Wednesday, May 13, 2009

krok

1. A 38-year-old patient has been treated in a hospital. A fever of 39°C, chest pain which is worsened by breathing, cough, brownish sputum appeared on the 7th day of the treatment. Chest X-ray shows left lower lobe infiltrate. Which of the following is the treatment of choice for this patient?
D. Cephalosporins of the III generation
A. Erythromycin
B. Streptomycin
C. Penicillin
E. Tetracycline

2. A 32-year-old woman developed the Laiel's syndrome after taking the biceptol. What immunotrope remedies are indicated in this situation?
A. Steroid immune depressants
B. Interferons
C. Non-specific immune modulators
D. Non-steroid immune depressants
E. Specific immune modulators

3. An 18-month-old child is taken to hospital on the 4-th day of the disease. The disease began acutely with temperature 39°C, weakness, cough, reathlessness. He is pale has cyanosis, febrile temperature for more than 3 days. There are crepitative fine bubbling rales at the auscultation. Percussion sound is shortened in right under scapula area. X-ray picture: unhomogenius segment infiltration 8-10 in the right, the increase of vascular picture, unstructural rools. What is the most likely diagnosis?
E. Segmentary pneumonia
A. Bronchitis
B. Bronchiolitis
C. Interstitial pneumonia
D. Grippe

4. A 43-year-old male presents with stomach pain, which relieves with defecation, is accompanied with a feeling of abdominal winds, incomplete evacuation or urgent need for bowel movement, constipation or diarrhea. These symptoms have been lasting for over 3 months. No changes in laboratory tests. What is the most likely diagnosis?
B. Irritable bowel syndrome
A. Chronic enterocolitis, exacerbation phase
C. Spastic colitis
D. Colitis with hypertonic type dyskinesia
E. Atonic colitis

5. A 62-year-old man presents with the pain in mesogastral area that irradiates to back, general weakness, poor appetite, weight loss. Oh physical examination the patient is of decreased nutrition, skin and eyeballs are light-yellow. Stomach is soft. Enlarged painless gallbladder is palpated in the right hypochondrium. Urine is dark. Stool is colourless. What is the most likely diagnosis?
B. Cancer in the head of pancreas, mechanic icterus'
A. Hemolytic icterus
C. Liver cirrhosis
D. Parenchimatosus icterus
E. Gallbladder disease, mechanic icterus

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