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Worksheets43 file 30-43
Total questions: 105
Worksheet time: 53mins
Patient A., 37 years old, teacher, obesity of the Ill degree, complained of severe pain in the area the right knee joint. MRI showed degenerative damage of the internal meniscus, marginal osteophytes. The most important etiological factor in the development of pathology of the musculoskeletal system in this case is:
male sex
presence of ostephytes
obesity
the patient's occupation
Age
What develops with a mild form of adenovirus infection:
Catarrhal rhinolaryngotrachelts
Fibrinous rhinolaryngotracheitis
Putrefactive rhinolaryngotracheitis
Purulent rhinolaryngotracheitis
Hemorrhagic rhinolaryngotracheitis
In which organs is the primary tuberculosis complex located:
Intestines and lungs
Heart and joints
Brain and spinal cord
Bones and muscles
Liver and kidneys
What type of inflammation develops in the intestine in the second stage of dysentery:
diphtheritic
catharrhal.
croupous
phiegmonous
ulcerative
Characteristic complications of typhoid fever include:
intestinal sear stenosis
cachexia
Amyloidosis
intestinal perforation
pyelonephritis
The characteristic manifestation of the cutaneous form of anthrax is:
lymph nodes are not affected
the entry gate of the infection is not found
the outcome is often unfavorable
development of anthrax phlyctena
development of a carbuncle
Solitary gummas during syphilis are often located in:
stomach
skin
liver
kidneys
aorta
Pathological processes that develop in pernicious anemia:
atrophic gastritis, hepatic heromelanosis
demyelination, pyoid bane marrow
microspherocytosis. splenomegaly
macrocytosis. funkular myelosis
necrotizing angina, atrophic glossitis
The characteristic feature of tertiary syphilis:
primary syphilitic lesion formation
syphilides formation
acute interstitial inflammation develops
gummas formation
hard chancre formation
Characteristics of primary syphilis include:
roseolas formation
chronic interstitial inflammation develops
gummas formation
papules formation
primary syphilitic lesion formation
Papillary growth due to follicular epithelial proliferation, colloid vacuolization, changes in its staining properties, lympho-plasmocytic infiltration of the stroma, lymphoid tissue hyperplasia with germinal centers, myocardial hypertrophy, liver fibrosis, thymomegaly, and adrenal corti layer atrophy are characteristic of:
Graves' disease
Fibrous goiter
Hashimoto's goiter
Endemic goiter
Riedel's goiter
The pathology of the brain characteristic for the primary-septic form of anthrax:
purulent meningoencephalitis
brain hematoma
hemorrhagic meningoencephalitis
brain ischemic infarcts
granulomatous meningoencephalitis
In traumatic surgical interventions, septic shock with hyperproduction of endotoxins, obstetric DIC syndrome, the development of thrombinemia with the appearance of a large number of microthrombi in blood vessels is initiated:
formation of a 'tissue factor + factor Vila' complex
activation of the primary anticoagulant system
formation of pathological anticoagulants
activation of the platelet component of haemostasis
decrease in endothelial thromboresistance
Manifestation of immunodepressive effects of the influenza virus:
dyscirculatory changes
autoimmunization
dystrophic changes in internal organs
spleen hyperplasia
addition of secondary infection
Changes in internal organs during the algid stage of cholera:
atrophy of lymphoid tissue in spleen
splenic hyperplasia
diphtheritic inflammation develops in the intestines
amyloidosis
nephrosclerosis of the kidneys
Gluccocoticoids are produced.
Adrenal medulla
Adrenal cortex
Beta cells of pancreas
Thyroid follicles
Testicular glandulocytes
What is the mechanism of action of Sertrallne?
Increase GABA activity
Inhibits serotonin reuptake
Blocks a adregnic receptors
Blocks M cholinergic receptors
The concentration of dopamine in CNS decreases
Antihypertensive drug from group of beta blockers:
Verapamil
Metoprolol
Perindopril
Indipamide
Sodium nitroprusside
Bronchodilators include:
Isoprenaline, eufylline, salbutamol
Beclomethasone, ketotifen, ambroxol
Cromolyn sodium, ketotifen, eufylline
Guaifenesin, tusuprex, oxeladin
Cordiamin, ganglioplegic bromide, potassium iodide
Indications for the appointment of this drug are hyperacid conditions, heartburn, and metabolic acidosis. Contraindications include alkalosis and hypokalemia.
sodium bicarbonate
Maalox
Phosphalugel
Almagel
Magnesium oxide
These drugs have an inhibitory effect on the final stages of hydrochloric acid synthesis, suppress nocturnal and stimulated gastric acid secretion. Omeprazole and its analogs have a prolonged effect, faster symptomatic relief, and promote faster healing of duodenal ulcers. After the abolition of this group of drugs, gastric secretion is restored.
M-cholinoblockers
Uptake pump blockers
Antacids
H2-histamine receptor blockers
Prokinetics
Select a drug used in gastroenterology for the treatment of chronic hepatitis, cholangitis, cholecystitis, habitual constipation. It contains bile, garlic extract, nettle extract, activated carbon, and auxiliary substances.
Festal
Panzinorm
Allochol
Creon
Inhibits alpha-glucosidase and slows down the absorption of glucose in the intestine.
Acarbose
exenatide
Glucagon
Nateglinide
Pioglitazone
Having a state of calm, tranquilizing or anxiolytic effect - the ability to reduce the state of internal tension.
Tranquilizers
Neuroleptics
Antidepressants
Psychostimulants
Nootropics
The mechanism of action of Levodopa is:
MAO inhibitor
Blocking MAO receptors
Increasing dopamine deficiency
Restoration of dopamine deficiency
Dopamine receptor agonist
Patient S. was admitted to the clinic with a diagnosis of coronary heart disease. From the anamnesis, it turned out that he also has bronchial asthma. Which antianginal drugs are contraindicated in this patient?
Nitrates
Cardiac glycosides + nitrates
β-blockers (Beta-blockers)
Calcium channel blockers
Help in slow heart blockers
A person with a history of subfebrile anemia took a drug without a doctor's prescription; after that, the patient developed abdominal pain, jaundice, and dark urine. This is a result of an overdose of which drug? And name a pharmacological antidote to eliminate the overdose.
Paracetamol, acetylcysteine
Aminazine, bemegride
Diazepam, flumazenil
Morphine, naloxone
Aspirin, sodium bicarbonate
A patient with epilepsy was prescribed a drug. Soon after regular use, he developed signs of a disorder in the activity of male sex hormones, which later led to gynecomastia and impotence. What drug did the patient use?
Cimetidine
Finasteride
Spironolactone
Ketoconazole
Digoxin
The mechanism of action of Selegiline is
Blocking NMDA receptors
Regulation of dopamine deficiency
Blocking dopamine receptors
Inhibition of histamine receptors
Inhibition of MAO type B
By blocking dopamine receptors in the central nervous system, productive symptoms of psychosis are eliminated. What pharmacological mechanism does this lead to?
Antidepressant
Analgesic
Neuroleptic
Antiparkinsonian
Sleeping pill
Specific reversible COMT inhibitor with peripheral action:
Selegiline
Levodopa
Entacapone
Carbidopa
Amantadine
Typical neuroleptic:
Haloperidol
Atensiol
Clopixolum
Risperidone
Fenistilol
Which of the following drugs induce metabolism of Warfarin and cause a decrease in its plasma concentration?
Neodicumarin
Fraxiparine
Carbamazepine
Heparin
Sinkumar
Indications for prescribing pirenzepine:
Laryngospasm, bronchial asthma, angina
Raynaud's disease, obliterating endarteritis, pheochromocytoma
Menier's disease, mydriasis
Atony of the gastrointestinal tract and bladder, hypertension
Gastric and duodenal ulcers, gastritis
Effectiveness of heparin in patients with low activity of antithrombin: Ill Is:
Increased
Decreased
The Low level of antithrombin III increases heparin efficacy
The high level of antithrombin III decreases heparin efficacy
The level of antithrombin III does not influence heparin efficacy
Patient K. was admitted to the clinic with a diagnosis of coronary heart disease. From the anamnesis it turned out that he also suffers from gout. Which drugs are contraindicated in this patient?
Heparin sodium
Dipyridamole
Activators of K+ channels
Beta-Adrenergic blockers
L-type calcium channel blockers
A patient with a gastric ulcer was prescribed a drug. Soon after regular use, he developed signs of a disorder in the activity of male sex hormones: gynecomastia and impotence. What drug did the patient use?
