1.

Factori
ideaparar
eai
mucoasei
gast
ro-
duodenal
aimpot
ri
vaaci
dit
ati
igast
ri
cesunt
reprezentat
ide:

a)
mucusul
gast
ri
c

b)
ioni
idebi
car
bonat
e

c)
prost
agl
andi
ne

d)
hist
ami
ne

e)
acet
il
col
i
na

2.
Steat
oreeaest
esemnde:

a)
mal
absor
bti
e

b)
ulcerduodenal

c)
cir
ozahepat
ica

d)
pancr
eat
it
aacut
a

e)
cancerr
ect
al

3.
Diagnost
icul
per
it
oni
tei
bact
eri
enespont
anesebaz
eazapeanal
i
zal
i
chi
dul
uiascet
iccar
e
pr
ezint
a:

a)
pest
e50l
eucoci
tePMN/
micr
oL

b)
pest
e250l
eucoci
te/
micr
oL

c)
pest
e250l
eucoci
tePMN/
micr
oL

d)
pest
e80%l
i
mfoci
te

e)
aspectchi
l
os

4.
Pri
nci
pal
acauzadepancr
eat
it
aacut
alaf
emei
eest
e:

a)
li
ti
azabi
l
iar
a

b)
alcool
ul

c)
eredi
tat
ea

d)
hyper
cal
cemi
a

e)
inf
ect
iacugr
am negat
ive

5.
Dint
rei
cter
elecuhi
per
bil
i
rubi
nemi
epr
edomi
nantneconj
ugat
anuf
acpar
te:

a)
eri
tr
opoi
ezai
nef
ici
ent
a

b)
sindr
omul
Rot
or

c)
cir
ozabi
l
iar
a

d)
sindr
omul
Gil
ber
t

e)
ict
erul
neonat
al
6.
Hiper
spl
eni
smul
ser
efer
ala:

a)
dil
atat
iav
enel
ordi
nhi
l
ulspl
eni
c

b)
tromboz
avenel
ordi
nhi
l
ulspl
i
nei

c)
dur
ereal
egat
ademar
imeaspl
i
nei

d)
anemi
e,
leucopeni
e,
tr
omboci
topeni
e

e)
crest
ereaVSH-
ului

7.
Tri
plat
erapi
eint
rat
areaul
cer
ului
pept
icHPpozi
ti
vsebazeazape:

a)
subsal
i
cil
atdebi
smut
h

b)
omepr
azol

c)
clar
it
romi
cina

d)
amoxi
cil
i
na

e)
sucr
alf
at

8.
Compl
i
cat
ii
leRCUHsuntur
mat
oar
elecuexcept
ia:

a)
megacol
onul
toxi
c

b)
cancer
uldecol
on

c)
hemor
agi
idi
gest
ivei
nfer
ioar
esev
ere+?

d)
pyoder
magangr
enosum

e)
spondi
l
itaanchi
l
opoi
eti
ca+?

9.
Mani
fest
ari
l
ecol
onul
uii
ri
tabi
lsuntur
mat
oar
elecuexcept
ia:

a)
rect
oragi
a

b)
dur
ereaabdomi
nal
aamel
i
orat
ededef
ecat
ie

c)
consi
stent
amodi
fi
cat
aascaunul
ui(
diar
ee/
const
ipat
ia)

d)
senzat
iededef
ecat
iei
ncompl
ete

e)
dur
ereat
rezest
ebol
nav
uldi
nsomn

10.
Fact
ori
ipr
edi
spozant
iai
cancer
ului
col
o-r
ect
alsunt
:

a)
consumul
crescutdegr
asi
miani
mal
e

b)
consumul
crescutdef
ibr
eveget
ale

c)
aspi
ri
na

d)
fumat
ul

e)
pol
i
picol
oni
ciadenomat
osi

11.
Urmat
ori
ifact
ori
eti
ologi
cipotf
iimpl
i
cat
einapar
it
ial
i
tiazei
bil
i
arecuoex
cept
ie:
a)
obezi
tat
ea

b)
gast
ri
tacr
oni
ca

c)
dysl
i
pidemi
a

d)
sar
cina

e)
hemol
i
zacr
oni
ca

12.
Ict
erul
dinpancr
eat
it
aacut
asedat
orest
e:

a)
hemol
i
zei

b)
tromboz
eidev
enapor
ta

c)
compr
esi
acol
edocul
ui

d)
inexcl
usi
vi
tat
eli
ti
azei
col
edoci
eneassoci
ate

e)
inpancr
eat
taacut
anuapar
eict
er

13.
Cauzel
edepancr
eat
it
acr
oni
casunt
:

a)
alcool
i
smul
croni
c

b)
obst
ruct
iacanal
ului
Wir
sung

c)
fi
brozachi
sti
ca

d)
mal
nut
ri
ti
esev
erapr
otei
ncal
ori
ccuhi
poal
bumi
nemi
e

e)
cir
ozahepat
ica

14.
Simpt
omat
ologi
aachal
azi
eicupr
indeur
mat
oar
ele:

a)
disf
agi
a

b)
regur
git
ati
e

c)
met
eor
ism abdomi
nal

d)
dur
erer
etr
ost
ernal
a

e)
diar
ee

15.
Dint
rei
cter
elecuhi
per
bil
i
rubi
nemi
epr
edomi
nantconj
ugat
e(BD)f
acpar
te:

a)
hemol
i
zai
ntr
asi
ext
rav
ascul
ara

b)
li
ti
azabi
l
iar
a

c)
col
angi
tascl
erozant
a

d)
boal
ahepat
icaal
cool
i
ca

e)
sindr
omul
Cri
glerNaj
j
ar

16.
Cel
mai
frecv
entsi
mpt
om i
ntal
niti
nhepat
it
acr
oni
caCest
e:

a)
ict
erul
+?
b)
art
ral
gii
l
e+?

c)
diar
eea

d)
subf
ebr
il
it
atea

e)
ast
eni
afi
zi
ca+?

17.
Fact
ori
ipr
eci
pit
ant
iai
encef
alopat
iei
hepat
icel
apaci
ent
iicuci
rozapotf
i:

a)
const
ipat
ia

b)
ali
ment
ati
ahi
popr
otei
ca

c)
hemor
agi
agast
roi
ntest
inal
a

d)
inf
ect
ii
le

e)
hiper
vol
emi
a

18.
Pri
nci
pii
det
rat
amenti
nencef
alopat
iahepat
icasuntur
mat
oar
elecuexcept
ia:

a)
evi
tar
eaconst
ipat
iei

b)
admi
nist
rar
eadel
act
uloza

c)
ant
ibi
oti
ce

d)
admi
nist
rar
eadepr
otei
nei
nal
i
ment
ati
emai
mul
tde60g/
zi

e)
ant
agoni
sti
debenzodi
azepi
ne

19.
Prezent
aHel
i
cobact
erpy
lor
iinor
gani
smal
umanpoat
efi
diagnost
icat
apr
in:

a)
cul
tur
adi
nsecr
eti
agast
ri
ca

b)
hemocul
tur
a

c)
test
ulr
espi
rat
orcuur
ee

d)
examenhi
stol
ogi
cal
fragment
ului
demucoasagast
ri
car
ecol
tatpr
inendoscopi
e

e)
test
ulr
api
dal
ureazei

20.
Incol
est
azai
ntr
ahepat
icacr
escenzi
mel
e:

a)
glut
ati
onSt
ransf
eraza

b)
gumagl
utami
ltr
anspept
idaza

c)
5nucl
eot
idaza

d)
fosf
atazaal
cal
i
na

e)
col
i
nest
eraza

21.
Urmat
oar
elesuntadev
arat
edespr
epancr
eat
it
acr
oni
ca:

a)
li
ti
azabi
l
iar
aest
eocauzai
mpor
tant
aapancr
eat
it
eicr
oni
cel
afemei

b)
inal
cool
i
smul
croni
csucul
pancr
eat
icar
eoconcet
rat
iemai
micadepr
otei
n
c)
inst
adi
i
lei
nci
pient
eceamai
fidel
amet
odadedi
agnost
icest
eecoendoscopi
a

d)i
npr
ezentamal
absor
bti
eidozadef
erment
idesubst
it
uti
etr
ebui
esaf
iedecel
put
in20
000Ul
ipaz
a/masa

e)r
ezer
vafuncti
onal
apancr
eat
icapoat
efi
apr
eci
atacuobunaacur
atet
epr
int
omogr
afi
e
computer
izat
a

22.
Inhepat
it
acr
oni
cav
iral
aB:

a)
act
ivi
tat
eanecr
o-i
nfl
amat
ori
epoat
efi
decel
atapr
inf
ibr
oscan

b)
aspect
ulhepat
oci
tul
uii
nst
icl
amat
aest
epat
ognomoni
c

c)
rezervor
uldei
nfect
ivi
tat
eest
emar
edat
ori
tapr
ocent
ului
mar
edecr
oni
cizar
ea
i
nfecti
ei(
90%)

d)
lezar
eahepat
icasef
acepr
inmechani
sm i
mun

e)
for
mel
ecuv
alor
inor
mal
eal
etr
ansami
nazel
orr
aspundsl
abl
ater
api
e

23.
Sunti
mpl
i
cat
einet
iol
ogi
aci
rozei
hepat
ice:

a)
boal
aWi
l
sondepuner
edef
ierl
ani
vel
hepat
ic

b)
vir
usur
il
ehepat
it
ice

c)
NAFLD

d)
insuf
ici
ent
acar
diacasev
era

e)
hemocr
omat
oza

24.
Sindr
omul
Ziev
e:

a)
est
efr
ecv
enti
nci
rozel
ehepat
icenonal
cool
i
ce

b)
secar
act
eri
zeazapr
ini
ncar
car
eagr
asaaf
icat
ului

c)
secar
act
eri
zeazapr
inhi
per
li
pemi
esi
anemi
efer
ipr
iva

d)
dpdvcl
i
nicapardur
eri
abdomi
ant
e,f
ebr
asi
ict
er

e)
est
einsot
itdehepat
omegal
i
e

25.
Semnel
eecogr
afi
cedehi
per
tensi
unepor
tal
asunt
:

a)
spl
enomegal
i
e

b)
ingr
osar
easi
dedubl
areaper
etel
uiv
ezi
cul
ar

c)
crest
ereadi
amet
rul
uiv
enei
por
te

d)
prezent
aasci
tei

e)
exi
stent
ahet
erogeni
tat
iihepat
ice

26.
Cir
ozabi
l
iar
apr
imi
ti
va:

a)
par
cur
ge4st
adi
ihi
stol
ogi
ce
b)
arei
nci
dent
amai
crescut
alasexul
mascul
i
ne

c)
secar
act
eri
zeazapr
inASMApr
ezenti
n95%di
ncaz
uri

d)
secar
act
eri
zeazapr
inbi
l
irubi
nat
otal
afr
ecv
entcr
escut
a

e)
transpl
ant
ulhepat
icest
econt
rai
ndi
cat

27.
Inaf
aradesi
mpt
omel
edi
gest
iveBRGEsepoat
emani
fest
asi
pri
n:

a)
simpt
omecar
diace

b)
simpt
omer
espi
rat
ori
i

c)
simpt
omeORL

d)
simpt
omev
ascul
areper
if
eri
ce

e)
simpt
omeneur
ologi
ce

28.
Car
esuntaf
ect
iuni
l
ecur
isccr
escutdecancergast
ri
c:

a)
gast
ri
tacr
oni
caat
rof
icacumet
apl
azi
eint
est
inal
a

b)
stomacul
oper
at

c)
boal
ament
eri
er

d)
gast
ri
taacut
ahemor
agi
ca

e)
gast
ropat
iapor
tal
hiper
tensi
va

29.
Fact
ori
ipr
edi
spozant
iai
cancer
ului
col
o-r
ect
alsunt
:

a)
consumul
crescutdegr
asi
miani
mal
e

b)
consumul
crescutdef
ibr
eveget
ale

c)
aspi
ri
na

d)
alcool
ul

e)
pol
i
pii
col
oni
ciadenomat
osi

30.
Car
edi
ntr
eur
mat
ori
iaut
oant
icopr
isuntcar
act
eri
sti
cihepat
it
eloraut
oimmune:

a)
ant
icor
pii
ant
imuschi
net
edSMA

b)
ant
icor
pii
ant
inucl
ear
iANA

c)
ant
icor
pii
ant
imi
tocondr
ial
iAMA

d)
ant
icor
pii
ant
iant
igensol
ubi
lhepat
icSLA

e)
ant
icor
pii
ant
imi
crozomal
ihepat
ici
sir
enal
iLK

31.
Trat
ament
ulcur
ati
vesi
prof
il
act
ical
per
it
oni
tei
bact
eri
enespont
anesepoat
efacecu:

a)
cef
alospor
ine

b)
ami
nogl
i
cozi
de
c)
chi
nol
one

d)
ant
ii
inf
lamat
ori
i

e)
chi
rur
gical

32.
Urmat
oar
elesi
mpt
omepotr
efl
ect
aocompl
i
cat
ieaBRGE:

a)
dur
erear
etr
ost
renal
a

b)
disf
agi
a

c)
pir
ozi
s

d)
regur
git
ati
iaci
de

e)
disconf
ortepi
gast
ri
c?

33*
.Despr
ehel
i
cobact
erpy
lor
iunadi
ntr
eaf
ir
mat
iinuest
eadev
arat
a:

a)
est
ebaci
lgr
am negat
iv

b)
col
oni
zeazat
oat
amucoasadi
gest
iva

c)
aret
ransmi
ter
efecal
oral
a

d)
est
eadapt
ati
nmedi
ulaci
d

e)
prev
alent
ainf
ect
iei
cuHPest
ede70-
80%i
nul
cer
ulduodenal

34.
Lezi
uni
l
emacr
oscopi
cecar
act
eri
sti
ceal
eRCUHsunt
:

a)
ulcer
ati
iaf
toi
de

b)
ster
ger
eadesenul
uiv
ascul
ar

c)
eri
tem di
fuz

d)
ulcer
ati
isuper
fi
cial
eal
emucoasei

e)
fi
stul
esi
stenoze

35.
Car
act
eri
sti
cil
ebol
i
icel
i
acesunt
:

a)
int
oler
ant
alagl
uci
de?

b)
atr
ofi
amucoasei
int
est
inal
e

c)
diar
eecu3-
6scaune/
24h

d)
amel
i
orar
epr
ompt
alar
egi
mul
ali
ment
arf
aragl
uten

e)
const
ipat
iecr
oni
ca

36.
Tipul
1dehepat
it
aaut
oimunasecar
act
eri
zeazapr
in:

a)
seasoci
azacual
tebol
iaut
oimmune

b)
frecv
ent
amai
mar
elaf
emei
tiner
e

c)
prezent
aant
icor
pil
orant
inucl
ear
ici
rcul
ant
i
d)
ant
icor
piant
iLKM 1

e)
asoci
ereacuv
irusul
hepat
icC

37.
Encef
alopat
iahepat
icaest
eunsi
ndr
om neur
o-pshi
hiat
ri
ccar
act
eri
zatpr
in:

a)
ast
eri
xi
s

b)
modi
fi
car
ial
ecompor
tament
ului

c)
modi
fi
car
ial
est
ari
ideconst
ient
a

d)
conv
ulsi
itoni
co-
cloni
ce

e)
incont
inent
asf
inct
eri
ana

38.
Reducer
eadozel
ordespi
ronol
act
onei
ntr
atament
ulasci
tei
dinci
rozahepat
icaest
e
i
mpusade:

a)
crest
erear
ezer
vei
azot
ate

b)
hiper
pot
asemi
e

c)
li
psader
aspunsl
atr
atament

d)
hiponat
remi
e

e)
crest
ereabi
l
irubi
nei

39.
Trat
ament
ulacutal
bol
i
icr
ohnpoat
ecupr
inde:

a)
predi
nson

b)
Imur
an

c)
ant
ibi
oti
ce

d)
mesal
azi
na

e)
inf
li
xi
mab

40.
Not
ati
sit
uat
ii
lei
ncar
esei
ntal
nest
edeobi
cei
li
ti
azacol
est
erol
oti
ca:

a)
slabi
rir
epet
atei
ngr
eut
ate

b)
cir
ozahepat
ica

c)
obezi
tat
e

d)
inf
ect
iicucl
onor
chi
s

e)
diabetzahar
at

41.Ref
erit
orlaterapi
ahepati
tei
bal
eget
imedi
cament
ulant
ivi
ral
incur
sul
car
uiapoat
e
aparearezi
stenta(mut
anteYMDD):

a)
int
erf
eron

b)
ent
ecav
ir

c)
lami
vudi
ne
d)
ri
bav
iri
na

e)
adef
ovi
r

42.
Ref
eri
torl
ahepat
it
acr
oni
cacnot
ati
raspunsur
il
ecor
ect
e:

a)
rat
adeev
olut
iespr
eci
rozaaunei
hepat
it
ecr
oni
ceCest
ede20-
30%

b)
rat
adecr
oni
cizar
edupaohepat
it
aacut
acest
ede70-
80%

c)
exi
stacazur
idehepat
it
acr
oni
caccuv
alor
inor
mal
eal
etr
ansami
nazel
or

d)
acant
iVHCsemni
fi
cat
recer
eapr
inboal
asi
vindecar
e

e)
VHCnuar
eact
iuneci
topat
icadi
rect
aci
pri
ninducer
eaunui
raspunsi
munmedi
atcel
l
ular

*43.
Ofemei
einv
arst
ade56ani
car
esepr
ezi
ntapent
rui
ctersi
oboseal
acel
mai
probabi
l
are:

a)
boal
aWi
l
son

b)
hemat
ocr
omat
oza

c)
cir
ozabi
l
iar
apr
imi
ti
va?

d)
col
angi
tascl
erozant
apr
imar
a

e)
hepat
it
aaut
oimuna

*
44.
InBRGEendoscopi
adi
gest
ivepoat
eev
ident
iat
oat
edemai
joscuoexcept
ie:

a)
her
niehi
atal
a

b)
esof
agbar
ret
t

c)
achal
asi
acar
diei

d)
stenoz
aesof
agi
ana

e)
esof
agnor
mal

45.
Ref
eri
torl
agast
ri
tenot
ati
afi
rmat
ii
lecor
ect
e:

a)
ingast
ri
tacr
oni
casecar
act
eri
zeaz
apr
int
r-
uni
nfi
l
trat
ebogati
nneut
rof
il
e

b)
gast
ri
taacut
asecar
act
eri
zeazapr
inpi
erder
eagl
andel
oroxi
nti
ce

c)
abcesel
ecr
ipt
icesei
ntal
nesci
ngast
ri
taacut
a

d)
maj
ori
tat
eagast
ri
tel
oracut
esuntaut
oli
mit
ate

e)
ogast
ri
taest
einact
ivaat
unci
candl
i
psescneut
rof
il
ele

46.Alegeti
inv
est
igat
ii
leut
il
epent
rust
adi
ali
zar
eapr
eoper
ator
iei
ntr
-uncazdecancer
esofagian:

a)
endoscopi
adi
gest
ive

b)
ecoendoscopi
a

c)
biopsi
a
d)
tomogr
afi
acomput
eri
zat
a

e)
rezonant
amagnet
icanucl
ear
a

47.
Ref
eri
torl
acancer
ulcol
o-r
ect
alcar
esuntaf
ir
mat
ii
leadev
arat
e:

a)
ACEar
erol
indet
ect
arear
eci
div
elorpost
oper
ator
ii

b)
ecoendoscopi
asef
olosest
epent
ruapr
eci
ereaext
ensi
eit
umor
alei
nregi
unear
ect
ala

c)
pent
rupr
ofi
l
axi
asecundar
aser
ecomandat
esthemocul
tla5ani
dupav
arst
ade50ani

d)
radi
oter
api
aseadr
eseaz
ainspeci
alcancer
ului
rect
alsi
anal

e)
CTabdomi
nal
la3l
uni
pent
rudepi
star
eamet
ast
azel
orhepat
icepost
oper
ator
ii

48.
InRCUH:

a)
exi
staul
cer
ati
iadanci
uneor
ili
near
e

b)
rect
ulest
etot
deaunaaf
ect
at

c)
lezi
uni
l
ehi
stol
ogi
cepr
indi
ntr
egper
etel
e

d)
modi
fi
car
il
eendoscopi
ceauuncar
act
ercont
inuu

e)
exi
stal
ezi
uni
per
ianal
eti
pice

49.
Not
ati
sit
uat
ii
lei
ncar
esei
ntal
nest
edeobi
cei
li
ti
azadebi
l
irubi
natdecal
ciu:

a)
cir
ozahepat
ica

b)
hemol
i
zacr
oni
ca

c)
slabi
rir
api
dei
ngr
eut
ate

d)
inf
ect
iicucl
onor
chi
s

e)
diabetzahar
at

50.I
nboalacr
ohn:
a)exi
staul
cer
ati
iadanci
uneor
ili
niar
e

b)
il
eonul
est
etot
deaunaaf
ect
at

c)
modi
fi
car
il
eendoscopi
ceauuncar
act
ercont
inuu

d)
lezi
uni
l
ehi
stol
ogi
cecupr
indi
ntr
egper
etel
e

e)
diagnost
icul
sepunef
recv
enti
ntr
aoper
ator

51.
Not
ati
sit
uat
ii
ledef
avor
izar
eabol
i
ider
efl
uxgast
ro-
esof
agi
an:

a)
crest
ereamot
il
it
ati
igast
ri
ce

b)
lar
gir
eaunghi
ului
His

c)
alt
erar
eacl
ear
ance-
ului
esof
agi
an

d)
scader
eapr
esi
uni
ii
ntr
aabdomi
nal
e
e)
int
arzi
ereaev
acuar
iigast
ri
ce

