EXAMINATION TESTS
on "Internal Diseases 1 (5th semester)" for the 3rd year students of the Medical Faculty of Osh State University in the specialty "Medicine" on 5 SEMESTER 2015-2016 ACADEMIC YEAR
- Paroxysmal cough with a single large number of purulent sputum ("full mouth") occurs in:
- a) pneumonia
- b) pulmonary tuberculosis
- c) at an attack of asthma
- d) in stage II syndrome cavity formation in the lung
- Bronchial asthma attack is characterized by sputum:
- a) lean, bad expectorant and transparent
- b) mucopurulent yellow-green from
- c) purulent sputum green
- d) bloody sputum
- Pneumonia is characterized by sputum:
- a) lean, bad expectorant and transparent
- b) mucopurulent yellow-green
- c) purulent sputum green
- d) bloody sputum
- Stage II syndrome form a cavity in the lung sputum characteristic:
- a) lean, bad expectorant and transparent
- b) mucopurulent yellow-green
- c) purulent sputum green
- d) bloody sputum
- Bronchiectasis sputum characteristic:
- a) lean, bad expectorant and transparent
- b) mucopurulent yellow-green
- c) mucous expectoration
- d) purulent sputum green
- Purulent sputum discharge simultaneously "mouth full" on a large volume, characteristic for:
- a) I stage lung abscess
- b) II stage lung abscess
- c) pneumonia
- d) asthma
- e) chronic bronchitis
- Complaints patients cough with mucopurulent sputum in combination with fever and pain in the chest is typical for:
- a) lung cancer
- b) acute bronchitis
- c) chronic bronchitis
- d) pneumonia
- e) asthma
- Purulent sputum green, detachable throughout the day (and more often in the morning) for many months in the amount of 1-2 liters per day is observed when:
- a) pneumonia
- b) acute bronchitis
- c) II stage lung abscess
- d) bronchiectasis
- Cough with "rusty" sputum is characteristic for:
- a) pneumonia
- b) acute bronchitis
- c) II stage lung abscess
- d) bronchiectasis
- The appearance in patients with pneumonia, "rusty" sputum - a variant of:
- a) mucous sputum
- b) muco-purulent sputum
- c) purulent sputum
- d) putrid sputum
- e) hemoptysis
- The patient has pneumonia occurrence of chest pain indicative of defeat:
- a) the alveoli
- b) interstitial tissue
- c) pleura
- d) vessels
- Pain in the chest, decreasing in position on the patient side, observed in:
- a) asthma
- b) bronchitis
- c) dry pleurisy
- d) bronchiectasis
- e) spontaneous pneumothorax
- Pleural pain increases:
- a) in position on the healthy side
- b) in position on the patient side
- c) for compression of the thorax
- d) during exhalation
- Pleural pain decreases:
- a) with a deep breath
- b) when you cough
- c) in position on the healthy side
- d) in position on the patient side
- e) during exhalation
- Expiratory dyspnea is typical for:
- a) dry pleurisy
- b) exudative pleurisy
- c) pulmonary edema
- d) asthma
- e) acute bronchitis
- A dyspnea expiratory character is a specific sign of:
- a) pulmonary edema
- b) asthma
- c) pneumonia
- d) bronchitis
- e) pleurisy
- The patient forced position is marked on the patient side, resulting in a reduction of pain in the chest. What do you think ?:
- a) asthma
- b) acute and chronic bronchitis
- c) dry pleurisy
- d) pleural effusion
- The chest with its expansion, increasing intercostal spaces, bulging supraclavicular fossa and the participation of auxiliary respiratory muscles is called:
- a) paralytic
- b) emphysematous
- c) rachitic
- d) funnel
- e) the navicular
- Barrel, extended (emphysematous) chest syndrome occurs when:
- a) the seal of the lung tissue
- b) forming a cavity in the lung
- c) increased airiness of the lungs
- d) respiratory insufficiency
- e) accumulation of air in the pleural cavity
- Emphysematous chest is observed in:
- a) pneumonia
- b) acute respiratory diseases
- c) the long-term course of bronchial asthma
- d) lung abscess
- e) pneumothorax
- On palpation of the chest of the patient with the syndrome of consolidation of pulmonary tissue voice trembling is:
- a) strengthened
- b) impaired
- c) is not changed
- d) greatly reduced
- On palpation of the chest of the patient with the syndrome formation of a cavity in a light voice trembling:
- a) strengthened
- b) impaired
- c) is not changed
- d) greatly reduced
- On palpation of the chest in a patient with an accumulation of fluid in the pleural cavity voice trembling:
- a) strengthened
- b) impaired
- c) is not changed
- d) increased sharply
- On palpation of the chest of the patient with the accumulation of air in the pleural cavity voice trembling:
- a) strengthened
- b) impaired
- c) is not changed
- d) increased sharply
- Strengthening the voice jitter characteristic of the syndrome:
- a) consolidation of pulmonary tissue seal the lung tissue
- b) bronchial obstruction
- c) the accumulation of fluid in the pleural cavity
- d) accumulation of air in the pleural cavity
- The weakening of the voice tremor characteristic of the syndrome:
- a) consolidation of pulmonary tissue
- b) forming a cavity in the lung
- c) bronchial obstruction
- d) fluid accumulation in the pleural cavity
- The patient found the voice amplification jitter. Which one is detected in this patient symptoms to distinguish the syndrome of cavity formation in the lung syndrome seal lung tissue:
- a) fever
- b) expectoration
- c) chest pain
- d) discharge of purulent sputum mouth full
- e) shortness of breath
- In the light percussion dull sound is detected at a syndrome:
- a) the formation of a cavity in the lung
- b) the accumulation of fluid in the pleural cavity
- c) accumulation of air or gas in the pleural cavity
- d) emphysema
- Syndrome of consolidation of pulmonary tissue characterized by the following data percussion:
- a) tympanic sound
- b) box sound
- c) a metallic sound
- d) dullness
- Syndrome form a cavity in the lung characterized by the following data percussion:
- a) tympanic sound
- b) box sound
- c) a dull sound
- d) dullness
- Syndrome accumulation of fluid in the pleural cavity characterized by the following data percussion:
- a) tympanic sound
- b) box sound
- c) dull sound
- d) clear lung
- Syndrome of increased airiness of the lung tissue characterized by the following data percussion:
- a) tympanic sound
- b) box sound
- c) a dull sound
- d) dullness
- Tympanic sound on percussion of the lungs characteristic of the syndrome:
- a) the seal of the lung tissue
- b) the accumulation of fluid in the pleural cavity
- c) obstructive atelectasis
- d) bronchial obstruction
- e) forming a cavity in the lung
- Box sound when percussion lung characteristic of the syndrome:
- a) syndrome of consolidation of pulmonary tissue
- b) increased airiness of the lungs
- c) accumulation of air in the pleural cavity
- d) fluid accumulation in the pleural cavity
- e) forming a cavity in the lung
- Box sound when percussion lung occurs when:
- a) a dry pleurisy
- b) pneumonia
- c) emphysema
- d) acute bronchitis
- Normally, when the relative light percussion cage front in the IV intercostal space on the right is listened:
- a) tympanic sound
- b) a dull sound
- c) box sound
- d) a clear lung sounds
- e) metal
- Normally, on the front right chest IV to VI intercostal space during the percussion is determined by:
- a) tympanic sound
- b) a dull sound
- c) box sound
- d) a clear lung sounds
- e) metal
- Normally, on the front left chest IV to VI intercostal space during the percussion is determined by:
- a) tympanic sound
- b) a dull sound
- c) box sound
- d) a clear lung sounds; e) metal
- Normally, during auscultation, vesicular breathing auscultated on:
- a) the larynx
- b) the trachea
- c) the area of location of large bronchi
- d) portions of lung tissue with a large number of alveoli
- Normally, during auscultation, bronchial breathing auscultated on:
- a) the larynx, the trachea and the large bronchi area location
- b) regions of the lung tissue with a large number of alveoli
- c) area of the pleura
- d) the heart
- On auscultation auscultated vesicular breathing during:
- a) inhalation
- b) an exhalation
- c) the beginning of inhalation and exhalation
- d) inhalation and exhalation
- On auscultation bronchial breathing auscultated during:
- a) inhalation
- b) an exhalation
- c) the beginning of inhalation and exhalation
- d) inhalation and exhalation
- Hard breathing - are:
- a) the weakening of vesicular breathing
- b) strengthening vesicular breathing
- c) the weakening of the bronchial respiration
- d) enhancement of bronchial breathing
- The reason for the gain vesicular (hard) is a respiratory syndrome:
- a) pulmonary emphysema
- b) bronchial obstruction
- c) the accumulation of fluid in the pleural cavity
- d) fluid accumulation in the pleural cavity
- Pathological bronchial breathing - a bronchial breathing on auscultation:
- a) the larynx
- b) the trachea
- c) the area of location of large bronchi
- d) portions of lung tissue with a large number of alveoli
- Pathological bronchial breathing syndrome occurs when:
- a) bronchial obstruction
- b) syndrome of massive consolidation of pulmonary tissue
- c) increased airiness lung tissue
- d) fluid accumulation in the pleural cavity
- e) pneumothorax
- Amforic breath occurs when:
- a) II phase syndrome form a cavity in the lung
- b) step I syndrome cavity formation in the lung
- c) increased airiness syndrome lung tissue
- d) syndrome fluid in the pleural cavity
- e) syndrome pneumothorax
- Dry crackles are heard in the syndrome:
- a) bronchial obstruction
- b) consolidation of pulmonary tissue
- c) the accumulation of fluid in the pleural cavity
- d) increased airiness of the lungs
- e) bronchiectasis
- Crackles are heard:
- a) in the inspiratory phase
- b) in the expiration phase
- c) at the height of inspiration
- d) during inspiration and exhalation
- Crackles after coughing:
- a) strengthened
- b) disappear
- c) are not changed
- d) often disappear, sometimes worse
- Sonorous finely wheezing observed in:
- a) syndrome of consolidation of pulmonary tissue
- b) a syndrome of accumulation of fluid in the pleural cavity
- c) bronchiectasis syndrome
- d) step II syndrome cavity formation in the lung
- Sonorous large- and medium bubbling rale determined when:
- a) syndrome of consolidation of pulmonary tissue
- b) step I syndrome cavity formation in the lung
- c) syndrome stage II cavity formation in the lung
- d) syndrome fluid in the pleural cavity
- In any phase of respiration is listened crackling:
- a) inhalation
- b) an exhalation
- c) inhalation and exhalation
- d) at a height of exhalation
- Crepitus after coughing:
- a) enhanced
- b) disappears
- c) does not change
- d) often disappears rarely increases
- Sonorous crackling observed in syndrome:
- a) bronchial obstruction
