Part 14

Question 1

A large-scale reaction with parapertussis and pertussis diagnosticums was made in order to make serological diagnostics of the whooping cough. At the bottom of the test-tubes with diagnosticum of Bordetella parapertussis a granular sediment formed. What anti- bodies did this reaction reveal?

Answer 1

Agglutinins

Question 2

Part of the DNA chain turned 180 degree as a result of gamma radiation. What type of mutation took place in the DNA chain?

Answer 2

Inversion

Question 3

While having the dinner the child choked and aspirated the food. Meavy cough has started, skin and mucose are cyanotic, pulse is rapid, respiration is infrequent, expiration is prolonged. What disorder of the external respiration has the child?

Answer 3

Stage of expiratory dyspnea on asphyxia

Question 4

A pregnant woman had been havi- ng toxicosis with severe repeated vomi- ting for 24 hours. In the end of the day there appeared tetanic convulsions and fluid loss. What shift of acid-base state caused these changes?

Answer 4

Excretory alkalosis

Question 5

After a trauma a 44-year-old patient had a rupture of left palm muscle tendons and of the superficial blood vessels. After operation and removal of the most part of the necrotically changed muscle ti- ssue the bloodstream was normalized. What vessels have helped to restore the bloodstream?

Answer 5

Arcus palmaris profundus

Question 6

An 18-year-old patient has enlarged inguinal lymphnodes, they are painless, thickened on palpation. In the area of genital mucous membrane there is a small-sized ulcer with thickened edges and “laquer”bottom of greyish colour. What is the most probable diagnosis?

Answer 6

Syphilis

Question 7

A 45-year-old man applied to the trauma station because of domestic shoulder trauma. Objectively: extension, reduction and pronation functions of the shoulder are absent. What muscle was injured?

Answer 7

Teres major muscle

Question 8

Diagnostic scraping was performed to the woman with dysfunctional uteri- ne bleeding. Multiple convoluted glands, ganglially dilated lumens of some glands were revealed histologically in the scrape. Name the type of general pathological process in endometry:

Answer 8

Hyperplasia glandulocystica

Question 9

Tuberculine was introduced intracutaneously to the child for tuberculin test. Marked hyperemia, ti- ssue infiltration developed on the place of injection in 24 hours. What mechanism caused these modifications?

Answer 9

Cell cytotoxity

Question 10

An intraoperational biopsy of mammal gland has revealed the signs of atypical tissue presented by disorder of parenchyma stroma proportion with domination of the last, gland structures of different size and shape, lined with single- layered proliferative epithelium. What is the most probable diagnosis?

Answer 10

Fibroadenoma