WorksheetsFinal test on Propaedeutics of Internal Diseases
Total questions: 30
Worksheet time: 10mins
1. In aortic valve stenosis the face is characterized by:
icteritiousness
expressed paleness
cyanotic ruddiness
edema
The appearance of negative apex impulse is detected in:
mitral stenosis
hypertensive disease
adhesive pericarditis
myocardial infarction
cardiosclerosis
What is the name of the part of the heart not covered with the lung?
relative dullness
absolute dullness
Specify the location for auscultation of the aortic valve:
apex
2nd intercostal space to the left of the sternum
2nd intercostal space to the right of the sternum
How is the III sound formed?
atrial systole
closure of atrioventricular valves
myocardial oscillation with rapid ventricular filling
Double Traube sound is characteristic for:
mitral valve insufficiency
mitral stenosis
aortic valve insufficiency
stenosis of the aortic orifice
tricuspid valve insufficiency
Name the characteristic auscultatory syndrome in mitral stenosis?
gallop rhythm
quail rhythm
attenuation of S1, accentuation of S2 on the aorta
What diseases are characterised by the absence of the fifth phase of Korotkov’s sounds?
mitral stenosis
aortic insufficiency
thyrotoxicosis
pregnancy
hypothyroidism
What is thready pulse?
frequent
small
soft
small and soft
How to understand which sound in the recorded phonocardiogram is SII?
Coincides with Q wave in the ECG
Coincides with P wave in the ECG
Coincides with the end of T wave
What phenomena in the heart are studied by ECG?
electric
sound
phase structure of the cardiac cycle
blood supply to organs
Depolarization and excitation of the atria are shown by this wave:
P
Q
R
S
T
Which is NOT an ECG sign of horizontal electrical cardiac axis:
approximately equal amplitude of R in the II and III leads; R in the I lead is small, but bigger than S
R-waves in the I and II leads are maximal and approximately equal, S-wave prevails in the III lead
R wave prevails over S in all standard leads, R is maximal in the II lead
R wave is maximal in the III lead, S prevails in the I lead
R wave is maximal in the І lead, S wave is maximal in the ІІІ lead
ECG registers regular tachycardia with a rate of 170 per minute, wide equal QRS ≥ 0.12 sec, P waves are not visible. It is:
atrial fibrillation
atrial flutter
ventricular tachycardia
ventricular fibrillation/flutter
sinus tachycardia
Left ventricular hypertrophy is characterized by:
expansion of the left border of relative dullness to the left
high, strong, resistant apical impulse
high, strong, resistant apical impulse
dome-shaped apical impulse
negative apical impulse
Aortic stenosis is characterized by:
skin pallor
"carotid shudder"
positive venous pulse
pulsus differens
"quail rhythm"
The cause of acute right ventricular failure is:
pulmonary thromboembolism
chronic lung diseases
mitral stenosis
pulmonary valve insufficiency
left ventricular myocardial infarction
Second degree of arterial hypertension is characterized by the following levels of systolic and diastolic blood pressure (mmHg):
160-179 over 100-109
higher than 180 over 110
140-159 over 90-99
higher than 140 over lower than 90
Progressive angina pectoris can be characterized by:
ineffectiveness of nitroglycerin
intensified and more frequent angina attacks
angina attacks lasting more than 30 minutes
occurrence of attacks at rest or in less physical exertion
The early complications of myocardial infarction include:
Dressler syndrome
cardiogenic shock
pulmonary edema
chronic post-infarction aneurysm
The most typical localization of pain in gastric diseases is:
epigastrium
left hypochondrium
behind the sternum
right hypochondrium
spine
A patient complains of nagging pain, occurring 1.5 to 2 hours after eating, especially spicy, rough food, as well as "hunger" night pain in the epigastric region. Assume the localization of pain:
Extra-bulbous portion of the duodenum
pyloric canal
duodenal bulb
antrum
cardial and subcardial portion of the stomach
The examination verifying ulcers in the stomach and duodenum is:
X-ray examination
endoscopic examination
pH test
study of gastric secretion by aspiration-titration method
Disturbed passage of food through the esophagus is called:
dyspepsia
dysphagia
sialorrhea
constipation
salivation
In diseases of the pancreas, pain is:
engirdling (belt-like)
local
localized in the left hypochondrium
localized in the right hypochondrium
The most valuable instrumental methods for examining the pancreas are:
computed tomography
ultrasound
EGDS
colonoscopy
cholangiopancreatography
Determine the type of jaundice in a patient with the following symptoms: skin and visible mucosae are saffron-yellow. On the skin of the upper half of the body there are telangiectasias, there is palmar erythema. The patient mentions constant pain in the right hypochondrium not associated with eating, intensifying when shaking while driving/riding. On palpation, the edge of the liver is dense, smooth, sharp, painful. The sizes of the liver by Kurlov: 18x14x12 cm. The spleen is not palpable. Laboratory examination: total bilirubin 104 μmol/l, conjugated bilirubin 40 μmol/l; ALT 124 U/l, AST 93 U/l. Choose the correct answer:
hemolytic jaundice (suprahepatic)
obstructive jaundice (subhepatic)
hepatocellular jaundice (hepatic)
The leading clinical symptom of hepatorenal syndrome is:
pain in the right hypochondrium
oligo – anuria
xanthomas, xanthelasmas
loss of appetite, weight loss
dark urine
Pancreatic endocrine insufficiency is diagnosed on the basis of determining the level of:
ɣ-glutamyltranspeptidase
alanine and aspartate transaminases
blood glucose
alkaline phosphatase
Symptoms of irritable bowel syndrome include:
flatulence
abdominal pain subsiding after defecation
diarrhea
constipation
