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Question 61/100

Acute aortic syndrome includes the following except for:

A.Marfan syndrome

B. Intramural hematoma of the aorta

C.Acute aortic dissection

D. Pseudoaneurysm of the aorta

E. Aortic stenosing ulcer

Question 62/100

Implantation of a cardiac resynchronization therapy (CRT) device is recommended in patients with heart failure who have:

A.Decreased left ventricular systolic function ≤35% and QRS complex dilatation ≥150 ms

B.Decreased left ventricular systolic function ≤35% with QRS complex widening ≥150 ms and persistence of heart failure symptoms despite optimal treatment

C.Persistence of heart failure symptoms despite optimal treatment

D.Decreased left ventricular systolic function ≤35% and QRS complex widening ≥130 ms

E.Decrease in left ventricular systolic function ≤35% and QRS complex widening ≥130 ms and persistence of heart failure symptoms despite optimal treatment

Question 63/100

Demonstration of an imbalance between myocardial oxygen supply and demand unrelated to acute atherothrombotic process meets criteria for myocardial infarction type:

A.3

B.1, 2 i 3

C.1

D.2

E.1 i 2

Question 64/100

The non-specific, so-called B symptoms of Hodgkin's disease include the following, except:

>>3 ANSWERS WERE MATCHED HERE

A.Pruritus

B.Fever > 38 degrees C persisting for more than 2 weeks without coexisting infection

C.Weight gain

D.Significant weakness

E.Increased night sweats

Question 65/100

In Addison's disease there are:

A. dark colored skin, decreased ACTH levels, hypoglycemia

B. decreased ACTH, fatigue, increased appetite

C. all answers are correct

D. neutropenia, hyponatremia, hypoglycemia

E. neutropenia, hypoglycemia, hypokalemia

Question 66/100

Syndrome of inadequate vasopressin secretion (SIADH) can be caused by:

A. genetic defect in vasopressin receptors in the kidney and brain damage from trauma, tumors, surgery, inflammation, and psychosis

B. habitual drinking of large amounts of fluids

C. Brain damage from trauma, tumors, surgery, inflammation, and psychosis

D.A genetic defect in vasopressin receptors in the kidney

E. habitual drinking of large amounts of fluids, and brain damage in the course of trauma, tumors, surgery, inflammation, and psychosis

Question 67/100

In acute disseminated intravascular coagulation (DIC) syndrome, the following changes in coagulation laboratory tests are observed:

A.Increased concentrations of fibrin breakdown products

B.Prolonged activated partial thromboplastin time (APTT)

C.All answers are correct

D.Decreased fibrinogen levels

E.Thrombocytopenia

Question 68/100

Hypercoagulable state (or thrombophilia A):

A.Includes, for example, deficiencies of protein C, protein S, antithrombin, or the presence of factor V Leiden and can only be acquired

B.It can only be inherited

C.Includes, for example, deficiencies of protein C, protein S, antithrombin, or the presence of factor V Leiden and can only be inherited

D.Includes, for example, deficiencies of protein C, protein S, antithrombin, or the presence of factor V Leiden

E.It can only be acquired

Question 69/100

Antibodies that appear in the course of type 1 diabetes do not include:

A. anti-islet antibodies

B. antibodies against tyrosine kinase

C. anti zinc antibodies

D. anti-glutamic acid decarboxylase antibodies

E. tyrosine phosphatase antibodies

Question 70/100

Irregular tachycardia with narrow QRS complexes (< 120 ms) can be:

A. Atrial fibrillation

B.Focal atrial tachycardia

C.All answers are correct

D.Multifocal atrial tachycardia

E.Atrial flutter with variable atrioventricular conduction

Question 71/100

Inflammatory back pain in a young person is pain that lasts

A.>6 months

B. The time criterion is not important only the response to NSAIDs

C.≥3 months

D.≥1 month

E. > 1 year

Question 72/100

The definition of atherogenic dyslipidemia includes:

1) TG elevation greater than 150 mg/dL

2) TG increase greater than 250 mg/dL

3) decreased HDL-Cholesterol <40 mg/dL) in men

4) decreased HDL-Cholesterol <50 mg/dL) in men

5) decreased HDL-cholesterol <45 mg/dL) in women

6) decreased HDL-Cholesterol <65 mg/dL) in females

a. 1, 3, 5

b. 1, 4, 5

c. 2, 4, 6

d. 2, 4

e. 2, 3, 5

Question 73/100

An unconscious patient with severe hypoglycemia taking oral hypoglycemic medications should be given priority

