Which of the following rulings is not issued by ASIF (KRUS) certifying doctors and ASIF medical boards for establishing the farmers' rights to benefits from the Social Insurance Fund?
- Aon total incapacity for work on the farm.
- Bon temporary incapacity for work lasting longer than 180 days.
- Con inability to live independently.
- Don the degree of disability.
- Eon proportional damage to health due to accident at work in agriculture or agricultural occupational disease.
Reveal the correct answerChoose the correct statement about hypercalcemia (question removed by CEM):
- Athe most common cause is cancer
- Bit occurs in the course of hyperparathyroidism
- Cit is always symptomatic
- DA and B are correct
- EA, B, C are correct
Reveal the correct answerWhich of the following drugs causes lung damage most frequently ? Choose the correct answer:
- Adoxorubicin
- Bbleomycin
- C5-fluorouracil
- Dvincristine
- Emethotrexate
Reveal the correct answerA woman diagnosed with breast cancer was admitted with spinal cord compression in the lumbar part. Choose the answer:
- Aadminister glucocorticosteroids
- Bperform an X-ray examination
- Cif it is confirmed, it will be necessary to irradiate the lesion
- DA and B
- EA, B , C
Reveal the correct answerA 30-year-old woman, without significant medical history, was admitted to hospital due to peripheral edema. In laboratory tests: creatinine concentration 9.2 mg / dl, urea concentration 220 mg / dl, potassium 6.5 mmol / l, BE (-) 14, hemoglobin concentration 7.8 g / dl. Choose the correct procedure: Choose the answer:
- Aformation of arteriovenous fistula as a permanent access to hemodialysis
- Badministration of furosemide intravenously
- Ckidney biopsy
- Dadministration of glucocorticoids
- Eurgent dialysis and diagnostic tests to determine the cause of renal failure
Reveal the correct answerHormone therapy in breast cancer consists in: Choose the answer:
- Ause of anti-estrogen drugs only in postmenopausal women
- Bthe use of anti-estrogen drugs regardless of the menopausal status
- Csurgical castration
- Dis more toxic than chemotherapy
- Eis only a method of palliative treatment
Reveal the correct answerThe basic diagnostic test in the initial diagnosis of lung cancer is: Choose the answer:
- ABronchofiberoscopy
- BThoracic computed tomography
- CPositron emission tomography
- DCorrect answers: A, B
- ECorrect answers: A, B, C
Reveal the correct answerA 70-year-old woman was admitted to Emergency Room due to difficulty in verbal contact. She takes spironolactone and ACEI due to resistant hypertension. ECG: increased amplitude of the T wave and widening of the QRS complex. What is the most probable cause of her condition? Choose the answer:
- AHyperkalemia
- Bhypokalemia
- Chypernatremia
- Dhyponatremia
- Enone of the above
Reveal the correct answerPleural effusion: Choose the answer:
- Aoccurs most common in the course of pulmonary embolism
- Bof neoplastic origin most often affects patients with lung cancer and breast cancer
- Cof neoplastic origin is always an indication for pleurodesis
- Dcorrect answers: B and C
- Ecorrect answers: A, B and C
Reveal the correct answerA patient with chest pain reported to the doctor. The ECG shows inverted T waves in leads II, III, aVF. What scale is used to describe the symptoms of this disease? Choose the answer:
- AEHRA
- BNYHA
- CCCS
- DA and C
- EB and C
Reveal the correct answerThe consequences of hypercapnia are: 1) respiratory acidosis 2) metabolic acidosis 3) respiratory alkalosis 4) metabolic alkalosis 5) headaches and disturbances of consciousness 6) excessive agitation 7) hypoxic respiratory drive 8) hyperoxic respiratory drive. Choose the answer:
- A1, 5, 7
- B2, 5, 7
- C2, 6, 8
- D3, 5, 8
- E4, 6, 8
Reveal the correct answerIn case of chronic renal failure, there is an increase in parathyroid hormone concentration due to: Choose the answer:
- Ahyperphosphatemia
- Bhyperkalemia
- Coverhydration
- Dhypercalcemia
- Ehyponatremia
Reveal the correct answerIn a pregnant woman or a woman planning to become pregnant TSH level should not exceed: Choose the answer:
- A3,53 mlU/l
- B3,44 mlU/l
- C3,18 mlU/l
- D2,5 mlU/l
- E4.0 mlU/l
Reveal the correct answerIn the diagnosis of chronic kidney disease we perform following test/tests: Choose the answer:
- Aurea
- Buric acid
- Ccreatinine with an estimate of GFR
- Dalbumin to creatinine ratio in urine
- EC+D
Reveal the correct answerThe greatest risk of developing haemorrhagic shock poses the fracture of: Choose the answer:
- Afemur
- Bpelvis
- Cboth tibias
- Dboth humeral bones
- E3 ribs
Reveal the correct answerWhat is the most common cause of acute kidney injury (AKI)? Choose the answer:
- Aprerenal
- Brenal
- Cpostrenal
- Dcontrast-induced nephropathy
- Ehepatorenal syndrome
Reveal the correct answerDiagnosis of asthma is based on:
1. abnormal chest X-ray image
2. symptoms such as cough, paroxysmal dyspnea
3. abnormal baseline spirometry
4. positive reversibility test
5. positive challenge test in case of correct baseline spirometry. Choose the answer:
- A1, 2, 3
- B2, 4, 5
- C2, 3, 4, 5
- D1, 4, 5
- Eall the answers are correct
Reveal the correct answerTumor lung cancer most often located in small airways of the peripheral part of the lungs, often in women, less related to smoking than other primary lung cancers is: Choose the answer:
- Asquamous cell carcinoma
- Bsmall cell carcinoma
- Cadenocarcinoma
- Dlarge cell carcinoma
- Emixed cancer
Reveal the correct answerA 45-year-old woman, healthy so far, was admitted to the ER because of severe
headache radiating to the neck. The pain began after lifting a heavy object. According to
witnesses she became unconscious for a few minutes after the headache started (no
convulsions, no urination). On physical examination: GCS (Glasgow Coma Scale) 15
points, arterial blood pressure 140/85 mmHg, Kernig’s sign present, nuchal rigidity 3
fingers. Which of the following is the first testing of choice that enables the diagnosis?
- Aelectroencephalography (EEG)
- Bcomputed tomography scan of the head, without contrast
- CMRI of the cervical spine
- Dexamination of the cerebrospinal fluid
- Econtinuous, at least 24-hour video-EEG monitoring
Reveal the correct answerSymptoms of lung cancer resulting from its local growth are: 1. cough or change of cough character 2. headache 3. dyspnea 4. bone pain 5. recurrent pneumonia. Choose the answer:
- A1, 2
- B1, 2, 3
- C1, 3
- D2, 3, 4
- E1, 3, 5
Reveal the correct answerIndications for spirometry are: 1) dyspnea, 2) monitoring the course of chronic respiratory diseases 3) diagnosis of asthma 4) monitoring the treatment of chronic respiratory diseases 5) pneumothorax 6) massive hemoptysis of unknown etiology. Choose the answer:
- A2, 3, 4, 5
- B1, 2, 3, 4
- C3, 4, 5, 6
- D1, 3, 5
- E1, 2, 3, 6
Reveal the correct answerA 74-year-old woman was admitted to the nephrological ward due to AKI (creatinine level 3.5 mg / dl, potassium level 6.2 mmol / l). The patient has been taking the following medications for 2 weeks because of hypertension and heart failure: ramipril 10 mg / d, losartan 50 mg / d, furosemide 40 mg / d, spironolactone 50 mg / d. What should you do? Choose the answer:
- Aurgent dialysis
- Bdiscontinue ramipril
- Cdiscontinue spironolactone
- Dstop the administration of all medicines
- Eincrease the dose of diuretics
Reveal the correct answerA 66-year-old patient with chronic renal failure, treated with EPO-derived preparations due to anemia, reported to the Emergency Department. Diagnostic tests revealed anemia 6.5 g / dl. What is the right procedure? Choose the answer:
- Ablood transfusion
- Bincreasing the dose of EPO
- Cintravenous iron administration
- Dadministration of B12 and folic acid
- Eblood transfusion and diagnosis of the cause of worsening anemia.
Reveal the correct answerA 65-year-old man with upper gastrointestinal bleeding was admitted to the emergency care unit. Gastroscopy revealed bleeding from the gastric ulcer classified in the Forrest classification as IIa. A bleeding vessel was clipped and urease test was performed - a positive result was obtained, and specimen for histopathological examination was additionally taken. When should H. pylori eradication therapy be implemented? Choose the answer:
- AImmediately after the urease test result
- BAfter intruducing oral nutrition
- CWait for the urea breath test result
- DSuch treatment should not be implemented at all
- EAfter being discharged from hospital
Reveal the correct answerSymptoms of nephrotic syndrome, including proteinuria >3.5 g / dI, occurred in a 50-year-old woman, who had been treated for many years due to RA. In addition, there is microhematuria, without reduction of eGFR. What could be the cause of this condition? 1. amyloidosis 2. secondary membranous glomerulonephritis 3. rapidly progressive glomerulonephritis 4. acute glomerulonephritis 5. bacterial interstitial nephritis. Choose the answer:
- A1 and 2
- B1 and 3
- C1 and 4
- D1 and 5
- E2 and 5
Reveal the correct answerDrugs causing hyperkalemia are: 1. ramipril 2. metoprolol 3. diclofenac 4. amlodipine 5. hydrochlorothiazide. Choose the answer:
- A1, 2, 3
- B1, 3, 4
- C1, 2, 5
- D2, 3, 4
- E2, 3, 5
Reveal the correct answerA 62-year-old man with diabetic nephropathy is admitted to the hospital after fainting, with symptoms of hypotension. Laboratory tests revealed sodium concentration of 118 mmol / l, glucose 120 mg%, eGFR 36 ml / min * 1.73 m2. The correct procedure in this case is: Choose the answer:
- Aintravenous infusion of 3% NaCl, with serum sodium level normalization at a rate of max. 1.5 mmol / l / hr
- Bintravenous infusion of 10% NaCl, with serum sodium level normalization at a rate of max. 1 mmol / l / hr
- Cintravenous infusion of 3% NaCl, with raising the serum sodium levels at the rate of 0.5 mmol / l / hr, max. by 10 mmol / l in 24h
- Doral supplementation of NaCl
- Eoral supplementation of NaCl and administration of fludrocortisone.
Reveal the correct answerA 20-year-old man was admitted due to sudden increase of blood pressure to 200/165 mmHg. Diagnostic tests reveal left ventricular hypertrophy, size difference between right and left kidney >2cm, proteinuria 2.3 g / d, serum potassium level 3.2 mmol / l. What is the most likely diagnosis? Choose the answer:
- Arenovascular hypertension
- Bacute glomerulonephritis
- Cbacterial interstitial nephritis
- Dacute renal failure
- Erapidly progressive glomerulonephritis with glomerular crescents
Reveal the correct answerPeak flow meter is used to assess: Choose the answer:
- AFEV1
- Bpeak expiratory flow
- Ctidal volume
- DCorrect answers: A and C
- ECorrect answers: A, B, C
Reveal the correct answerA 56-year-old obese patient with type 2 diabetes diagnosed 6 months ago, smoking cigarettes (22 pack-years), was admitted to the hospital with symptoms of painless yellowing of the skin and whites of the eye. He also complains of a tendency to weight loss in the recent period. What is the most likely diagnosis in this patient? Choose the answer:
- AViral hepatitis
- BPancreatic head cancer
- CGilbert's syndrome
- DCholangitis
- EHemolytic jaundice
Reveal the correct answerThe indication for the follow-up colonoscopy after 1 year as a part of the surveillance after polypectomy is / are following lesions found and removed during the first examination: Choose the answer:
- A1-2 tubular adenomas up to 10 mm with low grade dysplasia
- B3-4 adenomas, one adenoma was 1.5 cm long
- C1-2 inflammatory polyps
- D1 villous polyp with high-grade dysplasia
- Eat least 5 polyps or one polyp larger than 2 cm
Reveal the correct answerThe diagnosis of the Barrett's esophagus is determined by: Choose the answer:
- Asigns and symptoms, e.g. heartburn
- Breflux of acid gastric contents and determination of pH = 4 in pH-metry
- Cmucosal erosions found during endoscopy: B or C in the Los Angeles classification
- Dpresence of intestinal metaplasia above the gastroesophageal junction: replacement of stratified squamous epithelium by simple columnar epithelium
- Eall the answers mentioned above are correct
Reveal the correct answerSymptoms of pancreatic cancer include: 1. thrombophlebitis migrans (Trousseau syndrome) 2. gastrointestinal bleeding 3. splenomegaly 4. diabetes 5. acute pancreatitis. Choose the answer:
- A1, 4, 5
- B1, 2, 4, 5
- C3, 4, 5
- D2, 4, 5
- Eall above answers are correct
Reveal the correct answerA 45-year-old man complains of pain in the left iliac fossa, moreover, fever has appeared. He has observed a change in bowel habits and abdominal distension for several weeks. What test should not be done urgently? 1. abdominal ultrasound 2. abdominal CT 3. colonoscopy 4. rectosigmoidoscopy 5. rectal contrast infusion. Choose the answer:
- A1, 5
- Bonly 2
- C3, 4
- D3, 4, 5
- Eonly 3
Reveal the correct answerA 72-year-old patient with well-controlled type 2 diabetes was admitted to the Emergency Department with symptoms of upper gastrointestinal bleeding. Gastroscopy revealed bleeding erosions of the gastric mucosa. Which of the following drugs could cause acute hemorrhagic gastropathy? Choose the answer:
- Anebivolol
- Bperindopril
- Coral potassium preparations
- Dmetformin
- Etorasemide
Reveal the correct answerAn obese 38- year-old woman, recently complaining of a significant deterioration of her health and 4 kg weight loss in the last month, referred to the Admission Room, when pain in the right hypochondrium, vomiting and nausea, accompanied by fever occur. Laboratory tests revealed: electrolyte disorders and high CRP. A gallbladder with a slightly thickened wall and a single stone was found in the abdominal contrast CT scan. After CT there was a temporary improvement in the patient's condition. The most probable diagnosis is: Choose the answer:
- Acholecystitis
- Badrenal insufficiency
- Chypercalcemic crisis
- Dhyperthyroidism
- Epheochromocytoma
Reveal the correct answerA woman with advanced breast cancer. Suddenly she felt pain in the sacro- lumbar spine and sudden weakness of the lower limbs. What is the most probable reason for this condition? Choose the answer:
- Ainflammation of the sciatic nerve
- Bischemic stroke
- Cspinal cord compression syndrome
- Dmyasthenia
- Eall answers are equally likely
Reveal the correct answerWhich drugs belong to the second step of analgesic ladder? Choose the answer:
- Atramadol, codeine, morphine
- Bfentanyl, oxycodone, codeine
- Cdihydrocodeine, tramadol, oxycodone
- Dcodeine, tramadol, buprenorphine
- Ecodeine, dihydrocodeine, tramadol
Reveal the correct answerWhat is contraindicated in calcium oxalate urolithiasis? Choose the answer:
- Aa low-fat diet
- Ba low oxalate diet
- Ca low-calcium diet
- Ddrinking large amounts of water
- Ecitrate supplementation
Reveal the correct answerAccording to the five-degree Torrance scale, non-blanchable redness, which does not disappear after the end of oppressure, indicating disturbances in the microcirculation, is a pressure ulcer classified as: Choose the answer:
- AI degree
- BII degree
- CIII degree
- DIV degree
- EV degree
Reveal the correct answerA 12-year-old boy presents in GP's office after cleaning and dressing a wound on his leg. The patient seeks the recommendation concerning tetanus prophylaxis. The boy received the full basic vaccination against tetanus, and the last booster dosis was given 6 years ago. In the opinion of the GP a risk of tetanus in this case is low. Choose the proper recommendation:
- Athere is no need to give a booster dose of diphtheria-tetanus vaccine.
- Bone dose of diphtheria-tetanus vaccine (Td) or tetanus toxoid should be given
- Ctwo doses of diphtheria-tetanus vaccine or tetanus toxoid should be given 4 weeks
apart.
- Dthree doses of diphtheria-tetanus vaccine or tetanus toxoid should be given
according to the schedule 0;1;6 months
- Eone dose of diphtheria-tetanus vaccine or tetanus toxoid should be given
simultaneously with an antitoxin (specific immunoglobulin).
Reveal the correct answerFrothy bubbles of mucous in the oral and nasal cavity of a newborn, despite regular clearing, accompanied with a loud heart murmur and limbs defect is characteristic of:
- Acytomegalovirus infection.
- Btetralogy of Fallot.
- CDown syndrome.
- Doesophageal atresia.
- Eintrauterine hypotrophy with coexisting generalized infection.
Reveal the correct answerA 3-month-old boy after upper respiratory tract infection was admitted to the hospital with the following symptoms: high fever, cough, dyspnoea, abdominal distension. After 24 hours of hospitalization, pneumothorax and pleural empyema occured. What is the most probable etiology? Choose the correct answer:
- AS. pneumoniae
- BS. aureus
- CLegionella pneumophila
- DHIV
- EMycobacterium tuberculosis
Reveal the correct answerA 17-year-old boy reported to the doctor because of the left shoulder pain. On the X-ray, spiculated periosteal lesions in the proximal part of the humerus bone were detected. What is the most likely diagnosis? Choose the answer:
- Aosteomyelitis
- Bfracture of humerus
- Costeosarcoma
- DPaget's disease
- EEwing's sarcoma
Reveal the correct answerVery high values of acute phase indicators are characteristic of:
- Aoligoarthritis onset juvenile idiopathic arthritis.
- Bsystemic onset juvenile idiopathic arthritis.
- Cfibromyalgia
- Dapophysitis of the tibial tubercle - Osgood-Schlatter disease.
- Eall of the above.
Reveal the correct answerThe definition of 1 carbohydrate exchange (CE) includes an amount of the product comprising:
- A5 g of carbohydrates
- B10 g of carbohydrates
- C15 g of carbohydrates
- D20 g of carbohydrates
- E25 g of carbohydrates
Reveal the correct answerDifferential diagnosis in a patient with thrombocytopenia, leukopenia and nephritis includes SLE. The presence of which of the following parameters strongly suggests SLE? Choose the correct answer:
- Ahypergammaglobulinemia
- Breduced levels of C3 and C4
- Celevated ESR
- Delevated CRP level
- Epresence of anti-dsDNA antibodies
Reveal the correct answerThe presence of multiple adenomatous polyps on endoscopic examination of the digestive tract and co-existing soft tissue fibromas on the arms and the shanks give rise to a suspicion of
- AGardner syndrome.
- BPeutza-Jeghersa syndrome.
- CTurcot syndrome.
- Djuvenile polyps.
- Efamilial juvenile polyposis.
Reveal the correct answerInfectious disease caused by bacteria is: Select the answer:
- Ameasles
- Binfectious mononucleosis
- Crubella
- Dscarlet fever
- Echickenpox
Reveal the correct answerA patient with arthritis, photosensitivity, enlargement of the lymph nodes, oral ulcers and erythema on the face reported to the hospital admissions office. Which of the following symptoms is not common in systemic lupus erythematosus? Choose the correct answer:
- Aphotosensitivity
- Berythema on the face
- Carthritis
- Dgeneralized enlargement of the lymph nodes
- Eulcers of the oral mucosa
Reveal the correct answerA pregnant woman (13 weeks of pregnancy) suffering from herpes zoster is concerned about the influence of this infection on her foetus. Choose the right answer concerning this situation:
- Aherpes zoster in a pregnant woman doesn't create a risk for the foetus
- Bzoster virus is potentially harmful for the foetus but only in the first 10 weeks of
pregnancy.
- Cto estimate a risk for the foetus the key question is whether the woman suffered from
varicella in the past.
- Dbecause of the safety of the foetus the treatment with acyclovir should be started
immediately.
- Especific immunoglobulin should be given immediately.
Reveal the correct answerWhich method is used most frequently to treat neonatal jaundice? Choose the answer:
- Aexchange transfusion
- Bphototherapy
- Cantibiotics
- Dlimiting the amount of liquids
- Enone of the above
Reveal the correct answerIn the treatment of nephrotic syndrome in children do not administer: Choose the answer:
- Amethotrexate
- Bprednisone
- Cchlorambucil
- Dcyclophosphamide
- Eciclosporin A
Reveal the correct answerWhat is not a contraindication for breastfeeding? Choose the answer:
- Amaternal tuberculosis
- BHCV infection in mother
- Cherpes of the nipple or areola
- DHIV infection
- Etaking cytostatics by the mother
Reveal the correct answer In the case of a girl of a short stature, with primary amenorrhea, coarctation of the aorta and a dysmorphic face the most likely clinical diagnosis is:
- ANoonan syndrome
- BPrader-Willi syndrome
- CAngelman syndrome
- DTurner syndrome
- EDown syndrome
Reveal the correct answerWhich of the following are the most characteristic features of Crohn's disease? Choose the answer:
- APseudopolyps
- BMegacolon toxicum
- CFrequent, severe abdominal pain
- DCorrect answers A and C
- ECorrect answers B and C
Reveal the correct answerIn the case of the mother being a carrier of the mutated gene, the risk that her son will be ill with haemophilia A is:
- A0%
- B25%
- C50%
- D75%
- E100%
Reveal the correct answerWhere is the foramen ovale located? Choose the answer:
- Ain the interatrial septum
- Bin the interventricular septum
- Cbetween the left pulmonary artery and the aortic arch
- Dbetween the right pulmonary artery and the aortic arch
- Ein none of the listed locations
Reveal the correct answerThe cause of polyuria with low urine specific gravity is: Choose the answer:
- Aurinary tract defects
- Bfebrile diseases
- Cdiabetes insipidus
- Dalbumin administration
- Eurinary tract infection
Reveal the correct answerSymptoms suggesting diabetes in children are: Choose the answer:
- Aexcessive thirst, polyuria, weight gain
- Bexcessive thirst, polyuria, weight loss, weakness
- Cexcessive thirst, oliguria, weight gain
- DDecreased thirst, polyuria, weight gain
- EDecreased thirst, oliguria, weight loss
Reveal the correct answerWhich joints are most often occupied in the skeletal syndrome of juvenile idiopathic arthritis: Choose your answer:
- ASmall hand joints
- BHip joint
- CKnee joint
- DAnkle joint
- ESpine joints
Reveal the correct answerThe most common cause of idiopathic nephrotic syndrome in children is:
- Aminimal change glomerulopathy
- Bmesangial proliferative glomerulonephritis
- Cfocal segmental glomerulosclerosis
- DIgA nephropathy
- Eacute post-streptococcal nephritis.
Reveal the correct answerIndicate the false statement about the hyper-IgM syndrome:
- AX-linked inheritance is the most frequent
- BIt is characterized by a mutation of the CD40L region
- CThere is an increased susceptibility to autoimmune diseases
- DLiver cirrhosis occurs frequently
- EThere is no thrombocytopenia
Reveal the correct answerWhat scale is used to assess the severity of dyspnoea?
- AApgar score
- BGlasgow scale
- CSilverman score
- DTanner scale
- Enone
Reveal the correct answerWhat is not a frequent cause of gastrointestinal bleeding in newborns? Choose the answer:
- Aesophageal varices
- Binjury (probing)
- Cstress ulcer
- Dcoagulation disorders
- Ehemorrhagic disease
Reveal the correct answerSymptoms characteristic of pyelonephritis in older children are: Choose the answer:
- ALow body temperature
- BIncreased appetite
- CSubfebrile state
- DAbdominal and / or lumbar pain.
- ENone of the above
Reveal the correct answerThe most common food allergens include: Choose the answer:
- Amilk proteins, potatoes, rice
- Bmilk proteins, eggs, carrots
- Cmilk proteins, apple, carrots
- Dmilk proteins, apple, soy
- Eeggs, soy, nuts
Reveal the correct answerFever lasting 3-4 days, after normalization of the body temperature rash occurs: macular, on the face and torso, fading under pressure. Most often it affects children from 6 months to 2 years of age. What kind of disease is that? Choose the answer:
- ARubella
- BMeasles
- CRoseola (sixth disease)
- DFifth disease (erythema infectiosum)
- EScarlet fever
Reveal the correct answerEarly puerperium lasts up to: Choose the answer:
- A24 h after delivery
- B7 days
- C10 days
- D4 weeks
- E6 weeks
Reveal the correct answerWhat amount of total volume of amniotic fluid in the third trimester of pregnancy indicates polyhydramnios? Choose the answer:
- A1000ml
- B1500ml
- C1750ml
- D2000ml
- E2500ml
Reveal the correct answerSurgical treatment of cervical cancer is not applicable from the stage: Choose the answer:
- AIB-1
- BIB-2
- CIIa
- DIIb
- EIIIa
Reveal the correct answerHeavy menstrual bleeding without menstrual cycle disorders is (question annulled by CEM): Choose the answer:
- AMenorrhagia
- BMetrorrhagia
- CMenometrorrhagia
- DHypermenorrhoea
- EPolymenorrhoea
Reveal the correct answerThe procedures used to treat endometriosis are: 1. removal of the lesion 2. removal of the ovary 3. removal of the uterus along with the adnexectomy 4. hormonal treatment 5. analgesic treatment. Choose the answer:
- A1, 2, 4, 5
- B1, 2, 3, 4
- C1, 4, 5
- D4, 5
- EAll
Reveal the correct answerIn the course of pregnancy, the following changes occur, except for: Choose the answer:
- Aan increase in the number of platelets above 350,000, which is associated with a high risk of thrombosis
- BHR increases in proportion to the number of fetuses
- Cwidening of trachea and bronchi caused by progesterone, which results in increased ventilation
- Ddecrease in salivary pH, which promotes caries
- Eincrease in cholesterol level and presence of cholestasis, which promotes cholelithiasis
Reveal the correct answerIn which situations is it recommended to supplement higher doses of folic acid (4-5 mg)? 1. taking anticonvulsants, 2. birth of a child with a neural tube defect, 3. birth of a child with a heart defect, 4. anencephaly in the previous pregnancy, 5. inflammatory bowel diseases. Choose the answer:
- A1, 2
- B1, 2, 3
- C1, 2, 4,
- D1, 2, 4, 5
- Eall
Reveal the correct answerContraindications to hormone therapy according to modern knowledge: 1. prior breast cancer 2. active breast cancer 3. uncontrolled hypertension 4. active liver disease 5. meningioma. Choose the answer:
- A1, 2
- B1, 2, 3, 4
- C2, 3, 4
- D3, 4
- Eall of the above are correct
Reveal the correct answerCharacteristic features of ovarian borderline tumors are : 1) they are usually unilateral 2) they are most often diagnosed in postmenopausal women 3) the differentiating condition is the presence of implants in the peritoneum 4) increase of Ca125 in 30% 5) serous and mucus tumors occur with equal frequency. Choose the answer:
- A2,4
- B3,5
- C1,3
- D1,3,4
- E1.3, 4, 5
Reveal the correct answerThe normal dichorionic-diamniotic twin pregnancy should be terminated in elective way in: (question annulled by CEM) Choose the answer:
- A40th week of pregnancy or just after its completion
- B37-38. week of pregnancy
- C36-37. week of pregnancy
- D34-36. week of pregnancy
- E34th week of pregnancy or just after its completion
Reveal the correct answerWhich of the following symptoms occur in the fetus of a mother who suffers from hypothyroidism during pregnancy : 1) high birth weight 2) stillbirth 3) splenomegaly 4) congenital malformations 5) cognitive impairment. Choose the answer:
- A1,2,3
- B1,2,4
- C2,3,4
- D3,4,5
- E2,4,5
Reveal the correct answerConstitutional delay of puberty in girls should be differentiated from: Choose the correct answer:
- Apremature ovarian failure
- Bmenopause
- Cgigantism
- Dpregnancy
- Eamenorrhea in sportswomen
Reveal the correct answerPut the stages of sexual maturation in girls in the correct order : 1. menarche 2. growth spurt 3. pubic hair 4. adrenarche 5. thelarche (breast bud stage). 6. vaginal discharge Choose the correct answer:
- A6, 5, 4, 3, 2, 1
- B1, 3, 5, 2, 4, 6
- C1, 3, 2, 4, 5, 6
- D2, 5, 3, 4, 6, 1
- E2, 3, 5, 6, 1, 4
Reveal the correct answerExcessive menstrual bleeding is associated with the use of: Choose the answer:
- Aprogestogen-only pill
- BIUD with levonorgestrel
- CT-shaped Copper IUD (releasing copper ions)
- Dbarrier methods of birth control
- Espermicides
Reveal the correct answerHSV-1 and HSV-2 infection can cause: Choose the correct answer:
- APneumonia
- BUrinary tract infection
- CMyocarditis
- DContact dermatitis
- EVulvar ulcer
Reveal the correct answerPharmacological treatment of unruptured ectopic pregnancy: Choose the answer:
- Achorionic gonadotropin
- Blow molecular weight heparin
- Cmethotrexate
- Dofloxacin
- Emedroxyprogesterone
Reveal the correct answerA girl with very heavy menstrual bleeding with blood clots. The doctor diagnosed menometrorrhagia. What tests should be performed to confirm the diagnosis? Choose the answer:
- Ahigh level of beta - hcg
- Bhigh progesterone concentration
- Chigh level of FSH
- Dhigh level of LH
- Ehigh estrogen concentration
Reveal the correct answerA 25-year-old girl with suspicion of PMS. Panic disorder, depression, and bipolar disorder were excluded. In order to recognize PMS, it is also necessary to exclude: Choose the answer:
- Asplenic rupture
- Bpeptic ulcer disease
- Cendometriosis
- Drenal colic
- Echolecystitis
Reveal the correct answerA woman, who is 33 weeks pregnant, has been complaining of pruritus of the hands for some time. Additional symptoms:excoriation, fatigue, abdominal pain, vomiting, increased ALAT and ASPAT concentration. What do you suspect? Choose the answer:
- Aintrahepatic cholestasis of pregnancy
- Bacute appendicitis
- CPremature birth
- Dpediculosis
- Edietary mistake
Reveal the correct answerChoose correct statements about vaccination against HPV: 1. vaccination against HPV is an example of secondary prevention 2. vaccination against HPV should be carried out before sexual initiation 3. all women regardless of age benefit from vaccination against HPV 4. regular cytology is not recommended in women vaccinated against HPV 5. the most appropriate age for vaccination in girls is 11 years old. Choose the answer:
- A1, 3
- B1, 3, 4
- C1, 2, 4, 5
- D2, 4, 5
- E2, 5
Reveal the correct answerThe most common tumor of female reproductive organs in Polish population is: Choose the answer:
- Auterine sarcoma
- Buterine myoma
- Cendometrial cancer
- Dcervical cancer
- Eovarian cancer
Reveal the correct answerWhich index is used to assess the effectiveness of contraceptive methods? Choose the answer:
- ARMI
- BPI-RADS
- CPRIEST
- DPEARL INDEX
- EROMA INDEX
Reveal the correct answerWhich ovarian cancer markers are used in population screening? Choose the correct answer:
- ACA-125 and HE4
- Bbeta-HCG and estradiol
- Cinhibin B and lactate dehydrogenase
- Dnone of the above answers
- Eall of the above answers
Reveal the correct answerDuring laparoscopy endometriotic lesions were found and coagulated. After the operation the patient still complains of pain. Now she is under the care of the treating physician - what medicines should not be administered to her next? Choose the answer:
- Adienogest
- Bdanazol
- Cgoserelin
- Drivaroxaban
- Eletrozole
Reveal the correct answerWhat does not occur in physiological delivery? Choose the answer:
- Athe turtle sign
- Bsecond period of delivery lasting 2 hours
- CFerguson sign
- DSchroeder's sign
- EDuncan method of placental separation
Reveal the correct answerWhat is not an indication for caesarean section in a twin pregnancy? Choose the answer:
- A32nd week of pregnancy, first fetus in the longitudinal head position and the second in the longitudinal head position in multipara
- BA monoamniotic pregnancy after 35th week of pregnancy
- C32nd week of pregnancy, transverse position of the fetuses
- DPrior caesarean section
- EDeath of the first fetus in the third trimester
Reveal the correct answerDepression may be a result of the use of certain drugs and constitute their very important side effect. Which of these drugs does not cause depression? Choose the correct answer:
- Aketoprofen
- Bhaloperidol
- Cvinblastine
- Dverapamil
- EB-blockers
Reveal the correct answerAsperger syndrome as defined by ICD-10 is: 1) pervasive developmental disorder 2) childhood behavioural disorder 3) disorder, which symptoms occur up to 3 years of age. 4) clear symptoms occur after 3 years of age 5) speech develops correctly 6) speech delay. Choose the answer:
- A1,4,6
- B1,4,5
- C1,3,5
- D2,4,5
- E2,4,6
Reveal the correct answerOf the drugs listed below, the drug of choice in the first episode of depression should be: Choose the answer:
- Aquetiapine
- Blorazepam
- Csertraline
- Dchlorpromazine
- Eolanzapine
Reveal the correct answerWhat are common symptoms of alcohol withdrawal delirium? 1. disturbances of consciousness 2. visual hallucinations 3. pseudohallucinations 4. white / blank card symptom 5. delusions of "ongoing events"; 6. grandiose delusions 7. prodromal symptoms lasting for many months.
Choose the correct answer:
- A1, 2, 4, 5
- B2, 3, 7
- C1, 2, 3, 7
- D3, 5, 6,
- E1, 4, 6
Reveal the correct answerWhat is the lifetime risk of developing depression for women /men? Choose the answer:
- A1%/0,5%
- B5%/1%
- C10-25%/5%
- D5%/2,5%
- E10-25%/5-12%
Reveal the correct answerPsychotic symptoms may occur in: 1) mania 2) social phobia 3) dissociative fugue 4) pathological intoxication 5) uncomplicated alcohol withdrawal syndrome 6) Othello syndrome 7) delirium. Choose the answer:
- A1,3,4,5
- B1,4,6,7
- C2,3,4,6
- D1,5,6,7
- E4,5,6,7
Reveal the correct answerIn case of disturbances of social interactions, behavior, play without evident speech disorders and intellectual functioning, the most probable diagnosis is: Choose the answer:
- AAsperger Syndrome
- BRett Syndrome
- Cautism
- DHeller's Syndrome
- EADHD
Reveal the correct answerEpigenetic factors such as smoking, alcohol or drug consumption by a pregnant woman may be a cause of: Choose the answer:
- AADHD
- BRett syndrome
- CDown syndrome
- Dschizophrenia
- Eobsessive-compulsive disorder
Reveal the correct answerThe indications for hospitalization of people with eating disorders are: 1. BMI below 15 or weight loss by over 25% 2. Bradycardia 3. Electrolyte disturbances 4. Prolongation of the QT interval in ECG 5. Intensive exercise 6. BMI below 20 or a 10% decrease in body weight 7. Depression. Choose the answer:
- A1,2,3,7
- B1,2,4,7
- C2,4,5,7
- D1,2,3,4
- E4,5,6,7
Reveal the correct answerThe most common sexual dysfunction is: 1. dyspareunia in men 2. anorgasmia in women 3. sexual aversion 4. premature ejaculation 5. lack of sexual desire in women 6. vaginismus 7. sexual desire disorders. Choose the answer:
- A1, 6
- B2, 5
- C3, 4
- D4, 7
- E4, 5
Reveal the correct answerForensic psychiatric assessment in cases of will usually concerns defining: 1. sanity 2. insanity 3. the degree of sanity 4. awareness of expressing the will 5. freedom of expressing the will 6. mental state at the time of the offense. Choose the answer:
- A1+2
- B2+5
- C3+4
- D4+5
- E5 + 6
Reveal the correct answerWhat is used in the therapy of treatment-resistant depression? Choose the answer:
- Aelectroconvulsive therapy
- Bchanging the drug
- Caugmentation
- Dthe correct answers are B and C
- Eall the answers are correct
Reveal the correct answerAlcoholic intoxication in the context of forensic psychiatric assessment in criminal law: Choose the correct answer:
- ACompletely abolishes awareness of the committed crime
- BLimits sanity to a significant degree
- CLimits sanity in an inconsiderable degree
- DDoes not affect sanity
- EAllows extraordinary mitigation of punishment
Reveal the correct answerIn the treatment of depression in the course of bipolar disorder, the drugs of choice are: 1. sertraline 2. clozapine 3. lamotrigine 4. carbamazepine 5. quetiapine 6. amitriptyline 7. alprazolam. Choose the answer:
- Aonly 1
- B3,4,5
- C2,6
- D1,4
- E1.5
Reveal the correct answerWhat is not a complication of parathyroidectomy ? Choose the answer:
- Ahypothyroidism
- Bdamage to the recurrent laryngeal nerve
- Ctransient hypoparathyroidism
- Drecurrence of hyperparathyroidism
- Epersistent hypoparathyroidism
Reveal the correct answerKlatskin tumor is: Choose the answer:
- Agallbladder cancer
- Bcholangiocarcinoma of right and left hepatic duct
- Cpalpable, painless, enlarged gallbladder
- Dhepatocellular carcinoma
- Epancreatic head cancer
Reveal the correct answerWhipple's triad: Choose the answer:
- AIt is synonymous with Whipple's disease
- BThis is a group of symptoms characteristic of gastrinoma
- CThis is a group of symptoms characteristic of insulinoma
- DThree maneuvers that are always performed during the Whipple procedure (pancreaticoduodenectomy ).
- EGoitre, exophthalmos, tachycardia
Reveal the correct answerColles' fracture is a fracture of: Choose the answer:
- Afemoral neck
- Bthe distal epiphysis of the ulnar bone
- CI metacarpal bone
- Dthe distal epiphysis of radius
- Earea of the humeral epicondyle
Reveal the correct answerOf the following medical conditions, urgent surgical procedures will require: 1) acute appendicitis 2) acute edematous pancreatitis 3) gastric ulcer perforation 4) anal fissure 5) non-incarcerated inguinal hernia. Choose the answer:
- A1, 3, 5
- B1, 2, 3
- C1, 3
- D2, 4, 5
- Eall of them
Reveal the correct answerThe most common cause of death in men and women due to malignant tumor in Poland is: Choose the answer:
- Acolorectal cancer
- Bbreast cancer
- Clung cancer
- Dstomach cancer
- Epancreatic cancer
Reveal the correct answerA patient with adrenal tumor suffers from hypernatremia, hypokalemia and hypertension. The most probable diagnosis is: Choose the answer:
- AACTH-dependent Cushing's syndrome
- BACTH-independent Cushing's syndrome
- CConn's syndrome
- Dcongenital adrenal hyperplasia
- EMEN 2 syndrome
Reveal the correct answerWhat pharmacological treatment is used in preparation for pheochromocytoma surgery? Choose the answer:
- Aalpha blockers and beta blockers
- Bproton pump inhibitors
- CH2-blockers
- Dsteroidogenesis inhibitors
- Eangiotensin-converting enzyme inhibitors (ACEIs)
Reveal the correct answerThe liver colic should be differentiated from: 1. right-sided renal colic 2. perforation of gastric or duodenal ulcer 3. intestinal obstruction 4. acute pancreatitis 5. myocardial infarction. Choose the answer:
- A2
- B1, 2
- C1, 2, 3
- D1, 2, 3, 4
- Eall of the above
Reveal the correct answerThe indication for the surgical treatment of tertiary hyperparathyroidism is: Choose the correct answer:
- Adeterioration of parathyroid hyperactivity after renal transplantation, threatening graft damage
- Bthe patient is older than 60 years, with the accompanying increase in serum PTH and Ca2 + levels
- Ceach patient with the accompanying increase in serum PTH and Ca2 + levels
- Da kidney transplantation is planned in the future
- Etertiary hyperparathyroidism is not treated surgically
Reveal the correct answerChoose the false statement about pneumothorax:
- APneumothorax should always be drained if the patient has been qualified for transport
- BChest drain should always be inserted, if the patient is mechanically ventilated
- Cmarginal pneumothorax (4 cm from the chest wall) is treated conservatively
- Dthe absolute indication for surgery is lack of lung re-expansion despite drainage
- Echest drain is removed if complete lung re-expansion has occurred and the amount of fluid is not greater than 150 ml / d
Reveal the correct answerAt what age is the consent of the minor obtained to collect marrow or hematopoietic stem cells from the peripheral blood if he is to be a donor for a sick sister or brother in accordance with the so-called Transplantation Act? Choose the correct answer:
- A12 years old
- B13 years old
- C14 years old
- D16 years old
- Ethe law does not apply to obtaining consent from a minor
Reveal the correct answerEarly gastric cancer is defined as:
- Amalignant neoplasm crossing the gastric wall, with metastases to the lymph nodes
but with no metastases to the distant organs.
- Bdoes not exceed the stomach wall
- Cmalignant neoplasm of the stomach categorized as T2 by the TNM classification.
- Dmalignant neoplasm in mucous and submucous membranes, but not infiltrating the
muscle membrane of the stomach.
- Emalignant neoplasm of the stomach diagnosed in a patient under 50 years of age.
Reveal the correct answerThe most frequently mentioned source of nosocomial infections is: Choose the answer:
- Apatient's bedclothes
- Bneglected patient (poor hygiene)
- Cdressing materials
- Dhands of the staff
- Edirty skin of the patient
Reveal the correct answerBowel obstruction due to strangulation is the most common cause of intestinal necrosis. The first one that undergoes necrosis is: Choose the correct answer:
- Amucous membrane
- Bsubmucosa
- Cmuscular layer
- Dthe whole wall becomes necrotic at the same time
- Eserous membrane
Reveal the correct answerTension (valve) pneumothorax should be treated with a following puncture: Choose the correct answer:
- Awith a thin needle in the second intercostal space in the anterior axillary line
- Bwith a thick needle in the second intercostal space in the midclavicular line
- Cwith a thick needle in the III intercostal space in the midclavicular line
- Dwith a thin needle in the VII intercostal space in the midclavicular line
- Ewith a thick needle in the VII intercostal space in any line
Reveal the correct answerA 28-year-old patient was admitted to Emergency Room; RR 80 mmHg, HR 110 / min, without any pain. The patient reports that he vomited 'black contents', he felt weak, but he did not faint. The most probable diagnosis is: Choose the correct answer:
- Aperforation of gastric ulcer
- Bperforation of the duodenal ulcer
- Csplenic rupture
- Dlower gastrointestinal bleeding
- Eupper gastrointestinal bleeding
Reveal the correct answerThe cause of pleural empyema can be: 1. spread of lobar or bronchial pneumonia , 2. festering of initially sterile exudate or hematoma, 3. spread of infection from the chest wall or subdiaphragmatic abscess, 4. infective endocarditis, 5. infection of the abdominal parenchymal organs. Choose the correct answer:
- A1, 2, 3
- B2, 3, 4
- C1, 2, 4
- D1, 2, 5
- Eall mentioned above
Reveal the correct answerThe 4-year-old child fell down and hit his left costal arch. Immediately after the accident he was transported to the Emergency Room: he was pale with hypotension and tachycardia. What should be suspected? Choose the correct answer:
- Asmall bowel mesentery injury
- Bdiaphragmatic injury
- Ctrauma and liver rupture
- Dsplenic rupture
- Egastrointestinal bleeding
Reveal the correct answerThe only effective treatment of bile duct cancer is: Choose the correct answer:
- Aradiotherapy
- Bchemotherapy
- Csurgical treatment
- Dradiochemotherapy
- Eantibody therapy
Reveal the correct answerThe videoscopic operation of the parathyroid glands is indicated in case of: Choose the correct answer:
- Apolyglandular form of primary hyperparathyroidism
- Ba small adenoma and the ability to monitor the intraoperative level of parathyroid hormone
- Cno contraindications for subcutaneous emphysema
- Dability of intraoperative monitoring of the recurrent laryngeal nerve
- Evideoscopic operations of parathyroid glands are not performed
Reveal the correct answerChoose correct statements about hiatal hernia: 1. Hiatal hernia is more common in women than in men. 2. Paraesophageal hernias represent about 80-90% of all hernias. 3. A sliding hernia, regardless of whether it is symptomatic or asymptomatic, should be operated. 4. Radiological examination is used to diagnose a sliding hernia. 5. The method of choice of hiatal hernia treatment is the laparoscopic method of Nissen. Choose the answer:
- A1, 4, 5
- B1, 3, 5
- C1, 2
- D1, 3, 4
- E2, 4, 5
Reveal the correct answerThe incorrect answer concerning tendinous whitlow is:
- AThe infection can easily spread between the fingers I and V
- Bthe most serious complication is necrosis of the tendons and hand contracture
- Cinfection can easily spread between fingers II, III and IV
- DThe inflammatory process results in the lack of active mobility in the infected finger . The attempt to passively straighten it, causes severe pain.
- EIt may develop by spreading through continuity or due to direct sheath injury
Reveal the correct answerA 56-year-old patient calls an ambulance due to sudden occurrence of a severe lower limb pain. The doctor states that the limb is significantly cool, there is no dorsalis pedis artery pulse and there are sensory disorders. What is the most propable diagnosis? Choose the answer:
- Athe onset of shock and circulatory centralization
- Bvenous thrombosis
- Cacute limb ischemia due to embolism
- Dsciatica
- Enone of the above
Reveal the correct answerLaparoscopy is not a surgery of choice in case of: Choose the correct answer:
- Aacute cholecystitis
- Bacute appendicitis
- Cright-sided colon cancer
- Dgastroesophageal reflux after unsuccessful conservative treatment
- Eachalasia
Reveal the correct answerYou examine a patient with heart failure classified as NYHA II. What symptoms should be expected in this patient? Choose the correct answer:
- Ano limitation of physical activity, ordinary daily activities do not cause undue fatigue, palpitations, dyspnea or angina.
- Bslight limitation of physical activity - comfortable at rest, but ordinary activities causes fatigue, palpitations or dyspnea
- Csignificant limitation of activity, symptoms are caused by little effort, such as washing or dressing. Comfortable at rest.
- Dunable to carry on any physical activity without fatigue, dyspnea, palpitations or angina, and the symptoms also occur at rest.
- Edyspnoea and palpitations occur constantly, also at rest.
Reveal the correct answerAccording to ESH / ESC 2013 guidelines, values of blood pressure, which validate the diagnosis of hypertension in adults, using the method of home blood pressure monitoring (HBPM), are pressure values: Choose the correct answer:
- Aabove 130/80 mmHg.
- Babove 135/85 mmHg.
- Cabove 140/90 mmHg.
- Dabove 145/95 mmHg.
- Eabove 150/95 mmHg.
Reveal the correct answerA 46-year-old man reports to a doctor due to persistent dyspeptic disorders (early satiety after a normal-sized meal). He is not chronically ill, he does not smoke, he has been chronically using acetylsalicylic acid at a dose of 150 mg (self-treatment) for a year. What procedure should be proposed? Choose the correct answer:
- AGastroscopy, due to the presence of alarm symptoms and further treatment depending on the result
- BAdministration of PPIs and follow-up gastroscopy due to alarm symptoms in 6-8 weeks
- CH. pylori diagnosis and eradication therapy
- DInitiation of eradication therapy for H.pylori infection due to chronic NSAID use.
- ERecommend change in dietary habits, discontinuation of ASA, ad hoc use of proton pump inhibitors "on demand"
Reveal the correct answerBreastfed baby, whose mother did not receive vitamin D supplementation in the II / III trimester of pregnancy, should prophylactically receive the following dose of vitamin D (according to the guidelines 2013): Choose the correct answer:
- A200 IU / day
- B400 IU / day
- C800 IU / day
- D1000 IU / day
- E1200 IU / day
Reveal the correct answerA 45-year-old male with a serum uric acid level > 6.8 mg / dl but <11.4 mg / dl, without clinical symptoms, without renal failure or cancer has reported to an outpatient clinic. The treatment should be: Choose the correct answer:
- Aweight reduction (in obese patients), low-purine diet, alcohol avoidance, smoking cessation
- Bdrugs that reduce serum uric acid levels until concentration of 6.8 mg / dl is reached.
- Cdrugs that reduce serum uric acid taken indefinitely (for the rest of the patient's life)
- Dcolchicine orally for 3-10 days
- EGlucocorticoids orally for 3-5 days at a dose of 30 mg prednisolone / day
Reveal the correct answerThe indication for antibiotic therapy (according to the result of urine culture) in asymptomatic bacteriuria is: Choose the correct answer:
- Apregnancy
- Bbefore planned transurethral resection of the prostate
- Cin people with a urinary catheter
- DA and B
- EA, B, C
Reveal the correct answerWhich joint is most often affected by gout? Choose the correct answer:
- Aknee
- Bmetacarpophalangeal joint
- Cmetatarsophalangeal I joint
- Dshoulder joint
- Eelbow
Reveal the correct answerVaccination against hepatitis A is mandatory for : Choose the correct answer:
- APeople visiting countries with high and intermediate endemicity of hepatitis A.
- BPeople employed in the production and distribution of food, removal of municipal waste and liquid waste, and maintenance of equipment serving that purpose.
- CPre-school, school children and adolescents who did not suffer from hepatitis A
- DAll of the above
- ENone of the above
Reveal the correct answerAsymptomatic bacteriuria in a man with a urinary catheter is always a reason for implementing antibiotic therapy, because sterile urine can prolong the catheterization period (over 2 weeks). Choose the correct answer:
- Aboth sentences are true and related to a cause-and-effect relationship
- Bboth sentences are true but without a cause-and-effect relationship
- Cthe first sentence is true, the second one is false
- Dthe first sentence is false, the second one is true
- Eboth sentences are false
Reveal the correct answerA 10-year-old boy came to the family doctor due to elevated temperature (38.6 ° C), sore throat, cough. Physically, the doctor stated: the throat was red, the tonsils were swollen with exudate, enlarged anterior cervical lymph nodes, the patient's general condition was good. The correct procedure of the doctor is:
- ADiagnose streptococcal pharyngitis and prescribe amoxicillin
- BDiagnose streptococcal pharyngitis and prescribe phenoxymethylpenicillin
- CImplement antibiotic therapy and perform throat culture to confirm the infection
- DTreat symptomatically and perform throat culture, adjust the therapy depending on the result of the culture
- ETreat symptomatically and perform throat culture with antibiogram, adjust the therapy depending on the culture result and according to the antibiogram
Reveal the correct answerA correct resting ECG can occur in case of: Choose the correct answer:
- Astable angina
- Bcardiac syndrome X
- Cnon-ST-segment elevation myocardial infarction
- DA and B are correct
- EA, B and C are correct
Reveal the correct answerThe patient reports to the general practitioner because of the severe, stabbing, retrosternal pain radiating to the left shoulder. The pain of variable intensity has been lasting since yesterday. When the patient is lying down and breathing in, he feels pain. When he is bending forward, the pain subsides. The cause of the symptoms mentioned above is: Choose the correct answer:
- Astable angina
- Bunstable angina
- Cpericarditis
- Daortic dissection
- Epleurisy
Reveal the correct answerThe characteristic features of symptoms of asthma are: 1. paroxysmal character 2. variability in time 3. gradual progression 4. resolution of symptoms only after implementing treatment 5. intensify at night and in the morning. Choose the correct answer:
- A1, 2, 3
- B2, 3, 4
- C1, 2, 5
- D1, 3, 4, 5
- Eall of the above answers are correct
Reveal the correct answerVaccination against which of the listed diseases is not compulsory for all children according to the immunization schedule? Choose the correct answer:
- AHaemophilus influenzae type b
- BMeasles, mumps, rubella
- CChicken pox
- DHepatitis B
- ETuberculosis
Reveal the correct answerIndicate a false answer about erythrocyte sedimentation rate:
- Acorrect ESR excludes pathology
- Breduced ESR occurs in chronic heart failure
- Creduced ESR occurs in polycythemia
- Delevated ESR occurs in some cancers
- Eelevated ESR occurs in collagenosis
Reveal the correct answerChoose the false statement about erysipelas:
- Astreptococcal etiology (most commonly streptococcus group A)
- Bonly local treatment is recommended
- Cskin lesions are accompanied by an increase in body temperature
- Dskin lesions, except for gangrenous form, disappears without leaving scars
- Erelapses occur mainly in patients with venous or lymphatic system disorders.
Reveal the correct answerCharacteristic feature of peripheral facial nerve paralysis is: Choose the correct answer:
- ANo damage to the frontalis muscle
- BLack of taste and lacrimation disorders
- CParalysis only of the lower half of the face
- DSmoothing of the nasolabial fold on the side of the damage
- EPreserved facial expressions
Reveal the correct answerChoose the incorrect statement about gout:
- Aduring acute attacks, the uric acid level is always elevated
- Bkidney disease increases the risk of gout
- Ccolchicine is the drug used for the treatment of acute gout attack
- Dthe method of non-pharmacological treatment of gout is limiting the consumption of beer and smoking cigarettes.
- Ethe metatarsophalangeal joint I is damaged most frequently
Reveal the correct answerA 7-month-old boy presented with a 2-day history of fever up to 39 °C. General condition was good. Physical exam revealed pharyngitis only. On the day 3 temperature normalized and multiform macular, pink-red rush fading under pressure was observed,. What is the most probable aetiology of the presented case?
- Astreptococci (group A).
- Bhuman herpes virus type 6 (HHV-6).
- Cvaricella zoster virus
- DEbstein-Barr virus.
- Emeasles virus
Reveal the correct answerIn order to compensate the lost fluid volume in a bleeding patient with low blood pressure, suffering from haemophilia A or von Willebrand disease we use: Choose the answer:
- Awhole blood
- Bfactor VIII
- Ccryoprecipitate
- Dcrystalloids
- EPacked red blood cells
Reveal the correct answerA 70 year old man lost consciousness during having a bath and his wife called an ambulance. Upon rescue workers arrival, he was not breathing and there was no pulse on examination. The cardiac monitoring has shown an ECG recording as below (on: ECG 3rd degree atrioventricular block). What will be the correct procedure? Choose the answer:
- Aimmediate defibrillation
- BDefibrillation with a biphasic 150-200J defibrillator using self-adhesive electrodes for safety reasons
- CAccurate drying of the patient's skin and defibrillation with a biphasic defibrillator 150-200J
- DImmediate initiation of chest compressions with a frequency of 100 / min
- EAdministration of 300 mg of Amiodarone
Reveal the correct answer25-year-old patient with nausea and vomiting for 2 days. After the arrival of the rescue team: the AVPU scale = A, HR = 140 / min, RR = 100/60 mmHg, respiratory rate 16 / min. In the ECG record (presented picture - normal, sinus rhythm). What will be the correct procedure in this case? Choose the correct answer:
- Adefibrillation with biphasic energy of 150-200 J
- Bintravenous access, crystalloid infusion
- Civ bolus injection of amiodarone at a dose 300 mg
- Dbeta-blocker orally
- Ecardioversion with biphasic energy of 100 J
Reveal the correct answerThe recommended method for assessing the heart rate of a newborn in the perinatal period is: Choose the correct answer:
- APulse assessment on the carotid artery
- BThe assessment of the pulse on the brachial artery
- CPulse assessment on the radial artery
- DPulse assessment in the base of the umbilical cord
- EAuscultation the apex beat with a stethoscope
Reveal the correct answerThe methods of airway management include all of the following except for: Choose the correct answer:
- Anasopharyngeal airway
- Bcricothyroidotomy
- CSellick maneuver
- DEsmarch maneuver
- Elaryngeal mask
Reveal the correct answerThe Allen test should be performed before: Choose the answer:
- Acannulation of the radial artery
- Bintubation
- Cpuncture of the subarachnoid space
- Ddrainage of the pleural cavity
- Eimmobilization of the broken limb
Reveal the correct answerA catheter was placed into the subclavian vein in a 40-year-old patient in Emergency Room. After about 10 minutes, the patient experienced breathing disorders leading to apnea, the patient lost consciousness, the pulse on the carotid artery was undetectable. Identify the potentially reversible cause of sudden cardiac arrest in this patient. Choose the correct answer:
- Ahypothermia
- Bhypotension
- Cpoisoning
- Dhyperkalemia
- Etension pneumothorax
Reveal the correct answerContraindications for intraosseous access do not include: Choose the correct answer:
- Aosteoporosis
- Bbone fracture which we consider as access site
- Cinfection of the area of the planned injection
- Ddiabetes
- Ejoint prosthesis
Reveal the correct answerSymptoms of which toxidrome can occur in Amanita phalloides poisoning (?): Choose the answer:
- ACholinergic
- BCholinolytic
- CAnticholinergic
- DSympathomimetic
- ESedative
Reveal the correct answerA 55-year-old patient has been admitted to the emergency care unit. He complains of weakness lasting from 2 days. He has fainted without losing consciousness on the day of admission. He has been fevering for a week with body temperature of up to 39 ° C , and he has been taking an antibiotic for 4 weeks because of pneumonia. Physical examination on admission has revealed: HR 140 / min, RR 70/40. After initial intensive fluid therapy, no improvement was achieved. The next step will be administration of: Choose your answer:
- AEpinephrine
- BNorepinephrine
- CGlucocorticosteroids
- DDopamine
- ENone of the above
Reveal the correct answerThe Gamow bag is used in the first stage of treatment of: Choose the answer:
- Aopen pneumothorax
- Bacute altitude sickness
- Ctraumatic limb amputation
- Dchlorine skin burns
- Egastroschisis
Reveal the correct answerIn the treatment of intracranial hypertension all of the following procedures are applicable except for: Choose the correct answer:
- A20% mannitol
- B5% glucose
- C3% NaCl
- Dhyperventilation to PaCO2 25 mmHg
- E30º head elevation
Reveal the correct answerIntubation will be used before transport to the hospital in the patient, who: Choose the correct answer:
- Ais confused, opens eyes spontaneously, obeys commands, cardiovascularly and respiratorily stable, with left- sided limb paresis
- Bopens eyes to pain stimuli, but not at request; moves his hands, obeys commands, incomprehensible speech
- Cdoes not open eyes to pain stimuli, does not speak, locates the pain
- Dopens eyes at request, locates the pain, does not speak
- Ereacts with aggression to the verbal commands, does not allow to be touched
Reveal the correct answerElectrocution may lead to: Choose the correct answer:
- ADamage to the eardrum
- Bcataract
- Cmyoglobinuria
- Dgastrointestinal perforation
- Eall answers are correct
Reveal the correct answerThe mechanism of cardiac arrest due to direct current electrocution is: Choose the correct answer:
- APEA
- BAsystole
- CVentricular tachycardia
- DVentricular fibrillation
- ENo correct answer
Reveal the correct answerWhat is characteristic of hypercapnia? Choose the correct answer:
- Ashortness of breath
- Bdrowsiness
- Cdisorientation
- Dagitation
- Enausea and vomiting
Reveal the correct answerThe most common complication of opioid therapy is: Choose the answer:
- Adrowsiness
- Bnausea and vomiting
- Cconstipation
- Dbreathing disorders
- Epsychological dependence
Reveal the correct answerWhat should be done immediately after defibrillation according to ERC? Choose the answer:
- AAssess the pulse
- BPerform chest compressions at a rate of 100 / min
- CPerform 2 rescue breaths
- DWait for 1 min, assessing the patient's condition
- ECheck for signs of life
Reveal the correct answerA patient with chest trauma developed hypoxia and acidosis. All of the following medical conditions are responsible for the deterioration of respiratory function EXCEPT for: Choose the answer:
- Aimpediments in the inflow of air to the lungs
- Bdisorders in alveolar-capillary exchange
- Cblood loss
- Dheart injury
- Edecrease in chest pressure
Reveal the correct answerA 45-year-old athlete with hypogonadism reports to the doctor. According to the Code of Medical Ethics, before prescribing testosterone, the doctor should : Choose the answer:
- Aobtain consent of patient's wife
- Binform the patient's wife
- Cobtain the consent of the Athletics Federation
- Dinform the Athletics Federation about it
- Einform the patient about the course of treatment and all its possible consequences
Reveal the correct answerThe patient did not consent to dialysis. According to the Code of Medical Ethics, the doctor in the above situation: Choose the correct answer:
- Amay cease to provide the patient with medical care
- Bshould put the patient under general anesthesia and perform the procedure
- Cshould wait until the patient loses consciousness and perform the procedure
- Dshould continue to provide the patient with medical care, if possible
- ENone of the above answers is correct
Reveal the correct answerA woman contacted the doctor via social networks. She complains of symptoms suggesting the diagnosis of systemic lupus erythematosus (she has tests results and pictures of skin lesions). What should the doctor do according to the Code of Medical Ethics? Choose the answer:
- Agive his opinion to all users of the forum
- Bgive the patient his opinion and recommend a visit to the doctor
- Cgive the patient his opinion and prescribe medicines in the online pharmacy
- Dinvite the patient to his office in two months
- Ereport to the Patients' Rights Ombudsman ?
Reveal the correct answerWhich of the following statements describes the attitude towards animal rights set out in the Code of Medical Ethics? Choose the correct answer:
- AAnimals have the same rights as humans
- Bthe Code of Medical Ethics mentions only parasites
- Cthe Code of Medical Ethics mentions animals in the context of their role in medical experiments
- Dthe Code of Medical Ethics recommends looking after animals as our 'lesser brothers'
- EAnimal rights have been completely omitted in the Code of Medical Ethics
Reveal the correct answerWhat attitude towards euthanasia is set out in the in the Code of Medical Ethics? Choose the correct answer:
- Aallows euthanasia after consultation with a psychologist
- Ballows euthanasia in case of significant suffering of the patient
- Cit completely forbids euthanasia
- Dorders euthanasia in terminal patients
- Eallows euthanasia in case of patient's consent
Reveal the correct answerIn case of a patient's death, which occurred in the hospital, the declaration of death is stated by: 1) the doctor treating the patient; 2) only the head of the ward; 3) doctor on duty; 4) doctor authorized by the hospital director; 5) only specialist of forensic medicine. The correct answer is:
- A1, 2
- B1, 3
- C2, 4
- D2, 3
- Eonly 5
Reveal the correct answerA representative of an insurance company reported to the doctor with a request to provide the medical documentation of the patient, who is going to buy life insurance. What should the doctor do? Choose the answer:
- AHe cannot provide documentation, because it would be a breach of medical confidentiality.
- BHe can provide documentation if the representative of the insurance company proves a legal interest.
- CHe can provide documentation, because it is in the patient's interest.
- DHe can provide documentation if the patient agrees.
- EHe can provide documentation if the Insurance Ombudsman agrees.
Reveal the correct answerAccording to the article 5 of the Act on medical activity, the doctor may perform a medical activity in the form of: Choose the answer:
- Aindividual specialist medical practice only at the place of summons
- Bgroup specialist medical practice
- Cindividual medical practice in the form of a partner company
- Dgroup medical practice only in a medical facility based on a contract with a medical entity running this facility
- Egroup medical practice in the form of a joint-stock company
Reveal the correct answerA policeman reports to the doctor. He wants to interrogate a doctor in connection with ongoing criminal proceedings and demands information covered by medical confidentiality. The doctor may provide him with the information on the condition that: 1 - a police officer shows a police badge or police ID card 2 - the prosecutor issues a decision exempting him from medical confidentiality 3 - the court issues a decision exempting the physician from medical confidentiality 4 - the patient consents to the disclosure of confidential 5 -the superior of this doctor, e.g. the head of the ward, expresses his consent . Choose the answer:
- A1 or 5
- B2 or 4
- C2 or 3
- D3 or 4
- E2 or 5
Reveal the correct answerIn accordance with the principle of 'therapeutic privilege', the physician has the right to limit the information passed on to the patient about his health if: 1) if the prognosis is unfavorable to the patient 2) only in chronic incurable diseases 3) for the patient's good 4) at the request of relatives in accordance with the Act on Patients' Rights and the Patients' Rights Ombudsman 5) in case of obtaining consent of the guardianship court . Choose the correct answer:
- A1, 2, 5
- B3, 5
- C1, 4, 5
- D1, 3
- E2, 4, 5
Reveal the correct answerInability to work caused by alcohol abuse corresponds to a letter code: Choose the answer:
- AA
- BB
- CC
- DD
- EE
Reveal the correct answerAccording to the Act on cash benefits from social insurance in respect of sickness and maternity, the statistical number of the disease, determined according to the International Statistical Classification of Diseases and Health Problems, is entered on medical statement on temporary incapacity to work. This number is put on: Choose the correct answer:
- Athe original statement
- Bthe second copy of the original statement
- Cthe original statement and its first copy
- Dthe original statement and its second copy
- Ethe first copy of the original statement
Reveal the correct answerThe medical specialist and ASIF (KRUS) medical boards do not issue the following rulings on: Choose the correct answer:
- Adegree of disability
- Bcomplete incapacity to work
- Cpartial incapacity to work
- Ddamage to health
- Epurposefulness of vocational retraining
Reveal the correct answerAccording to the Act of Social Pensions, social pension is payable to: Choose the correct answer:
- Aa person with mild disability
- Ba person with a significant disability
- Ca person who is completely incapable of work due to impairment of the body function, which occurred before reaching the age of 18 years
- Da person who is temporarily incapable of work
- Eall the answers are correct
Reveal the correct answerAccording to the Act on old-age and disability pensions from the Social Insurance Fund, a person who does not agree with SIF (ZUS) appointed doctor's decision is entitled to: Choose the correct answer:
- AAppeal to the Labor and Social Insurance Court
- BAppeal to the Director of the local organizational unit of the Social Insurance Institution (ZUS)
- CAppeal to the President of the Social Insurance Institution (ZUS)
- DAppeal to the medical commission of Social Insurance Institution (ZUS) within 14 days from the day SIF (ZUS) appointed doctor's decision was received
- EAppeal to the medical commission of Social Insurance Institution (ZUS) within 30 days from the day SIF (ZUS) appointed doctor's decision was received
Reveal the correct answerAccording to the Act of 1998. the SIF distinguishes four funds- which of the following is not one of them? Choose the answer:
- AOld-age pension fund
- BDisability pension fund
- CAccident fund
- DRehabilitation fund
- ESickness Fund
Reveal the correct answerOne of the characteristic features of the demographic situation in Poland is: Choose the correct answer:
- AHigh infant mortality
- BToo low rate of prolongation of the average life expectancy
- CAging of the population, expressed by the increase in the number of people over 65
- DThe disproportion of city-village residents
- EA large sex disproportion
Reveal the correct answerEpidemiological data indicate that the area of high risk for nosocomial infections is / are following hospital wards: Choose the answer:
- Aintensive care unit
- Btransplantation ward
- Chemodialysis ward
- Dlong-term care ward
- Eall the answers are correct
Reveal the correct answerIndicate the differences between the Mediterranean diet and diet in northern European countries: 1) Greater amount of olive oil 2) higher vegetable consumption 3) Moderate and high fish consumption 4) Higher dairy products consumption. The correct answer is:
- A1, 2
- B1, 3
- C1, 3, 4
- D1, 2, 3
- Eall answers are correct
Reveal the correct answerWhat are the most important tasks in the field of public health according to the Ottawa Charter? 1. defining the social health policy in the country 2. creation of health supporting environments 3. developing individual skills 4. strengthening the activities of local communities 5.reorientation of health benefits. Choose the correct answer:
- A1
- B1, 2
- C2,3,5
- D2,3,4,5
- Eall the answers are correct
Reveal the correct answerScreening tests used in the secondary prevention of some cancers, are : Choose the correct answer:
- Abreast palpation and mammography
- Bcytology from the cervical canal and vaginal portion of the cervix
- Cfecal occult blood test, colonoscopy
- Dtests in people at risk for hereditary cancer
- Eall the answers are correct
Reveal the correct answerCivilization diseases: Choose the correct answer:
- Aincrease mortality
- Bincrease absence from work
- Cincrease financial expenses for health care, including treatment of these diseases
- Dincrease the operating costs of the health care system
- Eall the answers are correct
Reveal the correct answerThe institution authorized to qualify healthcare benefit as guaranteed or not guaranteed is: Choose the answer:
- AAgency for the Assessment of Medical Technology
- BDepartment of Health Policy of the Ministry of Health
- CDepartment of Health of the Marshal Office
- DMinister of Health
- EVoivodeship Center for Public Health
Reveal the correct answerAccording to M. Lalonde, health depends primarily on:
- Agenetic factors
- Bhealth care organization
- Clifestyle
- Ddisease prevention
- Eenvironmental and cultural factors
Reveal the correct answerIndicate the correct statement characterizing the Mallory-Weiss syndrome:
- Ait is a rupture of the mucosa and submucosa in the area of the gastroesophageal junction
- Bis caused by LES relaxation disorder
- Crepresents 20% of causes of upper gastrointestinal bleeding
- Dit is necessary to take specimens for histopathological examination from the rupture edges
- Ebleeding in this syndrome usually ceases spontaneously
Reveal the correct answerChoose the correct statement about the infancy period (question annulled by CEM):
- ANewborns have a natural predominance of extensor muscles over the flexors
- BCooing is an unconditioned reflex that occurs in babies over 2 months of age, even with total loss of hearing
- CMoro reflex is considered to be physiological up to 6 months of age
- DPrimary reflexes begin to manifest in a child after the period of infancy
- EEach umbilical hernia, regardless of size, should be immediately surgically treated
Reveal the correct answerPinpoint pupils can be observed in all listed situations, except for:
(question annulled by CEM)
- Aadministration of chlorpromazine
- Bintracranial hemorrhage (pontine hemorrhage)
- Cadministration of fentanyl
- Dadministration of diphenhydramine
- Eadministration of clonidine
Reveal the correct answerA 4-year old boy presents with a fever lasting 6 days. Which of the following conditions, if they were a part of this patient's presentation, would not cause suspicion of Kawasaki disease?
- Abilateral conjunctival injection
- Bcracked or fissured lips.
- Cgeneralized polymorphous rash.
- Dthrombocytopenia
- Ecervical lymph node painful enlargement.
Reveal the correct answer