Aspirin
Omeprazole
Pirenzepine
Ranitidine
Bismuth subcitrate
Patient E. was admitted to the clinic with a diagnosis of coronary heart disease. From the anamnesis it turned out that he also suffers from bronchial asthma. Which drug is contraindicated in this patient?
Nitroglycerin
Isosorbide dinitrate
Propranolol
Verapamil
Amlodipine
The patient complains of general weakness, nausea, thirst, swelling, infrequent urination. The disease st. otitis. Dally utine output is 600 ml protein is 2.2 g/1. Blood ESR is high. The most probable etiological factor:
adenovirus
Eschenchia coll
Staphylococcus
Streptococcus
Rhinovirus infection
What type of pericardial inflammation develops using transmural and subepicardial infraction:
Fibrous
Purulent
Proliferative
serous
Catarrhal
Thyroid disease characterized by massive lymphoid infiltration with follicle formation, follicular epithelial cells with Hürthle cells:
Sporadic goiter
Diffuse toxic goiter
Riedel's thyroiditis
Hashimoto's thyroiditis
Subacute thyroiditis
Patients with diabetes mellitus often have skin lesions in the form of furunculosis, fungal infections, trophic ulcers, and poor wound healing. What is the reason for these complications?
Development of glucose toxicity
increased synthesis of ketone bodies
Activation of beta-oxidation of fatty acids
Activation of protein catabolism
Activation of lipolysis
In hyperthyroidism, the expression of beta-adrenergic receptors in tissues increases under the influence of thyroid hormones. What occurs as a result?
Tachycardia occurs
Develops immune ophthalmopathy
Tremor and muscle weakness occur
Lowers blood pressure
Basal metabolism is enhanced
When a young woman with habitual non-pregnancy was examined, lupus anticoagulant-antiphospholipid antibody IgG was found. This is in favor of:
Increased risk of hemorrhagic syndrome
Activation of primary fibrinolysis
Accelerated conversion of prothrombin to thrombin
Increased risk of thrombosis
Elevated antithrombin III levels
In the early stages of the pathogenesis of rheumatoid arthritis, the leading role is played by:
Changes in the phenotype of synoviocytes
Autoimmune mechanisms
Destruction of articular cartilage
Infiltration of pannus from synovial lining into cartilage
Infiltration of the synovial membrane by NK cells
In gout, sodium monourate is most commonly deposited as needle-shaped crystals in:
Ventricular lung tissue
Extracellularly in a vascular tissue
Myocardium of the left ventricle
Intracellularly in well-vascularized tissues
The white matter of the brain
A man suffered a terminal cardiac arrest due to an electrical injury in which current was passed through a left arm–right leg loop:
Ventricular asystole
Ventricular fibrillation
Supraventricular paroxysmal tachycardia
Atrial fibrillation
Complete transverse blockade
Diabetic microangiopathies are characterized by:
Lesion of elastic vessels
Generalized chaotaxy
Atherosclerotic lesion
Exudative inflammation
Glucoprotein deposition in the walls of blood vessels
Inhibition of fibrinogenesis
Development of fibrosis
Inhibition of the synthesis of growth factors
Inhibition of collagen synthesis
Regression of pancreatic necrosis foci
Premature contraction of the heart caused by an impulse originating in one part of the intraventricular conducting system or ventricles is:
Ventricular asystole
Ventricular tachycardia
Atrial fibrillation
Atrial flutter
Ventricular fibrillation
A 56-year-old patient has a gastric ulcer associated with H. pylori. A study of stomach secretory function shows basal secretion of 90 units (normal 40-60 units) and total acidity of 50-100 mM/L. The secretory dysfunction is caused by excessive secretion of:
Cholecystokinin
Histamine
Somatostatin
Serotonin
Dopamine
A patient exhibits edema and thickening of the skin due to hydrophilic glycosaminoglycan accumulation in connective tissues. Other symptoms include decreased mental activity, drowsiness, fatigue, cold intolerance, general weakness, apathy, slow speech, and decreased intellect. These are characteristic of:
Hyperthyroidism
Myxedema
Euthyroidism
Thyrotoxicosis
Basedow’s disease
Complication of recurrent warty endocarditis:
Thrombosis of leg veins
Mediastinitis
Splenic infarction
Purulent meningitis
Pulmonary venous infarction
The patient died of heart disease. During the autopsy, an irregular oval-shaped, yellow-colored, hemorrhagic section was found on the posterior wall of the left ventricle of the heart. In the center of the focus, the myocardium is torn, and blood is collected in the pericardial sac. Choose the correct statement for this situation.
This pathology is chronic ischemic heart disease; its complication is pulmonary hemosiderosis.
This pathology is chronic ischemic heart disease; its complication is pulmonary edema.
This pathology is acute ischemic heart disease; its complication is pulmonary hemosiderosis.
This pathology is acute ischemic heart disease; its complication is induration of the lungs.
This pathology is acute ischemic heart disease; its complication is hemopericardium.
The method used by a pathologist to determine the etiology of viral encephalitis:
Polarization
Immunohistochemical
Cytological
Immunobiological
Fluorescent
Selective damage to motor neurons in the gray matter of the anterior horns of the spinal cord in the cervical-thoracic region occurs in:
Meningoencephalitic type of tick-borne encephalitis
Polyencephalomeningeal type of tick-borne encephalitis
Polioencephalitic type of tick-borne encephalitis
Meningeal type of tick-borne encephalitis
Poliomyelitic type of tick-borne encephalitis
Additional route of tick-borne encephalitis infection (other than transmissive):
Parenteral
Alimentary
Airborne
Contact household
Sexual
Secondary changes in keratinizing squamous cell carcinoma of the skin:
Necrosis
Mucinization
Proliferation
Encapsulation
Metastasis
Characteristic symptom of restrictive cardiomyopathy:
Myocardium color is dirty yellow
Ventricles are not dilated
Ventricles are enlarged
Myocardium appearance is mottled
Left ventricle dilatation
Negative outcome of endocarditis:
Pericarditis
Development of heart defect
Diffuse cardiosclerosis
Amyloidosis
Scarring
A 45-year-old woman had uterine bleeding, and a diagnostic curettage was taken from the endometrium. Histological analysis showed irregularly shaped glands in the endometrium, and stromal cells were hyperplastic. Choose the correct statement for this case:
This pathological process is adenomyosis.
This pathological process is endocervicosis.
As a complication, uterine polyps often develop.
As a complication, uterine cancer may develop.
The endometrium becomes thinner in this pathology.
The main pathological process in thrombocytopenia:
Hemorrhagic syndrome
Hypercoagulation
Immunodeficiency syndrome
Hepatorenal syndrome
Nephrotic syndrome
Patients with diabetes mellitus often have skin lesions in the form of furunculosis, fungal infections, trophic ulcers, and poor wound healing. The development of glucose toxicity:
Decreased synthesis of ketone bodies
Activation of beta-oxidation of fatty acids
Activation of protein catabolism
Activation of lipolysis
In hyperthyroidism, the expression of beta-adrenergic receptors in tissues increases under the influence of thyroid hormones:
Develops immune ophthalmopathy
Tremor and muscle weakness occur
Heart blood pressure rises
Basal metabolism is enhanced
Examination of the ventilation function of the lungs revealed a decrease in the volume of forced expiration in 1 second, a decrease in vital capacity. These indicators are typical for:
Bronchial asthma
Pneumonia
Fibrous pleurisy
Hydrothorax
Pulmonary atelectasis
A newborn has acute respiratory failure as a result of the development of primary atelectasis and interstitial pulmonary edema. The development of which is based on:
Pulmonary arterial hypertension
Bronchial patency disorder
Deficiency or reduced surfactant activity
Increasing the surface tension of the alveoli
Impaired diffusion of gases
At the end of the first week, a patient with ALF has lethargy, muscle hypotonia, and hyporeflexia. Data is characterized by the following disturbances in homeostasis:
Hypokalemia
Increasing hyperazotemia
Hyperhydration of the body
Hypouricemia
Increased protein catabolism
A patient with sepsis developed acute lung injury accompanied by severe hypoxemia that does not respond to oxygen therapy, a decrease in lung extensibility, and bilateral pulmonary infiltration. In the pathogenesis of this syndrome, an important role is played by:
Reduced permeability of alveolo-capillary membranes
Alveoli hyperventilation
Increased oxygen infiltration
Increased production of inflammatory mediators
Enhanced surfactant synthesis
