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Fever in a patient with breast cancer who recently received a subsequent course of adjuvant postoperative chemotherapy:
In a 75-year-old woman in a check-up a serum sodium of 132 mmol/l has been found. The woman does not complain about any symptoms and does not take any drugs. Indicate the proper way of treatment:
The symptoms of cystic fibrosis include:
Psychotherapy may participate to varying degrees in the pharmacological treatment of the following illnesses:
Forensic psychiatric opinions in criminal cases are associated with:
1) adjudication on the merits on admission to the hospital;
2) adjudication on insanity;
3) adjudication on the degree of sanity;
4) adjudication on the conscious expression of the will;
5) adjudication on the free expression of the will;
6) adjudication on the mental state tempore criminis.
The correct answer is:
Fever, lymphadenopathy, inflammation of the upper respiratory tract, conjunctivitis and red, maculopapular rash, are symptoms characteristic of:
The GP carried out the Fagerstrom test in person smoking for 3 years. The result of 3 points means:
Food allergy may manifest itself as:
The first aid in the case of humerus fracture is to put the immobilizing dressing on:
The management of febrile convulsions in children includes:
The HLY indicator means:
Which of the following is the most common cause of death due to neoplastic disease in women in Poland?
Metabolic acidosis in advanced chronic kidney disease is caused by:
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?
The common symptoms of type 1 diabetes do not include:
Azoospermia is defined as:
A woman with severe preeclampsia suddenly develops respiratory depression after the administration of hydralazine and magnesium sulfate. Respiratory depression is due to:
An absolute indication for primary cesarean section in breech presentation is not:
The main symptom of alcohol hallucinations is:
Subclinical hyperthyroidism is characterized by:
Which of signs listed below is not related to acute radiation syndrome?
A 35-year-old man was admitted to the Emergency Unit because of black stools occurring for a few hours. He is also suffering from haemophilia A. The primary treatment should include:
A patient in need of dialysis has been taken to the hospital. He is not able to give effective consent for the surgery because of his health condition. In such a case the doctor is allowed to carry out the surgery:
1) after obtaining consent from their superior;
2) after obtaining consent from the patient’s spouse or his close person;
3) after releasing the ruling by the domestic Court of Protection stated incapacitation of the patient;
4) after obtaining judicial authorization;
5) in the situation in which a delay could cause death or grievous bodily harm, without anyone’s permission - but they should possibly consult another doctor if possible of the same specialty.
The correct answer is:
A 67-year-old woman with paroxysmal atrial fibrillation, hypertension and type 2 diabetes mellitus (CHA2DS2 -VASc score of 4) in the prevention of ischaemic stroke requires the treatment with:
Indicate true statements on the pathogenesis and treatment of edemas in nephrotic syndrome:
1) in the majority of patients with albumin concentration of 2.0-3.0 g/l edemas occur with hypervolemia and are caused by sodium retention in renal tubules;
2) in some patients with hypoalbuminemia < 2.0 g/l edemas occur with hypovolemia;
3) regardless of an underlying pathomechanism in all patients 100 mL of 20% albumin should be infused before diuretic administration;
4) in patients with hypervolemia sodium supply should be limited to 3-6 g of NaCl daily;
5) increased doses of intravenous furosemide are recommended because of hypoalbuminemia.
The correct answer is:
A GP diagnosed pertussis in a mother of a 3-week-old neonate. What is the correct management in this case?
Which of the following are observed in the course of iron deficiency anemia?
1) decreased total iron binding capacity;
2) decreased mean corpuscular hemoglobin concentration;
3) decreased percentage of the erythroblastic cells in marrow;
4) red cell poikilocytosis;
5) megaloblastic erythropoiesis in marrow.
The correct answer is:
Which of the following markers should be used in the diagnosis of molar pregnancy?
Pulse palpation in clinical settings is possible on the following arteries, except for:
Typical anginal pain:
Which of the following drug combinations is not recommended in the treatment of hypertension?
Which of the following does not influence (neither positively or negatively) the risk of colon cancer?
A 10-year-old child with diabetes diagnosed one year ago was completely vaccinated against hepatitis B in the infancy. The parents ask whether the child needs the revaccination against hepatitis B due to the diabetes. Which is the right answer?
Which procedure is necessary for the diagnosis of Wilms’ tumour?
A patient with measles is contagious for:
Which of the following should not be used in the treatment of a urinary tract infection in a pregnant or breastfeeding woman?
Which of the following is the correct management of a 30-year-old patient in 37 week of her first pregnancy who was diagnosed with the minor type of placenta previa confirmed by repeated US examination and reports minor bleeding from the reproductive tract?
Indicate the false statement concerning HPV infection:
Which of the following are the main symptoms of Hodgkin's lymphoma in children
What is the optimal procedure after the contact of a pregnant woman in the third trimester with a child, who was diagnosed on the day of the contact (upon clinical course, typical skin manifestations) with erythema infectiosum (the fifth disease)? The child is (except for erythema) generally healthy, has no comorbidities.
Which of the following names is given to involuntary movements of the limbs or mimic muscles, not occurring during sleep, which intensify on emotional stimuli and are the side effect of antipsychotic drugs?
Which of the following shows significant preventive activity against suicidal tendencies?
The quickest acting agent used in the treatment of acute hypertension is:
In accordance with the Act on Therapeutic Activities autopsy in principle is carried out after at least:
Alfa-fetoprotein is a laboratory indicator of:
Indicate the false statement concerning impetigo:
A patient presents at the gynecological outpatient clinic on the 12 day after the radical hysterectomy due to endometrial hyperplasia with atypia. She complains of a constant outflow of urine from the vagina. Which of the following should be suspected?
The most common symptom reported by patients with vulvar cancer:
Microscopic evaluation of the material obtained at the outer opening of the cervix is called cervical smear (Papanicolaou test) and is used to diagnose precancerous states or cervical cancer. Which of the following should be advised in the case of the abnormal result of cervical smear - HSIL (high-grade squamous intraepithelial lesion)?
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?
An old Latin maxim: “Salus aegroti suprema lex esto”, invoked in the Code of Medical Ethics, means that it is the moral duty of the physician to:
In August 2017 Madagascar recorded the largest outbreak of plague in the decade. As of 12 October 2017 there were 560 cases of plague comprising 394 cases of pneumonic plague, 143 cases of bubonic plague, 1 case of septicemic plague and 22 cases of clinically undefined plague. 57 deaths were recorded. Madagascar has a population of 24.9 million people. The fatality rate expressed as a percentage 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?
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:
Electrolyte disorders considered most typical of tumor lysis syndrome (found in acute kidney injury following chemotherapy of lymphoma and leukemia) include:
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:
What kind of study is a cohort study?
In which situation of the following cases there is no need to notify the District Sanitary Inspection?
Which of the following predispose towards the loud first heart sound?
1) slim body;
2) tachycardia;
3) mitral insufficiency;
4) short PR interval;
5) myocardial infarction.
The correct answer is:
A 77-year-old patient treated for urolithiasis for many years complains of a generalized bone pain. Laboratory tests show: calcium concentration 12.3 mg/dL (N: 8.5-10.5 mg/dL), daily calcium excretion 480 mg/24h (N: 150-300 mg/24h), PTH 227 pg/ml (N: 15-65 pg/mL). The most probable diagnosis is:
Which of the following tests is not recommended to diagnose celiac disease in children?
Which of the following is the most common cause of blindness in children in Poland?
Indicate the minimal BMI value recommended for the qualification to surgical treatment of obesity in patients without comorbidities:
Indicate the false statement concerning erysipelas:
Which of the following is not a biological effect of progesterone?
Which of the following is not a risk factor for pancreatic cancer?
After falling off the bed a 18-month-old child was transported to the ER with head trauma. On physical examination the child actively flexes and extends their limbs, babbles and presents normal range of eye movement. How many points should the child be given according to the Pediatric Glasgow Coma Scale?
Which of the following scales refers to the possibility to visualize particular structures (including the glottis) in direct laryngoscopy?
