Browse exam questions.
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Implantable cardiac pacemakers are marked with a three-letter code (XYZ), in which each letter means:
Which of the following drugs is contraindicated in the treatment of hypertension in a pregnant woman?
A 40-year-old woman suffers from acute kidney injury and anuria. Which of the following parameters suggest urgent hemodialysis?
1) overhydration;
2) pH - 7.2; base deficit - 16 mmol/L;
3) potassium level - 7.4 mmol/L;
4) urea level - 180 mg/dL;
5) creatinine level - 7.2 mg/dL.
The correct answer is:
Haemolytic-uraemic syndrome is:
Live, attenuated vaccines include:
1) BCG
2) DTP
3) MMR
4) OPV
5) IPV
Symptoms of ovarian cancer do not include:
Clinical manifestations related to Zenker's diverticulum include:
Short bowel syndrome may be caused by:
Indicate the true sentence:
Skin rash appeared in an 11- year- old child with acute tonsillitis after administration of amoxicillin. What is the most probable cause?
A drug administered during ALS at a dose of 300 mg in 20 ml of 5% glucose solution, which is recommended in the treatment of ventricular and supraventricular arrhythmia, as well as in defibrillation-resistant ventricular fibrillation. Which of the following refers to this description?
Medical Rescue Team with the doctor was called to a 32-year-old man who was under the influence of designer drugs. These drugs caused the patient to react aggressively. What are the conditions under which it is possible to apply direct coercion in this patient?
1) it can be applied only if the doctor diagnoses the patient with mental illness;
2) doctor is allowed to apply it if they obtain consent from a medical specialist in psychiatry appointed by the province governor;
3) patient’s behavior poses a threat to his life or health;
4) it is only possible to hold the patient down and to immobilize him. However, the doctor is not allowed to force the patient to take medication;
5) before applying direct coercion the doctor should warn the patient.
The correct answer is:
Parents with their child reports to the Primary Health Care doctor. The child should have protective vaccination done but the parents object. What should the doctor do?
Cancer staging:
Bronchoscopy in a patient with a suspicion of lung cancer:
1) is one of the basic diagnostic examinations;
2) should be applied to peripheral lesions only;
3) may include tissue sampling for histologic examination;
4) provides cellular material sampling for cytological examination;
5) may be performed only in patients with the normal values of respiratory function tests.
The correct answer is:
A 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?
According to the current Polish National Program of Immunizations, which of the statements below is false in case of a child with the birth weight of 1700g?
A mother comes with a 3-week-old newborn and she is concerned about regurgitations that occur after each feeding. A child, born at term is fed with modified milk, drinks greedily; it has gained 400 g of weight since the birth. A proper approach to this newborn is:
In a pregnant vegetarian you should expect the insufficiency of vitamin:
1. B2
2. B12
3. D
4. C
5. E
Sheehan’s syndrome - postpartum pituitary gland necrosis - is characterized by
Which of the following is not typical of cervical cancer?
When, during pregnancy, the concentration of the β-subunit of hCG in blood is the highest?
The most common complication in twin monoamniotic pregnancies is:
The indications for elective cesarean section in twin pregnancy do not include:
Which of the following is not among the abnormalities of the head position during labour:
One can speak about dysthymia when its symptoms last at least:
A drug for fast, short-lasting, ad-hoc controlling of anxiety disorders is:
Which of the following accesses to the digestive tract can be used in nutritional therapy?
Indicate the true statement concerning Charcot’s triad:
A skin disease of non-bacterial etiology is:
The main cause of death of the elderly (65+) in Poland is associated with:
The first-choice drug used in treatment of acute liver failure related to paracetamol (acetaminophen) overdose is:
The treatment of choice in anaphylactic shock includes:
Systolic „crescendo-decrescendo” murmurs, radiating to the carotid arteries and the clavicles are characteristic of:
Which of the following is the cytostatic of particularly high cardiotoxicity, which can lead to congestive heart failure?