The mechanism of aortic aneurysm development in syphilis:
Disruption of the aortic elastic layer due to gummatous infiltrate
Disruption of the aortic elastic layer due to atherosclerotic changes
Development of the aneurysm due to thickening of the aortic elastic layer
Disruption of the elastic layer due to high pressure in the aorta
Disruption of the aortic elastic layer due to gumma effect
The characteristic sign of primary syphilis is:
Syphilides formation
Hard chancre formation
Acute interstitial inflammation develops
Gummas formation
Chronic interstitial inflammation develops
Changes identified in the small intestine during the third stage of typhoid fever include:
Scar formation
"Dirty" ulcers
Gangrene
Brain-like swelling
Venous congestion
Immunosuppression in leukemia leads to:
Lesions of thoracic and cervical lymph nodes
Splenomegaly and proliferation of blast cells
Amyloidosis and paranephrotic edema
Myeloma damage to the kidneys and amyloidosis
Ulcerative-necrotic changes and sepsis
Macroscopic changes in the intestinal wall during diphtheritic colitis:
Intestinal wall is thickened
Meissner’s plexus dystrophy
Leukocytic infiltration
Lymphocytic infiltration
Intestinal wall is thinned
Type of generalized hematogenic tuberculosis:
Chronic miliary tuberculosis
Primary pulmonary cavern
Very acute tuberculosis sepsis
Growth of primary affect
Formation of caverns
Source of influenza infection:
Domestic animals
Bats
Birds
Virus carriers
Sick person
What characteristic tissue reaction develops in the lymph nodes of the lungs during tuberculous lymphadenitis?
Fibrinoid necrosis
Dystrophic changes
Purulent inflammation
Caseous necrosis, granuloma
Hemorrhagic inflammation
Patient K. has ischemic stroke. Spastic left-sided paralysis of the upper extremity developed. This indicates damage to which of the following gyrus of the cerebral hemispheres?
Hippocampal
Superior temporal
Postcentral
Inferior frontal
Precentral
The main informative component of the azotemia index in chronic renal failure is:
hypophosphateria and hypocalcemia
metabolic acidosis
creatinine and hypokalemia
hypo- and dysproteinemia
creatinine and urea
In the pathogenesis of postmenopausal osteoporosis, the following plays an important role:
inhibition of expression by RANKt osteoblasts
overexpression of the RANK ligand
Activating the Wnt Signaling Pathway
Overexpression of OPG
decrease in interleukin production 1: 6
Inflammatory lung hardening syndrome is characterized by:
decrease in mucociliary clearance rate
reduction of mucus production by goblet cells
enhanced antibacterial activity of mucus
increased surfactant formation
reduction of sputum viscosity and adhesion
When coronary blood flow is severely impaired, in the myocardium ischemia, damage and necrosis develop active electrode records:
Packer waves 1
ST segment depression
abnormal Q spike
negative T wave
prolongation of the PQ interval
Medicines for the treatment of patients with psychosis:
Tranquilizers
Narcotic analgesics
Antiparkinsonian drugs
Neuroleptics
Antidepressants
In young children, compared to adults, respiratory failure develops more quickly in similar situation:
insufficient development of elastic fibers in lung tissue
low oxygen demand
low aperture
greater depth of breathing, inhalation and exhalation reserves
large diameter of bronchi and trachea
A 47-year-old female patient, in the last 2 months, complained of attacks of suffocation with examination: diffuse cyanosis, distant dry crackles, participation of auxiliary muscles in the a The Tiffno Index is 57%. In the development of this typical form of pathology, the following is
inhibition of the cholinergic nervous system
enhanced production of vasoactive intestinal polypeptide
decreased production of neurokinin A
activation of alpha adrenergic receptors
activation of beta-2-adrenergic receptors
A 63-year-old man complains for nausea, vomiting. and a visual sensation of green-yellow circles around diagnosed with heart failure and atrial fibrillation and started appropriate treatment two weeks earlier. Medications most likely caused the symptoms in this patient?
