Doc 69 pages part2

patient complains of constant headaches, frequent palpitations, and high blood pressure (BP). Blood pressure at rest is 150/100 mm hg. However, when performing physical exertion or emotional stress, the patient experiences increased sweating, blood pressure! more, the pulse increases to 130-140 per minute, blood glucose rises to 8.8-10 mmol/L. Blochemical blood test insulin, T3 and T4 levels ……. epinephrine levels are elevated. These signs testify in favor of:

• type 2 diabetes metlitus

• pheochromocytomas

• Tryperaldosteronises

• Addisons disease

• Hypercortsism

.patient, the development of viral cirrhosis of the liver was complicated by the development of splenomegaly, escites, varicose vein, "Medusa's head*, hemorrholds. The development of these symptoms in circhosis of the liver is due to:

• increased blood Outflow from the hepatic veins

• lesions of the venous bed in the liver

• reduced blood Now through arteriovenous anastomoses

• reduction of plasma volume in the portal system

• Reduction of venous resistance in the portal system

This drug causes a state of calm, tranquilizing or anxiolytic effect - the ability to reduce the state of drowsiness:

• Morphine

• Fentanyl

• Levodopa

• Promedol

• Mezapam

patient A. 37 years old, teacher, obesity of the ill degree, complained of severe pain in the area of the right knee joint MRi showed de ernal meniscus, marginal osteophytes. The most important etiological factor in the development of pathology of the musculoskelel

• Age

• the patient's occupation

• male sex

• presence of osteophytes

• Obesity

A 40-year-old woman with rheumatoid arthritis has recently been treated with methotrexate, Her pl dinydroorotate dehydcogenase, an enzyme involved in pyrimidine synthesis. Which drug was added

• Letunamide

• Proxicam

• Penicillamine

• Dexamethasone

• Prednisolone

A 70-year-old female present to your office complaining of easy fatigebility, exertional dyspnes and y exemination reveals symmetrically decreased vibratory sensation to the lower extremities. Her hemm hypersegmented noutrophils, MCV-110; megaloblastic, hyperchromic anemia was diagnosed. Which

• Vitamin C

• Figrastim

• Vitimin B12

• Erythropoiotin

• Iron preparations

The mechanism of action of drugs in this group is associated with the accumulation of monourines ………… nervous system

• Nacrotic ahalgesics

• Antiparkinson drugs

• Antideptessants

• Tranquitzers

• Neuroleptics

Thiazolindinedones:

• PPAR receptor agonists

• GLP-1 receptor agonists

• Inhibit DPP-4

• Block ATP-dependent potassium channels of pancreatic beta cells

• Stimulate insulin receptors

Gastroprotector that forms a protective film in an acidic environment on the surface of eroslons and also has a bactericidal effect on Helicobacter pylori: Bisacodyl mebeverine Sodium carbonate mesoprostol bismuth tripotassium dicitrate

• Bisacodyl

• Sodium carbonate

• mesoprostol

• mebeverine

• bismuth tripotassium dicitrate

patient D., 38 years old. developed laryngeal stenosis after a thermal burn. As a result, the rhythm Of breathing was disrupted. Charactersitic aaythmias in laryngeal stenosis:

• Rare deep breathing with difficulty exhaling

• Frequent shallow breathing

• frequent deep breathing

• Prolonged consultive infatuation followed by exhalation retention

• Sawing breathing with prolonged and laboured inhalation