Internal Final

41. While treating a patient diagnosed with acute ST-elevation myocardial infarction (STEMI) the priority is:

42. A patient with severe chronic renal failure with GFR below 30ml/min/1.73m2 should be treated as a patient:

43. In the case of elevated anti-TPO antibodies with euthyroidism

44. The most frequent cause of acute limb ischemia is:

45. Frequent complications of hemodialysis include:

1. hypotonia
2. secondary hyperparathyroidism
3. muscle cramps
4. headache
5. anemia

The correct answers are:

46. While discharging a patient with stage 1 hypertension according to the ESC scale, who has recently had an ischemic stroke in the CNS, you will recommend in chronic treatment:

>indapamide = thiazide diuretic 

47. To diagnose MI it is necessary to meet the following conditions:

48. The most useful factor in fracture risk prediction is:

49. Causes of hypotonic hyponatremia (serum osmolarity <280 mOsm/kg H20) with euvolemia are:

50. Occurrence of the Courvoisier sign (painless jaundice with enlarged, palpable gallbladder), diabetes and deep vein thrombosis suggests:

51. What plays an important role in prophylaxis of urolithiasis (indicate the true statement)?

52. Which results of laboratory test is not characteristic of multiple myeloma?

53. Select the correct answer. Microscopic colitis:

54. Pheochromocytoma may be masked by:

55. Face and neck oedema, hoarseness, headache and nasal mucosa hypERaemia are the symptoms of:

56. First-line drugs in anaphylaxis treatment are:

57. The CURB-65 criteria that assess the severity of community-acquired pneumonia in hospitalised patients encompass the following elements:

58. Oxygen therapy:

HINT:

• 2-6L/O2 w/ nasal cannula 
• 5-10L/O2 w/ simple face mask 
• 24-60%/O2 w/ venturi mask 
• 60-80%/O2 w/ reservoir bag mask 

59. What should be done if circuitry arrest is confirmed in the mechanism of asystole?

60. What determines the choice of therapy in lupus nephritis?

61. The destructive inflammations of the thyroid gland include:

1. painful lymphocytic thyroiditis
2. Influent fibrous thyroiditis (Riedl's disease)
3. postamiodarone type I thyroiditis 
4. postamiodarone type II thyroiditis
5. subacute thyroiditis (granulomatous)

Correct answer:

62. Raynaud's symptom can appear in the following conditions, except:

63. AKI occurs in all situations except:

64. The symptoms of chronic venous insufficiency do NOT include:

65. Limit value of the percentage of blast cells in bone marrow for diagnosis of acute myeloid leukaemia (AML) is:

66. The symptoms of cardiac tamponade do not include:

67. An example of type 3 diabetes is:

68. The Philadelphia chromosome is characteristic of:

69. The group of drugs that is most often applies in the treatment of osteoporosis are biphosphonates. What activity do they mainly show?

70. Which statement concerning hemochromatosis is false?

71. Expansion of ACTH-secreting pituitary tumour in a patient after bilateral adrenalectomy is:

72. A female patient with haemolytic anaemia, thrombocytopenia, alopecia, proteinuria and fever. You suspect:

73. In treatment of acute gout attack medication can be applied except for:

74. Recurrent superficial thrombophlebitis may be a sign of:

75. Which antibodies are characteristic of systemic lupus?

76. First-line drugs in the case on non-complicated cystitis do not include:

77. If there are no contraindications, first line treatment in type 2 diabetes is:

78. Non-alcoholic fatty liver disease - select the true sentence:

79. The cause of secondary osteoporosis may be:

80. What should be included in ddx of acute pancreatitis?