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Medical Quizz

Pathophysiology and clinical medicine

1. Classical Virchow-Rokitanski triad does not include

alteration of blood flow (stasis or turbulence)
abnormality of blood coagulation (hypercoagulability)
medical history of thrombosis or embolism
injury of vessel wall (endothelial injury or dysfunction)

2. Elevation of creatin kinase (CK) typically does not accompany

Anuria
Hypothyreosis
Rheumatoid arthritis
Severe chest pain

3. Positivity of Blumberg sign means:

Tenderness to palpation over McBurney's point
Pain upon removal of pressure on the abdominal wall
Inability to keep balance while walking with closed eyes
Inability to keep balance while standing with closed eyes

4. Rovsing's sign is positive when

There is a tachycardia accompanying the pain in the right hypochondrium
There is a tachycardia accompanying the edema (swelling) in only one of the both legs
Palpation (or the pressure of physician’s palm) of the left lower quadrant of a patient's abdomen increases the pain in the right lower quadrant
The patient is unable to keep balance while walking with closed eyes

5. If 20% of cardiac output 5 l/min flows through kidneys, and 20 % of the plasma volume flowing through kidneys is filtered to glomerules, then calculate glomerular filtration rate (take hematokrit value 40 %). Calculated GFR value is:

2 ml/min
20 ml/min
100 ml/min
120 ml/min

6. Irritable bowel syndrome (IBS) belongs to:

Functional bowel disorders
Inflammatory bowel diseases
Precanceroses
Consequences of amoebic colitis

7. Sideroblasts

are a sign of disorder of iron incorporation into heme
are pathognomic for sideropenic anemia
are phagocyting cells in spleen (and liver), that take part in recycling of iron back to bone marrow by removing old and altered erythrocytes from the blood flow
jsou nezralé buňky červené řady typické pro hemochromatózu

8. Choose the false answer: Crohn disease

Can affect any segment of gastrointestinal tract from oral cavity to anus, but most frequently it is affecting the terminal ileum or proximal colon
Frequently affects the caecum and anus
Affects most often terminal ileum, caecum and anus
Affects most often the terminal ileum, less frequently the proximal ileum, but never affects the segment distally from transverse colon (here we call it ulcerative colitis)

9. With sodium plasma concentration 140 mmol/l calculate how much sodium is filtered into primary urine in 24 hr; take sodium atomic mass rounded to 23 g/mol

32 g
64 g
100 g
0,5 kg

10. Dysphagia is:

A subjective symptom
An objective sign
An objective sign, that, however, a patient has to tell the physician he is suffering from
A subjective symptom, that, howver, does not include the pain (in case of pain odynophagia is the correct)