Therapy 151-325 Lugansk

151.	A child from tuberculosis place was admitted to the children's department of tuberculosis hospital with primary tuberculous complex. On the X-ray there is shadowing of medium intensity with poor defined outline in 2-nd segment of the right lung, bound "track" with the root, increased root  lymphonodes. Determine the stage of  primary tuberculous complex.	Bipolar	Pneumonic	Consolidation
152.	The 30 years old patient jast now arrived  from Tadjikistan. There are complains of fever up to 40 ?С, which is accompanied by chills and sweating. There has been revealed  hepatosplenomegaly in this case. Blood analysis shows the red cells count (RBC)  3.0 x 10e12/l,  Нв 80 g/l, white blood cells count (WBC) 4.0 x 10E9/l, Еos 1\%, Neutro 65\%, Limph 24\%, Мon 10\%, ESR- 25 mm/hour. The previous diagnosis is:	* malaria	adenoviral infection	sepsis
3.	A pain in the axillary area, increase of the temperature developed 10 hours ago in the patient. On exa-mination: shaky gait is marked, the tongue is coated by white fur. The pulse is frequent. The painful lymp-hatic nodules are determined in the axillary area. The skin is bloodshot, glistening above the lymphatic nodules. What is the most probable diagnosis?	*Plague	Acute purulent lymphadenitis	Lymphogranulomatosis
4.	In a surgical department appendectomy was performed on the patient Н. of 30 years old. Subfebrile temperature persisted operation. Periodical watery stool developed. Since the 10th day of the disease the temperature has been 39,5С, with chill. Eruption, enlarged liver, moderate jaundice, polyarthralgia are marked. What is the diagnosis?	* Yersiniosis	Dysentery	Typhoid fever
5.	The patient S. was admitted to the hospital with complaints of general cramps, anxiety. He fell ill two days ago. During the last 6 hours the attacks became more frequent and prolonged. On examination: sardonic smile, rigidity of occipital muscles, trunk and extremities are marked. The patient injured his foot by rusty wire a month ago. What is a diagnosis?	* Tetanus	Rabies	Meningitis
6.	The patient E. has complaints of rough barking cough, loss of voice, difficult respiration. He has been ill for 4 days. The temperature is 38(С. Objectively: the patient is restless, irritable, stenotic respiration, the tonsils are enlarged, covered by dense, pale-gray coats, which are spread to the soft palate. The  mucous membrane of the pharynx is cyanotic. What is the preliminary diagnosis:	*Diphtheria of stomatopharynx and larynx, croup	Foreign body of larynx	Wide-spread form of diphtheria of stomatopharynx
7.	The patient of 20 years old complained of dermal itching, bright reddening and edema in 4 days after microtrauma in the area of nail phalanx of the 3-rd finger, received due to preparation of pig meat. What is it necessary to think about first?	*Erysipeloid	Erysipilatous inflammation	Phlegmon
8.	The patient of 42 years old had attacks of the fever every 48 hours during one week. The temperature of the body increased to 40(C and decreased in 3-4 hours and accompanied by excessive sweating, general weakness developed. The liver and spleen are enlarged and firm on palpation. What is the most effective method for verification of the diagnosis?	*Microscopy of blood smear and thick drop	Virological method	General analysis of blood
9.	The patient consulted to the doctor with complaints of high temperature to 37,8(С, moderate pain in his throat for 3 days. Objectively: the submandibular lymphatic nodules are enlarged. The palatine tonsils are hypertrophy, covered by gray, smooth fur, which is spread to the uvula and forward palatine arches. What is the most probable diagnosis?	* Diphtheria of stomatopharynx	Candidiasis of stomatopharynx	Ulcer-necrotic angina of Symanovsky-Viensan
10.	A patient T. fell ill acutely with headache, chill,  pain in her throat, temperature 38(С. The patient was examined by the doctor the same day. The doctor revealed gray firm membranes on the tonsils, enlarged and painful lymphatic submandibular nodules. Diphtheria was suspected. What is the most effective method for verification of the diagnosis?	* Bacteriological method	Puncture of submandibular lymphatic nodes	Serological method
11.	The patient С. fell ill 3 days ago. The disease began by increase of the temperature up to 39,5(С, pains in the muscles of the legs and trunk. There are weakness, bleeding from gums and nose. The skin and sclera are yellow. What is the diagnosis?	*Leptospirosis	Viral hepatitis A	Influenza
12.	The patient С. fell ill acutely: a high temperature (38,0(С), pain in the epigastric area, vomiting, plentiful watery stool without admixtures and tenesmus in 3-4 hours after using insufficiently fried meat. Objectively: the paleness of dermal integuments, acrocyanosis, tachycardia, hypotonia. The stomach is painful on palpation. What is the preliminary diagnosis?	*Salmonellosis	Lambliasis	Dysentery
13.	The patient М., was admitted with complaints of nau-sea, vomiting, spastic abdominal pains, chill. She be-came ill acutely 2 hours ago after taking the pasta with meat. In objective examination: temperature - 38,5(C, Ps-110, BP-110/60 mm Hg, the tongue is coated and dry. Stool was one time without admixtures. What investigation is necessary for making a diagnosis?	*Culture of  feces and wash waters	Culture  of blood on a bile broth	Culture of duodenal contents
14.	The patient С. of 18 years has complaints of sore throat, headache, weakness, fatigue. On examination: enlarged cervical, axillary and inguinal lymphatic nodules up to 1-3 cm in diameter, of dense consistence, non-adhered, motile are revealed. There are hyperemia of the fauces and purulent coats on tonsils. Hepatosplenomegaly. What is the diagnosis?	*Infectious mononucleosis	Typhoid fever	Sepsis
15.	The preliminary diagnosis was made to the patient – meningococcal disease: meningitis, meningococcemia. The condition is grave. The patient is pale, adynamic. There are many hemorrhagic elements on the skin. Meningeal signs are positive. The pulse is frequent, weak, BP – 80/40 mm Hg. The temperature is 40(С. What  etiotropic therapy would you prescribe?	* Chloramphenicol intramuscularly	Quinine intravenously	Etazolum intravenously
16.	The 32 years old man-fisherman has fever  up to 400 C, headache and calf muscles pain. At the 5 th day of disease onset   the depleted  urine output  and increased blood  urea and creatinine are noted. Point out the cause of this condition:	*Leptospirosis nephrosonephritis	The increasing  of protein catabolism	The high  aldosterone secretion
17.	A man-hunter complains of a headache, severe weakness, fever about 39 (C and right upper limb edema. On the hand there are an painful  ulcer covered by dark crust on the bottom and small vesicles  around it.	* anthrax	tularemia.	brucellosis
18.	A 70-year old woman has fallen ill acutely.  The fever  is about 39 0C. The patient is excited, out-self reflexive, talkative. The other features of the case are  scleral injection, facial hyperemia, Rosenberg’s anathema. Diagnosis?	* Brill’s disease	Meningitis infection	Typhoid fever
19.	A patient with the body temperature  38,40 C developed severe barking cough,  respiratory distress  with intercostal chest retractions. The patient  looks moderate cyanotic espesially in appearance  of the nasolabial triangle. What illness provokes  this symptoms  more frequently then others?	* Parainfluenza	Adenovirus infection	Pneumonia
