Mental developmental disorders

# 179

*! At the appointment with a general practitioner, a mother with a child, 9 years old. According to the mother, the child does not cope with the school curriculum, he has difficulties communicating with classmates, and cannot fulfill household chores. What is your medical tactics as a GP doctor, primarily in accordance with the mh - GAP program?

-

# 180

*! A child of 9 years old is observed with a diagnosis of Attention Deficit Disorder for the last 6 months, in dynamics and at the time of the examination you do not see an improvement in his mental state. What is your medical tactic?

Nootropics?

LUTS (300 questions)

St level

#1

*! The main document of the ambulance team is:

 

* signal sheet

* + call card

* accompanying sheet

* outpatient card

* outpatient journal

 

# 2

*! Field ambulance teams are sent to call for:

 

* fulfillment of the appointments of the local doctor

* issuance of temporary disability sheet

* statement of the death of the patient or victim

* + emergency medical care and transportation to the hospital

* emergency care for a patient in a specialized hospital

 

# 3

*! MOST characteristic complaints in uncomplicated hypertensive crisis

 

* shortness of breath, cough with "rusty sputum"

* weakness, abdominal pain, cold sweat

* dizziness, dry mouth, speech impairment

* + headache, tinnitus, "flies" in front of the eyes

* headache, back pain, dysuric phenomena

 

#4

*! Target organ in primary arterial hypertension?

 

* liver, spleen, kidneys

* bronchopulmonary system

* osteoarticular system

* + heart, brain, kidneys

* vessels, peripheral nerves

#5

*! Emergency care for uncomplicated hypertensive crisis e

 

* lasix

* alteplase

* + nifedipine

* enalaprilat

*nitroglycerine

# 6

*! In patients with exertional angina II FC attacks occur:

 

*at rest

* only with very heavy physical exertion.

* when climbing stairs less than one floor

* + when climbing stairs more than one floor

* with any, even minimal physical activity

 

# 7

*! In patients with variant angina, attacks usually occur:

 

* + night or early morning

*after noon

* after exercise

* after taking nitroglycerin

* there is no circadian

 

#8

*! Methods of pathogenetic therapy of myocardial infarction in the first hours from the onset of the disease

 

*anesthesia

* anticoagulant therapy

* + thrombolytic therapy

* double antiplatelet therapy

* intravenous infusion of nitroglycerin

 

#9

*! MOST typical localization of pain in acute coronary syndrome

 

* in the epigastrium

* + behind the sternum

* in the right shoulder

* in the right hypochondrium

* in the area of ​​the lower jaw

 

#10

*! MOST typical character of sternal pain in acute coronary syndrome

 

*aching

*pricking

* + crushing

* shooting

*throbbing

 

#eleven

*! The drug of choice for the relief of pain in acute coronary syndrome

 

* tramadol

* xefocam

* + morphine

* promedol

* analgin

 

#12

*! The area of ​​ischemia on the ECG reflect:

 

* + T wave changes

* Q-wave broadening

* R wave changes

* ST segment changes

* changes to the QRS complex

 

#thirteen

*! ECG damage area reflect

 

* T wave changes

* R wave changes

* Q-wave broadening

* + ST segment changes

* changes in the PQ segment

 

#14

*! Determine the MOST probable rhythm disturbance on the presented ECG: chaotic irregular rhythm, QRS complexes and T waves are absent.

 

 

* paroxysmal atrial tachycardia

* accelerated idioventricular rhythm

* + ventricular fibrillation

* pirouette tachycardia

* atrial fibrillation

 

#fifteen

*! Determine the MOST probable rhythm disturbance on the presented ECG: extraordinary, wide (> 0.12 s) and deformed QRS complex. The ST segment and T wave are discordant to the QRS complex. The P wave is not associated with extrasystoles or negative and follows the QRS complex. The interval between the pre- and post-extrasystolic P waves is equal to twice the normal PP interval.

 

 

* paroxysmal atrial tachycardia

* + ventricular extrasystoles

* AV nodal extrasystoles

* pirouette tachycardia

* atrial fibrillation

 

#sixteen

*! Morgagni-Adams-Stokes syndrome is observed with:

 

* sinus arrhythmia

* sinus bradycardia

* sinus tachycardia

* + complete atrioventricular block

* complete blockade of the left bundle branch block

 

 

# 17

*! With atrioventricular blockade of the III degree on an ECG, MOST likely:

 

* PQ interval lengthening

* periodic loss of QRS while maintaining the P wave

* + complete dissociation of atrial and ventricular rhythms

* gradual lengthening of PQ and periodic precipitation of QRS

* loss of every second QRS complex with preserved sinus rhythm

 

#eighteen

*! ECG signs of lower myocardial infarction are recorded in the following leads:

 

* V1-V6

* aVL, V1V2

* + II, III, aVF

* I, aVL, V1-V4

* I, aVL, V5-V6

 

 

#nineteen

*! The drug used in patients with acute respiratory viral infections with hyperthermia

 

* dibazole

* droperidol

* + paracetamol

* aminophylline

*acetylsalicylic acid

 

#twenty

*! "Rusty" sputum is typical for the clinic:

 

* cystic fibrosis

* bronchial asthma

* focal pneumonia

* + croupous pneumonia

* thromboembolism of the branches of the pulmonary artery

 

 

# 21

*! For a clinic of bronchial asthma, MOST characteristic is

 

* + expiratory dyspnea

* inspiratory dyspnea

* cough with rusty sputum

* fine bubbling wheezing in the lungs

* percussion dullness in the lower parts of the lungs

 

# 22

*! An emergency medicine for an attack of mild bronchial asthma

 

* trypsin

* Ambroxol

* epinephrine

* + salbutamol

* prednisone

 

# 23

*! MOST dangerous localization of Quincke's edema

 

* + larynx

* lips

* Genitourinary area

*chest

* scalp

 

# 24

*! A group of drugs for emergency care for urticaria

 

* bronchodilators

* antioxidants

* adrenomimetics

* benzodiazepines

* + antihistamines

 

# 25

*! The basis for the development of an allergic reaction of an immediate type is the release into the bloodstream

 

* enzymes

* toxins

* heparin

* + histamine

* acetylcholine

 

# 26

*! Emergency food poisoning

 

* diuretics

* antibiotics

* antispasmodics

* glucocorticoids

* + gastric lavage

 

 

# 27

*! Symptom MOST allows you to establish III degree of exsicosis

 

* drinks eagerly

* body weight loss 1%

* wet mucous membranes

* + severe lethargy, adynamia

* moderate dryness of the mucous membranes

 

# 28

*! A measles rash begins to appear:

 

* in folds

* simultaneously

* around joints

* + staged from the face, then the trunk and limbs

* on the scalp, face, limbs, trunk

 

# 29

*! Clinic of chickenpox:

 

* spasmodic cough, shortness of breath

* an increase in the posterior cervical lymph nodes

* maculopapular rash, intoxication

* small-pointed rash of pink color, tonsillitis

* + polymorphic vesicular rash, intoxication

 

 

#thirty

*! A loose stool of the “rice broth” type is characteristic of an infection:

 

*plague

* + cholera

* tularemia

*anthrax

* Ebola fever

 

# 31

*! A painless ulcer with a dark brown bottom, elevated edges and serous-hemorrhagic discharge is MOST characteristic of the infection:

 

*plague

*cholera

* tularemia

* + anthrax

* Ebola fever

 

# 32

*! The maximum allowable blood loss during childbirth during full-term pregnancy in ml, up to:

 

* 2000

* + 400

* 1000

* 1500

* 40

 

 

# 33

*! The most common cause of premature detachment of a normally located placenta:

 

* abdominal injury

* short umbilical cord

* + gestosis of pregnant women

* polyhydramnios, multiple pregnancy

* pregnancy overtaking

 

# 34

*! Emergency care for acute stomach syndrome

 

* make a cleansing enema

* + hospitalize the patient

* inject pain medication

* flush the stomach

* put a heating pad

 

 

# 35

*! Symptom of acute appendicitis

 

* Ortner

* + Sitkovsky

* Mayo-Robson

* Shchetkina-Blyumberga

* Obukhov hospital

 

# 36

*! The disappearance of pain and the appearance of melena with a duodenal ulcer is characteristic of

* penetration into the pancreas

* pyloroduodenal stenosis

* malignancy ulcers

* ulcer perforation

* + bleeding

 

 

# 37

*! Coughing up red blood in a large volume is the MOST probable symptom

 

* pneumonia

* hemoptysis

* + pulmonary hemorrhage

* internal bleeding

* gastric bleeding

 

# 38

*! Emergency care for patients with acute urinary retention at the prehospital stage includes:

 

* imposition of a permanent bladder fistula

* use of narcotic analgesics

* warm lumbar warmer

* use of diuretics

* + bladder catheterization

 

# 39

*! Ambulance crews to assist children

 

* linear

* paramedic

* evacuation

* + pediatric

* intensive care

 

# 40

*! For the relief of convulsive syndrome in children with acute respiratory viral infections

 

* diphenhydramine

* prednisone

*paracetamol

* + diazepam

* dibazole

 

 

# 41

*! Antipyretic therapy for an initially healthy person is carried out at a body temperature above

 

* 40 ° C

* 38 ° C

* 39.5 ° C

* 37.5 ° C

* + 38.5 ° C

 

# 42

*! Antipyretic therapy in children is started immediately, regardless of the severity of hyperthermia with:

 

* parents request

* low-grade fever

* + history of seizures

* preschool child

* satisfactory health

 

 

# 43

*! For the relief of convulsive syndrome in children with acute respiratory viral infections

 

* + diazepam

* epinephrine

*paracetamol

* prednisone

* diphenhydramine

 

 

# 44

*! The level of systolic blood pressure is MOST characteristic for cardiogenic shock of the III degree:

 

* 70-60 mmHg

* 80-60 mmHg

* 100-90 mmHg

* 110-100 mmHg

* + less than 60 mmHg

 

# 45

*! MOST preferred drug for cardiogenic shock accompanying myocardial infarction:

 

* isadrine

* + dopamine

* epinephrine

* prednisone

* sodium nitroprusside

 

# 46

*! For acute left ventricular failure MOST characteristic is the forced position of the body:

 

*on the back

* + orthopnea

* on the stomach

* on the left side

* constant change of body position

 

# 47

*! Symptom of pulmonary edema

 

* suffocation with difficulty exhaling

* + wet wheezing

* inspiratory dyspnea

* hoarseness of voice

* blood in the sputum

 

# 48

*! The MOST common source of pulmonary thromboembolism is:

 

* + veins of the lower extremities

* veins of the upper limbs

* right heart

* left heart

* pelvic veins

 

 

# 49

*! The following condition is MOST likely related to acute vascular insufficiency

 

*coma

* cramps

* + collapse

* hypoglycemia

* hypokalemia

 

#fifty

*! MOST common cardiac cause of circulatory arrest:

 

* asystole

* + ventricular fibrillation

ventricular extrasystole

* electromechanical dissociation

* paroxysmal supraventricular tachycardia

 

# 51

*! Symptoms of clinical death:

* increase in blood pressure, sinus rhythm, stunning

* pathological breathing, tachycardia, drowsiness

* respiratory arrest, cramps, dilated pupils

* + lack of breathing, pulse on the carotid artery, consciousness

* no pulse on the carotid artery, breathing, clouding of the cornea

 

# 52

*! The ratio of compressions to the frequency of injections during cardiopulmonary resuscitation:

 

* 4: 1

* 5: 1

* + 30: 2

* 15: 2

* 20: 6

 

# 53

*! MOST reliable indication for cardiopulmonary resuscitation:

 

* anisocoria

* pathological type of breathing

* short-term loss of consciousness

* diffuse cyanosis of the skin

* + lack of pulse on the carotid artery

 

 

# 54

*! Gold standard for airway management

 

* Heimlich reception and air duct

* conicotomy and tracheal intubation

* microconicotomy and oxygenation

* Triple Safar and conicotomy

* + triple Safar and tracheal intubation

 

# 55

*! The air duct is used to:

* + ensuring the patency of the upper respiratory tract

* performing indirect heart massage

* cleaning of the upper respiratory tract

* tracheal intubation

* introduction of medicines

 

# 56

*! Indications for tracheal intubation

 

* asthma attack

* shortness of breath at rest

* chest pain

* shortness of breath during physical exertion

* + shortness of breath over 40 per minute, apnea

 

 

# 57

*! MOST reliable sign of the effectiveness of external cardiac massage:

 

* narrowing of the pupils

* cadaveric spots

* reduction of skin cyanosis

* dry sclera of eyeballs

* + the appearance of a pulse on the carotid artery

 

 

# 58

*! THE MOST probable cause of asthmatic status

 

