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Offiwiz File
Offiwiz File
Offiwiz File
28. When listening lungs of the patient the abrupt sounds appearing at
height of a breath and reminding a crash of hair when grinding near an ear
are revealed shows presence:
A. Dry rattles
B. Damp not ringing rattles
C. Damp ringing rattles
D. Noise of friction of pleura
E. Crepitation
29. For the patient with emphysema the following type of a thorax is
characteristic:
A. Paralytic
B. Ricketic
C. Barrel-shaped
D. Boat shaped
E. Asthenic
33. Upon transition of the first stage of cruposal pneumonia to short time is
auscultative defined the following type of breath:
A. Vesicular
B. Saccadic
C. Stenotic
D. Bronchial
E. Rigid
38. For an obturative atelectasis of the top bronchial tube of the right lung
it is characteristic:
A. Bronchial breath
B. Rigid breath
C. Retracting of a thorax in the field of a top on the right
D. Strengthening of broncho phony
E. Box percussion sound
41. For syndrome of cavity in lung which isn't reported with a bronchial
tube everything is characteristic, except:
A. Strengthening’s of voice trembling
B. Amphoral breath
C. Ringing b bubbled rattles
D. Strengthening’s of a broncho phony
E. Crepitation
45. For the patient with a syndrome of bronchial obstruction which dyspnea
is characteristic?
A. Absence of short wind
B. Expiratory
C. Inspiratory
D. Mixed
E. In rest
47. The lower border of lungs on a mediaclavian line is in norm on the right
…:
A. In V intercostal
B. On the V edge
C. In V intercostal
D. On the VI edge
E. In 3rd intercostal
62. What from below than the signs listed the auscultative is characteristic
for a syndrome of the increased lightness of pulmonary tissue?
A. Weakening of vesicular breath
B. Lack of vesicular breath
C. Stenotic breath
D. Bronchial breath
E. Crepitation
63. Listening of the dry whistling rattles over all surface of lungs is typical
for …:
A. Increased lightness of pulmonary fabric
B. Availability of air in a pleural cavity
C. Availability of liquid in a pleura cavity
D. Violations of bronchial pass ability as a bronchospasm
E. Existence of a cavity in pulmonary fabric
71. By how many lines determined mobility of the bottom pulmonary edge
on the right?
A. 5.
B. 4.
C. 3.
D. 2.
E. 1.
77. By how many lines topographical the lower bound is determined on the
right?
A. 7
B. 6
C. 5
D. 4
E. 3
84. What of the listed forms doesn't treat pathological shapes of a thorax?
A. Paralytic.
B. Barrel-shaped.
C. Rachitic.
D. Asthenic.
E. Boat shaped.
89. On how many points comparative percussion on the left side of a thorax
is carried out?
A. 6.
B. 4.
C. 2.
D. 10.
E. 8.
136. By what of the ranked methods the anamnesis of the real disease
(anamnesis morbi) is defined?
A. Palpation.
B. Percussion.
C. Inquiry.
D. Auscultation.
E. Survey
140. Words - "thirty three or the tractor", are said for definition:
A. Broncho phony.
B. Voice trembling
C. Resistance of a thorax.
D. Morbidities of a thorax
E. Excursions of a thorax.
A. Silent.
B. Loud.
C. Bass.
D. Whisper.
E. Distinct.
A. A.
B. S.
C. J.
D. U.
E. R.
A. Pneumothorax.
B. Hydrothorax
C. Hem thorax.
D. Pyotorax.
E. Hydro pneumothorax.
A. Pneumothorax.
B. Hydrothorax.
C. Hem thorax.
D. Pyotorax.
E. Hydro pneumothorax
145. The pus congestion in a pleural cavity is called:
A. Pneumothorax.
B. Hydrothorax
C. Hem thorax.
D. Pyothorax.
E. Hydro pneumothorax
A. Pneumothorax.
B. Hydrothorax.
C. Hem thorax.
D. Pyothorax.
E. Hydro pneumothorax
A. Pneumothorax.
B. Hydrothorax.
C. Hem thorax.
D. Pyothorax.
E. Hydro pneumothorax
10. What state can't act as the reason of chronic heart failure?
A. IHD
B. Hypertonic illness
C. Acute bronchitis
D. Dilatant cardiomyopathy
E. Heart diseases
20. How limits of relative warm dullness at a mitral stenosis are displaced?
A. To the left
B. Up and to the right
C. Up and to the left
D. To the right and to the left
E. To the right
25. How the limit of relative warm dullness at an aortal stenosis is displaced?
A. To the left
B. Up and to the left
C. Up and to the right
D. To the right
E. To the left and to the right
28. At the patient at survey the hypostases of feet of cyanotic color developing
by the evening are noted. When pressing the finger possible to cause slowly
leveled pole. This description define the persons having diseases:
A. Musculoskeletal device
B. Hearts
C. Kidneys
D. Abdominal organs
E. Endocrine system
29. At a palpation of the Region of heart the top push localized in the VI
intercostal on the left mediaclavian line, poured high, resistant is revealed. On
the basis of heart synchronously 'cat's purring' decides on a top push systolic.
For what defect it is characteristic?
A. Insufficiency of the mitral valve
B. Mitral stenosis
C. Insufficiency of the aortal valve
D. Stenosis of the mouth of an aorta
E. Stenosis of a pulmonary artery
30. The upper bound of absolute dullness of heart on the left okologrudinny
line is at the level:
A. Upper edge of the III edge
B. Bottom edge of the III edge
C. Upper edge of IV of an edge
D. Bottom edge of the IV edge
E. Upper edge of the II edge
32. The left limit of absolute dullness of heart is in the fifth intercostal:
A. On 1,5 cm to outside from the left mediaclavian line
B. On 2,5 cm inside from the left mediaclavian line
C. On 1,0 cm inside from the left mediaclavian line
D. On the left mediaclavian line
E. 1,0 of cm to outside from the left mediaclavian line
33. The upper bound of relative dullness of heart on the left parasternal line is
at the level:
A. Upper edge of the III edge
B. Bottom edge of the III edge
C. Upper edge of IV of an edge
D. Bottom edge of the IV edge
E. Bottom edge of the V edge
35. The left limit of relative dullness of heart is in the fifth intercostal:
A. On 2,0 cm to outside from the left mediaclavian line
B. On 1,0 cm inside from the left mediaclavian line
C. On 2,0 cm inside from the left mediaclavian line
D. On the left mediaclavian line
E. On 1,0 cm to outside from the left mediaclavian line
62. Shift of the right limit of relative dullness of heart to outside isn't
observed at:
A. Insufficiency of the aortal valve
B. Insufficiency of the tricuspid valve
C. Stenosis of a mitral opening
D. Aortal stenosis
E. Insufficiency of valves of a pulmonary artery
63. Shift of the left limit of relative dullness of heart to is outside observed
at the following diseases, except:
A. Aortal stenosis
B. Insufficiency of the aortal valve
C. Stenosis of a mitral opening
D. Insufficiency of the mitral valve
E. Arterial hypertension
74. Systolic noise in the second intercostal at the right edge of a breast is
listened at:
A. Stenosis of a mitral opening
B. Insufficiency of the mitral valve
C. Stenosis of the mouth of an aorta
D. Insufficiency of the valve of an aorta
E. Insufficiency of the tricuspid valve
75. Diastolic noise in the second intercostal at the right edge of a breast is
listened at:
A. Stenosis of a mitral opening
B. Insufficiency of the mitral valve
C. Stenosis of the mouth of an aorta
D. Insufficiency of the valve of an aorta
E. Insufficiency of the tricuspid valve
76. Systolic noise at the basis of a xiphoidal shoot of a breast is listened at:
A. Stenosis of a mitral opening
B. Insufficiency of the mitral valve
C. Stenosis of the mouth of an aorta
D. Insufficiency of the valve of an aorta
E. Insufficiency of the tricuspid valve
80. At registration of the I tone of heart for PhCG by the first is registered:
A. Valvate component
B. Muscular component
C. Vascular component
D. Pulmonary component
E. Epigastric component
81. Pulse pressure is:
A. Maximum systolic pressure
B. Minimum systolic pressure
C. Maximum diastolic pressure
D. Minimum diastolic pressure
E. A difference between systolic and diastolic pressure
83. At the patient during survey we can observe the liver pulsation. For what
heart disease it is characteristic?
A. Insufficiency of the mitral valve
B. Stenosis of the mitral valve
C. Insufficiency of the three-leaved valve
D. Stenosis of the mouth of an aorta
E. Insufficiency of the aortal valve
84. At the patient at survey the expressed pulsation in the field of the right
ventricle which is characterized by systolic retraction of a top and protrusion
of epigastric area (a symptom of a swing) is revealed. For what defect it is
typical?
