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

walls of the small and/or large intestine

The endoscopic picture in Crohn's disease is characterized by

cobblestone" and deep slit-like ulcers

Extraintestinal manifestations of Crohn's disease include

hepatic steatosis, peripheral vein thrombosis

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

etiology

To the greatest extent, pancreatic insufficiency is indicated by:

steatorrhea

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

48-72 hours

Consequence of chronic pancreatitis resulting from alcohol abuse:

endocrine pancreatic insufficiency

Which of the symptoms is not characteristic of biliary dyskinesia?

fever

The most reliable confirmation of pancreatitis is:

high amylase level in the blood (urine diastase)

The hallmark of hepatocellular insufficiency is:

hepatic encephalopathy

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

hepatocellular cancer

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

generalized itching

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

bleeding from dilated veins of the esophagus

The morphological marker of alcoholic liver cirrhosis is:

presence of Mallory bodies

A characteristic feature of arthritis in acute rheumatic fever is:

complete reversibility of the process

Subcutaneous rheumatic nodules are localized:

at tendon attachment points

Evidence confirming a previous streptococcal infection is:

increased titer of antistreptolysin-O, antiDNase B +

A complication of acute rheumatic fever is:

formation of heart disease

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

metacarpophalangeal and proximal interphalangeal

Which joints are most commonly affected in gout?

first metatarsophalangeal joint of the foot

For acute gouty arthritis is uncharacteristic:

morning stiffness in joints

The main clinical manifestations of gout:

arthritis, nephropathy, tophi

Tophi are deposits in the tissues of crystals:

sodium urate

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

Butterfly rash

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

LE cells

Complications of Crohn's disease include :

internal fistulas , intra-abdominal abscesses , external fistulas

Sarcoid granulomas characteristic of Crohn's disease consist of:

giant cells, epithelioid histiocytes without foci of necrosis

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

terminal ileitis

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

diarrhea without blood , abdominal pain , weight loss

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

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)

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

Eosinophilia

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

colonoscopy

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

cystic fibrosis

Coprological syndrome characteristic of chronic pancreatitis

slight mushy stools, creatorrhea, mucus, leukocytes

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

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

presence of stones in the gallbladder

What is the most common cause of obstructive jaundice?

choledocholithiasis

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

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

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

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

alpha-fetoprotein

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

Obstructive jaundice

Ascites in liver cirrhosis appears due to:

portal hypertension, hypoalbuminemia

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

hemorrhagic

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

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

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

intrahepatic cholestasis

Extrahepatic signs of liver cirrhosis include:

xanthomas, palmar erythema, gynecomastia

The most sensitive test for hypersplenism syndrome is:

determination of the number of granulocytes and platelets in the blood

The "big" criteria for acute rheumatic fever are:

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

Small" criteria for acute rheumatic fever are:

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

Clinical manifestations of rheumatic heart disease are:

shortness of breath on exertion, heart failure, fatigue

Early signs of acute rheumatic fever include:

arthritis

Rheumatic polyarthritis is characterized by:

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

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

The main criteria for the activity of rheumatism do not include

Heberden's nodules

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

increased levels of circulating immune complexes in the blood

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

of rheumatoid factor in the blood serum

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

at proximal interphalangeal or metacarpophalangeal joints

Antihyperuricemic drugs include:

allopurinol and uricosuric agents

What types of kidney damage are typical for gout?

nephrolithiasis, glomerulosclerosis, chronic interstitial nephritis

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

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

morning stiffness, subcutaneous nodules, proximal interphalangeal joint swelling

Radiological signs of rheumatoid arthritis are:

osteoporosis, erosion

The most typical X-ray changes in gout are:

narrowing of joint spaces, intraosseous cystic lucency

The most common cause of death in rheumatoid arthritis is

uremia in secondary amyloidosis of the kidneys

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

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

Lupus nephritis

In what autoimmune disease is kidney damage very rarely observed:

Osteoarthritis

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

ANA (antinuclear antibodies

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