20.	On the 18th day of the disease in the patient suffering from typhoid fever the sudden body  temperature fall down up   to 370 C, the rapid pulse, thirst and hypotension were noted. The   stool assay (Gregersen) for occult blood is positive. What complication was occurred?	* hemorrhage	infective toxic shock	perforative peritonitis
21.	The patient complains on high temperature (38,5(С), chill, severe headache, dry cough. The skin of his face and conjunctiva are bloodshot. His throat is bloodshot, granular enanthema and punctate hemorrhages are on the soft palate. The pulse rate is 90 beats per minute, rhythmical, of satisfactory properties. What is the probable diagnosis?	*  Influenza	Epidemic typhus	Typhoid fever
22.	In a 32-year-old patient with infiltrative right upper lobe pulmonary tuberculosis tuberculoma of 3 cm in diameter was formed in 6 months after hospital treatment. What radical method of treatment may be used?	Segmental lung resection	Artificial pneumothorax	Thoracoplastic surgery
23.	A 19-year-old patient was admitted to the hospital with the diagnosis: meningitis of the unknown etiology. She was investigated. Blood test: leucocytes- 10,0 x 109/L, neutrophile shift to the left, lymphopenia, monocytosis, ESR-19 mm/hr. CSF: increase in protein value, decrease in glucose and chloride counts, leucocytes-130 in 1 ml., 100\% lymphocytes, MBT (-). In 48 hrs the fibrin layer was formed. What etiology of meningitis can be suspected in this patient?	Tuberculous	Viral	Pyrulent
24.	A 42 year-old patient with the diagnosis: Infiltrative pulmonary tuberculosis in the phase of disintegration, МBТ (+), was hospitalized to specialized hospital. Who should conduct final disinfection at the place contaminated by infection?	Workers of sanitary epidemic control	Patient	Members  of patient’s family
25.	The disease in a child’s institution began suddenly in 2-3 hours after having the cottage cheese, which didn’t undergo thermal treatment. All patients had plentiful repeated vomiting, abdominal pain, watery stool, paleness of the dermal integuments. The body’s temperature is 37,3(С. The clinical manifestations passed during a day. What is the probable diagnosis?	*Toxic food infection	Poisoning with salts of hard metals	Bacterial toxicosis
26.	A patient N. was admitted to the hospital in the extremely serious condition: cold extremities, acro-cyanosis, dry skin and mucous membranes, dark circles around eyes. The pulse rate is frequent, thread. BP - 40/0 mm Hg. The disease began 10 hours ago: plentiful repeated watery stool without admixtures and repeated vomiting. The severity of the condition is caused by:	*Hypovolemic shock	Infectious-toxic shock	Distress syndrome
27.	The patient C. fell ill acutely 12 hours ago: tempera-ture 38(C, chill, general weakness, spastic pains in the low parts of the abdomen. 5 hours later frequent scan-ty stool with admixtures of mucus and blood occurred. The patient drank unboiled milk. What is the preliminary diagnosis?	*Acute dysentery	Typhoid fever	Acute amebiasis
28.	A 3-year-old  girl was admitted to the hospital in critical condition with temperature 39.60C. She has been sick for the last 10 days: she has  dyspnea, severe headache. Her mother says she has been in contact with her uncle who is suffering from tuberculosis. Muscles of nucha are rigid. Sharp dyspnea. What changes in liquor are characteristic for tuberculosis meningitis?	Decreased glucose and chlorides contents	Increased glucose and chlorides contents	Normal glucose and chlorides contents
29.	The patient D. was admitted to the hospital on the second day of the disease with complaints of temperature increase up to 39(C, paroxysmal pains in the lower part of the abdomen, frequent watery stool with admixture of the mucus.  On examination: the stomach is painful in the left iliac area. The sigmoid is spasmodic. What is the preliminary diagnosis?	*Acute dysentery	Cholera	Esherichiosis
30.	A patient is suffering from disseminated lung tuberculosis. What is the most common complication of this process?	Pleurisy	Cardio-pulmonary insufficiency	Kidney insufficiency
31.	Tuberculosis of the right intrathoracical lymph-nodes complicated with bronchonodular fistula was diagnosed in a 9-year-old child at a tuberculous dispensary, confirmed by bronchography. A sputum culture examination for finding mycobacte-rium tuberculosis was performed. In what period of time it will be possible to get the result?	In 6 -8 weeks	In a weeks	In 3 days
32.	Virage of tuberculin test is found in a 7 year-old child from a tuberculous epidemic place. The lung X-ray reveals enlargement of the right lung root and dilated contours. Preliminary diagnosis: Tuberculous bronchoadenitis. What form of tuberculous bronchoadenitis this child  has?	Infiltrative	Small	Tumorous
33.	A 6-year-old child has virage of the Montoux test. He is healthy. What dose of isoniazid must be prescribed to this child for prophylaxis of tuberculosis?	5 mg/kg	12 mg/kg	10 mg/kgs
34.	CSF is taken in the patient with suspected tuberculous meningitis. Which kind of cytosis is characteristic in tuberculous meningitis?	Lymphocytous	Neutrocytous	Monocytous
35.	A 6-year-old child complain of weakiness, bad appetite and cough. He has virage of tuberculin test.  He is pale, malnourished, has micropolyadenia. BCG cicatrice is absent. On the X-ray there is shadowing in the upper right lobe associated with infiltrated lung root. What disease can be thought of in this patient?	Primary tuberculous complex	Pneumonia	Lung cancer
36.	A 37-year-old patient with disseminated pulmonary tuberculosis was treated by HRZS in tuberculous hospital, in three weeks after begining of treatment he felt tinnitus aurium, giddiness, decrease of hearing. Which medication can lead to such symptoms?	Streptomycin	Rifampicin	Isoniazid
37.	In a 25-year-old student during prophylactic examination foci in the right lung are found. Call the most common localization of focal tuberculosis in the lung segments?	1, 2	2, 3	1, 5
38.	The inhabitant of India periodically had sharp abdominal pains, indulgence of stool. Stool is sometimes viscous of brown color, with admixture of mucus. The patient lost weight significantly. The pains in the right hypogastrium, chills, and high temperature developed two weeks ago. What is the preliminary diagnosis?	*Chronic amebiasis,  abscess of the  liver	Chronic relapsing dysentery	Helminthiasis (diphyllobotriasis)
39.	The disease began acutely: frequent watery stool developed 6 hours ago. The body temperature is normal. Then the vomiting developed.  On examination: his voice is hoarse, eyes are deeply sunken in the orbits. The pulse is frequent. Blood pressure is low. There is no urine. There are cramps of the low extremities. What is the preliminary diagnosis?	* Cholera	Typhoid fever	Dysentery
40.	In a 3 year-old child with right-sided tumorous bronchadenitis  dyspnea, cyanosis and extensive dry cough appeared on the ground of receiving specific therapy in tuberculosis hospital. During X-ray control upper lobe of the right lung had  shadowing and reduced in volume, organs of mediastinum are displaced to the right. What complication had arisen in the child?	Atelectasis	Pneumonia	Apical pleurisy
