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Medical Quizz

Pathophysiology and clinical medicine

1. 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

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. Common signs of Crohn disease do not include:

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

4. Lipases by their nature belong to

esterases
proteases
protein kinases
glycerol kinases

5. 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

6. Irritable bowel syndrome (IBS) belongs to:

Functional bowel disorders
Inflammatory bowel diseases
Precanceroses
Consequences of amoebic colitis

7. 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)

8. 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

9. Synonymic term for pre-esophageal dysphagia is:

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

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

Anuria
Hypothyreosis
Rheumatoid arthritis
Severe chest pain