* oxygen therapy

* the introduction of hormones

* repeated administration of hormones

* prescription of anticholinergics

* + frequent use of short-acting beta 2-agonists

 

 

# 59

*! An increase in the volume of one half of the chest is possible with:

 

* scarring of the lung or pleura

* emphysema

* lung resection

* + pneumothorax

* atelectasis

 

# 60

*! Indication for pleural puncture at the prehospital stage:

 

* average hemothorax

* open pneumothorax

* closed pneumothorax

* + intense pneumothorax

* pleurisy with a lot of effusion

 

# 61

*! Priority treatment in case of foreign bodies getting into the larynx

 

* + Heimlich's reception

* oxygen inhalation

* urgent tracheostomy

* removal of a foreign body using a laryngoscope

* urgent hospitalization in a specialized hospital

 

# 62

*! Tactics for the inefficiency of Heimlich’s reception

 

* start ventilator

* insert the nasal duct

* + perform conicotomy

* perform tracheal intubation

* start external massage of the heart

 

# 63

*! Symptom of laryngostenosis in children

 

* foamy sputum

* expiratory dyspnea

* fine bubbling rales

* shortening percussion sound

* + noisy breathing involving auxiliary muscles

 

 

# 64

*! Preparations, the MOST priority for stenosis of the larynx of the 2nd degree in children

 

* diuretics

* antibiotics

* antispasmodics

* tranquilizers

* + glucocorticosteroids

 

# 65

*! MOST characteristic sign of anaphylactic shock

 

* clear heart sounds

* muffled heart sounds

* expiratory dyspnea

* + low blood pressure

*high blood pressure

 

 

# 66

*! Lyell's syndrome is

 

* + toxic-allergic damage to the skin and mucous membranes

* polymorphic erythema

* fungal disease

* genetic disease

*dermatitis

 

# 67

*! MOST typical sign of meningococcemia

 

* pallor of the skin

* hepatolienal syndrome

* meningeal syndrome

* + hemorrhagic rash

*polyarthritis

 

# 68

*! Symptom of toxic toxic shock:

 

* + lowering blood pressure

* skin hyperemia

*excitation

*dyspnea

* paresis

 

# 69

*! What kind of com is MOST characteristic of the smell of acetone:

 

* hyperglycemic

* hypoglycemic

* hyperosmolar

* uremic

* alcohol

 

 

# 70

*! Emergency care for hypoglycemic coma includes intravenous administration:

 

* + 40% glucose solution

* 0.9% sodium chloride solution

* 5% glucose solution

* naloxone

*insulin

 

# 71

*! Risk factor for acute cerebrovascular accident:

 

* + arterial hypertension

*stomach ulcer

*diabetes

* osteoarthrosis

*neurosis

 

 

# 72

*! The diagnosis of stroke at the prehospital stage is MOST reliable based on the results:

 

* + studies of neurological status

* survey and history data

* troponin test

* blood pressure measurements

*ECG

 

# 73

*! For how long do symptoms undergo a transient development in transient cerebrovascular accident?

 

* 1-2 weeks

* + 24 hours

* 2-3 days

* 3-5 days

* 5-7 days

 

 

# 74

*! Characteristics of a person characteristic of patients with epilepsy:

 

* + thoroughness, excessive detail

* penchant for flat humor

* primitive thinking

* manic syndrome

* deceit

 

# 75

*! Aura phases, tonic and clonic convulsions are characteristic of:

 

* hyperglycemic coma

* hypoglycemic coma

* + epilepsy

* stroke

* collapse

 

# 76

*! Harbingers of childbirth

 

* water discharge

* the appearance of regular contractions

* + the appearance of irregular contractions

* increase in body weight of a pregnant

* high standing of the present part

 

# 77

*! Clinical symptoms of eclampsia

 

* tachype

* cramps

* bradycardia

*abdominal pain

* increased irritability

 

# 78

*! With external arterial bleeding, blood

 

* + scarlet, jet

* oozing from the surface of the wound

* scarlet, flowing slowly

* dark cherry color, jet

* dark cherry color, flowing out slowly

 

 

# 79

*! Method of temporarily stopping bleeding from an artery of a limb

 

* hemostatic tourniquet below the site of damage

* + hemostatic tourniquet above the site of damage

* pressure bandage above the site of damage

* pressure dressing below the site of damage

* pressure dressing at the site of damage

 

 

# 80

*! Effective transport immobilization for shin bone fractures requires fixation

 

* Hip, knee and ankle joints

* + knee and ankle joints

* ankle joint

* knee joint

* bone fragments

 

# 81

*! Sign of traumatic dislocation

 

* + deformation of the joint area

* increased mobility in the joint

* pathological mobility in the joint

* external bleeding in the joint

* maintaining the ability to actively move in the joint

 

# 82

*! Symptom complex, the MOST allowing to establish the diagnosis of brain contusion

 

* + focal

* meningeal

* cerebral

* intoxication

* dehydration

 

 

# 83

*! Multiple injury is traumatic injury

 

* in one anatomical area

* as a result of electric current

* + in one anatomical region two or more injuries

* in different anatomical areas two or more injuries

* with simultaneous exposure to two or more factors of different nature

 

# 84

*! Combined injury is a traumatic injury.

 

* in one anatomical area

* as a result of electric current

* in one anatomical region two or more injuries

* + in different anatomical areas two or more injuries

* with simultaneous exposure to two or more factors of different nature

 

# 85

*! Algover's shock index is a ratio

 

* heart rate to hemoglobin value

* hemoglobin and hematocrit values

* indicators of red blood cells to hemoglobin

* + heart rate to systolic pressure

* hematocrit to diastolic pressure

 

 

# 86

*! The criterion for correct application of a hemostatic tourniquet during bleeding from an artery of a limb is

 

* temporary increase in bleeding

* swelling of the extremities below the application of the tourniquet

* the appearance of a petechial rash below the application of a tourniquet

* cyanotic limb below the place of application of the tourniquet

* + extinction of the pulse on the limbs below the application of the tourniquet

 

# 87

*! The degree of burn at which the surface layers of the epidermis die is accompanied by severe swelling and flushing of the skin with the formation of blisters filled with yellowish exudate

 

* I

* + II

* IIIa

* IIIb

* IV

 

# 88

*! The main cause of death from electrical injury:

 

* fractures

* bleeding

* separation of limbs

* respiratory depression

* + ventricular fibrillation

 

# 89

*! Mandatory treatment for carbon monoxide poisoning at the prehospital stage

 

* gastric lavage

* forced diuresis

* intravenous administration of naloxone

* + oxygen therapy 100% oxygen

* intramuscular injection of unitiol

 

# 90

*! MOST probable cause of syncopal drowning

 

* ice shock

spasm of vocal cords

* + reflex cardiac arrest

* head bang on an underwater subject

* aspiration of fluid into the respiratory tract

 

Nd level

 

#1

*! The victim was delivered to the emergency room by an ambulance after falling from a height in a coma. How long should the SMP team be in the reception department:

 

* up to 30 minutes

* + no more than 10 minutes

* until a diagnosis is established.

