patfiz 400-460

patfiz 400-460
61問 • 1年前
  • Arda Emre HAN
  • 通報

    問題一覧

  • 1

     Inulin clearance of patient with chronic renal insufficiency is 60ml/min. Which process in kidneys does disturb?

    glomerular filtration

  • 2

    Choose the transhypophyseal regulation of endocrine glands: 

    brain cortex- hypothalamus-hypophysis-peripheral gland

  • 3

    The metabolism of hormones is disturbed during:

    hepatic diseases

  • 4

    Increasing of parathormone secretion is characteristic for:  

    Reklinausen disease

  • 5

    How is the panhypopituitarizm produced in experiment?

    by the hypophysectomy

  • 6

    Choose the hormone of anterior hypophysis, excess amount which causes gigantism:  

    somatotropic hormone (STH)

  • 7

    Secondary diabetes mellitus is observed during:  

    pheochromocytoma

  • 8

    Choose the hormone with distant effect:

    adrenalin (epinephrine )

  • 9

    Hypofunction of thyroid gland leads to:

    myxedema

  • 10

    Exophthalmoses is characteristic sign of: 

    hyperthyroidism

  • 11

    Choose the sign of insufficiency of parathormone:

    tetany

  • 12

    Choose the clinical form of panhypopitiutrism

    Hypophyseal cachexia

  • 13

    Choose the correct order of positive feedback: 1) Hypothalamus 2) Trope hormones 3) Adeno-hypophysis 4) Releasing factors 5) Peripheral glands 6) Effector hormones

    1, 4, 3, 2, 5, 6

  • 14

    Choose the result of insufficiency of somatotropic hormone (STH): 

    pituitary dwarfism

  • 15

    Choose the pathology connected with partial hyperfunction of adenohypohysis: 

    Cushing disease

  • 16

    Choose the reason of total insufficiency of adenohypophysis: 

    spasm of blood vessels of pituitary gland after child-birth

  • 17

    Choose the sign of acquired adrenogenital syndrome in males:

    infertility

  • 18

    Choose the reason of primary hypergonadism: 

    ovarian tumors

  • 19

    Choose that is not characteristic for hyperfunction of fascicular zone of adrenal cortex:  

    cachexia

  • 20

    Choose the pathology linked with hyperplasia of adrenal medulla:

    pheochromocytoma

  • 21

    This belong to the disturbances of central regulation of endocrine glands:

    disturbances of function of pitiutary gland

  • 22

    Choose the endocrine disease with the following characteristic changes: obesity in the upper part of body, arterial hypertension, stria in skin, hyperglycemia, hyper pigmentation.  

    Cushing syndrome

  • 23

    hoose the endocrine disease with the following characteristic changes: hypertrophy of thyroid gland, exophthalmoses, increasing of basal metabolism and heat production, tachycardia, psychical strain.

    Grave’s disease

  • 24

    Antidiuretic hormone activates which enzyme, that leads to the increasing of water reabsorption?  

    hyaluronidase

  • 25

    Choose the endocrinopathy that is produced by hypophysectomy in experiment?  

    panhypopitiutrism

  • 26

    In which pathology is the development of arterial hypertension connected with the primary disturbance of hypothalamus-hypophyseal system?

    Cushing’s disease

  • 27

    Endocrine origin hypertension develops during: 1) Waterhouse-Friderixsen syndrome 2) Pheochromocytoma 220i-2A 3) Mixedema 4) Hyperthyroidism 5) Cushing disease 

    2, 4, 5

  • 28

     Select the matching.

    X – pheochromocytoma, Y – Conn syndrome

  • 29

    For pheochromocytoma is characteristic:

    hypercatecholaminemia

  • 30

    For Cushing syndrome is characteristic:

    hypercortizolism

  • 31

    The similarities of hormones acting directly and by distant way to the target cells

    accelerates of intracellular metabolism

  • 32

    Match the followings: 220i-2A I. Hormones with distant action on the target cells: II. Hormones with direct action on the target cells: 1) glucagon 2) estrogen 3) LH 4) ADH 5) progesterone I II  

    1,3,4 2,5

  • 33

    Select the characteristic for Recklinghausen's disease:

    decreasing of nervous-muscular excitation

  • 34

    The causes of secondary hyperparathyroidism: 1) deficiency of Ca+2 in food 2) malabsorption syndrome 3) avitaminosis D 4) hypercalcemia 5) hypophosphatemia 6) oliguria 

    1,2,3

  • 35

    Choose the substance with specific neurotoxic effect: 

    strychnine

  • 36

    Choose the factor that decreases excitability of neurons 

    hypothermia

  • 37

    This blockage transmission of impulses in synapses

    toxin of tetanus

  • 38

    Select those are characteristic for central paralysis: 1) Remain of voluntary movements 2) Loss of voluntary movements 3) Strengthen of tendon reflexes 4) Loss of tendon reflexes 5) Pathologfical reflexes 6) Muscular atrophy

    2,3,5

  • 39

     Select those are characteristic for peripheral paralysis: 1) Strengthen of tendon reflexes 2) Muscular hypotony 3) Muscular hypotrophy 4) Muscular hypertrophy 5) Hypo and areflexia 

    2,3,5

  • 40

    Select the characteristic for extrapyramidal paralysis: 

    catalepcia

  • 41

    Select that is characteristic for pyramidal hyperkinesis:

    convultions

  • 42

    Choose the cause of disturbance in the transmission of impulses from one neuron to another:

    inhibitors of monoaminoxidase

  • 43

    Select that is characteristic for Alsaimer disease:

    accumulation of β-amyloid in the neurons of cerebral cortex

  • 44

    Excitability of neurons increase during:

    deafferentation

  • 45

    Choose those don`t refer to disturbance of sensitivity: 1) Anesthesia 220i-2A 2) Hypothimia 3) Hypoesthesia 4) Hyperthimia 5) Paresthesia 

    2,4

  • 46

    A patient 28 year old, suffered from muscular weakness, diplopia. Ptosis appeared in the left eye after acute respiratory infection a week ago. During examination severe muscular weakness and antibodies against acetylcholine receptors were discovered. Choose the type of pathology: 

    myasthenia gravis

  • 47

    Choose the signs of peripheral paralysis and paresis: 1) Hypotrophy of muscles 2) Increasing of muscular tonicity 3) Strengthening of spinal reflexes 4) Muscular hypotony 5) Hypo or arephlexia 

    1, 4, 5

  • 48

    Three numbers of family were admitted to the hospital with the symptoms of severe poisoning. During objective examination weakening of muscular tonicity, diplopia were determined. By anamnesis determined, that they eat canned eggplant 8-9 hours before entering to the clinic. Bacterial analyses of vomited mass found out clostridium botulism in it. These symptoms are connected with:

    decreased secretion of acetylcholine from the ends of motor nerves

  • 49

    Choose the substance that activates nosiseptive receptors:

    bradykinin

  • 50

    Choose those are characteristic for myasthenia gravis: 1) Hypoplasia of thymus 2) Formation of antibodies against of acetylcholine receptors 3) Hyperplasia of thymus 4) Disturbance of acetylcholine synthesis 5) Increasing of acetylcholine receptors in the nerve-muscle synapses 6) Fatigue 

    2, 3, 6

  • 51

    Choose those are characteristic for botulism intoxication: 1) Muscular weakness 2) Intestinal pareses 3) Acceleration of intestinal peristalsis 4) Formation of antibodies against of acetylcholine receptors 5) Decreased secretion of acetylcholine from the ends of motor nerves 6) Decreasing of acetylcholine receptors in the nerve-muscle synapses

    1, 2, 5

  • 52

    Pathogenesis of which disease is connected with neurosis? 

    hypertension disease

  • 53

    Choose those which takes an important role in the development of encephalopathy during hepatic insuffiency: 1) Accumulation excess amount of ammonia in the blood 2) Increasing of urea in the blood 3) Accumulation excess amount of merkaptan in the blood 4) Alkalosis 5) Increased activation of reticular formation

    1, 3

  • 54

    Choose those which take an important role in the development of neurogen dystrophy in the cells of denervated organ 1) Cessation of entrance of trophogens from neuron into the target cells 2) Increased functional activity of denervated organ 3) Acceleration of metabolism in the denervated organ 4) Development of hypoxia in the cells of denervated organ 5) Loss of influence of neuromediators to the postsynaptic membrane of cells 

    1, 4, 5

  • 55

    Choose that is characteristic for phantom pain: 

    develops after amputation of extremity

  • 56

    Choose those are characteristic for visceral pain: 1) Exact localization 2) Diffuse character 3) Accompanies by the bad self-feeling 4) Short duration 5) Accompanies by the psycho-motor excitability 6) Protracted duration  

    2, 3, 6

  • 57

    Disturbance of coordination during standing position is observed in the patient 44 years old. Disturbance of different voluntary movements in upper and lower extremity and irregular walking (especially during closing eyes) also observed. Choose the type of pathology developed in this patient: 

    cerebellar ataxia

  • 58

    Choose the pathology of nerves system if the hyper-reflexia, muscular hypertonia, pathological Babinski-reflex are observed in patient with 62 years: 

    central paralyses

  • 59

    Ataxia, asthenia, dystonia, nystaqmus, “drunk man walking”, asiynergia, all are the symptoms of destroying of following part of central nervous system: 

    cerebellum

  • 60

    Choose the version with classic types of neurosis.

    neurasthenia, hysteria, obsession states

  • 61

    Spinal shock develops during:  

    transverse cutting of spinal cord

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    問題一覧

  • 1

     Inulin clearance of patient with chronic renal insufficiency is 60ml/min. Which process in kidneys does disturb?

    glomerular filtration

  • 2

    Choose the transhypophyseal regulation of endocrine glands: 

    brain cortex- hypothalamus-hypophysis-peripheral gland

  • 3

    The metabolism of hormones is disturbed during:

    hepatic diseases

  • 4

    Increasing of parathormone secretion is characteristic for:  

    Reklinausen disease

  • 5

    How is the panhypopituitarizm produced in experiment?

    by the hypophysectomy

  • 6

    Choose the hormone of anterior hypophysis, excess amount which causes gigantism:  

    somatotropic hormone (STH)

  • 7

    Secondary diabetes mellitus is observed during:  

    pheochromocytoma

  • 8

    Choose the hormone with distant effect:

    adrenalin (epinephrine )

  • 9

    Hypofunction of thyroid gland leads to:

    myxedema

  • 10

    Exophthalmoses is characteristic sign of: 

    hyperthyroidism

  • 11

    Choose the sign of insufficiency of parathormone:

    tetany

  • 12

    Choose the clinical form of panhypopitiutrism

    Hypophyseal cachexia

  • 13

    Choose the correct order of positive feedback: 1) Hypothalamus 2) Trope hormones 3) Adeno-hypophysis 4) Releasing factors 5) Peripheral glands 6) Effector hormones

    1, 4, 3, 2, 5, 6

  • 14

    Choose the result of insufficiency of somatotropic hormone (STH): 

    pituitary dwarfism

  • 15

    Choose the pathology connected with partial hyperfunction of adenohypohysis: 

    Cushing disease

  • 16

    Choose the reason of total insufficiency of adenohypophysis: 

    spasm of blood vessels of pituitary gland after child-birth

  • 17

    Choose the sign of acquired adrenogenital syndrome in males:

    infertility

  • 18

    Choose the reason of primary hypergonadism: 

    ovarian tumors

  • 19

    Choose that is not characteristic for hyperfunction of fascicular zone of adrenal cortex:  

    cachexia

  • 20

    Choose the pathology linked with hyperplasia of adrenal medulla:

    pheochromocytoma

  • 21

    This belong to the disturbances of central regulation of endocrine glands:

    disturbances of function of pitiutary gland

  • 22

    Choose the endocrine disease with the following characteristic changes: obesity in the upper part of body, arterial hypertension, stria in skin, hyperglycemia, hyper pigmentation.  

    Cushing syndrome

  • 23

    hoose the endocrine disease with the following characteristic changes: hypertrophy of thyroid gland, exophthalmoses, increasing of basal metabolism and heat production, tachycardia, psychical strain.

    Grave’s disease

  • 24

    Antidiuretic hormone activates which enzyme, that leads to the increasing of water reabsorption?  

    hyaluronidase

  • 25

    Choose the endocrinopathy that is produced by hypophysectomy in experiment?  

    panhypopitiutrism

  • 26

    In which pathology is the development of arterial hypertension connected with the primary disturbance of hypothalamus-hypophyseal system?

    Cushing’s disease

  • 27

    Endocrine origin hypertension develops during: 1) Waterhouse-Friderixsen syndrome 2) Pheochromocytoma 220i-2A 3) Mixedema 4) Hyperthyroidism 5) Cushing disease 

    2, 4, 5

  • 28

     Select the matching.

    X – pheochromocytoma, Y – Conn syndrome

  • 29

    For pheochromocytoma is characteristic:

    hypercatecholaminemia

  • 30

    For Cushing syndrome is characteristic:

    hypercortizolism

  • 31

    The similarities of hormones acting directly and by distant way to the target cells

    accelerates of intracellular metabolism

  • 32

    Match the followings: 220i-2A I. Hormones with distant action on the target cells: II. Hormones with direct action on the target cells: 1) glucagon 2) estrogen 3) LH 4) ADH 5) progesterone I II  

    1,3,4 2,5

  • 33

    Select the characteristic for Recklinghausen's disease:

    decreasing of nervous-muscular excitation

  • 34

    The causes of secondary hyperparathyroidism: 1) deficiency of Ca+2 in food 2) malabsorption syndrome 3) avitaminosis D 4) hypercalcemia 5) hypophosphatemia 6) oliguria 

    1,2,3

  • 35

    Choose the substance with specific neurotoxic effect: 

    strychnine

  • 36

    Choose the factor that decreases excitability of neurons 

    hypothermia

  • 37

    This blockage transmission of impulses in synapses

    toxin of tetanus

  • 38

    Select those are characteristic for central paralysis: 1) Remain of voluntary movements 2) Loss of voluntary movements 3) Strengthen of tendon reflexes 4) Loss of tendon reflexes 5) Pathologfical reflexes 6) Muscular atrophy

    2,3,5

  • 39

     Select those are characteristic for peripheral paralysis: 1) Strengthen of tendon reflexes 2) Muscular hypotony 3) Muscular hypotrophy 4) Muscular hypertrophy 5) Hypo and areflexia 

    2,3,5

  • 40

    Select the characteristic for extrapyramidal paralysis: 

    catalepcia

  • 41

    Select that is characteristic for pyramidal hyperkinesis:

    convultions

  • 42

    Choose the cause of disturbance in the transmission of impulses from one neuron to another:

    inhibitors of monoaminoxidase

  • 43

    Select that is characteristic for Alsaimer disease:

    accumulation of β-amyloid in the neurons of cerebral cortex

  • 44

    Excitability of neurons increase during:

    deafferentation

  • 45

    Choose those don`t refer to disturbance of sensitivity: 1) Anesthesia 220i-2A 2) Hypothimia 3) Hypoesthesia 4) Hyperthimia 5) Paresthesia 

    2,4

  • 46

    A patient 28 year old, suffered from muscular weakness, diplopia. Ptosis appeared in the left eye after acute respiratory infection a week ago. During examination severe muscular weakness and antibodies against acetylcholine receptors were discovered. Choose the type of pathology: 

    myasthenia gravis

  • 47

    Choose the signs of peripheral paralysis and paresis: 1) Hypotrophy of muscles 2) Increasing of muscular tonicity 3) Strengthening of spinal reflexes 4) Muscular hypotony 5) Hypo or arephlexia 

    1, 4, 5

  • 48

    Three numbers of family were admitted to the hospital with the symptoms of severe poisoning. During objective examination weakening of muscular tonicity, diplopia were determined. By anamnesis determined, that they eat canned eggplant 8-9 hours before entering to the clinic. Bacterial analyses of vomited mass found out clostridium botulism in it. These symptoms are connected with:

    decreased secretion of acetylcholine from the ends of motor nerves

  • 49

    Choose the substance that activates nosiseptive receptors:

    bradykinin

  • 50

    Choose those are characteristic for myasthenia gravis: 1) Hypoplasia of thymus 2) Formation of antibodies against of acetylcholine receptors 3) Hyperplasia of thymus 4) Disturbance of acetylcholine synthesis 5) Increasing of acetylcholine receptors in the nerve-muscle synapses 6) Fatigue 

    2, 3, 6

  • 51

    Choose those are characteristic for botulism intoxication: 1) Muscular weakness 2) Intestinal pareses 3) Acceleration of intestinal peristalsis 4) Formation of antibodies against of acetylcholine receptors 5) Decreased secretion of acetylcholine from the ends of motor nerves 6) Decreasing of acetylcholine receptors in the nerve-muscle synapses

    1, 2, 5

  • 52

    Pathogenesis of which disease is connected with neurosis? 

    hypertension disease

  • 53

    Choose those which takes an important role in the development of encephalopathy during hepatic insuffiency: 1) Accumulation excess amount of ammonia in the blood 2) Increasing of urea in the blood 3) Accumulation excess amount of merkaptan in the blood 4) Alkalosis 5) Increased activation of reticular formation

    1, 3

  • 54

    Choose those which take an important role in the development of neurogen dystrophy in the cells of denervated organ 1) Cessation of entrance of trophogens from neuron into the target cells 2) Increased functional activity of denervated organ 3) Acceleration of metabolism in the denervated organ 4) Development of hypoxia in the cells of denervated organ 5) Loss of influence of neuromediators to the postsynaptic membrane of cells 

    1, 4, 5

  • 55

    Choose that is characteristic for phantom pain: 

    develops after amputation of extremity

  • 56

    Choose those are characteristic for visceral pain: 1) Exact localization 2) Diffuse character 3) Accompanies by the bad self-feeling 4) Short duration 5) Accompanies by the psycho-motor excitability 6) Protracted duration  

    2, 3, 6

  • 57

    Disturbance of coordination during standing position is observed in the patient 44 years old. Disturbance of different voluntary movements in upper and lower extremity and irregular walking (especially during closing eyes) also observed. Choose the type of pathology developed in this patient: 

    cerebellar ataxia

  • 58

    Choose the pathology of nerves system if the hyper-reflexia, muscular hypertonia, pathological Babinski-reflex are observed in patient with 62 years: 

    central paralyses

  • 59

    Ataxia, asthenia, dystonia, nystaqmus, “drunk man walking”, asiynergia, all are the symptoms of destroying of following part of central nervous system: 

    cerebellum

  • 60

    Choose the version with classic types of neurosis.

    neurasthenia, hysteria, obsession states

  • 61

    Spinal shock develops during:  

    transverse cutting of spinal cord