Untitled Quiz

Tobacco Control in Ukraine (2021-May)

Ukraine ratified the WHO Framework Convention on Tobacco Control.

Public smoking is prohibited in Ukraine.

The country is implementing primary prevention strategies against tobacco smoking.

Aortic Aneurysm Case (2021-May)

A 75-year-old man has dyspnea, weakness, and arrhythmia.

An abdominal aortic pulsation, systolic murmur and volumetric formation in the mesogastrium were also detected.

Blood pressure was 70/40 mm Hg, absent femoral pulsations, Oliguria.

The diagnosis is dissecting aortic aneurysm.

Manganese Exposure (2021-May)

Elevated manganese levels in air, water, and food affect the health of the population.

Exposure to manganese can lead to complex health effects.

Complex Health Effects (2021-May)

Synergistic, and complex effects are all types of reactions.

Synergistic, and complex effects are seen in the human body.

Paronychia Case (2021-May)

A 17-year-old girl has finger pain and swelling after a manicure.

She has swelling and hyperemia of the nail fold.

The nail fold overhangs the nail plate and is painful to palpation.

A likely diagnosis is paronychia.

Acute Ascending Thrombophlebitis (2021-May)

A 39-year-old man has leg pain, disease onset 2 days prior.

A 37.8°C body temperature, subcutaneous varicose veins on inner thigh and shin.

The skin over veins is hot and red, Moses and Homans signs are negative.

The diagnosis is acute ascending thrombophlebitis of the saphenous veins in the left leg.

Fetal Lie, Position, Presentation (2021-May)

In external obstetric examination the mother's belly is ovoid.

Fetal back is palpated on the left, small parts on the right.

A firm, balloting part is at the uterine fundus, fetal heartbeat on the left above the navel.

The lie is longitudinal, position I, and the presentation is breech.

Pregnancy Termination (2023-Jan)

A 26-year-old woman, pregnant (10 weeks gestation), has worsening rheumatism since childhood.

She had increased dyspnea, edema, pulse 86/min, cyanotic lips systolic and diastolic murmurs and liver protrudes 4 cm.

She had III degree heart failure and less than 40% LVEF.

Termination of the pregnancy with vacuum aspiration is recommended.

Managing Pregnancy with Mitral Stenosis (2023-Jan)

A 28-year-old pregnant woman (7-8 weeks gestation) with inactive phase rheumatism, III degree mitral stenosis is hospitalized.

Medically-indicated termination of the pregnancy is recommended.

Cerebral Atherosclerosis (2023-Jan)

A 60-year-old with mild memory and coordination issues, gait disturbances, and confirmed cerebral atherosclerosis.

Magnetic resonance imaging shows leukoaraiosis in the periventricular area.

The diagnosis is hypoxic-ischemic encephalopathy.

Radiation Sickness (2019)

A 20-year-old man put two ampoules with cobalt-60 (7 MCi radioactivity) in the pockets for 8 hours.

He received 30 Gy (3000 R) at 0.5 cm distance and 2 R at 20 cm distance.

He did not develop radiation sickness.

Environmental Pollutants and Morbidity (2021-May)

Analysis of a village near a chemical factory shows increased gout and esophageal cancer cases.

The likely pollutant behind this trend is molybdenum.

Post-Surgical Dyspnea (2021-May)

A 72-year-old man develops sudden dyspnea and left-sided chest pain 7 days after intertrochanteric hip fracture surgery.

Distended cervical veins, cyanosis, respiration rate of 26/min present.

Auscultation reveals weakened breathing over the left lung, heart rate 98/min, blood pressure 120/70 mm Hg.

CT scan shows lung pattern disappearance on the left while echocardiography showed no signs of right ventricle overload.

Prescribing low molecular weight heparin is the most advisable step.

Post Cataract Correction (2023-July)

A 70-year-old patient has the right eye emphVisus=0.8 with +10.0 D sph and left eye emphVisus=0.6 without correction after traumatic cataract surgery.

OD intraocular correction is most advisable.

Managing Fever in Pregnancy (2023-July)

A 27-year-old woman (8-10 weeks pregnant) develops a fever.

TORCH infection tests reveal IgM antibodies to herpes simplex virus types and II.

Termination of the pregnancy is recommended.

Adrenogenital Syndrome (2021-May)

A 7-day-old girl has recurrent vomiting, liquid stools, exicosis, progressing hypotension, and a lack of weight gain, as well as earthy gray skin.

She had an enlarged clitoris, incomplete union of her vulvar lips, and incomplete separation of the urethra and vagina.

She has hyperkalemia, hyponatremia, metabolic acidosis, hypoglycemia, low blood aldosterone, and high plasma renin activity.

She is likely has adrenogenital syndrome, salt-wasting form.

Palpitations (2023-May)

A 52-year-old man describes periodic attacks of palpitations lasting 3-8 minutes without rhythm disturbances.

Holter ECG monitoring is needed to diagnose this.

Alimentary Disorder Signs (2021-May)

Progressing weakness, loss of working ability, rapid fatigability, cold sensations, hunger, and weight loss indicate protein-energy undernutrition.

Congenital Toxoplasmosis (2021-July)

A 40-year-old woman who's gravida 6, para 3, at 40 weeks gives birth to a girl with asphyxia.

Her pregnancy was pathological, baby is severe, weighs 2 kg and has signs of immaturity and hydrocephalus.

The baby has pale, icteric skin with acrocyanosis, muffled heart sounds, a harsh systolic murmur, enlarged abdomen and liver.

Her baby has saturated urine and light-colored stool, and also chorioretinitis.

Her baby was diagnosed with congenital toxoplasmosis.

First Aid

Resolution or ruling made by investigative authorities or a court, referral issued by investigative authorities

These are the grounds for conducting a forensic medical examination

Mumps Infection

The girl has Mumps.

The girl had general weakness, painful swallowing, and swelling below/in front of her ears.

Cervical Cancer

The woman suffered from a punctuation area and was diagnosed in situ.

After a colposcopy, the woman was detected a punctation area at zone 1 of the uterine cervix.

Cervical conization was the treatment method of choice

Ulcer Symptoms

The man had an ulcer with significant edema on the lip

A Treponema pallidum test was prescribed because the ulcer was painless with edema for three weeks.

Aniline Intoxication Treatment (2023-May)

A 45-year-old man who produces aniline, has cyanotic skin/mucosa, dysarthric speech, and disorientation.

Erythrocytes, Hb, Heinz bodies, reticulocytes, methemoglobin, ESR (5 mm/hour).

An antidote is Methylene blue was the most effective choice.

Hypertensive Tactics During Pregnancy

A pregnant woman has essential hypertension of the first degree before developing edemas, proteinuria, headache, and vision problems.

Immediate delivery by caesarean section is the best option.

Softening Hard Water (2024-Jan)

High levels of calcium and magnesium indicate that the water needs to be softened.

For high levels of calcium and magnesium salts, softening is the best method.

Milk Preparation Safety (2024-Jan)

A baby developed cyanosis, nausea, increased salivation/vomiting from being fed milk formula using water from a well.

The baby showed signs of nitrate-nitrite intoxication resulting from the water from the well.

Childhood illness with rash (2024-Jan)

A 12-year-old has fever, hepatosplenomegaly, fine puncture/maculopapular rash, bluish-pink coloring on hands/feet.

She has moderate illness severity that also has Pscudotuerculosis

Arrhythmia (2024-Jan)

ECG reveals missing P wave varying RR intervals .

Then perform Urgent electrical cardioversion because of the arrhythmia.

Blepharitis (2024-Jan)

A woman complains of discomfort during reading, redness of the eyelids, white foamy discharge.

There was also observed hyperemia and thickening as well as excretory ducts of the glands in the eyelid cartilage.

The woman has meibomian blepharitis.

Miliary Tuberculosis (2024-Jan)

A woman displays marked dyspnea, cough, fever, and excessive sweating..

Acid-fast bacteria is present and Mantoux test (2 tuberculin units) yields a 21 mm papule.

A chest X-ray reveals symmetrically located focal shadows (1-2 mm) in both lungs.

Radiation Sickness Symptoms

During the initial phase: Nausea, vomiting intensified by drinking fluids, loss of appetite, headache, general weakness, and drowsiness

The is the clinical symptoms specific to radiation Sickness

Monitoring Respiratory Distress (ARDS)

The parameters must be used to assess the severity of the patient's illness.

The patient has acute respiratory distress Syndrome (ARDS) The parameter will be the respiratory rate.

Characteristics of Health Conditions

A Yellow color of the skin, appearing on day 2-3 of Life,

Is characteristic of the Physiological type of Jaundice.

Clinical Settings Treatments and Care

Is a polyclinic setting, were secondary-care is being provided..

When 25 doctors provides care for the people.

They administer and provide what's called: Secondary-care.

Joint Puncture

When Ragocytes are being detected,

During the joint punctures.

Referral and Investigation

When a Resolution or ruling made by investigative authorities or a court:

is granted.

Water Contamination

With Itai-Itai disease.

That, can caused and be caused by water contamination.

Health Measurement

By intensive health measurement.

You measure health by measuring the birth rate, and over all population rate of what's intended.

Medical Options

Are only: Four-Component-Therapy.

Has to do with a patient the needed, in order to prescribe them.

Pulmonary Treatments

Include Posterior Diaphragmatic Myocardial.

And has to do with ECG in order for that.

Women’s Health Issues & Epileptic Syndrome

When an Epileptic is in the process, that’s been known from the start.

The syncope, may cause an epileptic shock, and the doctor must tend to her right away.

Cardiac Patients

May had the Atrial Flutter

The can been determine by the hospital patient.

COPD Patients

Which, have Spirometric Indicators can most likely to indicate the underlying issue.

When, a body suffers or shows the indication of COPD.

HPV Virus Doses

When, the woman as been sick, she can have HPV Virus.

It can be treated from a dose of multiple “Antigens”.

Pathology Exam

• Then, pathology exam must run the

​Phenylketonuria.