41.	A patient was admitted with the loss of consciousness. He has history of diabetes mellitus type 1 for 12 years and acute gastroenteritis during the last week. There are dry skin, soft eyeballs, shallow breathing, no acetone smell.  What is the most probable coma?	Hyperosmolar	Hyperlactacidotic	Ketoacidotic
42.	A patient presents with the loss of consciousness, dry hot skin, facial hyperemia, Kussmaul’s breathing, acetone smell. Blood gluse level - 33 mmol/l. Ketoacidotic coma was diagnosed. What is to be done first of all ?	Intravenous insulin injection	Intravenous injection of glucose	Intravenous injection of glutamic acid
43.	A 41  years old woman complains of infertility, memory disturbance,  appetite loss, skin dryness and mild swelling (pastosity).On physical examination there are  evident bradycardia and  dull heart sounds. Thyroid  gland is diffusely enlarged and very hard. The serum thyreoglobulin antibodies are in 1: 1000 titer.  What thyroid gland disease   is presented  most probably  in this patient?		( Ridel's thyroiditis	Autoimmune thyroiditis
44.	A 45 years old patient long time suffers from kidney polycystic disease with 4th degree of chronic renal failure and is treating with chronic  hemodialysis.   She complains of skin itching, lower extremities  joints pain. The X-ray of feet shows the metatarsus-phalangeal junctions resorption.   The patient takes calcium preparations. Serum calcium is 2,2 mmol/l, phosphorus 0,95 mmol/l, parathormone 554 ph/ml. What diagnosis is proposed?	* Secondary hyperparathyroidism	Multiple myeloma  disease	Primary hyperparathyroidism, osteopenic  form
45.	A 38 years old patient was urgently admitted to the hospital with complaints of sudden weakness, dizziness, loss of consciousness, body weight loss, , nausea, vomiting, severe pain in epigastric area, diarrhea, skin hyperpigmentation. What is the most probable diagnosis?	Addisonic crisis	Acute gastroenteritis	Meningoencephalitis
46.	A 33 years old female has diabetes mellitus for 5 years. She uses more than 100 insulin units per day for the last 6 months.  Her body weight gained for 10 kg. Fasting glucose level is 13 mmol/l, daily urine glucose – 3\%. Generalized microangiopathy. Hypoglycemia was reported after attempts of insulin dosage increase. What is the diagnosis?	Insulin resistance	Dawn phenomenon	Diabetic nephropathy
47.	An unconscious patient presents with moist skin, shallow breathing. There are signs of previous injection on the shoulders and hips. BP 110/70 mmHg. Tonus of skeletal muscles and relexes are increased. Cramps of muscles of the extremities are seen. What is the most likely disorder?	Hypoglycemic coma	Hyperglycemic coma	Hyperosmolar coma
48.	A 67 years old female with diabetes mellitus type 2 presents with severe pain and soreness of the legs, most of all of hips.  The touch is extremely painful.  What is the most  probable  diagnosis ?	Diabetic acute painful neuropathy	Autonomic neuropathy	Central chronic neuropathy
49.	A 32 years old patient was presented with primary chronic adrenal insufficiency of moderate severity. How will be changed the level if 17-KS after the test with ACTH (synacthen)?	No changes	50 \% increase	100 \% increase
50.	A 42 years old female complaints of nausea, frequent defecation, weakness, dizziness, body weight loss. Skin colour is similar to intensive tan. Hyperpigmentation is the greatest on joints, palms. BP 86/60 mmHg.  What is necessary to be performed to define the cause of the disorder?	Determination of urine 17-КS and 17- OHCS	Hands X-ray	Urinalysis
51.	A 26 years old patient was revealed on a street with the loss of conscioucness. He was admitted to the hospital with provisional diagnosis of alcoholic intoxication. Episodes of cramps were registered. The skin is dry, skeletal muscles tonus is increased. Pathological reflexes are positive. The smell from his mouth is normal. There are signs of injections on the abdomen and hips. Pulse 90 per min, BP 104/75 mmHg. What is the most probable diagnosis?	Hypoglycemic coma	Ketoacidotic coma	Alcoholic coma
52.	A 28 years old patient had used simple insulin for 2 years. Two days ago he started to use new scheme of therapy with Protaphan. Previous evening he was presented with sudden weakness, increased sweating, loss of consciousness. What is the most probable diagnosis?	Hypoglycemic coma	Hyperosmolar coma	Uremic coma
53.	The 56 years old patient has worked at the aluminium plant  more than 20 years. Within 3   last years he has developed loosening of teeth, bone and joint pains, piercing pains in heart area, vomiting. The previous diagnosis was:	* fluorine intoxication	mercury intoxication	lead intoxication
54.	A sick 37 years old woman was admitted to the district hospital with symptoms of mercury-organic pesticide poisoning (she ate bread  made from pickled seeds). Chose the antidote therapy in this case:	*Unitol	Atropin	Dipiroxim
55.	A 55 years old patient was diagnosed infiltrative tuberculosis of the right lung upper lobe with destructive lesion. AFB (acid fast bacilli) in sputum are positive. The history: 5 years ago he was ill with focus lung tuberculosis. In the in-patient department he was administered anti TB (tuberculosis)  therapy recommended DOTS as for the patient of the 3rd category. After the month of treatment the mild jaundice is appeared. Biochemical blood analysis reveals. the increased activities  of AST and ALT. What anti TB  preparation caused such complication?	*rifampicyn	Isoniazidum	pyrazinamide
56.	A 45-year-old woman complains of periodical painless bleeding during urination, weakness, hyperhidrosis, losing flesh (about 10 kg for last six months) and continual fever with ague attacks. Blood and urine test haven’t revealed any peculiarities. Tuberculosis of kidney had been suspected. Choose the most expedient programme of additional examination.	*Culture urine test for micobacteria, excretal urography.	Ultrasound examination of the kidneys, biochemical blood test	Direct smear test of the sputum
57.	A 7 years old boy  began to complain of the body t0 elevation up to 37,50C in the evenings, weakness, loss of appetite. Mantoux test is 12 mm. Last year it was 5 mm. On clinical examination  the skin is pale and  enlarged groin lymph nodes are palpated. Chest is clear and a vesicular type of respiration is heard in the lungs. Heart sounds are clear, rhythmical. X-ray examination: roots of the lung are of normal configuration, lung fields are transparent. Sinuses  are free. The CBC:  leucocytes  are 7,5*109 /L, ESR  17 mm/hour. Clinical diagnosis is:	*tuberculosis intoxication	TB contamination	Chest tuberculosis
58.	18-years-old man complains of pain in the right hip joint. Contracted year and a half ago. Movement in the affected joint is restricted, right leg is short-cut and on the right hip there is a cold abscess. Blood test: leucocytes–11,5(109; slight neutrophilia and lymphopenia. X-picture: signs of osteoporosis, joint space constriction, destruction of the pelvic bones and the head of thigh bone. Choose the most likely diagnosis.	Tuberculosis if the hip joint.	Arthritis deformans of the hip joint.	Gouty arthritis.
