A 55-year-old patient has the following symptoms: recurrent pneumonia (three times a year), coughing periodically (unproductive), increasing dyspnoea for about a year and hemoptysis in the last 2 weeks. The patient is a long-term smoker (30 pack-years). What tests should be performed to verify the initial diagnosis?
1. Chest x-ray
2. Bronchofiberoscopy or cytological examination of sputum
3. chest MR
4. Gastroscopy
5. None, antibiotics should be used.
Choose an answer:
- A1,2,3
- B1,2
- C3,4
- D1,3,4
- E5
Reveal the correct answerA 50-year-old patient decided to take care of himself and went to the gym, where he exercised for about half an hour. After that he felt discomfort in his chest for 10 minutes. Correct answer: Choose answer:
- Athis is normal fatigue, you can continue exercising the next day
- Bit is pathological fatigue, it is necessary to change the type of exercise
- Cthis is the equivalent of a stress test, an ECG and possibly a coronary angiography should be performed
- Dthis is acute hypogonadism, 100 mg testosterone im
- Ethis is evidence of chronic hypogonadism, transdermal patches should be used
Reveal the correct answerIn an 85-year-old patient after 2 days of using low-molecular-weight heparin in prophylactic doses, a reduction in the number of platelets was observed from 350000 / ul to 300000 / ul, with no obvious clinical symptoms. The doctor should: Choose the answer:
- Acontinue treatment without additional tests
- Bcontinue treatment and schedule a follow-up in 2 days
- Cuse unfractionated heparin
- Duse a different anticoagulant drug
- Ediscontinue anticoagulant therapy and observe the patient
Reveal the correct answerA 65-year-old woman who has been smoking for 45 years has been admitted because of drowsiness. In laboratory tests, the concentration of sodium 120 mmol / l in plasma and 60 mmol / l in urine. How should this patient be treated? Choose answer:
- Arecommend medications to improve memory - donepezil and drinking mineral water
- Bgive 0.9% NaCl at a dose of 50 ml / kg within 2 hours.
- Cgive 3% NaCl and control the sodium concentration so that the concentration on the first day does not exceed 130 mmol / l
- Dgive 10% NaCl and control the sodium concentration so that it is normal within 12 hours
- Edon't treat, because she will die of lung cancer anyway.
Reveal the correct answerA 20-year-old woman with increased thirst, orthostatic dizziness and drops in blood pressure came to the hospital. She admitted that she had been using illegal weight-loss drugs for three days, after which she urinated more often. The doctor found tachycardia. In additional tests, creatinine level was 3 mg/dl. What is the most likely diagnosis for this patient? Choose answer:
- Aprerenal acute kidney injury
- Brenal vein thrombosis
- Catheroembolic kidney disease
- Dacute glomerulonephritis
- Eacute pyelonephritis
Reveal the correct answerA 60-year-old man treated for non-Hodgkin's lymphoma has been getting fevers for 3 days. After the first round of chemotherapy, additional tests revealed serum creatinine 2 mg/dl, uric acid 12 mg/dl, potassium 5.5 mmol/L and hypocalcemia. What is the most probable cause of these signs: Choose the answer:
- Aprerenal acute renal failure
- Btumor lysis syndrome
- Chaemolytic-uremic syndrome
- Dsubacute glomerulonephritis
- Eacute glomerulonephritis
Reveal the correct answerThe 25-year-old man was admitted to the hospital due to drowsiness. Laboratory tests revealed a decreased pH (7.02), serum glucose 80mg / dl and creatinine 92 micromol / liter. The reason for acidosis is: Choose answer:
- AMethanol poisoning
- BKetoacidosis
- CChronic kidney disease
- DExcessive consumption of ethanol
- ETaking a proton pump inhibitor
Reveal the correct answerA 20-year-old man with a significant sensorineural hearing loss reported to the doctor. Microscopic hematuria (20 RBCs visible under microscope), proteinuria 0.7 g / d, serum creatinine 2 mg / dl. The patient's brother has similar symptoms. This is likely: Choose the answer:
- Athin basement membrane disease
- Bmembranous nephropathy
- CAlport syndrome
- DGoodpasture syndrome
- EIgA nephropathy
Reveal the correct answer25-year-old woman, two weeks after her wedding presented with sudden symptoms of dysuria, urinary frequency, painful urinary urgency. What should be done: Choose answer:
- Acotrimoxazole for 3 days
- Burine culture
- Curinalysis
- DUSG
- Eafter excluding the obstruction of urine flow in the ultrasound, treat according to the urine culture
Reveal the correct answerWhich tests will you perform on a patient with unexplained pruritus.
1) CBC
2) blood glucose level
3) creatinine, urea
4) hepatic enzymes
5) TSH, fT3, fT4 Select answer:
- A1,2,3
- B3,4,5
- C1,3,4
- D1,4
- EAll listed
Reveal the correct answerA 40-year-old woman with hypertension, ultrasound showed 3 cysts in the left kidney and 2 cysts in the right kidney. Both kidneys are enlarged. Serum creatinine 2 mg/dl. The patient's mother had a kidney transplant. Choose false: Choose your answer:
- Athis is likely polycystic kidney disease
- Bthe treatment is periodic puncturing and evacuation of cyst contents
- CACE-I is used in the treatment
- Dinform the patient that she can transmit the disease to her offspring
- Efollow-up imaging once a year is recommended
Reveal the correct answerIn preventing atrial fibrillation in a patient with heart failure and severe left ventricular systolic dysfunction (ejection fraction <35%), it is possible to chronically use an antiarrhythmic drug: Choose your answer:
- Apropafenone
- Bamiodarone
- Cdronedarone
- Dverapamil
- Edigoxin
Reveal the correct answerA typical stenocardial pain characteristic of ischemic heart disease is: Choose your answer:
- Apain located on the right side of the chest, stabbing, related to respiratory movements, not related to exercise
- Bretrosternal pain, radiating to the jaw and left arm, associated with respiratory movements, not related to exercise
- Cpain located on the left side of the chest, not radiating, associated with respiratory movements, not related to exercise
- Dwrapping epigastric pain, crushing, unrelated to exercise
- Eretrosternal pain, radiating to the jaw, left arm and abdomen, not related to respiratory movements, related to exercise
Reveal the correct answerDiagnosing a past myocardial infarction is possible if one of the following criteria is met:
1. new pathological Q waves with accompanying symptoms
2. new pathological Q waves without accompanying symptoms
3. myocardial necrosis with myocardial thinning and akinesia
4. features of infarction in the pathomorphological examination
5. features of a healing infarction in a pathomorphological exam test Select answer:
- A1, 3, 4
- B1, 3, 5
- C2, 3, 4
- D2, 3, 5
- Eall correct
Reveal the correct answerWhich of these is not a contraindication to cardio-pulmonary stress test: Choose your answer:
- Ainfectious endocarditis
- Bunstable angina
- Ccompensated heart failure
- Dsignificant narrowing of the aortic valve
- Edissecting aortic aneurysm
Reveal the correct answerA 38-year-old woman with a second degree goitre, with no palpable nodules. In the ultrasound, a focal lesion was found. What clinical symptoms and / or features suggest that a fine needle aspiration biopsy is needed? Choose answer:
- Ahistory of irradiation of the upper mediastinal region
- Bminor calcifications within the focal lesion
- Cincreased vascularity within the lesion
- Denlargement of the surrounding lymph nodes
- Eall of the above
Reveal the correct answerHeart failure can be caused by? Choose answer:
- Aischemic heart disease
- Bcardiomyopathy
- Cdecompensated hyperthyroidism
- DA, B i C
- EA i B
Reveal the correct answerWhich of the following observations is the strongest indication towards the diagnosis of Graves disease? Choose answer:
- AThyroid enlargement
- BPresence of nodular changes
- CIncrease in the concentration of thyroid peroxidase antibodies
- DPresence of anti-TSHR antibodies
- EThe presence of thyroglobulin antibodies
Reveal the correct answerA woman, aged 48, reports persistent diarrhea for about a month with accompanying weight loss. Previously treated with rifaximin and loperamide without improvement. The patient has not been ill until now. Family history: mother aged 56 died of medullary thyroid cancer. After performing laboratory tests, the most likely diagnosis is: Choose your answer:
- Airritable bowel syndrome
- Bhyperprolactinemia
- Chypercalcytonemia
- Dceliac disease
- Ehyperthyroidism
Reveal the correct answerWhat is NOT characteristic of de Quervain's subacute thyroiditis? Choose answer:
- Apainful enlargement of the thyroid gland
- Bclinical and laboratory signs of thyrotoxicosis
- Cincreased levels of anti-TSHR antibodies
- Delevated inflammatory markers (CRP, ESR)
- Edecrease in I131 uptake by the thyroid gland
Reveal the correct answerCNS symptoms such as disturbances of consciousness and / or psychotic symptoms and / or convulsions may be caused by the following metabolic or hormonal disorders: Choose your answer:
- Ahyponatremia
- Bhypoglycemia
- Chypercalcemia
- Dcorrect answers A and B
- Ecorrect answers A, B and C
Reveal the correct answerA man with a nosebleed reports to the doctor. A month ago he was in the hospital due to atrial fibrillation. Takes 3 mg oral warfarin. His INR is 7.2. What will you do? Choose answer:
- Astop warfarin therapy
- Bswitch warfarin to acenocoumarol
- Cadd heparin
- Dgive iv protamine sulphate
- Eadd acetylsalicylic acid
Reveal the correct answerA 66-year-old patient with dysphagia which has been present for two years has come to the doctor. Recently, hoarseness has appeared. The patient smokes cigarettes - 35 pack-years. In addition, he had an esophagus acid burn in childhood. The most likely diagnosis in this patient is: Choose your answer:
- Areflux oesophagitis D according to the Los Angeles classification
- Bachalasia of the esophagus
- CBarrett's esophagus
- Desophageal cancer
- Efunctional dyspepsia
Reveal the correct answerA 70-year-old female reports with consciousness disturbance. Lab results: sodium levels: 120 mmol/l in plasma, 60 mmol/l in the urine, normovolemia. What is the right procedure? Choose answer:
- Agive furosemide
- Bgive 0.9% NaCl
- Cgive 3% NaCl, but not to exceed 130 mmol/l on the first day
- Dgive 10% NaCl and carefully normalize sodium levels within 48 hours
- Ereduce the supply of liquids
Reveal the correct answerPreoperative risk factors for AKI after cardiac surgery are: 1. circulatory failure 2. diabetes 3. hypoalbuminemia 4. chronic kidney disease history 5. hypertension Choose an answer:
- A1,3,5
- B1,2,4
- C1,3,4
- D1,4,5
- E2,4,5
Reveal the correct answerA 28-year-old patient with recurrent respiratory infections reported to the doctor. Symptoms have been worsening for the last 8 years, with increased sputum production and its color change to yellow (periodically yellow-green), as well as decrease in exercise tolerance. 4 years ago the patient got married, and two years ago the couple started infertility diagnostics resulting in the patient being diagnosed with oligospermia. Physical examination revealed some expiratory wheezing, crackles around the bases of both lungs. The chest X-ray showed hyperinflation of the lungs. In spirometry mild obturation was found. Which test should be performed to confirm the diagnosis? Choose answer:
- Aarterial blood gas
- Bconcentration of chlorides in the sweat (sweat chloride test)
- Csputum cytology
- Dbronchial fibroscopy
- Esputum culture
Reveal the correct answerA thyroid ultrasound showed a thyroid nodule in a woman. Which of the following features will indicate the need for a nodule biopsy? Choose answer:
- Aexternal irradiation of the upper mediastinum area in interviews
- Bsmall calcifications within the focal lesion
- Cincreased vascularity inside the lesion
- Denlargement of nearby lymph nodes
- Eall of the above
Reveal the correct answerAn absolute contraindication to the performing spirometry is: 1. Bleeding from the respiratory tract with unexplained etiology 2. Uncomplicated pregnancy 3. Uncontrolled hypertension 4. Coronary heart disease CCS III 5. Pneumothorax Choose the answer:
- A1 , 2
- B1, 2, 3
- C1, 3, 5
- D2, 4
- E2, 4, 5
Reveal the correct answerA 51-year-old vegetarian, who has not menstruated for a year, complains of macrocytic anemia, tongue burning, premature graying of her hair, memory problems. What is the most probable cause of these symptoms? Choose answer:
- ACrohn's disease
- Biron deficiency
- Cvitamin B12 deficiency
- Dpremature expiration of ovarian function
- Epseudohyperpituitarism
Reveal the correct answerA 19-year-old male came to a doctor because of "yellow eyes". He does not report any other symptoms or complaints. Lab results show no abnormalities except bilirubin levels (2.8 mg/dl). What will be the most correct treatment? Choose your answer:
- APhenobarbital
- BNeomycin
- CNSAID treatment
- DSupplementation of pancreatic enzymes
- EThere is no indication for pharmacological treatment
Reveal the correct answerA 70-year-old patient reported pain in the area of the first metatarsophalangeal joint since the night. Edema, redness and warmth of this area are observed. Which is the most suitable drug? Choose your answer:
- Ahydrochlorothiazide
- Ballopurinol
- CNSAID
- Dfurosemide
- Emorphine
Reveal the correct answerCauses of low calcium levels may be:
1. hypoparathyroidism
2. albumin deficiency
3. PTHrP-producing tumors
4. thiazide therapy
5. vitamin D poisoning
Choose the answer:
- A1, 2
- B1, 2, 3
- C1, 2, 4
- D1, 3, 4
- E1, 2, 5
Reveal the correct answerA 25-year-old obese male reports to a doctor because of elevated blood pressure. He does not report any ailments. BP is 140/110 mmHg. The patient has abused alcohol and smoked large amounts of cigarettes for several years. What is the least appropriate procedure in this case? Choose your answer:
- Apharmacotherapy without further diagnosis
- Brecommending the patient to consume less table salt and reduce body weight
- CUrine test, plasma creatinine, heart and kidney ultrasound
- Dinstructing the patient to stop smoking
- Einstructing the patient to stop consuming alcohol
Reveal the correct answerThe symptoms of pancreatic cancer include:
1) obstructive jaundice
2) diabetes
3) acute pancreatitis
4) Trousseau syndrome
5) duodenal obstruction
Choose an answer:
- A1, 2, 5
- B1, 2, 3, 5
- C1, 2, 4
- D1, 4, 5
- Eall mentioned above
Reveal the correct answerA 76-year-old male presents with dizziness. Lab results show Hb = 10 g/dl and reduced MCV. Choose the correct procedure: Choose the answer:
- Ai.v. Iron
- BOral Iron
- Ci.v. packed RBC
- Di.v. vitamin K
- EGastrointestinal endoscopy
Reveal the correct answerA 70-year-old male reports to a doctor with severe pain in the lumbar spine. Lab results: proteinuria, creatinine level 4 mg / dl (354 micromol/L), serum calcium 13 mg/dl (3.2 mmol / L), uric acid 12 mg/dl (714 micromol/L). Choose false: Choose your answer:
- Amyeloid nephropathy is the most likely diagnosis
- Bprotein electrophoresis should be performed
- Cit is not necessary to determine the concentration of light chains
- Dthe patient should receive bisphosphonates
- Eallopurinol is indicated
Reveal the correct answerA 64-year-old man suffering from polycystic kidney disease reports to ED with dyspnea, edema of the lower limbs, hypertension and tachycardia. Lab results showed serum creatinine level 570 micromol / l and serum potassium 7.1 mEq / l. What should be done? Choose your answer:
- Agive 5% iv glucose
- Bgive 0.9% iv NaCl
- Cgive furosemide
- Dgive sodium bicarbonate
- Eperform hemodialysis
Reveal the correct answerA 30-year-old male, a driver who has not been treated so far, reports to the hospital due to rapidly growing weakness, blurred speech, drooping eyelids. Lab results showed a slight increase in ALT and creatinine. EKG, chest X-ray, and troponin were normal. The most probable diagnosis is: Choose your answer:
- Aasymptomatic myocardial infarction
- Bhepatic coma
- Cacute renal failure and uremic coma
- Dinfection with Hant virus
- Ebotulism
Reveal the correct answerA 35-year-old female with systemic lupus erythematosus with a history of two spontaneous abortions, renal vein thrombosis and TIA. Laboratory tests revealed thrombocytopenia, proteinuria (1.5 g / d) and prolonged APTT. Select the wrong answer: Choose answer:
- Ainitial diagnosis of the antiphospholipid syndrome
- Bthe presence of anti-B2 glycoprotein I antibodies is clinically relevant
- Cpresence of haemolytic anemia
- Dtreatment with cotrimoxazole is indicated
- Etreatment with a vitamin K antagonist is indicated
Reveal the correct answerA mother reports to the ER with a 3-week-old male child who has been vomiting for 2 days after each breastfeeding attempt and is very restless. On physical examination, the doctor stated a palpable olive sign. The mother does not report any fever or change in formula. The most probable diagnosis is: Choose your answer:
- Aesophageal obstruction
- Bhypertrophic pyloric stenosis
- Crectal obstruction
- Dfood allergy
- Eintussusception
Reveal the correct answerA mother with a 5-year-old girl reported to the hospital because of child's weakness and easy bruising. Physical examination showed bleeding mucous membranes and gingival hyperplasia. In laboratory tests WBC 21000 / ul, PLT 25000 / ul, Hb 10 g / dl. What should you do? Choose answer:
- APLT transfusion in a regional hospital
- Bgive i.m. methylprednisolone
- Cobserve outpatient
- Dgive Ig
- Ebone marrow biopsy
Reveal the correct answerA newborn with a mark on the face was admitted due to a rash in the diaper area. Physical examination revealed a port-wine naevus flat hemangioma covering the right part of the forehead and the right cheek. The suspicion of the Sturge-Weber syndrome was raised. Choose the most common complication of this syndrome: Choose your answer:
- Aimmunodeficiency and infections caused by Candida albicans
- Bseizures and psychomotor retardation
- Chaemangiopericytoma
- Dhipocalcemia
- Ecystic kidney disease
Reveal the correct answerIn the 2-week newborn an enlarged abdominal circumference, significantly enlarged liver, and subcutaneous nodules on the abdomen were found. A tumor is suspected. Which tumor occurs most often at this age? Choose answer:
- Amyeloid leukemia
- Blymphoblastic leukemia
- Cneuroblastoma
- Dhepatoblastoma
- Enon-Hodgkin lymphoma
Reveal the correct answerShow the correct sentence about type 1 neurofibromatosis:
1. Another name is von Recklinghausen disease
2. The most common of neurofibromatoses
3. Autosomal recessive inheritance
4. Involves risk of optic pathway glioma
5. The diagnosis criteria include: 5 cafe -au-lait macules with a diameter of 5 mm before puberty. Select answer:
- A1,3,4,5
- B1,2,4,5
- Call correct
- D2,3,4,5
- Eonly 1
Reveal the correct answerChoose the correct statement about chickenpox: Choose your answer:
- AIncubation period is 21-41 days, infectious period: starts 1-3 days before rash, ends when all skin lesions are dried.
- BIncubation period is 11-21 days, infectious period: starts 1-3 days before rash, ends when all skin lesions are dried.
- CIncubation period is 11-21 days, infectious period: starts with rash, ends when all skin lesions are dried.
- DIncubation period is 11-21 days, infectious period: starts 1-3 days, ends when fever stops
- EIncubation period is 11-21 days, infectious period: starts 7 days before rash, ends when all skin lesions are dried.
Reveal the correct answerIndicate the correct statement regarding the use of acetaminophen in children with fever: Choose the answer:
- Athe bioavailability of the drug administered per rectum is higher than the one given orally, therefore the rectal dose is lower than oral
- Bsevere viral infection, e.g. chicken pox is a contraindication
- Creduces fever by centrally inhibiting prostaglandin synthesis and switching the hypothalamus thermostat to the normal level
- DA i C
- EA, B, C
Reveal the correct answerIn children with Hodgkin's disease, all of the following tests are indicated, except: Choose your answer:
- Ahistopathological examination of the lymph node
- BCBC
- CESR
- DCT of the abdominal cavity
- Escintigraphy with MIBG
Reveal the correct answerIn the treatment of acute otitis media with amoxicillin in a child weighing less than 40 kg, the dosage is: Choose your answer:
- A20-50 mg / kg / day in two doses
- B50-70 mg / kg / day in two doses
- C75-90 mg / kg / day in two doses.
- D200 mg every 8 hours
- E500 mg every 8 hours
Reveal the correct answerThe following are supratentorial tumors in children, except: Choose the answer:
- Aependymomas
- Bprimitive endodermal tumor
- Cmedulloblastoma
- Dgliomas
- Eglioblastoma
Reveal the correct answerFever rising to 40 degrees, then falling below normal is a fever: Choose your answer:
- Aundulant
- Bseptic
- Cintermittent
- Drecurring
- Erelapsing
Reveal the correct answerThe symptoms of the adult-type coarctation of the aorta are: Choose your answer
- Aweak pulse on lower limbs
- Blarge systolic-diastolic amplitude
- Cbone surplus on the lower edges of ribs on X-ray
- Dlower blood pressure on the upper limbs
- Eall answers are correct
Reveal the correct answerHypertension in children is diagnosed when in 3 independent measurements the BP value is: Choose the answer:
- Abetween the 90-95th percentile for sex, age and height
- B=95th percentile for sex, age and height
- Cbetween the 90-95th percentile for sex, age and weight
- D=95th percentile for sex, age and weight
- E90th percentile for sex, age, weight
Reveal the correct answerIndicate the incorrect statement about nephrotic syndrome in children: Choose your answer:
- Athe most common form is idiopathic nephrotic syndrome
- Bthe second most frequent form is focal segmental glomerulosclerosis
- Cusually occurs between 2-5 years of age
- Dboys are twice as likely to get sick
- Etreated with steroids at a dose of 2 mg/kg/d of prednisolone
Reveal the correct answerSignificant bacteriuria and pyuria, without clinical symptoms. Choose your answer:
- Aasymptomatic bacteriuria
- Basymptomatic urinary tract infection
- Cinfection of the upper urinary tract
- Dinfection of the lower urinary tract
- Echronic pyelonephritis
Reveal the correct answerThe most common kidney stones in children are: Choose your answer:
- Acystine
- Boxalate and calcium
- Cphosphate
- Durate
- Ephosphate-ammonium-magnesium
Reveal the correct answerEnlargement and tortuosity of ureters with the widening and blunting of the calices is a description of vesicoureteral reflux of the following grade: Choose your answer:
- AI
- BII
- C3 C.
- DIV
- EV
Reveal the correct answerWhat dose of glucose in children> 3 years of age apply in the OGTT test. Choose the answer:
- A1.0 g / kg, maximum 75 g
- B1.25 g / kg, maximum 75 g
- C1.5 g / kg, maximum 75 g
- D1.75 g / kg, maximum 75 g
- E2.0 g / kg, maximum 75 g
Reveal the correct answerWhich symptom is not characteristic of scarlet fever? Choose answer:
- Ahigh fever
- Blesions in the throat
- Cminor rash
- Dparoxysmal cough
- Eenlargement of lymph nodes
Reveal the correct answerClinical manifestations of infectious mononucleosis do not include: Choose your answer:
- Afever
- Blymphadenopathy
- Chepato- and splenomegaly
- Dfundus lesions
- Epharyngitis
Reveal the correct answerThe first clinical stage of Lyme disease in children is: Choose your answer:
- Aarthritis
- Berythema migrans
- Cneuroborreliosis
- Doccular symptoms
- Ecardiac symptoms
Reveal the correct answerComplications of parotitis do not include: Choose answer
- Ameningitis and encephalitis
- Bepididymoorchitis
- Cblindness
- Ddeafness
- Epancreatitis
Reveal the correct answerIn a 9-year-old boy, after an oral glucose tolerance test (OGTT), an impaired glucose tolerance was diagnosed. Which result in the second hour of OGTT speaks for the diagnosis of impaired glucose tolerance? Choose answer:
- A99 mg%
- B125 mg%
- C145 mg%
- D201 mg%
- E220 mg%
Reveal the correct answerTreatment of neuroborreliosis in children involves the administration of the following drugs: Choose your answer:
- Aamoxicillin
- Bdoxycycline
- Cmacrolide
- Dsecond generation cephalosporin
- Ethird generation cephalosporin
Reveal the correct answerIn a patient with symptoms of acute abdominal pain, lowering the raised lower limb caused pain in the right iliac region. The symptom described is: Choose your answer:
- ABlumberg sign
- BChełmoński sign
- CKernig sign
- DRovsing sign
- EJaworski sign
Reveal the correct answerWhen does lumbar lordosis develop in children? Choose answer:
- Ain utero
- Bat about 3 months of age when the child raises their head
- Cat about 6 months of age when it starts to be seated
- Dat approx. 11-12 months of age when the child begins to walk
- Ein toddlers
Reveal the correct answerPhysiological anemia caused by bone marrow failure appears: Choose your answer:
- AFirst quarter of life
- B12-24 months old
- CAdolescence
- DThe third quarter of life
- EOnly in premature babies
Reveal the correct answerThe characteristics of Kawasaki disease are: Choose answer:
- Afever, enlarged axillary lymph nodes, changes on oral mucous membranes, cyanosis, conjunctival redness
- Bfever, chest pain, arrhythmia
- Cenlarged cervical lymph nodes, skin peeling on fingertips and toes, conjunctivitis, changes in oral mucosa, fever
- Dpolymorphic rash, enlarged cervical lymph nodes, fever, tachycardia
- Eall of them
Reveal the correct answerThe most common cause of myocarditis in children: Choose the answer:
- Aviruses
- Bfungi
- Cbacteria
- Dautoimmune
- Eall
Reveal the correct answerUltrasound examination of the fetus is not used to assess: Choose answer:
- Afetal well-being in a non-stress test
- BMuscle tone
- CRespiratory movements
- DFetal Biometry
- EAFI
Reveal the correct answerAn 18 year old female with hair on her chin, around nipples and medial surface of her thighs. What can not be the cause of these symptoms? Choose answer:
- Ause of hormonal contraception
- Buse of glucocorticoids
- Covarian cancer
- Dpituitary tumor
- Ehyperthyroidism
Reveal the correct answerAt a follow-up visit at 18 weeks of pregnancy, patient's blood pressure was 150 / 70mmHg, measured twice. Which test should be carried out next? Choose answer:
- AUrinalysis
- BCTG examination
- COGTT
- DCorrect answers A and B
- ECorrect answers A, B and C
Reveal the correct answerImmunoglubulin anti-D in a woman Rh (-) is not given when: select answer:
- Amother's partner is Rh (-)
- Bmiscarriage before 12th week
- Cif the pregnancy has ended with a cesarean section
- Din the second pregnancy, when the first child is Rh (-)
- Ebefore the next planned pregnancy, when the previous child is Rh (-)
Reveal the correct answerSurgical treatment is not the procedure of choice in the case of: Choose the answer:
- Aovarian cancer
- Bchoriocarcinoma
- Ccarcinoma of the endometrium
- Dgranulosa cell neoplasm
- Eovarian teratoma
Reveal the correct answerA 25-year-old patient reports to the doctor with the result of a cytological ASC-US examination, all previous results of cytological tests - normal. Which procedure will be appropriate? Choose answer:
- Afollow-up cytology recommendation for 6 months
- Bperforming HPV DNA testing
- Ccolposcopy
- DB, C
- EA, B, C
Reveal the correct answerThe contraindication to hormone replacement therapy is: Choose your answer:
- Apost-mastectomy status due to breast cancer
- Bhistory of partial hysterectomy due to myomas
- Chistory of radical hysterectomy due to cervical cancer
- Dhistory of hysterectomy and bilateral salpingo-oophorectomy due to ovarian cancer
- Ecorrect A, C, D
Reveal the correct answerA 20-year-old female patient with HSIL in a pap smear. The next steps to be taken are: Choose an answer:
- Acytology in a 1 year and if the result is normal, follow regular screening times
- Bperform the test for HPV infection and if the result is negative, follow regular screening times
- Ccytology in 6 months and if the result is normal, follow regular screening times
- Dtreatment of inflammation
- Ecolposcopy and histopathological examination of collected cervical material
Reveal the correct answerPreterm delivery according to WHO: Choose your answer:
- Abetween 22 and before 36 weeks of pregnancy
- Bbetween 22 and before 37 weeks of pregnancy
- Cbetween 12 and 39 weeks of pregnancy
- Dbetween 12 and 37 weeks of pregnancy
- E40 weeks of pregnancy
Reveal the correct answerThe twin-to-twin transfusion syndrome (TTTS) may be a complication of multiple gestations:
1. dichorionic, diamniotic
2. monochorionic, monoamniotic
3. monochorionic, diamniotic
4. dichorionic, monoamniotic
Select an answer:
- Anone of these
- B1,2,3
- C2,3
- DAll correct
- E1.4
Reveal the correct answerThe most precise delivery due date is calculated using: Choose an answer:
- ANaegle's rule
- BParikh's formula (takes into account the length of the cycle)
- CCRL in the first trimester
- DBPD in the second trimester
- EHC (head circumference) in the third trimester
Reveal the correct answerHomogeneous white or gray discharge, presence of clue cells and ph> 4, 5 are characteristic for: Choose your answer:
- Atrichomoniasis
- Bfungal infections
- Cnormal state
- Dbacterial vaginosis
- Einfection with HPV virus
Reveal the correct answerIndicate the criteria of conservative treatment of ectopic pregnancy: 1) good condition of a patient with a well functioning cardiovascular system 2) lack of markers of rupture of the fallopian tube and active bleeding into the abdominal cavity 3) diameter less than 3,5 cm 4) hCG concentration below 5 000 mjm/ml
- A1, 3, 4
- B2, 3
- C1, 2, 4
- D1, 2, 3,4
- E1, 3
Reveal the correct answerThe cervical cerclage is used when: Choose an answer:
- Agenital prolapse
- Bcervical incompetence or insufficiency
- Cbleeding from the cervix after surgical conization
- Dbleeding from the cervix in the second trimester of pregnancy
- Efor hysteroscopy
Reveal the correct answerThe symptoms of pelvic inflammatory disease are: 1. abdominal pain 2. fever 3. cervical motion tenderness 4. adnexal tenderness 5. local peritoneal symptoms Choose an answer:
- A1, 2, 3
- B1, 2, 3, 4
- Conly 3
- D3, 4
- Eall
Reveal the correct answerThe typical symptoms of PCOS are: 1. Obesity 2. Hirsutism 3. Amenorrhea 4. Prolonging menstruation 5. Elevated body temperature Choose the answer:
- A3,5
- B2,5
- C1,2,3
- D2,4
- Eonly 1
Reveal the correct answerRisk factors for endometrial cancer are 1. Obesity 2. Hypertension 3. Diabetes 4. Mitral regurgitation 5. No offspring Choose an answer:
- A1,2,3
- B3,4
- C1,2,3,5
- D1,5
- Eall
Reveal the correct answerWhich virus causes genital warts? Choose answer:
- AHPV
- BHCV
- CEBV
- DHSV
- ECMV
Reveal the correct answerPostmenopausal patient, 55 years old, with bleeding from the uterine cavity lasting for 12 days, anemia, thickness of the endometrium in ultrasound 17 mm. What is the most appropriate procedure? Choose answer:
- Alaparoscopy
- Bpharmacological treatment and laparoscopy
- Cfollow-up assessment of the endometrial wall thickness on ultrasound in 6 months
- Dcurettage of the uterine cavity or hysteroscopy
- Evaginal tamponade
Reveal the correct answerWhich HPV types are involved in the pathogenesis of cervical cancer: Choose your answer:
- A5,11
- B15,17
- C16,18
- D13,15
- E21.22
Reveal the correct answerPubertas praecox is: Choose your answer:
- Aprecocious puberty
- Bpremature development of pubic hair
- Cpremature development of axillary hair
- Dpremature development of the breast glands
- Epremature ovarian activity
Reveal the correct answerBP value for hypertension in pregnant women is above: Choose your answer:
- A120/80 mmHg
- B120/85 mmHg
- C130/80 mmHg
- D130/85 mmHg
- E140/90 mmHg
Reveal the correct answerTanner scale is used to assess: Choose answer:
- Astage of ovarian cancer
- Bstage of sexual maturity
- Ccervical cancer advancement
- Dmuscle mass gain
- Estage of endometrial cancer
Reveal the correct answerWhich of these is not a sex cord-stromal tumor: Choose your answer:
- Adysgerminoma
- Bgranulosa cell neoplasm
- Cthecoma
- Dfibroma
- Egynandroblastoma
Reveal the correct answerThe normal size of distantia intertrochanterica in a woman is: Choose your answer:
- A24-25cm
- B25-26cm
- C27-28cm
- D28-29cm
- E31-32cm
Reveal the correct answerHow long does an unfertilised egg cell live? Choose answer:
- A3-6 h
- B6-12 h
- C12-24 h
- D24-48 h
- Eover 72 hours
Reveal the correct answerWhat is the difference between pseudohallucinations and auditory hallucinations? Choose answer:
- Apresence of the executive judgment
- Bpresence of the starting stimulus
- Cprojection of auditory sensations
- Danswers A, B and C are correct
- ENo answer is correct because they are identical concepts
Reveal the correct answerHallucinoids are:
1) delusional hallucinations
2) parahalucinations
3) psychosensory disorders
4) delusions
5) pseudohalucations Choose an answer:
- A1 i 2
- B2 i 3
- C3 i 4
- D4 i 5
- E1 i 5
Reveal the correct answerIndicate the correct statements about delusions of mind being read
1. They are an example of impaired thought process
2. They are an example of impaired thought content
3. They are an example of formal thinking disorders
4. They are characteristic of paranoid schizophrenia
5. They are characteristic of affective disorders Choose the answer:
- A1,4
- B1,5
- C2,4
- D2,5
- E3.4
Reveal the correct answerChoose the correct statements about confabulation:
1. they are paramnesias
2. they are dysmnesias
3. they are typical for dementia
4. they are typical for schizophrenia
5. they are typical for affective disorders choose answer:
- A1 i 2
- B1 i 3
- C1 i 4
- D2 i 3
- E2 i 4
Reveal the correct answerWhich of the following is not an atypical neuroleptic: Choose your answer:
- Aquetiapine
- Bolanzapine
- Caripiprazole
- Dparoxetine
- Esertindole
Reveal the correct answerThe Cotard syndrome occurs in the course of: Select answer:
- Asevere depression with psychotic features
- Bmania with psychotic features
- Cdelusions of jealousy
- Dhebephrenic schizophrenia
- Ephobias
Reveal the correct answerA sudden decrease in muscle tension in the striated muscles is: Choose your answer:
- Aconversion
- Bcatatonia
- Ccatalepsy
- Dcataplexy
- Econfabulation
Reveal the correct answerThe time criterion for diagnosing paranoid schizophrenia according to ICD-10 is: Choose your answer:
- A1 year
- B1 month
- C2 weeks
- D3 months
- E6 months
Reveal the correct answerKleptomania is one of the following: Choose your answer:
- Apsychosis
- Banxiety disorders
- Caffective disorders
- Daddictions
- Eimpulse control disorders
Reveal the correct answerWhich drug does not belong to neuroleptics? Choose answer:
- Aolanzapine
- Baripiprazole
- Cquetiapine
- Dsertraline
- Eclozapine
Reveal the correct answerThe first-line medications of the first paranoid schizophrenic episode are: Choose your answer:
- Aanxiolytics
- Bmood stabilizers
- Cantidepressants
- Dfirst generation neuroleptics
- Eatypical neuroleptics
Reveal the correct answerSecond-generation normothymics are: Choose your answer:
- Acarbamazepine
- Bperphenazine
- Cmianserin
- Dparoxetine
- Equetiapine
Reveal the correct answerWhat is the rule for admitting a patient who is mentally ill to a psychiatric hospital against his will? Choose answer:
- Afamily consent
- Bconsent for treatment is always necessary
- Ca direct threat to the life or health of other people or the life of the patient
- Da referral only from a psychiatrist
- Ereferral from a doctor of any specialty
Reveal the correct answerHeart palpitations, sweating, tremor, chest discomfort, feeling of choking, feeling of breathlessness, feeling hot, nausea, dizziness, paresthesia, derealization and depersonalization, fear of death are symptoms of the syndrome: Choose your answer:
- Aparanoid
- Bdelirium
- Cpanic disorder
- Dpostneuroleptic
- Eserotonin
Reveal the correct answerThe methods of tension-free hernia surgery are:
1. Bassini
2. Lichtenstein
3. Shouldice
4. Rutkowa
5. Halsetd Choose the answer:
- A1, 2
- B2, 3
- C2, 4
- D3, 4
- E4, 5
Reveal the correct answerChoose the correct statements about peptic ulcers:
1. The most common cause is Zollinger-Ellison syndrome.
2. The most common location is the angular incisure of the stomach and the pre-billiary region.
3. All stomach ulcers should be treated surgically.
4. The most common surgery is Billroth I and II, vagotomy.
5. Perforation of the ulcer presents as acute abdomen. Choose answer:
- A1, 2, 3
- Ball correct answers
- C1, 4, 5
- D3, 4, 5
- E2, 4, 5
Reveal the correct answerIndicate the correct statements about stomach cancer:
1. The incidence of peripheral cancer is declining, and the incidence of cancer of the proximal stomach parts and the cardia region increases.
2. Lauren's I intestinal type has better prognosis. Environmental factors are more significant than genetic factors in this type.
3. Women get it more often.
4. The most common type is squamous cell carcinoma.
5. The prognosis for the majority of patients is good: 5 years survival is about 50. Choose an answer:
- A1
- B1, 2
- C1, 2, 3
- D2, 5
- E2, 3, 4
Reveal the correct answerA 44-year-old patient complains of persistent vomiting, history of long-term ulcer disease. Last gastroscopy showed pyloric stenosis. What kind of lab changes do you expect in this patient? Choose answer:
- Aalkalosis, hyponatremia, hypochloremia, hypokalemia
- Balkalosis, hypernatremia, hypochloremia, hypomagnesemia
- Cacidosis, hypernatremia, hyperchloremia, hypokalemia
- Dalkalosis, hypernatremia, hyperchloremia, hypomagnesemia
- Eacidosis, hyponatremia, hypochloremia, hypokalemia
Reveal the correct answerThe most common causes of intestinal obstruction are: 1) adhesions 2) cancer of the small intestine 3) colon cancer 4) trap of the hernia 5) diverticulitis Choose an answer:
- A1, 2, 3
- B2, 3, 4
- C1, 3, 4
- D1, 2, 4
- E1, 3, 5
Reveal the correct answerImaging studies considered the gold standard in the diagnosis of patients with acute pancreatitis are: Choose your answer:
- Aendoscopic retrograde cholangiopancreatography
- Bcholangio-MR
- Cmagnetic resonance imaging of the abdominal cavity with gadolinium
- Dendoscopic ultrasonography
- ECT of the abdominal cavity
Reveal the correct answerFrom the following sentences, select those that correctly characterize Lynch syndrome:
1. occurs in the 4-5 decade of life
2. brain tumors in relatives
3. It develops most often in the right half of the colon
4. It develops most often from polypoid lesions
5. accounts for about 20% of all colon cancers. Choose the answer:
- A1, 3, 4
- B2, 5
- C2, 3, 4
- D1, 3
- E1, 2, 3, 4
Reveal the correct answerChoose diseases that may result in internal or external intestinal fistulas:
1. upper mesenteric artery occlusion
2. sigmoid colitis dicerticulitis
3. Crohn's disease
4. chronic pancreatitis
5. chronic radiation proctitis
6. peptic ulcer disease Choose your answer:
- A1, 2, 4, 5
- B2, 3, 4
- C3, 4, 5, 6
- D2, 3, 5
- E1, 3, 5
Reveal the correct answerMechanical jaundice can be caused by:
1) deposits in the bile ducts
2) portal hypertension
3) pancreatic cancer
4) duodenal ulcer
5) pancreatic head cancer. Choose the answer:
- A1, 2
- B1, 3
- C3, 5
- D4, 5
- E1, 5
Reveal the correct answerThe complications of diverticular disease include: 1. neoplastic transformation 2. diverticulitis 3. inflammation of the peritoneum 4. bleeding into the gastrointestinal tract 5. toxic dilation of the colon Choose an answer:
- A1, 2, 3
- B2, 3, 4
- C3, 4, 5
- D1, 2
- Eall the answers are correct
Reveal the correct answerThe symptoms of cancer of the cecum include:
1. anemia
2. palpable resistance in the right lower abdomen
3. enlarged inguinal lymph nodes
4. right-sided hydronephrosis Choose an answer:
- A1, 2
- B2, 3
- C3, 4
- D2, 4
- E1, 3
Reveal the correct answerTrue statements about breast cancer:
1. the most common malignant neoplasm in European females
2. most often develops from fibroadenoma
3. the prognosis depends on the stage of advancement
4. the risk of getting sick increases with genetic burden
5. it never occurs in men. Choose the answer:
- A1, 2, 3
- B2, 3, 4
- C3, 4, 5
- D1, 3, 4
- E1, 4, 5
Reveal the correct answerA 39-year-old woman who has been suffering from ulcerative colitis for 7 years has been hospitalized with the symptoms of megacolon toxicum. Her general condition is getting worse. What will be the most appropriate procedure? Choose answer:
- Aremoval of the entire colon with the rectum and creation of ileostomy
- Bremoval of the colon and creation of ileostomy
- Cremoval of the colon and rectum and formation of the intestinal reservoir
- Dcolon removal and small bowel to rectal anastomosis
- Etransfer to ICU, the current condition of the patient is a contraindication for surgery
Reveal the correct answerThe risk of colon cancer is increased in patients with:
1. familial polyposis syndrome
2. sigmoid colon diverticulosis
3. ulcerative colitis
4. chronic pancreatitis
5. gout choose an answer:
- A1, 4
- B1, 5
- C3, 4
- D1, 2
- E1, 3
Reveal the correct answerThe Allgower shock index is the ratio: Choose the answer:
- Apulse to systolic pressure
- Bpulse to diastolic pressure
- Csystolic pressure to diastolic pressure
- DCVP to pulse
- ECVP to systolic pressure
Reveal the correct answerThe primary surgical method of GIST treatment is: Choose your answer:
- Aendoscopic mucosectomy
- Bendoscopic thermoablation
- Cendoscopic obliteration
- Dsurgical resection
- Eoperational fundoplication
Reveal the correct answerComplications of GERD do not include: Choose your answer:
- Astricture at the site of long-lasting oesophagitis
- Bpyloric stricture
- Cperforation of an ulcer
- Dbleeding from an ulcer
- EBarrett's esophagus
Reveal the correct answerThe main reason for reflux oesophagitis is: Choose your answer:
- Apremature spasm of the upper esophageal sphincter
- Bpresence of the Schatzki ring
- Cpresence of Zenker's diverticulum
- Doccurrence of prolonged relaxation time in the so-called lower esophageal sphincter
- EBarrett's esophagus
Reveal the correct answerMetaplasia in the Barrett's esophagus developing in GERD leads to the development of this type of cancer: Choose your answer:
- Asquamous cell carcinoma
- Bmelanoma
- Csquamous papilloma
- Dmeconium sarcoma
- Eadenocarcinoma
Reveal the correct answerThe most common type of hiatal hernia is: Choose the answer:
- Asliding
- Bof the mixed type
- Cparaesophageal
- DMorgani's
- EBochdalek's
Reveal the correct answerThe most common diverticulum arising at the border of the throat and esophagus is: Choose the answer:
- AZenker's
- BWolff's
- CNissen's
- DMorgani's
- Ediverticula do not form in that place
Reveal the correct answerIn a 58-year-old patient with sigmoidal diverticulae, an abscess in the left ilium has been detected in the CT. The patient is hemodynamically stable, fever up to 39 degrees, positive local Blumberg sign. What is the most appropriate procedure? Choose answer:
- Aurgent laparotomy and abscess drainage
- Burgent laparotomy and excision of the altered segment of the intestine
- Claparoscopy and abscess drainage
- Dpercutaneous drainage under ultrasound guidance
- Eintensive antibiotic therapy
Reveal the correct answerThe consequence of damage to the middle meningeal artery is: Choose your answer:
- Aepidural hematoma
- Bsubdural hematoma
- Cintracerebral hematoma
- Danswers A and B are correct
- Eanswers A, B and C are correct
Reveal the correct answerIn patients with Crohn's disease surgery is necessary in the case of: Choose the answer:
- Asuspected perforation
- Bgastrointestinal obstruction
- Cmassive bleeding
- Dcorrect answers are A and B
- Ecorrect answers are A, B and C
Reveal the correct answerA 20-year-old man with abdominal pain and nausea reported to the Hospital Emergency Department. During the examination, tenderness was observed in the area of the right hip. In additional tests, leucocytosis was found (WBC = 14 G / L). The most appropriate procedure is: Choose your answer:
- Alaparoscopy z appnedectomy - urgent
- Blaparotomy with appendectomy - urgent
- Cconservative treatment
- Danswers A or B are correct, depending on the hospital equipment
- Enone of the above answers is correct
Reveal the correct answerWhich of the polyps is non-cancerous: Choose your answer:
- Atubular adenoma
- Btubulovillous adenoma
- Cvillous adenoma
- Dsessile serrated adenoma
- Emetaplastic polyp (hyperplastic)
Reveal the correct answerWhich antibiotic should be used in empirical treatment of adults with community-acquired pneumonia. Choose answer:
- Aamoxicillin after 1.5-2.0 g 2 times a day
- Bampicillin 0.5-1.0 g 4 times a day
- Camoxicillin and clavulanate 1.2 gr 2 x day
- Dciprofloxacin 400 mg twice a day
- Eceftazidime iv 2 g 3 times a day
Reveal the correct answerWhat treatment will you use in the absence of contraindications for the treatment of pharyngitis or tonsillitis infection caused by S. pyogenes in an adult? Choose answer:
- APhenoxymethylpenicillin 1 million U / day in 2 divided doses
- Bphenoxymethylpenicillin 2-3 million units / day in 2 divided doses
- Camoxicillin 1x daily orally
- Dcefadroxil 1 x daily orally
- Eclarithromycin 1 x daily orally
Reveal the correct answerThe so-called minimal intervention, ie the five-P method (ask, advise, plan, help, remember) is recognized and effective in terms of costs: Choose your answer:
- Aanti-tobacco intervention
- Bthe method of identifying harmful and high-risk drinking
- Ca method of diagnozing addiction to psychoactive substances
- Da method promoting active prophylaxis (protective vaccination)
- Ea method that promotes physical activity in obese and overweight people
Reveal the correct answerWhat interval should be maintained between live and killed vaccination? Choose answer:
- A7 days
- B2 weeks
- C4 weeks
- D6 weeks
- Eany, but a gap should be kept so that post-vaccination reactions do not overlap
Reveal the correct answerIn which group of people the flu vaccination is contraindicated? Choose answer:
- Apregnant women and women planning pregnancy
- Bchildren over 6 months of age with chronic respiratory diseases
- Cpeople in immunosuppression
- Dpeople with chronic renal failure
- Enone of the above
Reveal the correct answerWhich enzyme shows the greatest sensitivity in the diagnosis of cholestasis? Choose answer:
- AALL
- BAST
- CALP
- DGGTP
- ELDH
Reveal the correct answerFor post bronchodilator testing you can use: Choose an answer:
- A400 μg of salbutamol or fenoterol
- B24 μg formeterol
- C200 μg salmeterol
- D200 μg of budesonide
- E20 μg ipratropium
Reveal the correct answerThe indication for endoscopic diagnosis of the upper gastrointestinal tract is: Choose an answer:
- Anew dyspepsia in a person aged 45
- Bdyspeptic symptoms lasting over 2-3 months despite appropriate treatment
- Cdyspepsia with associated alarming symptoms
- Ddyspepsia in a person taking NSAID chronically
- Eall of them
Reveal the correct answerThe use of which drug results in a maculopapular rash in a patient with infectious mononucleosis: Choose your answer:
- Aamoxicillin
- Bcephalosporin
- Cazithromycin
- Dtetracycline
- Eclindamycin
Reveal the correct answerAccording to the Polish Diabetes Association, diabetes can be diagnosed based on the following results: Choose your answer:
- AFPG ≥ 200 mg / dL with manifestations of hyperglycaemia present
- BFPG ≥ 126 mg / dl measured twice
- Cplasma glucose in the second hour of OGTT ≥ 200 mg / dl
- DHbA1C concentration ≥ 6,5%
- Eall of the above
Reveal the correct answerNormal blood pressure values in toddlers and pre-school-aged children are: Choose your answer:
- Amean values of systolic and diastolic blood pressure below 90 percentile for sex, age and height,
- Bmean values of systolic and diastolic blood pressure between 90 and below 95 percentile for sex, age and height
- Cmean values of systolic and / or diastolic pressure are 130 mm and 80 mmHg, respectively
- Dmean values of systolic and / or diastolic pressure are respectively 130 mmHg and 80 mmHg for boys and 120 mmHg and 70 mmHg for girls
- Enone of the above
Reveal the correct answerAccording to the guidelines of the European Society of Hypertension / Cardiology from 2013, hypertension recognized on the basis of patient's home measurements is diagnosed from the value: Choose the answer:
- A140/90
- B130/80
- C130/85
- D135/85
- E145/95
Reveal the correct answerA patient with chronic kidney disease has been complaining of a progressive weakness in muscle strength for a week. The patient is treated with ARB, spironolactone and simvastatin. Laboratory results: creatinine concentration 5 mg%, CPK 50 U / l, potassium concentration 7 mmol / l. What could have caused this patient's hyperkalemia: Choose your answer:
- Astatins toxicity
- BARB
- Cspironolactone
- DA i C
- EB i C
Reveal the correct answerThe CRB-65 scale is used to: Choose the answer:
- Aassessment of the severity of bronchial asthma
- Bassessing the severity of COPD exacerbation
- Cassessment of the severity of community-acquired pneumonia in outpatient settings
- Dassessment of the effectiveness of outpatient pneumonia treatment
- Eestimated probability of bacterial pneumonia and the basis for antibiotic therapy
Reveal the correct answerTreatment-resistant hypertension: Choose the answer:
- Ais hypertension in which the target values are not achieved despite the use of at least 3 antihypertensive drugs
- Bthese drugs are used in the appropriate combination
- Cone of the three antihypertensive drugs is a diuretic
- DA, B
- EA, B, C
Reveal the correct answerCoronary heart disease can be diagnosed based on a well-gathered history of pain. Typical angina pain: Choose answer:
- Ais located retrosternally
- Bstops at rest
- Cintensifies in the afternoon
- DA i B
- EA, B i C
Reveal the correct answerThe Cocroft-Gault formula allows for: Choose the answer:
- ADetermination of direct creatinine clearance without reference to the surface
- BEvaluation of glomerular filtration rate with knowledge of serum creatinine
- CEstimation of glomerular filtration rate with knowledge of serum creatinine, sex and age of the patient
- DEstimation of glomerular filtration rate with knowledge of serum creatinine, sex, age of the patient and body weight
- ECalculation of albumin / creatinine index
Reveal the correct answerThe doctor measured blood pressure in 5 patients as part of a screening test. He obtained the following results: 1) 130/85 mmHg 2) 140/89 mmHg 3) 146/85 mmHg 4) 158/92 mmHg 5) 161/96 mmHg Who do you diagnose with grade 1 hypertension? Choose answer:
- A1, 2, 3
- B2, 3, 4
- C3, 4, 5
- D3, 4
- E4, 5
Reveal the correct answerIn COPD, inhaled glucocorticosteroids are the basis of treatment in each case because they inhibit the progressive impairment of lung function. Choose answer:
- ABoth sentences are true and there is a causal relationship between them
- BBoth sentences are true, but there is no causal relationship between them
- CThe first sentence is true and the second is false
- DThe first sentence is false and the second is true
- EBoth sentences are false
Reveal the correct answerChoose a true statement about anemia of chronic diseases: Choose your answer:
- AIt is the second most common anemia after iron deficiency anemia.