- b) consolidation of pulmonary tissue
- c) the accumulation of fluid in the pleural cavity
- d) increased airiness of the lungs
- e) bronchiectasis
- Crepitus is a specific feature:
- a) acute bronchitis
- b) lung cancer
- c) exudative pleurisy
- d) of dry pleurisy
- e) pneumonia
- Pleural rub is listened when:
- a) inhalation
- b) an exhalation
- c) breath
- d) inhalation and exhalation
- e) for adjustment of inhalation
- Pleural rub is a characteristic feature:
- a) acute bronchitis
- b) lung cancer
- c) exudative pleurisy
- d) dry pleurisy
- e) pneumonia
- Bloody sputum in the form of "rusty" sputum is characteristic for:
- a) acute and chronic bronchitis
- b) pneumonia
- c) lung abscess and gangrene
- d) tuberculosis of the lung
- e) for lung cancer
- Detection of sputum spirals of Kurshman is a characteristic sign of:
- a) asthma
- b) inflammatory and suppurative lung disease
- c) lung cancer
- d) pulmonary tuberculosis
- Detection of sputum large number of white blood cells is a characteristic feature of:
- a) asthma
- b) inflammatory and suppurative lung disease
- c) lung cancer
- d) pulmonary tuberculosis
- The discovery of a large number of sputum eosinophils is a characteristic feature of:
- a) asthma
- b) inflammatory and suppurative lung disease
- c) lung cancer
- d) pulmonary tuberculosis
- Detection of sputum Charcot-Leyden crystals is a characteristic feature of:
- a) asthma
- b) inflammatory and suppurative lung disease
- c) lung cancer
- d) pulmonary tuberculosis
- Detection of atypical cells in sputum is a characteristic feature of:
- a) asthma
- b) inflammatory and suppurative lung disease
- c) lung cancer
- d) of pulmonary tuberculosis
- e) pneumonia
- Detection of the amount of pathogenic organisms in sputum confirmed pneumonia etiology:
- a) greater than 10 to 1, 000 ml
- b) 20 to 1 000 ml
- c) 50 to 1 000 ml
- d) more than 100 000 per 1 ml
- e) 1 to 1000 ml
- For the type of obstructive disorders of respiratory function is characterized by:
- a) a decrease in lung capacity
- b) forced expiratory volume in the norm
- c) an increase in forced expiratory volume
- d) reduction in forced expiratory volume
- e) increase in lung capacity
- Restrictive disorders of respiratory function is characterized by:
- a) a decrease in lung capacity
- b) forced expiratory volume in the norm
- c) an increase in forced expiratory volume
- d) reduction in forced expiratory volume
- e) increase in lung capacity
- Which of the respiratory function data indicates syndrome of increased airiness of light:
- a) an increase in forced expiratory volume
- b) an increase in forced inspiration
- c) decrease in expiratory flow rate
- d) an increase in residual volume
- e) reducing the residual volume
- The syndrome is caused by compression of the lung tissue filling the alveoli:
- a) the inflammatory fluid, blood or tumor tissue
- b) increase the amount of air
- c) an increased number of gases
- d) a foreign body
- Syndrome of consolidation of pulmonary tissue appearance of chest pain suggests involvement in the pathological process:
- a) the ribs
- b) intercostal nerves
- c) heart
- d) of the pleura
- e) pulmonary vessels
- Syndrome of consolidation of pulmonary tissue during palpation of the chest voice trembling:
- a) strengthened
- b) impaired
- c) drastically weakened
- d) is not determined
- Syndrome of consolidation of pulmonary tissue in the lungs percussion is determined by:
- a) the blunting of pulmonary sound
- b) normal lung sounds
- c) tympanitis
- d) a metallic sound
- e) box sound
- Syndrome of consolidation of pulmonary tissue palpation and percussion of the lung observed:
- a) strengthening the voice jitter and blunting of pulmonary sound
- b) the weakening of the voice jitter and blunting of pulmonary sound
- c) strengthening the voice jitter and tympanitis
- d) the weakening of the voice jitter and tympanitis
- Strengthening the voice jitter and percussion blunting of pulmonary sound characteristic of the syndrome:
- a) syndrome of consolidation of pulmonary tissue
- b) forming a cavity in the lung
- c) the accumulation of fluid in the pleural cavity
- d) accumulation of air in the pleural cavity
- Syndrome of consolidation of pulmonary tissue when auscultation is defined by:
- a) strengthening vesicular breathing (breathing hard)
- b) the weakening of vesicular breathing
- c) the absence of vesicular breath
- d) amforic breath
- The syndrome of massive consolidation of pulmonary tissue when auscultation is defined by:
- a) strengthening vesicular breathing (breathing hard)
- b) the weakening of vesicular breathing
- c) abnormal bronchial breathing
- d) amforic breath
- Specific symptom of syndrome of consolidation pulmonary tissue on lung auscultation is:
- a) crepitus
- b) rigid vesicular breathing
- c) dry wheezing
- d) wet wheezing
- e) pleural rub
- The main feature of X-RAY (radiological) syndrome of consolidation of pulmonary tissue is:
- a) a decrease in transparency (shading) of a share or segment
- b) a picture of atelectasis
- c) increased transparency (transparency), or the proportion of the segment
- d) "amputation of the bronchial tubes"
- e) increased transparency in the lungs
- Syndrome of consolidation of pulmonary tissue is characteristic for:
- a) pneumonia
- b) chronic bronchitis
- c) II stage lung abscess
- d) bronchiectasis
- e) asthma
- I stage of syndrome of cavity formation in the lung - a cavity:
- a) communicating with the bronchi
- b) free from pus
- c) containing air
- d) does not communicate with the bronchi and filled with pus
- II stage of the syndrome of cavity formation in the lung - a cavity:
- a) communicating with the bronchus and free of pus
- b) does not communicate with a bronchus
- c) filled with pus
- d) filled with exudate
- Phase II syndrome of cavity formation in the lung characterized by discharge of purulent sputum "full mouth":
- a) a one-time (single)
- b) repeatedly for one day
- c) repeated over many months or years
- d) repeatedly during the day since childhood
- At stage II syndrome of cavity formation in the lung during palpation of the chest voice trembling:
- a) strengthened
- b) impaired
- c) is not defined
- d) all answers are correct
- Phase II syndrome presence of cavities in the lung percussion characterized by:
- a) tympanic sound
- b) box sound
- c) a dull sound
- d) dullness
- At stage II syndrome of cavity formation in the lung during palpation and percussion of the chest are determined:
- a) strengthening the voice jitter and dull sound
- b) the weakening of the voice jitter and dull sound
- c) the weakening of the voice jitter and tympanitis
- d) strengthening the voice jitter and tympanitis
- Strengthening the voice jitter and tympanic percussion sound characteristic for:
- a) syndrome of consolidation of pulmonary tissue
- b) a syndrome of increased airiness of the lungs
- c) syndrome accumulation of air in the pleural cavity
- d) syndrome fluid accumulation in the pleural cavity
- e) step II syndrome cavity formation in the lung
- At stage II syndrome of cavity formation in the lung during auscultation revealed:
- a) the weakening of vesicular breathing
- b) hard breathing
- c) amforic breath
- d) unmodified vesicular breathing
- Phase II syndrome of cavity formation in the lung auscultation is characterized by:
- a) dry wheezing
- b) wet finely wheezing
- c) wet medium and large bubbling rale
- d) crepitus
- e) pleural rub
- In stage II syndrome of cavity formation in the lung during lung auscultation revealed crackles:
- a) finely
- b) only medium bubbling rale
- c) only large bubbling rale
- d) medium and large bubbling rale
- Phase II syndrome of cavity formation in the lung is characterized by a combination of the following symptoms:
- a) a dull sound and abnormal bronchial breathing
- b) stiff vesicular breathing and pleural rub
- c) the weakening of vesicular breathing and dull sound
- d) tympanic sound and amforic breath
- What syndrome is characterized by a combination of bloat and wet large- and medium bubbling rale:
- a) syndrome of consolidation of pulmonary tissue
- b) syndrome of massive consolidation of pulmonary tissue
- c) II stage of syndrome cavity formation in the lung
- d) bronchial obstruction syndrome
- The syndrome is marked bronchiectasis purulent sputum "full mouth":
- a) single
- b) repeatedly for one hour
- c) repeatedly for one day
- d) repeated over many months or years
- The main clinical manifestation of the syndrome is bronchiectasis:
- a) purulent sputum "full mouth" many times
- b) a dry cough
- c) dyspnea and expiratory astma
- d) purulent sputum "full mouth " single
- Syndrome of bronchiectasis during auscultation revealed:
- a) crepitus
- b) dry wheezing
- c) pleural rub
- d) finely crackles
- e) medium- and medium and large bubbling ralecrackles
- Cough with purulent sputum for many years and moist medium and large bubbling rale in auscultation and is easily observed in the syndrome:
- a) bronchial obstruction
- b) bronchiectasis
- c) sealing lung tissue
- d) emphysema
- e) forming a cavity in the lung
- The syndrome of bronchial obstruction during an attack expiratory choking notes the following position of the patient:
- a) on the patient side
- b) on the healthy side
- c) orthopnea
- d) lying on his stomach
- e) lying on his back
- The syndrome of bronchial obstruction during an attack expiratory choking note the following color:
- a) acrocyanosis
- b) diffuse cyanosis
- c) "latte"
- d) cherry (blooded)
- e) jaundiced
- Syndrome of bronchial obstruction during auscultation is characterized by:
- a) the weakening of vesicular breathing
- b) strengthening vesicular breathing (breathing hard)
- c) bronchial breathing
- d) the absence of vesicular breath
- e) the normal vesicular breathing
- A typical auscultatory sign of bronchial obstruction syndrome are:
- a) wet finely wheezing
- b) crepitus
- c) dry whistling and buzzing rattles
- d) pleural rub
- e) wet medium and large bubbling rale
- Syndrome of bronchial obstruction during auscultation is characterized by the following types of wheeze:
- a) wet finely wheezing
- b) moist medium bubbling rale
- c) wet large bubbling rale
- d) dry whistling and buzzing rattles
- The syndrome of bronchial obstruction during auscultation is characterized by:
- a) the weakening of vesicular breathing and wet wheezing
- b) amforic breathe and wet wheezing
- c) hard breathing and dry wheezing
- d) hard breathing and crackling
- Dry wheezing over the entire surface of the lungs characteristic of the syndrome:
- a) increased airiness of the lungs
- b) the accumulation of fluid in the pleural cavity
- c) bronchial obstruction