59.	A six-year-child whose father suffers from bacterial lung tuberculosis shown negative Mantoux skin test. In what term he has to be BCG-revaccinated?	*not earliar, than in 3 days and not later, than in 2 weeks.	in a month.	in two days.
60.	A patient  aged 52 years works at the chicken farm. The main complains  are slight fever up to 380C and a cough with mucopurulent sputum discharge. He associates the disease with the commoncold.  The last fluorography examination was done 2 years ago.. Now the X-ray examination shows in 6 segment projection non-homogenous infiltrative density with destructive lesion  up to 3 cm in size. The ESR is 13 mm per hour. The WBCs (Leucocytes) are 6,8*109 /L in blood.  AFB (acid fast bacilli) are found in the sputum. What disease is the most probable?	*infiltrative tuberculosis of the lung on the right	right-side abscess formation pneumonia	right lung cancer
61.	Choose the minimal duration of treatment course in the case of destructive and bacterial lung tuberculosis effective treatment?	*6  months	4  months	8  months
62.	A 47 years old man  after lifting a considerable  heavy weight suddenly felt an acute pain in the right side of the chest and breathlessness. A symptoms  increased and mucous and skin became cyanotic. An emergency doctor learned that 7 years ago the patient was ill with an infiltrative chest tuberculosis of the right lung, had recovered and was not examined within the last 3 years. On percussion exaggerated tympanitis was revealed over  the right part of chest and   auscultation revealed  the sharply weakened breath sounds here. What disease should be the first thought?	*spontaneous pneumothorox	pulmanonary thromboembolism	exudative pleurisy
63.	A 2 months old child (an infant)  was born in term with   3550 g of weight and had had  the symptoms of hemolytic disease of the new- born  appeared in the first days after delivery. No vaccinations were made in maternity home. The infant is healthy now. What vaccine should be inoculated firstly?	*BCG-M	Diphtheria, tetanus toxoids and pertussis vaccine	BCG
64.	Laboratory assistant of the bacteriological laboratory contracted tuberculosis. What mechanism of contamination is the most probable in this case?	*immediate contagion	alimentary infection	inhalant infection
65.	Patient K, 26 years old, has rosy-red spots, plaques with distinct borders on the skin of his face, hairy part of the head. On the surface of most foci there are closely set scales. If the patient scratch them off, he feels pain. Subjectively: moderate itch. What is the diagnosis?	*Disseminated lupus erythematousus.	Tuberculosis of the face skin.	Photo dermatitis.
66.	After delivery a women felt weakness, hyperthermia. On the skin of the nose, cheeks, breast there are rosy-red spots with grayish scales. In the center of the foci there’s a scurry atrophy. Small joints of the extremity are edematic, the skin around them is red, their function is destroyed. What’s the clinical diagnosis?	*Systemic lupus erythematousus	Mycosis of the skin	Psoriasiform syphilid
67.	A worker of the cement plant visited doctor with the complaints on itch, edema and weeping of the skin near the fistula from osteomyelitis on the right cruse. Margins of the focus are clear. What’s the most possible diagnosis?	*Microbus eczema	True eczema	Professional eczema
68.	A 34-year-old driver saw the doctor because of the lesion of the skin of the extremity significant itch weeping. He has been ill for  5 months. During examination of the skin of the back of the hands and lower one-third part of the forearm a lot of papules, vesicles, pustules, scales, erosions, with a large amount of exudates were revealed. What disease can it be?	*Chronicle eczema	Acute eczema	Pyoderma
69.	In patient B, 34 years old on the skin of the back of the hands, abdomen and thigh there’re symmetrical apparent foci of the lesion of different sizes with unclear borders, where on the erymatous background one can see small papulas, vesiculas, single pustules and in the centre – erosion, scabs, weeping. Make your diagnosis?	*True eczema	Streptodermia	Microbic eczema
70.	Primary seronegative syphilis has been established in the patient [28 y.o.] on the basis of confrontation and laboratory researches. However terms of the incubatory period are reduced considerably. In what case it can be?	*Tuberculosis pulmonary, oncological problems, narcotics	Reinfection	Treatment of the intercurrent illnesses by antibiotics
71.	The patient [29 y.o.] has consulted a venereologist on the occasion of ulcers on the penis. He had a casual sexual connection with the unfamiliar woman for 1,5 months ago. The failure of penis has found for 2 weeks ago. Two ulcer elements have been found out at survey. They had the round form, equal edges and they were painless. The lymphadenitis of dense-elastic consistence is palpated in the inguinal region. Lymphatic nodes are painless and mobile, the skin above them is without an inflammation, they are not connected with each other and neighbouring tissues. The skin of the trunk and limbs has no rash. What about diagnosis is it necessary to think?	*Primary Syphilis	Acute Gonorrhoea	Soft Chancre
72.	The accoucheur-gynecologist has found out the ulcer with the round form and the size about 10 mm on the small sexual lip in the student [19 y.o.] at medical survey. The ulcer did not worry the patient. Objectively: the edges are precise and equal, its colour meat-red, the condensation is in the basis of the ulcer. The priority in the plan of patient’s inspection will be:	*Inspection on T.pallidum and serological reactions of blood on the syphilis	Finding of herpetic antibodies in the whey of blood	Inspection of sexual partners
73.	The women, 45 years old, has many bullas in here skin. The bullas resemble the peas in dimension. The rest skin is free of spots, without inflammation. The red erosion are in the oral cavity. They are very sickly. The patient notices the put of weight, feels herself bad. What is the diagnosis?	*Pemphigus vulgaris	Vesical toxidermia	Vesical toxidermia
74.	The patient [19 y.o.] has consulted a dermatologist with complaint of the strong inch, which amplifies appreciably at night. He has steam papulo-vesicular elements of excoriation on the skin of the trunk, superior limbs and internal surface of the hips. What is preliminary diagnosis?	*Scabies	Urticaria	Duhring’s dermatitis
75.	Very strong itch at the area of pubis and inguinal folds disturbers the patient, 42 years old, who has returned from a foreign mission. During the examination it was revealed many scratchings, haemoragical scabs and spots on the skin of the lower part of abdomen and internal surfaces of thighs. What is the diagnosis?	*Pediculosis	Scabies	Neurodermitis
76.	It was known that woman in childbirth, being in pangs, had known gonococcus from the urethra and vagina. What have to be a treatment of newborn child?	*To treat of all natural foramens by the 30\% solution albucidi	To treat of all natural foramens by manganese 1:10000	To treat of all natural foramens by penicillin
77.	The man, 55 years old, complaints for appearance of many rashes in the oral cavity. They are very sickly, especially during the eating. During the examination there are spread red round erosions, without inflammation. What kind of diseases you must think at first?	*Pemphigus vulgaris	Duhring’s dermatitis	Candidiasis
78.	The patient, 65 years old, has big bullas with flabby tegmen, red erosions in the mucosan  membrane of the oral cavity, in the limbs and  inquinal area, without any reason. She has a pain, especially during the eating. What is the diagnoses?	*Pemphigus	Toxiderma	Duhring’s dermatitis
79.	The patient, 46 years old, has inflammatory spots and papules at the skin of nose and cheeks. They after being in the skin over a long time. There is burning at the areas. The symptom of Benje-Mesherskiy is positive. What kind of pathological appearance was formed this symptom?	*Follicular hyperkeratosis	Ballonic degeneration	Vacuolar degeneration
80.	The patient has many uncavitary infiltraty elements, increasing in the surface of skin. The elements resemble the grain. There are red, flat, poligonalis, with impression in the center. The network of Wikchem is present. What kind of morphological elements and disease the patient has?	*Papules by lichen rubber planus	Papules by psoriasis	Papules by secondary syphilis
81.	The patient, 39 years old, has a big pink papilomatosic growths on the skin near the anus. The growths resemble the cauliflower and hold on the thin stalk. The surface of growths is red and macerated. The pain and burning at the area of affection trouble the patient. What is the diagnosis?	*Condilomas acuminates	Condilomas lata	Varicose of haemorrhoidal veins
82.	The boy 3 years old, fell ill in the first years of life. The are bullas at the place of traumatism of skin. The same diseases  has his mother. During of the examine it was reveal serous bullas at the skin of hands and feet. In the place of opening bullas we can see erosions and serous crusts. What is the diagnosis?	*Simple bulla epidermolysis	Pemphigus	Polimorfic exudativum eritemae
83.	Some foci of failure have appeared on the head in the patient during last 2 months. The skin has a light pink colour, it is covered by grey-white scales. The loss of hair is marked as a result of their break-down on 2-3 mm above a level of the skin. Grey-white prickles are found among the scales. Separate black points are observed in a place of exit from the follicle. By your diagnosis is:	*Trichophytose Superficial	Alopecia Areata	Alopecia Syphilitica
84.	The patient, 32 years old, came to the doctor with complaints for the increase of body temperature up to 38 degrees Celsius, pain in his joints, conjunctivitis. He felt ill acute after the accidental sexual contact. During the examination the skin over the right ankle joint, the left knee joint and the right hip joint was hyperemic, hot to the touch.	*Reyter’s disease	Psoriatic arthritis	Behterev’s disease
85.	The chlamydiosis (clamidiosis)  infection is due to …	* Elementary bodies	Reticular bodies	Anaerobic bacteria
86.	What pathologic process in the skin  define  Nikolsky symptom:	* Acantholysis	Acanthosis	Spongiosis
87.	To confirm a diagnosis of  the tinea versicolor (branny lichen) what  diagnostic test is used?	* Baltser’s test	Three – glass test	Salt – solution test (blister test)
88.	After the  10th  days at the accidental sexual connection the women had purulent secretion from the genitals, burning. Syringing, genital-bath with soda, chamomile, didn’t give any effects during one week. During of the examine by gynecologists /after two weeks from the beginning of disease/ it was reveal for erosions the big genitals sexual lips, at the smears-gonococcus. Control serological reaction /CSR/ for syphilis is negative. What will a doctor do?	* Repeated examination for syphilis	The treatment of gonorrhea	Examine for chlamidiosis
89.	The patient, 28 years old, living impropriety sexual life, it has diagnosed-trichomoniasis. What kind of preparations must be use for it etiology treatment?	*Metranidozoli	Sulfanilamide	Penicillin
90.	The women, 29 years old, applied to the doctor with completions for massive secretion from the vagina, itch, burning, pain during urination. During of  the examine it was reveal hyperemia external sexual organs, vagina. Much quantity of yellow foamy discharge, urethritis, endocervicitis. What is the diagnosis?	*Trichomoniasis	Gonorrhea	Candidacies
91.	The patient, 27 years old, single, living impropriety sexual life. During the last 2 month looks unimportance mucous, sometimes purulent secretion from urethra, subjective-inconstant itch or sensation burning from urethra. He didn’t apply to the doctor. What is the diagnosis?	*Chronicle gonorrhea	Acute gonorrhea	Trichomoniasis
92.	The pregnant is in her second half pregnancy diagnosis chronicle aendocerviciti and urethrity. What prescribe, to the patient?	*Penicillin	Tetracycline	Riphampicini
93.	The man, 27 years old, applied to the doctor with completions for pain in appended right testis, have a higher temperature until 40 degree Calcium, headache, indisposition. At the anamnesis had gonorrhea. During examine-appendage of right testis is hyperemier, increase, during of the palpation it was reveal compact sickly infiltration. What is the diagnosis?	*Gonorrhea aepididimitis	Tuberculosis epididimitis	Cancer of testis
94.	At the 16th day after the abortion the women had abdomen pain, indisposition, the higher of temperature until 39,5 degree Cesium. It was reveal from the anamnesis- accidental sexual connection with unknown man. She treated independently, only by the external preparations. Rate erythrocyte sedimentation \ESR\ - 44 mm/h. What is the diagnosis	*Gonorrhea	Syphilis	Candidiasis
95.	The women suffering from the chronic gonorrhea finished the complete course of treatment. The source of the infection was not establish. What will a doctor do?	*Clinical and serological control during 6 months	Clinical and serological control during 3 months	Clinical and serological control during 1 month
96.	The women, 60 years old, hospitalized with complaints for strong pain at the right side and rash on skin. She having ill during 5 days. During of the examine it was reveal grope vesiclaes with serous exudation at the erithematosis skin of intercostals space. During the palpation she has pain. What is the diagnosis?	*Circular lichen	Pemphig	Pemphigus
97.	The pregnant women applied to the doctor with completions for pain during the urination and secretion from the vagina. She is ill during 4 days. During examine it was the clinic of acute vulvovaginitis. In the smears – are gonococcus. What must be a treatment of the patient?	*Penicillin	Penicillin	Metranidazol
98.	The woman, who has just returned from a foreign mission, has the bladders on the skin of  her neck and shoulder-blade. Very strong itch inconveniences the patient. At the examination we can see many folliculates, excoriations near the bladders. This disease the woman connects with the wearing orhers clothes. What is your diagnosis?	*Pediculosis	Scabies	Toxicodermia
99.	The women, 28 years old, applied to doctor with completions for limited falling out the hairs. In the anamnesis- she had frequent headache indisposition, artromyalgia, fever, impropriety sexual life, using narcotics. RW is negative. What of examines must be the first?	*Examine for VICH	Examine for at neuropathology	Examine for gonorrhea
100.	The patient has the spots of   contagious mollusk at the face, hairiness part of head, sexual organs. Rash steady to the therapy, with often recidivations. Beside, the patient has often fevers infections, height temperature, until 38 degree of Celsius, pain in the right side. During the examine it was reveal is anemia, leukopenia, importance lowering of T-helpers. What is the diagnosis?	*VICH	Syphilis	Lupus tuberculosis
101.	The women 32 years old, has periodical hyperthermia, feels bad, put of weight. She has systemic candidiasis, nothing of any anticandidiasis preparations doesn’t give effects. During of the examine it was limphocytopenia, anemia, leucopenia, lowering of T-helpers. What is the diagnosis?	*VICH	Pemphigus	Duhring’s dermatitis
102.	The man, 40 years old, appealed to the doctor with the complaints for defeats and pain at sexual organs. He is ill during one year. He received some treatment, with out any results, more of it hearth begins to transformate to ulcers being over a long of period of time. During of the examine it was ulcer with not right margins, considerable appliances of immunodeficiency. During the palpation were pain, polyadenitis. What is the diagnosis?	*VICH	Pyodermia	Syphilis
103.	The patient, 27 years old, has erythematous spots, plates with fat hyperkeratotic scales yellow color, which had appeared one week ago on the face, hairiness part of head, extensor surface of extremities. He had this disease some month, after blood transfusion. The patient complaints of a bad state, put of weight, diarrhea, the treatment result didn’t give. During of the examine it was reveal importance lowering of index of immunity. What is the diagnosis?	* VICH	Syphilis	Toxiderma
104.	The patient complaints of bad state, increase of temperature of body until 38-39 degree of Celsius, pain in throat, diffusion increase of lymphatic nodes. He has disease during 2 weeks. In anamnesis is narcotism. During of the examine there are wide spread rash pink color (spots and papules), on the head and body, (having peripheral increase, violet and brown colors, (reminding haemangiomae). During of the examine it was importance lowering of index T-cells immunity. What is the diagnosis?	*VICH	Secondary syphilis	Eczema
105.	The women 28 years old, complaints for appearance of vesical rashes at the red margin in a low lip, after over a long time stay at the cold. During of the examine – the skin is free from the rashes. What is the diagnosis?	*Vesical lichen	Duhring’s dermatitis	Pemphigus
106.	After the 5 days the accidental sexual connection the man had purulent secretion from the urethra, sick at the end of urination, discomfort. During of the examine of the smears – the leukocytosis in all field of vision, insude and extracellular the are many gonococcus. What is the diagnosis?	*Gonococci acute back urethritis	Gonococci acute front urethritis	Gonococci acute totals urethritis
107.	The patient [56 y.o.] with the chronic furunculosis has consulted a dermatologist with complaints of the deterioration of his condition during last year. What researches should be prescribed to this patient first of all?	*Research on the maintenance of sugar in blood	Wassermann’s reaction	Research on HIV
108.	The young man [25 y.o.] has consulted a dermatologist with complaints of the appearance of a rash on the skin of the face, trunk and limbs. It disappears quickly and it is accompanied by intensive itch. Separate non-cavitary elevated porcelain elements are marked on the skin. What is the primary morphological element make a clinical picture?	*Wheals	Papules	Nodules
109.	The patient, 62 years old, who is being treated by the newropatologist for the neurithis of neuros facialis, the doctor noticed on his body, face and limbs the achromic spots of different sizes and the gradual disappearance of sensuality: at first of temperature, then of pain and at last tactile and also falling of hair of his eyebrows and eyelashes. What kind of examination must be prescribe for the patient at the first time?	*For the mycobacterium of lepra	For the mycobacterium of tuberculosis	For the LE-cells
110.	The patient, 49 years old, has the erythematosic spots and plates on the skin of her face, body and limbs, consist of the dense small knots. On the places of some of them there are hearths of atrophies. During the examination it were revealed the breach of temperature, painful and tactile sensuality. What do you think the disease is?	*Lepra	Tuberculosis	Toxiderma
111.	Nikolsky's positive symptom is found in the patient [66 y.o.] by the dermatovenereologist. By your preliminary diagnosis is:	*Pemphigus vere	Solar burn	Duhring’s hepetiform dermatitis
112.	Ardy’s positive symptom [that is the presence of a rash of impetigo’s character in the region of the both ulnar shoots] is found in the patient [23 y.o.] by the dermatovenereologist. By your preliminary diagnosis is:	*Scabies	Psoriasis	Avitaminosis A
113.	The man [23 y.o.] has small pustules on the skin of the face. They are located in the centre of the hair follicle and surrounded by a narrow hyperaemic band. Subjective sensations are absent. By your clinic diagnosis is:	*Ostial Folliculitis	Chancriform Pyoderma	Parasitic Sycosis
114.	The patient has consulted a dermatological clinic for consultation. His clinical lesions have caused of carrying out of special researches. The fusion of intercellular epithelial bridges was found in the prickle-cell layer at histological research of the struck epidermis. These changes are signs of:	*Acantholysis	Acanthosis	Dyskeratosis
115.	The signs of acanthosis are marked at the patient with the psoriasis at histological research of the struck skin. For this process is typically:	*Amplified duplication of prickle-cell layer	Disturbance of keratinization of the epidermis	Thickening of the granular layer of the epidermis
116.	Wickham’s positive symptom [that is the small netting and web-shaped lines on a surface of the papules as a result of focal granulotosis] is found in the patient [23 y.o.] by the dermatovenereologist. By your preliminary diagnosis is:	*Lichen Ruber Planus	Psoriasis	Molluscum Contagiosum
117.	Tarnovsky’s hypertrichosis is found in the patient [26 y.o.] by the dermatovenereologist. It can speak about:	*Late Congenital Syphilis	Hirsutism	Itsenko-Cushing’s syndrome
118.	After the trauma of the right cruse on external surface the man of 27 years old had nodes, which later opened with secretion which had a lot of glue substance yellow color. The ulcer had appeared, which was spherical shape with hand over margins and necrotic masses on the fundus. The patient doesn’t have subjective sensations. What is the diagnosis?	*Syphilis tertiary	Tjuberculosis of skin	Furunculosis
119.	The mother with her doter applied to the dermatologist with complains for the itch of hairiness part of head and the back surface of the neck. During the examine it was reveal the white and gray dandruff, fixating strong to the hair. The girl has the excoriations, single pustules at the neck. What is the diagnosis?	*Pediculosis	Seborea	Trihophytia
120.	The man, 23 years old, came to the doctor with complaints for onset the ulcus near the anus 1 month ago. The patient doesn’t have subjective sensations. He is bisexual. What is the diagnosis?	*Syphilis primaria	Pyodermia	Periproctitis
121.	Neoplasm of red colors, has been revealed in the region of the patient’s anus. It reminds color cabbage or a cock’s comb, in palpation it’s soft. About what morphological element can we speak?	*Vegetations	Warts	Scars
122.	In patient, 56 years old, on  the internal surface of the lower one-third of the left cruse there’s an apparent ulcer of three-kopecks-coin size with even raised margins and flat fundus. The skin around it is red and there’re a lot of vesicles, erosions, massive scabs. What’s your diagnosis?	*Microbus eczema	Vasculitis of the skin	Ulcer pyoderma
123.	On the patients elbows and knees there’re rosy-red elements; size: under 2 cm. Picture of the skin on their surface is clear. In palpation there is some infiltration, in vitropressure elements get pale.  What morphogical element can we think about?	*Papulas.	Turbcles.	Pustules.
124.	A patient saw the doctor because of the lesion of the face skin. Examination showed grouped small elements with transparent contents on the cheeks and skin of the upper lip on the eritemathosus background. What are the morphological element here?	*Vesicles.	Pustules.	Blisters.
125.	On the trunk of the patient a lot of white and yellowish-brown elements of various configuration and size, situated apart on the sunburned skin have been revealed. Relief and picture of the skin in the foci haven’t changed. About what morphological element can we think?	*Spots without inflammation.	Papulas.	Spots with inflammation.
126.	Spherical skin defect, size: under 3 cm in the diameter, with gentle margins, necrotic profound fondues, easily, bleeding has been revealed on the patients skin of the lateral surface of the lower part one-third part of the left crush. What morphogical element can we think about?	*Ulcer.	Erosion.	Fissure.
127.	The patient, 28 years old, came to the doctor with complaints for the discomfort during the urination , itch and scanty secretions from his urethra, mainly in the morning, pain in the lower part of his abdomen. He has been ill for about one month. During the examination there was found hyperemiae near the external outlet from his urethra and leycocitosis in the smears.  What is the diagnosis?	*Chlamydeous urethritis	Trichomonadia urethritis	Gonorrhoeal urethritis
128.	The boy, 12 years old, has numerous small papules (up to 2 mm in diameter)  on the skin of forehead and limbs. They have the color of normal skin and shine. Papules have the hollows is the center. If we try to press the elements, some white crumlike mass secretes. . What is the diagnosis?	*Contagious mollusk	Streptodermia.	Toxicodermia.
129.	The patient, 35 years old, had a treatment 5 years ago for syphilis secundaria recidiva. He didn’t complete his  treatment ( he changed his home address). Now he has tuberculums on his nose and forehead. RW, RITP and RIF are positive. What is the diagnosis?	*Syphilis tertiary	Furunculous	Tuberculosis of skin
130.	The patient, 57 years old, has some plates on the skin of the extension surfaces of his limbs, a lot of squamules, which are easily shelled away. Isomorphic reaction of Kebner and triad of Auspic are positive. What is the diagnosis?	*Psoriasis	Lichen rubber planus	Eczema
131.	The women, 33 has scanty secretions, itch in the external genitals, unpleasant sensations during urination, sometimes she feels pain in the lower part of her abdomen. It was diagnoses chlamidioses. What kind of preparations are more effective?	*Tetracycline	Penicillin	Biseptol
132.	The positive symptom of “the handles of a suitcase” [that is the presence of bridge-shaped cicatrices with a free space] is found in the patient [22 y.o.] by the dermatologist. By your preliminary diagnosis is:	*Tuberculosis Cutis Colliquativa [Scrofuloderma]	Syphilis Tertiaria	Leprosy
133.	A 50-years-old man experienced the severe low limbs  pain more often at night. The localization of the pain was not constant. Short time later  the ataxia developed and became worse at bad light. On ophthalmologic examination the weakness of pupils reaction to light and eyes convergence are noted.   The accommodation is good. On the fundus of  eyes the disks of optic nerve are of grey colour.  Also  the nevrological disorders of deep sensitivity were revealed. The Wassermann’s reaction assay  of Treponema pallidum immobilization  are positive.	* Tabes dorsalis (locomotor ataxia)	Myelitis	Acute encephalomyelitis
134.	A 4 years old boy developed the impairment of free motility, he began walk badly, the difficulties in getting up appeared. The main clinical features are absence of muscle hyportrophy, weakness  of deep tendon  reflexes, mild tetraparesis with insufficiency of muscle tonus, bilateral positive Babynsky’s sign.	* Dushenne myopathy	Multiple  sclerosis	Verdnig-Goffmann spinal amyotrophy
135.	Man 27 y.o. has been outside, on the cold air, for some time. On the following day, after waking up, he has found inability to close left eye, running tears, hyperacusia, and change of sensation of frontal 2/3 of the tongue. Objectively: flattening of naso-labial fold, left corner of the mouth drop and its paralyses, the “sail” symptom is positive, left corneal reflex is missing. Your diagnosis:	*  Neuritis of  left n. facialis	Neuritis of  left n. trigeminus	Neuralgia of left n. trigeminus
136.	Patient 38 y.o., suddenly started to feel headache, accompanied by nausea, vomiting and  loss of consciousness. Objectively: АP 190/30 mmHg, pulse 94/min, tense; skin is hyperemic. Craniocerebral nerves are normal, changes in movement and coordination are not seen. There are positive meningial signs (rigidity of nack muscles, Kerning’s and Brudsinski symptoms). Liquor is blood stained. Your primary diagnosis:	*  Subarachnoid haemorrhage	Trombosis vessels of the brain	Brain vessels embolism
137.	A 43-year-old woman  complains of the low back  pain irradiating to the left lower extremity which become worse in movements. Simultaneously   the patient notes numbness in the leg and cricks (crumps).  The palpation of shank and hip muscles is tenderness.  The hip flexion with knee extension is painful and can not be done. There is not    sensitivity  and reflexes loss disorders.	*Vertebrogenic lumboischialgia on the left	Vertebrogenic radicular syndrome L 5 –S1 on the left	Arthritis  of the left hip joint
138.	Girl 10 y.o. last three years often suffers from otitis. Has had rheumatic endocarditis. Vague, easy to get tired. Objectively: Patient constantly moving. All involuntary movements are quick, broad and constantly changing. Your diagnosis:	* Chorea minor	Parkinsonism	Huntington's chorea
139.	Patient 23 y.o. – general constriction, arm tremor, that gradually developed one year after a serious respiratory viral infection. Objectively: greasiness, mask-like face, quieting speech, hypersalivation, shuffling gait. Your diagnosis:	* Postencephalic  parkinsonism	Wilsons-Konovalov disease	Huntington's chorea
140.	After sleep in the morning a 60 years old patient noticed that his left extremities are stillness and left-sided sensitivity of skin is impaired. The patient has had a history of two same attacks. The conditions are  the humid and pale skin, BP 100/65 mm Hg, pulse rate 60 beats per minute. The left nasolabial fold is smoothed. The active movements in the left extremities are absent but reflexes from the ones are higher. Positive Babinsky’s sign on the left foot and unilateral left sided hyperesthesia  there are.  The  meningeal irritation  tests are negative.	*Ischemic insult in the right hemisphere of the brain	Hemorrhagic insult in the right hemisphere of the brain	Multiple sclerosis
141.	During 3 weeks a 27 years old woman suffers from common weakness, sleep disturbances, anxiety, subfebrility up to 37,6 0C, numbness and  weakness of legs  mostly on the left, some times urine retention. The main neurological features are following.  Cranial nerves function isn't impaired. Tendon reflexes are equable from the upper limbs and S>D from lower limbs. The exaggerated knee reflexes and absent left Achilles’ reflex are noted. The sensitive surfaces on the feet are reduced. The muscle hypotrophy of the lower extremities attaches the attention. .	*Acute disseminated myelitis	Spinal form of  multiple  sclerosis	Acute focal myelitis
142.	Within the last  3 months a 22 years old women  complains of the common weakness. In the evenings she notes  a doubling of vision. In the morning she insists that her general condition is good. The active movements in extremities are in a full volume but the muscle strength in the extremities is depleted. The clinical examination revealed eye lids ptosis, divergent squint, mask-like face and quiet voice. All clinical manifestations disappeared  after proserin injection.	*myasthenia	Parkinson disease	encephalitis
143.	On patient’s examination it was revealed that he understands speech addressed to him but he cannot speak but there were no motor impairments of the vocal apparatus. What is your diagnosis?	*Motor aphasia	Sensor aphasia	Amnestic aphasia
144.	The patient V., aged 32, complains of staggering gait in the dark and in good light. Determine the kind of ataxia.	* Cerebellar	Sensitive	Vestibular
145.	The patient has a tumour of hypophysis. What kind of hemianopsia will develop in it?	*Bitemporal hemianopsia	Quadrant hemianopsia	Binasal hemianopsia
146.	Dissociated anesthesia develops in damage of …	*Posterior horns of the spinal cord	Anterior horns of the spinal cord	Radices of the spinal cord
147.	A great spastic epileptic episode in a patient began when he turned his head and eyes to the right. Determine the localization of the pathological focus.	* Middle part of the middle frontal gyrus	Posterior part of the lower frontal gyrus	Upper part of the postcentral gyrus
148.	A 52 year-old patient has damage of the Broca’s centre after hemorrhage in the brain. What speech disorder occurs?	* Motor aphasia	Sensor aphasia	Amnestic aphasia
149.	Which type of sensitivity is the most affected during early stages of multiple sclerosis?	* Vibration	Pain	Stereognosis
150.	A tumour of the left frontal lobe base compresses the olfactory bulb (bulbus olfactorius). What symptoms are developing?	*   Left -sided anosmia	Olfactory hallucinations	Right-sided anosmia
151.	A patient has spastic left-sided hemiplegia which is accompanied by impairment of all kinds of sensitivity on the same side. Where is the focus of affection?	*The inner capsule	The anterior central gyrus	The posterior central gyrus
152.	A patient had thrombosis of the cortical branches of the middle cerebral artery that resulted in destruction of the middle part of the right precentral gyrus. What motor disorders occurred?	*Central monoplegia of the left arm	Central monoplegia of the right arm	Central monoplegia of the left leg
153.	A child is observed to have arrhythmic involuntary movements of the extremities and trunk. He makes faces, smacks his lips, and often pulls out his tongue. The muscular tonus of the extremities is reduced.  What character are the forced movements in this patient?	* Chorea	Hemiballism	Myoclonias
154.	A 42-year-old patient is troubled by difficulty in walking. Objectively: Hypomimia, slowing down of movements, increased muscular tension of plastic type; his steps are slow and shuffling. His speech is quiet and monotonous. Determine localization of the process.	*Pallidonigral system	Hypothalamus-hypophysis zone	Cerebellum
155.	Patient, 35 y.o. has had an illness with fewer and sore throat. Shortly after he has developed dysphagia, dysarthria, weakness and changes of movement in feet and hands, hyporeflexia, changes of sensitivity of extremities by polyneuritic type. Which disease would you suspect first?	* Diphtherial polyneuropathy	Neuropathia of n. sublingualis	Neuropathia of n. glossopharyngeus
156.	Patient C. 68 y.o. has general and cerebral arteriosclerosis, arterial hypotonia. Woke up in the morning, can’t move left extremities. There is no feeling in the left side of the body. Objectively: pale skin, covered with cold sweat. AP 100/65 mmHg, HR 60/min, weak. Respiration is weak. Active movement in the left extremities is not present. Tendinous reflexes are more vivid on the right when on the left. Babinski symptom on the left. Meningial signs are not present. Primary diagnosis?	* Iscemic stroke	Subarachnoid haemorrhage	Hemorrhagic stroke
157.	Male 22 y.o. has returned from military service. Started to feel transient changes of eyesight sharpness. Weakness of the right foot has appeared one year later. Objectively: horizontal nystagmus, absence of abdominal reflexes, hypereflexia of  tendentious and periostal reflexes, right foot clonus, Babinski, Chaddock and Rossolimo symptoms, bilateral Zhukovski symptom. Primary diagnosis?	* Multiple sclerosis	Cerebral arteriosclerosis	Lateral amyotrophic sclerosis
158.	Patient N. 45 y.o., stoker, complains of taking too long to heal burns, he can’t feel. First time painfree burn had place 10 years ago. On examination: sluggish paraparesis of upper extremities and segmental dissociated bilateral loss of sensitivity on the level C4-T2 segments. Your diagnosis:	* Siringomyelia	Multipl sclerosis	Lateral amyotrophic sclerosis
159.	Patient 28 y.o. complains of headache, nausea. Has been punched to face a day ago. Loss of conscience lasted for 3-5 minutes. Objectively: bloodshot left eyeball. Pronounced vegetatic stigmas. Your diagnosis:	*Brain concussion	Brain contusion	Brain compression
160.	Patient has had craniocerebral injury, with satisfactory condition after it. However, 10 days later, the patient has become weak and drowsy with following development of comatose state. Neurological status: broad right pupil, left sided hemiparesis. Which diagnosis has to be suspected?	* Subdural haematoma	Epidural haematoma	Subarachnoid hemorrhage
161.	Ambulance was called to a 48 y.o. man. From the words of relatives he has had three episodes of lost conscience and fitting during the day. On examination: the following fit is observed: patient lost conscience, fell on the floor, tonic and then clonic cramps of trunk and  extremities happened. The fit lasted for 4 minute, ended by involuntary urination. What type of fit was observed?	* Major epileptic fit	Vegetatic crisis	Absence
162.	Female 29 y.o. complains of head and extremities tremor, poor memory. On examination: choreotic hyperkinesis, Kaiser-Fleishner’s rings on the eyball, reduction of  ceruloplasmin blood level. Your diagnosis:	* Hepatolenticular  degeneration	Huntington's chorea	Pier –Marie’s ataxia
163.	Male 30 y.o., noted growing fingers and facial scull, changed face. Complains of poor eyesight, tiredness, skin darkening, loss of body weight. X-ray shows broadening of sella turcica, thinning of tuberculin sphenoidale, signs of increased intracranial pressure. What diagnosis can you make?	* Adenoma of hypophys	Encephalitis of truncus	Optico - hiasmatic arachnoiditis
164.	Patient, complains of pains in the mid thoracic part of spine for last 3 months. Recently, gradually increasing weakness of the right leg is noted. Objectively: central paresis of the right leg and loss of pain sensitivity from the nipple level on the left leg. Which disease can be suspected?	* Extramedular spinal tumor	Intramedular spinal tumor	Acute thorax myelitis
315.	Patient 27 y.o. 5th day of respiratory disease, appeared strong headache, accompanied by nausea, repeated vomiting, hyperestesia, photophobia. On examination: lying down with  thrown back head, legs are brought to trunk, pronounced rigidity of neck muscles, positive Kernig and Brudsinski symptoms. There are no paresises extremitis.  Select the main neurological syndrome:	*Meningial syndrome	Liquor hypertension syndrome	Liquor hypotension syndrome