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An anxious mother reports symptoms that according to her and a parents' website require immunological diagnostics. She asks you to clarify which of the following could indicate primary immunodeficiency in her 1-year-old son: 1) three upper respiratory tract viral infections;
2) otitis media;
3) pneumonia;
4) recurrent oral aphthae;
5) persistent cradle cap;
6) lack of weight gain and the inhibition of normal development.
The correct answer is:
Which of the following drugs is contraindicated in the treatment of hypertension in a pregnant woman?
Which of the following concerning pertussis is false?
The monoclonal protein (M protein) in multiple myeloma is usually an immunoglobulin of the class:
Antibodies taking part in the primary pathogenesis of membranous nephropathy are antibodies:
The Doloplus-2 scale is a method of measuring pain:
Which blood test should be performed first in a person with tetany attacks?
Which of the following diseases pathogenesis is associated with the mutation of the gene for collagen?
1. Ehlers-Danlos syndrome
2. Alport syndrome
3. Marfan syndrome
4. Fanconi syndrome
5. Fibromyalgia
6. Osteogenesis imperfecta
Which of the following concerning scales, scores and classifications used in cardiovascular diseases is false?
Which of the following are recommended as the first-line treatment for maintenance therapy after achieving remission in mesangial proliferative lupus nephritis?
1) mycophenolate mofetil + prednisone;
2) cyclosporine + prednisone;
3) oral cyclophosphamide + prednisone;
4) azathioprine + prednisone;
5) methotrexate + prednisone.
The correct answer is:
Which of the following is responsible for inflammation of the edges of the eyelids in the elderly?
What is the most common parenteral cause of mechanical obstruction of the small intestine in adults in developed countries?
A 36-year-old patient with type 2 diabetes and recently diagnosed arterial hypertension complains about changes in the face appearance and an enlargement of the feet. Which of the following tests should be carried out first of all?
A 66-year-old male patient with an attack of atrial fibrillation has TSH 0.1 mlU/L (N 0.27 - 4.2) and FT4 1.98 ng/dL (N 0.7-1.7). The patient has been taking 100 µg of thyroxine once a day because he was diagnosed with hypothyroidism three years ago. Indicate the optimal treatment of thyroid disease:
The follow- up visit in patients with diagnosed hypertension who has been treated pharmacologically should be scheduled after approx:
Which of the following concerning gastric neuroendocrine tumors is false?
The symptoms of hypercalcemic syndrome do not include:
Which of the following features does not belong to Zollinger-Ellison syndrome?
Diagnostic criteria for rheumatoid polymyalgia do not include:
Celiac disease can coexist with many other autoimmune diseases including:
1) autoimmune hepatitis;
2) Hashimoto's disease;
3) Duhring's disease;
4) Sjögren's disease;
5) Crohn's disease;
6) type II diabetes.
The correct answer is
Which of the following are used in the treatment of von Willebrand disease?
1) factor VIII concentrate with von Willebrand factor;
2) factor IX concentrate;
3) intravenous immunoglobulins;
4) dexamethasone;
5) desmopressin.
The correct answer is:
What is the most frequent adjustment of insulin dose needed in a type 1 diabetes patient as chronic kidney disease progresses to end-stage kidney disease?
Indicate the correct definition of vaccination:
The contraindications to kidney biopsy include:
1) acute kidney injury requiring dialysis
2) absence of one kidney
3) in kidney ultrasound, the size is approximately 7 cm, and the cortical layer is 5-7 mm wide
4) acute bacterial tubulointerstitial nephritis
5) acute drug-induced tubulointerstitial nephritis
The correct answer is:
A 75-year-old patient who has undergone hip arthroplasty in the last month has dyspnoea, cough, chest pain, tachycardia and fever. These symptoms indicate:
Which of the following concerning autosomal dominant polycystic kidney disease
(ADPKD) is true?
1) ADPKD is the commonest genetically determined kidney disease;
2) liver cysts are often a non-renal manifestation of ADPKD;
3) in the course of ADPKD, significantly more often than in general population, clear cell
renal cell carcinoma develops;
4) vasopressin V2 receptor antagonist turned out to be effective in delaying cyst
enlargement;
5) calcium channel blockers are first choice drugs in the treatment of arterial
hypertension.
The diagnosis of obesity class I should be made at BMI (kg/m2):
Medications that may induce arterial hypertension do not include:
Indicate first choice drugs in the treatment of uncomplicated acute cystitis:
1) ciprofloxacin;
2) fosfomycin;
3) co-trimoxazole (trimethoprim + sulfamethoxazole);
4) amoxicillin + clavulanic acid;
5) nitrofurantoin.
The correct answer is:
Lung cancer:
What medication should be used to start treatment for newly diagnosed diabetes with polydipsia and polyuria?
Which of the following concerning restrictive cardiomyopathy (RCM) is false?
How should vitamin B12 be supplemented in patients with pernicious anaemia (AddisonBiermer anaemia)?
Which of the following concerning automatic blood pressure monitoring (ABPM) is false?
Indicate the possible reason for the presence of a persistently low urine specific gravity during properly conducted dehydration tests:
Subclinical hypothyroidism is characterized by:
The typical symptoms of systemic scleroderma do not include:
In rheumatoid arthritis typically the following joints are not affected:
Superior vena cava syndrome:
A 29-year-old female patient has had a fever of 38˚C for the last two weeks despite NSAIDs treatment, complains of a neck pain radiating into the ear. On additional tests: ESR 70 mm/h (N up to 12), TSH 0.11 mlU/l (N 0.27 - 4.2), leukocytes - 5600/mm . Which of the following should be suspected first of all?
In the treatment of rheumatoid arthritis drugs modifying the course of the disease are used. They do not include:
Interstitial pneumonia:
Secondary drug-induced diabetes can occur after the following drugs except for:
The first-line medications in primary arterial hypertension do not include:
The most common cause of chronic cough is:
Acute coronary syndrome is suspected from changes in at least two contiguous leads on a resting electrocardiogram. For lead I, the contiguous lead is:
Which one of the following positive tests confirms the ongoing Helicobacter pylori infection?
The method of choice in the imaging of osteoarthritis is:
Which of the following concerning malignant hypertension is false?
Jaundice, low hemoglobin levels, high reticulocyte count, elevated indirect bilirubin levels, negative direct antiglobulin test, decreased erythrocyte osmotic resistance and abnormal EMA test result point to:
A two-year-old child unvaccinated (parents’ decision) came back home after two-week’s vacation from Ukraine. After a week the child developed high fever, dry cough, nasal discharge and conjunctivitis with eyelid edema. After three days numerous grayish white papules appeared on the cheek mucosa and after another two days as the fever dropped, a rash appeared on the forehead and then it spread. The child should be diagnosed with
Hypoparathyroidism occurs in the following diseases except for:
A 36-year-old woman was admitted to the Emergency Department (ED) after a car accident with symptoms of hemorrhagic shock. The ultrasound examination in FAST algorithm showed significant amount of free fluid in the peritoneal cavity. Blood pressure: undetectable, HR: 134 beats/min. At the ED four units of 0 Rh minus (-) red blood concentrate were transfused. Urgent laparotomy was performed. During the surgery another four units of red blood concentrate and four units of fresh frozen plasma were transfused. Which complications can occur as a result of these procedures?
1) thrombocytopenia;
2) coagulopathy;
3) hypocalcemia;
4) hypercalcemia;
5) hypokalemia;
6) hyperkalemia;
7) hypothermia.
The correct answer is:
The most common nosocomial infection in the surgical department is:
A 24-year-old patient diagnosed with lasting for three years ulcerative colitis reports persistent itching, chronic fatigue, weakness. The most likely cause of the reported complaints is:
Ulcerative colitis is treated surgically. The gold standard in elective treatment is:
The characteristic features of Crohn's disease are:
1. involvement of the mucosa and submucosa
2. changes may appear in any part of the digestive tract
3. perianal fistulas
4. use of conservatory surgeries
5. extensive intestinal resections are used
A 64-year-old patient with symptoms of an acute abdomen (severe pain in the area of the left iliac fossa) goes to the emergency room. On admission, the general condition was average, the patient was emaciated, has a history of the condition following perforation of the sigmoid diverticulum. What kind of surgery will be the most appropriate?
In the case of hypoglycemia, intramuscular administration of 1 mg of glucagon will increase glucose levels by about:
How tall is the average 2-year-old (full-term) child?
What is the time criterion for the diagnosis of generalized anxiety disorder?
Positive symptoms of schizophrenia include:
What is the time criterion for the diagnosis of dysthymia in children?
In a 25-year-old female patient suffering from schizophrenia, akathisia occurred as a result of pharmacotherapy. The patient probably takes:
Indicate clinical situations in which chronic tubulointerstitial nephritis develops:
1) hyperuricemia;
2) chronic lithium treatment;
3) primary Sjögren’s syndrome;
4) hypercalcemic nephropathy;
5) hypokalemic nephropathy.
The correct answer is:
The Poviat Disability Adjudication Team decides on the degree of disability:
After a certifying doctor makes the decision about incapacity for work, the person concerned has the right to:
People under the age of 16 will be classified as disabled if their physical fitness is impaired due to a birth defect or bodily damage with the expected duration of more than:
Sickness benefits are refused in the case of:
Work accident insurance is obligatory for:
According to the Code of Medical Ethics, the doctor's highest ethical commandment is:
A 64-year-old obese female reports postmenopausal vaginal bleeding. A cytological smear was obtained and in a transvaginal ultrasound endometrial hyperplasia was found. The mucosa biopsy was performed and the histopathological diagnosis of adenocarcinoma was obtained. Pap smear was normal. The uterus with appendages was completely resected and the lymph nodes were sampled. In postoperative examination adenocarcinoma cells were found in the uterus region (no evidence of serous membrane infiltration) and in the cervical canal near the internal orifice. No evidence of adnexal infiltration or metastases to the lymph nodes was found. Indicate tumor advancement according to FIGO classification:
The doctor's duties towards respecting patients' rights include, among others:
A doctor speaking critically about another doctor's actions should:
Which of the following is not considered in the differentiation of acute appendicitis?
Indicate the most common direct cause of acute peritonitis:
According to the principles of medical ethics, in the case of diagnostic and therapeutic doubts, the doctor should:
A doctor is not authorized to provide information about a health condition of an unconscious female patient (aged 54):
Hyperuricemia leads to recurrent attacks of acute arthritis. This disease risk factors do not include:
The cause of isolated arterial hypertension is not:
According to the principles of medical ethics, while performing medical activities, the doctor:
The LUCAS device is used for:
Which of the following concerning urinary tract infection (UTI) in children is false?
The factors behind the development of urinary tract infection in children include:
1) urinary retention;
2) anatomical defects of the urinary system;
3) diabetes;
4) urinary catheterization;
5) constipation.
The correct answer is:
An unconscious 60-year-old man who had been found unconscious about 12 hours earlier was brought to the hospital emergency department. A few minutes after the admission, he regained consciousness but did not remember the circumstances of the incident. In history: alcohol dependence syndrome, diabetes. On physical examination: CGS 9 points, slight swelling in the occipital region, heart rate 50/min, blood pressure 190/100 mmHg, 8 breaths/min. The presented situation points to:
Currently, the most common cause of acquired heart disease in children is:
A 7-year-old boy with a food allergy, with an history of anaphylactic shock after drinking of cow's milk, reports to the family doctor complaining of general weakness and eyelid swelling. The symptoms have persisted for over 2 days. Numerous fresh traces of insect bites are visible on the skin. Swelling of the face and lower legs. The heart rate and blood pressure are normal. The result of a rapid test determining the concentration of CRP in capillary blood - normal. Urine test strip: leukocytes (+), protein (+++). The child is referred to the hospital. What diagnosis do you consider the most likely at this stage?
Chronic fatigue syndrome is a complication of:
Quicktrach is used for:
Multiple doses of activated charcoal should be used in poisoning with:
The most common cause of acute liver injury is:
Which of the following lowers the pressure in the portal venous system in patients bleeding from esophageal varices?
The recommended value of defibrillation energy for children is:
Indicate the false statement concerning the electric stun gun (taser):
Which of the following concerning Carney syndrome is false?
Is it acceptable to postpone the next dose when taking contraceptive tablets containing only progestogen (mini pills)?
Which of the following concerning Allagille syndrome is false?
Which of the following are characteristic of a granulosa cell tumor?
1) most often occurs on both sides;
2) it is a germ cell tumor;
3) it is secreting estrogens and inhibin;
4) it is often accompanied by ascites;
5) most often occurs before puberty.
The correct answer is:
hip joints ultrasound should be performed in all newborn babies up to:
In patients with atrial fibrillation, after stabilization of the dose of vitamin K antagonists (acenocoumarol, warfarin), control INR tests should be performed every:
The factors authorizing to determine death in a patient are:
1) livor mortis (hypostasis);
2) cardiac arrest;
3) respiratory arrest;
4) rigor mortis;
5) lowered body temperature;
6) failure of CPR carried out according to current guidelines.
The correct answer is:
The characteristic features of cystic fibrosis do not include:
Which of the following symptoms is not characteristic of streptococcal pharyngitis and tonsillitis?
Meningitis in children is a life-threatening condition, therefore, in the case of bacterial etiology, antibiotic therapy must be implemented as soon as possible; optimally after collecting materials for microbiological examination (CSF, blood, other materials). The maximum time to administer antibiotic is:
1) up to 3 hours from the patient's first contact with medical care;
2) up to 1 hour if the patient is in the hospital ward;
3) to 30 minutes if the patient is in the hospital ward and meningococcal etiology is suspected.
The correct answer is:
The tests used for the examination of strabismus in children include:
1) alternating eye covering and uncovering test;
2) corneal reflex test;
3) Hirschberg test;
4) cover test;
5) Adams test.
The correct answer is:
Which of the following are features of acute diarrhea in children?
1) it is an infectious disease;
2) passing three or more liquid or semi-liquid stools daily;
3) passing stools containing blood, pus or significant amounts of mucus;
4) symptoms last up to 2 weeks.
The correct answer is:
Pharyngeal tonsil hypertrophy can manifest as:
1. nasal speech
2. breatching disorders
3. hearing deficit
4. breathing problems leading to malocclusion
5. hearing impairment in the treble range
General symptoms of Hodgkin’s lymphoma in children include:
1) fever > 38˚C;
2) lower limb pain;
3) night sweats;
4) weight loss > 10% in the last six months;
5) muscle pain.
The correct answer is:
Acute pharyngitis in children 3-4 years of age:
Dietary recommendations for women of childbearing age include:
1. all women aged 15-49 should take min. 0.4 mg of folic acid daily
2. women planning pregnancy - min. 3 months before pregnancy, they should take min. 0.4 mg of folic acid daily
3. in the case of neural tube defect in a previous obstetric history, a higher dose of 0.8 mg / day is recommended
4. obese women should take 0.8 mg / day of folic acid
5. the dose of folic acid should be increased if ultrasound examination of 11-14 Hbd shows abnormalities
In the event of a planned surgery in people with diabetes, the surgery should be postponed (if possible) if the HbA1C level exceeds:
Life-threatening anemia should be diagnosed when hemoglobin concentration drops below:
Among mental disorders in adolescents, the highest mortality occurs in the case of:
Indicate risk factors for pulmonary embolism:
1. age
2. obesity
3. pregnancy
4. active neoplastic process
5. varicose veins of the lower extremities
6. lower limb and pelvic surgery
7. surgery on the upper limb
8. vitamin K deficiency
A 33-year-old patient came to her family doctor. She has been treated psychiatrically for bipolar disease and has been taking olanzapine (10 mg daily) for two months. She has not been diagnosed with any other chronic disease. The patient complains of the weight gain of 5 kg (weight: 82 kg, height: 175 cm, BMI: 26.8 kg/m ). What is the minimal set of laboratory tests recommended for monitoring the treatment with olanzapine?
1) TSH, fT3, fT4;
2) creatinine;
3) glycemia;
4) bilirubin;
5) electrolytes;
6) creatine phosphokinase;
7) lipid profile.
The correct answer is:
Hunter's arch is the connection of: (we couldn't find a proper translation for this in English. In Polish the term is "łuk Huntera", it's an anatomical eponym. Do NOT confuse with Bow Hunters Syndrome)
Which area of the brain is responsible for memory consolidation?
A specific phobia, in which the parasympathetic system is mobilized, is:
Which sexually transmitted disease does not cause symptoms in the genital area?
Indicate the correct sequence of changes during puberty:
Which of the following have been proved to be efficient in the therapy of dementia in the course of Alzheimer disease?
1) rivastigmine;
2) choline alfoscerate;
3) piracetam;
4) donepezil;
5) memantine.
The correct answer is:
What do the individual steps of the WHO analgesic ladder look like?
Which of the history or diagnostics information does not confirm the diagnosis of hypothalamic-pituitary insufficiency?
Which of the following determinations is used to diagnose hyperandrogenism in a 25- year-old woman?
Which of the following concerning hyperprolactinemia is false?
High FSH serum levels accompanied by low estradiol levels are characteristic of:
1) Turner syndrome;
2) premature ovarian failure (POF);
3) pure gonadal dysgenesis;
4) polycystic ovary syndrome (PCOS);
5) postmenopausal period.
The correct answer is:
Allomnesias include:
1) memory illusions;
2) cryptomnesias;
3) memory hallucinations;
4) identifying illusions (deja vu or deja vecu);
5) ecmnesias.
The correct answer is:
What size of an uncuffed endotracheal tube should be used for intubation of a 2-yearold child?
Indicate the false statement concerning hemorrhoids:
Indicate the true statement on positive end-expiratory pressure (PEEP) ventilation:
1) all neonates requiring postnatal ventilation must receive PEEP;
2) improves lung aeration, lung compliance and gas exchange;
3) reduces the need to use higher concentrations of oxygen in the breathing mixture.
The correct answer is:
Pelvic floor disorders are the result of the weakening of the supporting and hanging apparatus as well as an excessive action of forces causing a displacement of genital organs. The factors conducive to the decline of the reproductive organ include:
1) damage to the vulvar and pelvic nerves in the course of vaginal delivery;
2) physical work in standing position and associated with carrying;
3) respiratory diseases associated with chronic cough;
4) chronic constipation;
5) post-menopausal estrogen deficiency.
The correct answer is:
Adaptive changes in the circulatory system of a pregnant woman consist of:
1) increase in the circulating blood volume, including 45% of the plasma volume and 20% of the erythrocyte mass, with a greater increase of the circulating blood volume in obese women than in slim women;
2) increase in cardiac output;
3) acceleration of heart rate by 10-15 beats per minute;
4) increased peripheral arterial resistance by 20%;
5) increase in central venous pressure.
The correct answer is
The causes of hyperamylasemia include:
1) acute pancreatitis;
2) peptic ulcer perforation;
3) distal radius fracture;
4) ectopic pregnancy miscarriage;
5) renal failure;
6) cystitis;
7) acute appendicitis;
8) right foot toe paronychia.
The correct answer is:
A need for wearing cloths of the opposite sex, mainly to get sexual arousal and the looks of the opposite sex, is called:
Skin infection with rapidly spreading connective tissue infection, purulent discharge from the wound, general symptoms and the formation of distant abscesses, caused by Pasteurella multocida is characteristic of wounds caused by:
The most common uterine anomaly is:
A compression of the sternum during heart massage in an infant is performed with:
The main source of alfa-fetoprotein (AFP) in the maternal blood at 18 weeks’ gestation is:
Choose the true statement about fetal development:
Which of the following concerning adrenal glands is true?
1) incidentaloma always requires surgery;
2) ultrasound is the test of choice in the imaging diagnostics of adrenal glands;
3) laparoscopy should not be used in the surgical treatment of adrenal tumors;
4) pheochromocytoma develops from cells of the adrenal cortex;
5) Conn syndrome most often is associated with benign adenoma of the glomerular layer of the adrenal gland.
The correct answer is:
In the ultrasound examination of the fetus performed between the 11 and 13 week of pregnancy, the most accurate method of assessing the duration of pregnancy is the measurement of:
Indicate the false statement concerning spleen surgery:
Which of the following are used to assess the maturity of girls during puberty?
1) Bishop score;
2) Nugent score;
3) POP-Q score;
4) Tanner stages;
5) TBS (the Bethesda system) classification;
6) Lauritzen criteria. The correct answer is:
The incidence of which of the following diseases does not increase in female patients with Turner syndrome?
Routine seminological examination is an essential element in assessing the male factor as the cause of infertility. The values of microscopic evaluation of semen are presented below:
1) volume from 1.5-6 mL;
2) sperm concentration > 15 million/mL;
3) viability > 38% live sperm;
4) mobility A and B > 32%;
5) > 4% sperm with normal structure.
Indicate the parameters within normal range (normospermia) according to the WHO 2010 standards:
A 42-year-old man is suffering from weight loss - 15 kg in 3 months, diarrhea, increased amount of urine, recurrent urinary tract infections and recurrent oral mucositis - was admitted to the hospital. The abdomen ultrasound examination visualized pancreatic head tumor. The tumor biopsy was performed during endoscopic ultrasonography. The most probable biopsy result is:
Which of the following clinical problems may indicate primary immunodeficiency?
1) six acute otitis media during a year in a child 4 years of age;
2) seven mild episodes of pharyngitis during a year in a 3-year-old child attending kindergarten;
3) purulent inflammation of the hip joint caused by Staphylococcus aureus in a 5-yearold child and extensive liver abscess of the same etiology at 9 years of age;
4) childhood tuberculosis in a mother, BCGitis in her son;
5) a 7-year-old unvaccinated against pneumococci boy underwent invasive pneumococcal disease; the boy had no problematic disease before and doesn’t have any other health problems;
6) occurrence of three episodes of pneumonia in a 12-year-old healthy girl including last episode complicated with lung abscess and pleural empyema; she had to be hospitalized for all episodes.
The correct answer is:
A Sengstaken-Blakemore tube is used to:
An emergency medical ambulance has been called for a 71-year-old patient who passed out. On examination: heart rate 85/min., blood pressure 100/60 mmHg, the ECG - normal, sodium: 130 mmol/L, potassium: 3 mmol/L, height 165 cm, weight 65 kg. Abnormal allopsychic orientation, normal autopsychic orientation, the patient has auditory hallucinations and is susceptible to suggestion. The emergency team should:
How should potassium be supplemented intravenously in a patient with ketoacidosis?
To carry out a medical experiment, the following conditions have to be fulfilled:
1) a written consent of an examined person who is to participate in the experiment has to be obtained;
2) a consent of the director of a regional branch of the National Health Fund (NFZ) has to be obtained;
3) prior notice has to be given to an examined person about the purposes, methods and conditions of conducting the experiment, expected therapeutic and cognitive benefits, risk and a possibility of withdrawing from the experiment at any of its stages;
4) project should be approved by an independent bioethical committee;
5) project should be verified by the Regional Medical Chamber.
The correct answer is:
The chief executive of a hospital decided to conduct a study on the experiences of patients, i.e. the feelings of patients and their families or caregivers that arise from the medical care at the hospital. Quantitative studies suitable for measuring patient experiences are:
According to the Cochran review of January 2019, GP health reviews for people under 65 (medical history, physical examinations, screening for several diseases at once, behavioral interventions) have little or no impact on the reduction in mortality from cancer and cardiovascular diseases. Such reviews are an example of:
In the US, it is popular to say that "the zip code is a better predictor of health than the genetic code." This statement illustrates the phenomenon:
The gateway to the femoral hernia is the femoral ring which includes the following structures, except for:
Patient with known gluten sensitivity should not consume:
1. oats
2. maize
3. wheat
4. soybeans
5. rice
A contraindication to the intraosseous access is:
1) a bone fracture in which the access is to be inserted;
2) skin or soft tissue infection;
3) severe osteoporosis;
4) previous attempt to establish the access in last 24 hours.
The correct answer is:
A 27-year-old woman, with no chronic diseases was admitted to the Emergency Department due to fainting and severe abdominal pain lasting for 30 minutes. Blood pressure 80/60 mmHg, HR: 105 beats/min. Blood test: Hb: 12.5 g/dL, Hct: 41.5%, PLT: 251 000/mm , Na: 135 mmol/L, K: 4.5 mmol/L, amylase: 463 U/L, total bilirubin: 0.7 mg/dL, β-hCG: 1.15 mIU/mL. The ultrasound examination in FAST algorithm showed trace of fluid around the spleen and in the pouch of Douglas. Indicate the most likely cause of the patient’s abdominal pain:
Endometrial cancer is currently the most common female genital cancer in developed countries. The following are the characteristics of its two subtypes:
1) estrogen dependence (positive E + and P + receptor state);
2) aggressive course, frequent metastases;
3) the most common are mutations PTEN, K-ras, microsatellite instability;
4) the most common histopathological type is endometrioid endometrial cancer;
5) the most common mutations are p-53, HER2-neu, p16.
The correct combination of characteristics of the first subtype of endometrial cancer is:
Which of the following has the smallest application in the treatment of small-cell lung cancer?
Indicate the true statement concerning vulvar cancer:
Labor begins with regular contractions of the uterus causing the cervix to shorten and open. Which of the following concerning the first stage of labor is true?
1) it is the time from full cervical dilation to the birth of a child;
2) it is the time of postpartum content expulsion;
3) it is the time from the beginning of labor to the full cervical dilation;
4) it is divided into two phases: latent - from the labor beginning to the opening around 3-4 cm and active - from the 3-4 cm of the dilation to the complete dilation;
5) maximal time of the first stage of labor is 2 hours.
The correct answer is:
Tertiary prophylaxis:
Can a person with a suspected occurrence of a particularly contagious disease that threatens health or life be subject to direct coercion measures in order to force him/her to undergo medical treatment?
In many countries, the key method of fighting the COVID-19 pandemic in 2019-2020 was the so-called flattening the epidemic curve that serves to:
1) reduce the overall number of cases;
2) spread the number of cases over time;
3) slow down the rate of spread of SARS-CoV-2 infection;
4) counteract the paralysis of treatment under the pressure of new cases;
5) gain time to develop treatment procedures and vaccines.
The correct answer is:
It was proved in an experimental study in 2013 that surgical masks are about 3 times more effective in filtering exhaled air (for Bacillus atrophaeus and MS2 bacteriophage) than homemade masks made of T-shirts, scarves or pillowcases. Despite that, homemade masks seem to be better than not having any protection against airborne diseases and can be used for:
During "home labor", a large amount of meconium was found around the mouth of the newborn. The proper procedure is to:
A basis for discharging a patient from hospital is not:
What is not among the risk factors for endometrial cancer?
1. obesity
2. diabetes
3. nullipara
4. history of ovarian cancer
5. Tamoxifen therapy
6. late menopause
In an obese patient with type 2 diabetes, you diagnosed grade 1 of hypertension. The anamnesis also shows a family history of cardiovascular diseases. You decide to apply transtheoretical therapy to the patient - what do you need to know about the patient before starting the activities?
Indicate the true statements concerning Lynch syndrome (hereditary nonpolyposis colorectal cancer): 1) it is an autosomal dominantly inherited disease; 2) one of its variants is Gardner’s syndrome; 3) diagnosis is based on the Amsterdam criteria; 4) age of onset is usually between 20-30 years of life; 5) adrenal cancer is more common. The correct answer is:
Which of the following drugs are used in the treatment of overt hepatic encephalopathy? 1) probiotics; 2) L-ornithine L-aspartate; 3) neomycin; 4) rifaximin; 5) lactulose. The correct answer is:
Damage to the middle meningeal artery most often leads to the following:
The methods of physical therapy include:
Which of the following has the greatest impact on the health of society?
Indicate the condition for introducing a screening program:
Placing the code "B" in the electronic form of sick leave (ZLA) means incapacity for work:
In the formula for calculating the specificity of the test, the following number of results is entered in the numerator of the fraction:
What makes you suspect endometriosis?
Indicate the false statement concerning familial adenomatous polyposis (FAP):
A patient diagnosed with STEMI myocardial infarction, with severe chest pain, no symptoms of cardiovascular failure, no dyspnea and hypoxemia does not require:
The indications for total parenteral nutrition include:
1) prolonged intestinal obstruction;
2) sepsis with the infection source in the abdomen;
3) fistula of the proximal small intestine with high secretion;
4) necessity to meet increased metabolic needs after severe trauma;
5) pseudobulbar palsy;
6) coma due to subarachnoid hemorrhage;
7) isolated frostbite of toes.
The correct answer is:
Which of the following concerning pancreatic cancer is true?
1) laparoscopy is contraindicated in surgical treatment;
2) jaundice may be one of the first symptoms and may indicate compression of the bile ducts;
3) head of the pancreas is the most common location;
4) curability is estimated at 50%;
5) women fall ill more often.
The correct answer is:
In the case of death of an insured person, the relation between his/her death and the accident is determined by:
An accident resulting in a severe damage to an employee’s body, such as loss of reproductive capacity or mental illness is:
The phrase "the art and science of preventing disease, prolonging life and promoting
health through the organized efforts of society" is a definition of:
A 28-year-old woman who fainted again at home reported to the obstetrics and gynecology ER. On admission she presented pale, sweaty face, rapid heart rate, body temperature 36.6˚C. Despite inserting a contraceptive intrauterine device a year ago, she had her last period 8 weeks ago. Preliminary gynecological examination showed: slight vaginal bleeding, slightly enlarged uterus, painful resistance in the projection of the left uterine appendages and doughy tumor in the pouch of Douglas. These symptoms are indicative of diagnosis:
Acquired hemophilia A can occur in:
The primary medications used in the treatment of bipolar disorder include:
1) lamotrigine;
2) carbamazepine;
3) topiramate;
4) sulpiride
5) lithium
The correct answer is:
The doctor may provide a healthcare service that involves kidney biopsy in an adult patient who is completely legally incapacitated after obtaining:
In women taking oral contraceptives an interaction with normotymic medications may occur. Which of the following may be recommended as safe medications that do not lower plasma concentration of hormonal contraceptives?
1) lithium;
2) valproate;
3) carbamazepine;
4) second-generation antipsychotics;
5) lamotrigine.
The correct answer is:
On the basis of the initial assessment, a newborn can be included in the first group (requiring only drying of the skin and covering) if it meets the following conditions:
1) is actively breathing or crying;
2) has normal muscle tone;
3) has normal or reduced muscle tone;
4) heart rate is above 100/min;
5) heart rate is below 100/min.
The correct answer is
The commonest complication after thyroidectomy is:
Complete androgen insensitivity syndrome is characterized by:
The possible complications of anesthesia and surgery include: 1) nausea and vomiting; 2) hiccup; 3) pneumonia; 4) respiratory failure; 5) delirium; 6) urinary retention; 7) pulmonary embolism; 8) wound infection. The correct answer is:
Indicate factors promoting thromboembolic complications:
1) age;
2) obesity;
3) long duration of surgery;
4) pelvic and hip surgery;
5) upper extremity surgery;
6) vitamin K deficiency;
7) pregnancy;
8) use of oral hormonal contraceptives;
9) varicose veins of the lower extremities;
10) neoplastic disease.
The correct answer is:
A child weighing 12 kg with the fever of 40 °C can be given once:
1) 3 mL syrup with the concentration of 200 mg/5 mL of ibuprofen;
2) 6 mL syrup with the concentration of 100 mg/5 mL of ibuprofen;
3) 1.8 mL syrup with the concentration of 100 mg/1 mL of paracetamol;
4) 5 mL syrup with the concentration of 120 mg/5 mL of paracetamol;
5) 7.5 mL syrup with the concentration of 120 mg/5 mL of paracetamol;
6) 240 mg of ibuprofen in a suppository. The correct answer is:
Which class in the Quigley scale corresponds to complete androgen insensitivity syndrome (CAIS)?
Which of the following medications does not increase the risk of type 2 diabetes?
Which karyotype is found in a patient with Morris syndrome?