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WorksheetsUntitled Quiz
Total questions: 105
Worksheet time: 53mins
What is the name for the enlarged chest cavity in pulmonary emphysema?
Paralytic
Scaphoid
Barrel-shaped
Asymmetrical
Keeled
Pain in respiratory diseases is caused by predominant damage
Bronchioles
Alveolar tissue
Interstitial tissue
Pleural sheets
Vessels of the lung
What lung disease is characterized by hemoptysis?
Acute bronchitis
Focal pneumonia
Bronchial asthma
Emphysema of the lungs
Pulmonary tuberculosis
What conditions are characterized by the occurrence of dry wheezing?
Narrowing of the bronchial lumen
Thickening of the pleural sheets
The presence of viscous secretion in the lumen of the alveoli
The presence of liquid secretion in the lumen of the bronchi
Collapse of lung tissue
Characteristic sign of vesicular breathing
Harsh loud breathing noise
Breathing noise resembling the sound "X"
It is heard mainly during inspiration.
It is heard above the larynx.
It is heard in the region of the 7th cervical vertebra
The most likely cause of shortness of breath development is due to organ pathology blood circulation is:
Venous congestion in the pulmonary circulation
Spasm of the pulmonary arteries
C. Portal vein congestion
D. Increased irritation of the respiratory center
E. Venous congestion in the systemic circulation
In case of heart failure, the most likely cause of development hepatomegaly?
Venous congestion in the systemic circulation
Spasm of the hepatic artery
Impaired mesenteric circulation
Spasm of mesenteric vessels
Venous congestion in the portal vein
Which of the following names is most likely suitable accumulation of edematous fluid in the abdominal cavity?
Hydrothorax
Hydropericardium
Ascites
Anasarca
Stokes collar
Sharply expressed pulsation along the left edge of the sternum and in the epigastric region area caused by hypertrophy and dilation of the right ventricle is called?
Apex impulse
Cardiac impulse
Cardiac hump
“Carotid Dance”
Capillary pulse
What is the mechanism of occurrence of the symptom "cat purring"?
Turbulent blood flow in case of stenosis of the valve orifice
Regurgitation of blood due to valve insufficiency
Non-simultaneous closure of the atrioventricular valve cusps
High pulmonary artery pressure
Aneurysm of the ascending aorta
What conditions are characterized by the occurrence of wet wheezing?
Narrowing of the bronchial lumen
Thickening of the pleural sheets
The presence of viscous secretion in the lumen of the alveoli
The presence of liquid secretion in the lumen of the bronchi
Collapse of lung tissue
Characteristic sign of laryngotracheal breathing
Soft blowing breathing noise
Breathing noise resembling the sound "F"
It is heard mainly during inspiration.
It is heard above the larynx.
It is heard in the axillary areas
A box percussion sound over the lungs occurs when
With increased airiness of the lung tissue
Atcollapse of lung tissue
When fluid accumulates in the pleural cavity
If there is a cavity in the lung
With inflammatory compaction of lung tissue
What pathological condition is characterized by paralytic chest?
Fibrous shrinkage of lung tissue
Increasing the airiness of the lung tissue
Narrowing of the bronchial lumen
Accumulation of air in the pleural cavity
Inflammatory infiltration of lung tissue
Dry wheezing is characterized by
They are heard only on inhalation.
Does not change after coughing
Increased by pressing a stethoscope on the chest
They are divided into whistling and buzzing
They resemble bursting bubbles
In case of cardiovascular pathology, what is the most likely cause of liver enlargement?
Obstruction of the bile ducts
Stagnation of blood in the systemic circulation
Spasm of the mesenteric arteries
Atherosclerosis of the hepatic artery
Portal hypertension
In case of cardiovascular pathology, among the causes that led to the development of edema, what is the most likely?
