Browse exam questions.
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A 62-year-old patient was admitted to the hospital complaining of parasternal pain lasting for approx. 1 hour. ECG revealed negative T waves in leads II, III and aVF. The patient’s condition could be assessed with the use of the following grading scale:
Signs and symptoms of superior vena cava syndrome may be seen in the course of:
In patients with acute tumor lysis syndrome laboratory abnormalities include:
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:
When, after streptococcal infection, do the symptoms of rheumatic fever appear?
What drug is used for the treatment of juvenile idiopathic arthritis?
In a patient with the symptoms of acute urticaria with no allergy in anamnesis, it is necessary to order :
Indicate the proper definition of personality:
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:
You are performing a segregation of patients in the mass event. You use START system. You reach the victim who cannot walk, is breathing (15 breaths per minute), his/her radial artery pulse is palpable, is not responding to commands. You qualify him/her to the group:
The standard diagnostic procedure in a patient with multiorgan trauma should include:
Pancreatic cancer may be related to:
Cancer-related ileus:
Cancer staging:
Acute nephritic syndrome is not presented with:
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?
In the laboratory studies in children with type 1 diabetes in the course of ketoacidosis the following can be observed:
A child at preschool age is presented in GP’s office. According to the parents the child has been suffering from fever for 10 days and 2 days ago they observed a facial rash intensely red and a symmetric, macular, lace-like rash on the trunk, buttocks and arms. The general condition of the child is good. Which diagnosis is the most probable?
The common symptoms of type 1 diabetes do not include:
The most characteristic disorders of thought content in paranoid syndrome are:
A 23-year-old male reports that he has been hearing the “voice in his head, which comments what the man is doing and tells him to commit suicide”. Which syndrome is this symptom the most characteristic of?
What is the correct frequency of chest compressions during cardiopulmonary resuscitation in an adult?
Naloxone is used in the case of poisoning with:
A doctor can issue the death certificate:
1) on the basis of their own tests and conclusions;
2) on the basis of the documentation of post-mortem examination made by another doctor;
3) on the basis of patient’s medical documentation made before their death.
4) only after autopsy;
5) on the basis of the information obtained from the deceased’s close persons.
The correct answer is:
A contract of employment in the hospital has been offered to a doctor. The employment is based on the co-called equivalent work time. This means that:
1) standard daily working time can be increased up to 12 hours;
2) standard daily working time can be increased up to 18 hours;
3) standard weekly working time is increased to 48 hours;
4) basically the time calculation period is shortened to 1 month;
5) basically the time calculation period is prolonged to 6 months.
The correct answer is:
A doctor is going to do some experiment on animals. Before launching it they should obtain the approval of:
A homeless with clear symptoms of peritonitis was taken to a private hospital admission room. The hospital is able to help the patient but it does not have the contract signed with the National Health Fund (NFZ) for this type of medical services. How should the doctors proceed?
The main cause of death of the elderly (65+) in Poland is associated with:
Which of the following medications can cause hypercalcemia?
1) calcimimetics;
2) thiazides;
3) lithium;
4) calcium receptor antagonists;
5) vitamin D.
The correct answer is:
Physical examination of a 4-month-old infant revealed signs of dyspnea, tachypnea 75/min and diffused rales on lung auscultation. The child was born at 28 hbd, with the birth weight of 820 g. Oxygen therapy was necessary for the first two months of life. Body temperature was 36.8 °C, CRP 1 mg/L. A chest X-ray showed diffused small infiltrations within the lungs. The most probable diagnosis is:
The most common cause of hyperthyroidism in adolescents 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?
Risk factors for urolithiasis do not include:
Pringle maneuver consists in the compression of:
The basic diagnostic method of identification of Giardia lamblia is:
The minimal anti- smoking intervention consists in:
Purulent inflammation in the area of the nail fold is called:
Levine's sign is:
Which of the following should be given to a patient with hyperkalemia at the level of 7 mmol/l, if the ECG shows toxic influence of potassium on the heart muscle?
In accordance with the law on old age and disability pensions paid from SIF, an insured person who does not agree with the SIF certifying doctor’s ruling is allowed to appeal within 14 days of the date of receiving the ruling to:
Which of the following disturbances of calcium and phosphate homeostasis occur in chronic kidney disease?
1) elevated serum PTH concentration;
2) decreased serum FGF-23 (phosphatonin) concentration;
3) decreased calcium concentration;
4) increased phosphate concentration;
5) increased concentration of 1,25(OH) D.
The correct answer is:
Typical hemolytic-uremic syndrome in children, classified as thrombotic microangiopathy, is characterized by the following triad of symptoms:
While riding a bike, a teenage boy treated with insulin for type 1 diabetes suddenly felt weakness, heart palpitations and a tremor in his hands. What should he do first of all?
A 10-year-old girl was admitted to the ER because of generalized urticaria and difficulty in breathing. The symptoms occurred after she was stung by a bee. At the admission it was stated: disseminated urticaria on the skin, symptoms of wheezing on auscultation, breath rate 56/min, heart rate 110/min, RR 75/50 mmHg. Which of the following variants of therapeutic treatment is correct?
I-metaiodobenzylguanidine (MIBG) scintigraphy is a method used in children for the diagnosis of:
The main symptoms of atypical depression include:
Which of the following shows significant preventive activity against suicidal tendencies?
Instability found on the examination of the pelvis is the indication for:
In the patient after the chest trauma on the right side tachypnea and tachycardia occurred, and soon after the patient’s skin turned pale blue. Low blood pressure was noted. In this situation the first procedure should be:
The loudest murmur related to mitral insufficiency is located:
Antinuclear antibodies specific for Scl-70 antigen are present in patients with:
Which medications are preferred in the treatment of asthma as drugs controlling the course of the disease?
A 5-year-old boy is brought to the physician because of a 2-day history of fever and painful swelling of the left ankle. In the past he had recurrent cervical lymphadenitis caused by catalase-positive staphylococcus and was hospitalized twice because of pneumonia. Nitroblue tetrazolium blood test shows no color change. Which of the following is the most likely mechanism of the disorder?
A type of monogenic diabetes characterized by autosomal dominant inheritance and constantly elevated fasting glycemia which generally does not require pharmacological treatment is:
Complete blood count: WBC 126,2 G/L, LY 33,61 G/L, MO 82,95 G/L, NE 9,62 G/L, RBC 3,82 T/L, Hgb 10,8 g/dL, MCV 84,6 fl, PLT 48 G/L suggests the diagnosis of:
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 somatic signs of anorexia include:
A 70-year-old patient, treated for arterial hypertension for over 30 years, called his family doctor because of lower limb edemas worsening for a week. Physical examination showed increased blood pressure and edemas around ankles. Indicate the least probable cause of those symptoms:
Which of the following are important for selection of chemotherapy in pulmonary cancer?
1) general condition of the patient;
2) stage of the disease;
3) organ damages;
4) histological type of the cancer;
5) familial history of cancer.
The correct answer is:
The most common acquired valvular heart disease in adults is:
Typical symptoms of critical aortic valve stenosis in a neonate do not include:
A 13-year-old girl reports to the doctor office with her grandmother. During the examination the doctor starts to suspect that the girl has been sexually abused by her stepfather. The girl confirms this suspicion but asks the doctor to keep it secret. In that situation the doctor:
One-time compensation is due to an insured-by-SIF (ZUS) person who as a result of work accident or occupational disease:
The Health Beliefs Model explains:
In cost benefit analysis (comparison of two interventions that have different health effects) the most commonly used measure to compare the health effects is:
Lalonde's concept of health "fields" identifies major factors which influence the health of the population. The health care system affects the population's health in about:
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:
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:
Which of the following are useful in the treatment of hemodynamically stable tachycardia with narrow QRS complexes? 1) Valsalva maneuver; 2) face immersion in the cold water; 3) carotid sinus massage; 4) ivabradine administration; 5) adenosine administration. The correct answer is:
Invasive meningococcal disease was diagnosed in a 4-year-old child admitted to the hospital. What preventive measure should be implemented in a 2-year-old brother of the hospitalized child living in the same household?
Which of the following can be found in a child with somatotropic pituitary insufficiency (growth hormone deficit):
1) low birth-weight;
2) normal bone and dental age;
3) decreased rate of growth at the preschool age;
4) signs of increased intracranial pressure caused by a tumor (e.g. craniopharyngioma).
