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Medical Quizz

Pathophysiology and clinical medicine

1. Mechanism of action of diuretic furosemid consists in inhibiton of:

Sodium/Glucose membrane co-transport in proximal tubule
Sodium/potassium/chloride membrane co-transport
Urea reabsorption
Tubular secretion of urea

2. 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

3. 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

4. Synonymic term for pre-esophageal dysphagia is:

Neurogenic dysphagia
Paraesophageal dysphagia
Psychogenic dysphagia
Gastro-esophageal reflux (GER)

5. The most probable source of arterial embolism is:

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

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

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

7. 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

8. Three most important anticoagulation systems do not include

heparin-antithrombin
protein C-trombomodulin-protein S
Tissue Factor Pathway Inhibitor – TFPI
plasminogen-plasmin

9. 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)

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)