52.
Ref
eri
torl
aHel
i
cobact
erpy
lor
inot
ati
afi
rmat
ii
lecor
ect
e:

a)
HPest
elocal
i
zatsubst
rat
uldemucusgast
ri
c

b)
HPcr
est
epemucoasagast
ri
casi
duodenal
a

c)
sur
sadei
nfect
iei
ntar
il
esl
abdezv
olt
ateest
eapa

d)
seasoci
azacugast
ri
tadef
orni
xti
pAi
n75-
90%cazur
i

e)
gast
ri
tacuHPpoat
eev
oluacat
rel
i
mfom gast
ri
c

53.
Car
edi
ntr
eur
mat
oar
eleaf
ir
mat
iidespr
ecancer
ulesof
agi
annusuntadev
arat
e:

a)
cel
mai
frecv
entest
ecar
cinomul
epi
der
moi
d

b)
local
i
zar
eaceamai
frecv
ent
aest
ein1/
3super
ioar
aaesof
agul
ui

c)
stenozel
epost
caust
icepr
edi
spunl
aapar
it
iacancer
ului
esof
agi
an

d)
supr
avi
etui
real
a5ani
est
ede5%

e)
for
mai
nfi
l
trat
iveest
eceamai
frecv
ent
a

54.
Met
odei
ndi
rect
epent
rudi
agnost
icul
inf
ect
iei
cuHP:

a)
cul
tur
a

b)
det
ermi
nar
eaAcat
iHPi
nser

c)
test
eler
espi
rat
ori
i

d)
examenhi
stopat
ologi
c

e)
test
ulur
eazei

55.Notat
iraspunsur
il
ecorect
e:
a)exi
staopr edi
spozi
ti
efamil
ial
apent
rucancer
ulgast
ri
c

b)
cancer
elegast
ri
cebi
nedi
ff
erent
iat
esuntmai
agr
esi
vedecatcel
esl
abdi
ff
erent
iat
e

c)
frecv
ent
acancer
ului
gast
ri
cest
einscader
e

d)
pol
i
pii
hiper
plazi
cigast
ri
cir
epr
ezi
ntaost
arepr
emal
i
gna

e)
for
madecancergast
ri
cini
nel
cupecet
eest
efoar
teagr
esi
va

*
56.
Trat
ament
uli
nit
ial
alunei
for
meacut
emoder
atedeRCUHcupr
inde:

a)
cor
ti
cost
eroi
zi

b)
agent
iant
iTNFal
fa

c)
mesal
azi
na

d)
imunosupr
esoar
e

e)
ant
ibi
oti
ce
57.
Ref
eri
torl
acancer
ulcol
o-r
ect
alcar
esuntaf
ir
mat
ii
leadev
arat
e:

a)
pol
i
pii
adenomat
osi
nuaupot
ent
ial
demal
i
gni
zar
e

b)
pol
i
pii
hiper
plazi
ciaupot
ent
ial
demal
i
gni
zar
e

c)
pol
i
pii
vil
osi
aucel
mai
mar
epot
ent
ial
demal
i
gni
zar
e

d)
pol
i
pii
tubul
ari
aucel
mai
micpot
ent
ial
demal
i
gni
zar
e

e)
aci
zi
ibi
l
iar
isuntf
act
ori
cocar
cinogeni

58.
Ref
eri
torl
acancer
ulgast
ri
cinci
pient(
super
fi
cial
)not
ati
afi
rmat
ii
lecor
ect
e:

a)
nudepasest
emuscul
ari
smucosae

b)
cupr
indedoarmucoasasi
submucoasa

c)
ori
cef
ormadecancergast
ri
ccar
enuar
eadenopat
iisaumet
ast
aze

d)
supr
avi
etui
real
a5ani
est
edepest
e95%

e)
rezect
iaendoscopi
caest
eomet
odadet
rat
amentsuf
ici
ent
a

59.
Dint
abl
oul
cli
nical
sddei
ntest
inei
ri
tabi
lnuf
acpar
te:

a)
alt
erar
eaconst
ipat
iei
cudi
areea

b)
rect
oragi
i
le

c)
crampel
emuscul
are

d)
anemi
a

e)
pier
der
eaponder
ala

*
60.
Int
erapi
ahepat
iei
croni
cev
iral
eCpr
inci
pal
areact
ieadv
ersal
ari
bav
iri
naest
e:

a)
panci
topeni
a

b)
afect
areat
ir
oidi
ana

c)
cri
ogl
obul
i
nemi
a

d)
anemi
ahemol
i
tica

e)
depr
esi
a

61.
Ref
eri
torl
ahepat
it
elecr
oni
ceBnot
ati
raspunsur
il
ecor
ect
e:

a)
scor
ulknodel
lest
eunscornei
nvaz
ivpent
ruapr
eci
ereasev
eri
tat
ii

b)
croni
cizar
eai
nfect
iei
acut
eVHBpoat
edepasi
90%l
acopi
i
iinf
ect
ati
per
inat
al

c)
AgHBsest
eunmar
kerdei
nfect
iozi
tat
e

d)
prezent
aAcant
iHBesemni
fi
cai
nfect
iacuv
irussal
bat
ic

e)
inr
omani
aapr
oxi
mat
iv80%di
nhepat
it
elecr
oni
ceBsuntf
ormeepozi
ti
ve

62.
Acal
azi
acar
diei
sedef
inest
epr
in:
a)
prezent
aunei
stenozel
ani
vel
ulcar
diei

b)
prezent
aher
niei
hiat
ale

c)
insuf
ici
ent
ader
elaxar
easf
inct
erul
uiesof
agi
an

d)
prezent
aneopl
asmul
uieso-
gast
ri
c

e)
ulcer
ati
il
ongi
tudi
nal
einf
orni
xul
gast
ri
c

64.
Unul
dint
reur
mat
oar
elesemnecl
i
nicenupoat
efacepar
tedi
nsddei
ntest
inei
ri
tabi
l

a)
dur
ereaabdomi
nal
a

b)
diar
eeacr
oni
ca

c)
rect
oragi
a

d)
const
ipat
iacr
oni
ca

e)
scader
eai
ngr
eut
ate

65.
Mecani
smel
edeact
iuneal
einhi
bit
ori
l
ordepompadepr
otoni
inul
cersunt
:

a)
sti
mul
areasecr
eti
eidemucuspr
otect
or

b)
crest
ereav
ascozi
tat
iimucusul
uigast
ri
c

c)
inhi
bar
etr
odi
fuzi
uneai
oni
l
orH

d)
inact
iveazai
rev
ersi
bil
ATP-
azaH/
K

e)
produci
nhi
bit
iepr
elungi
taaf
azel
orsecr
eti
eiaci
degast
ri
ce

66.
Uncancerdecol
onst
angsedepi
steazacel
mai
binel
a:

a)
tuseur
ect
al

b)
ir
igogr
afi
e

c)
col
onoscopi
e

d)
tomogr
afi
ecomput
eri
zat
a

e)
rezonant
amagnet
icanucl
ear
a

67.
Febr
asauf
ri
soanel
easoci
atecol
i
cii
bil
i
aresuger
eaza:

a)
migr
areacal
cul
ului
incol
edoc

b)
col
eci
sti
taacut
a

c)
asoci
ereacol
angi
ocar
cinomul
ui

d)
apar
it
iapancr
eat
it
eiacut
e

e)
exi
stentunei
mal
for
mat
iiav
ezi
cul
eibi
l
iar
e

68.
Compl
i
cat
ii
lepancr
eat
it
eicr
oni
cesuntt
oat
edemai
josi
naf
aradeuna:

a)
pseudochi
st
b)
obst
ruct
ivebi
l
iar
a

c)
hemor
agi
egast
roi
ntest
inal
a

d)
anemi
eaut
oimuna

e)
diabetzahar
at

69.
Trat
ament
ulconv
ent
ional
alpancr
eat
it
eiacut
eincl
ude:

a)
anal
get
icepent
rudur
ere

b)
aspi
rat
ianasogast
ri
ca

c)
opr
ir
eaor
icar
uiapor
tal
i
ment
aror
al

d)
cor
ti
cot
erapi
e

e)
ant
ii
nfl
amat
ori
inest
eroi
diene

70.
Obst
ruct
iacompl
etaaduct
elorbi
l
iar
eext
rahepat
icesecar
act
eri
zeazapr
in:

a)
ict
ersi
hiper
bil
i
rubi
nemi
epr
edomi
nantconj
ugat
e

b)
bil
i
rubi
nemi
amar
cat
a

c)
absent
abi
l
irubi
nei
inur
ina

d)
scaunehi
per
pigment
ate

e)
scauneacol
i
ce

71.
Incur
sul
ter
api
eicui
nter
fer
onnupoat
eapar
eaur
mat
oar
eacompl
i
cat
ie:

a)
supr
esi
emedul
ara

b)
labi
l
itat
eemot
ional
a

c)
alopeci
e

d)
react
iiaut
oimuna

e)
tromboci
toza

72.
Car
edi
ntr
eur
mat
ori
ineur
otr
ansmi
tat
ori
est
eimpl
i
cati
napar
it
iaencef
alopat
iei
hepat
ice:

a)
lev
odopa

b)
bromocr
ipt
ina

c)
cet
oanal
ogi
aiami
noaci
zi
loesent
ial
i

d)
aci
dgamaami
nobut
ir
ic

e)
ami
noaci
zicul
antr
ami
fi
cat

73.
Urmat
oar
eleaf
ir
mat
iisuntcor
ect
einceeacepr
ivest
ecancer
ulesof
agi
an:

a)
fumat
ulsi
alcool
ulr
epr
ezi
ntaf
act
ori
fav
ori
zant
i

b)
hist
ologi
cmaj
ori
tat
easuntadenocar
cinoame
c)
stadi
ali
zar
eat
umor
alasef
acecuaj
utor
ulendoscopi
ei

d)
evol
uti
aest
erapi
dai
arpr
ognost
icul
rezer
vat

e)
trat
ament
ulendoscopi
cinf
azel
eav
ansat
epoat
efi
cur
ati
ve

74.
Mani
fest
ari
l
einpuseul
deact
ivi
tat
esev
eradi
nRCUHsunt
:

a)
diar
ee,
i
nspeci
alcusange,
mucussi
pur
oi

b)
febr
a/subf
ebr
il
it
ate

c)
tenesmesi
crampeabdomi
nal
e

d)
scauncuaspectnor
mal

e)
pier
der
eponder
alai
mpor
tant
a

*
75.
Compl
i
cat
ii
leRCUHpotf
icuexcept
ia

a)
cancer
uldecol
on

b)
stenoz
eint
est
inal
efr
ecv
ent
e

c)
sanger
aremasi
vacuanemi
esecundar
a

d)
mani
fest
ari
ext
radi
gest
ivesev
ere

e)
megacol
onul
toxi
c

76.I
nboalacrohn:
a)exami
nareaintest
inul
uisubt
ir
esepoat
efacecuent
erocapsul
a

b)
clasi
fi
car
eamont
real
rel
evai
ndexul
deact
ivi
tat
eal
bol
i
i

c)
trat
ament
ulchi
rur
gical
est
ecur
ati
v

d)
fumat
ulr
epr
ezi
ntaf
act
ordepr
otect
ie

e)
inl
ocal
i
zar
il
eil
eal
esaui
l
eocecal
esepr
efer
aut
il
zar
eabudesoni
dul
ui

77.
Boal
aWi
l
sonsecar
act
eri
zeazapr
in:

a)
mani
fest
ari
hepat
ice

b)
mani
fest
ari
neur
opsi
hice

c)
mani
fest
ari
l
eocul
are

d)
mani
fest
ari
car
diace

e)
hiper
pigment
aret
egument
aregener
ali
zat
aceconf
eraaspectdedi
abetbr
onzat

*
78.
Inv
est
igat
iadeel
ect
iepent
rudecel
areacal
cul
i
lordi
nvezi
cul
abi
l
iar
aest
e:

a)
col
eci
stogr
afi
a

b)
radi
ogr
afi
aabdomi
nal
a

c)
ecogr
afi
a
d)
ecoendoscopi
a

e)
tomogr
afi
acomput
eri
zat
a

79.
Cauzel
edepancr
eat
it
acr
oni
casunt
:

a)
alcool
i
smul
croni
c

b)
obst
ruct
iacanal
ului
wir
sung

c)
aut
oimuni
tat
ea

d)
mal
nut
ri
ti
e

e)
cir
ozahepat
ica

80.
Fact
ori
preci
pit
ant
iai
encef
alopat
iei
hepat
icel
apaci
ent
iicuci
rozapotf
i:

a)
const
ipat
ia

b)
ali
ment
ati
ahi
popr
otei
ca

c)
hemor
agi
agast
roi
ntest
inal
a

d)
inf
ect
ii
le

e)
hiper
vol
emi
a

81.Chr
oni
chepat i
ti
sDi sfrequentl
yassoci
atedwi
th:
a.Chol angi
ocarcinoma
b.Pr i
mar ybil
iar
ycirrhosi
s
c. Coi
nf ect
ionwithVHC
d.Coinf ect
ionwithVHB
e. Scl
erozantcholangiti
s

82.Someoft hef ol
lowingaffi
rmationsregardi
nggast oduodenalmucosaldef
ence
mechanism true:
a.Mucosal secreti
onisstimulatedbymechani calir
ri
tati
onofmucosa
b.Bi carbonat esecreti
onisstimulat
edbyacet azolamid
c. Normal ly
, gastr
icmucusi spenetratedbypepsi n
d.Pg( prostaglandins)ar
eelev at
edingastri
cmucosa
e. Pg( prostaglandins)st
imulatedepit
heli
algastriccel
lsregener
ati
on
ace

83.Chr
onicgastri
ct ypeB:
a.Ismuchmor ecommont hant
ypeA
b.Involv
esmai nl
ytheant rum
c. I
nvolv
esmai nl
ythebodyandt hefundusofthestomach
d.The“ Hypersecretory”typeofchroni
cgastr
it
isisassoci
atedi
n90%wi
thul
cer
haveantr
algast r
iti
s
e. H.pyl
orii
st heagentr esponsi
blefortypeB
bd
84.Whichofthefol
l
owi
ngar
ecommonmani
fest
ati
onsofesophageal
syndr
ome:
a.Dy phagi
a
b.Dy sphoni
a
c. Odynophagi
a
 d.Py rosi
s
e. Cough
abcd

85.Medicati
onsthatmaycontr
ibut
etoconst
ipat
ioni
ncl
udet
hef
oll
owi
ng,
except
:
a.Nar coti
cs
b.Betabl ockers
c. I
ronsupplements
d.H2+i nhibit
ors
e. Cal
cium-channelcl
ocker
s
bcd

86.Patientswi t
hacutehepati
ti
sBmaypr
esentwi
tht
hef
oll
owi
ngsy
mpt
oms:
a.Hepat i
cencephal opat
hy
b.Lef tquadr antpai
n
c. Disturbancesinsleeppatt
ern
d.Abdomi nal col
lat
eralv
eins
e. Coma
cd

87.Whichoft hefol
l
owi
ngar
enucl
eosi
deanal
oguesusedi
nchr
oni
chepat
it
isB:
a.Peg- I
NFal fa2a/
b
b.Lami vudine
c. Ri
baviri
ne
d.Entecav i
r
e. Oselt
amiv i
r

ad

88.Ent
ecavirhasthefol
lowi ngchar act
eri
stics:
a.Isapot entguanosineanal ogueinhibit
orofthevi
ralpoly
merase
b.Dev eloprapi
dresistance
c. Thedosei s0.
5mgi npatient swhoar enaï
veinnucleosi
deanalogues
d.Thedosei s1mgi npat i
ent swhor eceiv
edprevi
ousnucleosideanalogues
e. Thedosei s1mgi npat i
ent swhoar enaïvei
nnucleosideanalogues

89.Cli
nicalsymptomsandsi ngsofchr onichepat
it
isCar e:
a.Fat igue
b.Mi l
dr i
ght-
upper-quadrantabdomi naldi
scomfortortender
ness(
li
verpai
n)
c. Nausea
d.Asci tesandcol l
ateralabdominalv ei
ns
e. Muscl eandj oi
ntspain
abcd
90.Combi nati
ont herapyofchronichepatit
sCincludes:
a.Peg- i
nter
feronsalfa2a/b
b.Lami vudi
ne+Pe- I
NFal f
a2b
c. Peg- I
NFalfa2a+Ri bavi
rin
d.Peg- I
NFalfa2b+Ri bavir
in
 e. Al
buf
eron+Ri
bav
iri
n
b

91.Diar r
heapr oducedbyhy per mot i
li
tycoul dbeincl
udedby :
a.Neur ogenicst i
muli(emot i
onal diarr
hea, vi
ser
o-vi
scer al
ref
lexedofot her
i
ntr aabdomi naldi
seases, usuallyofinflammat or
ynat ur
e)
b.Modi ficati
onofv egetati
vet onusl i
keinendocr i
nopathy(hypert
hyroidism)
c. I
ritativesubstancesinsidet hebowel (
exogenousi ntoxi
cat
ions,uremi a)
d.St imul ati
onofent er
al i
nteroreceptors(bacter
iali
nflammation,al
lergy,bact
eri
al
toxicit
y )
e. Post vagotomy
ad

92.Histologi
call
y,t
heact i
vephaseofUCi scharact
erizedby:
a.Cr yptabscessesandul cerati
onsext endingdownt othemuscul ar
b.Pr omi nentmucosalinfilt
rateofinflammat orycel
ls
c. Thel aminapropri
aisheav il
yinfi
l
t r
atedwi t
hneutrophils
d.Cr yptsabscesses,epithelialnecrosis,
andmucosal ulcerat
ion
e. Apht oidul
cerat
ions
Bcde?

93.Minorlocal compli
cat
ionsofCr
ohn’
sDi
seasear
e:
a.Hemor r hoids
b.Intesti
nal perfor
ati
on
c. Analfi
ssur es
d.Per i
anal abscesses
e. Rectalprolapse
acde

94.Toxicmegacol onhasthefol
lowingcharacter
ist
ics:
a.I sacomplicationofwhippl
e’sdisease
b.I sanacutedilatat
ionofthecolon
c. Producesfeverupt o40C
d.Pr oducesabdomi nalpai
n
e. X-r
aysoftheabdomenshowi ntr
aluminal
gasaccumulat
ionsov
eral
ocpar
aly
zed
segmentofcol on
abe

95.Fol
lowingar eIPPdrugs,
wit
htwoexcept
ions:
a.Omepr azolum
b.Famot i
dinum
c. Esomepr azolum
d.Pant oprazolum
e. Ranit
idinum

96.Chr
onicgastr
it
istypeAi
schar acteri
zedby:
a.Isthemostcommonf or
m ofchr onicgastri
ti
s
b.Isthelesscommonf orm ofchronicgastr
iti
s
c. I
nvol
vesmai nl
ythef
undus( fundalgast
rit
is)andbodyoft
hest
omach
 d.Hy posecretionofaci
dasaf uncti
onoffundal
glandul
aratrophyproduces
developmentofmar kedhyper
gastri
nemiaduetofeedbackinhi
bit
ionofacidon
gastri
nrelease
e. I
spr oducedbyHel i
cobact
oerpiol
ry

acd
97.*Causesofconst ipat
ionoutsidethecoloni
ncl
udet
hef
oll
owi
ng,
wit
hone
excepti
on:
a.Poordi etaryhabi
t( mostcommon)
b.Medi cations
c. Systemi cendocrineorneurologi
cdisease
d.Psy chol ogical
factors
e. Gastroduodenal ulcer

98.Patientsdi agnosedwi thchronicactivehepat i

tisBdi seasemaypr esent:
a.Mi ldtomoder ateelevationoftheami notransferases( l
essthanorequal to5
ti
mest heU)
b.Nor mal ALT/ ASTl evel
s
c. Impairedsy ntheti
cfunct i
onoft heli
ver(ie,decreasedal buminlevel
s,incr
eased
bil
i
rubinl ev el
s,andpr olongedPT) .
d.Hepat i
tsBv i
rus(HBV)DNAl evelsarehighdur ingt hi
sphase, HBsAgandHBcAb
ofIgGorI gM t y
pe( i
ncaseofr eacti
vati
on)ar ei denti
fi
edi nt
heser um
e. Lowal bumi nlevel
s, hyperbi
li
rubinemia,prolongedPT, l
owplatletcountandwhite
cel
l count
cde

99.Theadverseef f
ectsthatmayoccuraf t
erI
NF-
atreat
mentcanbe:
a.Fluli
kesy ndrome
b.My elosuppression(eg,l
eucopenia,
thr
ombocyt
openia)
c. Dysphagia
d.Abdomi nal pain
e. Thyroi
ddy sfuncti
on,andapleci
aareamongtheadverseef
fect
s
abd

100.Compl i
cati
onsofchr oni
chepat
it
isBar
e:
a.Chol angiocar ci
noma
b.Hepat ocell
ularcar
cinoma
c. Polyarteri
ti
snodosa
d.Gl omer ulonephri
ti
s
e. Arthralgi
asandar thr
it
is
bd

101.Themostcommonr iskfactorsforacqui
ri
nghepati
ti
sCar e:
a.Food
b.Receivingclot
ti
ngfact orconcentrati
ons(suchasant
i-hemophil
i
cfact
or)
c. Hemodi al
ysi
sforkidneyfailure
d.Bi r
thtoanHCV- i
nfectedmot her
e. Suff
eri
nganeedl e-
stickaccidentfrom apersonwi
thhepati
tisC

cde
102.Physi
calfi
ndi
ngsofHCVci
rr
hosi
smayi
ncl
ude:
a.Enl ar
gedli
ver
 b.Enlargedkidneys
c. Jaundice
d.Asci t
es(fl
uid-
fi
ll
edbel
l
y)
e. Ankleswell
ing

103.Ext
rahepaticmanifest
ati
onsinchronichepat
it
isCmi ghtbe:
a.Ski nrashessuchasPur puravasculi
ti
sorurt
icar
ia
b.Joi ntandmuscl eaches
c. Kidneydisease
d.Encephal opathy
e. Cryoglobul
ins,r
heumatoidfact
orandl ow-
complementlevel
sinser
um

104.Chr
onicdi arr
heahast hefol
lowi
ngaspect
s:
a.Wat erydiarrhea
b.Sol i
dst ool butmorethan2ti
mesday
c. Steatorrhea
d.Inflammat orydiar
rhea
e. Melena

105.Compl icati
onsofdi arrheacoul
dbe:
a.El ect r
olyteloss( Na,K,Mg,Cl
),fl
uidlosswit
hconsequentdehydr
ati
onand
vascul ari
tismayoccur
b.Met abolicaci dosismaydevelopduet oHCO3-loss
c. Hy pokaliemi amayoccuri nsevereorchroni
cdiarr
hea
d.Tet anyduet ohypomagnesemi afoll
owingprol
ongeddiar
rhea
e. Hy per gl
ycemi a
Abcd

106.Themostchar acterist
ichistologi
cfeaturesofCDare:
a.Tr ansmural i
nfl
ammat i
on( i
nthef or
m ofchroni
cinfl
ammat oryi
nfi
l
trati
onand
fi
l
trati
on)affectingalll
ay ersofthemucosa
b.Noncaseat inggr anulomas
c. Dil
atati
onorscl erosisoflymphat icchannel
s
d.Ly mphoidaggr egates( somet i
meswi t
hgerminalcent
ers)i
nalll
evelsofthe
bowel wal
l
e. Cryptsabscesses, epit
helialnecrosi
s,andmucosal ul
cerat
ionul
ti
mat el
ydevel
op

Abdacd
107.Menetrier’
sgast ri
ti
si scharact
erizedby:
a.Rar ei ncidence
b.Mucosal foldssimi l
artocerebrum
c. Ulcerativelesionsont hesurface
d.Pol ipoidaspect
e. Eosinophi l
icinfi
ltrat
e
ab
108.Complicationsofgast r
iccancercouldbe:
a.Di gest i
vehemor rhages(upperorlower)
b.Bar rett’
smet aplasia
 c. Chroni
cwi t
hinv
asi
onofnear
byor
gans
d.Phlebiti
s
e. Per
f or
ati
on
ac

109.Bar
rett’
sesophagushast hefol
lowingchar act
eristi
cs:
a.Isamal ignantlesi
onoftheesophagus
b.Dev el
opsi ntheupper1t hi
rdoftheesophagus
c. I
st hecondi t
ioninwhichanyext entofmet aplasti
ccolumnarepithel
ium r
eplaces
thestrati
fi
edsquamousepi thel
i
um t hatnormal l
yli
nesthedistal
esophagus
d.Dev el
opsasaconsequenceofchr onicgastroesophagealref
luxdisease(GERD)
e. Predisposest othedevel
opmentofadenocar cinomaoft heesophagus.

Bcde

110.Tumorsinthebodyandtai
lofthepancr
easmay
:
b)spl
enicv
einobstructi
on
c)spl
enomegaly,
gastri
candesophageal
varr
icos
d)GIhemorrhage

111.Thecl
ear
anceofHPmeans:
c)t
heabsenceofHPingast
ri
cmucosaat1mont
hof
fst
oppi
ngt
het
reat
ment

112.Whichofthef
oll
owi
ngar
enucl
eosi
deanal
oguesusedi
nchr
oni
cHB:
b)l
amivudine
d)ent
ecavir

113.Lymphociticgast
rit
isischaract
eri
zedby:
a)i
nfecti
onwi thHBin20- 40X
b)i
sar aredisease
d)af
fectonlywoman
e)massivelymphocy t
icinfi
lt
rat
ionofepit
hel
i
um

114.Combinati
ontherapyofchr
oni
cHC:
a)PEGinter
fer
oneaf t
er2a/2b
c)PEGifnaft
er2a+ri
bav i
ri
n
d)pegif
nafter2b+ri
bavir
in

115.Si
mpt
omel
eunei
fazesev
ereal
epancr
eat
it
eiacut
esunt
:

a) Hi
pot
ensi
une

b) Coma

c) Dur
ereabdomi
nal
aint
ense?
??

d) Hi
per
tensi
une

e) Ol
i
gur
ie,
anur
ia

116.Pr
int
ref
act
ori
ideagr
esi
unei
mpl
i
cat
iinet
iopat
ogeni
aul
cer
ului
pept
icsenumar
a:
a) Jonct
iuni
int
ercel
ular
est
ranse

b) I
nfect
iacuHel
i
cobact
erPy
lor
i

c) Aci
dcl
orhi
dri
csi
pepsi
na

d) Pr
oli
fer
areacel
ulel
orgast
ri
cer
efl
uxgast
ro-
duodenal

e) Ref
luxgast
ro-
duodenal

117.Car
emar
kert
umor
alest
eut
ilî
nev
aluar
eacar
cinomul
uihepat
ocel
ular(
simpl
u):

a) Ant
igenul
embr
ionarcancer
igen

b) Gonadot
ropi
năcor
ioni
cabet
aumană

c) CA19.
9

d) CA72.
4

e) Al
faf
etopr
otei
na

118.*Ceafi
rmaț
iedespr
ecl
asi
fi
car
eaFor
restasânger
ări
idi
gest
ivesuper
ioar
eest
e
adevarat
a:

a) I
IC-depozi
tedef
ibr
inapest
ebazaul
cer
ului

b) I
II-pat
ăneagr
ăpebazaul
cer
ului

c) I
A-sânger
aredi
fuz
ăact
ivă

d) I
IB-sânger
aredi
fuz
ăact
ivă

e) I
A-sânger
arepul
sat
ori
eact
ive

119.Fact
ori
ipr
eci
pit
anț
iai
encef
alopat
iei
hepat
icesunt
:

a) I
nfecț
ii

b) Tr
atamentant
ivi
ral

c) Const
ipaț
ie

d) Deshi
drat
are

e) Sânger
ări
digest
ive

120.*
Div
ert
icul
i
iesof
agi
eni
dint
rei
meami
j
loci
eauur
măt
oar
elecar
act
eri
sti
ci,
cuexcepț
ia
unei
a:

a) Suntdi
ver
ti
cul
idepul
siune

b) Poat
efi
rezul
tat
ulunei
inf
lamaț
iimedi
ast
inal
e

c) Mi
otomi
elungăpoat
efi
indi
cat
ălapaci
enţ
iisel
ect
ivi

d) Suntdi
ver
ti
cul
idet
racț
iune

e) Suntdeobi
cei
asi
mpt
omat
ici
121.Al
egeț
iel
ement
eledi
ntr
ipl
ater
api
eagast
ri
tei
cuHel
i
cobact
erpy
lor
i:

a) Subsal
i
cil
atdeBi
smut

b) I
nhi
bit
ori
aipompei
depr
otoni
(Pant
opr
azol
)

c) Amoxi
cil
i
nă

d) Cl
ari
tr
omi
cină

e) I
nhi
bit
ori
aipompei
depr
otoni
(rani
ti
dina)

122.*Car
edi
ntr
eur
măt
oar
eleaf
ir
maț
iir
efer
it
oar
elaboal
aCr
ohnest
eadev
ărat
ă:

a) Pr
ocesul
inf
lamat
orest
eli
mit
atl
amucoasa

b) Zonar
ect
alăest
eînt
otdeaunai
mpl
i
cat
ă

c) Secar
act
eri
zeazăpr
inaf
ect
aret
ransmur
ală

d) Dur
ereaabdomi
nal
ănuest
ecar
act
eri
sti
că

e) Lezi
uni
l
epr
odusepr
inpr
ocesul
inf
lamat
orsuntdi
str
ibui
tecont
inuude-
alungul
tr
act
uluiG-I

123.*
Nuest
eocauzăapancr
eat
it
eicr
oni
ce:

a) Consumul
croni
cdeal
cool

b) Fi
brozăchi
sti
că

c) Di
abetdet
ip1

d) Genet
ic

e) Chi
rur
giepancr
eat
ica

124.*
Car
edi
ntr
eur
măt
oar
eleaf
ir
maț
iir
efer
it
oar
elasi
ndr
omul
hepat
orenal
(HRS)est
efal
să?

a) Ti
pul
1deSHRest
eof
ormăpr
ogr
esi
văl
ent
ă

b) Tr
atamentulur
măr eșt
eîmbunăt
ăți
reai
ri
gaț
iei
renal
epr
inut
il
izar
eaconcomi
tent
ăde
al
bumi
năși v
asoconst
rie

c) Ri
nichi
uldel
apaci
enț
iicuSHRpoat
efi
transpl
ant
atcusucces

d) Vasoconst
ri
cți
erenal
ădi
ncauzaact
ivăr
iiaxul
uir
eni
nă-
angi
otensi
nă

e) Vasodi
l
atat
iei
nci
rcul
ati
aspl
ancni
cadat
ori
tael
i
ber
ari
ideNor
adr
enal
i
na

125.*
Alegeț
icel
mai
sensi
bil
șispeci
fi
cmar
kerpent
rudi
agnost
icul
depancr
eat
it
ăacut
ă

a) Al
ani
naami
not
ransf
eraza(
ALT)

b) El
ast
azapancr
eat
icadi
nscaun

c) Li
pazapancr
eat
ică

d) Aspar
tatAmi
not
ransf
eraza(
AST)

e) Ami
l
azapancr
eat
ică
126.*
Caredi
ntr
eurmătoar
elemedi
cament
ereducpr
esi
uneapor
tal
ălapaci
enț
iicu
hi
pert
ensi
uneport
ală

a) Aspi
ri
nă

b) Aci
dchenodeoxi
col
i
c

c) Bet
a-bl
ocant
e

d) Agenț
iant
icol
i
ner
gici

e) Spi
ronol
act
ona

127.*Următ
oarel
eafi
rmați
isuntadev
ărat
ecupr
ivi
rel
aboal
ader
efl
uxgast
roesof
agi
an
(BRGE)
,cuosingur
ăexcepț
ie:

a) Esof
agoscopi
aof
erăundi
agnost
icpr
eci
sal
esof
agi
tei
concomi
tent
e

b) Scopul
inter
venț
iei
chi
rur
gical
eest
edeacor
ect
aBRGEpr
incr
ear
eaunui
mecani
sm
val
vul
arî
mbunătăți
t

c) Ar
sur
il
elast
omacsuntcel
mai
frecv
entsi
mpt
om

d) Tr
atament
ulchi
rur
gical
poat
efi
indi
catpaci
enț
il
orcuBRGEcompl
i
cat

e) Î
npat
ogenezăest
eimpl
i
cat
ăcl
ear
ance-
ulcr
escutal
aci
dul
uiesof
agi
an

128.*Fact
ori
ider
iscpent
rucancer
ulgast
ri
cîi
incl
udpet
oți
,cuexcepț
ia:

a) Boal
aMenet
ri
er

b) Angi
oect
azi
e

c) Ul
cergast
ri
c

d) Anemi
eBi
ermer

e) Gast
ri
tacr
oni
căat
rof
ică

129.Par
amet
ri
iscor
ului
Chi
l
dPughsunt
:

a) I
NR

b) AST

c) Bi
l
uri
binat
otal
ă

d) Asci
ta

e) Al
bumi
nă

130.
Urmat
oar
eleaf
ir
mat
iisuntadev
arat
edespr
ecancer
ulesof
agi
an:

a.f
umat
ulr
epr
ezi
ntaunf
act
order
isci
nambel
eti
pur
idecanceresof
agi
an

b.esof
agul
Bar
ret
trepr
ezi
ntaocondi
ti
epr
emal
i
gnai
ncancer
ulesof
agi
anscuamos

c. r
ezect
iaendoscopi
cacur
ati
vaest
eposi
bil
aincancer
ulesof
agi
anpr
ecoce
d.endoscopi
apoat
efi
fol
osi
tai
nscoppal
i
ati
vincancer
ulesof
agi
anmet
ast
ati
c

e. adenocar
cinomul
esof
agi
anest
emai
sensi
bil
lar
adi
oter
api
e

131.
Urmat
oar
eleaf
ir
mat
iisuntf
alsedespr
egast
ri
te:

a.pr
ogr
esi
agast
ri
tei
aut
oimunedet
ermi
naapar
it
iaanemi
eiper
nici
oase

b.consumul
deAI
NSpoat
edet
ermi
nagast
ri
techi
mice

c. gast
rit
apredomi
nantant
ral
a,cuhi
per
secr
eti
eaci
da,
seasoci
azai
nmodt
ipi
ccu
ul
cerulgast
ri
c

d.Gast
ri
taat
rof
icadet
ermi
nat
adeHPy
lor
iest
eli
mit
atal
ani
vel
ulcor
pul
uisi
fundul
ui

e. hemor
agi
adi
gest
ivaapar
utai
ncadr
ulgast
ri
tel
oracut
eest
eraraut
oli
mit
ant
a

132.
.Met
odedi
rect
eut
il
izat
epent
rudi
agnost
icul
inf
ect
iei
cuHel
i
cobact
erPy
lor
i:

a.Test
ulur
eazei
(CLOt
est
)

b.Test
ulr
espi
rat
orcuur
eemar
cat
a

c. Ant
igenul
fecal
hel
i
cobact
erpy
lor
i

d.Bi
opsi
agast
ri
cacuexamenhi
stopat
ologi
c

e. Test
eleser
ologi
ce(
ant
icor
pii
)

133.
Ulcer
elegast
ro-
duodenal
e:

a.Potpr
ezent
acompl
i
cat
iipr
ecum hemor
agi
adi
gest
ivasuper
ioar
a,st
enoze,
per
for
ati
i

b.Fumat
uldet
ermi
nacr
est
ereasi
ntezei
demucussi
bicar
bonat

c. ul
cerel
erefr
actar
esuntcar
act
eri
zat
edeabsent
avi
ndecar
iidupa2sapt
amani
de
tr
atamentanti
secr
etor

d.Est
enecesar
arecol
tar
eadebi
opsi
ii
nul
cer
ulgast
ri
c

e. cel
mai f
recv
entf
act
oret
iol
ogi
cest
erepr
ezent
atdei
nfect
iacuHel
i
cobact
er
Pyl
ori

134.
Urmat
oar
eleaf
ir
mat
iidespr
ebol
i
lei
nfl
amat
ori
ii
ntest
inal
esuntf
alse:

a.or
icesegmental
tubul
uidi
gest
ivpoat
efi
afect
ati
nBoal
aCr
ohn

b.debut
ull
aov
arst
a<30deani
seasoci
azacuunpr
ognost
icf
avor
abi
li
nboal
a
Crohn

c. Tr
atament
ulcucor
ti
cost
eroi
ziest
eut
il
izatat
atpent
rui
nduct
iar
emi
siuni
i
,catsi
 pent
rument
iner
eaacest
eia.

d.Mani
fest
ari
ledi
gest
ivedi
ncadr
ulcol
i
tei
ulcer
ati
vesuntcar
act
eri
zat
edeepi
soade
dedi
areecusange,
mucussipur
oi

e. i
nBoalaCrohn,pr
ocesul
inf
lamat
orest
eli
mit
atl
ani
vel
ulmucoasei
si
submucoasei

135.
Cel
emai
frecv
ent
ecauzeal
epancr
eat
it
eiacut
esunt
:

a.Hi
per
cal
cemi
a

b.l
i
tiazabi
l
iar
a

c. Consumul
deal
cool

d.pancr
eat
it
aacut
aidi
opat
ica

e. pancr
eat
it
apost
-ERCP

136.
*Mar
ker
uli
munol
ogi
cal
cir
ozei
bil
i
arepr
imi
ti
veest
erepr
ezent
atde:

a.ASMA–ant
ismoot
hmuscl
eant
ibodi
es

b.AMA–ant
icor
piant
imi
tocondr
ial
i

c. aCL–ant
icor
piant
icar
diol
i
pina

d.ANA–ant
icor
pii
ant
inucl
ear
i

e. FR–f
act
orul
reumat
oid

137.
Despr
emar
ker
iiser
ologi
ciai
inf
ect
iei
cuVHBsuntf
alseur
mat
oar
eleaf
ir
mat
ii
:

a.AgHBsapar
edoari
nfazaacut
aabol
i
i

b.pr
ezent
aAcant
iHBssemni
fi
cai
muni
zar
eapr
inv
acci
nar
e

c. pr
ezent
aAgHBesemni
fi
caf
azar
epl
i
cat
ivaai
nfect
iei

d.pr
ezent
aAcant
iHBssemni
fi
cav
indecar
eai
nfect
iei

e. masur
areacant
it
ati
vaaADN-
VHBnuper
mit
eev
aluar
ear
aspunsul
uil
atr
atament

138.
*Achal
azi
acar
diei
secar
act
eri
zeazapr
inur
mat
oar
ele,
CUEXCEPTI
A:

a.Manomet
ri
aesof
agi
anaest
einv
est
igat
ia“
gol
d-st
andar
d”pent
rudi
agnost
ic

b.Lar
adi
ogr
afi
aeso-
gast
ri
ca,
esof
agul
apar
eingust
at

c. miorelaxar
easepoat
epr
oducepr
ini
nject
areai
ntr
asf
inct
eri
anadet
oxi
na
botul
inica
 d.cl
i
nicsecar
act
eri
zeazapr
in:
disf
agi
e,r
egur
git
ati
i
,dur
eri
tor
aci
ce,
scader
ein
gr
eutat
e

e. t
rat
ament
ulchi
rur
gical
const
ainmi
otomi
aHel
l
er

139.
Suntcompl
i
cat
iial
eBRGE:

a.Esof
agBar
ret
t

b. Ul
cer
eesof
agi
enecompl
i
cat
ecuHDI

c. Esof
agi
tader
efl
ux

d.Medi
ast
ini
ta

e. St
enozepept
ice

140.
Sindr
omul
dei
ntest
ini
ri
tabi
l
:

a.secar
act
eri
zeazapr
int
ulbur
ari
alet
ranzi
tul
uii
ntest
inal
sidur
eri
abdomi
nal
e

b.ser
ecomandadi
etaFODMAPptt
rat
ament

c. permeabi
li
tat
eai
ntest
inal
aest
ecr
escut
ainspeci
ali
ncazul
SIIcupr
edomi
nant
a
const
ipat
iei

d.unul
dinagent
iif
armacol
ogi
ciadmi
nist
rat
iest
erepr
ezent
atder
if
axi
mina

e. est
eot
ulbur
aregast
roi
ntest
inal
aor
gani
ca

141.
Hepat
it
acr
oni
cav
iral
aC:

a.i
mpt
omel
eini
ti
aleal
ehepat
it
eiCsuntadeseaext
rahepat
ice

b.est
eunv
irusARN

c. est
eunv
irusADN

d.HCVsepoat
etr
ansmi
tesi
pri
nint
ermedi
ulunui
endoscopcont
ami
nat

e. i
nit
ial
potapar
eaar
tral
gii
l
e

142.
Hepat
it
aaut
oimuna:

a.secaract
erizeazapri
npr
ezent
aunoraut
oant
icor
pii
mpot
ri
vaunorant
igene
speci
fi
ceficatului

b.bi
opsi
ahepat
icaar
erol
adj
uvanti
nconf
ir
mar
eaunei
suspi
ciuni
cli
nicedeHA

c. Acant
i-
nucl
ear
i(ANA)pr
ezent
iinser

d.Acant
i-
mit
ocondr
ial
i(AMA)suntspeci
fi
cihepat
it
eiaut
oimmune

e. af
ect
eazav
arst
elet
iner
e
 143.
Car
cinomul
hepat
ocel
ular
:

a.a.
poat
eapar
eai
cter
ulscl
ero-
tegument
ar

b.b.
alf
afet
oprotei
naest
eunbi
omar
kercusensi
bil
i
tat
esi
speci
fi
cit
atecr
escut
a
pent
rucarci
nomul

c. c.
afl
atoxi
naB1est
ecel
mai
impor
tantt
oxi
chepat
ic

d.d.v
irusulhepat
it
eiCest
epr
inci
pal
ulf
act
order
isci
ndezv
olt
areacar
cinomul
ui
hepatocelul
ar

e. e.
vir
usulhepati
tei
Best
epr
inci
pal
ulf
act
order
isci
ndezv
olt
areacar
cinomul
ui
hepat
ocell
ular

144.Despr
ecancer
uldecol
onest
eadev
arat
:

a.a.
radi
ogr
afi
aabdomi
nal
apegol
est
eut
il
apent
rust
adi
ali
zar
e

b.b.
ant
igenul
car
cinoembr
ionarCEAest
eoanal
i
zaut
il
a

c. c.
pent
rudi
agnost
icser
ecomandacol
onoscopi
acubi
opsi
e

d.d.
inet
apel
eini
ti
ale,
poat
efi
asi
mpt
omat
ic

e. e.
inet
apel
eini
ti
ale,
potapar
easi
mpt
omenespeci
fi
ce(
oboseal
a,r
ect
oragi
i
)

145..*Dintabl oulcl
inicalher
niei
hiat
alepotf
acepar
tet
oat
edemai
jos,
cuoexcept
ie:
a)regurcit
at i
i
le
b)anemi amegal oblasti
ca
c)dureri
let oracice
d)tuseacr onica
e)varsaturi

146.NouaTr ipl
ater
api
e”i
ntr
atar
eaul
cer
ului
pept
icsebazeazape:
a)subsalicil
atdebismut
b)omepr azol
c)cl
ari
tromi cina
d)metroni dazol
d)sucral
fat

147..*
Car
edi
număt
oar
eleaf
ir
maț
iiest
ecor
ect
ă?

A.at
âtboal
aCr
ohncâtși
col
i
taul
cer
ati
văpotaf
ect
aînt
regul
tubdi
gest
iv
B.ceamai
frecv
ent
ălocal
i
zar
eabol
i
iCr
ohnest
elani
vel
ulr
ect
ului
C.l
ezi
uni
l
eint
est
inal
edi
nboal
aCr
ohnsuntt
ransmur
ale
D.coli
taul
cerat
ivăsecaracter
izeaz
ăpr
int
r-
unpr
ocessi
nfl
amat
ordi
str
ibui
tneuni
for
mla
ni
velulmucoaseii
ntest
inal
e
E.î
nboal
aCr
ohni
nfl
amaț
iaest
edi
str
ibui
tăcont
inuu,
uni
for
mlani
vel
ulmucoasei
int
est
inal
e
148. Pr
inci
pal
eleobi
ect
iveal
etr
atament
ului
bol
i
lori
ntest
inal
einf
lamat
ori
isunt
:

A.t
rat
ament
uldi
areei
B.t
rat
ament
ulpuseel
oract
ive
C.r
eechi
l
ibr
areahi
dro-
elect
rol
i
tică
D.i
nducer
ear
emi
siuni
icl
i
nice,
endoscopi
ceși
hist
ologi
ce
E.menț
iner
ear
emi
siuni
iși
prev
eni
rear
ecăder
il
or
149.Î
ninf
ecț
iacuH.Py
lor
i,met
apl
azi
aduodenal
ădet
ipgast
ri
c:

A.r
epr
ezi
ntăsedi
ulgr
efei
bact
eri
ene
B.nurepr
ezi
ntăsedi
ulgr
efei
bact
eri
ene,
H.Py
lor
iav
ândt
ropi
sm sel
ect
ivpent
rumucoasade
ti
pduodenal
C.r
epr
ezi
ntăunf
act
orcur
olî
ndezv
olt
areal
ezi
uni
iul
cer
oase
D.est
edezv
olt
atăî
ncont
ext
ulsupr
aîncăr
căr
iiaci
deduodenal
e
E.est
edet
ect
abi
l
ălaexamenul
endoscopi
c
150.Despr
eexpl
orar
eaendoscopi
căî
nboal
aul
cer
oasă:

A.per
mitedi
agnosti
cul
pozi
ti
vcupr
eci
zar
eal
ocal
i
zăr
ii
,for
mei
,di
mensi
uni
il
ezi
uni
iși
descr
ier
eaacest
eia;
B.per
mit
epr
elev
areadebi
opsi
i
;
C.per
mit
eef
ect
uar
eaunui
gestt
erapeut
ic;
D.r
eev
aluar
eaendoscopi
căsef
acel
a6-
12săpt
ămani
pent
ruav
eri
fi
cav
indecar
eacompl
etă;
E.r
eev
aluar
eanusepr
act
ică
151. *
ÎnRCUH,
diagnost
icul
dif
erenț
ial
sef
aceî
npr
inci
pal
cu:

A.Ul
cer
ulgast
ri
c;
B.Col
onul
iri
tabi
l
;
C.Boal
aCr
ohn;
D.Ci
rozabi
l
iar
ăpr
imi
ti
vă;
E.Boal
aWi
l
son
152.*Î
ntrat
amentulul
cer
ului
gast
ri
c,di
nli
stademai
josdoarunul
est
ebl
ocantal
recept
ori
l
ortipH2:
A.Sucr
alf
at4g/
zi
B.Omepr
azol
20mg/
zi
C.Famot
idi
nă40mg/
zi
D.Mi
sopr
ost
ol100-
200mcg/
zi
E.Amoxi
cil
i
nă1g/
zi
153.For
masev
erădecol
i
tăul
cer
ati
văest
ecar
act
eri
zat
ăpr
in:

A.Nr
.Scaune>10
B.Nrscaune>6
C.Rect
oragi
ii
nter
mit
ent
e
D.VSH>30
E.Febr
ă
154.Modi
fi
căr
iendoscopi
ceal
emucoasei
înboal
aCr
ohnsunt
:

A.Er
it
em
B.Gr
anul
ari
tat
e
C.Aspectde"
piat
rădepav
aj"
D.Sânger
arespont
anăl
aat
inger
e
E.Fi
sur
i
155.Di
ntr
emani
fest
ări
l
ecl
i
niceal
ecol
i
tei
ulcer
ati
veNUf
acpar
te:

A.Si
ndr
omul
diar
eicî
nsoț
itdemucusși
pur
oi
B.Rect
oragi
i
C.Si
ndr
om demal
absor
bți
e
D.Tenesmer
ect
ale
E.Fi
stul
eper
ianal
e
156.Mani
fest
ari
l
ecl
i
nicecar
act
eri
sti
cebol
i
iCr
ohnsunt
:

A.Si
ndr
om di
arei
c+/
-st
eat
oree
B.Si
ndr
om demal
absor
bți
e
C.Lezi
uni
per
ianal
e
D.Rect
oragi
i
E.Anemi
e
157.*
Car
edi
nur
măt
oar
eleNUest
eocompl
i
caț
ieabol
i
iul
cer
oase?

A.Dezechi
l
ibr
ulhi
dro-
elect
rol
i
tic
B.HDS
C.Per
for
ați
a
D.Penet
raț
ia
E.St
enoza
158.Semnel
edeal
armădi
ncadr
ulbol
i
iul
cer
oasesuntur
măt
oar
ele:

A.i
nfecț
iacuH.py
lor
i
B.pi
erder
eai
nvol
unt
arăî
ngr
eut
ate,
inexpl
i
cabi
l
ăcl
i
nic
C.boal
ader
efl
uxgast
ro-
esof
agi
an
D.hemor
agi
aext
eri
ori
zat
ăsaudecel
areaunui
sindr
om anemi
c
E.ant
ecedent
eleher
edo-
col
ater
aledecancerî
nsf
eradi
gest
ivă
159.Mani
fest
ări
l
ecl
i
niceal
ecol
i
tei
ulcer
ati
vesuntur
măt
oar
ele:

A.t
enesmer
ect
ale
B.dur
eri
abdomi
nal
e
C.scăder
eîngr
eut
ate
D.st
eat
oree
E.r
ect
oragi
i
160.*Lezi
uni
l
emucoaseev
ident
elaendoscopi
eînboal
aCr
ohnsuntur
măt
oar
ele,
cu
excepți
a:
A.f
isur
i
B.ul
cer
epr
ofunde
C.gr
anul
ari
tat
e
D.“
piat
rădepav
aj”
E.ul
cer
ați
iaf
toi
de
161.Manif
estăr
il
ecl
i
nicecomuneat
âtpent
rucol
i
taul
cer
ati
văcătși
pent
ruboal
aCr
ohnsunt
următoar
ele:
A.scăder
eaî
ngr
eut
ate
B.dur
eri
abdomi
nal
e
C.t
enesmer
ect
ale
D.si
ndr
om di
arei
c
E.si
mpt
omeși
semnedeaf
ect
aresi
stemi
că
162.Di
ntr
emani
fest
ări
l
eext
rai
ntest
inal
eal
ebol
i
lori
nfl
amat
ori
iNUf
acpar
te:

A.si
ndr
omul
demal
absor
bți
e
B.er
it
em nodos
C.si
ndr
om di
arei
ccust
eat
oree
D.ost
eopor
oza,
ost
eomal
aci
e,ost
eopeni
e
E.uv
eit
a
 162.Suntcar
act
eri
sti
ciendoscopi
ceal
eul
cer
ului
gast
ri
cbeni
gnur
mat
oar
ele:

a.Mobi
l
izar
eani
sei
ulcer
oaseodat
acuper
ist
alt
ica
b.Pl
i
uri
cenuconv
ergcat
reni
sa
c.Pl
i
uri
conv
ergent
epanal
abazani
sei
d.Ni
sar
otunda,
oval
ara
e.Aspect
ulmamel
onatal
mucoasei
inconj
urat
oar
e

163.Ur
mat
oar
eleaf
ir
mat
iisuntadev
arat
edespr
epancr
eat
it
aacut
a:

a.Ecoendoscopi
apr
ezi
ntaceamai
mar
esensi
bil
i
tat
epent
rudi
agnost
icul
micr
oli
ti
azei
b.For
mel
emoder
atesuntcar
act
eri
zat
edei
nsuf
ici
ent
eleor
gani
ce>48or
e
c.Compl
i
cat
ii
lel
ocal
eincl
udhemor
agi
adi
gest
iva
d.For
mel
eusoar
esuntcar
act
eri
zat
edeabsent
acompl
i
cat
ii
lor
e.Echi
mozel
eper
iombi
l
ical
epotsuger
apr
ezent
ahemor
agi
eir
etr
oper
it
oneal
e
f
)ceamai
frecv
ent
afor
maest
eceapostERCP

164..Test
esaui
nvest
igat
iipar
acl
ini
ceut
il
eincancer
ulcol
o-r
ect
alsuntur
mat
oar
ele:
a.Ant
igenul
car
cinoembr
ionar
b.Col
onoscopi
acubi
opsi
e
c.I
ri
gogr
afi
acl
asi
casi
cudubl
ucont
rast
d.ERCP(
col
angi
opancr
eat
ogr
afi
aendoscopi
car
etr
ogr
ade)
e.Mar
ker
ult
umor
alCA72-
4
f
)mar
ker
ult
umor
alCA125
g)
hemogr
ama

165..Fact
ori
iet
iol
ogi
cipr
inci
pal
ii
ncr
imi
nat
iinapar
it
ial
it
iazeibi
li
aresunt
:
a.Medi
cat
iahi
pol
i
pemi
ant
a
b.Di
abet
ulzahar
at
c.obezi
tat
ea
d.Di
etel
ebogat
einf
ibr
eveget
ale
e.sexul
mascul
i
n
 166..Mar
ker
iii
ndi
rect
iaiconsumul
uideal
cool
sunt
:

a.Cr
est
ereapr
eponder
entaTGPf
atadeTGO
b.Cr
est
ereat
ransami
nazel
or
c.Macr
oci
toza–dat
orat
aef
ect
ului
toxi
cdi
rectal
alcool
ului
asupr
amaduv
aspi
nar
ii
d.GGT–cuocr
est
erede10XVN
e.Cr
est
ereani
vel
ului
ser
ical
transf
eri
nei

