Тесты III уровня
1.Complete the sentence:
The doctor must know well the pathogenesis of any …. .
a) visual examination
b) palpation
c) percussion
d) auscultation
e) +disease
2. Insert the missing word:
Aetiology is the …. of the disease.
a) symptoms
b) mechanism
c) +cause
d) diagnosis
e) development
3. Insert the missing word:
Pathogenesis of any disease is the way and mechanism of its …. .
a) aetiology
b) way
c) symptoms
d) + development
e) disease
4.Complete the sentence:
Patients with perforated ulcers are known to complain of …
a) + an acute pain in the stomach;
b) a sharp pain in the substantial area radiating to the shoulder;
c) a sharp pain in the heart area;
d) an acute pain in the spine;
e) an acute pain in the lungs;
5. Complete the sentence:
The gastric carcinoma is more common in …. than in women.
a) child
b) infant
c) adult
d) + men
e) baby
6.Complete the sentence:
The soviet scientists …. proved the existence of association between a lesion of nervous systems and the development of ulcer.
a) N. Burdenko, K. Bykov, L. Koreisha;
b) + A. Speransky, N. Burdenko, L. Koreisha and B. Mogilnitsky
c) L. Koreisha, N. Burdenko, I. Kurtsin;
d) A. Speransky, K . Bykov, I. Kurtsin, B. Mogilnitsky
e) N. Burdenko, K. Bykov, B. Mogilnitsky
7. Complete the sentence:
According to corticovisceral theory the development of ulcer was found to result from …. .
a) disturbances in the blood supply of the brain;
b) disturbances in the stomach;
c) + disturbances in the central nervous system
d) the onset of gastritis;
e) the onset of peritonitis;
8. Complete the sentence:
Botkin’s disease affects…. .
only children.
Only adults
Only infants
elderly persons
+children, adults and elderly persons
9. Complete the sentence:
Atherosclerosis is one of the diseases of the … .
a) nervous system
b) +cardiovascular system c) portal system d) pulmonary system e) endocrine system
10. Complete the sentence:
Botkin’s disease is an acute … disease.
cardiovascular
+viral
purulent
endocrine
mucopurelent
11. Complete the sentence:
The incidence of ……. is high in professional groups with insufficient physical activities.
a) + atherosclerosis
b) lobular pneumonia
c) flu
d) tuberculosis
e) angina pectoris
12. Complete the sentence:
The patient with the signs of atheroselerosis must sleep not less than …. hours
a) 9-11
b) 6-8
c) +7-8
d) 10-12
e) 3-5
13. Complete the sentence:
The blood analysis revealed moderate leucocytosis and an elevated …. .
a) electrocardiogram
b) X- ray examination
c) + ESR
d) temperature
e) sputum
14. Complete the sentence:
A week before the admission to the hospital patient Smirnov with lobular pneumonia had …. .
a) + bronchitis
b) atherosclerosis
c) angina pectoris
d) tuberculosis
e) rheumatic endocarditis
15. Complete the sentence:
… may be mucopurulent.
a) Rales
b) +Sputum
c) Temperature
d) Fever
e) Fatigue
16. Complete the sentence:
The causative agent of tuberculosis was discovered by … in 1882.
a) Bakulev
b) Amosov
c) + Koch
d) Ivanov
e) Jenner
17. Complete the sentence:
… is one of the permanent symptoms of pulmonary tuberculosis.
a) sputum
b) cough
c) malaise
d) +fever
e) edema
18. Complete the sentence:
The typical sign of pulmonary tuberculosis is…. .
a) toothache
b) + loss of body weight
c) stomachache
d) edema
e) backache
19. Complete the sentence:
The … analysis revealed leucocytosis in the range of 12000-15000 per cu mm in the patient with lobular pneumonia.
a) urine
b) pus
c) + blood
d) sputum
e) stool
20. Complete the sentence:
The patient’s breathing with lobular pneumonia was rapid with … respirations per minute.
a) +30-40
b) 25-35
c) 20-30
d) 27-28
e) 25-26
21. Complete the sentence:
The diet of the patients with atherosclerosis must contain ….. amount of proteins.
a) insufficient
b) small
c) few
d) +sufficient
e) least
22. Complete the sentence:
Smoking affects the walls of the ….. of the patient with atherosclerosis.
a) + blood vessels
b) ligament
c) cartilage
d) tissue
e) fibers
23. Complete the sentence:
The doctor estimated an inflammatory process of the patient with rheumatic endocarditis in the…. .
a) aorta
b) tissue
c) vena
d) +valves
e) stomach
24. Complete the sentence:
While listening to the patient’s heart with rheumatic endocarditis the doctor found a soft ….. murmur at the heart apex.
a) +systolic
b) dull
c) prolonged
d) accelerated
e) slight
25. Complete the sentence:
The patient with rheumatic endocarditis complained of a… .
a) general malaise, palpitation and headache
b) general malaise and vomiting
c) + general malaise, early fatigue on exertion, cardiac discomfort and palpitation
d) breathlessness, cardiac discomfort and palpitation
e) edema, cardiac discomfort and palpitation
26. Complete the sentence:
The aetiology of cancer is… .
a) known
b) determined
c) + unknown
d) proved
e) easy
27. Complete the sentence:
The highest incidence of cancer of the stomach is noted at ages
of…
a) 70-80
b) 30-40
c) 25-26
d) + 50-60
e) 45-49
28. Complete the sentence:
Gastric carcinoma is a frequent form of….
a) lobular pneumonia
b) + cancer
c) acute appendicitis
d) Botkin’s disease
e) acute cholecystitis
29. Complete the sentence:
Heart operation must be preceded by …..
a) cystoscopy and listening to the heart
b) + x-ray examination, electrocardiogram, clinical and biochemical blood analyses
c) biochemical blood analyses, palpitation
d) heart murmurs, percussion
e) electrocardiogram, physical examination
30. Complete the sentence:
Blood in the sputum is sometimes the first sign of….
a) lobular pneumonia
b) flu
c) + tuberculosis
d) rheumatic endocarditis
e) angina pectoris
31. Complete the sentence:
Bromide and valerian improve general condition of patient with….
a) lobular pneumonia
b) + atherosclerosis
c) angina pectoris
d) tuberculosis
e) rheumatic endocarditis
32. Complete the sentence:
Cholecystitis is the inflammation of the…
a) brain
b) lung
c) kidney
d) + gallbladder
e) chest
33. Complete the sentence:
The main forms of cholecystitis are…
a) catarrhal
b) +catarrhal, purulent and gangrenous
c) purulent
d) gangrenous
e) gangrenous and permanent
34. Complete the sentence:
The main symptoms of peritonitis are…
a) dizziness and vomiting
b) +vomiting, pain and tenderness in the abdomen
c) vomiting, dizziness and headache
d) tenderness in the abdomen and dizziness
e) tenderness in the liver
35. Complete the sentence:
The blood analysis of the patient with peritonitis usually reveals…
a) erythrocytes
b) +leucocytosis
c) proteins
d) thrombocytes
e) pus corpuscles
36. Complete the sentence:
In old persons ulcers are complicated by hemorrhage which is due to…
a) irregular diet in combination with a nervous overstrain
b) +sclerotic changes in the stomach
c) sclerotic changes in the lungs
d) sclerotic changes in the kidney
e) sclerotic changes in the spleen
37. Complete the sentence:
Exacerbation of duodenal ulcers are known to occur in…
a) winter
b) summer
c) + spring and autumn
d)spring and summer
e) winter and autumn
38. Complete the sentence:
The patient with a severe form of lobular pneumonia is usually admitted to…
a) surgical department
b) cardiological department
c) chemist’s department
d) + therapeutic department
e) prescription department
39. Complete the sentence:
Clinical manifestations of the acute cholecystitis are…
+dryness in the mouth, vomiting nausea and constipation
dryness in the mouth, nausea and breathlessness
dryness in the mouth, constipation and edema
dryness in the mouth, constipation and palpitation
dryness in the mouth,cyanosis
40. Complete the sentence:
The patient with acute cholecystitis complains of intense pain in …
left hypochondrium and in the umbilical area
+right hypochondrium and in the umbilical area
posterior part of the lungs
anterior part of the chest
anterior part of the lungs
41. Complete the sentence:
Purulent form of … is highly dangerous to life and requires emergency operation
Botkin`s disease
+Cholecystitis
flu
jaundice
endocarditis
42. Complete the sentence:
The pulse rate of the patient with lobular pneumonia is … .
+accelerated
reduced
decreased
slow
slight
43. Complete the sentence:
The arterial pressure of the patient with lobular pneumonia is … .
accelerated
+reduced
increased
slow
intensified
44. Complete the sentence:
In active forms of tuberculosis the body temperature is… degrees
+38-39
39-40
37-38
35-36
36-36.5
45. Complete the sentence:
The patient stated that the onset of the rheumatic endocarditis had been preceded by….
a) diphtheria
b) +tonsillitis
c) jaundice
d) peritonitis
e) acute cholecystitis
46. Complete the sentence:
The patient with acute cholecystitis suffers from…
a) intense pains in the left hypochondrium in the umbilical area
b) + intense pains in the right hypochondrium in the umbilical area
c) slight pain and general epigastrium discomfort
d) profuse bleeding
e) acute pain in the chest
47. Complete the sentence:
The X- ray examination of the lungs in lobular pneumonia showed… .
numerous erythrocytes of various size
numerous thrombocytes of various size
numerous tumours of various size
+numerous foci of inflammation of various size
few foci of inflammation of various size
48. Complete the sentence:
Patient Smirnov was admitted to the hospital with the diagnosis of …
lung abscess
bronchitis
jaundice
angina pectoris
+lobular pneumonia
49. Complete the sentence:
Fever in patient with lobular pneumonia had been persisting for…. .
three weeks
a month
two months
+two weeks
five days
50. Complete the sentence:
Microscopic examination of sputum in the patient with tuberculosis revealed….
+pus corpuscles, erythrocytes and tuberculosis organisms
pus corpuscles, leucocytes and tuberculosis organisms
pus corpuscles, thrombocytes and tuberculosis organisms
pus corpuscles, leucocytes and thrombocytes
pus corpuscles and leucocytes
51. Complete the sentence:
Cold profuse …… at night is sometimes evidence of a severe form of tuberculosis.
vomiting
+perspiration
malaise
fatigue
edema
52. Complete the sentence:
The patient with rheumatic endocarditis must follow …. .
+a strict bed regimen
a strict salt diet
irregular bed regimen
a strict physical regimen
irregular diet
53. Complete the sentence:
Irregular diet as well as an emotional overstrain contributes to the ….
disturbances of gastric and liver organs
+development of gastric and duodenal ulcers
development of acute tuberculosis
development of lobular pneumonia
development of peritonitis
54. Complete the sentence:
Acute cholecystitis is known to be characterized by …
+pain radiating to the breastbone and lumbar area
profuse external bleeding
pain radiating in the kidney
pain radiating in the abdomen
pain radiating in the spleen
55. Complete the sentence:
The patient suffering from gastric carcinoma has…. appetite.
increased
+reduced
improved
good
excellent
56. Complete the sentence:
Dullness in the lungs, abnormal respirations, dry râles and crepitation are the symptoms of…….
a) diphtheria
b)peritonitis
c) jaundice
d) +lobular pneumonia
e) Botkin’s disease
57. Complete the sentence:
The term “Botkin`s disease” was introduced into medicine due to the efforts of the well-known physician ……….
a) Bakulev
b) Amosov
c) Koch
d) Ivanovsky
e) + Konchalovsky
58. Complete the sentence:
The prominent Russian scientist S.Botkin was the first to advance the idea of …..
vaccination
+infectious origin of hepatitis
virus
microscopic agent
bacteria
59. Complete the sentence:
The prominent Russian scientist S.Botkin was the first to advance the idea of infectious origin of hepatitis in…….
1884
1885
+1880
1890
1891
60. Complete the sentence:
Men at the ages of 25 to 40 often suffer from ulcers more than ……. .
a) children
b) infants
c) newborns
d) + women
e) adults
61. Complete the sentence:
……. pain in the stomach is known to be characteristic of perforated ulcers.
+Acute
Light
Periodical
Intermittent
Permanent
62. Complete the sentence:
Intermittent pain in occurrence is known to be characteristic of…..
a) diphtheria
b) +gastric and duodenal ulcers
c) jaundice
d) peritonitis
e) acute cholecystitis
63. Complete the sentence:
In the majority of cases ulcer is developed in nervous persons after ….
a) +emotional overstrain
b) physical overstrain
c) fatigue
d) malaise
e) loss of appetite
64. Complete the sentence:
Urinalysis, blood, sputum analyses are made during …. .
x-ray examination
+laboratory studies
electrocardiogram
visual examination
instrumental studies
65. Complete the sentence:
Hemorrhage, vomiting are…..
+objective symptoms
subjective symptoms
primary symptoms
secondary symptoms
initial symptoms
66. Complete the sentence:
Headache or dizziness are…..
objective symptoms
+subjective symptoms
primary symptoms
secondary symptoms
initial symptoms
67. Complete the sentence:
Recovery of patients with purulent form of cholecystitis is achieved by ….. .
a) antibiotic therapy
b) bed regimen
c) diet
d) examination
e) + emergency operation
68. Complete the sentence:
It is known that an irregular diet and ….. may contribute to the onset of ulcer development.
