Welcome Young Doctor, You are about to start Sumy State Medical Quiz Comp. 3rd Place It has a total of 41 Questions. GOOD LUCK!! 1. The nasal septum is composed of: A. A horizontal plate of the palatine bone and the vomer B. A perpendicular plate of the ethmoid bone and the vomer C. A perpendicular plate of the palatine bone and the vomer D. A palatine process of the maxilla and the vomeer None 2. The bony palate is formed by: A. Two palatine process of the maxilla and a perpendicular plate of the palatine bone B. The alveolar process of maxilla and horizontal plate of the palatine bone C. Two palatine process of the maxilla and two horizontal plates of the palatine bones D. Horizontal and perpendicular plates of the palatine bone None 3. The accessory pancreatic duct opens on: A. The omental eminens B. The minor duodenal papilla C. The head of pancreas D. The major duodenal papilla None 4. The pancreas lies at the level of: A. L3 - L5 B. L2 - L4 C. Th12 - L1 D. L1 - L2 None 5. A series of photographs taken of a middle-aged man over a period of 2 decades demonstrates gradual coarsening of facial features and progressive protrusion of the brows. Upon questioning, the patient reports having to wear larger shoes than he did as a young man. Which of the following pair of hormones normally regulates the hormone responsible for these changes? A. Dopamine and norepinephrine B. LH and hCG C. Somatostatin and GHRH D. TSH and GHRH E. Prolactin and FSH None 6. A 16-year-old type I diabetic is noncompliant with his required insulin therapy and develops hyperglycemia after eating several pieces of hard candy. The release of which of the following intestinal hormones would most likely be stimulated A. Secretin B. Somatostatin C. Motilin D. Gastric Inhibitory peptide E. Gastrin None 7. Lungs of a preterm infant have areas of atelectasis (pulmonary collapse). The main cause is: A. Surfactant deficiency B. Increased viscous resistance C. Underdeveloped inspiration muscles D. Diminished force of surface tension of lungs E. Surfactant excess None 8. A man presents with increased heart rate, mydriatic pupils, dry mouth. This condition results from the activation of the following system of function regulation: A. Metasympathetic B. Parasympathetic C. Sympathetic D. Vago-insular E. Hypothalamo-pituitary-adrenal None 9. Brain tomography revealed a tumor in the region of red nucleus. What part of brain is damaged? D. Interbrain B. Medulla oblongata C. Cerebellum D. Midbrain E. Pons cerebelli None 10. A man with an injury of the dorsal area of his neck was admitted to the resuscitation department. What muscle occupies this area? A. M. trapezius B. M. sternocleidomastoid C. M. latissimus dorsi D. M. rhomboideus minor E. M. scalenus anterior None 11. A 60 years old man, who suffered from pancreatic diabetes for a long time consulted a surgeon. The tissues of the right foot were black, dense with clear edges. What should be the surgeon's diagnosis? A. Gas gangrene B. Trophic ulcer C. Bed sore D. Dry gangrene E. Humid gangrene None 12. Morphological examination of the soft tissues biopsy of a sick child, 12 years old who suffers from poliomyelitis revealed the following changes: somatic muscles are weak, reduced in volume, skin is dry and pale. Define the character of pathological process of the tissues. A. Hyperplasia B. Atrophy C. Metaplasia D. Hypertrophy E. Dysplasia None 13. Which of the following injury is reversible: A. Fibrinoid Changes B. Hyalinosis C. Mucoid swelling D. Necrosis E. Sclerosis None 14. Which of the following is not a parenchymatous protein degeneration: A. Hydropic B. Keratinization C. Fibrinoid changes D. Hyalin drop None 15. A 5-year-old girl who was on vacation in Venezuela with her parents was admitted to the local hospital with fever (103.7°F, 39.8°C), mental confusion, restlessness, and hallucinatory behavior. History revealed that the girl had eaten some honey bought from a local vendor. Physical examination revealed mydriasis; dry, hot, and red skin; and a distended abdomen. A diagnosis of atropine poisoning was made, and an appropriate therapy was started. Which of the following molecular actions most likely contributed to the atropine-induced hyperthermia in this patient? A. Skin vasoconstriction B. Blockade of prostaglandin synthesis in the hypothalamus C. Uncoupling of oxidative phosphorylation in skeletal muscle D. Blockade of muscarinic receptors in the hypothalamus E. Blockade of muscarinic receptors of sweat glands None 16. A 77-year-old man suffering from chronic obstructive pulmonary disease had been taking ipratropium by inhalation. Shortly after inadvertently spraying the medication on his face, which of the following effects did the patient most likely experience? A. Urge incontinence B. Drowsiness C. Difficulty in near vision D. Salivation D. Atrioventricular (AV) block None 17. A patient has arterial hypertension. What long-acting drug from the group of calcium channel blockers should be prescribed? A. Amlodipine B. Octadine C. Pyrroxanum D. Atenolol E. Reserpine None 18. A pneumonia patient has been administered acetylcysteine as a part of complex therapy. What principle of therapy has been taken into consideration when applying this drug? A. Immunomodulatory B. Symptomatic C. Etiotropic D. Antimicrobial E. Pathogenetic None 19. None 20. None 21. The insufficient secretion of what enzyme is the cause of incomplete fats degradation in the digestive tract and appearance of great quantity of neutral fats in feces? A. Pepsin. B. Pancreatic lipase. C. Enterokinase. D. Amylase. E. Phospholipase. None 22. In a newborn's stomach the conversion of soluble milk proteins, so-called caseins, into the insoluble derivatives occurs in the presence of calcium ions and a certain enzyme. Name this enzyme. A. Trypsin. B. Pepsin. C. Gastrin. D. *Rennin. E. Lipase. None 23. Nappies of a newborn have dark spots being the evidence of homogentisic acid formation. This is caused by the metabolic disorder of the following substance: A. Tyrosine. B. Cholesterol. C. Methionine. D. Tryptophan. E. Galactose. None 24. Examination of a 27-year-old patient revealed pathological changes in liver and bra-in. Blood plasma analysis revealed an abrupt decrease in the copper concentration, urine analysis revealed an increased copper concentration. The patient was diagnosed with Wilson’s degeneration. To confirm the diagnosis it is necessary to study the activity of the following enzyme in blood serum: A. Alcohol dehydrogenase. B. Leucine aminopeptidase. C. Xantine oxidase. D. Ceruloplasmin. E. Carbonic anhydrase. None 25. Which of the following should be avoided in an iron excess state? A. Vitamin C B. Vitamin E C. Folic acid D. Plant flavonoids None 26. Which of the following is the most common early symptom in aplastic anemia? A. Bleeding B. Infection C. Weight loss D. Jaundice None 27. Classic electrocardiographic triad in WPW syndrome includes all except? A. Short PR interval B. Slurred QRS upstroke (delta wave) C. Prolonged QRS complex D. Prolonged QT interval None 28. Which of these loop diuretics is associated with deafness? A. Furosemide B. Bumetanide C. Ethacrynic acid D. Torsemide None 1 out of 28 Time's up
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