Internal medicine 3 (5th class - Dentistry)

WRITTEN TEST QUESTIONS

Gastroenterology and hepatology

Corrosive oesophageal burn

Oesophageal carcinoma

Treatment of oesophageal carcinoma

Gastroesophageal reflux

Gastroesophageal reflux is not worsened by

Reflux eosophagitis

Achalasia

Zenker´s diverticulum

Oesophageal motility is altered in

Peptic ulcer

Gastric (peptic) ulcer

Treatment of Helicobacter pylori infection is based on the use of

Complications of peptic ulcer do NOT include

Bleeding from peptic ulcer

Treatment of gastric (peptic) ulcer

Treatment of peptic ulcer

Dumping syndrome

Bezoar

Haematemesis is

Melaena means

Possible causes of gastrointestinal bleeding are

In acute bleeding from upper gastrointestinal tract

Enteroclysis means

Stomach tumours

Irritable bowel syndrome is NOT characterized by

Constipation

Malabsorption syndrome – which statement is false

Celiac disease

Which one of the following is a non-specific inflammatory bowel disease?

Inflammation in Crohn´s disease

Crohn´s disease

Typical clinical presentation of a patient with Crohn´s disease does NOT include

Treatment of Crohn´s disease does NOT include

Corticosteroids in Crohn´s disease

Diverticulosis

Carcinoid

Zollinger-Ellison syndrome

Glucagonoma

Gilbert´s syndrome

Which of the following hepatitis does NOT evolve into chronicity?

Hepatitis A

Hepatitis B

Hepatitis C

Autoimmune hepatitis

Ascites in liver cirrhosis is NOT a consequence of

Clinical presentation of liver cirrhosis does NOT include

Wilson´s disease

Hemochromatosis

Cholelithiasis

Biliary colic

Acute cholecystitis

Cholangitis is inflammation of

Cholangitis

The following statement is NOT true for acute pancreatitis

The clinical presentation of chronic pancreatitis does NOT include

Colorectal carcinoma

Pancreatic carcinoma

Acute hemorrhagic necrotizing pancreatitis

Portal hypertension

Standard ascites puncture (paracentesis) is performed

Celiac disease

Diarrhea

Ischaemic colitis

Pseudomembranous colitis a.

Complications of diarrhea do NOT include

Diarrhea treatment

Primary biliary cirrhosis is a consequence of

Anal pruritus is NOT caused by

Nephrology

Long-term overuse of analgetics leads to:

Urinary tract infections are most commonly caused by:

Goodpasture´s syndrom is characterized by:

The following kidney disease is present in Alport syndrom:

The history of osteomyelitis, or rheumatoid arthritis with newly diagnosed nephrotic syndrom indicates:

The prevention of urate nephropathy in patient with increased serum uric acid:

Preeclampsia in pregnant women is characterized by:

Incipient (beginning) diabetic nephropathy is defined as:

Endocrine disease with increased iprevalence of nefrolithiasis:

The typical changes of calcemia and phosphatemia in chronic renal failure:

The number of bacterial colonies in urine in clinically significant urinary tract infection is more than:

The presentation of proteinuria, hematuria, arterial hypertension and edema in common is typical in:

Severe hematuria with mild proteinuria is typical for:

Recommended daily protein intake in patients with chronic kidney disease with glomerular filtration rate lower than 30 ml/min:

Glomerulonephritis with nephrotic proteinuria is not treated by:

The most common type of anemia in chronic renal failure:

Proteinuria with prevailing low molecular-weight proteins is called:

Calculation of glomerular filtration rate requires a serum concentration of:

Acute nephritic syndrom is characterized by a following urinary finding:

The definition of nephrotic syndrom:

The presence of hyaline casts in urinary sediment is associated with:

Which type of acute renal failure is caused by patient´s dehydration (deficit of water):

Osmotic diuresis is induced by:

Standard weekly hemodialysis dose:

Dysuria:

The renal disease in patient with uremia, metabolic acidosis and small kidneys:

In nephrotic syndrom caused by minimal change disease the electrone microscopy finding is located in:

Non-functional shrunken kidney, known already 10 years ago, with compensatory hypertrophy of contralateral kidney indicates:

Proximal type (type 2) renal tubular acidosis is caused by:

The major subgroup from among all patients treated by chronic hemodialysis in developed countries have:

Stage 3 chronic kidney disease (KDOQI classification) is defined as glomerular filtration rate:

Renal replacement therapy includes:

Standard number of daily peritoneal dialysis solution exchanges in adult patient treated by continuous ambulatory peritoneal dialysis (CAPD):

Prerenal type of acute renal failure is not present in:

Multiple cortical and medullar cysts in both kidneys with clinical manifestation in patients older than 40 years and subsequent development of chronic renal failure indicate:

Blood acid-base finding in compensated metabolic acidosis:

What are the changes in kalemia and natremia when moderate metabolic acidosis develops:

The proportion of water from total body weight:

Severe hypernatremia is often caused by:

Which solution is used in intravenous treatment of hyperkalemia in patient with normal diuresis:

Hyponatremia is not present in:

Compensatory respiratory mechanism in severe metabolic acidosis:

Toxicology

Carbon monoxide (CO) poisoning

Miosis is typical for poisoning with

Severe alcohol (ethanol) intoxication manifests itself with

Treatment of acute ethanol poisoning does NOT include

Methanol intoxication

Ethylene glycol intoxication is NOT treated with

Ethylene glycol is found in

Haemodialysis is used in intoxication treatment if

Choose the correct combination of substance and corresponding antidote

Endocrinology

The name of the glands producing and releasing substances which get into the blood and effect the action of other tissues is:

The most common endocrinology diseases are:

Thyroid gland produces:

The function of the thyroid gland is not regulated by:

Calcitonine is produced in:

For parathyroid gland is not correct:

Islets of Langerhans are localized in:

Blood glucose level is effected by:

Adrenal gland medulla produces:

Noradrenaline is not:

Vasopressin is also called as:

Neurohypophysis releases:

Antidiuretic hormone:

Oxytocin is not:

Hypothalamus produces:

Hypothalamus does not produce:

Adenohypophysis produces:

For TSH is not a correct answer:

For ACTH is not a correct answer:

Growth hormone is:

Follicle- stimulating hormone and luteinizing hormone:

Adrenal gland cortex does not produce:

Aldosterone:

The most common cause of hypofunction of endocrine glands is:

The most common cause of increased function of endocrine glands is:

Primary endocrine disorder is:

Diabetes insipidus is:

Diabetes insipidus is a disease with:

Hypopituitarism is:

Among hypopituitarism syndromes does not belong:

Gigantism and acromegaly are caused by:

Incidentaloma is:

Hyperfunction adenoma of hypophysis producing growth hormone causes:

Hyperfunction adenoma of hypophysis producing ACTH causes:

The most common secreting adenoma of hypophysis is:

The first choice treatment of prolactinoma is:

For patients with Cushing’s syndrome is typical:

Violet striae on abdominal skin are typical for patient with Cushing’s syndrome:

For central Cushing’s syndrome (Cushing’s disease) is correct:

Goiter is:

The main active hormone of thyroid gland is

Diagnostic methods of thyroid gland diseases:

Iodine deficiency in food can lead to:

Graves-Basedow disease:

Goiter, exoftalmus and tachycardia are typical for:

Drugs used in treatment of hyperthyroidism:

Myxedema is typical for:

Typical signs of hypothyroidism:

In peripheral hypothyroidism is:

In subclinical hypothyroidism is:

The most common cause of hypothyroidism is:

Parathormone is:

Calcitonine is:

Hyperparathyroidism is:

Secondary hyperparathyroidism is typical for:

Tetania is caused by:

For acute adrenal crisis is typical:

Addison’s disease is:

Primary hyperaldosteronism is:

In diagnostic tests for primary hyperaldosteronism:

Rheumatology

Inflammation of the joint is

Inflammation of the vertebra is

Thomayer´s examination

Rheumatoid arthritis

Systemic lupus erythematosus

Rheumatic fever

Periartritis humeroscapularis

Charcot´s joint

Sjogren´s syndrom

Bechterev´s disease

Gout

Raynaud´s phenomenon

Takayasu’s disease

Clinical manifestations of rheumatoid arthritis do not involve

Systemic sclerosis /scleroderma

Polyarthritis

Rheumatoid nodules

Takayasu’s disease

Pneumology

Which clinical sign is usually first in patients with lung cancer?

Sarcoidosis affects the following organs:

External respiration involves:

Clinical application of pulse oximetry has following advantages:

The most frequent stimuli inducing bronchoconstriction in asthmatic patients are:

Normal values of static and dynamic lung volumes depend on the patient's:

Clubbed fingers (digiti Hippocratici) occur in the following respiratory diseases:

Clinical symptoms and signs of respiratory insufficiency may include:

Tobacco smoking is a risk factor for:

Respiratory rate in tachypnea is:

The most common symptoms of respiratory diseases are:

Shortness of breath (dyspnea) is:

Expectoration of yellow and green sputum is a sign of:

Hemoptysis is most common in:

Orthopnea is frequently:

Dyspnea may occur:

Dyspnea is most commonly caused by:

Cough is a symptom of respiratory diseases. Chronic bronchitis is defined as:

The correct statement is:

Patient with large right side fluidothorax will probably assume lying position on:

The basic imaging method in pulmonary medicine is:

What is correct statement for the cyanosis:

Claude-Bernard-Horner's triad is:

Oxygen saturation of hemoglobin in arterial blood (Sa0₂) under physiological conditions:

The best way to prevent respiratory infection is:

The increased filling of jugular veins:

Lymph nodes in the neck and head are not always palpable in:

Chest pain does not appear in:

Dysphonia is a sign of:

Hemoptysis (hemoptoe) is a serious complication of: