Krok B NURSING · Krok B Nursing 2014 3 What pathology is the case? A. Intracranial birth trauma B....

MINISTRY OF PUBLIC HEALTH OF UKRAINE

Department of human resources policy, education and science

Testing Board

Test items for licensing examination

Krok B

NURSING

Student ID Last name

Variant ________________

ББК 54.1я73

УДК 61

Authors of items: Agarkov V.I., Bab’yak V.I., Bagriy D.YA., Bidolenko N.B., Butkova L.O.,

Butyeva L.V., Chechel I.YU., Cherednik A.YU., Davidova V.F., Didik V.I., Dudko L.I.,

Dzhula I.M., Esaulova K.B., Fastovetc M.M., Gaboretc V.I., Gantimurova G.T., Gladchenko M.M.,

Gorodecka V.I., Gorovenko O.L., Khimich T.YU., Koktishev I.V., Kompaniyetc K.M.,

Kornyushkin S.V., Kostyuk I.F., Kotlubai V.V., Kovalchuk V.S., Kovtun M.G., Kozakevich O.A.,

Krivuschev B.I., Kukharkuk F.O., Lazko A.M., Lesik-Lisna O.A., Luk’yanenko O.V., Melnik G.I.,

Mischuk I.M., Moroz V.V., Moskalenko L.M., Mukhina K.SH., Myakotkina G.V., Nagorniy A.I.,

Nefedova G.A., Nor N.M., Novitcka L.A., Novitckyi O.M., Oparina T.N., Oribko S.D.,

Osaulenko YU.V., Paschenko L.G., Pasichnik O.V., Patoka N.G., Podnosova L.M., Prilipska N.I.,

Prushkovska O.M., Ratushna S.V., Rzevska O.O., Sabkovska KH.O., Semenenko G.I.,

Shabalina L.I., Shevchuk V.V., Shikhal’ova Z.M., Shinkar O.V., Shinkariova S.K., Shpak N.YU.,

Shveda YU.I., Sima O.I., Sinyugina V.O., Slabodchikova S.YU., Sovyak T.O., Striletc L.V.,

Sukhinskiy R.K., Titarenko G.G., Tokar-Bilyayeva O.P., Usenko S.G., Ustimenko V.A.,

Vaschuk V.I., Vesklyarova U.P., Vibicka O.V., Vinograd L.V., Yaremenko O.L.,

Yefremenko L.M., Yermolenko T.I., Zaika S.V., Zhuromskiy V.S., Zubchenko S.O. and

committees of professional expertise.

Item reviewers. Bab’yak V.I., Demchur L.V., Dukhonchenko I.M., Kubani YA.M., Kulaga N.K.,

Martinenko N.V., Moroz V.V., Mukhina T.S., Novicka L.A., Onopriyenko O.D., Orekhivska I.YE.,

Shegedin M.B., Steblina N.P., Sukhinskiy R.K., Suslich G.I., Visocka T.V., Vovk V.T.,

Zhuromskiy V.S.

The book includes test items for use at licensing integrated examination “Krok B. Nursing”

and further use in teaching.

The book has been developed for students and academic staff of higher medical educational

establishments, for teaching of nursing.

Approved by Ministry of Public Health of Ukraine as examination and

teaching publication based on expert conclusions.

© Copyright Testing Board.

General Instruction

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Krok B Nursing 2014 1

1. A 40-year-old male patient has burnsof the upper extremities. On the third dayafter the injury he developed compressi-ng retrosternal pain and heart ache. Whichof the following therapeutic means can beadministered by a nurse?

A. Validol, nitroglycerinB. Compress with camphor alcoholC. Inhalation of ammoniaD. Tincture of valerianE. Cold compress

2. The 17-year-old female patient B. has asubcutaneous panaritium on the 2 fingerof the left hand. During dressing the pati-ent suddenly experienced nausea, severeweakness, blackout. The face turned pale,the skin got sweaty. What action should betaken by a nurse?

A. Soak some cotton wool in ammonia andhold it under the patient’s noseB. Perform mouth-to-mouth resuscitationC. Perform closed-chest massageD. Place the patient on the couch with raisedhead endE. Apply a cold compress to the forehead

3. Pregnant women receiving antenatal carewere registered at the following gestationalage: 3 months - 45%, from 3 to 5 months -40%, from 5 to 8 months - 15%. What is theshare of women who were registered at theantenatal clinic in due time?

A. 45%B. 15%C. 40%D. 55%E. 85%

4. A healthy 26 weeks pregnant womanpresented to the antenatal clinic to start theantenatal care. What is the recommendedfrequency of antenatal care visits in thisperiod of pregnancy?

A. Twice a monthB. Once a monthC. Once in 3 monthsD. Once in 2 monthsE. Once a week

5. A 39-40 week pregnant woman hasbeen delivered to the maternity hospitalfor high fever of unknown etiology. Whatdepartment should she be hospitalized in?

A. ObservationalB. Physiological obstetricC. Pathology of pregnancyD. Gynecological for conservative treatmentE. Gynecological for surgical treatment

6. After a 34-year-old female had sprayedgarden plants with some pesticides that shefailed to name, she developed salivationand vomiting. Objectively: miosis, pale skin,blood pressure - 80/50 mm Hg. What is themost likely cause of acute intoxication inthe patient?

A. Organophosphate pesticidesB. Organochlorine pesticidesC. Mercury organic pesticidesD. CyanidesE. Carbamates

7. A 45-year-old victim has been trapped ina mine where he had his right leg buriedunder debris. The patient is diagnosed withcrush syndrome. What dangerous compli-cation may result from this pathology?

A. Acute renal failureB. Thrombophlebitis of superficial veins ofshinC. Acute respiratory failureD. Phlegmon of hipE. Dry gangrene

8. When visiting a sick 3-year-old child anurse revealed that the body temperaturewas 39, 3oC, there was stellate hemorrhagicrash on the body skin, vomiting, nuchalmuscles rigidity. What disease can besuspected?

A. MeningococcemiaB. Sydenham’s choreaC. Tuberculous meningitisD. Hemorrhagic vasculitisE. Eclampsia

9. Death cases are recorded in the officeof civil registration on presentation of acertain medical statistical record. Specifythis document:

A. Medical certificate of deathB. Medical historyC. Journal of deathsD. Certificate of death issued by a districtphysicianE. Autopsy protocol

10. Percentage of deaths in the neonatalperiod is 63% of the number of childrenwho died in the first year of life. Specify thetype of infant mortality:

A. Type AB. Type BC. Type CD. Type DE. Type E

11. In an outpatient department attachedto the city hospital, 8300 new sickness


cases were registered among the populati-on under care. These data correspond withthe following incidence index:

A. Primary morbidityB. Prevalence rateC. Pathological incidenceD. Hospital morbidityE. Morbidity with temporary disability

12. It is required to calculate the profitabili-ty of a medical preventive institution. Whatdata should be applied for this purpose?