* time is determined by the doctor on duty

* time is determined by the senior doctor

 

# 2

*! During the emergency call, the ambulance brigade stopped the police patrol to assist the victim in a traffic accident. Define the tactics of a medical professional:

 

* drive past

* refuse assistance, motivating the urgency of the call

* examine the victim and recommend calling another team

* + provide assistance to the victim, inform the dispatcher, wait for his decision

* assist, recommend transportation by police

 

# 3

*! A patient with arterial hypertension suddenly worsened, headache, dizziness, flickering of “flies” in front of his eyes, feeling of heat, red spots on his face intensified. HELL 220/110 mm RT. Art.

MOST probable emergency in a patient

 

* angina pectoris

*hives

* myocardial infarction

* hypertensive crisis

* hypoglycemic coma

 

#4

*! Woman 56 years old. Complaints of severe headache, palpitations, pain behind the sternum, weakness. Objectively: excited, pulse 113 bpm, blood pressure 195/110 mm Hg Heart sounds are clear, loud, 2 tone accent above the aorta.

MOST probable emergency:

 

*pulmonary edema

* cardiogenic shock

* hypertensive crisis

* acute coronary syndrome

*pulmonary embolism

 

 

#5

*! A man of 79 years. Complaints of headaches in the occipital region, dizziness, tinnitus, weakness. Within 10 years, blood pressure rises, worsening within a week. Objectively: clear consciousness. Heart sounds are clear, emphasis II tone over the aorta. Heart rate 90 per minute. HELL 170/100 mm RT. Art.

MOST probable preliminary diagnosis?

 

* CHD. progressive angina

* pheochromocytoma. hypertensive crisis

* arterial hypertension I Art. hypertensive crisis

* + arterial hypertension II Art. hypertensive crisis

* arterial hypertension III art. hypertensive crisis

 

 

# 6

*! A 73-year-old man complains of pain behind the sternum, more than 1 hour, shortness of breath. During the examination, the skin is pale, moist. Heart sounds are deaf. AD105 / 80 mmHg, ECG - heart rate of 108 per min., ST interval increase in leads I, II, avL, V1-V4 by 5 mm, pathological Q wave in leads I, II, avL, QRS complex 0.09 sec.

MOST probable preliminary diagnosis:

 

* + AMI of the anterior wall

* ACS with ST segment lift

* progressive angina

* stratified aortic aneurysm

*pulmonary embolism

 

# 7

*! The patient is 59 years old. Complaints of constricting pain in the heart, lasting more than 40 minutes, shortness of breath of a mixed nature, fear of death, severe weakness. The condition is extremely serious. Forced position with raised head end. The skin is pale, moist. Heart rate of 120 rpm, blood pressure 90/70 mm Hg On the ECG - ST segment elevation in III, avF leads, deep, wide Q wave in leads III, avF QRS complex 0.08 sec.

Which of the following diagnoses is MOST correct?

 

* spontaneous angina

* progressive angina

* ACS with ST segment lift

* + AMI of the posterior wall of the left ventricle

* paroxysmal ventricular tachycardia

 

#8

*! A 46-year-old patient complains of paroxysmal pain in the left half of the chest lasting up to 10 minutes, radiating to the interscapular region, weakness. Pain appeared after nervous stress for the first time. Anamnesis: periodically increasing blood pressure to 170/100 mm Hg I did not take medication. Consciousness is clear. The skin is pale, dry. HELL 130/90 mm Hg heart sounds are muffled, rhythmic. There are no wheezing in the lungs. ECG: sinus rhythm 84 in min. Normal EOS.

MOST probable diagnosis

 

*intercostal neuralgia.

* spontaneous angina

* ACS without ST segment elevation

* progressive angina

* + first-occurring angina pectoris

 

#9

*! The patient is 63 years old. Complaints of compressive, pressing pains in the region of the heart that appeared after psycho-emotional stress. After taking nitroglycerin, the pains disappear, but after a while they reappear. A history of coronary heart disease is about 5 years. The state of moderate severity, the skin is pale, in the lungs - vesicular breathing, no wheezing. Heart sounds are muffled, the rhythm is correct, blood pressure is 140/90 mmHg, pulse is 60 beats per minute. ECG: ST segment in leads V1 - V4 below the contour, T wave negative.

MOST probable preliminary diagnosis:

 

* osteochondrosis of the thoracic spine

* + Coronary heart disease. Stable angina pectoris

* CHD. Progressive angina pectoris

* NDC by cardiac type

*shingles

 

#10

*! A 57-year-old man asked for an ambulance with severe pain behind the sternum, which lasted about a day. The doctor of the BIT team recorded the following ECG. Determine the MOST probable diagnosis?

 

*pericarditis

* group extrasystoles

* artificial pacemaker

* blockade of the right bundle branch block

* + acute myocardial infarction of the anterior wall

 

#eleven

*! A 53-year-old man asked for an ambulance complaining of severe chest pain with radiation in the back for 6 hours and the next ECG.

MOST probable diagnosis?

 

*pericarditis

* acute coronary syndrome

* stratified aortic aneurysm

* + macrofocal posterior myocardial infarction

* transmural myocardial infarction of the anterior wall

 

#12

*! A 49-year-old man asked for LUTS. A history of severe chest pain that started 24 hours ago but is now gone. Shortness of breath is noted.

MOST probable conclusion:

 

* first-occurring angina pectoris

* anterior-common ischemia

* chronic left ventricular aneurysm

* + acute myocardial infarction of the anterolateral wall

* subendocardial myocardial infarction of the anterior wall of the left ventricle

 

#thirteen

*! A man of 53 years old is diagnosed with Acute Coronary Syndrome. The doctor of the specialized team conducted the necessary treatment measures and offered hospitalization in a specialized hospital, which the patient refused. What should the doctor do in this situation:

 

* issue a certificate of incapacity for work

* take the patient to the hospital without his consent

* transfer the "asset" to the clinic for the district doctor

* report the refusal to the senior doctor and transfer the “asset” to the clinic

* + draw up a written refusal, inform the senior doctor, active visit after 2-3 hours

 

#14

*! An elderly man after a car accident had a sharp compressive pain behind his sternum, which did not pass after taking nitroglycerin, weakness, cold sweat. Objectively: heart sounds are muffled, heart rate 112 per minute. Which of the diagnoses is MOST correct?

