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Pathphysio 2 81-100

Total questions: 14

Worksheet time: 7mins

Name
Class
Date
1.

A 54-year-old man suffering from alcoholic cirrhosis of the liver underwent paracentesis. About five liters of ascitic fluid were evacuated. Immediately after the intervention, the patient felt a sharp weakness, nausea, darkening in the eyes. Systolic blood pressure is 60 mmHg, diastolic is not determined. Has the patient developed?

a)

traumatic shock

b)

collapse

c)

coma

d)

pain shock

e)

precom

2.

A 39-year-old man has severe headaches, general weakness, muscle weakness, a creeping sensation, and polyuria. BP 180/110 mm Hg.Art. The density of urine is 1006-1008. In the blood, the sodium content is increased, and the potassium content is reduced. Ultrasound examination revealed a tumor of the left adrenal gland. In the pathogenesis of arterial hypertension is important

a)

persistent increase in the excitability of sympathetic nerve centers

b)

chronic excitement of emotional centers

c)

decrease in the inhibitory effect of the cerebral cortex on the vasomotor center

d)

hereditary defect of membrane ion pumps of vascular myocytes

e)

excess production of aldosterone

3.

A man, 36 years old, 10 years ago was exposed to chronic glomerulonephritis. He notes swelling of the face, legs and an increase in blood pressure up to 220/140 mm Hg. In the general analysis of urine - proteinuria and microhematuria. What is the mechanism of arterial hypertension formation?

a)

activation of the renin-angiotensin-aldosterone system

b)

decrease in the secretion of erythropoietin

c)

increased reabsorption of water in the kidneys

d)

decrease in the secretion of renal kinins, prostaglandins

e)

increased sodium reabsorption in the kidneys

4.

A 46-year-old man, during the day during physical activity, developed severe chest pains, which were stopped by nitroglycerin. In the evening, the pains resumed and became more severe. Shortness of breath and cough with profuse liquid sputum appeared. Objectively: the skin and visible mucous membranes are pale with a cyanotic tinge. During auscultation, moist rales of various sizes are heard over the entire surface of the right and left lungs. BP - 90/60 mm HgWhat is the form of heart failure in the patient's location?

a)

right ventricular

b)

myocardial

c)

left ventricular

d)

acute

e)

chronic

5.

A 40-year-old man has an elevated blood pressure up to 210/120 mm Hg. Art. There is no influence of psychoemotional factors. It is not possible to normalize blood pressure with antihypertensive drugs. Vascular angiography revealed constriction of the renal arteries. General urine analysis without pathology. What is the form of arterial hypertension in the patient?

a)

endocrine

b)

renal renoprivative

c)

essential

d)

neurogenic reflex

e)

renal renovascular

6.

What symptom is characteristic of a violation of cerebral circulation in the anterior cerebral artery basin?

a)

Hemiplegia

b)

Hemianopsia

c)

Hemianesthesia of all types of sensitivity

d)

Hemiataxia

e)

Paresis of the lower limbs

7.

The most common cause of cerebral infarction is:

a)

Cerebral atherosclerosis

b)

Inflammation of the vessels of the meninges

c)

Fibromuscular dysplasia

d)

Traumatic brain injury

e)

Demyelinating diseases

8.

Shershevsky-Turner syndrome occurs as a result of disorders

a)

sex chromosomes

b)

autosomes

c)

amino acid metabolism

d)

vitamin exchange

e)

carbohydrate metabolism

9.

Myxedema-like syndrome with mental retardation is observed in newborns of mothers suffering from:

a)

hyperthyroidism

b)

hypothyroidism

c)

diffuse toxic goiter

d)

focal ('island-shaped ') goiter

e)

jet

10.

The mediator of the inhibitory action is

a)

acetylcholine

b)

GABA

c)

norepinephrine

d)

adrenalin

e)

serotonin

11.

Patient A., with type 1 diabetes, was admitted to the emergency department complaining of nausea and abdominal pain for the past 6 hours. Blood glucose concentration was 28 mmol/l. Urine tests showed the presence of ketone bodies. Which of the results of the gas analysis is most likely?

a)

рН - 7,28; РаСО2 – 51 mmHg; НСО3- - 23 mEq/L

b)

рН - 7,29; РаСО2 – 30 mmHg; НСО3- - 14 mEq/L

c)

рН - 7,46; РаСО2 – 29 mmHg; НСО3- - 20 mEq/L

d)

рН - 7,49; РаСО2 – 33 mmHg; НСО3- - 24 mEq/L

e)

рН - 7,52; РаСО2 – 52 mmHg; НСО3- - 41 mEq/L

12.

Patient A. complains of lethargy, drowsiness, memory loss, frequent headaches. A year ago, an operation was performed to remove a thyroid adenoma. On examination, the patient is overweight, the skin is pale, dry with a marbled hue, dense edema of the face, trunk, feet. Pulse 50 per minute, body temperature 34.40C. Laboratory data: TSH - 15 mIU/L (0.34–4.25 mIU/L); Thyroxine, T4 - 40 nmol/l (70–151 nmol/l). What complication could develop after surgery to remove a thyroid adenoma?

a)

Recurrence of adenoma

b)

Hyperthyroidism

c)

De Quervain's thyroiditis

d)

Toxic goiter

e)

Hypothyroidism

13.

During a routine examination, the patient was diagnosed with bitemporal hemianopsia by an ophthalmologist. She complains of discomfort when reading (however, the patient does not notice peripheral vision loss), excessive hair growth, a feeling of hot flashes, palpitations, profuse sweating, and bulges in the supraclavicular region. The patient's existing damage to the neurosecretory cells of the hypothalamus may lead to a violation of transhypophyseal regulation of which gland?

a)

pancreas

b)

parathyroid

c)

thyroid

d)

thimus

e)

epiphysis

14.

Patient T. complained of thirst, dry mouth, itchy skin in the perineum, excessive urination, weakness. Similar complaints appeared 3 months ago. Objectively: Height 160 cm, body weight 92 kg, dry skin, traces of scratching are visible. Subcutaneous fat is excessively developed. BP 140/90 mm Hg. What peripheral mechanism of insulin resistance can lead to this pathology?

a)

increase in receptors GLUT-4

b)

hypoalbuminemia

c)

low liver insulinase activity

d)

congenital anomalies of the gland

e)

insulin receptor blockade