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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. Microcytic anemia is usually not

hypochromic at the same time
hyperchromic at the same time
caused by thalassemia
caused by repeated blood loss

3. 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

4. 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

5. Typical face symptoms of fetal alcohole syndrome (FAS) do not include

Small palpebral fissures
Saddle-like nose
Thin vermilion, thin upper lip
A smooth philtrum

6. Lipases by their nature belong to

hydrolases
transferases
lyases
ligases

7. The term "thromboembolic disease" comprises:

pulmonary embolism and brain embolism (both of thrombotic origin)
phlebothrombosis and pulmonary embolism
thrombophlebitis and pulmonary embolism
pulmonary embolism from phlebothrombosis (class A) and pulmonary embolism from thrombophlebitis (class B)

8. Fibrinolysis can be potentiated

by activation of fibrinogen conversion to fibrin
blocking the fibrinogen conversion to fibrin
by activation of plasminogen conversion to plasmin
blocking the plasminogen conversion to plasmin

9. 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

10. 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