Part 16

Question 1

Low level of albumins and fibrinogen was detected in the patient’s blood. Decreased activity of what organelle of the liver hepatocytes can most probably cause it?

Answer 1

Granular endoplasmatic reticulum

Question 2

A duodenal content smear of a patient with indigestion contains protosoa 10- 18 mcm large. They have piriform bodies, 4 pairs of filaments, two symmetrically located nuclei in the broadened part of body. What kind of the lowest organisms is it?

Answer 2

Lamblia

Question 3

A 44-year-old woman complains of common weakness, heart pain, considerable increase of body weigt. Objectively: moon-like face, hirsutism, AP- 165/100 mm Hg, height - 164 cm, weight - 103 kg; fat is mostly accumulated in the region of neck, upper shoulder girdle, stomach. What is the main pathogenetic mechanism of obesity?

Answer 3

Increased production of glucocorticoids

Question 4

After a serious viral infection a 3- year-old child has repeated vomiting, loss of consciousness, convulsions. Examination revealed hyperammoniemia. What may have caused changes of biochemical blood indices of this child?

Answer 4

Disorder of ammonia neutralization in ornithinic cycle

Question 5

Albinos can’t stand sun impact - they don’t aquire sun-tan but get sunburns. Disturbed metabolism of what amino acid underlies this phenomenon?

Answer 5

Phenilalanine

Question 6

A 25-year-old patient complained of the decreased vision. Accommodation disorders, dilated pupil, lack of reaction for the light were revealed on examination. What muscles function is disturbed?

Answer 6

Pupil narrowing muscle, ciliary

Question 7

A patient with continious bronchopneumonia was admitted to the therapeutic department. Antibiotic therapy didn’t give much effect. What medication for improvement of immune state should be added to the complex treatment of this patient?

Answer 7

Timaline

Question 8

Patient with abscess of the cut wound applied to the traumatological department. In order to clean the wound from the pus doctor washed it with 3% hydrogen peroxide. Foam was absent. What caused the absence of the drug activity?

Answer 8

Inherited insufficiency of catalase

Question 9

Microspecimen of spinal cord contai- ns a nucleus that should be analyzed. Its neurons form motor endings in the skeletal muscles. What nucleus of spinal cord is meant?

Answer 9

Proper nucleus of the anterior horn

Question 10

Patient with injured muscles of the lower extremities was admitted to the traumatological department. Due to what cells is reparative regeneration of the muscle fibers and restoration of the muscle function possible?

Answer 10

Satellite-cells