 

*pneumonia

*intercostal neuralgia

* spontaneous pneumothorax

* + acute coronary syndrome

* angina pectoris. FC I

 

#fifteen

*! A 47-year-old man complains of constricting pain behind the sternum, shortness of breath, weakness, and cold sweat. Pain for 2 hours. The condition is serious. The skin is pale, cold, covered with cold, sticky sweat. Heart sounds are muffled rhythmic, 110 per min. HELL 110/80 mm Hg In the lungs moist rales, NPV 26 per min. Which research method is MOST important for confirming the diagnosis:

 

* echocardiography

* glucometry

* spirography

* + electrocardiography

* pulse oximetry

 

#sixteen

*! The patient is 44 years old, after considerable physical exertion appeared weakness, severe pain behind the sternum, pressing in the left shoulder, shortness of breath. The pain lasted about 40 minutes. On an ECG, sinus tachycardia 108 per minute, ST segment elevation of more than 3 mm in leads I, II, avL, V1-V4.

The MOST probable diagnosis:

 

* spontaneous angina

* progressive angina

* + ACS with ST segment elevation

* first-occurring angina pectoris

* acute myocardial infarction of the anterior wall of the left ventricle

 

# 17

*! A 57-year-old sick man suddenly lost consciousness during the examination, short-term tonic-clonic convulsions, cyanosis of the skin appeared. On the ECG: chaotic irregular rhythm, QRS complexes and T waves are absent.

MOST probable rhythm disturbance:

 

* pirouette tachycardia

* atrial fibrillation

* + ventricular fibrillation

* accelerated idioventricular rhythm

* paroxysmal atrial tachycardia

 

#eighteen

*! A man has an ECG: PQ <0.12 s, the presence of a delta wave, QRS complexes are wide, the ST interval and T wave are discordant to the QRS complex.

What rhythm disturbance is MOST likely on the ECG:

 

* violation of intraventricular conduction

* incomplete blockade of the left bundle branch block

* complete blockade of the left bundle branch block

* blockade of the right bundle branch block

* + WPW syndrome

 

#nineteen

*! Determine the MOST probable variant of conduction disturbance on the presented ECG: QRS> 0.12 s, late R wave in leads V1, V2 with oblique descending ST segment and negative T wave. Deep S wave in leads I, V5, V6.

MOST probable ECG conclusion:

 

 

* violation of intraventricular conduction

* incomplete blockade of the right bundle branch block

* incomplete blockade of the left bundle branch block

* + complete blockade of the right bundle branch block

* complete blockade of the left bundle branch block.

 

#twenty

*! The patient has an ECG - there are no P waves, instead of them f waves of different amplitude and duration are better visible in leads II, III, avF, V1-V2.

Which rhythm disturbance is MOST likely?

 

* sinus arrhythmia

* atrial flutter

* + ciliary arrhythmia

* atrioventricular block I degree

* atrioventricular block II degree

 

# 21

*! Patient J., in the morning felt chills, then body temperature increased to 39.8 ° C, nasal congestion, sore throat and behind the sternum, dry nasal cough. After taking aspirin, my health did not improve. In the pharynx diffuse hyperemia of the soft palate, arches, tonsils, posterior pharyngeal wall. In the lungs, hard breathing, single dry rales.

Which of the following preliminary diagnoses is MOST correct?

 

*pneumonia

* lung abscess

*acute bronchitis

* exudative pleurisy

* + acute respiratory viral infection

 

# 22

*! A 20-year-old patient, became acutely ill: temperature up to 38.2º C, headache, aching muscles and joints, sore throat when swallowing, nasal congestion, pain in the eyes, lacrimation. The condition is satisfactory. The mucosa of the posterior pharyngeal wall is covered with mucopurulent discharge. The conjunctiva of the right eye is hyperemic, swollen. The submandibular, cervical lymph nodes are enlarged to 1 cm in diameter.

Which of the following preliminary diagnoses is MOST correct?

 

* + ARVI

*meningitis

* yersiniosis

* viral hepatitis

* meningoencephalitis

 

# 23

*! The young man is 16 years old. Complaints of dry cough, shortness of breath, chills, headache, weakness. Sick after suffering acute respiratory viral infections. Body temperature 38.7 C. NPV - 22 per minute. On auscultation of the lungs: dry wheezing.

Which of the following preliminary diagnoses is MOST probable?

 

* acute pleurisy

* + acute bronchitis

*pulmonary tuberculosis

*bronchial asthma

* right-sided lower lobar pneumonia

 

# 24

*! A man, 32 g. He fell ill sharply in the evening when there was a chill, headache, temperature 39 C. By morning, coughing and pain in the right half of the chest during breathing began to disturb. Before the disease suffered a significant hypothermia. Objectively: Blush on the right cheek. BH 25 per minute. The right half of the chest lags in the act of breathing. Percussion - shortening of sound on the right in the subscapular area, Breath on the right is bronchial, crepitus is heard.

Which of the following preliminary diagnoses is MOST correct?

 

*acute bronchitis

* acute respiratory viral infection

* exacerbation of chronic obstructive bronchitis

* bronchial asthma, severe persistent course

* + community-acquired right-sided lower lobar pneumonia

 

# 25

*! Patient 63 g. Complaints about difficulty breathing. A history of asthma. The state of moderate severity. Physical activity is limited. The skin is cyanotic. In the breathing, auxiliary muscles are involved. During auscultation in the lungs, hard breathing, dry wheezing. NPV 23 per min. Heart sounds are muffled, the rhythm is correct. Heart rate 92 per minute. HELL 130/90 mm Hg

Which of the following preliminary diagnoses is MOST correct?

 

* chronic bronchitis in the acute stage

* chronic obstructive pulmonary disease, DN III

* + bronchial asthma, mild attack. Day I

* bronchial asthma, moderate seizure. NAM II

* bronchial asthma, a severe attack. DN III

 

# 26

*! Woman of 28 years. Complaints of skin rashes throughout the body, itching, nasal congestion. Deterioration is associated with work in the country. On the skin of the face, upper limbs, abdomen, urticarial, spotty-papular, vesicular eruptions in places of a draining character, accompanied by itching.

