304 Flashcards
- Indicate the mistake in the forensic report about the life-threatening situation.
A. In order to determine whether there is a life-threatening situation, clinical examination and all laboratory examinations are performed, and if necessary, the patient is observed.
B. A life-threatening situation does not necessarily result in death.
C. In an emergency, it can also be stated as a possibility to delay justice.
D. Life-threatening situation is a very serious one that can cause death.
E. Penetrating wounds to the thoracie and abdominal cavities can cause a life-threatening
situation.
C. In an emergency, it can also be stated as a possibility to delay justice.
- “The scar left after healing of the wound formed within the borders of the face during the injury, is the state of being clearly noticeable at first glance from a distance of verbal dialogue (1-2 meters) between people in daylight or in a well-lit environment.” Which option fits the description above?
A. Life-threatening
B. Bone fracture
C. Persistent weakening of the function of one of his senses or organs
D. Fixed scar on face
E. Constant change of face
D. Fixed scar on face
- Which of the following is not required to be included in a forensic report?
A. Localization of the wound
B. Preparing a report based on the person’s statement, not the findings
C. Type of wound (such as abrasion, ecchymosis)
D. The type of instrument that may cause the wound
E. Whether the wound is fresh
B. Preparing a report based on the person’s statement, not the findings
- Which option is not considered within the scope of the physician’s legal responsibilities?
A. Confidential responsibility
B. Notification obligation
C. Physician responsibility and acceptance of the patient in emergency patients
D. Obligation to inform the patient
E. Giving a rest report for a special purpose or memory
E. Giving a rest report for a special purpose or memory
- ….. is to explain the patient or legal representative of the physician in a way that he/she can freely decide about the intervention by explaining the type, form, urgency, side effects and risks of the medical intervention he/she plans to do, and the possible consequences if no intervention is made.”
Which of the following options would best fit in the blank above?
A. Consent
B. Forensic examination
C. To inform
D. Medical intervention
E. Complication
C. To inform
- Which of the following statements about medical interventions is false?
A. It is forbidden to take organs and tissues from persons who have not completed the age of eighteen.
B. Patient consent is required for medical interventions.
C. Since the diseases whose treatment is mandated by law threaten the public health, the necessary treatment is given even if the informed consent of the patient or his legal representative is not obtained.
D. The patient has the right to refuse the treatment and to ask for it to be stopped, except for legally obligatory cases and on the patient’s responsibility.
E. A woman of full age can have uterine evacuation, with the consent of her husband, regardless of the gestational week.
E. A woman of full age can have uterine evacuation, with the consent of her husband, regardless of the gestational week.
- Which of the following statements explains the etiopathogenesis of Marfan syndrome?
A. As a result of mutation in the gene encoding LDL receptor protein, intracellular transport of LDL is impaired.
B. There is a cardiovascular developmental anomaly due to trisomy 21.
C. Microfibril loss occurs as a result of mutation in the gene encoding the Fibrillin-1 protein.
D. There are deficiencies in collagen synthesis due to mutations in the genes encoding collagen fibrils.
E. There is abnormal erythropoiesis as a result of mutation in the gene encoding the beta chain of hemoglobin.
C. Microfibril loss occurs as a result of mutation in the gene encoding the Fibrillin-1 protein.
- Which of the following abnormality is seen in Class II type familial hypercholesterolemia?
A. Lipid molecules cannot be internalized within clathrin pits.
B. Transport of the synthesized receptor protein from the endoplasmic reticulum to the Golgi apparatus is impaired.
C. Dissociation of the receptor and bound LDL does not occur.
D. There is a complete loss of receptor synthesis.
E. The recentor is transported to the cell surface but cannot bind LDL
B. Transport of the synthesized receptor protein from the endoplasmic reticulum to the Golgi apparatus is impaired.
- Which of the following statements is the reason of difficulties in surgical repair or interventions in patients with Ehlers-Danlos syndrome?
A. The development of an extreme allergic reaction on the skin to the surgical material
B. Easy infectivity of the skin due to the absence of immune system elements in the skin
C. Irregular structure of elastic fibers due to genetic mutations and difficulty in wound healing
D. Impairment of smooth muscle development due to TGF-beta II receptor mutation
E. Lack of tensile strength of the skin due to abnormal collagen structure
E. Lack of tensile strength of the skin due to abnormal collagen structure
- Which of the followings is the final common pathway for most diseases and organ failures that result in death?
A. O2 deprivation
B. Ca?*-induced toxicity
C. Mitochondrial breakdown
D. Apoptosis
*
E. Necrosis
A. O2 deprivation
- Which of the following does not occur with aging?
A. A reduction in lean body mass
B. A reduction in bone density
C. A reduction in incidence of falls
D. A reduction in dermis thickness
E. A reduction in muscle strength and power
C. A reduction in incidence of falls
- Which of the following is not a physiological factor that contribute to reduced energy expenditure in older adults?
A. A reduction in lean body mass
B. A reduction in physical activity
C. A reduction in basal metabolic rate
D. A steady loss in skeletal muscle mass
E. A marked deterioration in the nervous system
E. A marked deterioration in the nervous system
- Which of the following does not show a difference in nervous system functions between a healthy 18-year-old male and an 83-year-old healthy male?
A. The ability to detect and discriminate taste qualities
B. Vision
C. The reaction time
D. Intelligence
E. To maintain posture and balance
D. Intelligence
- Which of the following is not a criterion of metabolic syndrome?
A. Triglyceride level over 150 mg/dL
B. HDL cholesterol less than 40 mg/dL in men or less than 50 mg/dL in women
C. Blood pressure over 130/85 mm Hg
D. Fasting blood sugar over 100 mg/dL.
E. Waist circumference under 102 &m for men
E. Waist circumference under 102 &m for men
- Which of the following is false for obesity?
A. A body mass index (BMI) ≥ 30 kg/m? is considered obesity.
B. Increased levels of circulating free-fatty acids and interleukins cause chronic low-grade inflammation in obesitv.
C. At least 20% weight reduction is required to reduce risk for CVD, diabetes, obstructive sleep apnea, hypertension and many other comorbidities for obese patients.
D. Certain cancers such as colon, pancreas, postmenopausal breast and endometrium are related to obesity.
E. Rapid weight loss can cause formation of gallbladder stones.
C. At least 20% weight reduction is required to reduce risk for CVD, diabetes, obstructive sleep apnea, hypertension and many other comorbidities for obese patients.
- Which cancer type below can have an early diagnosis by screening the population?
A. Gastric cancer
B. Ovarian cancer
C. Colorectal cancer
D. Pancreas cancer
E. Esophageal cancer
C. Colorectal cancer
- Which test bellow is not required for breast cancer screening?
A. Mammography
B. Breast self-examination
C. Regular physical examination
D. Breast USG
E. PET scan
E. PET scan
- Which of the followings may not cause cancer?
A. Cigarette smoking
B. Alcohol
C. Vegetables
D. Red meat
E. Obesity
C. Vegetables
- Which of the followings is the most common cancer type of males in Turkey?
A. Colon cancer
B. Larynx cancer
C. Lung cancer
D. Prostate cancer
E. Bladder cancer
C. Lung cancer
- Which of the following diseases is likely to be transmitted through rodent urine?
A. Leptospirosis
B. Plague
C. Lyme disease
D. Cat scratch disease
E. Salmonellosis
A. Leptospirosis
- Which one of the following is an important virulence factor of Bacillus anthracis?
A. Protective antigen
B. Lipopolysaccharide
C. Pili
D. A toxin that inhibits peptide chain elongation factor EF-2
E. Lecithinase
A. Protective antigen
- A few postal workers come down with symptoms of shortness of breath, cyanosis, hemoptysis, and chest pain, after being exposed to biological attack. Chest x-ray reveals mediastinal widening. Sputum cultures are negative for all routine respiratory pathogens.
Serology correctly identifies the causal agent. Which of the following structures is possessed by the causal agent?
A. Elementary body
B. Endotoxin
C. Periplasmic space
*
D. Reticulate body
E. Spore
. Spore
- All of the following microorganisms cause zoonotic infections except:
A. Coxiella burnetii
B. Ehrlichia chaffeensis
C. Bordetella pertussis
D. Bacillus anthracis
E. Leptospira interrogans
C. Bordetella pertussis
- A 13-year-old boy receives multiple bite wounds to his left hand and forearm by a dog.
Two days following the attack, the boy developed a low-grade fever 38 °C (100.4 °F), redness, pain, and a purulent exudate at the several of the bite wounds. Gram negative coccobacilli were detected in the Gram staining of the pus sample taken from the patient.
Which of the following bacteria is the most likely causative agent of this bite wound infection?
A. Acinetobacter baumannii
B. Corvnebacterium pseudotuberculosis
*
C. Pasteurella multocida
D. Staphylococcus aureus
E. Streptococcus pyogenes
C. Pasteurella multocida
- A 27-year-old woman presents to her physician with a papular lesions on her right thumb.
She states she recently were scratched by stray cat. Physical examination is notable for several scratches on her right hand and enlarged axillary lymph nodes.
Which of the following is the most likely causative agent of this infection?
A. Bartonella henselae
B. Corynebacterium pseudotuberculosis
C. Pasteurella multocida
D. Staphylococcus aureus
E. Streptococcus pyogenes
A. Bartonella henselae
- Which of the following statements about Ehrlichia or ehrlichiosis is the most correct?
A. Dogs and mice are reservoirs.
B. Mosquitoes are the vectors.
C. Ampicillin is the treatment of choice.
D. Culture is a good method to confirm the
A. Dogs and mice are reservoirs.
- Which of the following vaccines is contraindicated in pregnant women?
A. Influenza vaccine
B. Pneumococcal vaccine
C. Varicella zoster vaccine
D. Bordetella pertussis vaccine
E. Haemophilus influenza type B vaccine
C. Varicella zoster vaccine
- Which of the following vaccines should be administered to adults aged 19-64 with chronic medical conditions (chronic heart, lung, or liver disease, diabetes) to protect them from invasive pneumococcal diseases?
A. A 23-valent capsular polysaccharide vaccine
B. A vaccine against serogroups A, C, Y, and W135 capsular polysaccharide
C. A vaccine of polyribosylribitol capsular polysaccharide covalently linked to a protein
D. A toxoid vaccine
E. A recombinant viral protein vaccine
A. A 23-valent capsular polysaccharide vaccine
- Which of the following is not a routine medical indication for meningococcal vaccine?
A. Complement component deficiency
B. Functional or anatomical asplenia
C. Complement inhibitor medication
D. HIV infection
E. Pregnancy
E. Pregnancy