Stagnation of blood in the pulmonary circulation
Increased hydrostatic pressure in the vessels
Decrease in oncotic pressure of blood plasma
Spasm of peripheral arteries
Peripheral arterial thrombosis
Absolute cardiac dullness is presented
The outer edge of the left ventricle
Anterior surface of the left ventricle
Anterior surface of the right ventricle
The right edge of the right atrium
The surface of the heart covered by the lungs
Auscultatory symptoms in arterial hypertension syndrome:
Increased heart sounds at the apex
Increased heart tones
Increased 2nd sound on the pulmonary trunk
Increased 2nd aortic sound
Systolic murmur at the apex of the heart
Which of the following changes is most characteristic of heart failure?
Increased skin moisture
Hyperemia of the skin
Blueness of the skin
Skin rashes
Skin depigmentation
For what conditions is crepitus characteristic?
Narrowing of the bronchial lumen
Thickening of the pleural sheets
The presence of viscous secretion in the lumen of the alveoli
The presence of liquid secretion in the lumen of the bronchi
Collapse of lung tissue
A characteristic feature that distinguishes pathological bronchial breathing from normal bronchial breathing
Harsh loud breathing noise
Breathing noise resembling the sound "X"
It is heard mainly on exhalation.
It is heard over the lung tissue.
It is heard in the region of the 7th cervical vertebra
Amphoric breathing is a type
Vesicular breathing
Pathological bronchial breathing
Laryngotracheal respiration
Dry wheezing
Stridorous breathing
A dull percussion sound over the lungs occurs when
With increased airiness of the lung tissue
When the lumen of the bronchi is narrowed
When air accumulates in the pleural cavity
If there is a cavity in the lung
With inflammatory compaction of lung tissue
Moist rales are characterized by
They are heard only on inhalation.
Does not change after coughing
Increased by pressing a stethoscope on the chest
They are divided into whistling and buzzing
They resemble bursting bubbles
The accumulation of edematous fluid in the pericardium is called
Hydropericardium
Hydrothorax
Pericarditis
Pleuropericarditis
Cor bovinum
The appearance of local swelling of the face, neck, and shoulder girdle due to compression of the superior vena cava is called?
Hydrothorax
Hydropericardium
Ascites
Anasarca
Stokes collar
Which of the following options is the most likely cause of displacement of the right border of relative cardiac dullness to the right?
Aortic aneurysm
Enlargement of the left atrium
Low position of the diaphragm
Expansion of the pulmonary trunk cone
Dilation of the right ventricle
Which of the following options is the best area for listening to sound phenomena associated with the operation of the mitral valve?
Lower third of the sternum
Apex impulse zone
2nd intercostal space to the left of the sternum
2nd intercostal space to the right of the sternum
The attachment point of the 3-4 ribs at the left edge of the sternum
Accent of the 2nd tone over the aorta is noted in:
Hypertension in the pulmonary circulation
Impaired blood circulation in the lungs
Decreased pressure in the aorta
Mitral valve stenosis
Arterial hypertension
For what conditions is the occurrence of pleural friction rub characteristic?
Narrowing of the bronchial lumen
Inflammatory thickening of the pleural sheets
The presence of viscous secretion in the lumen of the alveoli
The presence of liquid secretion in the lumen of the bronchi
Collapse of lung tissue
Tympanic percussion sound over the lungs occurs when
With increased airiness of the lung tissue
Atcollapse of lung tissue
When fluid accumulates in the pleural cavity
If there is a cavity in the lung
With inflammatory compaction of lung tissue
Crepitus is characterized by
It is heard only on inhalation.
Changes after coughing
Increased by pressing a stethoscope on the chest
Divided into whistling and buzzing options
Reminds me of the crunch of snow
Amphoric breathing occurs when there is air in the lungs
Inflammatory infiltration
Air cavity communicating with the bronchus
Narrowing of the lumen of small bronchi
Fluid accumulation in the pleural cavity
Fibrous shrinkage
The upward displacement of the lower border of the lungs is observed when
Inflammatory infiltration of the lungs
Increasing the airiness of the lungs
Sclerotic shrinkage of the lungs
Narrowing of the bronchial lumen
The presence of a cavity in the lung
Where should sound phenomena associated with the operation of the tricuspid valve be listened to?
A) Apex impulse zone
B) Base of the xiphoid process
C) The second intercostal space to the right of the sternum
D) The second intercostal space to the left of the sternum
E) To the left of the sternum at the point where the 3rd-4th ribs attach to the sternum
Does not apply to the properties of the apex beat
Strength
Frequency
Height
Area
Resistance
At the apex of the heart after the 2nd tone, a murmur is heard, increasing towards the end of diastole. For which defect is it most characteristic?
Mitral stenosis
Mitral valve insufficiency
Aortic stenosis
Aortic valve insufficiency
Tricuspid valve insufficiency
The most characteristic signs of pulsus differens
Hard, high and jumping pulse
The number of pulse waves is greater than the number of heartbeats
The number of pulse waves is less than the number of heartbeats
A sharp decrease in the pulse rate in both radial arteries
Weakened or absent pulsation in one radial artery
The most typical symptom of heart failure is
decrease in cardiac output
decrease in heart rate
cough with purulent sputum and shortness of breath
decrease in daily diuresis
unilateral swelling of the lower limb
With peptic ulcer of the pyloric part of the stomach, pain most often localized in the epigastric region
at the xiphoid process
to the right of the midline
to the left of the midline
in the left hypochondrium
Portal cirrhosis of the liver is characterized by all of the following except:
yellowness of the skin
dilation of the veins of the esophagus
the spleen is of normal size
head of medusa
ascites
What changes, revealed during examination and percussion of the abdomen, are most characteristic of pyloric stenosis?
the abdomen is drawn in (scaphoid), practically does not participate in breathing, pronounced tension abdominal wall muscles
the abdomen is enlarged, dome-shaped, participates in breathing, the navel is retracted, percussion reveals loud tympanitis
the abdomen is enlarged; in a horizontal position it is spread out, in a vertical position it looks saggy, the navel is bulging, on the lateral surfaces of the abdomen there is dilated venous net
in an exhausted patient, a bulge and periodically occurring waves of antiperistalsis are clearly visible in the epigastrium
when examining the abdomen with the naked eye, increased vigorous intestinal peristalsis is noticeable, the abdomen is swollen
What changes revealed during examination and percussion of the abdomen are most characteristic of peritonitis?
the abdomen is drawn in (scaphoid), practically does not participate in breathing, pronounced tension abdominal wall muscles
the abdomen is enlarged, dome-shaped, participates in breathing, the navel is retracted, percussion reveals loud tympanitis
the abdomen is enlarged; in a horizontal position it is spread out, in a vertical position it looks saggy, the navel is bulging, on the lateral surfaces of the abdomen there is dilated venous net
in an exhausted patient, a bulge and periodically occurring waves of antiperistalsis are clearly visible in the epigastrium
when examining the abdomen with the naked eye, increased vigorous intestinal peristalsis is noticeable, the abdomen is swollen
What does the splashing sound in the epigastrium, detected 5-10 minutes after eating, indicate?
the symptom is detected normally
there is free fluid in the abdominal cavity
there is pyloric stenosis
there is a large amount of gas in the large intestine (flatulence in a patient with colitis)
the large intestine contains liquid contents and gases accumulate (for example, in a patient with acute enteritis)
What does rumbling during palpation of the ascending and transverse colon indicate?
the symptom is detected normally
there is free fluid in the abdominal cavity
there is pyloric stenosis
there is a large amount of gas in the large intestine (flatulence in a patient with colitis)
the large intestine contains liquid contents and gases accumulate (for example, in a patient with acute enteritis)
What does liver odor from the mouth indicate in liver diseases?