Orthostatic hypotension is caused by taking nitrates
Tachycardia is caused by vasodilators
Digitalis intoxication is caused by taking cardiac glycosides
Angina pectons and 'steal' syndrome
Hypertensive crisis is caused by cardiotonic drugs
Cholestyramine enters into a complex with bile acids and endotoxins, belongs to the group:
astringent
antiemetic
enveloping
adsorbing
antispasmodics
Complications of type 2 diabetes mellitus:
Hemolytic anemia
Melanoderma, liver cirrhosis
Gastrointestinal bleeding
Obstructive jaundice
Pyoderma, blindness
Thyroid disease characterized by massive lymphoid infiltration with follicle formation, follicular epithelial cells with increased:
Sporadic goiter
Diffuse tonic goiter
Redel's thyroiditis
Endemic goiter
Autoimmune thyroiditis
Select a drug from the group of monoclonal antibodies to TNF alpha:
Infinomab
Sulfinpyrazone
Auronofin
Leflunomide
Penicillamine
What are the pharmacological effects of glucocorticosteroids used in the treatment of rheumatic diseases?
As a replacement therapy
Antiallergic, anti-shock
Anti-inflammatory, anti-shock
Immunosuppressive, anti-shock
Immunosuppressive, anti-inflammatory
Colchicine in an inflamed joint with gout:
Inhibits COX-1 and COX-2
Binds beta tubulin, inhibits mitosis, disrupts leukocyte chemotaxis, and disrupts urate phagocytosis
Activates the enzyme xanthine oxidase
Blocks the enzyme xanthine oxidase
Inhibits phospholipase A-2
Patient O., 32 years old, with infertility, was diagnosed with oligozoospermia caused by a disorder of spermatogenesis. Dysfunction is associated with damage to the following testicular structures:
Seminal vesicles
Albuginea membrane of the testicles
Straight seminiferous tubules
Convoluted seminiferous tubules
Testicular interstitial tissue
Patient R., 58 years old, with acute myocardial infarction, is infused with thrombolytic drugs (rheopolyglucin) with simultaneous administration of heparin. The result of therapy may be the development of reperfusion syndrome, one of the manifestations of which is:
Morgagni-Adams-Stokes syndrome
No-reflow syndrome
Chronic right ventricular failure syndrome
Wolf-Parkinson-White syndrome
Dressler syndrome
What is the name of the condition when the action of levodopa becomes irregular (alternating between 'on' and off):
Dystonia
the on-off phenomenon
paresthesis
Cholinergic crisis
In stage 3 of DIC, depletion of plasma factors, activation of fibrinolysis, and thrombocytopenia lead to the development of:
Tissue ischemia
Hemorrhagic syndrome
Metabolic acidosis
Thromboemboli
Which stage of syphilis develops as a manifestation of the slow (delayed) type of hypersensitivity:
Primary
Secondary
Tertiary
Thyroid disease leading to the following heart changes: left ventricular hypertrophy, serous edema, lymphoid infiltration of interstitial tissue, intracellular edema of muscle fibers:
Hashimoto's thyroiditis (Autoimmune thyroiditis)
Endemic goiter
Sporadic goiter
Riedels thyroiditis
Myxedema
Patient O., 30 years old, with mitral stenosis has a heart rhythm disorder with chaotically different
R-R intervals and absence of a smooth isoline between QRS complexes. What type of arrhythmia
has developed in the patient? Indicate where the ectopic activity foci generating impulses are
most often localised in this arrhythmia
coronary sinus
Tachycardia, superior vena cava
nodal tachycardia, atrioventricular node
Atrial fibrillation, upper pulmonary vein muscular coupling (ectopic foci)
posterior wall of right atrium
Primary glandular hypoparathyroidism is characterized by
Bone decalcification
Increased bone resorption
advanced education 1, 25(OH)2D3
Hypocalcemia and hyperphosphatemia
hypercalcemia and hypophosphatemia
Which drug is used as calcium channel antagonist?
verapamil/nifedipine/ amlodipine/diltiazem
ivabadrin
Bromocriptine
Which drug is NOT a calcium channel antagonist?
verapamil
nifedipine
ivabadrin
amlodipine
diltiazem
Disrupts the synthesis of nucleic acids, Is an antagonist of folic acid:
Methotrexate
Infliximab
The threshold for the development of irreversible changes in neurons is the level of perfusion:
80ml/100g/ min-1
50ml/100g/ min-1
35ml/100g/ min-1
20ml/100g/ min-1
10 ml/100 g/ min-1 or less
What morphological changes can most often can be detected in moderated influenza:
Chronic bronchitis
Generalized bronchospasm
Necrotic tracheitis
Causes of thyrotoxicosis:
Hashimoto's goiter
Redel's thyroiditis
Colloid goiter
Thyroiditis, Grave's disease