The correct answer is:
Providing patients with information about their health conditions:
The actual carer of an adult unconscious patient is allowed to express their consent for:
Charcot’s triad is a set of signs typical of:
Which type of esophageal cancer is a consequence of achalasia:
The CHA DS -VASc scale is related to assessment of:
Indicate the true statements concerning the severe combined immunodeficiency (SCID):
1) it is a genetic disorder consisting in the absence or dysfunction of lymphocytes T that may be accompanied by the absence of lymphocytes B, NK or other cells of the hematologic system;
2) it is the most common type of primary immunodeficiency in children;
3) if left untreated it usually leads to death in the first year of life;
4) hematopoietic cell transplantation may result in permanent cure;
5) it may be radically treated by regular administration of immunoglobulins.
The correct answer is:
Cholestasis is a set of clinical and laboratory signs typical of increased serum conjugated bilirubin concentrations. According to the definition of cholestasis, it may be diagnosed in a patient with total bilirubin concentration exceeding 5 mg/dL (85 µmol/L) if conjugated bilirubin concentration is above:
In children fever and small itchy blisters that form crusts within 7 days are the symptoms of:
Which of the following types of dementia is characterized by the shortest life expectancy?
Hebephilia is a subtype of:
The sickness benefit due to tuberculosis is paid throughout the period of temporary incapacity to work but not longer than:
A 78-year-old patient was admitted to the hospital for the treatment of communityacquired pneumonia. Which is the most appropriate medication in this case?
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?
Indicate the feature characteristic of chronic lymphocytic leukemia:
Which of the following are the attenuated vaccines given obligatorily to all children?
1) BCG vaccine against tuberculosis;
2) IPV polio vaccine;
3) influenza vaccine;
4) diphtheria, pertussis and tetanus vaccine;
5) measles, mumps and rubella vaccine;
6) varicella vaccine.
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:
The only disorder of sexual preference (paraphilia) which incidence in females and males is similar is:
Bulimia is the least commonly accompanied by:
A woman comes to the GP with her 4-year-old daughter, who has had a fever up to 39.5 ºC since the morning. The child complains of strong sore throat too. The physical examination reveals enlarged tonsils covered with white exudate and pus plugs. Anterior cervical lymph nodes are also enlarged. The clinical image allows the diagnosis of:
An increase in the mean corpuscular volume (MCV) may be caused by:
Which of the following is not characteristic of chronic obstructive pulmonary disease (COPD)?
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?
The monoclonal protein (M protein) in multiple myeloma is usually an immunoglobulin of the class:
Which blood test should be performed first in a person with tetany attacks?
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 concerning gastric neuroendocrine tumors is false?
The symptoms of hypercalcemic syndrome do not include:
How should vitamin B12 be supplemented in patients with pernicious anaemia (AddisonBiermer anaemia)?
In rheumatoid arthritis typically the following joints are not affected:
The first-line medications in primary arterial hypertension do not 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:
Chronic fatigue syndrome is a complication of:
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:
How should potassium be supplemented intravenously in a patient with ketoacidosis?
Which of the following has the smallest application in the treatment of small-cell lung cancer?
In the formula for calculating the specificity of the test, the following number of results is entered in the numerator of the fraction:
Members of the specialized ambulance team located a male breathing with difficulty at the site of the accident. Which of the following actions are the most useful in establishing the primary diagnosis?
1) chest percussion;
2) breath rate assessment;
3) chest auscultation;
4) evaluation of saturation.
The correct answer is:
What measures should the doctor take while examining the patient or providing them with other medical services without the patient’s consent (due to their poor health condition or age)?
The family doctor has a patient, a 54-year-old male with 2nd degree obesity, type 2 diabetes and arterial hypertension, and with a family history of heart disease from his father's side. The doctor decided to use a transtheoretical model for the slimming therapy of this patient. When starting therapy, the doctor should check:
On the occasion that incapacity for work arose before an insured person turns 20 years of age, the condition of having the required contributory and non-contributory period of time for granting a pension due to incapacity for work is considered fulfilled, if the insured person has had a combined contributory and non-contributory period for at least:
The decision stating an occupational disease after carrying out explanatory proceedings is issued by:
The guaranteed health care services include, among others, the following activities of family physicians:
To assess, in an outpatient care setting, the severity of community-acquired pneumonia (CRB-65 scale), the parameters specified below are used, except for:
Which are the true statements concernig whooping cough?
1) the disease starts with non-specific symptoms of a catarrhal inflammation of the airway which last 10-14 days;
2) following the inflammatory phase a paroxysmal cough occurs, which lasts 4-6 weeks;
3) a paroxysmal cough may be followed by apnoea of various duration;
4) between attacks of cough in uncomplicated whooping cough the patient’s condition is good;
5) the recovery period lasts several weeks.
Incidentaloma means an unanticipated diagnosis of:
Step 2 analgesic ladder opioids include:
Flu vaccination in children is recommended after the child turns:
Which of the following statements are true about irritable bowel syndrome (IBS)?
1) it is about twice as common in males as in females;
2) there are three clinical types: diarrhoea-predominant IBS, constipation-predominant IBS and mixed-type IBS;
3) patients should follow a diet rich in insoluble fibre;
4) the diagnostic criterion includes: recurring abdominal pain of at least 3 months’ duration, occurring ≥1 day a week and meeting ≥2 of the following criteria: it is connected with passing stools, it is connected with a change in bowel movement frequency, it is connected with a change in the stool form;
5) colonoscopy should be performed in every patient with IBS;
6) in the treatment of IBS, FODMAP diet should be followed for 4-6 weeks
The correct answer is:
Indicate the true statement regarding vasa previa:
When can intrauterine growth restriction connected with placental insufficiency be diagnosed at the earliest?
Which of the following is not a contraindication to labour induction in a pregnancy that is 7 days overdue according to the Naegele’s rule and was verified with a first-trimester ultrasound:
Active management of the third stage of labour is aimed at:
The duration of a physiological menstrual cycle in females depends on:
The most important examination for the diagnosis of endometrial cancer is:
The term dysmenorrhoea refers to:
The uterine artery is a branch of:
Which of the following is a gynaecological cause of an acute abdomen:
The complications of gestational diabetes do not include:
According to the enhanced recovery after surgery (ERAS) protocol, the correct perioperative management is:
1) resuming enteral nutrition quickly – preferably within 24h from the surgery;
2) retention of a Foley catheter for as long as possible (36-100 h) to closely monitor post-operative diuresis;
3) a routine use of a nasogastric tube;
4) the use of minimally invasive surgical techniques;
5) prohibition of anti-emetic drug use in the post-operative period.
The correct answer is:
Which of the following is true about ectopic pregnancy:
Which of the following is/are true about the diagnosis of gestational diabetes:
1) fasting glycaemia of ≥ 92 mg/dl indicates gestational diabetes;
2) if fasting glycaemia is below 92 mg/dl up to week 10 of pregnancy, further diagnostic tests should not be performed;
3) in the case of fasting glycaemia above 125 mg/dl an OGTT test should be performed urgently;
4) an OGTT test in pregnant women should be performed with the use of 60g of glucose.
5) during an OGTT test in pregnant women only fasting glycaemia should be measured 2h following glucose administration.
The correct answer is:
Which of the following is not a cash benefit from social insurance received in the case of sickness or maternity:
Preventive medical examinations of employees aged above 60 whose jobs involve handling firearms are performed every:
A surgeon leaving the operating theatre meets a colleague. He performed surgery on the colleague’s wife a few days earlier. The colleague asks the surgeon about the wife’s health. The wife has not authorized the husband to receive information about her health. What should be done?
Permanent irreversible cessation of brain function is stated unanimously by two specialists who possess II stage of specialty or specialty, including one specialist in anaesthesiology and intensive therapy or neonatology, and second in:
Preventive medical examinations for employees are provided and financed by:
The authors of the paper published in the Arquivos de Gastroenterologia journal (2021, vol. 58, pp. 114-9) assessed the evidence for a causal relationship between Helicobacter pylori infection and colorectal cancer. It has been observed that Helicobacter pylori infection in most patients is acquired in their childchood, before the age of 10. Which of Hill's criteria for causation is met by the evidence provided?
In the classification of basic healthcare systems, the organizational model in which the leading statutory solution is to finance free and common access to healthcare services, based on compulsory health insurance is known as the:
An inflammatory, usually purulent process of the palmar surface is called:
A 35-year-old patient crushed by a pallet at work was transported by the emergency medical services (ZRM) to the emergency department with a right hand injury. Physical examination reveals hand oedema with a visible haematoma, no sensory disturbances and normal mobility. Select the correct management:
According to the TNM cancer classification, T4N2M1 refers to:
Examination of an 80-year-old chronically bedridden male patient reveals a blister with abrasion in the sacral area. This should be classified as pressure ulcer of which stage?
A 62-year-old male patient with a gastroscopy-confirmed gastric cancer located in the stomach body region without distant metastases (T2N0M0) who received cycles of neoadjuvant chemotherapy was admitted to the general surgery ward for surgical management. Select the correct management:
Select true statement(s) about treatment of gastric cancer:
1) in some cases of early gastric cancer, endoscopic mucosal resection can be performed;
2) in the case of multifocal lesions or lesions located close to the stomach cardia, total gastrectomy should be performed;
3) in the case of stomach cancer limited to 1/3 of the distal part of the stomach, near-total gastrectomy should be performed;
4) regardless of lesion location, total gastrectomy should be performed to minimise the risk of metastasis;
5) the extent of surgery is based on the surgeon’s experience and knowledge, and lesion location is not taken into consideration.
The correct answer is:
Which of the following features of a thyroid nodule with a diameter of about 15 mm seen on ultrasonography may be suggestive of cancer?
Which surgical treatment can be used in patients with a diagnosis of a perianal fistula?
Select the indication for elective surgery in a patient with diverticular disease of the sigmoid colon:
A symptomatic (documented) cholelithiasis is an indication for cholecystectomy (gallbladder removal). Elective cholecystectomy should be performed in the case of asymptomatic cholelithiasis in patients with:
A 48-year-old woman presents to hospital with symptoms of superficial phlebitis of the right lower limb. Which of the following is not a treatment modality that can be used in this case?
In Poland there are a few screening programs for different types of cancer. For which of the following cancers there are no screening programs in Poland?
Which of the following is used for the patient’s general performance status assessment?
A 38-year-old man with symptoms of severe gastrointestinal obstruction due to pyloric stenosis that is a complication of peptic ulcer disease presents because of copious vomiting of gastric contents. Which of the following water-electrolyte disturbances is most likely in this case?
A 49-year-old man is admitted to the intensive care unit due to necrotizing pancreatitis. Which of the following is an indication for starting nutritional therapy in this patient?
Miles operation is used for:
Patients with morbid obesity undergo bariatric surgery. Which of the following is a contraindication to bariatric surgery?
Bile duct injury at the level of the hepatic duct confluence is categorized according to the Bismuth classification as:
Indicate the true statements describing management in patients following thyroidectomy:
1) all patients after thyroidectomy should receive thyroxine replacement therapy at a dose of 1 µg/kg per 24 hours;
2) in all patients after thyroidectomy measure TSH levels within approximately 6-8 weeks of surgery;
3) all patients after thyroidectomy should receive thyroxine replacement therapy at a dose of 3 µg/kg per 24 hours;
4) stridor is a common complication of thyroid surgery and usually resolves after 24-48 hours;
5) bleeding after thyroid surgery is considered dangerous because it can lead to airway compression.
The correct answer is:
Anal fistula should be differentiated with all of the below except for:
A 56-year-old woman with obesity presents to hospital reporting abdominal pain, yellowish discolouration of the skin and fever with chills. Which diagnostic tests should be performed?
Which of the following is always present in all types of multiple endocrine neoplasia type 2A (MEN2A)?
A 53-year-old man presented to the emergency department due to post-prandial epigastric pain and pruritus. The patient also reports dark-coloured urine. Examination reveals yellowish colouration of the sclera and skin. Rectal examination found a discoloured stool in the rectal ampulla. Laboratory investigations: HGB 12.5 g/dL, HCT 36%, CRP 5 mg/L, bilirubin 80 μmol/L (4.68 mg/dL). Ultrasonography shows a common bile tract 11 mm in diameter with stone present and a thin-walled gallbladder without deposits and without wall thickening. Select the correct diagnosis and management:
The superolateral border of the Hesselbach triangle is demarcated by:
Select the correct treatment option for a patient with Mallory-Weiss syndrome:
Select the least common site of choriocarcinoma metastasis:
All of these are treatment modalities used in serous ovarian cancer except for:
Select the true statement describing type II endometrial cancer:
Granulosa cell tumour causes a rise in:
β-hCG levels are not increased in which of the following?
Increased CA125 levels are not specific for:
Pharmacologic therapy for haemorrhages associated with uterine leiomyomas includes:
Following egg cell release, the ovarian follicle turns into:
At which stage does a fertilized egg cell move into the uterus?
Recurrent respiratory papillomatosis is caused by:
A modifiable risk factor for the development of uterine leiomyomas that decreases the risk is:
Treatment of a cervical polyp should be preceded by:
Treatment of endometriosis does not include:
Which of the following vaccinations is recommended in Poland in patients with cancer?
How much time should be spent on assessing vital signs in a patient with deep hypothermia?
Which of the following signs are considered alarming in dyspepsia?
1) weight loss;
2) jaundice;
3) gastrointestinal bleeding;
4) abdominal pain at night.
The correct answer is:
Dermoscopic patterns suggestive of melanoma include:
1) presence of irregular plaques;
2) asymmetrical colours with an asymmetrical distribution;
3) pigment deposition in the epidermal ridges in a parallel pattern;
4) symmetrical colour distribution;
5) presence of regular plaques.
The correct answer is:
In a patient with immunosuppression that is associated with cancer and cancer treatment, it is contraindicated to vaccinate against:
1) yellow fever;
2) measles, mumps, rubella (MMR);
3) varicella;
4) hepatitis B;
5) hepatitis A;
6) rabies (post-exposure prophylaxis).
The correct answer is:
Which of the following statements characterizes chronic obstructive pulmonary disease (COPD)?
1) usually there is a gradual disease progression over years despite treatment;
2) many patients have a history of allergies and asthma in childhood or in their family history;
3) symptoms worsen at night or in the morning;
4) during asymptomatic periods lung function is abnormal;
5) during asymptomatic periods lung function is normal;
6) chronic cough and sputum expectoration precede the onset of dyspnoea.
The correct answer is:
The first-line antimicrobial agent used for the treatment of Chlamydia psittaci pneumonia is:
All of these agents are oral first-generation H1-blockers used in allergy treatment except for:
Swimming in open natural water bodies (stagnant water) is associated with a risk of:
Group I highly radiosensitive cancers do not include:
1) leukaemia;
2) Ewing sarcoma;
3) adenocarcinoma;
4) osteosarcoma;
5) teratoma;
6) Hodgkin lymphoma.
The correct answer is:
A 53-year-old man fell from a tree, lost consciousness and has a 3 cm head injury. He opens his eyes in response to voice command and makes incomprehensible sounds. There is a localized pain stimulus response in the left upper limb and lack of motor response of the right upper limb. How many points would this patient receive on the Glasgow Coma Scale (GCS)?
A 65-year-old man had an ischemic stroke with hemiparesis and speech disturbances. At discharge for outpatient treatment, the physician entered into the medical history report that the patient has been classified as Cerebral Performance Category (CPC) category 3, which refers to:
The Injury Severity Score (ISS) defines 6 body regions. How many body regions are used to calculate the final ISS score?
Which of the following is a false statement regarding trauma centres (CU) and the format for collecting medical data by the emergency medical team (ZRM) for a trauma centre according to the AT-MIST scheme:
A 53-year-old man fell from a tree. He rates his pain as 7 on the NRS scale. Select the optimal pain management in this case:
A 63-year-old conscious man with tachycardia, GCS=15 and hemodynamic instability requires:
The procedure for providing airway management using the technique of rapid sequence intubation (RSI) in patients having a full stomach includes:
In case of bradycardia, adult patients with a heart transplant should:
A 39-year-old man with obesity (BMI=44 kg/m<sup>2</sup>) was transported by the emergency medical services (ZRM) to the emergency department. The cardiac monitor shows asystole with P waves. In this case the ERC guidelines recommend:
Which of the following is a true statement regarding tachycardia?
Extraintestinal manifestations present in Crohn disease include: