5.

On the 15th day after a small trauma of the right foot, the patient developed
indisposition, fatigability, irritability, headache, elevated body temperature, and
sensation of constriction, tension, and twitching in the muscles of the right shin. What
disease can be suspected?
A. Tetanus
B. Thrombophlebitis of the popliteal artery
C. Acute thrombophlebitis
D. Erysipelas
E. Anaerobic gas gangrene

14. A 38-year-old woman developed a medical condition 7 days after her return from
Bangladesh. Periodical elevation of temperature was accompanied by chills and
excessive sweating. She was diagnosed with tropical malaria. Next day her condition
further deteriorated: body temperature - 38°C, inertness, periodical loss of
consciousness, generalized seizures, tachycardia, hypotension, and icteric skin. What
complication can be suspected in this case?
A. Cerebral coma
B. Acute hepatic failure
C. Purulent meningitis
D. Serous meningitis
E. Acute heart failure

22. A 16-year-old patient has made an appointment with an otolaryngologist. He

complains of elevated body temperature and sore throat. Disease onset was 2 days
ago, after the patient ate two portions of ice-cream. Pharyngoscopy shows hyperemic
mucosa of the palatine tonsils, with purulent exudate in the lacunae. Make the
provisional diagnosis:
A. Follicular tonsillitis
B. Pseudomembranous (Vincent's) tonsillitis
C. Acute pharyngitis
D. Diphtheria
E. Lacunar tonsillitis

29. A 20-year-old man was hospitalized on the 9th day of the disease. He attributes
his disease to eating of insufficiently thermally processed pork. At its onset this
condition manifested as periorbital edemas and fever. Objectively his body
temperature is 38.5°C. The face is puffy and the eyelids are markedly swollen.
Palpation of gastrocnemius muscles is sharply painful. Blood test shows
hypereosinophilia. What is the etiology of this disease?
A. Trichinella
B. Trichuris
C. Leptospira
D. Echinococci
E. Ascarididae
50. A 23-year-old man complains of facial edemas, headache, dizziness, low urinary
output, and urine discoloration (dark red). These complaints arose after a case of
acute tonsillitis. On examination there are facial edemas, the skin is pale, temperature
is 37.4°C; heart rate is 86/min., blood pressure is 170/110 mm Hg. Heart sounds are
muffled, the II heart sound is accentuated over the aorta. What etiological factor is
the most likely in this case?
A. Beta-hemolytic streptococcus
B. Streptococcus viridans
C. Staphylococcus aureus
D. G Staphylococcus saprophyticus
E. Streptococcus pyogenes

54. A 24-year-old woman, a kindergarten teacher, has been sick for 2 days already.
Disease onset was acute. She presents with elevated body temperature up to 38.0°C,
pain attacks in her lower left abdomen, liquid stool in small amounts with blood and
mucus admixtures 10 times a day. Pulse - 98/min., blood pressure - 110/70 mm Hg.
Her tongue is moist and coated with white deposits. The abdomen is soft, the sigmoid
colon is painful and spastic. Make the provisional diagnosis:
A. Shigellosis
B. Salmonellosis
C. Yersiniosis
D. Rotavirus infection
E. Escherichiosis

89. The 5-year-old child has been ill for 2 weeks. Cough attacks developed first and
were then followed by reprises. During coughing the child's face turns red and
cervical veins bulge. The cough attacks induce vomiting. X-ray shows intensified
bronchial pattern. Blood test: leukocytes - 16 × 109/L, lymphocytes - 72%,
erythrocyte sedimentation rate - 4 mm/hour. What is the most likely diagnosis?
A. Pertussis
B. Foreign body
C. Obstructive bronchitis
D. Pneumonia
E. Adenovirus infection

107. At night a 2-year-old child with upper respiratory tract infection suddenly
developed dyspnea with labored inspiration. Objectively the skin is pale, perioral
cyanosis and slight acrocyanosis are observed. Breathing is loud, respiration rate is
32/min. Jugular, supra- and infraclavicular fossae retract during breathing.
Respiration is coarse on auscultation. Heart sounds are clear and sonorous, heart rate
is 120/min. What condition was complicated by the development of the upper
respiratory tract infection?
A. Stenosing laryngotracheitis
B. Bronchiolitis
C. Obstructive bronchitis
 D. Bronchial asthma
E. Airway foreign body

120. During examination a 4-month-old child with meningococcemia presents with

acrocyanosis, cold extremities, tachypnea, and thready pulse, blood pressure of 30/0
mm Hg, anuria, and sopor. What clinical syndrome is it?
A. Toxic shock syndrome
B. Exicosis
C. Neurotoxicosis
D. Encephalic syndrome
E. Acute renal failure

136. A 26-year-old man complains of chills, rhinitis, dry cough, and fever up to
38°C. Examination shows him to be in a moderately severe condition; there are small
pale pink non-merging spots on the skin of his back, abdomen, and extremities.
Palpation reveals enlarged occipital and axillary lymph nodes. No information about
vaccination history could be obtained. What is the likely etiology of this disease?
A. Epstein-Barr virus
B. Streptococcus
C. Neisseria meningitis
D. Mumps virus
E. Rubella virus

139. A 34-year old man on the 3rd day of ceftriaxone treatment for acute otitis (daily
dosage - 2 grams) developed diarrhea occurring 5-6 times per day. Feces are without
mucus or blood admixtures. Temperature is 36.6°C. Gregersen reaction (occult blood
in feces) is negative. Stool culture detected no pathogenic germs. What is the most
likely cause of diarrhea in this case?
A. Antibiotic-associated diarrhea
B. Intestinal dysbiosis
C. Ulcerative colitis
D. Bacterial overgrowth syndrome
E. Crohn’s disease (regional enteritis)

157. A 1-year-old child with a case of URTI suddenly developed noisy respirations
with difficult inspiration, intercostal retractions, and barking cough on the 2nd night
after the disease onset. What is the most likely diagnosis?
A. Stenosing laryngotracheobronchitis
B. Acute bronchitis
C. Acute pulmonary inflammation
D. Acute bronchiolitis
E. Bronchial asthma

179. A 42-year-old man, a worker at the meat processing factory, developed an

itching spot on his lower jaw, which gradually transformed into a slightly painful
carbuncle 3 cm in diameter, surrounded by a painless swelling that reaches the
clavicle. Temperature is subfebrile, under 37.8°C. The doctor suspects anthrax. What
drug should this man be prescribed for treatment?
A. Penicillin
B. Levomycetin (Chloramphenicol)
C. Azidothymidin (Zidovudine)
D. Biseptol (Co-trimoxazole)
E. Interferon alpha

180. A 45-year-old man, a farmer, presents with acute onset of a disease. He

complains of headache, high temperature, pain in the gastrocnemius muscles, icteric
face, and dark urine. Objectively: body temperature - 38°C, blood pressure - 100/70
mm Hg, conjunctival hemorrhages, hepatosplenomegaly, and oliguria. What is the
most likely provisional diagnosis?
A. Leptospirosis
B. Brucellosis
C. Trichinosis
D. Pseudotuberculosis
E. Viral hepatitis

189. A district doctor has diagnosed one of his patients with dysentery. What
accounting document reflects this type of morbidity?
A. Urgent report
B. Statistical report
C. Report on a major non-epidemic disease
D. Certificate of temporary disability
E. Control card or a patient registered for regular check-ups

190. A woman with the pregnancy term of 8 weeks complains of elevated

temperature up to 37.6°C, skin rash that can be characterized as macular exanthema,
enlargement of posterior cervical and occipital lymph nodes, small amount of bloody
discharge from the genital tracts. She was examined by the infectious diseases
specialist and diagnosed with rubella. What tactics should the obstetrician-
gynecologist choose?
A. Abortion
B. Treatment of incipient abortion
C. Prescription of antiviral therapy
D. Prescription of hemostatic therapy
E. Prescription of antibacterial therapy

192. A woman came to the doctor with complaints of increased body temperature up
to 37.8°C and moderately sore throat for the last 3 days. Objectively: mandibular
lymph nodes are enlarged up to 3 cm. Palatine tonsils are hypertrophied and covered
with gray coating that spreads to the uvula and anterior pillars of the fauces. What is
the most likely diagnosis?
 A. Pseudomembranous (Vincent’s) tonsillitis
B. Oropharyngeal diphtheria
C. Oropharyngeal candidiasis
D. Infectious mononucleosis
E. Agranulocytosis

194. A woman undergoing in-patient treatment for viral hepatitis type B developed
headache, nausea, recurrent vomiting, memory lapses, flapping tremor of her hands,
and rapid pulse. Sweet smell from her mouth is detected. Body temperature is
37.6°C, heart rate is 89/min. What complication developed in the patient?
A. Acute liver failure
B. Gastrointestinal hemorrhage
C. Meningoencephalitis
D. Ischemic stroke
E. Hypoglycemic shock

199. In the factory cafeteria there was an outbreak of food poisoning. Clinical
presentation indicates staphylococcal etiology of this disease. 15 people are sick. To
confirm the diagnosis of food poisoning, samples need to be sent to the laboratory.
What samples should be obtained for analysis?
A. Vomit masses
B. Blood (complete blood count)
C. Urine
D. Saliva
E. Blood for hemoculture