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The diagnosis of which type of purpura is suggested by the following coagulation test results: PT 8.5 s (N: 12-16 s), APTT 66.4 s (N: 28-30 s), fibrinogen 334 mg/dL (N: 180-350 mg/dL), D-dimers 417 ng/mL (N: 100-500 ng/mL)?
The following complete blood count results: WBC 51.2 G/L, LY 2.1 G/L, MO 5.0 G/L, NE 43.2 G/L, EO 0.4 G/L, BA 0.5 G/L, RBC 4.1 T/L, Hgb 12.8 g/dL, MCV 88 fL, PLT 335 G/L suggest the diagnosis of:
The characteristic feature of myelodysplastic syndromes is:
A 22-year-old male came to the hospital because of recurrent hyperthermia and articular pain in knees and wrists. The maculopapular rash was noted on the skin of the trunk and thighs which caused no itching. Similar signs occurred 3 months ago. He denied taking any drugs or diet supplements. ALT activity was 160 IU/L, AST = 90 IU/L, and ferritin concentration = 750 μg/L (normal values < 200 μg/L). Transferrin saturation was normal. Abdominal ultrasonography showed hepatosplenomegaly. Which of the following is the most probable diagnosis?
A 52-year-old, obese male patient was admitted to the hospital with the symptoms of acute pancreatitis. According to the patient, he does not drink alcohol regularly. Ultrasonographic examination showed no deposits in the gallbladder. ALT and alkaline phosphatase activities are normal. The patient does not take any drugs known for the possibility to cause pancreatitis. Which of the following tests should be performed to confirm the most probable cause of acute pancreatitis in this patient?
Indicate the false statement concerning proton-pump inhibitors (PPIs):
A 45-year-old female with liver cirrhosis related to HCV infection complains of marked fatigue and dyspnea aggravating after standing up from a lying position. Laboratory tests excluded anemia and sideropenia. The CRP concentration is normal. The chest X-ray is normal. Which of the following should be performed to explain the probable cause of the complaints?
Which of the following is preferred in the treatment of severe (grade III) arterial hypertension in chronic kidney disease in patients with marked proteinuria and peripheral edemas, hyperkaliemia of 6.6 mmol/L and GFR < 30 ml/min/1.73 m ?
Indicate the false statement concerning the use of loop diuretics in patients with arterial hypertension and chronic kidney disease:
An 82-year-old patient was transported to the emergency department because of general condition deterioration, decreased blood pressure, delirium. She has been a resident of the nursing home since the stroke that caused hemiparesis. Because of urine incontinence the patient is chronically catheterized. The bag contains cloudy urine. Which of the following is necessary to confirm urosepsis?
A 70-year-old patient, treated for arterial hypertension for over 30 years, called his family doctor because of lower limb edemas worsening for a week. Physical examination showed increased blood pressure and edemas around ankles. Indicate the least probable cause of those symptoms:
Which of the following test should be performed in order to qualify the patient to the nephrectomy due to hydronephrosis without recurrent infections but accompanied by treatment-resistant hypertension?
A 29-year-old female patient came to the emergency department because of abdominal pain, high fever up to 40°C with chills and nausea. Laboratory test showed CRP 120 mg/L (N<5 mg/L), leucocytes 16 G/L, and the following results of urinalysis: specific gravity 1.030 g/mL; protein - 1.2 g/L; leucocytes 30-50 per HPF + numerous leucocytes in packs; intact erythrocytes 10-20 per HPF. The most probable diagnosis in this patient is:
Which of the following should be administered to a patient with eGFR 40 mL/min/1.73 m prior to performing chest computed tomography with the use of contrast agents?
A 25-year-old female came to the doctor because of elevated temperature of 38.7°C, weakness, palpitations and a painful enlargement of the thyroid. The pain radiated to the mandible. A week earlier she noticed mild symptoms of upper respiratory tract infection, but she did not report to the doctor. On physical examination: blood pressure 145/65 mmHg, pulse 100/min, a goiter painful on palpation, pale skin in the neck region. Abnormal laboratory test results were: ESR 95 mm/h, leukocytosis 14500/µL, TSH 0.009 mU/L. Which of the following should be suspected?
A 56-year-old female smoker with recurrent bilateral nephrolithiasis diagnosed 10 years ago, resistant to treatment depression, and arterial hypertension came to the doctor with the result of her forearm DXA densitometry which showed T-score=-2.9. Indicate the most important tests in further diagnostics:
Which of the following abnormalities in laboratory tests should be expected in a patient with clinical symptoms of hyperthyroidism?
The risk factors of hyperglycemia in pregnancy do not include: 1) gestational diabetes during previous pregnancy; 2) giving birth to a neonate with a malformation; 3) first pregnancy; 4) pregnancy at the age of over 35 years; 5) arterial hypertension before the pregnancy; 6) overweight before the pregnancy. The correct answer is:
Which of the following are important for selection of chemotherapy in pulmonary cancer?
1) general condition of the patient;
2) stage of the disease;
3) organ damages;
4) histological type of the cancer;
5) familial history of cancer.
The correct answer is:
The factors defining a dynamic course of COPD include:
1) FEV1 value;
2) degree of dyspnea according to MRC;
3) smoking habit;
4) frequency of aggravations;
5) patient’s age.
The correct answer is:
In which of the following conditions the pulmonary transplantation may be a considerable therapeutic option? 1) idiopathic pulmonary fibrosis (IPF); 2) cystic fibrosis; 3) limited type of pulmonary cancer (T3); 4) sarcoidosis at the stage III; 5) moderate COPD. The correct answer is:
A 60-year-old female patient, a current smoker, taking medication for type 2 diabetes and stage 2 hypertension, with a history of weight loss of 5 kg within the previous 4 months, presented to her family physician complaining of chest discomfort, tachycardia and shortness of breath on exertion. The day before, after coming home from work (job: shop cashier), where she had been subjected to a stress situation she had a chest pain lasting for 15-30 minutes with transient episode of weakness without a loss of consciousness. Differential diagnosis based on a patient's symptoms should include:
1) left ventricular non-compaction cardiomyopathy;
2) catecholamine cardiomyopathy;
3) acute coronary syndrome;
4) acute aortic syndrome;
5) pulmonary embolism.
The correct answer is:
Eisenmenger’s syndrome diagnosed in a 28-year-old patient may be a complication of the following uncorrected congenital heart defects:
1) atrial septal defect;
2) ventricular septal defect;
3) Ebstein’s anomaly;
4) aortic coarctation;
5) patent ductus arteriosus.
The correct answer is:
The main mechanism of tricuspid regurgitation is:
Indicate the true statement:
What concentration of LDL cholesterol is the therapeutic goal in a 65-year-old male tobacco smoker after myocardial infarction (STEMI) managed with coronary angioplasty and DES stent implantation into the left anterior descending artery, arterial hypertension, and type 2 diabetes mellitus?
The most common acquired valvular heart disease in adults is:
Which of the following are characteristic of ECG in hypokalemia? 1) elongation of PR interval; 2) flattening of P wave; 3) widening of QRS complexes; 4) depression of ST segments; 5) increased amplitude and width of U waves. The correct answer is:
The first episode of reactive arthritis should be treated with:
1. Non-steroidal analgesics
2. Sulfasalazine
3. Glucocorticosteroids
4. Antibiotics
5. Biological drugs.
The correct answer is:
Red rash occurring after an exposure to sunlight and complete heart block in children of mothers suffering from systemic lupus erythematosus are related to the antibodies reacting to the antigen called:
Which of the following should not be used in the therapy of a 23-year-old female who has never been pregnant and is suffering from rheumatoid arthritis diagnosed a month ago?
In a 20-year-old female patient typical symptoms of rheumatoid arthritis were found. The symptoms started 6 months ago. Which laboratory tests should be performed to confirm the diagnosis of rheumatoid arthritis?
A 65-year-old male complains of knee joint pains, particularly on physical exercise. The pain subsides upon the rest. The anteroposterior radiograph of his knee joints is shown below: Indicate the cause of the observed symptoms:
In order to evaluate kidney damage in a patient with type 2 diabetes mellitus one should assess:
Which of the following medications should be avoided in the patient with hypertrophic cardiomyopathy, with left ventricular outflow tract peak instantaneous pressure gradient 35 mmHg (measured with Doppler echocardiography), left ventricular ejection fraction 52%, symptoms of heart failure NYHA class II and chest pain:
1) nonsteroidal anti-inflammatory drugs;
2) non-vasodilating beta-blockers;
3) non-dihydropyridine calcium channel blockers;
4) long-acting oral nitrates;
5) digoxin
Indicate the false statement concerning the treatment of bleeding from esophageal varices:
Electrolyte disorders considered most typical of tumor lysis syndrome (found in acute kidney injury following chemotherapy of lymphoma and leukemia) include:
In a patient with long-lasting type 2 diabetes and diabetic kidney disease, until now treated with oral hypoglycemic drugs, further progression of chronic kidney disease has been noted with decrease of glomerular filtration rate down to 15/ml/min/1.73 m . Which of the following drugs can be still used as hypoglycemic agents in this patient?
Lumbar puncture in children is absolutely indicated in the following clinical situations, except for:
Apart from careful history taking, skin prick tests (SPT) are a crucial diagnostic tool in allergology. Indicate the true statements concerning SPT in children:
1) SPT is not recommended in children younger than 3 years;
2) in the case of allergy to airborne allergens, the result of SPT in children strongly correlates with the clinical symptoms of the disease;
3) SPT indicate the presence of allergen-specific IgE on skin mast cells;
4) when IgE-mediated food allergy (e.g. to vegetables or fruit) is suspected, SPT with a native allergen may be performed;
5) size of erythema to specific allergen is important for the interpretation of SPT results.
The correct answer is:
Which of the following statements concerning food challenge test (FCT), regarded as a valuable diagnostic tool in food allergy, is false?
A maculopapular skin rash, cradle cap not responding to the treatment, swelling of the gums and abnormal teething, soft on palpation bulges of the skull, and X-ray revealing osteolytic lesions in bones of the cranial vault in a 1-year-old child are characteristic of :
Idiopathic musculoskeletal disorder affecting children, often referred to as body growth pain, is the reason for visiting a pediatrician. Which symptoms allow to make such a diagnosis?
Uveitis is one of the symptoms of juvenile idiopathic arthritis that may lead to eyesight damage. In which type of juvenile idiopathic arthritis does uveitis occur most frequently?
Which of the following is the absolute contraindication to the gastric lavage in a child who ingested a toxic substance?
A 15-year-old boy called at the doctor’s office because of discomfort, runny nose and cough. The measured temperature was 37.5°C. On physical examination reddish and swollen throat and rhinitis. The physician assigned the patient 1 point according to Centor/McIsaac criteria. Consequently, he should treat the boy with:
Indicate the true statement concerning vesicoureteral reflux:
A mother reported to the pediatrician with her 10-year-old son because of hearing impairment. Medical history showed that boy’s uncle suffers from hypoacusis. The urine test showed erythrocyturia and mild proteinuria. Which of the following is the most probable cause of the symptoms?
Which of the following is the most common cause of haemolytic-uraemic syndrome in children?
Which of the following is the most probable diagnosis in a 12-year-old patient with decreased concentrations of complement component 3 (C3) and normal concentrations of complement component 4 (C4)?
A 11-year-old boy called on the doctor with the results of the urinary test performed in the afternoon, which showed proteinuria of 300 mg/dL. Which of the following is the most probable cause?
In a 10-day-old neonate marked bilateral edemas of the limbs and periorbital edemas occurred. The most probable cause is:
Which of the following is recommended in the treatment of urinary tract infection in a neonate?
Which of the following antibiotics should be used in the treatment of acute pyelonephritis in a 2-year-old child?
A neonate is regarded as born prematurely if the pregnancy lasted less than:
Indicate the true statements concerning pneumonia caused by Chlamydia trachomatis:
1) it occurs in neonates in the first weeks of life;
2) it is an example of atypical infection and usually occurs in school children;
3) clinical signs include mainly dry, spasmodic, whooping-like cough;
4) clinical signs include conjunctivitis, rhinitis, cough and vomiting.
The correct answer is:
A child refers to the physician with small petechiae on the thighs, joint pains and proteinuria. The mother reports that 2 weeks earlier her child had bacterial pharyngitis. Which of the following should be suspected?
In a 4-year-old child with recurrent respiratory tract infections, hearing impairment and snoring the physical examination showed high-arched palate, distoclusion, mouth breathing and the presence of exudation in the nasal ducts. The most probable cause of the abnormalities is
Which of the following factor increase the risk of urolithiasis?
1) increased fluid intake;
2) familial history of urolithiasis;
3) warm climate;
4) infection caused by Proteus mirabilis.
The correct answer is:
A 3-year-old boy fits to 39 °C, is apathetic. During the examination, the doctor found on the skin of the right thigh three skin lesions. What characteristics of the skin lesions can point to meningococcal sepsis?
The incidence of allergic diseases is continuously growing. The basic diagnostic tool for them is:
Gastroesophageal reflux in physiological conditions is a short-term phenomenon. But if it lasts long or the episodes of reflux are frequent it could be the cause of gastroesophageal reflux disease (GERD). Alarming signs of GERD do not include:
A 16-year-old patient complaining of persistent pruritus for 3 months uses immunosuppressive treatment in the form of ointments and creams, prescribed by a dermatologist, with no result. In the patient's relation her neck has recently ‘swelled’, and she reports also weakness and reduced exercise tolerance. On the examination, tachypnea, a bundle of enlarged lymph nodes (the largest with a diameter of 3 cm) in the region of the sternocleidomastoid muscle and the supraclavicular area on the same side were noted. An increased vascularization of the chest skin is visible. The patient should be referred to:
Craniotabes (softening and thinning of occipital and parietal bones) may be observed in the following disorders, except for:
Typical symptoms of critical aortic valve stenosis in a neonate do not include:
Indicate the false statement concerning the second heart sound splitting in children:
The risk factor for breast cancer is not:
Which of the following is not observed in the course of pulmonary embolism?
Which of the following does not suggest the development of malignant melanoma from a nevus?
Indicate a false statement about kwashiorkor malnutrition:
Which of the following is not a complication of blood transfusion?
The causes of hypertonic dehydration do not include:
The most common malignant tumor of the thyroid is:
Cyanotic painful swelling of the limb (phlegmasia cerulea dolens) is caused by:
Rest pain is classified on the Fontaine scale as:
Anastomosis of stomach with the intestine by Billroth I consists in:
The most common direct cause of acute peritonitis is:
Surgical complications from gastric and duodenal ulcers have become less common in the last decade. What is the main cause of this phenomenon?
In which organ are the most common cancer metastases from the organs of the digestive system?
Indicate features characterizing Crohn’s disease:
1) lesions can occur in any part of the digestive tract;
2) lesions are limited only to mucosa and submucosa;
3) there are perianal fistulas in the course of the disease;
4) surgical treatment of this disease is based on the principle of conservative procedures;
5) extensive resection procedures are indicated in the surgical treatment of this disease.
The correct answer is:
Persistent vomiting can lead to:
Which of the following should be performed in a patient who was referred to the surgical outpatient clinic because of yellowish skin?
1) laboratory exams: bilirubin, alkaline phosphatase, ALT, AST, GGT;
2) abdominal ultrasound;
3) hospitalization in order to perform endoscopic retrograde cholangiopancreatography;
4) magnetic resonance cholangiopancreatography (MRCP).
The correct answer is:
The Lauren classification concerns:
Indicate the true statement concerning a hepatic hemangioma:
Surgical treatment of asymptomatic gallstones should be considered in the case of:
1. a patient in an early age
2. diabetic
3. sick person before extensive cardiac surgery or organ transplantation
4. when the peptic ulcer of the stomach or duodenum is present
5. expressed wish by the patient
The Mayo operation is performed to treat the following hernia:
Which of the following may be a complication of the thyroidectomy?
The surgical treatment of inguinal hernias with the Lichtenstein technique:
Which of the following is the best option of surgical palliative treatment in the case of a non-resectable tumor of the head of the pancreas that causes mechanical jaundice and duodenal obstruction?
The signs of Jaworski, Rovsing and Blumberg are typical signs of:
Which of the following is the most successful method to obtain hemostasis in the case of the bleeding from esophageal varices which could not be stopped endoscopically or when urgent endoscopy is not available?
Which of the following is necessary in uncomplicated diverticulosis?
Indicate the true statement concerning the incidence of hernias:
Which of the following is called menarche?
The increased risk of endometrial cancer has not been associated with:
Which of the following is characteristic of stress urinary incontinence (SUI) in women?
Which of the following is not considered in the assessment of the cervix according to the Bishop score?
Which of the following is not the symptom related to uterine fibroids?
Which of the following is characteristic of borderline ovarian tumors?
The pharmacological treatment of endometriosis does not include:
The basic strategy of treatment in the case of Bartholin’s gland abscess consists in:
Indicate the true statements concerning vulvar cancer:
1) most commonly it develops from the stratified squamous epithelium;
2) HPV infections play an important role in pathogenesis of some vulvar cancers;
3) supraclavicular lymph nodes are the most common site of metastasis;
4) basic treatment consists in the surgery and radiochemotherapy;
5) hormonal therapy is the most effective method of vulvar cancer treatment.
The correct answer is:
Which of the following is introduced into the peritoneal cavity in order to produce pneumoperitoneum during the laparoscopic procedure?
The complications typical of monochorionic-monoamniotic twin pregnancies include:
1) acute type of twin-to-twin transfusion syndrome (TTTS);
2) chronic type of twin-to-twin transfusion syndrome (TTTS);
3) impairment of the fetus whose twin died in the utero;
4) conjoint twins;
5) premature labor after the end of 37 week of gestation.
The correct answer is:
The high risk factors of gestational diabetes include:
1) obesity of the pregnant woman (BMI > 30);
2) diabetes in the first-degree relatives;
3) birth weight of neonates of previous pregnancies > 4000 g;
4) age of the pregnant woman < 25 years;
5) no significant obstetric history.
The correct answer is:
Which of the following blood vessels is used in the non-invasive ultrasound evaluation of foetal anaemia?
The most common site for an ectopic pregnancy is:
Indicate the true statements concerning oxytocin test:
1) it is a stress test;
2) it is a biophysical test assessing the placental efficiency;
3) positive result is concluded on the basis of late decelerations present after at least half of the contractions;
4) it is the test of choice in pregnant woman with placenta praevia.
The correct answer is
Fetal heart auscultation is an important part of obstetrical examination and it helps safe delivery management. During normal delivery the basic fetal heart rate should be in the range of:
Which of the following is not a typical complication of gestational diabetes?
Ultrasonographic examination performed at 6 week of gestation revealed coexistence of two fetuses and a single yolk sac. That allowed for the diagnosis of:
Which of the following is the primary medication used for the long-term antihypertensive therapy in pregnancy?
Which of the following fetal head circumferences is the smallest?
The clinical features of HELLP syndrome include:
1) elevated liver enzymes;
2) low platelet count;
3) hemolysis;
4) thrombocytosis;
5) decreased concentration of indirect bilirubin.
The correct answer is:
Which of the following are regarded as risk factors for a transverse lie?
1) oligohydramnios;
2) polyhydramnios;
3) placenta praevia;
4) multiple pregnancy;
5) single pregnancy.
The correct answer is:
A patient at 26 week of the gestation was injured in a traffic accident and subsequently was treated surgically and received 2 medications of the category B in the FDA classification. The category B denotes:
Directly after the third stage of the delivery massive hemorrhage occurred leading to hypovolemic shock. The condition of the patient improved significantly over several days, but she is suspected of Sheehan’s syndrome. Which of the following justifies this suspicion?
Anti-RhD immunoglobulin is used in RhD minus female patients in a single i.m. injection after the laparoscopic treatment of an ectopic pregnancy (WGA < 12 Hbd) within 72 h of the surgery at a dose of:
Which of the following are regarded as anatomical factors which can cause a miscarriage?
The Code of Medical Ethics does not prohibit physicians from carrying out:
In light of Polish law the collection of cells, tissues and organs from human corpses for their transplantation can be done if:
Does a child who turned 16 years of age have a right to full information concerning their treatment?
Is it allowed to apply direct coercion to the patient in the hospitals other than psychiatric?
A Pole, a British citizen, passed matriculation examinations in Poland and on the 3rd of October 2012 started medical studies in Poland which covered 5500 hours of didactic classes. They passed Physician Final Examination (LEK) in English. The Regional Chamber of Physicians and Dentists is obliged to refuse them the right to practice as a doctor in the situation in which:
Does the Code of Medical Ethics refer to the problem of determining the order of medical services for patients?
Do deontological rules allow the doctor to initiate diagnostic and therapeutic treatment without patient consent?
The Minister of Health issued a regulation in which the treatment of some disease was described. 6 months later a doctor read a scientific publication that without doubts stated that the treatment described in the regulation is harmful to patients. According to the Code of Medical Ethics the doctor should:
A 13-year-old girl reports to the doctor office with her grandmother. During the examination the doctor starts to suspect that the girl has been sexually abused by her stepfather. The girl confirms this suspicion but asks the doctor to keep it secret. In that situation the doctor:
An accident resulted from an external cause that happened on the way to or from the workplace is called the accident on the way to or from work. However:
Rehabilitation benefit is due:
In accordance with the Law on old-age and disability pensions paid from the Social Insurance Fund, an insured person before the age of 20 in order to receive a pension due to incapacity for work has to fulfil the condition of having the required contributory and non-contributory insurance period. This period is at least:
One-time compensation is due to an insured-by-SIF (ZUS) person who as a result of work accident or occupational disease:
SIF (ZUS) certifying doctors while ruling on incapacity for work do not comply with:
Occupational disease is a disease registered on the list of occupational diseases and which was caused by factors detrimental to health in the workplace or the way of working, the so called “occupational exposure”. Which of the following is not included in the Council of Ministers Regulation on occupational diseases?
An insured person is entitled to the training pension from the Social Insurance Fund if they hold both the required insurance period and the ruling on:
What kind of study is a cohort study?
Health insurance is based on the following principles, except for:
The Health Beliefs Model explains:
Researchers from the Cleveland Clinic (OH, USA) found that the microbiome present in the breast tissue may be associated with breast cancer (Oncotarget 2017r 8.88122-68138-M005,3: 59) They hope to find a biomarker that will help diagnose faster and more easily breast cancer. Let's suppose that they have already found such an indicator and developed a diagnostic test to detect its presence. Using this test, they examined 100 women with breast cancer and 100 healthy women who were diagnosed with other methods. They received the following results:
| Sick women | Healthy women | |
| Positive test result | 93 | 11 |
| Negative test result | 7 | 89 |
| Altogether | 100 | 100 |
Indicate the incorrect interpretation of these results
In cost benefit analysis (comparison of two interventions that have different health effects) the most commonly used measure to compare the health effects is:
The sentence: “10% of cases in meningococcal sepsis with meningitis end in death” describes:
In 2017, the following numbers of injuries according to causes and deaths were found in a town with 50,000 inhabitants.
The cause of the injury | Injuries by reason | Deaths due to injury by reason | ||
N | % | N | % | |
Road traffic | 100 | 66.7 | 25 | 62.5 |
Professional work | 10 | 6.7 | 5 | 12.5 |
Sport, recreation | 15 | 10 | 5 | 12.5 |
Violence | 25 | 16.6 | 5 | 12.5 |
Together | 150 | 100 | 40 | 100 |
The formula that describes the rate of mortality due to injuries cause by violence, per 100 000, is:
According to WHO which of the following is not a criterion for recognizing the alcohol
addiction syndrome?
Lalonde's concept of health "fields" identifies major factors which influence the health of the population. The health care system affects the population's health in about:
Specific diabetic complications do not include:
Menopause is when a woman has not had any vaginal bleeding after her last menstrual period for:
Coughing up of more than 100 ml of blood in a short time suggests massive hemoptysis and is an indication for:
The BCG vaccination of neonates protects little children from developing:
The risk factors for gastroesophageal reflux disease do not include:
In the case of hyperlipidemia (with an exception for familial hyperlipidemia) pharmacological treatment should be started if the proper diet has not led the patient to achieve therapeutic goals for:
Any vaginal bleeding in a postmenopausal period woman is an indication for:
Surgical treatment of an aortic aneurysm is indicated when its diameter exceeds:
Human personality is a complex structure.The ICD-10 classification distinguishes specific personality disorders which do not include:
The body weight loss in the first days of life a neonate amounts to about:
The clinical presentations of cerebral palsy do not include:
Which of the following statements concerning cold water cooling of the patient suffering from burns is true?
In which situation of the following cases there is no need to notify the District Sanitary Inspection?
Indicate the true statement concerning the use of antibiotics in the case of tick bites:
Which of the following indicates a successful treatment of sideropenic anemia with iron preparations?
Which of the following should be recommended for a 55-year-old female patient if her DXA examination showed a T-score = -1,5?
1. calcium- rich diet.
2. Supplementation with vitamin D3.
3. Adequate physical activity.
4. cessation of smoking.
5. Bisphosphonates.
The correct answers is:
Which of the following is recommended in a patient treated chronically with acenocoumarol if the control lab examination showed INR = 4.7?
Which of the following medications should be prescribed for a patient with diabetes mellitus type 2 in the treatment of arterial hypertension as a first line treatment?
Indicate the false statement concerning suicides:
The depressive episode in the course of the bipolar disorder is characterized, more frequently than the one in the course of recurrent depressive disorder, by:
The symptoms and signs of delirium tremens do not include:
Indicate the minimal time of the presence of symptoms necessary to formulate the diagnosis of the given psychic disorder:
The situation in which otherwise normal speech suddenly interrupts is called:
A 56-year-old patient visited the psychiatrist because of apathy, anhedonia, hopelessness, and decreased appetite for about 2 months. The patient has not been treated psychiatrically but she is treated for hypertension. The psychiatrist’s initial diagnosis is “moderate depressive episode”. Which of the following medications should he prescribe?
Which of the following are the medications registered in Poland for the treatment of ADHD in children?
Indicate the true statement concerning illusions:
Parasomnia does not include:
Which of the following can be a cause of delirium in an elderly patient?
Which of the following is not characteristic of schizofrenia?
According to the article 23 of the act on the mental health, a person can be hospitalized at the psychiatric hospital without their consent if:
1) is mentally ill and does not take medications systematically;
2) is mentally ill and poses a threat to their own life;
3) is mentally ill and poses a threat to other people’s health or life;
4) poses a threat to the legal system;
5) is suspected of mental illness to verify the diagnosis by observation. The correct answer is:
The disorders of thought ‘content’ occurring in the course of manic syndrome include:
Systematic, internally coherent and logical system of delusions may occur in:
Hypothermia is a life-threatening condition defined as:
Which of the following is not a cause of epileptic seizure?
The most common cause of septic shock in Poland are:
Which of the following is the cause of excluding the patient from thrombolytic treatment?
Intensive care of patients after sudden cardiac arrest includes keeping:
1) glycemia about 180 mg/dL;
2) pCO values about 30 mmHg;
3) pO values about 100 mmHg;
4) body temperature about 32-34°C.
The correct answer is:
A 68-year-old female with breast cancer and metastases to the vertebral column and ribs diagnosed 3 years earlier came to the emergency department. The main cause of her visit was abdominal pain lasting for several days. Additionally, she complained of polyuria, constipation and palpitations. Which of the following is the cause of the observed symptoms?
Which of the following is not used in the treatment of thyroid storm?
Which of the following is not a sign of anaphylaxis?
What is the maximal inspiratory oxygen concentration achievable when the bag valve mask (Ambu bag) with the reservoir is used and oxygen flow is about 10L/minute?
Cardioversion with the energy of 70-120 J is performed in the case of:
Which of the following structures has the highest electrical resistance:
A 32-year-old male was transported to the emergency department with the signs of progressive hypovolemic shock. The patient demands quick fluid replacement. Which access and which cannula should be chosen?
Which of the following traumas may be an indication for immediate thoracotomy at the emergency department?
Which of the following should not be considered in the treatment of a patient with hypercalcemia?
During the initial segregation of mass accident victims, using START protocol, a victim non-responding to any stimuli, not breathing spontaneously even after airway management should be:
Which of the following is an indication for chest compressions during the resuscitation of a neonate when correct mechanical ventilation is performed?
A patient with an implanted pacemaker fainted in the street. The arriving emergency team diagnosed cardiac arrest and the ECG monitor showed ventricular fibrillation. Should the rescuers perform defibrillation in this patient?
Indicate the true statement concerning the resuscitation of obese patients:
Evaluate the correctness of the sentence "in the case of a sick unconscious, for the good of the patient, the doctor may provide the necessary information to the person who is considered by him to work in the patient's best interest"
Which of the following is a reddish skin in neonate as a macule, usually on the eyelids, forehead, occiput and nuchal region and disappears around the age of 1 year?
Which of the following endocrinopathies are elements of multiple endocrine neoplasia type 2A (MEN2A syndrome)?
1) primary hypoparathyroidism;
2) medullary cancer of the thyroid;
3) adrenal adenomas;
4) primary hyperparathyroidism;
5) pituitary adenomas;
6) pheochromocytoma.
The correct answer is:
Which of the following scales is used to assess the maturation of a neonate?