A 35-year-old man complains of severe epigastric pain occurring 2-3 hours after meals and at night; recently, the pain has become accompanied by nausea and sometimes vomiting. There were two episodes of melena. X-ray examination reveals the 'niche' symptom. Laboratory examination: hemoglobin 90 g/l, erythrocytes 3.5x1012/l, leukocytes 8x109/l. Biopsy of the ulcer site: Helicobacter pylori +++. Gastric secretion analysis revealed increased levels of basal secretion, total acidity, free and bound HCI, and pepsin. Define the pathology most likely to develop in the patient?

A 35-year-old man complains of severe epigastric pain occurring 2-3 hours after meals and at night; recently, the pain has become accompanied by nausea and sometimes vomiting. There were two episodes of melena. A radiograph shows the 'niche' symptom. Laboratory examination: hemoglobin 90 g/l, erythrocytes 3.5x1012/l, leukocytes 8x109/l. Biopsy of the ulcer site: Helicobacter pylori +++. Analysis of gastric secretion revealed increased levels of basal secretion, total acidity, free and bound HCI, and pepsin. What is the most likely mechanism of ulcer formation under the influence of Helicobacter pylori?

A patient with yellow skin staining has elevated levels of unconjugated bilirubin in the blood. What is the most likely cause of this pathology?

5-year-old child has increased salivation, spitting, and maceration of the skin around the mouth. Which of the following is the most likely consequence of this pathology?

A 45-year-old man complains of bloating, flatulence, and liquid stools. These symptoms appeared several months ago, occurring 30-60 minutes after breakfast. Every day he eats cereal with milk and yogurt for breakfast. Physical examination revealed no abnormalities. The patient was suggested to stop taking dairy products for 1 week. All his symptoms disappeared. What is the most likely cause of this pathology?

A 65-year-old man has been diagnosed with a mechanical type of constipation. The patient most likely has diverticulosis of the colon

A 55-year-old woman with chronic hepatic insufficiency showed prolongation of prothrombin time, decreased prothrombin index with normal fibrinogen content and normal thrombin time. What is the leading factor in the pathogenesis of changes in the patient's hemostasis parameters?

A 55-year-old man complains of bloating, emaciation, frequent diarrhea, and vomiting. The man abuses alcohol. Laboratory findings. Blood: hemoglobin 110 g/l, red blood cells 3.4x1012/l, white blood cells 9x109/l, glucose 11 mmol/l, protein 55 g/l, serum amylase: 150 ME/l (normal 40-140 ME/l), serum lipase 50 ME/l (normal 0-50 ME/l). Coprogram: No occult blood, muscle fibers +++, neutral fat +++, starch +++. Identify the pathology developed in the patient?

A 25-year-old woman consulted a physician with complaints of difficulty swallowing 2-3 seconds after swallowing solid food, which appeared six months ago. Initially she was disturbed by a feeling of filling and squeezing in the chest, and then there appeared difficulty in swallowing food associated with a feeling of overflow of the esophagus, which intensified under emotional stress. Data of objective examination, as well as laboratory investigations including general blood count, sedimentation rate, glucose, creatinine, and liver and blood enzymes levels were within normal limits. What is the pathogenesis of the swallowing disorder in this patient?

What kind of arrhythmia?

A 42-year-old woman has persistent headaches, general weakness, muscle weakness, creeping sensation, polyuria, nocturia. The relative density of urine is 1006-1008. BP 230/120 mm Hg. Art. In the blood, the sodium content is increased and the potassium content is reduced. Ultrasound examination revealed a tumor of the right adrenal gland. What is the form of arterial hypertension in the patient?

A woman, 40 years old, complains of a significant increase in body weight. On examination, the person draws attention to the moon-like face, the deposition of fat mainly on the abdomen, neck, swelling in the legs. The examination revealed: blood pressure 160/100 mm Hg, hyperglycemia, hypokalemia, an increase in blood and urine glucocorticoids, ultrasound revealed an adrenal tumor. What is the form of arterial hypertension in the patient?

A 45-year-old man, who has been observed for 7 years with chronic renal failure, has an increase in blood pressure up to 180/130 mm Hg. What is the form of arterial hypertension in the patient?

A 63-year-old man suffering from bronchial asthma has been taking glucocorticoids for several years. During these years, body weight gradually increased, diabetes mellitus and arterial hypertension developed. What is the form of arterial hypertension in the patient?