167.Ur
mat
oar
eleaf
ir
mat
iisuntadev
arat
edespr
eNAFLD(
Ficat
ulgr
asnon-
alcool
ic)
:

a.Maj
ori
tat
eapaci
ent
il
oracuz
adi
sconf
orti
net
ajul
abdomi
nal
super
ior
b.Scader
eaponder
alacucel
put
in10%f
aci
l
iteazar
ezol
uti
ast
eat
ohepat
it
ei
c.cauzaceamai
frecv
ent
adeaf
ect
arehepat
icai
ntar
il
edezv
olt
ate
d.r
epr
ezi
ntaacumul
areaexcesi
vaat
ri
gli
cer
idel
ori
nmai
mul
tde0,
5%di
nhepat
oci
te
e.seasoci
azacuSi
ndr
omul
xmet
abol
i
c
168.I
nevol
uti
e,major
itat
eapaci
ent
il
orcucol
angi
tascl
erozant
apr
imi
ti
vapr
ezi
nta
urmat
oar
eacomplicat
ie:
a.Sar
coi
doza
b.Boal
acel
i
aca
c.Rect
ocol
i
taul
cer
o-hemor
agi
ca
d.Ti
roi
dit
aaut
oimuna
e.Si
ndr
om Sj
ogr
en

169.Despr
ecancer
ulgast
ri
csuntf
alseur
mat
oar
eleaf
ir
mat
ii
:
a.Endoscopi
adi
gest
ivasuper
ioar
aest
epr
inci
pal
amet
odadedi
agnost
ic
b.Radi
ogr
afi
aeso-
gast
ro-
duodenal
acubar
iuest
eut
il
acandEDSnuest
eposi
bil
a
c.Gast
rect
omi
asubt
otal
aest
eindi
cat
epent
rut
umor
ial
est
omacul
uidi
stal
d.Cl
asi
fi
car
eaLaur
eni
mpar
tecancer
ulgast
ri
cin3t
ipur
i
e.Hi
stopat
ologi
c,adenocar
cinomul
gast
ri
cest
epel
ocul
doi
caf
recv
ent
a

170.Ceamaif
recv
ent
acompl
icat
ieacancer
ului
esof
agi
anest
erepr
ezent
atade:
 a.Hemor
agi
adi
gest
ivasuper
ioar
a
b.Per
for
ati
aesof
agul
ui
c.Pneumoni
adeaspi
rat
ie
d.Fi
stul
aeso-
bronsi
ca
e.Par
ali
zi
aner
vul
uir
ecur
rent

171..Test
eut
il
elapaci
ent
iicususpi
ciunedehepat
it
aCsuntur
mat
oar
ele,
cuexcept
ia:
a.ARN-
VHC(
incar
cat
urav
iral
asauv
iremi
a)
b.Ant
icor
piant
i-
VHC
c.Cr
iogl
obul
i
neser
vice
d.ADN-
VHC(
incar
cat
urav
iral
asauv
iremi
a)
e.Test
efunct
ional
eti
roi
diene

172.Mar
ker
uli
munol
ogi
calci
rozei
bil
iar
epr
imi
ti
veest
erepr
ezent
atde:
a.ASMA(
ant
icor
piant
ifi
bramuscul
aranet
eda)
b.ANA(
ant
icor
piant
inucl
ear
i)
c.aCL(
ant
icor
piant
icar
diol
i
pina)
d.pANCA(
Ant
icor
piant
i-
miel
oper
oxi
daza)
e.AMA(
ant
icor
piant
imi
tocondr
ial
i
)

173..Despr
etr
atament
ulsi
ndr
omul
uidei
ntest
ini
ri
tabi
lsuntadev
arat
eur
mat
oar
ele:
a.Ser
ecomandat
rat
ament
ulcuant
idi
arei
ce
b.Ser
ecomandat
rat
ament
ulcur
if
axi
mina
c.Ser
ecomandaconsumul
del
egume
d.Ser
ecomandat
rat
ament
ulcuant
ispast
ice
e.Nuser
ecomandapr
obi
oti
cepebazadeBi
fi
dobact
eri
um

174.Paci
ent
iicucancerpancr
eat
icpotpr
ezent
aur
mat
oar
elesemnesisi
mpt
ome:

a.Tr
ombof
lebi
tami
grat
ori
e
b.Met
ast
azesubcut
anat
epar
aombi
l
ical
e
c.Dur
ereepi
gast
ri
ca
d.I
cterobst
ruct
ivdur
eros
e.Scader
eponder
ala

175.Car
esuntcompl
icat
ii
ler
efl
uxul
uigast
ro-
esof
agi
an?
a.St
ri
ctur
il
eesof
agi
ene
b.Esof
agBar
ret
t
c.Esof
agi
tader
efl
ux
d.Esof
agi
taeozi
nof
il
ica
e.Adenocar
cinom gast
ri
c
f
)adenocar
cinomaesof
agi
an

176.Despr
einhi
bit
ori
idepompadepr
otoni
est
efal
saur
mat
oar
eaaf
ir
mat
ie:
a.cr
escr
iscul
deost
eopor
oza
b.Bl
ocheazaet
apaf
inal
aasi
ntezei
ioni
l
ordeH,
pri
nlegar
eadeATP-
azaK+/
H+
c.admi
nist
rar
eal
orscader
iscul
dei
nfect
iecuCl
ost
ri
dium Di
ff
ici
l
e
d.suntut
il
izat
iint
erapi
ahemor
agi
eiul
cer
oase–admi
nist
rar
ei.
v.
e.t
oat
eschemel
edeer
adi
car
epent
ruHPy
lor
icont
inunI
PP

178.Pacienti
nvarst
ade52deani ,pot
atorcroni
c,seprezi
ntainUPUpent r
udurer
i
abdominaleinet
ajulsuper
ior,
greatasivarsat
uri
.Paci
entulrel
ateazafapt
ulcadur
ereaa
debutatbrusci
ncursulser
iiprecedent
e,inurmauneimeseabundent e.
Paracli
nic:l
eucocit
ozacuneutr
ofi
li
e(14.
000/
mm3);bil
ir
ubi
natot
ala3,1mg/dlcubi
li
rubi
na
di
recta=1, 8mg/ dl
;TGO=67U/ L;
TGP=59U/ L;
amilaza=392U/L;l
ipaza=514U/L;
tr
igl
iceri
deserice=441mg/ dl
;Caseri
c=9,1mg/dl
;CRP=6,1mg/ dl
;
Ecogr
afi
c:fi
catcuaspectsteat
ozi
c;col
eci
stcuper
etisubt
ir
i,cui
magi
nidecal
cul
isi
sl
udge;pancr
eashipoecogen
Di
agnost
iculcelmai
probabi
lest
ede:
a.Col
eci
sti
taacut
a
b.Hepat
it
aacut
a
c.Ul
cergast
ro-
duodenal
d.Angi
ocol
i
ta
e.Pancr
eat
it
aacut
a
Car
eest
efact
orulet
iol
ogi
ccelmaipr
obabi
l
?
a.consum deet
anol
b.i
diopat
ica
c.hi
per
cal
cemi
e
d.hi
per
tri
gli
cer
idemi
e
e.l
i
tiazabi
l
iar
a
Car
eest
eceamaii
mpor
tant
amasur
ater
apeut
icai
npancr
eat
it
aacut
a?
a.ant
ibi
oter
api
esi
stemi
ca
b.r
epausal
i
ment
ar
c.i
nter
vent
iechi
rur
gical
a
d.hi
drat
areagr
esi
va(
250-
500ml
/h)cusol
uti
icr
ist
aloi
dei
npr
imel
e12-
24h
e.mont
aresondanaso-
gast
ri
ca
Ina3-
azideladebutulafect
iuni
i,
lareeval
uareaecografi
caseconst
atapr
ezent
aunei
col
ect
iif
lui
deper
ipancreati
ce.Careesteconduit
aterapeuti
ca?
a.punct
ieecho-
ghi
dat
adeur
gent
a
b.moni
tor
izar
eecogr
afi
ca
c.i
nter
vent
iechi
rur
gical
adeur
gent
a
d.ant
ibi
oter
api
e
e.admi
nist
rar
edi
uret
ice

*
179.
Inf
ect
iacuVHCsecar
act
eri
zeazapr
inur
mat
oar
elecuexcept
ia:
a)
mor
tal
i
tat
easecundar
ainf
ect
iei
VHC>ceadat
adeHI
V
b)
ant
icor
piant
iVHCpotdi
fer
ent
iai
ntr
eoi
nfect
ieacut
asi
unacr
oni
ca
c)
enzi
mel
ehepat
ice(
TGP,
TGO)potf
inor
mal
e
d)
ARNVHCser
icper
sist
entar
ataexi
stenti
nfect
iei
croni
ce
e)
maj
ori
tat
eapaci
ent
il
orsuntasi
mpt
omat
ici

*
180.
Despr
einf
ect
iacuv
irusul
hepat
it
eiBsuntadev
arat
eur
mat
oar
elecuexcept
ia:
a)
laadul
tisub4%di
ninf
ect
ii
lecuVHBdev
incr
oni
ce
b)Acanti-
HBcindi
cafaptul
caexistaocanti
tat
edevi
rusper
sist
ent
,car
esepoat
ereact
ival
a
persoanel
eimunodepri
mate,cuexcept
iacel
orcar
eauAcanti
-HBsprezent
i
c)
Acant
i-
HBepotsuger
aost
arenonr
epl
i
cat
ivadacaANDVHBest
enedect
abi
li
nser
d)Acant
i-
HBspotfidetect
ati
lapaci
ent
iicar
es-
auv
indecatdei
nfect
iacuVHBsaul
acei
careauf
ostvacci
nati
e)
VHBset
ransmi
tepecar
eor
izont
ala(
hemat
ogena,
sexual
a)si
ver
ti
cal
a(per
inat
al)

181.
Despr
ecancer
uldepancr
eas(
ADKpancr
eat
ic)suntadev
arat
eur
mat
oar
ele:
a)
fumat
ul,
pancr
eat
it
acr
oni
casi
diabet
ulzahar
atr
epr
ezi
ntaf
act
ori
der
isc
b)
tumori
lerezecabi
lesecar
acteri
zeazapri
n:absent
amet
ast
azel
orl
adi
stant
a,absent
a
i
nvazi
eiar
teri
ale,
absent
ainvazi
eivenoase
c)i
ncategori
atumori
l
orrezecabi
l
el al
imi
tai
ntr
a:t
umorasi
tuat
eadi
acentar
ter
eimezent
eri
ce
super
ioare,
cuoati
ngerede<180gradedi
nci
rcumfer
int
a
d)
masamet ast
ati
capalpabil
ainrect
(semnul
blumer)si
nodul
i
icer
vical
ipal
pabi
l
i(nodul
i
si
stermar
yjoseph)potfacepart
edintabl
oulcl
i
nic
e)
local
i
zar
eaceamai
frecv
ent
aest
eceacor
por
eal
a

182.
Tabl
oul
cli
nical
tumor
il
ordecol
ondr
eptcupr
indemai
frecv
ent
:
a)
ocl
uzi
e
b)
rect
oragi
i
c)
anemi
e
d)
dur
ere
e)
masapal
pabi
l
a

183.
Despr
ecar
cinomul
hepat
ocel
ularsuntadev
arat
eur
mat
oar
ele:
a)
val
oar
eaAFP>400ng/
mlest
epr
edi
cti
vepent
ruHCCi
npr
ocentde50%
b)
obezi
tat
easi
DZsuntf
act
ori
der
iscpent
ruHCC
c)i
ncar
careacusubst
ant
adecontrasti
nfazaart
eri
al(
hiper
capt
arear
ter
ial
)si
spal
areai
n
ti
mppor t
alsaut
ardi
vecar
act
eri
zeazaHCCl aexaminar
eaCEUS
d)
AFPsi
ecogr
afi
asuntcel
emai
uti
l
izat
emet
odei
nscr
eeni
ng-
ulHCC
e)posi
bil
i
tat
il
eter
apeut
iceinclude:
rezect
iachi
rur
gical
a,t
ranspl
antul
hepati
c,
chemoemboli
zarea(TACE),
ablati
apri
nradiofr
ecventa(
RFA)

184.
Dint
reant
icorpi
ii
dent
if
icat
ifr
ecv
entl
apaci
ent
iinet
rat
ati
cuboal
acel
i
acacuf
acpar
te
urmat
ori
i,
cuexcepti
a:
a)
Acant
igl
i
adi
na
b)
Acant
i-
cel
ulapar
iet
ala(
IgA)
c)
ACant
i-
endomy
sium(
IgA)
d)
Acant
i-
tr
ansgl
utami
nazat
isul
ara(
IgM)
e)
Acant
i-
fi
bramuscul
aranet
eda(
IgA)

185.
Clasi
fi
car
eaLosAngel
esaesof
agi
tei
der
efl
uxcupr
inde:
a)
gradul
d:er
ozi
uni
conf
luent
e>75%di
nci
rcumf
eri
nta
b)
gradul
c:er
ozi
uni
conf
luent
e<75%di
nci
rcumf
eri
nta
c)
gradul
b:er
ozi
une(
i)
,cel
put
inuna>10mm,
conf
luent
e
d)
gradul
a:er
ozi
une(
i)cul
ungi
mea<10mm,
neconf
luent
e
e)
gradul
b:er
ozi
une(
i)
,cel
put
inuna>10mm,
neconf
luent
e

186.
Despr
eul
cer
ulgast
ro-
duodenal
suntadev
arat
eur
mat
oar
eleaf
ir
mat
iicuexcept
ia:
:
a)
AINSscadsecr
eti
adepr
ost
agl
andi
ne
b)
HPy
lor
idet
ermi
nacr
est
ereasecr
eti
eidegast
ri
na
c)
ulcer
ulgast
ri
cest
emai
frecv
entcaul
cer
ulduodenal
d)
fumat
uldet
ermi
nascader
easecr
eti
eidepr
ost
agl
andi
ne
e)
HPy
lor
icol
oni
zeazaduodenul
pri
nint
ermedi
ular
ii
lordemet
apl
azi
egast
ri
ca

187.
Fact
ori
ider
iscpent
rudezv
olt
areaadenocar
cinomul
uiesof
agi
ansunt
:
a)
sindr
omul
bar
ret
t
b)
sindr
omul
plummer
-vi
nson
c)
consumul
deal
cool
d)
obezi
tat
ea
e)
boal
ader
efl
uxgast
ro-
esof
agi
an

*
188.
Sindr
omul
dei
ntest
ini
ri
tabi
lest
ecar
act
eri
zatde:
a)
anor
exi
a,
scader
eaponder
ala
b)
simpt
omecucar
act
erpr
ogr
esi
v
c)
debut
ulr
ecent
,acut
d)
simpt
omenoct
urne
e)
epi
soadeacut
ededur
erecar
esesupr
apunpest
eunf
onddur
erosper
sist
ent
*
189.
Despr
ehemor
agi
avar
iceal
asuntadev
arat
eur
mat
oar
ele,
cuexcept
ia:
a)
li
gat
urecubenzi
repr
ezi
ntat
ehni
caendoscopi
cahemost
ati
cadeel
ect
ive
b)
medi
cat
iav
aso-
act
ivasei
nit
iazadupaconf
ir
mar
eaendoscopi
caasur
sei
var
iceal
e
c)
scl
erozar
eav
ari
cel
orsepoat
epr
oducepr
ini
nject
areadeal
cool
absol
ut
d)
bet
abl
ocant
elenesel
ect
ivesuntut
il
izat
epent
rur
educer
ear
iscul
uider
esanger
are
e)
poat
epr
eci
pit
aenf
alopat
iahepat
ica

190.
Urmat
oar
eleaf
ir
mat
isuntadev
arat
edespr
eencef
alopat
iahepat
ica:
a)
niv
elul
amoni
emi
eisecor
eleazacusev
eri
tat
eaencef
alopat
iei
hepat
ice
b)
EHepi
sodi
caest
ecar
act
eri
zat
adeapar
it
iaepi
soadel
ordeEHi
ntr
-uni
nter
val
mai
scur
tde
6l
uni
c)
const
ipat
iar
epr
ezi
ntaunf
act
orpr
eci
pit
ant
d)
gradul
II(
clasi
fi
car
eaWestHav
en)est
ecar
act
eri
zatdepr
ezent
aast
eri
xi
sul
ui
e)
L-or
nint
it
a-L-
aspar
tat
(LOLS)cr
est
ecl
ear
ance-
ulamoni
acul
ui

*
191.
Urmat
oar
eler
epr
ezi
ntacar
act
eri
sti
cial
erect
ocol
i
tei
ulcer
o-hemor
agi
ce,
cuexcept
ia:
a)
lezi
uni
l
eaf
ect
eazar
ect
ulsi
seext
endpr
oxi
mal
b)
dist
ri
but
ial
ezi
uni
l
orest
esegment
ara,
pesar
it
e
c)
procesul
inf
lamat
oraf
ect
eazamucoasasi
submucoasa
d)
dist
ri
but
iacont
inuaal
ezi
uni
l
or,
i
ncepanddel
arect
e)
mani
fest
ari
l
eext
radi
gest
ivei
ncl
udeepi
scl
eri
tasi
uvei
ta

192.
Pancr
eat
it
acr
oni
ca:
a)
dozar
eael
ast
azei
fecal
erepr
ezi
ntaunt
estdi
rectal
funct
iei
pancr
eat
ice
b)st
eat
oreear
epr
ezi
ntasi
mpt
omul
cel
mai
const
ant
c)
dozat
oxi
cadeal
cool
est
erepr
ezent
atadeconsumul
depest
e4-
6uni
tat
ideal
cool
/zi
d)f
ormaautoi
munapoat
efi
asoci
ataal
torbol
iaut
oimmune:
sindr
om Sj
ogr
en,
DZt
ipI
,
tir
oidi
ta
autoi
muna
e)
fumat
ulcr
est
eri
scul
dez
vol
tar
iical
cif
icar
il
orpancr
eat
ice

193.
Urmat
oar
eleaf
ir
mat
iisuntadev
arat
edespr
epancr
eat
it
aacut
a:
a)semnult
urnerest
erepr
ezent
atdeechi
mozaper
iombi
l
ical
asi
semni
fi
cahemor
agi
e
retr
oper
it
oneala
b)
val
ori
l
ecr
escut
eal
eli
paz
eisuntmai
per
sist
ent
edecatal
eami
l
azei
c)
ant
ibi
oti
cel
eseadmi
nist
reazader
uti
na
d)
li
ti
azasi
consumul
deal
cool
det
ermi
na75-
80%di
ncazur
il
edepancr
eat
it
aacut
a
e)CEUS(ecogr
afi
acusubstant
adeconst
rast
)permit
edel
i
mit
areazonel
ordenecr
oza
deoareceacest
easei
ncarcacusubst
antadecontr
ast

194.
Met
odel
edi
rect
eut
il
izat
epent
rudi
agnost
icul
inf
ect
iei
cuhel
i
cobact
erpy
lor
isunt
:
a)
Agf
ecal
hel
i
cobact
erpy
lor
i
b)
test
ulr
espi
rat
orcuur
eaz
a
c)
biopsi
agast
ri
cacuexamenhi
stopat
ologi
c
d)
test
ulur
eazei
cuaj
utor
ulki
tul
ui
e)
acant
ihel
i
cobact
erpy
lor
i

195.Paci
entde55deani
,fumator20PA,potat
orcroni
c,seprezi
ntainUPUpentr
umai
multeepi
soadedevar
sat
uricusangerosu,
vert
ijsi
palpi
tat
ii
,simptomedebut
ateincur
sul
zi
lei
.

APP–acci dentauto,cunecesardet r
ansfuzii
desange; Examenobi ecti
v:tahicar
die–AV=
105BPM, TA=80/ 50mmHg, tegumentesimucoasei cteri
ce; er
it
em pal
mar ,stel
ute
vascul
arel
ani vel
ultoracel
ui;cir
cul
ati
ecolater
alaabdomi nala;abdomenmar itdev ol
um cu
matit
atedeplasabi
la.Paracl
inic:Hb=6,7g/dl;Leucoci
te=11000/ mm3; tr
omboci te=109
000/mm3; transaminaze–TGO=87U/ L;TGP=62U/ L,Bi
li
r ubi
natotal
a=3, 9mg/ dl
;

Ceet
iol
ogi
epoat
eav
eahemor
agi
adi
gest
iva?

a.Ulcerduodenal
b.Si
ndr om Mall
oryWei ss?
c.Variceesofagiene
d.Diverti
cul
isigmoidieni
e.Varicegastri
ce

Inurmaexamenul uicl
i
nic,
sesusti
nediagnosti
culdecirozahepaticasisesoli
cit
aanalize
supli
mentare:AgHBspoziti
v,AgHBepoziti
v,AcantiHBcpozi t
ivi
;AcantiVHDnegat iv
i;Ac
antiVHCnegat i
v;ANA–negat i
vi
;el
ect
roforezaprot
einelorser
ice–cuscader eavalor
ii
albuminel
or;AMA–negat i
vi
;FAL=82U/ l;
GGT=177U/ LCeet i
ologi
eacirozeihepati
ce
suspectat
i?

a.Hepat
itaaut
oimuna
b.I
nfect
iecuVHC
c.I
nfecti
ecuVHB
d.Coinf
ecti
eVHB+VHC
e.Et
anolica

Car
edi
ntr
emasur
il
eter
apeut
icesei
mpune?

a.Admi nist
raredesubstant
ev asoacti
ve
b.Transfuziidesangecuscopul deaobtineoHbde12g/dl
c.I
nhibitori
depompadepr otoniindozamareinbol
us
d.Admi nist
raredecefal
osporinedegenerati
aa2-ai
nscoppr
ofi
l
act
ic
e.Endoscopi adeurgent
a

Endoscopiadigesti
vasuper i
oaraai dentifi
catv ar
iceesofagienedemar idimensi
unidr ept
sursasangerari
i,
vari
ceceauf ostligaturateendoscopi ccubenzielast i
ce.Dupa
reechi
l
ibrar
eahemodi namica,pacientulset r
ansferadi nsecti
adet erapieint
ensi
valasal on,
undeevoluti
aestebuna, pacientulnumaipr ezint
aext eri
ori
zarihemor agice,
dardevine
dezori
entatt
empor o-spati
alsiprezintaast er
ixis,
ridi
candu-sesuspiciuneadeencef alopati
e
hepati
ca.Sedozeazaamoni emiaser ica,obtinandu-seov aloar
enor malaaacesteia.

Car
edi
ntr
eur
mat
oar
eleaf
ir
mat
iisuntcor
ect
e?

a.Val
oril
eamoniemieiexcl
uddiagnosticuldeencefalopat
iehepatica
b.Hemor agi
adi
gesti
vanupoatef iunfactorpreci
pitantalencef
alopati
eihepat
ice
c.Serecomandatrat
amentcuLact ul
oza
d.Serecomandatrat
amentcuRi faxi
mi na
e.Serecomandaregim hi
pocal
orichipoprotei
c

Pacientade30deani,fumatoare–1pachet /zi,de15ani (15pachete-an)faraAPP,se

prezi
ntainUPUpent r
udur er
iepigast
ri
ce,debut atede3zi l
edur er
icet r
ezescpacientadi
n
somncuamel iorarel
eingesti
adeal i
mentesi laadminist
rareadeDi carbocal
m.Pacienta
rel
ateazaadminist
rar
eafrecventadeaspiri
napent r
umi grene.Examenul cli
nicr
eleva
sensibi
li
tat
edureroar
ainregiuneaepigast
rica.
Pebazasi mpt
omat ol
ogieicl
ini
ce,careestedi agnosti
culcelmaipr obabil?

a.Esof
agi
tader
efl
ux

b.Gast
ri
tai
ndusadeAI
NS

c. Ul
cerpept
ic

d.Pancr
eat
it
aacut
a
 e. Boal
acel
i
aca

Tabloulbi
ologicestenor
maliarecogr
afi
aabdomi
nal
asiradi
ogr
afi
apul
monar
anudescr
iu
l
eziuni.Cei
nv est
igati
econsi
derat
iceest
eceamaiut
il
a?

a.CTabdomi
nal

b.RM abdomi
nal

c. EDS

d.Examencopopar
azi
tol
ogi
csi
copr
ocul
tur
a

e. Col
onoscopi
e

Laendoscopiesevi
zuali
zeazauncrat
erde10mm sit
uatinbul
bulduodenalcumar
gini
regul
atesicubazaacoperi
tadefi
bri
na.Cemasur
iter
apeuti
cesuntdeprefer
ati
nacestcaz?

a.Tr
atamentmedi
cal
cuI
PP

b.El
ect
rocoagul
areendoscopi
ca

c. Tr
atamentchi
rur
gical

d.Ter
api
edeer
adi
car
eptH.Py
lor
iincazder
ezul
tatpozi
ti
vlat
est
are

e. AI
NSi
mpot
ri
vadur
eri
l
or

I
nt i
mpulEDSser ecolt
eazabiopsiidinmucoasagastr
icacarelatestulr
apidpr ezint
ar eact
ie
pozi
tiv
aptH.Py lori
.Seintit
uietr
atament uldeer
adi
caresipacientaesteexternatacu
di
sparit
iasimptomat ol
ogiei
.Cemet odesuntuti
l
epentruver
if
icareaeradi
car i
iinfect
ieicuH.
Pyl
oriinacestcaz?

a.Test
ulr
espi
rat
orcuur
ee

b.Acant
iH.Py
lor
idi
nser

c. Cul
tur
adi
nbi
opsi
amucoasei

d.Ant
igenul
fecal
H.Py
lor
i

e. Acur
inai
ant
iH.Py
lor
i
196.Achal
azi
acar
diei
secar
act
eri
zeazapr
inur
mat
oar
ele,
CUEXCEPTI
A:

a.Mi
orel
axar
easepoat
epr
oducepr
ini
nject
areai
ntr
asf
inct
eri
anadet
oxi
nabot
uli
nica

b.Tr
atament
ulchi
rur
gical
const
ainesof
agect
omi
e

c. Manomet
ri
aest
einv
est
igat
iagol
dst
andar
dptdgn

d.Lar
xeso-
gast
ri
caesof
agul
apar
edi
l
atat

e. Cl
i
nicsecar
act
eri
zeazapr
in:
disf
agi
e,r
egur
git
ati
i
,dur
eri
tor
aci
ce,
scader
eingr
eut
ate

197.I
nci
rozahepat
icapotf
ipr
ezent
eur
mat
oar
eler
ezul
tat
eal
etest
elorbi
ologi
ce:

a.
VNt
ransami
naze

b.
Crest
ereaf
ibr
inogenul
ui

c.
Scader
eaBT

d.
Val
ori
crescut
eal
etr
ansami
nazel
or

e.
Scader
eaal
bumi
nemi
ei

198.
Diagnost
icul
pozi
ti
val
cir
ozei
hepat
icei
mpune:

a)
stadi
ali
zar
eaut
il
izandscor
ulmet
avi
r

b)
stadi
ali
zar
eaut
il
izandcl
asi
fi
car
eachi
l
dpugh

c)
efect
uar
eapunct
iei
biopsi
ehepat
ica

d)
efect
uar
eadet
est
einv
eder
east
abi
l
iri
iet
iol
ogi
ei

e)
examencl
i
nic

199.Ur
mat
oar
eleaf
ir
mat
iisuntf
alsedespr
ecompl
i
cat
ii
leci
rozei
hepat
ice,
cuexcept
ia:

a.Paracent
ezaev
acuat
ori
erepr
ezi
ntapr
imaopt
iunet
erapeut
icai
ncazul
prezent
ei
ascit
ei

b.Si
ndr
omul
hepat
o-r
enal
det
ip1est
elentpr
ogr
esi
v(r
api
dpr
ogr
esi
v-sl
i
de69)

c. Ast
eri
xi
sul
sei
ntal
nest
einencef
alopat
iahepat
icacompensat
a(gr
ad2
 decompensat
asl
i
de35)

d.Al
faf
etopr
otei
naest
eut
il
izat
acat
estdescr
eeni
ngptcar
cinomul
hepat
ocel
ular

e. Peri
toni
tabacteri
anaspontanasedgnpr
inpr
ezent
ade>50PMN/
mll
aex
ci
tol
ogicall
ichidul
uideascit
a(>250PMNneutr
ofi
l
esl
ide67)

200.Suntf
alseur
mat
oar
eleaf
ir
mat
idespr
ebol
i
lei
nfl
amat
ori
ii
ntest
inal
e:

a.Aminosal
i
cil
ati
isuntut
il
izat
ifr
evcentat
ati
nboalaCr
ohncatsii
ncol
it
aulcer
ati
va
(RCUHSLIDE30AMI NOSALICILATI
;CROHNSLIDE77CORTICOSTEROIZI
)

b.Megacol
onul
toxi
cnecesi
tasanct
iunechi
rur
gical
adeur
gent
a

c. Hemor
agi
adi
gest
ivaest
edescr
isamai
rari
nboal
aCr
ohn

d.Incolit
aulcerati
va,i
nfl
amati
adebuteazadel anivelulrect
ului
,seexti
ndeproxi
mal si
i
ntereseazat oat
estrat
uri
l
etubul
uidigesti
v(intereseazar ect
ulsiseext
indeproxi
mal
l
aniv el
ulcolonului
faraadepasi
val
v ail
eo-cecala,procesinfll
imi
tatl
amucoasasi
submucoasa)

e. Fumat
ular
erol
prot
ect
ivi
ncol
i
taul
cer
ati
va

201.Ur
mat
oar
eleaf
ir
mat
iisuntadev
arat
edespr
ebol
i
lei
nfl
amat
ori
ii
ntest
inal
e:

a.I
ncol
i
taul
cer
ati
vapotf
iint
alni
tel
ezi
uni
inst
omacsi
duoden

b.Tr
atament
ulchi
rur
gical
inBoal
aCr
ohnser
eal
i
zeazai
nscopcur
ati
v

c. Pacient
icubol
ii
nfl
amat
ori
ii
ntest
inal
enecesi
tascr
eeni
ngpent
rucancer
ulcol
o-
rect
al

d.Abcesel
esuntmai
desi
ntal
nit
elapaci
ent
iicuBol
aCr
ohn

e. St
enozel
eint
est
inal
erepr
ezi
ntacompl
i
cat
iif
recv
ent
einRCUH

202.Ur
matoar
eleaf
ir
mat
iisuntadev
arat
edespr
ebol
i
lei
nfl
amat
ori
ii
ntest
inal
e,CU
EXCEPTIA:

a.Mucoasacol
oni
caapaci
ent
il
orcub.Cr
ohnpr
ezi
ntaaspect
ult
ipi
cde“
piat
radepav
aj”

b.Bi
opsi
i
ledel
ani
vel
ulcol
onul
uinusuntobl
i
gat
ori

c. I
nb.Cr
ohnseuti
li
zeazacl
asi
fi
car
eaTr
uel
ovepent
ruev
aluar
easev
eri
tat
ii
(scorCDAI
;
MONTREALposi
bil
)

d.Potprezentamani
fest
ariext
radi
gesti
vepr
ecum:ar
tropat
iaper
if
eri
ca,
epi
scl
eri
te,
uvei
te,pyoder
magangrenosum(sli
de12RCUH+53BC)

e. St
enozel
esi
fist
ulel
esuntcompl
i
cat
iii
ntal
nit
emai
frecv
enti
ncol
i
taul
cer
ati
va
 203.Urmatoar
eleaf
ir
mat
iisuntadev
arat
edespr
etr
atament
ulbol
i
lori
nfl
amat
ori
i
i
ntest
inal
e

a.Azat
iopri
naest
eindi
cat
apent
rui
nduct
iar
emi
siuni
i
(IMUNUMODELATOR-
REMISIUNE79)

b.Ant
ibi
oti
cel
esuntut
il
izat
edoarpent
rucompl
i
cat
ii
lei
nfect
ioase

c. Agent
iibi
ologi
cisunti
ndi
cat
iindi
fer
entdesev
eri
tat
eaaf
ect
iuni
i(FORME
MODERAT- SEVERE)

d.Cor
ti
cost
eroi
zi
isuntf
olosi
tipent
rui
nduct
iar
emi
siuni
i

e. Cor
ti
cost
erozi
isuntf
olosi
tipent
rument
iner
ear
emi
siuni
i

204.Ur
mat
oar
eleaf
ir
mat
iisuntadev
arat
edespr
ecancer
ulesof
agi
an:

a.Ceamai f
recventafor
mahist
ologi
caest
erepr
ezent
atadeadenocar
cinom (A:
car
cinom cucelul
escuamoase)?

b.Tr
anzi
tul
bar
it
atr
epr
ezi
ntagol
dst
andar
dptdgnaf
ect
iuni
i
(EDS?
)

c. Esof
agul
Bar
retr
epr
ezi
ntaunf
act
order
iscpent
rucar
cinomul
scuamos(ADK)

d.Ter
api
aendoscopi
cai
nscopcur
ati
vseut
il
izeazapent
rucancer
uli
nsi
tu

e. Ter
api
aendoscopi
cai
nscopcur
ati
vseut
il
izeazai
ncancer
elei
noper
abi
l
e

205.Ceaf
ir
mat
iisuntadev
arat
edespr
ecar
cinomul
scuamosesof
agi
an?

a.St
enozel
epost-
caust
icer
epr
ezi
ntaunf
act
order
isc(
+acal
azi
anet
rat
ata)
-
al
exandr
escusl
ide6

b.Si
ndr
omul
Bar
retseascoci
azacuoi
nci
dent
acr
escut
a(ADK)

c. Obezi
tat
ear
epr
ezi
ntaunf
act
order
isc(
ADK)

d.Est
emai
frecv
enti
ntal
nitl
asexul
femi
nin(
MASCULI
N)

e. Consumul
deal
cool
sif
umat
ulr
epr
ezi
ntapr
inci
pal
i
ifact
ori
der
isc

206.Car
edi
ntr
eur
mat
oar
eleaf
ect
iuni
nur
epr
ezi
ntaocauzaapancr
eat
it
eiacut
e?

a.Car
vedi
l
ol

b.Li
ti
azabi
l
iar
a

c. Car
cinom ampul
ar
 d.Tumor
adev
ezi
cul
abi
l
iar
a

e. Hi
per
tri
gli
cer
idemi
a

207.Car
edi
ntr
eur
mat
oar
eleaf
ect
iuni
nur
epr
ezi
ntaocauzaapancr
eat
it
eiacut
e?

a.Pancr
easdi
vi
sum

b.Tumor
adev
ezi
cul
abi
l
iar
a

c. I
nfect
iacuci
tomegal
vi
rus

d.Col
angi
ogr
afi
aendoscopi
car
etr
ogr
adaERCP

e. Hi
per
ti
roi
dism

208.Ur
mat
ori
iant
icor
pipotf
idepi
stat
iincazdehepat
it
aaut
oimuna:

a.Acant
i-
micr
osomi
def
icatsi
der
ini
chi
(LKM-
1)

b.Acant
i-
fi
bramuscul
aranet
eda(
ASMA)

c. Acant
i-
nucl
ear
i(ANA)

d.Acant
i-
Jo

e. Acant
i-
mit
ocondr
ial
i(AMA)

209.Ur
mat
oar
eleaf
ir
mat
iisuntadev
arat
edespr
egast
ri
te:

a.Ref
luxul
bil
i
arr
epr
ezi
ntacauzaceamai
frecv
ent
aingast
ri
tel
ecr
oni
ce(
H.Py
lor
i)

b.Pr
epar
atel
edef
ierpotdet
ermi
nagast
ri
teacut
e

c. AI
NSpotdet
ermi
nagast
ri
cecr
oni
ce

d.I
nevoluti
anatural
acuinf
ectiaH.Pyl
oridetermi
nainti
ali
nfl
amati
elani
vel
ul
f
orni
xuluigast
ri
c,det
erminandult
eri
oratrofi
acorpul
uisi
inf
lamat
ieant
ral
a

e. Hemor
agi
adi
gest
ivar
epr
ezi
ntaocompl
i
cat
iecupr
ognost
icpr
ost

210.Ur
matoarel
emodi
fi
car
iser
ologi
cesuntpr
ezent
elapaci
ent
iicui
nfect
iecr
oni
ca
VHB,cuexcepti
a:

a.Pr
ezent
aAcant
iHBspoat
efi
det
ect
atal
apaci
ent
iiv
acci
nat
i

b.Pr
ezet
aAcant
iHBspoat
efi
det
ect
atal
apaci
ent
iiv
indecat
i

c. AgHber
epr
ezi
ntaunmar
keral
repl
i
car
iiv
iral
eact
ive
 d.AgHBsdet
ect
atl
amai
mul
tde6l
uni
del
aexpuner
esaudel
adgni
nit
ial

e. AgHbeest
eident
if
icati
nser
ulpaci
ent
il
orcuv
irushepat
icBmut
ant

211.Ur
mat
oar
eleaf
ir
mat
iisuntadev
arat
edespr
etr
atament
uli
nfect
iei
cuVHB:

a.Tr
atament
ul ant
ivi
ral
est
eindi
catpent
rui
nfect
ii
lecr
oni
cecut
ransami
nazenor
mal
e
si
vir
emiecrescuta

b.CHcont
rai
ndi
cat
rat
ament
ulant
ivi
ral

c. Tot
inounascut
iicumameser
opozi
ti
venecesi
tai
munopr
ofi
l
axi
epr
inadm deI
Gant
i
-
B

d.Ent
ecav
irr
epr
ezi
ntaunanal
ognucl
eot
idi
cdel
i
niaI

e. Lami
vudi
nar
epr
ezi
ntaunanal
ognucl
eot
idi
cdel
i
niaI

212.Mani
fest
ari
ext
rahepat
icef
recv
ent
einhepat
it
acr
oni
cav
iral
aCsunt
:

+li
chenplan,por
fi
ri
acutaneat
arda,cherat
oconj
uncti
vi
tasi
cca,
sd.Sj
ogren,
sd.
Raynaud,
vascul
it
acutanat
anecrot
izanta,l
i
mfom non-
hodgki
nSLIDE22

a.Ar
ter
iopat
ianodoasa

b.Pur
pur
atr
omboci
topeni
cai
diopat
ica

c. Boal
aBechet

d.Cr
iogl
obul
i
nemi
ami
xtaesent
ial
a

e. Gl
omer
ulonef
ri
tamembr
anopr
oli
fer
ati
va

213. Despr
ecancer
ulgast
ri
csuntadev
arat
eur
mat
oar
eleaf
ir
mat
ii
:

a.Mar
ker
ult
umor
alCA72-
4nuest
eobl
i
gat
ori
uptdgn

b.Sepoat
emani
fest
apr
inhemat
emezasi
mel
ena(
sli
de18)

c. Potapar
easindroamepar aneopl
azi
ce(ex:Acant
hosi
sni
gri
cans)
+der
mat
o
miozi
ta,
eri
tem cir
cinat(sl
ide19cancergast
ri
c)

d.H.py
lor
inur
epr
ezi
ntaunf
act
order
iscpent
ruapar
it
iacancer
ului
gast
ri
c

e. Cl
asi
fi
car
eaLaur
eni
mpar
tecancer
ulgast
ri
cint
ipul
I(i
ntest
inal
)si
tipul
II(
dif
uz)
 214.Despr
ecancer
ulgast
ri
csuntadev
arat
eur
mat
oar
eleaf
ir
mat
i:

a.Rxeso-
gast
ro-
duodenal
acubar
iuser
ecomandaobl
i
gat
ori
uinai
nteaef
ect
uar
iEDS

b.Mar
ker
ult
umor
alCA72-
4est
eobl
i
gat
ori
uptdgn

c. Cancer
ulgast
ri
cpr
ecoceest
easi
mpt
oamt
ic

d.Gangl
i
oni
il
imf
ati
cimar
it
i(ex:
ggl
vir
chow)

e. Cl
asi
fi
car
eaLawr
eni
mpar
tecancer
ulgast
ri
cint
ipul
1(i
ntest
inal
)si
2(di
fuz)

215.Ur
mat
oar
eleaf
ir
amat
iisuntadev
arat
edespr
eul
cer
ulgast
ri
csi
duodenal

a.Deter
minareaant
icor
pil
orant
iH.
Pyl
ori
repr
ezi
ntaomet
odadi
rect
adedgna
i
nfect
iei
(I
NDIRECT)

b.Mal
i
gni
zar
eaul
cer
ului
sepr
oducemai
alesi
nlocal
i
zar
eaduodenal
a(GASTRI
C)

c. UDest
emai
frecv
entcaUG

d.Fumatul
determi
nacr
est
ereasecr
eti
eidepr
ost
agl
andi
nel
ani
vel
ulmucoasei
gast
ri
ce(CLORHI
DROPEPTICA)

e. Consumul
deAI
NSr
epr
ezi
ntacel
mai
frecv
entagentet
iol
ogi
c(H.
PYLORI
)

216.Ur
mat
oar
eleaf
ir
mat
iisuntadev
arat
edespr
etr
atament
ulul
cer
ului
gast
ro-
duodenal
:

a.Blocant
iir
ecept
ori
lorhist
ami
ner
gici
h2sunti
ncl
usii
nschemel
edeer
adi
car
e
pentruH.Pyl
ori
(I
PP,BISMUT,
ANTIBI
OTI
CESLIDE33)

b.I
nhi
bit
ori
idepompadepr
otoni
scadr
iscul
deCl
ost
ri
dium Di
ff
ici
l
e(CRESC)

c. I
PPbl
ocheazaet
apai
nit
ial
adesi
ntezaai
oni
l
ordehi
drogen(
FINALA)

d.Sucr
alf
atul
for
meazaobar
ier
apr
otect
oar
elani
vel
ulul
cer
ului

e. Preparatel
ecubismutcoloidalisimanif
est
aef ectulanti
secret
orgastr
icpr
in
i
nhibiti
ecompetit
ivalaniv
elulrecept
oril
orpthistamina(form opeli
cul
a
protectoar
elanvi
elulul
ceruluiasi
gurandoprotectieipot
ricaagresi
uni
icl
orhi
dro
peptice,pr
ezi
ntasiacti
vantibactasuprahpylorisli
de32)

217.Ur
mat
oar
elesuntadev
arat
edespr
ehemor
agi
aul
cer
oasa:
 a.Seexcl
udeadmi
nist
rar
eaI
PPp.
o(DOARI
NCAZURICURI
SCREDUS)

b.Poat
eapar
eacapr
imai
nfest
areaul
cer
ului

c. Tr
atament
ulchi
rur
gical
est
etr
atament
uldeel
ect
ie(
MEDSIENDOSCOPI
C)

d.Hemost
azanecesi
tai
ppi
.vi
ndozemar
i

e. Er
adi
car
eaH.Py
lor
iest
eomasur
aapl
i
cat
adeur
gent
a

218.Ter
api
adesal
var
epent
ruer
adi
car
eai
nfect
iei
cuH.Py
lor
icont
ine:

aa:
tet
raci
cli
namet
roni
dazol

a.I
PP(
rabepr
azol
,
esomepr
azol
)

b.Lev
ofl
oxaci
na

c. Cl
ari
tr
omi
cina

d.Amoxi
cil
i
na

e. Bismutcoloi
dal(
prepar
atedebi
smutagant
imi
crobcuactl
ocal
adi
rect
ape
peret
elebact)

219.Despr
einf
ect
iacuH.
Pyl
ori
sepoat
eaf
ir
maca:

a.Testar
eaer
adi
car
iii
nfect
iei
sepoat
ereal
i
zaut
il
izanddet
ermi
nar
eaant
icor
pil
or
seri
ci

b.Col
oni
zar
eaant
rul
uidecat
reHPy
lor
idet
ermi
nacel
mai
frecv
enthi
pocl
orhi
dri
e

c. Er
adi
car
eHPy
lor
ireducer
iscul
apar
it
iei
compl
i
cat
ii
lormal
i
gne

d.Schemel
eter
apeut
icedeer
adi
car
econt
inunI
PPsi
cel
put
in2ant
obi
oti
ce

e. HPy
lor
iest
eincr
imi
nati
npat
ogenezal
i
mfomul
uigast
ri
cdet
ipMALT

220.Ef
ect
eleadv
erseal
eint
erf
eronul
uisunt
:

a.Par
est
ezi
i

b.Gr
eat
a,v
arsat
uri

c. Hepat
ocar
cinom

d.Al
opeci
e

e. Leucopeni
ecuneut
ropeni
e

221.Ur
mat
orel
eaf
ir
mat
iisuntadev
arat
edespr
ehemor
agi
avar
iceal
a:
 CH-SLI
DE48-
59

a.Medicat
iav
asoacti
vaseindi
canumaidupaconf
ir
mareasur
sei
var
iceal
e(se
i
nit
iazal
asuspi
ciuneadeHDSvari
ceal
ainai
ntedeEDS)

b.Tratamentulchi
rur
gical
est
eopr
ocedur
ader
uti
na(
deur
gent
acandcel
elal
te
tehnici
esueaza)

c. Tehnicaendoscopi
cadeelect
iepent
ruhemostazaest
erepr
ezent
atade
scl
erozareavari
cel
or(
li
gat
uracubenziel
ast
ice)

d.Repr
ezi
ntaocompl
i
cat
iecupr
ognost
icbun

e. I
ndepart
areacont
inut
ului
sangv
ini
ntest
inal
prev
ineapar
it
iaencef
alopat
iei
hepat
ice

222.Despr
eencef
alopat
iahepat
icasuntf
alseur
mat
oar
eleaf
ir
mat
ii
:

a.Repr
ezi
ntaocompl
i
cat
iei
rev
ersi
bil
aaci
rozei
hepat
ice

b.Poat
efi
decl
ansat
adei
nfect
iiacut
e

c. Poat
efi
oconseci
ntaaHDS

d.Test
elepsi
homet
ri
cesuntmodi
fi
cat
edoari
nencef
alopat
iahepat
icacl
i
nic
manif
estat
a

e. Ri
faxi
minar
educeamoni
emi
a

1.Ur
mat
oar
eleaf
ir
mat
iisuntadev
arat
edespr
ehemor
agi
avar
iceal
a:

a)Medi
cat
iav
asoact
ivasei
ndi
canumai
dupaconf
ir
mar
easur
sei
var
iceal
e

b)Tr
atament
ulchi
rur
gical
est
eopr
ocedur
ader
uti
na

c) Tehnicaendoscopi
cadeel
ect
iepent
ruhemost
azaest
erepr
ezent
atadescl
eroza
var
icelor

d)Repr
ezi
ntaocompl
i
cat
iecupr
ognost
icbun

e) I
ndepart
areacont
inut
ului
sangv
ini
ntest
inal
prev
ineapar
it
iaencef
alopat
iei
hepat
ice

1.Hepat
it
aaut
oimuna:

a)Bi
opsi
ahepat
icaar
erol
adj
uvantcuconf
ir
mar
eaunei
suspi
ciuni
cli
nicedeHp
 b)Acant
i-
mit
ocondr
ial
i(AMA)suntspeci
fi
cihepat
it
eiaut
oimune

c) Acant
i-
nucl
ear
i(ANA)pr
ezent
iinSE?

d)Secaract
erieazapr
inpr
ezent
aunoraut
oant
icor
pii
mpot
ri
vunorant
igene
speci
fi
ceficatul
ui

e) Af
ect
eazav
arst
elet
iner
e

2.Ceaf
ir
mat
iisuntadev
arat
edespr
ecar
cinomul
scuamosesof
agi
an:

a)St
enozel
epostcaust
icer
epr
ezi
ntaunf
act
order
isc

b)Si
ndr
omul
Bar
retseasoci
azacuoi
nci
dent
acr
escut
a

c) Obezi
tat
erepr
ezi
ntaunf
act
order
isc

d)Est
emai
frecv
enti
ntal
nitl
asexul
femi
nin

e) Consumul
deal
cool
sif
umat
ulr
epr
ezi
ntapr
inci
pal
i
ifact
ori
der
isc

3.Car
edi
ntr
eur
mat
oar
eleaf
ect
iuni
nur
epr
ezi
ntaocauzaapancr
eat
it
eiacut
e?

a)Pancr
easdi
vi
sum

b)Tumor
adev
ezi
cul
abi
l
iar
a

c) I
nfect
iacuci
tomegal
vi
rus

d)Col
angogr
afi
aendoscopi
car
etr
ogr
ade(
ERCP)

e) Hi
per
ti
roi
dism

4.Despr
eencef
alopat
iahepat
icasuntf
alseur
mat
oar
eleaf
ir
mat
ii
:

a)Repr
ezi
ntaocompl
i
cat
iei
rev
ersi
bil
aaci
rozei
hepat
ice

b)Poat
efi
decl
anst
adei
nfect
iiacut
e

c) Poat
efi
oconseci
ntaaHDS

d)Test
elepsi
homet
ri
cesuntmodi
fi
cat
edoari
nencef
alopat
iahepat
icacl
i
nic
manif
esta

e) Ri
faxi
minar
educeamoni
emi
a
5.Mani
fest
ari
ext
rahepat
icef
recv
ent
einhepat
it
acr
oni
cav
iral
aCsunt

a)At
eri
opat
ianodoasa

b)Pur
pur
atr
omboci
topeni
cai
diopat
ica

c) Boal
aBechet

d)Cr
iogl
obul
i
nemi
ami
xtaesent
ial
a

e) Gl
omer
ulonef
ri
tamembr
anopr
oli
fer
ati
va

6.Ur
mat
oar
eleaf
ir
mat
iisuntadev
arat
edespr
etr
atament
ulbol
i
lori
nfl
amat
ori
ii
ntest
inal
e:

a)Azat
iopr
inaest
eindi
cat
apti
nducer
ear
emi
siuni
i

b)Ant
ibi
oti
cel
esuntut
il
izat
edoarpent
rucompl
i
cat
ii
lei
nfect
ioase

c) Agent
iibi
ologi
cisunti
ndi
cat
iindi
fer
entdesev
eri
tat
eaaf
ect
iuni
i

d)Cor
ti
cost
eroi
zi
isuntf
olosi
tipti
nduct
iar
emi
siuni
i

e) Cor
ti
cost
eroi
zi
isuntf
olosi
tiptment
iner
ear
emi
siuni
i

7.Ur
mat
oar
eleaf
ir
mat
iisuntadev
arat
edespr
ehemor
agi
aul
cer
oasa:

a)Seexcl
udeadmi
nist
rar
eaI
PPp.
o

b)Poat
eapar
eacapr
imamani
fest
areaul
cer
ului

c) Tr
atament
ulchi
rur
gical
est
etr
atament
uldeel
ect
ie

d)Hemost
azaneecesi
taI
PPi
.vi
ndozemar
i

e) Er
adi
car
eaHPest
eomasur
aapl
i
cat
adeur
gent
a

8.Ur
mat
oar
eleaf
ir
mat
iisuntadev
arat
edespr
etr
atament
ulul
cer
ului
gast
ro-
duodenal
:

a)Bl
ocant
iir
ecept
ori
l
orH2sunti
ncl
usi
inschemel
edeeer
adi
car
eptHP

b)I
nhi
bit
ori
idepompadepr
otoni
scadr
iscul
decl
ost
ri
dium di
fi
cil
ee

c) I
nhi
bitor
iipompei
deepr
otoni
blocheazaet
apai
nit
ial
adesi
ntezaai
oni
l
orde
Hi
drogen

d)Sucr
alf
atul
for
meazaobar
ier
apr
otect
oar
elani
vel
ulul
cer
ului

e) Pr
eparat
elecubi
smutcol
oidal
isimani
fest
aefect
ulanti
secr
etorgast
ri
cpr
in
i
nhi
bit
iecompeti
ti
val
aniv
elulr
ecept
ori
lorpent
ruhi
stamina
9.Achal
azi
acar
diei
secar
act
eri
zeazapr
inur
mat
oar
ele,
cuEXCEPTI
A:

a)Miorelaxar
easepoat
epr
oducepr
ini
nject
areai
ntr
asf
inct
eri
anadet
oxi
na
botul
inica

b)Tr
atament
ulchi
rur
gical
const
ainesof
agect
omi
e

c) Manomet
ri
aesof
agi
anaest
einv
est
igat
ia“
gol
dst
andar
d”ptdi
agnost
ic

d)Lar
adi
ogr
afi
aeso-
gast
ri
ca,
esof
agul
apar
edi
l
atat

e) Cl
ini
csecar
act
eri
zeazapr
in:
disf
agi
e,r
egur
git
ati
i
,dur
eri
tor
aci
ce,
scader
ein
gr
eutat
e

10.Despr
ecancer
ulgast
ri
csuntadev
arat
eur
mat
oar
eleaf
ir
mat
ii
:

a)Rxesogast
roduodenal
acubar
iuser
ecomandaobl
i
gat
ori
uinai
nteef
ect
uar
iiEDS

b)Mar
ker
ult
umor
alCA72-
4est
eobl
i
gat
ori
upent
rudi
agnost
ic

c) Cancer
ulgast
ri
cpr
ecoceest
easi
mpt
omat
ic

d)Gangl
i
oni
li
mfat
ici
mar
it
i(exggl
Vir
chow)

e) Cl
asi
fi
car
eaLaur
eni
mpar
tecancer
ulgast
ri
cinTi
pul
1int
eti
nal
sit
ipul
2di
fuz

11.Ur
mat
oar
eleaf
ir
mat
iisuntadev
arat
edespr
etr
atament
uli
nfect
iei
cuVHB:

a)Tr
atament
ul ant
ivi
ral
est
eindi
catpti
nfect
ii
lecr
oni
cecut
ransaami
nazenor
mal
e
si
vir
emiecrescuta

b)Ci
rozahepat
icacont
rai
ndi
cat
rat
ament
ulant
ivi
ral

c) Tot
inounascuti
icumameseropozi
ti
venecesi
tai
munopr
ofi
l
axi
epr
in
admini
str
areadeimunogl
obul
i
neanti
-B

d)Ent
ecav
irr
epr
ezi
ntaunanal
ognucl
eot
idi
del
i
nia2

e) Lami
vudi
nar
epr
ezunanal
ognucl
eot
idi
cdel
i
nia1

12.Despr
einf
ect
iacuhel
i
cobact
erpy
lor
isepoat
eaf
ir
maca:

a)Testar
eaer
adi
car
iii
nfect
iei
sepoat
ereal
i
zaut
il
izanddet
ermi
naar
eaant
icor
pil
or
seri
ci
 b)Col
oni
zar
eaant
rul
uidecat
reHPdetcel
mai
frecv
enthi
pocl
orhi
dri
e

c) Er
adi
car
eaHPr
educer
iscul
apar
it
iei
compl
i
cat
ii
lormal
i
gne

d)Schemel
eter
apeut
icedeer
adi
car
econt
inI
PPsi
cel
put
in2ant
ibi
oti
ce

e) HPest
eincr
imi
nati
npat
ogenezal
i
mfomul
uigast
ri
cdet
ipMALT

13.Ur
mat
oar
eleaf
ir
mat
iisuntadev
arat
edespr
ebol
i
lei
nfl
amat
ori
ii
ntest
inal
e,cuexcept
ia:

a)Mucoasacol
oni
caapaccuBoal
aCr
ohnpr
ezi
ntaaspect
ult
ipi
cde“
piat
rade
pav
aj”

b)Bi
opsi
i
ledel
ani
vel
ulcol
onul
uinusuntobl
i
gat
ori
i

c) I
nboal
acr
ohnseut
il
izeazacl
asi
fi
car
eaTr
uel
oveptev
aluar
easev
eri
tat
ii

d)Pi
tprezent
amani
fest
ariext
radi
gest
ivepr
ecum:
art
ropat
iaper
if
eri
ca,
epi
scl
eri
te,
uv
eit
e,pyoder
magangrenosum

e) St
enozel
esi
fist
ulel
esuntcompl
i
cat
iii
ntal
nit
emai
frecv
enti
nCol
i
taul
cer
ati
va

14.Ur
mat
oar
eleaf
ir
mat
iisuntf
alsedespr
ecompl
i
cat
ii
leci
rozei
hepat
ice,
cuexcept
ia:

a.Paracent
ezaev
acuat
ori
erepr
ezi
ntapr
imaopt
iunet
erapeut
icai
ncazul
prezent
ei
ascit
ei

b.Si
ndr
omul
hepat
o-r
enal
det
ip1est
elentpr
ogr
esi
v

c. Ast
eri
xi
sul
sei
ntal
nest
einencef
alopat
iahepat
icacompensat
a

d.Alf
afetoprot
einaest
eut
il
izat
acat
estdescr
eeni
ngpent
rucar
cionomul
hepat
ocelul
ar

e. Peri
toni
tabact
eri
anaspontanasediagnost
icheazapr
inpr
ezent
ade>50PMN/
mll
a
examenulci
tol
ogi
calli
chidul
uideascit
a

16.
*Acal
azi
acar
dieisedef
inest
epr
in:

a)pr
ezent
aunei
stenozel
ani
vel
ulcar
diei

b)pr
ezent
aher
niei
hiat
ale

c)i
nsuf
ici
ent
arel
axar
easf
inct
erul
uiesof
agi
ani
nfi
nti
mpul
degl
uti
ti
ei

d)pr
ezent
aneopl
asmul
uieso-
gast
ri
c
e)ul
cer
ati
il
ongi
tudi
nal
einf
orni
ulgast
ri
c

17.
*Despr
eHel
icobact
erpy
lor
i,unadi
ntr
eaf
ir
mat
inuest
eadev
arat
a:

a)est
ebaci
lgr
am negat
iv

b)col
oni
zeaz
atoat
amucoasadi
gest
iva

c)ar
etr
ansmi
ter
efecal
-or
ala

d)est
eadapt
atl
amedi
ulaci
d

e)af
osti
mpl
i
cati
napar
it
ial
i
mfomul
uigast
ri
c

18.
Lezi
uni
lemacr
oscopi
cecar
act
eri
sti
ceal
eRCUHsunt
:

a)ul
cer
ati
iaf
toi
de

b)st
erger
eadesenul
uiv
ascul
ar

c)er
it
em di
fuz

d)ul
cer
ati
idi
fuzeal
emucoasei

e)f
ist
ulesi
stenoze

19.*Unul
dint
reur
mat
oar
elesemnecl
ini
cenupoat
efacepar
tedi
nsd.Dei
ntest
in
i
ri
tabil
?

a)dur
ereaabdomi
nal
a

b)di
areeacr
oni
ca

c)r
ect
oragi
a

d)const
ipat
iacr
oni
ca

e)scader
eai
ngr
eut
ate

20.
Mecani
smel
edeact
iuneal
einhi
bit
ori
lordepompadepr
otonii
nul
cersunt
:

a)st
imul
areasecr
eti
edemucuspr
otect
or

b)cr
est
ereav
ascozi
tat
iimucusul
uigast
ri
c

c)i
nhi
bar
etr
odi
fuzi
uneai
oni
l
orH+

d)i
nact
iveazai
rev
ersi
bil
ATP-
azaH+/
K+
e)pr
oduci
nhi
bit
iepr
elungi
taaf
azel
orsecr
eti
eiaci
degast
ri
ce

21*
Uncancerdecol
onst
angsedepi
steazacelmaibi
nel
a:

a)Tuseur
ect
al

b)I
ri
gogr
afi
e

c)Col
onoscopi
e

d)Tomogr
afi
ecomput
eri
zat
a

e)Rezonant
amagnet
icanucl
ear
a

22.
*Febr
asauf
ri
soanel
easoci
atecol
ici
bil
iar
esuger
eaza:

a)mi
grar
eacal
cul
ului
incol
edoc

b)col
eci
sti
taacut
a

c)asoci
ereacol
angi
ocar
cinomul
ui

d)apar
it
iapancr
eat
it
eiacut
e

e)exxi
stent
aunei
mal
for
mat
iiav
ezi
cul
eibi
l
iar
e

23.
*Compl
icat
il
epancr
eat
it
eicr
oni
cesuntt
oat
edemaij
os,
inaf
aradeuna:

a)pseudochi
st

b)obst
ruct
iebi
l
iar
a

c)hemor
agi
egast
roi
ntest
inal
a

d)anemi
eaut
oimuna

e)di
abetzahar
at

24.
Trat
ament
ulconv
ent
ional
alpancr
eat
it
eiacut
eincl
ude:

a)anal
get
iceptdur
ere

b)aspi
rat
ienasogast
ri
ca
c)opr
ir
eaor
icar
uiapor
tal
i
ment
aror
al

d)cor
ti
cot
erapi
e

e)ant
ii
nfl
amat
ori
inest
eroi
diene
25.
Obst
ruct
iacompl
etaaduct
elorbi
li
areext
rahepat
icesecar
act
eri
zeazapr
in:

a)i
ctersi
hiper
bil
i
rubi
nemi
epr
edomi
nantconj
ugat
a

b)bi
l
irubi
nemi
emar
cat
a

c)absent
abi
l
irubi
nei
inur
ina

d)scaunehi
per
pigment
ate

e)scauneacol
i
ce

26.
*I
ncur
sult
erapi
eicuI
nter
fer
onnupoat
eapar
eaur
mat
oar
eacompl
icat
ie:

a)suspensi
emeul
ara

b)l
abi
l
itat
eemot
ional
a

c)al
opeci
e

d)r
eact
iiaut
oiumune

e)t
romboci
toza

27.
Mecani
smel
edeact
iuneal
einhi
bit
ori
lordepompadepr
otonii
nul
cersunt
:

a)st
imul
areasecr
eti
eidemucuspr
otect
or

b)cr
est
ereav
ascozi
tat
iimucusul
uigast
ri
c

c)i
nhi
bar
etr
odi
fuzi
uneai
oni
l
orH+

d)i
nact
iveazai
rev
ersi
bil
ATP-
azaH+/
K+?

e)pr
oduci
nhi
bit
iepr
elungi
taaf
azel
orsecr
eti
eiaci
degast
ri
ce

28.*Caredi
nur
mat
orineur
otr
ansmi
tat
ori
est
eimpl
icati
napar
it
iaencef
alopat
iei
hepati
ce:

a)l
evodopa

b)br
omocr
ipt
ina

c)cet
oanal
ogi
aiami
noaci
zi
loresent
ali

d)aci
dgama-
ami
nobut
ir
ic
e)ami
noaci
zicul
antr
ami
fi
cat

29.*
Di agnost
iculperi
toni
teibact
eri
enespont
anesebazeazapeanal
izal
ichi
dul
ui
asci
tic,careprezi
nta:

a)pest
e50l
eucoci
tePMN/
micr
oL

b)pest
e250l
eucoci
te/
micr
oL

c)pest
e250l
eucoci
tePMN/
micr
oL

d)pest
e80%l
i
mfoci
te

e)aspectchi
l
os

30.
Mani
fest
ari
lecol
onul
uii
ri
tabi
lsuntur
mat
oar
elecuexcept
ia:

a)r
ect
oragi
a

b)dur
ereaabdomi
nal
aamel
i
orat
ededef
ecat
ie

c)monsi
tent
amodi
fi
cat
aascaunul
ui(
diar
ee,
const
ipat
ie)

d)senzat
iededef
acat
iei
ncompl
eta

e)dur
ereat
rezest
ebol
nav
uldi
nsomn

31.
*Hi
per
spl
eni
smul
ser
efer
ala:

a)di
l
atat
iav
enel
ordi
nhi
l
ulspl
eni
c

b)t
rombozav
enel
ordi
nhi
l
ulspl
i
nei

c)dur
ereal
egat
ademar
imeaspl
i
nei

d)anemi
e,l
eucopeni
e,t
romboci
topeni
e

e)cr
est
ereaVSH-
ului

32.
”Tr
ipl
ater
api
e”i
ntr
atar
eaul
cer
uluipept
icHPpozi
ti
vsebazeazape:

a)subsal
i
cil
atdebi
smut

b)omepr
azol
c)cl
ari
tr
omi
cina

d)amoxi
cil
i
na

d)sucr
alf
at

33.
*Compl
icat
ii
leRCUHsuntur
mat
oar
elecuexcept
ia:

a)megacol
onul
toxi
c

b)cancer
uldecol
on

c)hemor
agi
idi
ginfsev
ere

d)pi
oder
magangr
enosul

e)spondi
l
itaanchi
l
opoet
ica

34.
Mani
fest
ari
lecol
onul
uii
ri
tabi
lsuntur
amt
oar
elecuexcept
ia:

a)r
ect
oragi
a

b)dur
ereaabdomi
nal
aamel
i
orat
ededef
ecat
ie

c)consi
stent
amodi
fi
cat
aascaunul
ui(
diar
ee/
const
ipat
ie)

d)senzat
iededef
ecat
iei
ncompl
eta

e)dur
ereat
rezest
ebol
nav
uldi
nsomn

35.
Fact
ori
predi
sozant
iaicancer
uluicol
o-r
ect
alsunt
:

a)consmul
crescutdegr
asi
miani
mal
e

b)consumul
crescutdef
ibr
eveget
ale

c)aspi
ri
na

d)f
umat
ul

e)pol
i
pii
col
oni
ciadenomat
osi
36.*
Urmator
iif
act
oriet
iol
ogi
cipotf
iimpl
icat
iinapar
it
ial
it
iazeibi
li
are,
cuo
except
ie:

a)obezi
tat
ea

b)gast
ri
tacr
oni
ca

c)di
sl
ipi
demi
a

d)sar
cina

e)hemol
i
zacr
oni
ca

37.
*I
cter
uldi
npancr
eat
it
aacut
asedat
orest
e:

a)hemol
i
zei

b)t
rombozei
dev
enapor
ta

c)compr
esi
eicol
edocul
ui

d)i
nexcusi
vi
tat
eli
ti
azei
col
edoci
eneasoci
ate

e)i
npancr
eat
it
aacut
anuapar
eict
er

38.Cauzel
edepancr
eat
it
acr
oni
casunt
:

a)al
cool
i
smul
croni
c

b)obst
ruct
iacanal
ului
Wir
sung

c)f
ibr
ozachi
sti
ca

d)mal
nut
ri
ti
esev
erapr
otei
ncal
ori
cacuhi
poal
bumi
nemi
e

e)ci
rozahepat
ica

39.Si
mpt
omat
ologi
aachal
azi
eicupr
indeur
amt
oar
ele:

a)di
sfagi
e

b)r
egur
cit
ati
e

c)met
eor
ism abdomi
nal

d)dur
erer
etr
ost
ernal
a
e)di
aree

40.Di
ntr
eict
erel
ecuhi
per
bil
ir
ubi
nemi
epr
edomi
nantconj
ugat
afacpar
te:

a)hemol
i
zai
ntr
a-si
ext
rav
ascul
ara

b)l
i
tiazabi
l
iar
a

c)col
angi
tascl
erozant
a?

d)boal
ahepat
icaal
cool
i
ca

e)si
ndr
omul
Cri
gler
-Naj
j
ar

41.
*Celmaif
recv
entsi
mpt
om i
ntal
niti
nhepat
it
acr
oni
caCest
e:

a)i
cter
ul

b)ar
tral
gii
l
e

c)di
areea

d)subf
ebr
il
it
ate

e)ast
eni
afi
zi
ca

42.
Fact
ori
preci
pit
ant
iaiencef
alopat
iei
hepat
icel
apaci
ent
icuci
rozapotf
i:

a)const
ipat
ia

b)al
i
ment
ati
ahi
popr
otei
ca

c)hemor
agi
agast
roi
ntest
inal
a

d)i
nfect
ii
le

e)hi
per
vol
emi
a

43.
*Pr
inci
piidet
rat
amenti
nencef
alopat
iahepat
icasuntur
mat
oar
elecuexcept
ia:

a)ev
itar
eaconst
ipat
iei

b)admi
nist
rar
adel
act
uloz
a
c)ant
ibi
oti
ce

d)admi
nist
areadepr
otei
nei
nal
i
ment
ati
emai
mul
tde60g/
zi

e)ant
agoni
sti
debenzodi
azepi
ne

44.
Prezent
aHel
icobact
erpl
orii
nor
gani
smulumanpoat
efidi
agnost
icat
apr
in:

a)cul
tur
adi
nsect
iagast
ri
ca

b)hemocul
tur
a

c)t
esut
ulr
espi
rat
orcuur
ee

d)examenhi
stol
ogi
cal
fragment
ului
demucoasagast
ri
caacol
atpr
inendoscopi
e

e)t
esut
ulr
api
dal
ureazei

45.
Incol
est
azai
ntahepat
icacr
escenzi
mel
e:

a)gl
i
tat
ion-
S-t
ransf
eraza

b)gamagl
utami
l
-tr
anspept
idaza

c)5-
nucl
eot
idaza

d)f
osf
atazaal
cal
i
na

e)col
i
nest
eraza

46.Si
mpt
omat
ologi
aacal
azi
eicupr
indeur
mat
oar
ele:

a)di
sfagi
e

b)r
egur
cit
are

c)met
eor
ismul
abdomi
nal

d)odi
nof
agi
e.

e)di
aree

47.Ur
mat
oar
elesi
mpt
omepotr
efl
ect
aocompl
i
cat
ieBRGE:

a)dur
erear
etr
ost
ernal
a
b)di
sfagi
a

c)pi
roz
is

d)r
egur
cit
ati
iaci
de

e)di
sconf
ortepi
gast
ri
c??
?

48.*
Despr
eHel
icobact
erpi
lor
i,unadi
ntr
eaf
ir
mat
inuest
eadev
arat
a:

a)est
ebaci
lgr
am negat
iv

b)col
oni
zeaz
atoat
amucoasadi
gest
iva

c)ar
etr
ansmi
ter
efecal
-or
ala

d)est
eadapt
atl
amedi
ulaci
d

e)pr
eval
ent
ainf
ect
iei
cuHPest
e70-
80%i
nul
cer
ulduodenal

49.Lezi
uni
lemacr
oscopi
cecar
act
eri
sti
ceal
eRUCHsunt
:

a)ul
cer
ati
iaf
toi
de

b)st
erger
eadesenul
uiv
ascul
ar

c)er
it
em di
fuz

d)ul
cer
ati
isuper
fi
cial
eal
emucoasei

e)f
ist
ulesi
stenoze

50.Car
act
eri
sti
cebol
icel
iacesunt
:

a)i
ntol
erant
alagl
uci
de

b)at
rof
iamucoasei
int
est
inal
e

c)di
areecu3-
6scaune/
24h

d)amel
i
orar
epr
ompt
alar
egi
mul
ali
ment
arf
aragl
uten

e)const
ipat
iecr
oni
ca
51.*
Inv
est
igat
iadeel
ect
ieptdecel
areacal
cul
i
lordi
nvezi
cul
abi
l
iar
aest
e:

a)col
eci
stogr
afi
a

b)r
adi
ogr
afi
aabdomi
nal
a

c)ecogr
afi
a

d)ecoendoscopi
a

e)t
omogr
afi
acomput
eri
zat
a

52.Cauzel
edepancr
eat
it
acr
oni
casunt
:

a)al
cool
i
smul
croni
c

b)obst
ruct
iacanal
ului
Wir
sung

c)aut
oimuni
tat
ea

d)mal
nut
ri
ti
e

e)ci
rozahepat
ica

53.Ti
pulIdehepat
it
aaut
oimunasecar
act
eri
zeazapr
in:

a)seasoci
azacual
tebol
iaut
oimune

b)f
recv
ent
amai
mar
elaf
emei
tiner
e

c)pr
ezent
aant
icor
pil
orant
inucl
ear
ici
rcul
ant
i

d)ant
icor
piant
i-
LKM1

e)asoci
ereacuv
irusul
hepat
icC

54.Encef
alopat
iahepat
icaest
eunsi
ndr
om neur
o-psi
hhi
atr
iccar
act
eri
zatpr
in:

a)ast
eri
xi
s

b)modi
fi
car
ial
ecomor
tament
ului

c)modi
fi
car
ial
est
ari
ideconst
ient
a

d)conv
ulsi
itoni
co-
cloni
ce
e)i
ncont
int
asf
inct
eri
ana

55.Reducer
eadozel
ordespi
ronol
act
onai
ntr
atament
ulasci
teidi
nci
rozahepat
ica
estei
mpusade:

a)cr
est
erear
ezer
veiazot
ate

b)hi
per
pot
asemi
e

c)l
i
psader
aspunsl
atr
atament?

d)hi
ponat
remi
e

e)cr
est
ereabi
l
irubi
nei

56.Ur
mat
oar
eleaf
ir
mat
isuntcor
ect
einceeacepr
ivest
ecancer
ulesof
agi
an:

a)f
umat
ulsi
alcool
ulr
epr
ezi
ntaf
act
ori
fav
ori
zant
i

b)hi
stol
ogi
c,maj
ori
tat
easuntadenocar
cinoame

c)st
adi
ali
zar
eat
umor
alasef
acecuaj
utor
ulendoscopi
ei

d)ev
olut
iaest
erapi
dai
arpr
ognost
icul
rezer
vat

e)t
rat
ament
ulendoscopi
cinf
azel
eav
ansat
epoat
efi
cur
ati
v

57.Mani
fest
eri
lei
npuseuldeact
ivi
tat
esev
eradi
nRCUHsunt
:

a)di
aree,
inspeci
alcusange,
mucussi
pur
oi

b)f
ebr
a/subf
ebr
il
it
ate

c)t
enesmesi
crampeabdomi
nal
e

d)scauncuaspectnor
mal

e)pi
erder
eponder
alai
mpor
tant
a

57.*
Compl
icat
ileRCUHpotf
i,cuexcept
ia:

a)cancer
uldecol
on

b)st
enozei
ntest
inal
efr
ecv
ent
e
c)sanger
aremasi
vacuanemi
esecundar
a

d)mani
fest
ari
ext
radi
gest
ivesev
ere

e)megacol
onul
toxi
c

58.I
nBoal
aCr
ohn:

a)exami
nar
eai
ntest
inul
uisubt
ir
esepoat
efacecuent
erocapsul
a

b)cl
asi
fMont
real
rel
evai
ndexul
deact
ivi
tat
eal
bol
i
i

c)t
rat
ament
ulchi
rur
gical
est
ecur
ati
v

d)f
umat
ulr
epr
ezi
ntaf
act
ordepr
otect
ie

e)i
nlocal
i
zar
il
eil
eal
esaui
l
eocecal
e,sepr
efer
aut
il
izar
eaBudesoni
dul
ui

59.Boal
aWi
lsonsecar
act
eri
zeazapr
in:

a)mani
fest
ari
hepat
ice

b)mani
fest
ari
neur
opsi
hice

c)mani
fest
ari
ocul
are

d)mani
hest
ari
car
diace

e)hi
per
pigment
aret
egument
aragener
ali
zat
aceconf
eraaspectdedi
abetzahar
at

60.
Inaf
aradesi
mpt
omel
edi
gest
ive,
BRGEsepoat
emani
fest
asipr
in:

a)si
mpt
omecar
diace

b)si
mpt
omer
espi
rat
ori
i

c)
simpt
omeORL

d)si
mpt
omev
ascul
areper
if
eri
ce

e)si
mpt
omeneur
ologi
ce

61.
Car
esuntaf
ect
iuni
lecur
isccr
escutdecancergast
ri
c:

a)gast
ri
tacr
oni
caat
rof
icacumet
apl
azi
eint
est
inal
a

b)st
omacul
oper
at

c)Boal
aMenet
ri
er
d)Gast
ri
taacut
ahemor
agi
ca

e)gast
ropat
iapor
tal
hiper
tensi
va

62.
Prezent
aHel
icobact
erpy
lor
iinor
gani
smulumanpoat
efidi
agnost
icat
apr
in:

a)cul
tur
adi
nsecr
eti
agast
ri
ca

b)hemocul
tur
a

c)t
est
ulr
espi
rat
orcuur
ee

d)examenhi
stol
ogi
cal
fragment
ului
demucoasagast
ri
car
ecol
tatpr
inendoscopi
e

e)t
est
ulr
api
dal
ureazei

63.
Compl
icat
il
eRCUHsuntur
mat
oar
elecuexcept
ia:

a)megacol
onul
toxi
c

b)cancer
uldecol
on

c)hemor
agi
idi
gest
ivei
nfer
ioar
esev
ere

d)pi
oder
magangr
enosum

e)spondi
l
itaanchi
l
opoi
eti
ca?