presence of duodenogastric reflux
an increase in bile acids in the blood against the background of severe cholestasis
violation of the synthetic (protein-forming) function of the liver
heart failure against the background of severe concomitant myocardial dystrophy
a decrease in the detoxification function of the liver in relation to protein breakdown products
What does a positive wave symptom (fluctuation) indicate during bimanual percussion palpation of the abdomen?
the symptom is detected normally
there is free fluid in the abdominal cavity
there is pyloric stenosis
there is a large amount of gas in the large intestine (flatulence in a patient with colitis)
the large intestine contains liquid contents and gases accumulate (for example, in a patient with acute enteritis)
To diagnose damage to the pancreas, a stool test is necessary:
on stercobilin
hidden blood
creator
bilirubin
In what disease is the splashing sound in the stomach relatively often detected on an empty stomach?
acute gastritis
chronic gastritis with decreased secretory function
gastric ulcer
cancer of the cardiac part of the stomach
ulcerative disease of the duodenum with the development of stenosis
How will abdominal auscultation data change in diffuse peritonitis?
normal intestinal peristalsis
sharply increased (violent) intestinal peristalsis
weakening of intestinal peristalsis
vascular noises
absence of intestinal peristalsis ("dead silence")
What disease causes palmar erythema:
myxedema
chronic bronchitis
rheumatic fever
chronic cholecystitis
liver cirrhosis
In what types of jaundice does free and conjugated bilirubin in the blood increase simultaneously?
suprahepatic
subhepatic
liver
for all
What research method can be used to most accurately diagnose peptic ulcer disease?
questioning
superficial abdominal palpation
deep abdominal palpation
study of the secretory function of the stomach
fibrogastroduodenoscopy
Subhepatic jaundice is characterized by all changes except:
total bilirubin in the blood is elevated
conjugated bilirubin is elevated
bilirubin in urine - reaction is negative
urobilin in urine - reaction is negative
stercobilin in feces - reaction is negative
What research method is used to diagnose motor function disorders? intestines?
X-ray examination of the intestine
rectoscopy
X-ray of the stomach
colonoscopy
cholecystography
For diseases of the pancreas, the most characteristic is
liquid black stool
discolored stool
"fatty", shiny, difficult to wash off feces
black formed feces
"sheep droppings"
A 48-year-old woman came to the emergency room of a city clinical hospital complaining of paroxysmal pain in the epigastric region, which is of a girdle nature and is accompanied by repeated vomiting. From the anamnesis, she considers herself ill for 3 days and associates it with eating a fatty cake. What is the most likely disease in this case?
cholecystitis
stomach ulcer
gastritis
pancreatitis
hepatitis
A 32-year-old woman consulted her local doctor complaining of periodic nausea and aching pain in the right hypochondrium after eating fatty foods. On examination, there is pain in the choledocho-pancreatic zone, and positive Ortner's symptoms and phrenicus symptom are also identified. What disease do these symptoms most likely indicate?
cholecystitis
cirrhosis
peptic ulcer
pancreatitis
gastritis
What do the weight loss and muscle atrophy observed in liver diseases indicate?
presence of duodenogastric reflux
an increase in bile acids in the blood against the background of severe cholestasis
violation of the synthetic (protein-forming) function of the liver
heart failure due to myocardial dystrophy
decreased detoxification function of the liver
What is painful urination called?
pollakiuria
strangury
ischuria
anuria
What is meant by the term "hyposthenuria"?
decrease in minute diuresis
monotony of the specific gravity of urine
decrease in the specific gravity of urine
increase in the specific gravity of urine
decrease in minute diuresis with increased specific gravity of urine
Specify the etiological factor most characteristic of glomerulonephritis.
staphylococcus
β-hemolytic streptococcus group A
pneumococcus
E. coli
chlamydia
What is the name for an increase in the daily amount of urine?
pollakiuria
strangury
ischuria
anuria
polyuria
What is the name for frequent urination?
pollakiuria
strangury
ischuria
anuria
polyuria
Chronic renal failure is characterized by all of the following except:
the smell of ammonia from the mouth
diarrhea
cachexia
anemia
hypersthenuria
The most reliable sign of chronic renal failure is:
arterial hypertension
hyperkalemia
increased blood creatinine levels
oliguria
anemia
Excretory anuria is a consequence of:
acute glomerulonephritis
urolithiasis
chronic pyelonephritis
comatose state
What microorganism is most often the causative agent of urinary tract infections?
staphylococcus
β-hemolytic streptococcus group A
pneumococcus
E. coli
chlamydia
In a patient with frequent, painful urination in small portions, with cloudy urine, with a temperature of up to 38 degrees, weakness, and malaise, which examination method is most important?
microscopy of urine sediment
Ultrasound of the kidneys
creatinine clearance test
bacterial urine culture
Zimnitsky test
What is pituitary dwarfism?
lack of growth, weight, development
normal height and weight
acceleration of growth and development
What complaint is most typical for hypothyroidism syndrome?
irritability
nervousness
sweating
heartbeat
drowsiness
The normal glucose level in venous blood is:
2.55-4.5 mmol/l
3.88-4.9 mmol/l
3.3-5.5 mmol/l
3.5 – 6.1 mmol/l
4.5 -6.9 mmol/l
Acromegaly is characterized by:
preferential enlargement of individual body parts
enlargement of all body parts
enlargement of internal organs
gigantism
cyanosis of the fingertips
Hypothyroidism is characterized by:
increased shine in the eyes
emotional lability
skin moisture
drowsiness
tachycardia
What is the most typical complaint for diabetes?
dizziness
flickering spots before the eyes
shortness of breath
increase in temperature
dry mouth
What pathology of the endocrine system causes a sharp development of the superciliary arches, disproportionately large sizes of the nose, lips, tongue and chin?
hypothyroidism
thyrotoxicosis
hyperfunction of the pituitary gland
hypofunction of the anterior pituitary gland
diabetes mellitus
What syndrome is characterized by an increase in the size of the thyroid gland, exophthalmos, emaciation, tachycardia, and increased blood pressure?
hypothyroidism
thyrotoxicosis
hypocorticism
hypercorticism
hypoparathyroidism
What syndrome is characterized by dry, wrinkled, cold, thickened skin, anemia, narrowing of the eye slits, thickening of the lips, tongue, constipation, bradycardia, hypothermia?
hypothyroidism
thyrotoxicosis
hyperfunction of the pituitary gland
hypofunction of the anterior pituitary gland
hypoparathyroidism
What pathology is associated with dwarfism, the preservation of childish body proportions, underdevelopment of the reproductive system, absence of secondary sexual characteristics?
hypothyroidism
thyrotoxicosis
hyperfunction of the pituitary gland
hypofunction of the anterior pituitary gland
diabetes insipidus
Low color index is observed when:
acute posthemorrhagic anemia
chronic iron deficiency anemia
B12-deficiency anemia
hemolytic anemia
anemia of chronic diseases
The following is passed on by inheritance:
acute posthemorrhagic anemia
chronic iron deficiency anemia
hemophilia
agranulocytosis
symptomatic erythrocytosis
For iron deficiency anemia, a diet rich in:
vegetables and fruits
cereals and flour products
seafood
milk and its products
meat
Slightly yellowish (waxy) skin occurs with:
B12-deficiency anemia
juvenile chlorosis
chronic lymphocytic leukemia
erythremia
chronic myelogenous leukemia
Erythropenia is:
decrease in total blood volume
decrease in circulating blood
a decrease in the content of red blood cells in the blood
decrease in the concentration of hemoglobin in the blood
a decrease in the total amount of hemoglobin in the blood
Dry skin, flaking, increased hair fragility are observed with:
acute posthemorrhagic anemia
B12-deficiency anemia
chronic iron deficiency anemia
hemolytic anemia
erythremia
What disease is characterized by a full-blooded cherry-red color of the skin of the face, neck and hands, injection of the sclera, and high hematocrit?
lymphogranulomatosis
erythremia
hemolytic anemia
hemophilia
osthemorrhagic anemia
In what blood disease does Hunter's glossitis occur?
hemolytic anemia
B12-deficiency anemia
lymphogranulomatosis
posthemorrhagic anemia
hemophilia
Necrotic-ulcerative angina and stomatitis are common manifestations:
hemolytic anemia
acute myelogenous leukemia
chronic lymphocytic leukemia
lymphogranulomatosis
iron deficiency anemia
In osteoarthritis, palpation reveals
Increased skin temperature over the joints
Increased range of motion in the joint
Negative compression symptom
Hypothermia of the skin over the joints
Crunching when moving the joint
What is a typical complaint in rheumatoid arthritis?
Severe twitching pain in the joints
Starting pain in the knee joints
Crunching in joints when moving
Morning stiffness
Joint hypermobility
What is the typical complaint in gouty arthritis?
Severe pain in the 2nd and 3rd proximal interphalangeal joints of the hands
Morning stiffness
Starting pain
Limitation of movement in the lumbar spine
Severe pain in the 1st metatarsophalangeal joint of the foot
Dense nodules in the dorsal extensor surface of the proximal interphalangeal joints of the hands are:
Heberden's nodes
Bouchard's nodes
rheumatic nodules
rheumatoid nodules
tophi
Which joints are most likely to be involved in the pathological process in Bechterew's disease?
sacroiliac
metacarpophalangeal
wrist
metatarsophalangeal
temporomandibular
What instrumental examination is most likely to be carried out at the first stage of joint syndrome?
sonography of the affected joint
X-ray of the affected joint
computed tomography of the affected joint
magnetic resonance imaging
puncture of the affected joint
The syndrome of damage to the meninges is characterized by the symptom
Kocher
Bauer
Kernig
Babinsky
Oppenheim
Select from the list below the symptom that indicates memory impairment.
amnesia
anosmia
apraxia
scotoma
Dorsal extension of the 1st toe and spreading of the others are characteristic of the symptom
Murphy
Kocher
Kernig
Ortner
Schaeffer
Which of the following symptoms is most characteristic of a seizure syndrome?
Ptosis
Lockjaw
Nystagmus
Diplopia
Hemianopsia
Dense nodules in the dorsal extensor surface of the distal interphalangeal joints of the hands are:
Heberden's nodes
Bouchard's nodes
rheumatic nodules
rheumatoid nodules
tophi
Which of the following symptoms are most characteristic of meningitis?
Hemiparesis, dysarthria, hyperkinesis
Dizziness, nystagmus, impaired coordination
Paresis, paralysis, hypothermia, constipation
Hyperthermia, stiff neck
Facial asymmetry, paresis, paralysis
Which of the following symptom complexes MOST likely relates to pathological extensor reflexes in the lower extremities?
Rossolimo, Bekhtereva, Gordon
Babinsky, Gordon, Bekhterev
Babinsky, Schaeffer, Rossolimo
Zhukovsky, Bekhterev-Mendel
Schaeffer,Babinsky, Oppenheim
Which of the following symptoms are MOST likely to confirm a diagnosis of epilepsy?
Headache, fever
Clonic-tonic seizure
Facial hyperemia, retrograde amnesia, swallowing disorders
Spastic hemiparesis, facial asymmetry
Drooling, muscle atony, anosmia
Focal symptoms of meningitis include:
stiff neck
photophobia
increase in temperature
nausea
headaches
Clonic seizures are
convulsions with muscle spasm without rhythmic twitching
attacks with loss of muscle tone
convulsions with continuous rhythmic twitching of muscles
attacks of convulsive contraction of the muscles of the upper limbs
convulsions with loss of consciousness and retrograde amnesia
