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Medical Quizz

Pathophysiology and clinical medicine

1. Biochemical marker of choice to detect myocardial necrosis is:

troponin
creatinkinase
myoglobin (unless hemolysis is present)
AST (formerly termed GOT) is still the most reliable marker in everyday practice; troponin or myoglobin are used only in research trials

2. Irritable bowel syndrome (IBS) belongs to:

Functional bowel disorders
Inflammatory bowel diseases
Precanceroses
Consequences of amoebic colitis

3. The most probable source of arterial embolism is:

Thrombus in left atrium
Thrombus popliteal vein
Thrombus in right ventricle
Thrombus in popliteal artery aneurysm

4. Eponymic name for trisomy 8 is:

Edwards syndrome
Patau syndrome
Warkany syndrome
Down syndrome

5. Common signs of Crohn disease do not include:

Diarrhea
Pain
Constipation
p-ANCA positivity with ASCA (antibodies against S. cerevisiae) negativity

6. 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)

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

Severe chest pain
Anuria
Chronic alcohol abuse
Epileptic seizures of grand-mal type

8. Typical causes of microcytic anemia do not include

Iron loss due to menstrual bleeding (insufficiently substituted)
Vitamin B6 deficiency
Thalassemia
Vitamin B12 deficiency

9. The "classic" clinical triad of ectopic pregnancy does not include:

Abdominal pain
Amenorrhea
Tachycardia
Vaginal bleeding

10. 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)