64.
Fact
ori
predi
spozant
iaicancer
uluiacol
o-r
ect
alsunt
:

a)consumul
crescutdegr
asi
miani
mal
e

b)consumul
crescutdef
ibr
eveget
ale

c)aspi
ri
na

d)al
cool
ul

e)pol
i
pii
col
oni
ciadenomat
osi

65.*
Urmatori
ifact
oriet
iol
ogi
cipotf
iimpl
icat
iinapar
it
ial
it
iazeibi
li
are,
cuo
e4xcept
ie:

a)obezi
tat
ea

b)gast
ri
tacr
oni
ca

c)di
sl
ipi
demi
a

d)sar
cina

e)hemol
i
zacr
oni
ca
66.Car
edi
nur
mat
ori
aut
oant
icor
pisuntcar
act
eri
sti
cihepat
it
eloraut
oimune:

a)ant
icor
pii
ant
i-
muschi
net
ed(
SMA)

b)ant
icor
pii
ant
inucl
ear
i(
ANA)

c)ant
icor
pii
ant
imi
tocondr
ial
i
(AMA)

d)ant
icor
pii
ant
i-
ant
igensol
ubi
lhepat
ic(
SLA)

e)ant
icor
pii
ant
imi
crozomal
ihepat
ici
sir
enal
i
(LKM)

67.
Fact
ori
preci
pit
ant
iaiencef
alopat
iei
hepat
icel
apaci
ent
icuci
rozapotf
i:

a)const
ipat
ia

b)al
i
ment
ati
ahi
popr
otei
ca

c)hemor
agi
agast
roi
ntest
inal
a

d)i
nfect
ii
le

e)hi
per
vol
emi
a

68.Tr
atament
ulcur
ati
vsipr
ofi
lact
icalper
it
oni
teibact
eri
enespont
anesepoat
e
facecu:

a)cef
alospor
ine

b)ami
nogl
i
cozi
de

c)chi
nol
one

d)ant
ii
nfl
amat
ori
i

e)chi
rur
gical

69.
Urmat
oar
elesuntadev
arat
edespr
epancr
eat
it
acr
oni
ca:

a)l
i
tiazabi
l
iar
aest
eocauzai
mpor
tant
aapancr
eat
it
eicr
oni
cel
afemei

b)
inal
cool
i
smul
croni
c,sucul
pancr
eat
icar
eoconcent
rat
iemai
micadepr
otei
ne

c)i
nst
adi
i
lei
nci
pient
e,ceamai
fidel
amet
odadedi
agnost
icest
eecoendoscopi
a

d)i
nprezentamalabsor
bti
ei,
dozadef
erment
idesubst
it
uti
etr
ebui
esaf
iedecel
put
in
20.
000Ul i
paza/
masa

e)r
ezerv
af unct
ional
apancr
eat
icapoat
efi
apr
eci
atacuobunaacur
atet
epr
int
omogr
afi
e
compter
izata1
70.
Inhepat
it
acr
oni
cav
iral
aB:

a)act
ivi
tat
eanecr
o-i
nfl
amat
ori
epoat
efi
decel
atapr
inFi
broscan

b)aspect
ulhepat
oci
tul
ui„
inst
icl
amat
a”est
epat
ognomoni
c

c)rezer
vor
uldei
nfect
ivi
tateest
emar e,
dat
ori
tapr
ocesul
uimar
edecr
oni
cizar
eai
nfect
iei
(90%)d)d)l
ezar
eahepaticasefacepri
nmechani
sm i
mun

e)f
ormel
ecuv
alor
inor
mal
eal
etr
ansami
nazel
eorr
aspundsl
abl
ater
api
e

71.
Sunti
mpl
icat
einet
iol
ogi
aci
rozeihepat
ice:

a)Boal
aWi
l
son-
depuner
eadef
ierl
ani
vel
hepat
ic

b)v
irusur
il
ehepat
ice

c)NAFLD=st
eat
ohepat
it
anonal
cool
i
ca

d)i
nsuf
ici
ent
acar
diacasev
era

e)hemocr
omat
oza

72.
Sindr
omulZi
eve:

a)est
efr
ecv
enti
nci
rozel
ehepat
icenonal
col
i
ce

b)secar
ect
eri
zeazapr
ini
ncar
car
eagr
asaaf
icat
ului

c)secar
act
eri
zeazapr
inhi
per
li
pemi
esi
anemi
efer
ipr
iva

d)di
npctdev
eder
ecl
i
nic,
apardur
eri
abdomi
nal
e,f
ebr
asi
ict
er

e)est
einsot
itdehepat
omegal
i
e

73.
Semnel
eecogr
afi
cedehi
per
tensi
unepor
tal
asunt
:

a)spl
enomegal
i
a?

b)i
ngr
osar
easi
dedubl
areaper
etel
uiv
ezi
cul
ar

c)cr
est
ereadi
amet
rul
uiv
enei
por
te

d)pr
ezent
aasci
tei

e)exi
stent
ahet
erogeni
tat
iihepat
ice

74.
*Ci
rozabi
li
arapr
imi
ti
va:

a)par
cur
gepat
rust
adi
ihi
stol
ogi
ce

b)ar
einci
dent
amai
crescut
alasexul
mascul
i
n
c)secar
act
eri
zeazapr
inASMApr
ezentl
a95%di
ncazur
i

d)secar
act
eri
zeazapr
inbi
l
irubi
nat
otal
afr
ecv
entcr
escut
a

e)t
rat
ament
ulhepat
icest
econt
rai
ndi
cat

75.Si
mpr
omat
ologi
aacal
azi
eicupr
indeur
mat
oar
ele:

a)di
sfagi
e

b)r
egur
cit
are

c)met
eor
ismul
abdomi
nal

d)odi
nof
agi
e.

e)di
aree

76.
Not
ati
sit
uat
il
edef
avor
izar
eabol
ider
efl
uxgast
ro-
esof
agi
an:

a)cr
est
ereamot
il
it
ati
igast
ri
ce

b)l
argi
reaunghi
ului
His

c)al
ter
areacl
ear
ance-
ului
esof
agi
an

d)scader
eapr
esi
uni
ii
ntr
aabdomi
nal
e

e)i
ntar
zier
eaev
acuar
iigast
ri
ce

77.
Ref
eri
torl
aHel
icobact
erpy
lor
i,not
ati
afi
rmat
ilecor
ect
e:

a)HPest
elocal
i
zatsubst
rat
uldemucusgast
ri
c

b)HPcr
est
epemucoasagast
ri
casi
duodenal
anor
mal
a

c)sur
sadei
nfect
iei
ntar
il
esl
abdezv
olt
ateest
eapa

d)seasoci
azacugast
ri
tadef
orni
xti
pAi
n75-
90%cazur
i

e)gast
ri
taHPpoat
eev
oluacat
rel
i
mfom gast
ri
c

78Car
edi
ntr
eur
mat
oar
eleaf
ir
mat
idespr
ecancer
ulesof
agi
annusuntadev
arat
e?

a)cel
mai
frecv
entest
ecar
cinomul
epi
der
moi
d
b)l
ocal
i
zar
eaceamai
frecv
ent
aest
ein1/
3suer
ioar
aaesof
agul
ui

c)st
enozel
epost
caust
icepr
edi
spunl
aapar
it
iacanceul
uiesof
agi
an

d)supr
avi
etui
real
a5ani
est
ede5%

e)f
ormai
nfi
l
trat
ivaest
eceamai
frecv
ent
a

79.Met
odel
eindi
rect
epent
rudi
agnost
icul
inf
ect
ieicuHP:

a)cul
tur
a

b)det
ermi
nar
eaAc.Ant
i-
HPi
nser

c)t
est
eler
espi
rat
ori

d)ex.hi
stopat
ologi
c

e)t
est
ulur
eazei

80.Not
ati
raspunsur
il
ecor
ect
e:

a)exi
staopr
edi
spozi
ti
efami
l
ial
apent
rucancer
ulgast
ri
c

b)cancer
elegast
ri
cebi
nedi
fer
ent
iat
esuntmai
agr
esi
vedecatcel
esl
abdi
fer
ent
iat
e

c)f
recv
ent
acancer
ului
gast
ri
ccest
einscader
e

d)pol
i
pii
hiper
plazi
cigast
ri
cir
epr
ezi
ntaost
arepr
emal
i
gna

e)f
ormadecancergast
ri
cin„
inel
cupecet
e”est
efoar
teagr
esi
va

81.
*Tr
atament
uli
nit
ialaluneif
ormeacut
emoder
atedeRCUHcupr
inde:

a)cor
ti
cost
eroi
zi

b)agent
iant
i-
TNFal
fa

c)mesal
azi
na

d)i
munosupr
esoar
e

e)ant
ibi
oti
ce
82.Ref
eri
torl
acancer
ulcol
o-r
ect
al,
car
esuntaf
ir
mat
iadev
arat
e:

a)pol
i
pii
adenomat
osi
nuaupot
ent
ial
demal
i
gni
zar
e

b)pol
i
pii
hiper
plazi
ciaupot
ent
ial
demal
i
gni
zar
e

c)pol
i
pii
vil
osi
aucel
mai
mar
epot
ent
ial
demal
i
gni
zar
e

d)pol
i
pii
tubul
ari
aucel
mai
micpot
ent
ial
demal
i
gni
zar
e

e)aci
zi
ibi
l
iar
isuntf
act
ori
co-
car
cinogeni

83.
Refer
itorl
acancer
ulgast
ri
cinci
pient
(super
fi
cial
),not
atiaf
ir
mat
ii
lecor
ect
e:a)
nudepasestemuscul
ari
smucosae

b)cupr
indedoarmucoasasi
submucoasa

c)or
icef
ormadecancergast
ri
ccar
enuar
eadenopat
iisaumet
ast
ae?

d)supr
avi
etui
real
a5ani
est
edepest
e95%

e)r
ezect
iaendoscopi
caest
eomet
odadet
rat
amentsuf
ici
ent
a

84.Tr
atament
ulacutalBol
iCr
ohnpoat
ecupr
inde:

a)pr
edni
son

b)i
mur
an

c)ant
ibi
oti
ce

d)mesal
azi
na

e)i
nli
xi
mab

84.Not
ati
sit
uat
ii
lei
ncar
esei
ntal
nest
e,deobi
cei
,l
it
iazacol
est
erol
ica:

a)sl
abi
rir
api
dei
ngr
eut
ate?

b)ci
roz
ahepat
ica

c)obezi
tat
e

d)i
nfect
iicuCl
onor
chi
s

e)di
abetzahar
at
85.
*Ref
eri
torl
at r
apiahepat
it
eiB,al
eget
imedi
cament
ulant
ivi
ral
incur
sulcar
uia
poat
eaparearezi
stent
a(mutanteYMDD):

a)i
nter
fer
on

b)ent
ecav
ir

c)l
ami
vudi
na

d)r
ibav
iri
na

e)adef
ovi
r

86.Ref
eri
torl
ahepat
it
acr
oni
caC,
not
ati
raspunsur
il
ecor
ect
e:

a)r
atadeev
olut
iespr
eci
rozaaunei
hepat
it
ecr
oni
ceCest
ede20-
30%

b)r
atadecr
oni
cizar
edupaohepat
it
aacut
aCest
ede70-
80%

c)exi
stacazur
idehepat
it
acr
oni
caCcuv
alor
inor
mal
eal
etr
ansami
nazel
or

d)Acant
iVHCsemni
fi
cat
recer
eapr
inboal
asi
vindecar
ea

e)VHCnuar
eact
iuneci
topat
icadi
rect
a,si
pri
ninducer
eaunui
raspi
munmedi
atcel
ular

87.Tr
atamenul
cur
ati
vsi
prof
il
act
ical
per
it
oni
tei
bact
eri
enespont
anesepoat
efacecu:

a)cef
alospor
ine

b)ami
nogl
i
cozi
de

c)chi
nol
one

d)ant
ii
nfl
amat
ori
i

e)chi
rur
gica

88.*Ofemeieinv
arst
ade56deanicar
esepr
ezi
tapti
cet
rsioboseal
acelmai
probabilar
e:
a)boal
aWi
lson

b)hemat
ocr
omat
oza

c)ci
rozabi
l
iar
apr
imi
ti
va

d)col
angi
tascl
erozant
apr
iar
a

e)hepat
it
aaut
oimuna

89.
*InBRGE,
endoscopi
adi
gest
ivapoat
eev
ident
iat
oat
edemai
joscuoexcept
ie:

a)her
niehi
atal
a

b)esof
agBar
ett

c)achal
asi
acar
diei

d)st
enozaesof
agi
ana

e)esof
agnor
mal

90.
Fact
ori
predi
spozant
iaicancer
uluicol
orect
alsunt
:

a)consumul
crescutdegr
asi
miani
mal
e

b)consumul
crescutdef
ibr
eveget
ale

c)aspi
ri
na

d)f
umat
ul

e)pol
i
pii
col
oni
ciadenomat
osi

91.
Ref
eri
torl
agast
ri
te,
not
ati
afi
rmat
ii
lecor
ect
e:

a)i
ngast
ri
tacr
oni
casecar
act
eri
zeaz
apr
int
r-
uni
nfi
l
tratbogati
nneut
rof
il
e

b)gast
ri
taacut
asecar
act
eri
zeazapr
inpi
erder
eagl
andel
oroxi
nti
ce

c)abcesel
ecr
ipt
icesei
ntal
nesci
ngast
ri
taacut
a

d)maj
ori
tat
eagast
ri
tel
oracut
esuntaut
oli
mit
ate

e)ogast
ri
taest
einact
ivaat
unci
candl
i
psescneut
rof
il
ele

92.Aleget
iinvesti
gat
ileut
il
epent
rust
adi
ali
zar
eapr
eoper
ator
iei
ntr
-uncazde
canceresofagian:

a)endoscopi
adi
gest
iva
b)ecoendoscopi
a

c)bi
opsi
a?

d)t
omogr
afi
acomput
eri
zat
a

e)r
ezonant
amagnet
icanucl
ear
a

93.
Ref
eri
torl
acancer
ulcol
o-r
ect
al,
car
esuntaf
ir
mat
ileadev
arat
e:

a)ACEar
erol
indet
ect
arear
eci
div
elorpost
oper
ator
i

b)ecoendoscopi
asef
olosest
epent
ruapr
eci
ereaext
ensi
eit
umor
alei
nregi
unear
ect
ala

c)pent
rupr
ofi
l
axi
asecundar
aser
ecomandat
estHemocul
tla5ani
dupav
arst
ade50ani

d)r
adi
oter
api
aseadr
eseaz
ainspeci
alcancer
ului
rect
alsi
anal

e)CTabdomi
nal
la3l
uni
pent
rudepi
star
eamet
ast
azel
orhepat
icepost
oper
ator
ii

94.I
nRCUH:

a)exi
staul
cer
ati
iadanci
,uneor
ili
near
e

b)r
ect
ulest
etot
deaunaaf
ect
at

c)l
ezi
uni
l
ehi
stol
ogi
cepr
indi
ntr
egper
etel
e

d)modi
fi
car
il
eendoscopi
ceauuncar
act
ercont
inuu

e)exi
stal
ezi
uni
per
ianal
eti
pice

95.Notat
isi
tuatil
eincar
esei
ntal
nest
e,deobi
cei
,l
it
iazadebi
li
rubi
natdecal
ciu:a)
a)ci
rozahepati
ca

b)hemol
i
zacr
oni
ca

c)sl
abi
rir
api
dei
ngr
eut
ate

d)i
nfect
iicuCl
onor
chi
s

e)
diabetzahar
at

96.
InBoal
aCr
ohn:

a)exi
staul
cer
ati
iadanci
,uneor
ili
niar
e
b)i
l
eonul
est
etot
deaunaaf
ect
at

c)modi
fi
car
il
eendoscopi
ceauuncar
act
ercont
inuu

d)l
ezi
unl
ehi
stol
ogi
cecupr
indi
ntr
egper
etel
e

e)dg.Sepunef
recv
enti
ntr
aoper
ator

97.Ur
mat
oar
elesuntadev
arat
edespr
epancr
eat
it
acr
oni
ca:

a)i
nst
adi
i
lei
nci
pient
e,ceamai
fidel
amet
odadedi
agnost
icest
eecoendoscopi
a

b)l
i
tiazabi
l
iar
aest
eocauzai
mpor
tant
aapancr
eat
it
eicr
oni
cel
afemei

c)i
nprezentamalabsor
bti
ei,
dozadef
erment
idesubst
it
uti
etr
ebui
esaf
iedecel
put
in
25.
000Ul i
paza/
masa

d)
inal
cool
i
smul
croni
c,sucul
pancr
eat
icar
eoconcent
rat
iemai
micadepr
otei
ne

e)r
ezerv
af unct
ional
apancr
eat
icapoat
efi
apr
eci
atacuobunaacur
atet
epr
int
omogr
afi
e
compter
izata

98.
Dint
abl
oul
cli
nical
Sd.Dei
ntest
ini
ri
tabi
lnuf
acpar
te:

a)al
ter
areaconst
ipat
iei
cudi
areea

b)r
ect
oragi
i
le

c)cr
ampel
eabdomi
nal
e

d)anemi
a

e)pi
erder
eaponder
ala

99.
*Interapi
ahepat
it
eicr
oni
cev
iral
eC,
pri
nci
pal
areact
ieadv
ersal
ari
bav
iri
naest
e:
a)pancit
openia

b)af
ect
areat
ir
oidi
ana

c)cr
iogl
obul
i
nemi
e

d)anemi
ahemol
i
tica

e)depr
esi
a
100.Ref
eri
torl
ahepat
it
elecr
oni
ceB,
not
atir
aspunsur
il
ecor
ect
e:

a)scor
ulKnodel
lest
eunscornei
nvazi
vpent
ruapr
eci
ereasev
eri
tat
ii?

b)cr
oni
cizar
eai
nfect
iei
acut
eVHBpoat
edepasi
90%l
acopi
i
iinf
ect
ati
per
inat
al

c)AgHBsest
eunmar
kerdei
nfect
iozi
tat
e

d)pr
ezent
aAcant
iHBesemni
fi
cai
nfect
iacu„
vir
ussal
bat
ic”

e)i
nromani
aapr
ox80%di
nhepat
it
elecr
oni
ceBsuntf
orme”
e”pozi
ti
ve

101.
Encef
alopat
iahepat
icaest
eunsi
ndr
om neur
o-psi
hiat
ri
ccar
act
eri
zatpr
in:

a)ast
eri
xi
s

b)conv
ulsi
itoni
co-
cloni
ce

c)modi
fi
car
ial
est
ari
ideconst
ient
a

d)i
ncont
inent
asf
inct
eri
ana

e)modi
fi
car
ial
ecompor
tament
ului

102.
Reducer
eadozel
ordespi
ronol
act
onai
ntr
atament
ulasci
teidi
nci
rozahepat
ica
est
eimpusade:

a)l
isader
aspunsl
atr
atament?

b)hi
ponat
remi
e

c)cr
est
erear
ezer
vei
azot
ate

d)hi
per
pot
asemi
e

e)cr
est
ereabi
l
irubi
nei

102.
*Diagnost
iculper
itoni
teibact
eri
enespont
anesebazeazapeanal
izal
ichi
dul
ui
asci
ti
c,carepr
ezinta:

a)pest
e50l
eucoci
tePMN?
micr
oL

b)pest
e250l
eucoci
te/
micr
oL

c)pest
e250l
eucoci
tePMN/
micr
oL
d)pest
e80%l
i
mfoci
te

e)aspectchi
l
os

103.
Car
edi
ntr
eur
mat
oar
eleaf
ir
amt
idespr
ecancer
ulesof
agi
annusuntadevar
ate?

a)l
ocal
i
zar
eaceamai
frecv
ent
aest
ein1/
3suer
ioar
aaesof
agul
ui

b)cel
mai
frecv
entest
ecar
cinomul
epi
der
moi
d

c)f
ormai
nfi
l
trat
ivaest
eceamai
frecv
ent
a

d)st
enozel
epost
caust
icepr
edi
spunl
aapar
it
iacanceul
uiesof
agi
an

e)supr
avi
etui
real
a5ani
est
ede5%

104.
Met
odel
eindi
rect
epent
rudi
agnost
iculi
nfect
ieicuHP:

a)det
ermi
nar
eaAc.Ant
i-
HPi
nser

b)t
est
ulur
eazei

c)cul
tur
a

d)t
est
eler
espi
rat
ori
i

e)exhi
stopat
ologi
c

105.Encef
alopat
iahepat
icaest
eunsi
ndr
om neur
o-psi
hiat
ri
ccar
act
eri
zatpr
in:

a)ast
eri
xi
s

b)modi
fi
car
ial
ecomor
tament
ului

c)modi
fi
car
ial
est
ari
ideconst
ient
a

d)conv
ulsi
itoni
co-
cloni
ce

e)i
ncont
int
asf
inct
eri
ana

106.
Not
ati
raspunsur
il
ecor
ect
e:

a)f
recv
ent
acancer
ului
gast
ri
cest
einscader
e?

b)exi
staopr
edi
spozi
ti
efami
l
ial
apent
rucancer
ulgast
ri
c

c)pol
i
pii
hiper
plazi
cigast
ri
cir
epr
ezi
ntaost
arepr
emal
i
gna

d)f
ormadecancergast
ri
cin„
inel
cupecet
e”est
efoar
teagr
esi
va

e)cancer
elegast
ri
cebi
nedi
fer
ent
iat
esuntmai
agr
esi
vedecatcel
esl
abdi
fer
ent
iat
e
107.Not
ati
sit
uat
iledef
avor
izar
eabol
ider
efl
uxgast
ro-
esof
agi
an:

a)l
argi
reaunghi
ului
His

b)al
ter
areacl
ear
ance-
ului
esof
agi
an

c)cr
est
ereamot
il
it
ati
igast
ri
ce

d)i
ntar
zier
eaev
acuar
iigast
ri
ce

e)scader
eapr
esi
uni
ii
ntr
aabdomi
nal
e

108.
*Tr
atament
uli
nit
ialaluneif
ormeacut
emoder
atedeRCUHcupr
inde:

a)cor
ti
cost
eroi
zi

b)agent
iant
i-
TNFal
fa

c)mesal
azi
na

d)i
munosupr
esoar
e

e)ant
ibi
oti
ce

109.
Trat
ament
ulacutalBol
iCr
ohnpoat
ecupr
inde:

a)pr
edni
son

b)i
mur
an

c)ant
ibi
oti
ce

d)mesal
azi
na

e)i
nli
xi
mab

110*
InBRGE,
endoscopi
adi
gest
ivapoat
eev
ident
iat
oat
edemaij
oscuoexcept
ie:

a)her
niehi
atal
a

b)esof
agBar
ett

c)achal
asi
acar
diei

d)st
enozaesof
agi
ana?
e)esof
agnor
mal

111.
Ref
eri
torl
acancer
ulacol
o-r
ect
al,
car
esuntaf
ir
mat
ileadev
arat
e:

a)ACEar
erol
indet
ect
arear
eci
div
elorpost
oper
ator
ii

b)CTabdomi
nal
la3l
uni
pent
rudepi
star
eamet
ast
azel
orhepat
icepost
oper
ator
ii

c)pent
rupr
ofi
l
axi
asecundar
aser
ecomandat
estHemocul
tla5ani
dupav
arst
ade50ani

d)r
adi
oter
api
aseadr
eseazai
nspeci
alcancer
ului
rect
alsi
anal

e)ecoendoscopi
asef
olosest
epent
ruapr
eci
ereaext
ensi
eit
umor
alei
nregi
unear
ect
ala

112.Ref
eri
torl
agast
ri
te,
not
ati
afi
rmat
ii
lecor
ect
e:

a)maj
ori
tat
eagast
ri
tel
oracut
esuntaut
oli
mit
ate

b)ogast
ri
taest
einact
ivaat
unci
candl
i
psescneut
rof
il
ele

c)abcesel
ecr
ipt
icesei
ntal
nesci
ngast
ri
taacut
a

d)i
ngast
ri
tacr
oni
casecar
act
eri
zeazapr
int
r-
uni
nfi
l
tratbogati
nneut
rof
il
e

e)gast
ri
taacut
asecar
act
eri
zeazapr
inpi
erder
eagl
andel
oroxi
nti
ce

113.Ur
mat
oar
elesuntadev
arat
edespr
epancr
eat
it
acr
oni
ca:

a)l
i
tiazabi
l
iar
aest
eocauzai
mpor
tant
aapancr
eat
it
eicr
oni
cel
afemei

b)
inal
cool
i
smul
croni
c,sucul
pancr
eat
icar
eoconcent
rat
iemai
micadepr
otei
ne

c)i
nst
adi
i
lei
nci
pient
e,ceamai
fidel
amet
odadedi
agnost
icest
eecoendoscopi
a

d)i
nprezentamalabsor
bti
ei,
dozadef
erment
idesubst
it
uti
etr
ebui
esaf
iedecel
put
in
25.
000Ul i
paza/
masa

e)r
ezerv
af unct
ional
apancr
eat
icapoat
efi
apr
eci
atacuobunaacur
atet
epr
int
omogr
afi
e
compter
izata?
114.
Ref
eri
torl
ahepat
it
acr
oni
caC,
not
ati
raspunsur
il
ecor
ect
e:

a)r
atadecr
oni
cizar
edupaohepat
it
aacut
aCest
ede70-
80%

b)r
atadeev
olut
iespr
eci
rozaaunei
hepat
it
ecr
oni
ceCest
ede20-
30%

c)Acant
iVHCsemni
fi
cat
recer
eapr
inboal
asi
vindecar
ea

d)VHCnuar
eact
iuneci
topat
icadi
rect
a,si
pri
ninducer
eaunui
raspi
munmedi
atcel
ular

e)exi
stacazur
idehepat
it
acr
oni
caCcuv
alor
inor
mal
eal
etr
ansami
nazel
or

115.
*Ref
eri
torlat
erapi
ahepati
teiB,
alegetimedi
cament
ulant
ivi
ral
incur
sulcar
uia
poat
eaparearezi
stent
a(mutanteYMDD) :

a)i
nter
fer
on

b)l
ami
vudi
na

c)ent
ecav
ir

d)r
ibav
iri
na

e)adef
ovi
r

116.Car
edi
ntr
eur
mat
oar
eleaf
ir
mat
idespr
ecancer
ulesof
agi
annusuntadev
arat
e?

a)cel
mai
frecv
entest
ecar
cinomul
epi
der
moi
d

b)l
ocal
i
zar
eaceamai
frecv
ent
aest
ein1/
3suer
ioar
aaesof
agul
ui

c)st
enozel
epost
caust
icepr
edi
spunl
aapar
it
iacanceul
uiesof
agi
an

d)supr
avi
etui
real
a5ani
est
ede5%

e)f
ormai
nfi
l
trat
ivaest
eceamai
frecv
ent
a

117.I
nBoal
aCr
ohn:

a)exami
nar
eai
ntest
inul
uisubt
ir
esepoat
efacecuent
erocapsul
a

b)cl
asi
fMont
real
rel
evai
ndexul
deact
ivi
tat
eal
bol
i
i

c)t
rat
ament
ulchi
rur
gical
est
ecur
ati
v

d)f
umat
ulr
epr
ezi
ntaf
act
ordepr
otect
ie?

e)i
nlocal
i
zar
il
eil
eal
esaui
l
eocecal
e,sepr
efer
aut
il
izar
eaBudesoni
dul
ui
118.
*Tr
atament
uli
nit
ialaluneif
ormeacut
emoder
atedeRCUHcupr
inde:

a)cor
ti
cost
eroi
zi

b)agent
iant
i-
TNFal
fa

c)mesal
azi
na

d)i
munosupr
esoar
e

e)ant
ibi
oti
ce

119.Met
odel
eindi
rect
epent
rudi
agnost
iculi
nfect
ieicuHP:

a)cul
tur
a

b)det
ermi
nar
eaAc.Ant
i-
HPi
nser

c)t
est
eler
espi
rat
ori
i

d)e.hi
stopat
ologi
c

e)t
est
ulur
eazei

120.*Di
ntabl
oulcl
ini
calher
nieihi
atal
epotf
acepar
tet
oat
edemaij
os,
cuo
excepti
e:

a)r
egur
cit
ati
il
e

b)anemi
amegal
obl
ast
ica

c)dur
eri
l
etor
aci
ce

d)t
useacr
oni
ca

e)v
arsat
uri

121.
”NouaTr
ipl
ater
api
e”i
ntr
atar
eaul
cer
uluipept
icsebazeazape:

a)subsal
i
cil
atdebi
smut

b)omepr
azol

c)cl
ari
tr
omi
cina
d)met
roni
dazol

d)sucr
alf
at

122.Fact
orideapar
areai
mucoasei
gast
ro-
duodenal
eimpot
ri
vaaci
dit
ati
gast
ri
cesunt
repr
ezentat
i de:

a)mucusul
gast
ri
c

b)i
oni
idebi
car
bonat

c)pr
ost
agl
andi
nel
e

d)hi
stami
ne

e)acet
il
col
i
na

123.
*St
eat
oreeaest
eunsemnde:

a)mal
absor
bti
e

b)ul
cerduodenal

c)ci
rozahepat
ica

d)pancr
eat
it
aacut
a

e)cancerr
ect
al

124.
*Diagnost
iculper
it
oni
teibact
eri
enespont
anesebazeazapeanal
izal
ichi
dul
ui
asci
ti
ccareprezint
a:

a)pest
e50l
eucoci
tePMN/
micr
oL

b)pest
e250l
eucoci
te/mi
croL

c)pest
e250l
eucoci
tePMN/mi
croL

d)pest
e80%l
i
mfoci
te

e)aspectchi
l
os

125.
*Pr
inci
pal
acauzadepancr
eat
it
aacut
alaf
emeiest
e:

a)l
i
tiazabi
l
iar
a
b)al
cool
ul

c)er
edi
tat
ea

d)hi
per
cal
cemi
a

e)i
nfect
iacugr
am negat
ivi

126.Di
ntr
eict
erel
ecuhi
per
bil
ir
ubi
nemi
epr
edomi
nantneconj
ugat
anuf
acpar
te:

a)er
it
ropoi
ezai
nef
ici
ent
a

b)si
ndr
omul
rot
or

c)ci
rozabi
l
iar
a

d)si
ndr
omul
Gil
ber
t

e)i
cter
ulneonat
al

127.Ur
mat
oar
eleaf
ir
mat
iisuntadev
arat
edespr
ecancer
ulesof
agi
an:

a.f
umat
ulr
epr
ezi
ntaunf
act
order
isci
nambel
eti
pur
idecanceresof
agi
an

b.esof
agul
Bar
ret
trepr
ezi
ntaocondi
ti
epr
emal
i
gnai
ncancer
ulesof
agi
anscuamos

c.r
ezect
iaendoscopi
cacur
ati
vaest
eposi
bil
aincancer
ulesof
agi
anpr
ecoce

d.endoscopi
apoat
efi
fol
osi
tai
nscoppal
i
ati
vincancer
ulesof
agi
anmet
ast
ati
c

e.adenocar
cinomul
esof
agi
anest
emai
sensi
bil
lar
adi
oter
api
e

128.Ur
mat
oar
eleaf
ir
mat
iisuntf
alsedespr
egast
ri
te:

a.pr
ogr
esi
agast
ri
tei
aut
oimunedet
ermi
naapar
it
iaanemi
eiper
nici
oase

b.consumul
deAI
NSpoat
edet
ermi
nagast
ri
techi
mice

c.gastr
it
apr
edomi
nantant
ral
a,cuhi
per
secr
eti
eaci
da,
seasoci
azai
nmodt
ipi
ccuul
cer
ul
gastr
ic

d.Gast
ri
taat
rof
icadet
ermi
nat
adeHPy
lor
iest
eli
mit
atal
ani
vel
ulcor
pul
uisi
fundul
ui

e.hemor
agi
adi
gest
ivaapar
utai
ncadr
ulgast
ri
tel
oracut
eest
eraraut
oli
mit
ant
a
129.Met
odedi
rect
eut
il
izat
epent
rudi
agnost
icul
inf
ect
iei
cuHel
i
cobact
erPy
lor
i:

a.Test
ulur
eazei
(CLOt
est
)

b.Test
ulr
espi
rat
orcuur
eemar
cat
a

c.Ant
igenul
fecal
hel
i
cobact
erpy
lor
i

d.Bi
opsi
agast
ri
cacuexamenhi
stopat
ologi
c

e.Test
eleser
ologi
ce(
ant
icor
pii
)

130.Ul
cer
elegast
ro-
duodenal
e:

a.Potpr
ezent
acompl
i
cat
iipr
ecum hemor
agi
adi
gest
ivasuper
ioar
a,st
enoze,
per
for
ati
i

b.Fumat
uldet
ermi
nacr
est
ereasi
ntezei
demucussi
bicar
bonat

c.ulcer
eler
efr
actaresuntcar
act
eri
zat
edeabsent
avi
ndecar
iidupa2sapt
amani
de
tr
atamentanti
secretor

d.Est
enecesar
arecol
tar
eadebi
opsi
ii
nul
cer
ulgast
ri
c

e.cel
mai
frecv
entf
act
oret
iol
ogi
cest
erepr
ezent
atdei
nfect
iacuHel
i
cobact
erPy
lor
i

131.Ur
mat
oar
eleaf
ir
mat
iidespr
ebol
i
lei
nfl
amat
ori
ii
ntest
inal
esuntf
alse:

a.or
icesegmental
tubul
uidi
gest
ivpoat
efi
afect
ati
nBoal
aCr
ohn

b.debut
ull
aov
arst
a<30deani
seasoci
azacuunpr
ognost
icf
avor
abi
li
nboal
aCr
ohn

c.Tr
atamentulcucort
icost
eroi
ziest
eut
il
izatat
atpent
rui
nduct
iar
emi
siuni
i
,catsi
pent
ru
menti
nereaacestei
a.

d.Manif
est
ari
ledigest
ivedincadr
ulcol
i
tei
ulcer
ati
vesuntcar
act
eri
zat
edeepi
soadede
di
areecusange,mucussi pur
oi

e.i
nBoal
aCr
ohn,
procesul
inf
lamat
orest
eli
mit
atl
ani
vel
ulmucoasei
sisubmucoasei

132.Cel
emai
frecv
ent
ecauzeal
epancr
eat
it
eiacut
esunt
:

a.Hi
per
cal
cemi
a

b.l
i
tiazabi
l
iar
a

c.Consumul
deal
cool

d.pancr
eat
it
aacut
aidi
opat
ica

e.pancr
eat
it
apost
-ERCP
133.*
Mar
ker
uli
munol
ogi
cal
cir
ozei
bil
i
arepr
imi
ti
veest
erepr
ezent
atde:

a.ASMA–ant
ismoot
hmuscl
eant
ibodi
es

b.AMA–ant
icor
piant
imi
tocondr
ial
i

c.aCL–ant
icor
piant
icar
diol
i
pina

d.ANA–ant
icor
pii
ant
inucl
ear
i

e.FR–f
act
orul
reumat
oid

134.Despr
emar
ker
iiser
ologi
ciai
inf
ect
iei
cuVHBsuntf
alseur
mat
oar
eleaf
ir
mat
ii
:

a.AgHBsapar
edoari
nfazaacut
aabol
i
i

b.pr
ezent
aAcant
iHBssemni
fi
cai
muni
zar
eapr
inv
acci
nar
e

c.pr
ezent
aAgHBesemni
fi
caf
azar
epl
i
cat
ivaai
nfect
iei

d.pr
ezent
aAcant
iHBssemni
fi
cav
indecar
eai
nfect
iei

e.masur
areacant
it
ati
vaaADN-
VHBnuper
mit
eev
aluar
ear
aspunsul
uil
atr
atament

135.*
Achal
azi
acar
diei
secar
act
eri
zeazapr
inur
mat
oar
ele,
CUEXCEPTI
A:

a.Manomet
ri
aesof
agi
anaest
einv
est
igat
ia“
gol
d-st
andar
d”pent
rudi
agnost
ic

b.Lar
adi
ogr
afi
aeso-
gast
ri
ca,
esof
agul
apar
eingust
at

c.mi
orel
axar
easepoat
epr
oducepr
ini
nject
areai
ntr
asf
inct
eri
anadet
oxi
nabot
uli
nica

d.cl
i
nicsecar
act
eri
zeazapr
in:
disf
agi
e,r
egur
git
ati
i
,dur
eri
tor
aci
ce,
scader
eingr
eut
ate

e.t
rat
ament
ulchi
rur
gical
const
ainmi
otomi
aHel
l
er

136.Suntcompl
i
cat
iial
eBRGE:

a.Esof
agBar
ret
t

b.Ul
cer
eesof
agi
enecompl
i
cat
ecuHDI

c.Esof
agi
tader
efl
ux
d.Medi
ast
ini
ta

e.St
enozepept
ice

137.Si
ndr
omul
dei
ntest
ini
ri
tabi
l
:

a.secar
act
eri
zeazapr
int
ulbur
ari
alet
ranzi
tul
uii
ntest
inal
sidur
eri
abdomi
nal
e

b.ser
ecomandadi
etaFODMAPptt
rat
ament

c.per
meabili
tat
eai
ntest
inal
aest
ecr
escut
ainspeci
ali
ncazul
SIcupr
edomi
nant
a
const
ipat
iei

d.unul
dinagent
iif
armacol
ogi
ciadmi
nist
rat
iest
erepr
ezent
atder
if
axi
mina

e.est
eot
ulbur
aregast
roi
ntest
inal
aor
gani
ca

138.Hepat
it
acr
oni
cav
iral
aC:

a.
simpt
omel
eini
ti
aleal
ehepat
it
eiCsuntadeseaext
rahepat
ice

b.est
eunv
irusARN

c.est
eunv
irusADN

d.HCVsepoat
etr
ansmi
tesi
pri
nint
ermedi
ulunui
endoscopcont
ami
nat

e.i
nit
ial
potapar
eaar
tral
gii
l
e

139.Hepat
it
aaut
oimuna:

a.secaract
eri
zeazapr
inpr
ezent
aunoraut
oant
icor
pii
mpot
ri
vaunorant
igenespeci
fi
ce
fi
catul
ui

b.bi
opsi
ahepat
icaar
erol
adj
uvanti
nconf
ir
mar
eaunei
suspi
ciuni
cli
nicedeHA

c.Acant
i-
nucl
ear
i(ANA)pr
ezent
iinser

d.Acant
i-
mit
ocondr
ial
i(AMA)suntspeci
fi
cihepat
it
eiaut
oimmune

e.af
ect
eazav
arst
elet
iner
e

140.Car
cinomul
hepat
ocel
ular
:

a..
poat
eapar
eai
cter
ulscl
ero-
tegument
ar

b..
alfaf
etopr
otei
naesteunbi
omarkercusensi
bil
i
tat
esi speci
fi
cit
atecr
escut
apent
ru
car
cinomulc.afl
atoxi
naB1est
ecelmai i
mport
anttoxi
chepatic
d.d.v
irusulhepati
teiCesteprincipal
ulf
actorder
iscindezv
olt
areacar
cinomul
ui
hepatocelul
are.e.vir
usulhepati
teiBestepri
nci
palul
fact
orderi
scindezvol
tar
ea
carci
nomul uihepatocel
lul
ar

141.Despr
ecancer
uldecol
onest
eadev
arat
:

a.a.
radi
ogr
afi
aabdomi
nal
apegol
est
eut
il
apent
rust
adi
ali
zar
e

b.b.
ant
igenul
car
cinoembr
ionarCEAest
eoanal
i
zaut
il
a

c.c.
pent
rudi
agnost
icser
ecomandacol
onoscopi
acubi
opsi
e

d.d.
inet
apel
eini
ti
ale,
poat
efi
asi
mpt
omat
ic

e.e.
inet
apel
eini
ti
ale,
potapar
easi
mpt
omenespeci
fi
ce(
oboseal
a,r
ect
oragi
i
)

142.*
Car
edi
număt
oar
eleaf
ir
maț
iiest
ecor
ect
ă?

A.at
âtboal
aCr
ohncâtși
col
i
taul
cer
ati
văpotaf
ect
aînt
regul
tubdi
gest
iv

B.ceamai
frecv
ent
ălocal
i
zar
eabol
i
iCr
ohnest
elani
vel
ulr
ect
ului

C.l
ezi
uni
l
eint
est
inal
edi
nboal
aCr
ohnsuntt
ransmur
ale

D.coli
taul
cerat
ivăsecaracter
izeaz
ăpr
int
r-
unpr
ocessi
nfl
amat
ordi
str
ibui
tneuni
for
mla
ni
velulmucoaseii
ntest
inal
e

E.î
nboal
aCrohninf
lamaț
iaest
edi
str
ibui
tăcont
inuu,
uni
for
mlani
vel
ulmucoasei
int
est
inal
e
R=C(pag.279-
281)

142.Pr
inci
pal
eleobi
ect
iveal
etr
atament
ului
bol
i
lori
ntest
inal
einf
lamat
ori
isunt
:

A.t
rat
ament
uldi
areei

B.t
rat
ament
ulpuseel
oract
ive

C.r
eechi
l
ibr
areahi
dro-
elect
rol
i
tică

D.i
nducer
ear
emi
siuni
icl
i
nice,
endoscopi
ceși
hist
ologi
ce

E.menț
iner
ear
emi
siuni
iși
prev
eni
rear
ecăder
il
or

R=B,
D,E(
pag.292)
143.Î
ninf
ecț
iacuH.Py
lor
i,met
apl
azi
aduodenal
ădet
ipgast
ri
c:

A.r
epr
ezi
ntăsedi
ulgr
efei
bact
eri
ene

B.nurepr
ezi
ntăsedi
ulgr
efei
bact
eri
ene,
H.Py
lor
iav
ândt
ropi
sm sel
ect
ivpent
rumucoasade
ti
pduodenal

C.r
epr
ezi
ntăunf
act
orcur
olî
ndezv
olt
areal
ezi
uni
iul
cer
oase

D.est
edezv
olt
atăî
ncont
ext
ulsupr
aîncăr
căr
iiaci
deduodenal
e

E.est
edet
ect
abi
l
ălaexamenul
endoscopi
c

R=A,
C,D,
E(pag.264)

144.Despr
eexpl
orar
eaendoscopi
căî
nboal
aul
cer
oasă:

A.per
mitedi
agnosti
cul
pozi
ti
vcupr
eci
zar
eal
ocal
i
zăr
ii
,for
mei
,di
mensi
uni
il
ezi
uni
iși
descr
ier
eaacest
eia;

B.per
mit
epr
elev
areadebi
opsi
i
;

C.per
mit
eef
ect
uar
eaunui
gestt
erapeut
ic;

D.r
eev
aluar
eaendoscopi
căsef
acel
a6-
12săpt
ămani
pent
ruav
eri
fi
cav
indecar
eacompl
etă;

E.r
eev
aluar
eanusepr
act
ică

R=A,
B,C,
D(pag.266)

145.*
ÎnRCUH,
diagnost
icul
dif
erenț
ial
sef
aceî
npr
inci
pal
cu:

A.Ul
cer
ulgast
ri
c;

B.Col
onul
iri
tabi
l
;

C.Boal
aCr
ohn;

D.Ci
rozabi
l
iar
ăpr
imi
ti
vă;

E.Boal
aWi
l
son

R=C(
pag.286)

146.*Î
ntrat
amentulul
ceruluigast
ri
c,di
nli
stademai
josdoarunul
est
ebl
ocantal
recept
ori
l
ortipH2:A.Sucralf
at4g/zi
B.Omepr
azol
20mg/
zi

C.Famot
idi
nă40mg/
zi

D.Mi
sopr
ost
ol100-
200mcg/
zi

E.Amoxi
cil
i
nă1g/
zi

R=C(
pag.270)

147.For
masev
erădecol
i
tăul
cer
ati
văest
ecar
act
eri
zat
ăpr
in:

A.Nr
.Scaune>10

B.Nrscaune>6

C.Rect
oragi
ii
nter
mit
ent
e

D.VSH>30

E.Febr
ă

R=B,
D,E(
pag.280)

148.Modi
fi
căr
iendoscopi
ceal
emucoasei
înboal
aCr
ohnsunt
:

A.Er
it
em

B.Gr
anul
ari
tat
e

C.Aspectde"
piat
rădepav
aj"

D.Sânger
arespont
anăl
aat
inger
e

E.Fi
sur
i

R=A,
C,E(
pag.283)

149.Di
ntr
emani
fest
ări
l
ecl
i
niceal
ecol
i
tei
ulcer
ati
veNUf
acpar
te:

A.Si
ndr
omul
diar
eicî
nsoț
itdemucusși
pur
oi

B.Rect
oragi
i

C.Si
ndr
om demal
absor
bți
e

D.Tenesmer
ect
ale
E.Fi
stul
eper
ianal
e

R=C,
E(pag.279)

150.Mani
fest
ari
l
ecl
i
nicecar
act
eri
sti
cebol
i
iCr
ohnsunt
:

A.Si
ndr
om di
arei
c+/
-st
eat
oree

B.Si
ndr
om demal
absor
bți
e

C.Lezi
uni
per
ianal
e

D.Rect
oragi
i

E.Anemi
e

R=A,
B,C(
pag.281)

151.*
Car
edi
nur
măt
oar
eleNUest
eocompl
i
caț
ieabol
i
iul
cer
oase?

A.Dezechi
l
ibr
ulhi
dro-
elect
rol
i
tic

B.HDS

C.Per
for
ați
a

D.Penet
raț
ia

E.St
enoza

R=A(
pag.268)

152.Semnel
edeal
armădi
ncadr
ulbol
i
iul
cer
oasesuntur
măt
oar
ele:

A.i
nfecț
iacuH.py
lor
i

B.pi
erder
eai
nvol
unt
arăî
ngr
eut
ate,
inexpl
i
cabi
l
ăcl
i
nic

C.boal
ader
efl
uxgast
ro-
esof
agi
an

D.hemor
agi
aext
eri
ori
zat
ăsaudecel
areaunui
sindr
om anemi
c

E.ant
ecedent
eleher
edo-
col
ater
aledecancerî
nsf
eradi
gest
ivă

R=B,
D,E(
pag.265)

153.Mani
fest
ări
l
ecl
i
niceal
ecol
i
tei
ulcer
ati
vesuntur
măt
oar
ele:
A.t
enesmer
ect
ale

B.dur
eri
abdomi
nal
e

C.scăder
eîngr
eut
ate

D.st
eat
oree

E.r
ect
oragi
i

Raspunsur
icor
ect
e:A,
B,E(
pag.279)

154*Lezi
uni
l
emucoaseev
ident
elaendoscopi
eînboal
aCr
ohnsuntur
măt
oar
ele,
cu
excepț
ia:
A.f
isur
i

B.ul
cer
epr
ofunde

C.gr
anul
ari
tat
e

D.“
piat
rădepav
aj”

E.ul
cer
ați
iaf
toi
de

R=C(
pag.283,
tabel
15.
3)

155.Manif
estăr
il
ecl
i
nicecomuneat
âtpent
rucol
i
taul
cer
ati
văcătși
pent
ruboal
aCr
ohnsunt
următoar
ele:

A.scăder
eaî
ngr
eut
ate

B.dur
eri
abdomi
nal
e

C.t
enesmer
ect
ale

D.si
ndr
om di
arei
c

E.si
mpt
omeși
semnedeaf
ect
aresi
stemi
că

R=B,
D,E(
pag.279si
281)

156.Di
ntr
emani
fest
ări
l
eext
rai
ntest
inal
eal
ebol
i
lori
nfl
amat
ori
iNUf
acpar
te:

A.si
ndr
omul
demal
absor
bți
e
B.er
it
em nodos

C.si
ndr
om di
arei
ccust
eat
oree

D.ost
eopor
oza,
ost
eomal
aci
e,ost
eopeni
e

E.uv
eit
a

R=A,
C(pag.288,
Tabel
ul15.
9)

1.