+emotional overstrain
physical overstrain
fatigue
malaise
loss of appetite
69. Complete the sentence:
At a young age the course of ulcer has no characteristic clinical ……
pictures
manifestations
phenomena
+complications
figures
70. Complete the sentence:
….. of the patient with lobular pneumonia has been persisting for two weeks.
Haemorrhage
Vomiting
Headache
Dizziness
+Fever
71. Complete the sentence:
In …… of tuberculosis the body temperature is subfebrile.
normal processes
+benign processes
severe processes
malignant processes
progressive processes
72. Complete the sentence:
The … of rheumatic endocarditis of thepatient is preceded by tonsillitis.
a) elevation
b) + onset
c) course
d) cause
e) range
73. Complete the sentence:
The ….. examination of the lungs in lobular pneumonia showed numerous foci of inflammation of various size.
Electrocardiogram
Cystoscopy
+X-ray
Auscultation
palpation
74. Complete the sentence:
Cold profuse perspiration at night is sometimes evidence of a severe form of……..
jaundice
peritonitis
acute cholecystitis
+tuberculosis
angina pectoris
75. Complete the sentence:
The X- ray examination of the….in lobular pneumonia showed numerous foci of inflammation of various size.
heart
+lungs
liver
kidney
spleen
76. Complete the sentence:
In …… the patient suffers from intense pains in the right hypochondrium in the umbilical area.
a) +acute cholecystitis
b) peritonitis
c) diphtheria
d) jaundice
e) ulcer
77. Complete the sentence:
Exacerbations of ….. are known to occur in spring and autumn.
a) + duodenal ulcers
b) peritonitis
c) jaundice
d) diphtheria
e) acute cholecystitis
78. Complete the sentence:
Peritonitis is known to be ….. .
general or localized,primary, chronic
general or localized, acute, secondary
general or localized, acute or chronic
general or localized, primary or secondary
+ general or localized, acute or chronic, primary or secondary
79. Complete the sentence:
The …. of the patient with peritonitis usually reveals leucocytosis.
a) sputum analysis
b) +blood analysis
c) urinalysis
d) physical examination
e) visual examination
80. Complete the sentence:
The …. must know well the pathogenesis of any disease.
a) teacher
b) driver
c) journalist
d) actress
e) +doctor
81. Complete the sentence:
The …… gives the intramuscular and intravenous injections.
teacher
painter
scientist
writer
+nurse
82. Complete the sentence:
For establishing a correct diagnosis it is necessary to make such procedures as ….
a) history-taking
b) physical examinations
c) instrumental studies
d) laboratory studies
e) +history-taking, physical examinations, laboratory and instrumental studies
83. Complete the sentence:
The patient with the signs of atherosclerosis must ….. not less than 7-8 hours.
a) smile
b) sit
c) lie
d) +sleep
e) run
84. Complete the sentence:
The causative agent of tuberculosis was discovered by Koch in …. .
a) 1987
b) 1876
c) + 1882
d) 1886
e) 1909
85. Complete the sentence:
Pulmonary tuberculosis is caused by …….
a) virus
b) +mycobacterium
c) coccus
d) bacteria
e) microorganism
86. Complete the sentence:
Peritonitis affects one of the ….. .
muscles
extremities
cartilages
+abdominal organs
valves
87. Complete the sentence:
Acute general purulent …. is believed to be due to perforation of one of the hollow abdominal organs.
+peritonitis
jaundice
lobular pneumonia
angina pectoris
Botkin’s disease
88. Complete the sentence:
In patients with cancer of the stomach a prolonged, usually external, profuse bleeding results in severe … .
a) + anaemia
b) diabetes
c) nausea
d) malaise
e) fatigue
89. Complete the sentence:
The duration of gastric cancer is not longer than … .
a) 3-4 years
b) 5-6 years
c) +1-2years
d) 2 -3 years
e) 6 months
90. Choose the right variant:
While … to the patient`s heart doctor found a soft systolic murmur.
writing
+listening
doing physical exercise
speaking
reading
91. Finish the sentence:
The blood analysis revealed moderate leucocytosis and an elevated … .
Hg
RBC
WBC
+ESR
X-ray
92. Choose the right variant:
The physician considered the patient to be ill rheumatic endocarditis and insisted on his following a strict bad regimen at the … .
in-patient department
out-patient department
hospital
policlinic
chemist’s