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Medical Quizz

Pathophysiology and clinical medicine

1. Paradoxical embolism is caused typically

by periodic reversal of blood flow in leg veins
by periodic reversal of blood flow in leg arteries
by mural thrombus lining the wall of an arterial aneurysm (paradoxical embolism to leg veins)
by patent foramen ovale

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

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

3. Three most important anticoagulation systems do not include

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

4. With glomerular filtration rate (GFR) 80 ml/min, 100% filtration and 50% tubular reabsorption of substance X calculate its cearance:

160 ml/min
120 ml/min
80 ml/min
40 ml/min

5. 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)

6. Ivermectin is:

An antiparasitic drug
Dipeptidyl dipeptidase-IV inhibitor used to treat type 2 diabetes mellitus
A medicine used in the treatment of neonatal diarrhea
Well tolerated immunosupresiv used (a) in the treatment of rheumatoid arthritis and (b) in GVH reaction prevention after transplants

7. Eponymic name for trisomy 13 is:

Down syndrome
Edwards syndrome
Patau syndrome
Klinefelter syndrome

8. Commonly, sideroachrestic anemia is not

accompanied by sideroblasts
a sign of myelodysplastic syndrome
caused by repeated loss of blood (e.g. in young women)
caused by vitamin B6 deficiency

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

Anuria
Hypothyreosis
Rheumatoid arthritis
Severe chest pain

10. 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