Which of the following preliminary diagnoses is MOST correct?

 

*measles

* Quincke edema

* + urticaria

* Lyell's syndrome

*anaphylactic shock

 

# 27

*! A child with localized Quincke edema on his face suddenly worsened. There was a cough, hoarseness, choking, stridorous breathing.

MOST likely complication of this condition?

 

* bronchospasm

* + laryngeal edema

*pulmonary edema

* Lyell's syndrome

*anaphylactic shock

 

# 28

*! A man of 30 years. Complaints of dyspnea at rest, suffocation, rashes on the face, itching. From the anamnesis: Deterioration arose after taking citrus fruits, rashes and swelling on the face, shortness of breath, hoarseness, barking cough. Objective: The condition is serious. Consciousness is clear. The face is puffy, swelling of the eyelids, lips, ears, neck, rashes of a small-dot character in places drain.

Which of the following preliminary diagnoses is MOST correct?

 

* + Quincke's edema

* croup syndrome

*anaphylactic shock

* allergic dermatitis

* COPD in the acute stage

 

# 29

*! A man asked for emergency medical care for 1 day of illness. He fell ill acutely, 6 hours after being away: epigastric pain, nausea, repeated vomiting, frequent loose stools. Temperature 37 0 С, pale, eyes sunken. Soreness in the epigastrium. The chair is plentiful, watery, green.

MOST probable preliminary diagnosis:

 

* acute gastritis

* acute pancreatitis

*acute appendicitis

* acute enterocolitis

* + acute gastroenteritis

 

#thirty

*! The child is 9 years old. Complaints of weakness, cramping abdominal pain. Sick the second day. Defecation up to 10-12 times a day. Liquid stool with an admixture of mucus and blood. Body temperature 38.7 C. On palpation of the abdomen, pain in the left iliac region.

MOST probable preliminary diagnosis:

 

* acute gastritis

* acute pancreatitis

*acute appendicitis

* + acute enterocolitis

* acute gastroenteritis

 

 

# 31

*! Patient A., 14 p. Ill acutely, profuse watery stools, vomiting fountain, repeated. T 35.40 ° C, state of extreme severity, lethargic, dynamic, refuses to drink. The skin is gray, dry, gathers in irreparable folds. Mucous dry. Pulse and blood pressure are not determined. BH 28 per minute. The abdomen is retracted, with painless palpation, rumbling along the intestine. Anuria

MOST probable preliminary diagnosis?

 

* tularemia

*cholera. Exicosis II Art.

* salmonellosis. Exicosis II Art.

* food toxicoinfection. Exicosis I Art.

* + OKI. Acute gastroenteritis. Exicosis III Art. Hypovolemic shock

 

# 32

*! The patient 2 hours after eating ice cream had cutting pains in the epigastrium, nausea, repeated vomiting, weakness, dizziness.

MOST probable preliminary diagnosis?

 

*plague

*cholera

*dysentery

* salmonellosis

* + foodborne toxicosis

 

# 33

*! A man of 36 years. Complaints of severe weakness, abdominal pain, double vision, single vomiting. From the anamnesis it is known that the patient dined at a party in the evening. Similar complaints are noted in several more people. In the morning there were cramping abdominal pains, difficulty swallowing, dry mouth, hoarseness, fog before the eyes. The patient's condition is severe, inhibited. HELL 110/70, pulse 90 min. The abdomen is soft, painless.

The MOST probable diagnosis:

 

*tetanus

* + botulism

* salmonellosis

* foodborne toxicosis

* meningococcal meningitis

# 34

*! Baby Yu, 4 years old, 14 days ago had contact with a patient with an “allergic rash”. She became acutely ill, with a temperature of 38-39 ° C, conjunctivitis, cough and copious discharge from the nose, a medium- and large-spotted, bright red rash appeared, first behind the ears, then spread to the trunk and limbs.

MOST probable preliminary diagnosis?

 

* + measles

*rubella

* yersiniosis

*scarlet fever

*chickenpox

 

# 35

*! Z., 4 years old, became ill sharply, body temperature 38 ° C, headache, enlargement and soreness of the cervical lymph nodes appeared. On the same day, a rash appeared on the face and body. Objectively: in the throat moderate hyperemia of the mucous membranes. The rash is small-spotted, plentiful with localization throughout the body, mainly on the extensor surfaces of the limbs. The posterior cervical and occipital lymph nodes are up to 1.5 cm thick.

MOST probable preliminary diagnosis?

 

*measles

* + rubella

* yersiniosis

*scarlet fever

*chickenpox

 

# 36

*! A child of 3 years old, attends a children's team, sick the second day. The disease began with a rise in temperature to 37.4 ° C, the appearance of a rash. The rash is located on an unchanged skin background, not abundant, in the form of small spots, papules and vesicles. The next day, the number of rash elements increased, single crusts at the sites of the vesicles.

MOST probable preliminary diagnosis?

 

*measles

*rubella

* yersiniosis

*scarlet fever

* + chickenpox

 

# 37

*! Child A., 6 years old, with complaints of fever up to 39.5, headache, sore throat, repeated vomiting. The state of moderate severity, a bright blush on the cheeks, a pale nasolabial triangle. On the skin of the trunk and extremities there is an abundant rash, mainly on the flexion surfaces. The pharynx is brightly hyperemic, in the gaps of the tonsils grayish overlay.

MOST probable preliminary diagnosis?

 

*angina

*rubella

* yersiniosis

* + scarlet fever

*chickenpox

 

# 38

*! Baby 6 months. Within 2 weeks, against the background of normal temperature, a growing cough, especially at night. Today - flaccid, pale, cyanosis of the nasolabial triangle, paroxysmal cough, accompanied by anxiety, facial flushing during the attack, protruding tongue and periodically ends with vomiting, hemorrhage in the conjunctiva of the right eye. In the lungs, hard breathing, wheezing is not heard, heart sounds are distinct, the number of coughing attacks is up to 15 per day.

MOST probable preliminary diagnosis?

 

* + whooping cough

* acute bronchiolitis

* SARS, croup syndrome

* right-sided pneumonia

* acute obstructive bronchitis

 

# 39

*! The patient came from India. Ill acutely with multiple profuse watery stools and profuse watery vomiting. Body temperature 35.10C. The skin is dry, skin turgor is reduced. Visible mucous membranes are dry. Facial features are pointed. HELL 70/40 mm RT. Art. Heart rate 115 beats per min. Heart sounds are deaf. The voice is hoarse. I did not urinate.