A.Give an intramuscular injection of glucagon

B.Give 200 mg of hydrocortisone intramuscularly

C.Administer a 20% glucose solution intravenously

D.Withhold diabetes pharmacotherapy for at least 7 days

E.Refer the patient to the hospital on an emergency basis

Question 74/100

MAS - macrophage activation syndrome - can occur in the course of:

A.Juvenile idiopathic arthritis

B.Systemic lupus

C.All of the above answers are correct

D.EBV infections

E.Still's disease in adults

Question 75/100

Indicate the false statement regarding simple uremia.

a. Renal uremia can result from a genetic defect in vasopressin receptors in the kidney.

b. Diabetic uremia is characterized by increased thirst and polyuria.

c. The second stage of the vasopressin dehydration test is used to differentiate between central and renal simple uremia.

d. The diagnosis is established by the 2-step dehydration-vasopressin test.

e. Central uremia is otherwise known as Schwartz-Bartter syndrome.

Question 76/100

The most common clinical signs of vitamin B12 deficiency include:

A.Leukocytosis

B.Oliguria

C.Polyneuropathy

D.Constipation

E.Dry skin

Question 77/100

Sinus rhythm on the ECG is characterized by the presence of:

A.Positive P waves in I , II, III and negative P waves in aVF

B.Positive P wave in I, aVR, V5, V6

C.Positive P wave in I, II and negative in aVR

D.Positive P-waves in I, II and negative in V1

E.Positive P-waves in I, aVR and negative in II, III, aVF

Question 78/100

The most common symptoms of pheochromocytoma do not include:

> Catecholamines cause vasoconstriction, which decreases blood supply to the skin, leading to pallor

A. excessive sweating

B. palpitations

C. orthostatic hypotension

D. hypertension

E. skin redness

Question 79/100

Which of the following causes leads to acute renal injury in a prerenal mechanism:

A. neurogenic bladder

B. renal injury by radiopaque shadowing agents

C. systemic lupus erythematosus

D. hemorrhage

E. prostatic proliferation

Question 80/100

Please indicate the false statement regarding the standard oral glucose load test (OGTT) in an adult

A.The test is not performed in a person who has been following a low glycemic index diet for several days

B.The subject drinks a solution of 75 g of glucose dissolved in 300 ml of water

C.An abnormal fasting blood glucose is an indication for an OGTT

D.The test is not performed during an infection

E.A blood glucose greater than 200 mg/dL (11.1 mmol/L) at the 120th minute of the test is needed twice to diagnose type 2 diabetes

Question 81/100

In the treatment of deep vein thrombosis, a 5-day course of low-molecular-weight heparin must be preceded when using:

> when we use warfarin!

A. none of the above

B.Rivaroxaban

C. Apixaban

D. Rivaroxaban and Apixaban

E.Dabigartran

Question 82/100

Primary cutaneous lymphomas most commonly arise from the following cells:

A.T lymphocytes

B.Plasmocytes

C.B lymphocytes

D.Mast cells

E.Eosinophils

Question 83/100

Select a congenital vascular hemorrhagic diathesis from the following diseases:

Noch nie davon gehört!

A.Bernard-Soulier syndrome

B.von Willebrand disease

C. Thrombotic thrombocytopenic purpura

D.Glanzmann's thrombasthenia

E.Rendu, Osler and Weber disease

Question 84/100

Grade III atrioventricular block can result from:

>hypERkalemia

A.Hypokalemia, acute renal failure, and acute renal failure and STEMI

B.Hypokalemia

C.STEMI infarction

D.Acute renal failure

E.Acute renal failure and STEMI

Question 85/100

Above what triglyceride concentration is the LDL cholesterol assessment unreliable:

A.>400 mg%

B.>500 mg%

C.>450 mg%

D. >350 mg%

E. is always authoritative

Question 86/100

The primary test in the diagnosis of lymphedema is:

A. lymphoscintigraphy

B. computed tomography

C. magnetic resonance imaging

D.ultrasonography

E. Lymphography

Question 87/100

The cause of chronic kidney disease with impaired renal function is not:

A. thin basement membrane nephropathy

B. polycystic kidney degeneration

C. diabetic nephropathy

D.plasmocytic myeloma

E. hypertensive nephropathy

Question 88/100

The original and simplified Pulmonary Embolism Severity Index can determine:

A.Only the in-hospital risk of death associated with a pulmonary embolism episode based on selected clinical parameters

B.Severity of pulmonary embolism symptoms only, based on selected clinical parameters without risk of death

C.Risk of death based on the probability of pulmonary embolism

D.Overall risk of death but only in selected cases, e.g., shock associated with a pulmonary embolism episode

E.The 30-day risk of death associated with an episode of pulmonary embolism

Question 89/100

Which of the following diagnostic tests is useful in the diagnosis of ischemic and hemorrhagic stroke?

A.Magnetic resonance imaging of the abdominal cavity

B.Transthoracic echocardiogram

C.Doppler studies of the carotid arteries

D.Computed tomography of the head

E.Transcranial doppler

Question 90/100

Which medications are considered for the treatment of hypertension during pregnancy?

1. ramipril

2. telmisartan

3. methyldopa

4. labetalol

5. methylphenidate

a. 1 i 2

b. 1 i 3

c. 5

d. None of the above

e. 3 i 4

Question 91/100

Complications of upper chest compression syndrome include the following except:

A.Aneurysm of the subclavian artery

B.Peripheral embolism of the arteries of the upper extremity

C.Injury to the brachial plexus

D. Subclavian vein thrombosis

E.Lymphedema of the upper extremity

Question 92/100

In a patient with hyperthyroidism, thyroid storm should be suspected when:

A. no answer is correct

B. there is crackles at the base of the lungs, atrial fibrillation, constipation, and slowing

C. fever, diarrhea, delirium, agitation, tachycardia, psychosis

D. fever, diarrhea, delirium

E. agitation, tachycardia, psychosis is present

Question 93/100

The correct duration of the PQ interval and QRS complex should not exceed:

A.All of the above answers are incorrect

B.PQ 120 ms, QRS 120 ms

C.PQ 200 ms, QRS 200 ms

D.PQ 120 ms, QRS 200 ms

E.PQ 200 ms, QRS 120 ms

Question 94/100

In a patient with acute chest pain, the time from initial medical contact with the patient to ECG recording and interpretation should be

A.< 10 minutes

B.< 25 minutes

C.< 5 minutes

D.< 30 minutes

E.< 15 minutes

Question 95/100

The classic symptoms of microscopic colitis include:

A. fluctuating bowel movements and fever

B. significant weight loss

C. diarrhea with an admixture of fresh blood

D. perirectal fistulas

E. watery diarrhea and spasmodic abdominal pain

Question 96/100

Acute coronary syndromes include:

A.All of those listed

B.Myocardial infarction without ST-segment elevation

C.Unstable angina

D.ST-segment elevation myocardial infarction

E.ST-segment elevation myocardial infarction and non-ST-segment elevation myocardial infarction only

Question 97/100

The following should be considered in the etiopathogenesis of ulcerative colitis?

A. All of the above factors

B. Abnormalities of the intestinal microbiota

C. Immunological factors

D. Environmental factors associated with urbanization

E. Genetic conditions

Question 98/100

The blood gas (ABG) test shown below indicates:

A. a normal ABG result

B. respiratory acidosis

C. metabolic alkalosis

D. metabolic acidosis

E. respiratory alkalosis with metabolic compensation

Question 99/100

In which of the following situations should an urgent invasive strategy (coronary angiography and possibly coronary angioplasty within <2 hours of admission) be used in the management of patients with acute coronary syndrome without ST-segment elevation:

A. refractory chest pain to conservative treatment

B. life-threatening cardiac arrhythmias or cardiac arrest

C.mechanical complications of ischemia (acute mitral regurgitation, ventricular septal defect)

D. hemodynamic instability or cardiogenic shock

E. all of the above

Question 100/100

Which therapeutic strategy is contraindicated in the treatment of aortic dissection:

A. open angiosurgical procedures

B. morphine

C. endovascular procedures

D. antihypertensive drugs

E.Low molecular weight heparin

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