A. Mitral of a stenosis
B. Insufficiency of the mitral valve
C. Stenosis of the mouth of an aorta
D. Insufficiency of the valve of an aorta
E. Insufficiency of the three-leaved valve
96. The main clinical symptoms of cardiogenic shock the following, except:
A. Tachycardia
B. Decrease in systolic pressure are lower than 60 mm Hg.
C. Cold sweat
D. Increases systolic BP higher 159 mm of mercury.
E. Rhythm of "gallop"
97. For acute left ventricular insufficiency it is characteristic all signs, except:
A. Attacks of asthma at night, after physical activity
B. Provisions orthopnea
C. Situation with a low headboard
D. The expressed cyanosis
E. Foamy pink phlegm
101. At what heart disease double tone of Traube and double noise of
Vinogradov-Dyurvuazye over large vessels is listened:
A. mitral stenosis
B. stenosis of the mouth of an aorta
C. insufficiency of the mitral valve
D. Insufficiency of the aortal valve
E. Insufficiency of the three-leaved valve
114. For what clinical situation the bubbling breath heard at distance and
weight damp the big bubble of not ringing rattles over all surface of lungs is
most characteristic?
A. Chronic of right ventricular heart failure
B. Chronic of left ventricular heart failure
C. Acute left ventricular heart failure (cardiac asthma)
D. Acute left ventricular heart failure (alveolar hypostasis of lungs)
E. Crupose of pneumonia with an abscessing
119. What type of hypostases: diffusion, "dense", it is more on shins, feet and in
lumbar area increase by the evening, decrease, followed in the morning
expressed the acro cyanosis
A. Cardiac hypostases
B. Renal hypostases
C. Allergic swelled
D. Inflammatory hypostasis
E. Hypostases at a hypothyroidism (myxedema)
121. For what purpose the patient with diseases cardio - vascular system,
having heavy short wind, it is recommended to accept a semi-sitting position in
a bed?
A. Such situation it is more convenient to AV to feed;
B. Stagnation of blood in a small circle of blood circulation decreases;
C. Danger of developing of decubituses decreases.
D. Improvement of blood supply of a brain,
E. Increase in inflow of blood to a small circle of blood circulation;
126. The top push is displaced to the left and down at:
A. Mitral stenosis
B. Insufficiency of valves of an aorta
C. Hypertensive illness
D. Myocardial infarction
E. Myocarditis
133. The true pulsation of a liver and positive wine pulse come to light at:
A. Insufficiency of the mitral valve
B. Insufficiency of the aortal valve
C. Insufficiency of the three-leaved valve
D. Mitral stenosis
E. Myocardial infarction
139. For a concentric hypertrophy of the left ventricle the following top push is
characteristic:
A. Poured
B. Low
C. Strengthened
D. Displaced to the left
E. Dome-shaped
A. Acro cyanosis
B. Light pink
C. Pallor
E. Earthy color
B. Left auricle
C. Left ventricle
D. Right ventricle
E. Aorta arch
144. Flint's noise is listened at:
B. Aortal stenosis
D. Mitral stenosis
A. Aortal stenosis
A. Mitral stenosis
B. Hypertensive illness
C. Adhesive pericarditis
D. Myocardial infarction
E. Cardio sclerosis
A. Hypertensive illness
B. Sharp glomerulonephritis
C. Aorta atherosclerosis
D. Coarctation of aorta
E. Mitral of a stenosis
150. Shift of the left limit of relative dullness of heart is caused to the left:
3. Increased, dense, painless, with the pointed edge liver palpated at:
A. Hepatitis
B. Heart failure
C. Liver cancer
D. Cirrhosis
E. Cholecystitis
17. Paroxysmal, burning pain in epigastric area in 2-3 hours after food, at
night, is characteristic for:
A. Stomach ulcer of a stomach
B. Stomach ulcer of a duodenum
C. Stomach cancer
D. Gatekeeper's stenosis
E. Chronic gastritis
22. The halfbent sitting position with the hands pressed to painful area of a
stomach is held by patients with:
A. Exacerbation of stomach ulcer
B. Acute appendicitis
C. Pancreas cancer
D. Diaphragm pleurisy
E. Peritonitis
31. The rounded soft and painful liver edge is palpated at:
A. Primary cancer of a liver
B. Metastatic cancer of a liver
C. Echinococcosis
D. Cirrhosis
E. Stagnant liver
47. For mechanical jaundice all is characteristic following, with one exception:
A. Very high general bilirubin
B. Prevalence of direct bilirubin
C. Decolored feces
D. Existence in urine of direct bilirubin
E. Sharply positive reaction on urobilinum
48. Emergence of the pulling, holding apart, stupid constant pains in the right
hypochondria is connected with:
A. Spasm of a sphincter of Oddi
B. Spasm of muscles of a gall bladder
C. Spasm of a sphincter of a gall bladder
D. Stretching of a glissonovs capsule of a liver at its increase
E. Atonia of Oddi's sphincter
50. To what weight loss and an atrophy of muscles at liver diseases testify:
A. Existence of a duodeno-gastric reflex
B. Increase in bilious acids in blood against the expressed cholestasis
C. Violation of synthetic (proteinaceous and production) function of a liver
D. Heart failure against expressed accompanying miocar-
diodystrophy
E. Decrease of detox cation function of a liver in relation to products of
disintegration of protein
65. That from the listed doesn't treat receptions of a deep palpation of a
stomach:
A. The hand of the doctor has to lie flatwise, the movements to be carried out
in beam carpal joints
B. The hand of the doctor with slightly bent fingers are established parallel to
a longitudinal axis of the palpated organ
C. Before fingers of the doctor the skin fold is created
D. The hand of the doctor on an exhalation plunges into an abdominal cavity
E. Sliding on a surface of palpating body at a delay the patient of breath on an
exhalation
74. Pains at diseases of a liver and the choleabduction ways can arise owing to
all reasons, except:
A. Stretching of a glissonov capsule
B. Damages of hepatocytes
C. Inflammation and stretching of walls bilious puzgy
D. Spastic reduction of a gall bladder
E. Cholangitis
75. At patients with chronic hepatitis at a palpation of a liver all signs can
define, except:
A. The liver is increased
B. Dense
C. Smooth
D. Hilly
E. Edge painful, sharp
76. At what disease bleeding from varicose expanded veins of a gullet, the
hemorroidal veins is possible?