- BMay accompany RA.
- CThe level of ferritin can be increased.
- DA,B.
- EA,B,C.
Reveal the correct answerA 22-year-old obese woman was brought to the Hospital Emergency Department due to sudden epigastric pain. There was nausea and vomiting. RR 130/80, HR 80 / min, breathing rate 20 / min. In laboratory tests AspAT 600 U / l, AlAT 400 U / l, amylase 1400 U / l. What is the most probable cause of this woman's condition? Choose answer:
- AAbdominal injury.
- BAcute appendicitis
- CHypothermia.
- DGallstones of the gallbladder
- EAcute pancreatitis
Reveal the correct answerThe basic system used by emergency services is the START system. The START system uses colors: Choose the answer:
- Ared, black, yellow, white
- Bblack, red, yellow, green
- Cred, green, yellow, white
- Dblack, red, blue, yellow
- Eblack, red, blue, yellow
Reveal the correct answerSkin redness or generalized erythema, severe pain, blistering. Deep skin layers, sweat glands, muscles and bones not damaged. The above description applies to: Choose answer:
- AFirst degree burn
- BFirst degree frostbite
- CThird degree frostbite
- DSecond degree burn
- EThird degree burn
Reveal the correct answerThe drug used in polymorphic ventricular tachycardia at a dose of 2g within 10 minutes is? Choose answer:
- Aadrenaline
- Bamiodarone
- Clidocaine
- Datropine
- EMagnesium
Reveal the correct answerIndicate a false answer about a chemical disaster: Choose your answer:
- Aafter initial segregation, no revision is necessary
- Bin patients contaminated with corrosive substances, mouth-to-mouth resuscitation can not be performed
- Cthe wind direction is important when organizing a medical point
- Dzone A is located closest to the place of a chemical catastrophe
- Eonly soldiers and fire dept. units are allowed to stay in zone A
Reveal the correct answerWhen performing electrical cardioversion in atrial fibrillation, the electrodes should be placed in the position: 1. on both sides of the chest (bi-axillary) 2. typical anterolateral 3. anterior-posterior. Choose the answer:
- Aonly 2
- Bonly 3
- C1,2
- D2,3
- Ein all of these items
Reveal the correct answerThe procedure of choice in atrial flutter is: Choose an answer:
- Aelectric cardioversion
- Bamiodarone
- Cmetoprolol
- Dpropafenone
- Eeach of the mentioned methods has a comparable medicinal value
Reveal the correct answerThe effect of intravenous sodium bicarbonate is: Choose your answer:
- Aintensifying of intracellular acidosis
- Bpositive inotropic effect on ischemic myocardium
- Creduction of osmolality
- Dshift of the hemoglobin dissociation curve to the right
- EHyperkalaemia
Reveal the correct answerA 75-year-old patient admitted to ER due to another onset of atrial fibrillation. On physical examination: clammy skin, anxious, an irregular heart rate of 160 / minute, RR 75/50, an urgent cardioversion was performed, which did not restore the sinus rhythm or improve the patient's clinical condition. In this situation, the correct procedure will be: Choose your answer:
- Aanother cardioversion
- Badministration of 300 mg amiodarone
- Cadministration of 75 mg propafenone
- Dadministration of 5 mg betaloc
- Eadministration of 20 ml / kg of intravenous 0.9% NaCl
Reveal the correct answerAll of the following drugs can cause hyperkalemia except: Choose your answer:
- Aramipril
- Bketoprofen
- Cpropranolol
- Dtrimethoprim
- Etorasemide
Reveal the correct answerSevere hyperkalemia is when the concentration of potassium ions in serum rises above: Choose your answer:
- A5.5 mmol/l
- B6.0 mmol/l
- C6.5 mmol/l
- D7.0 mmol/l
- E7.5 mmol/l
Reveal the correct answerIn the case of severe hyperkalemia with accompanying ECG changes, indicative of toxic effects of potassium on the myocardium, we mainly use: Choose your answer:
- A1mg/kg m.c. furosemide iv
- B10 ml 10% CaCl2 iv
- C10 μl of short-acting insulin and 25 g of IV glucose within 15-30 min
- D5 mg of salbutamol in nebulization
- Esodium bicarbonate 1 mmol/kg iv within 15-30 minutes
Reveal the correct answerIn order to lower the level of potassium in the blood, all methods listed below are used except: Select the answer:
- A1mg/kg m.c. furosemide iv
- B5 mg of salbutamol in nebulization
- C10 U of short-acting insulin and 25 g of IV glucose within 15-30 min
- D10 ml 10% CaCl2 iv
- Esodium bicarbonate 1 mmol / kg iv iv
Reveal the correct answerEarly dialysis in hyperkalemia is used in all of the following, except for the patient with: Choose your answer:
- Ahyperkalemia 7.5 mmol/l
- Bchronic kidney disease
- Cacute renal failure and anuria
- Dcardiac arrest caused by hyperkalemia, resistant to treatment
- Eafter radiotherapy with tumor lysis syndrome
Reveal the correct answerIndicate the correct answer about resuscitation: Select the answer:
- AHypercapnia causes cerebral vasospasm and brain ischemia
- BIt is advisable to provide adequate ventilation to achieve normocapnia
- CIt is currently recommended to monitor the respiratory system using ONLY capnometry
- DHypocapnia dilates cerebral vessels
- EAll correct
Reveal the correct answerThe concept of resuscitation consists of restoring the functions of the following systems, except: Choose the answer:
- Acirculatory
- Bsome CNS functions
- Cconsciousness
- Drespiratory
- Eautonomous
Reveal the correct answerWoman 60 years old - two abnormal breaths occurred within a minute. ECG on cardiomonitor - ventricular tachycardia 150 / min. What we do first: Choose the answer:
- Aresuscitation and defibrillation 150/200 J
- Bintubation and epinephrine
- Cresuscitation and adrenaline
- Dresuscitation and rapid transfusion 500 ml 0.9 NaCl
- Eheart rate assessment and when there is none - resuscitation
Reveal the correct answerThe most common cause of sudden cardiac death is: Choose your answer:
- ACoronary heart disease
- Bcardiomiopathy
- CHeart failure
- DValvular defects
- EAll of the above are equally the cause of sudden cardiac death
Reveal the correct answerAccording to the guidelines, we perform the precordial thump: Choose the answer:
- Aalways, before each attempt of CPR
- Bwhen the SCA occurred in front of the rescuer
- Cup to 10s from the beginning of SCA
- DB and C correct
- Einstead of defibrillation
Reveal the correct answerAccording to KEL, it is not a violation of medical confidentiality to disclose information about a patient's health status:
1. to any other doctor
2. to any other doctor, if it is necessary to treat the patient
3. if hiding this information would endanger the health or life of other people or the patient himself
4. to any other assisting doctor in the amount necessary in order for the persons to perform their tasks properly
5. in any case, if the doctor thinks that it will be beneficial to the patient.
Choose your answer:
- A5
- B1
- C2, 3, 4
- D2, 3
- E2, 4
Reveal the correct answerHow the Polish Code of Medical Ethics regulates the question of the doctor's use of persistent therapy: Choose the answer:
- AIt suggests the use of such therapy
- BIt prohibits the use of such therapy
- CIt allows withdrawal from the use of persistent therapy
- DIt does not contain such regulations, but refers to legal regulations
- EIt orders the use of persistent therapy
Reveal the correct answerAccording to KEL (Code of Medical Ethics), the rules of medical ethics oblige the doctor to: Choose the answer:
- Aabsolute obedience to current law
- Bacting in accordance with social conscience
- Chelping the sick while risking their own life
- Dtaking care of the dignity of the medical profession
- Edisclosure of medical confidentiality to the closest family of the patient
Reveal the correct answerAccording to KEL (Code of Medical Ethics), Regional Medical Chambers are not obliged to supervise: Choose your answer:
- Adoctors to obey the law
- Bdoctors to follow the rules of ethics
- Cdoctors, to abide by the principles of deontology
- Dthat doctors take care of the dignity of the medical profession
- Ethat the law does not violate the rules of medical ethics
Reveal the correct answerWho can be given information about the patient: 1. any other doctor 2. any other doctor, if it is necessary to treat the patient 3. if hiding this information would endanger the health or life of other people or the patient himself 4. any other assisting doctor in the amount necessary in order for the persons to perform their tasks properly 5. in any case, if the doctor thinks that it will be beneficial to the patient. The correct answers are: Choose your answer:
- A2,3,4
- B1
- C2,3
- D2,4
- E5
Reveal the correct answerA pediatrician at a home visit to a 3-year-old child diagnosed an upper airway infection and ordered an antibiotic. Parents do not have a proof of insurance. The pediatrician issued a prescription for a full price. Did he do the right thing? Choose your answer:
- Ayes, a person wishing to benefit from coverage should proof the right to use healthcare services
- Byes, a child who is not in an employment relationship is never entitled to free use of health care services
- Cyes, the child must always pay the full amount for the medication
- Dno, minors may use health care services financed from public funds, irrespective of whether they are covered by health insurance, provided they have a Polish citizenship or live in the Republic of Poland
- Eno, minors under 6 years of age can use health care services financed from public funds, regardless of whether they are covered by health insurance, provided they have a Polish citizenship or live in the Republic of Poland
Reveal the correct answerThe doctor was summoned as a witness in criminal proceedings regarding a medical error resulting in a patient's death. In this case, the doctor may disclose information covered by medical confidentiality when: Choose your answer:
- Athe prosecutor conducting the case consents.
- Bthe consent is expressed by the court.
- Cconsent is given by the spouse of the deceased patient.
- Da police officer interrogating a doctor will demand it, upon presentation of a professional ID card.
- Eremaining in the employment relationship, the doctor will obtain the consent from their superior.
Reveal the correct answerA doctoral student wants to write a scientific article analyzing the data contained from patient history. He applies to the hospital management with a request for access to medical records of patients. What conditions must be met to obtain consent:
1. Must be a hospital employee.
2. Have a positive opinion from the bioethical committee.
3. Pay the fee as in the hospital regulations.
4. The obtained data must be anonymised.
5. The data obtained may only be used for scientific purposes. Choose your answer:
- A1,2
- B3,4
- C1,5
- D2,3
- E4.5
Reveal the correct answerIn accordance with the Act on Patients' Rights and the Ombudsman for Patients' Rights, there are regional commities, examining the so-called "medical events" by which we understand: Choose answer:
- Anegligence or inaction by the doctor, resulting in death or serious damage to the patient's health
- Bperforming a non-therapeutic procedure on the individual by a physician leading an individual or group practice without the patient's consent
- Cimproper organization of procedures for the provision of health services in the enterprise of a medical entity, culpable by the director.
- Dperforming a medical procedure not in accordance with the requirements resulting from the Patient Rights Act, as a result of which the patient's right to intimacy and dignity has been violated
- Einfecting the patient with a biological pathogen, injury to the patient, patient's health or death resulting from inadequate treatment
Reveal the correct answerPursuant to the Act on Medical Activity, a doctor may be required to perform on-call duty, that is, to be ready to provide health services if called by phone. Select the correct answer.
1. such duty may only be performed by a specialist doctor
2. such duty may last a maximum of 3 hours a day.
3. For each hour of duty, a remuneration amounting to 50% of the hourly rate of basic salary shall be payable.
4. a physician may be required to be on duty only in the event of natural disasters
5. Employees in medical professions and holding higher education degrees may be obliged to perform such duty. Choose the answer:
- A3, 4
- B1, 3
- C2, 3
- D3, 5
- E4, 5
Reveal the correct answerIn a medical certificate on temporary incapacity to work, the following code shall not be placed at the insured person's written request: Choose your answer:
- AA
- BA i C
- CB i D
- DE
- EA i E
Reveal the correct answerAccording to the resolution of the Council of Ministers of December 30, 2009, the list of occupational diseases does not include: Choose your answer:
- Apneumoconiosis
- Bbronchial asthma
- Callergic rhinitis
- Dmyocardial infarction
- Evibration white finger.
Reveal the correct answerIn a medical certificate on temporary incapacity to work due to illness or treatment in a stationary health care facility, information on diseases affecting the right to sickness benefit or its amount shall be provided using letter codes. What does the C code mean? Choose answer:
- Ainability to work arising after an interval not exceeding 60 days, caused by the same illness that caused the disability before the break
- Binability to work due to alcohol abuse
- Cinability to work during pregnancy
- Dinability to work due to tuberculosis
- Einability to work due to a disease whose symptoms develop after a period longer than 14 days from the beginning of the disease
Reveal the correct answerFor how many days preceding the day in which the test was carried out, the results of which showed that the insured person was undoubtedly unable to work during that period, can he be issued with a medical certificate on temporary incapacity to work? Choose your answer:
- A1 day
- B2 days
- C3 days
- D4 days
- E5 days
Reveal the correct answerWhich of the following institutions decides on whether a disease can be considered an occupational disease or whether there are no grounds for such a consideration. Choose your answer:
- ASocial Insurance Institution (ZUS)
- BMinistry of Health
- CState Sanitary Inspection
- DMinistry of Labor and Social Policy
- EState Fund for the Rehabilitation of the Disabled
Reveal the correct answerCan a person receiving a rehabilitation benefit work? Choose answer:
- Ano, he can not
- Byes, part-time - 1/2 full-time
- Cyes, full time
- Dyes, part-time - 2/3 full time
- Eyes, part time - 1/4 full time
Reveal the correct answerAn insured individual is entitled to appeal against the ZUS (Social Insurance Institution) certifying doctor's opinion within 14 days of receiving the opinion to:
- ALabor and Social Insurance Court
- BDirector of the Social Insurance Institution (ZUS)
- CPresident of the Social Insurance Institution (ZUS)
- DMedical Committee of the Social Insurance Institution (ZUS)
- EVoivodship Teams Authorized to Issue Statements About the Degree of Disability
Reveal the correct answerWhich of these factors, according to the concept of "health fields"; by Marc Lalonda, has the greatest impact on human health? Choose your answer:
- Agenetic factors
- Blifestyle
- Chealth care
- Denvironmental factors
- Ecorrect answers are: A and C
Reveal the correct answerThe tasks of the State Sanitary Inspection include supervising the conditions of: Choose the answer:
- Ahygiene and sanitation of personnel and rooms in which health services are provided,
- Bhealth of food, nutrition and consumer products
- Chygiene of education and work,
- Denvironmental hygiene,
- Eall listed.
Reveal the correct answerSecondary prevention of cancer includes: Choose your answer:
- Aearly cancer detection through screening
- Bearly cancer detection thanks to routine check-ups by a primary care physician
- Cexamining at-risk populations e.g. genetic predispositions
- Dfast cancer diagnosis
- Eall of the above
Reveal the correct answerAccording to the guidelines of a Scientific Society, a patient being treated for disease A should receive medicine B. An attending physician familiar with a large newer study knows that drug B increases mortality in patients, and drug C reduces mortality. According to MCE, the doctor should: Choose an answer:
- Acontinue treating with drug B
- Btreat half of his patients with drug B and half with drug C and experimentally determine their effectiveness
- Cuse the drug C according to his current knowledge
- Drefuse to treat the patient
- Ewrite to the Scientific Society asking for an opinion
Reveal the correct answerWhich of the following behaviors can be categorized as pro-health behaviors?
1. taking preventive measures eg vaccinations
2. regular physical activity
3. high propensity for risky behaviors
4. compliance with work hygiene practices
5. drug abuse
6. conflict-generating value system Choose answer:
- A1, 3
- B2, 3, 4
- C1, 2, 4
- D4, 5, 6
- E1, 2, 3
Reveal the correct answerThe exogenous and endogenous factors that increase the risk of cancer include:
1. Smoking
2. Alcohol abuse
3. Diet and way of preparing meals
4. UV radiation
5. Exposure to harmful substances at work
6. Some viral infections
7. High-risk sexual behavior Choose an answer:
- A1,2
- B4,5,6
- C3,5,7
- D1,2,3,4,7
- Eall of the above
Reveal the correct answerThe most important factors causing family dysfunction are: Choose an answer:
- Abreakdown of the family structure eg parental divorce
- Baddiction of one of the family members, eg from alcohol
- Cdomestic violence, low socio-economic status
- Dchronic disease of a family member
- Eall of the above
Reveal the correct answerA current public health problem is population aging. A consequence of that is: Choose an answer:
- Aa predominance in the number of women over the number of men in this population
- Bchange in health problems
- Can increase in the need for health care
- Dan increase in the need for social care
- Eall the answers are true
Reveal the correct answerIndications for splenectomy are:
1. Splenic cyst > 5 cm
2. Splenic abscesses
3. Splenic tumors
4. Chronic thrombocytopenia
5. Splenic artery aneurysm > 1.5 cm
- A1, 2, 3
- B1, 3, 4
- C2, 3, 4
- D3, 4, 5
- Eall of the above
Reveal the correct answerThe treatment for nausea and vomiting caused by acute mountain sickness is:
- Ametoclopramide
- Bondansetron
- Cdexamethasone
- Dchlorpromazine
- Ethiethylperazine
Reveal the correct answer