Within what time in the period of infectivity will an immunocompetent child display chickenpox signs after contacting an infectious patient (with chickenpox)?
Which of the following are characteristic of hemolytic-uremic syndrome?
1) thrombocytopenia;
2) elevated serum creatinine concentration;
3) thrombocytosis;
4) anemia;
5) presence of schistocytes in peripheral blood;
6) presence of lymphoblasts in peripheral blood.
The correct answer is:
Acute lymphoblastic leukemia (ALL) in a child population presents a relatively good prognosis compared with other neoplastic diseases. Which of the following is a prognostic high risk factor in ALL in children that urges intensive treatment and decreases chances of curing the disease?
In women using biphasic hormonal anticonception a typical menstrual period
Which of the following perception disturbances is recognized by patients as unreal?
An example of serotonin norepinephrine reuptake inhibitor (SNRI) is:
Brain death was confirmed in a 25-year-old patient who did not want to become an organ donor, a fact that was noted in the Central Register of Objections. According to the Code of Medical Ethics the attending doctor should:
Syphilis treatment is an action in the area of:
A 44-year-old women with lupus nephritis diagnosed 20 years earlier comes to the emergency room because of a head injury, without any other symptoms. She is treated with prednisone 10 mg/d and azathioprine 50 mg/d. The urinalysis revealed proteinuria - 0.1 mg/dL, 50-100 white cells and a lot of bacteria in the field of view. Which of the following should be ordered?:
A 52-year-old obese woman went to see a gynecologist because of periodic bleeding from the reproductive tract. The abdominal ultrasound exam revealed incidentally a stone in the gallbladder of 2.5 cm in diameter. The patient was not aware of the cholelithiasis and she denies having any symptoms suggesting the disease. Which of the following is the optimal management?
Which of the following does not contribute to the symptoms of sarcoidosis?
Meningeal irritation symptoms observed in children include:
1) Flatau’s sign;
2) Brudzinski’s symphyseal sign;
3) Lasègue’s sign;
4) Amoss’ sign;
5) Kernig’s sign.
The correct answer is:
Which procedure is necessary for the diagnosis of Wilms’ tumour?
I-metaiodobenzylguanidine (MIBG) scintigraphy is a method used in children for the diagnosis of:
Standard treatment for stomach ulcers is:
Super obesity is an important risk factor for the cancer of:
Which of the following is in favor of the diagnosis of antiphospholipid syndrome?
A patient with hypothyroidism should be instructed to take levothyroxine:
The quickest acting agent used in the treatment of acute hypertension is:
The procurement of tissues, organs and cells for transplantation from corpses can be carried out after:
1) identifying the permanent irreversible cessation of brain activities (brain death);
2) declaring death due to irreversible cardiac arrest;
3) declaring death due to irreversible respiratory arrest;
4) declaring death due to irreversible cessation of brainstem activities;
5) donor’s next of kin in the meaning of the Act on Patients’ Rights and the Ombudsman for Patients’ Rights do not object to the explantation.
The correct answer is:
In accordance with the Law on an old age and a disability pension from the Social Insurance Fund (ZUS) a person, who has suffered the impairment of the body, is considered unable to live independently if they require:
Which of the following measures are necessary in order to reduce morbidity and
premature mortality due to cardiovascular diseases?
1) improving nutrition;
2) reducing incidence of diabetes;
3) increasing physical activity;
4) reducing smoking and alcohol consumption;
5) fighting hypertension and atrial fibrillation.
The correct answer is:
Antinuclear antibodies specific for Scl-70 antigen are present in patients with:
The main features of WAGR syndrome are:
Which of the following signs and symptoms is not typical of iron-deficiency anemia?
Beckwith-Wiedemann syndrome is associated with an increased risk of developing:
Extranodal lymphoma is most commonly localized in:
Which of the following can be classified as the grade II according to Hinchey classification of complications caused by diverticulitis?