A. Cirrhosis;
B. Hepatitis;
C. Cholecystitis;
D. Stomach ulcer.
E. Gastritis
89. Dark urine and decolored feces happen to yellow foam at:
A. Over the hepatic jaundice;
B. Hepatic jaundice:
C. Sub hepatic jaundice
D. Hepatitis
E. Cirrhosis
91. The direct slowed-down Van den Bergh's reaction is characteristic for?
A. Over the hepatic jaundice;
B. Hepatic jaundice;
C. Sub hepatic jaundice;
D. Cholestasis
E. Cholangitis
6. Polyuria is:
A. Increase in daily diuresis
B. Reduction of daily diuresis
C. Lack of urine
D. Increase in day diuresis
E. Increase in night diuresis
12. To that exactly the relation of volume of night urine to volume day in norm?
A. 1: 4
B. 1: 2
C. 1: 1
D. 1: 5
E. 1: 6
20. How many leukocytes in days are allocated with urine at test on Addis-
Kakovsky's method?
A. 1000000
B. 2000000
C. 3000000
D. 4000000
E. 5000000
45. What method is most reliable for confirmation of a stenosis of renal arteries?
A. Angiography
B. General analysis of urine
C. Ultrasonography of kidneys
D. Nechiparenko's test
E. Intra venous urography
1. From the listed below signs chose those, which are mostly typical for syndrome of
hypersplenism:
А) anemia, lymphocytosis, thrombocytopenia
B) anemia, leukocytosis, lymphocytosis, thrombocytopenia
C) anemia, leukopenuaлейкопения, lymphocytosis, тромбоцитоз
D) anemia, leukocytosis, thrombocytopenia
E) anemia, leukopenia, thrombocytopenia
2. Duringwhatdiseaseofbloodwecanobservedeviation of taste?
А) Acute leucosis
B) Iron insufficiency anemia
C) В12-folic acid insufficiency anemia
D) Hemolytic anemia
E) Lymphogranulomatosis
7. Duringanemiaonjugularveinscanbeheardspecificnoise, whichhavename:
А) Noise of Flint
B) NoiseofRivero-Corvaalo
C) grind noise
D) Noise of Graham-Still
E) Noise of Vinogradov-durvuaze
17. For what type of anemia presence in analyses of "Jolly bodies" and
"Kebotsrings"are typical?
А) iron insufficiency anemia
B) В 12-folic acid insufficiency anemia
C) chronic post hemorrhagic anemia
D) Acute post hemorrhagic anemia
E) Hemolytic anemia
ELECTROCARDIOGRAPHY
1. Possess function of excitability:
a) Cages of the carrying-out system.
b) Cells of a myocardium contraction.
c) Mesenchymal cages.
d) All listed.
e) Only 1 and 2
42. The Ectopic complex from atrioventricular knot (middle part) has the
following ratio with P tooth:
a) P isn't defined, the QRS complex is widened since R+P is noted
b) P is defined ahead of the QRS complex, the positive two-phase
c) P is defined ahead of the QRS complex, negative
d) P is defined after the QRS complex, positive
e) P is defined after the QRS complex, negative
50. An electrocardiogram signs of a total block of the left leg of a bunch ofGis
the following, except:
a) Broadening of the QRS complex
b) Vertical provision of an electric axis of heart
c) Splitting of a tooth of R in the left chest assignments of V5-6
d) Deviation to the left electric axis of heart
e) In assignments of V1-2 a deep and wide tooth of S