MOST probable preliminary diagnosis?

 

* + cholera

* Escherichiosis

* salmonellosis

* acute dysentery

* amoebic dysentery

 

# 40

*! The child is 12 years old, sick 4 days. The disease began acutely with a sharp increase in temperature to 400C, weakness, lethargy, delirium, repeated vomiting. Soon, a spot appeared on the front surface of the right thigh, then a papule, a vesicle surrounded by a red nimbus. The right inguinal lymph node enlarged and became sharply painful. 3 days before the illness, the child was in contact with a gopher, which he found in the field and brought home.

MOST probable preliminary diagnosis?

 

* + plague

*cholera

* tularemia

* salmonellosis

* foodborne toxicosis

 

# 41

*! A 45-year-old man has a painless dark ulcer on his face. In a rural village there are several similar cases. All patients took part in the slaughter of a sick cow. MOST probable preliminary diagnosis?

 

*plague

*cholera

* tularemia

* + anthrax

* foodborne toxicosis

 

# 42

*! A woman of 28 years old, complaints of sharp pains in the lower abdomen that appeared after exercise. History - a cyst of the right ovary. Objectively: general state of moderate severity. HELL 130/85 mm RT. Art., pulse 85 beats per minute. The tongue is wet, not coated. The abdomen is of the correct form, breathing spares the lower half. In the right iliac region, mild symptoms of peritoneal irritation.

Which of the following diagnoses is MOST correct:

 

*acute appendicitis

* ovarian apoplexy

*ectopic pregnancy

* tubo-ovarian education

* + torsion of the legs of the ovarian cyst

 

# 43

*! A woman of 25 years old, complaints of pain in the left ileal region with radiation to the rectum. Pain arose sharply, in the morning in the left iliac region, then above the bosom. Nausea, no vomiting. Last, normal menstruation two weeks ago. Objectively: satisfactory condition, skin and mucous membranes of normal color, blood pressure 110/70 mm RT. Art. The abdomen is soft, moderately painful in the left iliac region.

Which of the following diagnoses is MOST correct:

 

* tubo-ovarian education

*ectopic pregnancy

* torsion of cyst legs

* + ovarian apoplexy

*appendicitis

 

# 44

*! A woman of 25 years. Complaints of cramping pain in the lower abdomen and spotting spotting from the genital tract. From the anamnesis - a delay of menstruation for a month. The first pregnancy at age 16 ended in interruption, complicated by metroendometritis and adnexitis. Objectively: the general condition is satisfactory. Pulse 88 in min. HELL 120/70 mm RT. Art. The abdomen is symmetrical, slightly swollen, with palpation tenderness in the hypogastric region is noted, more on the left. Symptoms of peritoneal irritation are weakly positive.

Which of the following diagnoses is MOST correct:

 

* tubo-ovarian education

* + ectopic pregnancy

* torsion of cyst legs

* ovarian apoplexy

*appendicitis

 

# 45

*! A woman of 28 years old, complaints of nausea, weakness, pulling pains in the lower abdomen, fever up to 37.3. From the anamnesis: the last normal menstruation was 43 days ago. There were three pregnancies: one birth and two induced abortions. After the last abortion, bilateral adnexitis developed. During the last year, she was not protected from pregnancy. Objectively: the condition is satisfactory. Pulse 86 in min, BP 110/70 mm RT. Art. The abdomen is regular in shape, not swollen, painless on palpation in all departments. There are no symptoms of peritoneal irritation.

Which of the following diagnoses is MOST correct:

 

*appendicitis

* ovarian apoplexy

* torsion of cyst legs

* + ectopic pregnancy

* tubo-ovarian education

 

# 46

*! A man of 36 years. Complaints of pain in the right half of the abdomen, radiating to the groin and right lumbar region. He got sick 2 hours ago. The pain was accompanied by a single vomiting. The patient is restless. Temperature 37.5 ° C. The pulse is 100 beats per minute, the tongue is wet, coated with a white coating. The abdomen in the right half is painful, Sitkovsky's symptom is positive.

Which of the following preliminary diagnoses is MOST correct?

 

* + acute appendicitis

* acute cholecystitis

* acute pancreatitis

* acute hepatitis

* acute gastritis

# 47

*! A young man is 24 years old, 3 hours after a car accident. Complains of pain in the lower abdomen, constant urge to urinate, urine is excreted when straining in the form of a few drops. Signs of peritonitis are mild.

Which of the following preliminary diagnoses is MOST correct?

 

* + bladder rupture

* ureteral rupture

* spleen rupture

* rupture of the stomach

* kidney rupture

 

# 48

*! A man of 43 g. Complaints of intense pain in the upper abdomen. On day 3, the temperature rose to 38.2 C, nausea and vomiting appeared. From the anamnesis: peptic ulcer of the duodenum. Objectively: a serious condition. The skin and visible mucous membranes are pale in color. Pulse 124 in a minute. HELL 90/60 mm Hg The tongue is dry. The abdomen is swollen, does not participate in the act of breathing, painful and tense in all departments during palpation. The symptom of Shchetkin - Blumberg is positive. Percussion hepatic dullness is absent, tympanitis. During auscultation, "the noise of a falling drop."

Which of the following preliminary diagnoses is MOST correct?

 

* + perforated ulcer of the duodenum. Peritonitis.

* high small bowel obstruction

* acute small bowel obstruction

* exacerbation of a duodenal ulcer

perforated gastric ulcer

 

# 49

*! A woman of 30 years old complains of heavy spotting from the genital tract for 10 days, after a delay of menstruation for 1.5 months, weakness. Similar bleeding recurs in women periodically from 25 years. Delivery - 2, abortion - 1. Objectively: the skin is pale, tachycardia, blood pressure 100/60 mm Hg The discharge is bloody, plentiful.

Which of the following preliminary diagnoses is MOST correct?

 

* + dysfunctional uterine bleeding

*ectopic pregnancy

* juvenile bleeding

* abortion on the move

*miscarriage

 

#fifty

*! The man is 38 years old. Suddenly marked vomiting of coffee grounds, melena, weakness, nausea. Inspection data: severe pallor of the skin. HELL 110/70 mm RT. Art.

Which of the following preliminary diagnoses is MOST correct?

