchial
• Amphoric
• Alveolar
• Laryngotracheal
• 2. In which intercostal space the width of the vascular bundle is normally determined
• 2
• 3
• 4
• 5
• 500ml
• 1000ml
• 2 liters
• 5 liters
• Left atrium
• Pulmonary trunk
• Right ventricle
• Left ventricle
• I standard lead
• II standard lead KO
• AVR
• 6. Decreasing of both heart sounds typical for
• Aortic heart defects
• Mitral heart defects
• Myocarditis
• Hypertension
• 7. Normal Diastolic blood pressure is
• 60-70mmHg
• 60-80mm Hg
• 60-89mm Hg
• 60-100mm Hg
• Violation of urine formation by kidneys;
• Urinary excretion of acetone.
• 9. The Hippocratic face is a sign of
• Thyrotoxicosis
• Nephritis
• Heart failure
• Peritonitis;
• 10. With the feces of a healthy person stands out:
• Free bilirubin
• Urobilin
• Stercobilin
• 11. What percussion sound is determined above the zone of absolute dullness of the
heart
• Pulmonary
• Boxed
• Dull
• Tympanic
• 12. Physiological weakening of vesicular breathing is determined when
• Obesity
• Hydrothorax
• Pneumothorax
• Emphysema
• 13. Laboratory examination includes all listed except:
• Blood analysis
• Sonography
• Urine analysis
• Sputum analysis
• 14. Respiratory excursion of the lower border of leftt lung by scapular line:
• 1 – 2 cm
• 2 – 3 cm
• 4 – 6 cm
• 6 – 8 cm
• Mitral stenosis
• 0.02-0.3 x 109 /1(0.5-5 %)
• 0-0.065 x 109 /1 (0-1 %)
• 1.2-3.0 x 109 /1(19-37%);
• 0.09-0.60 x 109 /1 (3-11 %)
• Radiography
• Pulmonary angiography
• 18. The horizontal electrical axis of the heart in standard leads
• RII> RI> RIII
• RI> RII> RIII
• RIII> RII> RI
• RIII= RII> RI
• Vocal fremitus
• Painful areas
• 20. Epigastric pulsation, more clearly visible in the standing position and inhalation,
indicates
• Hypertrophy and dilation of the left atrium;
• Hypertrophy and dilation of the right ventricle of the heart
• Hypertrophy and dilation of the left ventricle of the heart
• Abdominal aortic aneurysm;
• 21. The position of the lower border of the lungs by Lin. Scapularis
• 6-th rib
• 7-th rib
• 8-th rib
• 10-th rib
• 22. The symptom of "Digiti hippocratici" is observed in patients with:
• Bronchiectasis
• Focal pneumonia
• Acute bronchitis
• 0.02-0.3 x 109 /1(0.5-5 %)
• 0-0.065 x 109 /1 (0-1 %)
• 1.2-3.0 x 109 /1(19-37%);
• 0.09-0.60 x 109 /1 (3-11 %)
• 24. Normal albumin-globulin ratio is
• 0.3-1.1
• 1.2-2
• 2.1-2.9
• 3.0-3.8
• 26. The orthopnea position relieves the condition by reducing
• Pain in the heart
• Interruptions in the work of the heart
• Lower extremity edema;
• Shortness of breath;
• 0.02-0.3 x 109 /1(0.5-5 %)
• 0-0.065 x 109 /1 (0-1 %)
• 1.2-3.0 x 109 /1(19-37%);
• 0.09-0.60 x 109 /1 (3-11 %)
• 28. Purpura (hemopurpura) is
• A swelling from gross bleeding
• Pneumosclerosis
• Rachitis
• 30. Unequal pulse often typical for:
• Hole aortic stenosis;
• Myocarditis
• Atrial fibrillation
• Exudative pericarditis
• 31. Tendency to diarrhea typical for
• Duodenal ulcer disease intestine
• Erosive duodenitis
• Chronic gastritis with increased gastric acidity juice
• Face
• Legs
• Ascites
• 34. ECG heart rate (HR) formula is
• 60 (seconds in 1 minutes)/R-R(big squares)
• Vocal fremitus
• Painful areas
• 36. Where the apical impulse is normally defined
• On the midclavicular line
• 1-2sm
• 3-4 sm
• 5-6 sm
• 7-8 sm
• 30-35
• 35-40
• 47-72
• 75-80
• 39. The best auscultatory areas (points) for a pulmonary valve
• Apical impulse
• Mitral stenosis
• 41. The normal electrical axis of the heart in standard leads
• RII> RI> RIII
• RI> RII> RIII
• RIII> RII> RI
• RIII= RII> RI
• 42. The normal number of leukocytes in the peripheral blood (x109 / l)
• 1-2
• 2-3
• 4-9
• 9-10
• Bright red;
• Dark brown
• Black
• With the content of food
• 44. The indicator of liver pigment function is the content in the serum
• Cholesterol
• Total protein and protein fractions
• Fibrinogen
• Bilirubin and its fractions
• 45. Causes of physiological weakening of vesicular breath
• Poor development of the chest muscles
• Performing heavy physical exertion
• Excessive development of muscles and fatty tissue
• Children's age
• 46. Nocturia is
• Daily diuresis more than 1 liter
• Daily diuresis less than 1 liter
• The prevalence of nocturnal diuresis over daytime
• The prevalence of daytime diuresis over night
• 47. Percussion tympanic sound is detected over the area
• Liver
• Stomach
• Lungs
• Spleen
• 48. Right border of the relative cardiac dullness is formed by
• Right atrium
• Left atrium
• Right ventricle
• Left ventricle
• 49. Polyuria is an increase in daily diuresis of more than
• 1 liter
• 2 liters
• 3 liters
• 5 liters
• 50. The right border of relative cardiac dullness is normal:
• On the right edge of the sternum
• On the left edge of the sternum
• 1 cm laterally of the right edge of the sternum
• 2cm laterally from the right edge of the sternum
skipped question
• 1. Increasing area of absolute cardiac dullness observed in case of:

• Left-sided pneumothorax;
• Emphysema;
• Attack of bronchial asthma;
• Hydropericarditis.
• 2. Normal value of eosinophils:
• 0.02-0.3 x 109 /1(0.5-5 %);
• 0-0.065 x 109 /1 (0-1 %);
• 1.2-3.0 x 109 /1(19-37%);
• 0.09-0.60 x 109 /1 (3-11 %).
• 3. What means the large number of red blood cells in the gastric contents
• Duodenal ulcer;
• Gastritis;
• Stenosis;
• Gastric cancer
• Dry pleurisy;
• Emphysema;
• Bronchitis;
• 5. The appearance of "Melena" Is characteristic:
• Gastric bleeding;
• Long-term administration of calcium preparations;
• Bleeding from the sigmoid colon;
• Dysentery;
• 6. Heartburn (pyrosis) is
• As a sensation of “sticking” Or obstruction of the passage of food through the mouth,
pharynx, or esophagus;
• A specific burning sensation behind the sternum associated with regurgitation of gastric
contents into the inferior portion of the esophagus;
• Return of the part of swallowed food into the mouth due to backward movement of
esophagus and stomach with open cardia without contraction of diaphragm and
abdominal muscles;
• Reflex act associated with irritation of the vagus nerve;
• 8. An alternating pulse is:
• Unequal pulse wave interval
• Over the trachea region and its bifurcation
• Below 2 ribs on the left lateral to the parasternal line
• In the axillary lines
• Below the axillary lines
• 10. By using what method can be examine in vivo the morphology of the liver:
• Scan;
• Biopsy;
• Laparoscopy;
• Splenoportography.
• 11. The position of the lower border of the lungs by Lin. axillaris Media dextra et sinistra
• 6-th rib
• 7-th rib
• 8-th rib
• 9-th rib
• 12. Edema of cardiac origin:
• Blue, cold, dense
• Pale, warm, soft
• Blue, warm, soft;
• Pale, cold, dense
• Twilight state;
• Delirium;
• Stupor;
• Coma.
• 14. The duration of the p wave is normal:
• 0.06-0.07 sec
• 0.07-0.08 sec
• 0,08-0,09 sec
• 0.08-0.1 sec
• 9:8:7 +-1cm
• 11:8:7 +-1cm
• 9:9:7 +-1cm
• 12:10:9 +-1cm
• 16. Inspiratory dyspnea is typical for:
• Bronchiolitis;
• Chronic obstructive pulmonary disease;
• Tracheal tumors.
• 18. Resistant apical beat indicates:
• Insufficiency of the mitral valve;
• Aortic insufficiency;
• Aortic stenosis;
• Left ventricular hypertrophy;
• 19. The position of the lower border of the lungs by Lin. axillaris anterior dextra et
sinistra.:
• 6-th rib
• 7-th rib
• 8-th rib
• 9-th rib
• 20. Orthopnoe position is:
• Sitting position, facilitating shortness of breath;
• Sitting, relieving pain;
• Prone position, relieving pain;
• Standing, stopping hiccups.
• 21. The properties of the apical impulse are determined by:
• Left ventricle
• Right atrium
• Aortic arch
• Left atrium
• 22. Puerile respiration":
• A)Physiological intensification of vesicular breathing
• B)Pathologically decreased vesicular respiration;
• C)Physiological intensification of bronchial breathing;
• D)Pathologically decreased bronchial breathing;
• 23. Hemorrhagic syndrome in liver diseases is a consequence of:
• Hhyperbilirubinemia;
• Hepatocellular failure syndrome
• Hyperestrogenemia;
• Hypoalbuminemia;
• 0-0,1
• 0.5-5.0
• 6-8
• 8-10
• 6-8 cm
• 8-10 cm
• 10-12 cm
• 13-15 cm
• 26. Aortic valves are projected on the anterior chest wall:
• 0.01-0.02 sec
• 0.03-0.04 sec
• 0.05-0.06sec
• 0.06-0.1 sec
• 28. In healthy people gfr level is:
• 20-40 ml/min/1.73 m2
• 40-60 ml/min/1.73 m2
• 90 to 120 ml/min/1.73 m2
• 130-150 ml/min/1.73 m2
• Small pointed hemorrhages;
• Large black and blue spots;
• Red spots of different size;
• 2.0-3.8 mmol | 1
• 3.9-5.2 mmol | 1
• 5.6-8.2 mmol | 1
• 8.3-10.5 mmol | 1
• 30-35
• 35-40
• 47-72
• 75-80
• Bronchial;
• Amphoric;
• Alveolar;
• Laryngotracheal;
• 33. Chronic tonsillitis, tuberculosis, infectious mononucleosis, chronic lympholeucosis,
• Occipital lymph nodes;
• Cervical lymph nodes;
• Axillary lymph nodes;
• Cubital (local) lymph nodes.
• Up to 10
• Up to 100
• Up to 2000
• Up to 10,000
• 0.3-1.1
• 1.2-2
• 2.1-2.9
• 3.0-3.8
• 36. Where the primary urine is formed:
• In glomerulus;
• In the proximal tubules;
• In the distal tubules;
• In the loop of the nephron;
• Habits;
• Family history;
• Social history;
• 38. A decrease in the volume of one half of the chest is not observed when:
• Obstructive atelectasis;
• Cirrhosis of the lung;
• Pulmonectomy.
• 39. Auscultation point of left atrioventricular valve located in:
• Heart apex;
• 2nd intercostal space to the right of the sternum;
• To the left of the sternum at the 3rd costosternal articulation
• 2nd intercostal space to the left of the sternum;
• Normosthenic chest;
• Hypersthenic chest;
• Asthenic chest;
• There is no correct answer.
• Science about methods of clinical examination of the patient and diagnosis basing;
• The study of the physical structure of organisms;
mechanisms;
• 42. ."Moon-shaped" Face is observed when:
• Myxedema;
• Acute glomerulonephritis
• Itsenko-cushing disease.
• 43. Skin with thyrotoxicosis:
• Soft, hot, wet, hyperemic, warm hands;
• Rough, cold, dry, pale, cold hands;
• Soft, cold, dry, pale, cold hands;
• Thickened, hot, moist, hyperemic, warm hands.
• 44. Characteristic of cardiac edema
• Appear in the morning on the face;
• Swelling of one leg with local cyanosis;
• Swelling of the legs and feet at the end of the working day;
• Swelling of the eyelids, accompanied by itching.
• 45. The size (width)of the vascular bundle is (cm):
• 1-2
• 3-4
• 5-6
• 7-8
• 46. Pulsus paradoxus” Is:
• Unequal intervals between pulse waves.
• 47. Indicate the type of temperature curve, if the patient has fever within 38.0–38.8º for 1
week.
• Febris continua;
• Febris remitens;
• Febris intermittens;
• Febris hectica;
• 48. Sings of stage iii hypertension:
• No objective signs of organic changes;
• At least one of the following signs of organ involvement without symptoms or
dysfunction;
• Both symptoms and signs have appeared as result of organ damage;
• Signs of a absence of consciousness and / or failure of organs.
system is:
• Bronchoscopy;
• Chest x-ray
• 50. What color index values indicate the normochromia:
• Less than 0.8;
• 1.2-1.5;
• More than 1.1;
• 0.85-1.1.
• 1. Specify the method that determines vocal fremitus / Tactile fremitus:

• auscultation
• inquiry
• percussion
• palpation
• inspection.
• 2. The following position of the patient is called passive…

• the patient is capable of self-care; there is no restriction on physical activity
• a certain position; which the patient takes to relieve suffering
• the patient is unable to self-serve; there is no physical activity.
call a doctor.
a doctor.
• 4. What doesn't apply to topographic percussion:

• To percute in the intercostal spaces
• Start percussion from the anterior side of the chest
• To percute strictly on the symmetric parts of the chest
• Use only quiet percussion
• 5. Diminished one part of the chest is observed in:

• Exudation pleurisy
• pneumothorax
• bronchopneumonia
• pneumosclerosis
• pulmonary emphysema
• 6. Patient C. 35 years with herpes labialis – elevanted above mucous

membrane small lesions 0.5-1 cm in size filled transparent fluid. Estimate
these changes:
• Petechia
• Urticaria
• Vesicles
• Vitiligo
• 7. Determination of the lower border of the left lung start on the

topographic line
• parasternal line;
• anterior median;
• mid-clavicular line;
• anterior axillary;
• sternal.
• Labour activity in the past
• Home address
• Features of the beginning of disease
• Results of previous treatment
• (B) and C).
• 10. Specify the method by which bronchophony is determined:

• auscultation
• inquiry
• percussion
• palpation
• inspection
• 11. Krönig’s area determined by the change of percussion sound:

• from resonant pulmonary to tympanic.
• 12. NAME THE FOLLOWING CHEST SHAPE: wide but short chest, the ratio
of the anteroposterior size to the lateral size is about 1.0, the
supraclavicular fossa is smoothed, the epigastric angle is obtuse, the slope
of ribs is almost horizontal, intercostal spaces are narrow, their retraction
during breathing is not noted, the shoulder blades fit snugly to the chest.
• paralytic
• emphysematous
• asthenic
• hypersthenic
• Normosthenic.

• in the alveoli
• 14. Patient N. 45 years female was admitted to the endocrinological

department. During physical examination enlargement of tongue was
revealed. Which disease may cause these changes?
• Anaemia
• Thyrotoxicosis
• Retrobulbar tumours
• Acromegaly
• Uraemia
• 15. The tympanic sound of the percussion of a healthy person is

determined above the:
• heart
• spleen
• lung tissue
• muscles
• intestinesend
• 16. The projection of the maxillary sinuses is located:

• in fossa canina;
• under the zygomatic bones;
• at the root of the chest.
• 17. Direct percussion consists in:

• 18. The lower border of the lung is determined by changing the percussion
sound:
• 19. What is bedsore?

• Affection of tissue, which developed under the pressure
• Affection of tissue, which developed under the beating
• Infection of the skin
• Ulcer after the sunburn
• Ulcer after the acid affection
• 20. The human Constitution is:

• The totality of only morphological features of a person
• Set of morphological and functional features of a person
• A set of only functional features of a person.
• 21. The following forms of the chest are distinguished in healthy people:
• normosthenic, asthenic;
• emphysematous;
• hypersthenic;
• paralytic;
• emphysematous, hypersthenic.
• 22. Obesity grade I is determined if the BMI:

• ≥40.0;
• 30.0 - 34.9;
• 25.0 - 29.9;
• 35.0 - 39.9;
• 18.5 - 24.9.
• 23. The left part of the thorax delays in the act of respiration, the voice
resonance is increased along the paravertebral, scapular, posterior-, mid-,
and anterior axillary lines downwards the fifth interspace. What diagnosis
can be supposed?
• atelectasis
• hydrothorax
• pneumothorax
• 24. Determine the characteristic of stupor.
• Correct display of the reality in a brain of the person, adequate reaction on
• Twilling state./ Twilight
• Absence of reaction


• Virus
• Microbe
• S. Protozoa
• Rickettsia

• Asthenic chest
• Rachitic chest
• Emphysema chest
• Paralytic chest
• 28. Under the direction of the nurse second year student drew a passport
part in admission office of the case record of patient D. 54 years, which
hospitalize in connection with essential hypertension. At this time has
hardly come the man of 65 years old in the office. He was pale, with
complaints of dizziness, sharp weakness. Suddenly this patient has lost
consciousness, has fallen, cramps have begun. What is medical and
deontological tactics in this case?
call a doctor.
a doctor.
• 29. THE MAIN MECHANISM OF VESICULAR RESPIRATION FORMATION…

• turbulence of the airflow when passing through the glottis
• air turbulence when passing through the bronchi
• the presence of viscous sputum in the trachea and large bronchi
• oscillation of the wall of the alveoli during their expansion and decline
• friction of the pleural layers during respiration
• 30. THE DOCTOR CAN NOT GET INFORMATION ABOUT THE ORGAN BY
PERCUSSION
• organ soreness/ painfulness
• the size of the body
• the border/edge of the organ
• the volume of the organ
• mobility of the organ.
• 31. Scoliosis is a bend in the spine:

• forward;
• back;
• in lateral directions;
• to the side and backwards.
• 32. Decreased voice resonance is observed in

• hydrothorax
• pulmonary emphysema
• pneumothorax
• Acute pneumothorax

• atelectasis
• 34. Unconsciousness with absence of response to external stimuli,

absence of reflexes, deranged vital function it is:
• Cloudiness;
• Stupor;
• Sopor;
• Coma.

• pneumothorax
• 36. VESICULAR BREATHING RESEMBLES THE FOLLOWING SOUND…

• the sound "hhh"
• the sound of "FFF"
• the friction sound of the hair
• the sound of snow crunching.
• 37. Patient M. 44 years female was admitted to the hospital. During physical
examination decreased turgor of skin was revealed. Which condition may
cause this change?
• Dehydration
• Thyrotoxicosis
• Hyperhydration
• Myxoedema
• Acromegaly

• 39. There should not be elements of answers ("help") in the questions, set
to the patient i.e. suggestion as it is easy to run into a mistake – to assume
disease which is not present at the patient actually. In the list of questions
resulted below specify. Correct formulation of question:
• Do you complain of a pain somewhere or do you haven‘t got any pains?
• What troubles you?
• Do you have dyspnoea at walking even on plane surface place?
• Do you test compressing pains in the precordial area at walking because of
what?
• Do you have prickle pain in the right hypochondrium?
• 40. THE MAIN METHODS OF EXAMINATION OF THE PATIENT INCLUDE…

• laboratory
• instrumental
• inspection; palpation; percussion; auscultation.
• 41. Comparative lung percussion is used to determine:

• border of Krenig’s fields;
• lesions in the lung;
• respiratory excursion of the lower edge of the lungs;
• the borders of the lung;
• 42. General biographic information:

• Results early the carried out researches
• Intolerance (unusual reactions) medicine (es)
• Transferred diseases during life
• Other operations patient had
• Features of development at children's and youthful age
• 43. Propedeutics to internal diseases is:

• the science about methods of clinical examination of the patient and diagnosis
basing;
mechanisms;
• 44. Navicular chest:

• has an indentation in the lower part of the sternum;
• elongated, narrow, flat;
• has a cylindrical shape;
• occurs in patients with emphysema of the lungs;
• has an indentation in the upper and middle part of the sternum.

• the sound "hhh"

movement of normal lungs by Lin. axillaris media dextr. et sin.:
• 4-6 sm
• 3-5 sm
• 5-8 sm
• 6-8 sm
• 14-16 sm
• 47. During inspection of a 35-year old patient with chronic bronchitis, the
doctor estimated his position in the bed as active. What does this mean?
• The patient may assume any position he wishes
• The patient assumes the position which reduces pain, dyspnoea and cough
• The patient often needs to change his position to alleviate his condition
• The patient intentionally assumes the position which alleviates expectoration of
sputum
• The patient sits with his legs drawn (bended) towards himself.
• 48. Information about heredity refers to :

• Life history/ Anamnesis vitae
• History of present desease/ Anamnesis morbi
• Objective examination
• Complaints
• 49. Patient V. 22 years has specific changes of nails - altered forms as

curved inside. How is called these changes?
• Watch glass nails
• Koilonychias
• Symptome of ―thimble
• Striae
• Hirsutism.
• 50. The place where the bronchial respiration occurs is the bronchi:
• Yes;
• no;
Abdul Hanan Amjad - Module results
Module-1; Exam date: 0000-00-00 00:00:00; total question: 50
Back to modules
Top of Form
Bottom of Form
Total questions: 50; Correctly answered: 9;

Percentage of correct: 18.0%; Skipped question: 0; Assessment: low
skipped question
• 1. Patient С. 45 years with cardiovascular pathology has cyanosis of the lips, significant
symmetrical oedema of the lower extremities. What type of oedema does patient have?
• General
• Local
• Hydrothorax
• Anasarca
• Ascites
• 2. Spots of skin depigmentation are called:
• vitiligo;
• albinism;
• hirsutism;
• hypertrichosis;
• nevus
•
• on the parasternal line
• on the midclavicular line
• on the midaxillary line
• 4. The patient has an attack of dyspnea. His position is forced; he is sitting resting his
hands on the edge of the bed. The voice resonance over the lungs is weak. What
• atelectasis
• 5. Information about past illnesses refers to:
• Complaints of the patient
• The history of life
• History of the disease
• General history
• heart
• liver
• lungs
• spleen
• kidneyend
• 7. NAME THE FOLLOWING SHAPE OF THE CHEST: transverssal and anteroposterior
size of the chest is expanded, short neck, the ratio of the anteroposterior size to the
lateral size is about 1.0, the supraclavicular fossa is smoothed, the epigastric angle is
obtuse, the slope of ribs is horizontal, intercostal spaces are wide, and when breathing in
the posterior parts, their retraction is noted, the shoulder blades fit snugly to the chest.
• paralytic
• emphysematous
• asthenic
• hypersthenic
• normosthenic
• 9. Patient С., 34 years, observes a constant dispnoea at rest, especially at night,
weakness, palpitation, thirst, oliguria (insignificant amount of urine). Objectively: sits in
armchair, with lean hands in armrests, frequency of breath 36 per 1 minutes, cyanosis of
the lips, sharp features of face. Note true about position of the patient
• Active
• Passive
• Forced
• 10. The chest is asymmetrical, its right half protrudes. The voice resonance downward
the middle of the scapula is weak. What diagnosis can be supposed?
• atelectasis
• pneumonia
• cavity in the lung
• the sound "hhh"
• 12. Patient A. 66 years with cardiovascular pathology has specific changes of fingers
and nails - clubbing of the fingers (bulbous swelling of the tip of the fingers) and nail in
form of watch glass. What is pathogenesis of these changes?
• Chronic hypoxia
• Reduction in output of adrenocortical hormones
• Anaemia
• Increased consentration of bilirubin
• Myxoedema
• 14. Signs of normosthenic form of the chest:
• epigastric angle is 90°;
• supraclavicular pits are well expressed, subclavian-smoothed;
• the width of the rib 2.5-3.0 cm, intercostal space-0.5-1.0 cm;
• the epigastric angle is less than 90°;
• the width of the rib 1.5 cm, intercostal space - 1 cm.
• 1-2sm
• 3-4 sm
• 5-6 sm
• 7-8 sm
• 9-10 sm.
• 16. Information about heredity refers to :
• Life history/ Anamnesis vitae
• History of present desease/ Anamnesis morbi
• Objective examination
• Complaints
• epigastric angle
• 19. Comparative lung percussion is used to determine:
• border of Krenig’s fields;
• lesions in the lung;
• respiratory excursion of the lower edge of the lungs;
• the borders of the lung;
• 20. Using a static inspection of the chest, you can determine ... .
• type of breathing
• the location of the clavicle, the state of the intercostal spaces
• Symmetry of the participation of the chest halves in the act of breathing
• participation of auxiliary muscles in breathing
• 22. THE TECHNIQUES OF AUSCULTATION, WHICH IS USED FOR THE
ESTIMATION (DETECTION) SIDE OF THE RESPIRATORY NOISE…
• deep breathing with your nose
• deep breathing with open or half-open mouth
• 23. VESICULAR RESPIRATION IS FORMED…
• in the bronchi
• in the alveoli.
• 24. The method of palpation of the chest does not determine:
• the symmetry of the respiratory movements;
• chest resistance;
• painful places;
• vocal fremitus;
• wet ringing wheezing.
• over the trachea region and its bifurcation
• below 2 ribs on the left lateral to the parasternal line
• in the axillary lines
• below the axillary lines
• the lower part of interscapular.
• habits;
• family history;
• social history;
• allergological history
• 27. Patient M. 44 years female was admitted to the hospital. During physical
examination decreased turgor of skin was revealed. Which condition may cause this
change?
• Dehydration
• Thyrotoxicosis
• Hyperhydration
• Myxoedema
• Acromegaly
• 28. The patient has dyspnea and cyanosis. The right half of the chest protrudes, delays
in the act of respiration. The voice resonance is decreased downward the middle of the
scapula. What diagnosis can be supposed?
• Atelectasis
• Pneumonia
• 29. Man's type hair covering in women is called:
• vitiligo;
• albinism;
• hirsutism;
• hypertrichosis;
• nevus.
• 30. Determine psychogenic factors which cause diseases.
• Stress
• Book reading
• Adequate psychological and emotional loading
• Joy
• Physiological sleep
• emphysematous;
• paralytic;
• rachitic;
• funnel
• 32. What is bedsore?
• Affection of tissue, which developed under the pressure
• Affection of tissue, which developed under the beating
• Infection of the skin
• Ulcer after the sunburn
• Ulcer after the acid affection
• 33. The diseases caused by negative interrelation of medical staff and patients are
called:
• Social
• Iatrogenic
• Somatogenic
• Professional
• Psychogenic
• 34. Specify the method by which bronchophony is determined:
• auscultation
• inquiry
• percussion
• palpation
• inspection
• 35. The chest is ball-shaped. The ratio of anterior-posterior size to transverse size is 8.0.
The area of the costal cartilages is thickened. What diagnosis can be supposed?
• Asthenic chest
• Rachitic chest
• Emphysema chest
• Paralytic chest
• 36. ONE OF THE SIGNS OF VESICULAR RESPIRATION IS…
• shortness of breath on inhalation
• breathing is heard throughout the inhalation and exhalation
• the sound is similar to the breath heard over the larynx
• breathing very rough timbre; resembles the sound of " HHH"
• breathing has a soft timbre; resembles the sound of "F"
• Virus
• Microbe
• S. Protozoa
• Rickettsia
• 38. The complete absence of pigment in the skin is called:
• vitiligo;
• albinism;
• hirsutism;
• hypertrichosis;
• nevus.
• rachitis
• 41. General biographic information:
• Results early the carried out researches
• Intolerance (unusual reactions) medicine (es)
• Transferred diseases during life
• Other operations patient had
• Features of development at children's and youthful age
• the cerebellum;
• (B) and C);
• 43. Determine chemical factors which cause diseases.
• Contact with water
• Contact with the concentrated sulfuric acid
• Contact with physiological solution
• Contact with a solution of baking soda
• 44. Patient F. 38 years has specific changes of fingers and nails - clubbing of the fingers
(bulbous swelling of the tip of the fingers) and nail in form of watch glass. What is typical
reason of these changes?
• 45. CENTRAL CYANOSIS IS CHARACTERIZED BY…
• diffuse character; grey skin tone
• distal localization (acrocyanosis); cyanotic tinge/shade/colour of the skin
• none of the listed characteristics.
• 46. Kyphosis is a bend in the spine:
• forward;
• back;
• to the side and backwards.
• 47. Determine the characteristic of clear consciousness at the healthy person from the
physiological point of view.
• Correct display of the reality in a brain of the person, adequate reaction on external
• Twilling state.
• Correct display of the reality in a brain of the person, the slowed answer on external
• Absence of reaction
• Any listed variants
• 48. THE MAIN METHODS OF EXAMINATION OF THE PATIENT INCLUDE…
• laboratory
• instrumental
• inspection; palpation; percussion; auscultation.
• 49. The position of the lower border of the lungs by Lin. medioclavicularis dextra:
• 6-th rib
• 7-th rib
• 8-th rib
• 9-th rib
• 10-th rib.
• 50. The method of palpation of the chest does not determine:
• the symmetry of the respiratory movements;
• chest resistance;
• painful places;
• vocal fremitus;
• wet ringing wheezing.
Test System1
• .
Module part 2
1. What is bedsore?

THERMOMETER…
5-10 min.
20 min.
7 min.
10 min.

supposed?
Asthenic chest
Rachitic chest
Hypersthenic chest
Emphysema chest
Paralytic chest
the sound "hhh"
the sound of "FFF"

hydrothorax
exudation pleurisy
pulmonary emphysema
pneumothorax
Acute pneumothorax
Size
Tenderness
Consistency
All above-said.

Anaemia
Thyrotoxicosis
Retrobulbar tumours
Acromegaly
Uraemia

PERCUSSION


the:
heart
spleen
lung tissue
muscles
intestinesend
emphysematous;
paralytic;
rachitic;
funnel
the:
heart
spleen
lung tissue
muscles
intestinesend
Hypoxemia.
Alkalosis.
Acidosis.
Hypercapnia.
Hyperglycemia.
Complaints
Yes;
no;
sometimes.
Virus
Microbe
S. Protozoa
Rickettsia
All above-listed
obesity
hydrothorax
pneumothorax
emphysema
forward;
back;
Domestic conditions
30.0 - 34.9;
35.0 - 39.9;
18.5 - 24.9;
30.0;
25.0 - 29.9.
mechanisms;
strokes;
rheumatism;
elderly;


MEASURED…
vaginally
popliteal fossa
in the groin fold
Pulmonary emphysema
atelectasis
pneumonia
cavity in the lung
Contact with water

Bad sleep

6-th rib
7-th rib
8-th rib
9-th rib
10-th rib.

What troubles you?
6-th rib
7-th rib
8-th rib
9-th rib
10-th rib.
forward;
back;
Pneumonia
Pulmonary emphysema
atelectasis
bronchial asthma
hydrothorax
pulmonary emphysema
pneumothorax
pneumothorax
6-th rib
7-th rib
8-th rib
9-th rib
10-th rib.

TO…

Unconsciousness.
Twilling state.
Scapulae positions.
25.0 - 25.9;
34.9;
≥ 40;
18.5 - 24.9;
≤18.5.
36.9°C-37.8°C
36.4°C – 36.8°C
37.0°C – 38.2°C
Chronic hypoxia
Anaemia
Myxoedema
under the scapulas
over the trachea
the:
heart
spleen
lung tissue
muscles
intestinesend
the cerebellum;
(B) and C)

Merging Result PDF

Uploaded by

Copyright:

Available Formats

You might also like

Merging Result PDF

Uploaded by

Document Information

Original Description:

Original Title

Copyright

Available Formats

Share this document

Share or Embed Document

Sharing Options

Did you find this document useful?

Is this content inappropriate?

Copyright:

Available Formats

Merging Result PDF

Uploaded by

Copyright:

Available Formats

1. Active respiratory mobility of the lower border (diaphragmatic movement. of normal lungs by Lin.

axillaris media dextr. et sin.:

2. “Cobbler chest” also called:

summarize clinical examinations.

4. To determine the protein function of the liver is used:

determination of the content of total protein in serum

determination of protein fractions

protein sediment tests

determination of prothrombin index

all of the above methods+

5. When percussion of the abdomen in a healthy person is heard:

6. In healthy people GFR level is:

90 to 120 mL/min/1.73 m2+

7. The distance of the liver in the right parasternal line is normally :

8. In the Nechiporenko analysis of urine normal content of leukocytes in 1 ml:

9. Percussion resonant and clear sound is defined over:

10. Purpura (hemopurpura. is:

small pointed hemorrhages;+

large black and blue spots;

red spots of different size;

a swelling from gross bleeding.

11. Projections of the mitral valve on the anterior chest wall:

at the 3-rd costosternal joint;+

in the 2-nd intercostal space, to the left of the sternum;

12. The vascular bundle consists of the following vessels, except:

inferior vena cava+

13. The best auscultatory areas (points. for a pulmonary valve:

the base of the xiphoid process

2 intercostal space to the left of the sternum+

2 intercostal space to the right of the sternum

the Erbs point

14. Harsh breathing:

inspiratory sounds last longer than expiratory ones.

16. Serum creatinine in healthy does not exceed (mmol.l.:

17. The normal number of segmented nuclear leukocytes (%.:

19. Renal edema starts from:

20. Prapedeutics to internal discases is:

the study of the physical structure of organisms;

the study of disease—the causes, course, progression and resolution thereof.

21. The past history involves all listed except:

history of present disease;

22. Dullness sound can be coursed by all except:

pulmonary tumor (airless tissue.;

when fluid occupies the pleural space (over fluid.:

pleural accumulation of serous blood (hemothorax.

23. The ratio of daytime diuresis to night:

24. The horizontal electrical axis of the heart in standard leads:

RII> RI> RIII

25. Using comparative percussion determine:

the upper border of the lungs

percussion sounds on symmetrical parts of the chest+

lower border of the lungs

mobility of the lower border of the lungs

width of the Kroenig's area

26. Normal systolic blood pressure is:

27. The extent to which venous pressure varies in healthy individuals:

40-80mm water column