KROK 2 – Question Bank 1

1.A total of 300 newly diagnosed patients with year-olds were reported to be 9.1 kg and 10.2 kg,
laryngeal cancer are allocated to treatment with and the difference was reported to be "statistically
either surgical excision alone or surgical excision significant (P = 0.02) by a chi-squared test".
plus radiation treatment. Select the study design A. * The wrong kind of statistical test was used.
which most appropriately illustrates. B. There is good evidence that the two groups are
A. * Clinical trial different.
B. Case series report C. One should not compare weights using means;
C. Case report one should always use modes.
D. Case-control study D. One should not compare weights using means;
E. Cohort study one should always use medians.
2.A 39-year-old man with a mild sore throat, fever, E. The confidence interval for the difference in
malaise, and headache. He was treated with means includes zero.
penicillin for presumed streptococcal infection. He 7.Data are available giving the percentage
returns after a week with hypotension, fever, rash, breakdown of a sample of residents of an urban
and abdominal pain. He responds favorably to area into five ethnic groups. These five
chloramphenicol, after a diagnosis of Rocky percentages can be shown graphically in a:
Mountain spotted fever. Select the study design it A. * Pie chart
most appropriately illustrates. B. Histogram
A. * Case report C. Scatter diagram
B. Case series report D. Cumulative frequency plot
C. Clinical trial E. Bar diagram
D. Case-control study 8.Uncontrolled hypertension doesn’t increase the
E. Cohort study risk of developing the following diseases:
3.A total of 3500 patients with thyroid cancer are A. *Diabetes
identified and surveyed by patient interviews B. Cerebrovascular diseases
regarding past exposure to radiation. Select the C. Coronary heart disease
study design it most appropriately illustrates. D. Renal disease
A. * Case series report E. Stroke
B. Case report 9.Select the risk factor most likely to be associated
C. Clinical trial with breast cancer:
D. Case-control study A. * Family history
E. Cohort study B. Dietary habits
4.A total of 10,000 Vietnam veterans, half of whom C. Tobacco smoking
are known by combat records to have been in D. High serum cholesterol
areas where Agent Orange was used and half of E. Uncontrolled elevation of blood pressure
whom are known to have been in areas where no 10.Risk factors for lung cancer include all of the
Agent Orange was used, are asked to give a following EXCEPT:
history of cancer since discharge. Select the study A. * Family history
design it most appropriately illustrates. B. Smoking
A. * Cohort study C. Occupational exposure
B. Case series report D. Air pollution
C. Clinical trial E. Radiation
D. Case-control study 11.A woman whose ectopic pregnancy has ruptured
E. Case report at 18 weeks’ gestation hemorrhages internally,
5.Patients admitted for carcinoma of the stomach are goes into shock, and eventually dies. Select the
age- and sex-matched with fellow patients without classification that most closely represents the case
a diagnosis of cancer and surveyed as to smoking history.
history to assess the possible association of A. *Direct maternal mortality
smoking and gastric cancer. Select the study B. Perinatal mortality
design it most appropriately illustrates. C. Neonatal mortality
A. * Case-control study D. Postneonatal mortality
B. Case series report E. Infant mortality
C. Clinical trial 12.The mean systolic blood pressure in a random
D. Case report sample of 180 men is 141.4 mm of mercury, and
E. Cohort study the 95\% confidence interval is from 139.2 to
6.In the report of a survey of children in a rural 143.6.
community, the mean weights of two groups of 2
 KROK 2 – Question Bank
A. * We have 95\% confidence that the true
(population) value lies in this interval.
B. The true value is equally likely to be 139.2,
141.4 or 143.6.
C. Everyone makes mistakes in measuring data
and carrying out calculations; the confidence
interval is to allow this.
D. 95\% of population means lie in the interval.
E. The confidence interval shows that the mean is
statistically significant.
13.In a nutrition survey of children in a rural area in a
developing country, the mean standardised
weights for age were compared between boys and
girls and a statistical significance test carried out.
The test result was P = 0.23.
A. * There is no evidence of a true difference
between boys and girls.
B. There is strong evidence of a true difference
between boys and girls.
C. P is quite large, so the null hypothesis is true.
D. P is not large enough to prove the null
hypothesis as true.
E. P is quite large, so there is probably a true
difference between boys and girls.
14.In a study to investigate the association of a
certain alcoholic drink and oesophageal cancer, a
series of cases were interviewed to find out how
many reported regular consumption. A random
sample of controls from the same community were
similarly interviewed. The proportions reporting
consumption were higher in cases than in controls,
with P = 0.04.
A. * Age and/or sex must be adjusted for before
any conclusions can be drawn
B. There is strong evidence of a real association.
C. There is no evidence of any association.
D. The wrong kind of statistical test was used.
E. One cannot draw any conclusions from such a
study.
15.In a sample of 66 adult women, the mean reported
age of menarche was 12.4 years and the median
12.7 years. Also, the standard deviation was 10
years and the range from 10 to 15 years.
A. * The distribution is approximately symmetric
B. 75\% of women had reached menarche after
12.4 years.
C. One is 95\% confident that the true mean lies
between 10.4 and 14.4 years
D. The standard error is 0.3 years
E. One cannot draw any conclusions from such a
study.
16.Data from a sample of 33 females from a small
village aged from 22 upwards, gave systolic blood
pressures and ages. The relationship between the
two appeared substantially linear in a scatter
diagram and the fitted regression equation is BP =
81.5 + 1.22 x age, and is statistically significant (t
2
= 5.7, P < 0.001). The correlation coefficient is
0.72. We can deduce,
A. *The average increment of blood pressure for
one year of age under the regression model is
1.22 mm.
B. The mean systolic blood pressure at birth is
81.5 mm.
C. The blood pressures of two women ten years
apart in age will differ by exactly 12.2 mm.
D. Because the relation seemed linear, regression
is not an appropriate technique.
E. One cannot draw any conclusions from such a
study
17.In a sample of 38 medical students, the correlation
coefficient of the course work marks and final
examination marks for pathology was 0.74. The
coefficient for course and final marks in a
different sample of 31 students, in surgery was
0.05. From these results we can deduce,
A. *The association appears stronger for
pathology than for surgery.
B. Surgery is more difficult to learn than
pathology.
C. Pathology is more difficult to learn than
surgery.
D. Course work tests and the final examination
measure different aspects of knowledge in
surgery.
E. The wrong kind of statistical test was used.
18.All of the following are criteria for screening a
population for a given condition EXCEPT:
A. *Screening should be available to and used by
the entire population
B. The natural history of the condition should be
understood
C. The condition must represent an important
health problem
D. Suitable screening tests for the condition must
exist
E. Accepted treatment for the condition should be
available
19.The DRG (diagnosis-related groups) payment
system is best described by which payment
methodologies?
A. * Per admission
B. Per diem
C. Capitation
D. Fee-for-service
E. Risk corridor
20.Select the term that best matches the definition
“Death of liveborn infant before 1 year of age”:
A. *Infant mortality
B. Perinatal mortality
C. Neonatal mortality
D. Spontaneous abortion
E. Postneonatal mortality
 KROK 2 – Question Bank 3
21.The work in conditions of electromagnetic waves C. Centralized-decentralized
influence can cause the dynamic abnormalities of D. Mixed
certain body systems. Which systems are the most E. Centralized-sectional
sensitive to the action of electromagnetic waves of 27.In drinking water samples selected after
radio-frequency diapason? purification and disinfected by gaseous chlorine
A. * Nervous and cardiovascular systems the following was revealed: chloroform and
B. Digestive and respiratory systems threechloracetic acid in concentration three times
C. Cardiovascular and respiratory systems more than their MAC. What disease may probably
D. Cardiovascular and musculoskeletal systems develop as a result of prolonged intake of this
E. Nervous and digestive systems water?
22.The man with body-mass of 60 kg intakes 600 mg A. *Stomach cancer
nitrates with daily food ration. How many times B. Urolithiasis
does the real intake of nitrates exceed permissible? C. Hypertensive disease
A. * 2 times D. Stroke
B. 5 times E. Anemia
C. 10 times 28.In drinking water samples the following
D. 60 times substances were revealed: copper, manganese,
E. 100 times iron, lead, chlorphenol on the level of their MAC.
23.In the dull December days (calm and mist) the Which chemical substances mentioned above are
respiratory system diseases and diseases limited for sanitary-toxycological index of
accompanied by signs of general intoxication in harmfulness?
the region where thermoelectric power station A. *Lead
works on the solid fuel increased. The mortality B. Iron
among persons over 60 also increased. Which C. Manganese
factor may probably cause the toxic effects? D. Copper
A. *Suspended substances (dust) E. Chlorphenol
B. Lead 29.In blacksmith’s-press’s shop physical work
C. Low temperature connected with unfavourable meteoconditions (air
D. Air humidity to- 40-50oC, intensive infra-red radiation), one
E. Photooxidants worker lost consciousness. Doctor of medical
24.The abnormalities of bone system development, room testified the following: face pallor, wet skin,
the delay of fontanelle over-growth, the delay of intensive perspiration, surface respiration with BR
teeth were observed among children of N-city. of 50 /min, HR of 100/min, delicate filling, body
Which surplus micro-element contained in the to –39,9oC. Which diagnosis is the most possible?
drinking water can cause these changes? A. * Heat stroke
A. *Strontium B. Sun stroke
B. Calcium C. Convulsion disease
C. Cadmium D. Hypertensive disease
D. Arsenic E. Angioneurosis
E. Magnesium 30.In the air-repair work planes fuselage repair is
25.The fulfilment of sanitary-hygienic control of air carried out. The levels of industrial noise on the
medium of hospital wards in somatic department working places constitute 95-97 dBA. The
of town clinic hospital the air samples were taken analysis of noise spectrum showed tones with
by aspiratory method. Which MAC is used for frequency of 100 Hz and higher. Which apparatus
corporation in evaluation of hygienic conditions of was used for the experiment?
patients staying in the hospital? A. *Noisemeter
A. *MAC of atmospheric air B. Audiotester
B. MAC of working zone C. Actynometer
C. Average monthly MAC D. Vibrotester
D. Average annual MAC E. Anemometer
E. Average MAC per working shift 31.What property to typically obligatory medical
26.All departments and subdivisions of a district insurance?
hospital having 300 beds are disposed in the A. *General
separate one- and two-storey buildings. Which is B. System of control of quality of medical
the type of hospital construction? services is carried out by subjects of insurance.
A. * Decentralized C. Guarantor of the payment of expenses - the
B. Centralized commercial organizations.
 KROK 2 – Question Bank
D. The medical program is determined by the
contract insurer and insured.
E. Individual or family membership.
32.A woman of 34 years old complaints about
spready bloody discharges from genitals several
days before menses. In anamnesis –
dyathermocoagulation 2 years ago. During the
investigation of the uterus wall in the mirrors a
cianous cysts in the form of pupilla are found out.
For approving the diagnosis the following should
be done:
A. *Byopsy of the uterus cervix
B. Stear for cytological investigation
C. Colposcopy
D. Laporoscopy
E. Ultrasound investigation of the pelvis minor
33.Name the most informative parameter of average
duration of stay in a hospital:
A. On nosological forms.
B. On branch as a whole.
C. On chambers.
D. On a hospital as a whole.
E. On number of sick-lists beds.
34.What factors, from specified, influence as much as
possible a level of the general mortality of the
population?
A. *Age -sexual structure of the population and a
condition of an environment
B. Quantity of medical workers
C. Number of medical institutions
D. A climate-geographical position
E. A level of hospitalization of the population
35.What criterion testifies to type of age structure of
the population in territory?
A. *A ratio of a share of children and persons of a
pension age.
B. Net factor of reproduction.
C. Average duration of a forthcoming life.
D. Gross - factor of reproduction.
E. A parameter of a natural increase.
36.For comparison of a degree of a variety of weight
of a body of newborns and 7-years children it is
the most expedient to use:
A. *Coefficient of a variation
B. Amplitude
C. An average quadratic deviation.
D. A mistake of average
E. Factor of determination
37.What from functions does not belong to functions
FMSH?
A. *The guaranteed volume of the specialized
medical service
B. The guaranteed volume of the social help
C. Availability of corresponding medical and
social services to all population
D. A continuity of supervision over patients
4
E. The guaranteed volume of the medical and
psychological help
38.The treatment – and – prophylactic help to
countrymen at different stages is given with rural
sites, regional and regional hospitals, clinics, the
diagnostic centers, hospitals at scientific research
institutes. Name the basic establishments of the
fourth stage of rendering of medical aid to
agricultural population.
A. *City treatment-and-prophylactic
establishments, the state specialized centers.
B. The central regional hospital, clinics.
C. Station of blood transfusion, the diagnostic
center.
D. Clinics, regional hospital.
E. Regional hospital, the diagnostic center.
39.Of what from elements of carrying out sanitary
epidemic supervision has no attitude to
precautionary?
A. *The control over observance of sanitary-and-
hygienic norms in establishments
B. A hygienic regulation of potentially dangerous
factors
C. The account of objects and constructions
D. A choice and tap{removal} of the ground area
under construction
E. The regular control over construction and
reconstruction
40.What methods does a doctor use when estimating
physiologic development in children and
teenagers?
A. *measuring anthropometric data and
functional indices, estimating the findings
described
B. measuring the chest circumference, the form
of the head
C. measuring arterial pressure and muscular
power
D. measuring the concentration of attention
E. the description of the biological development
level
41.At estimation of physical development a boy is
set, that his mass of body is less, than М - 2уR on
by regional standards (tables of regression) for
lack of chronic pathology. What group of health
does a boy behave to?
A. *ІІ
B. ІІІ.
C. IV.
D. V.
E. І.
42.What is the necessary information for estimating
the investigation results after having learnt the
efficiency of the vaccination against flu in
personnel?
A. * the number of sick persons among 100
people who were inoculated against flu and the
 KROK 2 – Question Bank
amount of sick persons among 100 people who
were not inoculated
B. the quantity of complications caused by the
vaccination
C. the quantity of persons who were inoculated
D. the quantity of persons who were not
inoculated
E. the number of diseases among 100 persons
who were inoculated against flu and the
number of diseases among 100 persons who
were not inoculated against flu, the total
amount of workers
43.Who is responsible for medical - diagnostic
section of work in a polyclinic?
A. *the head physician, the assistant to the head
physician managing branch
B. The head physician managing branch
C. The head physician managing branch, the local
therapist
D. The assistant to the head physician managing
branch, the local therapist
E. The assistant to the head physician managing
branch
44.Name obligatory structurally-functional parts of
the control system:
A. *management subject, management object,
block of the scientific adjusting.
B. components, communication.
C. structure, function, management types.
D. principles, technique, management methods.
E. laws, technology, management mechanisms.
45.Name component parts of science of management:
A. *theory, technique, organization, methods.
B. principles, approaches, laws.
C. system, process, functions, technology.
D. shots, finances, information.
E. time, delegation, organization of labour.
46.In the complement of accreditation commissions,
in compliance with the legislation, besides the
organs of management representatives must enter
by the health protection:
A. *medical insurance organizations
B. fire-prevention security services
C. tax service
D. services of labour protection
E. sanitary-epidemiology service
47.Official permission on the right of realization of
medical activity at the observance of the set
requirements and terms, given out to the legal
entity is named:
A. *by a license
B. by a certificate
C. by admittance to work
D. by a diploma
E. by accreditation
48.What brigades of medical first-aid behave to
specialized?
5
A. *reanimatology.
B. Infectious
C. gerontology.
D. otorhinolaryngology - brigades.
E. gastroenterology.
49.What establishments provide tertiary medical aid?
A. *diagnostic and medical centers, dispensaries
B. medical centers, dispensaries a child's
policlinic
C. specialized and multi profile establishment
(regional, central, city)
D. gynecological consultations, permanent
establishments, policlinic of city.
E. specialized and multi profile hospitals (district,
regional, city)
50.Purpose of tertiary prophylaxis:
A. *rehabilitation of patients losing possibility
complete valuable vital functions
B. forming of adequate relation of population to
the system of health protection
C. Elimination expressed factors of risk, which at
certain terms can result in the origin,
intensification, relapse of disease
D. Activation of public funds and organizations
in regard to medicine
E. Warning of origin and influences of possible
factors of risk of diseases
51.Name kinds of medical aid to the population:
A. *Primary, secondary and tertiary.
B. Out-patient - polyclinic, fast, stationary and
sanatorium.
C. Scheduled, urgent, prime.
D. Hospitalized, dispensary, in-home, preventive.
E. Therapeutic, surgical, traumatology-
orthopedic, pediatric, cardiology, the
ophthalmologist., etc.
52.S., 59 year old male is ill with generalized
arteriosclerosis with blood circulation
insufficiency. What ratio between the nutrients do
you consider to advice?
A. *Proteins : fats : carbohydrates = 1: 0,5 : 3
B. Proteins : fats : carbohydrates = 1 : 1,0 : 4
C. Proteins : fats : carbohydrates = 1 : 1,0 : 5
D. Proteins : fats : carbohydrates = 1 : 1,3 : 4
E. Proteins : fats : carbohydrates = 1 : 2,0 : 3
53.Patient С., 15 year old, consulted his physician
with complaints of the night blindness.
Objectively: rised darkness adaptation time,
Bitot’s spots on conjuctive. Patient’s skin is dry,
desquamatous, folliculitis signs of the face skin.
What foods do you consider should he eat to
prevent this disease?
A. *butter and carrots
B. lard and garlic
C. sunflower oil and cabbage
D. margarine and potato
E. cocoas milk and pine apples
 KROK 2 – Question Bank
54.In the surgical unit of the hospital the purulent
surgery department is placed on the 1st floor,
thoracic surgery – on the 2nd floor, general
surgery – on the 3 rd floor and gynecological – on
the 4th. Could you find any infringements in the
department placing?
A. *wrong placing of purulent surgery
department
B. wrong placing of thoracic surgery
C. wrong placing of gynecological department
D. wrong placing of general surgery department
E. no infringements
55.The worker of battery plant consults physician
with complaints of weakness, headache, Status
praesens objectivus: paleness, dark line on the
gums, systolic murmur of the heart apex. In blood:
microcytaric anemia, basophilic grainy RBC,
reticulocytosis. Urine analysis: porfirinuria 0,25
mg/l. What conditions of occupational
environment may the disease cause?
A. *high lead content in the air of the working
zone
B. high sulfuric acid content in the air of the
working zone
C. high alkaline content in the air of the working
zone
D. high benzene content in the air of the working
zone
E. high iron oxide content in the air of the
working zone
56.On inspection of the laundry of the regional
hospital it’s defined the relative air humidity is
99\%, air movement velocity -0,6 m/s, air
temperature - 15оС. What way to optimize
occupational environment could you advise?
A. *decrease of humidity and air movement
velocity and increase of air temperature
B. decrease of humidity, air movement velocity
and air temperature
C. decrease of humidity, increase of temperature
and air movement velocity
D. decrease of air humidity and temperature of
air, increase of air movement velocity
E. decrease of temperature and air movement
velocity
57.The waste treatment complex is situated 1000 m
away from the residential area. The area is
hygienic,the technology of treatment is proper.
They use sanitary space for growing of ray grass.
People living in the nearest households complain
of constant unpleasant smell, plenty of flies. There
is high morbidity of intestinal diseases. Specify
the probable causes of unsatisfactory
epidemiological situation.
A. *sanitary space is not used properly
B. improper waste chlorination
6
C. absence of the vegetations at the waste
treatment station
D. improper examining of the station worker
E. emergency outlets of the impure wastes
58.The kitchen of the student hostel received fish: the
surface is covered with slime, scales are mate,
gills have dirty red color and unpleasant smell,
eyes are mate and sunken, muscles are soft. Assess
food quality.
A. *poor quality product
B. high quality product, can be used without
limitations
C. high quality product, can be used with
limitations
D. conditionally good product
E. adulterated product
59.Patient with thyreotoxicisis is in the 2 beds
hospital ward of therapeutic department. The area
of the ward is 18 m2, height 3 m, ventilation rate
2,5 /hr. Air temperature - 20оС, relative humidity
45\%, air movement velocity 0,3 m/s, light
coefficient 1/5, noise level 30 dB. Do hygienic
assessment of the conditions:
A. *discomfortable microclimate
B. non-effective ventilation
C. poor lighting
D. high level of noise
E. all conditions are OK
60.In the sanitary inspection of labour conditions of
miners they found: air temperature - 26оС, relative
humidity 40\%, dust pollution - 135 mg/m3, silica
content in the dust 45\%. Miners work by the
“dry” technology. What disease can cause
occupational environment conditions?
A. *silicosis
B. urine stones
C. gallstones
D. olivinosis
E. pulmonary hemosiderosis
61.Name the social - hygienic factor which does not
influence requirement of the population for
hospitalization:
A. *Volume and quality of medical aid.
B. A level of desease of the population.
C. A way of life of the population.
D. A degree of development of social services.
E. A level of sanitary culture of the population.
62.The 6 year old girl has the low height. Her growth
development is harmonic. She has premolars and
incisives of permanent teeth. This year she has
been ill with measles and infectious hepatitis. She
can calculate and read. She's done Kern-Yiracek's
test with 6 scores. Why is the girl not ready to be
admitted at school?
A. *infectious hepatitis
B. low height
C. poor results of the test
 KROK 2 – Question Bank
D. absence of all permanent teeth
E. measles
63.Efficiency of activity of family doctor is estimated
on the following indexes:
A. *general morbidity
B. quantity of the population served by a family
doctor
C. general death rate
D. full strength by shots
E. hospitalized morbidity
64.The balance at the market of medical goods is
characterized by:
A. * balance between the capacity of supply and
demand
B. balance of prices at the market of medical
services
C. price interaction at the market of medical
services
D. excessive demand of medical goods and
services at their deficient proposition
E. the excess of medical services at this certain
market price
65.The estimation of quality and medical aid
effectiveness appears to be realized as such:
A. * Structural, processing approach and the one
which is based on the final results
B. Structural, organizational and operational
approach
C. Processing, economical and the one which is
based on the final results
D. The approach to be based on the final result,
complex and statistical
E. Preventive, current and final approach
66.A student has got the following examination task.
The interlayer waters are known to be so much
mineralized that they can’t be used for municipal
water supply with no treatment. In case of soil
pollution by waste products and sewage. There is
a danger of subsoil water pollution with
pathogenic microorganisms. Name the source of
water supply to be the best for middle and small
water pipes.
A. * interlayer waters
B. subsoil waters
C. atmosphere waters
D. surface waters
E. springs
67.The rational planning of city districts provides its
division according to the functional signs into 4
areas:1) industrial are; 2 )suburban are; 3) traffic
area. Name the fourth area:
A. * selitebouns area
B. sport area
C. cultural area
D. traffic area
E. new buildings area
7
68.In order to prevent the environmental pollution in
the place N, the artificial methods of sewage
disposal, biological purification, chlorination and
compulsory laboratory control are planned. Which
one of the main artificial sewage disposal methods
isn’t taken into account?
A. * Mechanical purification
B. Rechlorination
C. Filtration
D. Irrigation
E. Areas of sewage disposal
69.A Land area for building of medical-preventive
institutions must meet the requirements which are
claimed to the house-building. This concerns to:
A. * all which are marked
B. Relief of a land
C. Providing of the flow of the atmospheric
rainfall
D. Level of subsoil waters
E. For all which are marked except C
70.During an exam, while giving the definition of
''manufacturing microclimate'' a student included
the following components to the concept:
temperature of the air, moisture of the air, speed of
the air, ultraviolet radiation, atmospheric pressure
the irradiation. Which components named by
student were wrong?
A. * Pressure, irradiation, ultraviolet radiation
B. Irradiation
C. Atmospheric pressure
D. Atmospheric pressure and irradiation
E. All are right
71.The chief principle of forming the therapeutic
divisions of industrial sections is:
A. * the number of workers
B. worker’s age
C. personnel length of work
D. staff’s composition according to health groups
E. service range
72.They damaged the container with alpha-
radioactive substance (solution) with pollution of
the work place surfaces. What preventive
measures should be used?
A. *desactivation of the premises
B. degasation of the premises
C. respiratory protective equipment
D. protective shields
E. decrees about duration of the working week
73.Choose a method of a graphic representation of
monthly information about number of the
registered cases of acute intestinal infection and
their comparisons to the average monthly values,
obtained for 5 previous years:
A. *The linear diagram.
B. The radial diagram.
C. The sector diagram.
D. The figured diagram.
 KROK 2 – Question Bank
E. Curvilinear.
74.The 9 years child with diagnosis “chronic
tonsillitis” stands dispanserization control. For 1
year of observation there was one exacerbation of
disease. Physical condition is satisfactory. The
general state is not infringed. Define group of
health:
A. *III (a).
B. II
C. I
D. III (b).
E. III (c).
75.The child is 6 years old. For one year of
observation he has ARD duration 8 days. Physical
worked out satisfactory. Define group of health:
A. *I-st.
B. II-d.
C. III (a).
D. III (b).
E. III (c).
76.25 unorganized children in the age 2 -3 year will
be observed on a pediatric district it in the current
year. What scheduled number of initial visitations
will make to this group of children?
A. *50.
B. 20.
C. 40.
D. 100.
E. 200.
77.Indicate the registration medical document for the
patient Н., that 21.02. was addressed to the doctor
with diagnosis ARVD the first time in this year:
A. *The statistical coupon is necessary to fill in it
and it is necessary to deliver on a sign +.
B. The statistical coupon for registration of final
diagnoses is not necessary.
C. The statistical coupon to fill in it is necessary,
but a sign +is not necessary to put in.
D. It is necessary to fill in the emergency notice
on a case of a contagion.
E. The necessary registration form is not
indicated.
78.What kind a method is correct to establish force of
correlation connection between age of men and
their mortality from a myocardial infarction?
A. *A method of grade correlation (Spirman).
B. A correlation ratio.
C. The quadrate method (Pirson).
D. The Indirect method (Stjudent).
E. A method of graduated correlation (Armler).
79.Purpose of the second prophylaxis:
A. *Removal of the expressed factors of risk,
which at certain terms can result in the origin,
intensification, relapse of disease
B. forming of adequate relation of population to
the system of health protection
8
C. rehabilitation of patients losing possibility
complete valuable vital functions
D. Activation of public funds and organizations
in regard to medicine
E. Prevention origins and influences of possible
factors of risk of diseases
80.The populated area has the water supply from
artesian chink. Lab analyses data: transparence-30
cm, hardness-5,5 mg eq/l, colority-20о, nitrates-20
mg/l, smell-1 score, fluorine-4,0 mg/l, taste-1
score, coli-tytre-400 ml. What disease would
result water consumption?
A. *fluorosis
B. urine stones
C. water-nitrate methemoglobinemia
D. chronic gastritis
E. syderoachrestic anemia
81.Define the observation unit, at study the average
duration of hospitalization of patients with
appendectomy, depending on delivery times in a
hospital and the clinical form of appendicitis.
A. *The patient with appendectomy.
B. The patient who is entered in the hospital.
C. Average duration of patient's stay in a hospital.
D. Delivery times of the patient.
E. The clinical form of appendicitis.
82.What methods of the collecting of the information
is preferable for study of housing conditions of
students of medical HIGH SCHOOL for a training
period?
A. *Questioning.
B. Interviewing.
C. Selecting of materials.
D. A method of the directed selection.
E. Statistical.
83.Name a statistical observation unit for
determination of influence amount of blood sugar
on the healing of wound's surface in a
postoperative period:
A. *The patient in a postoperative period.
B. Amount of blood-sugar.
C. The analysis of a blood.
D. The patient who has a wound surface.
E. The patient who was discharge on an after-
care.
84.The vital capacity of lungs was estimated during
medical examination of schoolchildren. What
device is used for measuring of vital capacity of
lungs?
A. *A spirometer
B. The thermometer
C. The anthropometer
D. A tonometer
E. A centimetric tape
85.Estimate the quality of milk: density 1038, the
maintenance of fat 2,8 \%, acidity 18 ( T.
A. * The lowered quality
 KROK 2 – Question Bank 9
B. Of good quality C. conditionally edible product, can be used for
C. Of poor quality meal
D. Adulterated D. False spoiled, can be used after boiling
E. Conditionally fit E. adulterated, can be used after boiling
86.Matusis` Device is used for estimation of 92.In order to compare the degree of variety of length
providing of an organism with: of body of new-born pigeon pair it is most
A. * Vitamin C expedient to use the criteria of variety:
B. Vitamin B 1 A. *mean quadratic deviation.
C. Vitamin B 6 B. amplitude;
D. Vitamin B 12 C. limit;
E. Vitamin A D. error of middle
87.Milk contains starch. Solution Lugoli has been E. coefficient of variation
added for definition of starch in milk. What colour 93.What from indexes characterizes natural motion of
will the milk be painted in? population?
A. Dark blue A. *natural increase.
B. Pink B. migratory activity.
C. Green C. mean time of forthcoming life.
D. Yellow D. pendulum migration.
E. Black E. disability.
88.The first-rate wheat bread was brought to the 94.What information is needed for determination of
hospital food-block: with humidity of 45 \%, level of early neonatology mortality:
acidity 3 ( T, porosity of 67 \%. Evaluate the A. *number of the children born by living and
quality of the bread, please. deceased during the first seven mortality.
A. *Of good quality B. number of the children born dead
B. Of poor quality C. such index is not used in practice
C. Adulterated D. number of the children deceased on the first
D. Conditionally fit month of life
E. Of the lowered quality E. number of the children deceased on the first
89.The average body length of neonatal boys is 50,9 year of life.
cm at a sigma 1,66; and average mass - 3432 at a 95.The health of population, most, depends on:
sigma 5,00. What criteria is correct to compare A. *way of life
degree of variability these signs? B. terms of external environment
A. *A coefficient of variation. C. economic line-up
B. A sigma. D. heredity
C. A limit. E. systems of health protection
D. An amplitude. 96.People, which do not have complaints, chronic
E. A coefficient of association. diseases in anamnesis, functional rejections and
90.What from indexes behaves to the performance organic changes in organs and systems, behave to
indicators of policlinic belong: the group:
A. *middle number of visits on one habitant for a A. *healthy (1-2 group)
year. B. it is conditional healthy
B. general morbidity. C. it is potential patients
C. morbidity with the temporal loss of ability to D. patients
work. E. practically healthy
D. frequency of primary output on disability. 97.Give determination of maintenance of concept
E. primary morbidity. “morbidity”:
91.Canned fish “Atlantic hearing” has a paper label A. *sum of cases of the first exposed diseases
with specification of the enterprise-producer (fish- among the population.
processing plant in Yalta), name of the product B. sum of the registered illnesses among the
and others. The surface of the tin is not deformed, population.
the bottom and cover are significantly convex. Tin C. sum of visits of the population MPE.
is hermetic. Tin cover is marked by the stamp: D. sum of being ill persons among the population.
070190 513234 1Р Assess quality of product E. sum of patients of needing treatment.
A. * poor quality product, can’t be used 98.What group of illnesses leads in the structure of
B. high quality product, can be used w/o reasons of mortality of population?
limitations A. *illnesses of the system of circulation of
blood.
 KROK 2 – Question Bank 10
B. new formations. ionizing radiation this states included in such a
C. illnesses of organs of breathing. state?
D. illnesses of the nervous system and sense- A. *somato-stochastic
organs. B. somatic effects
E. illnesses of organs of digestion. C. geterosis
99.Name basic principles of science of management: D. genetic
A. *combination of particular a branch and E. gormesis
territorial level, scientific character, economy, 105.Mrs. Т., 33 years old works as the secretary. Her
system, delegation. diet contains 150 g of protein (including 100 g of
B. hierarchical, reliability, operative, reason. animal), 200 g of fat, 600 g of carbohydrates.
C. leadership, responsibility, competence, plenary What pathology can effect this diet?
powers. A. *obesity
D. selection of shots, democratic centralism, B. schizophrenia
specialization and co-operation. C. paradontosis
E. development according to a plan, unity of the D. common cold
personal and collective interests, E. uterine fibromyoma
technological, flexibility. 106.An Odessa inhabitant colected mushrooms in the
100.Name the tasks of head of the department of city forest, fried and ate them. In 12 hours he felt
hospital: severe abdominal pains, vomiting bloody diarrhea.
A. *control after a timeliness and plenitude of In the end of the 1st day of disease jaundice,
inspection and treatment of patients. hepatomegalia and oliguria developed. There were
B. consultation of patients on to the house. convulsions also. He passed on 3rd day of the
C. distributing of acting patients on the disease. What is the cause of the disease?
separations. A. *poisoning with Death Cap
D. calculation of cost of stationary treatment of B. overcooling
patient. C. poisoning with margarine preservants
E. organization of daily permanent establishment. D. poisoning with fly agaric
101.Specific gravity of population which treats oneself E. poisoning with false morel
in ambulatory-policlinic establishments makes 107.In the first stage of coli-index assessment of tap
(in \%): water by the fermentation samples method they
A. *From 70 to 80 accumulate Е. сoli on glucose-peptonic medium.
B. From 40 to 50 In one 100 ml bottle and 1 ml tube indicator
C. From 50 to 60 changed color and gas was produced. What
D. From 60 to 70 differential diagnostic medium should you use for
E. More them 80 2nd stage of the test?
102.Periodic medical surveys are carried out for: A. *Endo medium
A. *Periodic inspection of the certain contingents B. Ressek medium
of workers C. Kitta-Tarozzi medium
B. Inspection of the certain contingents of D. Rappoport medium
workers at reception on the robot E. Bordet medium
C. Revelation of some diseases at early stages 108.The qualifying requirements to the family doctor
D. Directions on MSEC are included in this case:
E. Revelation and formations of contingents for A. *domain by the modern methods of
dispensary supervision diagnostics and treatment
103.Whatever document to the medical worker is B. oratorical art
required to represent at the reception on work? C. ability to conduct the conferences
A. *certificate about registration. D. ability to manage
B. labour book. E. domain by the methods of analysis of the state
C. diploma. of environment
D. military ticket (for liable for military service). 109.A girl 9 years old, has an average height and
E. passport. harmonic growth development. She was ill with
104.Patient С., 48 years old, participated in the acute respiratory infection for five times. Define
liquidation of Chernobyl disaster consequences. the group of her health.
He is treated in in-patient department of municipal A. *2nd group
hospital. His diagnosis: progressing vegetative B. 1st group
insufficiency. What group of biological effects of C. 3rd group
D. 4th group
 KROK 2 – Question Bank 11
E. 5th group C. air temperature
110.In the assessment of microclimate they defined D. relative humidity
that in 10 cm above the floor air temperature was E. air movement velocity
17оС, at the 1 m - 19оС, at the 1,5 m - 20оС. 116.While school inspecting they defined that third
What overfall by the vertical is the maximal year form has 26 lessons during a weak; on
admissible? Tuesday the first is Ukrainian lesson, 2nd - music,
A. *2,5 °C 3 and 4th - physical training, 5 lessons at a whole.
B. 1 °C Could you find any infringements in the schedule?
C. 1,5 °C A. *number of classes of physical training
D. 2 °C B. number of lessons per week
E. 3 °C C. number of lesson per day.
111.For controlling of pre-sterilization processing of D. place of music lesson in the schedule
medical instruments they use some tests: E. place of the Ukrainian language lesson in the
phenolphthalein, ortholuidine, azopiram, schedule
benzydine and sodium benzoas for controlling of 117.Student Н. is estimating the noise rate in the
completeness of washing them from blood and punching workshop. What device is he using?
alkaline components of detergents.. What test is A. *Phonovibrometer
the most sensitive for blood traces and the safest? B. Analysator of noise spectrum
A. *Azopiram C. Audiotester.
B. Phenolphthaleine D. Actinometer
C. Benzydine E. Piranometer.
D. Sodium benzoas 118.As preventive means they prescribe UV radiation
E. Ortholuidine in the photarium for adolescent living in
112.Professiogram of assembly shop of the automobile Murmansk region (Russia). What device could be
plant includes the following elements: conveyer, used to define biological and preventive dosage of
assembly works with power 15 W/hr, the number UV radiation?
of the operations – 3 per minute. What is the A. *biodosimeter
criterion for work intensity in these conditions? B. ermeter
A. *monotony. C. ufimeter
B. power of work, W D. uviolmeter
C. emotional pressure E. piranometer
D. intellectual intensity. 119.Mr G. uses untreated feces for fertilizing. He sells
E. operative memory volume vegetables at the city market. What infestation can
113.The seiner crew is under action of low air occur among his customers?
temperatures (from -5°С up to -10°С). What main A. *ascaridosis
organs’ diseases can be prevalent among them? B. trichinosis
A. *respiratory system. C. shistosomatosis
B. blood D. dracunculosis
C. liver. E. opistorchosis
D. gastrointestinal tract 120.The X-ray room of the cardiological center is
E. cardiovascular system placed on the 2nd floor and has 40 m2 total
114.With daily diet in the organism of 5 years old square. The operating control panel is behind the
child (body weight 20 kg) there are 80 mg of shielded screen. The physician’s working place is
nitrates income. Define daily dosage of the nitrate 2 m from the apparatus. No adjoining wards by
A. *4,0 mg/kg of body weight the vertical and horizontal. How many premises
B. 1,0 mg/kg of body weight the X-ray room should consist of as minimum
C. 2,0 mg/kg of body weight A. *3
D. 3,0 mg/kg of body weight B. 1
E. 5,0 mg/kg of body weight C. 2
115.In the thermal workshop of the ship-repairing D. 4
plant the heat amount is 81 kcal/m3 hr. Air E. 5
temperature is 28-33°С, heat radiation – up to 121.Mrs. Y. lives in polluted area in the zone of severe
1800 kcal/m2 hr, relative humidity - 40-60\%, air radioecology. She has own household with the
movement velocity - 0,5-0,7 m/s. What garden and she doesn’t work. She consult
occupational hazard can cataract be caused by? physician about using vegetables from the garden
A. *heat radiation. to rise excretion of the radionuclides. You should
B. convection heat
 KROK 2 – Question Bank 12
recommend vegetables with the highest fiber D. anemia
content (more then 1 \%). E. hypermetropia
A. *pumpkin 127.The classroom in the village school has 30 m2.
B. paprika How many 5th year pupils could study in this
C. vegetable marrow premise?
D. carrot A. *20
E. cabbage B. 10
122.In the assessment of microclimate they defined C. 15
that in outer corner at the height of 1 m the D. 25
temperature was 18оС, in the middle - 19оС, in E. 30
inner corner - 20оС. What overfall by the 128.The section of senior creche group is situated on
horizontal is the maximal admissible? the first floor of the kindergarten. Section consist
A. *2°C of a dressing room (18 m2), a dining room (group
B. 1 °C room) (50 m2), bedroom (48 m2), servant room
C. 1,5 °C (14 m2). Section has only one entrance, from the
D. 2,5 °C street and it’s common with middle group. Could
E. 3 °C you define any infringements in the internal lay-
123.Worker С. works at the chemical enterprise N, out?
producing sulfuric acid for 6 year. It was defined A. *infringement of principle of group isolation
that the content of sulfuric gas was in two times B. insufficient area of the dressing-room
more than MAC. What protective equipment do C. insufficient area of the dining room
you advise him to use? D. wrong content of the section premises
A. *gas mask E. wrong placing by the floor
B. hose mask 129.The well is located at the village outskirts. It has
C. ABA the stone walls, cover; the common bucket is
D. mask absent. The nearest area is not covered. The square
E. cotton facial bandage of water mirror is 0,5 m2, depth 20 m. How many
124.In the well situated at the outskirts of the village in grams of chloric lime containing 25\% of active
60 m from the cattle farm they found nitrogen chlorine is it necessary to use for well disinfecting
compounds in concentrations: ammonia - 0,9 if chlorine demand of water is 2 mg/dm3?
mg/l, nitrites -0,1 mg/l, nitrates - 52 mg/l. For A. *80 g
what pollution is this analysis typical? B. 20 g
A. *continuous C. 40 g
B. fresh D. 60 g
C. recent E. 100 g
D. old 130.For assessment of epidemiological danger of air
E. latent environment in the exhibition center they conduct
125.They conduct a survey on the children health in the survey on the air germ pollution. What
city of N. It was defined that in 23\% of cases lead microbe is sanitary indicative?
content of blood was higher than 10 mkg/l. What A. *Str. haemoliticus
was the principal source of pollution of urban B. St. aureus
environment with lead compounds? C. Pseudomonas aeruginosae
A. *ethyl gasoline using D. Escherichia coli
B. using lead-containing paints battery producing E. Clostridia
C. porcelain producing 131.A 66 year old history teacher doesn’t have in his
D. cable producing diet the products having anti sclerotic action.
E. - Correct the teacher’s diet.
126.They sell portable desks in the market. Desks are A. * introduce fish, poultry meat, cheese, fruit,
made from light wooden. They heaven’t sharp vegetables, into diet
edges, the cover has an operated inclination (from B. introduce cereals into diet
1 to 45о), height of the table 0,8 m, sit height 0,5 C. introduce fat meat into diet
m, distance of the sit is positive. What disease can D. introduce floury products into diet
be among the children using the desk for home E. introduce all enumerated products into diet
work? 132.It is necessary to carry out the investigation and to
A. *right sided scoliosis establish the norm of exogenous chemical
B. left-sided scoliosis substance N content in soil. In order to create
C. flat footedness experimental conditions it is necessary to use such
 KROK 2 – Question Bank
type of soil which has maximal filtrative and
minimal sorption and soaking peculiarities. What
type of soil is it necessary to use?
A. *Sandy
B. Stony
C. Loamy
D. Peaty
E. Brackish
133.During his holiday in Ukraine a foreigner felt ill
with aggravation of gastric ulcere. He sought or
medical advice. He was admited to hospital. What
are the documents for his discharging from the
hospital?
A. * The extract from a patient’s case history;
B. Sick-leave;
C. Certificate of patient’s hospitalization;
D. А and В variants
E. С and В variants
134.The analysis of population rate of cases is carried
out. It is characterized with the following index:
A. * В, С, D variants;
B. The level of incidence;
C. The structure of incidence;
D. The dynamics of incidence;
E. The registration of incidence.
135.A 68 year old pensioner has three meals a day
with following distribution of energetic value:
form breakfast 20\%, from dinner 30\%, from
supper 50\%. The diet regime shoved be the
following:
A. * 4 meals a day with even distribution of
energetic value
B. 3 meals a day with superiority of energetic
value for breakfast
C. 4 meals a day with superiority of energetic
value for dinner
D. 3 meals a day with superiority of energetic
value for dinner
E. 4 meals a day with superiority of energetic
value for supper
136.To determine the sufficient water
decontamination, the amount of residual chlorine
which is left after chloration is taken into
consideration. What is the method of qualitative
determination of residual chlorine in drinking
water after its chloration?
A. *Adding of potassium iodide and starch to
water samples
B. Fitration of the water sample by up to rosy
colour of solution Greese reagent
C. Addition of acid to the water sample
D. Addition of aluminium sulfuric oxide to the
water sample up to the formation of hydroxide
flakes.
E. Addition of manganese peroxide to the water
sample
13
137.Infrared radiation influences the worker of 48
years old in the process of production. The depth
of thermical action of the infrared radiation on The
human organism depends upon:
A. *The length of the wave
B. Intensity
C. Action’s direction
D. Wave’s amplitude
E. Frequent spectrum
138.Doctor C, in private talk, told about the venereal
disease of his patient M to his neighbour. What
kind of responsibility is provided by legislation in
case of breaking the doctor’s secret?
A. *Discipline or criminal, depending upon the
results
B. Administrative
C. Discipline
D. Dismissal of the doctor
E. Financial
139.Doctor D, an obstetrician – gynecologist has made
back-street abortion. In the result of this medical
intervention the patient developed some
complications which led to sterility. Criminal
abortion according to active legislation provides
for :
A. *Criminal responsibility
B. Administrative responsibility
C. Discipline responsibility
D. Dismissal of the doctor
E. Financial responsibility
140.In the workshop of garment factory they supervise
effectiveness of the ventilation system and control
on the microclimate conditions. What device can’t
be used for determining the air movement velocity
in the section of ventilation pane?
A. *wing anemometer.
B. electrical anemometer
C. kata-thermometer
D. stringed anemometer.
E. membranous anemometer
141.The premises of medical institutions demanding
the rules of sterility, asepsis and antisepsis be
provided with ultraviolet lamp counting:
A. *1 watt capacity per 1 m3
B. 1 watt capacity per 10 m3
C. 1 watt capacity per 100 m3
D. 0,5 watt capacity per 1 m3
E. 0,5 watt capacity per 100 m3
142.In the inspection of occupational environment for
medical stuff in their operating room they defined
air temperature – 20°С, air movement velocity -
0,15 m/s, relative humidity - 75\%, carbon dioxide
content - 0,3\%, general lightning rate with tube
lamps - 400 lx, operating field - 7000 lx. What
indices don’t correspond to the hygienic
standards?
A. *relative humidity, carbon dioxide content
 KROK 2 – Question Bank
B. operating field lighting rate, air movement
velocity.
C. carbon dioxide content, general lighting rate
D. carbon dioxide content, air temperature
E. relative humidity, general lighting rate.
143.While working a 55 year old man busy in coxo-
chemical industry can’t do without water. How
showed the drinking of this worker regime be
organized?
A. * Use 100 ml drinks and water every 25-30
minutes.
B. Use drinks and water 10 minutes before meals
C. Use drinks and water before the beginning of
the work
D. Use drinks and water after break
E. Use drinks and water after the beginning of the
work
144.The right of establishing the fact and the group of
stable disability (invalidity) belongs:
A. *MFEX
B. MCC
C. Doctor
D. The head doctor deputy for disability
examination.
E. The head doctor
145.Statistical investigation is carried out. It’s
necessary to formulate totality of choices. Which
of the enumerated methods is not used for
selecting units of observation into totality of
choices?
A. * analogous
B. mechanical
C. typological
D. serial
E. random
146.The doctor established the level of flue illness to
be increased to 30\% in comparison to last year.
What index did he use?
A. *visual
B. intensive
C. extensive
D. correlations
E. non-marked intensity
147.What does a rural hospital consist of?
A. * a hospital or an outpatient clinic and
feldsher-obstetric stations;
B. feldsher-obstetric stations, a regional hospital;
C. a regional hospital and female dispensary;
D. a hospital, a regional hospital and feldsher-
obstetric stations;
E. a regional hospital and a sanitary-
epidemiologic station.
148.A woman of 55 years old has diarrhea,
desquamation and skin pigmentation (on the face,
neck, feet and hands), irritability and anxiety. We
know from her anamnesis that her main food is
14
maize, she rarely eats vegetables and beans and
never eats meat and fish. What is the disease?
A. *pellagra
B. psoriasis
C. scurvy
D. beri-beri
E. Swift’s dermatitis
149.The 5 years old child was brought to the reception
ward with such symptoms as: dryness of skin and
mucosa, short breathing, midriasis, agitation,
confused consciousness. They defined that before
hospitalization the child had collected berries in
the forest. What plant caused food poisoning?
A. *spurge-flax
B. fly agaric
C. green gill
D. Cikuta
E. Aconitis
150.In the country with decentralized water supply
(shaft wells) they registered elongation of fonticuli
healing, poor bones development, teeth
development retardation among infants. They are
typical signs for presence in water of
A. *Fluorine
B. Lead
C. Strontium
D. Iodine
E. Arsenium
151.They are building a 2 storied house in the town.
Water pipes and canalization are absent. What
type of lavatory is the best for these conditions?
A. *Lavatory with aerated tank
B. Chemical lavatory
C. WC
D. Public lavatory
E. Field lavatory
152.Ultra-violet radiation is carried out to prevent in
hospital infections in the premises of the medical
institutions. What is its health-improvement action
evaluated with?
A. *Degree and index of effectiveness
B. Multinle of air-exchange
C. Dust content
D. Ozone content
E. Carbon dioxide content
153.A 40- year old inhabitant of the city of Kiev
arrived in Abidjan (Ivory Coast) in July of 1998.
In an hour after arriving he lost consciousness
after leaving the international airport terminal.
After medical aid he was delivered to the hospital.
His state was characterized with the following
signs: expressed adinamia, severe headache with
nausea, the skin was hyperemied, wet; body
temperature was rised up to 39оС; short breathing,
tachicardia. The tourist has never been to hot
climate countries. What is the cause of syncope?
A. *hot climate impact
 KROK 2 – Question Bank
B. new impressions
C. tourist’s age
D. Impact of flight
E. poor health state of the tourist
154.The worker of the chemical enterprise visited a
health provider with complaints of irritability,
poor workability, insomnia, headache.
Objectively: arhythmical tremor, asymmetry of
tendous and periostal reflexes, pulse lability,
steady red dermographismus. Signs of excretory
gingivitis. The worker deals with amalgam
producing. What is the disease?
A. *chronic mercury poisoning
B. chronic lead poisoning
C. chronic gasoline poisoning
D. chronic aniline poisoning
E. chronic cadmium poisoning
155.At the market they sell milk brought in the churns.
Smell and taste of milk are usual, color is white
with bluish tint, specific density 1,015 g/cm3, fat
content 2\%. Acidity 15оТ. No admixtures.
Determine milk quality.
A. *milk was adulterated by dilution
B. milk was adulterated by skimming
C. Stale milk
D. milk with suspicious freshness
E. surrogate milk
156.During the examination on general hygiene and
social medicine the student said that the mountain
sickness has been caused by the low content of
oxygen in the highlands air. Could you correct his
response?
A. *it’s caused by decreasing of partial pressure
of the oxygen
B. it’s caused by high content of carbon dioxide
C. it’s caused by solar radiation effect
D. it’s caused by action of cold air
E. it’s caused by peculiarities of perception of the
mountain environment
157.While answering the state examination a student
of medical faculty said that the sanitary lab
decides the problem about suitableness of food for
using. Could you correct your college’s answer?
A. *health officer gives final conclusion about
food quality
B. assistant of health officer gives a conclusion
C. dietologist gives final conclusion
D. cook gives the conclusion
E. customer gives a conclusion
158.The worker of “Bios" enterprise producing
laundry detergents consults her health provider
with complaints of rash at the opened areas of the
face skin, neck and hands. What prevention is
necessary?
A. *to use hermetic equipment
B. to change assortment of the production
C. to use air conditioning
15
D. to use individual protective equipment
E. misemploy her
159.The group of Ukrainian tourists visited Malaysia.
By WHO statistics this country has a high rate of
morbidity owning to water-borne infections. What
way of water disinfecting should they use?
A. *boiling
B. ozonizing
C. freezing
D. iodination
E. UV irradiation
160.The germ pollution of operation room after
operating was 2500 CFU/m3. They sanitize air
with UV-lamps. What percent should germ
pollution be decreased to consider the sanitation
effective?
A. *80\%
B. 20\%
C. 40\%
D. 60\%
E. 99\%
161.The cadets of military school were brought to the
infection hospital with acute gastroenteritis after
reception on the graduation day. In vomiting
masses and rest of the products St. aureus and its
enterotoxine were found out by ELISA. What
product have cause food poisoning?
A. *cream cake
B. sausages
C. fries
D. stuffed paprika
E. Adulterated cognac
162.The man with jaundice was brought to the
hospital. He considered that his state was caused
by roasted peanut. What mycotoxine was found in
peanuts?
A. *aflotoxine
B. ergotoxine
C. botulotoxine
D. phasine
E. solanine
163.С., 38 year old, has general labor experience of 15
years, for 10 years he works as a roentgenologist.
By dosimeter data he took 40 rem during these
years Can С. work by his specialty in future?
A. *yes, he can
B. no, he can’t
C. he can but by the order of Ministry of Health
D. he can but after rehabilitation treatment
E. he can but after changing dosimeter
164.The anestesiologist gives narcosis to the patient,
he uses a non-reversive contour. Anesthetic is
halothane. Air temperature in the operation room
is 21°С, humidity 50\%, level of noise 30 dB.
What occupational hazards is the most significant
in these conditions?
A. *air pollution with anesthetic
 KROK 2 – Question Bank
B. improper occupational microclimate
C. high level of noise
D. mental overfatigue
E. compelled working pose
165.The daily diet of a porter contains 110 g of protein
(including 61 g of animal origin), 120 g of fat, 400
g of carbohydrates. His losses of energy are about
4000 kcal per day. What ways to optimize his
nutrition could you advise?
A. *increase carbohydrates content
B. increase quantity of animal protein in the diet
C. increase quantity of vegetable protein
D. increase fat content
E. decrease quantity of animal protein
166.Family physician advised for patient to rise
vitamin C and calcium supply of the organism by
drinking milk and eating sorrel. What mistake has
he done?
A. *calcium is not absorbed in the presence of
oxalic acid
B. sorrel is poor in vitamin C
C. milk does not content calcium
D. these foods are allergenic
E. alimentary correction hasn’t any advantages in
comparison with pharmacological one
167.Soldier Р,. 19 year old, was brought to the military
hospital with complaints on fatigability, gum
bleeding. Objectively: dryness and paleness of the
skin, acrocyanosis. Interdental spaces of the gums
edematous, gums are loosened, cyanotic.
Folliculitis signs. Vitamin С excretion with urine:
0,27 mg/hour. Estimate vitamin C supply of the
soldier organism and specify its standards for
ascorbic acid excretion with urine
A. *low (norm: 0,7-1,0 mg/h.)
B. low (norm: 2,0-3,0 mg/h.)
C. low (norm: 1,0-1,5 mg/h)
D. high (norm: 0,1-0,2 mg/h.)
E. normal (norm: 0,2-0,6 мg/h.)
168.In school №75 they conduct the survey of the
children’s growth. The girl 7 year old has height
of 133,3 cm (+2,1(), weight 29,0 kg (+1,0(), chest
volume 60,1 cm (+0,5(). Estimate her growth
development
A. *the child has high height, disharmonic
development
B. the child has high height, harmonic
development
C. the child has low height, harmonic
development
D. the child has average height, harmonic
development
E. the child has low height, disharmonic
development
169.The dockers work at the port in night schift from
2300 to 700. By heaviness of labour this group of
16
workers has hard physical labour. What nutrition
mode will you advise for them?
A. *3-times meal, total calorie value 3700 kcal
B. 3-times meal, total calorie value 3200 kcal
C. 4-times meal, total calorie value 3200 kcal
D. 5-times meal, total calorie value 5000 kcal
E. liberated, total calorie value 3000 kcal
170.Wheat flour came to realization in the trade
network. By the documents its sort was defined as
“extra”. Lab analysis data: color: white with
yellowish humidity: 17\% smell: acidous acidity:
10о taste: acidous glutens: 15\% crunch: no
Assess quality of product.
A. *poor quality product, not suitable for using
B. flour of high quality, can be used w/o
limitations
C. conditionally suitable for using
D. flour has low humidity, not suitable for using
E. flour has high humidity, not suitable for using
171.They inspect the pig corps at the abattoir. The
flesh surface is light-red, section is some how wet,
spots at the blotting-paper don’t appear, elasticity
is normal. Fat is white with yellowish tint, solid,
in compression it crumbles, marrow is pink and
fills the bone channel completely. The meat has
specific smell of fresh flesh.. In tongue,
diaphragm, intercostals and chewing muscles there
are trichinas. What should they do with meat?
A. *use for technical utilization
B. use for meal w/o limitations
C. use for meal after boiling
D. use for meal after disinfecting
E. use for animal feeding by the contract with
veterinarian inspection
172.A student has to measure the speed of air motion
in experimental laboratory. What device should he
use?
A. *Cathethermometre
B. Asman`s psychrometer
C. Hair hygrometer
D. Augustus psychrometer
E. Anemometer
173.For training stamina teenager В., 15 year old,
started to use a cold shower (water temperature
+6оС) for 20-30 minutes. In some days he stopped
the procedures because of acute tonsillitis. What
water procedures will you advise for strengthening
(training stamina) at the beginning?
A. *wiping
B. bathing in the water reservoir
C. Scotch shower
D. pouring
E. gargling throat with cool water
174.Tooth decay morbidity among people living in N
is 89\%. They drinks water containing 0,001 mg/l
fluorine. What prevention could you advise?
A. *water fluorination
 KROK 2 – Question Bank
B. brush teeth
C. inhalate fluorine
D. eat more vegetables
E. use sylantes
175.For providing health care of people living in a new
urban district they planned to build a new hospital
for 550 beds, situated at the outskirts. The furthest
buildings will be at 32 km from hospital. What
service radius is the maximum for the urban
hospitals?
A. *15 km
B. 5 km
C. 10 km
D. 20 km
E. 30 km
176.On the 12th April 2000 in Odessa there was
variable cloudness and in-and-out precipitations,
atmospheric pressure - 755 mm of Hg, wind - 8,5
m/s, daily overfall of temperature -7оС,
atmospheric pressure - 10 mm Hg. What is the
medical type of the weather?
A. *requiring medical control
B. very favorable
C. favorable
D. severe medical control
E. acute
177.The impairment of vision can occur in children
when carrying out different kinds of work. What
main hygienic conditions of labour can provide
the prophylaxis of these disturbance?
A. * ensuring the good illumination of a child’s
working place
B. the time restriction of fulfilling work
C. the quality of educational books
D. a blackboard colour
E. the distribution of children in the classroom
178.The showing of an age-old tendency among the
younger sections of population is acceleration.
which groups of hypotheses cause this
phenomenon
A. * heliogenic, alimentary, social and economic
B. high-caloric mixtures of children’s nutrition
C. heterolocal marriages, early puberty
D. city urbanization and ecology
E. specific prophylaxis, successes in pediatrics
179.Which term for the preparation of homework by
the pupils of the eighth – eleventh forms will meet
hygienic requirements?
A. * 3 hours
B. 1,5 hours
C. 2 hours
D. 3,5 hours
E. 4 hours
180.They confiscated 20 kg of pork from a seller at the
market. The surface of flesh is bright, condistence
is dense, fat is solid, smell is usual, color is light
17
red, рН of meat juice - 6,0. they found 5 fins at 40
cm2. Assess meat quality
A. *poor quality product, not suitable
B. high quality product, suitable w/o limitations
C. high quality product, suitable with limitations
D. surrogate product
E. adulterated product
181.The mountain lake is situated out off the
residential area. The forest is around, shores are
sandy and stony. Water analysis: Smell. Taste - 1
score, ammonia and nitrites – no, color –
colorless, nitrates - 40 mg/l, transparence - 40 cm,
chlorides - 50 mg/l, oxidation ability - 3 mg О2/l,
hardness - 10 mg eq/l, coli-titer - 300 ml, microbic
number – 65. Could this water be used for
drinking?
A. *water is suitable for drinking
B. water is suitable only for technical purposes
C. water is suitable after boiling
D. water is not suitable for using
E. water can be used after settling
182.A boy 8 year old is under the dispensary
supervision because of chronic gastroduodenitis.
What group of physical education has the boy?
A. *special
B. basic
C. additional
D. preparatory
E. medical
183.The observation department of maternity house is
situated on the first floor under the delivery room.
In the department there are 10 2-bed wards and 2 –
1-bed ones. The total amount of the beds is 22.
Reception of pregnant women is conducted via the
isolated unit of the reception ward. What
infringements of sanitary rules could you specify?
A. *department placement
B. structure of the department
C. total amount of beds
D. reception mode of pregnant women and
women in childbirth
E. No infringements
184.The worker of a forge shop consults his physician
about complaints of poor hearing, fatigability,
headache. Tonal audiography has been conducted.
There are signs of sensitive surditas on the
audiogram. What prevention could you advise?
A. *use antiphones
B. hermetize the equipment
C. eat caviar
D. wear rubber shoes
E. change managers at the enterprise
185.In the operating room of the purulent surgery
department they amputated the shin in the patient
with gangrene. What way is usual for medical
wastes disposal?
A. *incerination in special stoves
 KROK 2 – Question Bank 18
B. dispose to landfills ham, Russian salad, stuffed cabbage-rolls and
C. bury at especial cemeteries other foods. He ate ice-cream with strawberries
D. bury at the hospital territory and rum. From his girlfriend it’s known that ice-
E. reduce to fragments and dispose to cream was melted and frozen again. What food
canalization caused poisoning?
186.For keeping meat soup with salted cucumbers in A. *ice-cream
the workers canteen they used a zinc-coated B. ham
bucket. In 2-3 hours after eating this soup 5 C. alcohol drinks
workers had vomiting. Sick men were D. Russian salad
hospitalized. In a day all signs disappeared. What E. stuffed cabbage rolls
is the disease? 192.The artesian chink is situated out off the
A. *zinc poisoning residential area, the nearest territory is free of
B. botulism pollution and covered. Water analysis: taste - 1
C. overeating score, oxidation ability - 0,5 mg О2/l, coli-tytre -
D. iron poisoning 500 ml, smell - 0 scores, ammonia – traces,
E. staphylococcal intoxication transparence – 40 cm, colority - 10?, microbic
187.After eating of raw duck eggs the family with number – 28, nitrites – traces, nitrates - 92,0 mg/l.
signs of gastroenterocolitis was delivered to What disease can be caused by drinking this
hospital t. What disease can be the most probable? water?
A. *salmonellosis A. *water-nitrate methemoglobinemia
B. erysipelas B. syderoachrestic anemia
C. leptospirosis C. talassemia
D. botulism D. dysentery
E. ergotism E. gastritis
188.Surgeon В., 36 years old, working at the thoracic 193.The parameter of infantile mortality for the last
department of the oncological dispensary. This year was - 16,3, in present year - 15,7. Name a
year he has been subjected to X-ray scopy for kind of the diagram that can be used for a graphic
several times (with esophageal contrasting). What representation of it.
maximum admissible dose is defined for this A. *Stylar.
professional category? B. Linear.
A. *2 mSv C. Intrastylar.
B. 20 mSv D. Sector.
C. 10 mSv E. Radial.
D. 5 mSv 194.Define the basic registration document at the
E. 1 mSv profound study of a case rate with temporary lost
189.For preventive purposes the student drinks mineral labor ability at the industrial enterprise:
waters. What mineral water can be used for A. *A card of the personal account of a case rate.
everyday drinking? B. "The Report on reasons of a temporary lost
A. *potable labor ability".
B. arsenic C. The leaf of disability.
C. boric D. A ambulatory medical card.
D. hydrosulfurous E. The inpatient medical.
E. radon 195.Head of department and a trade-union group have
190.For waste treatment they offer chloric lime with addressed to the head of hospital about dismissal
5\% content of active chlorine. What content of of the senior nurse that works during 17 years.
active chlorine is admissible for disinfecting at The facts of charge were confirmed and
least? recognized as the main nurse. This nurse lives
A. *20\% with a daughter (which does not work, she is
B. 1\% divorced) and 9 month grandson. Make a solution
C. 5\% from items of management.
D. 10\% A. *To keep the worker on a post with the
E. 15\% prevention of dismissal in case of repeated
191.They brought the patient Т., 32 year old, with violation of a labor discipline.
acute gastroenteritis signs to the reception ward of B. To discharge from office the worker with, i.e.
the municipal infectious hospital. He has fallen ill to satisfy demands of collective.
suddenly. Four hours ago he had a lunch with his C. The leaf of disability.
girlfriend. He drank alcohol beverages, ate some D. A ambulatory medical card.
 KROK 2 – Question Bank
E. To shift a solution of this problem on other
officials or public organizations.
196.On the basis of the application form of parents and
explanatory note from the senior nurse of
reception department the chief of medical service
sent the official report to the head of hospital
about granting for a money by the senior nurse of
hospital the medicines from humanitarian fundfor
treatment the child. What should make the head of
hospital in this situation from items of
management?
A. *To conduct service investigation by results of
which to realize the administrative order
according to the revealed circumstances. He
should to inform the chief of medical service,
and in case of acknowledgement of the facts
inform the collective.
B. To not accept any activity.
C. To discharge from office the senior sister.
D. To notify the chief of medical service about
excess by him the official duties.
E. To transmit the official report of chief of
medical service to the chief of a reception
department for acceptance of effective
measures for elimination henceforth similar
practice.
197.The child is 6 years old. For one year of
observation he has URI duration 8 days. Physical
worked out satisfactory. Define group of health:
A. *I-st.
B. II-d.
C. III (a).
D. III (b).
E. III (c).
198.The employee was invalid during 6 months in
connection with fracture of a hip. Who has the
right to authorize for issue a leaf of disability for
the last 2 months?
A. *MSEC.
B. Head physician of the polyclinic.
C. DCC.
D. DCC together with the head physician of a
polyclinic.
E. Deputy a head physician on a working
capacity.
199.The employee 6.03.2001 made abortion under
medical signs and she was in a hospital till
17.03.2001. On what term the leave of disability is
issued to her?
A. *For 12 days.
B. For 3 days.
C. For 4 days.
D. For 10 days.
E. For 11 days.
200.The man of 38 years was admitted in the hospital
from a place of job in July 19, concerning fracture
of a hip. He was invalid till November 19.
19
Requires prolongation of treatment. Who solves
the problem on the further temporary invalidity?
A. *Specialized (trоumatologic) MSEC.
B. DCC.
C. The head physician of a polyclinic.
D. Interdistrict general MSEC.
E. Regional MSEC.
201.What is the maximum duration the leave of
disability during tuberculosis?
A. *2 months.
B. Week.
C. 2 weeks.
D. Month.
E. 10 months
202.The engineer - chemist in age of 47 years often
and duratingly is sick of occupational disease of a
skin. Who makes a decision to transfer him to
other job accepts?
A. *DCC.
B. A head physician.
C. The attending physician.
D. The chief of shop.
E. MSEC.
203.The patient with high temperature was addressed
on a medical assistant's health center in the
evening. The fact of temporary lost labour ability
was fixed. Indicate the order of examination in
this case?
A. *The reference on remission of job is issued in
a night duty, which in the subsequent is used
for issue of a medical certificate by date of the
previous day.
B. The leaf of disability for 1 day is issued.
C. The leaf of disability about 3 days is issued.
D. The leaf of disability for 3 days is issued.
E. What document is not issued.
204.They took the sample from 5 tons milk batch. In
the lab analysis it was defined: fat content 2\%,
specific density 1,04 g/cm3, acidity 21оТ,
reductase probe – weak positive. What way is the
product to be used in? Please advice.
A. *sell but inform customers about milk quality
B. write off for animal feeding
C. technical utilization
D. sell without limitations
E. do product away
205.The student has devices: Geiger counter, Ebert
counter, Krotov’s apparatus, Mischuk device,
Ebert device. What device can he use to assess air
germ pollution
A. *Krotov’s apparatus
B. Ebert’s counter
C. Geiger’s counter
D. Mischuk’s device
E. Ebert’s device
206.The student has devices: Geiger counter, Ebert
counter, Krotov’s apparatus, Mischuk device,
 KROK 2 – Question Bank 20
Ebert device. What device can he use to assess bilateral wet rales. Choose medicines for
meat quality treatment.
A. *Ebert’s device A. *Morphine, furosemide, nitroprusside sodium
B. Ebert’s counter B. Theophylline, prednisolon
C. Geiger’s counter C. Albuterol, atropine, papaverine
D. Mischuk’s device D. Strophanthine, potassium chloride,
E. Krotov’s apparatus plathyphylline
207.The student has devices: Geiger counter, Ebert E. Cordiamine, isoproterenol
counter, Krotov’s apparatus, Mischuk device, 213.An attack of severe substernal pain developed in a
Ebert device. What device can he use to assess air patient at night. On exam: confusion, pallor of the
radioactivity skin, acrocyanosis, cold sweating, BP of 80/50
A. *Geiger’s counter mm Hg, PR of 120/min, irregular and weak pulse.
B. Ebert’s counter Note, what condition are these features typical
C. Krotov’s apparatus for?
D. Mischuk’s device A. *Cardiogenic shock
E. Ebert’s device B. Acute left-sided heart failure
208.Student В. lives in the canalized house in the flat C. Acute right-sided heart failure
with complete set of sanitary equipment (WC, D. Radicular syndrome
bath, shower, local water heater). How much E. Acute vascular insufficiency
water consumption has he got? 214.A 61-year-old man complained of sneezing and
A. *160-200 l substernal pain on exertion. The prior 2 weeks
B. 10-15 l such pain had appeared at rest, with increased
C. 50-100 l frequency, and failed to respond to 1 tabl of
D. 300-400 l nitroglycerin. What is the most likely diagnosis?
E. 500 l A. *Unstable angina pectoris
209.All enumerated included all kinds of forensic B. Angina pectoris of a new onset
medical documents with the exemption of: C. Myocarditis
A. * Structure D. Radiculitis
B. Primary E. Stable angina pectoris of III functional class
C. Addition, repeated 215.A patient with ischemic heart disease and chronic
D. Committee heart failure develops sudden loss of
E. Complex consciousness; on exam, cyanosis, the widened
210.Classical X-ray image of intestinal obstruction is: pupils, peripheral pulse and blood pressure are not
A. *Gas and horizontal levels defined. On ECG: ventricular complexes are
B. Filling defect absent; instead of them there are waves of
C. High positioned diaphragm different shape and amplitude with irregular
D. Reactive pleuritis rhythm. What is the mechanism of this rhythm
E. Pneumatosis disturbance development?
211.A 15-year-old girl was examined with a history of A. *Multiple microreentry in the ventricles.
gradual onset of fever, malaise, loss of weight. B. Enhanced automatic activity of the ventricles.
There was nothing typical about the kind of fever, C. Disturbances of neurohumoral regulatory
which has been present for more than 7-10 days systems.
and changed quickly. Physical examination was D. Sick sinus syndrome.
unremarkable. What is the single most important E. Accelerated diastolic depolarization, a
examination for excluding miliary tuberculosis? disturbance in electrolyte balance.
A. * Chest x-ray 216.A 41-year-old woman complains of weakness,
B. Liver or bone marrow biopsy fatigue, fever up to 38°C, rash on the face skin,
C. Tuberculin skin testing pain in the wrists and the elbows. On physical
D. Sputum smear and culture of M.tuberculosis exam, erythematous rash on the cheeks with
E. Bronchoscopy “butterfly” appearance, the wrists and elbow joints
212.A 58-year-old man complained of severe are involved symmetrically, swollen, tender on
inspiratory dyspnea and expectoration of frothy motions, friction rub over the lungs, the heart
and blood-tinged sputum. He had been suffering sounds are weak, regular, HR of 88/ minute, BP of
from essential hypertension and ischemic heart 160/95 mm Hg. CBC shows anemia, leucopenia,
disease. On exam, acrocyanosis, “bubbling” lymphopenia; on urinalysis: proteinuria,
breathing, PR of 30/min, BP of 230/130 mm Hg, leukocyturia, casts. What is the main mechanism
of disease development?
 KROK 2 – Question Bank
A. *Production of antibodies to double-stranded
DNA.
B. Production of antibodies to myocytes.
C. Production of antibodies to endothelial cells.
D. Production of antibodies to myosin.
E. Production of antimitochondrial antibodies.
217.A man with liver cirrhosis complained of nasal
bleedings, right subcostal pain, weakness, nausea.
On physical examination: jaundice, hemorrhagic
rash, enlarged liver span (of 14 cm), liver edge
irregular. What is the cause of hemorrhagic
syndrome in this patient?
A. *Decreased liver production of procoagulants.
B. As a consequence of DIC.
C. Thrombocytopenia.
D. As a result of portal hypertension.
E. K and C hypovitaminosis.
218.A 56-year-old woman has an acute onset of fever
up to 39°C with chills, cough, and pain on
respiration in the right side of the chest. On
physical examination: HR of 90/minute, BP of
95/60 mm Hg, PR of 26 per minute. There is
dullness over the right lung. On X-ray: infiltrate in
the right middle lobe of the lung. What is the
diagnosis?
A. *Community-acquired lobar pneumonia with
moderate severity.
B. Community-acquired bronchopneumonia.
C. Acute pleurisy.
D. Acute lung abscess.
E. Hospital-acquired lobar pneumonia.
219.A 36-year-old woman during 6 years has had
bronchial asthma. She is sick all the year. She is
working in the premises where walls are covered
by mould. She has allergy to aspirin, analgin, and
acetaminophen. Now she has four asthma attacks
per day, especially at night. Nasal breathing is
disturbing too. There is wheezing on expiration
over the lungs. Skin tests with feathers, dust mites,
and wood dusts (maple and alder-tree) are
positive. Order treatment according to the type of
asthma and severity of its course
A. *Inhaled beclomethason 100 mcg t.i.d. after
previous inhalation of fenoterol.
B. IV theophylline and clarithromycin P.O.
C. Specific desensitization with dust mites and
feathers allergens.
D. Dexamethasone and theophylline P.O.
E. Ephedrine P.O. and inhaled isoproterenol
during an attack.
220.A 44-year-old woman complained of weakness,
subfebrile fever, and pallor of the skin. Physical
examination revealed the enlarged lymph nodes in
the right supraclavicular area. On X-ray film, there
was enlargement of bronchopulmonary and
paratracheal lymph nodes. The liver was enlarged,
with increased firmness. What is the diagnosis?
21
A. *Hodgkin’s disease.
B. Tuberculosis.
C. Sarkoidosis.
D. Tumor metastases.
E. Chronic myelocytic leukemia.
221.A 40-year-old man complained of headache in
occipital area. On physical examination, the skin
was pale; there was face and hand edema, blood
pressure of 170/130 mm Hg. On EchoCG, there
was concentric hypertrophy of the left ventricle.
Ultrasound examination of the kidneys revealed
thinned cortical layer. Urinalysis showed
proteinuria of 3.5 g/day. What is the diagnosis?
A. *Chronic glomerulonephritis.
B. Essential arterial hypertension.
C. Chronic pyelonephritis.
D. Polycystic disease of the kidneys.
E. Cushing’s disease.
222.A 29-year-old woman is critically ill. The illness
was manifested by high fever, chills, sweating,
aching pain in lumbar area, a discomfort in
urination, and frequent voiding. Pasternatsky’s
sigh is positive in both sides. On lab exam, WBC
of 20.000/mcL; on urinalysis protein of 0.6g/L,
leukocyturia, bacteriuria. Your preliminary
diagnosis.
A. *Acute pyelonephritis
B. Exacerbation of chronic pyelonephritis
C. Acute glomerulonephritis
D. Acute cystitis
E. Nephrolithiasis
223.A 26-year-old man was admitted to the hospital
complaining of stabbing back pain on inspiration
and dyspnea. On exam, BT of 37°C, PR of
24/min, HR of 92/min, vesicular breath sounds.
There is a dry, grating, low-pitched sound heard in
both expiration and inspiration in the left lower
lateral part of the chest. What is the most likely
diagnosis?
A. *Acute fibrinous pleuritis
B. Myocarditis
C. Pneumonia
D. Acute bronchitis
E. Pneumothorax
224.A 58 year-old man complained of pain and
swelling of the left foot small joints. The skin over
these joints was purple, BT was 38°C. For the last
6 years he has had a few episodes of such arthritis
with duration of each one up to 7 – 10 days. He
also suffered from chronic tonsillitis. On exam,
there were abnormal features in the left
metatarsophalangeal joints. What is the
pathogenetic mechanism of this disease
development?
A. *Increased biosynthesis of uric acid
B. Immune response to streptococcal infection
C. Hyperproduction of autoantibodies to collagen
 KROK 2 – Question Bank 22
D. Decreased amount of chondroitin sulfate C. Clophelin
E. Production of antibodies to native DNA D. Kapoten
225.A 31-year-old man with past history of rheumatic E. Nifedipin
fever was severely ill and complained of fever up 230.A 62-year-old patient complains of rest dyspnea,
to 38 – 39°C, abdominal pain, dyspnea, heart pains. 3 years ago he had myocardial
palpitation; he felt ill 6 days prior. On exam, the infarction. Physical examination: orthopnea,
left heart border was shifted to the left, heart acrocyanosis, swollen cervical veins. Pulse – 92,
sounds were faint, there were systolic and total heart enlargement, the liver is enlarged by 7
dyastolic murmurs at the aortic area, BP of 160/30 cm, shin edema. What is the stage of chronic heart
mm Hg, positive Rumpel-Leede sign, enlargement failure [CHF]?
of the liver and the spleen, diarrhea, and dark urea. A. * CHF-2 B
What is the most likely diagnosis? B. CHF- 1
A. *Infective endocarditis C. CHF- 2 А
B. Rheumatic aortic valve disease D. CHF-0
C. Typhoid fever E. CHF-3
D. Acute viral hepatitis 231.A patient, aged 49, complains of fever of 37,5 0С,
E. Acute nephritis heart pain, dyspnea. S1 is clapping; S2 is
226.A 14 year old patient. He complains of chest pain, accentuated in the aortic area; opening snap,
temperature 38,5, breathlessness. He had acute presystolic murmur are auscultated. What is the
tonsillitis2 weeks ago. He is in a bad state. The most useful investigation for valvular disorder
skin is pale. Heart borders are widened, the tones assessment?
are weakened. Above all heart area you can hear A. * Echocardiography + Doppler–
pericardium friction sound. Electrocardiogramm: Echocardiography
the descent of voltage QRS, the inversion T. The B. Phonocardiography
liver is 3 sm enlarged. ESR – 4mm/h, ASL – 0 – C. Ballistocardiogram
1260, C-reaction protein +++. Your diagnosis: D. Chest x-ray
A. *Rheumatic pancarditis E. ECG
B. Rheumatic pericarditis 232.Physical examination of a person with chronic
C. Rheumatic myocarditis bronchitis reveals expansion of intercostal spaces,
D. Rheumatic endocarditis hyperresonant percussion note, decreased
E. Septic endocarditis whispered voice sounds. Chest x-ray shows
227.A 52-year-old patient with previously functional hyperinflated lungs, low and flattened diaphragm.
Class П angina complains of 5 days of intensified Which of the signs is helpful in diagnosing lung
and prolonged retrosternal pains, decreased emphysema?
exercise tolerance. Angina is less responsive to A. * All of them
Nitroglycerinum. Which of the following B. Low diaphragm
diagnosis is most likely? C. Hyperresonant percussion note
A. * IHD. Unstable angina D. Hyperinflated lungs
B. Cardialgia due to spine problem E. Expansion of intercostal spaces
C. IHD. Functional Class П angina. 233.A patient with nosocomial pneumonia presents
D. Myocarditis signs of collapse. Which of the following
E. Myocardial dystrophy pneumonia complications is most likely to be
228.An ECG of postinfartional [a year ago] patient accompanied with collapse?
shows pathological QS waves in leads VI-V3, I, A. * Septic shock
aVL. Determine the location of old myocardial B. Exudative pleuritis
infarction. C. Bronchial obstruction
A. * Septal and anterior D. Toxic hepatitis
B. Anterolateral E. Emphysema
C. Anterior 234.A 45-year-old man for 1 month has complained of
D. Inferior epigastric and right subcostal aching pain,
E. Postrolateral pruritus, indigestion, dark color of the urine and
229.A 52-year-old patient has hypervolaemic type of acholic stool, fever, and significant weight loss.
essential hypertension. Which of the following is On exam: jaundice, presence of Curvuasier’s sign.
necessary to prescribe either as monotherapy, or in US scan did not reveal stones in the gallbladder
a complex with other antihypertensive remedies? and choledochus. What is the most likely
A. * Hypothiazid diagnosis?
B. Dibazol A. *Cancer of the pancreas head
 KROK 2 – Question Bank
B. Gallbladder stones
C. Chronic pancreatitis
D. Chronic cholangitis
E. Chronic hepatitis
235.A 34-year-old woman fell ill 3 months ago after
cold exposure. She complained of pain in the hand
and knee joints, morning stiffness, and fever up to
38°C. Interphalangeal, metacarpophalangeal and
knee joints are swollen, hot, with decreased ranges
of motions; ESR of 45 mm/hr, CRP (+++),
Vaaler-Rouse test of 1:128. What group of
medicines would you recommend to the patient?
A. *Nonsteroidal anti-inflammatory drugs
B. Cephalosporines
C. Tetracyclines
D. Sulfonamides
E. Fluorchinolones
236.A 47-year-old obese man complained of periodic
attacks of acute arthritis in the 1st left
tarsophalangeal joint. Lab exam revealed
increased serum level of uric acid. What is the
diagnosis?
A. *Gout arthritis
B. Reiter’s disease
C. Rheumatoid arthritis
D. Rheumatic arthritis
E. Osteoarthritis
237.A 22-year-old woman complained of right
subcostal aching pain, nausea, and decreased
appetite. She fell ill 2 months after appendectomy
when jaundice appeared. She was treated in an
infectious hospital. 1 year later above mentioned
symptoms developed. On exam: the subicteric
sclerae, enlarged firm liver. Your preliminary
diagnosis
A. *Chronic viral hepatitis
B. Calculous cholecystitis
C. Gilbert’s disease
D. Acute viral hepatitis
E. Chronic cholangitis
238.A 50 -year-old woman for 1 year complained of
attacks of right subcostal pain after fatty meal.
Last week the attacks have repeated every day and
become more painful. What diagnostic study
would you recommend?
A. *Ultrasound examination of the gallbladder
B. Liver function tests
C. X-ray examination of the gastrointestinal tract
D. Ultrasound study of the pancreas
E. Blood cell count
239.A 27 -year-old man complained of aching
epigastric pain just after meal, heartburn, and
nausea. Stomach endoscopy revealed a large
amount of mucus, hyperemia and edema of
mucous membrane in gastric fundus with areas of
atrophy. Establish the diagnosis.
A. *Chronic type A gastritis
23
B. Chronic type B gastritis
C. Peptic ulcer of the stomach
D. Chronic type C gastritis
E. Menetrier’s disease
240.A 25 -year-old woman complained of edema on
the face and legs, elevation in blood pressure up to
160/100 mm Hg, and weakness. She fell ill 3
weeks after sore throat. On urinalysis, protein of
0.5 g/L, erythrocytes of 17 – 20/field, leukocytes
of 2 – 3/field, erythrocyte casts. What treatment
should be initiated after establishing of the exact
diagnosis?
A. *Penicillin OS
B. Heparin
C. Ceftriaxone
D. Dipyridamole
E. Ciprofloxacine
241.A 25-year-old woman complained of fatigue, hair
loss, and brittle nails. On exam, pallor of skin, PR
of 94/min, BP of 110/70 mm Hg. On blood cell
count, Hb of 90 g/L, RBC 3.5•1012/L, color index
of 0.7, ESR of 20 mm/h. Serum iron level was 8.7
mcmol/L. what treatment would you initiate?
A. * Ferrous sulfate orally
B. Iron dextrin injections
C. Vitamin B12 intramuscularly
D. Blood transfusion
E. Packed RBCs transfusion
242.A 38-year-old man worked at roofing and drain
piper production for 15 years. He seeks medical
help for expiratory breathlessness on exertion, and
dry cough. On exam, wheezes above both lungs,
grayish warts on fingers are seen. Factory
physician has diagnosed asbestosis. What method
is the most important for this diagnosis?
A. *Chest X-ray
B. Bronchoscopy
C. Blood gas analysis
D. Spirography
E. Electrocardiography
243.The patient has worked 13 years as a bulldozer
driver. He complains of dizziness, headache,
finger dumbness and pain at night. On exam,
tactile sensivity of peripheral type disturbes him,
ankle muscles are painful, and pulsation on a.
dorsalis pedis is weak. What is the most probable
diagnosis?
A. *Vibration disease
B. Raynaud’s disease
C. Syringomyelia
D. Atherosclerosis obliterans
E. Periarteritis nodosa
244.A worker of chemistry factory had occupational
exposure to lead for 20 years. Total blood count:
RBC of 3.5•1012/L, Hb of 100 g/L, reticulocytes
of 3.3\%, granulated erythrocytes of 40 on 50
fields of view; lead blood concentration of 0.042
 KROK 2 – Question Bank
mg\%, porphyrinurea of 0.32 mg/L. What is the
probable diagnosis?
A. *Chronic lead intoxication, II stage
B. Chronic lead intoxication, I stage
C. Porphyria
D. Hereditary hemolytic anemia
E. Lead carrier
245.A fitter of metallurgic factory with occupation
exposure to high concentrations of mercury fumes
during 16 years presents instability of pulse and
blood pressure, general hyperhydrosis,
asymmetric innervations of facial muscles and
tongue, positive subcortical reflexes, hand tremor
on physical examination. Dentist consultation
revealed paradontosis, and chronic stomatitis.
What is the most probable diagnosis?
A. *Chronic mercury intoxication.
B. Neuroinfection.
C. Parkinson syndrome.
D. Acute mercury intoxication.
E. Mercury encephalopathy.
246.A 45-year-old coal miner complains of cough with
black sputum, breathlessness on exertion, which
occurred 4 years before. On physical examination,
wheezes above both lungs, heart sounds are
without changes, heart rate of 72 beats per minute.
Chest radiography shows multiple, small irregular
opacifications throughout both lungs. What is the
most probable diagnosis?
A. *Anthracosis, nodular, slowly progressing
form, first stage.
B. Silicosis, nodular, slowly progressing form,
first stage.
C. Siderosis, interstitial, slowly progressing form,
first stage.
D. Bissinosis, interstitial, slowly progressing
form, first stage.
E. Asbestosis, interstitial, slowly progressing
form, first stage.
247.A 40-year-old woman who has worked in weaving
branch for 10 years complains of frequent
headache, sleeplessness, irritability, fatigue,
tiredness. Physical examination revealed
instability of blood pressure, internal organs are
without changes. What is the most probable
diagnosis?
A. *Noise-induced disease.
B. Hypertension.
C. Atopic bronchial asthma.
D. Asteno-vegetative syndrome.
E. Encephalopathy.
248.A worker of a printing house complains of
abdominal pain, constipation during last 5 days.
He presents a liliac line at the gingival-tooth
border, tachycardia of 100/min, BP of 160/90 mm
Hg, painful abdomen on palpation.
Aminolevulinic acid in plasma is elevated. CBC
24
shows signs of normocytic and normochromic
anemia. What is the preliminary diagnosis?
A. *Plumbism, severe form
B. Mercurialism, severe form
C. Aluminium intoxication, severe form
D. Asbestosis, severe form
E. Cyanides poisoning, severe form
249.A 45-year-old driver was admitted to the hospital
with 5 hour substernal pain. Nitroglycerin is not
effective. He is pale, heart sounds are regular but
weak. HR 96 per minute, BP of 100/60 mm Hg.
What is the most probable diagnosis?
A. *Acute myocardial infarction
B. Stable angina
C. Pulmonary embolism
D. Acute myocarditis
E. Acute left ventricular failure
250.A 38 -year-old woman is seriously ill. She
complains of frequent paroxysms of expiratory
dyspnea. The last paroxysm lasted over 12 hours
and failed to respond to theophylline. The skin is
palish gray, moist, RR of 26/min. On auscultation,
breath sounds are absent over some areas. Your
preliminary diagnosis
A. *Bronchial asthma, status asthmaticus
B. Chronic obstructive bronchitis
C. Atopic bronchial asthma, respiratory failure of
the III degree
D. Bronchiectasis, respiratory failure of the II - III
degree
E. Ischemic heart disease, pulmonary edema
251.A 46- year-old patient has ischemic heart disease,
angina on exertion, II functional class. What is the
drug of choice in treatment of acute attack?
A. *Nitroglycerin sublingually
B. Platelet inhibiting agents (aspirin)
C. Spasmolitics (No-spa) IV
D. Digitalis IV
E. Sedative agents (Seduxenum) orally
252.A 19-year-old girl admitted to the hospital
complained of pain in the knee and fever of
38.6°C. She is ill for 2 weeks after acute
tonsillitis. On exam, hyperemia and swelling of
both knees, BT of 37.4°C, HR of 94/min, BP of
120/80 mm Hg, and heart border is displaced to
the left; S1 is weak, systolic murmur is present.
Total blood count shows the following: Hb – 120
g/L, WBC – 9.8•109/L, ESR of 30 mm/L. ECG
findings: the rhythm is regular, PQ = 0.24 sec.
What is a causative agent of the disease?
A. *Beta-hemolytic streptococci.
B. Viral-bacterial association.
C. Autoimmune disorder.
D. Staphylococci.
E. Ricchetsia.
253.A 42-year-old woman complains of dyspnea,
edema of the legs, and tachycardia during small
 KROK 2 – Question Bank 25
physical exertion. Heart borders are displaced to of left ventricular hypertrophy on ECG. What is
the left and S1 is accentuated, there is the most probable diagnosis?
protodiastolic murmur on xiphoid process. The A. *Essential hypertension, 2nd stage
liver is enlarged by 5 cm. What is the cause of B. Essential hypertension, 1st stage
heart failure? C. Symptomatic hypertension
A. *Mitral stenosis D. Cardiomyopathy
B. Mitral regurgitation E. Ischemic heart disease
C. Tricuspid stenosis 258.A 39 -year-old woman complained of squeezed
D. Tricuspid regurgitation epigastric pain 1 hour after meal and heartburn.
E. Aortic stenosis She had been ill for 2 years. On palpation, there
254.A 33-year-old man with a history of rheumatic was moderate tenderness in pyloroduodenal area.
fever complains of fever up to 38 - 39°, abdominal Antral gastritis was revealed on gastroscopy. What
pain, dyspnea, tachycardia. Heart borders are study can establish genesis of the disease?
displaced to the left by 2 cm, systolic and diastolic A. *Revealing of Helicobacter infection in gastric
murmurs above aorta, BP of 160/30 mm Hg. mucosa
Petechial rash occurs after measurement of blood B. Detection of autoantibodies in the serum
pressure. Liver is enlarged by 3 cm, spleen is C. Gastrin level in blood
palpable. Urine is brown-yellow. What is the most D. Examination of stomach secretion
probable diagnosis? E. Examination of stomach motor function
A. *Infectious endocarditis 259.A 20- year-old patient with a history of preceding
B. Rheumatic fever streptococcal infection complains of malaise,
C. Acute hepatitis headache, anorexia, subfebrile fever. On exam,
D. Acute nephritis mild generalized edema, BP of 150/90 mm Hg,
E. Aortic regurgitation HR of 100/min, RR of 20/min, the urinalysis
255.A 60-year-old man complains of fever, significant showed increased protein, red cell casts and
weight loss, bone and joint pain, and bleeding hyaline casts. What is your diagnosis?
gums. On exam, paleness, lymphadenopathy, A. *Acute glomerulonephritis
hepato- and splenomegaly. CBC: WBC – B. Acute pyelonephritis
270•109/L with 13\% lymphocytes, 1\% C. Rheumatic fever
monocytes, 21\% basophiles, 29\% neutrophils, D. Essential hypertension
9\% blasts, 12\% promyelocytes, 12\% E. Bacterial endocarditis
myelocytes, 2\% metamyelocytes, 1\% 260.A 32 -year-old welder complains of weakness and
eosinophils. ESR – 22 mm/h. Name the drug for fever. His illness started as tonsillitis a month
treatment. before. On exam, BT of 38.9°C, RR of 24/min,
A. *Myelosan HR of 100/min, BP of 100/70 mm Hg,
B. Prednisolone hemorrhages on the legs, enlargement of the
C. Cytosar lymph nodes. CBC shows Hb of 70 g/L, RBC of
D. Vinblastine 2.2•1012/L, WBC of 3.0•109/L with 32\% of
E. Blood transfusion blasts, 1\% of eosinophiles, 3\% of bands, 36\% of
256.A 54-year-old woman complains of increasing segments, 20\% of lymphocytes, and 8\% of
fatigue and easy bruising of 3 weeks’ duration. monocytes, ESR of 47 mm/h. What is the cause of
Physical findings included pale, scattered anemia?
ecchymoses and petechiae and mild A. *Acute leukemia
hepatosplenomegaly. CBC: RBC – B. Chronic lympholeukemia
2.550.000/mcL; Hb – 73 g/L; HCT 20\%; PLT – C. Aplastic anema
23.000/mcL; and WBC – 162.000/mcL with 82\% D. Vitamin B12 deficiency anemia
blasts, that contained Auric rods; peroxidase stain E. Chronic hemolytic anemia
was positive; What is the most probable 261.A 30- year-old patient complains of
diagnosis? breathlessness, pain in the right rib arc place, dry
A. *Acute leukemia cough and the leg edema. He is ill for 2 months.
B. Chronic leukemia He was treated for rheumatic fever without effect.
C. Thrombocytopenia On exam, cyanosis, edema of the legs, BT of
D. Hemolytic anemia 36.6°C, RR of 28/min, HR of 90/min, BP of
E. Megaloblastic anemia 110/80 mm Hg, crackles above low parts of both
257.A 60-year-old woman has increased BP up to lungs, heart borders are displaced to the left and to
210/110 mm Hg during last 7 years. On exam, the right, weak sounds, systolic murmur above the
heart apex is displaced to the left. There are signs apex. What is the preliminary diagnosis?
 KROK 2 – Question Bank
A. *Dilated cardiomyopathy
B. Infectious endocarditis
C. Acute myocarditis
D. Rheumatic fever, mitral stenosis
E. Acute pericarditis
262.The risk of cancer being the result of radiation
doses of 100 Gray or less to the whole body is
difficult to estimate reliably. The reasons for this
uncertainty are :
A. * All of the below mentioned
B. The high incidence of cancer of the general
population
C. The low risk of cancer from small doses
D. The long interval between radiation and
clinical presentation of cancer.
E. None of the above mentioned
263.For which of the following diagnostic
examinations performed with modern techniques
on an unknown pregnant patient should
therapeutic abortion be considered the result of
putative risk from radiation?
A. * None of the below mentioned
B. Chest radiography
C. Barium enema study
D. IVP
E. Abdominal CT
264.The highest risk of congenital anomalies probably
occurs when human embryos or fetuses are
exposed to ionizing radiation. During which part
of gestational period does it occur?
A. *18-45 days after conception
B. The first 7 days
C. 10-14 days after conception
D. 90-120 days after conception
E. The third trimester
265.A 38-year-old patient has been treated in a
hospital. A fever of 39 C, chest pain which is
worsened by breathing, cough, brownish sputum
appeared on the 7th day of the treatment. Chest x
ray shows left lower lobe infiltrate. Which of the
following is the treatment of choice for this
patient?
A. * Cephalosporins of the Ш generation
B. Penicillin
C. Erythromycin
D. Tetracycline
E. Streptomycin
266.A patient, aged 48, complains of heaviness in the
right hypochondrium, itching of the skin.
Repeatedly he had been treated in infectious
diseases hospital due to icterus and itch.
Objectively: meteorism, ascitis, dilation of
abdominal wall veins, protruded navel, spleen
enlargement. Diagnosis is:
A. * Liver cirrhosis
B. Cancer of the liver
C. Cancer of the head of pancreas
26
D. Gallstones
E. Viral hepatitis B
267.A 27-year-old man complains of pains in
epigastrium which are relieved by food intake.
EGDFS shows antral erosive gastritis, biopsy of
antral mucous presents Hеlicobacter Pylori.
Diagnosis is:
A. * Gastritis of type B
B. Gastritis of A type
C. Reflux - gastritis
D. Menetrier's gastritis
E. Rigid antral gastritis
268.A man, aged 25, presents with facial edema,
moderate back pains, body temperature of 37,5 С,
BP 180/100 mmHg, hematuria [ up to 100 in v/f],
proteinuria [2,0 g/L], hyaline casts - 10 in v/f.,
specific gravity -1020. The onset of the disease is
probably connected with acute tonsillitis 2 weeks
ago. The most likely diagnosis is:
A. * Acute glomerulonephritis
B. Acute pyelonephritis
C. Cancer of the kidney
D. Urolithiasis
E. Chronic glomerulonephritis
269.A patient had stomach resection a year ago. He
complains of general weakness, giddiness. Blood
count: Er 2,6 g/L, Hb 80 g/L, C.ind 0.7, L – 3.7
g/L, reticulocytes 1\%, segm 56\%, lymp 34\%,
mon. 6\%, ESR 17 mm/hour. Erythrocytes are
hypochromic; there are anisocytosis & poikilo-
cytosis. Fe of serum 5 mkmol/L. Diagnosis is:
A. * Iron-deficiency anemia
B. B12-deficiency anemia
C. Сhronic myeloleukosis
D. Aplastic anemia
E. Chronic lymphoid leukosis
270.A patient of 62 years with DM-2. Diabetes is
being compensated by diet and Maninilum. Pаtient
has to undergo an operation for inguinal hernia.
What should be tactics of hypoglycemic therapy?
A. * Prescribe the drugs of an insulin of short
activity
B. Give Glurenorm in place of Maninilum.
C. To continue with the current therapy
D. Prescribe the drugs of insulin of long activity
E. Prescribe guanyl guanidines
271.A 33-year-old lady has been suffering from DM
for 5 years. The last 3 years she has taken more
than 100 units of insulin per day. Body weight has
increased up to 10 kg. Fasting blood glucose is 13
mmol /L, glucoseuria - 3\%. Generalized
microangiopathy. By increasing the dose of
insulin the parameters of glycemia do not change.
The diagnosis is:
A. * DM 1st type, severe form, decompensation,
insulin resistant
B. DM 2nd type, severe form, decompensation
 KROK 2 – Question Bank
C. DM 1st type, severe form, subcompensation,
Somoji phenomenon
D. DM 2nd type, moderate form, Zabrodi
phenomenon
E. DM 1st type, severe form, decompensation,
allergic response on insulin
272.A patient of 32 complains of severe weakness,
tremor of extremities. Objective examination:
body weight loss, wet & warm skin. The thyroid
gland is enlarged up to the 3rd degree, painless,
elastic. Pulse: 108. BP- 160\55 mmHg. Everything
else is normal. The diagnosis is:
A. * Diffuse toxic goiter of the 3rd degree,
thyrotoxicosis of the average degree
B. Diffuse euthyroid goiter of the 3rd degree.
C. Chronic autoimmune thyroiditis, hypertrophic
type
D. Chronic fibrous thyroiditis
E. Toxiferous adenoma of the thyroid gland
273.In the development of the inflammation processes
glucocorticoids reduce the level of a certain most
important active enzyme. It results also in the
reducing of the synthesis of prostaglandins and
leukotrienes which has a key-role in the
development of the inflammation processes. Give
the exact term of this enzyme.
A. * Phospholipase A2
B. Arachidonic acid
C. Lipoxygenasе
D. Cyclooxygenase – 1
E. Cyclooxygenase – 2
274.А patient is suffering of a chronic heart
insufficiency [degree II; phase A]. The patient has
been given a proper therapeutic treatment along
with furosemide. Later the patient developed a
lumbosacral nerve root syndrom. To reduce the
acute pains the doctor prescribed a certain agents,
which lowered the effect of furosemide. Give the
name of this medicine.
A. * Indomethacin
B. Digoxin
C. Furosemide
D. Panangin
E. Riboxinum
275.Which of the following is used for tuberculin
diagnosis in the masses
A. *PPD-L standard dilution of 2 TU in 0,1 ml
B. ATK tuberculin
C. PPD-L diluted in 5 TU in 0,1 ml
D. Dry pure tuberculin
E. Tuberculin in the form of ungutum
276.Vaccination of BCG should be conducted on:
A. *5 days
B. 3 months
C. 10 days
D. 12 months
E. 5 years
27
277.In a male aged 25 focal shadowings of small and
medium intensity with unequal contours in the 1st
and 2nd segments of the right lung were revealed
during prophylactic photoroentgenography
investigation. Which clinical form can be
suspected in this patient?
A. *Focal
B. Disseminated
C. Miliary
D. Fibro-cavernous
E. Tuberculoma
278.A woman 26 years old has abused alcohol for 7
years. She has psychological dependence on
alcohol, but no withdrawal syndrome. Drinks
almost every day approximately 50 – 100 gr. of
wine. Is at her 4-th week of pregnancy. Primary
prevention of fetal alcohol syndrome requires:
A. *Treatment of alcoholism and full abstinance
from alcohol during all the period of
pregnancy
B. Medical abortion
C. Decrease of alcohol use
D. Participation in the A-ANON group
E. Gyneacological observation
279.Interpret GTT. Glycemia: I trial – 5,3 mMol/l, II
trial – 8,2 mMol/l, III trial – 4,8 mMol/l
A. *Normal
B. Impairment of carbohydrate tolerance
C. Diabetes mellitus
D. Necessary to repeat test
E. Necessary to order additional laboratory tests.
280.What points, concerning myxedema coma are
correct?
A. * Hypothermia is common
B. Feeling warm may provoke myxedema coma
C. Cause is – increased sensitivity to T 3 and T4
receptors.
D. Hyperfunction of adrenal glands
E. Thyroid cancer
281.Developing of gigantism is conditioned by:
A. *Overwhelming secretion of GH in
adolescence
B. Overwhelming secretion of GH in old age
C. Overwhelming secretion of GH in adults
D. Overwhelming secretion of somatostatin in
adolescence
E. Inborn sensitivity lack in tissues to GH
282.Choose factors, which can cause Addison’s
disease
A. *Tuberculosis
B. Tumor acting on adrenal hormone
C. Autoimmune destruction of thyroid gland
D. Diabetes Mellitus
E. Brain tumor
283.To remove onset of tetany you will order
A. *Calcium chloride
B. Benzylpenicillin
 KROK 2 – Question Bank
C. Prednisolone
D. Potassium citrate
E. Magnesium sulphate
284.Macroangiopathy, as a symptom of diabetes
mellitus, most often destroy vessels of:
A. *Brain
B. Lung
C. Kidneys
D. Retina
E. Intestine
285.The treatment of Grave’s disease usually include
A. *Antagonists of thyroid hormones
B. Antidepressants
C. Narcotic analgesics
D. Diuretics
E. Sulfonylureas
286.Choose the correct initial interaction of a photon
with an atom in a biological system leading to cell
damage
A. * Interaction of the photon with a subatomic
particle. For x-ray imaging radiation this will
be an electron.
B. Production of an energetic changed particle
usually a photo or recoil electron.
C. Dissipation of the energy of the electron along
its path by ionization and excitation.
D. Chemical changes in the ionizing / excited
molecules.
E. None of the above mentioned
287.Which of the following statements concerning
undifferentiated cells in tissues is correct?
A. * They are sensitive to radiation but easily
replaced when killed
B. They are very resistant to radiation
C. They are sensitive to radiation and most are
killed by doses in the diagnostic range
D. They are sensitive to radiation and difficult to
replace if killed.
E. Cells that survive can't go on to form a tumor
288.Which of the following symptoms would occur
only if a total-body acute radiation exposure
exceeded 5.000 rad (50 Gy)
A. * Hallucinations and impairment of vision
B. Nausea and Vomiting
C. Diarrhea
D. Bleeding Gums
E. Epilation (hair loss)
289.A total body dose of 200 rad will cause the
hematopoietic syndrome. The time for maximum
hematological recovery will be :
A. * 180 Days
B. 30 days
C. 60 days
D. 120 days
E. 240 days
290.Patient N., 27 years old was hospitalized to the
psychiatric hospital for the 4-th time during 2
28
years. Heard voices commenting on his actions,
had delusions of persecution [was sure that the
Mafia wanted to kill him]. After a course of
treatment with neuroleptics was discharged from
hospital with the diagnosis of schizophrenia, state
of remission. The secondary prevention of the
relapses of schizophrenia requires:
A. * Supportive treatment with neuroleptics of
prolonged action
B. Long-term hospitalization
C. Psychiatric observation
D. Participation in a self-help group
E. Psychoanalytic treatment
291.Patient K, male, 19 years old, has suffered
moderate mental retardation since childhood. Is
illiterate, can take care of himself, do simple
household work and other kinds of easy work
under supervision. His rehabilitation [tertiary
prevention] requires:
A. * All the above mentioned
B. Supervision of a social worker
C. Physical work under supervision
D. Supervision of relations [ if any]
E. None of the above mentioned
292.Patient F., male, 16 years old was behind other
children in development since early childhood and
still has moderate mental retardation. He is short,
has dismorphic body, his face is round, flattened,
his eyes are narrow and slanted, and there are
epicantial folds in the corners of his eyes. There is
only one transversal flexor line on his palms.
What is the probable etiology of this state?
A. * Chromosome abnormality
B. Gene abnormality
C. Maternal alcohol abuse during pregnancy
D. Pathological delivery
E. Infection in mother during pregnancy
293.Patient A., male, 27 years old came to consult a
psychiatrist with the following complaints: after a
bad car accident, the victim of which he was and
in which his wife was killed, he suffered
depression, anxiety, flash-backs of the event, sleep
disorders and nightmares about the accident. He
also had emotional numbness and fatigue. The
cause of the disorder was:
A. * Severe stress
B. Adjustment disorder
C. Environmental factors
D. Patient’s personality features
E. Endogenic factors
294.A female patient 28 years old, became depressed,
her mood is melancholic; this state is associated
with hypobulia, hypokinesia, slow speed of
thinking. Her attitude towards her past present and
future is pessimistic. The pathogenetic
mechanism of this state is supposed to involve
dysfunction in the:
 KROK 2 – Question Bank
A. * Hypothalamus
B. Frontal lobes
C. Pituitary
D. Hippocampus
E. Corpus callosum
295.A patient, while making repairs at home, suddenly
stood quite still with the painting brush in his
hand. This state lasted for a few seconds. After
that the patent was rather confused, for some
moments he couldn’t understand what was
happening. He totally forgot the state he was in
and the events around him, occurring while he was
in that state. Name the disorder:
A. * Petit mal, epilepsy
B. Grand mal, epilepsy
C. Jacksonian fit, epilepsy
D. Disphoria, epilepsy
E. Twilight state, epilepsy
296.The observed patient’s movements are retarded,
she answers no questions. Sometimes she
spontaneously stays in strange postures. It is
possible to set [form] her body and limbs into
different positions artificially. If the psychiatrist
lifts her arm or leg, so that she remains standing
on the other leg, the patient can stay in such a
position for quite a long time. Name the probable
disorder:
A. * Catatonic stupor, shizophrenia
B. Depressive stupor, bipolar disorder
C. Apathetic stupor, shizophrenia
D. Psychogenic stupor, stress disorder
E. Dissociative stupor, dissociative psychosis
297.Patient T., female, 35 years old, suffers from
epileptic fits since she was 15 years old. She has
seizures during which she loses consciousness,
falls down and has tonic and clonic convulsions.
The fits occur once a week. What are the main
principles of treetment in epilepsy?
A. * All the above mentioned
B. Individual approach
C. Gradual beginning
D. Continuous long-term treatment
E. None of the above mentioned
298.What auscultative data are watched in
bronchoectatic disease?
A. * The clinical picture depends on full or empty
bronchiectasia and on caliber of bronchus.
B. Bronchial breathing.
C. Amphoric breathing.
D. Dry whistling rales.
E. Moist fine bubbling rales [non-consonating].
299.What from enumerated syndromes is main in
acute diffuse bronchitis?
A. * Syndrome of muco-ciliary insufficiency.
B. Syndrome of bronchial obstruction.
C. Syndrome of respiratory insufficiency.
D. Syndrome of pulmonary tissues insufficiency.
29
E. Syndrome of pulmonary tissues augmented
aerisation.
300.The primary bronchopneumonia more often arises
as …
A. * Complication of acute bronchitis.
B. Complication of pneumorrhagia.
C. Complication of stagnation of blood in the
lungs.
D. Complication of infarct of the lungs.
E. Complication of pneumoconiosis.
301.What auscultative data of the lungs does in lobar
pneumonia exist at stage of hepatization?
A. * Bronchial breathing.
B. Crepitation.
C. Moist consonating rales.
D. Moist non-consonating rales.
E. Increased vesicular breathing.
302.What is the basic of crepitation?
A. * The separation of alveoli during inspiration
on walls of which the fibrin has put.
B. Existence of bronchiectasis filled by pus.
C. Existence of a cavern containing liquid and air.
D. Stenosis of a clear space of bronchus.
E. Friction of the inflamed pleural layers during
respiration.
303.Sputum “full mouth” [is more often in morning
time] is characteristic for:
A. * Bronchoectatic disease.
B. Pulmonary tuberculosis.
C. Focal pneumonia.
D. Acute bronchitis.
E. Empyema of pleura.
304.What is auscultated in syndrome of infiltration of
pulmonary tissue?
A. * Pathological bronchial breathing.
B. Intensified vesicular breathing.
C. Decreased vesicular breathing, dry rales.
D. Harsh.
E. Amphoric breathing.
305.When can pulmonary bleeding arise?
A. * Bronchoectatic disease.
B. Diffuse catarrhal bronchitis.
C. Bronchiolitis.
D. Lobar pneumonia in a stage of red
hepatization.
E. Bronchopneumonia.
306.What auscultative phenomenon arises at beginning
of acute bronchitis?
A. * Harsh.
B. Moist fine bubbling rales.
C. Crepitation.
D. Moist medium bubbling rales.
E. Vesiculo-bronchial breathing.
307.Symptoms of the effected pallidar system do not
include?
A. *Hemibalism
B. Plastic hypertension
 KROK 2 – Question Bank 30
C. Bradikinesia A. * Haemolytic anemia
D. Hipomimia B. Aplastic anemia
E. Micrografy C. Iron deficiency anemia
308.What of the mentioned symptoms isn't D. Hyper sideric anemia
characteristic of poliomyelitis? E. Normochromic anemia
A. *Disturbance of sensitiveness 315.The man, aged 42, applied to the therapeutist with
B. Hypotension complaints of pricking pains in scapulas area,
C. Hyporeflexia dyspnea on physical exertion, cough with
D. Hypotrophy discharge of small amount of sputum. During 10
E. Torpid distal paralysis years he works in coal mining. On percussion-
309.Name the symptom of stretching of the ishiatic box-note sound in the lower parts, on auscultation-
nerve? a harsh breathing. There were no changes in the
A. *Lasseg's heart. Possible diagnosis?
B. Lessage's A. * Silicosis
C. Brudzinsky's B. Tuberculosis of lungs
D. Kernig's C. Silicatosis
E. Vasserman's D. Bronchiectatic disease
310.Name the nuclei of the cranial nerves which are E. Chronic bronchitis
affected Weber's alternating syndrome? 316.A sick man M., aged 52, a street cleaner. He was
A. *Oculomotor ill with pneumoconiosis during 2 years. It’s
B. Accessory nessesary to recommened for the treatment of this
C. Glossopharyngeal disease:
D. Vagus A. * Alkaline inhalations
E. Hypoglossal B. Broncholitics
311.Neuralgia of the trigeminal nerve is characterized C. Oil inhalations
by? D. Sulfonilamides
A. *Transient pain on the face and trigger areas E. Antibiotics
B. Permanent pain in the area of innervation 317.The woman, aged 42, works at the factory on the
C. Loss of sensitivity on the face fabrication of mercury thermometers, complains
D. Trophical disturbances of cornea and loss of of the headache, swoons, reduction of memory,
corneal reflex small and frequent flutter of fingers of drawn
E. Positives effect from sponging by 5\% solution hands, the eyelids and the tongue, bleeding gums,
of cocaine on the posterior surface of the gingivitis. What preparation is it nessesary to use
mucosa of the middle turbinate bone for the elimination of mercury from the organism?
312.Central paresis of the mimic muscles is
characterized by: A. *Unithiol
A. * Affection of mimic muscles of the lower half B. Pentoxil
of the face? C. Magnesium sulphate
B. Affection of masticatory group of muscles D. Sodium hydrate of carbon
C. Prolapse of papillary reflex E. Seduxen
D. Trophic disorders 318.A man,aged 37,working on the collective farm on
E. Affection of mimic muscles of half of the face sowing,was admitted to the infectious hospital
313.The patient H., aged 36,works as a nightman with the clinical symptoms: miosis,labored
during 12 years.He applied with complaints of the breathing,sweating.What kind of poisoning is it
headache, loss of appetite, syncopal conditions, and what is the first aid?
metallic taste in the mouth, sometimes A. *Poisoning by POC. Treatment: atropine
stomachache, dispeptical frustration, diarrhea and B. Poisoning by lead. Treatment: tetacine Calcii
constipation. Objective: fragility of nails, C. Poisoning by the methylic alcohol. Treatment:
hyperkeratosis of palms. Diagnosis? ethylic alcohol
A. * An acute intoxication D. Poisoning by vapours of mercury.
B. Chronic arsenious intoxication from pesticides Treatment:unithiol
C. An acute poisoning by OPS E. Seduxen
D. Carbone bisulfide intoxication 319.A woman of 36 years is on the 12-th week of the
E. Leaden intoxication first pregnancy. We know from the history that
314.A diagnosis of chronic arsenious intoxication was she was treated for infertility. She was in the
defined in a patient Y., a nightman. What form of guests and contacted with child who developed
anemia is characteristic in this disease? rubella in 2 days after meeting. Woman doesn’t
 KROK 2 – Question Bank
know if she has ever been infected with rubella.
What is the adequate tactics?
A. *Monitory of the specific Ig G Ig M with the
ELISA
B. Interruption of the pregnancy
C. Immune globulin injection
D. Cyclovin administration
E. Interferon administration
320.Patient L., 50-year old, has been admitted to the
clinics with atrophic gastritis. In the blood test:
erythrocytes 3.8 T/L, Hb 68 g/l, c.i. 1,
macroanisocytosis, poikilocytosis. There is a
megaloblastic type of haemopoesis. A number of
leukocytes, reticulocytes and thrombocytes is
lowed. Which pathology is suspected?i
A. *B-12-deficiency anemia
B. Irondeficiency anemia
C. Hemolytic anemia
D. Post-hemoragic anemia
E. Thalassaemia
321.A 32-year old woman developed the Laiel’s
syndrome after taking the biceptol. What
immunotrope remedies are indicated in this
situation?
A. *Steroid immunodepressants
B. Non-specific immune modulators
C. Specific immune modulators
D. Interferons
E. Non-steroid immunedepressants
322.The patient 25-years-old was admitted on the 1st
day of the disease with complaints of double
vision in the eyes, difficult respiration. The day
before the patient ate home-made mushrooms. On
objective examination: paleness, widened pupils,
disorder of swallowing, bradycardia, constipation
are marked. What is the diagnosis?
A. *Botulism
B. Yersiniosis
C. Leptospirosis
D. Salmonellosis, gastrointestinal form
E. Lambliasis
323.The patient Н., of 28 years old, was admitted to
the clinic with complaints of the temperature
increase up to 39,0(С, headache, weakness,
constipation on the 9th day of the disease. On
examination: single roseolas are on skin of the
abdomen. The pulse rate is 78 per minute. The
liver is enlarged by 2 cm. What is the probable
diagnosis?
A. *Typhoid fever.
B. Leptospirosis.
C. Brucellosis.
D. Sepsis.
E. Malaria.
324.The patient was admitted to the hospital on the 7th
day of the disease with complaints of high
temperature, headache, pain in the muscles,
31
especially in calf muscles. The dermal
integuments and scleras are icteric. There is
hemorrhagic rash on the skin. Urine is bloody.
The patient went fishing two weeks ago. What is
the diagnosis?
A. *Leptospirosis
B. Yersiniosis
C. Salmonellosis
D. Brucellosis
E. Trichinellosis
325.The patient has been in the hospital. The
beginning of the disease was gradual: nausea,
vomiting, dark urine, аcholic stools, yellowness of
the skin and scleras. The liver is protruded by 3
cm. Jaundice was intensified on the 14th day of
the disease. The liver diminished in sizes. Due to
what complication of viral hepatitis, has the
patient’s condition worsened?
A. *Hepatic encephlopathy
B. Meningitis
C. Relapse of viral hepatitis
D. Cholangitis
E. Infectious-toxic shock
326.The patient, 18-years-old was admitted to the
hospital with complaints of headache, weakness,
high temperature, pain in the throat. Objectively:
enlargement of all groups of lymphatic nodules
was revealed. The liver is enlarged by 3 cm,
spleen - by 1 cm. In the blood - leukocytosis,
atypical lymphocytes - 15\%. What is the probable
diagnosis?
A. *Infectious mononucleosis.
B. Acute lymphoid leukosis.
C. Diphtheria.
D. Angina.
E. Adenoviral infection.
327.The patient 28-years-old was hospitalized with
preliminary diagnosis "influenza". Roseolous-
petechial rash appeared on the 5th days of disease
on the trunk. The temperature is 41(С. Hyperemia
of the face, reddening of scleras, tremor of the
tongue, tachycardia, splenomegaly are marked.
What is the most probable diagnosis?
A. *Epidemic typhus
B. Measles
C. Alcohol delirium
D. Leptospirosis
E. Typhoid fever
328.The patient, 43-years-old was admitted to the
hospital with complaints of high temperature of
the body and severe headache. On examination:
carbuncle is revealed on the forearm. There are
intense edema around it, insignificant pain,
regional lymphadenitis. The patient is a worker of
cattle-ranch. What disease is it necessary to think
about first ?
A. *Anthrax
 KROK 2 – Question Bank
B. Carcinoma of skin
C. Erysipelas
D. Erysipeloid
E. Eczema
329.In the patient of 21 years old the disease began
with increase of temperature to 39,0°С, headache,
chill, repeated vomiting. Rigidity of occipital
muscles is determined. The analysis of liquor:
cytosis - 1237 in 1ml, of them: 84 % of
neutrophils, 16 % of lymphocytes. On
bacterioscopy gram-negative cocci, are found in
liquor. What is the most probable disease?
A. *Meningococcal infection: purulent
meningitis.
B. Meningococcal infection: serous meningitis
C. Secondary purulent meningitis.
D. Serous meningitis.
E. Infectious mononucleosis.
330.The theory of self regulation of epidemiological
process by V.D. Belyakov includes all mentioned
bellow except
A. * Localization of the parasite in the host
organism and the ways of discharging of the
parasite into the environment
B. Geno- and phenotypic heterogeneity of the
populations of a parasite and host
C. Mutability of the biological properties of the
parasite and the host populations
D. The phase selfreorganisation of the parasite
populations and a host
E. The regulation role of social and natural
conditions in the phase reorganization of the
epidemiological process
331.The diagnosis of the AIDS epidemic initially was
made in the USA by means of
A. * The epidemiological method
B. The bacteriological method
C. The virological method
D. The viroscopic method
E. The serological method
332.The contagious hypothesis by D. Frocastro and D.
Samoylovich being considered as a causative
agent of infectious diseases
A. * The alive germs, which are transmitted from
one person to another
B. The environmental factors
C. The miasma of cosmotelluric origin
D. The pathological discharges of an organism
E. Invasion of the body by the evil spirits
333.A 70yr. Old alcoholic male with poor dental
hygiene is to have his remaining teeth extracted
for subsequent dentures.He has mitral valve
stenosis with mild cardiac insuffiency and is being
treated with сaptopril,digoxin and furosemide.The
dentist decides that his medical history warrants
prophylactic antibiotic therapy prior to the
procedure and prescribes:
32
A. *Amoxycillin
B. Vancomycin
C. Tetracycline
D. Co-trimoxazole
E. Imipenem
334.A patient treated for springtime allergies with
terefenadine develops an upper respiratory tract
problem. He receives an antibiotic and develops a
cardiac arrhythmia. What was the likely
antibiotic?
A. *Erythromycin
B. Ampicillin
C. Cefactor
D. Doxycycline
E. Co-trimoxazole
335.A 75yr. Old man who had developed diabetes
within the last six months was found to be
jaundiced. He was asymptomatic except for
weight loss of 10 pounds in 6 months. On physical
examination he is found to have a nontender,
globular, right upper quadrant mass that moves
with respiration. A CT scan shows enlargement of
the head of the pancreas, with no filling defects in
the liver. Most likely diagnosis:
A. *Carcinoma of the head of the pancreas
B. Infectious hepatitis
C. Haemolytic jaundice
D. Malignant biliary stricture
E. Metastatic disease of liver
336.A 16yr. Old female presents with abdominal pain
and purpuric spots on the skin. Laboratory
investigations reveals a normal platelet count, with
haematuria and proteinuria. The most likely
diagnosis:
A. *Henoch Schonlein purpura
B. Haemolytic uraemic syndrome
C. Thrombotic thrombocytopenic purpura
D. Heavy metal poisoning
E. Sub acute bacterial endocarditis
337.A 60yr. Old asthmatic man comes for a checkup
and complains that he is having some difficulty in
“starting to urinate”. Physical examination
indicates that the man has blood pressure of
160/100mmHg, and a slight enlarged prostate.
Which of the following medications would be
useful in treating both of these conditions:
A. *Doxazosin
B. Labetalol
C. Phetolamine
D. Propranolol
E. Isoproterenol
338.A 36yr. Old alcoholic patient has cirrhosis and
pancreatic insufficiency due to recurrent
pancreatitis. He complaints of nightblindness,
decreased ability to taste food, and dry skin with
hyperpigmentation. These complaints suggest
deficiency of:
 KROK 2 – Question Bank
A. *Zinc
B. Copper
C. Selenium
D. Chromium
E. Manganese
339.A 47 year old man presents to his physician with
progressive abdominal swelling. On examination
he is found to have ascites and a tender, enlarged
liver. If the patient describes a chronic course
associated with wasting and low grade fever, the
differential diagnosis should include everything
EXCEPT:
A. *Chronic Pancreatitis
B. Tuberculosis
C. Cirrhosis with hepatocellular carcinoma
D. Hepatitis
E. Alcoholic liver disease with cirrhosis
340.A 60yr. Old man with unstable angina pectoris
fails to respond to heparin, nitroglycerin, beta
adrenegic blockers and calcium channel
antagonist. The best management includes:
A. *Coronary artery bypass grafting
B. Intravenous strptokinase
C. Excercise testing
D. Oral aspirin
E. Antihypertensive therapy
341.A 42yr. Old patient suffering from alcoholism has
advanced liver disease with ascites. He is
hospitalised for agitation and bizarre behaviour.
Examination reveals asterixes on the hands, ankle
clonus, and spider angiomas on the face and
chest.Blood ammonia level is twice its
baseline.Precipitating factors to look for include
all of the following EXCEPT:
A. *Insufficient protien ingestion
B. Bleeding esophageal
C. Excessive diuretic therapy
D. Non compliance with lactulose therapy
E. Spontaneous bacterial peritonitis
342.A 45yr. Old man is admitted with his 3rd episode
of upper gastrointestinal haemorrhage. He had 2
prior ulcer operation. Zollinger-Ellison syndrome
is suspected. All the following would support your
suspicions EXCEPT:
A. *Supression of hypergastrinaemia by secretin
given IV
B. A fasting gastrin level of 450pg/ml.
C. Post operative notes detailling ulcers in the
duodenum and jejunum
D. Liver metastasis on CT scan
E. A history of diarrhoea
343.A 60yr. Old woman, mother of 6 children,
developed sudden onset of upper abdominal pain
radiating to the back, associated with nausea,
vomitting, fever and chills. Subsequently, she
noticed yellow discoloration of her sclera and
skin. On physical examination the patient was
33
found to be febrile with temp.of 38.9C, along with
right upper quadrant tenderness.Most likely
Diagnosis:
A. *Choledocholithiasis
B. Benign biliary stricture
C. Malibnant biliary stricture
D. Carcinoma of the head of the pancreas
E. Choledochal cyst
344.A 30yr. Old man presents with a history of
recurrent pneumonias and a chronic cough
production of foul smelling, pirulentsputum,
ocassionally glood tinged,which is worse in the
morning and on lying down.on physical
examination, the patient appears chronically ill
with clubbing of fingers, wet inspiratory reils at
the base of lungs posteriorly. Most likely
diagnosis:
A. *Bronchoectasis
B. Chronic bronchitis
C. Disseminated pulmonary tuberculosis
D. Pulmonary neoplasm
E. Chronic obstructive emphysema
345.The 30-years old patient with the complications on
a headache in a nucha, poor dream with
nightmares has addressed to policlinic. A BP was
150/95 Hg.An item. A boundary arterial
hypertension was diagnosed. In what dispensary
group he must be addresseed for supervision on an
arterial hypertension?
A. * In the second
B. In a first
C. In a fourth
D. In a third
E. In a fifth
346.In the young patient at the reference to policlinic
there was diagnosed the 1 stage of hypertension.
How many times during the year it is necessary to
examine him?
A. * Twice.
B. Once.
C. 3 times.
D. 4 times.
E. 5 times.
347.Patient K.,52 years old, has sustained an acute
myocardial infarction 2.01.2001. State of health is
satisfactory. After what time according to the
instruction he can be send on sanatorium treatment
to specialized sanatorium?
A. * 1.07.2001.
B. 1.03.2001.
C. 1.04.2001.
D. 1.05.2001.
E. 1.06.2001.
348.The family doctor diagnosed in a patient an acute
bleeding of an intestine. What is professional
tactics of the doctor in this situation?
 KROK 2 – Question Bank
A. *The urgent hospitalisation in sergical
departmewnt.
B. To inject intravenously the aminocapronic
acid.
C. The urgent hospitalization in therapeutic
department.
D. A day time hospital.
E. A hospital at home.
349.In the structure of death rate in Ukraine the major
place is taken by the diseases of?
A. *Diseases of cirkulatory sistem.
B. Oncological disease.
C. Disease of digesstive sysstem.
D. Disease of respiratory system.
E. Disease of urinary and endocrine systems.
350.The doctor of the city cardiological center solves
the problem of the patient after the discharge from
a hospital to the balneal department of
sanatorium:who cannot be routed?
A. *200/110-240/120
B. 140/90-160/100
C. 90/60-120/80
D. 160/90-180/90
E. 180/110-90/60
351.Woman age 40,ill on rheumatic disease with
composite mitral disease with prevalence of the
stenosis of left venous foramen. Complainse on
the palpitation, fatigability progressing dyspnea,
attacks of a dyspnea and hemoptysis. Now she
cannot execute even the mild activities. What
tactics is the most expedient?
A. *Mitral comissurotomia.
B. Conduction of current bicilino-prophilaxis.
C. Assiging of anticoagulants.
D. Assiging of venous vasodilatators .
E. ………..
352.The man,42 years old, has died in a road accident
after the hemorrhage on the place ,due to acute
hemorrhagic anemia. What minimum percent of
all volume of blood could result in death at acute
hemorrhage?
A. *25-30\%.
B. 6-9\%.
C. 10-14\%.
D. 15-20\%.
E. 35-50\%.
353.In the woman of 42 years ,who suffers from
bronchial asthma ,the acute attack of a bronchial
asthma has developed. What medication from
listed below is contraindicated at granting the first
aid to this woman?
A. * Euphylinum
B. Izardin.
C. Corazolum.
D. Morphinum hydrochloride.
E. Strophanthin hydrochloride.
34
354.Patient K., laboratory-assistant-radiograph; the
amount of Gamma-radiation per day is 0,65 R.
Two years later with 60 Co while examining
irritability, headaches, poor appetite have
developed. Blood count is normal. While
examining 6 years later after cessation of any
contact with ionizing radiation she complained of
severe head - aches, dizziness, cardiac pains,
undue fatigability, weakness; instability of
periphery blood indices [especially white] are
being registered. Make up the diagnosis.
A. * Chronic radiation disease of the second
degree of severity
B. Chronic radiation disease of the third degree of
severity.
C. Acute radiation sickness of moderate degree
D. Acute radiation sickness of light degree
E. Acute radiation sickness of severe degree
355.In checking the results of patient?s spinal tap, the
CSF glucose level of 1,65 mmol/l with apparently
cloudy CSF, is typical of:
A. *Meningococcal meningitis
B. Meningism
C. Cerebral trauma
D. Viral meningitis
E. Tuberculous meningitis
356.A 26-year-old manual worker complained of 3
weeks history of fevers and fatigue, weight loss
with no other symptoms. Physical findings:
Temperature 37,6?C, pulse 88 b/pm, blood
pressure 115/70 mmHg, superficial lymph nodes
(occipital, submental,cervical, axillary) are
enlarged, not tender or painful. Rubella-like rash
on the trunk and extremities. Herpes simplex
lesions on the lips. Candidosis of oral cavity.
What infectious disease would you consider?
A. *HIV infection
B. Influenza
C. Rubella
D. Infectious mononucleosis
E. Tuberculosis
357.Each of the following statements concerning
features of anthrax is correct EXCEPT
A. *The initial lesion in cutaneous anthrax
consists of the black eschar, surrounding
erythema and painful pitting edema
B. Inhalation anthrax results from the alveolar
deposition of airborne particles contaminated
with spores of B. anthracis.
C. Cutaneous anthrax, untreated, results in death
in 10\% to 20\% of cases
D. The drug of choice in cutaneous anthrax is
penicillin.
E. The preferred serodiagnostic test for anthrax is
ELISA
358.A 27-year old patient with malaria caused by P.
falciparum was treated with Chloroquine (600 mg
 KROK 2 – Question Bank
base followed by 300 mg base in 6 hours, then 300
mg base a day for 2 days) without clinical and
parasitologic responses to treatment. What is the
most likely reason for the failure to respond to
therapy?
A. *Chloroquine resistant strain of P. falciparum
B. Glucose – 6 – phosphate dehydrogenase
deficiency in patient
C. Late recognition of infection due to P.
falciparum
D. Inappropriate route of administration
E. Hypersensitivity of the patient to Chloroquine
359.Ten hours before initial observation patient C. had
frequent feces and vomiting. Fecal and vomiting
masses became like rice-water. Nausea and
abdominal pain weren’t observed. Hiccup and
convulsions of lower limbs, temperature 35.4(C,
hoarse voice, greyish wry face, acrocianosis were
usually observed. Breathing 40/min, thread – like
pulse 120/min, blood-pressure 40/0mm/Hg,
abdomen is drawn. What treating measures should
be taken first of all?
A. *Intravenous rehydration
B. Antibiotic therapy
C. Cardiac glycosides
D. Disintoxicational therapy
E. Antibotulistic serum injection
360.A sick person M. is staying in the hospital with the
diagnosis of abdominal typhus. During the 3d
week from the beginning of the disease the patient
stopped keeping diet and confinement to bed. As a
result the body temperature and rapid pulse
decreased and melena appeared. What kind of
complications should we think first of?
A. *Intestinal haemorrhage
B. Thrombophlebitis
C. Meningitis
D. Nephroso-nephritis
E. Hepatite
361.A nurse of the kindergarten was taken to the
hospital with complaints of accute pain in
parumbilical part, convulsions of lower limbs,
multiple bile vomiting, frequent watery foul faces
of green colour in huge amounts. At the same time
all the staff in the childrengarden got ill. Two days
ago everybody of them ate cottage cheese with
sour cream. General condition of patients is of
average severity. Temperature 38.2 degrees of C.
Heart tones:rhythmic and muted. FHC 95/min, A.
Pressure: 160 mm/Hg. Abdomen is slightly
swollen, painful. Liver +2 cm. What is the most
probable diagnosis?
A. *Salmonelosis
B. Dysentery
C. Cholera
D. Food toxic infection
E. Enterovirus infection
35
362.A 25-year-old man was admitted with 2 months of
cough and fever. A chest x-ray showed extensive
left upper lobe disease with a 2 cm cavity. All
three points were strongly positive on direct smear
and grew M. Tuberculosis, fully sensitive to all
first-line drugs. Patient must be treated with:
A. * Isoniazid + rifampicin + pyrazinamide
B. Streptomycin + isoniazid
C. Isoniazid + ethambutol
D. Kanamycin + ethambutol + pyrazinamide
E. P-aminosalicylic acid + streptomycin
363.A 5-year-old boy was progressively getting more
unwell than during the previous 2 months. A chest
x-ray had shown right middle lobe collapse. A
tuberculin skin test had been strongly positive.
What is the most characteristic finding in primary
tuberculosis?
A. * Hilar or paratracheal lymph node
enlargement
B. Atelectasis with obstructive pneumonia
C. Cavity formation
D. Miliary tuberculosis
E. Hematogenous dissemination leading to
extrapulmonary tuberculosis
364.A 50-year-old man was examined in the clinic
with persistant cavitation and sputum. He was
treated with rifampicin, isoniazid, ethambuthol.
The most common toxic effect of ethambutol is:
A. * Optic neuritis
B. Eighth cranial nerve damage
C. Hepatic enzyme elevation
D. Peripheral neuropathy
E. Mental symptoms
365.To reduce the number of adult infection cases in
the population it is much more important to:
A. * Give good treatment to all sputum positive
patients
B. BCG vaccination
C. Tuberculin skin testing
D. Health education campaigns on tuberculosis
E. Chest x-ray screening
366.The father had been admitted to hospital with
pulmonary tuberculosis. He had infected his son,
aged 3 years. If tuberculin skin testing was
positive, with no evidence of illness, the child
should have been given chemoprophylaxis with:
A. * Isoniazid
B. Rifampicin
C. Streptomycin
D. Ethionamide
E. Cycloserine
367.Under what circumstances can preventive therapy
be given to people who have a negative tuberculin
test reaction?
A. * High risk close contacts (young children,
HIV-infected persons)
B. People with chest x-ray findings
 KROK 2 – Question Bank
C. Low-income groups with poor access to health
care
D. People who inject illicit drugs
E. People with symptoms of pulmonary disease
368.The patient, 52 years, show complaints on a
retrosternal burning pain, appearing at physical
loading and disappearing after it. Objectively: a
condition of the patient is satisfactory, pulse beat -
86 times a minute, during auscultation the tones of
heart are rhythmical, are muffled. The arterial
pressure - 130/80. On the electrocardiogram a
pathological changes are not revealed. What is
yours preliminary diagnosis?
A. *Stenocardia stable on exertion
B. Stenocardia unstable
C. Myocarditis
D. Q miocardial infarction
E. Cardiomyopathy
369.Patient p, 45y.o. was delivered by an ambulance
with complaints of pain in the epigastrium, vomit
at the height of pain with impurity of blood;
heartburn, weakness, dizziness, “black” stool in
the morning. He has been ill for 10 years, nutrition
is irregular. What complication has developed in
the patient?
A. *Gastric bleeding
B. Intestinal bleeding
C. Bleeding from esophageal veins
D. Bleeding from hemorrhoidal veins
E. Thrombocytopenia
370.A 65 year old patient was admitted in the hospital
with a complains of fatigue, feeling of “cotton like
“legs, loss of sensitivitiy of toes. On examination
pale of the skin, subecteric sclera. Heart sounds of
low intensity, systolic murmur heard over the
heart area, liver +2cm, painless, spleen not
enlarged. Blood analysis: Hb 58mg/l, E- 1.3 x10
12/l, color index-1.3, reticulocytes-0.2\%. ESR
30mm/hr, megaloblasts-2:100, macrocytosis. Jolly
bodies, кebots ring. Most informative method of
investigation.
A. *Serum B-12 and folic acid level
B. Endoscopic examination of the stomach
C. X ray of abdomen
D. Osmotic resistance of erythrocytes
E. Iron content of serum
371.The 63y.o. patient’s complaints are dyspnea
during physical exercise, palpitation and swelling
of the ankles. He had a transmural myocardial
infarction a year ago. Objectively: T –36.5(C, BR
– 22 pm, Ps – 96 bpm, AP – 110/70.
Acrocyanosis. Vesicular respiration is evident; it
is raised in the lower areas with single faint rales.
Left cardiac bound is 1.5cm inward of lin.
medioclavicularis. Cardiac tones raised, rhythm is
correct, Liver – 2cm below arcus costalis. What is
the mechanism of tachycardia:
36
A. *Raised function of parasympathetic nervous
system
B. Hypertrophy of myocardium
C. Frank-Starling’s mechanism
D. Vasoconstriction
E. Activation of renin-angiotensine-aldosterone
system
372.A 56y.o. teacher consulted a department therapist
about a corresponding diet. Complaints: frequent
constipations [defecation once in 2-3 days],
flatulence and unpleasant aftertaste; blunt pain in
the lower half of abdomen after intake of ice
cream or soda drinks. At 17-20 she was treated for
duodenal ulcer. Objectively: height – 164cm,
weight – 62kg. Abdomen is oval, palpation
doesn’t detect pathological changes. What diet is
necessary for prevention of transition of chronic
disease into acute?
A. *Table #4 by Pevzner
B. Table #4a by Pevzner
C. General table
D. Table #2 by Pevzner
E. Table #9 by Pevzner
373.A 30y.o. patient complains of local pressing
heartache, dyspnea during physical exercise,
memory aggravation and constipation for 3
months. Menstruation is small. Objectively: Skin
is dry and pale. T- 35.4(C. Expressive edema of
face and limbs. Tones are dull, rhythmic. Ps – 52
bpm, AP – 90/60. Hemogram: RBC – 2.8T/l, Hb –
92G/l, ESR – 10 mm/hour. I2-absorbtion is15( in
24 hours. What medication would you prescribe to
the patient?
A. *Thyroxin
B. Mercazolin
C. Digoxin
D. Furosemid
E. Ferroplex
374.A 35y.o. patient has been admitted to nephrology
department of OCH with chronic pyelonephritis
with frequent recurrences. It is necessary to send a
patient to a sanatorium in 1-2 months after
treatment for prevention of recurrences. What
health resort is best for the patient?
A. *Truskavets
B. Yalta
C. Morshen
D. Esentuki
E. Shoyani
375.A 48yr old obse diadetic with impariment of visin
for 3 weeks .on examintaion he is found to show
evidence of peripheral neuropathy and grade of II
diabetic retinopathy.His blood pressure 160 to
250mmHg, blood sugar 10 to 250mg\%, while
taking 5mg glibenclamide 3 time daily, urine
examination shows sugar +urine, ni ablumin
excretion ans acteone. Urine excretion during
 KROK 2 – Question Bank
24hrs is 400mg. which is following management
is approprirate?
A. *Enalapril and insulin
B. Phetenoforminand enalapril
C. Nefidipine and phenoformin
D. Nefidipine and insulin
E. Insulin and phenoformin
376.A 50yrs ols male has had precaridal pain for 4 hrs.
On examintion his BP 110/80mmhg.pulse
10beats /mint and respiratory rate is 206/min. His
ECG maked S-T segement elvation and left
ventricle ectopies. The initial therepeutoc
modilaties in his case would include.
A. *Lignocaine, streptokinase and morphine
B. Lignocanineand streptokineases
C. Morphineand dobtutamine
D. Streptokineases and morphine
E. Nitoglcine +Digoxine
377.A 60 year old woman mother of 6 children
developed sudden onset of upper abdominal pain
radiating to back, associtated with nausea,
vomiting, fever and chills. She noticed yellow
discoloration of her sclera and skin. On physical
examination the patient was found to be febrile
with temperature of 38.9C, along with right upper
quadrant tenderness
A. *Choledocholithiasis
B. Infectious hepatitis
C. Hemoytic jaundice
D. Choledochal cyst
E. Ascariasis
378.A 40 year old male pesents with headache and
convulisons. His blood pressure is 120\140 mmhg.
Fundus examination revelas papillooedema.
Which of the following drug examination will be
most suitable for this patient?
A. *Nitropruside+Furosemide
B. Diazoxide+trimaterence
C. Nitroprusside+Triamterence
D. Resaprine
E. Captopril
379.A 75 year old man who had developed diabetes
within last 6 months was found to be jaundiced.
He has remained asymptomatic, expect for weight
loss about10 pounds in 6 months. On physical
examination he is found to have a non- tender,
globular, right upper quadrant mass that moves
with respiration. A CT scan shows enlargement of
the head of the pancreas, with no filling defects in
the liver
A. *Carcinoma of the head of the pancreas
B. Metastatic disease of the liver
C. Pancreatitis
D. Choledocholithiasis
E. Hemolytic jaundice
380.First patient A. 35 years old with Acute Viral
Respiratory Infection complains of pain in the
37
cardiac region, palpitation, dyspnea. Objective:
acrocyanosis, heart sounds are reduces, systolic
noise above the apex, extrasystole, blood pressure
90/60 mm Hg. Which among the following is
true?
A. *All the given below.
B. Electrophysiological test.
C. Laboratory test.
D. Hospitalisation.
E. None of the above.
381.A 55 years old man complaints with chest pain for
a duration of 25 min. With radiation to the left
side which took place 3 days ago at rest and
dissapeared without any medical treatment. The
last day attack took place for 5-6 times per day
with increases in pain intensity. The results of
laboratory test: Troponin-0,17ng/mg, L-5,6 (109
/l, alaninaminotransferase-100 mmol/l, Lactat
Dehydrohenase-350 mmol/l. Which disease do
you suggested?
A. *Non-stable sternocardia.
B. Stable sternocardia.
C. Myocarditis.
D. Q-Myocardial Infarction.
E. Cardiomyopathy.
382.A 20y.o. student fell ill with acute
glomerulonephritis. He was ill with angina a week
ago. Objectively: skin and mucous layers pallor,
edema of face, limbs and trunk. AP – 180/110.
Urogram: protein – 6.6 g/l, RBC – 100-120 in f/v,
hyaline cylinders – 2-3 in f/v, oligoanuria. What
infection had in important part in development of
disease?
A. *Streptococcus
B. Virus
C. Staphylococcus
D. Blue-purulent bacillus
E. Intestinal bacillus
383.The patient has peptic ulcer of stomach with
frequent recurrences. Courses of anti-recurrent
therapy must be:
A. *Once in 3 months
B. Twice a year
C. Each year
D. Each month
E. After each recurrence
384.A 65y.o. patient is in the reanimation department
with transmural myocardial infarction. He
complains of abdominal pain, flatulence and
constipation. Objectively: Abdomen is algestic in
the region of colon, with continent inflation; its
lower part is full. What is the main mechanism of
this condition?
A. *Hypodynamia
B. Failure of nervous regulation
C. Non-adequate alimentation
D. Colon abnormality
 KROK 2 – Question Bank
E. Failure of aqueous-saline exchange
385.A patient complains of resting dyspnea, high
temperature and chest pain. Objectively: The right
half of chest is behind in the act of respiration.
During percussion a blunt sound is evident.
Sounds are absent in lungs during auscultation. X-
ray: a homogenous opacity 2/3 of right lung. The
most informative for diagnosis is:
A. *Punction of pleural cavity
B. Bronchoscopy
C. Bronchography
D. Pneumotachometria
E. Spirography
386.A 62y.o. patient is ill with chronic obstructive
bronchitis. He has smoked for 20 years. Point out
the non-medicamentous prevention of recurrences
in this pathology:
A. *All measures
B. Training of respiratory muscles
C. Refusal from smoking
D. Optimization of microclimate
E. Balanced alimentation
387.A 53y.o. woman is suffering from essential
arterial hypertension of the I degree combined
with obesity of the II degree. Which of the
following methods assist an accurate decrease of
EAH progression risk?
A. *Therapeutic diet
B. Psychotherapy
C. Physical therapy
D. Rodone baths
E. Collar zone massage
388.A 34y.o. patient has been admitted to clinic with
complaints of heaviness in the right subrib, nausea
and emesis after intake of fried pork; dark urine
and light feces. He was ill with viral hepatitis half
a year ago, but wasn’t on a diet. Objectively:
Scleras are subicteric. Abdomen is with continent
inflation. Liver is +2cm of costal arc margin on
lin. medioclavicularis dextra. Its surface is smooth
and it has an elastic consistence. What disease
would you think about?
A. *Chronic hepatitis
B. Cirrhosis of liver
C. Active hepatitis
D. Chronic cholecystitis
E. Chronic pancreatitis
389.A 40 year patient of rheumatic heart disease
complains of anorexia, weakness and loss of
weight, breathlessness and swelling of feet. On
examination temp 39C pulse is 100/mint.
Auscultation diastolic murmur in the mitral area.
Petehical lesion round clavicle and spleen was
palpable, Tooth extraction one month ago.
A. *Subacute bacteria endocardidtis
B. Recurrence of rheumatic fever
C. Throbocytopenia purpure
38
D. Mital stenosis
E. A ortic stenosis
390.If a 55year male presents with normotension,
nephritic syndrome, azotemia, collateral
abdominal veins with upward flow and there is
history of gross, painless haematuria 6 months
back, the mostly likely diagnosis is
A. *Hypernephroma
B. Amyloidosis
C. Papillary necrosis
D. Periarteritis
E. Liver Cirrhosis
391.A 70 yrs old woman is admitted to the hospital
with increasing fatigabality and dyspone for the
several month. Physical examintaion heat rate
100/min regular rhythm and BP of 150/100mmhg
engorged neck veins, third heart sound and rales
over lung fields. Skigram on chest show and
prominent vascular markings .This patient is likely
to be having
A. *Congestive cardiac failure
B. Adult respiratory distress syndrome
C. Atrial fribrillation
D. Rebound hypertensive crisis
E. Pulumonary edema
392.A 45yrs old executive who is a heavy smoker, had
severe retrostrenal discomfort while going to the
toilet at 7.00 a.m .ECG done immediately showed
that S-T segement elevation in the infrrioe leads
which normalised within an hour. This likely
mostly diagnosis is
A. *Prinzmetal s angina
B. Acute myocardial infraction
C. Dissecting aneurysm of arota
D. Acute pericarditis
E. Stable angina pectilors
393.A 50 year old patient previously in good health
and sudden onset of right anterior chest pain
without chills, fever or cough. On examination he
has tanchypneic. Over the right lower rib cage
there was an inspiratory rub. Chest X –ray was
negative. Which statement is correct
A. *Pulmonary embolus must be cosidered
promptly
B. Pneumococcal pneumonia is mostly and
penicilline should be given
C. Bronchogenic carcinoma is most likely
D. Bronchoscopy needs to be done promptly
E. Viral pnenumonia is most likely diagnosis
394.A 43 year old man begins to wheeze. There is no
way to tell whether this is bronchial asthma or
cardiac asthma. The best drug to be use would be
A. *Aminophylline
B. Digitalis
C. Cortisone
D. Epinephrine
E. Salbutarole
 KROK 2 – Question Bank
395.A middle – aged patient presents with a short
history of hight fever and rigors. On examination
the pulse rate is 140/min and there are signs of
toxaemia. Chest examination shows restriction of
movement over left infraclavicular region and
there is dullness on percussion. Vocal resonance is
increased with low pitched bronchial breath
sounds over the above area. The mostly likely
diagnosis
A. *Lobar pneumonia
B. Lung abscess
C. Bronchial pneumonia
D. Plerual effusion
E. Acute bronchitis
396.A 48 year-old man presents with arthralagia,
abdominal pain, diarrhoea, progressive weight
loss, low-grade fever, confusion, memoryloss and
opthalamoplegia. Investigation reveal
steatorrhoea, imparied xyloseobsorption, abnormal
small - bowel X rays hypoalbuminaemia and
anemia. The mostly likely diagnosis
A. *Whipple s disease
B. Coeliac disease
C. Inflammatory bowel disease
D. Tropical sprue
E. Chronic enterocolitis
397.An indian adult who has neve travelled abroad
come with a history of high fever, headache,
jaundice, marked oliguria, heptospleenomegaly
and shock with TLC of 16,000/cumm. The mostly
likely diagnosis is
A. *Leptospirosis{weil s disease}
B. Viral hepatitis
C. Yellow fever
D. Haemolytic uraemic syndrome
E. Haemolytic jaundice
398.A patient is noted to have paroxysmal episodes of
hypertension, tremors, weakness and sweating.
Physical examination reveals tachycardia and
hypertension. The urinary catecholamines and
their metabolites are elevated and a computerised
tomography scan detects a mass within the adrenal
gland. Which is the most likely diagnosis
A. *Pheocromocytoma
B. Cushing syndrome
C. Conns disease
D. Essential hypertension. Crisis conditions
E. Cushing disease
399.A 76-year old woman presents with an acute
myocardial infarction. Her symptoms stared 4 hrs
before admission and resolved after 1 sublingual
nitroglycerine. She has history of hypertension,
pulse is 104beats/min and BP is 180/106mmHg. A
third heart sound is present. No venticular ectopy
is observed druning ECG monitoring. Appropriate
initial therapy may include
A. *Metoprolol
39
B. Lidocaine
C. Procaineamide
D. Digoxin
E. Diltiazem
400.A 40 year old woman in good gernal health
experiences sudden chest pain, fever and shortness
of breath. She is heavy smoker and takes takes no
medication except oral contraceptives. Tachypnea
and temperature of 38C are found on physical
examination. Chest auscultation, percussion and
radiographic findings are normal. Which of the
following diagnosis is likely
A. *Pulmonary embolus
B. Atypical pneumonia
C. Tracheobronchitis
D. Bacterial pneumonia
E. Lung cancer
401.A 17y.o. patient complains of acute pain in the
knee joint and T – 38(C. He was ill with angina 3
weeks ago. Objectively: Deformation and swelling
of the knee joints with skin hyperemia. Small
movement causes and acute pain in the joints.
Which diagnose is the most correct?
A. *Rheumatism, polyarthritis
B. Systemic lupus eritematodes
C. Reactive polyarthritis
D. Infectious-allergic polyarthritis
E. Rheumarthritis
402.A 12- year old boy had sever vomiting and
diarrhoea. He was brought to the hosptial because
of severe oliguria. He was give IV fluids and
furosemide without any diuresis. Blood
biochemistry revealed : Urea 120 mg\% and serum
creatinine 4mg\%.The most likely diagnosis is
A. *Prerenal azotemia
B. Haemolytic uremic syndrome
C. Acute glomerulonephritis
D. Acute tubular necrosis
E. Acute pyelonephritis
403.A 56 year old woman has an elevated serum
calicum level of 12.2mg/dl. She has no history of
any illness, or treatment associated with
hypercalcemia. Which of the following studies
would be most helpful in making diagnosis of
primary hyperparathyriodism
A. *Serum parathyroid hormone
B. Serum ionized calcium
C. Serum phosphate
D. CT scan of the neck
E. 24 hrs urine calcium excretion
404.A 13 year old girl with sickle cell anemia presents
with pallor, tachycardia, hypotension and massive
splenomegaly. The most likely explanation is
A. *Splenic sequestration
B. Hemorragic shock
C. Septic shock
D. Cardiogenic shock
 KROK 2 – Question Bank
E. Hypovolemic shock
405.A 30 year old female with rheumatoid arthritis of
five years duration complains of pain in the first
three fingers of her right hand over past 6 weeks.
The pain seems especially severe at night often
awakening her from sleep. The most likely cause
is
A. *Carpal tunnel syndrome
B. Atlanto-axial sublaxation of cervical spine
C. Sensory peripheral neuropathy
D. Rheumatoid vacultis
E. Rheumatoid arthrits without complication
406.A 27 year old woman presents with muscle
weakness, ptosis, has been receiving gentamicin
injections for the last 7 days for a urinary
infection. Thyroid function tests, serum creatine
kinase, eletromyogram and muscle biopsy are
normal. I/V administration of edrophonium results
in a dramtic improvements in the pateints muscle
strength. Which of the following is most likely
diagnosis
A. *Myasthenia gravis
B. Toxic {drug induced}myopathy
C. Duchenne musclar dystrophy
D. Peripheral neuropathy
E. None of the above
407.A 56 year old woman is admitted after 2 weeks of
frequent vomiting. She is dehydrated. Work –up
shows complete gastric outlet due to longstanding
peptic ulcer disease. Her serum due to
longstanding peptic ulcer disease. Her serum
chloride is 90mEq/dl {low},sodium 134mEq/dl
[low},bicarbonate 35mEq/dl [high},and her urine
PH is low {acidic}
A. *Severe Crohns disease
B. Sigmoid colectomy
C. Splenectomy
D. Segmental jejunal resection
E. Sigmoid colectomy
408.A 47-year old man presents to his physician with
progressive abdominal swelling. On examination
he is found to have ascites and a tender, erlarged
liver. If the patient describes the ascites as having
been of abrupt onset and preceded by trauma, the
most likely diagnosis is
A. *Thrombosis of the hepatic vein {Budd-Chiari
syndrome}
B. Congestive heart failure
C. Portal vein thrombosis
D. Chronic hepatitis
E. -
409.A 60 year old woman was admitted in the hospital
with abdominal cramps, watery diarrhea and
flushing with episodes of wheezing. Select the
appropriate diagnosis
A. *Carcinoid syndrome
B. Gastroenteritis
40
C. Uclerative colitis
D. Lactose intolerance
E. Short gut syndrome
410.A 20- year old woman with 3-4 months history of
bloody diarrhea ,stool examination negative for a
ova and parasites, stool culture negative for
Clostridium, Campylobacter and Yersinia, normal
bowel series edema, hypermia and ulceration of
rectum and sigmoid colon seen on sigmoidoscopic
examination. Select the most likely Diagnosis:
A. *Ulcerative colitis
B. Gastroenteritis
C. Carcinoid syndrome
D. Granulomatous colitis
E. Lactose intolerance
411.An 80-year old woman with a history of
Congestive Heart Faliure develops angina
pectoris. Her medications are adjusted to include
furosemide, digoxin, nitroglycerine and potassium
supplements. Shortly there after develops
intermittent frontal throbbing headache. Which of
the following should the physician do first?
A. *Discontinue nitroglycerin
B. Perform a temporal artery biopsy
C. Begin propranolol
D. Begin sublingual ergotamine
E. Obtain a brain CT scan
412.A patient 54 years old, admitted in hospital with
intensive and tremendous retrosternal pain without
radiation, pain lasted for 40 minutes, no changes
were observed after taking nitroglycerin.
Objectively: pale face, sweatting, hypotonia (pulse
rate 108/min), “gallop”rythm. ECG: elevation of
ST to 6 mm at III and AVF leads. Read the above
given information and select the correct diagnose
from the following:
A. *Troponin I and T.
B. Activity of the alaninaminotrasferasa.
C. Activity of the aspartataminotrasferasa.
D. Activity of the general lactactdehydrogenase.
E. Activity of the general creatinphospokenase
413.A patient 60 years old with ischemic heart disease,
post infract cardiosclerosis. After physical
exercise, there is weakness, breathlessness at rest,
strong heart beat, sputum is reddish in colour,
cyanotic skin, patient is half seated, half lying,
cold sweat. Breathing rate is 30/min, heart rate
100/min, blood pressure 100/60 mmHg, different
kinds of rattling, hummid sounds in lungs and
heart murmurs. Which mechanism leads to
development of acute heart failure?
A. *Increase of hydrostatic pressure in small
circulating blood vessels.
B. Decrease of oncotic pressure in the blood
plasma.
C. Raise in activity of sympathoadrenergic
system.
 KROK 2 – Question Bank
D. Increase in volume of circulating blood.
E. Retention of water and sodium in the
organism.
414.A patient 28 years old, during 10 years diagnosis
of reumatism, failure of aortic valve, admitted in
the clinic with cardiac deficiency at the II B stage.
Which of the following hemodynamics is of
importance in the diagnosis of systolic
dysfunction?
A. *Dillation of the heart and decrease in heart
output.
B. Hypertrophy of the heart and decrease in heart
output.
C. Increase in minute volume of blood.
D. Decrease in minute volume of blood.
E. Decrease of heart output.
415.The patient has had the non-specific hecoid colitis
for many years. He is in remission now. During
dispanserisation the doctor must prescribe
colonoscopy to him:
A. *Each year
B. Twice a year
C. Each month
D. Once in 3 months
E. Once in 2 years
416.Throughout the year after an attack of acute
myocardial infection, a patient complains of
periodic pain in the heart area. At the time of
observation of the electrocardiogram except
pathological Q in II, III and AVF leads other
changes were not observed. Which investigation is
the most apropriate in order to diagnose and treat
the patient?
A. *Hollter’s monitering electrocardiogram.
B. Investigation of electrolytes in blood.
C. Coronarography.
D. Physical test.
E. Stress-echocardiography.
417.A patient with unstable stenocardia was given a
complex treatment of the following:
anticoagulants, lyins nitrates, (-adrenoblockers.
But on the third day of treatment the pain was
continous, which tests are carried out on this
patient to get the proper diagnosis?
A. *Coronarography
B. Stress-ecocardiogram.
C. Test with doses of physical exercises.
D. Oesophageal electrocardio stimulator.
E. Myocardial syncitigraphy.
418.The patient who after ‘Q’ positive myocardial
infarction of left ventricle: experienced dyspnea,
edema and hepatomegalia. Echocardiograph:
Increase in end diastole volume & intraventricular
pressure of left ventricle. What is the main reason
of congestive heart failure of the patient?
A. *Disease + low cardiac output + accumulation
of liquid.
41
B. Disease + high cardiac output + increased
vascular resistance.
C. Low cardiac output + accumlation of Na+1 +
accumulation of liquid.
D. Increased resistance of vesseles + increased
activity of sympatho adrenergic system.
E. Increased activity of sympathoadrenegic
system + increased activity of renin –
angiotensin – aldosteron system.
419.A patient with hypertension in 2nd stage, has
inspiratory breathelessness, cough, weakness after
physical exercise. Echo cardigraphy revealed:
hypertrophy of left ventricle myocardium. There is
a decrease of final diastolic volume with a fraction
of excreation of 58%. Destrution of
heamodynamic regulation is the main cause of
failure of:
A. *Diastolic function of the left ventricle.
B. Systolic function of the left ventricle.
C. Diastolic function of the right ventricle.
D. Systolic function of the right ventricle.
E. Systolic – diastolic function of the heart.
420.A patient 57 years old, admitted in hospital with
small focal myocardial infarction from the past 3
months is reported to have cardiac insufficiency of
first stage functional class 1 (Fc1). At present he
complains dyspnea, fatigue, palpitation in normal
physical maintenance. Which of the following is
the best method of prophylaxis for the given
patient?
A. *Treatment of the basic disease.
B. Treatment of the cardiac insufficiency.
C. Diet with controlled amount of liquid, salt and
animal fats.
D. Satisfactory climatic treatment.
E. Control of physical tolerance.
421.The patient aged 58 suddenly had headache,
syncope, nausea, fear, “net” glimmering in the
visual field, palpitation, cardiac pain. He has been
suffering from hypertension for 18 years. Clinical
examination revealed cardiac rate 96 per 1 min.,
BP = 210/115 mm Hg. What preparation should
be prescribed to this patient most currently?
A. * Corinfar
B. Adelfan
C. Analgin
D. Cristepin
E. Egilok
422.A 26 years old patient was admitted to the hospital
with complains of pain in the right chest, fever up
to 38-40 C and cough with purulent sputum
discharge. Before he has been ill within 2 weeks
with common cold and lower lobe pneumonia on
the right. He was treated as an out-patient but 3
days ago his general condition was worsened and
above mentioned complaints was appeared. On
physical examination the patient is asthenic,
 KROK 2 – Question Bank
exhausted, with pale grey skin. An unpleasant
smell from the mouth is noted. On auscultation:
the air entering in the lower right lobe is
diminished. In other chest there is crepitation. On
percussion: there is dullness over the lower lobe
on the right. CBC reveals high WBCs count
(leucocytosis) with the formula band shift and low
RBCs count (anemia). On the X-Ray graph the
right middle and low lung fields are very dense. In
the lower lobe there is intrapulmonary destructive
cavity with horizontal fluid level surrounded by
inflammatory wall. How could you define the
chest disease?
A. * Lobar pneumonia complicated by acute
abscess of lung
B. Lung gangrene
C. Non complicated pneumonia
D. Lobar pneumonia complicated by chronic
abscess of lung
E. Chronic lung abscess
423.What kind of cereals mentioned doesn’t produce
worsening the course of celiac disease (non-
tropical sprue):
A. *rice
B. wheat
C. oats
D. rye
E. barley
424.A 19 years old patient complains of long-term
bleeding started after tooth extraction. It is known
from the case history that he has had large
haematomas in the childhood. His uncle from
mother’s side died from bleeding. What clinical
diagnosis is the most probable?
A. *Hemophilia
B. Hemorrhagic vasculitis
C. Iron deficiency anemia
D. Aplastic anemia
E. -
425.A man aged 32 yr notes general weakness,
elevation of the body t°, pains in the throat while
swallowing. He is ill 2 months and treated from
tonsillitis by antibiotics without any effect. The
main clinical features are body t° 38,4 °C, RR
(respiratory rate) 22 per min; pulse 108, BP
(blood pressure) 100/60 mm of Hg. The skin is
pale. There are purpura (hemorrhagic rash) on
extremities, systemic enlargement of lymphatic
nodes and hepatosplenomegaly. In CBC RBC are
2,2*1012/l, Hb 70 g/l; WBC (leuc.) 13,5*109/l;
atypical cells (blastocytes) 32\%; metamyelocytes
1\%; stab neutrophils 3\%; segm. neutr. – 35\%;
lymph. – 20\%; monocytes – 8\%; thrombocytes
37*109/l; ESR – 30mm/hour. What clinical
diagnosis is the most probable?
A. *Acute leukosis
B. Chronic lympholeukosis
42
C. Chronic myeloleukemia
D. Aplastic anemia
E. Thrombocytopenic purpura
426.A man, 25 years, appealed to the policlinic
concerning a quinsy. Appointed soulfanilamidi
and aminoglicozidi. On 5-th day a urinary
syndrome turned out, arterial hypertension was not
present. A to 15 day an infection ended and a
urinary syndrome gradually vanished. What
diagnosis must it be?
A. *Infection-tocsical bud.
B. Sharp glomerulonephritis.
C. Sharp pyelonephritis.
D. Sheynleyn’s – Genoh’s illness.
E. Berger’s illness.
427.Which of the diseases doesn’t trigger cancer of the
rectum:
A. *amebiasis
B. diffusive family polyposis
C. Crohn's disease
D. ulcerative colitis
E. immunodeficiency
428.The arterial hypertensive patient aged 30 during
last 5 years has had a constant BP index 170/100 –
200/120 mm Hg. On objective examining systolic
murmur is heard above the navel in the right.
What’s the reason of hypertension?
A. *reno-vascular hypertension
B. hypertension disease
C. polycystic kidney
D. coarctation of aorta
E. glomerulonephritis
429.The patient aged 30 complains of headache,
general weakness, nocturia. Proteinuria has been
noted 5 years and arterial hypertention 2 years
ago. Heart rate is 88 beats per min, blood pressure
– 150/100 mm Hg, creatinine – 0.23 mkmole/l,
urea – 9,1 mlmole/l, glomerular filtration rate 50
ml/min. Diagnosis?
A. *chronic renal insufficiency 1 stage
B. chronic renal insufficiency 2 stage
C. Heart failure 3 stage
D. chronic renal insufficiency 4 stage
E. acute renal insufficiency 1 stage
430.The patient aged 31, called in with complaints of
headache, nausea, vomiting. Diagnosis of
chronical glomerulonephritis with renal failure
was made in stationary. What medical drug again
high blood urea nitrogen would you recommend to
the patient?
A. *Polysorb
B. Furosemid
C. Hypothiazid
D. Guttalax
E. Verapamil
431.A sick man, who is 43, started to complain to his
therapeutist about the heaviness in the stomach
 KROK 2 – Question Bank
after a meal, bad belch, vomiting with food, he
had eaten the day before. He has suffered from
ulcer of duodenum for 10 years. He has applied to
the doctor (therapeutist) two times but he started
to feel worse last month. What pathology must it
be?
A. *Ulcerous stenosis of the exit part of the gullet
B. Gullet cancer
C. Stomach cancer
D. Ahalaziya of the gullet
E. Reactive pancreatitis.
432.The patient, aged 65 rising to the first floor have
felt pain behind the sternum lasting nearly 5 – 8
minutes radiated to the left shoulder and blade.
For the next 10 days the attacks of pain have
become more frequent. A feeling as if he lacks air
to breathe (breathleeness) was appeared. The pain
didn’t cease after taking one nitroglycerin tablet.
What is the most probable diagnosis?
A. * Progressive stenocardia
B. Prinzmetal’s angina
C. Angina on exertion III funct.class
D. Myocardial infarction
E. Acute myocarditis
433.Patient after over cooling complained about
continuos fever up to 38?C, cough with small
amount of serous sputum. Was under treatment
at district policlinic, in ten days hectic fever
appeared in spite of treatment. In three days after
this suddenly expectorated sputum with “full
mouth” and very bad smell. Amphoric respiration
was auscultated over middle part of the upper lobe
from the right side. About what disease is it
necessary to think?
A. *Pulmonary abscess.
B. Bronchiectatic illness.
C. Lobar pneumonia.
D. Pulmonary tuberculosis.
E. Cancer of a lung.
434.The patient aged 25 yr has dyspnea, cyanotic skin
pallor occurred suddenly. Cardiac rate is 130
beats per minute. BP is 85/50 mm. Hg. The heart
sounds are significantly quiet. On ECG there are
polytopic premature bites, diffuse myocardial
changes. On X-ray there is a cardiomegaly. The
onset of illness the patient connects with analgin
intake adverse reaction occurred 15 days ago.
What is the most probable diagnosis?
A. * Abramov – Fiedler’s idiopathic myocarditis
B. Hypertrophic cardiomyopathy
C. Exudative pericarditis
D. Endocardial fibroelastosis
E. Mitral stenosis.
435.A patient aged 26 years complains of the
enlargement of cervical, subclavicular, grain
lymphatic nodes, skin itching, considerable
sweating at night, fever up to 390C. In CBC there
43
are leukocytosis, lymphopenia, high ESR. What
clinical diagnosis is the most probable?
A. * lymphogranulomatosis
B. chronic lymphatic leukemia
C. acute lymphoblastic leukosis
D. infectious mononucleosis
E. leukomoidal reaction
436.A 42 years old man suddenly felt worsening of his
general condition and complains of dizziness,
weakness and appetite loss. From the clinical
history it is known that the patient suffers from the
duodenal ulcer disease within 15 years and it is
written down in his individual medical file. In
CBC erythrocytes (RBC) are 1,9*1012/l , Hb
57g/l , KP 0,9, reticulocytes 1\% , thromb.
2,1*109/l , WBC (leuc.) 11,5*109/l , eosinophils-
1\%; stabneutrophils-10\%; seg.neutrophils-65\%;
lymph/-19\%; mon.-5\%; ESR-35 mm/hour. What
clinical diagnosis is the most probable?
A. *post-hemorrhagic anemia
B. hemolytic anemia
C. hypoplastic anemia
D. DVC – syndrome
E. pernicious anemia
437.The therapeutist must prescribe to patients primary
prophylaxis iron deficiency anemia to prevent its
development. Whо is adminested this
prophylaxis?
A. *Pregnant women
B. Patients after 60
C. All children
D. Patients after operation
E. Workers of industrial interprises.
438.The man of 25 years complains of periodic
epigastralgia. At inspection the chronic gastritis
with the increased acidity is revealed. Treatment is
lead. What preparation is expedient for using for
primary preventive maintenance of a stomach
ulcer?
A. *Famotidin
B. Cerucal
C. Vicalinum
D. Maalox
E. Gastropharm
439.A 21 years old patient with history of multiple
pneumonias complains of malaise, breathlessness,
palpitation, fillings of noisy ears and “flies” in
front of eyes. The patient is ill within one month.
On physical examination the skin is pale. In the
mouth there is ulceretive necrotizing stomatitis.
Also purpura in the femoral and abdominal skin
areas is noted. The peripheral lymphatic nodes are
not enlarged. CBC: RBC are 1,8*1012/l, Hb
56g/l K.P-0,9 , WBC 2,3*109/l; eosinohyils-
2\% , stub neutrophils 3\%, segmented neutrophils
65\%, lymphocyes 22\%, monocytes 8\%,
thrombocytes 16*109/l , ESR 25mm/h. In urine
 KROK 2 – Question Bank
analysis the macrohaematuria is revealed. What
clinical diagnosis is the most probable?
A. *aplastic anemia, hemorrhagic syndrome
B. hemolytic anemia
C. iron-deficiency anemia
D. B12-dificiency anemia
E. acquired hypoplastic anemia
440.A 70 year old patient has got an unhospital
pneumonia of the second category. Prescribe the
empiric therapy that is most appropriate for this
case.
A. *Spiramycin in combination with doxycycline
per os.
B. Penicillin intramusculary
C. Ampicillin 0,5 6 times a day
D. Etazol endovenous.
E. None of the variants is right.
441.Patient P., age 52 has IHD (ischemic heart
disease) for 5 years. He is worried about the
retrosternal pain that occurs after physical
exerxises. The pain lasts for 7-8 minutes and stops
indepently at rest. The patient doesn’t use nitrats
now. There are no pathologic changes of segment
ST and wave T on the ECG at rest; during the
coronary angiography, decrease in diameter of the
left coronary arteria by 50\% was found. What is
the pathogenesis of retrosternal pain development
of the patient in this case?
A. *The incapacity of injuried coronary arteria to
increase its opening on when oxygen in
needed.
B. The presence of the spasm in injured coronary
arteria.
C. Pathological adhesion and aggregation of the
thrombocytes with the extraction of vasoactive
substances.
D. Hemodynamic factors of blood flow in the
time of efforts in aorta.
E. The breach of the coronary blood flow on
account of arteritis.
442.The atrial flutter with heart rate up to 130 per min
firstly appeared in a woman aged 28 yr considered
before healthy. Physical examination reveals pale
bluish cheeks. The respiratory rate is 24 per min.
Cardiac auscultation is difficult because of high
rate but S1 tone is loud. The chest is free and
abdomen is soft and painless. ECG revealed right
ventricle hypertrophy and atrial flutter. This
woman was not consulted by any doctor because
she lives in a small village. What is the most
probable diagnosis?
A. *Mitral stenosis
B. Myocarditis
C. Thyrotoxicosis
D. Artherosclerotic cardiosclerosis
E. Myocardiodistrophy
44
443.In the patient, aged 45 after physical exertion
burning pain near the heart, fear of death, sweating
occurred. On the ECG there are the QS wave,
cupola – like ST elevation and negative T in I,
AVL, V1 – V3 leads. What is the most probable
diagnosis?
A. * Acute myocardial infarction of the anterior
wall of left ventricle
B. Progressive stenocardia
C. Acute myocarditis
D. Lung artery thromboembolism
E. Aortic dissection
444.Patient A. Complains about the shortness of
breath, pains in area of heart, sense of widespread
pulsation. In anamnesis - frequent quinsies
(tonsillitis). Objectively: skin covers are pale;
positive capillary pulse, “dance of carotids”,
dome-shaped apex beat displaced downward and
to the left, a pulse is quick, high. The left border of
heart is displaced to the left. Weakening I and II
tones, diastolic murmur over aorta. BP - 180/40
mm Hg. ECG: signs of hypertrophy of left
ventricle. What most credible preliminary
diagnosis?
A. *Insufficiency of aortic valve
B. Feochromocytoma
C. Chronic nephritis
D. Hypertensive illness
E. Coarctation of aorta
445.Patient 47 years is delivered at a clinic due to the
attack of difficulty in breathing. Objectively: skin
is pallid-cyanotic. Position abed – semisitting.
Breathing is bubbling, 36 per a minute. The heart
sounds are dull, accent of II tone above an aorta.
Above lungs different moist rales are hearing to.
The WBC–10,5G/l; ESR 4 mm/hour; AST 1,8
mkmol/l; ALT 1,2 mkmol/l; KFK 2,8 mkmol/l.
Set a diagnosis:
A. *Acute myocardial infarction
B. Attack of bronchial asthma
C. Acute bronchopneumonia
D. Acute pleuropneumonia
E. Pneumothorax
446.Patient 28 years complains about the suddenly
appearing strong and frequent blows of heart. In
anamnesis the cardiac diseases are not present,
was much nervous. Objectively: a patient is
excited, pulse 160 in a minute, BP-150/30 of mm
Hg, contractions of heart are rhythmic, sounds
loud, clear. ECG: heartbeats 160 per a minute, the
QRS complex is stored, the P wave is not
determined. In the chest leads the voltage of the T
wave is megascopic. Your diagnosis:
A. *Paroxysmal tachycardia
B. Atrial flutter
C. Atrial fibrillation
D. Atrioventricular block of the III degree
 KROK 2 – Question Bank
E. Respiratory arrhysmia
447.The ECG of 10 years old child demonstrates high
cardiac rate up 180 per minute. Р wave is
accumulated on Т and deforms it. The PQ interval
is slightly prolonged. QRS complex doesn’t
changed. What cardiac disorder has this child?
A. *Narrow complex supraventricular tachycardia
B. Atrial hypertrophy
C. Ventricular hypertrophy
D. WPW (Wolf – Parkinson – White) syndrome
E. Premature bites
448.Patient 50 years, after heavy physical loading
substernal pain of cutting character appears
suddenly. BP-140/80 of mm Hg; pulse-80 in a
minute. The rhythm of heart regular, heart sounds
clear. Pain disappeared in 10 minutes
independently. It is known from anamnesis, that
except attack of ARVI a patient was nothing ill.
About what is it necessary to think?
A. *First arising angina pectoris up
B. Diaphragmal hernia
C. Prinzmetal’s angina pectoris
D. Myocardial infarction
E. Acute pericarditis
449.At a patient 58 years, 2 years being ill of stable
angina pectoris of tension, the character of clinical
displays of angina pectoris changed suddenly,
more often and making of attacks heavier
appeared, began anymore to accept nitroglycerine,
an effect from acceptance diminished. About what
is it necessary to think?
A. *Progressive angina pectoris
B. First arising angina pectoris up
C. Stable angina pectoris of tension
D. Myocardial infarction
E. Acute myocarditis
450.A patient 56 years is at a clinic concerning the
acute myocardial infarction the third week. He
complains about the increase of temperature, pains
in area of heart of a different intensity and
character, pains in area of humeral joint and defeat
of skin. There is leukocytosis in a blood,
eosinophiliya, the ESR, level of (-2 and (-globulin,
C-reactive protein increased. About what is it
necessary to think?
A. *Heart postinfarction syndrome of Dressler
B. Heart postinfarction cardiac insufficiency
C. Tromboemboliya of pulmonary artery
D. Aneurysm of heart
E. Pleurisy
451.A patient 65 years during a few days disturbs pain
in an epigastric region, once or twice was
vomiting. Appealed to the doctor. It was
diagnosed acute gastritis. Got medical treatment.
However much being of patient continued to get
worse – weakness, pallor of skin covers, sticky
45
sweat, BP-80/50 mm Hg, heart sounds very dull.
About what it is necessary to think:
A. *Diaphragmal myocardial infarction
B. Peptic ulcer
C. Acute gastritis
D. Solyarit
E. Diaphragmal hernia
452.Patient 30 years with complaints about the
expressed shortness of breath and palpitation
during the last year. On X-ray of the chest
considerable expansion of heart is exposed. On an
electrocardiogram – decline of amplitude of the R
wave in all leads and negative T. On
echocardiogram – dilatation of ventricles of heart
with the decline of fraction of the ejection to 35 \
%. A valvular apparatus not changed. It is possible
to suppose:
A. *Dilated (congestive) cardiomyopathy
B. Insufficiency of aortic valve
C. Insufficiency of mitral valve
D. Myocarditis
E. Innate heart disease
453.Woman, 32 years, during 2 years was treated by
internist because of neurocirculatory dystonia and
by gynecologist because of menorrhagia.
Complaints about the promoted fatigability,
muscular weakness, predilection for strong smells
(petrol, ether), the desires eat chalk. Common
analysis of blood: RBC- 3,5 T/l; Hb – 105 g/l; C.i.
– 0,8; hypochromiya, anisocytosis; WBC. - 6,8
g/l; B-0\%; E-2\%; St-4\%; S-60\%; L-26\%; M-
8\%; ESR 12mm/ch. Whey iron 7-8 mkm/l. What
is it necessary to appoint?
A. *Peroral preparations of iron
B. Vitamins of B group
C. Folic acid
D. Parenteral preparationsof iron
E. Vitamin C
454.The woman aged 30, is suffering from polycystic
kidney. She was admitted to the hospital because
of weakness thirst, nocturia. Diuresis was about
1800 ml per day. Blood pressure 200/100mm Hg.
Blood test: erythrocytes: 1,8*109. Hg-68 g/l.
Urine specific gravity is 1005, leucocytes- 50-60,
erythrocytes in microscopic fild - 3-5, creatinine-
0,82 mmole/l, potassium – 6,5 mmole/l, provision
urine filtration rate 10 ml/min. What’s the
immediate task in the case treatment?
A. *Hemodialysis
B. antibacterial therapy
C. sorbents
D. blood transfusion
E. Hypotensive therapy
455.A patient is 60 years. In anamnesis - hypertensive
illness, angina pectoris. Felt off suddenly
palpitation, heaviness in area of heart, difficult
breath appeared. At examination: it is pale, it is all
 KROK 2 – Question Bank
of a cold sweat, lips are cyanotic. A pulse is
frequent, it is difficult to count up. BP 100/50 mm
Hg. The heart sounds are dull. A patient is quickly
hospitalized. How do you think, with what
diagnosis?
A. *Myocardial infarction
B. Hypertensive crisis
C. Attack of angina pectoris
D. Fainting-fit
E. Cardiac asthma
456.The sick man aged 40 has been suffering from
glomerulonephritis. He complains of vomiting,
muscle cramps in the distal extremity. Blood
pressure 180/120 mm Hg, creatinine in blood
serum – 770 mkmole/l, glomerular filtration – 5
ml/min. What treatment methods are indicated to
this patient?
A. * hemodialisis
B. sorbents
C. hemo – absorption
D. plasmapheresis
E. hemofiltration
457.A patient 55 years complains about pain, slight
swelling in the joints of brushes, long constraint at
mornings, limitation of mobility. 1 year is ill.
Treated oneself with ibuprofen with a small effect.
Objectively: swelling of metacarpal-phalange,
proximal interphalange joints of the II-III fingers
of both brushes with pain limitation of mobility.
ESR 37 mm/hour. What researches are most
informing for clarification of diagnosis of
rheumatoid arthritis?
A. *Rheumatoid factor, X-ray of brushes joints
B. Determination of uric acid in blood
C. Titers of antichlamidias antibodies
D. Presence of LE-cells
E. Determination of blood lipids level
458.A patient 24 years complains about nausea,
vomiting, headache, shortness of breath. In 10
years had an acute nephritis. Proteinuria was
found out in urine. Objectively: a skin is grey-
pale, the edema is not present. Accent of II tone
above an aorta. BP 140/100 - 180/100 mm Hg.
Blood level of residual N2 6,6 mmol/L, creatinine
406 µmol/L. Day's diuresis 2300 ml, nicturia.
Spac. gravity. of urine is1009, albumen 0,9 g/L,
WBC-0-2 in f/vis. RBC.-sin. in f/vis., hyaline
casts single in specimen. Your diagnosis?
A. *Chronic nephritis with violation of kidney
function
B. Feochromocitoma
C. Hypertensive illness of the II degree
D. Nephrotic syndrome
E. Stenosis of kidney artery
459.A patient 70 years suffers of hypertensive illness
more than 20 years. Woke up at night due a
suddenly arised attack of shortness of breath with
46
difficult inhalation. Objectively: orthopnoe. Pulse
108 per/min, rhythmic. The heart sounds are dull,
on an apex the rhythm of gallop. In the lower parts
of lungs moist wheezes. What complication of
hypertensive illness arose up at a patient?
A. *Cardiac asthma
B. Myocardial infarction
C. Acute violation of cerebral blood circulation
D. Fainting-fit
E. Pulmonary edema
460.Patient M., 52 years. Complains about headache,
palpitation. About 5 years suffers of hypertension.
Had the myocardial infarction one year ago, 6
months ago - cerebral stroke. Objectively: being of
middleweight. The left border of heart is displaced
laterally on 2,5 sm. Accent of II tone on an aorta,
systole murmur on an apex. Ps - 96 in a minute,
arrhythmic. BP 190/105 mm Hg. Your
diagnosis?
A. *Hypertensive illness of the III degree
B. Stenosis of bulb of aorta
C. Insufficiency of aortic valve
D. Coarctation of aorta
E. Atherosclerosis of aorta
461.Man 40 years complains about gradually
increasing headache, nausea, inclinations to
vomiting, somnolence, pains in a heart, fog before
eyes. Suffers with hypertensive illness 12 years.
Closing dates much worked, got tired.
Objectively: it is pale, a face is puffy, Ps-62 /min,
is hard. BP 200/120 mm Hg. The left border of
heart is displaced to the left on 2 cm. Accent of II
tone above an aorta, slight edema of shins.
Specific gravity of the urine is 1015. WBC -
single in f/vision. ECG: signs of hypertrophy of
left ventricle. Your diagnosis?
A. *Hypertensive illness of the II degree, crisis
B. Ishemic heart disease
C. Chronic pyelonephritis
D. Itsenko-Kushing Illness
E. Coarctation of aorta
462.Patient I., 50 years, complains about headache,
flashing of beauty spot before eyes, excitation,
trembling in all body. Suffers of hypertensive
illness 5 years. Arterial pressure 140/90 - 180/100
mm Hg. Objectively: skin covers are moist, red
color. Ps is tense, 96 per/min. BP - 190/105 mm
Hg. Left border of cardiac dullness - 1 cm laterally
from a left middle clavicular line. Accent of II
tone on an aorta. ECG has the signs of
hypertrophy of the left ventricle. Spec. grav. of
urine 1019. WBC. - 2-4 in f/vis. RBC. - 0-1 in
f/vis. Your diagnosis?
A. *Hypertensive illness of the II degree, crisis
B. Feochromocitoma
C. Acute glomerulonephritis
D. Atherosclerosis of aorta
 KROK 2 – Question Bank
E. Insufficiency of aortic valve
463.A patient has complaints about a tormental
(agonizing) cough with expectoration to 600-
ml/daily purulent chocolate color of sputum with a
decay smell. Onset of illness was abrupt,
temperature 39(C, fever of irregular type. There is
the area of darkening with a cavity in a center on
X-ray film, with irregular contours and level of
liquid. What disease is the question?
A. *Gangrene of lung.
B. Tuberculosis.
C. Bronchiectatic illness.
D. Abcetic pneumonia.
E. Lobar pneumonia.
464.A female patient complains of weakness,
dizziness, breathlessness on physical exertion and,
diarrhea. In history the patient started to be ill 3
years ago after operative stomach resection by B-
II done against a chronic gastric ulcer disease
complicated with severe bleeding. On physical
examination the skin is pale and tongue brightly
“lacquered” red. The CBC reveals a low HB and
hyperchromic enlarged in size RBCs, their
degenerative forms and poikilocytosis, Zholy’s
intra cell inclusions. She was treated by iron
preparations and vitamin B12 and then her
condition became much better. What is the type of
anemia?
A. * Anemia due to gastricectomy
B. Iron deficient anemia
C. В12 – folic acid deficient anemia
D. Coexistence of Iron deficient anemia with
hereditary В12 – folic acid deficient anemia
E. Aplastic anemia
465.Disease began abruptly with shaking chills, severe
headache and fever up to 39-40?C. Pain appears
from the left side of the chest in 4 hours during
respiration. Cough at once was dry, but in 4 days
rusty sputum was expectorated. Percussion
revealed hip sound over left low lobe, vocal
fremitus was intensified, during auscultation was
listened bronchial respiration over affected lobe.
What percussion sound will be over space of
Traube?
A. * Tympanic sound.
B. Bandbox sound
C. Clear lung sound.
D. Dull-tympanic.
E. Hip sound.
466.Patient C., age 32, is admitted in a hospital for a
long time due to toxico-allergic myocorditis.
There is dyspnea at rest, heart rate 104 per min,
arrhythmia was also observed. The pulsation of
cervical veins occured in bed. There is an edema
in the lower limbs, the skin is pale, and cold
palpation on skin. The cap-shaped depression
47
disappears in 2 minutes. What is the main
pathogenic mechanism of the edema in this case?
A. *Decrease of difference between the oncotic
and the venous hydrostatic pressure.
Secondary hyperaldosteronism.
B. Decrease of difference between the oncotic
and the venous hydrostatic pressure. Primary
hyperaldosteronism.
C. Exceeding hydrostatic over the oncotic
pressure in arterioles. Secondary
hyperaldosteronism.
D. Exceeding hydrostatic over the oncotic
pressure in arterioles. Primary
hyperaldosteronism.
E. Increase of the left ventrical of the heart filling
pressure. Primary hyperaldosteronism.
467.Woman, 56 years, complaints about the skin
itching, sweating, subfebrile fever with the
periodic increases of temperature to 38-39 C(, loss
of weight, heaviness in right and left
hypochondria, dyspeptic disorders. Objectively: a
skin is pale, some icteric. A liver palpate at the
level of umbilicus, a spleen on 2 cm is below than
umbilicus, dense consistency. Common analysis
of blood: RBC -3,0 T/L, Hb-110 g/L, C.I.-0,8;
WBC-28 G/L, bas. – 4\%, eos.-5, myel.-6, St.-8,
seg.-70, L-5, M-3, trom.180g/L, ESR mm/hour.
Your diagnosis:
A. *Chronic myeloleucosis (subleucemic form)
B. Chronic myeloleucosis (leucemic form)
C. Chronic myeloleucosis (Aleucemic form)
D. Acute myeloblastic leucosis
E. Chronic lympholeucosis
468.Rectoromanoscopy showed a 1 cm polyp in the
patient. On histological examination there was
found an adenomatous polyp. The further
reasonable step in treating this patient can be?
A. *irrigoscopy
B. rectum resection
C. endoscopy polypectomy
D. repeated analysis of the occult blood in feces
E. repeated rectoromanoscopy
469.The patient, 45 years, show complaints on severe
retrosternal pains, not decreasing after usage of
nitroglycerine. Objectively: integument’s are pale,
there is cold perspiration, the respiration is
vesicular and weakened, the tones of heart are
rhythmical, pulse beat - 78, arterial pressure -
110/70. On the electrocardiogram: a rhythm is
right sinus, there is pathological wave Q in the
V1-V4, depression of segment ST in III AVF.
What is your preliminary diagnosis?
A. *Acute miocardial infarction anterior-septal-
apex.
B. Attack of a stenocardia.
C. Thromboembolism of the pulmonary artery.
 KROK 2 – Question Bank 48
D. Acute miocardial infarction of posterior wall E. Cholangitis conditioned by the presence of
of the left ventricular. stones in the bile tract
E. Acute pericarditis. 474.The serologic profile of the patient having been
470.Of the patient of nephrological department, who is inoculated with recombinant vaccine against
ill on chronic glomerulonephritis, changed for the hepatitis B (HBV includes the positive result of
worse. The patient is delayed, it is impossible to the test for:
get in touch with him, painful sensitivity is kept, A. *anti-НВс
integument’s are pale and dry, the face is swollen, B. HBsAg
there is a fibrillary twitching of muscles, pupils C. anti-HBe
are narrowed, the respiration is vesicular and D. anti-HBs
weakened, the tones of heart are rhythmical, pulse E. anti - HBc and anti -HBs
beat - 96, arterial pressure - 190/115. The blood 475.Which of the following substances (drugs) can
test: creatinine - 0,352 mmol/liters. What cause granulomatous hepatitis?
condition was developed at the patient? A. *allopurinolum
A. *Uremic coma. B. alchohol
B. Hyperosmotic coma. C. paracetamol
C. Toxic coma. D. methyldopha
D. Coma, which conditioned by damage of E. cordaron
central nervous system. 476.The patient is 36. For a few years he has
E. Hepatic coma. complained of heaviness and a dull ache in the
471.Patient C aged 47 yr complains of intensive skin abdomen. The liver is enlarged, hard and has an
itching, jaundice, bone pain. The skin is uneven surface. CT (computer tomography) has
hyperpigmentated. There is multiple xanthelasma shown multiple pathological changes in the organs
palpebrarum. The liver is +6 cm enlarged, hard of abdominal cavity. The correct diagnosis is:
with acute edge. The blood analysis revealed total A. *polycystosis of the liver;
bilirubin 160 mkmol/l, direct – 110 mkmol/l, AST B. cirrhosis of the liver;
(asparate aminotransferase) 2,1 mmol/l per hour, C. multiple metastases of liver cancer;
ALT – 1.8 mmol/l, alkaline phosphotase 4,6 D. echinococcosis of the liver;
mmol/l per hour, cholesterol – 9,2 mmol/l, E. acute hepatitis.
antimitochondrial antibodies M2 in a high titer. 477.In the patient with the pulsating formation in the
What is the probable diagnosis? epigastrium where systolic murmur has been heard
A. *primary biliary liver cirrhosis a sudden acute pain in the abdomen has occurred.
B. primary liver cancer After the shock condition with loss of
C. chronic viral hepatitis B consciousness was developed. The diagnosis is:
D. acute viral hepatitis B A. *aneurysm rupture
E. alcoholic liver cirrhosis B. ulcer perforation
472.The patient aged 60 yr feels dyspnea on even C. acute appendicitis
slight physical exertion and complains of lower D. peritonitis
limbs swelling in the daytime. He is suffering E. acute pancreatitis
from Ischemic Heart Disease and persistent atrial 478.The 48 years old patient has the left ventricle wall
flutter within 2 years. On physical examination the hypertrophy according to the data of
patient appears acrocyanotic. Heart rate is 120 per echocardiography. What disease has no such a
min., PS 68, BP 105/63 mm Hg. Heart sounds are symptom?
loud, arrhythmic. Chest auscultation reveals moist A. *Dilatative cardiomyopathy
rales in the lower lung regions. What treatment is B. Ischemic heart disease
the most advisable for this patient? C. Hypertonic disease
A. * Digoxin D. Hypertrophic cardiomyopathy
B. Egilok E. Myocarditis
C. Isoptine 479.Splenomegaly, the low RBC (red blood cells)
D. Corinfar count, the high content of urobilinogen in feces of
E. Preductal the patient with jaundice are the symptoms of:
473.The complications of acute cholecystitis which A. *hemolytic jaundice
require surgical intervention are as follows except: B. extrahepatic cholestasia
A. *Jaundice C. intrahepatic cholestasia
B. Empyema of the gall-bladder D. sepsis
C. Emphysematous gall-bladder E. mechanical jaundise
D. Gall-bladder perforation
 KROK 2 – Question Bank
480.The patient, 32 years, complains of a constant
aching lumbar pains, frequent painful urination,
subfibrile temperature, a headache. Urine test:
relative density - 1015, protein - 0,066 gr/liters,
leukocytes on all field of vision, erythrocytes - 4-
5, oxalates. On the roentgenogram: expansion of
kidney plelois. What is your preliminary
diagnosis?
A. *Chronic pyelonephritis.
B. Acute pyelonephritis.
C. Acute glomerulonephritis.
D. Chronic glomerulonephritis.
E. Paranephritis.
481.A patient K. aged 35 years complains of
weakness, dizziness, headache, palpitation, attacks
of pain in umbilical, sacral areas, fever up to
38,20C, urine discoloration resembled smoky
brown and normal stool. The condition started
after bee sting. On clinical examination the
jaundice is noted. BP (blood pressure) is 100/60
mm of Hg, spleen is enlarged. RBC
( erythrocytes) are 2,3 * 1012/l, НB 72 g/l, K -
0,9, reticulocytes 13,1\%, WBC (leucocytes) 6,2
* 109/l, ESR -25 mm/hour. In urine urobilin
reaction is strongly positive, bilirubin pigments
are absent. The total bilirubin is 60 mkmol/l,
indirect 40 mkmol/l. Serum iron is 20,4 mkmol/l.
What clinical diagnosis is the most probable?
A. * Acquired hemolytic anemia
B. Acute liver insufficiency
C. Iron-deficiency anemia
D. В12- deficiency anemia
E. Viral hepatitis
482.A 30 years old woman complains of dizziness,
weakness, increased nails fragility, alopecia and
pica. On clinical examination body t° is 36,7°, the
skin is pale, RR (respiration rate) is 20 per min; Ps
98, BP (blood pressure) 100/60 mm of Hg. In
CBC erythrocytes are 2,8*1012/l, Hemoglobin
(Hb) 85 g/l, KP-0,9, reticulocytes-2\%; WBC
(leucocytes) 4,7*109/l; eosinophils-2\%; stub
neutrophils-3\%, segmented neutrophils-62\%,
lymphacytes-26\%, monocytes-5\%, ESR-
20mm/hour. Serum iron is 6,8 mkmol/l. What
preparation is necessary to prescribe to a patient?
A. *Iron per os
B. Fresh blood
C. Erythrocytal mass
D. Iron pareuterally
E. Vitamin B12-intramuscularly
483.Patient P, 34 years old was diagnosed long-lasting
bronchial asthma 3rd type and 3rd type of
exacerbation. Pulmonary insufficiency is of the I
type. What therapy should be administered in this
case?
A. *beclometasone 1000 mkg/day and at night,
salmeterol 100 mkg/day and at night, if
49
necessary short acting β2-antagonist but not
more than 3-4 times per day and at night
B. β2-antagonist of the short action during the
attack of breathlessness
C. beclometasone 500 mkg /day, salmeterol 50
mkg /day.
D. beclometasone 2000 mkg/day, oral
prednisolon 10 mg/day, salmeterol 100
mkg/day.
E. β2-antagonist of the short action 6 times per
day, oral prednisolon 20 mg/day (2 times in
the morning).
484.A patient aged 43 years was admitted to the
hospital. She has been suffering from the
bronchial asthma for 7 years. The main clinical
features are following. The patient`s position is
orthopnoic and she speaks only with separate
words. The additional muscles take part in the act
of respiration. Respiratory rate is 32 per min.
Wheezes are heard in all lung’s surface. The heart
rate 125 per min. Expiratory peak volume after
short acting B2 antagonists intake is 55\% from
the normal value. PaO2 is 58 mm of Hg, PaCO2
42 mm Hg, SaO2 – 90\%. Haw should be
classified the bronchial asthma observed in this
case?
A. *sever
B. Moderate to severe
C. mild
D. Moderate
E. Life threatening
485.A 52 years old hard smoker patient complains of
persistent cough with purulent sputum discharge
especially in mornings, dyspnea provoked even by
slight physical exertion, wheezing chest, tahypnoe,
general weakness. He considers himself to be ill
during 12 years. The overwritten conditions
appear 3-4 times per year usually after common
cold and have tendency to progress. About what
disease do you think first of all?
A. *Chronic obstructive lung disease
B. Bronchial asthma
C. Mucoviscidosis
D. Bronchoectatic disease
E. Aspergillosis
486.Patient P. aged 62 yr was diagnosed non-hospital
bilateral localized in lower lobes pneumonia
group III and risk class IV with exacerbated
chronic obstructive lung disease in III stage. What
antibacterial preparation should be chosen for this
patient for treating in the in-patient department?
A. *Protected aminopenicillin intravenously or
cephalosporin of the II-III generation plus
macrolid
B. Fluoroquinolones of the III-IV generation
intravenously
C. Aryfromycin or quarithromycin
 KROK 2 – Question Bank
D. Clindamycin
E. Amycacin
487.Patient F. aged 23 yr complains of the BT
elevation up to 380 C, marked itching of the skin,
an appearance of rash on the whole body. She ate
strawberries in the evening. What preparations
should be administered first of all?
A. *Antihistamine preparations of the 3-rd
generation.
B. Antibiotics
C. Histaglobulin
D. Autoserum.
E. Antipyretic drugs.
488.A boy aged 15 yr periodically has been
complaining of the epigastric pains, nausea and
heartburn. Gastroduodenoscopy revealed the sings
of gastroduodenitis and ulcer impairment of the
duodenal mucous membrane. What drug will be
the most effective in the treatment of this patient?
A. *De-nol
B. Nos-pa
C. Papaverin
D. Atropin
E. Almagel
489.3 weeks ago the patient was ill with tonsillitis.
Clinical examination revealed edema, arterial
hypertension, hematuria, proteinuria (1,8g/per
day) granular and erythrocital casts. What is the
suggestive diagnosis?
A. *Glomerulonephritis
B. Cystitis
C. Pyelonephritis
D. Intestinal nephritis
E. Renal amyloidosis
490.The 52 years old patient has been admitted to the
hospital. He complains of vomiting, soft black
repeated stools (melena) during the day. Such
cases have never been before. The pulse rate is 96
beats per minute, the blood pressure 100/70 mm
Hg. On finger examination of the rectum there
was found black feces. The appropriate examining
is:
A. *esophagogastroduodenoscopy
B. rectoromanoscopy
C. irrigoscopy
D. roentgenoscopy of the stomach
E. laparoscopy
491.The 58 years old patient complains of the burning
pain behind her breastbone which appears when
she walks more than 300 m of distance and when
she rises on the second floor. The stereotype pain
propagated into the left shoulder disappears within
1-2 minutes after sublingual nitroglycerin intake.
Identify the functional class of ischemic heart
disease:
A. *ІІ
B. І
50
C. ІІІ
D. IV
E. Progressive ischemic heart disease
492.A patient T. 33 years was admitted to a hospital. A
patient is pale, at an attempt to stand up complains
about strong dizziness. There was approximately
hour ago vomiting like coffee-grounds. BP - 90/60
mm Hg., pulse - 120 b/min. It is known from
anamnesis, that a patient during 4 years suffers
with ulcerous illness of the stomach, painless
form. An ulcer was exposed at gastrofiberoscopy.
Your diagnosis:
A. *Ulcerous illness of stomach, complicated
with bleeding
B. Ulcerous illness of duodenum, complicated
with bleeding
C. Erosive gastritis
D. Acute pleurisy
E. Acute myocardial infarction, abdominal form
493.Patient T., 48 years. Complaints about the decline
of appetite, heaviness in an epigastria region after
a meal, pains in right hypochondria, aching
character, increasing after a meal, especially fat.
Disturbs nausea, flatulence, disorders of stool, loss
of weight. At examination – jaundice of skin,
vascular spiders, gynecomastia, ascites, “caput
medusae”. A liver at palpation is painless, dense,
an edge is sharp, a spleen is enlarged. Your
preliminary diagnosis:
A. *Liver cirrhosis
B. Chronic active hepatitis
C. Acute hepatitis A
D. Acute cholecystitis
E. Acute pancreatitis
494.Patient complains about significant dyspnoe.
During inspection has forced posture (orthopnea).
Percussion of the lungs revealed hip dullness to
the 2-nd rib (backside) with upper boundary as
parabolic line on the left side. Respiratory
sounds and vocal fremitus over dullness are
absent. What breathing will be in the area of
dullness?
A. *Will be absent.
B. Amphoric.
C. Vesicular.
D. Bronchial.
E. Cogwheel.
495.A patient is ill 20 years with chronic bronchitis,
complains about cough with purulent sputum up to
200-300 ml/daily. Lately discharge about 2 liters
of purulent sputum per day with the biggest
amount of sputum in a morning time, fingers as
“drumsticks”, nails have type of “watch glasses”.
About what disease is it necessary to think?
A. *Bronchiectatic illness
B. Abscess of lung
C. Pulmonary tuberculosis
 KROK 2 – Question Bank
D. Lobar pneumonia
E. Gangrene of lungs
496.Patient L., 38 years. Complaints about dull, aching
pains in area of right hypochondria, permanent or
arising up in 1-3 hours after the reception of
abundant and especially fat food and fried dishes.
Pain radiates upwards, in the region of right
shoulder and neck. In addition, often disturbs
feeling of bitter taste and metallic taste into the
mouth, belch with air, flatulence. At palpation of
abdomen tenderness in area of projection of gall
bladder. A liver is not enlarged, a spleen not
palpate. Your preliminary diagnosis:
A. *Chronic cholecystitis
B. Cirrhosis of liver
C. Acute hepatitis
D. Chronic hepatitis
E. Acute cholecystitis
497.The 62 year old patient complains of the 10 kg
weight loss within last 2 months, sometimes dark
red urine voiding occurs and pain in the middle
back. The patient is feverish up to 390C. On
palpation there is the left kidney tenderness. In
blood: hemoglobin is 90 g/l, erythrocytes –
2,8*1012/l, leukocytes – 8,8*109/l, erythrocytes
sedimentation rate – 42mm/h. In urine: specific
gravity is 1018, protein – 0,.66 g/l,
mycroerytrocyturia . The previous diagnosis is:
A. *kidney tumor
B. kidney carbuncle
C. kidney tuberculosis
D. acute glomerulonephritis
E. urolithic disease
498.The patient aged 38 within 2 weeks fills pain in
the upper one third part of the sternum that occurs
usually when he rises to the 2nd floor. The pain
lasts up to 5-10 minutes. BP is 120/80 mm Hg.
ECG T-waves are smoothed out in V1- V4. What
is the most probable diagnosis?
A. * The first attack of angina
B. Myocardial infarction
C. Angina on exertion III ph. class
D. Angina on exertion IV ph. class
E. Vegetative vascular dystonia
499.A patient aged 45 yr long time suffers with mitral
stenosis and arrhythmia joined it last year. Acute
burning pains in the epigastrical region, weakness,
dizziness appeared suddenly 2 hours ago. The
main clinical features of the case are following.
The patient’s general condition is severe. Pulse is
120 beats per minute and weak. BP (blood
pressure) is 90/40 mm Hg). Abdomen is paifull
and rigid (does not take part in respiration). The
symptoms of peritoneum irritation are observed.
Peristaltic sounds are not heard. Usual percussive
liver’s dullness is preserved. But there is not
dullness in the sloping parts of abdomen. The
51
plane abdomen X-ray does not reveal disorders.
What is the diagnosis?
A. *Thromboembolism of superior mesenteric
artery
B. Perforated duodenal ulcer
C. Acute pancreatitis
D. Acute cholecystitis
E. All mentioned above
500.Point out the sign which is not a criterion for the
cessation of a physical load test in patients
suffering from cardiovascular pathology:
A. *Increasing the cardiovascular frequency more
than 30\% as compared with the initial value
B. The segment ST depression more than 2 mm
from the midline
C. The development of the ECG complete or
partial heart block
D. The paroxysmal ventricular tachycardia
development
E. The signs of inadequate cerebral blood supply
501.A 70 year old patient is on residential follow-up
with the diagnosis: ischemic heart disease, stable
angina of effort, II functional class. Ciliary
arrhythmia, tachysystolic form. Сhronic heart
failure II. Secondary diagnosis: diabetes mellitus,
type II.
A. *Antagonists Ca++, verapamil group
B. Antagonists Ca++, nifedipine group
C. Nitrates of durable action
D. α-adrenoreceptor blocking agents, selective
E. α-adrenoreceptor blocking agents, with
intrinsic sympathomimetic activity.
502.Which of the following antiarhythmic preparations
is contraindicated in treatment of ventricular
premature bites:
A. *verapamil
B. metoprolol
C. ethacizine
D. amyodaron
E. propaphenon
503.The patient, 67 years, shows complaints on
palpitation, dizziness, noise in ears, feeling of
shortage of air. Objectively: the patient is pale,
integument’s are damp, respiration is vesicular,
frequency of respiratory movements - 22, pulse
beat - 200 times a minute, arterial pressure -
100/70. On the electrocardiogram: frequency of
heart beat - 200, ventricular complexes are
widened, deformed, the arrangements of segments
ST and of wave T is discordant. The wave Р is not
changed accumulates on QRST, conformity to
natural laws between Р and QRS is not present.
What infringement of a rhythm was developed at
the patient?
A. *Paroxismal ventricular tachycardia.
B. Sinus tachycardia.
C. Thimmer arrythmia.
 KROK 2 – Question Bank
D. Ventricular extrasystole.
E. Atrial tachycardia.
504.The patient, 32 years, complains of the general
weakness, loss of appetite, thirst, dryness in a
mouth, a headache, decrease of urinary excretion,
aching lumbar pains, edema on legs and the face.
Arterial pressure - 165/80. The blood test:
creatinine - 0,18 mmol/liters, hypoalbuminemia,
hyperlipidemia. Urine test: density - 1026, protein
- 3, 5 gr/liters. Daily proteinuria - 4. What clinical
syndrome conducting at the given patient?
A. *Nephrotic.
B. Uric.
C. Acute nephritic.
D. Hypertensive.
E. Edematous.
505.The patient, 40 years, with combined mitral defect
with prevalence of a stenosis suddenly felt a sharp
retrosternal pain, difficulty of breath (dyspnea).
Objectively: a condition of the patient is grave,
cyanosis, swelling of cervical veins, tachipnea - 40
times a minute, vesicular respiration, tachycardia -
120 times a minute, arterial pressure - 80/50. On
the roentgenogram: an enlightenment of
pulmonary fields on the limited site, expansion of
a shadow top of superior cava. What is yours
preliminary diagnosis?
A. *Thromboembolism of the pulmonary artery
B. Acute miocardial infarction.
C. Attack of bronchial asthma.
D. Attack of heart asthma.
E. Attack paroxysmal tachycardias.
506.The 46 years old patient complains of the
anginous attacks development at night chiefly
from 3 to 4 AM without apparent cause. Within
valoergometric examination at time of 50 w
physical load the slight cardiac pain was noted by
the patient and this pain disappeared at 75 w load
moment. Make a diagnosis:
A. *Prinzmetal’s angina
B. Progressive stenocardia
C. Early postinfarction stenocardia
D. Angina on exertion
E. Angina at rest
507.The patient aged 60 had myocardial infarction 10
years ago. He has been suffering from arterial
hypertension for about 15 years. Now he feels
palpitation and pain behind the breastbone. BP is
190/100 mm Hg, heart rate 100 per min. On ECG
there are supraventricular premature bites, left
ventricular hypertrophy and scar on the posterior
myocardial wall. PQ interval longs 0,18 s. What
preparation is indicated to the patient?
A. * Egilok
B. Corinfal
C. Clophelin
D. Triampur
52
E. Prazozin.
508.The patient complains of syncope
(unconsciousness fits) that started to occur after
myocardial infarction which he had 6 months ago.
On clinical examination the heart sounds are quiet,
heart rate is 40 per min. and BP 110/70 mm Hg.
On Holter ECG monitoring second degree Mobitz
type 2 (3:1, 4:1) A – V block was established.
Asystolic periods long up to 3-4 sec. What is
current treatment?
A. *artificial pacemaker implantation
B. prescription of nitrates
C. atropine regular intake
D. prescription of preductal
E. neopinephrine regular intake
509.The female patient aged 28 had had a flu. Two
weeks later she felt pain behind the breastbone.
On clinical examination there are hoarse voice,
neck vein’s swelling, absence of relative cardiac
dullness. ECG voltage is low and segment ST
rises above the midline in all leads. What is the
most probable diagnosis?
A. * Pericarditis
B. The second myocardial infarction
C. Acute muocarditis
D. Idiopathic cardiomyopathy
E. Angina Pectoris
510.The female patient aged 25 had had a flu. Two
weeks later severe weakness, mild fever,
breathlessness and constant aching cardiac pain
there occurred. On clinical examination the first
heart sound (S1) is quite (s1). Body temperature is
37,3°C. The ECG voltage is low and first degree
AV block noted. ESR is 30 mm/h. What is the
most probable diagnosis?
A. * Acute myocarditis
B. Pneumonia
C. Dilatation cardiomyopathy
D. Infectious endocarditis
E. Unstable stenocardia
511.According to the New-York Cardiologists
Association Recommendations the 55 years old
patient has been made the diagnosis ischemic
heart disease, angina on exertion functional class
II, heart failure functional class I, arterial
hypertension of the second degree, hypertensive
heart. Point out the preparation of choice in
treatment of this case:
A. *metoprolol
B. clophelinum
C. doxasozine
D. nitroglycerin
E. indapamide
512.The 42 years old woman suffers from viral
hepatitis B. On examination there has been
determined the absence of comprehensive contact,
confusion (patient`s disorientation in place and
 KROK 2 – Question Bank
time), the mild smell of acetone out of the mouth.
What is your immediate action?
A. * admission to the intensive care unit (ICU)
B. the blood prothrombin control
C. the aminocapronic acid preparation infusion
D. the antibiotics prescribe
E. the dynamic observation of vital functions
513.In a 6 year-old child infiltrate of 18 mm in
diameter was detected as a result of the Montoux
test. A 1 year ago Montoux test showed infiltrate
of 10 mm. Determine the result of Montoux test.
A. *Hyperergic
B. Hypoergic
C. Normergic
D. Anergic
E. Postvaccinal allergy
514.18 years old patient complains of cramping
abdomen pain, weakness, body temperature up to
38,5 for 2 days, scanty portions of stool with
mucous up to 10 times per day. The patient`s
tongue is white coated and dry. The abdomen is
painful in the left iliac region. Sigma is
spasmodic. What is the suspected diagnosis?
A. * Shigellosis
B. Thyphoid fever
C. Food toxicoinfection
D. Salmonellosis
E. Escherichiosis
515.19 years old patient has an acute onset of disease.
The body temperature is 36. He complains of
weakness, vomiting without any nausea and
abdomen pain. The large amounts of stool like rice
-water with smell of grated potatoes is the feature
of this case. Diagnosis?
A. * Cholera
B. Shigellosis
C. Campilobacteriosis
D. Botulism
E. Salmonellosis
516.Within 20 days the 20 years old man has had a
fever and productive cough. By auscultation there
has been detected bilateral diminished air entry
and moist rales. The X-Ray showed volatile
(migrants) infiltrates. Point out the diagnosis:
A. * ascaridiasis
B. bronchitis
C. bronchial asthma
D. embolism of pulmonary artery
E. lobar pneumonia
517.The 19 years old patient was admitted in the in-
patient department with viral hepatitis B. On the
5th day of the disease the patient become to be
excited, speaks much. The jaundice is
deteriorating. There is tachycardia. The size of
liver is decreasing up to 2.5 cm per day. The total
serum bilirubin increased 2 times comparison with
day of admission and ALAT (alanine
53
aminotranspherase) fall from 8.0 mmole/l to 3.8
mmole/l. What cause triggered the patient’s
deterioration?
A. * acute encephalopathy
B. joining of the secondary infection
C. biliary ducts obstruction
D. acute hemolytic anemia
E. infective toxic shock
518.A child from tuberculosis place was admitted to
the children's department of tuberculosis hospital
with primary tuberculous complex. On the X-ray
there is shadowing of medium intensity with poor
defined outline in 2-nd segment of the right lung,
bound "track" with the root, increased root
lymphonodes. Determine the stage of primary
tuberculous complex.
A. Bipolar
B. Pneumonic
C. Consolidation
D. Calcification
E. Fibrous
519.The 30 years old patient just now arrived from
Tajikistan. There are complains of fever up to
40°С, which is accompanied by chills and
sweating. There has been revealed
hepatosplenomegaly in this case. Blood analysis
shows the red cells count (RBC) 3.0 x 10e12/l,
Нb 80 g/l, white blood cells count (WBC) 4.0 x
10E9/l, Еos 1%, Neutro 65%, Limph 24%, Мon
10%, ESR- 25 mm/hr. The previous diagnosis is:
A. * malaria
B. adenoviral infection
C. sepsis
D. typhoid
E. leptospirosis
520.A pain in the axillary area, increase of the
temperature developed 10 hours ago in the patient.
On exa-mination: shaky gait is marked, the tongue
is coated by white fur. The pulse is frequent. The
painful lymp-hatic nodules are determined in the
axillary area. The skin is bloodshot, glistening
above the lymphatic nodules. What is the most
probable diagnosis?
A. *Plague
B. Acute purulent lymphadenitis
C. Lymphogranulomatosis
D. Anthrax
E. Tularemia
521.In a surgical department appendectomy was
performed on the patient Н. of 30 years old.
Subfebrile temperature persisted operation.
Periodical watery stool developed. Since the 10th
day of the disease the temperature has been 39,5С,
with chill. Eruption, enlarged liver, moderate
jaundice, polyarthralgia are marked. What is the
diagnosis?
A. * Yersiniosis
 KROK 2 – Question Bank
B. Dysentery
C. Typhoid fever
D. Amebiasis
E. Salmonellosis
522.The patient S. was admitted to the hospital with
complaints of general cramps, anxiety. He fell ill
two days ago. During the last 6 hours the attacks
became more frequent and prolonged. On
examination: sardonic smile, rigidity of occipital
muscles, trunk and extremities are marked. The
patient injured his foot by rusty wire a month ago.
What is a diagnosis?
A. * Tetanus
B. Rabies
C. Meningitis
D. Poisoning with Strychninum
E. Epilepsy
523.The patient E. has complaints of rough barking
cough, loss of voice, difficult respiration. He has
been ill for 4 days. The temperature is 38°С.
Objectively: the patient is restless, irritable,
stenotic respiration, the tonsils are enlarged,
covered by dense, pale-gray coats, which are
spread to the soft palate. The mucous membrane
of the pharynx is cyanotic. What is the preliminary
diagnosis:
A. *Diphtheria of stomatopharynx and larynx,
croup
B. Foreign body of larynx
C. Wide – spread form of diphtheria of
stomatopharynx
D. ARVI - acute laryngotracheitis
E. Localized form of diphtheria of
stomatopharynx
524.The patient of 20 years old complained of dermal
itching, bright reddening and edema in 4 days
after microtrauma in the area of nail phalanx of
the 3-rd finger, received due to preparation of pig
meat. What is it necessary to think about first?
A. *Erysipeloid
B. Erysipilatous inflammation
C. Phlegmon
D. Panaritium
E. Paronichy
525.The patient of 42 years old had attacks of the fever
every 48 hours during one week. The temperature
of the body increased to 40°C and decreased in 3-
4 hours and accompanied by excessive sweating,
general weakness developed. The liver and spleen
are enlarged and firm on palpation. What is the
most effective method for verification of the
diagnosis?
A. *Microscopy of blood smear and thick drop
B. Virological method
C. General analysis of blood
D. Bacteriological method
E. Immunoenzyme analysis
54
526.The patient consulted to the doctor with
complaints of high temperature to 37,8°С,
moderate pain in his throat for 3 days.
Objectively: the submandibular lymphatic nodules
are enlarged. The palatine tonsils are hypertrophy,
covered by gray, smooth fur, which is spread to
the uvula and forward palatine arches. What is the
most probable diagnosis?
A. * Diphtheria of stomatopharynx
B. Candidiasis of stomatopharynx
C. Ulcer-necrotic angina of Symanovsky-Viensan
D. Agranulocytic angina
E. Infectious mononucleosis
527.A patient T. fell ill acutely with headache, chill,
pain in her throat, temperature 38°С. The patient
was examined by the doctor the same day. The
doctor revealed gray firm membranes on the
tonsils, enlarged and painful lymphatic
submandibular nodules. Diphtheria was suspected.
What is the most effective method for verification
of the diagnosis?
A. * Bacteriological method
B. Puncture of submandibular lymphatic nodes
C. Serological method
D. Intracutaneous allergic test
E. General blood analysis
528.The patient С. fell ill 3 days ago. The disease
began by increase of the temperature up to 39,5(С,
pains in the muscles of the legs and trunk. There
are weakness, bleeding from gums and nose. The
skin and sclera are yellow. What is the diagnosis?
A. *Leptospirosis
B. Viral hepatitis A
C. Influenza
D. Trichinosis
E. Typhoid fever
529.The patient С. fell ill acutely: a high temperature
(38,0°С), pain in the epigastric area, vomiting,
plentiful watery stool without admixtures and
tenesmus in 3-4 hours after using insufficiently
fried meat. Objectively: the paleness of dermal
integuments, acrocyanosis, tachycardia,
hypotonia. The stomach is painful on palpation.
What is the preliminary diagnosis?
A. *Salmonellosis
B. Lambliasis
C. Dysentery
D. Escherihioses
E. Acute pancreatitis
530.The patient М., was admitted with complaints of
nausea, vomiting, spastic abdominal pains, chill.
She be-came ill acutely 2 hours ago after taking
the pasta with meat. In objective examination:
temperature - 38,5°C, Ps-110, BP-110/60 mm Hg,
the tongue is coated and dry. Stool was one time
without admixtures. What investigation is
necessary for making a diagnosis?
 KROK 2 – Question Bank 55
A. *Culture of feces and wash waters A. * Brill’s disease
B. Culture of blood on a bile broth B. Meningitis infection
C. Culture of duodenal contents C. Typhoid fever
D. Virological blood analysis D. Flu
E. Biochemical blood analysis (bilirubin, E. Epidemic Typhus
amintransferases, prothrombin) 536.A patient with the body temperature 38,4°C
531.The patient С. of 18 years has complaints of sore developed severe barking cough, respiratory
throat, headache, weakness, fatigue. On distress with intercostal chest retractions. The
examination: enlarged cervical, axillary and patient looks moderate cyanotic espesially in
inguinal lymphatic nodules up to 1-3 cm in appearance of the nasolabial triangle. What illness
diameter, of dense consistence, non-adhered, provokes this symptoms more frequently then
motile are revealed. There are hyperemia of the others?
fauces and purulent coats on tonsils. A. * Parainfluenza
Hepatosplenomegaly. What is the diagnosis? B. Adenovirus infection
A. *Infectious mononucleosis C. Pneumonia
B. Typhoid fever D. Grippe
C. Sepsis E. Enterovirus infection
D. Diphtheria 537.On the 18th day of the disease in the patient
E. Lacunar angina suffering from typhoid fever the sudden body
532.The preliminary diagnosis was made to the patient temperature fall down up to 37°C, the rapid
– meningococcal disease: meningitis, pulse, thirst and hypotension were noted. The
meningococcemia. The condition is grave. The stool assay (Gregersen) for occult blood is
patient is pale, adynamic. There are many positive. What complication was occurred?
hemorrhagic elements on the skin. Meningeal A. * hemorrhage
signs are positive. The pulse is frequent, weak, BP B. infective toxic shock
– 80/40 mm Hg. The temperature is 40°С. What C. perforative peritonitis
etiotropic therapy would you prescribe? D. anemia
A. * Chloramphenicol intramuscularly E. joining the secondary infection
B. Quinine intravenously 538.The patient complains on high temperature
C. Etazolum intravenously (38,5°С), chill, severe headache, dry cough. The
D. Penicillin intramuscularly skin of his face and conjunctiva are bloodshot. His
E. Streptomycin intramuscularly throat is bloodshot, granular enanthema and
533.The 32 years old man-fisherman has fever up to punctate hemorrhages are on the soft palate. The
400 C, headache and calf muscles pain. At the 5 th pulse rate is 90 beats per minute, rhythmical, of
day of disease onset the depleted urine output satisfactory properties. What is the probable
and increased blood urea and creatinine are noted. diagnosis?
Point out the cause of this condition: A. * Influenza
A. *Leptospirosis nephrosonephritis B. Epidemic typhus
B. The increasing of protein catabolism C. Typhoid fever
C. The high aldosterone secretion D. Q fever
D. Serum prothrombin deficiency E. Acute tonsillitis
E. Leptospirosis liver affection 539.In a 32-year-old patient with infiltrative right
534.A man-hunter complains of a headache, severe upper lobe pulmonary tuberculosis tuberculoma of
weakness, fever about 39°C and right upper limb 3 cm in diameter was formed in 6 months after
edema. On the hand there are an painful ulcer hospital treatment. What radical method of
covered by dark crust on the bottom and small treatment may be used?
vesicles around it. A. *Segmental lung resection
A. * anthrax B. Artificial pneumothorax
B. tularemia. C. Thoracoplastic surgery
C. brucellosis D. Pulmonectomy
D. plague E. Extrapleural pneumolisis
E. forelosis 540.A 19-year-old patient was admitted to the hospital
535.A 70-year old woman has fallen ill acutely. The with the diagnosis: meningitis of the unknown
fever is about 39 0C. The patient is excited, out- etiology. She was investigated. Blood test:
self reflexive, talkative. The other features of the leucocytes- 10,0 x 109/L, neutrophile shift to the
case are scleral injection, facial hyperemia, left, lymphopenia, monocytosis, ESR-19 mm/hr.
Rosenberg’s anathema. Diagnosis? CSF: increase in protein value, decrease in glucose
 KROK 2 – Question Bank
and chloride counts, leucocytes-130 in 1 ml.,
100\% lymphocytes, MBT (-). In 48 hrs the fibrin
layer was formed. What etiology of meningitis can
be suspected in this patient?
A. *Tuberculous
B. Viral
C. Pyrulent
D. Insult
E. Tumor
541.A 42 year-old patient with the diagnosis:
Infiltrative pulmonary tuberculosis in the phase of
disintegration, МBТ (+), was hospitalized to
specialized hospital. Who should conduct final
disinfection at the place contaminated by
infection?
A. *Workers of sanitary epidemic control
B. Patient
C. Members of patient’s family
D. Medical personnel of a polyclinic
E. District doctor
542.The disease in a child’s institution began suddenly
in 2-3 hours after having the cottage cheese, which
didn’t undergo thermal treatment. All patients had
plentiful repeated vomiting, abdominal pain,
watery stool, paleness of the dermal integuments.
The body’s temperature is 37,3°С. The clinical
manifestations passed during a day. What is the
probable diagnosis?
A. *Toxic food infection
B. Poisoning with salts of hard metals
C. Bacterial toxicosis
D. Acute intestinal infection
E. Mycotoxicosis
543.A patient N. was admitted to the hospital in the
extremely serious condition: cold extremities,
acro-cyanosis, dry skin and mucous membranes,
dark circles around eyes. The pulse rate is
frequent, thread. BP - 40/0 mm Hg. The disease
began 10 hours ago: plentiful repeated watery
stool without admixtures and repeated vomiting.
The severity of the condition is caused by:
A. *Hypovolemic shock
B. Infectious-toxic shock
C. Distress syndrome
D. Acute renal insufficiency
E. Mixed shock
544.The patient C. fell ill acutely 12 hours ago:
temperature 38°C, chill, general weakness, spastic
pains in the low parts of the abdomen. 5 hours
later frequent scanty stool with admixtures of
mucus and blood occurred. The patient drank
unboiled milk. What is the preliminary diagnosis?
A. *Acute dysentery
B. Typhoid fever
C. Acute amebiasis
D. Cholera
E. Salmonellosis
56
545.A 3-year-old girl was admitted to the hospital in
critical condition with temperature 39.60C. She
has been sick for the last 10 days: she has
dyspnea, severe headache. Her mother says she
has been in contact with her uncle who is suffering
from tuberculosis. Muscles of nucha are rigid.
Sharp dyspnea. What changes in liquor are
characteristic for tuberculosis meningitis?
A. *Decreased glucose and chlorides contents
B. Increased glucose and chlorides contents
C. Normal glucose and chlorides contents
D. Decreased protein contents
E. Huge quantity of cells
546.The patient D. was admitted to the hospital on the
second day of the disease with complaints of
temperature increase up to 39(C, paroxysmal pains
in the lower part of the abdomen, frequent watery
stool with admixture of the mucus. On
examination: the stomach is painful in the left iliac
area. The sigmoid is spasmodic. What is the
preliminary diagnosis?
A. *Acute dysentery
B. Cholera
C. Esherichiosis
D. Toxic food-borne infection
E. Typhoid fever
547.A patient is suffering from disseminated lung
tuberculosis. What is the most common
complication of this process?
A. *Pleurisy
B. Cardio-pulmonary insufficiency
C. Kidney insufficiency
D. Amyloidosis
E. Pulmonary bleeding
548.Tuberculosis of the right intrathoracical lymph-
nodes complicated with bronchonodular fistula
was diagnosed in a 9-year-old child at a
tuberculous dispensary, confirmed by
bronchography. A sputum culture examination for
finding mycobacte-rium tuberculosis was
performed. In what period of time it will be
possible to get the result?
A. *In 6 -8 weeks
B. In a weeks
C. In 3 days
D. In 3 months
E. In a day
549.Virage of tuberculin test is found in a 7 year-old
child from a tuberculous epidemic place. The lung
X-ray reveals enlargement of the right lung root
and dilated contours. Preliminary diagnosis:
Tuberculous bronchoadenitis. What form of
tuberculous bronchoadenitis this child has?
A. *Infiltrative
B. Small
C. Tumorous
D. Fibrous
 KROK 2 – Question Bank
E. Cirrhotic
550.A 6-year-old child has virage of the Montoux test.
He is healthy. What dose of isoniazid must be
prescribed to this child for prophylaxis of
tuberculosis?
A. *5 mg/kg
B. 12 mg/kg
C. 10 mg/kgs
D. 25 mg/kg
E. 15 mg/kg
551.CSF is taken in the patient with suspected
tuberculous meningitis. Which kind of cytosis is
characteristic in tuberculous meningitis?
A. *Lymphocytous
B. Neutrocytous
C. Monocytous
D. Eosinophilous
E. Basophilous
552.A 6-year-old child complain of weakiness, bad
appetite and cough. He has virage of tuberculin
test. He is pale, malnourished, has
micropolyadenia. BCG cicatrice is absent. On the
X-ray there is shadowing in the upper right lobe
associated with infiltrated lung root. What disease
can be thought of in this patient?
A. *Primary tuberculous complex
B. Pneumonia
C. Lung cancer
D. Eosinophilous infiltrate
E. Pulmonary echinococcus
553.A 37-year-old patient with disseminated
pulmonary tuberculosis was treated by HRZS in
tuberculous hospital, in three weeks after begining
of treatment he felt tinnitus aurium, giddiness,
decrease of hearing. Which medication can lead to
such symptoms?
A. *Streptomycin
B. Rifampicin
C. Isoniazid
D. Ethambutol
E. Pyrazinamid
554.In a 25-year-old student during prophylactic
examination foci in the right lung are found. Call
the most common localization of focal
tuberculosis in the lung segments?
A. *1, 2
B. 2, 3
C. 1, 5
D. 9, 10
E. 7, 8
555.The inhabitant of India periodically had sharp
abdominal pains, indulgence of stool. Stool is
sometimes viscous of brown color, with admixture
of mucus. The patient lost weight significantly.
The pains in the right hypogastrium, chills, and
high temperature developed two weeks ago. What
is the preliminary diagnosis?
57
A. *Chronic amebiasis, abscess of the liver
B. Chronic relapsing dysentery
C. Helminthiasis (diphyllobotriasis)
D. Balanthidiasis
E. Hypovitaminosis
556.The disease began acutely: frequent watery stool
developed 6 hours ago. The body temperature is
normal. Then the vomiting developed. On
examination: his voice is hoarse, eyes are deeply
sunken in the orbits. The pulse is frequent. Blood
pressure is low. There is no urine. There are
cramps of the low extremities. What is the
preliminary diagnosis?
A. * Cholera
B. Typhoid fever
C. Dysentery
D. Salmonellosis
E. Toxic food-borne infection
557.In a 3 year-old child with right-sided tumorous
bronchadenitis dyspnea, cyanosis and extensive
dry cough appeared on the ground of receiving
specific therapy in tuberculosis hospital. During
X-ray control upper lobe of the right lung had
shadowing and reduced in volume, organs of
mediastinum are displaced to the right. What
complication had arisen in the child?
A. *Atelectasis
B. Pneumonia
C. Apical pleurisy
D. Miliary tuberculosis
E. Abscess of the lung
558.A patient was admitted with the loss of
consciousness. He has history of diabetes mellitus
type 1 for 12 years and acute gastroenteritis during
the last week. There are dry skin, soft eyeballs,
shallow breathing, no acetone smell. What is the
most probable coma?
A. *Hyperosmolar
B. Hyperlactacidotic
C. Ketoacidotic
D. Hypoglycemic
E. Alcoholic
559.A patient presents with the loss of consciousness,
dry hot skin, facial hyperemia, Kussmaul’s
breathing, acetone smell. Blood gluse level - 33
mmol/l. Ketoacidotic coma was diagnosed. What
is to be done first of all?
A. *Intravenous insulin injection
B. Intravenous injection of glucose
C. Intravenous injection of glutamic acid
D. Intravenous injection of sodium chlorine
solution
E. Hydrocortisone + thyrotropin
560.A 41 years old woman complains of infertility,
memory disturbance, appetite loss, skin dryness
and mild swelling (pastosity).On physical
examination there are evident bradycardia and
 KROK 2 – Question Bank
dull heart sounds. Thyroid gland is diffusely
enlarged and very hard. The serum thyreoglobulin
antibodies are in 1: 1000 titer. What thyroid gland
disease is presented most probably in this patient?
A. * Ridel's thyroiditis
B. Autoimmune thyroiditis
C. Nodular goiter
D. Acute purulent thyroiditis
561.A 45 years old patient long time suffers from
kidney polycystic disease with 4th degree of
chronic renal failure and is treating with chronic
hemodialysis. She complains of skin itching,
lower extremities joints pain. The X-ray of feet
shows the metatarsus - phalangeal junctions
resorption. The patient takes calcium preparations.
Serum calcium is 2,2 mmol/l, phosphorus 0,95
mmol/l, parathormone 554 ph/ml. What diagnosis
is proposed?
A. * Secondary hyperparathyroidism
B. Multiple myeloma disease
C. Primary hyperparathyroidism, osteopenic
form
D. Neurofibromatosis
E. Siple’s syndrome
562.A 38 years old patient was urgently admitted to
the hospital with complaints of sudden weakness,
dizziness, loss of consciousness, body weight loss,
, nausea, vomiting, severe pain in epigastric area,
diarrhea, skin hyperpigmentation. What is the
most probable diagnosis?
A. *Addisonic crisis
B. Acute gastroenteritis
C. Meningoencephalitis
D. Scleroderma
E. Pellagra
563.A 33 years old female has diabetes mellitus for 5
years. She uses more than 100 insulin units per
day for the last 6 months. Her body weight gained
for 10 kg. Fasting glucose level is 13 mmol/l,
daily urine glucose – 3\%. Generalized
microangiopathy. Hypoglycemia was reported
after attempts of insulin dosage increase. What is
the diagnosis?
A. *Insulin resistance
B. Dawn phenomenon
C. Diabetic nephropathy
D. Diabetic neuropathy
E. Insulin allergy
564.An unconscious patient presents with moist skin,
shallow breathing. There are signs of previous
injection on the shoulders and hips. BP 110/70
mmHg. Tonus of skeletal muscles and relexes are
increased. Cramps of muscles of the extremities
are seen. What is the most likely disorder?
A. *Hypoglycemic coma
B. Hyperglycemic coma
C. Hyperosmolar coma
58
D. Hyperlactacidotic coma
E. Stroke
565.A 67 years old female with diabetes mellitus type
2 presents with severe pain and soreness of the
legs, most of all of hips. The touch is extremely
painful. What is the most probable diagnosis?
A. *Diabetic acute painful neuropathy
B. Autonomic neuropathy
C. Central chronic neuropathy
D. Radiculoneuropathy
E. Asthenic syndrome
566.A 32 years old patient was presented with primary
chronic adrenal insufficiency of moderate severity.
How will be changed the level if 17-KS after the
test with ACTH (synacthen)?
A. *No changes
B. 50 \% increase
C. 100 \% increase
D. 50 \% decrease
E. 100 \% decrease
567.A 42 years old female complaints of nausea,
frequent defecation, weakness, dizziness, body
weight loss. Skin colour is similar to intensive tan.
Hyperpigmentation is the greatest on joints, palms.
BP 86/60 mmHg. What is necessary to be
performed to define the cause of the disorder?
A. *Determination of urine 17-КS and 17- OHCS
B. Hands X-ray
C. Urinalysis
D. Determination of urine catecholamines
E. Determination of urine calcium
568.A 26 years old patient was revealed on a street
with the loss of conscioucness. He was admitted to
the hospital with provisional diagnosis of
alcoholic intoxication. Episodes of cramps were
registered. The skin is dry, skeletal muscles tonus
is increased. Pathological reflexes are positive.
The smell from his mouth is normal. There are
signs of injections on the abdomen and hips. Pulse
90 per min, BP 104/75 mmHg. What is the most
probable diagnosis?
A. *Hypoglycemic coma
B. Ketoacidotic coma
C. Alcoholic coma
D. Drugs intoxication
E. Cerebral Hemorrhage
569.A 28 years old patient had used simple insulin for
2 years. Two days ago he started to use new
scheme of therapy with Protaphan. Previous
evening he was presented with sudden weakness,
increased sweating, loss of consciousness. What is
the most probable diagnosis?
A. *Hypoglycemic coma
B. Hyperosmolar coma
C. Uremic coma
D. Ketoacidotic coma
E. Stroke
 KROK 2 – Question Bank
570.The 56 years old patient has worked at the
aluminium plant more than 20 years. Within 3
last years he has developed loosening of teeth,
bone and joint pains, piercing pains in heart area,
vomiting. The previous diagnosis was:
A. * fluorine intoxication
B. mercury intoxication
C. lead intoxication
D. phosphorus intoxication
E. manganese intoxication
571.A sick 37 years old woman was admitted to the
district hospital with symptoms of mercury-
organic pesticide poisoning (she ate bread made
from pickled seeds). Chose the antidote therapy in
this case:
A. *Unitol
B. Atropin
C. Dipiroxim
D. Izonitrazin
E. Mecaptid
572.A 55 years old patient was diagnosed infiltrative
tuberculosis of the right lung upper lobe with
destructive lesion. AFB (acid fast bacilli) in
sputum are positive. The history: 5 years ago he
was ill with focus lung tuberculosis. In the in-
patient department he was administered anti TB
(tuberculosis) therapy recommended DOTS as for
the patient of the 3rd category. After the month of
treatment the mild jaundice is appeared.
Biochemical blood analysis reveals the increased
activities of AST and ALT. What anti TB
preparation caused such complication?
A. *rifampicyn
B. Isoniazidum
C. pyrazinamide
D. ethambutol
E. streptomycin
573.A 45-year-old woman complains of periodical
painless bleeding during urination, weakness,
hyperhidrosis, losing flesh (about 10 kg for last six
months) and continual fever with ague attacks.
Blood and urine test haven’t revealed any
peculiarities. Tuberculosis of kidney had been
suspected. Choose the most expedient programme
of additional examination.
A. *Culture urine test for micobacteria, excretal
urography.
B. Ultrasound examination of the kidneys,
biochemical blood test
C. Direct smear test of the sputum
D. X-kidneys, Mantoux skin test.
E. Laparoscopy, direct smear urine test
574.A 7 years old boy began to complain of the body
t0 elevation up to 37,50C in the evenings,
weakness, loss of appetite. Mantoux test is 12 mm.
Last year it was 5 mm. On clinical examination
the skin is pale and enlarged groin lymph nodes
59
are palpated. Chest is clear and a vesicular type of
respiration is heard in the lungs. Heart sounds are
clear, rhythmical. X-ray examination: roots of the
lung are of normal configuration, lung fields are
transparent. Sinuses are free. The CBC:
leucocytes are 7,5*109 /L, ESR 17 mm/hour.
Clinical diagnosis is:
A. *tuberculosis intoxication
B. TB contamination
C. Chest tuberculosis
D. primary tuberculosis complex
E. vegetovascular dystonia
575.18-years-old man complains of pain in the right
hip joint. Contracted year and a half ago.
Movement in the affected joint is restricted, right
leg is short-cut and on the right hip there is a cold
abscess. Blood test: leucocytes–11,5(109; slight
neutrophilia and lymphopenia. X-picture: signs of
osteoporosis, joint space constriction, destruction
of the pelvic bones and the head of thigh bone.
Choose the most likely diagnosis.
A. *Tuberculosis if the hip joint.
B. Arthritis deformans of the hip joint.
C. Gouty arthritis.
D. Gonorrheal arthritis.
E. Epiphyseal aseptic necrosis of upper end of
femur.
576.A six-year-child whose father suffers from
bacterial lung tuberculosis shown negative
Mantoux skin test. In what term he has to be
BCG-revaccinated?
A. *not earliar, than in 3 days and not later, than
in 2 weeks.
B. in a month.
C. in two days.
D. during a year.
E. in 3 weeks.
577.A patient aged 52 years works at the chicken farm.
The main complains are slight fever up to 380C
and a cough with mucopurulent sputum discharge.
He associates the disease with the commoncold.
The last fluorography examination was done 2
years ago.. Now the X-ray examination shows in 6
segment projection non-homogenous infiltrative
density with destructive lesion up to 3 cm in size.
The ESR is 13 mm per hour. The WBCs
(Leucocytes) are 6,8*109 /L in blood. AFB (acid
fast bacilli) are found in the sputum. What disease
is the most probable?
A. *infiltrative tuberculosis of the lung on the
right
B. right-side abscess formation pneumonia
C. right lung cancer
D. pneumoconiosis
E. infarction – pneumonia of the right lung
 KROK 2 – Question Bank
578.Choose the minimal duration of treatment course
in the case of destructive and bacterial lung
tuberculosis effective treatment?
A. *6 months
B. 4 months
C. 8 months
D. 9 months
E. 3 months
579.A 47 years old man after lifting a considerable
heavy weight suddenly felt an acute pain in the
right side of the chest and breathlessness. A
symptoms increased and mucous and skin became
cyanotic. An emergency doctor learned that 7
years ago the patient was ill with an infiltrative
chest tuberculosis of the right lung, had recovered
and was not examined within the last 3 years. On
percussion exaggerated tympanitis was revealed
over the right part of chest and auscultation
revealed the sharply weakened breath sounds here.
What disease should be the first thought?
A. *spontaneous pneumothorox
B. pulmanonary thromboembolism
C. exudative pleurisy
D. right lung atelectasis
E. croupous pneumonia
580.A 2 months old child (an infant) was born in term
with 3550 g of weight and had had the symptoms
of hemolytic disease of the new - born appeared in
the first days after delivery. No vaccinations were
made in maternity home. The infant is healthy
now. What vaccine should be inoculated firstly?
A. *BCG-M
B. Diphtheria, tetanus toxoids and pertussis
vaccine
C. BCG
D. ADP
E. ADP-M
581.Laboratory assistant of the bacteriological
laboratory contracted tuberculosis. What
mechanism of contamination is the most probable
in this case?
A. *immediate contagion
B. alimentary infection
C. inhalant infection
D. unknown
E. intrauterine infection
582.Patient K, 26 years old, has rosy-red spots,
plaques with distinct borders on the skin of his
face, hairy part of the head. On the surface of most
foci there are closely set scales. If the patient
scratch them off, he feels pain. Subjectively:
moderate itch. What is the diagnosis?
A. *Disseminated lupus erythematousus.
B. Tuberculosis of the face skin.
C. Photo dermatitis.
D. Mycosis of the face skin.
E. Face eczema.
60
583.After delivery a women felt weakness,
hyperthermia. On the skin of the nose, cheeks,
breast there are rosy-red spots with grayish scales.
In the center of the foci there’s a scurry atrophy.
Small joints of the extremity are edematic, the
skin around them is red, their function is
destroyed. What’s the clinical diagnosis?
A. *Systemic lupus erythematousus
B. Mycosis of the skin
C. Psoriasiform syphilid
D. Ruber planus lichen
E. Toxiderma
584.A worker of the cement plant visited doctor with
the complaints on itch, edema and weeping of the
skin near the fistula from osteomyelitis on the
right cruse. Margins of the focus are clear. What’s
the most possible diagnosis?
A. *Microbus eczema
B. True eczema
C. Professional eczema
D. Allergic professional dermatitis
E. Staphylococci sycosis
585.A 34-year-old driver saw the doctor because of the
lesion of the skin of the extremity significant itch
weeping. He has been ill for 5 months. During
examination of the skin of the back of the hands
and lower one-third part of the forearm a lot of
papules, vesicles, pustules, scales, erosions, with a
large amount of exudates were revealed. What
disease can it be?
A. *Chronic eczema
B. Acute eczema
C. Pyoderma
D. Scabies
E. Neurodermatitis
586.In patient B, 34 years old on the skin of the back
of the hands, abdomen and thigh there’re
symmetrical apparent foci of the lesion of
different sizes with unclear borders, where on the
erymatous background one can see small papulas,
vesiculas, single pustules and in the centre –
erosion, scabs, weeping. Make your diagnosis?
A. *True eczema
B. Streptodermia
C. Microbic eczema
D. Neurodermitis
E. Scabies
587.Primary seronegative syphilis has been established
in the patient [28 y.o.] on the basis of
confrontation and laboratory researches. However
terms of the incubatory period are reduced
considerably. In what case it can be?
A. *Tuberculosis pulmonary, oncological
problems, narcotics
B. Reinfection
C. Treatment of the intercurrent illnesses by
antibiotics
 KROK 2 – Question Bank
D. Massiveness of the infection
E. Bad sanitary and hygienic conditions
588.The patient [29 y.o.] has consulted a venereologist
on the occasion of ulcers on the penis. He had a
casual sexual connection with the unfamiliar
woman for 1,5 months ago. The failure of penis
has found for 2 weeks ago. Two ulcer elements
have been found out at survey. They had the round
form, equal edges and they were painless. The
lymphadenitis of dense-elastic consistence is
palpated in the inguinal region. Lymphatic nodes
are painless and mobile, the skin above them is
without an inflammation, they are not connected
with each other and neighbouring tissues. The skin
of the trunk and limbs has no rash. What about
diagnosis is it necessary to think?
A. *Primary Syphilis
B. Acute Gonorrhoea
C. Soft Chancre
D. Chancriform Pyoderma
E. Scabies
589.The obstericain-gynecologist has found out the
ulcer with the round form and the size about 10
mm on the small sexual lip in the student [19 y.o.]
at medical survey. The ulcer did not worry the
patient. Objectively: the edges are precise and
equal, its colour meat-red, the condensation is in
the basis of the ulcer. The priority in the plan of
patient’s inspection will be:
A. *Inspection on T.pallidum and serological
reactions of blood on the syphilis
B. Finding of herpetic antibodies in the whey of
blood
C. Inspection of sexual partners
D. Inspection on the agent of Soft Chancre
E. Inspection on the Gonorrhoea, Trichomoniasis
and other infections transmitted by the sexual
way
590.The women, 45 years old, has many bullas in here
skin. The bullas resemble the peas in dimension.
The rest skin is free of spots, without
inflammation. The red erosion are in the oral
cavity. They are very sickly. The patient notices
the put of weight, feels herself bad. What is the
diagnosis?
A. *Pemphigus vulgaris
B. Vesical toxidermia
C. Vesical toxidermia
D. Vesical streptodermia
E. Vesical epidermolisis
591.The patient [19 y.o.] has consulted a dermatologist
with complaint of the strong inch, which amplifies
appreciably at night. He has steam papulo-
vesicular elements of excoriation on the skin of
the trunk, superior limbs and internal surface of
the hips. What is preliminary diagnosis?
A. *Scabies
61
B. Urticaria
C. Duhring’s dermatitis
D. Diffuse neurodermatitis
E. Skin itch
592.Very strong itch at the area of pubis and inguinal
folds disturbers the patient, 42 years old, who has
returned from a foreign mission. During the
examination it was revealed many scratchings,
haemoragical scabs and spots on the skin of the
lower part of abdomen and internal surfaces of
thighs. What is the diagnosis?
A. *Pediculosis
B. Scabies
C. Neurodermitis
D. Epidermofitia
E. Erythrasma
593.It was known that woman in childbirth, being in
pangs, had known gonococcus from the urethra
and vagina. What have to be a treatment of
newborn child?
A. *To treat of all natural foramens by the 30\%
solution albucidi
B. To treat of all natural foramens by manganese
1:10000
C. To treat of all natural foramens by penicillin
D. To treat of all natural foramens by acid borici
E. To treat of all natural foramens by strong tea
594.The man, 55 years old, complaints for appearance
of many rashes in the oral cavity. They are very
sickly, especially during the eating. During the
examination there are spread red round erosions,
without inflammation. What kind of diseases you
must think at first?
A. *Pemphigus vulgaris
B. Duhring’s dermatitis
C. Candidiasis
D. Aphthous stomatitis
E. Toxiderma
595.The patient, 65 years old, has big bullas with
flabby tegmen, red erosions in the mucosan
membrane of the oral cavity, in the limbs and
inguinal area, without any reason. She has a pain,
especially during the eating. What is the
diagnosis?
A. *Pemphigus
B. Toxiderma
C. Duhring’s dermatitis
D. Epidermolisis
E. Candidiasis
596.The patient, 46 years old, has inflammatory spots
and papules at the skin of nose and cheeks. They
after being in the skin over a long time. There is
burning at the areas. The symptom of Benje-
Mesherskiy is positive. What kind of pathological
appearance was formed this symptom?
A. *Follicular hyperkeratosis
B. Ballonic degeneration
 KROK 2 – Question Bank 62
C. Vacuolar degeneration sexual contact. During the examination the skin
D. Parakeratosis over the right ankle joint, the left knee joint and
E. Spongiosis the right hip joint was hyperemic, hot to the touch.
597.The patient has many uncavitary infiltraty A. *Reyter’s disease
elements, increasing in the surface of skin. The B. Psoriatic arthritis
elements resemble the grain. There are red, flat, C. Behterev’s disease
poligonalis, with impression in the center. The D. Lupus aerytematosis
network of Wikchem is present. What kind of E. Arthritis rheumatoidis
morphological elements and disease the patient 602.The chlamydiosis (clamidiosis) infection is due to
has? A. * Elementary bodies
A. *Papules by lichen rubber planus B. Reticular bodies
B. Papules by psoriasis C. Anaerobic bacteria
C. Papules by secondary syphilis D. L – form bacteria
D. Papules by eczema chronicle E. А, B are correct
E. Papules by toxiderma 603.What pathologic process in the skin define
598.The patient, 39 years old, has a big pink Nikolsky symptom:
papilomatosic growths on the skin near the anus. A. * Acantholysis
The growths resemble the cauliflower and hold on B. Acanthosis
the thin stalk. The surface of growths is red and C. Spongiosis
macerated. The pain and burning at the area of D. Hydropic degeneration
affection trouble the patient. What is the E. Papillomatosis
diagnosis? 604.To confirm a diagnosis of the tinea versicolor
A. *Condilomas acuminates (branny lichen) what diagnostic test is used?
B. Condilomas lata A. * Baltser’s test
C. Varicose of haemorrhoidal veins B. Three – glass test
D. Pyodermia C. Salt – solution test (blister test)
E. VICH D. Nikolsky symptom
599.The boy 3 years old, fell ill in the first years of E. Benye – Meshchersky symptom
life. There are bullas at the place of traumatism of 605.After the 10th days at the accidental sexual
skin. The same diseases has his mother. During of connection the women had purulent secretion from
the examine it was reveal serous bullas at the skin the genitals, burning. Syringing, genital-bath with
of hands and feet. In the place of opening bullas soda, chamomile, didn’t give any effects during
we can see erosions and serous crusts. What is the one week. During of the examine by gynecologists
diagnosis? /after two weeks from the beginning of disease/ it
A. *Simple bulla epidermolysis was reveal for erosions the big genitals sexual lips,
B. Pemphigus at the smears-gonococcus. Control serological
C. Polimorfic exudativum eritemae reaction /CSR/ for syphilis is negative. What will
D. Duhring’s dermatitis a doctor do?
E. Vesical pyodermia A. * Repeated examination for syphilis
600.Some foci of failure have appeared on the head in B. The treatment of gonorrhea
the patient during last 2 months. The skin has a C. Examine for chlamidiosis
light pink colour, it is covered by grey-white D. Examine for chlamidiosis
scales. The loss of hair is marked as a result of E. Examine for candidacies
their break-down on 2-3 mm above a level of the 606.The patient, 28 years old, living impropriety
skin. Grey-white prickles are found among the sexual life, it has diagnosed-trichomoniasis. What
scales. Separate black points are observed in a kind of preparations must be use for it etiology
place of exit from the follicle. By your diagnosis treatment?
is: A. *Metranidozoli
A. *Trichophytose Superficial B. Sulfanilamide
B. Alopecia Areata C. Penicillin
C. Alopecia Syphilitica D. Abactali
D. Lupus Erythematosus [discoid form] E. Cyprinid
E. Leprosy 607.The women, 29 years old, applied to the doctor
601.The patient, 32 years old, came to the doctor with with completions for massive secretion from the
complaints for the increase of body temperature vagina, itch, burning, pain during urination.
up to 38 degrees Celsius, pain in his joints, During the examination it was reveal hyperemia
conjunctivitis. He felt ill acute after the accidental external sexual organs, vagina. Much quantity of
 KROK 2 – Question Bank 63
yellow foamy discharge, urethritis, endocervicitis. A. *Clinical and serological control during 6
What is the diagnosis? months
A. *Trichomoniasis B. Clinical and serological control during 3
B. Gonorrhea months
C. Candidacies C. Clinical and serological control during 1
D. Chlamidiosis month
E. Bacterial vaginosis D. Clinical and serological control during 12
608.The patient, 27 years old, single, living months
impropriety sexual life. During the last 2 month E. Removal from the register
looks unimportance mucous, sometimes purulent 613.The women, 60 years old, hospitalized with
secretion from urethra, subjective-inconstant itch complaints for strong pain at the right side and
or sensation burning from urethra. He didn’t apply rash on skin. She having ill during 5 days. During
to the doctor. What is the diagnosis? of the examine it was reveal grope vesiclaes with
A. *Chronicle gonorrhea serous exudation at the erithematosis skin of
B. Acute gonorrhea intercostals space. During the palpation she has
C. Trichomoniasis pain. What is the diagnosis?
D. Candidacies A. *Circular lichen
E. Herpes B. Pemphig
609.The pregnant is in her second half pregnancy C. Pemphigus
diagnosis chronicle aendocerviciti and urethrity. D. Toxiderma
What prescribe, to the patient? E. Duhring’s dermatitis
A. *Penicillin 614.The pregnant women applied to the doctor with
B. Tetracycline completions for pain during the urination and
C. Riphampicini secretion from the vagina. She is ill during 4 days.
D. Pirogenali During examine it was the clinic of acute
E. Gonovaccini vulvovaginitis. In the smears – are gonococcus.
610.The man, 27 years old, applied to the doctor with What must be a treatment of the patient?
completions for pain in appended right testis, have A. *Penicillin
a higher temperature until 40 degree Calcium, B. -
headache, indisposition. At the anamnesis had C. Metranidazol
gonorrhea. During examine-appendage of right D. Tetraciclin
testis is hyperemier, increase, during of the E. Рirogenal
palpation it was reveal compact sickly infiltration. 615.The woman, who has just returned from a foreign
What is the diagnosis? mission, has the bladders on the skin of her neck
A. *Gonorrhea aepididimitis and shoulder-blade. Very strong itch
B. Tuberculosis epididimitis inconveniences the patient. At the examination we
C. Cancer of testis can see many folliculates, excoriations near the
D. Varicocele of testis bladders. This disease the woman connects with
E. Abscess of testis the wearing orhers clothes. What is your
611.At the 16th day after the abortion the women had diagnosis?
abdomen pain, indisposition, the higher of A. *Pediculosis
temperature until 39,5 degree Cesium. It was B. Scabies
reveal from the anamnesis- accidental sexual C. Toxicodermia
connection with unknown man. She treated D. Pyodermia
independently, only by the external preparations. E. Neurodermitis
Rate erythrocyte sedimentation \ESR\ - 44 mm/h. 616.The women, 28 years old, applied to doctor with
What is the diagnosis completions for limited falling out the hairs. In the
A. *Gonorrhea anamnesis – she had frequent headache
B. Syphilis indisposition, artromyalgia, fever, impropriety
C. Candidiasis sexual life, using narcotics. RW is negative. What
D. VICH of examines must be the first?
E. Herpes A. *Examine for VICH
612.The women suffering from the chronic gonorrhea B. Examine for at neuropathology
finished the complete course of treatment. The C. Examine for gonorrhea
source of the infection was not establish. What D. Examine for fungi
will a doctor do? E. Examine for trichomoniasis
 KROK 2 – Question Bank
617.The patient has the spots of contagious mollusk
at the face, hairiness part of head, sexual organs.
Rash steady to the therapy, with often
recidivations. Beside, the patient has often fevers
infections, height temperature, until 38 degree of
Celsius, pain in the right side. During the examine
it was reveal is anemia, leukopenia, importance
lowering of T-helpers. What is the diagnosis?
A. *VICH
B. Syphilis
C. Lupus tuberculosis
D. Lupus erithematodes
E. Pyodermia
618.The women 32 years old, has periodical
hyperthermia, feels bad, put of weight. She has
systemic candidiasis, nothing of any
anticandidiasis preparations doesn’t give effects.
During of the examine it was limphocytopenia,
anemia, leucopenia, lowering of T-helpers. What
is the diagnosis?
A. *VICH
B. Pemphigus
C. Duhring’s dermatitis
D. Dermathomyazitis
E. Lupus erithematodes
619.The man, 40 years old, appealed to the doctor with
the complaints for defeats and pain at sexual
organs. He is ill during one year. He received
some treatment, with out any results, more of it
hearth begins to transformate to ulcers being over
a long of period of time. During of the examine it
was ulcer with not right margins, considerable
appliances of immunodeficiency. During the
palpation were pain, polyadenitis. What is the
diagnosis?
A. *VICH
B. Pyodermia
C. Syphilis
D. Psoriasis
E. Candidiasis
620.The patient, 27 years old, has erythematous spots,
plates with fat hyperkeratotic scales yellow color,
which had appeared one week ago on the face,
hairiness part of head, extensor surface of
extremities. He had this disease some month, after
blood transfusion. The patient complaints of a bad
state, put of weight, diarrhea, the treatment result
didn’t give. During of the examine it was reveal
importance lowering of index of immunity. What
is the diagnosis?
A. * VICH
B. Syphilis
C. Toxiderma
D. Psoriasis
E. Reyters diseases
621.The patient complaints of bad state, increase of
temperature of body until 38-39 degree of Celsius,
64
pain in throat, diffusion increase of lymphatic
nodes. He has disease during 2 weeks. In
anamnesis is narcotism. During of the examine
there are wide spread rash pink color (spots and
papules), on the head and body, (having peripheral
increase, violet and brown colors, (reminding
haemangiomae). During of the examine it was
importance lowering of index T-cells immunity.
What is the diagnosis?
A. *VICH
B. Secondary syphilis
C. Eczema
D. Toxiderma
E. Psoriasis
622.The women 28 years old, complaints for
appearance of vesical rashes at the red margin in a
low lip, after over a long time stay at the cold.
During of the examine – the skin is free from the
rashes. What is the diagnosis?
A. *Vesical lichen
B. Duhring’s dermatitis
C. Pemphigus
D. Toxiderma
E. Candidiasis stomatitis
623.After the 5 days the accidental sexual connection
the man had purulent secretion from the urethra,
sick at the end of urination, discomfort. During of
the examine of the smears – the leukocytosis in all
field of vision, insude and extracellular the are
many gonococcus. What is the diagnosis?
A. *Gonococci acute back urethritis
B. Gonococci acute front urethritis
C. Gonococci acute totals urethritis
D. Gonococci acute total prostatitis
E. Gonococci acute epididimitis
624.The patient [56 y.o.] with the chronic furunculosis
has consulted a dermatologist with complaints of
the deterioration of his condition during last year.
What researches should be prescribed to this
patient first of all?
A. *Research on the maintenance of sugar in
blood
B. Wassermann’s reaction
C. Research on HIV
D. Hepatic tests
E. Research of the immune status
625.The young man [25 y.o.] has consulted a
dermatologist with complaints of the appearance
of a rash on the skin of the face, trunk and limbs.
It disappears quickly and it is accompanied by
intensive itch. Separate non-cavitary elevated
porcelain elements are marked on the skin. What
is the primary morphological element make a
clinical picture?
A. *Wheals
B. Papules
C. Nodules
 KROK 2 – Question Bank 65
D. Pustules 631.The patient has consulted a dermatological clinic
E. Vesicles for consultation. His clinical lesions have caused
626.The patient, 62 years old, who is being treated by of carrying out of special researches. The fusion of
the neuropathologist for the neurithis of neuros intercellular epithelial bridges was found in the
facialis, the doctor noticed on his body, face and prickle-cell layer at histological research of the
limbs the achromic spots of different sizes and the struck epidermis. These changes are signs of:
gradual disappearance of sensuality: at first of A. *Acantholysis
temperature, then of pain and at last tactile and B. Acanthosis
also falling of hair of his eyebrows and eyelashes. C. Dyskeratosis
What kind of examination must be prescribe for D. Granulosis
the patient at the first time? E. Vacuole degeneration
A. *For the mycobacterium of lepra 632.The signs of acanthosis are marked at the patient
B. For the mycobacterium of tuberculosis with the psoriasis at histological research of the
C. For the LE-cells struck skin. For this process is typically:
D. For the treponema pallidum A. *Amplified duplication of prickle-cell layer
E. For the RIF, RITP B. Disturbance of keratinization of the epidermis
627.The patient, 49 years old, has the erythematosic C. Thickening of the granular layer of the
spots and plates on the skin of her face, body and epidermis
limbs, consist of the dense small knots. On the D. Necrobiotic and degenerative changes of the
places of some of them there are hearths of Malpighian layer
atrophies. During the examination it were revealed E. Fusion of intracellular epithelial bridges in the
the breach of temperature, painful and tactile prickle-cell layer
sensuality. What do you think the disease is? 633.Wickham’s positive symptom [that is the small
A. *Lepra netting and web-shaped lines on a surface of the
B. Tuberculosis papules as a result of focal granulotosis] is found
C. Toxiderma in the patient [23 y.o.] by the
D. Sclerodermia dermatovenereologist. By your preliminary
E. Herpes diagnosis is:
628.Nikolsky's positive symptom is found in the A. *Lichen Ruber Planus
patient [66 y.o.] by the dermatovenereologist. By B. Psoriasis
your preliminary diagnosis is: C. Molluscum Contagiosum
A. *Pemphigus vere D. Tuberculosis Cutis Papulonecrotica
B. Solar burn E. Syphilis Secundaria
C. Duhring’s hepetiform dermatitis 634.Tarnovsky’s hypertrichosis is found in the patient
D. Herpes Zoster [26 y.o.] by the dermatovenereologist. It can speak
E. Lupus Erythematosus about:
629.Ardy’s positive symptom [that is the presence of a A. *Late Congenital Syphilis
rash of impetigo’s character in the region of the B. Hirsutism
both ulnar shoots] is found in the patient [23 y.o.] C. Itsenko-Cushing’s syndrome
by the dermatovenereologist. By your preliminary D. Chronic Trichophytosis
diagnosis is: E. Psoriasis
A. *Scabies 635.After the trauma of the right cruse on external
B. Psoriasis surface the man of 27 years old had nodes, which
C. Avitaminosis A later opened with secretion which had a lot of glue
D. Hyperkeratose substance yellow color. The ulcer had appeared,
E. Lichen Ruber Planus which was spherical shape with hand over margins
630.The man [23 y.o.] has small pustules on the skin and necrotic masses on the fundus. The patient
of the face. They are located in the centre of the doesn’t have subjective sensations. What is the
hair follicle and surrounded by a narrow diagnosis?
hyperaemic band. Subjective sensations are A. *Syphilis tertiary
absent. By your clinic diagnosis is: B. Tuberculosis of skin
A. *Ostial Folliculitis C. Furunculosis
B. Chancriform Pyoderma D. Phlegmonous
C. Parasitic Sycosis E. Vasculitis of nodus
D. Furuncle 636.The mother with her doter applied to the
E. Pseudofurunculosis dermatologist with complains for the itch of
hairiness part of head and the back surface of the
 KROK 2 – Question Bank 66
neck. During the examine it was reveal the white D. Vesicles.
and gray dandruff, fixating strong to the hair. The E. Papulo-vesicles.
girl has the excoriations, single pustules at the 642.On the trunk of the patient a lot of white and
neck. What is the diagnosis? yellowish-brown elements of various
A. *Pediculosis configuration and size, situated apart on the
B. Seborea sunburned skin have been revealed. Relief and
C. Trihophytia picture of the skin in the foci haven’t changed.
D. Psoriasis About what morphological element can we think?
E. Microsporia A. *Spots without inflammation.
637.The man, 23 years old, came to the doctor with B. Papulas.
complaints for onset the ulcus near the anus 1 C. Spots with inflammation.
month ago. The patient doesn’t have subjective D. Blister.
sensations. He is bisexual. What is the diagnosis? E. Lichenification.
A. *Syphilis primaria 643.Spherical skin defect, size: under 3 cm in the
B. Pyodermia diameter, with gentle margins, necrotic profound
C. Periproctitis fondues, easily, bleeding has been revealed on the
D. Ecthyma scabiosus patients skin of the lateral surface of the lower part
E. Hemorrhoids one-third part of the left crush. What morphogical
638.Neoplasm of red colors, has been revealed in the element can we think about?
region of the patient’s anus. It reminds color A. *Ulcer.
cabbage or a cock’s comb, in palpation it’s soft. B. Erosion.
About what morphological element can we speak? C. Fissure.
A. *Vegetations D. Profound pustule.
B. Warts E. Superficial pustule.
C. Scars 644.The patient, 28 years old, came to the doctor with
D. Papules complaints for the discomfort during the urination,
E. Nodes itch and scanty secretions from his urethra, mainly
639.In patient, 56 years old, on the internal surface of in the morning, pain in the lower part of his
the lower one-third of the left cruse there’s an abdomen. He has been ill for about one month.
apparent ulcer of three-kopecks-coin size with During the examination there was found
even raised margins and flat fundus. The skin hyperemiae near the external outlet from his
around it is red and there’re a lot of vesicles, urethra and leycocitosis in the smears. What is the
erosions, massive scabs. What’s your diagnosis? diagnosis?
A. *Microbus eczema A. *Chlamydeous urethritis
B. Vasculitis of the skin B. Trichomonadia urethritis
C. Ulcer pyoderma C. Gonorrhoeal urethritis
D. Tuberculosis of the skin D. Candidal urethritis
E. Tertiary syphilis E. Bacterial urethritis
640.On the patients elbows and knees there’re rosy-red 645.The boy, 12 years old, has numerous small
elements; size: under 2 cm. Picture of the skin on papules (up to 2 mm in diameter) on the skin of
their surface is clear. In palpation there is some forehead and limbs. They have the color of normal
infiltration, in vitropressure elements get pale. skin and shine. Papules have the hollows is the
What morphogical element can we think about? center. If we try to press the elements, some white
A. *Papulas. crumlike mass secretes. . What is the diagnosis?
B. Turbcles. A. *Contagious mollusk
C. Pustules. B. Streptodermia.
D. Nodes. C. Toxicodermia.
E. Spots. D. Simple verruca.
641.A patient saw the doctor because of the lesion of E. Acne vulgaris.
the face skin. Examination showed grouped small 646.The patient, 35 years old, had a treatment 5 years
elements with transparent contents on the cheeks ago for syphilis secundaria recidiva. He didn’t
and skin of the upper lip on the eritemathosus complete his treatment (he changed his home
background. What are the morphological element address). Now he has tuberculums on his nose and
here? forehead. RW, RITP and RIF are positive. What is
A. *Vesicles. the diagnosis?
B. Pustules. A. *Syphilis tertiary
C. Blisters. B. Furunculous
 KROK 2 – Question Bank 67
C. Tuberculosis of skin insufficiency of muscle tonus, bilateral positive
D. Nodules vasculitis Babynsky’s sign.
E. Phlegmonous A. * Dushenne myopathy
647.The patient, 57 years old, has some plates on the B. Multiple sclerosis
skin of the extension surfaces of his limbs, a lot of C. Verdnig-Goffmann spinal amyotrophy
squamules, which are easily shelled away. D. Schtrumpel spastic paraplegia
Isomorphic reaction of Kebner and triad of Auspic E. Erb-Rott miopathy
are positive. What is the diagnosis? 652.Man 27 y.o. has been outside, on the cold air, for
A. *Psoriasis some time. On the following day, after waking up,
B. Lichen rubber planus he has found inability to close left eye, running
C. Eczema tears, hyperacusia, and change of sensation of
D. Neurodermitis frontal 2/3 of the tongue. Objectively: flattening of
E. Mycosis naso-labial fold, left corner of the mouth drop and
648.The women, 33 has scanty secretions, itch in the its paralyses, the “sail” symptom is positive, left
external genitals, unpleasant sensations during corneal reflex is missing. Your diagnosis:
urination, sometimes she feels pain in the lower A. * Neuritis of left n. facialis
part of her abdomen. It was diagnoses B. Neuritis of left n. trigeminus
chlamidioses. What kind of preparations are more C. Neuralgia of left n. trigeminus
effective? D. Tumour of the left pondo-cerebellar corner
A. *Tetracycline E. Neuritis of right n. facialis
B. Penicillin 653.Patient 38 y.o., suddenly started to feel headache,
C. Biseptol accompanied by nausea, vomiting and loss of
D. Retarpen consciousness. Objectively: АP 190/30 mmHg,
E. Cephazolin pulse 94/min, tense; skin is hyperemic.
649.The positive symptom of “the handles of a Craniocerebral nerves are normal, changes in
suitcase” [that is the presence of bridge-shaped movement and coordination are not seen. There
cicatrices with a free space] is found in the patient are positive meningial signs (rigidity of nack
[22 y.o.] by the dermatologist. By your muscles, Kerning’s and Brudsinski symptoms).
preliminary diagnosis is: Liquor is blood stained. Your primary diagnosis:
A. *Tuberculosis Cutis Colliquativa A. * Subarachnoid haemorrhage
[Scrofuloderma] B. Trombosis vessels of the brain
B. Syphilis Tertiaria C. Brain vessels embolism
C. Leprosy D. Haemorrhage on the brain
D. Leishmaniasis E. Meningitis
E. Bejel 654.A 43-year-old woman complains of the low back
650.A 50-years-old man experienced the severe low pain irradiating to the left lower extremity which
limbs pain more often at night. The localization of become worse in movements. Simultaneously the
the pain was not constant. Short time later the patient notes numbness in the leg and cricks
ataxia developed and became worse at bad light. (crumps). The palpation of shank and hip muscles
On ophthalmologic examination the weakness of is tenderness. The hip flexion with knee extension
pupils reaction to light and eyes convergence are is painful and can not be done. There is not
noted. The accommodation is good. On the sensitivity and reflexes loss disorders.
fundus of eyes the disks of optic nerve are of grey A. *Vertebrogenic lumboischialgia on the left
colour. Also the nevrological disorders of deep B. Vertebrogenic radicular syndrome L 5 –S1 on
sensitivity were revealed. The Wassermann’s the left
reaction assay of Treponema pallidum C. Arthritis of the left hip joint
immobilization are positive. D. Endarteritis of the lower extremities
A. * Tabes dorsalis (locomotor ataxia) E. Spinal stroke
B. Myelitis 655.Girl 10 y.o. last three years often suffers from
C. Acute encephalomyelitis otitis. Has had rheumatic endocarditis. Vague,
D. Disorder of spinal blood circulation easy to get tired. Objectively: Patient constantly
E. Syringomyelia moving. All involuntary movements are quick,
651.A 4 years old boy developed the impairment of broad and constantly changing. Your diagnosis:
free motility, he began walk badly, the difficulties A. * Chorea minor
in getting up appeared. The main clinical features B. Parkinsonism
are absence of muscle hyportrophy, weakness of C. Huntington's chorea
deep tendon reflexes, mild tetraparesis with D. Viral encephalitis
 KROK 2 – Question Bank 68
E. Wilsons – Konovalov disease manifestations disappeared after proserin
656.Patient 23 y.o. – general constriction, arm tremor, injection.
that gradually developed one year after a serious A. *myasthenia
respiratory viral infection. Objectively: greasiness, B. Parkinson disease
mask-like face, quieting speech, hypersalivation, C. encephalitis
shuffling gait. Your diagnosis: D. ischemic insult in the brainsteam
A. * Postencephalic parkinsonism E. multiple sclerosis
B. Wilsons-Konovalov disease 660.On patient’s examination it was revealed that he
C. Huntington's chorea understands speech addressed to him but he
D. Convexital arachnoiditis cannot speak but there were no motor impairments
E. Basal arachnoiditis of the vocal apparatus. What is your diagnosis?
657.After sleep in the morning a 60 years old patient A. *Motor aphasia
noticed that his left extremities are stillness and B. Sensor aphasia
left-sided sensitivity of skin is impaired. The C. Amnestic aphasia
patient has had a history of two same attacks. The D. Semantic aphasia
conditions are the humid and pale skin, BP 100/65 E. Dysarthria
mm Hg, pulse rate 60 beats per minute. The left 661.The patient V., aged 32, complains of staggering
nasolabial fold is smoothed. The active gait in the dark and in good light. Determine the
movements in the left extremities are absent but kind of ataxia.
reflexes from the ones are higher. Positive A. * Cerebellar
Babinsky’s sign on the left foot and unilateral left B. Sensitive
sided hyperesthesia there are. The meningeal C. Vestibular
irritation tests are negative. D. Functional
A. *Ischemic insult in the right hemisphere of the E. Astasia-abasia
brain 662.The patient has a tumour of hypophysis. What
B. Hemorrhagic insult in the right hemisphere of kind of hemianopsia will develop in it?
the brain A. *Bitemporal hemianopsia
C. Multiple sclerosis B. Quadrant hemianopsia
D. Encephalomyelitis in the brainstem C. Binasal hemianopsia
E. Infarction in the brainstem D. Hononimic right-sided hemianopsia
658.During 3 weeks a 27 years old woman suffers E. Hononimic left sided hemianopsia
from common weakness, sleep disturbances, 663.Dissociated anesthesia develops in damage of …
anxiety, subfebrility up to 37,6 0C, numbness and A. *Posterior horns of the spinal cord
weakness of legs mostly on the left, some times B. Anterior horns of the spinal cord
urine retention. The main neurological features are C. Radices of the spinal cord
following. Cranial nerves function isn't impaired. D. Plexuses
Tendon reflexes are equable from the upper limbs E. Peripheral nerves
and S>D from lower limbs. The exaggerated knee 664.A great spastic epileptic episode in a patient began
reflexes and absent left Achilles’ reflex are noted. when he turned his head and eyes to the right.
The sensitive surfaces on the feet are reduced. The Determine the localization of the pathological
muscle hypotrophy of the lower extremities focus.
attaches the attention. A. * Middle part of the middle frontal gyrus
A. *Acute disseminated myelitis B. Posterior part of the lower frontal gyrus
B. Spinal form of multiple sclerosis C. Upper part of the postcentral gyrus
C. Acute focal myelitis D. Middle part of the postcentral gyrus
D. Tumor of spinal cord E. Posterior part of the upper temporal gyrus
E. Cystic arachnoiditis 665.A 52 year-old patient has damage of the Broca’s
659.Within the last 3 months a 22 years old women centre after hemorrhage in the brain. What speech
complains of the common weakness. In the disorder occurs?
evenings she notes a doubling of vision. In the A. * Motor aphasia
morning she insists that her general condition is B. Sensor aphasia
good. The active movements in extremities are in C. Amnestic aphasia
a full volume but the muscle strength in the D. Semantic aphasia
extremities is depleted. The clinical examination E. Dysarthria
revealed eye lids ptosis, divergent squint, mask- 666.Which type of sensitivity is the most affected
like face and quiet voice. All clinical during early stages of multiple sclerosis?
A. * Vibration
 KROK 2 – Question Bank
B. Pain
C. Stereognosis
D. Temperature
E. Tactile
667.A tumour of the left frontal lobe base compresses
the olfactory bulb (bulbus olfactorius). What
symptoms are developing?
A. * Left -sided anosmia
B. Olfactory hallucinations
C. Right-sided anosmia
D. Hyperosmia
E. Bilateral anosmia
668.A patient has spastic left-sided hemiplegia which
is accompanied by impairment of all kinds of
sensitivity on the same side. Where is the focus of
affection?
A. *The inner capsule
B. The anterior central gyrus
C. The posterior central gyrus
D. Cerebral peduncle
E. Medulla oblongata
669.A patient had thrombosis of the cortical branches
of the middle cerebral artery that resulted in
destruction of the middle part of the right
precentral gyrus. What motor disorders occurred?
A. *Central monoplegia of the left arm
B. Central monoplegia of the right arm
C. Central monoplegia of the left leg
D. Central monoplegia of the right leg
E. Left-sided hemiparesis
670.A child is observed to have arrhythmic
involuntary movements of the extremities and
trunk. He makes faces, smacks his lips, and often
pulls out his tongue. The muscular tonus of the
extremities is reduced. What character are the
forced movements in this patient?
A. * Chorea
B. Hemiballism
C. Myoclonias
D. Torsion spasm
E. Athetosis
671.A 42-year-old patient is troubled by difficulty in
walking. Objectively: Hypomimia, slowing down
of movements, increased muscular tension of
plastic type; his steps are slow and shuffling. His
speech is quiet and monotonous. Determine
localization of the process.
A. *Pallidonigral system
B. Hypothalamus-hypophysis zone
C. Cerebellum
D. Striatum system
E. Pyramidal system
672.Patient, 35 y.o. has had an illness with fewer and
sore throat. Shortly after he has developed
dysphagia, dysarthria, weakness and changes of
movement in feet and hands, hyporeflexia,
changes of sensitivity of extremities by
69
polyneuritic type. Which disease would you
suspect first?
A. * Diphtherial polyneuropathy
B. Neuropathia of n. sublingualis
C. Neuropathia of n. glossopharyngeus
D. Truncal encephalitis
E. Pseudobulbar syndrome
673.Patient C. 68 y.o. has general and cerebral
arteriosclerosis, arterial hypotonia. Woke up in the
morning, can’t move left extremities. There is no
feeling in the left side of the body. Objectively:
pale skin, covered with cold sweat. AP 100/65
mmHg, HR 60/min, weak. Respiration is weak.
Active movement in the left extremities is not
present. Tendinous reflexes are more vivid on the
right when on the left. Babinski symptom on the
left. Meningial signs are not present. Primary
diagnosis?
A. * Iscemic stroke
B. Subarachnoid haemorrhage
C. Hemorrhagic stroke
D. Transient iscemic attack
E. Acute encephalytis
674.Male 22 y.o. has returned from military service.
Started to feel transient changes of eyesight
sharpness. Weakness of the right foot has
appeared one year later. Objectively: horizontal
nystagmus, absence of abdominal reflexes,
hypereflexia of tendentious and periostal reflexes,
right foot clonus, Babinski, Chaddock and
Rossolimo symptoms, bilateral Zhukovski
symptom. Primary diagnosis?
A. * Multiple sclerosis
B. Cerebral arteriosclerosis
C. Lateral amyotrophic sclerosis
D. Acute disseminated encephalomyelitis
E. Acute transversal myelitis
675.Patient N. 45 y.o., stoker, complains of taking too
long to heal burns, he can’t feel. First time
painfree burn had place 10 years ago. On
examination: sluggish paraparesis of upper
extremities and segmental dissociated bilateral
loss of sensitivity on the level C4-T2 segments.
Your diagnosis:
A. * Siringomyelia
B. Multipl sclerosis
C. Lateral amyotrophic sclerosis
D. Poliomyelitis
E. Encefalomyelitis
676.Patient 28 y.o. complains of headache, nausea.
Has been punched to face a day ago. Loss of
conscience lasted for 3-5 minutes. Objectively:
bloodshot left eyeball. Pronounced vegetatic
stigmas. Your diagnosis:
A. *Brain concussion
B. Brain contusion
C. Brain compression
 KROK 2 – Question Bank
D. Subarachnoidal hemorrhage
E. Soft tissue injury of the head
677.Patient has had craniocerebral injury, with
satisfactory condition after it. However, 10 days
later, the patient has become weak and drowsy
with following development of comatose state.
Neurological status: broad right pupil, left sided
hemiparesis. Which diagnosis has to be suspected?
A. * Subdural haematoma
B. Epidural haematoma
C. Subarachnoid hemorrhage
D. Сerebral ventriclar hemorrhage
E. Introcerebral haematoma
678.Ambulance was called to a 48 y.o. man. From the
words of relatives he has had three episodes of lost
conscience and fitting during the day. On
examination: the following fit is observed: patient
lost conscience, fell on the floor, tonic and then
clonic cramps of trunk and extremities happened.
The fit lasted for 4 minute, ended by involuntary
urination. What type of fit was observed?
A. * Major epileptic fit
B. Vegetatic crisis
C. Absence
D. Episode of hysteria
E. Fainting
679.Female 29 y.o. complains of head and extremities
tremor, poor memory. On examination: choreotic
hyperkinesis, Kaiser-Fleishner’s rings on the
eyball, reduction of ceruloplasmin blood level.
Your diagnosis:
A. * Hepatolenticular degeneration
B. Huntington's chorea
C. Pier –Marie’s ataxia
D. Friedreich's ataxia
E. Chorea minor
680.Male 30 y.o., noted growing fingers and facial
scull, changed face. Complains of poor eyesight,
tiredness, skin darkening, loss of body weight. X-
ray shows broadening of sella turcica, thinning of
tuberculin sphenoidale, signs of increased
intracranial pressure. What diagnosis can you
make?
A. * Adenoma of hypophys
B. Encephalitis of truncus
C. Optico - hiasmatic arachnoiditis
D. Adrenal gland tumor
E. Tumor of pondo-cerebellar corner
681.Patient, complains of pains in the mid thoracic
part of spine for last 3 months. Recently, gradually
increasing weakness of the right leg is noted.
Objectively: central paresis of the right leg and
loss of pain sensitivity from the nipple level on the
left leg. Which disease can be suspected?
A. * Extramedular spinal tumor
B. Intramedular spinal tumor
C. Acute thorax myelitis
70
D. Iscemic spinal stroke
E. Thorax hemathomyelia
682.Patient 27 y.o. 5th day of respiratory disease,
appeared strong headache, accompanied by
nausea, repeated vomiting, hyperestesia,
photophobia. On examination: lying down with
thrown back head, legs are brought to trunk,
pronounced rigidity of neck muscles, positive
Kernig and Brudsinski symptoms. There are no
paresises extremitis. Select the main neurological
syndrome:
A. *Meningial syndrome
B. Liquor hypertension syndrome
C. Liquor hypotension syndrome
D. Radicular syndrome
E. Vegetative crisis
683.The 52-years woman suffering from obesity,
complaints to bloody discharges from sexual paths
during 4 days. Last normal menses was 2 years
ago. Histological investigation of biopsy of the
endometrium has revealed adenomatous
hyperplasia. Which reasons from listed below
promoted the development of disease?
A. *Excessive transformation of preandrogens
from fatty tissues.
B. Hypersecretion of estrogens by tissues of the
organism.
C. Poor aromatization of preandrogens owing to
hypothyroidism
D. The increased contents of FSH
E. Supersecretion of androgens by the cortex of
paranephroses.
684.The data of a separate diagnostic curettage of the
mucous of the uterus’s cervix and body made up
in connection with bleeding in a postmenopausal
period: in the scraping of the mucous of the
cervical canal no pathology is revealed, at
endometrium - the highly differentiated
adenocarcinoma is found. Metastasises are not
found. Which method of treatment is the most
correct?
A. *Surgical treatments and hormonetherapy
B. Surgical treatment + chemotherapy
C. Surgical treatments and radial therapy
D. Radial therapy
E. Surgical treatments
685.The woman of 27 years complaints of the disoders
of menstrual function for 3 months, irregular pains
in the abdomen. In bimanual investigation: in the
dextral appendages range of a uterus there is an
elastic spherical formation, painless, diameter of
7 sm. USI: in a right ovary –a fluid formation,
diameter of 4 sm, unicameral, smooth. What
method of guiding is the most preferable?
A. *Administration of an estrogen–gestogen
complexes within 3 months with repeated
survey
 KROK 2 – Question Bank
B. Operative treatment
C. Dispensary observation of the patient
D. Anti-inflammatory therapy
E. Chemotherapeutic treatment.
686.The patient of 40 years complaints of colic pains
in the lower abdomen and abundant bloody
discharge from sexual paths. Last 2 years she had
menses for 15-16 days, abundant, with clots,
painful. In anamnesis – 2 medical abortions. In
bimanual investigation: from the canal of the
cervix of uterus - a fibromatous nodes, 3 sm in
diameter, on the thin crus. Discharges are bloody,
moderate. Choose correct tactics:
A. *Operation: untwisting of the borning nodes
B. Hormonal hemostasis
C. Fase by fase vitamin therapy
D. Supravaginal ablation of the uterus without
appendages.
E. Hysterectomy without appendages.
687.The patient of 40 years complains of discharges
from the vagina of yellow colour. Bimanual
investigation: without pathological variations. In
smear – Trichomonas vagynalis and blended flora.
Colposcopy: two hazy fields on the front labium,
with a negative Iodum probing. Your tactics:
A. *Treatment of specific colpitis and with the
subsequent biopsy
B. Diathermocoagulation of the cervix of the
uterus
C. Specific treatment of Trichomonas colpitis
D. Cervixectomy
E. Cryolysis of cervix of the uterus.
688.The 32 year old woman consulted a gynecologist
concerning abundant long menses within 3
months. Bimanual investigation: the body of the
uterus is enlarged according to about 12 weeks of
pregnancy, distorted, tuberous, of dense
consistence. Appendages are not palpated.
Histological investigation of mucosa of the body
of the uterus: adenocystous hyperplasia of
endometrium. Optimum medical tactics:
A. *Surgical treatment
B. Hormonetherapy
C. Phytotherapy
D. Radial therapy
E. Fase by fase vitamin therapy
689.The woman complaints of slight dark bloody
discharges and weak pains in the bottom of
abdomen within several days. Last menses were 7
weeks ago. The test for pregnancy is positive.
Bimanual investigation: the body of the uterus is
about 5-6 weeks of pregnancy, of softish
consistence, painless. In the left appendages - a
retortlike formation, 7х5sm, mobile, painless.
What it is necessary to do to determinate the fetal
eggs localization.
A. *USI.
71
B. Hysteroscopy.
C. Hromogidrotubation
D. Colposcopy
E. Cystoskopy.
690.The woman was hospitalised with full-term
pregnancy. In survey: the uterus is morbid, the
abdomen is tense, cardiac tones of the fetus are not
auscultated. What is the most probable
complication of pregnancy?
A. *Premature detachment of the normally posed
placenta.
B. Labor before term.
C. Back occipital presentation.
D. Acute hypoxia of a fetus.
E. Hydramnion.
691.By the end of the 1st period of physiological labor
the clear amniotic waters were given vent.
Contractions lasted 35-40 sec every 4-5min.
Palpitation of the fetus 100 beats per minute. The
AP is 140/90 mm Hg. Diagnosis.
A. *Acute hypoxia of the fetus.
B. Labors before term.
C. Premature detachment of normally posed
placenta.
D. Back occipital presentation
E. Hydramnion
692.In the 40 weeks pregnant woman in intrinsic
obstetric investigation: the cervix of a uterus is
undeveloped. The oxytocin test is negative. Upon
inspection at 32 weeks it is revealed: AP 140/90
mm. Hg, proteinuria 1 g/l, peripheric edemas.
Reflexes are normal. Choose the most correct
tactics of guiding the pregnant.
A. *Labor stimulation after preparation
B. Strict bed regimen for 1 month.
C. Complex therapy of gestosis for 2 days
D. Cesarian section immediately.
E. Complex therapy of gestosis for 7 days
693.The 26-year old woman had the second for the last
2 years labor with Oxytocin application. The
child’s weight - 4080 gr. After the placent birth
there was a massive bleeding, signs of
hemorrhagic shock. Despite the introduction of
contractive agents, good contraction of the uterus
and absence of any uterus cervix and the vagina
failures, the bleeding proceeds. Choose the most
probable cause of bleeding.
A. *Atony of the uterus.
B. Failure of cervix of the uterus
C. Hysterorrhesis.
D. Delay of the part of placenta.
E. Hypotonia of the uterus
694.The woman is admitted to the maternity home
with discontinued patrimonial activity and slight
bloody discharges from the vagina. The condition
is serious, the skin is pale, consciousness is
confused. AP 80/40 mm Hg. The palpitation of the
 KROK 2 – Question Bank
fetus is not determined. In anamnesis there was a
Caesarian section a year ago. Establish the
diagnosis:
A. *Hysterorrhesis.
B. Presentation of the cord.
C. Placental presentation
D. Abjointing the mucous fuse from cervix of the
uterus
E. Premature expultion of the amniotic waters.
695.In the woman of the first day after labor the rise of
temperature up to 39°С was registered. The
breakage of the fetal membranes has taken place
36 hours prior to labors. The investigation of the
bacterial flora of cervix of the uterus revealed –
hemocatheretic streptococcus of a group A. The
uterus body is soft, tender. Discharges are bloody,
with a mixing of pus. Establish the most probable
postnatal complication.
A. *Metroendometritis
B. Thrombophlebitis of veins of the pelvis
C. Infected hematoma
D. Infective contamination of the urinary system
E. Apostatis of junctures after the episiotomy.
696.The woman from a groop of risk (chronic
pyelonephritis in anamnesis) had labor through
natural patrimonial pathes. In day after labors she
complains of fever and loin pains, often urodynia.
Establish the most probable complication.
A. *Infection contamination of the urinary
system.
B. Thrombophlebitis of veins of the pelvis.
C. Infected hematoma.
D. Endometritis.
E. Apostatis of junctures after episiotomy
697.The 24-years patient in 13 months after the first
labors has addressed with the complaint on
amenorrhea. Pregnancy has concluded by a
Caesarian section concerning to a premature
detachment of normally posed placenta
hemorrhage has made low fidelity 2000 ml owing
to breakdown of coagulability of blood. Choose
the most suitable investigation:
A. *Determination of the level of Gonadotropins
B. USI of organs of a small pelvis
C. Progesteron assay
D. Computer tomography of the head
E. Determination of the contents of Testosteron-
Depotum in Serum of blood.
698.In the woman of 24 years about earlier normal
menstrual function, cycles became irregular,
according to tests of function diagnostics-
anovulatory. The contents of Prolactinum in blood
is boosted. Choose the most suitable investigation.
A. *Computer tomography of the head.
B. Determination of the level of Gonadotropins.
C. USI of organs of a small pelvis
D. Progesteron assay.
72
E. Determination of the contents of Testosteron-
Depotum in Serum of blood.
699.The primapara M., 20 years, is in in time -labors
proceeding for 4 hours. Light amniotic waters
were given vent. The fetus’ head is pressed to the
orifice in the small pelvis. Prospective mass of the
fetus 4000,0 ± 200,0. Palpitation of the fetus is in
norm. Intrinsic investigation: cervix is absent,
disclosure – 2 cm, the fetal bladder is not present.
The head is in 1-st plane of the pelvis, a sagittal
juncture is in the left slanting dimension. A
glucose-calcium-hormone - vitaminized
background was conducted with the purpose:
A. *Prophylaxes of delicacy of patrimonial
activity.
B. Labor inducing
C. Prophylaxes of hypoxia of the fetus
D. Antenatal preparation
E. Treatments of delicacy of patrimonial activity
700.The Primapara of 22 years, was hospitalised for
ante partum preparation concerning the pelvic
presentation. The position of the fetus is
longitudinal, breeches are pressed to the orifice of
a small pelvis. Palpitation of the fetus is clear,
rhythmical, 140 impacts per minute. Patrimonial
activity is not present. What it is necessary to
include into antenatal preparation
A. *Folliculinum
B. Oxytocinum
C. Partusistenum
D. Prednisolonum.
E. Zinci sulfas of magnesium
701.The 24 years old primapara, was hospitalised with
complains on expultion of the amniotic waters.
The uterus during palpation is tonic. The position
of the fetus is longitudinal, is pressed with the
head to an orifice in a small pelvis. Palpitation of
the fetus is rhythmical, 140 beats/min, auscultated
at the left below a belly-button. Intrinsic
investigation: cervix of the uterus is 2,5 cm long,
dense, the externum os is closed, leak light
amniotic waters. Point a correct component of the
diagnosis:
A. *Antenatal expultion of the amniotic waters.
B. Early expultion of the amniotic waters.
C. The beginning of the 1-st term of the labor
D. The end of the 1-st term of the labor
E. The pathological preliminary term.
702.The 29 year old patient has had a surgical
treatment concerning the benign serous epithelial
tumour of the ovary. The postoperative term has
passed without complications.What is it necessary
to prescribe in the rehabilitational term:
A. *Hormonetherapy and proteolytic enzymes.
B. Antibacterial therapy and adaptogens
C. Lasertherapy and enzymetherapy
D. Magnitotherapy and vitamin therapy
 KROK 2 – Question Bank
E. Does not demand the further observation
703.The 34-years old woman on the 10-th week of
gestation /the second pregnancy / has consulted
the doctor of female consultation with the purpose
of statement on the dispensary record. In the
previous pregnancy there took place hydramnion,
the child was born with mass of the body of 4086.
What method of investigation is necessary for
carrying out, first of all?
A. *The test for tolerance to glucose
B. Determination of the contents of ??
fetoproteinum
C. Bacteriological investigation of discharge
from the vagina
D. A cardiophonography of fetus
E. USI of the fetus.
704.The puerpera is on the 4-th day after the normal
labor. The common state is satisfactory, there are
no complaints. The body temperature 36,5 °С;
sphygmus is of 80 beats / minutes, satisfactory
properties, rhythmical; AP of 120/80 mm.Hg on
both humeral arterias. Mammas are mild, painless,
papillas are safe. The uterus is dense, painless, its
bottom is 6-8 cm higher than the bosom. The
lochia is serously-bloody. The diagnosis " a
subinvolution of the uterus " is made.It is
necessary to manufacture the following:
A. *To appoint the agents stimulating reductions
of the uterus
B. Endometrial instillation of antiseptics
solutions.
C. Supravaginal ablation of the uterus
D. Tool revision of the cavity of the uterus
E. HBO.
705.The 26 years old woman complaints of the
subitaneously arisen pains in the bottom of the
abdomen, irradiating to the anus, nausea,
giddiness, bloody dark discharge from sexual tract
within one week, the delay of menses for 4 weeks.
Signs of boring of the peritoneum are positive.
Bimanual investigation: borders of the body of the
uterus and its appendages are not determined
because of sharp morbidness. The diverticulum
and morbidness of the back and dextral vaults of
the vagina are marked. What is the most probable
diagnosis?
A. *Broken tubal pregnancy
B. Apoplexy of the ovary
C. Acute right-hand adnexitis
D. Torsion of the leg of the tumour of the ovary
E. Acute appendicitis
706.At the gynecology department there is a patient of
32years with the diagnosis: "the acute
bartholinitis". The body temperature is 38,2
degrees, leucocytes = 10,4 Т/l, the ESR = 24 mm /
hour. In the area of big gland of the vestibulum - a
dermahemia, the sign of the fluctuation, sharp
73
morbidness. What is the most correct tactics of the
doctor?
A. * Surgical dissecting, a drainage of an abscess
of the gland, antibiotics
B. Antibiotics, Sulfanilamidums
C. Surgical dissection, drainage of the abscess of
the gland
D. Antibiotic therapy
E. Antibiotics, detoxication and biostimulants.
707.At the woman of 33 years during carrying out tool
revision of the uterus cavity concerning
incomplete infected abortion perforation of a wall
of the uterus at a bottom is made. What is the
tactics of guiding?
A. * Suturing of a punched foramen after cutting
of the edges of the wound
B. Suturing of a punched foramen
C. Hysterectomy
D. Antibiotics reducing agents, observation
E. Strict confinement to bed, observation.
708.The primagravida with pregnancy of 37-38 weeks
complaints of headache, nausea, pain in
epigastriums. Objective: the skin is acyanotic.
Face is hydropic, there are short fibrillar bounces
of blepharons, muscles of the face and the inferior
extremities. The look is fixed. AP 200/110 mmHg;
sphygmus of 92 beats / minutes, intense.
Respiration frequency 32/min. Activity of the
heart isrhythmical Appreciable edemas of the
inferior extremities. Urine is cloudy.
A. * Droperidolum of 0,25 \% - 2,0 ml
B. Dibazolum of 1 \% - 6,0 ml
C. A papaverine a hydrochloride of 2 \% - 4,0 ml
D. Hexenalum of 1 \% - 2,0 ml
E. Pentaminum of 5 \% - 4,0 ml.
709.In the primapara, 30 years, intensive attempts with
an interval of 1-2 min, duration 50 sec have
begun. In time of inclination of the head of the
fetus in the parturient woman complaints on the
severe pain in the perineum have developed. The
perineum, height= 4 sm, has turned pale. What is
it necessary to perform:
A. *Perineotomy
B. Epiziotomija.
C. Protection of the perineum.
D. Vacuum - extraction of the fetus.
E. Waiting tactics.
710.The pregnant woman of 29 years old has been
suffering from urolithiasis, secondary-chronic
pyelonephritis during 8 years. What group of risk
the occured complication of pregnancy should be
related to?
A. *Threat of development of a gestosis
B. Threat of patrimonial traumatism
C. Threat of bleeding
D. Threat of delicacy of patrimonial activity
E. Threat of isosensibilisation
 KROK 2 – Question Bank 74
711.The patient of 23 years old has been registered in E. The aspiration of contents out of respiratory
female consultation with 4 years ago undergone tract and oral cavity
contagious hepatitis, chronic 718.Name the possible pathogenic mechanisms of
cholecystopancreatitis. Point one of the most prenatal fetal contamination:
probable complication of pregnancy in the first A. *Everything that is enumerated below:
trimester. B. Transplacental
A. *Hepatosis pregnant C. Uprising
B. Early gestosis D. Transdecidual
C. Spontaneous abortion E. Descending
D. Anemia pregnant 719.Clinical manifestations of antenatal infection
E. Dermatosis of pregnant depends on:
712.The primagravida of 20 years old which has A. * Everything enumerated below
diabetis for 8 years is hospitalised into the B. Term of pregnancy when infection took place
gynaecology department with early gestosis of C. Virulence as a causative agent
average gravity. Point the most probable D. Channels of infection
complication. E. Species of a causative agent
A. *Hyperglycemic coma 720.The teratogenic effect at time of early terms of
B. Spontaneous abortion pregnancy shows:
C. Hypoglycemic coma A. * All enumerated viruses
D. Bronchial asthma of the pregnant woman B. The Virus of rubella
E. Anemia of the pregnant woman C. Cytomegalovirus
713.Stool in children with salmonellosis is: D. The virus of II type herpes simplex
A. *Green colored, diarrheal, watery and profuse E. The chickenpox virus
with admixture of mucus 721.For treatment of colpitis caused by Candid's
B. Normal fungus it is used:
C. Pea-soup A. *All enumerated below:
D. Discolored without mucus B. "Polyjnuks"
E. Foamy, profuse, foul-smelling and yellow C. "Clotreamazol"
colored D. "Pymaphucin"
714.In case of appearance of bleeding caused by E. The given answers are wrong
infiltrable cancer of a uteral cervix , it's necessary 722.These are characteristic signs of gonococcus
to conduct: A. * The intracellular position in a cytoplasm of
A. * A tight tamponade of vagina mononuclears
B. An amputation of a uteral cervix B. The positive painting by Gramm
C. Clampation of side fornixis (parametriums) C. A rounded shape
D. Laparotomy, ligation of internal iliac artery D. Tropism for the laminated flat epithelium
E. Laparotomy, widened extirpation of an uterus E. Everything enumerated above
[Wertheim's hysterectomy] 723.In case of tuberculosis of genital organs a primary
715.The clinical manifestations of the HELLP- focus is located most often in:
syndrome are: A. * Lungs
A. *Everything that is enumerated below B. Bones
B. Icterus C. Urinary excretory system
C. Pains in the right hypochondrium D. Lymph nodes
D. Blood vomiting E. At the peritoneum
E. Bleeding at the spots of injections 724.In case of gonorrheal salpingitis, the following
716.Possible complications of gestosis can be: listed below are correct except:
A. *Everything that is enumerated below: A. * The lack of an activation of sharp phased
B. Anuria blood indices
C. Cerebral hemorrhage B. A debute of disease in an early follicle stage of
D. Exfoliation of retina a menstrual cycle
E. Blindness C. Double affection of uterus' adnexa
717.To render urgent help in time of an eclampsia D. Of a quick effect of antibiotic therapy
attack it's necessary to accomplish: E. Of a multiple affection
A. *Everything that is enumerated below: 725.In order to define the true conjugate it is
B. Introduction of a gag necessary:
C. The fixation of a tongue with tongue forceps A. * From the value of the external conjugate to
D. Handling a patient in a horisontal state take away 9 cm
 KROK 2 – Question Bank
B. From the value of the external conjugate to
take away 11 cm
C. To the value of the external conjugate to add 9
cm
D. To the value of the external conjugate to add
11 cm
E. An external conjugate is equal to the real
conjugate
726.In order to define the size of true conjugate it is
necessary:
A. * From the value of the diagonal conjugate to
take away 1,5 cm
B. To the value of the diagonal conjugate to add
1,5 cm
C. From the value of the external conjugate to
take away the value of the diagonal conjugate
D. To the value of the external conjugate to add
the value of the diagonal conjugate
E. The diagonal conjugate is equal to the real one
727.The big slant size of a fetal head is defined
between :
A. * An occiput hump and chin
B. An occiput hump and a bridge of nose
C. A suboccipital fossa and a front angle of a
great fontanel
D. A suboccipital fossa and the middle of a great
fontanel
E. A hypoglossal bonelet and the middle of a
great fontanel
728.The straight size of a fetal head is defined
between:
A. * An occiput hump and a bridge of nose
B. An occiput hump and a chin
C. A suboccipital occiput fossa and the middle of
a great fontanel
D. A suboccipital fossa and a front angle of a
great fontanel
E. A hypoglossal bonelet and the middle of a
great fontanel
729.What disorders of a menstrual function are the
most characteristic of an uterus myoma?
A. * Hyperpolymenorrhea
B. Oligomenorrhea
C. Algomenorrhea
D. Amenorrhea
E. Metrorrhagia
730.Which of the methods of examination is the most
informative in the diagnostics of a tube infertility?
A. * Laparoscopy with chromosalpingoscopy
B. Pertubation
C. Hysterosalpingography
D. Transvaginal echography
E. Bicontrast pelviography
731.Making out the diagnosis of uteral cervix cancer
with the detection of an initial stage is possible in
time of:
75
A. * Histological investigation of the biopsy
material
B. Dilated colposcopy
C. Cytological investigation of the smears
D. Hysterocervicoscopy
E. Echography of the organs of a small pevis
732.The majority of innocent ovarian tumours are
transformed:
A. * Serous cystoadenoma
B. Fibroma
C. Mucinous cystoadenoma
D. Thecoma
E. Teratoma
733.To the retentional cysts of the ovaries is attributed
everything that is enumerated, except for:
A. * Dermoid cyst
B. Follicular cyst
C. Yellow body's cyst
D. Paraovarian cyst
E. "Chocolate cyst"
734.As premorbid background for development of a
gestosis are all enumerated pathologic conditions,
except:
A. * Lung pathology
B. Diabetes mellitus
C. Hypertensive diseases
D. Fatness
E. Renal pathology
735.A true or an obstetric conjugate is a distance
between:
A. * An inner surface of the upper edge of a pubis
and a promontory
B. The middle of the pubis and the place of
junction of the 2nd and the 3rd lumbosacral
vertebras
C. Lower edge of the pubis and promontory
D. Lower edge of the pubis and the pelvic bone
E. Upper and lower edge of the pubis
736.A diagonal conjugate is measured between:
A. *The lower edge of the pubis and the
promontory
B. The upper edge of the pubis and promontory
C. The lower edge of the pubis and pelvic bone
D. The middle of the pubis and the place of
junction of the 2nd and the 3rd lumbosacral
vertebras
E. Ischiococcygeal spines
737.A parturient woman aged 32. After 3d fullterm
delivery, in early afterbirth period there appeared
bleeding caused by fetus, weigh 4,3 kg. To stop it,
the external massage of uterus, introduction of
uterotonics, manual examination of uteral cavity
walls and a massage on a fist, an ester tampon into
the back fornix of vagina were fulfilled. The result
was absent, bleeding lasted, hemorrhage ran up to
1200 ml. Patient’s condition was bad: she was
pale, heartbeat reached 140b\min, AP 80\40 mm.
 KROK 2 – Question Bank
Hg. Show the most acceptable method of bleeding
termination in the case.
A. * To fulfill the laparotomy with the
hysterectomy of the uterus without adnexa
B. To repeat the fist masage of the uterus
C. To fulfill the uterus tamponade
D. To fulfill the clampation of the parametriums
by Henkel-Ticknadze
E. To introduct the methylergometrine
intravenously
738.A pregnant woman (35 weeks), aged 25, was
admitted to the hospital because of bleeding
discharge. In her past history there were two
artificial abortions. In a period of 28-32 weeks
there was noted the onset of hemorrhage and USD
showed a placental presentation. The uterus was in
normotonus, the fetus position was transversal (Ist
position). The heartbeats were clear, rhythmical,
140b\min. Show the further tactics of managing
the pregnant woman.
A. * To fulfill a delivery by means of Cesarean
section.
B. To fulfill the hemotransfusion and to prolong
the pregnancy
C. To introduce the drugs increasing blood
coagulation and continue observation
D. To fulfill the stimulation of delivery by
intravenous introduction of oxytocin
E. To fulfill the observation for the intensity of
hemorrhage and at the moment of stopping the
bleeding to prolong the pregnancy
739.The first full-term delivery, II period. The fetal
position is longitudinal, I position, a frontal view.
The heart beat is clear, rhythmical, 140 b/min. The
head presents, that it can't be determinated by
external manner. Outflowed liquid is clear. In time
of an internal inspection: the uteral cervix is
effaced, dilatation is full, membranes are absent.
The vertex presents sagittal suture which is in a
straight size, a small fontanel is under the pubis.
The head of the fetus is disposited below the lower
edge of the pubis, a coccygeai and ischial hums.In
the time of labor the fetal head appears from a
pudendal fissure. What area of pelvis occupies a
fetal head?
A. * An area of small pelvis outlet
B. That is pressed to the opening into a small
pelvis
C. The area of opening into a small pelvis
D. The area of wide part of a cavity of a small
pelvis
E. The area of narrow part of a cavity of a small
pelvis
740.In time of the vaginal examination of a parturient
women it was determined: the cervix is effaced,
dilatation is 5 cm, the fetal head is occlused to a
small pelvis' opening. A sagittal suture is in the
76
right slant size, a small fontanel is left closer to a
sacral bone. Point to the position and the view of
the position of the fetus
A. * The 2nd position, the back view
B. The 1st position, the front view
C. The 1st position, the back view
D. The 2nd position, the front view
E. The high-riding sagittal suture
741.A patient aged 35 with the presence of the right
ovarian cyst after a sharp bending had strong pains
in an abdomen,on the right. At the moment of
admission to the hospital the condition is
satisfactory, the pulse is 86 b/min, AP – 115/80
mm Hg, to – 37,2oC. Abdomen is soft, painful at
the right illiohypogastric area where are noted
intension of muscles. A menstrual function is
normal. In the time of vaginal investigation the
vagina is bulky, fornixes are free and painless. The
uterus has normal sizes, is densed and mobile. The
left adnexa are without any peculiarities. In the
area of the right adnexa is palpated a tumor-like
mass of size 12x8x8 cm, of elastic consistency,
painful. In time of investigation there were noted
increasing pains. Which complication was it in
that case?
A. * Torsion of cyst
B. Rupture of cyst
C. Infection of cyst
D. Malignant degeneration
E. Bleeding into cyst
742.The 3rd full-time pregnancy, the 2nd delivery. The
anamnesis showed a spontaneous abortion
complicated by metroendotermitis. Following 26
weeks some bloody discharge was noted which
was estimated as a threat of abortion. The
beginning of delivery labor caused some bleeding.
The uterus had clear circuits, the position of fetus
was longitudinal, the fetal head being slightly bent
to the opening into a small pelvis. The fetal
heartbeats were clear and rhythmical 140 b\min.
At the time of inner inspection bleeding increased,
common loss of blood equalled to 300 ml. The
diagnosis that was made: partial placental
presentation. Choose the most rational tactics.
A. * To fulfill a delivery by means of the
cesarean operation
B. To fulfill amniotomy
C. To fulfill amniotomy with the following
applications of skin-headed forceps
D. Accelerate a delivery by intravenous
introduction of oxytocin
E. Fulfill an observation of character of delivery
activity
743.A patient aged 75 complains of appearing a tumor-
like mass from vagina at the time of small
physical exertion and suppression of urine. In a
lying position the above-mentioned tumor can be
 KROK 2 – Question Bank
easily set into the vagina after which the urination
renews. Objectively: pudental fissure gapes at the
time of exertion, the whole uterus and vagina
walls with a urinary bladder and a rectum come
out, mucosa of the uterus is dry, atrophic. The
patient has severe somatic pathology – an
ischemic heart disease, cardiosclerosis, in
anamnesis – double myocardial infarction.
Surgical treatment is offered. Which volume of
surgical intervention is the most rational that the
patient has:
A. * Median colporrhaphy
B. Frontal and back colporrhaphy
C. Ventrosuspension
D. Vaginal Hysterectomy
E. Manchester operation
744.The 25 years old patient has complaints about
suppression of mensis during 3 months, vomiting.
According internal genicological investigation –
cyanosis of vaginae and cervix uteri, body of
uterus is increased. Fundus of the uterus on the 3
sm under the symphisis, consistens of uterus is
soft, during the internal investigation it is
tioghtly.Adnexa uterus are not palpable.
Discharges – is mucosae. What is the most
probably diagnosis?
A. *Pregnancy in gestation time – 12 weeks
B. Fibromyoma of uterus
C. Horionepithelioma
D. Disturbances of the menstrual cycle
E. Amenorhea
745.On the fifth day after the normal delivery the
height of the fundus uteri above pubis equals
A. *7 – 8 cm
B. 5 – 7 cm
C. 9 – 10 cm
D. 11 – 12 cm
E. 12 - 14 cm
746.The beginning of delivery is signed with
A. *The beginning of regular birth contraction
B. Rupture of water bag
C. Discharges of mucus from the vagina
D. Desccending of the uterus fundus
E. Placing the fetus head or the pelvis in the
aditis ad pelvis minor
747.Delivery is finished
A. *With the birth of placenta
B. Rupture of water bag
C. Complete opening of the ostium of the uterus
D. The birth of the fetus
E. Separation of the placenta
748.A 28years-old pregnant at 20 weeks of gestation.
In analysis of urine - level of glucosuria is 1.5\%,
diuresis – 2 l. Fasting blood sugar : 5,2 mmol/l; 2
hours after 75 g glucose load – 6,2 mmol/l.
Height is 160 sm, weight is 78 kg. What is the
most probable reason of glucosuria?
77
A. *Glucosuria of pregnants
B. Diabetes mellitus
C. Disturbances of tolerants to glucosae
D. Obesity
E. Diabetes mellitus of the 1st type
749.A pasurient has atonic bleeding in early
postpartum period. Postpartum hemorrhage is
1500ml (1,8\%). Status is hard, the consciousness
is confusional, stupor, motor anxiety, temperature
of 37C, pail skin, periphery cyanosis. Tachycardia
of 130-140 b/min , AP 70/40 mm. Hg., CVP –
20mm. Hg, dyspnea – 40 per min, hour diuresis
15-20 ml/hour, haemotocrytis 0.25 , shock index
1.4, hemoglobin concentration 70 g/l. Doctor’s
tactics?
A. *Laporotomy. Extirpation of uterus without
adnexae uteri. Infusion therapy
B. Manual control of cavum uteri and massage on
the fist after Baksheyev
C. Applying the clames to parametrium, claming
the cervix uteri
D. Putting the tampone with etherus in the back
fornix
E. Cold on beneath the abdomen
750.A woman in birth for the first time of 29 years old.
Pregnancy of 40 weeks. The sizes of the pelvis
are: 25 – 28 – 30 – 20 cm. The presumable weight
of the fetus is 4.900 +- 200 g. Position of the fetus
is longitudinal. Head presentation. Heart beating
of the fetus is 140 per minute. Rhythmical.
Vaginal investigation: cervix uteri is shortened. It
let’s 2 fingers go through. The water bag has not
been open harmed. The head balloting above the
aditus ad pelvis minor. Promontorium of the
sacrum is not reachable with the finger. What is
the tactics of leading the delivery.
A. *Cesarian section
B. Conservative leading of the childbirth
C. Stimulation of the delivery activities
D. Obstetrics forceps
E. Amniotomy
751.Patient after the operation of the caesarian section
has sharp pains in abdomen, vomiting, nausea,
diarrhea, tachycardia, tachypnoe, enteroparesis,
symptoms of irritation of peritoneum are positive.
Temperature is 39 C. In the blood formula is
leucocytosis. What is the main difference between
pelvioperitonitis and parametritis?
A. *Positive symptoms of irritation of peritoneum
B. Type of the pulse
C. Type of the temperature
D. Type of the pain
E. Clinical analysis of blood
752.The first and the second periods of delivery – are
without complications. It is an uterus bleeding
after 10 minutes after childbirth, hemorrhage is
200 ml. After separation and birth of placenta by
 KROK 2 – Question Bank
Krede-Lazorevitch’s method bleeding is not
stopping it is increasing. Maternal passages are
not traumated. According examination of placenta
it is a defects of placental tissue with size 3x4sm.
Uterus bleeding is continuing. What is the most
probably reason of the bleeding?
A. *Defect of the placental tissue
B. Hypotonia of the uterus
C. Adherent placenta
D. Vegetative placenta
E. Ingrowing placenta
753.22 years old patient has complaints about profuse
bloody discharges with clots from genitals, hard
pains in abdomen, like contractions. Last mensis
was 3 months ago. According bimanual
investigations : in vagina - a lot of clots of blood,
cervix uteri is open at 2 sm, in the canal of cervix
uteri – elements of fetal ovum, uterus is enlarged
to 12 weeks of pregnancy, adnexa uterus are not
palpable. What is the most probably diagnosis?
A. *Incipient abortion
B. Treatened abortion
C. Complete abortion
D. Late abortion
E. Incomplete abortion
754.33 years-old woman in childbirth (2nd labors).
Sizes of pelvis 25-28-31-20. Fundal height – 40
sm, circumferentia of abdomen – 100 sm. Stage of
pushing. Passive segment of the uterus is hard
painful. Uterine contractions are painful, edema of
external genitals and muscles of the pelvic floor.
Contrant ring on the line of umbilicus. The sagital
suture of the fetus head is in the direct size at the
first plate of the pelvis. Symptom of Henkel-
Vasten is positive. What must be a doctor’s
tactics?
A. *Anaesthesia, cesarian section
B. Injection of spasmolytics
C. Obstetric forceps
D. Vacuum-extraction of fetus
E. Infusion of uterotonics
755.The 30 years-old pregnant arrived to the maternity
home in 37’s gestation term, head presentation of
the fetus. She has complaints about headache,
vomiting, pains in the epigastric area, disturbances
of vision. Artherial blood pressure 180/110 mm
Hg, proteinuria – 1,66 g/l. The tonus of uterus is
normal. Fetal heart sounds – 140 beat/min, rhythm
is normal. What is the doctor’s tactics in this
clinical case?
A. *Intravenous injection of Magnesii sulphatis,
Droperidol, Euphillin
B. Gastric lavage
C. Intravenous injection of Dibasol, Papaverin
D. Anaestethia with Ether
E. Intravenous injection of Analgin
78
756.On the second day after the normal delivery the
height of the fundus uteri above pubis equals
A. *12 – 15 cm
B. 15 – 16 cm
C. 9 – 11 cm
D. 7 – 9 cm
E. 5 – 7 cm
757.A woman of 18 years old applied to the female
dispensary at the term of 11 – 12 weeks. One
month ago a woman suffered from rubella. What
influence on the fetus is the most probable in this
woman?
A. *Congenital embryopathy
B. Hemolytic disease of the newborn
C. Delivery trauma of the newborn
D. Disease of the gyalynum membranes
E. Chromosomal abnormalities of the fetus
758.A woman is in delivery for the first time. Arrived
to hospital in the second period of the delivery in
the term. Wasn’t observed in the famine
dispensary during pregnancy. The head of the
fetus is in the thin part of the cavity minor pelvis.
The state of the fetus is satisfactory. Small febrilar
trembling of eyelids , which spreader to the face
and upper extremities. What is the tactics of
leading the delivery.
A. *Obstretrics forceps
B. Cesarian section
C. Fetus destructive operation
D. Conservative leading of delivery with
epysiotomy
E. Vacuum extraction of the fetus
759.On the seventh day after the normal delivery the
height of the fundus uteri above pubis equals
A. *5 – 7 cm
B. 7 – 8 cm
C. 9 – 10 cm
D. 11 – 12 cm
E. 13 – 14 cm
760.From what time of pregnance fetal heart beating
starts to be heard.
A. *25 weeks
B. 18 weeks
C. 20 weeks
D. 22 weeks
E. 30 weeks
761.A 23 years-old pregnant at the 10 weeks of
gestation has complaints about enlarged thyroid
gland. Ps is 72 b/min, artherial blood pressure
110/70 mm/Hg. Thyroid gland is enlarger in all
parts, painless, mobile, is not fused with
underlying tissue. What analysis are necessary to
do for marking of thyroid gland function?
A. *Registration of the TTG content in the blood
B. Registration of T 4 in the blood
C. Uptake II 31 by the tyroid gland
D. Ultrasound examination
 KROK 2 – Question Bank
E. Nucleo-magnetic resonans examination
762.During investigation of the 25 years-old pregnant
in the term of gestation 34 weeks by the doctor of
the female dispensary are registrated edema of
legs, AP on the right hand 140/90mm Hg , on the
left – 130/90 mm Hg, proteinuria – 0,66 g/l , level
of blood protein – 56 g/l. State of the fetus is
satisfactory. What is the most probably diagnosis?
A. *Preeclampsia of light degree
B. Preeclanpsia of the hard degree
C. Edema of pregnants
D. Hypertonic diseases
E. Pyelonephritis of pregnants
763.In a woman in delivery with preecplampsia of the
middle degree occasionally dyspnea and dry
cough, motor anxiety, pain in thorax, hemoptysis,
tachypnoe, tachycardia, cianosis of the lips
appeared. During the aucultation: accent of the
second tone above the lung artery, multiple rales
in lungs. What is the most probable complication
appeared?
A. *Tromboembolia of the lung artery
B. Eclampsia
C. Embolia with amneotic liquid
D. Edema of the lungs
E. Attack of the bronchal asthma
764.Pregnant of 23 years old applying to female
dispensary complained of infections hepatitis,
holycistopancreatitis, which she suffered from 2
years ago. Appoint the most probable
complication of pregnancy in this woman:
A. *Hestosis
B. Preliminary childbirth
C. Hemorrhage
D. Rupture uteri
E. Weakness of the delivery activities
765.The 19 years -old woman is in the delivery first
time. It is the begining of the first period of labors.
In her anamnesis – metral cardiac defect in the
stage of compensation. Her state is satisfactory.
Amniotic bag is not break. What is the doctor’s
tactics in this delivery?
A. *Active-waiting tactics with presents of
therapeutist and maximum analgesia
B. Cesarean section
C. Obstetrics forceps
D. Vacuum-extraction of fetus
E. Stimulation of the labor activity
766.On the fourth day after the normal delivery the
height of the fundus uteri above pubis equals
A. *9 – 11 cm
B. 5 – 7 cm
C. 7 – 9 cm
D. 12 – 14 cm
E. 14 – 16 cm
767.On the third day after the normal delivery the
height of the fundus uteri above pubis equals
79
A. *12 – 14 cm
B. 5 – 7 cm
C. 7 – 9 cm
D. 9 – 11 cm
E. 14 – 16 cm
768.The woman in birth for the first time of 20 years
old with plenty of amniotic fluid is being in
delivery for 3 hours. Delivery activities are active.
In uterus there is one fetus with head presentation.
Heartbreaking of the fetus is normal. Opening of
the cervix uteri is 4 cm. Water bag is strained
between the contractions. Appoint the tactics of
leading the childbirth.
A. *Amniotomy
B. Waiting tactics
C. Cesarian section
D. Sleep, relaxation
E. Stimulation the childbirth with prostaglandins
769.A woman is in the third in - time childbirth. The
weight of the woman body is 80 kg. A boy with
4.200 kg, and the length of the body of 50cm was
born. General blood loss is 450 ml. Physiological
volume of blood loss for this woman equals :
A. *400 ml
B. 450 ml
C. 500 ml
D. 550 ml
E. 600 ml
770.A woman of 30 years old in birth for the first time
has the beginning of intensive pushing with the
interval of 1 – 2 minutes, lasting 45 seconds.
During the birth of the fetal head, extraordinary
pain in the perineum appeared. The perineum 4
cm high, is pail. Heart beating of the fetus is not
affected. What is to be done:
A. *Perineotomy
B. Episiotomy
C. Protection of the perineum
D. Waiting tactics
E. Pudendal anesthesia
771.When can a woman stand up and walk after
childbirth?
A. *In 6 – 8 hours
B. In 24 hours
C. In 2 hours
D. In 3 days
E. Right away after childbirth
772.The woman of 25 years has addressed to the
doctor with complaints of a nausea, vomiting 1
times in a day, a sleepiness, a delay of a menses
for 2 months. At bimanual inspection: cyanosis of
the mucosa of the vagina and uterine cervix. The
uterus is enlarged, softened, especially in a region
of an isthmus, however during inspection began
more dense, painless. Appendages are not
palpated. Discharge are mucous. The most relible
diagnosis.
 KROK 2 – Question Bank
A. *Pregnancy
B. Myoma of uterus
C. A salpingocuesis
D. Infringement of a menstrual cycle
E. Ovarian tumor
773.The 24-years old woman, earlier not pregnant,
terminated to accept oral contraceptives. After last
reception of a drug she had one menses, and then
within 6 months the amenorrhea was observed.
Choose the most suitable investigation:
A. *USE of the organs of the small pelvis
B. Determination of the level of Gonadotropins
C. Determination of the level of Progesteron
D. Determination of the level of Testosteron
E. Computer tomography of the head
774.The puerpera of 24 years old, the 2d day after
labor. A common state is satisfactory, a body
temperature is 36,6 degrees , sphygmus 82 beets /
mines, satisfactory properties. There is no
pathology from internals. Mammas are enlarged in
the dimensions, mild, papillas are whole. The
uterus is dense, painless, a bottom of it is on 5 sm
above a bosom. A lochia are serouse-bloody, in a
small amount. Physiological functions are normal.
It is enough for determination of character of
lochia:
A. * A sighting
B. Microscopies lochia
C. A luminescent microscopy of lochia
D. Bacteriological investigation of lochia
E. Vaginoskopy.
775.The puerpera of 22 years old for 2 day after
normal laborC. A common state is satisfactory, a
body temperature is 36,5 degrees, puls of 80 beets
/ mines, satisfactory properties. Mammas are
enlarged, papillas are whole. The uterus is dense,
painless, a bottom is on 8 cm above a bosom. A
lochia are bloody, in a small amount.
Physiological functions are normal. In a puerperal
period it is enough for determination of dynamics
of reduction of a uterus:
A. *Palpation to define a level of standing of a
uterine fundus
B. USE
C. X-ray inspection
D. To meter a circle of an abdomen.
E. Palpation to define a level of standing of
contractive rings of a uterus
776.The puerpera of 25 years old, 7 day after labor.
The common state is satisfactory, there are no
complaints A body temperature is 36,6 degrees,
puls is 76 beets / mines, satisfactory properties.
The BP of 120/80 mm.Hg on both humeral
arterias. Mammas are mild, painless, papillas are
whole. The uterus is dense, painless, a bottom of it
is defined at symphisis level. A lochia of serous-
mucous character, scanty. . Physiological
80
functions are normal What Hormon secreted by a
pituitary gland, stimulates reductions of a uterus in
a puerperal period?:
A. * Oxytocinum
B. Folliculinum
C. Progesteronum
D. Chorionic Gonadotropinum
E. Prolactinum
777.At the puerpera of 26 years old, for 4 day after
labour the incessant parent bleeding began. The
haemorrhage has made 400 ml. The common state
is worsened - a body temperature 36, 7о С, pulse
of 94 beets / mines, the AP of 90/70 mm.Hg. The
uterus is intense, morbid, its bottom is at a level of
a umbilicus. The diagnosis is: “Delivery in time. A
bleeding of the 4th day of puerperal term.” It is
necessary:
A. *Tool revision of a cavity of the uterus
B. Manual inspection of a cavity of the uterus and
erasion of the delayed parts of a placenta
C. Outside massage of a uterus after bleeding
urinary bladder
D. To enter drugs reducing a uterus
E. Supravaginal ablation of a uterus
778.A 5 years old girl who attends a kindergarden has
an atypical pneumonia. What antibacterial drug
should be prescribed?
A. * Macrolides
B. Quinolones
C. Cephalospores of the 1-st generation
D. Cephalosporines of the 2-st generation
E. Cephalosporines of the 3-st generation
779.The pregnant woman, aged 25 yr with 36 weeks
gestational term complains of upper abdomen
pain, nausea, vomiting and blurred vision. There is
also generalized edema. BP on both arms is
170/100 mm Hg. What is the most probable
diagnosis?
A. *severe preeclampsia
B. moderate preeclampsia
C. eclampsia
D. retinal detachment
E. epileptic coma
780.A 25 years old woman in labor has the second
timely labor. The contractions appear every 5-6
minutes and last 20-25 seconds. The longitudinal
fetal position and occipital presentation of the fetal
head are found against the small pelvis entry.
What is the stage of labor?
A. *Opening of the uterine cervix
B. Expulsion of the fetus
C. Afterbirth period
D. Preliminary period
E. Postnatal period
781.A 20 years old 36 weeks of gestation pregnant
woman was admitted to the obstetrical hospital
with complains of the pain in the lower abdomen
 KROK 2 – Question Bank
and bloody vaginal discharge. The general
condition of the patient is good. Her blood
pressure is 120/80 mm Hg. The heart rate of the
fetus is 140 beats per minute and rhythmic. By
vaginal examination the cervix of the uterus is
formed and closed. The discharge from vagina is
bloody up to 200 ml per day. The head of the fetus
is located high above the minor pelvis entry. A
soft formation was defined through the anterior
fornix of the vagina. What is the probable
diagnosis?
A. *Placental presentation
B. Premature placental separation
C. Uterine rupture
D. Preterm labor
E. Incipient abortion
782.The woman on the seventh day after delivery
complicated by uterine bleeding and manual
investigation of the uterine cavity started to be
feverish up to 38,70C and complains of the
bloody purulent vaginal discharge with
unpleasant smell. The uterine upper border is
located between the pubis and omphalus. The
uterus is tenderness and has a dough-like
consistency. What is the most probable diagnosis?
A. *Puerperal (postpartum) endometritis
B. Uterine postpartum subinvolution
C. Pelvioperitonitis
D. Sepsis
E. Physiological puerperal (afterbirth) period
783.18-years-old PG (prima gravida) woman is in fully
term labor lasting 12 hours. The woman fills her
self tired and dozes between the contractions. The
general conditions of woman and fetus are good.
The obstetric sizes of pelvis are 25-28-31-20 cm.
The labor activity is mild to moderated. On
vaginal examination the uterine cervix is smooth
and up to 4 cm dilated. Amniotic sac is intact.
Fetal head is presented against the small pelvis
entry in sacrum right posterior position (SRP).
What is the correct management of labor?
A. * Obstetrics sleep-rest
B. Amniotomy
C. Oxytocin test
D. Labor stimulation
E. Cesarean section.
784.After the labor the vaginal examination did not
reveled the uterine cervix damage. In the perineal
region a deep skin laceration up to the anus and
muscular breakage of vagina posterior wall
including external sphincter were noted. What
kind of complications was happened?
A. * II degree perineal rupture
B. I degree perineal rupture
C. III degree perineal rupture
D. Groin rupture of the III degree
E. -
81
785.The 27 years old PG (prima gravida) woman
delivered the full term newborn with big weight.
The placenta was separated spontaneously. Within
20 minutes after labor the patient lost 300 ml of
blood clots from vagina. During the external
massaging the dough-like hypotonic uterus and
additional 200 ml blood loss were noted. The
correct subsequent treatment is:
A. *manual examination of the uterine cavity
B. curettage of the uterine cavity
C. cold on the lower portion of abdomen
D. uterine extirpation
E. supragroinal uterine extirpation
786.At term of a gestation of 40 weeks height of
standing of a uterine fundus is less then assumed
for the given term. The woman has given birth to
the child in weight of 2500 g, a length of a body
53 cm, with an assessment on a scale of Apgar of
4-6 points. Labor were fast. The cause of such
state of the child were:
A. * Chronic fetoplacental insufficiency
B. Delay of an intra-uterine fetation
C. Placental detachment
D. Infection of a fetus
E. Prematurity
787.A 26 year old woman complains of a mild bloody
discharge from the vagina and pain in the lower
abdomen. She has had the last menstruation 3,5
months ago. The pulse rate is 80 per min. The
blood pressure (BP) is 110/60 mm Hg and body
temperature is 36,6°C. The abdomen is tender in
the lower parts. The uterus is enlarged up to 12
weeks of gestation. What is your diagnosis?
A. *Inevitable abortion
B. Incipient abortion
C. Incomplete abortion
D. Complete abortion
E. Disfunctional bleeding
788.Primapara, 24 years with a normal pelvis. After 8
hours of normal patrimonial activity spasms
became weak, ineffective. Vaginal research:
disclosing of a uterine cervix is 8 sm, the head of a
fetus is with its the big segment in an inlet into a
small pelvis. The amniotic membrane is absent.
Palpitation of a fetus a clear, rhythmical 130 heart-
rate. Tactics?
A. *Stimulation of patrimonial activity
B. Obstetric forceps
C. Medicament dream - rest
D. Caesarian section
E. Spasmolyticses
789.A 2 years-old child suffering from food allergy
became acutely ill. The spasmodic cough,
prolonged expiration and expiratory wheezing are
presented. The respiratory rate is 60 per min. The
mild respiratory distress mast be noted because of
chest additional muscles participation in breathing.
 KROK 2 – Question Bank
The wheezing chest is hyperinflated. Choose the
treatment which must be done to the patient by
intravenous infusion.
A. *Euphyllinum, predisolon
B. Penicillin
C. Berodual
D. Lasolvan
E. Calcium gluconate
790.At multipara, in a duration of gestation of 40
weeks, at survey a spherical, balloting formation is
defined to the left of an umbilicus, the palpitation
of a fetus is auscultated closer to an umbilicus,
about one 140/minutes. It is possible to think of
what position of a fetus in this case?
A. *Transversal position of a fetus, left position
B. Transversal position of a fetus, right position
C. Longitudinal position of a fetus, a head
presentation
D. Pelvic presentation
E. Slanting position of a fetus
791.At a vaginal examination at primapara: disclosing
of a cervix of a uterus up to 8 sm, vertex
presentation, a sagittal suture is in the transversal
size of the inlet plane, is posed closer to a
promontorium, the big and small fontanels are at
the same level. What insertion of the head of a
fetus takes place in this case?
A. *Anterior asynclitism
B. Average transversal standing of head
C. High direct standing of head
D. Low transversal standing of head
E. Posterior asynclitism
792.The data of a functional condition of the child
after delivery: palpitation is 134 heart-rate;
respiration is independent, but without the first
cry; a skin of the face and a trunk is pink,
extremities - dark blue; movements are active, cry
is loud. A condition of a newborn according to a
scale of Apgar?
A. *8 points
B. 5 points
C. 6 points
D. 10 points
E. 9 points
793.Puerpera, the 3-d day of the postnatal period,
complaints to a fever up to 38,2°С, a pain in the
lower part of abdomen, purulent discharge from
vagina, delicacy have appeared. Objectively: pulse
- 98 heart-rate, the BP – 120/80 mm.Hg, a skin is
pale. The abdomen is soft, painless. The uterine
fundus is lower than umbilicus up to one
transversal finger, has a soft consistence, morbid.
At vaginal research: the uterus enlarged till 17
weeks of pregnancy, softened, painful.
Appendages of a uterus and vaults of the vagina
are without features. Discharge are purulent, in
moderate quantity. The analysis of a blood: a
82
leukocytosis 13,5(10 9/l, ESR - 32 mm/h.
Establish the preliminary diagnosis.
A. *Postnatal acute endometritis
B. A postnatal thrombophlebitis
C. A postnatal adnexitis
D. A postnatal parametritis
E. A postnatal pelviperitonitis
794.Menstrual function of the 42 years-old woman as
hyperpolymenorrhea and progressiv
algodysmenorrhea withing last 10 years. Vaginal
dascharge like chokolade, uterine size is enlarged,
tuberous, little morbid, uterine adnexa are not
palpable, fornix are not painful, deep. What is the
most probably diagnosis?
A. *Endometriosis of uterus
B. Cancer of uterus
C. Submucous fibromyoma of uterus
D. Endometritis
E. Endometriosis of adnexa uterus
795.In gynecological department a woman
complaining about acute pains beneath the
abdomen, increased body temperature up to 38
deg., complaining about purulent discharges from
the vagina, arrived. Sexual life is discursive.
During the bimanual investigation: adnexae uteri
are painful, purulent leucorrhea. For making a
diagnosis it’s necessary:
A. *Bacteriological investigation of discharges
from the genitals
B. Colposcopy
C. Probing the uterus
D. Curettage of the uterine cavity
E. Cytological investigation of the vaginal
leucorrhea
796.A woman of 27 years old leading an active sexual
life, complaining about numerous vesicules on the
right major lip, scratching and irritation. Rash
appears periodically before mensis and finished in
8 – 10 day. Possible diagnosis.
A. *Virus of Herpes Simplex
B. Bartolinitis
C. Primary syphilys
D. Genital condilomatosis
E. Cytomegalovirus infection
797.A 60 years old and 10 years menopausal woman
complains of the abdomen enlargment, weight
lost, asthenia, bloody discharge from vagina. The
uterus is enlarged like up to 16 weeks of gestation
and hard. The salpinxes are not defined. What
method of diagnostics is it necessary to carry out?
A. *Consequent diagnostic curettage of the
uterine cavity and cervical canal
B. Ultra sound investigation
C. Laporoscopia
D. Hysterosalpingographia
E. Sexual hormone investigation
 KROK 2 – Question Bank
798.During the colposcopia endometriosis of the
vaginal part of the cervix uteri was found out in a
patient M. Choose the method of treatment.
A. *Laser vaporisation
B. Dyathermocogulation
C. Еxterpation of uterus
D. Supervaginal amputation
E. Antiinflamation treatment
799.A woman of 35 years old complaints of
amenorrhea during a year after a hard fright.
Diagnosis.
A. *Psychogene amenorrhea
B. Hypomenstrual syndrome
C. Hyperpolymenorrhea
D. Proyomenorrhea
E. Algodysmenorrhea
800.11 years -old girl arrived to the hospital with
uterus bleeding after suppression of mensis.
Anaemia is absent. Genital formula is Ax2 P3
Mg2 Me+. Virgin. Investigation per rectum – no
pathology. The treatment of this patient should be
start from
A. *Infusion therapy with using of uterotonics
B. Abrasio cavi uteri
C. Hormonal homeostasis
D. Antyanaemical therapy
E. Intramuscular injections of uterotonics
801.A woman of 45 years old is working as a painter
and a builder. During bimanual investigation
elytroptosis of the second degree was find out.
What is the reason of the disease?
A. *Hard physical work
B. Delivery trauma
C. General disease of the vagina
D. Erosion of the cervix uteri
E. Disturbance of the bowels function
802.A 20 years old woman was admitted to the
reception room of the central district hospital. The
patient complains of a lower abdomen cramping
pain ascending upward, dizziness and vomiting
within painful attack. She recalls the last menses
haven 6 weeks ago. On clinical examination a
cheeks skin hyperpigmentation is noted. The
mucous membranes are pale. Chest is clear. The
heart beats are rhythmic. The pulse is soft and
weak 108 per minute. The body temperature is
36,3°C. The extremities are cold in touch.
Abdomen is tense, considerably distended and
painful. On percussion in the lower abdomen
dullness is found. There is not any vaginal bloody
discharge. What method of clinical investigation
could help the surgeon to make a correct
diagnosis?
A. *Abdominal cavity punction through the
posterior fornix of vagina
B. Laporoscopia
83
C. Ultra sound investigation of the abdominal
cavity
D. Roentgenoscopy.
E. General blood analysis.
803.In a woman of 28 years old with complaints about
infertility during 3 years. In the laporoscopy
internal endometriosis was found. In anamnesis is
chronical salpingoophoritis. The most probable
pathogenital cause of infertility in this woman is:
A. *Local secretion of prostoglandines
B. Disturbance of synthesis of cortisolum in
adrenal glands
C. Thickening of the albumine coverage of
ophorons
D. Congenital hypoplasia of genitals
E. Increasing of viscousity of cervical mucus
804.A woman of 18 years old complaints on the
absence of pregnancy during regular genital life
within 1 year. Contraception is not being used.
Pregnancy never took place. During the bimanual
investigation no pathology is found out. With
what method should the investigation of this
couple be started?
A. *Spermogram
B. Hysterosalpingography
C. Laporoscopy
D. Test of the functional diagnostics
E. Bacteriological inoculation
805.A mother with a girl of 6 years old with pruritus in
perineum area and outer genitals applied to the
doctor. Objectively: general condition is
satisfactory. Multiple of scratches of vulva and
perineum, around the anus, hyperemia, edema.
What investigation should be carried out?
A. *Analysis of feces for helmints
B. Bacteriological inoculation
C. Stear for flora
D. General analysis of urine
E. Glucose of the blood
806.In a girl of 3 weeks of age fountain vomiting not
connected with feeding is registered many times a
day. Periodical liquid defecations. Decrease of the
body weight. During the examination the child is
rigid and has dehydratation. Hypertrophy of
clytoris is obviously seen. What disease takes
place?
A. *Congenital adrenogenital syndrome
B. Pylorosthenosis
C. High bowel impaction
D. Real hermophroditism
E. Occute bowel infection
807.A 13-years old girl complains of vaginal bleeding.
The last menses was 4 months ago. The patient
complains of weakness and dizziness. Her blood
analysis shows the hemoglobin 64 g/l,
erythrocytes count 1,8 x 1012/l, platelet count 280
 KROK 2 – Question Bank
x 109/l. By vaginal examination the uterus is not
enlarged, the salpinxes are not affected.
A. *Juvenile uterine bleeding
B. Incipient abortion
C. Willibrandt’s disease
D. Thrombocytopenic purpura
E. Vulvovaginitis
808.In a 32-year old woman during the bimanual
examination a tumor-like firm to hard consistency
swelling was revealed on the left of the uterus. It
is displaceable and painless. Its diameter is about
10 cm. The uterus and adnexia are not changed.
The menstrual function is not impaired. The
patient looks healthy. What is the probable
diagnosis?
A. *cyst of the left ovary
B. Cystoma of the left ovary
C. Dermoid cyst of the left ovary
D. Ovarian cancer
E. Extrauterine pregnancy
809.A 42-year old woman consulted by a doctor
complais of the gnawing-like pain in the lower
abdomen, weakness, long abundant menses. The
general condition is good. By bimanual
examination the enlarged uterus sized about 10
weeks of gestation being hard, painless and having
irregular contours was revealed. What is the
probable diagnosis?
A. *Uterine myoma
B. Dysfunctional uterine bleeding
C. Ovarian cystoma
D. Uterine body cancer
E. Uterine pregnancy
810.A patient complaints of the pains beneath the
abdomen, radiating to the vagina. strengthening
during menses, sexual intercourse. Anamnesis:
two years ago there was a suspect for
endometriosis. Vaginal investigation: to the back
of uterus a painful nodular conformation is found
out. Diagnosis.
A. *Retrocervical endometriosis
B. Adenomyosis
C. Chronically inflammation of the adnexae uteri
D. Parametritis
E. Endometriosis of the cervix uteri
811.A 27 years old woman being treated concerning a
chronic adnexitis for 5 years, is delivered in a
gynecology department with attributes of
pelviperitonitis. Her husband is suffering from
chronic urethritis. What researches should be
appointed for precising of treatment tactics?
A. *Bacteriological research of a vaginal content
and determination of sensitivity to antibiotics
B. Bacterioscopic research of a vaginal content
C. A puncture of an abdominal cavity through a
back vault of the vagina, bacteriological
sowing of an obtained punctate on gonococcus
84
D. Clinical and bacteriological analysis of a blood
E. Bacteriological research after provocation
812.In a gynecology department the woman with
complaints on bloody allocation from a vagina has
addressed. Last menses was 3,5 months ago.
Ultrasonic did not pass. A uterus at a palpation of
a paste consistence, painless, height of standing of
a uterine fundus - 24 sm. Parts of a fetus are not
palpated, palpitation is not listened, the movement
does not feel. From both sides of a uterus are
palpated the ovoid form of formation 5 – 6 cm.
What is the most authentic diagnosis?
A. *Hydatiform mole
B. Threat of abortion
C. A placental presentation
D. A premature placental detachment
E. Antenatal destruction of a fetus
813.In a gynecology department there is a 47 years old
woman with dysfunctional uterine bleeding after a
delay of a menses of about 10 days. With what it
is necessary to start the treatment?
A. *A fractional medical-diagnostic curettage of a
mucous of uterus
B. Hormonal hemostasis
C. Nonhormonal hemostasis.
D. Cyclic hormonal therapy
E. Ablations of the uterus
814.On the 3rd day after the artificial abortion the
patient felt a dull pain in all abdomen, fever up to
39,9°C, nausea and one time vomiting . The
pulse is 120 beats per minute and weak. A marked
abdomen distention and painful voiding are
defined. Morton, Schyotkin – Blumberg’s
symptoms are not clear positive. After 24 hours of
observation the patient’s condition become better
but lower abdomen distention and tenderness are
still presented. The pulse and body temperature
are normal. On vaginal examination there is any
effusion defined in the space between uterus and
rectum. The uterine cervix upward shift provokes
severe pain. Salpinx is enlarged and also painful.
An abdominal cavity puncture through the
posterior vaginal fornix did not reveal a blood.
What is the diagnosis of this woman?
A. *Pelvioperitonits
B. Diffuse peritonitis
C. Extrauterine pregnancy
D. Acute appendicitis
E. Ovarian apoplexy
815.The patient of 24 years was admitted into a
gynecology department due to a disharmony of the
sizes of a uterus to a duration of gestation. Last
menses were 4 months ago. At vaginal
examination: the uterus is enlarged according to
10 weeks of pregnancy. What diagnosis the most
probable?
A. *Missed abortion
 KROK 2 – Question Bank
B. Beginning abortion
C. Abortion at a course
D. Incomplete abortion
E. Menacing abortion
816.At vaginal examination: the uterus is enlarged by
a chorionepithelioma up 12-13 week pregnancy,
the patient complains of a strong uterine bleeding;
a haemoglobin is 52 g/L. What treatment should
be appointed to this patient?
A. *Hysterectomy with appendages and the
subsequent chemotherapy
B. Ablation of a uterus
C. A chemotherapy
D. Anemia treatment
E. A hormonetherapy
817.47 years- old patient is complainting to bloodish
discharge from genitals within 3 weeks after
suppression of menses during 2 months.
According bimanual vaginal investigation sise of
uterus is nornal, it is’nt painful, fornix are deep,
palpatia is painless. Uterine adnexa are not
palpable.What is the most probably diagnosis?
A. *Dysfunctional uterine bleeding
B. Adenomyosis
C. Uterine body cancer
D. Vaginal tumour
E. Submucosal fibromyoma of uterus
818.Patient has complaints about pain in her abdomen,
metheorism, nausea, and vomiting, nervous
irritation. Symptoms are registered on the 3rd day
after abolishing of clomiphen-cytratis. Objective
state – bracing of musk’s of the abdominal wall,
adnexa uterus are enlarged, painful. The level of
AP is low, tachycardia. What is the pathogenesis
of such complication?
A. *Hyperstimulaton of ovaries
B. Inflamation of ovaries
C. Yellow body persistency
D. Ovulation
E. Bleeding to the intestinal cavity
819.12 years -old girl is complaining to the strong
pains in the right iliounguinal area of abdomen
after physical tension, vomiting, body temperature
is 38 C. Palpation of abdomen - symptom of
Schotkin is positive in the right iliounguinal area.
What is a main type of investigation in this case?
A. *Ultrasound investigation
B. Clinical blood examination
C. General analysis of urea
D. Rectal examination
E. X- ray investigation of the organs of
abdominal cavity
820.In the gynecologic office a 28-years old woman
complains of sterility within three years. The
menstrual function is not impaired. There were
one artificial abortion and chronic salpingo-
oophoritis in her case history. Oral contraceptives
85
were not used. Her husband’s analysis of semen is
without pathology. From what diagnostic method
will you start the workup in this case of sterility?
A. *Hysterosalpingography
B. Hormone investigation
C. Ultra sound investigation
D. Diagnostic scraping out of the uterine cavity
E. Hysteroscopia
821.A patient complaints on dark spready discharges
from genitals before and after the mensis. During
the colposcopy cianosis inclusions are visualised
on the cervix uteri. Diagnosis.
A. *Endometriosis of uterus wall
B. Adenomiosis
C. Erosion of the uterus wall
D. Endocervicitis
E. Polyp of the cervical canal
822.The 31 year old female patient complains of the
lower abdomen pain, fever up to 38,8°C. The
patient is ill within 4 days. She has had her last
menstrual period one week ago. Besides it is
known that she has a history of chronic salpingitis
(pelvic inflammatory disease – PID). The patient`s
skin is pale, the tongue is dry, the blood pressure
is 120/80 mm Hg, the pulse rate is 100. The
Schyotkin’s sign is (+)-ve. By bimanual
examination the 10 cm sized painfully sharp
swelling has been noted in the right side from
uterus. The WBC (leukocyte count) is 16*109/l.
What is the previous diagnosis?
A. *pyosalpinx
B. Acute salpingo-oophoritis
C. Parametritis
D. Appendicitis
E. Endometritis
823.A 26 years old woman is delivered in a
gynecology department with complaints on a
sharp pain in right ileac range. Last menses 16
days ago, in time. At survey in specula: a vagina
and uterine cervix are without changes. At a
vaginal examination the body of the uterus and
appendages are not accessible to a palpation
because of sharp morbidity and a strain of muscles
of a frontal abdominal wall. The back vault is
morbid. What it is necessary to make for
specification of the diagnosis?
A. *Puncture of an abdominal cavity through a
posrerior vault of the vagina
B. Colposcopy
C. Laparotomy
D. Define horionic gonadotropinum level
E. Hysteroscopy
824.A 18 years old woman complains of acute pain in
the external genitals particularly in walking and
labia majora swelling. Body temperature is 37°C,
pulse rate is 98 beats per minute. The examination
revealed the thickness of the right labia majora
 KROK 2 – Question Bank
and severely painful swelling 5,0x4,5 cm in it The
local skin and mucous membranes are hyperemic.
There is an abundant smelly discharge. What is
the most probable diagnosis?
A. *acute bartholinitis
B. furuncle of the major genital lip
C. acute vulvovaginitis
D. cyst of the Bartholin’s gland
E. acute vulvitis
825.A woman of 28 years old complains about
periodical aching pains beneath the abdomen,
subfebral temperature. Night sweating,
olygomenorrhea, algodysmenorrhea, infertility
during 7 years. Woman lost 7 kg of weight.
Bimanual investigation: uterus is not enlarged,
mobile, painless, adnexae uteri have numerous
bands, painless. What primary investigation
should be carried out for making a diagnosis?
A. *Inoculation of menstrual blood three times
during one menstruation
B. Inoculation of the urine
C. Hysterosalpinogography
D. Analyses of discharges
E. X-ray investigation of lunges
826.Secundapara of 25 years. In the third period of
delivery the bleeding has appeared. The attributes
of placenta’ detachment are absent. At manual
detachment of a placenta it was revealed that a
placenta is fixed, with growing into a
myometrium. Tactics of the doctor?
A. Laparotomy, a hysterectomy
B. Application of uterotonic agents
C. A hemotransfusion
D. Laparotomy, supravaginal amputation of
uterus
E. Tool secretion of an afterbirth
827.A 37-year old woman was admitted to the
gynecological department by the ambulance. She
complains of acute pain in the lower part of
abdomen, weakness, nausea, vomiting. Menstrual
and genital functions are not impaired. Ultra
sound investigation a week ago revealed the cyst
of the right ovary. The patient`s conditions are the
body temperature 36,6 °C, the pulse 88 beats per
minute, the blood pressure 90/60 mmHg. The
acute tenderness in the lower abdomen and
positive Schyotkin-Blumberd’s symptom are
noted. Uterus and left adnexia are normal. A
displaceable firm to hard consistency swelling was
defined on the right side from the uterus. It is
severely painful on palpation. What is the
diagnosis?
A. *Twist of ovarian cyst pedicle
B. Acute salpigooophoritis
C. Ovarian apoplexy
D. Cyst rupture
E. Pyosalpinx
86
828.18-year old woman complains of the pain in the
lower abdomen. Some minutes before suddenly
she was appeared unconsciousness at home. The
patient has not had a menses within last 3 months.
The main features of this case are pale skin, the
pulse rate 110 beats per minute, Hb (hemoglobin)
76 g/l, BP 80/60 mm Hg. The Schyotkin’s sign is
(+)-ve. The vaginal examination revealed
following features. The uterus is a little bit
enlarged. Its displacement is painful. There is also
any lateral swelling with indistinct size. The
posterior fornix of the vagina is tenderness and
overhangs inside. What is the most probable
diagnosis?
A. *impaired extrauterine pregnancy
B. ovarian apoplexy
C. twist of cystoma of right uterine adnexa
D. acute salpingoophoritis
E. acute appendicitis
829.The 36 weeks of gestation pregnant woman was
admitted to the obstetric in-patient department.
She has previous history of arterial hypertension,
now complains of a headache, aching pains in the
lower abdomen and bloody discharge from vagina.
The main clinical features are blood pressure
180/100 mm Hg and hypertonic uterus. During
investigation about 300 ml of dark blood was
discharged from vagina. The fetal heartbeats are
not heard. What is the diagnosis?
A. *premature placental separation
B. Placental presentation
C. premature delivery threat
D. uterine rupture
E. Embolism caused by amniotic fluid
830.The woman delivered twins has early postnatal
hypotonic uterine bleeding reached 1.5\% of her
bodyweight. The bleeding is going on.
Conservative methods to arrest the bleeding have
been found ineffective. The conditions of patient
are pale skin, acrocyanosis, oliguria. The woman
is confused. The pulse rate is 130 beats per min,
BP – 75/50 mm Hg. What is the further treatment?
A. *Uterine extirpation
B. Supravaginal uterine amputation
C. Uterine vessels ligation
D. Inner glomal artery ligation
E. To put clamps on the uterine cervix
831.Primapara with a preeclampsia of a serious degree.
The sizes of a pelvis: 23-25-29-19 cm. The
position of a fetus is longitudinal, vertex
presentation. Palpitation of a fetus is not
auscultated. An attack of an eclampsia. Vaginal
examination: disclosure of uterine cervix is
complete, the head is in a narrow part of a pelvic
cavity. Tactics of delivery’s conducting?
A. *Embryotomy
B. Applying of obstetric forcepses
 KROK 2 – Question Bank
C. Vacuum extraction of a fetus.
D. Caesarian sections.
E. Skin-head forcepses by Ivanov
832.Primapara 26 years, in-time labor, began 8 hours
ago. Amniotic fluid has flown away 3 hours ago.
Spasms for 30-40 sec., in 5-6 minutes, regular,
painful. The position of a fetus is longitudinal,
head presentation; fetus’ head is pressed to an
inlet into a small pelvis. Palpitation of a fetus
precise, 136 hits in one minutes. At a vaginal
examination: disclosure of uterine cervix is 8 sm,
a forehead, superciliary arches of a fetus are
palpated, a frontal suture is in the right slanting
size. The amniotic membrane is not present.
What from the listed below is the most rational?
A. *Caesarian section
B. Embryotomy operation
C. Cavitary obstetric forcepses
D. Uterotonics
E. Dream - rest, spasmolyticses
833.The 20 years old patient shows complaints on a
delay of menses to 10 days. Infringement of
menstrual function marks for the first time. Sexual
life is regular, is not preserved from pregnancy. At
survey: a state is satisfactory, an abdomen is
painless, the AP of 120/80 mm.Hg. The pulse is
72 per minute, of satisfactory properties. At
transvaginal echograpphy: progressing tubal
pregnancy is suspected. Correct tactics of the
doctor?
A. *Urgent hospitalization
B. General laboratory examination in polyclinic
C. Ultrasound scanning in one week
D. Examination according to the tests of function
diagnostics
E. Puncture of an abdominal cavity through a
posterior vault of the vagina
834.In a gynecology department there is a 34 years old
patient with complaints of acute pains in the
bottom of abdomen on the right which have begun
suddenly, nausea, vomiting. Bimanual research:
the uterus of the normal sizes, its shifting is
morbid, the right ovary a little bit enlarged,
spherical, morbid. Vaults of the vagina are
protruding; the palpation on the right is morbid. In
specula: the uterine neck and mucous of vagina
are not changed. Discharges are not present. What
method of research is most informative?
A. *Laparoscopy
B. A puncture of an abdominal cavity through a
back vault of the vagina
C. Ultrasonic investigation of organs of a small
pelvis
D. A colposcopy
E. Bimanual research
835.Multipara, 35 years, 1 period of the second labor.
Spasms are of average force. Three medical
87
abortions and caesarian section concerning a
placental presentation in anamnesis. Suddenly the
parturient woman complaints of strong abdominal
pains, weakness have appeared. The BP - 80\50
mm Hg. From a vagina - moderate bloody
discharge. Palpitation of a fetus is not auscultated.
Parts of a fetus are palpated to the left of an
middle line of abdomen. Patrimonial activity is
absent. The preliminary diagnosis?
A. *Rupture of uterus
B. Premature detachment of normally posed
placenta
C. Placental presentation, bleeding
D. Uterine’ cervix rupture, ІІІ degree
E. Embolism with amniotic fluid
836.A pregnant woman having 20 weeks gestation
term began to complain of weakness, fatigue,
dizziness. The hemoglobin is 80 g/l, pulse rate 86
beats per minute, blood pressure 120/80 mm Hg.
The skin and mucous membranes are pale. What is
the diagnosis?
A. *Anemia of pregnant woman
B. Neurocirculatory dystonia
C. Endocrinopathy
D. Chronic arterial hypertension
E. Preeclampsia
837.Patient has complaints about non-regular manses,
obesity, girsutism, she suffers from sterility.
According bimanual investigation – size of the
uterine body is smaller than normal one. The left
and right ovaries are mobile, painful. Sizes of
ovaries are 4 x 5 x 4 sm. What can be a pathology
in this case?
A. *Disease of polycystose ovaries
B. Chronical adnexitis
C. Tuberculosis of adnexa uterus
D. Cysts of ovaries
E. Endomerriosis of ovaries
838.A 26 years old woman, delivery has taken place
12 months ago, complicated by hemorrhage and
DIC-syndrome in an early puerperal period. A
patient complaints on a headache, giddiness,
sleepiness, abasement of hair on a head and pubis.
The BP is 90/50 mm. Hg. Menstrual function after
delivery is not iterated. The uterus is diminished,
ovaries are not palpated and dryness of mucous of
vagina is marked. The basal temperature is
monophasic, lower than 37(C, signs of pupil and
fern are negative. What is the pathogenesis of
disease?
A. * A depression of function of a pituitary gland
B. Excessive production of prolactinum
C. Depression of function of ovaries
D. Infringement of function of paranephroses
E. Hyperproduction of androgens
839.The 46 years-old woman has complaints about
prolonged menstruation, polymenorrhea within 2
 KROK 2 – Question Bank
years. She has hypertonic diseases, obesity of 2nd
degree. In the hystological investigaion in the
scrap of endomethrium – numerous big glands
with cists.What is the link of the pathogenesis of
such state?
A. *Aromatisation of androstendiol in estrone
B. Hyperprolactinaemia
C. High secretion level of adrenocorticopripical
hormone
D. Low level of glucocorticoids
E. Hyperandrogenia
840.28 years-old patient has complaints about absense
of menorrhea, growth of hair as of men’s type.
Married. Menarche since 14 years- age –
hypomenorrthea and finished after 2 years. Height
is 160 cm, weight is 65 kg. Female constitution.
Colour and humidity of skin are normal. External
genitals of the female are normal. Uterine size is
normal to. Uterine adnexa are enlarged according
palpation. What is the most probably diagnosis?
A. *Syndrome of Shtein-Levental
B. Disease of Itsenko-Kushing
C. Adreno-genital syndrome
D. Adrenosteroma
E. Corticoadrenosteroma
841.30 years old patient has complaints about
amenorrhea during 2 years after delivery. Labor
was complicated with massive bleeding. After
delivery woman lost a body weight, has alopecia.
According of bimanual investigation – the size of
uterine body is small, hypoplasia of minor and
major lips. What is the etiological factor of this
changes
A. *Necrosis of adenohypophis after
haemorragical shock
B. Stimulation of ovulation
C. Momental turning of the ovarial function
D. Involutia of hypothalamus
E. Pathological clymacs
842.The adolescent of 15 years old was brought to the
hospital with complaints on poor night vision.
Objectively: increased darkness adaptation time,
Bitot’s spots on conjuctiva. The patient skin is
dry, scales off, folliculitis signs of the face skin
are present. What is a cause of thedisease?
A. *retinole deficit
B. Thiamine deficit
C. Biotin deficit
D. Folic acid deficit
E. Napthtochynones deficit
843.What guarantees from the preconceived attitude to
the physician in cases of professional law
violations do you know?
A. *Sanction of public prosecutor, conduct an
inquiry by preliminary investigator of
prosecutor’s office, committee of experts
88
B. Draw up a statement about forensic medical
examination
C. Conduct an inquiry by preliminary investigator
of police department
D. Utilisation copy of medical documents
E. Conduct forensic medical examination by
district forensic medicine expert
844.Patient M., 37 years old. He came to the clinic
wounded after an hour.On the abdominal skin
there is pain around umbilicus due to prick and cut
wound of about 0,5 x 1 sm with slight bleeding.
What help would you provide to the patient?
A. *Laparotomy, suevey organs of abdominal
cavity. Primary surgical processing of the
wound.
B. Drainage of the wound with rubber strip.
C. Survey the wound with canal probe.
D. Aseptic bandage.
E. Suture the wound
845.The patient K. is 23 years old. He has wounded
left arm due to the gunfire. The bones of the arm
are undamaged. What appropriate surgical help
must be provided to such a patient?
A. *Primary surgical Processing with a flowing
suction.
B. Suture wound.
C. Suture wound and dry it.
D. Dry wound with towel gauzes.
E. Aseptic dressing of the wound.
846.If a child has attached fingers in his right hand,
then what will be your diagnosis?
A. *Synductylia
B. Polyductilia
C. Macroductilia
D. Ectroductylia
E. Ectromelia
847.Patient K., 34 years old. A dog bit him 3 hours
before. In the left arm there is wound by the tooth
of dog`s bitc without bleeding . What surgical help
would you provide to such a patient?
A. *Wash wound with detergent water and apply
anti-septic.
B. Aseptic bandage.
C. Cream bandage.
D. Complete suture of the wound.
E. Incomplete suture of the wound.
848.Patient K., 37 years old complains of pain in the
right arm, which increases during motion, increase
body temperature upto 39° C. In the right cubital
fossa there is a frace of injection, hyperemia and
thickening along the vein. Your diagnosis?
A. *Phlebitis
B. Phlegmon
C. Abscess
D. Inflammation of lymph
E. Arizipeloid
 KROK 2 – Question Bank
849.Purulent medisatinitis is diagnosed on a 63 year
old patient. What of the below listed diseases are
not the cause of purulent mediasdtinitis?
A. * Cervical lymphadinitis.
B. Deep nech phlegmon.
C. Perforation of the cervical part of the
easophagus.
D. Perforation of the thoracic the easophagus.
E. Iatrogenic injury of the trachea.
850.The diagnosis – melanoma was made to a 16 year
old patient after examination with complaints of
frequent pain in the abdomen, pigmentation of the
mucosa and skin, polyp in the stomach and large
intestine was found. It is know that the mother of
the patient analogous pigmentation and was
treated often for anemia What disease is
suspected?
A. * Peytz – Egers’s polyposis.
B. Chron’s disease.
C. Tuberculosis of the intestine.
D. Adolescent polyposis.
E. Hirschprung’s disease.
851.What developes in cases with decompensated
pyloric stenosis:
A. * Isotonic dehydration.
B. Hypertonic dehydration [eksikosis].
C. Hypotonic dehydration.
D. Intoxication.
E. Renal insufficiency.
852.A 35 year old woman was admitted to thoracic
surgery department with elevation of body
temperature upto 40 0 C, onset of pain with deep
breath in the side, cough with big quantity of
purulent sputum and blood with bad smell. What
disease causes these symptoms?
A. * Abcsess of the lungs
B. Complication of liver echinococcosis
C. Bronchectatic disease
D. Actinomycosis of lungs
E. Tuberculosis of lungs
853.Which of the listed below opertion are not done in
cases of perforative duodenal ulcers?
A. *Gastrostomy
B. Resection of 2/3 - 3/4 of the stomach
C. Vagotomy + Pyloroantrumectomy
D. Vagotomy + resection of the ulcer
E. Suturing of the ulcer
854.At the patient of 34 years of age you suspect an
abscess of Douglas spaces. What method of
research is preferable to diagnostics:
A. * Digital research of rectum
B. Rectoromanoscopy
C. Laparoscopy
D. Percusion and auscultation of a stomach
E. R-scopy of abdominal cavity
89
855.What from the listed operations in treatment of
ulcer of stomach and duodenum is carried out only
under emergency indications?
A. * Sewing up perforative ulcer
B. Resection of stomach by Bilrot I
C. Resection of stomach by Bilrot II
D. Selective proximal vagotomy
E. Truncal vagotomy with pyloroplastic
856.With the restrained umbilateral hernia which has
become complicated by phlegmon hernial, it is
necessary to make for patient:
A. * Herniotomy by Meio-Sapegko
B. Herniotomy by Meio
C. Herniotomy by Sapegko
D. Herniotomy by Lekser
E. Herniotomy by Grenov
857.What treatment is shown for the patient of 63
years of age with an attack of bilious colic, caused
by gall-bladder stones?
A. * Conservative treatment
B. Emergency operation
C. Urgent operation after cupping an attack
D. Antifermental therapy
E. Laparoscopic cholecystotomy
858.Choose correct tactics at the patient of 53 years of
age at the initial stage of obturative intestinal
obstruction
A. * Operative treatment at an inefficiency of
conservative actions
B. Only conservative treatment
C. Emergency operation
D. Scheduled operation
E. Nasogastral intubation
859.52-year-old man have recurrent transient ischemic
attacks. Auscultation of the carotid arteries
detected murmur. What diagnostic method is
necessary to apply the first?
A. * Ultrasound dopplerography
B. CT of the brain
C. MRI of the brain.
D. Cerebral angiography
E. Electroencephalography
860.On dispensary supervision at theraputist are the
patients with diabetes mellitus, hypertonic disease,
obesity. The cancer with what localizations in this
group is necessary to expect with a high degree of
risk?
A. *Uterus body
B. Gulet
C. Liver
D. External sexual organs
E. Uterus neck
861.27 years old woman complains on photophobia,
watering and dimness of vision on right eye.
During examination of this eye ciliary congestion
and branch-like infiltration of the cornea, which
 KROK 2 – Question Bank
stains with fluorescein, were observed. What eye-
drops are contra-indicated?
A. * Dexamethazon 0,1\%
B. Tropicamid 1\%
C. Laevomicetin 0,25\%
D. Glucosa 40 \%
E. Acyclovir 3\%
862.Within three weeks a patient had violation of nasal
respiration, mucopurulent discharges from a nose,
headache. At anterior rhinoscopy in middle nasal
meathus the stria of pus, edema, hyperemia of the
mucosa of the nose have been determined. What
diagnostic method is necessary for assigning first
of all?
A. *X-ray of paranasal sinuses
B. Computer tomography of a skull
C. Bacteriology analysis of the nasal mucous
D. Punction of the maxillar sinus
E. General blood analises
863.The patient with an acute middle purulent otitis
complicated by mastoiditis has been admitted to
hospital. On roentgenogram of mastoid processes
the shading of the cellular system on the lesion,
absence of bone septs have been marked. What are
medical actions in the second stage of mastoiditis?
A. *Mastoidotomy
B. Paracentesis of the drum
C. Radical operation on the middle ear
D. Tympanoplasty
E. Cateterization of the Eustachian tube
864.A woman, 35 years old, admitted to reanimation
department in asthmatic state. What is most
trustworthy criterion of breath effectively?
A. * РаСО2 and РаО2
B. Respiratory volume
C. Respiratory volume
D. Minute respiratory volume
E. Determination of “dead” space
865.Increasing of central venous pressure is marked on
the base of decreasing arterial pressure during the
dynamic investigation of it at victim with plural
combined injuries. What is this combination
evidence of?
A. * Addition of cardiac insufficiency
B. Blood deposition in venous channel
C. Shunting
D. Hypervolemia
E. Growth of bleeding speed
866.What kind of injures is offen happened while
carthquakes?
A. * Crash syndrome.
B. C.F.T. [cranio-facial trauma].
C. Fracture of upper extremities.
D. Fracture of lower extremities.
E. Abdominal traumas
867.What kind of injures is often happened while
explosions at mines [pits]?
90
A. * Poisonind of CO
B. Burns
C. Fractures
D. C.F.T. [cranio-facial trauma]
E. Crash - sundrome
868.The most available and informative diagnostic
methods for closed trauma of the urinary bladder:
A. *Retrograde cystography
B. Pelvic artheriography
C. Cystography
D. Sonography of the urinary bladder
E. Palpation and percussion of abdomen
869.In order to differentiate diagnosis of anuria and
ishuria you should accomplish:
A. *Catheterisation of the urinary bladder
B. Analysis of urine
C. Analysis of the blood
D. Excretory urography
E. None of the above
870.All undermentioned is correct with respect to the
tumors of renal pelvis and ureter besides:
A. *Postoperative radiation and chemotherapy
improve survival
B. Hematuria and colic take place
C. Tumor is often multiple one
D. Men are ailing more frequently
E. Treatment – nephrurenerectomy [ with
resection of the urinary bladder]
871.Female-patient Z.,of 27 years old, was admitted to
the clinic with complaints of pain in right ankle
joint, non-bearable extremity. On the clinical
examination: the patient had a fracture of anterior
part of distal metaepiphisis of tibia [Pott-Desto`s
fracture]. What is the mechanism of such an
injury?
A. * Supination of the foot.
B. Load along the axis with planter flexion of
foot.
C. Direct blow.
D. Pronation of the foot.
E. Load along the axis with dorsal flexion of foot.
872.Patient K.,of 22 years old, was admitted to trauma
center with complaints of pain in left ankle joint,
which increased while movements and weight
bearing. On the clinical examination it was found,
that the patient had the closed fracture of medial
malleolus without displacement. In which position
the foot has to be fixed in plaster cast?
A. * At right angle with varus positioning of the
foot.
B. In position of planter flexion of foot.
C. In position of pronation
D. In position of supination.
E. In position of dorsal flexion of foot.
873.Female-patient K, of 45 years old, was admitted to
the traumatological ward with the closed fracture
of the medial malleolus with its displacement up
 KROK 2 – Question Bank 91
to 3 mm. In which position the foot has to be fixed B. Operation on thyroid gland
with a plaster cast? C. Krail’s operation
A. * At right angle with varus positioning of the D. Subtotal resection of thyroid gland and
foot. fascicular resection of limphatic nodes
B. In position of planter flexion of foot. E. Vanach’s operation
C. In position of pronation. 880.To the doctor 28 years old a woman has addressed
D. In position of supination. with the complaints to increase of the size of
E. In position of dorsal flexion of foot. pigment nevus which was available from birth, get
874.What wall of the inguinal canal is strengthened in wetting, itch. What method of research should not
case of indirect inguinal hernia? be applied to diagnostics in this case?
A. *Anterior A. * Incision biopsy
B. Posterior B. Yaks’s reaction
C. Inferior C. Radioisotope diagnostics
D. Superior D. Termography
E. Posterior-inferior E. Glass-print
875.Triangl Callot is orientation for exposure of: 881.A boy 10 years old complains on pain of left eye
A. *Cystic artery and strong photophobia after trauma his left eye
B. Cystic duct by a pencil at the school. Left eye examination :
C. Common bill duct blepharospasm, ciliary and conjunctival
D. Common hepatic duct congestion, cornea is transparent, other parts of
E. Hepatic artery eyeball – without changes. Visus 0,9. Right eye is
876.A 19-year-old girl was admitted to Emergency health, Visus 1,0. What additional method do you
Department: unconsionsness state, cyanosis, choose first of all?
myotic pupil, shallow breathing – 12/min. BP A. *Staining test with 1\% fluorescein
90/60 mm Hg, 78 pulses/min. Choose the action B. X-rey examination of orbit
corresponding to this clinical situation: C. Tonometria
A. * Controlled respiration D. Gonioscopia
B. Gastric lavage E. Cornea sensation-test
C. Oxygen inhalation 882.What does it mean “the Monteggia fracture -
D. Caffeine injection dislocation?”
E. Cordiamine injection A. * Combination of fracture of the upper half of
877.A 47 year-old man with gastric cancer, the ulna with dislocation of the head of the
complicated by profuse hemorrhage was radius
successfully treated by surgical intervention. After B. Dislocation of the head of the radius
the operation the native blood plasma transfusion C. Dislocation of both forearm bones
was performed. Whereupon developed: D. Combination of fracture of the radius with
acrocyanosis, hypersalivation, hyperpnea, BP dislocation of the head of the ulna
80/40 mm Hg, 120 pulses/min. The initial drug E. Fracture of both forearm bones
therapy had to begin with injection of: 883.What is the external rotation of the lower limb
A. * Epinephrine common for?
B. Prednisolon A. * Fracture of the femoral neck
C. Diphenylhidramin B. Fracture of the pubic bone
D. Dopamine C. Fracture of the ischial bone
E. Aminophilline D. Fracture of the tibia
878.For the persons who are taking place in a zone of E. Fracture of the femoral shaft
failure on nuclear object, the greatest risk of 884.What choice for the treatment of the femoral neck
development within the first decade is represented fracture is incorrect?
by cancer: A. * Skeletal extension
A. * Thyroid gland B. Internal fixation by the three - flange nail
B. Skin. C. Internal fixation by parallel screws
C. Reproduction system organs D. Fixation by the dynamic hip screw
D. Breast E. Prosthetic replacment of the femoral head
E. Lungs 885.What most common complication like avascular
879.40 year old a patient is diagnosed: 1. Medular necrosis of the femoral head occurs after?
thyroid gland cancer. 2. Feochromatcitoma. What A. * Subcapital fracture of the femoral neck
operation should be made at first? B. Transcervical fracture of the femoral neck
A. * Operation concerning feochromatcitoma C. Fracture of the base femoral neck
 KROK 2 – Question Bank
D. Intertrocharteric fracture
E. Pertrochanteric fracture
886.What is the typical displacement in Colles’s
fracture?
A. * The distal fragment of the radius is tilted
backwards
B. The distal fragment of the raduis is tilted
anteriorly
C. The distal fragment of the raduis is deviated
externally
D. The distal fragment of the raduis is deviated
internally
E. The distal fragment of the raduis is rotated
outside
887.A growth of the right side of the scrotum was
found at the examination of a 3-month-old child.
This formation has elastic consistency, its size
decreases in sleep and increases when the child is
crying. What investigation will be helpful for
make a correct diagnosis?
A. * palpation of the thickened cord, crossing the
pubical tubercule [ sign of the silk glove];
B. diaphanoscоpy
C. palpation of the external inguinal ring
D. punction of the scrotum
E. examination of the formation in
Trendelenburg’s position
888.A rounded shadow with well defined outlines was
found at the costo-vertebral angle on the chest X-
ray roentgenogram of the otherwise healthy 9-
year-old girl . Make a preliminary diagnosis.
A. * Ganglionevroma
B. Sympatoblastoma
C. Ganglioneuroblastoma.
D. Sympatogonioma.
E. Sarcoma of the vertebra.
889.A baby was born at 36 weeks of gestation.
Delivery was normal, by natural way. The baby
has a large cefalohematoma. The results of blood
count are: Hb 120g\l, Er 3,5T\l, total serum
bilirubin 123mmol\l, direct -11mmol\l, indirect -
112mmol\l. What are causes of hyperbilirubinema
in this case?
A. *erythrocytes hemolisis
B. intravascular hemolisis
C. disturbance of the conjugative function of the
hepar
D. condensing of bile
E. mechanical obstruction of the bile fall.
890.A patient, male, 50 years old, has a black flat mole
on the skin of the leg for 10 years. Since 4 months
the shapes of the mole become irregular. What
diagnostic methods should be used?
A. *Excision biopsy
B. Fine needle biopsy
C. Smear for microscopic examination
D. Incision biopsy
92
E. Thermography
891.The method of treatment of the sthenotic cancer of
the rectum with local spread is…
A. * Colostomy
B. Chemotherapy
C. Phytotherapy
D. Hormonal therapy
E. Phytotherapy + chemotherapy
892.The method of treating the unresectable sthenotic
cancer of the pyloric area of the stomach is…
A. * Sidetracking anastomoses
B. Chemotherapy
C. Radiotherapy
D. Phytotherapy
E. Phytotherapy + chemotherapy
893.In a patient with a stab injury to the femoral
artery, the treatment of choice is:
A. * End to end anastomosis
B. Interposition of autogenous vein graft
C. Ligation of both transected ends
D. Interposition of homologous arterial graft
E. Interposition of Dacron graft
894.A 28-year-old woman comes to the Emergency
Room with a slightly reddened, painful “knot”, 8
cm above the medial malleolus. Examination in
the standing position demonstrates a distended
vein above and below the mass. There are no other
abnormalities on physical examination. The most
likely diagnosis is:
A. * Superficial venous thrombosis
B. Early deep vein thrombosis
C. Insect bite
D. Cellulitis
E. Subcutaneous hematoma
895.The majority of arterial emboli originate from
which one of the following sites?
A. * Left atrium
B. Left ventricle
C. Cardiac valves
D. Thoracic aorta
E. Abdominal aorta
896.A patient with a history of coronary artery disease
and atrial fibrillation develops sudden pain and
weakness of the left leg. Examination reveals a
cool, pale extremity with absent pulses below the
groin and normal contralateral leg. The most likely
diagnosis is:
A. * Arterial embolism
B. Arterial thrombosis
C. Acute thrombophlebitis
D. Cerebrovascular accident
E. Dissecting aortic aneurysm
897.Which of the following is the most common
clinical manifestation of an abdominal aortic
aneurysm?
A. * Most are asymptomatic
B. Peripheral embolization
 KROK 2 – Question Bank
C. Acute rupture
D. Back pain
E. Chronic peripheral ischemia
898.Which of the following best summarizes
indications for operation on an abdominal aortic
aneurysm?
A. * Any aneurysm greater than 5 cm in diameter
B. Any abdominal aortic aneurysm
C. Only symptomatic aneurysm
D. Only symptomatic aneurysm greater than 5 cm
in diameter
E. Only ruptured aneurysm
899.Which one of these antibacterial drugs shows an
ototoxic action?
A. *Gentamicine
B. Amoxycilline
C. Cefalexine
D. Оfloxacine
E. Ciprofloxacine
900.Which one of those symptoms is the most typical
for the adenoid hypertrophy?
A. * Nasal obstruction
B. Swallowing disturbance
C. Olfaction disturbance
D. Giddiness
E. Headache
901.What must be done first in case of animate foreign
body presence in the external auditory meatus
(insect)?
A. * Oil or alcohol instillation in the ear
B. Syringing with warm water
C. Removing by use of the crocodile forceps
D. Removing by use of a small hook
E. Analgetic drugs designation
902.A 30-year-old man complains of a sharp pain in
the right ear, hearing loss, high temperature during
three days. Objectively – right ear whispering
language – 0,5 m, external ear is intact,
otoscopically - eardrum protrusion, hyperemia and
swelling, loss of landmarks. What disease is it?
A. * Acute purulent otitis media
B. Acute mastoiditis
C. Chronic secretory otitis media
D. Chronic purulent otitis media
E. Eustachian tube disfunction
903.A 22 year old man complains of acute throat pain,
increasing upon swallowing during 3 days. Body
temperature 38,3(С, neck lymph nodules are
slightly enlarged and painful. Pharyngoscopically
– tonsilar hyperemia, enlargement and edema,
tonsils are covered by round yellow fibrinous
patches around crypts openings. Beta-haemolytic
streptococcus in swab analysis. What is the
diagnosis?
A. * Acute membranous tonsilitis
B. Acute follicular tonsilitis
C. Pharyngeal diphtheria
93
D. Іnfectious mononucleosis
E. Pharyngeal candidosis
904.A 30 year old woman complains of nasal
blockage, sneezing, watery nasal discharge. The
body temperature is normal. Objectively – edema
of nasal mucous membrane of both sides,
especially on lower turbinate (with cyanosis).
Blood tests dates – mild leukocytosis and
eosinophilia. What is the diagnosis?
A. * Allergic rhinitis
B. Foreign body of nose
C. Infective rhinitis
D. Atrophic rhinitis
E. Acute sinusitis
905.What is the most frequent cause of acute urinary
retention in men over 60 years old?
A. *Benign prostatic hyperplasia
B. Prostate cancer
C. Urinary bladder cancer
D. Urethral stricture
E. Urethral stones
906.The method of treating a small cell of anaplastic
lung cancer T2NxM1, with bone methastases is…
A. *Chemotherapy
B. Pneumonectomy
C. Lobectomy
D. Radiotherapy
E. Immunotherapy
907.The male patient, 60-year-old, tobacco smoker for
30 years, alcoholic, has dysphagia and weight loss
since 4 months. Suggested diagnoses?
A. *Cancer of the esophagus.
B. Esophageal achalasia.
C. Hanter`s disease
D. Esophagitis
E. Esophageal diverticulum
908.A 50-year-old male patient was brought to
Emergency Department with diffuse abdominal
pain and signs of cardiovascular collapse. Upon
arrival he had BP 95/60 mm Hg, 120 pulses/min,
diuresis 20 ml/h, HgB 100 g/l, red blood cells
count 2.1•1012/l. The patient needs infusion of:
A. * Crystalloid and colloid
B. Crystalloid and red blood cells
C. Crystalloid and 5\% dextrose
D. 5\% dextrose and red blood cells
E. 5\% dextrose and colloid
909.A 33-year-old male patient was brought to
Emergency Department with the signs of
cardiovascular collapse: BP 60/30 mm Hg, 140
pulses/min, the skin is pale and moist, diuresis 20
ml/h, HgB 80 g/l, red blood cells count 2.5•1012/l.
The reduction of blood volume averages:
A. *30-40\%
B. 10-15\%
C. 15-20\%
D. 20-25\%
 KROK 2 – Question Bank 94
E. 25-30\% leukocytosis, normal serum levels of amylase,
910.A 45-year-old male patient was admitted to the lipase, and bilirubin. The most likely diagnosis is:
intensive care unit because of myocardial A. * Acute cholecystitis
infarction. An hour later the ventricular facilitation B. Perforated peptic ulcer disease
occured. What from following should be C. Myocardial infarction
administered: D. Sigmoid diverticulus
A. * Defibrillation E. Acute pancreatitis
B. External chest compression 917.During an operation for presumed appendicitis,
C. Lidocaine injection the appendix is found to be normal; however, the
D. Adrenalin injection terminal ileum is markedly thickened and feels
E. Cardiac pacing rubbery to firm, its serosa is covered with a gray-
911.What is the most common histological type of white exudate, and several loops of apparently
malignant tumors of the prostate? normal small intestine are adherent to it. The most
A. *Adenocarcinoma likely diagnosis is:
B. Transitional cell carcinoma A. * Crohn’s disease of the terminal ileum
C. Seminoma B. Perforated Meckel’s diverticulum
D. Rhabdomyosarcoma C. Ulcerative colitis
E. Squamous cell carcinima D. Ileocecal tuberculosis
912.What is normal daily diuresis in adult? E. Acute ileitis
A. *1500-2000 ml 918.Which of the following are absolute indications
B. 200-500 ml for common bile duct exploration without
C. 500-1000 ml preliminary cholangiography?
D. 2000-2500 ml A. * Toxic cholangitis
E. 2500-3000 ml B. Pancreatitis
913.What is the treatment of choice for the patient C. Bilirubinate stones in the gallbladder
with 1,5 cm uncomplicated, asymptomatic, D. Multiple small stones in the gallbladder
calcium oxalate renal stone? E. Dilated common bile duct
A. *Extra-corporeal shock wave lithotripsy 919.In patients who have sustained blunt trauma to the
B. Percutaneous nephrostolithotomy chest, which of the following would most likely be
C. Open pyelolithotomy the cause of acute cardiopulmonary collapse?
D. Descending litholisis A. * Pneumothorax
E. Watchful waiting B. Hemothorax
914.What is the treatment choice for 60-year old male C. Pulmonary contusion
with renal cell carcinoma T2N0M0 and normal D. Rib fractures
contralateral kidney? E. Acute adult respiratory distress syndrome
A. *Radical nephrectomy (ARDS)
B. Resection of the kidney 920.A 50-year-old man comes to the emergency room
C. Nephroureterectomy with a history of vomiting of 3 days’ duration. His
D. Simple nephrectomy past history reveals that for approximately 20
E. Radiation therapy years, he has been getting epigasric pain, lasting
915.Following bilateral femoral embolectomy, a for 2 to 3 weeks, during early spring and autumn.
patient with atrial fibrillation becomes oliguric He remembers getting relief from pain by taking
and passes red-colored urine. All the following milk and antacids. Physical examination showed a
measures may be appropriate in this patient’s fullness in the epigastric area with visible
management EXCEPT peristalsis, absence of tenderness, and normal
A. * Cessation of heparin active bowel sounds. The most likely diagnosis is:
B. Administration of sodium bicarbonate A. * Gastric outlet obstruction
C. Administration of mannitol B. Small bowel obstruction
D. Determination of serum potassium C. Volvulus of the colon
E. Aggressive hydration D. Incarcerated umbilical hernia
916.A 45-year-old woman, mother of four children, E. Cholecystitis
comes to the emergency room complaining of the 921.A 50-year-old woman presents with a 2-year
sudden onset of the epigastric and right upper history of mild, diffuse, tender thyroid
quadrant pain, radiating to the back, associated enlargement with a 10-pound weight gain and
with vomiting. On examination, tenderness is fatigue. Of the following which is the most likely
elicited in the right upper quadrant, bowel sounds diagnosis?
are decreased, and laboratory data shows A. * Hashimoto’s thyroiditis
 KROK 2 – Question Bank
B. Riedel’s thyroiditis
C. Subacute thyroiditis
D. Suppurative thyroiditis
E. Papillary thyroid carcinoma
922.Which of the following is the most appropriate in
the initial management of a patient with confirmed
esophageal corrosive injury?
A. * Steroids for 3 weeks
B. Prompt institution of serial esophageal
dilatation
C. Parenteral hyperalimentation and prohibition
of oral intake for 2 to 3 weeks
D. Esophagectomy with gastrostomy, cervical
esophagostomy, and delayed reconstruction
E. Esophagectomy with immediate reconstruction
923.A 24-year-old law student is brought into the
emergency room complaining of severe abdominal
pain of 6-8 hours duration. He had been to a party
the night before. The pain is in the epigastrium
radiating to the back and is associated with
nausea. The patient vomited twice prior to coming
to the emergency room. Clinical examination
reveals an anxious, acutely ill youth with a regular
pulse rate of 100/min, blood pressure og 100/68
mm Hg, and a temperature of 38,1 (C. The most
likely diagnosis is:
A. * Acute pancreatitis
B. Acute cholecystitis
C. Acute appendicitis
D. Acute diverticulitis
E. Mesenteric adenitis
924.In which of the following disorders does the
pathophysiology of portal hypertension involve
presinusoidal intrahepatic obstruction?
A. * Congenital hepatic fibrosis
B. Alcoholic cirrhosis
C. Hemochromatosis
D. Budd-Chiari syndrome
E. Cavernomatous transformation of the portal
vein
925.A nonalcoholic 45-year-old woman presents with
an asymptomatic, septated 10-cm cystic mass in
the body of the pancreas. She should be advised
that:
A. * Complete excision of the lesion is indicated
B. Drainage by Roux-en-Y jejunostomy is
indicated
C. The lesion is probably benign and requires
observation only
D. It is cancerous and she will likely die from it
in 12 months
E. Total pancreatectomy is the preferred surgical
management
926.40 year old patient presented to Emergency
department with the cut injury on the right side of
the chest wall. Profuse bleeding from the wound
but the patient is in conscious, B.P – 120/60
95
mm.Hg, pulse 100 beats per minute. Which one
from below listed methods allows to define
character of wound with the greatest accuracy?
A. *Primary surgical cleaning and exploration of
Wound.
B. Chest X-ray
C. Ultrasound of thoracic Cavity
D. CT scan.
E. Bronchoscopy
927.The patient K. 42 years old, presented with the
diagnosis of “Acute iliofemoral vein thrombosis
(1st. Day), Pulmonary artery thromboembolism”
and admitted in vascular department of the
Hospital. What is your tactics?
A. * Thrombolytic therapy plus implantation of
Cava filter.
B. Surgical treatment.
C. Introduction of low-molecular wt. Heparin.
D. Elastic Bandage of legs.
E. Bronchoscopy.
928.Patient K. 35 years old, after abortion developed
deep veins thrombosis of leg and on the 3-day
cough and a retrosternal pain developed with
hemoptysis. Which investigation is necessary at
first to make the correct diagnosis?
A. * Electrocardiogram, Chest X-Ray.
B. Phlebography, Dopplerography.
C. Ultrasonogram of Abdomen.
D. Palpation of stomach.
E. Auscultation of Lungs.
929.73 years old patient hospitalized with the
diagnosis of “Tumour of Abdominal Cavity”. On
examination: On the right side of the abdomen a
mass of 10х15 cm size is palpated. Patient is
suffering of ischemic heart diseases, Hypertension
ІІ-ІІІ stages. It is suspected an aneurysm of an
abdominal aorta. For the verification of the
diagnosis it is necessary to execute:
A. * Aortoarteriography.
B. X-ray of Abdomen.
C. Diagnostic puncture.
D. Laparosynthesis.
E. Irrigoscopy.
930.25 years old patient presented to emergency
department after 40 minutes of stab injury of chest
in a projection of heart in a critical condition.
Confused, cold sweating, Blood Pressure 60/20
mm.Hg, Pulse on peripheral arteries was absent.
What is the most probable diagnosis?
A. *Cardiac Injury.
B. Lung Injury.
C. Pneumohemothorax.
D. Bleeding from soft tissues of chest wall.
E. Injury of intercostals vessels.
931.53 years old patient, complains of a heartburn,
regurgitation of air, vomiting. In
esophagodudenoscopy: - Marked prolapse of
 KROK 2 – Question Bank
squamous mucous of stomach into the esophagus.
In radiogram marked protrusion of 1/3 stomach
into the posterior mediastinum. Provisional
Diagnosis – A sliding hiatal hernia, ІІІ degree.
What is the tactics of treatment?
A. *Plastic of a diaphragm according to Belsey.
B. Lewis's operation [Transhiatal resection of
esophagus].
C. Vandal’s operation [plastic of lower third of
esophagus.]
D. Heller’s Operation.
E. Esophagoectomy, Abdomino-cervical Method.
932.Patient В, 64 years, complains of difficulty in
swallowing solid food, vomiting, weakness, loss
of weight. In esophagodudenoscopy on a
posterior-lateral wall, sub mucous layer tumour
with the precise contours, easily movable is
determined. The diagnosis: Benign tumour of
lower third esophagus [Leiomyoma]. Your
tactics?
A. *Endoscopic removal of a tumour.
B. Heller’s Operation.
C. Esophagoecotmy, Abdomino- cervical
Method.
D. Operation Vandal’s [plastic of the Lower third
of esophagus].
E. Lewis's operation [Transhiatal resection of
esophagus].
933.Patient [Female] 48 years old, chief complain of
dysphasia for solid and liquid food, nausea, and
fatigue. In radiographic examination of
esophagus- stricture of lower third esophagus and
dilatation of upper third esophagus. Positive
Symptom [ ] Diagnosis-Cardiospasm
III stage. What is the volume of necessary
treatment needed?
A. * Heller’s Operation.
B. Conservative treatment: Cerucal, Rantac, No-
spa, Intravenous infusion.
C. Vandal’s Operation [Plastic surgery of lower
third esophagus].
D. Esophagoectomy, Abdomino-cervical Method.
E. Lewis Operation [Transhiatal resection of
esophagus with gastroplasty].
934.Patient К, 65 years old, inpatient of surgical
department of hospital after hernioplasty on the 6
day suddenly lost consciousness; there was
cyanosis of the upper part of a thorax and the face
and dyspnea. What is the diagnosis?
A. * Pulmonary artery thromboembolism.
B. Heart attack of a myocardium.
C. Hypoglycemic Coma.
D. Hyperglycemic Coma.
E. Perforation of stomach Ulcer.
935.Patient А., 44 Years old, presented to Emergency
Department after 3 hours of trauma with chief
complain of Right sided Chest pain, Dyspnea,
96
Fatigue, Dizziness. Cyanosis. Unstable
Hemodynamic. On Chest X-ray-Fracture of Right
four Posterior-Lateral ribs, Collapse of right lung
2\3 Volume. What is the possible diagnosis?
A. * Right sided Post-traumatic Pneumothorax.
B. Right sided post-traumatic excudative
pleuritis.
C. Abruption of Main Bronchus.
D. Right-sided Hemothorax.
E. Hematoma Mediastinium.
936.Patient 19 years old, Presented to Emergency
department in critical condition after Trauma of
Chest with chief complain of Left sided chest
pain, Dyspnea, Fatigue, left sided massive
subcutaneous emphysema of chest wall. On chest
X-ray Atelectasis of left lung, Shift of mediastinal
organs to left. Cardiac cavity not enlarged. Your
Diagnosis?
A. *Abruption of Left main bronchus.
B. Left sided total Hemothorax.
C. Fracture of left Ribs, left sided Pneumo-
hemothorax.
D. Left sided Post-traumatic pnemothorax.
E. Left sided post-traumatic pleuritis.
937.36 years old patient presented with complains of
dyspnea, dizziness. History of Thoracic trauma 2
days back. On examination decrease movement of
the left side of the chest wall. On chest X-ray –
Collapse of the 1/3 of left lung. Fracture of left 4-6
ribs. What are the possible complication patients
has developed?
A. *Pneumothorax.
B. Posttraumatic Hemothorax.
C. Empyema of pleura.
D. Pleuritis.
E. Posttraumatic pneumonia.
938.Patient К. 19 years old admitted with the diagnosis
“Chest Wall Trauma (Thoracic Trauma)” with
Complain of difficulty in expiration and
inspiration. On examination patient is pale. Blood
Pressure 90/50 mm.Hg. On auscultation: Silent on
left side (no breathe Sound). On chest X-ray:-
Shift of mediastinal organs to right, atelectasis of
left lung, your diagnosis?
A. *Left sided Tension Pneumothorax.
B. Fracture of Ribs.
C. Injuries of a chest wall.
D. Cardiac Injury.
E. Hemothorax.
939.45 years old patient admitted in a clinic in a
critical condition. Before admission patient was
suffering from pneumonia for 3 weeks. On
examination: - Skin and mucous membrane dark -
earthy color, a body temperature 38c, Dyspnea on
rest, decrease breathe on the left side. Productive
Cough with large amount of sputum. On chest X-
ray. What is the most probable diagnosis?
 KROK 2 – Question Bank
A. * Empyema of pleura.
B. Bronchitis.
C. Pleuritis.
D. Pneumonia.
E. Pneumothorax.
940.32 years old patient presented in a hospital in a
critical condition with chief complain of acute
retrosternal chest pain with radiation to back. On
examination:- skin and mucous are pale, t-38,8
С. Marked subcutaneous emphysema of soft
tissues of a neck, puffiness of face. On the eve ate
fish. On Chest X-ray expansion of mediastinum is
revealed. What is the most probable diagnosis?
A. * Mediastinitis.
B. Heart attack.
C. Abscess of lung.
D. Pneumothorax.
E. Pneumonia.
941.48 years old patient, suffering from postphlebetic
syndrome of the left leg since 2 years. On
examination: Dilated superficial veins of left leg
and thigh, and pubic region, a significant swelling
of the left leg. Light physical exertion aggravates
pain. What kind of treatment should be
recommended to patient?
A. *Reconstructive operation on deep veins of the
left thigh.
B. Conservative therapy.
C. Compression treatment.
D. Phleboectomy.
E. Phlebo-sclero-obliteration.
942.52 years old patient admitted in vascular
department of the hospital with sever edema and
pain of holding apart character in the right leg
and thigh, aggravated by passive movements. On
examination: On the right leg sever edema starting
from the foot till inguinal ligaments are observed
cyanotic skin. What is the most probable
diagnosis?
A. *Acute iliofemoral vein thrombosis.
B. Erysipelas of the right leg.
C. Acute thrombophlebitis of superficial veins.
D. Lymphostatsis.
E. Phlegmon of the right Leg.
943.67 years old patient Hyperstenic features,
suffering from varicose veins of both legs since 18
years. During last 2 years three times had
thrombophlebitis of superficial veins of the right
leg. 4 months back on the lower third of right leg
trophic ulcer developed. What method of
investigation is informative for specification of the
diagnosis of the patient?
A. *Ultrasonic duplex scanning.
B. Functional tests to determine the condition of
Valve.
C. Phlebography.
D. Dopplerography of deep veins.
97
E. Isotope Phlebography.
944.A 35 years old patient complains of a difficult
swallowing, pain behind the breastbone. He can
eat only liquid food. While swallowing sometimes
he has attacks of cough and dyspnea. Above
mentioned complaints is progressing. It is known
that the patient has had a chemical burn of
esophagus one month ago. What complication
does the patient have?
A. *Corrosive Esophagitis and strictura
B. Esophagitis
C. Esophageal diverticula
D. Cardia Achalasia
E. Cardia insufficiency
945.A 42 years old man with long history of disease
complains of a frequent heartburns, moderate pain
in epigastrium and behind breastbone propagated
in the back in point between shoulder blades. Pain
appears with meals or just after meals and can be
provoked by physical exertion. Also he has had a
relapsed bronchopneumonia earlier and events of
melena. The CBC reveals anemia. On X-Ray film
there is a bubble of gas in the posterior
mediastinum. ECG documents an arrhythmia.
What is your diagnosis?
A. * Hiatus hernia of esophagus
B. Chronic pancreatitis
C. Ischemic heart disease
D. Gastric ulcer
E. Mediastenitis
946.A 70 years old woman had had a planned
laparoscopic cholecystectomy done according
biliary calculi. Six months later the patient again
has attacks of severe pains in the right
hypochondrium accompanied by jaundice and
dark urine and stool discoloration. The total serum
bilirubin is increased up to 60 mcmol/l, direct 40
mcmol/l. What disease does the patient have?
A. *residual choledocholithiasis
B. Papillostenosis
C. tumour of the pancreas head
D. tumour of the large duodenal papilla
E. choledochus stricture
947.A 60 years old woman has been ill with chronic
calculous cholecystitis for 10 years. During the
treatment in sanatorium the patient had had a
hepatic colic with jaundice. Ultra sound
investigation revealed a lot of calculi sized 5-6
mm in the gallbladder. Choledochus is widened to
15 mm and contains concrements up to 6 mm in
diameter in the distal part. What method of
treatment is the most adequate and current?
A. * endoscopic papillosphincterotomy,
laporoscopic cholecystectomy
B. cholecystectomy, choledocholithotomy,
external choledochus drainage according to
Kerr
 KROK 2 – Question Bank
C. cholecystectomy, transduodenal
papillosphincterotomy
D. cholecystectomy, choledochoduodenostomy
E. cholecystectomy, choledochojejunostomy
948.A 58 years old woman with overweight right
before has had an attack of right hypochondrium
pain and jaundice with dark urine and stool
discoloration appeared. On clinical examination
the abdomen is distended and painful on palpation
in the right hypochondrium, The mild liver
enlargement there is. In blood the total bilirubin is
90 mkmol/l, direct (conjugated) 60 mkmol/l. What
investigation is the most informative to clarify the
diagnosis?
A. * retrograde cholangiopancreatography
B. intravenous cholegraphy
C. infusional cholegraphy
D. intracutaneous intrahepatic cholegraphy
E. ultra sound investigation of the
hepatopancreatobiliary zone
949.A 62 years old woman complains of severe
constant pain in the right hypochondrium,
jaundice, discoloration of stool and dark urine,
mild fever up to 37,5оС. Above mentioned
complaints were appeared after an attack of severe
abdomen pain connected with fatty food intake.
On clinical examination the abdomen is soft. A
painful enlarged gall bladder is palpated. The
Orthner, Kerr’s symptoms are positive. What is
the probable diagnosis?
A. * Acute cholecystitis, choledochus calculi and
obstructive jaundice
B. Infectious hepatitis
C. Liver cancer
D. Liver abscess
E. Liver cirrhosis
950.A 22 years old woman was admitted to the
reception department. She complains of severe
cramping lower abdomen pain occurred
unexpectedly, general weakness, sleeplessness,
appetite loss and fever up to 39,9° C. At first the
pain was appeared in point between umbilical
region and epigastrium and then it was localized
in the in the right iliac region. The patient recall
the last menses 8 weeks ago. On clinical
examination the abdomen is soft, painful in the
right iliac. The Schyotkin – Blumberg’s symptom
is slightly positive, Michelson’s symptom is clear
positive. On bimanual gynecological examination
the soft uterus is enlarged according pregnancy
onset. Near the uterus there is a soft swelling
identified as a separated ovary. In CBC the WBCs
(leucocytes) are 15x109 /l. Their formula shows
bandemia. There is high ESR up to 65 mm/h.
What is the most probable cause provoked above
written condition?
A. * Acute appendicitis and ectopic pregnancy.
98
B. Acute appendicitis
C. Acute salpingoophoritis
D. Pyosalpinx
E. Tubo-ovarian abscess
951.A pregnant woman with 24 weeks gestation term
has felt a cramping pain in low abdomen. Nausea
and vomitting are absent. She looks for a medical
aid in the gynecologic out-patient office. On
clinical examination the abdomen is soft and
tender on the right. The Schyotkin – Blumberg,
Rovzing, Koap’s symptoms are slightly positive
and Brendo, Michelson’s signs are strongly
positive. What is the most adequate tactics of the
doctor in the situation?
A. *To send the patient to the in-patient
department at once to solve the problem of
urgent surgical operation
B. To observe the patient for the next 24 hours at
home to clarify the condition
C. Medication therapy
D. Emergent diagnostic abdominal cavity
puncture through the posterior vaginal fornix
in this female dispensary office
E. Urgent interruption of pregnancy
952.A 45 years old woman was operated because of
biliary calculi and obstructive jaundice. A two
months later after operation there is continuing
bile discharge up to 500,0-600,0 ml per day
through the Kerr`s external choledochus
drainage. On fistulography using the drainage in
the distal part of the choledochus “a forgotten
stount” up to 8 mm in diameter was identified.
The choledochus is dilated up to 16 mm. The most
correct surgeon treatment in this case is:
A. * Endoscopic papillosphincterotomy and
removing a concrement from choledochus;
B. Choledocholithotomy with close seam on
choledochus;
C. Choledocholethotomy
choledochoduodenostomy;
D. Choledocholithotomy choledochojejunostomy;
E. Choledocholithotomy and drainage of the
choledochus.
953.A 19 years old man was admitted to the reception
department in 20 minutes after a knife wound of
the left chest. The patient is confused. The heart
rate is 96 beats per minute and blood pressure
80/60 mm Hg, The dilated neck veins, sharply
diminished apical beat and evident heart
enlargement there are. What penetrative chest
wound complication is described?
A. *Pericardium tamponade
B. Massive hemothorax
C. Open pneumothorax
D. Closed pneumothorax
E. Valve-likes pneumothorax
 KROK 2 – Question Bank
954.54 years old patient, presented with dizziness, an
episode of decreased brain blood circulation,
complains of a pain over the umbilicus after meal
,sometimes very sharp, is accompanied by
vomiting, a episode of diarrhea. History of Blood
in stool sometimes. Cardiac activity arrhythmic,
extra systole. Moderate tenderness around
umbilicus. What is the most probable diagnosis?
A. *Non- specific ulcerative colitis.
B. Crohn’s Diseases.
C. Acute intestinal ischemia.
D. Chronic cholecystitis.
E. Duodenal Ulcer with penetration.
955.45 years old man presented with chief complains
of rise in temperature up to 38°C, pain and
swelling in lumbar region and painful mass 5х6
sm. in size, crimson color of skin over the mass, in
the center purulent - necrotic fistulas which is
secreting pus. What is the most probable
diagnosis?
A. *Carbuncle of lumbar region.
B. Abscess of lumbar region.
C. Erysipelaous inflammation.
D. Para nephritis.
E. Renal Colic.
956.Patient К, 43 years old hospitalized in surgical
department of the hospital with the diagnosis of
Mechanical jaundice, cholangitis. During
echographic researches found out Huge hydatid
cyst of liver (echinoccocus of liver), dilatation of
CBD(Common Bile duct) and intrahepatic ducts.
What is the mechanism of jaundice in
echinoccocus of liver?
A. *Rupture of contents of cysts into hepatic
ducts.
B. Compression of portal vein with occurrence of
portal hypertension with jaundice.
C. Occurrence of a viral hepatitis.
D. Intoxicytic hepatitis due to absorption of
ecchinococcus fluid (Hydatid cyst fluid).
E. Suppuration of cyst with occurrence purulent
cholangitis.
957.Patient K, 54 years old operated for hydatid cyst
of liver, during operation found two cysts instead
of three, as it has been diagnosed in the
preoperative period. Which methods of
investigation will be accurate to locate the third
cysts?
A. *Intraoperative echography.
B. Intraoperative Cholangiography.
C. Intraoperative Choledochoscopy.
D. Intraoperative Retrograde
Cholangiopancreatography.
E. X-ray Abdomen and Pelvis.
958.65 years old patient complains of a pain in the
right iliac fossa, loss of weight, decrease appetite,
weakness, and history of constipation more than 6
99
months. Objectively: dry, muddy colored skin, On
palpation On the right iliac fossa – infiltration
(mass) 8х10 sm. Size. Which is almost not
displacing (Immovable), on percussion dull sound
above the mass. On auscultation peristalsis is
increased. Нв blood - 86 g/l. What is the most
probable pathology that might have causes such
clinical picture?
A. *Carcinoma of Caecum.
B. Cancer of the right kidney.
C. Appendicular Infiltrate.
D. Crohn’s Diseases.
E. Retroperitoneal Tumour.
959.Patient K, 42 years old, is hospitalized in surgical
department with complaints of acute sharp pain in
the stomach, vomiting. Suffering from a duodenal
ulcer for last 8 years. Suspected as a Duodenal
Perforation, however free fundus gas in abdominal
cavity is not revealed. The ulcer is suspected as
covered perforation. What method of diagnosis
should be applied for correct diagnosis?
A. *Pneumogastrography.
B. Pneumoperitoneum.
C. Laparosynthesis.
D. Contrast (dye) investigation of stomach and
duodenum.
E. Fibrogastroscopy.
960.Patient B. 74 years old is hospitalized in surgical
department with the diagnosis of perforated
stomach ulcer. In the anamnesis heart attack of a
myocardium, diabetes, Hypertension. The patient
was advised for Operation, which patient
categorically refused. How to treat the patient?
A. *Taylor’s Method.
B. Infusion therapy.
C. Antibacterial therapy.
D. Start Ulcer Therapy
E. Discharge the patient.
961.A 32 years old patient presented with sudden rise
in temperature, High grade fever, headache, pain
in stomach and lumbar region, yellowish
discoloration of skin. Urine output of the patient
is 100 ml dark muddy colored. Later with these
symptoms Muscles pain is added. One week ago
the patient went for fishing. What is the probable
diagnosis?
A. * Leptospirosis.
B. Viral hepatitis A
C. Viral hepatitis E
D. Acute pyelonephritis
E. Food poisoning
962.28 years old patient presented with history of 14
hours constant pain in right iliac fossa. In last 2
hours the pain has decreased. Objectively: Local
guarding of abdominal muscles. Diagnosed as
acute appendicitis. What histological form of
 KROK 2 – Question Bank 100
acute appendicitis could result in reduction of in the abdomen, delay in passes of gases and stool.
intensity of a pain of a stomach? History of the patient - appendectomy.
A. * Gangrenous. Objectively: Position of the patient -lying, pale
B. Cataral. skin. Pulse 90/ minutes. Blood Pressure - 110/80
C. Phlegmonic. mm. Hg, t - 37,2°C, Moderately distended
D. Perforated abdomen, asymmetric, rigidity on the lower part
E. Empyema of the appendix of the abdomen. Increased peristalsis. Rebound
963.What preparations are used for prevention of tenderness- negative (Shetkina- Blumberg).
fungal infection? Manual per rectum analysis of rectum- empty
A. *Fluconozol, Orungol, Nisoral. ampoule. Your diagnosis?
B. Rubomycin, Bleomycin, Mytomycin C. A. * Acute intestinal obstruction.
C. Cytosar, Cormyctin, Lomycitin B. Food poisoning
D. Captopril, Enalapril. C. Hepatic Colic.
E. Isoniazid, Ftibazid, Pyrazinamid. D. Acute pancreatitis
964.Patient Н, 44 years old, is hospitalized in surgical E. Hepatic Colic.
department with the diagnosis – of 968.A 41 year old patient was admitted to the intensive
postcholecystectomic syndrome, residual care unit with hemorrhagic shock due to gastric
choledocholithiasis, cholangitis, and mechanical bleeding. He has a history of hepatitis B during the
jaundice. Operated 8 months back, done last 5 years. The source of bleeding are esophageal
cholecystectomy, Choledocholithotomy, drainage veins. What is the most effective method for
of abdomen according to Keru. What from of control of the bleeding?
below-mentioned procedure would be appropriate A. * Introduction of obturator nasogastric tube.
to avoid occurrence of postcholecystectomic B. Intravenous administration of pituitrin
syndrome? C. Hemostatic therapy
A. *Intraoperative cholagiogrpahy. D. Operation
B. X-ray of Abdomen. E. Administration of plasma
C. Intravenous Cholecystocholangiography. 969.What developes most often after accidental intake
D. Per oral Cholecystography. of Hydrochloric acid:
E. Echography. A. * Cardiac insufficiency.
965.30 years old woman, 15 days ago had mild trauma B. Cushing’s syndrome.
of 5th finger of the left hand. Treated herself at C. Kutling’s syndrome.
home independently, Due deterioration of a D. Deylads's syndrome.
condition she visited hospital for medical advice E. Acute pancreatitis.
with rise in temperature up to 36 0c. Objectively: 970.Patient С, On chest X-ray found collapse of the
Hypermia and swelling on the ventarl surface of right lung, dislocation of the mediastinum on the
finger. Restricted Movements of the finger. X-ray left. During puncture of the pleural cavity 2.5 L.
of the left hand: It is impossible to exclude an of air is allocated. What is your diagnosis?
early stage of development оsteomyolitis of the A. *Right sided Pneumothorax.
fifth finger. The diagnosis: Panarchy of 5th finger B. Left-sided Pneumothorax.
of the left hand. What form of Panarchy has C. Empyema Pleura.
occurred in the patient? D. Mediastinitis.
A. *Bony. E. Pneumomediastinium.
B. Hypodermic 971.Patient of 23 years old suffering from acute
C. Paronychia glomerulonephritis with nephrotic syndrome,
D. Tendon Type. Initial Phase with normal renal function. What is
E. Joints Type. the baseline treatment?
966.Contraindications for operation in acute A. *Antibiotics
pancreatitis are: B. Saluretics.
A. *Hemodynamic unstability and pancreatogenic C. Kurantil
shock D. Heparin
B. Functional insufficiency of the E. Prednisolone.
parenchymatous organs 972.65 years old patient had been on observation for 5
C. Purulent and septic complications years concerning an ulcer of antral part of a
D. Peritonitis stomach. Patient refused operation. Since last 6
E. Erosive bleeding months patient is having constant pain in the
967.The patient, 43 years old is hospitalized with epigastric region. Disgust to meat products has
complaints of repeated vomiting, spasmodic pain appeared. Working capacity has decreased. The
 KROK 2 – Question Bank
patient has become thin. In contrast examination
of the stomach circular form of defect of a mucous
membrane up to 5 sm. in diameter and aperistaltic
zone is revealed. What is an effective method of
verification of the diagnosis
A. *Fibrogastroduedenoscopy with biopsy.
B. Ultra sonogram.
C. Pneumoperitoneum.
D. Roentgenoscopy of Stomach.
E. ERCP
973.38 years old man suffering from duodenal ulcer
for long time, patient start feeling constant
heaviness in a stomach after meal, regurgitation,
vomiting food contains which he had in the
evening of the previous day, weight loss.
Objectively: Relatively satisfactory condition of
the patient, appetite not changed, Turgor of skin is
reduced. On palpation the stomach is soft,
symptoms of irritation of abdomen is not present,
“noise of splash “in epigastria region. Urinations
normal. Stool once in 3 days. What complication
has occurred in the patient?
A. * An ulcerative stenosis of pyloric canal.
B. Acute pancreatitis.
C. Achalasia, esophagitis.
D. Cancer of a stomach.
E. The covered perforation of an ulcer.
974.A 60 year old patient complains of the weakness,
loss of appetite, periodic fever up to 38-40°C, loss
of body weight, cough with a purulent sputum in a
small amount on daytime and large up to 300-
400ml sputum discharge with stinking smell on
morning. He is chronic patient suffering from
chronic lung emphysema within 10 years. At the
past he had had an acute left sided pneumonia of
the lower lobe 8-10 weeks ago. After that he
noticed a mild mainly on evening fever and night
sweats. The above mentioned complaints was
appeared 4 days ago. On physical examination the
patient looks toxic. There are severe underweight,
grey skin, unpleasant small from the mouth, finger
clubbing, asymmetric chest secondary to the air
entry limitation on the left. On auscultation the
breathing sounds are diminished in the lower chest
on the left and pleural rub phenomenon is
defined here. Over other chest surface a moist
rales are heard. The chest X-Ray reveals a
pneumosclerosis and lung cavity with liquid level
and thick walls sized 10x7cm in diameter in the
upper lobe on the left. What is the diagnosis of the
patient?
A. *Chronic lung abscess with in bronchus
drainage
B. Acute abscess of the left lung
C. Left sided destructive pneumonia
D. Left sided chest TB
E. Bronchiectasis
101
975.The diagnosis of Right sided pnuemothorax is
made to a 36 year old patient. What method of
treatment is indicated to the patient?
A. *Surgical treatment: Drainage of the pleural
cavity.
B. Antiinflammation therapy.
C. Symptomatic therapy.
D. Pleural puncture
E. Thoracotomy.
976.A 33 years old patient was admitted to the
reception room of the Central District Hospital. He
complains of a severely painful swelling localized
on posterior neck, fever up to 38,4oC and general
weakness. It is known that the patient suffers from
diabetes mellitus within 5 years. On physical
examination on the posterior neck surface there is
an infiltrate elevated above surrounded skin. The
tissues affected by swelling are tens and blue
reddish discolored in central area. There are also
several purulent necrotic pustules which are
connected with each other and formed a large skin
necrosis. A thinned necrotic skin of this swelling
has a holes look like sieve and a pus is discharging
through out. What disease should a doctor
consider first of all?
A. *Carbuncle
B. Furuncle
C. Acute skin cellulitis
D. Carbuncle associated with anthrax
E. Skin abscess
977.Patient B, 63 years old is hospitalized in thoracic
surgery department with complaints of nausea,
vomiting after taking food, weakness, loss of
weight. After radiological investigation the
diagnosis is as follows: - “Achalasia Cardia”.
What from below-mentioned is the reason of this
disease?
A. *Insufficient development of Auerbach’s
plexus.
B. Cicatricial stenosis of esophagus.
C. Hiatal Hernia.
D. Varicose of Esophageal vein (Esophageal
Varices).
E. Tumour of lower third of esophagus.
978.A 38 year old woman was hospitalized to the
surgical unit with acute abdominal pain irradiating
to the spine and vomiting. On laparocentesis
hemmorhagic fluid is obtained. What disease is
suspected?
A. * Acute pancreatitis
B. Renal colic
C. Acute enterocolitis
D. Perforative gastric ulcer
E. Acute appendicitis
979.A woman born in 1952 consulting by a doctor in
the out-patient office complains of a reddish
bordered swelling in the low back skin appeared 3
 KROK 2 – Question Bank
days after branch tree prick. The fever is mild up
to 37,9°C. Other complains are the general
weakness, headache, malaise and appetite loss. On
physical examination on the loin skin a swelling
and hyperemia are revealed. On palpation there is
a positive fluctuation symptom. What is the most
probable diagnosis?
A. * Acute abscess of the loin skin
B. Acute cellulitis of the loin skin
C. Hematoma
D. Carbuncle
E. Furuncle
980.A 42 years old patient consults by a surgeon with
complains of the painful, severely itching and
hyperemic thumb of the right hand. It is known
that the patient has pricked his finger with a fish
bone one week ago. On examination the affected
thumb is rosy red and painful on touch. There is a
red bordered and elevated above the surrounding
skin spot. The chest and heart are symptomatic
free. The heart rate is 80 per min. Blood pressure
is 130/90 mm Hg, Body temperature is 36,7°C.
What’s the diagnosis?
A. *erysipeloid
B. Erysipelas
C. acute lymphangitis
D. acute panaritium
E. Paronychia
981.Patient Е, 51 year old is hospitalized in
gastroenterology department with complaints of
jaundice, loss of weight, weakness, dark color
urine, and light colored stool. Diagnosis:
Mechanical jaundice, Cholangitis. Disease began
gradually. Suspected as Cancer of ampullae’s of
vater. What diagnostic method should be applied
for confirmation of the diagnosis?
A. *Fibroduedenoscopy with biopsy of ampulla
of Vater.
B. Echography.
C. X-ray Abdomen.
D. Pneumogastrography.
E. Computer tomography.
982.A 15 years old teen complains of high fever up to
39,5 – 40°C and a local metaepiphesal localized
in low one third of hip pain. There are local skin
hyperemia, soft tissues swelling and knee
movements restriction secondary to the pain. The
patient denies the trauma. Blood WBC
(leucocytes) are 15x10E9. X-ray reveals hip bone
destruction and sequestration.
A. *Haematogenic osteomyelitis
B. Bone TB (tuberculosis)
C. Paget’s disease
D. Osteosarcoma
E. Myeloma
983.The 67 years old patient within 5 years had had 5
recurrent fractures of the lower extremities
102
without considerable cause. O-shaped deformity
of the legs in the knee joints was appeared. The
skull, pelvis and lower extremities X-Ray films
shows the thickening of flat bones. In the long
bones there is a hyperostosis along the bone axis.
The blood tests does not reveal any inflammation
activity. Serum calcium is normal. What disease
do you consider in this case?
A. *Paget’s disease
B. hyperparathyoid dystrophy
C. chronic osteomyelitis
D. myeloma
E. mottled disease (marble disease)
984.45 years old woman complaints of pain and
movement restriction in the right hip joint. The
disease is in progress. The history of trauma is
negative. The X-Ray does not reveal malignancy
or inflammatory disease but only shows an angled
disproportions and ostephytes. What is the
diagnosis?
A. * The deforming arthrosis of the right hip joint
B. Non-specific arthritis
C. Specific arthritis
D. Polyarthritis
E. Radiculitis
985.The 45 years old man locksmith complains of
poor fourth and fifth fingers straitening in the right
hand. He is ill whithin 6-7 years. Every year the
disease worsens. On examination the fourth and
the fifth fingers are flexed and cannot be even
passively extended. The X-Ray does not reveal
any bone damage. What kind of contracture do
you consider in this case?
A. *Dupuytren’s contracture
B. Myogenic contracture
C. neurogenic contracture
D. Ischemic contracture
E. tendinous contracture
986.The 35 years old patient has severely restricted
movement ability in the vertebral column. Within
3 years the patient has had a persistent pain and
progressive stiffness in the low back later spread
out into the thorax and cervix. The patient did not
look for medical help before. The history of back
trauma or acute disease is negative. The laboratory
tests are normal. What disease do you consider in
this case?
A. *ankylosing spondylarthritis
B. osteochondrosis
C. tuberculous spondylitis
D. polyarthritis
E. radiculitis
987.The patient man-welder (profession related with
long standing on knee position) was consulted by
a doctor because of development knee joint
swelling and knee pain at working time. On
examination there has been found a soft bordered
 KROK 2 – Question Bank
swelling localized lowly from patella with normal
color and callous skin. There is not local
hyperthermia. The X-Ray does not reveal any
destructive impairment of the bones. What is the
treatment?
A. *operative bursectomy
B. ultrahighfrequency (UHF)
C. tight bandage
D. puncture
E. magnetotherapy
988.The sick woman complains of fever up to 38,2°C,
severe earache reflected into the left temple and
persistent headache. Also there is hearing
depletion. She fall in illness 3 days ago after
common cold. Otoscopy shows normal auricle and
external auditory meatus without pathological
features. Palpation of trugus and papillae - like
spout is painless. Tympanic membrane looks red
and bulged with indistinct landmarks. Whisper is
perceived by the patient from 0,8m of distance and
colloquial speech only from 3 m. What’s a
probable diagnosis?
A. *Acute otitis media
B. Furuncle of the external auditory meatus
C. Acute mastoiditis
D. Acute external otitis
E. Exacerbation of chronic otitis media
989.A 38 years old woman complains of a purulent
discharge from the left nostril. The body
temperature is 37,50C. The patient is ill during a
week and associates her illness with common
cold. pain on The palpation of her left cheek
reveals tenderness.. The mucous membrane in the
left nasal cavity is red and turgescent. The
purulent exudates is seen in the middle meatus in
maxillary. What is the most probable diagnosis?
A. *Acute purulent maxillary sinusitis
B. Acute purulent frontitis
C. Acute purulent ethmoiditis
D. Acute purulent sphenoiditis
E. Purulent rhinitis
990.34 years old patient, during tooth filling
accidentally inhaled a dental pine. Referred to
emergency department of Hospital. Complain of
moderate dyspnea, dry cough, dizziness, and
disturbed. On Chest X-ray on the hilar region of
right lung identified radio opaque subject. What
volume of the help is necessary in this case?
A. * Urgent Fibrobronchoscopic removal of the
foreign body.
B. Urgent Diagnostic Fibrobronchoscopy.
C. Urgent Rigid Bronchoscopic removal of the
foreign body.
D. Thoractomy, Bronchotomy, removal of
foreign body.
E. Antibacterial therapy, Cough expectorants,
Control Chest X-ray.
103
991.A patient complains of a general weakness, fever,
muscle and joint pains and sore throat. The pain is
increasing on swallowing. Throat examination
reveals pink mucous membranes of the pharynx.
The tonsils are congested and swelled. There is
membranous exudate in crypts. This membranes
aren’t spreading out of the tonsils border and can
be removed easily. What is the previous
diagnosis?
A. * Membranous (lacunar) streptococcal
tonsillitis
B. Follicular streptococcal tonsillitis
C. Acute viral pharyngitis
D. Diphtheria
E. Hypertrophic pharyngitis
992.The patient factory worker has been brought in the
department emergency by ambulance. The
admission diagnosis is the penetrating cornea
injury of the right eye. On the slit lamp
examination the low intraocular pressure, corneal
swelling and adhesion of injured corneal margins
in paraoptical zone have been detected. The depth
of anterior chamber is 2,5 mm. What method of
the following investigations must be carried out
first?
A. *Roentgenography of the orbital cavity by f
Komberg – Baltin
B. Roentgenography of the orbital cavity in two
projections
C. boneless roentgenography by A.Vogt
D. eye electroplatismagraphy
E. eye ultrasonography
993.The patient complains of eyelids redness and
swelling, troublesome itching of the eyelids
margin and eyelashes loss. He is being consulted
by an ophthalmologist in the local public health
center. The doctor prescribes various eye drops
preparations with relapsed effect. What kind of
investigation should be carried out?
A. *investigation for demodicidosis
B. conjunctival sac bacteriological smear
C. checking up the refraction
D. consulting by an allergologist
E. testing blood glucose
994.Diarrhea is not typical but still often symptom of
acute appendicitis in children. In what case
diarrhea is exact sign of appendix inflammation:
A. * in case of pelvic appendices location
B. in case of peritonitis
C. in infants and early aged children
D. in case of retrocecal appendicitis
E. when acute appendicitis is secondary to acute
enterocolitis
995.The child with the symptoms of acute appendicitis
has been brought to the in-patient department by
ambulance. Examination is impossible because of
 KROK 2 – Question Bank
his negative contact faulted behaviour. What are
you to do?
A. *to examine the child under general anesthesia
B. to examine the child in spite of his temper
C. to have laparoscopy taken
D. to wait for child`s physiological sleeping
E. to admit the child to a hospital for
observation by children’s doctor and the
surgeon
996.On the second day after birth the newborn has
multiple duodenal content vomiting. Meconium
didn’t pass away. The abdomen is soft and
distended in the upper region but retracted in the
lower one. The correct diagnosis is:
A. * development of congenital ileus;
B. resolution of congenital ileus;
C. pylorostenosis;
D. Ledd’s syndrome;
E. congenital diaphragm hernia.
997.The 5 month old child has become uneasy after
first time carrot puree feeding. There is multiple
vomiting. The general condition is moderate. The
abdomen is not distended and soft. By rectal
examination there has been found that the feces
contain much mucus with bright blood admixture
and looks like red currant jelly. What disease does
the child have?
A. * intussusception
B. intestinal infection;
C. dyspepsia;
D. gastrointestinal hemorrhage (bleeding);
E. acute ileus.
998.The symptoms and signs of acute appendicitis
depends on the anatomical location of appendix.
What kind of location promotes signs of urine
tract irritation and the diarrhea?
A. *descending
B. Medial
C. Retrocaecalis
D. typical
E. left- hand side location
999.The 10 years old child has complaints on fever
[39°C], frequent painful urination [pollakiuria].
Urinalysis: proteinuria [0,066 g/l], leukocytouria
[entirely within eyeshot], bacteriuria [105 colony
forming units/ml]. Which diagnosis is the most
probable?
A. *Acute pyelonephritis.
B. Acute glomerulonephritis
C. Dysmetabolic nephropathy
D. Acute cystitis
E. Urolithiasis
1000.The 8 years old boy has suffered from angina. In 2
weeks he has complaints on migratory joint pain,
joint oedema and restriction of movement, fever.
After examination there was diagnosed acute
rheumatic heart disease, activity of III-rd degree,
104
primary rheumo-carditis, polyarthritis; acute
course, cardio-vascular insufficiency IIA. Which
of medicines should be prescribed?
A. *Prednisone
B. Cefazolin
C. Delagil
D. Diprazinum
E. Erythromycin
1001.The 10 years old boy suffered from angina 2
weeks ago has complaints on joint pain and
impossibility of movement in left knee and right
elbow. There was fever [38,50] and ankle
dysfunction, enlargement of cardiac dullness on 2
cm, tachycardia, weakness of 1st sound, gallop
rhythm, weak systolic murmur near apex. Which
diagnosis corresponds to such symptoms?
A. *Acute rheumatic heart disease
B. Systemic lupus erythematosus
C. Juvenile rheumatoid arthritis
D. Reiter’s disease
E. Reactive arthritis
1002.The child is 1,5 years old. Symptoms: chronic
cough with purulent sputum, dyspnea, retardation
of physical development, large amount of stool.
Sweat chloride 150 mEq/l. The child has been ill
since 2nd month of age. Diagnosis: cystic fibrosis.
Choose the best therapy.
A. *Enzymes + antibiotics
B. Cholepoietic+adaptogenetic medicines
C. Н2-blockaders + hepatoprotectors
D. Vitamins+antibiotics
E. Vitamins + mucolytics
1003.The 10 years old boy has complaints on headache,
weakness, fever [40С], vomiting, expressed
dyspnea, pale skin with flush on right cheek, lag
of right hemithorax respiratory movement,
dullness on percussion over low lobe of right lung,
weakness of vesicular respiration in this zone. The
abdomen is painless and soft under palpation.
Which disease lead to these symptoms and signs?
A. *Pneumonia croupousa
B. Intestinal infection
C. Acute appendicitis
D. Acute cholecystitis
E. Flu
1004.The patient with acute respiratory viral infection
[3rd day of disease] has complaints on pain in
lumbar region, nausea, dysuria, oliguria.
Urinalysis – hematuria [100-200 RBC in eyeshot
spot], specific gravity – 1002. The blood creatinin
level is 0,18 mmol/l, potassium level - 6,4 mmol/l.
Make the diagnosis.
A. *Acute interstitial nephritis
B. Acute renal failure
C. Acute glomerylonephritis
D. Acute cystitis
E. Acute renal colic
 KROK 2 – Question Bank 105
1005.The baby boy was born at term from 1st 1010.5 year old boy fell ill abruptly: fever up to 39,8 C,
pregnancy. The jaundice was revealed at 2nd day recurrent vomiting, severe headache. Convulsions
of life, then it increased. The adynamia, vomiting occur in 3 hours. Physician found out positive
and hepatomegaly were observed. The indirect meningeal sign. Pleocytosis of 2500 cells chiefly
bilirubin level was 275 mcmol/l, the direct polymorphonuclear cells, elevated protein
bilirubin level -5 mcmol/l, Hb - 150 g/l.. Mother’s concentration and normal glucosa concentration
blood group - 0[I], Rh+, child’s blood group- was found in cerebrospinal fluid examination.
A[II], Rh+. Make the diagnosis. What is your diagnosis?
A. * Hemolytic disease of newborn [АВО A. * Purulent meningitis
incompatibility], icteric type B. Serous meningitis
B. Jaundice due to conjugation disorder C. Tuberculous meningitis
C. Hepatitis D. Subarachnoidal hemorrhage
D. Physiological jaundice E. Encephalitis
E. Hemolytic disease of newborn [Rh - 1011.7 –year – old girl has mild form of varicella.
incompatibility] Headache, weakness, vertigo,tremor of her limbs,
1006.The 3 months old infant who is suffering from ataxia, then mental confusion occur on the 5th day
acute segmental pneumonia reveals dyspnea of illness. Meningeal signs are negative.
[respiration rate – 80 per minute], paradoxical Cerebrospinal fluid examination is normal. How
breathing, tachicardia, total cyanosis. Respiration / can you explain these sings?
pulse ratio is 1:2. The heart dullness under normal A. *Encephalitis
size. Such signs characterise: B. Meningitis
A. *Respiratory failure of III degree C. Meningoencephalitis
B. Respiratory failure of I degree D. Myelitis
C. Respiratory failure of I degree E. Neurotoxic syndrome
D. Myocarditis 1012.7 year old girl fell ill abruptly: fever, headache,
E. Congenital heart malformation severe sore throat, vomiting. Minute bright red
1007.3 – year – old child has had fever, cough, coryza, rash appear in her reddened skin in 3 hours. It is
conjunctivitis for 4 days. It took sulfadimethoxine. more intensive in axillae and groin. Mucous
Today it has fever up to 39 C and maculopapular membrane of oropharynx is hyperemic. Greyish
rash appears on its face. The rash is on normal patches is on the tonsills. Submaxillary lymph
background of the skin. What is your diagnosis? nodes are enlarged and painful. What is your
A. * Measles diagnosis?
B. Allergic rash A. * Scarlet fever
C. Rubella B. Measles
D. Scarlet fever C. Rubella
E. Pseudotuberculosis D. Pseudotuberculosis
1008.2 – year – old girl has been ill for 3 days. Today E. Enteroviral infection
she has low – grade fever, severe catarrhal signs, 1013.8 year – old boy fell ill acutely: fever, weakness,
unabudant maculopapular rash on her buttocks headache, abdominal pain, recurrent vomiting,
and enlarged occipital lymph nodes. What is your then diarrhea and tenesmus. Stools occur 12 times
diagnosis? daily, are scanty, contain a lot of mucus, pus,
A. * Rubella streaks of blood. His sigmoid gut is tenderness and
B. Scarlet fever hardened. What is your diagnosis?
C. Measles A. * Dysentery
D. Adenoviral infection B. Samonollosis
E. Pseudotuberculosis C. Cholera
1009.3-year – old boy fell ill abruptly: fever up to 39 C, D. Staphylococcal gastroenteritis
weakness, vomitng. Haemorrhagic rash of various E. Escherichiosis
size appear on his lower limbs in 5 hours. 1014.The 7 months old infant is suffering from acute
Meningococcemia with infective – toxic shock of pneumonia which was complicated by
1 degree was diagnosed. What medications should cardiovascular insufficiency and respiratory
be administered? failure of II degree. The accompanied diagnosis is
A. * Chloramphenicol succinate and prednisone malnutrition of II degree. Choose the best variant
B. Penicillin and prednisone of therapy.
C. Penicillin and immunoglobulin A. *Ampiox+amicacin
D. Chloramphenicol succinate and interferon B. Macropen + Penicillin
E. Ampicillin and immunoglobulin C. Penicillin + Ampiox
 KROK 2 – Question Bank 106
D. Gentamycin + Macropen length 52 cm at birth. Now many times per day the
E. Ampiox + polymixin supplement [up feeding] should be given?
1015.The child has complains of the “night” and A. *2
“hungry” abdominal pains. At fibroscopy in area a B. 3
bulbus ofa duodenum the ulcerrative defect a dia C. 1
of 4 mms is found, the floor is obtected with a D. 0
fibrin, [H.p +]. Administer the optimum schemes E. 4
of treatment: 1021.A 2 months old healthy infant with good appetite,
A. *De-nol – Trichopolum – Claritromicin. is given artificial feeding since 1–st month. When
B. De-nol is it advised to start the corrective feeding [fruit
C. Maalox-ranitidin juice]?
D. Vicalinum-ranitidin A. *4,0 months
E. Trichopolum B. 1,5 months
1016.The child was born from 5th pregnancy and 1st C. 2,0 months
delivery. Mother’s blood group - A[II] Rh-, D. 3,0 months
newborn’s -A[II] Rh+. The level of indirect E. 1,0 months
bilirubin in umbilical blood was 58 mcmol/l, 1022.Infant was born with body mass 3 kg and of length
hemoglobin - 140 g/l, RBC-3,8 T/l. The level of 50 cm. Now he is 3 years old. His brother is 7
indirect bilirubin in 2 hours was 82 mcmol/l. The years, suffers from rheumatic fever. Mother
hemolytic disease of newborn [icteric-anemic requested the doctor for a cardiac check up for the
type, Rh-incompatibility] was diagnosed. Choose 3 years old son. Where is the left relative heart
the therapeutic tactics. border located?
A. *Replacement blood transfusion ( conservative A. *1 cm left from the left medioclavicular line
therapy B. 1 cm right from the left medioclavicular line
B. Conservative therapy C. Along the left medioclavicular line
C. Blood transfusion ( conservative therapy D. 1 cm left from the left parasternal line
D. Symptomatic therapy E. 1 cm right from the left parasternal line
E. Antibiotics 1023.A 7-year-old girl suffers from bronchial asthma.
1017.Mother with infant visited the pediatrician for In spring, usually she has a bronchial attack. What
expertise advice. Her baby was born with body was the conclusion after auscultation of the lungs?
mass 3,2 kg and of length 50 cm. He is 1 year old A. *Both types of rales
now. How many teeth the baby should has? B. Fine budding rales
A. * 8 C. Sebelent dry rales
B. 10 D. Coarse bubling rales
C. 12 E. Crepitation rales
D. 20 1024.Boy, 7 year old, had an attack of asphyxia and
E. 6 distant whistling rale after playing with a dog. In
1018.Mother visited the pediatric for expertise advice. the anamnesis: atopic dermatitis caused by eating
Her son was born with body's mass 3 kgs and eggs, chicken, beef. What group of allergins is the
length 48 cm. He's 1 year old now. What is the reason of the development of bronchial astma
required normal mass? attacks?
A. *10,5 kg A. *Epidermal
B. 9,0 kg B. Dust
C. 11,0 kg C. Pollen
D. 12,0 kg D. Itch mite
E. 15,0 kg E. Chemical
1019.6 months infant was born with body's mass 3 kg 1025.A 14 year old boy has rheumatism. During 2 years
and length 50 cm. He is given natural feeding. he has transfered 3 rheumatic attacks. What course
How many times per day the infant should be fed? of rheumatism does the patient have?
A. *5 A. *Prolonged
B. 7 B. Acute
C. 6 C. Subacute
D. 8 D. Latent
E. 4 E. Persistent-Reccurent
1020.Infant is 6.5 months now and is given natural 1026.The patient with aquired heart failure has diastolic
feeding since birth. Body mass was 3.5 kg, with pressure 0 mm Hg. What heart failure does the
child have?
 KROK 2 – Question Bank
A. *Aortal stenosis
B. Mitral stenosis
C. Aortal insufficiency
D. Mitral insufficiency
E. Rheumatism
1027.Child [12 years old] has the ulcer disease of
stomach. What is the etiology of this disease?
A. Helicobacter pylory
B. *Intestinal bacillus
C. Salmonella
D. Lambliosis
E. Influenza
1028.A nine year old child is in hospital with acute
glomerulonephritis. Clinical and laboratory show
the acute condition. What food is not limited
during the acute period of glomerulonephritis?
A. *Carbohydrates
B. Salt
C. Liquid
D. Proteins
E. Fats
1029.An 18 month child, taken to hospital on the 4-th
day of the disease. The disease began acutely with
temperature 39, weakness, cough, breathlessness.
He is pale has cyanosis, febrile temperature for
more than 3 days. There are crepitative fine
bubbling rales at the auscultation. Percussion
sound is shortened in right under scapula area. X-
ray picture: unhomogenius segment infiltration 8-
10 in the right, the increase of vascular picture,
unstructural rools. Your diagnosis:
A. *Segmentary pneumonia
B. Grippe
C. Bronchitis
D. Bronchiolitis
E. Interstitial pneumonia
1030.9 year old patient. She has fitlike abdominal pains
after fried food. No fever. She has the pain in
point Cera. The liver is not enlarged. Portion B
[duodenal probe] - 5 ml. Your diagnosis:
A. *Biliary tracts dyskinesia, hypotonic type.
B. Hepatocirrhosis
C. Acute colitis
D. Chronic duodenum
E. Ulcer disease
1031.A 4-month-old girl with blond hair and blue eyes
has “mousy” odor of sweat and urine, delayed
psychomotoric development. Mostly typical
laboratory data for this disorder is
A. *Positive urine ferric chloride test
B. High level of oxyproline in urine
C. High level of glycosaminoglycanes in urine
D. High concentration of chlorides in sweat
E. Low level of thyroid gland hormones in blood
1032.A newborn girl has congenital lymphedema of the
hands and feet, short neck with loose skin,
antimongoloid slant of palpebral fissures,
107
epicanthal folds. In epithelial cells of buccal
scrape X-chromatin [Barr body] is absent.
Diagnosis is
A. *Shereshevsky-Turner syndrome
B. Klinefelter syndrome
C. Down syndrome
D. Edwards syndrome
E. Patau syndrome
1033.What signs are not typical for mumps?
A. *Redness of the tissue around the ear
B. Painful chewing
C. Red and edematous Stensen’s duct
D. The earlobe is pushed upward and out ward
E. Swelling of the tissue round the angle of the
mandible
1034.The diphtheria pseudomembrane is commonly:
A. *Whitish or dirty gray, tough and adhered to
the mucous membrane
B. Yellow, friable, localized in the gland crypt
C. White colored, friable, can be removed easily
D. Yellow, localized beneath tonsillar mucous
membrane
E. Black, friable
1035.The typical signs of infectious mononucleosis are:
A. *Acute tonsillitis, lymphadenopathy and
hepatosplenomegaly
B. Acute tonsillitis and swelling of the neck
tissue
C. Acute tonsillitis and strawberry tongue
D. Acute tonsillitis and coryza
E. Acute tonsillitis and conjunctivitis
1036.Measles in children is characterized by:
A. *Maculopapular rash, conjunctivitis, rhinitis,
high fever
B. Vesicular rash and high fever
C. Tonsillitis and conjunctivitis without rash
D. Hemorrhagic spots and meningeal signs
E. Tonsillitis, strawberry tongue and macular rash
1037.What is the typical rash for chickenpox?
A. * Vesicular, polimorphic
B. Hemorrhagic spots
C. Macular spots, localized in the fossae and
underarm
D. Maculopapular, confluent
E. Ulcers of the skin
1038.The typical signs of croup, caused by influenza
virus, are:
A. *Inspiratory dyspnea, barking cough, high
fever
B. Expiratory dyspnea, dry cough, normal
temperature
C. Whooping cough
D. Conjunctivitis and coryza
E. Tachypnea with moist rales
1039.Dysentery is commonly characterised by:
A. *High fever, vomiting, false urge to defecate,
stool in the form of a spit mucus
 KROK 2 – Question Bank
B. Watery, yellow, profuse stool
C. Hepatosplenomegaly and diarrhea
D. “Typhoid status”
E. Pea-soup feces
1040.A 6-year old asthmatic child is brought to the
emergency room because of severe coughing and
wheezing during the prior 24 h. The child had
been taking theophylline without relief. Physical
examination reveals a child who is anxious, has
intercostal and suprasternal retractions, expiratory
wheezing throughout all lung fields, and a
respiratory rate of 60 breaths per minute. Initial
treatment may include the administration of
A. *Subcutaneous epinephrine
B. Parenteral phenobarbital
C. Intravenous fluids in the first 2 h to correct a
water deficiency.
D. N-acetyl cysteine and cromolyn by inhaler
E. Parenteral gentamicyn
1041.A 1-year old infant is admitted for failure to
thrive. During the neonatal period he had an
exploratory laparotomy for intestinal obstruction.
At 3,8, and 11 month of age, he had respiratory
infections diagnosed as bronchitis. Physical
examination reveals a weight of 6,8 kg, thin
extremities with very little subcutaneous tissue,
and a protuberant abdomen. The essentials
diagnostic study in this child is:
A. *Sweat electrolytes
B. Bronchoscopy
C. Tuberculin skin test
D. Serum immunoglobulin level
E. Skin test for milk allergy
1042.Which of the following laboratory findings is
unusual in patients with simple (nutritional)
rickets
A. *Hypercalciuria
B. Hyperphosphaturia
C. Elevated levels of serum alkaline phosphatase
D. Aminoaciduria
E. Hypophosphatemia
1043.Schonlein-Henoch purpura is associated with all
the following common manifestations EXCEPT
A. *Urticarial rash
B. Hepatitis
C. Arthritis
D. Nephritis
E. Abdominal pain
1044.Thermal injury from immersion in hot water can
be prevented by setting water heaters at a
temperature no higher than:
A. *50.0°C
B. 36.0°C
C. 42.5°C
D. 65.0°C
E. 80.0°C
108
1045.A 2 year old boy has been vomiting intermittently
for 3 weeks and has been irritable, listless, and
anorectic. His use of language has regressed to
speaking single words. In your evaluation of this
patient, the LEAST likely,diagnosis to consider is:
A. *Food allergy
B. Lead poisoning
C. Tuberculous meningitis
D. Brain tumor
E. Subdural hematoma
1046.Neonate of 5 days. What vaccination dose of BCG
vaccine [in мg] is necessary for vaccination of this
child?
A. *0.05 мg
B. 0.025 мg
C. 0.075 мg
D. 0.1 мg
E. 0.2 мg
1047.A 39-year-old woman applied to a doctor with the
complaints of monomorphous eruption on the skin
of the trunk and mouth mucosa. Pemphigus
vulgaris has been diagnosed on the base of the
clinical picture. What cytological test verifies the
diagnosis?
A. *Cytodiagnosis after Tzanck
B. Test for LE-cells
C. Detection of Lanhgerhans’ giant cells
D. Detection of Meisner’s corpuscles
E. Detection of eosinophiles in the contents of the
bullae
1048.A 32-year-old man divorced, has an irregular
sexual life. He complains of falling out of hair in
the region of eyelashes, eyebrows, scalp.
Objectively: diffuse alopecia is observed, eyebrow
margin is absent, eyelashes are stair-like [Pinkus’s
sign].What investigation should be carried out first
of all?
A. *Wasserman test, IFT
B. T. pallidum Immobilization Test [TPI]
C. Detection of the nasal mucouse for
Micobacterium Leprae Hansen
D. Consultation of neuropathist
E. CBC
1049.A triad of symptoms [“stearing spot”, “terminal
film”, “blood dew”] have been revealed in a
patient. What disease should you think about?
A. *Psoriasis
B. Lichen ruber planus
C. Vasculitis
D. Seborrhea
E. Ritter’s disease
1050.The blood pressure of 120/80 mmHg is elevated
for children aged.
A. *4 years
B. 7 years
C. 10 years
D. 12 years
 KROK 2 – Question Bank
E. 15 years
1051.Erb-Duchenne palsy is described best as:
A. *Weakness of an arm from a traction injury of
the upper brachial plexus
B. Weakness of a wrist and ipsilateral Horner's
syndrome
C. Pseudoparalysis of an arm caused by syphilitic
D. Osteochondritis
E. Total ipsilateral arm weakness resulting from
a fracture of a clavicle
1052.Neonatal seizures can develop as a result of each
of the following EXCEPT:
A. *Hypermagnesemia
B. Anomalies of the central nervous system
C. Birth trauma
D. Hypocalcemia
E. Hypoxia
1053.A full term newborn infant is having episodes of
cyanosis and apnea, which are worse when he is
attempting to eat, but he seems better when he is
crying. The most important diagnosis to establish
quickly is
A. *Choanal atresia
B. Ventricular septal defect
C. Ondine's curse (primary alveolar
hypoventilation syndrome)
D. Sickle cell anemia
E. Floppy palate syndrome
1054.A 2-week old infant has had no immunizations,
sleeps 18 h a day, weighs 3.5 kg, and takes 60 mL
of standard infant formula four times a day, but no
solid food and no iron or vitamin supplements. Of
most concern is:
A. *Caloric intake
B. Iron levels
C. Immunization status
D. Levels of vitamins A, C, and D
E. Circadian rhythm
1055.A full term infant is born after a normal
pregnancy, delivery, however, is complicated by
marginal placental separation. At 12 hours of age
the child, although appearing to be in good health,
passes a bloody meconium stool. For determining
the cause of the bleeding, which of the following
diagnostic procedures should be performed first?
A. *Barium enema
B. An Apt test
C. Gastric lavage with normal saline
D. An upper gastrointestinal series
E. Platelet count, prothrombin time, and partial
thromboplastin time
1056.An infant weighing 1400 g is born at 32 weeks'
gestation in a delivery room that has an ambient
temperature of24°C. Within a few minutes of
birth, this infant is likely to exhibit all the
following EXCEPT:
A. *Shivering
109
B. Pallor
C. Fall in body temperature
D. Increased respiratory rate
E. Metabolic acidosis
1057.A primiparous woman whose blood type is 0-
positive gives birth at term to an infant who has
A-positive blood and a hematocrit of 55 percent A
serum bilirubin level obtained at 36 h of age is 12
mg/dL. Which of the following laboratory
findings would be LEAST characteristic of ABO
hemolytic disease?
A. *Negative direct Coombs' test
B. An elevated reticulocyte count
C. Fragmented red blood cells in the blood smear
D. Nucleated red blood cells in the blood smear
E. Spherocytes on blood smear
1058.Which of the following is abnormal in a 2-day old
infant?
A. *Hematocrit 38 percent
B. Vaginal bleeding
C. Breast enlargement
D. Bilirubin 3 mg/dL
E. Heart rate 140 beats per minute
1059.At 43 weeks' gestation a long, thin infant is
delivered who is apneic, limp, pale, and covered
with "pea soup" amniotic fluid. The first step in
the resuscitation of this infant at delivery should
be:
A. *Suction of the trachea under direct vision
B. Artificial ventilation with bag and mask
C. Artificial ventilation with endotracheal tube
D. Administration of 100\% oxygen by mask
E. Catheterization of the umbilical vein
1060.In an infant the most important noncardiac
manifestation of digitalis toxicity is
A. *Vomiting
B. Dizziness
C. Fever
D. Visual disturbances
E. Urticaria
1061.A newborn infant has mild cyanosis, diaphoresis,
poor peripheral pulses, hepatomegaly, and
cardiomegaly. Respiratory rate is 60 breaths per
minute, and heart rate is 230 beats per minute. The
child most likely has congestive heart failure
caused by
A. *Paroxysmal atrial tachycardia
B. A ventricular septal defect and transposition of
the great vessels
C. Atrial flutter and partial atrioven-tricular block
D. Hypoplastic left heart syndrome
E. A large atrial septal defect and valvular
pulmonic stenosis
1062.A 4-year old child attends the kindergarten.
Complaints of the bad appetite, fatigue. Objective
examination: skin and mucous membrane are pale,
child is asthenic. In the hemogram: hypochromatic
 KROK 2 – Question Bank
anemia 1st., leucomoide reaction, of the
eosinophile type. What pathology must be
excluded at first?
A. *Worm invasion
B. Lymphoprolipherative process
C. Hypoplastic anemia
D. Duodenal ulcer
E. Atrophic gastritis
1063.Following a chest x-ray that showed a right-sided
tension pneumo_thorax, the patient in the previous
question developed even worse respiratory distress
and is now deeply cyanotic in 80\% oxygen. The
best course would be to
A. *Use needle and syringe to do emergency
decompression
B. Increase oxygen to 90\%
C. Request surgical consultation for placement of
a chest tube
D. Give intravenous bicarbonate
E. Follow blood gases
1064.A 6-year-old boy is brought to the emergency
room with a 3-h history of fever to 39.5°C and a
sore throat. The child looks alert but anxious and
has a mild inspiratory stridor. You should
immediately
A. *Prepare to establish an airway
B. Obtain an arterial blood gas and start an IV
line
C. Order a chest x-ray and lateral view of the
neck
D. Examine the throat and obtain a culture
E. Admit the child and place him in a mist tent
1065.After endotracheal intubation, it is appropriate to
check the position of the tube by each of the
following procedures EXCEPT
A. *Instillation of saline while listening for
bubbling sounds
B. Use of a magnet
C. Fiberoptic endoscopy
D. Auscultation for symmetric breath sounds
E. Chest X-ray
1066.A 7-day-old boy is admitted to the hospital for
evaluation of vomiting and dehydration. Physical
examination is otherwise normal except for
minimal hyperpigmentation of the nipples. Serum
sodium and potassium concen_trations are 120
meq/L and 9 meq/1 respectively. The most likely
diagnosis is
A. *Congenital adrenal hyperplasia
B. Pyloric stenosis
C. Secondary hypothyroidism
D. Panhypopituitarism
E. Hyperaldosteronism
1067.A 7-year-old boy has crampy aboominal pain and
a rash on the back of his legs and buttocks as well
as on the extensor surfaces of his forearms.
110
Laboratory analysis reveals proteinuria and
microhematuria.He is most likely to be affected by
A. *Anaphylactoid purpura
B. Systemic lupus erythematosus
C. Poststreptococcal glomerulo_nephritis
D. Polyarteritis nodosa
E. Dermatomyositis
1068.Characteristics of hypenatremic dehydration with
Na+ in serum 170 meq/L and 10 percent loss of
body weight include all the following EXCEPT
A. *Low blood pressure
B. Convulsions
C. Thirst
D. Lethargy
E. Hyperirritability
1069.On the third day of disease a 10 years old child
with acute respiratory infection developed
productive cough. The percussion is without
pathologic features. The auscultation reveals
bilateral rales over the lung surface. What
diagnosis should be made?
A. *acute bronchitis
B. relapsing bronchitis
C. obstructive bronchitis
D. Asthma
E. Pneumonia
1070.An infant aged 1 year on the third day of common
cold at night developed inspiratory stridor, hoarse
voice and barking cough. Physical examination
revealed suprasternal and intercostal chest
retractions. There is a bluish skin discoloration
moistly seen over the upper lip. The respiratory
rate is 52 per min and pulse rate 122 per min. The
body temperature is 37,50C. What disease does
the infant have?
A. *Acute infectious croup due to viral
laryngotracheitis grade II of airway
obstruction, incomplete compensation state
B. Acute laryngitis
C. Bronchopneumonia without complications
D. Acute bronchiolitis with respiratory distress
E. Acute epiglottitis
1071.One week old male infant had one episode of
vomiting yesterday and 2 episodes of spitting up
with poor feeding today. There is no history of
fever, diarrhea or coughing. His urine output is
decreased. He was born at term weight 3.2 kg.
Weight now is 3.0 kg. Laboratory data: Na 128
mmol/l, K 6.9mmol/l. What is the most probable
diagnosis?
A. *Salt wasting form of adrenal insufficiency
B. Birth trauma of central nervous system
C. Gastroenterocolitis
D. Pylorospasm
E. Pylorostenosis
1072.A 42-week-gestational-age, 3800-g, breast-fed,
female is noted to have persistent
 KROK 2 – Question Bank
hyperbilirubinemia at 2 weeks of age. The infant
has not gained weight since birth, has hoarse cry,
dry skin, hypotonia, an umbilical hernia,
constipation, and an anterior fontanel measuring 4
- 6 cm. What is the most likely diagnosis?
A. *hypothyroidism
B. hereditary spherocytosis
C. neonatal hepatitis
D. biliary atresia
E. galactosemia
1073.The infant is born with perinatal asphixia. At birth
he is apneic with a heart rate 70 per minute, so
bag-and- mask positive presurre ventilation with
100\% O2 was immediately instituted. After 30
sec of ventilation the heart rate is not increased.
What is the most appropriate next step?
A. *chest compression
B. tactile stimulation
C. to continue ventilation
D. intravenous sodium bicarbonate
E. intravenous epinephrine
1074.The boy is 10 years old. Two weeks ago he
suffered from acute tonsillitis. Now he complains
on common weakness, oedema of eyelids, ankle
joints, headache, nausea. Skin is pale, appetite is
reduced, daily diuresis is 600 ml. In urinalysis:
protein – 0,066 g/l, WBC – 4-6, RBC – 40-45.
The most probable diagnosis is?
A. *Glomerulonephritis with nephritic syndrome
B. Interstitial nephritis
C. Pyelonephritis
D. Glomerulonephritis with nephrotic syndrome
E. Polycystic kidney disease
1075.A 1 year old boy does not walk, does not speak,
not active. He holds head since 9 months. Physical
examination shows pallor, oedema, saddle nose,
large tongue. Skin is dry, voice is gruff. Pulse rate
- 100 per 1 min. The teeth are absent. What
diagnosis is the most probable?
A. *Hypothyroidism
B. Hirschsprung’s disease
C. Rickets
D. Down’s syndrome
E. Hydrocephalus
1076.4300-g infant was born at term gestation to a
poorly controlled insulin-dependent diabetic
mother. Initially, the infant did well, but at 2 hours
of age he was noted to be lethargic and then
develop tonic-clonic seizures. Blood glucose is 1.6
mmol/l. What is the most likely reason of
seizures?
A. *hypoglycemia
B. hypocalcemia
C. hypomagnesemia
D. hyponatremia
E. pyridoxine deficiency
111
1077.Phenylketonuria was diagnosed in newborn male
during screening investigation. How long dietary
restriction of phenylalanine must continue?
A. *8 – 10 years
B. 1 year
C. 2 years
D. 5 years
E. 6 months
1078.A 9 year old female is referred to the hematology
department with a chief complaint of acute onset
of easy bruising and "rash" for 3 days. She had
upper respiratory infection symptoms
approximately 2 weeks ago. A diffuse petechial
rash is noted on her neck, trunk, extremities and
groin. CBC shows Hgb 128 g|l, Hct 38.5, WBC
6,000x. Platelet count is low at 5,000. What is the
most probable diagnosis?
A. *Idiopathic thrombocytopenic purpura
B. Bone Marrow Failure
C. Hemophilia A
D. Hemolytic uremic syndrome
E. Acute lymphoblastic leycosis
1079.Boy is 2 months old. He was born in September.
Не is on breast feeding. What should a daily doze
of ergocalciferol be for prophylaxis of rickets?
A. *400-500 IU
B. 200-300 IU
C. 300-400 IU
D. 500-600 IU
E. 100-200 IU
1080.A 10 year old boy has the history Diabetes
Mellitus type I during 6 years. He has headache,
nausea, sweet smell of his breath and he is
breathing faster than usual. His lab studies show
Na 132 mmol/l, K3.3 mmol/l, glucose 28 mmol/l.
What treatment will you prescribe?
A. *IV fluids and short active insulin (0.1 u/kg)
B. IV fluids
C. Short active insulin (0.1 u/kg)
D. Combination of short active insulin and
intermediate active insulin
E. Intermediate active insulin
1081.A 2 – hour – old, 32 – week – gestational – age
infant develops progressive cyanosis, grunting,
nasal flaring, and chest retractions. Silverman
scores were 4. The chest radiograph reveals a
ground glass–air bronchogram pattern. The infant
now requires oxygen therapy with continuous
positive airway pressure to maintain adequate
oxygenation. What is the most likely diagnosis?
A. *respiratory distress syndrome
B. intranatal asphyxia
C. congenital pneumonia
D. pneumothorax
E. congenital heart disease.
1082.A 7 year old male presents to physician with the
chief complaint of dark "cola colored" urine, facial
 KROK 2 – Question Bank
puffiness and abdominal pain for the past 2 days.
14 days ago he had a sore throat and fever. He has
had abdominal pain. His urine is dark. Urine
analysis shows an increased specific gravity,
RBCs are too numerous to count. What is the
most probable diagnosis?
A. Glomerulonephritis. Nephritic Syndrome
B. Glomerulonephritis. Nephrotic Syndrome
C. Acute heart failure
D. Acute infection of urinary tract
E. Hemolytic uremic syndrome
1083.A 4 year old female has been limping with
swelling of her right knee for several months.
Physical examination demonstrates swelling of her
right knee, flexion contracture of 10 degrees and
flexion to 120 degrees. Lab. data: WBC 8 g/l, with
45\% neutr., 47 lymphs\%, 8\% mon. Hgb 120 g/l.
ESR 20mm/h. Rheum. factor neg., ANA 1:640
speckled. What is the most probable diagnosis?
A. *Juvenile Rheumatoid Arthritis
B. Rheumatism
C. Lupus
D. Osteomyelitis
E. Infection Arthritis
1084.The laboratory data of patient's hemoglobin as 70
g/l, and the reticulocyte count as 1\%. The
published normal value for the reticulocyte count
is 0.7\% to 2.0\%, so the reticulocyte count is
within the laboratory's normal range. How would
you interpret this reticulocyte count?
A. *This reticulocyte count value is normal for a
patient with a normal hemoglobin, but for a
severely anemic patient, the reticulocyte count
should be high.
B. This reticulocyte count is normal, so the
patient's bone marrow is making RBCs
adequately.
C. This reticulocyte count is low.
D. This reticulocyte count is too high.
E. This reticulocyte count is depend from
hemoglobin level
1085.Mother of a previously healthy 4 year old male
complains of cough and wheeze. Boy had playing
with a small toy. During examination the right
side of a chest show hyperresonance, diminished
vocal resonance and poor air entry. What is the
most probable diagnosis?
A. *Foreign body aspiration
B. Asthma
C. Pneumonia
D. Bronchitis
E. Bronchiolitis
1086.A previously healthy 14 year old female
complains of a fast heart rate, weight loss, and
fatigue over the past 2 months. Her family history
is significant for a grandmother and aunt with
Hashimoto thyroiditis. During examination she
112
has mild tachycardia without murmurs or gallop
and mild tremor. Hyperthyroidism (Graves
disease) was diagnosed. What treatment will you
prescribe?
A. *Propylthiouracil
B. Surgical treatment
C. L-thyroxine
D. Prednizolone
E. Iodinated salt
1087.1 month old female presents to the intensive care
unit with severe cyanosis, congestive heart failure,
normal first sound, single second sound and an
insignificant one to two ejection systolic murmur.
The electrocardiogram shows right axis deviation
and right ventricular hyperthrophy. The thoracic
roentgenogram shows cardiomegaly with narrow
base and plethoric lung fields. What is the most
probable diagnosis?
A. *Congenital heart disease, right to left shunt
B. Congenital heart disease, left to right shunt
C. Pneumonia
D. Congenital lung malformation
E. Bronchiolitis
1088.16 month old female presents with an acute onset
of her hands and feet "drawing up. Both her hands
are flexed at the wrists with hyperextended fingers
at the proximal and distal interphalangeal joints
and flexion at the metacarpophalangeal joints.
Neurologic exam reveals symmetric hyperreflexia,
decreased muscle strength and tone. Lab.data: Ca
0,9 mmol/l, P 0.4 mmol/l. What is the most
probable diagnosis?
A. *Vitamin D deficiency, spasmophylia
B. Epilepsy
C. Acute infection of central nervous system
D. DiGeorge syndrome
E. Glycogenosis
1089.A 7 month old male delayed in psycho-motor
development from 6 month. He developed
pursuant to age up to 3 mo. His hair is lighter than
in parents, eyes are blue. There are periodically
cramps. It is marked the specific "mouth-like"
odor of urine. The diagnosis of phenilketonuria is
made. What is necessary to exclude from child
diet?
A. *Phenilalanin
B. Metionin
C. Galactose
D. Glucose Maltose
1090.A 8 year old boy has symptoms of polyuria,
nocturia during 2 months. He began to lose weight
over this same period. He has a noticeably sweet
smell to his breath. His skin is warm to his wrists
and ankles. A urine shows 4+ glucose and 2+
ketones. His initial lab studies show Na 132
mmol/, K3.3 mmol/l, glucose 23 mmol/l. A urine
 KROK 2 – Question Bank 113
analysis shows 4+ glucose and 2+ ketones. What E. 3 years
is the most probable diagnosis? 1097.Child is 3 months old. At investigation in a
A. *Diabetes Mellitus, Type I, diabetic polyclinic rickets was diagnosed. The basic
ketoacidosis process characteristic for rickets is infringement of
B. Acute infection of urinary tract a metabolism.
C. Diabetes Mellitus, Type II A. * Calcium and phosphorus
D. Enuresis B. Calcium and potassium
E. Chronic lymphocytic thyreoiditis C. Calcium and magnesium
1091.The child is 6 years old. He suffers from nervous – D. Calcium and sodium
arthritic diathesis. What period is critical for E. Calcium and zinc
development of this diathesis? 1098.The child is three months old. He suffers from
A. * School rickets. What acid does the important role play in
B. Preschool an exchange of phosphorus and calcium,
C. Infancy influences on action of calciferol, function of
D. Neonatal parathyroid glands?
E. Perinatal A. * Citric
1092.Child is 2 months old. He is premature infant. B. Acetic
What should a daily doze of ergocalciferol be for C. Hydrochloric
prophylaxis of rickets? D. Phosphoric
A. *1000-1200 IU E. Sulfuric
B. 800-1000 IU 1099.The child is 7 months old. He suffers from
C. 1200-1500 IU spasmophilia. What infringement of a kind of an
D. 400-500 IU exchange is a pathogenic part at spasmophilia?
E. 1300-1500 IU A. *Phosphoric-calcic
1093.Girl is 4 months old. She was born in October. B. Phosphoric-potassic
She is on breast feeding. To what age should C. Phosphoric-sodium
prophylaxis of rickets carry out? D. Phosphoric-magnesion
A. *1,5 years E. Phosphoric-zinc
B. 2 years 1100.A 6-year-old boy with asthma has had mild
C. 2,5 years wheezing only four times since you began treating
D. 1 year him 3 months ago with Cromolyn inhalation twice
E. 6 months each day. For the past 2 days, he has again had
1094.Boy is 4 months old. Не is on breast feeding. mild coughing and wheezing. What should you
Determine a remedy for primary prophylaxis of recommend to treat acute attack of asthma?
spasmophilia. A. *inhalation Salbutamol
A. * Ergocalciferol B. inhalation corticosteroids
B. Calcium gluconate C. Loratadine
C. Calcium chloride D. Aspirin
D. Natrium chloride E. Theophylline
E. Calcium pantothenate 1101.The child is 6 months old. He suffers from
1095.Boy is 3 months old. He has signs of local lymphatic-hypoplastic diathesis. What is the main
manifestation of exudative catarrhal diathesis. pathogenic marker at this diathesis?
From what age should preventive inoculations do A. *Lymphocytosis
to this child? B. Lymphopenia
A. *From 3 months C. Neutrophylosis
B. From 6 months D. Neutropenia
C. From 8 months E. Monocytosis
D. From 10 months 1102.Full term newborn has developed jaundice at 10
E. From 12 months hours of age. Hemolytic disease of newborn due to
1096.Girl is 4 years old. She suffers from recurring Rh-incompatibility was diagnosed. 2 hours later
bronchitis. Through what time should prophylactic the infant has indirect serum bilirubin level
medical supervision of this child at absence of increasing 14 mmol/L. What is most appropriate
recurrences stop? for treatment hyperbilirubinemia in this infant?
A. *2 years A. *exchange blood transfusion
B. 1 year B. phototherapy
C. 2,5 years C. phenobarbital
D. 1,5 years D. intestinal sorbents
 KROK 2 – Question Bank
E. infusion therapy
1103.7 -year-old boy with chronic cinusitis and
reccurent pulmonary infections has chest x-ray
demonstrating a right-sided cardiac silhouette.
What is the most likely diagnosis?
A. *Kartagener syndrome
B. cystic fibrosis
C. bronhiolitis obliterans
D. laryngotracheomalacia
E. α-antitrypsin deficiency
1104.Parents of 3-year-old girl complain of rectal
prolapse and failure to gain weight in spite of a
good appetite. Patient has a history of recurrent
prolonged respiratory infections and frequent,
bulky, greasy stools. Sweet chloride is 126
mmol/l. What is the diagnosis?
A. *cystic fibrosis
B. α-antitrypsin deficiency
C. Kartagener syndrome
D. celiac disease
E. Hirschprung’s disease
1105.2-year-old previously healthy boy had eaten
peanuts and suddenly presents with an acute onset
of cough, choking, and respiratory distress.
Physical examination reveals a RR of 45 and
wheezing, body temperature is normal. There is no
history of asthma or allergic reactions, and no one
at home is ill. What is the most likely diagnosis?
A. *foreign body aspiration
B. acute bronchiolitis
C. attack of asthma
D. acute laryngitis
E. angioedema
1106.A 6-year-old girl has had a dry cough without
sputum for 2 months. The cough is getting worse
after exercises and at night. Family history
revealed that the parents have eczema. On
physical examination, you hear a wheeze in both
lung fields. She has none of the signs of chronic
lung disease. What is the most likely diagnosis?
A. *bronchial asthma
B. pertussis
C. foreign body aspiration
D. bronchiectasis
E. interstitial pneumonia
1107.You are called to the delivery of a boy at 42
weeks' gestational age with thick meconium
stained fluid. The obstetrician rapidly delivers the
infant and hands him to you for care. The boy is
hypotonic, cyanotic, apneic, and bradycardic.
What is the most appropriate next step?
A. *intubate the trachea and apply aspiration
B. stimulate the infant to breathe
C. administer epinephrine
D. provide bag-and-mask ventilation
E. intubate the trachea and provide positive
pressure ventilation
114
1108.Baby was born by vaginal delivery following a
term gestation. Apgar score was 5 and 7. Physical
examination reveals scaphoid abdomen, slow
respiration and reduced chest movement. Breezing
sounds are absent in a lower part of left lung.
Chest radiograph reveal shift of mediastinum to
right side, intestinal shadow on left side. What is
the most likely diagnosis?
A. *diaphragmatic hernia
B. respiratory distress syndrome
C. congenital bronhiectasis
D. congenital pneumonia
E. cystic fibrosis
1109.A 2.9-kg term male infant is born to a mother who
developed polyhydramnios at 34 weeks' gestation.
At birth, the Apgar scores were 9 and 9. The infant
develops choking and cyanosis with the first feed.
In addition, is unable to place a nasogastric tube.
What is the most likely diagnosis?
A. *esophageal atresia
B. choanal atresia
C. laryngomalacia
D. tracheal atresia
E. respiratory distress syndrome
1110.A 3 month child has vomiting, poor feeding, fever
up to 38°C for the 2 days. His stool is frequent,
with slime. Infant has lost 250 g of weight. He is
pale, mucous are dry, fontanel is “fallen”, turgor is
reduced, the abdomen is moderately inflated. The
diagnosis of enterocolitis was made, dehydratation
of 2nd degree. What solution is necessary to
prescribe for rehydratation?
A. *Rehydron
B. 5 \% glucose solution
C. Boiled water
D. Tea
E. Broth of a camomile (medical)
1111.The child is 11 months old. He suffers from
nervous – arthritic diathesis. The increased
synthesis of what acid is pathogenically at
nervous- arthritic diathesis?
A. * Uric acid
B. Acetic acid
C. Phosphoric acid
D. Hydrochloric acid
E. Sulfuric acid
1112.What anatomic - physiologic feature of lungs
structure in the first years of life infants causes
exactly segmental pneumonias?
A. *Segments removing with soft connective
tissue
B. Left bronchus deviation at right angles
C. Wide right bronchus which is trachea’s
extension
D. Elastic tissue hypoplasia
E. Reduced aeration and secretion evacuation
 KROK 2 – Question Bank
1113.The child of 7 months old who is suffering from
tetralogy of Fallot has admitted to hospital with
attack of dyspnoea and cyanosis. The respiration
rate is 55 per minute, the heart rate – 120 per
minute. What is the treatment of this condition?
A. *IV promedol, anaprilin; oxygen supply
B. IV strophantin, glucose
C. IV euphyllin, prednisone
D. IV prednisone, furosemide
E. IV furosemide, albumine
1114.A 2.5 month girl has frequent vomiting
irrespective of eat period, growing thin, weakness
during last 1,5 months. She was born with
bodyweight 3400. Present weight - 2900. Girl is
pale, has penis-like clitoris, subcutaneous fat is
absent. The laboratory studies show K - 9.4
mmol/l, sodium - 86 mmol/l. What is the most
probable diagnosis?
A. *Adrenogenital syndrome (virilised and salt-
wasting form)
B. Pylorostenosis
C. Pylorospasmus
D. Enterocolitis
E. Partial intestinal ileus
1115.The girl is 3 years old. She has admitted to
hospital with the parents’ complaint on poorly
walking. The excessive development of shoulder
muscles is noticed, the lower extremities are poor
developed, muscle hypotonia. The borders of
relative heart dullness are extended to the left on 2
cm. There is systolic murmur in 2nd intercostal
interspace on the right side of the sternum. Blood
pressure on arms – 100/70, on legs – 40/20. Which
diagnosis could be suspected?
A. *Coarctation of aorta
B. Ventricle septal defect
C. Atrium septal defect
D. Tetralogy of Fallot
E. myocarditis
1116.A mother consults her 3 years old daughter by
pediatrician. The child complains of hoarse voice,
barking cough, laboured breathing with difficult
inspiration. The infectious croup due to acute
laryngitis is diagnosed. What anatomical feature
predisposes a child to laryngeal stridor?
A. *Narrow vocal slit
B. Wide laryngeal lumen
C. Watering-pot form of the larynx
D. Poor vascularization of the mucous membrane
E. Diaphragmatic type of respiration
1117.The positive urine glucose test due to so-called
physiological glucosuria was revealed in a healthy
1 month old infant on routine examination. What
feature of urinary system in infant predisposes to
this phenomenon?
A. * Immaturity of glucose reabsorbtion in
kidney
115
B. Big daily urine output
C. Transitory low urine specific gravity
D. Small volume capacity of bladder
E. Rather low position of the kidney
1118.A 10 years old child is ill with spastic cerebral
palsy. Supported on trying to walk the child has
his legs flexed in hip and knee joints and
spastically scissored. The upper extremities
movements aren’t disturbed. What type of
spasticity distribution is there?
A. *Lower paraplegic
B. Tetraplegic
C. Hemiplegic
D. Athetosis
E. Monoplegic
1119.A newborn aged 3 days with hyperbilirubinemia
(428 mkmol/l) developed followed disorders.
From beginning there were severe jaundice with
poor suckling, hypotomia and hypodynamia. Little
bit later periodical excitation, neonatal
convulsions and neonatal primitive reflexes loss
are noted. Now physical examination reveals
convergent squint, rotatory nystagmus and setting
sun eye sign. How to explain this condition?
A. * Encephalopathy due to hyperbilirubinemia
B. Skull injury
C. Brain tumour
D. Hydrocephalus
E. Spastic cerebral palsy
1120.A 1.5 month male infant has frequent vomiting,
weight loss during last 3 weeks. X-ray
examination shows the extension of stomach, high
level of fluid, the delay of contrast substance in a
stomach for a long time (8 hours), which does not
disappear after atropin injection. What is the most
probable diagnosis?
A. *Pylorostenosis
B. Atresia of esophagus
C. Cystic fibrosis
D. Sepsis
E. Hirshprung’s disease
1121.A girl aged 8 month has a large head with the
circumference up to 48 cm corresponded a value
over 95 percentile and big non bulged non pulsed
fontanel. The preliminary diagnosis is
hydrocephalus. What cerebral spinal fluid findings
do you wait for in this case?
A. * Cells 2-3 in 1 mkl, protein 0,2-0,4 g/l
B. Cells 200-300 in 1 mkl, protein 1,0-2,0 g/l
C. Lymphocytes cells 500-600 in 1 mkl, protein
2,5-4,0 g/l
D. PMNL (polymorphonuclear leukocytes) cells
50-100 in 1 mkl, protein 4,5-6,0 g/l
E. PMNL cells 100-200 in 1 mkl, protein 5,0-6,0
g/l
1122.The child is 3 months old. He has admitted to
hospital to diagnose the reason for cardiac
 KROK 2 – Question Bank
murmur. Complaints of parents: low weight gain,
attacks of dyspnoea and cyanosis which amplify at
a physical load. Systolic murmur in 3rd intercostal
interspace on the left side, systolic murmur under
2nd intercostals interspace on the right side of the
sternum, hypertrophia of right ventricle. What
diagnosis should be suspected?
A. *Tetralogy of Fallot
B. infectious endocarditis
C. ventricular septal defect
D. hypertrophyc cardiomyopathy
E. atrial septal defect
1123.The child aged 12 yr complains of slight fever up
to 38.0(C, knee joints pain, a day before ankle
pain, tenderness in active and passive movements,
common weakness and cardiac pain. It is known
he was ill with acute tonsillitis two weeks ago.
Physical examination reveals left heart border
external shift, non frequent cardiac premature
bites. What disease should be suspected?
A. * Rheumatic fever
B. Now-rheumatic carditis
C. Rheumatoid arthritis.
D. Systemic lupus erythematosus
E. Reactive arthritis
1124.A 7 years old boy is admitted to the hospital with
complains of thirst and polyuria. He is ill with
diabetes mellitus within 5 years. In the clinical
history there are 3 times happened diabetic comas.
Blood glucose is 15.54 mmol/l and in urine 5\%.
The retinal angiopathy signs has been revealed by
an ophtalmologist. What dose of insulin will be
administered to this child more likely?
A. *1,5 units/kg.
B. 0,25 unit/kg
C. 0,5 unit/kg
D. 1,0 unit/kg
E. 2,0 units/kg
1125.A 12 years old girl suffers with diabetes mellitus
since 2 years of age. Clinical examination reveals
the considerably enlarged abdomen. The slightly
tender liver is palpated 6cm lower of the costal
margin. The child has also Cushing type of
obesity, short stature, and pubertal delay. Blood
glucose is 17 mmol/l, glucosa in urine 4 \%. There
are an increased levels of blood cholesterol and
ketoacidemia. What is the suggested diagnosis?
A. *diabetes mellitus I type, Mauriac’s syndrome
B. Diabetes mellitus I type, Nobecurs syndrome.
C. Diabetes mellitus I type, ketoacidotic coma.
D. Cushing’s disease.
E. Cushing’s syndrome.
1126.The girl aged 14 years old complains of sleep
disturbances, body weight loss, palpitations,
cardialgias, fatigue. 2nd degree thyroid gland
hyperplasia and exophthalmus were noted by
116
physical examination. What hormone level are the
most characteristic for this disease?
A. * Free thyroxine and total serum
triiodothyronine excess.
B. Free thyroxine deficiency
C. Serum thyroid-stimulating hormone excess
D. Radioactive iodine uptake excess test
E. serum triiodothyronine deficiency
1127.1 years old infant developed the signs of folic acid
deficiency anemia. What features of CBC are
characteristic for this pathology?
A. * hyperchromic and macrocytic RBC (red
bood cells), reticulocytopenia,
thrombocytopenia, leukopenia
B. hyperchromic and microcytic RBC (red bood
cells), reticulocytopenia, thrombocytopenia,
leukopenia
C. hyporchromic and microcytic RBC (red bood
cells), anisocytosis, reticulocytosis,
thrombocytosis;
D. normochromic and normocytic RBC (red bood
cells), thrombocytosis, leukocytosis;
E. All answers are true.
1128.1,5 years old infant has revealed iron deficiency.
What is the duration of treatment with oral iron
preparations?
A. *2-3 months
B. 2 weeks
C. 21 days
D. 3-4 weeks
E. 6 months
1129.What is the most important suggestive clinical
feature of CBC (complete blood count) and bone
marrow examination which make it possible to
suspect myelodysplastic syndrome in children?
A. *The high blood leukocyte count accompanied
by low platelet and RBC (red blood cells)
counts associated with disorders of maturation
bone marrow-derived cells
B. High platelet and RBC (red blood cells)
counts associated with bone marrow
hyperfunction
C. High WBC count in peripheral blood normal
or depressed bone marrow function
D. Low RBC, WBC and platelet counts
associated wiht disorders of maturation bone
marrow-derived cells
E. Low RBC, WBC and platelet counts
associated wiht bone marrow hyperfunction
1130.8 years old girl had had a rheumatic fever
manifested with chorea and carditis 6 months ago.
She was treated in-patient department within 1,5
months. Now she is under long term observation
by the rheumocardiologist in children out-patient
department. The prevention therapy of rheumatic
fever relapse foresees:
 KROK 2 – Question Bank
A. *The administration of bicillin-5 every month
during 5 years
B. The administration of bicillin-5 every month
during a year
C. The administration of bicillin-5 every month
during 3 years
D. The administration of bicillin-3 every month
during a year
E. The administration of bicillin-3 every month
during 3 years
1131.2 years old child has simple dyspepsia with nausea
and vomiting. There are no signs of dehydration.
The prevention of pathological fluid losses
consists in the following administration:
A. * Oral rehydration solution (ORS)
B. Intravenous infusion 5\% glucose in water
solution
C. Starvation during 12 hours
D. Antibacterial therapy
E. Gastric lavage
1132.The child aged 12 yr complains of cramping pain
in the right hypochondrium which is easily
controlled with antyspasmotic preparations.
During attacks nausea and less often vomiting
occur. Palpation of the abdomen reveals
tenderness in the gallbladder projection point. The
liver is not enlarged. What additional method of
clinical investigation is the most informative in
this case?
A. *Ultrasound examination
B. Esophagogastroduedenoendoscopy
C. CBC (complete blood count)
D. X-Ray upper Gastrointestinal (GI) series
E. Coprologic examination
1133.10-year old girl was admitted to the department
with symptoms of carditis. Well known that the
exacerbation of chronic tonsillitis was occurred 2
weeks ago. What etiological trigger of carditis is
the most possible in this case?
A. *streptococcus
B. staphylococcus
C. pneumococcus
D. klebsiele
E. proteus
1134.A 11 month female has poor appetite, stool with
plenty of faeces, periodically vomiting after
introduction of solid food during last months.
Temperature is normal. Bodyweight is 7 kg. On
physical exam there are pale, oedema on legs,
enlargement of abdomen. Coprogram shows a lot
of greasy acids. The diagnosis of celiac disease
was made, the aglutenic diet was prescribed. What
is necessary to exclude from child diet?
A. *Cereals
B. Milk products
C. Meat
D. Egg
117
E. Easy absorbed carbohydrates
1135.A 1 month male infant has symptoms of
excitation. His head circumference is - 37 cm, the
size of large fontanel is 2x2 cm. The child
regurgitates after feeding by small portions of
milk (changed and unchanged); stool is normal.
Muscle tonus is normal. What is the most probable
diagnosis?
A. *Pylorospasmus
B. Meningitis
C. Pylorostenosis
D. Microcephaly
E. Craniostenosis
1136.A 1 month female infant vomits frequently “by
fountain” irrespective of eat period and has
periodically liquid stool. She is dehydrated,
exhausted. There is clitoris hypertrophy. What
diagnosis is the most probable?
A. Adrenogenital syndrome, salt-wasting form
B. Pylorostenosis
C. Upper intestinal ileus
D. True hermaphroditism
E. Acute intestinal infection
1137.A 2 year boy has subfebrile temperature, dry,
persistent, prolonged, attacked cough, frequent
breathing with hindered exhalation. The breathing
under auscultation is harsh, there are diffuse dry
sibilant rales. X-ray lung examination shows
increased transparency. There is leukopenia in
blood. What diagnosis is the most probable?
A. *Obstructive bronchitis
B. Pertussis
C. Pneumonia
D. Rhinitis
E. Bronchiolitis
1138.A 1,5 year old boy has non-productive cough with
purulent sputum, dyspnea, retardation in physical
development, polyfecalia, increasing of sweat
chloride up to 150 mEq/l. The cystic fibrosis was
diagnosed. What treatment will you prescribe?
A. *Enzymes + antibiotics
B. Choleretics + adaptogens
C. Н2-histaminic blockaders + hepatoprotectors
D. Vitamins + antibiotics
E. Vitamins + mucolytics
1139.A 2 year old girl has symptoms of cystic fibrosis:
relapsed pneumonia, secretion of a plenty purulent
green sputum, dyspnea, polifecalia, retardation in
physical development, increasing of sweat
chloride up to 120 mEq/l. What is the most
suitable method of diagnosis?
A. *Direct detection of a gene by polymerase
chain reaction
B. Complete blood count
C. Karyotype
D. Determination of sex chromatin
E. Family tree
 KROK 2 – Question Bank
1140.A 1,5 year old boy with poor activity does not
walking, does not talking. Physical examination
demonstrates pale and dry skin, оedema, large
tongue, saddle nose, gruff voice. His hairs are
thick and rough. Large fontanel - 3,0x 3,0 cm,
teeth are absent. What diagnosis is the most
probable?
A. *Hypothyroidism
B. Down’s syndrome
C. Rickets
D. Growth hormone deficiency
E. Diabetes mellitus
1141.Boy is 3 years old. Complaints: dyspnoe, fast
tiredness, frequent episodes of respiratory diseases
in history. Borders of relative heart dullness are
extended to the left, strengthening of the 2nd heart
sound in the 2nd intercostal interspace on the left
side, hard systolo-dyastolic murmur in the second
intercostal interspace on the left side and above
the clavicle (“machine noise”), which is conducted
on interscapular interspace. What is the most
probable diagnosis?
A. Open arterial duct
B. aortal stenosis
C. atrial septal defect
D. ventricle septal defect
E. Isolated stenosis of arteria pulmonalis
1142.The infant aged 3 days become jaundice. The
course of pregnancy and delivery is without any
complications. The child was born with 3300 g of
body weight and 8 Apgar score. The general
condition of newborn is good. The infant blood
group is O (I) Rh(-)ve, the mother’s blood group
is A (II) Rh (+)ve. What is the most probable
cause of this jaundice?
A. * Physioligic jaundice
B. Infant`s hemolytic caused by Rh –
incompatibility
C. Infant`s hemolytic anemia caused by ABO –
incompatibility
D. Obstructive jaundice
E. Jaundice due to septicemia
1143.The girl of 11 years old. She is ill for 1 month.
She has "butterfly"-type rash on face (spots and
papules), pain and swelling of small joints on arms
and legs, signs of stomatitis (small-sized ulcers in
mouth). CBC - Нb – 80 g/l, RBC – 2,9 T/l, WBC
– 15 G/l, ESR - 40 mm/hour. Urinalysis - protein
– 0,33 g/l. What is the most probable diagnosis?
A. *systemic lupus erythematodes
B. juvenile rheumatoid arthritis, systemic type
C. periarteriitis nodosa
D. Acute rheumatic fever
E. dermatomyositis
1144.The infant aged 2 months complaints of
restlessness, subcutaneous fat wasting and
underweight. The deficiency calculated from the
118
ratio between the actual and average expected
weight for his age is 14\%. The constipation and
little amount of stools with undigested bits are
noted. The child is in the breast feeding. The total
day breast milk volume is not known. There is no
evidence of infection in this case. What is the most
probable diagnosis:
A. *Hyponutrition in development
B. Mucoviscidosis, intestinal form
C. Acute gastroenteritis
D. Chronic gastroduodenitis
E. Dehydration
1145.What kind of breathing can be heard above the
lungs in healthy children aged 7 years?
A. *Vesicular
B. Puerile
C. Weakened vesicular
D. Coarse
E. Grunting
1146.The girl is 5 years old. She has been hospitalised
with the complaints on generalized oedema (face,
abdomen, lower extremities), reduce of daily urine
volume up to 300 ml, loss of appetite. In urinalysis
– protein – 3 g/l, RBC – 1-2, WBC – 6-7, specific
gravity – 1027. CBC – Hb – 110 g/l, WBC – 10
G/l. What diagnosis is most probable?
A. *Glomerulonephritis with nephrotic syndrome
B. Interstitial nephritis
C. Pyelonephritis
D. Polycystic kidney disease
E. Glomerulonephritis with nephritic syndrome
1147.The girl is 11 years old. She complains on pain in
abdomen and lumbar region, headache, increase of
temperature up to 39 C, vomiting, reduce of
appetite. Skin is pale, hot, respiration is normal,
heart rate – 100 per minute, positive Pasternatsky
symptom. CBC: RBC – 3,9 T/l, WBC - 18 G/l,
ESR-34 mm/hour. Urinalysis - protein 0,066 g/l,
WBC – 30-40, RBC – 1-2, bacteria - a lot of. Most
probable diagnosis is?
A. *Acute pyelonephritis
B. Acute glomerulonephritis
C. Cystitis
D. paranephritis
E. Polycystic kidneys disease
1148.The girl of 12 years old is suffering from acute
glomerulonephritis. Daily diuresis is 700 ml, heart
rate – 100 per minute, blood pressure – 130/95,
temperature – 37,3 C. In urinalysis – RBC – 30-
40, WBC – 5-6, protein – 0,099 g/l. Which
medicines should be prescribed in this case?
A. *Antibiotic, hypotensive, diuretic, vitamin C
B. Antibiotics + prednisone
C. Antihistaminic + vitamins
D. Antiaggregants + diuretics
E. Sulfanilamids + cytostatics
 KROK 2 – Question Bank 119
1149.The girl is 12 years old. Yesterday she was B. Elevation of blood pressure
overcooled. Now she complains on pain in C. Hypokalemia
suprapubic area, frequent painful urination by D. Osteoporosis
small portions, temperature is 37,8 C. Pasternatsky E. Cushingoid syndrome
symptom is negative. Urinalysis – protein - 0,033 1154.1,5 - years old infant was inoculated with live oral
g/l, WBC – 20-25, RBC – 1-2. What diagnosis is polio vaccine (OPV). On the 16th day after being
most probable? asymptomatic the child suddenly developed the
A. *Acute cystitis right low limb weakness and stopped to walk.
B. Dysmetabolic nephropathy How to comment this event?
C. Acute glomerulonephritis A. *Vaccine - associated poliomyelitis
D. Acute pyelonephritis B. Poliomyelitis
E. Urolithiasis C. Guillain - Barre syndrome
1150.The polycystic kidney disease was diagnosed at D. Landry syndrome
the boy of 3 years old. Mother complaints that the E. Polyradiculoneuropathy
boy has growth retardation, poor appetite, 1155.The child aged 3 years was admitted to the
vomiting. Skin is pale, turgor of soft tissues is pediatric department on the 3d day of illness. The
reduced, heart rate - 120 per minute, harsh general condition is moderate. Body temperature
breathing at auscultation, abdomen is enlarged, is 38,5oC. One time of vomiting, skin pallor, lost
soft. Biochemical tests – urea – 14 mmol/l, skin turgor, spasmodic colon descendens are
creatinine – 0,130 mmol/l, protein – 58 g/l. presented. The patient has stools with mucus and
Which condition has been developed? blood 9-10 times per day. What is the initial
A. *Chronic renal failure diagnosis?
B. Acute renal failure A. * Acute bacterial dysentery (Shigellesis)
C. Encephalopathy B. Enteric fever (Salmonellosis)
D. Interstitial nephritis C. Rotavirus gastroenteritis
E. Pyelonephritis D. Yersiniosis
1151.The boy of 9 years old. He is ill for 3 days. He has E. Escherichiosis
complaints on pain and restriction of movements
in right knee and left elbow joints, dyspnoea. He
was suffered from acute tonsillitis 2 weeks ago.
There are fever (38,5 C), oedema of joints,
extension of the borders of cordial dullness on 2
cm left, HR - 110 per 1 min, weakness of 1st
sound, "soft" systolic murmur on an apex. What
diagnosis should be suspected?
A. *Acute rheumatic fever
B. systemic lupus erythematodes
C. juvenile rheumatoid arthritis
D. Reiter’s disease
E. reactive arthritis
1152.The 7 years old boy developed an asphyxic attack,
expiratory wheezing and cough. In past history the
child has had relapsing rhinitis and red eyes
syndrome. His sister suffers with atopic
dermatitis. The correct diagnosis is:
A. * bronchial asthma;
B. acute bronchitis;
C. viral croup;
D. acute obstructive bronchitis;
E. pneumonia.
1153.The course of tonsillar diphtheria in a 2-years old
child was complicated with appearance of early
myocarditis. Prednisolone in a dose of 1,5 mg/kg
was introduced into therapy . Which one from
expected complications is not related with
prolonged glucocorticoid therapy?
A. *Hyperthermic reaction