 

* pulmonary hemorrhage

* intestinal bleeding

* Mallory-Weiss syndrome

* + gastric bleeding

* hemorrhoidal bleeding

 

# 51

*! A 30-year-old man was found on the street in the evening in serious condition. Cannot present complaints in connection with the severity of the condition. Objectively: pronounced pallor of the skin. No traces of violence were found. There is a discharge from the mouth of red blood. Heart rate 120 beats per minute, blood pressure 80/50 mmHg

Which of the following complications is MOST likely?

 

* TELA

*pulmonary edema

* + pulmonary bleeding

gastrointestinal bleeding

* penetrating wound of the chest

 

# 52

*! Boy, 3 years old, complaints from mother's words about severe pains in the pubic area. The duration of the disease is about 3 hours. On examination: spherical protrusion over the pubis, palpation of a dense-elastic consistency, sharply painful.

The MOST probable diagnosis:

 

*strangulated hernia

*acute appendicitis

* + acute urinary retention

* acute renal colic

* bladder injury

 

# 53

*! A girl of 2 years old, fell ill the night before, when her body temperature rose to 380 ° C, conjunctival and oropharyngeal hyperemia, runny nose appeared. By night, the temperature rose to 400C, the skin became pale, the distal parts of the arms and legs were cold to the touch. The child was given paracetamol in a dose of 2.5 ml, but the temperature did not drop. They called 103.

Which of the following preliminary diagnoses is MOST correct?

 

*meningitis

* meningoencephalitis

* acute laryngotracheitis

* SARS, convulsive syndrome

* + SARS, hyperthermic syndrome

 

# 54

*! The child is 11 months old, sick on the first day: runny nose, fever up to 39.9C, suddenly lost consciousness, turned blue, convulsive twitching in the whole body. Objectively: it is inhibited, reacts passively to inspection. The pharynx is hyperemic, there is no plaque. Rhinorrhea.

Which of the following diagnoses is MOST probable?

 

* acute laryngotracheitis, bronchitis

* meningococcal infection, meningoencephalitis

* acute respiratory disease, pneumonia

* acute respiratory viral infection, status epilepticus

* + acute respiratory viral infection, febrile seizures

 

# 55

*! The SMP team arrived at the child of 3 years. According to the mother, the child had an increase in body temperature to 39.5 C, a dry cough, runny nose, she gave ibufen to drink, but despite this, the child suddenly lost consciousness, turned blue, there were convulsive twitches throughout the body. It is inhibited, reacts passively to inspection, partially executes commands, one-word speech. The pharynx is hyperemic, there is no plaque. Rhinorrhea. Body temperature - 39.5 C. The skin is clean, moist, no rashes.

Which of the following diagnoses is MOST probable?

 

* status epilepticus

* acute tracheobronchitis

* acute laryngotracheitis

* febrile seizures

* meningococcal infection

 

# 56

*! The welder worked without goggles. Complaints of a foreign body sensation in the eyes, pain, burning, sharp photophobia, lacrimation. The conjunctiva of both eyes is hyperemic, swollen.

MOST probable preliminary diagnosis?

 

* SARS, conjunctivitis

* foreign body of the eyes

* thermal eye burn

* penetrating eye injury

* + eye burn with ultraviolet rays

 

# 57

*! A 49-year-old patient suffering from varicose veins suddenly developed chest pain, shortness of breath, wheezing in the lungs on the right, fever up to 38 ° C. on ECG QIII SI.

MOST probable preliminary diagnosis:

 

* myocardial infarction

* asthmatic status

* lobar pneumonia

* lung atelectasis on the right

* + pulmonary embolism

 

# 58

*! A 78-year-old man complains of burning pains behind the sternum for more than 30 minutes, shortness of breath, fear of death, weakness, sweating. In the history of coronary heart disease, suffered 2 myocardial infarction, hypertension, diabetes mellitus. Objectively, the condition is severe, the skin is pale, moist. Heart sounds are deaf rhythmic. HELL 70/45 mm Hg ECG heart rate-110 in min. The QS complex in assignments I, II, AVL, V1-V4.

The MOST probable diagnosis:

 

* rupture of an aortic aneurysm

* intense pneumothorax

*pulmonary embolism

* + acute myocardial infarction cardiogenic shock

* acute myocardial infarction, acute left ventricular failure

 

# 59

*! The patient is 72 years old. Complaints of a feeling of lack of air, shortness of breath, weakness, dizziness, nausea. Anamnesis: Arterial hypertension for more than 20 years. Working HELL 160/100 mm Hg It takes caposide, diroton. The condition worsened an hour ago Objectively: The forced situation is orthopedic. Foam of a pale pink color stands out from the nose and mouth. In the lungs, harsh breathing, the mass of moist medium- and large-caliber rales in all fields. NPV 28 min Heart sounds are muffled, rhythmic. Heart rate 108 per minute. HELL 190/110 mm Hg ECG: There are no negative dynamics in comparison with previous ECGs.

The MOST probable complication developed in the patient:

 

* + pulmonary edema

* myocardial infarction

* paroxysm of arrhythmia

* hypertronic crisis

* acute right ventricular failure

 

# 60

*! Girl 19 years old. In public transport, suddenly appeared weakness, dizziness, lost consciousness for 2-3 minutes. Objectively: a state of moderate severity. Consciousness is clear. The skin is cold pale. In the lungs, vesicular breathing, no wheezing. NPV 18 min Heart sounds are clear, rhythmic, heart rate of 100 per min. HELL 90/50 mm Hg (slave 100 \ 60 mmHg)

MOST probable preliminary diagnosis:

 

* + fainting

*epilepsy

* hypoglycemia

*hypertensive crisis

* cerebrovascular accident

 

# 61

*! A 46-year-old patient abruptly got out of bed in the morning. There was a sharp weakness, dizziness, lost consciousness. Anamnesis: often worried about heartburn, epigasiric pain after eating, nausea. Consciousness is stunning. The skin is pale, dry. HELL 100/60 mm Hg heart sounds are muffled, rhythmic. There are no wheezing in the lungs. The abdomen is soft and painful in the epigastrium. The liver is not enlarged, painless.

Which of the following is the MOST likely cause of loss of consciousness?

 

* hypoglycemia

* hyperglycemia

* myocardial infarction

* + orthostatic collapse

* cerebrovascular accident

 

# 62

*! A girl of 16 years old in a stuffy room lost consciousness. Prior to this, general weakness, dizziness, lethargy, darkening in the eyes were noted. From the anamnesis: for 3 months 2 attack. MOST probable preliminary diagnosis:

 

* epileptiform syndrome

* + syncope

*collapse

*coma

*shock

 

# 63