- d) sealing lung tissue
- e) forming a cavity in the lung
- The hard and dry breath wheezing over the entire surface of the lungs observed in syndrome:
- a) the consolidation of the pulmonary tissue
- b) the accumulation of fluid in the pleural cavity
- c) increased airiness of the lungs
- d) bronchial obstruction
- e) forming a cavity in the lung
- For bronchial obstruction syndrome during the study of respiratory function is characterized by:
- a) a decrease in lung capacity
- b) forced expiratory volume in the norm
- c) an increase in forced expiratory volume
- d) reduction in forced expiratory volume
- e) increase in lung capacity
- The decline in forced expiratory volume in the study of respiratory function characteristic of the syndrome:
- a) increased airiness of the lungs
- b) the accumulation of fluid in the pleural cavity
- c) bronchial obstruction
- d) the consolidation of pulmonary tissue
- e) the presence in the lung cavity
- Stiff and dry breath wheezing during auscultation and declines in forced expiratory volume in the study of respiratory function observed in the syndrome:
- a) bronchial obstruction
- b) the accumulation of fluid in the pleural cavity
- c) increased airiness of the lungs
- d) conolidation of pulmonary tissue
- e) the presence in the lung cavity
- Syndrome of bronchial obstruction is a particular feature of:
- a) pneumonia
- b) asthma and chronic obstructive bronchitis
- c) bronchiectasis
- d) cancer and pulmonary tuberculosis
- Syndrome emphysema cause persistent lung expansion is:
- a) pulmonary fibrosis
- b) an inflammation of the alveoli
- c) the destruction of the lung tissue
- d) hyperextension of the alveoli due to loss of elasticity
- The main clinical manifestation of the syndrome of emphysema is:
- a) attack the inspiration of suffocation
- b) attack expiratory breathlessness
- c) inspiratory dyspnea permanent nature
- d) expiratory dyspnea permanent nature
- e) cough with purulent sputum
- Syndrome emphysema voice trembling:
- a) efforts from both sides
- b) strengthened on the one hand
- c) weakened from both sides
- d) weakened on one side
- Syndrome emphysema during light percussion found:
- a) a dull sound
- b) blunting of pulmonary sound
- c) tympanitis
- d) box sound
- e) normal lung sounds
- Syndrome emphysema during auscultation revealed:
- a) strengthening vesicular breathing on both sides
- b) strengthening vesicular breathing on one side
- c) the weakening of vesicular breathing on both sides
- d) the weakening of vesicular breathing on one side
- The syndrome of emphysema on chest X-RAY (radiograph) indicated the location of the ribs:
- a) vertical
- b) sloping downward
- c) oblique upward
- d) horizontal
- Syndrome of accumulation of fluid in the pleural cavity is characterized by:
- a) shortness of breath and dyspnea expiratory character
- b) dyspnea and inspiratory gasp nature
- c) choking and shortness of mixed character
- d) cough with phlegm
- Syndrome accumulation of fluid in the pleural cavity during the inspection characteristic:
- a) flattening and expansion of intercostal spaces
- b) bulging intercostal spaces
- c) spadenie intercostal spaces
- d) the disappearance of intercostal spaces
- The syndrome of accumulation of fluid in the pleural cavity during palpation of the chest voice trembling:
- a) strengthened
- b) normal
- c) dramatically reduced or absent
- d) increased sharply
- The syndrome of accumulation of fluid in the pleural cavity during percussion of the chest is determined by:
- a) clear lung sounds
- b) dull sound
- c) tympanitis
- d) "noise cracked pot"
- e) box sound
- During palpation and percussion of the chest detection dramatically weakened voice trembling until his absence and blunt sound characteristic of the syndrome:
- a) the seal of the lung tissue
- b) forming a cavity in the lung
- c) the accumulation of fluid in the pleural cavity
- d) accumulation of air in the pleural cavity
- e) bronchial obstruction
- The syndrome of accumulation of fluid in the pleural cavity during auscultation is defined by:
- a) the normal vesicular breathing
- b) pathological bronchial breath
- c) a weakening of vesicular breathing or his absence
- d) pleural rub; e) hard breathing
- The syndrome of accumulation of fluid in the pleural cavity during palpation and auscultation of the lungs is determined by:
- a) normal voice trembling and vesicular breathing
- b) normal voice trembling and hard breathing
- c) weakened voice trembling and vesicular breathing or their absence
- d) pleural rub
- The syndrome of accumulation of fluid in the pleural cavity includes the following percussion and auscultation symptoms:
- a) a dull sound and the absence of vesicular breath
- b) tympanic sound and amforic breathing
- c) a dull sound and bronchial breathing
- d) lung sounds and hard breathing
- e) sound and pulmonary pleural rub
- The syndrome of accumulation of fluid in the pleural cavity on chest radiograph indicated:
- a) the cavity with a horizontal fluid level
- b) increase the transparency of the lungs
- c) intense homogeneous light shade
- d) illumination pulmonary field
- For exudative pleurisy is the most characteristic:
- a) productive cough
- b) shortness of breath when walking
- c) "rusty sputum"
- d) pleural rub
- e) the lack of breathing on auscultation and a dull sound on percussion
- Syndrome of pneumothorax most characteristic feature is:
- a) periodic attacks of breathlessness and suffocation
- b) slowly over many months developing breathlessness and suffocation
- c) suddenly developed shortness of breath, turning into asthma
- d) cough with expectoration "mouth full."
- Syndrome of pneumothorax during the inspection characteristic:
- a) flattening of intercostal spaces
- b) bulging intercostal spaces
- c) expansion of intercostal spaces
- d) the disappearance of intercostal spaces
- Syndrome of pneumothorax during palpation of the chest voice trembling:
- a) normal
- b) sharply weakened until its absence
- c) strengthened
- d) increased sharply
- Syndrome of pneumothorax during light percussion is determined by:
- a) the blunting of pulmonary sound
- b) a dull sound
- c) box sound
- d) tympanic sound
- e) "noise cracked pot."
- Syndrome of pneumothorax during palpation and percussion of the lung characterized by:
- a) a weakening voice jitter and blunting of pulmonary sound
- b) the weakening of the voice jitter and dull sound
- c) the weakening of the voice jitter and box sound
- d) a sharp weakening of the voice jitter and tympanic sound
- e) strengthening the voice jitter and blunting of pulmonary sound
- The sharp weakening of the voice jitter and tympanic sound during palpation and percussion of the lung observed in syndrome:
- a) the consolidation of pulmonary lung tissue
- b) forming a cavity in the lung
- c) the accumulation of fluid in the pleural cavity
- d) accumulation of air in the pleural cavity
- e) bronchial obstruction
- Syndrome of pneumothorax during auscultation is defined by:
- a) vesicular breathing
- b) hard breathing
- c) abnormal bronchial breathing
- d) drastically weakened vesicular breathing until his absence
- e) pleural rub
- Syndrome of pneumothorax during percussion and auscultation of the lungs characterized by a combination of the following symptoms:
- a) bloat and amforic breathing
- b) dull sound and bronchial breathing
- c) bloat, and a sharp increase in vesicular breathing
- d) of bloat and sharply weakened vesicular breathing
- Syndrome of pneumothorax during palpation and auscultation of the lungs characterized by the following combination syptoms:
- a) strengthening the voice jitter and amforic breathing
- b) strengthening the voice jitter and vesicular breathing
- c) a weakening of the voice tremor and vesicular breathing
- d) the weakening of voice tremor and pleural rub
- The syndrome of accumulation of air in the pleural cavity include the following symptoms:
- a) a dull sound, vesicular breathing is absent
- b) tympanic sound, vesicular breathing is absent
- c) a dull sound, bronchial breathing
- d) tympanic sound, bronchial breathing
- Syndrome of pneumothorax on chest X-RAY (radiography) is characterized by:
- a) a cavity with a horizontal fluid level
- b) increase the transparency of the lungs
- c) intense homogeneous light shade
- d) illumination pulmonary field
- On chest X-RAY (radiography) shadow sleeping lung (lung collapse) observed in the syndrome:
- a) the seal of the lung tissue
- b) emphysema
- c) the accumulation of fluid in the pleural cavity
- d) pneumothorax
- e) forming a cavity in the lung
- The main complaint of patients with respiratory failure is a syndrome:
- a) cough
- b) expectoration
- c) hemoptysis
- d) dyspnea
- For respiratory distress syndrome characterized:
- a) thorax pain
- b) fever
- c) dru wheezing
- d) wet wheezing
- e) dyspnea
- For respiratory distress syndrome is characterized by the following skin color:
- a) acrocyanosis
- b) diffuse cyanosis
- c) cherry "red-blooded"
- d) pale
- At the level of respiratory distress syndrome of the partial pressure of oxygen in the blood:
- a) increased
- b) normal
- c) reduced
- d) increased sharply
- At the level of respiratory distress syndrome of the partial pressure of carbon dioxide in the blood:
- a) increased
- b) normal
- c) reduced
- d) greatly reduced
- Dyspnea, tachypnea, diffuse cyanosis, decreased level of O2 in the blood and an increased level of CO2 in the blood observed in syndrome:
- a) the seal of the lung tissue
- b) respiratory failure
- c) forming a cavity in the lung
- d) heart failure
- For asthma specific feature in auscultation is:
- a) the absence of vesicular breath
- b) crackles
- c) crepitus
- d) hard breathing, and dry rales
- e) pleural rub
- Patients with emphysema there is an increase:
- a) vital capacity
- b) the breathing capacity of the lungs
- c) MVL
- d) the residual volume of the lungs
- e) forced expiratory volume
- In the dry pleurisy chest pain decreased in the state:
- a) lying on the healthy side
- b) the patient lying on his side
- c) lying on his back
- d) lying on his stomach
- A specific feature of dry pleurisy when auscultation is:
- a) pleural rub
- b) dry wheezing
- c) crackles
- d) crepitus
- Pleural rub during auscultation typical for:
- a) spontaneous pneumothorax
- b) dry pleurisy
- c) acute and chronic bronchitis
- d) asthma
- e) exudative pleurisy
- The typical localization of coronary pain is:
- a) the area of the heart
- b) the left half of the chest
- c) retrosternal region
- d) the left shoulder
- e) the left half of the body
- After taking medication of nitroglycerin the coronary pain disappears after
- a) 0 - 30 sec.
- b) 1 - 2 minutes
- c) 15 - 30min
- d) for 1-2 hours
- The coronary pain irradiates
- a) neck and head
- b) the right and the left leg
- c) the left shoulder, left arm and shoulder blade
- d) the right and left upper quadrant
- Coronary pain is a specific feature of:
- a) angina pectoris
- b) myocarditis
- c) heart failure
- d) cardiomyopathy
- The duration of the coronary pain in myocardial infarction usually is:
- a) 5 -15 seconds
- b) 5 -15 minutes
- c) 15 - 30 minutes
- d) from 30 minutes to 2 hours or more
- Coronary pain with localization behind the sternum, pressing character associated with physical activity, radiating to the left shoulder, the duration (an average of 5 minutes), and disappears after 1-2 minutes after taking nitroglycerin obtained in:
- a) stable angina
- b) new-onset angina
- c) progressive angina
- d) spontaneous angina
- e) acute coronary syndrome
- Classical coronary pain which occurrs intermittently for 1 month, typical for:
- a) stable angina
- b) new-onset angina
- c) progressive angina
- d) spontaneous angina
- e) acute coronary syndrome
- The frequent and severe attacks with coronary pain lasting 5 to 15 minutes and the low efficiency of nitroglycerin obtained at:
- a) stable angina
- b) new-onset angina
- c) progressive angina
- d) spontaneous angina
- e) acute coronary syndrome
- Coronary pain lasting 15-30 minutes, with no clear link to physical activity and low effectiveness of nitroglycerin are characteristic:
- a) stable angina
- b) new-onset angina
- c) progressive angina
- d) spontaneous angina
- e) acute coronary syndrome
- Coronary pain lasting from 30 minutes to 2 hours or more, more expressions (“burning pain”) and the lack of effect of nitroglycerin are characteristic:
- a) stable angina
- b) new-onset angina
- c) progressive angina
- d) spontaneous angina
- e) acute coronary syndrome
- Attacks of inspiratory dyspnea–is a sign of:
- a) asthma
- b) acute left ventricular heart failure (pulmonary edema)
- c) myocardial infarction
- d) angina
- Cough with frothy sputum is obtained when:
- a) asthma
- b) acute left ventricular heart failure (pulmonary edema)
- c) myocardial infarction
- d) angina
- Forced position "orthopnoea" occurs when:
- a) acute left ventricular heart failure
- b) acute right heart failure
- c) chronic right ventricular heart failure
- d) chronic left ventricular heart failure
- Acrocyanosis most typical for:
- a) acute and chronic left ventricular heart failure
- b) acute right heart failure
- c) chronic right ventricular heart failure
- d) only chronic left ventricular heart failure
- De Musset′s sign (rhythmical rocking of the head at the same time with the pulsation of the carotid arteries) occurs when:
- a) stenosis of the aortic valve
- b) the failure of the aortic valve
- c) stenosis of the mitral valve
- d) failure of the mitral valve
- The swollen neck veins occur when:
- a) acute left ventricular heart failure
- b) acute and chronic right ventricular heart failure
- c) only chronic right ventricular heart failure
- d) chronic left ventricular heart failure
- Capillary (arteriolar) pulse is typical for:
- a) mitral stenosis
- b) the failure of the mitral valve
- c) aortic stenosis
- d) aortic insufficiency
- e) failure of the tricuspid valve
- If there is swelling of feet and legs what will be during doctor’s finger pressure:
- a) there is cyanosis
- b) a pit or depression is formed
- c) there is a acute pallor
- d) appears hemorrhagic rash
- Ascites - a fluid collection:
- a) in the peritoneal cavity
- b) in the pleural cavity
- c) in the pericardial cavity
- d) throughout the body
- The patient during the examination revealed ascites, edema of the feet and legs. What form of heart failure occurs in this patient?:
- a) acute left ventricular heart failure
- b) acute and chronic right ventricular heart failure
- c) only chronic right ventricular heart failure
- d) chronic left ventricular heart failure
- The intensified pulse occurs when:
- a) the hypertrophy of the left atrium
- b) stenosis of the aortic valve
- c) hypertension
- d) failure of the aortic valve
- When doctor is performing palpation of apical impulse he puts his palm of his right hand on:
- a) his palm on chest and fingers on axillary region between the V and VI ribs
- b) IV intercostal space left of the sternum
- c) the top of the heart and the second intercostal space to the right
- d) the second intercostal space on the right
- The apical impulse - a strike of the heart apex to the chest during:
- a) the systole
- b) diastole
- c) systole and diastole
- d) inhalation
- e) an exhalation
- The normal apical impulse is located in the V intercostal space on the left:
- a) 1 cm medially from the left midclavicular line
- b) 1 cm outwards from the left leftmidclavicular line
- c) at the left midclavicular line
- d) at 2 cm laterally from the left midclavicular line
- The displacement or movement of apical impulse to the left than in normal indicates:
- a) the hypertrophy of the left atrium
- b) left ventricular hypertrophy
- c) hypertrophy of the right atrium
- d) right ventricular hypertrophy
- The increased area, strength and resistance of apical impulse occurs in:
- a) the hypertrophy of the left atrium
- b) left ventricular hypertrophy
- c) hypertrophy of the right atrium
- d) right ventricular hypertrophy
- The displacement or movement of apical impulse to the left and downwardthan in normal is obtained when:
- a) the hypertrophy and dilatation of the left atrium
- b) hypertrophy and dilation of the left ventricle
- c) hypertrophy and dilatation of the right atrium
- d) hypertrophy and dilatation of the right ventricle
- Cardiac impulse –is a strike to the chest of:
- a) the apex of the left ventricle
- b) of the left ventricle
- c) the heart, especially of the right ventricle
- d) the right atrium
- e) of the left atrium
- To determine the cardiac impulse palm of the right hand of the doctor is placed:
- a) on top of the heart
- b) in II intercostal space to the right
- c) in II intercostal space on the left
- d) in the IV intercostal space left of the sternum
- e) IV intercostal space to the right of the sternum
- In normally cardiac impulse:
- a) determined at people with asthenic constitution
- b) with hypersthenic constitution
- c) determined in children
- d) is not determined
- The obtaining of cardiac impulseduring palpation o is characteristic for:
- a) the hypertrophy of the left atrium
- b) left ventricular hypertrophy
- c) hypertrophy of the right atrium
- d) right ventricular hypertrophy
- To determine the epigastric pulsation of the palm of the right hand is placed:
- a) on top of the heart
- b) in II intercostal space to the right
- c) in II intercostal space on the left
- d) under the xiphoid process of the sternum
- e) in the left epigastric region
- In normal the epigastric pulsation is:
- a) determined at asthenic constitution
- b) determined at hypersthenics
- c) determined in children
- d) is not determined
- Epigastric pulsation is a characteristic feature of:
- a) the hypertrophy of the left atrium
- b) left ventricular hypertrophy
- c) hypertrophy of the right atrium
- d) right ventricular hypertrophy
- The presence of epigastric pulsation is synchronous with:
- a) apical impulse
- b) apex impulse to the left and down
- c) the presence of cardiac impulse
- d) lack of apical impulse
- The absence of a pulse in the carotid arteries - is one of the significant features of:
- a) atherosclerosis
- b) aortic stenosis
- c) clinical death
- d) myocardial infarction
- e) hypertension
- The borders of the relative dullness of heart means the border of:
- a) the left atrium
- b) the right atrium
- c) the left ventricle
- d) the right ventricle
- e) the heart
- The borders of absolute dullnes of the heart mean the border of:
- a) the left atrium
- b) the right atrium
- c) the left ventricle
- d) the right ventricle
- e) the heart
- Normally, the right border of the relative dullness of the heart is determined:
- a) 1 cm outwards from the right edge of the sternum in the IV intercostal space
- b) 1 cm medially from the left midclavicular line in the V intercostal space
- c) in the III intercostal space on the left
- d) equal with the apical impulse
- Normally, the left border of the relative dullness of the heart is determined:
- a) 1 cm outwards from the right edge of the sternum in the IV intercostal space
- b) 1 cm medially from the left midclavicular line in the V intercostal space
- c) in II intercostal space on the left
- d) 1 cm outwards from the left midclavicular line in the V between
- The displacement of the left border of the relative dullness of the heart to the left is characteristic for:
- a) the hypertrophy of the left atrium
- b) left ventricular hypertrophy
- c) hypertrophy of the right atrium
- d) right ventricular hypertrophy
- The displacement of the relative dullness of the heart to the left and down is typical for:
- a) the hypertrophy and dilatation of the left atrium
- b) hypertrophy and dilation of the left ventricle
- c) hypertrophy and dilatation of the right atrium
- d) hypertrophy and dilatation of the right ventricle
- The displacement of the relative dullness of the heart up is typical for:
- a) the hypertrophy of the left atrium
- b) left ventricular hypertrophy
- c) hypertrophy of the right atrium
- d) right ventricular hypertrophy
- The waist of the heart is smoothed when:
- a) the hypertrophy of the left atrium
- b) left ventricular hypertrophy
- c) hypertrophy of the right atrium
- d) right ventricular hypertrophy
- The waist of the heart is more definite than normal means:
- a) the hypertrophy of the left atrium
- b) left ventricular hypertrophy
- c) hypertrophy of the right atrium
- d) right ventricular hypertrophy
- The displacement of the right relative dullness at its right border to the right is typical for:
- a) the hypertrophy of the left atrium
- b) left ventricular hypertrophy
- c) hypertrophy of the right atrium
- d) right ventricular hypertrophy
- The expanding of the borders of the absolute heart dullness is obtained in:
- a) the hypertrophy of the left atrium
- b) left ventricular hypertrophy
- c) hypertrophy of the right atrium
- d) right ventricular hypertrophy
- The coincidence or equality of the borders of the relative and absolute dullness of the heart is typical for:
- a) the hypertrophy of the left atrium
- b) left ventricular hypertrophy
- c) hypertrophy of the right atrium
- d) right ventricular hypertrophy
- e) syndrome fluid accumulation in the pericardial cavity
- The displacement of the upper border of the relative dullness of the heart up and smoothed waist is typical for:
- a) the hypertrophy of the left atrium
- b) left ventricular hypertrophy
- c) hypertrophy of the right atrium
- d) right ventricular hypertrophy
- The combination of having a heart push and expand the borders of absolute dullnes of the heart is typical for:
- a) the hypertrophy of the left atrium
- b) left ventricular hypertrophy
- c) hypertrophy of the right atrium
- d) right ventricular hypertrophy
- The sequence or order of auscultation of the heart valves:
- a) mitral, aortic, pulmonary, tricuspid
- b) the aortic, mitral, pulmonary, tricuspid
- c) pulmonary, mitral, aortic, tricuspid
- d) the tricuspid, mitral, aortic, pulmonary
- During auscultation of the heart assess:
- a) heart sounds and murmurs of the heart
- b) blood pressure
- c) the size of the heart
- d) cardiac output
- The first tone is made by the systole of which valves:
- a) the aortic valve
- b) the tricuspid and mitral valves
- c) the pulmonary valve
- d) the aortic valve and the pulmonary artery
- The second tone is made by which valves:
- a) the aortic valve and the pulmonary valve
- b) of the mitral and tricuspid valves
- c) the mitral valve
- d) pulmonary valve
- The performance of the auscultation of first tone:
- a) at the top and at the base of the xiphoid process
- b) in the second intercostal space to the right
- c) in the second intercostal space on the left
- d) in the second intercostal space to the left and right
- The performance of the auscultation of second tone
- a) at the top
- b) at the base of the xiphoid process
- c) in the second intercostal space to the right and left
- d) at the top and at the base of the xiphoid process
- The I tone at the apex is obtained at:
- a) the failure of the mitral valve
- b) the tricuspid valve
- c) failure of the aortic valve
- d) stenosis of the left atrioventricular opening
- e) aortic stenosis
- Weakening of th first tone at the top is obtained at:
- a) the failure of mitral valve disease and infarction
- b) stenosis of the mitral valve
- c) stenosis of the tricuspid valve
- d) failure of the tricuspid valve
- Accent of II tone in II intercostal space on the right is obtained when:
- a) aortic stenosis
- b) the insufficiency of the aortic valve
- c) hypertensive disease
- d) pulmonary hypertension.
- The weakening of II tone in II intercostal space on the right is obtained when:
- a) aortic stenosis and insufficiency of the aortic valve
- b) hypertensive disease
- c) pulmonary hypertension
- d) mitral stenosis
- Emphasis of II tone in II intercostal space on the left is characteristic for:
- a) arterial hypertension
- b) hypotension
- c) pulmonary hypertension
- d) stenosis pulmonary valve
- e) pulmonary valve insufficiency
- The weakening of II tone in II intercostal space on the left is characteristic for:
- a) the failure of stenosis and pulmonary valve
- b) pulmonary hypertension
- c) hypertension
- d) aortic valve stenosis
- Theemphasis of I tone at the base of the xiphoid process is typical for:
- a) the failure of the mitral valve
- b) stenosis of the tricuspid valve
- c) failure of the mitral valve
- d) the tricuspid valve stenosis
- The weakening of I tone at the base of the xiphoid process is typical for:
- a) the failure of the mitral valve
- b) stenosis of the mitral valve
- c) the tricuspid valve
- d) the tricuspid valve stenosis
- The appearance of III additional tones at the apex of the heart is a specific sign of:
- a) failure of the mitral valve
- b) stenosis of the mitral valve
- c) the tricuspid valve
- d) the tricuspid valve stenosis
- The appearance of III additional tones at the base of the xiphoid process characteristic:
- a) the failure of the mitral valve
- b) stenosis of the mitral valve
- c) the tricuspid valve
- d) the tricuspid valve stenosis
- The occurrence of III pathological tone is typical for a severe defeat:
- a) endocardium
- b) myocardium
- c) pericardium
- d) large vessels
- The appearance of systolic murmur at the apex of the heart is typical for:
- a) the failure of the mitral valve
- b) stenosis of the mitral valve
- c) the tricuspid valve
- d) the tricuspid valve stenosis
- Systolic murmur in II intercostal space on the right and at the point Botkin-Erb is listened when:
- a) stenosis of the aortic valve
- b) the insufficiency of the aortic valve
- c) the tricuspid valve
- d) failure pulmonary valve
- e) pulmonary valve stenosis
- Systolic murmur on the basis of the xiphoid process is typical for:
- a) the failure of the mitral valve
- b) stenosis of the mitral valve
- c) the tricuspid valve
- d) the tricuspid valve stenosis
- Systolic murmur in II intercostal space on the left is obtained when:
- a) stenosis of the aortic valve
- b) the insufficiency of the aortic valve
- c) the tricuspid valve
- d) failure pulmonary valve
- e) pulmonary valve stenosis
- At what heart defects systolic murmur conducted on the carotid artery:
- a) failure of the mitral valve
- b) the tricuspid valve
- c) aortic stenosis
- d) stenosis pulmonary valve
- Diastolic murmur at the apex of the heart occurs when:
- a) the failure of the mitral valve
- b) stenosis of the mitral valve
- c) the tricuspid valve
- d) the tricuspid valve stenosis
- The diastolic murmur at the base of the xiphoid process occurs when:
- a) the failure of the mitral valve
- b) stenosis of the mitral valve
- c) the tricuspid valve
- d) the tricuspid valve stenosis
- The diastolic murmur in II intercostal space on the right and at the point Botkin-Erb obtained in:
- a) aortic valve regurgitation
- b) stenosis of the aortic valve
- c) stenosis pulmonary valve
- d) pulmonary valve insufficiency
- The diastolic murmur in II intercostal space on the left is characteristic for:
- a) aortic valve regurgitation
- b) stenosis of the aortic valve
- c) stenosis pulmonary valve
- d) pulmonary valve insufficiency
- Pericardial rub occurs when:
- a) syndrome, inflammation of the myocardium
- b) dry pericarditis
- c) syndrome fluid accumulation in the pericardial cavity
- d) endocardial lesions syndrome
- Pericardial rub with pressure stethoscope:
- a) becomes stronger
- b) weakens
- c) disappears
- d) does not change
- Which large vessels you can perform auscultation:
- a) of the aorta
- b) of the carotid, subclavian, brachial and femoral arteries
- c) the ulnar artery
- d) temporal artery
- In some cases, auscultation of the renal arteries can be heard, when:
- a) always
- b) for hypertension in the elderly
- c) for hypertension in the young
- d) with hypotension in the young
- Normally, the auscultation of the carotid, subclavian and brachial arteries:
- a) is defined by three tones
- b) is determined by the two-tone
- c) is defined by a single tone
- d) are not defined tones
- Normally, auscultation femoral arteries:
- a) is defined by three tones
- b) is determined by the two-tone
- c) is defined by a single tone
- d) are not defined
- Normally, the auscultation of the carotid, subclavian and brachial arteries:
- a) is defined by a triple noise
- b) determined by dual noise
- c) is determined by a noise
- d) is not determined by the noise
- Normally, the auscultation femoral arteries:
- a) is defined by a triple noise
- b) determined by dual noise
- c) is determined by a noise
- d) is not determined by the noise
- Normally, the auscultation of the renal arteries:
- a) is defined by a triple noise
- b) determined by dual noise
- c) is determined by a noise
- d) is not determined by the noise
- Systolic murmur on the carotid, subclavian and brachial artery occurs when:
- a) nonspecific inflammation of aorta and coarctation of the aorta
- b) stenosis of the mitral valve
- c) aortic valve regurgitation
- d) failure of the mitral valve
- Systolic murmur on the carotid arteries in combination with a systolic murmur in II intercostal space on the right and at the point Botkin-Erb can be obtained in:
- a) nonspecific aortoarteriit and coarctation of the aorta
- b) stenosis of the mitral valve
- c) aortic valve regurgitation
- d) failure of the mitral valve
- The dual tone Traube on Friday femoral arteries is obtained in:
- a) nonspecific aortoarteriit and coarctation of the aorta
- b) stenosis of the mitral valve
- c) aortic valve regurgitation
- d) failure of the mitral valve
- Dual noise Duroziez femoral arteries observed in:
- a) nonspecific aortoarteriit and coarctation of the aorta
- b) stenosis of the mitral valve
- c) aortic valve regurgitation
- d) failure of the mitral valve
- Systolic murmur in the renal arteries occurs when:
- a) renal artery stenosis
- b) the dilatation of the renal artery
- c) stenosis of the mitral valve
- d) failure of the aortic valve
- e) failure of the mitral valve
- In physician”s clinical practice, the blood pressure measurement is performed in:
- a) the aorta
- b) the carotid arteries
- c) the subclavian artery
- d) of the brachial artery
- e) the femoral arteries
- To assess the level of blood pressure should be performed:
- a) one measurement
- b) at least two (2) measurements with interval in 1 min
- c) at least two (2) measurements with interval in 1 hour
- d) not less than three (3) measurements with interval in 1 min
- As the most correct value of the blood pressure is taken:
- a) a higher value of the last two measurements
- b) the lower of the two last measurements
- c) the average of the last two measurements
- d) the average of all measurements
- The normal blood pressure is:
- a) 120/80 mm Hg.
- b) 90/60 - 120/80 mm Hg
- c) 100/60 - 139/89 mm Hg
- d) was 140/90 mm Hg. and higher
- The normal pulse pressure is:
- a) 20-25 mm Hg
- b) 30-35 mm Hg
- c) 40-45 mm Hg
- d) of 50-55 mm Hg
- Hypertension - the number of blood pressure in mm. Hg. is:
- a) 100/60 or higher
- b) 120/80 or higher
- c) 130/85 or higher
- d) 140/90 or higher
- Increased pulse pressure is obtained when:
- a) arterial hypertension
- b) arterial hypotension
- c) aortic stenosis
- d) failure of the aortic valve
- e) failure of the mitral valve
- In a normal blood pressure of the femoral artery as compared with the brachial artery:
- a) below
- b) above
- c) the same
- d) was acutely lower
- The blood pressure of femoral artery is lower than in the brachial artery. What may indicate:
- a) coarctation of the aorta
- b) of the mitral stenosis
- c) on aortic stenosis
- d) of the aortic valve
- e) failure of the mitral valve
- Incensed pulse (pulsusdurus) is detected in a syndrome:
- a) the hypertrophy of the left atrium
- b) left ventricular hypertrophy
- c) hypertrophy of the right atrium
- d) right ventricular hypertrophy
- e) arterial hypertension
- f) hypotension
- A large, high and fast heart rate obtained in:
- a) the hypertrophy of the left atrium
- b) stenosis of the aortic valve
- c) hypertension
- d) failure of the aortic valve
- Small and slow heart rate obtained in:
- a) the hypertrophy of the left atrium
- b) stenosis of the aortic valve
- c) hypertension
- d) failure of the aortic valve
- The absence of a pulse on one of the radial artery is obtained when:
- a) hypertrophy of the left atrium
- b) stenosis of the aortic valve
- c) hypertension
- d) failure of the aortic valve
- e) non-specific aortoarteriit and Takayasu′s disease
- The lack of pulse is obtained in the form of heart rhythm disorders:
- a) extrasystoles
- b) atrial fibrillation
- c) paroxysmal tachycardia
- d) the full degree A-V block
- e) ventricular fibrillation
- Hypercholesterolemia is a specific feature:
- a) arterial hypertension
- b) atherosclerosis
- c) heart disease
- d) of coronary heart disease
- Hyperenzymemia (increase of cardiac enzymes) is characteristic:
- a) myocardial infarction
- b) angina
- c) congenital heart disease
- d) pericarditis
- e) hypertension
- the X-RAY of aortic heart obtained :
- a) the hypertrophy of the left atrium
- b) left ventricular hypertrophy
- c) hypertrophy of the right atrium
- d) right ventricular hypertrophy
- the X-RAY of mitral configuration of the heart occurs when:
- a) the hypertrophy of the left atrium
- b) left ventricular hypertrophy
- c) hypertrophy of the right atrium
- d) right ventricular hypertrophy
- The number of leads in the ECG is normal:
- a) 3
- b) 6
- c) 12
- d) 24
- e) 36
- In the classical ECG in each lead recorded the following number of cardiac cycles:
- a) at least 2
- b) at least 3
- c) not less than 4
- d) from 4 to 6 or more
- In the ECG with the speed of the paper 50 mm/sec. the distance of 1 mm (or 1 small cell) on the tape corresponds to:
- a) with 0.01
- b) 02
- c) 05
- d) 1
- In the ECG with the speed of the paper 50 mm/sec. the distance of 5 mm (or 1 large cage) on the tape corresponds to:
- a) with 0.01
- b) 02
- c) 05
- d) 1
- The rhythm is correct when ECG detected the same length of the interval:
- a) PP
- b) R-R
- c) S-S
- d) Q-Q
- e) T-T
- In healthy people, the horizontal position of the electrical axis of the heart is seen in:
- a) normostenik
- b) hypersthenics
- c) astenikov
- d) normostenik and astenikov
- In healthy people, the vertical position of the electrical axis of the heart is seen in:
- a) normostenik
- b) hypersthenics
- c) astenikov
- d) normostenik and hypersthenics
- The P wave on the electrocardiogram reflects the excitement:
- a) the right atrium
- b) of the left atrium
- c) the left ventricle
- d) the right ventricle
- e) the right and left atria
- The rate of the electrocardiogram P wave in lead aVR:
- a) positive
- b) negative
- c) two-phase
- d) two-prong
- The rate of the electrocardiogram P wave in lead V1-2:
- a) positive
- b) negative
- c) two-phase
- d) two-prong
- On the electrocardiogram PQ interval reflects the time passage of pulses:
- a) the ventricles
- b) atria
- c) in the interventricular septum
- d) in the atrioventricular compound
- e) of bundle branch block
- In a normal electrocardiogram PQ interval duration (in seconds) is equal to:
- a) 03-0.1
- b) 05-0.1
- c) 0,1-0,16
- d) 0,12-0,20
- QRS complex on the electrocardiogram reflects the excitement:
- a) sinus
- b) atrial
- c) ventricles
- d) A-V node
- On the electrocardiogram the Q wave:
- a) is always positive
- b) is always negative
- c) can be either positive or negative
- d) may be biphasic
- The depth of Q wave on the electrocardiogram is normal:
- a) no more than 5 mm
- b) 5-10 mm
- c) 10-15 mm
- d) not more than 1/4 R
- e) not more than 1/4 S
- The duration of Q wave on the electrocardiogram was normal in seconds:
- a) not more than 0.03
- b) 03-0.05
- c) 06-0.1
- d) 1-0.3
- e) more than 0.03
- R-wave on the electrocardiogram is normal:
- a) is always positive
- b) is always negative
- c) can be either positive or negative
- d) may be biphasic
- The rate of the electrocardiogram in precordial leads maximum R wave is noted in:
- a) V1
- b) V2
- c) V3
- d) V4
- e) V5
- f) V6
- The S wave is normal in the electrocardiogram:
- a) is always positive
- b) is always negative
- c) can be either positive or negative
- d) may be biphasic
- The normal electrocardiogram transitional zone is located in the chest leads following:
- a) V1
- b) V2
- c) V3
- d) V4
- e) V5
- f) V6
- Normally, the ST segment of the electrocardiogram is:
- a) contour
- b) up to 1 mm from the contour
- c) from 1 mm down contour
- d) up to 2 mm from the contour
- e) of 2 mm below the contour
- The T wave at normal electrocardiogram leads I, II, avF, V6-V2:
- a) always positive
- b) is always negative
- c) can be either positive or negative
- d) may be biphasic
- The T wave in normal electrocardiogram in leads III, avL and V1 is:
- a) is always positive
- b) is always negative
- c) can be both positive and negative, it can be a two-phase
- d) dvuhgorby
- The T′wave in normal electrocardiogram in lead avR is:
- a) is always positive
- b) is always negative
- c) can be both positive and negative, it can be a two-phase
- d) dvuhgorby
- The sign of the deviation electrical axis to the right of the heart on electrocardiogram is:
- a) RIII> RII> RI
- b) RI> RII> RIII
- c) RII> RI> RIII
- d) RII> RIII> RI
- The sign of the deviation electrical axis to the left on the electrocardiogram is:
- a) RIII> RII> RI
- b) RI> RII> RIII
- c) RII> RI> RIII
- d) RII> RIII> RI
- The axis deviation to the right on the electrocardiogram characteristic of hypertrophy:
- a) the right atrium
- b) of the left atrium
- c) the left ventricle
- d) the right ventricle
- The axis deviation to the left of the electrocardiogram is characteristic of hypertrophy:
- a) the right atrium
- b) of the left atrium
- c) the left ventricle
- d) the right ventricle
- P-pulmonale - is the appearance of the electrocardiogram:
- a) high, peaked P wave in leads III and avF
- b) wide and two-humped P wave in leads I and avL
- c) a negative P wave in leads III and avF
- d) negative P wave in leads I and avL
- P-mitrale - is the appearance of the electrocardiogram:
- a) high, peaked P wave in leads III and avF
- b) wide and two-humped P wave in leads I and avL
- c) a negative P wave in leads III and avF
- d) negative P wave in leads I and avL
- On the electrocardiogram P- pulmonale occurs with hypertrophy of:
- a) the right atrium
- b) of the left atrium
- c) the left ventricle
- d) the right ventricle
- On the electrocardiogram P-mitrale occurs with hypertrophy of:
- a) the right atrium
- b) of the left atrium
- c) the left ventricle
- d) the right ventricle
- The increase in the interval PQ (more than 0,20s) in the electrocardiogram obtained in:
- a) atrial fibrillation
- b) beats
- c) the A-V heart block
- d) premature ventricular syndrome (syndrome WPW)
- Reducing the interval PQ (less than 0,12s) in the electrocardiogram obtained in:
- a) atrial fibrillation
- b) beats
- c) the A-V heart block
- d) premature ventricular syndrome (syndrome WPW)
- The absence of P wave, the presence of waves F (f) instead of the P wave and the existence of different RR interval on the electrocardiogram is an absolute indication of:
- a) atrial fibrillation
- b) beats
- c) the A-V heart block
- d) premature ventricular syndrome (syndrome WPW)
- The negative T waves on the electrocardiogram - a sign:
- a) myocardial ischemia
- b) myocardial damage
- c) myocardial necrosis
- d) scar (cardiosclerosis)
- The displacement in the ST segment of 1mm or more down (depressed) or up (rise) in the electrocardiogram - a sign:
- a) myocardial ischemia
- b) myocardial damage
- c) myocardial necrosis
- d) scar (cardiosclerosis)
- The displacement in the ST segment of 1mm or more down (depression) on the electrocardiogram is a characteristic feature:
- a) myocardial infarction
- b) myocardial infarction
- c) angina and acute coronary syndrome
- d) spontaneous angina and acute coronary syndrome
- The displacement in the ST segment of 1mm or more up (rise) in the electrocardiogram is a characteristic feature:
- a) myocardial infarction
- b) myocardial infarction
- c) angina and acute coronary syndrome
- d) spontaneous angina and acute coronary syndrome
- Q wave on the electrocardiogram is considered abnormal if it:
- a) The width of> 0.01 and a depth of more than 1/4 R
- b) The width of> 0.03 and a depth of more than 1/4 R
- c) The width of> 0.03 and a depth of more than 1/4 S
- d) the width of <0.03 seconds
- Pathological Q wave on the electrocardiogram - a sign:
- a) myocardial ischemia
- b) myocardial damage
- c) myocardial necrosis or scar (cardiosclerosis)
- d) myocardial degeneration
- The presence of abnormal electrocardiographic Q wave is a sign:
- a) myocardial infarction or post- infarction cardiosclerosis
- b) new-onset angina
- c) angina
- d) spontaneous angina
- What is the instrumental non-invasive method is currently the most accurate method for diagnosing heart defects:
- a) X-ray of the heart
- b) an electrocardiogram
- c) phonocardiogram
- d) an echocardiogram
- What is the instrumental non-invasive method is currently the most accurate method of myocardial hypertrophy:
- a) X-ray of the heart
- b) an electrocardiogram
- c) phonocardiogram
- d) an echocardiogram
- What is the instrumental non-invasive method is currently the most accurate method of detecting the early stages of chronic heart failure:
- a) X-ray of the heart
- b) an electrocardiogram
- c) phonocardiogram
- d) an echocardiogram
- Electrocardiographic test with physical exercise (bicycle stress test) is used to diagnose:
- a) myocardial infarction or post- infarction cardiosclerosis
- b) new-onset angina
- c) angina
- d) spontaneous angina
- Electrocardiographic test with physical exercise (bicycle stress test) is considered to be negative if:
- a) is reached submaximal heart rate, without the dynamics of the segment ST
- b) noted an attack of coronary pain and / or ST-segment depression of 1 mm or more
- c) develops severe shortness of breath
- d) develop severe weakness
- Electrocardiographic test with physical exercise (bicycle stress test) is considered positive if:
- a) is reached submaximal heart rate, without the dynamics of the segment ST
- b) noted an attack of coronary pain and / or ST-segment depression of 1 mm or more
- c) develops severe shortness of breath
- d) develop severe weakness
- A positive test with electrocardiographic exercise (bicycle stress test) is characteristic:
- a) myocardial infarction or post- infarction cardiosclerosis
- b) new-onset angina
- c) angina
- d) spontaneous angina
- Hour electrocardiographic monitoring was used to diagnose:
- a) myocardial infarction or post- infarction cardioclerosis
- b) new-onset angina
- c) angina
- d) spontaneous angina
- Hour electrocardiographic monitoring was considered positive if the obtained:
- a) tachycardia
- b) ST-segment depression of 1 mm or more
- c) ST-segment elevation of 1 mm or more
- d) arrhythmia and heart block.
- Positive results around the clock electrocardiographic monitoring characteristic for:
- a) myocardial infarction or post- infarction cardiosclerosis
- b) new-onset angina
- c) angina
- d) spontaneous angina
- The syndrome of hypertension - high blood pressure is higher than:
- a) 100/70 mm. Hg
- b) 110/75 mm Hg
- c) 120/80 mm Hg
- d) 130/85 mm Hg
- e) 140/90 mm. Hg
- The syndrome of arterial hypertension the pulse on radial artery is:
- a) filling and high voltage
- b) small filling
- c) a large and high
- d) is absent
- e) slow
- The hypertension syndrome the II tone in the second intercostal space on the right is:
- a) strengthened (emphasis)
- b) is weakened
- c) is not changed
- d) offline
- The hypertension syndrome develops hypertrophy of:
- a) the left atrium
- b) the right atrium
- c) the left ventricle
- d) the right ventricle
- The syndrome of hypertension during the fundus examination revealed:
- a) narrowing of arterioles
- b) expansion of arterioles
- c) the restriction of venules
- d) expansion of arterioles and venules narrowing
- The specific features of the syndrome of coronary insufficiency on the background of angina pectoris during coronary attack pain on electrocardiogram is:
а) ST-segment depression 1 mm or more
- b) ST-segment elevation 1 mm or more
- c) pathological tooth Q
- d) negative (CABG) T wave
- e) All right
- The syndrome of coronary heart disease on the background of stable angina coronary duration of pain:
- a) 0-60 seconds
- b) 1-3 minutes
- c) 2-15 (average 5) minutes
- d) from 30min to 2 hours or more
- In variations of coronary syndrome insufficiency with coronary infarction duration of pain:
- a) 0-60 seconds
- b) 1-3 minutes
- c) 2-15 (average 5) minutes
- d) from 30min to 2 hours or more
- For coronary insufficiency syndrome during an attack of coronary pain and electrocardiographic test with physical exercise (bicycle stress test) on the electrocardiogram is characterized by:
- a) ST-segment depression of 1 mm or more
- b) ST-segment elevation of 1 mm or more
- c) pathological tooth Q
- d) shortening of the interval P-Q
- The syndrome of coronary insufficiency of coronary attacks of pain and ST segment depression of 1 mm or more in the electrocardiogram obtained for this form of coronary heart disease, such as:
- a) stable angina
- b) progressive angina
- c) spontaneous angina
- d) acute coronary syndrome
- e) myocardial infarction
- The coronary insufficiency syndrome as frequent attacks and severe attacks with coronary pain lasting 5 to 15 minutes and ST segment depression of 1 mm or more on an electrocardiogram obtained in the form of a coronary heart disease as:
- a) stable angina
- b) progressive angina
- c) spontaneous angina
- d) acute coronary syndrome
- e) myocardial infarction
- The syndrome of coronary insufficiency of coronary pain attacks with a duration of 15 to 30 minutes and ST segment elevation on 1 mm or more on an electrocardiogram obtained in the form of a coronary heart disease as:
- a) stable angina
- b) progressive angina
- c) spontaneous angina
- d) acute coronary syndrome
- e) myocardial infarction
- The coronary insufficiency syndrome episodically coronary pain, a duration of 30 minutes to 2 hours or more, elevation or depression of ST segment by 1 mm or more is obtained in the electrocardiogram in this form of coronary heart disease as:
- a) stable angina
- b) progressive angina
- c) spontaneous angina
- d) acute coronary syndrome
- e) myocardial infarction
- The coronary insufficiency syndrome episodically coronary pain, a duration to 2 hours or more, increased level of cardiac enzyme levels, the presence of pathological Q wave on the electrocardiogram is obtained in a form of coronary heart disease as:
- a) stable angina
- b) progressive angina
- c) spontaneous angina
- d) acute coronary syndrome
- e) myocardial infarction
- The syndrome of left ventricular hypertrophy displaced apical impulse:
- a) to the right
- b) up
- c) to the left
- d) to the left and downward
- The syndrome dilation of the left ventricle displaced apical impulse:
- a) to the right
- b) up
- c) to the left
- d) to the left and downward
- The syndrome of left ventricular hypertrophy, apical impulse:
- a) unchanged
- b) is weakened
- c) poured, reinforced
- d) is not determined
- The syndrome of left ventricular hypertrophy, left border of the relative dullness of the heart is displaced:
- a) to the right
- b) up
- c) to the left
- d) to the left and downward
- The syndrome dilation of the left ventricle left border of the relative dullness of the heart is displaced:
- a) to the right
- b) up
- c) to the left
- d) to the left and downward
- The syndrome hypertrophy and dilation of the left ventricle in the electrocardiogram obtained displacement of the transition zone:
- a) the right
- b) up
- c) to the left
- d) to the left and downward
- The syndrome hypertrophy and dilatation of the left atrium the upper limit of the relative dullness of the heart is displaced:
- a) to the right
- b) up
- c) to the left
- d) to the left and downward
- The syndrome hypertrophy and dilatation of the left atrium on the electrocardiogram revealed:
- a) P-mitrale
- b) P-pulmonale
- c) P-cardiale
- d) P-aortale
- The syndrome hypertrophy and dilatation of the right ventricle during the inspection and palpation of the epigastric pulsation and cardiac impulse:
- a) is not available
- b) defined
- c) the weakened
- d) enhanced
- The syndrome hypertrophy and dilatation of the right ventricle size of the absolute dullnes of the heart:
- a) unchanged
- b) increased
- c) reduced
- d) the same size as the relative dullness of the heart
- The syndrome hypertrophy and dilatation of the right ventricle in the electrocardiogram of the heart electrical axis rejected:
- a) to the right
- b) up
- c) to the left
- d) to the left and downward
- The syndrome hypertrophy and dilatation of the right atrium is detected on an electrocardiogram:
- a) P-mitrale
- b) P-pulmonale
- c) P-cardiale
- d) P-aortale
- In the sinus tachycardia heart rate within 1 minute:
- a) less than 60
- b) 60-90
- c) 90-160
- d) 160-240
- e) more than 240
- The sinus bradycardia –is a slowing of the heart rate in 1 minute less than:
- a) 30
- b) 40
- c) 50
- d) 60
- e) 90
- In supraventricular extrasystoliaP wave on electrocardiogram is:
- a) absent
- b) instead wave F
- c) instead wave f
- d) to present complex QRS
- In supraventricular extrasystoliathe complex QRS on electrocardiogram is:
- a) absent
- b) non-extended and not deformed
- c) expanded and deformed
- d) is not regular
- If ventricular extrasystoliaP wave on electrocardiogram is:
- a) absent
- b) instead wave F
- c) instead wave f
- d) to present complex QRS
- If ventricular extrasystoliathe complex QRS on electrocardiogram is:
- a) absent
- b) non-extended and not deformed
- c) expanded and deformed
- d) is not regular
- In the sinus tachycardia heart rate within 1 minute:
- a) 90-160
- b) 160-240
- c) 240-350
- d) more than 350
- In paroxysmal tachycardia, heart rate within 1 minute:
- a) 90-160
- b) 160-240
- c) 240-350
- d) more than 350
- In atrial fibrillation pulse deficit is detected when the heart rate is:
- a) less than 60 in 1 minute
- b) from 60 to 90 in 1 minute
- c) more than 90 in 1 minute
- d) regardless of heart rate
- In atrial fibrillation, the specific clinical sign is:
- a) tachycardia
- b) bradycardia
- c) pulse deficit
- d) at the end of the attack polyuria
- e) Brady-tachycardia episodes
- The most specific sign of atrial fibrillation on the electrocardiogram is:
- a) the absence of P wave
- b) the wave F (f) instead of P waves
- c) different intervals R-R
- d) delta waves
- The patient noted the absence of P wave on electrocardiogram, instead wave F (f), different intervals RR, irregular QRS. About what kind of arrhythmia do you think:
- a) sinus tachycardia
- b) paroxysmal tachycardia
- c) sinus arrhythmia
- d) atrial fibrillation
- e) ventricular fibrillation
- In ventricular fibrillation on electrocardiogram obtained:
- a) the absence of QRS complexes and instead of small and undifferentiated line
- b) normal complexes QRS
- c) expansion of the complex QRS
- d) deformed complexes QRS
- In the AV blockade electrocardiographic PQ interval duration in seconds:
- a) <0.10
- b) <0.12
- c) 0,12-0,20
- d) > 0.20
- The gradual lengthening of the PQ interval with the subsequent loss of QRS on electrocardiogram is characteristic for:
- a) intraatrial blockade
- b) intraventricular block
- c) A-V blockade of the I century
- d) A-V block II senior Mobitz I
- e) AV block II-senior Mobitz II
- The periodic loss of QRS with the constant PQ interval on the electrocardiogram is typical for:
- a) intraatrial blockade
- b) intraventricular blockade
- c) A-V block I st
- d) A-V blockade II degreeMobitts I
- e) A-V blockade II degree Mobitts II
- Classical localization of pain in angina:
- a) the left half of the chest
- b) the tip of the heart
- c) the base of the xiphoid process
- d) in the sternum
- In angina on the electrocardiogram is noted:
- a) ST-segment depression of 0.5 mm or more
- b) ST-segment depression of 1.0 mm or more
- c) ST segment elevation of 0.5 mm or more
- d) ST-segment elevation of 1.0 mm or more
- e) pathological tooth Q
- In spontaneous angina on ECG noted:
- a) ST-segment depression of 0.5 mm or more
- b) ST-segment depression of 1.0 mm or more
- c) ST segment elevation of 0.5 mm or more
- d) ST-segment elevation of 1.0 mm or more
- e) pathological tooth Q
- In hypertensionthe sign of heart disease is:
- a) aortic valve stenosis
- b) the aortic valve
- c) the wasting of the left ventricle
- d) left ventricular hypertrophy
- In hypertensionthe kidney damage manifests itself in the form of:
- a) baruria
- b) proteinuria of 1 g / l
- c) leukocyturia
- d) cylindruria
- e) proteinuria above 3,5g / l
- In hypertension the eye disease manifested as:
- a) dilation of the arteries of the fundus
- b) narrowing of arterioles of the fundus
- c) the restriction venules fundus
- d) expansion venules fundus
- In hypertension the cardiac complications manifested in the form of:
- a) heart disease
- b) myocarditis
- c) cardiomyopathy
- d) angina, myocardial infarction and heart failure
- In hypertension complications of the kidneys manifested as:
- a) glomerulonephritis
- b) pyelonephritis
- c) renal amyloidosis
- d) urolithiasis
- e) glomerulosclerosis with chronic renal failure
- In the mitral valve during auscultation I tone on the apex of the heart:
- a) attenuated
- b) emphasis (flapping)
- c) unchanged
- d) offline
- The insufficiencyof the mitral valve during cardiac auscultation auscultated at the top:
- a) diastolic murmur
- b) systolic murmur
- c) both systolic diastolic murmur
- d) continuous systolic noise
- In the mitral valve during auscultation weakened tone I shall hear:
- a) at the top of the heart
- b) in II intercostal space on the left
- c) in II intercostal space on the right and at the point Botkin-Erb
- d) at the base of the xiphoid process of the sternum
- In the mitral valve during auscultation auscultated systolic murmur:
- a) in II intercostal space on the left
- b) in II intercostal space on the right and at the point Botkin-Erb
- c) at the apex of the heart
- d) at the base of the xiphoid process of the sternum
- In mitral regurgitation on an echocardiogram marked regurgitation of blood:
- a) from the left ventricle into the left atrium during diastole
- b) from the left ventricle into the left atrium during systole
- c) from the right ventricle to the right atrium during diastole
- d) from the right ventricle to the right atrium during systole
- The patient′s history as a teenager was an episode of arthritis of the knee. Currently, the top auscultation revealed a weakening of the I tone and systolic murmur. What kind of vice you think:
- a) mitral stenosis
- b) aortic insufficiency
- c) aortic stenosis
- d) tricuspid valve
- e) mitral regurgitation
- The patient during auscultation at the apex determined by the weakening of the tone I and systolic murmur and a history of frequent sore throats. Your diagnosis:
- a) mitral stenosis
- b) aortic insufficiency
- c) aortic stenosis
- d) mitral insufficiency
- e) the tricuspid valve
- The patient during auscultation at the apex determined by the weakening of the I tone and systolic murmur, and echocardiogram shortening mitral valve regurgitation of blood from the left ventricle into the left atrium during systole. Your diagnosis is:
- a) mitral stenosis
- b) mitral insufficiency
- c) aortic stenosis
- d) aortic insufficiency
- e) the tricuspid valve
- In mitral stenosis during auscultation I tone on the apex of the heart:
- a) attenuated
- b) emphasis (flapping)
- c) unchanged
- d) offline
- In mitral stenosis during the auscultation at the apex of the heart auscultated:
- a) systolic murmur
- b) diastolic murmur
- c) both systolic diastolic murmur
- d) continuous systolic noise
- In mitral stenosis during auscultation reinforced (clapping) I tone is heard:
- a) at the apex of the heart
- b) in II intercostal space on the left
- c) in II intercostal space on the right and at the point Botkin-Erb
- d) at the base of the xiphoid process of the sternum
- In mitral stenosis during auscultation diastolic murmur is heard:
- a) in the apex of the heart
- b) in II intercostal space on the left
- c) in II intercostal space on the right and at the point Botkin-Erb
- d) on the basis of the xiphoid process of the sternum
- In mitral stenosis during auscultation auscultated III tone which is called:
- a) the pathological
- b) extension or "tone of mitral valve opening"
- c) the mitral
- d) pulmonary
- In mitral stenosis during auscultation at the apex of the heart is listened tripartite rhythm, called:
- a) the "pendulum" rhythm "
- b) "gallop"
- c) "the rhythm of quail"
- d) "embryonic" rhythm
- The patient at the apex auscultation revealed I emphasis tone, III extension tone and diastolic murmur. In the history 3 years ago, there was an episode of arthritis of the knee. What kind of heart defect you think:
- a) mitral stenosis
- b) aortic insufficiency
- c) aortic stenosis
- d) tricuspid valve
- e) mitral regurgitation
- The patient has a history of frequent sore throats, and is currently at the top of auscultation determined emphasis (clapping) I tone, additional tone of mitral valve opening and diastolic murmur. Your diagnosis:
- a) aortic insufficiency
- b) mitral stenosis
- c) aortic stenosis
- d) mitral insufficiency
- e) the tricuspid valve
- The young woman during auscultation found at the top of the amplified (clapping) I note, additional tone of mitral valve opening and diastolic murmur, and echocardiogram thickening and fusion of the leaflets of the mitral valve. Your diagnosis:
- a) the tricuspid valve
- b) mitral insufficiency
- c) aortic stenosis
- d) aortic insufficiency
- e) mitral stenosis
- In aortic insufficiency during auscultation II tone in II intercostal space on the right and at the point Botkin-Erb is:
- a) emphasis (accent)
- b) unchanged
- c) weakened until its absence
- d) saved
- In aortic insufficiency during auscultation in II intercostal space on the right and at the point Botkin-Erb listened:
- a) systolic murmur
- b) diastolic murmur
- c) both systolic and diastolic murmur
- d) continuous systolic noise
- In aortic insufficiency during auscultation auscultated easing II tone:
- a) at the top of the heart
- b) in II intercostal space on the left
- c) in II intercostal space on the right and at the point Botkin-Erb
- d) on the basis of the xiphoid process of the sternum
- In aortic insufficiency during auscultation diastolic murmur auscultated:
- a) in the apex of the heart
- b) in II intercostal space on the left
- c) in II intercostal space on the right and at the point Botkin-Erb
- d) on the basis of the xiphoid process of the sternum
- During the femoral artery auscultation revealed a double Traube tone and dual noise Vinogradova-Dyuraze. What kind of a syndrome endocardiallesion in question:
- a) mitral stenosis
- b) mitral insufficiency
- c) aortic stenosis
- d) aortic insufficiency
- e) failure of the tricuspid valve.
- In aortic regurgitation diastolic blood pressure:
- a) is increased
- b) decreased down to 0
- c) normal
- d) equals the systolic
- Under what form the endocardial lesions syndrome marked regurgitation on an echocardiogram of blood from the aorta into the left ventricle during diastole:
- a) mitral stenosis
- b) mitral insufficiency
- c) aortic stenosis
- d) aortic insufficiency
- e) failure of the tricuspid valve
- The patient in II intercostal space on the right and at the point Botkin-Erb auscultation revealed a weakening II tone and diastolic murmur. The history after extraction for 2 months, low-grade fever worried. What kind of vice you think:
- a) mitral stenosis
- b) aortic insufficiency
- c) aortic stenosis
- d) tricuspid valve
- e) mitral regurgitation
- The patient has a history of an episode of arthritis of large joints and frequent sore throats, and now auscultation in II intercostal space on the right and at the point Botkin-Erb identified easing II tone and diastolic murmur. Your diagnosis:
- a) aortic insufficiency
- b) mitral stenosis
- c) aortic stenosis
- d) mitral insufficiency
- e) the tricuspid valve
- A pregnant woman during auscultation in II intercostal space on the right and at the point Botkin-Erb identified easing II tone and diastolic murmur, and a history of episodes of acute rheumatic fever. Your diagnosis:
- a) the tricuspid valve
- b) mitral insufficiency
- c) aortic stenosis
- d) aortic insufficiency
- e) mitral stenosis
- In aortic stenosis during auscultation II tone in II intercostal space to the right of the sternum at the point Botkin-Erb is:
- a) attenuated
- b) emphasis (flapping)
- c) unchanged
- d) offline
- In aortic stenosis during auscultation in II intercostal space to the right of the sternum at the point Botkin-Erb auscultated:
- a) systolic murmur
- b) diastolic murmur
- c) both systolic and diastolic murmur
- d) continuous systolic noise
- In aortic stenosis auscultated systolic murmur:
- a) in the apex of the heart
- b) in II intercostal space on the left
- c) in II intercostal space on the right and at the point Botkin-Erb
- d) on the basis of the xiphoid process of the sternum
- At what a syndrome of defeat endocardial systolic murmur conducted on the carotid artery:
- a) mitral stenosis
- b) mitral insufficiency
- c) aortic stenosis
- d) aortic insufficiency
- e) failure of the tricuspid valve
- On auscultation the patient in II intercostal space on the right and at the point Botkin-Erb identified easing II tone and systolic murmur. What kind of heart defect you think:
- a) mitral stenosis
- b) aortic insufficiency
- c) aortic stenosis
- d) tricuspid valve
- e) mitral regurgitation
- Elderly patients on an echocardiogram revealed the phenomenon of aortic atherosclerosis, and auscultation in II intercostal space on the right and at the point Botkin-Erb identified weakening II tone and systolic murmur. Your diagnosis:
- a) aortic insufficiency
- b) aortic stenosis
- c) mitral stenosis
- d) mitral insufficiency
- e) the tricuspid valve
- The syndrome of heart failure, primarily due to a violation of the following cardiac function:
- a) automatism
- b) excitability
- c) conductivity
- d) contractility
- The syndrome of acute left ventricular heart failure (pulmonary edema) during auscultation revealed:
- a) dry wheezing
- b) sonorous wet finely wheezing
- c) medium and large-bubbling crackles
- d) nonsonorous moist finely wheezing
- e) pleural rub
- For a variant of the syndrome of heart failure characterized by an attack of inspiratory dyspnea, orthopnea position, noisy bubbling breath, the allocation of frothy sputum, nonosonorous moist micro bubbling wheezing in lungs:
- a) acute left ventricular
- b) chronic left ventricular
- c) acute right ventricular
- d) chronic right ventricular
- The syndrome of acute right heart failure is characterized by the rapid development of:
- a) inspiratory dyspnea turning into asthma
- b) cough with frothy sputum
- c) swelling of feet and legs
- d) the provisions of orthopnea
- Acute (for a few minutes, and seconds) development of swelling of feet and legs, diffuse cyanosis and swollen neck veins typical of the kind of syndrome following heart failure:
- a) acute left ventricular
- b) chronic left ventricular
- c) acute right ventricular
- d) chronic right ventricular
- Acutely evolved hepatomegaly, ascites and anasarca are characteristic of the following type syndrome of heart failure:
- a) acute left ventricular
- b) chronic left ventricular
- c) acute right ventricular
- d) chronic right ventricular
- Acutely evolved hydrothorax and hydropericardium characteristic of the following type syndrome of heart failure:
- a) acute left ventricular
- b) chronic left ventricular
- c) acute right ventricular
- d) chronic right ventricular heart failure
- Slowly progressive inspiratory dyspnea on nat. load, then alone is characteristic of the following type syndrome of heart failure:
- a) acute left ventricular
- b) chronic left ventricular
- c) acute right ventricular
- d) chronic right ventricular heart failure
- The appearance of tachycardia, dyspnea and inspiratory acrocyanosis first during exercise and later at rest is typical for the following type syndrome of heart failure:
- a) acute left ventricular
- b) chronic left ventricular
- c) acute right ventricular
- d) chronic right ventricular
- For a long time the detection of inspiratory dyspnea and non sonorous crepitations in the lower lung auscultation is typical for the following type syndrome of heart failure:
- a) acute left ventricular
- b) chronic left ventricular
- c) acute right ventricular
- d) chronic right ventricular
- Slowly (over months and years) development of swelling of feet and legs occurs later in the form of the syndrome of heart failure:
- a) acute left ventricular
- b) chronic left ventricular
- c) acute right ventricular
- d) chronic right ventricular