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  • Abuhussin Alsaeed

  • 問題数 70 • 5/5/2024

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    問題一覧

  • 1

    Crohn's disease is a chronic, relapsing disease of the gastrointestinal tract characterized by inflammation

    walls of the small and/or large intestine

  • 2

    The endoscopic picture in Crohn's disease is characterized by

    cobblestone" and deep slit-like ulcers

  • 3

    Extraintestinal manifestations of Crohn's disease include

    hepatic steatosis, peripheral vein thrombosis

  • 4

    The classification of non-specific ulcerative colitis does not include the factor :

    etiology

  • 5

    To the greatest extent, pancreatic insufficiency is indicated by:

    steatorrhea

  • 6

    How many hours after the onset of the acute pancreatitis clinic can the highest level of blood amylase be recorded?

    48-72 hours

  • 7

    Consequence of chronic pancreatitis resulting from alcohol abuse:

    endocrine pancreatic insufficiency

  • 8

    Which of the symptoms is not characteristic of biliary dyskinesia?

    fever

  • 9

    The most reliable confirmation of pancreatitis is:

    high amylase level in the blood (urine diastase)

  • 10

    The hallmark of hepatocellular insufficiency is:

    hepatic encephalopathy

  • 11

    In the diagnosis of what disease is an increase in the level of alphafetoprotein important:

    hepatocellular cancer

  • 12

    An early clinical sign of primary biliary cholangitis (cirrhosis) is:

    generalized itching

  • 13

    The most common cause of death in patients with cirrhosis of the liver is:

    bleeding from dilated veins of the esophagus

  • 14

    The morphological marker of alcoholic liver cirrhosis is:

    presence of Mallory bodies

  • 15

    A characteristic feature of arthritis in acute rheumatic fever is:

    complete reversibility of the process

  • 16

    Subcutaneous rheumatic nodules are localized:

    at tendon attachment points

  • 17

    Evidence confirming a previous streptococcal infection is:

    increased titer of antistreptolysin-O, antiDNase B +

  • 18

    A complication of acute rheumatic fever is:

    formation of heart disease

  • 19

    At the onset of rheumatoid arthritis, the following joints are most commonly affected

    metacarpophalangeal and proximal interphalangeal

  • 20

    Which joints are most commonly affected in gout?

    first metatarsophalangeal joint of the foot

  • 21

    For acute gouty arthritis is uncharacteristic:

    morning stiffness in joints

  • 22

    The main clinical manifestations of gout:

    arthritis, nephropathy, tophi

  • 23

    Tophi are deposits in the tissues of crystals:

    sodium urate

  • 24

    The main clinical signs of Systemic Lupus Erythematosus (SLE):

    Butterfly rash

  • 25

    Differential diagnosis between rheumatoid arthritis and SLE, which indicator will be decisive for the diagnosis

    LE cells

  • 26

    Complications of Crohn's disease include :

    internal fistulas , intra-abdominal abscesses , external fistulas

  • 27

    Sarcoid granulomas characteristic of Crohn's disease consist of:

    giant cells, epithelioid histiocytes without foci of necrosis

  • 28

    According to the international classification of Crohn's disease, localization at L1 gradation is:

    terminal ileitis

  • 29

    According to the complaints of a patient with Crohn's disease, a triad is typical :

    diarrhea without blood , abdominal pain , weight loss

  • 30

    Pushy stools, abdominal pain, palpable infiltrate in the right iliac region, stricture formation, localization in any part of the intestinal tract - symptoms characteristic of:

    Crohn's disease

  • 31

    What is the purpose of taking cytostatics in the treatment of patients with ulcerative colitis?

    To prevent severe complications of the disease (toxic megacolon, perforation of the intestinal wall)

  • 32

    What abnormalities in the complete blood count are not typical for ulcerative colitis?

    Eosinophilia

  • 33

    For the diagnosis of non-specific ulcerative colitis, the most informative is:

    colonoscopy

  • 34

    What disease often develops chronic pancreatitis syndrome, mainly with signs of exocrine insufficiency?

    cystic fibrosis

  • 35

    Coprological syndrome characteristic of chronic pancreatitis

    slight mushy stools, creatorrhea, mucus, leukocytes

  • 36

    Examination of a patient with symptoms of acute pancreatitis in a polyclinic revealed pain in the left costovertebral angle. What is the name of this symptom?

    Mayo-Robson

  • 37

    What circumstances are decisive in deciding whether planned surgical treatment for cholecystitis is necessary?

    presence of stones in the gallbladder

  • 38

    What is the most common cause of obstructive jaundice?

    choledocholithiasis

  • 39

    The patient has been suffering from chronic pancreatitis for 10 years, he notes frequent diarrhea, weight loss, pain after eating. Specify the characteristic signs of violation of exocrine activity of the pancreas:

    creatorrhoea and steatorrhea

  • 40

    A 70-year-old patient has had intense obstructive jaundice for a month. Notes itching, loss of appetite and body weight. The gallbladder is enlarged, painless. Presumptive diagnosis:

    cancer of the head of the pancreas

  • 41

    A 20-year-old patient with asthenics developed dull pains in the right hypochondrium against the background of neurocirculatory dystonia, provoked by stressful situations, without an increase in body temperature. On examination: no stones were found in the biliary tract, the gallbladder was reduced in size on cholecystograms, with duodenal probing, the volume of a portion of the TVU was 15 ml, the time was 3 minutes. It is most likely that the patient:

    biliary dyskinesia of hypermotor type

  • 42

    As indicator tests for the syndrome of regeneration and tumor growth of the liver, the following are used:

    alpha-fetoprotein

  • 43

    With cancer of the head of the pancreas, the following develops:

    Obstructive jaundice

  • 44

    Ascites in liver cirrhosis appears due to:

    portal hypertension, hypoalbuminemia

  • 45

    The clinical syndrome accompanying disorders in the blood coagulation and anticoagulation systems in severe liver failure is:

    hemorrhagic

  • 46

    Child-Pugh class A signs of cirrhosis of the liver:

    total protein 40 g/l, total bilirubin 30 µmol/l

  • 47

    Which of the following syndromes is characterized by pruritus, an increase in conjugated bilirubin, alkaline phosphatase, cholesterol:

    intrahepatic cholestasis

  • 48

    Extrahepatic signs of liver cirrhosis include:

    xanthomas, palmar erythema, gynecomastia

  • 49

    The most sensitive test for hypersplenism syndrome is:

    determination of the number of granulocytes and platelets in the blood

  • 50

    The "big" criteria for acute rheumatic fever are:

    rheumatic heart disease, polyarthritis, chorea minor, erythema annulare+

  • 51

    Small" criteria for acute rheumatic fever are:

    Arthralgia, fever (>38 °C), prolongation of the P - Q interval

  • 52

    Clinical manifestations of rheumatic heart disease are:

    shortness of breath on exertion, heart failure, fatigue

  • 53

    Early signs of acute rheumatic fever include:

    arthritis

  • 54

    Rheumatic polyarthritis is characterized by:

    damage to large and medium joints, volatility of pain, disappearance of pain after taking NSAIDs

  • 55

    A 23-year-old patient has been diagnosed with acute rheumatic fever, the diagnosis does not correspond to:

    quail rhythm on auscultation of the heart

  • 56

    The main criteria for the activity of rheumatism do not include

    Heberden's nodules

  • 57

    Of the microbiological and immunological methods for diagnosing , ARF, the least important is

    increased levels of circulating immune complexes in the blood

  • 58

    For the diagnosis of rheumatoid arthritis, the most important of the laboratory parameters is:

    of rheumatoid factor in the blood serum

  • 59

    X-ray changes in rheumatoid arthritis are the first to be detected

    at proximal interphalangeal or metacarpophalangeal joints

  • 60

    Antihyperuricemic drugs include:

    allopurinol and uricosuric agents

  • 61

    What types of kidney damage are typical for gout?

    nephrolithiasis, glomerulosclerosis, chronic interstitial nephritis

  • 62

    The patient complains of an increase in body temperature to 37.9oC, swelling and redness of the thumb of the right foot with sharp pains appeared. BMI=30 kg/m2. When blood pressure is increased to 155/90 mm Hg, he takes hypothyazid. Preliminary diagnosis://

    gout arthritis

  • 63

    What symptoms are important for the early diagnosis of rheumatoid arthritis?

    morning stiffness, subcutaneous nodules, proximal interphalangeal joint swelling

  • 64

    Radiological signs of rheumatoid arthritis are:

    osteoporosis, erosion

  • 65

    The most typical X-ray changes in gout are:

    narrowing of joint spaces, intraosseous cystic lucency

  • 66

    The most common cause of death in rheumatoid arthritis is

    uremia in secondary amyloidosis of the kidneys

  • 67

    A 45-year-old patient has Raynaud's syndrome up to necrotic changes in the fingers, swallowing disorders, pulmonary hypertension, difficult flexion of the fingers, compaction of the skin in the area of the hands, shortening of the fingers due to lysis of the terminal phalanges. What kind of disease should we think about

    Systemic scleroderma

  • 68

    What manifestation of SLE (systemic lupus erythematosus ) requires the use of large doses of glucocorticosteroids:

    Lupus nephritis

  • 69

    In what autoimmune disease is kidney damage very rarely observed:

    Osteoarthritis

  • 70

    Laboratory diagnostic criteria for the diagnosis of SLE (systemic lupus erythematosus ) :

    ANA (antinuclear antibodies