A. Economic profit of the institution andthe net cost of production assetsB. Net cost of medical servicesC. Net cost of production assets and generalexpensesD. Price and net cost of medical servicesE. Net cost of medical services and totalspending according to budget items

13. Among the population of the city A. thecancer death rate is 280 per 10,000 people.What statistical index displays mortalitydue to neoplasms?

A. IntensiveB. ExtensiveC. DemonstrativeD. CorrelationE. Arithmetic average

14. A research is aimed at studying healthof female chemical production workers inUkraine. What method of observation (interms of coverage) should be used in thiscase?

A. SelectiveB. SimultaneousC. ContinuousD. CompleteE. Fractional

15. A scientific research focuses on studyi-ng the respiratory disease incidence amongmedical college students. Specify the unitof observation in this study:

A. Every case of a respiratory diseaseB. Every medical college studentC. Every diseased medical college student(with any disease)D. Every medical college student with arespiratory diseaseE. Case of any disease (irrespective ofnosology)

16. A study focuses on the health of chi-ldren attending children’s sports school. Itis required to make table layouts. Whatrelevant parameters are regarded as vari-ables?

A. Duration of training during the dayB. SexC. DietD. Past history of diseasesE. Kind of sport

17. A scientific research focuses on studyi-ng the level of lysozyme in biological fluidsin sportspeople. What kind of follow-up (interms of time) should be used?

A. CurrentB. MethodicalC. ProlongedD. RandomE. Simultaneous

18. The 40-year-old male patient undergoi-ng in-patient treatment reports metallictaste and dry mouth, a burning sensationin the esophagus. He has vomiting andcholeroid diarrhea with blood-streakedstool. It is known from the history that thepatient had worked with calcium arsenateintended for preventing fungal diseasesof plants. Objectively: general state is ofmoderate severity, the skin is edematous,covered with pustules. When providingemergency care by doctor’s orders a nurseshould use the following medication assoon as possible:

A. 5% unitiolB. 0,1% solution of atropineC. 40% glucose solutionD. 500 mg of ascorbic acidE. 30% solution of sodium thiosulfate

19. The 50-year-old male patient consulteda physician about bleeding during bowelmovements, liquid stool (up to 10 times aday), lower abdominal pain, weight loss,weakness. Objectively: the skin and visiblemucous membranes are pale, the pulse is 90bpm, AP- 100/60 mm Hg. There is a whitecoating on the tongue. Abdominal palpati-on reveals extended pain and thickening ofthe descending colon. What disease can besuspected in this patient?

A. Ulcerative colitisB. EnteritisC. ColitisD. Peptic ulcerE. Chronic pancreatitis

20. Re-examination of a newborn 1 hourafter birth revealed increased excitementand motor restlessness. The child cries forno reason, moans, has shallow breathi-ng; the muscle tone is decreased. Thereis expressed perioral cyanosis. The eyesare open, focused at one point, occasi-onally a convergent strabismus occurs.


What pathology is the case?

A. Intracranial birth traumaB. Pneumonia of newbornC. Asphyxia of newbornD. CephalohematomaE. Respiratory distress syndrome

21. A 2-month-old baby has been hospi-talized in an infectious disease hospital forfrequent vomiting, liquid stool. Examinati-on findings: a serious condition, pinchedfeatures, dry skin, large fontanel depressi-on. What premedical first aid should berendered to the child?

A. Oral rehydrationB. Injection of antibioticsC. Cleansing enemaD. Gastric lavageE. Anaesthetization

22. What are the main types of manageri-al behavior in terms of relationships withsubordinates?

A. Autocratic, democratic, liberalB. Democratic, partycratic, monarchicalC. Ochlocratic, democratic, liberalD. Anarchist, autocratic, partycraticE. -

23. A 21-year-old male patient has beenhospitalized in the surgical departmentfor pain in the lower abdomen, nausea,vomiting. Objectively: the patient is inmedium severity condition, the tongue isdry. Abdomen is soft, extremely tenderon palpation in the right iliac region.There are positive Blumberg’s and Rovsi-ng’s symptoms. Blood test results: 14·106,leukocytosis with a left shift. What is themost likely diagnosis?

A. Acute appendicitisB. Acute pancreatitisC. Peptic ulcerD. Ovarian apoplexyE. Acute cholecystitis

24. An information document comprisi-ng bibliographic records and including asummary of the document’s contents orits parts, containing basic factual data andconclusions required for the initial insightinto a document is called:

A. Abstract documentB. Bibliographic documentC. Overview documentD. Analytical documentE. Overview and analysis document

25. A 47-year-old male complains of heavi-ness in the right hypochondrium, general

weakness. Three years ago he had Hepati-tis B. Objectively: there is scleral and skinicterus. On the skin of the chest vascularspiders are seen. Gynecomastia is present.The liver is +3 cm. Blood tests reveal highlevels of bilirubin and transaminases.Makea provisional diagnosis:

A. Chronic hepatitisB. Chronic pancreatitisC. Chronic cholecystitisD. CholelithiasisE. Gallbladder dyskinesia

26. A 48-year-old male patient complainsof general weakness, insomnia, weight loss,hemorrhoidal bleeding. The skin is icteric.On the anterior surface of the abdomen"Caput medusae"is seen. Ascites is present.The legs are swollen. Daily urine output is500 ml. What is the most likely provisionaldiagnosis?

A. Liver cirrhosisB. Chronic hepatitisC. Chronic cholecystitisD. Chronic pancreatitisE. Chronic enteritis

27. A 58-year-old male patient complains ofgeneral weakness, decreased performance,heaviness in the left hypochondrium. Thesepresentations have been observed for 7months. The patient hasn’t sought medi-cal help. Objectively: the skin is pale.The liver is +4 cm, the spleen is +8 cm.Complete blood count: RBC - 3,3·1012/l,hemoglobin 100 g/l, color index - 0,9, WBC- 112·109/l, basophils - 2%, eosinophils -7%, myeloblasts - 1%, promyelocytes - 7%,myelocytes - 10%, juvenile neutrophils -4%, stab neutrophils - 10%, segmentedneutrophils - 32%, ESR - 28 mm/h. Make adiagnosis:

A. Chronic myelogenous leukemiaB. Chronic lymphocytic leukemiaC. LymphogranulomatosisD. Iron deficiency anemiaE. B12-anemia

28. A patient complains about expectorati-on of purulent foul-smelling sputum in themorning (200 ml), drumstick fingers andwatch-glass nails. These presentations havebeen observed for 5 years. What disease arethey typical for?

A. BronchiectasisB. PneumoniaC. PneumoconiosisD. PleurisyE. Tuberculosis

29. A 7-year-old child was found to have


the following problems: abrupt decreasein body temperature to 35, 2oC, weakness,cold sweat, thready pulse, frequent shallowbreathing. What condition are theseproblems typical for?

A. CollapseB. Acute respiratory failureC. Pulmonary edemaD. Hypoglycemic comaE. Syncope

30. A 5-year-old child undergoing in-patienttreatment for thrombocytopenic purpurasuddenly developed nasal bleeding. Whatsolution should used for anterior nasalpacking?

A. 3% solution of hydrogen peroxideB. 4,2% solution of sodium bicarbonateC. 0,05% furacilinum solutionD. 5% glucose solutionE. 0,9% solution of sodium chloride

31. A patient consulted a nurse of a mi-ning plant about shortness of breath thatoccurs at the end of a shift, stabbing chestpain without clear localization. What typeof pneumoconiosis are these presentationstypical for?

A. SilicosisB. AsbestosisC. AnthracosisD. ByssinosisE. Aluminosis

32. A patient with HIV infection isscheduled for opening a panaritium on thethumb of his right hand. Which of the gi-ven antiseptics should be prepared for thesurgical scrubbing?

A. BetadineB. Ethyl alcoholC. ChlorhexidineD. ChlorantoineE. Brilliant green

33. A female patient consulted a healthpost nurse about high fever, palpitation.Anterior abdominal muscles are tense,there are positive Murphy’s and phrenicussymptoms. What disease can be suspected?

A. Acute cholecystitisB. Acute pancreatitisC. Acute appendicitisD. Acute adnexitisE. Acute intestinal obstruction

34. The 51-year-old male patient has beenadmitted to the surgical department withcomplaints of pain and edema in the ri-ght shin. Objectively: there is skin redness

over the veins, the veins are soft, extremelytender. What is the most likely diagnosis?

A. PhlebitisB. PhlebemphraxisC. ArteritisD. ThrombophlebitisE. Lymphangitis

35. A patient complains of chest pain,cough with expectoration of rust-coloredsputum, fever up to 39oC. What disease canbe suspected in this patient?

A. PneumoniaB. LaryngitisC. PharyngitisD. Purulent bronchitisE. Abscess of lung

36. A 45-year-old male patient consulteda physician about weakness, mild fever,facial ademata, changes in the color andamount of urine. These symptoms havebeen present for a week since recoveringfrom a quinsy. Objectively: the skin is pale,eyelids are swollen, AP- 170/100 mm Hg,Ps- 90 bpm, heart sounds are muffled, thereis a positive Pasternatsky’s symptom. Whattest is required to specify the diagnosis?

A. Nechiporenko’s testB. Urine glucose testC. Zimnitsky’s testD. Complete blood countE. Urine diastase test

37. A 26-year-old female patient complai-ns of fugitive pain in the knee and elbowjoints, fever up to 37, 5oC in the evening.The pain gets worse with movements. Thepatient has a history of frequent quinsies.Examination of the joints reveals swellingand redness. What disease is characterizedby these signs?

A. Rheumatic arthritisB. Tuberculous arthritisC. Rheumatoid arthritisD. Gonorrheal arthritisE. Deforming osteoarthritis

38. The therapeutic department admittedthe patient who an hour before, aftera physical exertion, suddenly developedacute retrosternal pain irradiating to thescapular region. Examination findings:grave condition, pale and moist skin, Ps-100 bpm, rhythmic. AP- 80/60 mm Hg,muffled heart sounds. ECG shows a deepQ wave and domed ST segment elevationin the II-III leads. What is the most likelydiagnosis?


A. Acute myocardial infarctionB. StenocardiaC. Pulmonary artery thromboembolismD. MyocarditisE. Rheumatic disease

39. A 49-year-old patient was deli-vered to a hospital with symptoms oforganophosphate pesticide intoxication.What laboratory studies are required toconfirm the diagnosis?

A. Blood cholinesterase testB. Complete blood countC. Blood methemoglobin testD. UrinalysisE. Blood bilirubin test

40. An 18-year-old male patient is predi-sposed to furunculosis, complains of thirst,polyuria, itch, dry skin. What blood test isrequired for making a diagnosis?

A. Blood glucose testB. Blood C-reactive protein testC. Blood bilirubin testD. Blood cholesterol testE. Blood creatinine test

41. A patient with a history of asthma hasdeveloped Status asthmaticus. What drugshould be administered in the first place?

A. Prednisolone intravenouslyB. Potassium iodide intravenouslyC. Dimedrol subcutaneouslyD. Furosemide intravenouslyE. Corglycon intravenously

42. During indirect cardiac massage thecompression depth in adults is:

A. 3,5-5 cmB. 1-2 cmC. 2-3 cmD. 6 cmE. 8 cm

43. Blood pressure measuring in a chi-ld reveals increased systolic pressure andnormal diastolic pressure. In the afternoon,the child often experiences headaches, fati-gue. Make a diagnosis:

A. Vegetovascular dystonia of hypertensivetypeB. Vegetovascular dystonia of hypotonictypeC. Vegetovascular dystonia of mixed typeD. AnemiaE. Myocarditis

44. Since the early days of the diseasea child with general weakness has hadhyperkineses such as grimacing, unintenti-onal motions of the limbs. What disease are

these presentations typical for?

A. Sydenham’s choreaB. Rheumatic myocarditisC. Rheumatic polyarthritisD. Rheumatic pericarditisE. Vegetovascular dystonia

45. The 45-year-old male patient undergoestreatment for lung cancer. During coughi-ng, the patient began to expectorate foamybright-red sputum, he also developedweakness and dizziness. Objectively: theskin is pale, AP- 110/60 mm Hg, Ps- 110bpm. What nursing intervention is requiredin this case?

A. Place the patient in Fowler’s position,apply cold to the chestB. Soothe, forbid talkingC. Place the patient in horizontal positionD. Oxygen therapyE. Place the patient in a comfortable positi-on

46. A patient has spontaneously developedweakness, coffee ground vomiting, blackstool. What examination is required in thefirst place to specify the diagnosis?

A. EsophagogastroduodenofibroscopyB. Radiography of stomachC. Ultrasound of the abdomenD. FibrocolonoscopyE. Proctosigmoidoscopy

47. A child of the first day of life hascyanosis of nasolabial triangle, markedweakness. Auscultation reveals raspingheart murmur. What condition can you thi-nk of?

A. Congenital heart diseaseB. Acquired heart valvular diseaseC. MyocarditisD. RheumatismE. Birth trauma

48. The 35-year-old male patient was deli-vered to the admission ward. Examinationrevealed abdominal tenderness, sallow paleskin, purple-gray strip along the edge ofthe gums and teeth, sweet-smelling breath.What disease can be suspected in the pati-ent?

A. SaturnismB. Vibration diseaseC. Radiation sicknessD. Manganese intoxicationE. Mercury vapor intoxication

49. A painter working at a plant useda solvent to dilute some paint. 6 hoursafter starting work he experienced general


weakness, headache, dizziness, tinni-tus, nausea, and vomiting. Objectively:there is mild asthenization. What medicaldocument should be sent to the sanitaryand epidemiological station by the doctorof the site medical facility?

A. Emergency notificationB. In-patient medical recordC. employment record bookD. Case recordE. Sanitary and hygienic record

50. Health status of the population ischaracterized by a set of demographic indi-cators, as well as indicators of morbidi-ty, disability, physical development. Whichof the given indicators is referred to as ademographic one?

A. Total mortalityB. Primary morbidityC. Case fatality rateD. Physical status of parentsE. Injury rate

51. When examining a patient you arestudying the results of laboratory tests, whi-ch show in particular the presence of LEcells. What pathology would you suspect?

A. Systemic lupus erythematosusB. Rheumatic diseaseC. Primary osteoarthritis deformansD. Bone tuberculosisE. Rheumatoid arthritis

52. In the recovery room there is a pati-ent with an endotracheal tube. You haveto perform endotracheal suctioning. Whatshould you do before this procedure?

A. Hyperventilation with 100% oxygenB. Provide appropriate position in bedC. Give painkillersD. The patient should breathe deeplyE. Give spasmolytics

53. A 10-month-old child had a short-termrespiratory standstill, after which he startedbreathing with crowing inspiration. Whatdrugs should be immediately given to thebaby?

A. Sibazonum, calcium gluconateB. Phencarolum, calcium gluconateC. Lasix, isotonic sodium chloride solutionD. Magnesium sulfate, glucoseE. Phenobarbital, pipolphen

54. Some stored tinctures were found tohave sediment. What actions should betaken in this case?

A. Filter the sediment, check the preparati-on quality for the compliance with therequirements of scientific and technicaldocumentsB. Recognize as unusableC. Stir up the sediment and recognize asusableD. Keep the sediment; quality check is notrequiredE. Stir up the sediment, check the preparati-on quality for compliance with regulatoryand technical documents

55. Collecting material for an essay involvespsychological and pedagogical research. Toincrease the objectivity and reliability of theresults it is recommended to apply:

A. Crossover studyB. Natural experimentC. Ascertaining experimentD. ObservationE. Formative experiment

56. After doing researches you shouldanalyse and generalize the collectedinformation. First of all, it is necessary to:

A. Group the dataB. Evaluate the information criticallyC. Compare the informationD. Determine correlation between the dataE. Draw conclusions

57. To make a report on the research workone should use the following type of bibli-ographic list:

A. NumericB. AlphabeticalC. ChronologicalD. Alphabetical and chronologicalE. Systematic

58. A patient consulted a physician aboutfever up to 38oC, night sweats, dry cough,chest pain, blood spitting. Make a provisi-onal diagnosis:

A. Pulmonary tuberculosisB. PronchitisC. PleurisyD. Pulmonary gangreneE. Pneumonia

59. A child is 5 months old. There areproblems with nasal breathing, runny nose.What would be the first-priority action of anurse?


A. Suction of mucus from the nasal passagesB. Instillation of 0,05% naphthyzin solutioninto the noseC. Instillation of breastmilk into the noseD. Irradiation of nose with UVE. -

60. A nurse found a 4-year-old child tohave fine maculopapular rash on the skin,enlargement of the cervical lymph nodes.What disease can be suspected?

A. RubellaB. VaricellaC. Scarlet feverD. MeningococcemiaE. Parotitis

61. The 19-year-old patient got a chemi-cal burn of his right leg with concentratedsulfuric acid. What substance would youapply to neutralize the acid?

A. 2% sodium bicarbonate solutionB. 2% boric acid solutionC. 3% solution of hydrogen peroxideD. 0,9% salineE. 0,02% furacilinum solution

62. At the accident site you are providing fi-rst aid to the victim with an open femoralfracture complicated by arterial bleeding.Temporary hemostasis has been achievedby using a tourniquet, the patient has beengiven painkillers. What is your next step?

A. Apply aseptic bandageB. Deliver to hospitalC. Put an ice packD. ImmobilizeE. Fill in medical documents

63. A female patient has a flame burn of theanterior surface of the chest. She complai-ns of intense burning pain. Examinationreveals hyperemia of the anterior surfaceof the chest, in some parts there are bli-sters filled with light-yellow fluid. Specifythe area and degree of the burns:

A. 9%, II degreeB. 18%, II degreeC. 9%, IIIA degreeD. 18%, IIIB degreeE. 4%, IV degree

64. The 25-year-old patient underwent asurgery for the uncomplicated perforatedduodenal ulcer. What day should theenteral feeding be introduced from?

A. 2nd dayB. 1st dayC. 4th dayD. 5th dayE. 7th day

65. A 59-year-old male patient consulteda surgeon about a gastric ulcer. What isthe most reliable and available method ofexamination to rule out a suspected tumor?

A. FibrogastroscopyB. RadiographyC. Gastric intubationD. RadioscopyE. Laparoscopy

66. The 59-year-old male patient consulteda surgeon about the thick crust in the regi-on of his lower lip. The crust disappearsspontaneously, and eventually it is backagain. The patient is a long-term smoker.What disease can be suspected?

A. Labial cancerB. Labial fissureC. Labial burnD. Labial drynessE. Labial injury

67. A 55-year-old female patient consulteda surgeon about enlargement of the bi-rthmark localized in the area of the ri-ght temple. Examination revealed a dark-brown pigmented nevus projecting abovethe surface of the skin. What would youthink of?

A. MelanomaB. SarcomaC. EpitheliomaD. AngiomaE. Fibroma

68. A 32-year-old male patient undergoestreatment in the hematology departmentfor thrombocytopenic purpura. For acomplete blood count a blood sample hasbeen taken. What alterations in the bloodformula are most common?

A. ThrombocytopeniaB. LeukopeniaC. LeukocytosisD. ThrombocytosisE. Erythrocytosis

69. A 65-year-old female patient complai-ns of pain in the hip joints. Shehas been diagnosed with osteoarthritisdeformans. Which of these drugs is achondroprotector?


A. ChondroxideB. AnalginC. AspirinD. RheopyrinE. Plaquenil

70. A patient with thyroid disease has beenadmitted to the endocrinologic department.He complains of chilliness, memory impai-rment, dry skin. Objectively: Ps- 60 bpm,the face exhibits pastosity. What examinati-on would be most informative for making adiagnosis?

A. Thyroid hormone testB. Total blood protein testC. Complete blood countD. ECGE. -

71. Patients with renal diseases aresubject to differential diagnostics of acuteglomerulonephritis and acute pyelonephri-tis. What alterations in urine characterizeacute glomerulonephritis?

A. Gross hematuria, proteinuriaB. Severe proteinuria, pyuriaC. Pyuria, cylindruriaD. Pyuria, gross hematuriaE. Bacteriuria, pyuria

72. A patient has been hospitalizedfor attacks of intense pain in the righthypochondrium. The pain radiates to theright shoulder and arm. Nausea and vomi-ting are present. The attack is associatedwith consumption of fatty foods. Objectiveexamination revealed scleral icterus. Whatexamination should be performed in the fi-rst place?

A. Abdominal ultrasoundB. Complete blood countC. UrinalysisD. Blood diastase testE. Blood cholesterol test

73. Intubation of trachea involved injecti-ng a muscle relaxant of short-time actioncalled dithylinum. What drug can eliminateits residual action?

A. ProserinB. NaloxoneC. MesatoneD. AdrenalineE. Atropine

74. A patient undergoing treatment foracute myocardial infarction spontaneouslydeveloped dyspnea, bubbling respiration,expectoration of pink foamy sputum fromthe mouth and nose. What complicationdeveloped?

A. Pulmonary edemaB. NosebleedC. Asthmatic statusD. Cardiac asthmaE. Pulmonary hemorrhage

75. A newborn baby has birth weight of3500 g, and birth length of 52 cm. Whatis the normal frequency of respiratorymovements per minute for this child?

A. 40-60B. 16-20C. 20-25D. 25-30E. 30-35

76. A 3-month-old baby has been formula-fed since the age of one month. Preventionof rickets was not performed. Objectively:the baby has flattened and bald occiput,large fontanel sized 3x3 cm with soft edges.These changes are caused by the deficiencyof:

A. Vitamin DB. IronC. Vitamin B12D. MagnesiumE. Vitamin C

77. A hot shop worker presented tothe medical center with complaints ofgeneral weakness, blackout, tinnitus, drymouth, thirst. Objectively: the skin ishyperemic, hot to the touch; rapid respirati-on, tachycardia are present. What conditioncan you think of?

A. Hyperthermic form of overheatingB. SunstrokeC. Hypertensive crisisD. Alterations in the cardiovascular systemE. Caisson disease

78. For the treatment of gastric ulcer anew set of drugs have been proposed.The average hospital stay for a patientdecreased from 21,4 to 19,4 days. Whatmethod can determine the quality of care?

A. Student’s t testB. StandardizationC. CorrelationD. Average valuesE. Relative values

79. An admitting nurse interviewed a 72-year-old male patient. After that she talkedto the patient’s relatives accompanying thepatient and found out that the patient wasexaggerating symptoms of his disease. Suchbehavior of the patient is called:


A. AggravationB. SimulationC. DissimulationD. AppealE. Ataxia

80. On examination, the patient’s chestresembles hypersthenic type but has barrelshape. Intercostal spaces are enlarged,supraclavicular and subclavian fossaprotrude, chest dimensions are enlarged inthe posterolateral parts. What is the chestshape in this patient?

A. EmphysematousB. ScaphoidC. RachiticD. ParalyticE. Asthenic

81. A patient experiences recurrent painin the epigastric region. The pain isseasonal, closely associated with eating(usually occurs 15-45 minutes after havingmeals), becomes less intense after vomiti-ng and heat application. What disease ischaracterized by these clinical presentati-ons?

A. Gastric ulcerB. CholelithiasisC. GastritisD. EsophagitisE. Biliary dyskinesia

82. You have to provide aid to the 35-year-old victim whose lower limb had beencompressed for more than 4 hours. Whatwould be your first-priority action?

A. Apply a tourniquet above the compressi-on siteB. Give an injection of analgesicsC. Infuse rheopolyglucinumD. Release the crushed limbE. Block the limb

83. You are a head nurse of a department.You have to give a lecture on "Healthcareservices market". What functions are typi-cal for the healthcare market?

A. Information, pricing, regulation, mediati-onB. Pricing, integration, mediation,managementC. Information, correction, mediation,controlD. Control, information, regulation, charityE. Pricing, correction, regulation, mediation

84. Deputy chief physician on nursing isresponsible for recruitment and placementof medical personnel. What criterion is heguided by?

A. Level of educationB. Work performanceC. Labour productivityD. Psychological compatibilityE. Style and methods of work

85. You are a head nurse of a department.You have to prepare yourself for alecture titled "Information support ofmanagement". What group of documentsdoes the statute relate to?

A. Organizational documentsB. Information documentsC. Administrative documentsD. Accounting and finance documentsE. Other

86. The head nurse of a hospital drafts alecture on conflict and stress management.Specify the main components of the di-scussion:

A. Information exchangeB. Keeping the conversationC. Common purposeD. Opposing views and thoughtsE. Intrigues

87. In Ukraine a Decree is in forcethat regulates organization of preventingtransmission of HIV infection from motherto child, medical care and social support forHIV-infected children and their families.Specify the number of this Decree:

A. №740B. №720C. №120D. №408E. №233

88. The highest form of human cogniti-ve activity is purposeful learning with theresults laid out in the form of a system ofconcepts, rules and theories. This kind oflearning is called:

A. Scientific researchB. Analysis of conceptsC. Modelling activitiesD. Natural experimentE. Monitoring studies

89. Birth registration takes place accordingto the place of residence of parents. What isthe main document that should be submi-tted to the registry office for the registrationof a child?


A. Medical birth certificateB. Hospital childbirth registryC. Birth certificate issued by a doctorD. Card of newborn developmentE. Birth certificate issued by the maternityhospital

90. 10 days after quinsy a 19-year-old gi-rl consulted a district doctor about faceedemata, severe weakness. Objectively:pale skin, to-37, 4oC, HR- 98/min, AP-165/98 mm Hg. Heart sounds are muffled,there is aortic accent of the second sound.Urine is dark red, urine output is 400 mlper day. The patient is to be hospitalized inthe following department:

A. NephrologicB. TherapeuticC. UrologicD. CardiologicE. Infectious

91. What is the term for submitting a claimdue to poor quality of received medicinesof domestic manufacture?

A. No later than ten daysB. No later than three daysC. No later than seven daysD. During the yearE. During the whole period of shelf-life

92. A child was born full-term weighing3450 g. After birth the child was found tohave a hemorrhage on the surface of headwithin the same parietal bone. There is nopulsation or tenderness. The child has:

A. CephalohematomaB. Epidural hemorrhageC. Subdural hematomaD. Labor tumorE. Cerebrovascular disorder

93. Graphic images are used to facilitateunderstanding of the material, its statisti-cal analysis, comparing the received data.What kind of diagram would you chooseto visualize the processes that reflect thetemporal development of a phenomenon,its dynamics?

A. LinearB. BarC. IntrabarD. CartodiagramE. Cartogram

94. In the postoperative period, a patientdeveloped an abrupt drop in blood pressureand inhibition of respiratory activity. Whatdrug must be given to the patient?

A. CordiaminB. EuphyllinumC. MesatonumD. PhenobarbitalE. Adrenalin

95. A patient is in the surgical ward afterappendectomy. Select a high-risk factor thatdelays recovery of the respiratory system inthe patient:

A. Use of morphineB. Spinal anesthesiaC. Long-lasting vomitingD. DiabetesE. Respiratory standstill during surgery

96. A nurse of the surgical departmentrevealed postoperative tremor in a 48-year-old male patient. This condition can be eli-minated by:

A. Inhalation of oxygenB. Warming the patientC. AnticonvulsantsD. SedativesE. Antiarrhythmic agents

97. A healthcare institution that providespaid services should operate in compliancewith the economic laws of the market. Thisensures stable operation of the institutionboth at present and in the long term. Thestability factor depends on the followingperformance index:

A. Profit, generated reserves and expendi-turesB. Profit and expendituresC. Profit and generated reservesD. ProfitE. Expenditures

98. What does the last digit (2) in the barcode 0559 1189 33 2 stand for?

A. Check digitB. Country codeC. Article codeD. Bar code numberE. Batch number

99. The head nurse of the therapeuticdepartment of a city hospital took onleadership in raising funds for the charitycampaign "Take care of health"by her owninitiative. Specify the type of leadership:

A. Leadership as a manifestation of congeni-tal characteristicsB. Leadership as a result of the situationalinfluenceC. Reformist leadershipD. Leadership on contractual principlesE. Charismatic leadership


100. The head of the neurology departmentof municipal hospital № 2 has authority wi-th the co-workers and is highly respectedby the management. He considers differentpeople’s opinion and takes into accounttheir wishes and advices. In this way heachieves his goals. Such type of leader’sactivity is called:

A. CompromiseB. BusinessC. DemonstrativeD. DiplomaticE. Authoritarian

101. The chief physician of a city hospi-tal applies methods of leadership that eli-minate chaos, and acts according to pre-planned schemes. This behavior ensuresachievement of the set goals. Specify thetype of managerial activity:

A. BusinessB. LiberalC. CompromiseD. AuthoritarianE. Collegiate

102. The chief physician of a CDH fai-led to attend a regional conference for anexcusable reason, but devolved power tohis deputy who took over the responsibilityfor the fulfillment of this task. Specify thelegal grounds to perform the specified acti-on:

A. DelegationB. SupervisionC. MotivationD. LeadershipE. Authorization

103. The head of the gastroenterologydepartment came into conflict with thedeputy chief physician on economic issuesover the distribution of bonuses on occasi-on of the Healthcare Worker Day amongthe department staff. Specify the type ofconflict:

A. Interpersonal conflictB. Intragroup conflictC. Impersonal conflictD. Intergroup conflictE. Intrapersonal conflict

104. There are a lot of methods for assessi-ng the effectiveness of research, but theyall come down to the fact that the mainmeasure for real contribution during theyear is as follows:

A. Cost-effectiveness ratioB. Amount of funds invested in scienceC. Duration of developmentD. Compliance of the results of problemsolving with the set requirementsE. Profundity of the subject study

105. A scientific research begins withchoosing a scientific direction, problem,topic and scientific questions. The directi-on of a scientific research is determined by:

A. Branch of scienceB. Availability of a scientific hypothesisC. Availability of conclusions and suggesti-ons on the subjectD. Science classifierE. Market requirements

106. A 4-year-old boy presents with indi-sposition, marked weakness, decreasedmotor activity, pale skin. On the skin andmucous membranes there are petechiaeand ecchymoses, some painless asymmetri-cally arranged hemorrhages. AP- 80/40 mmHg, and tachycardia is present. Indicate themain reason for the existing problems inthe child:

A. Decrease in platelet levelB. Decrease in hemoglobin levelC. Inflammation of the small vesselsD. Deficiency of IX factorE. Increased erythrocyte sedimentation rate

107. A nurse examines the 32-year-oldfemale patient P., with the signs of irondeficiency anemia. Specify the key reasonidentified by the nurse that had provokedthis pathology:

A. Permanent loss of bloodB. Autoimmune blood diseasesC. Chronic hepatitisD. Effects of ionizing radiationE. Resection of the small intestine

108. The 48-year-old female patientundergoing treatment in the therapeuticdepartment complains of a severeheadache, a sensation of pulsation in theocciput, seeing spots, dizziness, tremblingof the whole body, palpitation. Objectively:the patient is agitated. The face and neckskin is red, covered with drops of sweat.Heart sounds are clear, there is diastolicshock over the aorta, cardiac borders areextended to the left. HR- 100 bpm, AP-220/110 mm Hg. What state has developedin the patient?


A. Hypertensive emergencyB. Hypoglycemic comaC. Stenocardia attackD. Hyperglycemic comaE. Attack of cardiac asthma

109. The 48-year-old female patientpresents with recurrent complaints ofintense pain in the right lumbar region. Thepain increases with the slightest movementsand radiates to the genitals. The patient alsocomplains of frequent painful urination,nausea, weakness, temperatura - 37, 2oC.Which of these problems is of top priority?

A. Lumbar painB. NauseaC. WeaknessD. Frequent urinationE. Temperature elevation

110. A nurse working at the statisticsdepartment calculates the primary morbi-dity rate for the first quarter of the currentyear. Choose the medical documents thatallow the nurse to study this factor:

A. Statistic card (f. №025-2/o)B. Journal of a polyclinic’s physician (f.№039/o)C. Statistic card of discharged patient (f.№066/o)D. Register of house calls (f. №031/o)E. Register of ambulatory patients (f.№074/o)

111. While examining the 35-yer-old patientwho has been beaten by unknown personsyou have found the following clinical signs:pain, tissue swelling in the pubic and ingui-nal regions of the abdomen, muscle tensi-on, positive Blumberg’s sign, anuria. Whatwould you think of?

A. Injury of the bladderB. Injury of the urinary tractsC. Injury of the kidneysD. Injury of the urethraE. Injury of the colon

112. What condition is considered a specificcontraindication to rickets prevention?

A. Small size of the large fontanelB. HypotrophyC. AnemiaD. Exudative catarrhal diathesisE. Hemolytic disease of newborns

113. A child has mumps. When scheduli-ng the plan of nursing care and treatment,a nurse will include the followingindependent intervention:

A. Warm heat to the parotid salivary glandsB. Water-alcohol compressesC. Hot compressD. Cold to the affected glandsE. Dabbing the skin over the glands withcamphor oil

114. A profound medical examination ofthe fifth grade schoolchildren resultedin allocation of children to differenthealth groups. Which health group shouldinclude children who have morphologi-cal abnormalities, functional abnormalitiesafter diseases, and those who often fall ill?

A. 2B. 1C. 3D. 4E. 5

115. The group of external factors that havean effect on the pricing of medical servicesinclude:

A. Demand levelB. Pricing objectivesC. CostsD. Governmental regulationE. Variable costs

116. After a blood transfusion the 49-year-old male patient developed pallor,pain in the lumbar region, a progressivedecrease in blood pressure. What compli-cation occurred in this patient?

A. Transfusion shockB. Cardiogenic shockC. Hemorrhagic shockD. Acute pyelonephritisE. Acute pneumonia

117. The task of health workers in the fi-rst stage of medical examination of thepopulation is the grouping of so-called di-spensary contingent. Patients with chronicdiseases at the stage of subcompensationfall into the following group:

A. 4B. 2C. 5D. 1E. 3

118. Which of the following methods of sci-entific research involves applying generalcharacteristics and properties to a certainclass of objects, as well as the transitionfrom the specific to the general, from lessgeneral to more general?


A. GeneralizationB. ExperimentC. IdealizationD. ModelingE. Typologization

119. A 20-year-old male patient with ablunt injury of head had been deliveredto the admission ward. During examinati-on the admitting nurse revealed complai-nts of headache, vomiting, transient loss ofconsciousness. What independent nursingintervention is required as the first aid?

A. Ice pack to the headB. SedativesC. PainkillersD. Cardiovascular drugsE. Diuretics

120. A 5-year-old child undergoes in-patient treatment for ARVI. Nursingobservation findings: body T o- 38, 8oC, pi-nk skin hot to the touch. What premedicalfirst aid should be rendered to the child inthis case?

A. Undress the child, wipe the skin withalcohol-water solutionB. Warm the childC. Clysterize the child with water of38 − 40oC temperatureD. Give aspirinE. Give paracetamol

121. A patient with an injury of the ri-ght lower limb has been admitted to thesurgical department. The patient is in gravecondition, blood pressure is100/60 mm Hg,Ps- 100 bpm, he is pale, has deferred reacti-ons. Objectively: the affected lower limbis cold to the touch, there are multiplewounds contaminated with soil, edema ispresent, muscles are of gray color, protrude.What disease can be suspected?

A. Gas gangreneB. CatalepsyC. Pseudomonas infectionD. PhlegmonE. Erysipelas

122. An infant is 3 months old. Objecti-vely: there is marked pallor of the mucousmembranes and skin, excessive sweating,especially in the head, agitation, occipitalalopecia. The baby is formula-fed. What di-sease are these symptoms indicative of?

A. Rickets, the initial periodB. Rickets, the height of diseaseC. AnemiaD. Rickets, convalescenceE. Rickets, the period of residual effects

123. A 10-year-old boy undergoes in-patient treatment. He complains of thirst,dryness of the oral mucosa, skin itch, irri-tability, frequent urination, acetone breath.Diabetes mellitus has been suspected.Following the plan of nursing interventi-ons a nurse should monitor dietary therapy.What diet is indicated in this case?

A. Diet №9B. Diet №15C. Diet №7D. Diet №10E. Diet №5

124. A girl is 8 years old. The child’smother reports edemata, loss of appeti-te, fever. Three weeks before the childhad quinsy. Examination findings: skinand mucous membranes are pale, theface is edematous, heart sounds are weak,rhythmic, blood pressure is 140/80 mm Hg.Glomerulonephritis has been suspected.Following the plan of nursing interventi-ons during the eruptive phase of disease anurse should control:

A. Bed rest till the edemata disappearB. Antihistamine therapyC. Semi-strict bed restD. Ambulant regimenE. Antibiotic therapy

125. What models of healthcare arerecognized within the classification on theprinciple of marketing relationships of thesystem subjects?

A. Market, non-market, natural, mixedB. Classical, pluralistic, insurance, national,socialistC. Utilitarian, communitarian, liberalD. Private, publicE. Classic market, insurance utilitarian.National liberal

126. Specify the basic process that is meantby social marketing:

A. Process of identifying and developing aproduct or serviceB. Process of marketing a product or serviceC. Process of selling a product or serviceD. Process of developing and providing aproduct or serviceE. Customer orientation

127. You are examining a patient complai-ning of throbbing pain in the third finger ofthe right hand. Three days ago, while worki-ng in the garden, the patient injured his fi-nger but neither did he treat the wound norseek medical help. The previous night hecould not sleep because of the unbearablepain. The patient was scheduled for the


abscess opening. What kind of anesthesiashould be applied in this case?

A. Oberst-Lukashevich anesthesiaB. Shkolnikov blockC. Vishnevsky "squirt-and-cut"techniqueD. SelivanovE. General anesthesia

128. Clinical examination of the 32-year-old patient revealed the complaints ofpain during defecation, mucous and bloodydischarges from the anus for 2 weeks.What examination method will be mostinformative for specifying the diagnosis?

A. ProctosigmoidoscopyB. RadioscopyC. UltrasoundD. GastroscopyE. Gastroesophagoscopy

129. You are performing a clinical exami-nation of the patient with the crushsyndrome. What symptom is characteristicof the second period of the disease?

A. Acute renal failureB. Normalization of renal functionC. Local alterations in the damaged tissuesD. Bacterial complicationsE. Endogenous intoxication

130. A 25-year-old patient consulted adoctor about reduced sensitivity of nose,cheeks and forehead that developed afterskiing. Objectively: the skin is pale and coldto the touch. Describe the patient’s conditi-on:

A. Prereactive period of frostbiteB. Initial stage of general frostbiteC. General supercoolingD. Reactive period of frostbiteE. Second degree frostbite

131. You performed a clinical examinati-on of the 46-year-old patient complai-ning of girdle pain in the right lumbarregion, frequent urination, pain irradiati-on to the perineum, a single episode ofvomiting. Examination revaled positivePasternatsky’s symptom on the right. Whatdisease can you think of?

A. UrolithiasisB. Acute pancreatitisC. Acute cholecystitisD. Acute appendicitisE. Intestinal obstruction

132. A patient with a history of frequentcolds undergoes examination. Whatproblem will be a priority if it is knownthat he has worked as a polisher of metal

products for 11 years?

A. Attacks of cough with expectoration ofsputumB. Chest painC. AnemiaD. FeverE. Hypervolemia

133. With a view to the early detection oftuberculosis all students and employeesof a medical college underwent x-rayfluorography. What method of studying theincidence was applied?

A. Special samplingB. Medical examination of the individualgroupsC. PreventiveD. GeneralE. Current

134. A 9-month-old child undergoestreatment for rickets. Specify thetherapeutic dosage of vitamin D:

A. 2000 - 5000 IUB. 500 - 1000 IUC. 250 - 500 IUD. 1000 - 2000 IUE. 5,000 - 10,000 IU

135. When examining children in a ki-ndergarten a pediatrician revealed that a5-year-old child had a papulovesicular rashon the scalp, solitary lesions on the trunk.On the basis of the described symptoms thechild was diagnosed with varicella. Whatmedication shoud be applied to the rashelements?

A. 1% solution of brilliant greenB. 70% alcohol solutionC. Tetracycline ointmentD. 5% iodine solutionE. Furacilinum

136. During the inhalation anesthesia apatient had respiratory standstill as a resultof tongue-swallowing. A nurse appliedtriple-airway maneuver but it was ineffecti-ve. What should the staff do to renderfurther aid?

A. Establish an artificial airwayB. Give an injection of 2,4% aminophyllinesolutionC. Give an injection of 10% solution ofcalcium chlorideD. Press upon chestE. Perform defibrillation

137. Provided that planning is an admini-strative tool that makes a sound basis formanagement decisions, its first step is as


follows:

A. Identification and analysis of theproblemB. Identification of the main objecti-ves of the program and key steps of itsimplementationC. Making the right decisionD. Selection of technical methods of executi-onE. Finding alternatives

138. Healthcare institutions must undergoaccreditation with the following frequency:

A. Once every three yearsB. Every yearC. Once every 5 yearsD. Depending on the form of ownership ofthe healthcare institutionE. Once every 10 years

139. A 4-year-old girl has to- 37, 4oC,obstructed nasal breathing, mucous andserous nasal discharge, voice hoarseness,rough cough. What disease that accompani-es ARVI are these changes typical for?

A. Acute laryngitisB. Acute pharyngitisC. Acute tracheitisD. Acute bronchitisE. Obstructive bronchitis

140. A 9-month-old boy has excessive moi-st cough, dyspnea with difficult expiration,remote wheezing, respiratory rate 52/min,body temperature - 36, 9oC, HR- 110/min.Specify the top-priority factor in the planni-ng of nursing examination:

A. Respiratory rateB. Heart rateC. Body temperatureD. Auscultation of the lungsE. Sputum

141. You provide nursing care for an 11-year-old child with hemorrhagic vasculi-tis. What changes are typical for cutaneousform of the disease?

A. Symmetrical hemorrhagic rashB. Non-symmetrical skin rashC. Maculopapular rashD. Massive hemorrhages in the skinE. Polymorphous skin rash

142. You provide nursing care for a 10-year-old child with acute glomerulonephritis.What alterations in the urine are common?

A. Erythrocyturia, cylindruriaB. Leukocyturia, bacteriuriaC. Increased glucose level, cylindruriaD. Leukocyturia, erythrocyturiaE. Erythrocyturia, bacteriuria

143. You need to assess the organizationof medical and preventive care for chi-ldren. What kind of infant mortality indi-cates shortcomings in the treatment andpreventive care for children of the first yearof life?

A. Type CB. ProgressiveC. Type AD. RegressiveE. Type B

144. Guaranteed storage life of ready-madesterile dressing materials is:

A. 5 years since the date of manufactureB. 2 years since the date of acceptanceaccording to the invoiceC. 1 year since the date of acceptanceaccording to the invoiceD. 3 years since the date of manufactureE. They have no expiration date

145. A 60-year-old female patient complai-ns of pain in the joints that occurs duringwalking. From history: the patient reportsbeing diseased for the last 10 years, sincethe time when she first noticed morningstiffness in the joints, pain during exerci-se. What group of drugs should be admini-stered?

A. Nonsteroidal anti-inflammatory drugsB. Antisclerous drugsC. AntibioticsD. SpasmolyticsE. Diuretics

146. A 1,5-year-old child has a history offermentopathy. The child undergoes regularcheck-ups with the pediatrician. The latestexamination revealed reduced turgor andelasticity of the skin, no subcutaneous fat inthe abdomen. Underweight is 25%. Thesesymptoms allow for the following diagnosis:

A. Second degree malnutritionB. ParatrophiaC. First degree malnutritionD. Third degree malnutritionE. Anorexia

147. 3 weeks after quinsy a 5-year-old childdeveloped symptoms of symmetrical lesi-on of the knee and elbow joints. Palpationrevealed swelling and tenderness of the joi-nts, the skin is red, hot to the touch. Whatdisease are these symptoms typical for?


A. Rheumatic fever, polyarthritisB. Rheumatic fever, rheumatic heart diseaseC. Rheumatoid arthritisD. Deforming osteoarthritisE. Rheumatic fever, juvenile chorea

148. A neonate has lesions the size of amillet grain with serous-purulent contentson the skin of the trunk, head, and in thenatural folds of the skin. What disease arethese presentations typical for?

A. Vesicopustular eruptionsB. Pemphigus of newbornsC. PseudofurunculosisD. FurunculosisE. Herpes infection

149. A patient has been working as abattery assembler for 12 years. He has beenhospitalized in the surgical department wi-th complaints of acute crampy abdominalpain, nausea, vomiting, lack of stool for 2days. The patient has a history of duodenal

ulcer. On examination: the abdomen isretracted, palpation reveals extended pain,especially around the navel. Peritoneal irri-tation signs are negative. What is the mostlikely provisional diagnosis?

A. Lead colicB. Acute appendicitisC. Acute pancreatitisD. Acute cholecystitisE. Perforation of duodenal ulcer

150. After drawing up statements theinspection board allows to unpack, acceptand record the goods as received. Qualityand package contents of goods deliveredfrom outside the city should be acceptedwithin the following period of time:

A. No later than within 20 daysB. No later than within 10 daysC. No later than within 5 daysD. No later than within 15 daysE. No later than within 7 days

INSTRUCTIONAL BOOK

Testing Board

TEST ITEMS FOR LICENSING EXAMINATION: KROK B. NURSING.

Kyiv. Testing Board.

(English language).

Approved to print 07.04/№40. Paper size 60х84 1/8

Offset paper. Typeface. Times New Roman Cyr. Offset print.

Conditional print pages 16. Accounting publishing pages 20.

Issue. 6 copies.

List of abbreviations

A/G Albumin/globulin ratio HR Heart rate

A-ANON Alcoholics anonymous IDDM Insulin dependent diabetes mellitus

ACT Abdominal computed tomography IFA Immunofluorescence assay

ADP Adenosine diphosphate IHD Ischemic heart disease

ALT Alanin aminotranspherase IU International unit

AMP Adenosine monophosphate LDH Lactate dehydrogenase

AP Action potential MSEC Medical and sanitary expert committee

ARF Acute renal failure NAD Nicotine amide adenine dinucleotide

AST Aspartat aminotranspherase NADPH Nicotine amide adenine dinucleotide

phosphate restored

ATP Adenosine triphosphate NIDDM Non-Insulin dependent diabetes

mellitus

BP Blood pressure PAC Polyunsaturated aromatic

carbohydrates

bpm Beats per minute PAS Periodic acid & shiff reaction

C.I. Color Index pCO2 CO2 partial pressure

CBC Complete blood count pO2 CO2 partial pressure

CHF Chronic heart failure pm Per minute

CT Computer tomography Ps Pulse rate

DIC Disseminated intravascular coagualtion r Roentgen

DCC Doctoral controlling committee RBC Red blood count

DM-2 Non-Insulin dependent diabetes mellitus RDHA Reverse direct hemagglutination assay

DTP Anti diphtheria-tetanus vaccine Rh Rhesus

ECG Electrocardiogram (R)CFT Reiter's complement fixation test

ESR Erythrocyte sedimentation rate RIHA Reverse indirect hemagglutination

assay

FC Function class RNA Ribonucleic acid

FAD Flavin adenine dinucleotide RR Respiratory rate

FADH2 Flavin adenine dinucleotide restored S1 Heart sound 1

FEGDS Fibro-esphago-gastro-duodenoscopy S2 Heart sound 2

FMNH2 Flavin mononucleotide restored TU Tuberculin unit

GIT Gastrointestinal tract U Unit

Gy Gray USI Ultrasound investigation

GMP Guanosine monophosphate V/f Vision field

Hb Hemoglobin WBC White blood count

HbA1c Glycosylated hemoglobin X-ray Roentgenogram

Hct Hematocrit

HIV Human immunodeficiency virus

Student ID Last name

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