edition
stringclasses 14
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stringdate 2013-01-01 00:00:00
2024-01-01 00:00:00
| season
stringclasses 2
values | question_id
int64 1
200
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stringlengths 89
1.21k
| answer
stringclasses 5
values |
|---|---|---|---|---|---|
2013_jesien
|
2013
|
autumn
| 96 |
Hyperemesis gravidarum often coexists with:
A. hypothyroidism.
B. hyperthyroidism.
C. diabetes.
D. Cushing’s syndrome.
E. hypoparathyroidism.
|
B
|
2013_jesien
|
2013
|
autumn
| 79 |
You decide to start the pharmacological therapy in a patient with endoscopically confirmed duodenal ulcer disease. Helicobacter pylori infection is excluded. Which of the following group of drugs has the smallest therapeutic use?
A. proton pump inhibitors.
B. H2-receptor blockers.
C. calcium- and magnesium-based antacids.
D. antibiotics.
E. prostaglandin derivatives.
|
D
|
2013_jesien
|
2013
|
autumn
| 97 |
Which of the below listed antihypertensive agents is contraindicated in pregnancy?
A. labetalol.
B. nifedipine.
C. methyldopa.
D. enalapril.
E. none of the above.
|
D
|
2013_jesien
|
2013
|
autumn
| 78 |
A 42-year-old man was admitted to the ER because of pain in the anal area. He feels strong pain while sitting and defecating. This has lasted for the last few days and is gradually getting worse. The physical exam shows: a painful lump on the left buttock 3 cm from the anal canal. The skin is slightly reddened. Per rectum exam gives strong pain and is not successful. What is the most probable diagnosis?
A. hemorrhoidal thrombosis.
B. anal fissure.
C. rectal cancer.
D. perianal abscess.
E. post-injection gluteal abscess.
|
D
|
2013_jesien
|
2013
|
autumn
| 140 |
Which of the following is not a risk factor for osteoporosis?
A. old age.
B. female gender.
C. black race.
D. low weight.
E. postmenopausal period.
|
C
|
2013_jesien
|
2013
|
autumn
| 117 |
Both hands are put parallel on the sides of the abdomen at umbilicus level. This grip explains on which side the back and small parts of a fetus are located. This statement refers to:
A. first Leopold maneuver.
B. second Leopold maneuver.
C. third Leopold maneuver.
D. fourth Leopold maneuver.
E. fifth Leopold maneuver.
|
B
|
2013_jesien
|
2013
|
autumn
| 39 |
How to treat a 30-year-old man with recurrent nephrolithiasis caused by hyperoxaluria?
A. animal meat diet.
B. high fat diet.
C. calcium and vitamin C supplementation.
D. low sodium and normal calcium diet.
E. all the above.
|
D
|
2013_jesien
|
2013
|
autumn
| 101 |
Dizygotic twins are:
A. monochorionic monoamniotic pregnancy.
B. monochorionic diamniotic pregnancy.
C. dichorionic monoamniotic pregnancy.
D. dichorionic diamniotic pregnancy.
E. all of the above may be true.
|
D
|
2013_jesien
|
2013
|
autumn
| 81 |
In an ICU patient after an abdominal surgery and no prior PMH you monitor various parameters of the cardiovascular system. Which of the following parameters make you decrease fluid administration?
A. mean arterial pressure approx. 72 mmHg.
B. diuresis approx. 40 ml/h.
C. central venous pressure approx. 22 mmHg.
D. pulmonary capillary wedge pressure approx. 15 mmHg.
E. pulse approx. 96/minute.
|
C
|
2013_jesien
|
2013
|
autumn
| 156 |
Early in the morning a specialized emergency medical unit brought into the hospital emergency department about 12-year-old boy, found in an abandoned building. During the examination it was found that the patient is in severe hypothermia. The core body temperature was 27.5°C. Intensive active heating of the patient began. During the intubation abnormal heart rhythm progressing to ventricular fibrillation (VT) appeared. Cardiopulmonary resuscitation (CPR) began and defibrillation was performed three times but it failed to restore sinus rhythm. The most proper next action is:
A. continuation of CPR and defibrillation redo.
B. interruption of CPR, patient intensive heating to the core body temperature of 33°C and again CPR and defibrillation.
C. continuation of CPR and patient intensive heating to the core body temperature of 30°C and after reaching it, the execution of defibrillation attempts.
D. continuation of CPR, the administration of lidocaine iv infusion.
E. continuation of CPR, redoing defibrillation, the administration of lidocaine iv infusion.
|
C
|
2013_jesien
|
2013
|
autumn
| 15 |
A 30-year-old previously healthy man comes to the doctor’s because of vomiting and diarrhea during the last 24 hours. Which of the following is the most appropriate first step?
A. start antiemetic drug.
B. start intravenous 0.9% saline infusion.
C. start intravenous 5% glucose infusion.
D. start antidiarrheal drug.
E. advise the patient to increase the intake of fluids.
|
B
|
2013_jesien
|
2013
|
autumn
| 42 |
Ventricular tachycardia with the palpable pulse in a child with the presence of cardiac insufficiency symptoms is the indication for:
A. defibrillation.
B. rapid parenteral infusion of adenosine.
C. cardioversion.
D. digoxin infusion.
E. stimulation of the vagus nerve.
|
C
|
2013_jesien
|
2013
|
autumn
| 195 |
The most important goals of health promotion contained in the National Health Programme for 2007-2015 are associated with the following actions:
A. reducing psychoactive substance use.
B. reducing the prevalence of smoking and alcohol consumption.
C. improvement of the diet of the population and reduction of the prevalence of obesity.
D. reducing the exposure to harmful factors of the physical environment and the improvement of sanitary conditions in Poland.
E. all the above.
|
E
|
2013_jesien
|
2013
|
autumn
| 183 |
The Polish Code of Medical Ethics provides that “in terminal stages, the doctor is not required to take up and pursue resuscitation or persistent medical treatment nor emergency measures”. Persistent medical treatment is:
A. set of medical activities, with no chance of treatment effect, which lose their justification because of ensuing infringement on the patient’s goods.
B. set of medical activities economically unjustified.
C. carrying on medical intervention at the request of the family.
D. forcing the doctor to take medical action against his will and medical experience.
E. unnecessary pain or suffering directed against man with no chance of treatment effect.
|
A
|
2013_jesien
|
2013
|
autumn
| 74 |
Which of the following can be used in the treatment of patients with esophagus cancer?
A. chemotherapy.
B. laser ablation.
C. photodynamic therapy.
D. A,B are correct.
E. A,B,C are correct.
|
E
|
2013_jesien
|
2013
|
autumn
| 23 |
An unconscious male patient deep breaths with respiratory rate 28 per min. Metabolic acidosis was found: bicarbonate concentration 11 mmol/l, pH 7,16. What kind of intoxication is the probable cause of his serious condition?1) methyl alcohol;2) ethyl alcohol;3) benzodiazepines;4) opiates with respiratory insufficiency;5) ethylene glycol.The correct answer is:
A. only 5.
B. 1,5.
C. 1,2,4.
D. all the above.
E. only 1.
|
B
|
2013_jesien
|
2013
|
autumn
| 2 |
A patient with heavy diarrhoea developes hypovolemic shock. In this case the treatment of the shock should be started with:
A. intramuscular adrenaline injection.
B. intravenous noradrenaline injection.
C. continuous noradrenaline infusion.
D. continuous dopamine infusion.
E. transfusion of fluids.
|
E
|
2013_jesien
|
2013
|
autumn
| 35 |
A 72-year-old man with benign prostatic hyperplasia (BPH) suffered from sudden oliguria with bilateral loin pain radiating to the lower abdomen and testes. Which is the true statement?
A. the most probable diagnosis is nephrolithiasis.
B. the most probable diagnosis is acute pyelonephritis.
C. the most probable diagnosis is urinary tract obstruction by BPH.
D. these are typical symptoms of renal cell carcinoma.
E. B and C are correct.
|
C
|
2013_jesien
|
2013
|
autumn
| 62 |
In the treatment of Wilson’s disease you should administer:
A. gold salts.
B. desmopressin.
C. penicillamine.
D. glucagon.
E. copper salts.
|
C
|
2013_jesien
|
2013
|
autumn
| 121 |
The diagnostic criteria of antiphospholipid syndrome do not include:
A. proteinuria.
B. thrombosis.
C. recurrent pregnancy loss.
D. presence of anticardiolipin antibodies.
E. presence of lupus anticoagulant.
|
A
|
2013_jesien
|
2013
|
autumn
| 199 |
The demographic structure of the population is affected by:
A. vital statistics.
B. migration.
C. socioeconomic conditions.
D. all the above.
E. none of the above.
|
D
|
2013_jesien
|
2013
|
autumn
| 176 |
In accordance with the commonly abiding law, the doctor is obliged to obtain written consent from the patient in the case of surgery or when applying treatment or diagnostics (here called intervention) that poses a considerable risk to the patient. The doctor:
A. may take the consent before the intervention.
B. must take the consent before the intervention.
C. legislation does not specify when the consent is to be obtained.
D. must take the consent after the intervention.
E. may take the consent before or after the intervention.
|
B
|
2013_jesien
|
2013
|
autumn
| 160 |
According to the ERC 2010 recommendations in the case of non-shockable rhythms (PEA and asystole), atropine should be administered:
A. immediately after iv injection.
B. after the third unsuccessful administration of adrenaline 1 mg iv.
C. repeat the administration of 3 mg of atropine with every second loop of CPR.
D. ERC 2010 guidelines do not recommend the use of atropine in the treatment of asystole and PEA.
E. A and C.
|
D
|
2013_jesien
|
2013
|
autumn
| 58 |
Which of the following does not occur in hemolytic uraemic syndrome?
A. microangiopathic hemolytic anemia.
B. leucopenia.
C. thrombocytopenia.
D. fever.
E. acute renal injury with oliguria.
|
B
|
2013_jesien
|
2013
|
autumn
| 137 |
Which of the following is the basic immunization regimen for hepatitis B vaccination in adults:
A. 4-dose schedule: 0, 7, 21, 365 days.
B. 3-dose schedule: 0, 6, 12 months.
C. 3-dose schedule: 0, 1, 6 months.
D. 4-dose schedule: 0, 1, 6, 12 months.
E. 4-dose schedule: 0, 1, 6 months and a booster dose in 5 years.
|
C
|
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