Which of the following medications is not recommended in the first-line empiric therapy of uncomplicated urinary tract infections in non-pregnant women?
Parents present to a pediatrician their 7-year-old child born abroad and never vaccinated against Haemophilus influenzae type b for deciding about the completion of the vaccination. Indicate the correct decision of the doctor:
The most probable diagnosis in a patient with recurrent infections, thrombocytopenic purpura (the onset in the first six months of live) and eczema (atopic dermatitis-type) is:
In the case of acute abdominal symptoms in a cachectic patient in a serious condition - large intestine perforation due to diverticulitis of the sigmoid colon - the operation of choice is:
The abdominal compartment syndrome does not lead to the decrease in:
Which of the following is not a proven risk factors for cervical cancer?
Anemia of chronic disease differs from iron deficiency anemia in:
Hebephilia is a subtype of:
Amenorrhea occurred in a 25-year-old patient with schizophrenia when the pharmacotherapy was started. She was most probably treated with:
A patient who has been exposed to cold is brought to the Emergency Department. He presents with chills, increased respiratory rate to 25/minute, core temperature 34°C, increased heart rate to 95/minute, he is agitated and completely conscious. The above clinical image suggests:
A potential relationship between a given disease and a given exposure, expressed by odds ratio, is possible to assess using an analysis of data provided by epidemiological study performed according to the scheme of:
Which of the following is characteristic of acute glomerulonephritis?
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?
The most common cause of signs and symptoms of Cushing’s syndrome is:
Which of the following is the most characteristic abnormality in patients with multiple myeloma?
A positive direct Coombs test in a patient diagnosed with haemolysis suggests:
1) ABO haemolytic disease of the newborn;
2) Rh D haemolytic disease of the newborn;
3) hemoglobinopathy;
4) atypical haemolytic-uremic syndrome;
5) spherocytosis.
The correct answer is:
Which neoplastic tumors may develop in the abdominal cavity of a child?
1) Wilms’ tumor;
2) neuroblastoma;
3) non-Hodgkin lymphoma;
4) medulloblastoma;
5) dysgerminoma.
The correct answer is:
A seven-year-old girl visited her friend suffering from measles. The boy had had a rash for 6 days. What post-exposure prophylaxis should be performed in the girl?
Which of the following may be a cause of ileus?
A young man came to the clinic. He noticed a periodic leaking of purulent content in the upper part of the gluteal cleft. There is a periodic pain in that area. The examination reveals several openings in the skin in the area, without any leakage. The most probably diagnosis is:
Which three of the listed elements constitute the so-called Virchow's triad (factors affecting blood clotting)?
1) slowed-down blood flow;
2) changes in blood composition (e.g., elevated hematocrit);
3) damage to the vessel wall (i.e. endothelium);
4) increase in the blood pressure;
5) increase in serum potassium level.
An increase in the mean corpuscular volume (MCV) may be caused by:
Which of the following is the recommended management of acute bronchitis in adults?
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:
The alarming signs and symptoms in the course of gastroesophageal reflux disease, which are an indication for prompt endoscopic diagnostics, include:
1. weight loss
2. swallowing disturbances;
3. cough
4. upper gastrointestinal bleeding
5. hoarseness, aphonia
6. chest pain with non-cardiac etiology
The correct answer is:
A urinalysis in a 45-year-old man revealed proteinuria, erythrocyturia and red blood cell casts. The most probable cause is:
The maximal daily dose of diazepam used in the treatment of status epilepticus in adults amounts to:
A 35-year-old motorcyclist was admitted to the Emergency Department after a traffic accident. The patient is unconscious. The examination revealed: rigid abdomen, HR 140 / min, BP 60/40 mmHg, GCS 3, no auscultation noise above the left pleural cavity. At FAST, fluid in the peritoneal cavity. In blood gas, the estimated Hb concentration is about 6.5 g / dL. What should be the order of the proceedings?
A certificate of temporary unfitness for work due to illness or hospital stay can be sent to the e-mail inbox of the Social Insurance Institution in a form of an electronic document by:
The supervision over the compliance of the Social Insurance Institution (ZUS) with applicable regulations is exercised by:
The data on the number of the cases of X disease obtained in surveys carried out during health festivities is of little value as far as epidemiology and the disease spreading are concerned because:
What is the time criterion for the diagnosis of dysthymia in children?
The Poviat Disability Adjudication Team decides on the degree of disability:
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:
Which antipyretic may be given to a 2-month-old child?
Quicktrach is used for:
Which of the following lowers the pressure in the portal venous system in patients bleeding from esophageal varices?
Which area of the brain is responsible for memory consolidation?
Which of the following determinations is used to diagnose hyperandrogenism in a 25- year-old woman?
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 main source of alfa-fetoprotein (AFP) in the maternal blood at 18 weeks’ gestation is:
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:
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?
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:
In the case of death of an insured person, the relation between his/her death and the accident is determined by:
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:
A 35-year-old patient was admitted to the surgical ward with the diagnosis of acute pancreatitis in the course of alcohol use disorder. The patient complains of epigastric pain and vomiting. In the imaging studies cholelithiasis has been excluded, and acute edematous pancreatitis has been confirmed without any pathological cysts in the pancreatic area. There are no signs of cholangitis and inflammatory markers are low. Indicate the correct management:
The commonest complication after thyroidectomy is:
Identifying sources of infection, routs of its transmission and people susceptible to infection are action taken in the case of:
The necessary condition allowing the possibility of taking cells, tissues or organs from a deceased adult for transplantation purposes is:
Uterine leiomyomas are the most frequent benign neoplasms of the uterus. Indicate the false statement concerning their symptoms:
An adult man who has fallen from the third floor is unconscious: he does not open eyes in response to pain, does not produce any sound, tenses up extensor muscles of the limbs, he extends and rotates internally his arms - he holds his limbs in an extended position. What should his GCS score be?
If a person is under 20 and applies for the disability pension resulting from incapacity for work, then the condition of having the required contributory and non-contributory period of insurance is considered fulfilled provided that this period is at least:
An absolute contraindication to fibrynolysis is:
When diagnosing acute kidney injury, the renal function should be assessed based on:
The classification criteria for systemic lupus erythematosus do not include:
In acute pancreatitis, the indications for initiating antibiotic therapy include:
1) any case of acute pancreatitis related to choledocholithiasis;
2) any case of alcohol-related acute pancreatitis;
3) confirmed presence of infected necrosis in the course of acute pancreatitis;
4) pancreatic pseudocysts as a complication in acute pancreatitis.
The correct answer is:
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:
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:
The inflammatory process within the nail fold, which is usually purulent, applies to:
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:
A professional organization for family physicians in Poland is:
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:
A 15-year-old boy came to the primary care unit because of fever (>38.0 C), fatigue, lack of appetite, profuse night sweats and losing weight. Physical examination confirmed weight loss (> 10% over last six months), painless cervical and supraclavicular lymphadenopathy. Indicate the most probable diagnosis:
A 56-year-old male patient diagnosed with adenocarcinoma of the body of the stomach, confirmed by histopathological findings, came to see a doctor at an outpatient clinic. Which examination will you order for the local staging assessment of the cancer:
A pre-operative local staging assessment of rectal adenocarcinoma, considered to be a gold standard examination, is performed using:
A screening test in diabetic kidney disease is:
The macrovascular (macroangiopathic) complications of diabetes include:
1) myocardial infarction;
2) stroke;
3) intermittent claudication;
4) retinopathy;
5) nephropathy.
What are the clinical symptoms of Wilms’ tumour (nephroblastoma)?
1) abdominal tumour;
2) haematuria;
3) abdominal pain;
4) anorexia;
5) hypertension.
Which of the statements below is false in relation to ampullary cancer (cancer of the ampulla of Vater)?
Which of the statements below is true about thyroid cancer?
1) anaplastic cancer is the least common, but the most malignant thyroid cancer;
2) the most common thyroid cancer is the one that originates from C cells;
3) recurrent laryngeal nerve damage is a typical post-operative complication occurring in 1-2% of patients who have undergone subtotal resection;
4) the curability of follicular cancer is the highest and amounts to 90%;
5) a thyroid scan (scintigraphy) is a typically performed examination to evaluate abnormalities in the thyroid.
Erythema nodosum (EN) might be a symptom of all the diseases listed below except:
The endocrine function of the kidneys includes the production of:
1) phosphatonin (FGF23);
2) erythropoietin (EPO);
3) 25-(OH)2 D (calcidiol);
4) 1,25-(OH)2D (calcitriol);
5) vasopressin.
The correct answer is:
Anti-phospholipase A2 receptor antibodies (anti-PLA2R) are present in:
The risk factors of breast cancer include:
1) genetic factors;
2) the use of HRT (hormone replacement therapy);
3) obesity;
4) malnutrition;
5) the use of contraception.
The correct answer is :
High CA-125 antigen level might be present in:
1) ascites;
2) peritonitis;
3) a patient undergoing peritoneal dialysis;
4) ovarian cancer.
The correct answer is:
In the TNM classification M0 means:
Which of the statements below are true about the symptoms of superior vena cava syndrome (SVCS):
1) dyspnoea is present;
2) facial oedema is present;
3) jugular veins are dilated;
4) SVCS cannot be diagnosed on the basis of physical examination - imaging techniques are necessary;
5) facial veins are dilated.
The correct answer is:
PSA serine protease is increased in:
1) prostate gland enlargement;
2) prostate cancer;
3) prostatitis;
4) testicular teratoma;
5) seminoma.
The correct answer is:
Which is false about colorectal cancer?
The symptoms of sarcoidosis include:
1) skin lesions (erythema nodosum, typically in the front part of the lower leg; papular exanthema, subcutaneous nodules, alopecia);
2) enlarged hilar, cervical, inguinal and axillary lymph nodes;
3) respiratory symptoms (dyspnoea, cough, chest pain);
4) joint pain;
5) liver enlargement;
6) heart abnormalities (pericardial effusion, arrhythmias);
7) enlarged and painful parotid salivary glands;
8) cranial neuropathy with severe pain and disturbances of the autonomic nervous system;
9) pyrexia.
The correct answer is:
Which statement is false about kidney cancer?
NF1 tumour suppressor gene mutation is related to the development of the following neoplastic diseases in children:
1) rhabdomyosarcoma.
2) CNS tumours.
3) optic nerve glioma.
4) acute myeloid leukemia (AML).
5) acute lymphoblastic leukaemia (ALL).
The correct answer is:
The most common neoplasms in children in the 0-5 years of age group do not include:
Indicate the true statements concering celiac disease:
1) Dühring’s disease is its variant.
2) not adhering to the gluten-free diet increases the risk of development of lymphomas in celiac disease patients.
3) detecting the presence of HLA DQ2 and HLA DQ8 constitutes a 100% confirmation of the diagnosis.
4) the first symptom in a child can be slowing down of the somatic development.
5) there may be a secondary occurrence of lactase deficiency.
The correct answer is:
A four-month-old girl with trisomy 21 was admitted to Accident and Emergency ward due to fever and vomiting from the previous day. In the evening a day prior to the admission, the patient’s parents observed increased anxiety in the baby, then in the early morning, the anxiety resolved. Later in the morning, purulent discharge from an ear was observed. Otoscopic examination revealed reddening and perforation of the tympanic membrane of the right ear and reddening of the tympanic membrane of the left ear. Indicate the right further management:
A 16-year-old male patient reported to a physician due to a sore throat, fever up to 39°C and enlarged cervical lymph nodes. There was a sudden onset of the symptoms. The patient does not cough, does not have a runny nose. The physical examination revealed reddening of the palatine tonsils, no abnormalities were detected, otherwise. Indicate the right further management:
What are the most common pathogens that cause of meningitis in newborns?
Due to the necessity to fill the vascular bed in case of sepsis in a child who weighs 15kg, within the first ten minutes cristalloids should be administered in the volume of approximately:
Indicate the right diagnosis in a 3-year-old boy with the following capillary blood gas analysis parameters - pH 7,3, pCO2 55 mmHg, HCO3- 22 mmol/l, BE -2 oraz pO2 50 mmHg:
Which statement is true about ileus?
A 61-year-old female presented to the surgical ambulatory care unit with a diagnosed MALT lymphoma located near the cardia. The patient did not report any symptoms. The tumour was detected during screening tests. In this case the patient should:
A 65-year-old male with an early-stage stomach cancer located in the distal part of the body of the stomach, without distant metastases and without invasion to the submucosal membrane (T1N0M0), was admitted to the general surgery department for further surgical treatment. The correct course of action is:
The possible complications of bone union include:
Which statement is false about stomach cancer?
The main treatment of choice in the case of small-cell lung carcinoma is:
Which of these could be a consequence of hypokalaemia?
Intestinal fistulae might be a result of:
Which of the following vaccinations should not be performed in pregnancy?
The main features of labour in occipito-posterior position are:
The action of oestrogens does not include:
Which of these is not an absolute contraindication for the use of the combined oral contraceptive pill?
Which of these is the most common sexually transmitted disease?
Which of the changes in the circulatory system and haemostasis are typical of pregnancy?
When is the occurrence of choriocarcinoma the most dangerous?
A 28-year-old gravida 1, LMP = 14/11/22, regular menstruations, 31-day cycles. The EDD according to Naegele’s rule is:
Indicate the true statements concerning asthma:
1. the diagnosis of asthma (according to GINA) requires the diagnosis of symptoms of the disease and the varying degree of bronchial obstruction in functional examinations.
2. the first degree of treatment includes casual administration of SABA in monotherapy.
3. the drugs that control the course of the disease include inhaled ICS, long-acting inhaled β2-agonists (LABA), long-acting anticholinergics (ipratropium bromide) and antileukotrienes.
4. OCS are never used in asthma exacerbation.
5. ICS and short-acting β2-agonists are the preferred drugs in pregnant patients.
The correct answer is:
In recenly diagnosed type 2 diabetes patients suffering from a cardiovascular disease, cardiac insufficiency or chronic kidney disease, the treatment should be started with:
The SCORE2 scale includes the following parameters except for:
Class 2 obesity is diagnosed when the BMI (Body Mass Index) is:
Indicate the true statement concerning whitlow.
Indicate the false statement concerning hepatocellular carcinoma.
The criteria for diagnosing a depressive episode do not include:
A 55-year-old female patient, apathetic, passive, little active, has been struggling with finding words for some time, almost does not say a word. When asked what she has been doing, she smiles and gives a stereotypic answer in an indifferent mood: ”just doing nothing”. The severity of symptoms has been increasing for about two years. Which is the probable diagnosis?
Which of the following is not used in the treatment of insomnia in a depressive patient with respiratory insufficiency and obstructive sleep pnoea?
A few days after giving birth to her child a woman is weepy, irritable, tired, has the feeling that she will not be able to cope with the newborn. Most probably it is:
In a female patient with schizophrenia and hyperprolactinaemia the following is/are not used:
In the case of multiorgan injuries in pregnant women:
In the case of a ruptured abdominal aorta anurysm the symptom triad includes:
The diseases that can imitate the so called ”acute abdomen” include:
The indications for hospitalization of patients suffering from pyelonephritis do not include:
Indicate the false statement concerning tetanus:
The causes of pupil inequality do not include:
Indicate the form of practicing the profession of a physician, which allows limitation of civil liability in the event of damage, that was not caused by an intentional mistake or due to gross negligence:
Indicate the true sentence concerning Provincial Commission for the Adjudication of Medical Events:
Indicate the correct sentence:
Which of the statements below is true about determining the right to a retirement and disability pensions and calculating their amounts:
“A person with a physical or mental impairment who is unable to work or only able to work in protected employment conditions, or requires temporary or partial help to perform social roles” is a definition of a person with:
Which of the following is the document stipulating the rules of health promotion actions in the fight against the epidemic accumulation of diseases of affluence and defining health promotion as ”the process of enabling people to increase control over the factors affecting their lives”?
The first international treaty on evidence-based public health, accepted by over 170 United Nations countries is: