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Edemas of face,legs & arms Creatinine level - 850mcmol/L
transfer in to hemodialysis unit
Scleroderma
Formation of antibodies to collagen
Ceftriaxone
antibiotic associated diarrhoea
Chronic alcoholism
transfer into the inpatient narcology department
After eating shrimps
acute urticaria
Leukocytes-1.2× 10^9/L (4.5 to 11.0 × 10^9/L)
sternal punture(bone marrow biopsy)
History of peptic ulcer of the stomach, Erythrocytes level - 3.2x 10^12/L ( male - 4.5 to 5.9 x 10^12/L female - 3.5 to 4.5 x 10^12/L)
posthemorrhagic anemia
Pain in thorax on the right during breathing, fell hitting his right side
transfer to a thoracic surgery department
Drinking alcohol excessively, presents with abdominal distension, umbilical hernia, and ascites
Hepatic cirrhosis
Sycosis ( barbae or nuchae)
pustules and papule
Asphyxia attack
Acute left ventricular failure
Systemic lupus erythema
DNA antibodies
Grey coating
oropharyngeal diphtheria
Peptic ulcer disease, moderate severity
capable of working, employable
Gumprect shadows (smudge cells)
Chronic lymphatic leukemia
Acute tonsillitis
beta hemolytic streptococcus
Swelling of knee and elbow joints, sore throat (rhematic fever)
Antistreptolysin O
Pheochromocytoma
phentolamine
Bekhterev disease (ankylosis spondylitis)
associated with uveitis iridocyclitis
Chornobyl nuclear power plant , myelocytes, promyelocytes
chronic myeloleukemia
Rhematoid arthritis
joint space narrowing , usuration
Painful in the area of gallbladder projection
ultrasound
Color index 1.4 , macrocytes
prevalence of megaloblasts
Diabetes mellitus , After a meal he developed pain in the right subcostal area, nausea, vomiting, sleepiness, and increased polyuria
change insulin regimen
Paroxysmal facial pain ,pain at the exit points of the trigeminal nerve on the left
trigeminal neuralgia
Occupational contact -
occupational eczema
after failing an exam, seeks attention
hysterical neurosis ( neurological disorder characterized by emotional outbreak
Atopic bronchial asthm
specific hyposensitization
Insufficiently thermally processed pork, periorbital edema
trichinella
- Man claims that his wife is cheating on him
– consultation with the psychiatrist
X-ray shows marked osteosclerosis and osteophytes
osteoarthritis
hypomimia, increased muscle tone of plastic type, and quiet monotonous speech, tremor of the tongue, pill-rolling tremor of the fingers, and retropulsion
parkinsonism
- during walks at the distance of 200
Exertional angina pectoris, functional class III
Farmer, pain in the gastrocnemius muscle
leptospirosis
a grinding machine
vibration disease
Cerebrospinal fluid contains blood.
Subarchanoid haemorrhage
viral hepatitis type B
acute liver failure
. a coal-face worker -
Carboconiosis
Obesity
lipid profile
Urine is turbid with blood streaks -
- Leukocyturia, gross hematuria
Blood pressure-210/120 mm Hg , ECG shows elevation of ST segment in the leads I, AVL, and V5-V6
Hypertensive crisis complicated with acute myocardial infarction
tonoclonic spasms
ensure patency of airways
abdominal pain that gradually abates after a defecation
IBS
Heart sounds are weakened, the II heart sound is accentuated over the pulmonary artery
chronic pulmonary heart
pneumonia
Hospitalization into the intensive care unit
after eating unknown mushrooms
acute hepatic failure
shows trapezoidal cardiac silhouette and signs of pulmonary congestion
pericardiocenthesis Pericardial puncture
rheumatic heart disease
mitral stenosis
pain in his left knee joint, Bleeding time (Duke method)-4 min -
hemophilia , hemarthrosis
liquid stool in small amounts with blood and mucus admixtures 10 times a day
shigellosis
Low levels of free T4
thyroxine
creatinine levels elevated up to 0.569 mmol/L
hemodialysis
- difficult swallowing of solid food, loss of body mass -
oesophageal carcinoma
Nikolsky sign is positive -
Acantholytic pemphigus
tuberculosis,headache,detects nuchal rigidity
tuberculous meningitis
ammonia
uremic coma
Left ventricular ejection fraction is 32%
digoxin
Non ulcerative colitis,proteinur
gingival biopsy for the diagnosis of amyloid disease
anthrax
penicillin
Pleural effusion, transudate -
Total protein content in the pleural fluid below 25 g/L
silver-white fine scales
Psoriasis
ECG registers small unevenly-sized waves in place of P-waves, R-R intervals are of unequal length
atrial fibrillation
.Needs support from others
dependent personality disorders
electrical axis of the heart deviates to the right, SI-QIII -
pulmonary embolism
palpation there is a node in the left lobe of the thyroid gland
toxic nodular goiter
suicidal thoughts after the death of her husband
medications; antidepressants
episodes of intense fear that occur without visible cause
Panic disorder
chronic adrenal insufficiency-receives replacement glucocorticoid therapy (hydrocortisone -15 mg/day)
undergo elective surgery for calculous cholecystitis-Increase the dosage by 2-3 times
disturbance of gustatory sensation in the tongue on the right -
neuropathy of the facial nerve
Bronchial asthma
contra indications- β-blockers
Werlhof disease (immune thrombocytopenia)-
Continue the supervision by the hospital hematologist
severely itching rashes that especially disturb him at nigh
Scabies
tropical malaria-inertness, periodical loss of consciousness, generalized seizures-
cerebral coma
blood sugar-controlling medicine-prescribed first
Metformin
painful burning sensations during urination
Chlamydia
detects steatorrhea with neutral fat and creatorrhea
Multiple enzyme preparation
Urinalysis: protein -0.6 g/L, leukocytes -cover the whole vision field, large amount of mucus
acute pyelonephritis
Palpation reveals enlarged occipital and axillary lymph node
Rubella
painless dense ulcer
Hard syphilitic chancre of the rectum
cold nodule -
thyroid cancer
sepsis,generalized inflammatory reaction -
catabolic phase
Pain and tingling in fingers and toes, looks white and sensitivity lost
frost bite of the I degree
Lacunae
Lacunar tonsillitis
postinjection abscess of the right butto
Abscess incision, sanation and drainage of the cavity
Tumor in the umbilical region,non mobile, pulsing
Abdominal aortic aneurysm
intermittent claudication,smoki
Obliterating endarteritis
Urination is painless -
renal carcinoma
left eye intraocular pressure 65 mm Hg
Acute attack of glaucoma of the left eye
twitching in the muscle
Tetanus
second and third degree burns
Sepsis
peritoneal irritation signs are positive
Laparotomy
unpleasant sweet,crepitation in the tissues
Anaerobic clostridial
developed icteric skin and sclera, lightcolored feces, and dark urin
Retrograde cholangiopancreatography
onion-like lamellar exfoliation
Ewing sarcoma
Cough push
Right-sided reducible inguinal hernia
absent urination
Bladder catheterization
dotted hemorrhages -
Thrombocytopenic purpura
sequestra
- Post-traumatic osteomyelitis
trauma,hemi-hyperreflexia,hemihypesthesia
Brain CT
suspected poisoning has been found on the street
cause of death
bamboo spine
ankylosis spondylitis
Bright-red blood flows from deep within the wound in a pulsing stream
Arterial
laryngeal stenosis,inspiratory dyspnea at rest -
Tracheostomy
esophagus there is a marginal filling defect in its middle third on the posterior wall
Esophageal tumor
Pain in petit triangle
acute appendicitis
pulmonary abscess
pyopneumothorax
Playing with toy, respiratory lag, tympanitis
A foreign body in the left bronchus, valvular bronchostenosis
suppurative otitis,Computer tomography of the brain revealed a three dimensional growth with a capsule in the left hemisphere
Cerebral abscess
Burns,small blisters with hemorrhagic contents-
Decompression necrectomy
no spontaneous respiration, pupils are dilated -
clinical death
under his nail plate, throbbing pain
Subungual panaritium
weight loss despite her increased appetite, nervousness, and tremor of the extremities
Diffuse toxic goiter
left pulmonary root is deformed and dilated
Multiple bronchiectasis of the left lung
space-occupying heterogeneous lesion in the right kidney
Spiral computed tomography
multiple rib fracture
hemopneumothorax
professional medical aid
In medico-prophylactic institutions; general physicians and surgeons
Auscultation detects pericardial friction r
acute pericarditis
costovertebral angle tenderness,fresh erythrocytes
Urolithiasis, renal colic
shoulder is rotated inwards, the elbow is extended, the forearm is pronated, and the whole upper limb resembles an arm of a doll
erb-duchenne palsy
erythematous spots, large joints are painful and swollen, pain in paraumbilical area -
Hemorrhagicvasculitis(Henoch-Schonlein purpura)
dyspnea,shin and foot edemas
Heart failure
chronic pulmonary heart disease
doppler echocardiography
bald
Microsporia
percussion dullness and weakened respiration in the lower lobe of the right lung, and a slight mediastinal displacement to the left -
pleurisy
blood pressure-30/0mm
Meningococcemia
URTI, labored inspiration
Stenosing laryngotracheitis
URTI, noisy respiration , barking cough
stenosing laryngotracheitis
juvenile rheumatoid arthritis
Reduced mobility of the joints in the morning
recurrence of leukocyturia and bacteriuria
Micturating cystourethrography
celiac disease,excluded from the diet
cereals- wheat,oats
Proteinuria and cholesterol
nephrotic
positive Chvostek, Trousseau
Decrease of blood calcium levels
cerebrospinal fluid analysis shows increased content of erythrocytes
intracranial haemorrhage
Apgar score of 9, When should this infant be put to the breast
- in the delivery room
3 week old infant - flaccid vesicles
Pemphigus neonatorum
Jaundice, increase in unconjugate erythrocytes decreased d bilirubin
coombs test
6 month old diet
vegetable pure
Cough attacks -
pertussis
Aortic dextraposition, ventricular septal defect, pulmonary artery stenosis, and right ventricular hypertr
tetralogy of fallot
15 year old girl,emotionally straining situations,emotionally straining situations
somatoform autonomic dysfunctio
NAN low lactose
lactase deficiency
Echocholecystography shows practically no contraction of the gallbladde
Hypokinetic biliary dyskinesia
The nodes suppurated
Pseudofurunculosis
bronchial asthma
Salbutamol or short-acting β2-agonists
Lymphoblasts
acute leukemia
Lost her consciousness
syncope
Excessive body mass,family history of obesity,subcutaneous fat is evenly distributed
alimentary constitutive obesity
Costovertebral angle tenderness is absent, unchanged,
bacteriuria cystitis
spontaneous abortions at the terms of 12 and 14 weeks,the cervical canal is gaping
Isthmico-cervical insufficiency, habitual noncarrying of pregnancy
Signs of peritoneal irritation are positive in all segments -
diffuse peritonitis
58 year old woman, Menopause is 8 years, the uterine cavity yields a significant amount of medullary substance in the scrape
uterine corpus cancer
Climateric syndrome
occasional hot flashes in her head, insomnia, irritability and headaches
cervical dilatation, the fetal head in the pelvic outlet plane -
outlet forceps
the contraction ring is located 2 finger widths above the navel, HenkelVasten sign is positive -
threatened uterine rupture
In the vulva there are multiple vesic
genital herpes infection
Rubella
abortion
46XY
testicular feminisation syndrome
Moderate blood discharge from the vagina,
menstruation delay dysfunctional uterine bleeding
cervical canal allows inserting 1 fingers
spontaneous abortion in progress
purulent discharge
Bacteriological and bacterioscopic analysis
the mother’s general condition is satisfactory
moderate physiological involuntion
Irregular menstruation,hirsutism,ovaries on both side are dense
polycystic ovarian syndrome
Sharp pain in lower abdomen, dense elastic formation on her right ovary torsion of ovarian tumour
tamponade
Postpartum period she developed mass hypotonic haemorrhage
postpartum hemorrhage
pains in her mammary glands that start 1 day before menstruation and stop after the menstruation begins
fibrocystic mastopathy
Last menstruation was profuse
post hemorrhagic anemia
Infiltration
infiltrative-purulent mastitis
blood pressure -160/100 mm
moderate preeclampsia
Biophysical profile of the fetus equals 4 points
Urgent delivery via a cesarean section
Endometriosis
Colposcopy, target biopsy of the cervix
fetal heart sounds detects bradycardia, late decelerations with amplitude of 50/min-Fetal distress.
Urgent cesarean section delivery
History of surgical abortion , foul smelling discharge
Postabortal endometritis
Cervical cancer
Vaccination against human papillomavirus (HPV)
Flax processing
bussinosis
District doctor diagnosed patient with dysentery
Urgent report
Basophilic stippling and anemia
saturnism(lead poisoning
delayed tooth eruption and fontanel closure
hypovitaminosis D
High level of physical development ,the development of her secondary sex characteristics
endocrine disorder
dust aerosols
dispersion
Food poisoning
vomit masses
gingiva with bleeding -
hypovitaminosis C
intensively polluted with sulfurous gas
chronic nonspeci
height growth rate per year, ossification of the carpal bones, the number of permanent teeth
Development of secondary sex characteristics
population is different in each district
standardisation
performed to determine effectiveness of new pharmacological preparation,parametric test
Students t distribution
Increasing in morbidity
target
Preventive medical examination
preliminary
Pork- trichinella -
sent for technical disposal
study the immunization rate of children and measles incidence rate by distric
Calculation of correlation coefficient
correlation coefficient in this case equals -0.9 -
- Strong inverse relationship
6500 women underwent treatment, spent total of 102000 bed days -
Average length of inpatient stay
medical certificate for pregnancy
100% of average salary
Aspergillus and mucor fungi -
allergens
Signs of cheilitis
Riboflavin
Scheduled vaccination
primary health care
type of action results in the combined effect that is less than the sum of isolated effects of these chemicals on the body -
antagonisms
Neither patients nor researchers knew who belonged to which group
double blind study
tissues at the distance of 0.5cm from the source received the dose of 30Gy(3000 R), while tissue at the distance of 20cm-
NO, he did not
decrease number of bed in the inpatient departments
Rational use of the bed fund
Smoker,expectoration of small blood filled sputum, shrunken upper lobe
Obstructive atelectasis