Parkland formula is used for:
The total dose of N-acetylcysteine used intravenously in paracetamol intoxication amounts to:
The Mallampati classification is used to predict the difficulties in endotracheal intubation. What class according to this classification is assigned to the situation where the soft palate is not visible in a patient with their mouth open?
The 3rd class in ASA (American Society of Anesthesiologists) physical status classification system denotes:
Which of the following medications are used to treat dementia in Alzheimer’s disease?
1) mianserin;
2) mirtazapine;
3) memantine;
4) rivastigmine;
5) duloxetine.
The correct answer is:
The first postnatal care home visit- during which medical history and physical examination of the child, assessment of physical development and head circumference, also jaundice and basic neurological evaluation and the screening for congenital dysplasia of the hips- according to the law, is paid by:
Which of the following activities are characteristic of six-month- old infants?
A 5-year-old child presents with his mother to obtain a vaccination against flue. The medical documentation shows that child underwent 10-day antibiotic therapy because of streptococcal pharyngitis which was withdrawn two weeks ago. Which of the following should be recommended?
Indicate the false statement concerning the use of loop diuretics in patients with arterial hypertension and chronic kidney disease:
Which of the following are regarded as anatomical factors which can cause a miscarriage?
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:
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?
Health insurance is based on the following principles, except for:
Which of the following is recommended in a patient treated chronically with acenocoumarol if the control lab examination showed INR = 4.7?
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:
Cardioversion with the energy of 70-120 J is performed in the case of:
Indicate the site of auscultation of the aortic valve:
What cardiologic complications may be expected in the course of hyperthyroidism?
1) arrhythmia;
2) aggravation of heart failure;
3) aggravation of coronary disease;
4) myocarditis;
5) atrioventricular blocks.
The correct answer is:
Influenza vaccines can be used in children at the age of:
The most common solid malignant tumor in children is:
What percentage of the patients with diagnosed ovarian cancer are BRCA1/BRCA2 germinal mutation carriers?
The actual carer of an adult unconscious patient is allowed to express their consent for:
Morbidity rate reaches higher values if:
The CHA DS -VASc scale is related to assessment of:
The most common locations of a gastrinoma tumor include: 1) stomach; 2) duodenum; 3) gallbladder; 4) pancreas; 5) appendix. The correct answer is:
The diagnosis of iron deficiency anemia in an otherwise asymptomatic 75-year-old male should suggest the need to exclude:
Which of the following vaccines may be given to a woman at the 30th week of gestation?
1) against influenza (inactivated vaccine);
2) against chickenpox;
3) against tuberculosis;
4) against diphtheria, tetanus and pertussis (dTpa - an adult type of vaccine);
5) against measles, mumps and rubella.
The correct answer is:
In which of the following diseases may the postexposure prophylaxis be used?
1) mumps;
2) measles;
3) pertussis;
4) varicella;
5) Neisseria meningitis infection.
The correct answer is:
The absolute indications for the surgical treatment of acute pancreatitis do not include:
Choriocarcinoma is one of the rarest but most aggressive malignant tumors in women. Its diagnosis is based on:
Indicate the clinical features of germinal neoplasms of the ovary:
1) occur mainly in young women;
2) occur mainly in post-menopausal women;
3) may be diagnosed on the basis of increased blood levels of CA-125, CEA, CA 15-3;
4) may be diagnosed on the basis of increased blood levels of LDH, AFP, hCG;
5) respond well to chemotherapy;
6) are treated only surgically;
7) are always malignant tumours.
The correct answer is:
According to the European Resuscitation Council Guidelines 2015 the breaks for ventilation during CPR should not be longer than:
According to the European Resuscitation Council Guidelines 2015 the time of immersion during drowning that is related to the bad prognosis is longer than:
To control the decision on temporary incapacity to work a SIF (ZUS) certifying doctor cannot:
Which of the following changes cannot be observed in the electrocardiogram of a patient suspected of acute coronary syndrome, with the regular heart rate of 72/min, who had normal previous ECG?
A 25-year-old woman comes to her doctor because of palpitations occurring for 6 weeks. TSH concentration is below the normal range and FT4 concentration is over the normal limit. Which of the following diagnoses is the most probable?
A 82-year-old man was brought to the ER by his son because of the swollen and painful left leg. The patient was diagnosed with pulmonary cancer 2 months ago. Which is the most probable cause of the swelling and the pain in the leg?
Which of the following genetic disorders is not related to the increased risk of malignancy in children?
Ointments containing nitroglycerine are used in proctology. In which of the following diseases?
A patient complains of a dull, disturbing, diffuse, deep abdominal pain, which precise location he is unable to determine, but the pain is the strongest at the midline. The patient reports the pain resembles a pain that was accompanying the first symptoms of acute appendicitis 20 years ago. Such a pain is called:
A Richter’s hernia is defined as:
The Glasgow-Blatchford scale refers to patients with:
An increase in the mean corpuscular volume (MCV) may be caused by:
A doctor, after recognizing or suspecting the occurrence of vaccine adverse event, is obliged to report this fact to the state country sanitary inspector not later than within:
A 68-year-old patient came by the doctor office because of cough lasting for 2 months. He smokes one pack of cigarettes daily for 50 years. The physical examination shows no abnormalities. What should be the next diagnostic step?
Referred (secondary) otalgia may be caused by:
1. tooth disorders;
2. temporomandibular joint inflammation
3.cervical spondylosis
4. trigeminal neuralgia
5. pharyngitis
The correct answer is:
Which of the following is an antidote to cyanide intoxication?
A 24-year-old man has been transported to the ER because of a coma. The physical examination shows low blood pressure and tachycardia and the results of lab tests are as follows: plasma glucose 432 mg/dL, pH 7.1, HCO 9 mmol/L, Na 141 mmol/L, K 6.1 mmol/L, serum creatinine 106 µmol/L (1.2 mg/dL). What is the most probable diagnosis?
The doctor providing the patient with medical services is allowed to refuse the patient the right to have their life partner present if:
One of the family doctor's duties is to keep medical records. The individual documentation of the patient consists of the internal documentation, kept for the purposes of the entity providing care, and the external documentation. The internal individual documentation includes:
1. health and disease history
2. patronage visit card
3. referral for diagnostic test
4. referral to the hospital
5. hospital treatment information card
The correct answer is:
What is the most common parenteral cause of mechanical obstruction of the small intestine in adults in developed countries?
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?
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 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:
Indicate the most common direct cause of acute peritonitis:
Quicktrach is used for:
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?
Which of the following concerning hyperprolactinemia is false?
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:
How should potassium be supplemented intravenously in a patient with ketoacidosis?
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:
Placing the code "B" in the electronic form of sick leave (ZLA) means incapacity for work:
In the case of death of an insured person, the relation between his/her death and the accident is determined by:
A 44-year-old woman comes to the doctor because of the stiffness of her hands occurring in mornings for several months. The stiffness usually subsides after more than one hour. What is the most probable cause of these symptoms?
Thrombophilia is most probable in a patient:
The most common cause of intestinal fistulas is:
The procedure consisting in cutting the esophageal muscles including the lower esophageal sphincter is performed in the patients with:
The doctor determines that the prognosis for the patient is unfavourable and that passing on this information to them may harm the good of the patient. What in light of the law may the doctor do?
Medical history of cervical incompetence is an indication for:
Indicate the true statement concerning the risk factors for ovarian cancer:
A first-degree atrioventricular block could be recognized on ECG on the basis of:
Indicate which of the statements regarding children with confirmed COVID-19 infection are true:
1) over 80% of the children tested have mild infection (are mildly symptomatic or asymptomatic);
2) the high risk groups include, between others, newborns, children with chronic kidney disease, children with obesity;
3) infants and children under 2 years of age always need to be seen by a doctor;
4) oxygen saturation measurement is an essential part of the examination;
5) the markers that can be useful to monitor the cytokine storm include IL-6, ferritin, LDH, and D-dimers.
The correct answer is:
The state of memory distortion, expressed as treating past events stored in memory as the presently occurring events, is known as:
In schizophrenia treatment, the highest risk for developing the metabolic syndrome is associated with using:
A 28-year-old male patient visits a psychiatrist office and reports that since high school, the dominant forms of his behavior have been: excessive doubtfulness and cautiousness, perfectionism that hinders normal task performance, pedantry, excessive conformity to social norms and conventions, inflexibility and stubbornness. The patient is most likely to have the dominant traits of:
Which of the following are used to reduce proteinuria in the course of chronic kidney disease?
1) beta-blockers;
2) ACEI - angiotensin -converting-enzyme inhibitors;
3) ARB - angiotensin receptor blockers;
4) calcium channel blockers;
5) doxazosin.
The correct answer is:
The Beck’s Triad in cardiac tamponade includes:
1) distension of the jugular veins;
2) tachycardia;
3) muffled heart sounds;
4) hypotension;
5) leftward shift of the apex beat.
The correct answer is:
Indicate the nephropathy the specific marker for which is the presence of serum antibodies against phospholipase A2 receptor (PLA2R):
Indicate true statements regarding autosomal dominant polycystic kidney disease (ADPKD):
1) it is most frequently due to polycystin gene mutation;
2) the course of the disease is progressive, leading to end-stage renal failure;
3) ACEI/ARB are the treatment of choice for comorbid hypertension;
4) the use of vasopressin V2 receptor antagonist slows down the cyst growth;
5) the most frequent non-renal manifestation are hepatic cysts.
The correct answer is:
Indicate phosphocalcium metabolism disorders in secondary hyperparathyroidism in the course of chronic kidney disease:
1) decreased alkaline phosphatase concentration;
2) hypocalcemia;
3) hyperphosphatemia;
4) increased parathormone (PTH) concentration;
5) decreased phosphatonin (FGF-23) concentration.
The correct answer is:
The diagnostic criteria for polymyalgia rheumatica do not include:
In Poland, malignant neoplasms:
The screening is scientifically justified in the case of:
In women with adenocarcinoma metastasis to peritoneal cavity, the diagnostics of the cancer’s primary site includes:
Hormonal drugs can be used for the causal treatment in patients with:
In a patient with the symptoms of the superior vena cava syndrome in the course of non-small cell lung cancer, the basic treatment is:
In contrast to older children and teenagers, the most common neoplastic diseases among children under 5 years of age include:
A 3-year-old boy was admitted to emergency dept. due to high fever of > 39.5°C lasting for two days, abdominal pain, apathy, lack of appetite and urine odour. Urinalysis showed leukocyturia and the presence of nitrites. Indicate appropriate treatment:
A 6-month-old infant was admitted to emergency dept. because of inexhaustible cry and anxiety persisting for 3 hours. The parents observed leg curling and pale skin. The child refused to take food and vomited twice since the morning. Physical examination revealed abdominal bloating and some palpable mass in the abdomen, normal body temperature, and a trace of “currant jelly-like” stool on a diaper. What is the most likely diagnosis?
Indicate true statements regarding measles:
1) IgM antibodies appear after 1-2 days of rash;
2) vitamin A at high doses can be recommended for treatment;
3) ascending macular and maculopapular rash is typical;
4) the risk for subacute sclerosing panencephalitis is higher when the infection occurs within the first few years of life;
5) the period of infectivity lasts for up to 5 days after rash resolution.
The correct answer is:
Which of the vaccinations within the scope of the Preventive Vaccination Programme are included in the list of vaccinations recommended for medical personnel at the paediatric ward:
1) against hepatitis A virus (HAV);
2) against hepatitis B virus (HBV);
3) against influenza;
4) against pertussis;
5) against Neisseria meningitidis.
The correct answer is:
A mother of a 5-month-old infant reports to have fever and cough lasting for 3 days. On the day of examination, type B influenza was diagnosed (confirmed by rapid test result). The mother is breastfeeding and was vaccinated against flu while pregnant. Indicate relevant treatment in relation to the child’s exposure to influenza:
Indicate true statements regarding arterial hypertension and its measurement in children:
1) in preschool children, the main type is primary hypertension;
2) in teenagers, primary arterial hypertension is found, and it refers to about 14% of the population;
3) among the imagining examinations, the most relevant are echo and common carotid intima-media thickness assessment;
4) the recommended procedure is to make BP measurements twice and draw the mean for the systolic and diastolic pressure measurements, respectively;
5) the BP measurement made with a blood pressure cuff that is too narrow may result in BP readings being overestimated by 30%.
The correct answer is:
In the diagnostics of Kawasaki disease, the clinically significant symptoms do not include:
The most frequent cause of hyperthyroidism is:
Whipple’s procedure refers to:
The development of the gallbladder empyema may be due to:
The most prevalent colon polyps include:
Assessment of the patient’s nutritional status helps prepare him/her for surgical treatment through introduction of a scheduled nutritional therapy. Indicate the parameter which is not used for classifying the patient as malnourished:
Which of these medical conditions should be considered in the differentiation of acute cholecystitis?
1) gastric or duodenal ulcer perforation;
2) sigmoid diverticulitis;
3) cholangitis;
4) acute pancreatitis;
5) mechanical obstruction.
The correct answer is:
Indicate true statements regarding incidentaloma:
1) it is an incidentally found tumour-like lesion, most often located in adrenal glands;
2) it is always an indication for surgery;
3) after detecting adrenal incidentaloma, it is always necessary to verify its potential hormonal activity;
4) the most relevant imaging diagnostics to verify the adrenal tumour is CT;
5) if the tumour is large (above 5 cm), the patient should be classified for urgent surgery, regardless of whether or not hormonal activity of the tumour was assessed.
The correct answer is:
Indicate the procedures that should be carried out at the emergency dept. when taking care of a patient diagnosed with the perforation of the peptic ulcer (of stomach or duodenum):
1) insert a nasogastric tube to reduce the volume of gastric contents which may be discharged from the stomach to the peritoneal cavity;
2) insert Sengstaken-Blakemore tube to close the perforation in the stomach;
3) perform standing X-ray of the abdomen to confirm the diagnosis;
4) perform gastroscopy to confirm the diagnosis;
5) replenish fluids and electrolytes.
The correct answer is:
The inflammatory process within the nail fold, which is usually purulent, applies to:
The risk factors for gestational diabetes do not include:
Oligohydramnios can be caused by:
1) fetal lung hypoplasia;
2) premature rupture of membranes;
3) fetal hypotrophy;
4) placental insufficiency;
5) viral infection.
The correct answer is:
Endometriosis is a disease in which endometrial glands and stroma occur outside the uterus. The clinical symptoms of endometriosis include:
A 60-year-old female visited her gynaecologist because of vaginal bleeding/spotting. The symptoms appeared after sexual intercourse. The patient has not had periods for 10 years. She has not observed any spotting or bleeding so far. For the last few years she has been treated with marcumar for atrial fibrillation. Indicate the possible cause(s) of these symptoms:
A 14-year-old girl was found to have no breast growth. This may be the symptom of:
1) Rokitansky syndrome;
2) gonadal dysgenesis;
3) constitutional delay of puberty;
4) androgen insensitivity syndrome;
5) some metabolic diseases, e.g. diabetes.
The correct answer is:
In imminent premature labour, the absolute contraindications to tocolytic treatment do not include:
In week 27 of diamniotic monochorionic twin pregnancy, one of the foetuses was found to have oligohydramnios, collapsed bladder, and reduced fetal movement, while the other had overfull bladder and generalised oedema. The diagnosis should be:
In diabetic patients, the contraindications to pregnancy do not include:
A professional organization for family physicians in Poland is:
In the practice of family physicians, an essential structured process for raising standards in patient care is:
The guaranteed health care services include, among others, the following activities of family physicians:
The patients at high risk for venous thromboembolism who make long-lasting journeys (> 4 hours’ long) by plane, car, or bus, are recommended to take the following steps before the journey:
1) wearing graduated-compression knee-high socks;
2) preventive injection of a single dose of low-molecular-weight heparin;
3) taking novel oral anticoagulant (NOAC);
4) taking acetylsalicylic acid;
5) taking diosmin.
The correct answer is:
To assess, in an outpatient care setting, the severity of community-acquired pneumonia (CRB-65 scale), the parameters specified below are used, except for:
A 58-year-old male visited his family doctor because of dyspnoea lasting for several weeks. The patient did not have any chronic conditions in the past. Medical interview revealed that the dyspnoea occurs when the patient is walking on flat ground, at his own pace, and it makes him stop and relax after walking a distance of about 200-300 m. Indicate dyspnoea grade according to modified Medical Research Council (mMRC) scale:
The drug most commonly used for the treatment of bulimia nervosa with depression symptoms is:
The somatic complications of anorexia nervosa do not include:
The medication that should not be used in patient with depression and epilepsy is:
In a monozygotic twin of the patient with schizophrenia, the risk for developing the disease approximates:
The most common course of schizophrenia is:
Recent studies have shown that both in the case of resuscitation carried out in the hospital and outside, the frequency of heart rhythms susceptible to defibrillation decreases with time, from the onset of resuscitation. With each minute that the defibrillation is delayed, the chance of survival decreases by:
The methods for monitoring the patient’s condition at the site of the incident and during transport to hospital can be classified as instrumental and non-instrumental. Among the instrumental methods, body temperature measurement is essential. Indicate a false statement:
Arterial SpO2 denotes arterial blood saturation with oxygen (O2 saturation) i.e. the percentage of oxygenated haemoglobin (HbO2) relative to the total haemoglobin in arterial blood. The partial pressure of oxygen reflects oxygen content in plasma. Oxygen concentration in plasma is directly proportional to the partial pressure of oxygen. In 100 ml plasma (at pO2 100 mmHg), the oxygen concentration is:
The non-invasive methods for cardiac monitoring include non-invasive blood pressure (NIBP) measurement. An additional non-invasive parameter is the pulse pressure (the difference between systolic and diastolic pressure), the normal values for which fall within the range of:
Increased end-tidal CO2 concentration (EtCO2), measured with capnometry, does not occur during:
The non-invasive methods for cardiac monitoring include non-invasive blood pressure (NIBP) measurement. An additional non-invasive parameter is the heart rate pressure product, defined as the heart rate multiplied by the systolic pressure. Indicate normal values for the heart rate pressure product:
Who may apply to the voivodeship committee on medical event adjudication for a medical event to be ascertained?
When visiting a primary care unit, the patient is found to have symptoms indicative of a particularly dangerous and highly contagious disease. Under these circumstances, the decision to order compulsory quarantine of the patient is taken by:
A physician who coordinates a medical experiment is carrying out a procedure for obtaining informed consent from the study participants. The participants are minors who have attained the age of 13 years but have not attained the age of 16 years. The physician has an obligation to obtain informed consent:
In the medical certificate of temporary incapacity for work, the letter code A denotes:
An insured person who is a worker whose remuneration has decreased because of damage to health, including permanent or long-lasting health effects, is entitled to:
The diagram shows two distributions of the same characteristic among adult population of the towns A and B. The difference between these distributions can be numerically expressed with the use of:
A study was conducted that aimed to identify the risk factors for SARS-CoV-2 infection among physicians. From the population of physicians in contact with COVID-19-infected patients, 50 physicians were selected who had SARS-CoV-2 infection confirmed within the period of 6 months preceding the study, and a group of 50 uninfected ones. Both groups were inquired about the personal protective measures and hygiene practices they had been using in previous months. The above description refers to: