Neuroscience Proficiency Test. Neurology test Immunoglobulins class M

-Diseases caused by gene mutations

-Diseases that are detected in several relatives

+Diseases that appear at birth

-Diseases that cannot be treated.

2. Hereditary diseases are:

+Diseases whose etiology is mutations

-Diseases occurring in relatives

-Congenital diseases

3.Sibs are:

-All relatives of the proband;

-Proband's uncles;

-Parents of the proband

+Brothers and sisters of the proband from the same parents.

4. Proband is:

-A healthy person who has applied for medical genetic consultation

+The person from whom the pedigree collection begins.

-Gene responsible for transcription regulation

5. Hereditary diseases are characterized by all of the following, except:

-Accumulation of cases of the same disease in a family

-Damage to several body systems

+ Contagiousness (infectiousness) of the disease

6. Hereditary diseases include the following diseases, except:

-Genetic diseases of somatic cells

-Diseases that occur when mother and fetus are incompatible with antigens

-Multifactorial diseases (diseases with hereditary predisposition)

+Vector-borne diseases

7.Chromosomal diseases occur due to the following mutations, except:

+Gene mutations

-Chromosomal mutations

-Genomic mutations

8.Transmission of a chromosomal disease is characterized by:

+Transmission of chromosomal disease in most cases is absent due to the death of the patient or lack of offspring

-Transmission of chromosomal disease in most cases occurs from generation to generation

-Transmission of a chromosomal disease in most cases occurs through one or several generations

9. The appearance of clinical signs of chromosomal diseases is observed:

-In early childhood

+In most cases - before birth

-After exposure to specific environmental factors throughout life

10.A characteristic feature of chromosomal diseases is:

-Variety of clinical manifestations only in childhood

+ Similarity of clinical manifestations between various chromosomal diseases

-Diversity of manifestations throughout life

11. The clinical picture of chromosomal diseases is characterized by: + A combination of congenital malformations, mental retardation or mental retardation, delayed physical development, abnormalities of the musculoskeletal system,

- Hereditary metabolic disorders with secondary damage to organs and systems

-Congenital defects

-Correct B and C

12.What hereditary diseases are diagnosed using cytogenetic methods:

-Monogenic diseases

-Multifactorial diseases

+Chromosomal diseases

13. Monogenic (synonym - gene) diseases are subject to:

-Polygenic type of inheritance

+ Menlevsky type of inheritance

-Do not have a clear type of inheritance

14. Which hereditary diseases are not monogenic diseases:

+Genomic diseases

-Congenital malformations of monogenic etiology

-Inherited metabolic diseases

15.The polymerase chain reaction (PCR) method refers to:

- To cytogenetic methods

+To molecular genetic methods

- To biochemical methods

16. Multifactorial diseases are caused by:

-A large number of damaged genes

+The total effect of genetic and environmental factors

-Multiple activation of the affected gene

17. Which hereditary diseases do not belong to multifactorial diseases:

-Common somatic diseases of middle age (hypertension, peptic ulcer, etc.)

-Common mental and nervous diseases (schizophrenia, manic-depressive psychosis, multiple sclerosis)

+ Hereditary metabolic diseases

18.What methods are not used to prove the multifactorial nature of the disease

-Study of the association of genetic markers with disease

-Clinical and genealogical

-Twin

+Cytogenetic method

19.Genetic markers include:

-AB0 blood group antigens

-Immunoglobulins class M

+All of the above is true

20. The risk of developing a multifactorial disease in a patient does not depend on:

-Number of blood relatives with this disease

-The severity of the disease in blood relatives

+Molecular mass of genetic material responsible for the development of multifactorial disease

-Degree of relationship with relatives with this disease

21. Preconception prevention of hereditary diseases is carried out:

-During the first two trimesters of pregnancy

+During the entire period starting a few months before conception and ending with the 10th week of pregnancy

-In the first 12 weeks of embryonic development

22.Preconception prophylaxis should include:

+Take folic acid and B vitamins

-Semi-bed rest, limited lifting of heavy objects

- Taking phenobarbital

23. Preconception prevention of hereditary diseases is aimed at reducing the risk of development in a child

- Monogenic diseases

+Congenital malformations of a multifactorial nature

-Chromosomal diseases

24.What diseases are detected using the screening program? +Phenylketonuria

-Down's disease

-Polydactyly

25. What is prenatal diagnosis of hereditary diseases + Diagnosis of hereditary disease in the fetus during intrauterine development

-Evaluation of the mother for the risk of hereditary diseases during pregnancy

-Sifting program

  1. The essence of the concept of “coma” is defined:

-Disturbance of spontaneous breathing

- Swallowing and phonation disorders

-Lack of spontaneous speech

+Loss of consciousness.

  1. Lumbar puncture is contraindicated if:

-Nasal liquorrhea

+Brainstem dislocation syndrome

-Concussion

  1. Blood in the cerebrospinal fluid is observed when:

-Meningitis

-Lumboishalgia

+ Subarachnoid hemorrhage

-Cerebral infarction

  1. If the patient has aphasia, it means that the following is damaged:

+Brain

-Spinal cord

-Gasserov knot

  1. Dominant hemisphere in right-handed people:

-Right

+Left

  1. What clinical signs are focal symptoms:

+Paralysis, aphasia

-Congested optic discs

-Increased vascular pattern on a survey craniogram

  1. Which of the following symptoms is a general cerebral symptom?

+Increased intracranial pressure

-Loss of sensitivity

-Symptoms of tension in nerve trunks

  1. These symptoms are a manifestation of hypertension syndrome (increased intracranial pressure) except:

-Morning headaches, often with vomiting

-Decreased visual acuity

+Paralysis

  1. Which of the following signs indicates a neurological cause of coma?

+Focal neurological symptoms

-Wide pupils

-Convulsions

  1. For the treatment of meningococcal meningitis, you should choose first:

-Clindamycin

-Tetracycline

-Kanamycin

+Penicillin

  1. For the treatment of status epilepticus, intravenous injections of the following drugs are primarily used, except:

-Relanium

-Depakina

+Theopental sodium

  1. What number of cells should be in a normal cerebrospinal fluid analysis?

+Up to 5 lymphocytes

-10-15 neutrophils

-Not a single cell

  1. The presence of aphasia in a patient indicates:

+ Damage to the dominant hemisphere of the brain

- Damage to the hypoglossal nerve

-Dilation of the third ventricle of the brain

  1. The term epistatus means:

-Widespread, pronounced muscle contraction

+Repetitive epileptic seizures, between which the patient does not regain consciousness

-Mental disorders in a patient with long-term epilepsy

  1. The first-line anticonvulsant drug for the treatment of unspecified epilepsy is:

+Valproic acid preparations

-Phenobarbital

-Relanium

-Magnesium sulfate

  1. Inflammatory changes in the cerebrospinal fluid are a sign of:

+Inflammation of the meninges (meningitis)

-Inflammation of the brain substance (encephalitis)

— Inflammation of the skull bones

  1. Neck stiffness is checked as follows:

-Turn their head right and left

-Palpate the occipital muscles, tilting the head back

+Bend the head to the chest and evaluate the distance between the chin and chest area

  1. The lower Brudzinski symptom is defined as follows:

-In a supine position, bend your legs at the knee joints at a right angle and tilt your head forward. If reflex extension of the head occurs, the symptom is considered positive.

-With the patient in a supine position, the head is tilted forward and, if a response flexion of the legs at the knee joints is detected, the symptom is considered positive

+ With the patient in the supine position, bend the leg at the knee and hip joint at right angles and then extend the leg at the knee joint. The symptom is considered positive if, when the leg is extended at the knee, there is flexion in the knee of the second leg.

  1. If you are bitten by a tick, you must:

-Vaccinate on the first day after the bite

-Rinse the bite wound with an antiseptic, apply ointment with an antiviral drug and get tested for tick-borne encephalitis

+ Go to the emergency room, where seroprophylaxis of encephalitis is carried out with anti-tick immunoglobulin

  1. All of the following drugs are used to prevent tick-borne encephalitis after a tick bite, except:

-Yodantipyrine

-Anti-mite immunoglobulin

+Vaccines against tick-borne encephalitis

  1. The removed tick should be delivered for testing for tick-borne encephalitis:

-In the first 2 hours after removal

+In the first 48 hours after removal

-In the first 12 hours after removal

  1. For subarachnoid hemorrhage, it is necessary to:

-Introduction of Vikasol

-Introduction of ascorbic acid

+ Maintain strict bed rest for 3 weeks and avoid straining

  1. The following are contraindicated for a patient with myasthenia gravis:

-Diet rich in tyramine

-Overheating (taking hot baths, visiting a sauna)

+Drugs that disrupt neuromuscular transmission

  1. Focal neurological symptoms are:

+Symptoms arising from one or more local damage to the nervous system

-Minor impairment of neurological functions.

-Symptoms that occur when the central nervous system is damaged

  1. Bulging of a large fontanel in children is a sign of:

-Immaturity of the bones of the cranial vault

+Increased intracranial pressure

-Prematurity

  1. The average hospital stay for a concussion is:

+14 days

— 1 month

— 3 days

  1. Concussion refers to:

+Mild traumatic brain injury.

-Moderate traumatic brain injury.

-Severe traumatic brain injury.

  1. Open traumatic brain injury means:

- Any damage to the soft tissues of the head.

+Wound with damage to the aponeurosis.

-Coincidence of the wound with a skull fracture.

  1. A stroke is:

-Inflammation of neurons

-Any acute brain disease

+Acute cerebrovascular accident

  1. Why is the first administration of a bactericidal antibiotic for meningococcal meningitis carried out at half the dose?

-For the prevention of allergic complications

-To test the sensitivity of the pathogen to this medicine

+Because there is a danger of iatrogenic endotoxic shock

  1. The appearance of a “stars in the sky” rash on the patient’s body indicates:

-Development of polyneuritis

+ Development of meningococcal sepsis

-Carbon monoxide poisoning

  1. If, when you centrifuge bloody cerebrospinal fluid, the supernatant has shades of yellow and is transparent, this may mean:

+Hemolysis of red blood cells, which means that blood entered the cerebrospinal fluid a long time ago, and not at the time of puncture from the injured blood vessel

-Continuing bleeding

-Increased content of neutrophils in the cerebrospinal fluid

  1. The contraction of the heart muscle is controlled by the brain using which fibers:

-Cerebellar

-Pyramid path

+Vegetative

  1. At what age does a child begin to consider urinary incontinence during sleep as a pathology?

+From 5 years old

-From 3 years old

-From 2 years old

  1. Intestinal peristalsis is carried out using which nerve fibers:

-Pyramidal motor

+Vegetative

-Both pyramidal motor and autonomic

  1. Home > Tests

    QUALIFYING TESTS IN NEUROLOGY

    1)NEUROLOGICAL DISEASES IN CHILDREN AND ADOLESCENCE

    001.The average weight of a newborn’s brain is

    V a)1/8 of body weight

    b) 1/12 of body weight

    c)1/20 of body weight

    d)1/4 of body weight

    002.The most common form of neuron in humans are cells

    a) unipolar

    b) bipolar

    V c) multipolar

    d) pseudo-unipolar

    e) a) and b) are correct

    003.Transmission of nerve impulse occurs

    V a) in synapses

    b) in mitochondria

    c) in lysosomes

    d) in the cytoplasm

    004.The total amount of cerebrospinal fluid in a newborn is

    005.The myelin sheath of the nerve fiber determines

    a) axon length and accuracy of conduction

    V b) nerve impulse conduction speed

    c) axon length

    d) belonging to sensitive conductors

    e) belonging to motor conductors

    006.Neuroglia performs

    V a) supporting and trophic function

    b) supporting and secretory function

    c) trophic and energy function

    d) only secretory function

    e) only support function

    007.Dura mater is involved in formation

    a) covering bones of the skull

    V b) venous sinuses, falx cerebri and tentorium cerebellum

    c)choroid plexuses

    d) holes in the base of the skull

    d) cranial sutures

    008. Cerebrospinal fluid pressure in school-age children is normally

    a) 15-20 mm water. Art.

    b) 60-80 mm water. Art.

    V c) 120-170 mm water. Art.

    d) 180-250 mm water. Art.

    d) 260-300 mm water. Art.

    009.Sympathetic cells lie

    a) in the anterior horns

    b) in the hind horns

    c) in the anterior and posterior horns

    V d)mainly in the lateral horns

    010.The spinal cord of a newborn ends at the level of the lower edge of the vertebra

    a) XII chest

    b) I lumbar

    c) II lumbar

    V d)III lumbar

    011.The palm-oral reflex is most pronounced in children aged

    V a) up to 2 months

    b) up to 3 months

    c) up to 4 months

    d) up to 1 year

    012.The grasping reflex is physiological in children aged

    V a) up to 1-2 months

    b) up to 3-4 months

    c) up to 5-6 months

    d) up to 7-8 months

    013. Myeloencephalic postural reflexes include

    a) asymmetrical tonic cervical

    b) symmetrical tonic cervical

    c) tonic labyrinthine

    d) a) and b) are correct

    V d) all of the above

    014.Visual concentration on an object appears in children

    V a) by the end of the first month of life

    b) in the middle of the second month of life

    c) at the beginning of the third month of life

    d) by the end of the third month of life

    015. The principle of reciprocity is

    a) in the relaxation of antagonists and agonists

    b) in relaxation of only agonists

    c) in relaxing only antagonists

    V d) in contraction of agonists and relaxation of antagonists

    016. With ptosis, pupil dilation on the left and right-sided hemiparesis, the focus is located

    a) in the quadrigeminal region

    b) in the internal capsule on the left

    c) in the pons of the brain on the left

    V d) in the left cerebral peduncle

    017. Purulent meningitis most often affects children aged

    V a)early

    b) preschool

    c) junior school

    d) high school

    018. Hemorrhagic rash with meningococcemia in children is a consequence

    a) allergies

    b) immunological reactivity

    V c) damage to blood vessels and pathology of the blood coagulation system

    d) all of the above

    019. Recurrent purulent meningitis is more often observed in children

    a) with staphylococcal infection

    b)infancy

    c) with immunodeficiency

    V d) with liquorrhea

    e) with allergies

    020.In case of infectious-toxic shock, it is preferable to use

    a) penicillin

    b) chloramphenicol

    V c) ampicillin

    d) gentamicin

    e)cephalosporins

    021. Contact abscesses of otogenic origin in children are usually localized

    a) in the brain stem

    b) in the occipital lobe

    c) in the frontal lobe

    V d) in the temporal lobe

    022. A single dose of nitrozepam (radedorm) prescribed to children aged 1 to 5 years is

    023.Children are prescribed diazepam in a daily dose

    a)0.05-0.1 mg/kg

    V b)0.12-0.8 mg/kg

    c)1-1.5 mg/kg

    d)1.5-2 mg/kg

    024.A single dose of phenibut for children under 8 years of age is

    a) up to 5 years

    V b) up to 7 years

    c) up to 10 years

    d) up to 12 years

    026.Children aged 6 to 12 months are prescribed paracetamol in a single dose

    027.The daily dose of sonapax (thioridazine) for children of early school age is

    028. Myoclonic hyperkinesis in myoclonus epilepsy in children is characterized by

    a) stability

    V b) fluctuation in intensity by day

    c) fluctuation in intensity by month

    d) intensity is determined only by age

    029. The role of hereditary factors in the development of generalized tics in children

    a) absent

    b) insignificant

    V c) significant

    d) depends on the age of the parents

    d) depends on the gender of the patient

    030. The shoulder-scapular-facial form of myopathy (Landouzi - Dezherina) has

    V a) autosomal dominant type of inheritance

    b)autosomal recessive type of inheritance

    c) autosomal recessive, X-linked type of inheritance

    d) autosomal recessive and autosomal dominant type of inheritance

    e) type of inheritance is unknown

    031. With Charcot-Marie neural amyotrophy, children experience

    a) only flaccid paresis of the legs

    b) only flaccid paresis of the arms

    V c) flaccid paresis of arms and legs

    d) only paresis of the trunk muscles

    e) paresis of the muscles of the arms, legs and torso

    032. With myasthenia gravis in children, the following autonomic disorders are observed

    a) increased sweating

    b) arterial hypotension

    c) functional changes in the heart

    d) functional changes in the gastrointestinal tract

    V d) all of the above

    033. Damage to the nervous system due to hereditary metabolic disorders in children is mainly associated

    a) with cerebrovascular accident

    b) with endocrine disorders

    V c) with toxic damage to the neuron by metabolic products

    d) with neuron hypoxia

    e) with a change in cell permeability

    034. The duration of dietary treatment for a patient with phenylketonuria is

    a) from 2 to 6 months

    b) from 2 months to 1 year

    c) from 2 months to 3 years

    V d) from 2 months to 5-6 years

    d) all my life

    035. The combination of severe delay in psychomotor development with hyperkinesis, convulsive syndrome and atrophy of the optic nerves in children under 2 years of age is typical

    a) for a disease with a violation of amino acid metabolism

    b) for carbohydrate metabolism disease

    c) for mucopolysaccharidosis

    d) for lipidoses

    V d) for leukodystrophy

    036. Shershevsky-Turner syndrome occurs due to disorders

    V a) sex chromosomes

    b) autosome

    c) amino acid metabolism

    d) vitamin metabolism

    d) carbohydrate metabolism

    037.The characteristics of Down's disease include all of the following, except

    a) "clown" faces

    b) oligophrenia

    c) speech disorders

    d)motility disorders

    V d) pyramidal insufficiency

    038. For Shershevsky-Turner syndrome, the patient’s karyotype

    039.Patients with Down syndrome usually have all of the following symptoms, except

    a) heart disease

    b) obesity

    c) polydactyly

    d) hypospadias

    V d) bone fragility

    040. Shershevsky-Turner syndrome is more common

    V a) in girls

    b) boys

    c) in persons of both sexes

    d) only for adults

    041.Marfan syndrome is characterized by

    a)arachnodactyly

    b) heart defects

    c) subluxations of the lens

    d) mental retardation

    V e) all the listed symptoms

    042. With hepato-cerebral dystrophy, muscle tone is changed according to the type

    a) hypotension

    b) pyramidal spasticity

    V c) extrapyramidal rigidity

    d) dystonia

    e) increases of the mixed extrapyramidal and pyramidal type

    043.High birth weight, Cushingoid features, enlarged heart, liver, spleen, microcephaly (less commonly hydrocephalus) are characteristic

    a) for congenital rubella

    b) for thyrotoxic embryofetopathy

    V c) for diabetic embryopathy

    d) for fetal alcohol syndrome (FAS)

    044. Myxedema-like syndrome with mental retardation is observed in newborns from mothers suffering from

    a) hyperthyroidism

    b)hypothyroidism

    V c) diffuse toxic goiter

    d) focal (“island”) goiter

    d) struma

    045.Primary hypothyroidism in children is characterized by

    a) dry and icteric skin

    c) brittle “matte” hair

    d) severe delay in psychomotor development

    V d) all of the above

    046. With microcephaly in children, it is usually

    a) the brain is relatively larger than the skull

    b) the brain is much smaller than the skull

    V c) the decrease in the cranium approximately corresponds to the decrease in the brain

    d) only the brain skull decreases relative to the facial skull

    e) the brain and facial skull decrease proportionally

    047.Secondary microcephaly develops in children

    a) in the prenatal period

    b) only postnatally

    V c) in the perinatal period and in the first months of life

    d) at any age

    e) always over 1 year of age

    048. The prognosis for microcephaly in children is determined

    a) head growth rate

    b) the size of the brain skull

    c) severity of motor defect

    V d) degree of mental retardation

    d) start date of therapy

    049.Children with microcephaly are usually observed by a neurologist

    a) up to 15 years

    b) up to high school age

    c) up to early preschool age

    050. Excessive production of cerebrospinal fluid underlies hydrocephalus

    a) external

    b) internal

    c) open or communicating

    V d) hyperproductive

    e) aresorptive

    051. Most hydrocephalus in children are

    a) traumatic

    b) toxic

    c) hypoxic

    V d) congenital

    e) acquired

    052.With compensated hydrocephalus in children, intracranial pressure

    a) persistently high

    V b) normal

    c) decreased

    d) unstable with a tendency to increase

    e) unstable with a downward trend

    053. In the most severe cases of hydrocephalus in children,

    a) optic neuritis

    V b)hydroanencephaly

    c) pyramidal insufficiency

    d) dystrophy of the subcortical nodes

    e) damage to the cerebellum and its connections

    054.A child with congenital hydrocephalus is usually born

    V a) with a normal or slightly enlarged head

    b) with an increase in head circumference by 4-5 cm

    c) with a reduced head

    d) with an increase in head circumference by 5-8 cm

    055. Severe tetraparesis, mental retardation, pseudobulbar syndrome are characteristic

    V a) for hydroanencephaly

    b) for occlusive hydrocephalus

    c) for external hydrocephalus

    d) for hydrocephalus after birth trauma

    e) for communicating hydrocephalus

    056. Autonomic disorders are especially pronounced in children with occlusion at the level

    a) lateral ventricle

    V b)III ventricle

    c) IV ventricle

    d) at any level

    057. Increased digital impressions on the craniogram are characteristic of hydrocephalus

    a) only external

    V b) occlusal

    c) communicating

    058. A sharp decrease in the luminous ring is characteristic of hydrocephalus

    a) external

    b) communicating

    V d) occlusal in the initial period

    e) occlusive with hydroanencephaly

    a) for viral infections

    b) for intestinal infections

    c) with neuroinfections

    d) with cranial injuries

    V e) for cranial injuries and infections

    060. The appearance of shortness of breath in children when taking Diacarb indicates

    a) about metabolic alkalosis

    V b) about metabolic acidosis

    c) about disturbance of cerebral hemodynamics

    d) about dehydration

    d) damage to the respiratory center

    061. During perinatal encephalopathy there are

    a) acute period

    b) early recovery period

    c) late recovery period

    V d) all listed periods

    062. In full-term children, most often observed

    a) subdural hemorrhages

    b) subarachnoid hemorrhages

    d) periventricular hemorrhages

    V e) parenchymal, subarachnoid hemorrhages

    063. Severe muscular hypotonia in newborns is a reflection

    a) brain hypoxia, immaturity

    b) brain and spinal cord injuries

    c) brain damage due to indirect bilirubin

    d) degeneration of the anterior horns of the spinal cord

    V d) all of the above reasons are possible

    064.In the initial period of hemolytic disease in newborns, it is used

    a) exchange blood transfusion

    b) phototherapy

    c)phenobarbital

    d)prednisolone

    V d) all of the above

    065. Atrophy of the hand, trophic disorders and Horner’s symptom are typical

    a) for Erb-Duchenne paresis

    V b) for paresis Dejerine - Klumpke

    c) for total paresis of the arm

    d) for paresis of the diaphragm

    e) for tetraparesis

    066. In the complex treatment of obstetric paralysis, they use

    a) massage, exercise therapy

    b) transverse electrophoresis of aminophylline and nicotinic acid

    c) orthopedic styling

    d) acupuncture

    V d) all of the above methods

    067.Structural defect of the brain in cerebral palsy may affect development

    a) only the motor sphere

    b) only speeches

    V c) the brain as a whole

    d) has no effect

    068. Cerebral palsy and perinatal encephalopathy have

    a) clinical community

    b) commonality only in the time of exposure to the damaging factor

    c) only etiological commonality

    V d) common etiology and time of damage

    e) uniformity of flow

    069. Exact timing of brain damage in cerebral palsy

    a) can never be installed

    V b) are established only in some cases

    c) are always accurately known by accompanying characteristics

    d) are established only morphologically

    070.The main pathogenetic factors of cerebral palsy include

    a) infectious

    b) toxic

    c) hypoxic

    e) traumatic

    V e) all of the above

    071.Impaired cerebral circulation in the intra- or neonatal period leading to cerebral palsy is usually preceded by

    a) intrauterine infection

    b) metabolic disorders

    V c) intrauterine hypoxia or asphyxia

    d) injury to a pregnant woman

    d) allergies of a pregnant woman

    072. With spastic diplegia in children,

    a) only central paresis of the distal legs

    b) only paraparesis of the legs

    c) only tetraparesis

    V d) paraparesis of the legs or tetraparesis

    073. Convergent strabismus in spastic diplegia is usually associated with a lesion

    a) nucleus of the abducens nerve on one side

    b) nuclei of the abducens nerve on both sides

    c) abducens nerve roots at the base of the brain

    d) reticular formation of the brain stem

    V d) cortical gaze center on both sides

    074. The predominance of damage to the proximal parts of the arms over the distal part in central tetraparesis is typical

    a) for spastic diplegia only in infants

    b) for double hemiplegia only in infants

    V c) for spastic diplegia at any age

    d) for double hemiplegia at any age

    e) for natal spinal cord injury

    075.The prevalence of cerebral palsy is per 1000 child population

    a)0.5 and below

    c)5 or more

    d) 10 or more

    d) 15 or more

    076. A child with muscle hypotonia in the first 2-3 months of life may develop cerebral palsy in the form

    a) atonic-astatic

    b) spastic diplegia

    c) hyperkinetic

    V d) any of the above

    077.The hyperkinetic form of cerebral palsy is characterized by the presence

    a) athetosis

    b) choreic hyperkinesis

    c) torsion dystonia

    d) choreoathetosis

    V d)all of the above

    078. Diagnosis of double hemiplegia is possible in children

    V a) in the first month of life

    b) from 1.5 years

    c) from birth

    d) from about 5-8 months of age

    e) about 1 year

    079. Hearing loss in cerebral palsy is more common

    a) with spastic diplegia

    b) with double hemiplegia

    c) with hemiparetic form on the side of paresis

    V d) with hyperkinetic form after kernicterus

    e) with atonic-astatic form

    080. Cerebral palsy in the first months of life can be suspected based on

    a) risk factors during pregnancy and childbirth

    b) pathological postural activity

    c) clear delay in motor and mental development

    d) muscle tone disorders

    V d)all of the above

    081. Over the course of 2-3 years of life, a child with cerebral palsy must be educated

    a) stereognosis

    b) praxis

    c) spatial orientation

    d) pre-speech and speech skills

    V e) all listed skills

    082. Anticholinergic drugs (cyclodol, ridinol, tropacin) are indicated for cerebral palsy

    V a) with extrapyramidal rigidity, athetosis, torsion dystonia

    b) not shown

    c) indicated for atonic-astatic form

    d) indicated in the presence of choreic hyperkinesis

    083. In childhood, especially early age, the force of mechanical shock is softened

    a) absence of dense fusions of cranial sutures

    b) elasticity of the integumentary tissues of the skull

    c) relative increase in subarachnoid space

    V d) all of the above

    084. In the presence of meningeal syndrome after traumatic brain injury in children, it is necessary

    a) electroencephalography

    b) biochemical blood test

    c) determination of visual acuity and fundus examination

    V d) spinal puncture

    e) radiography of the base of the skull

    085. Most often after a concussion in children,

    a) epileptic syndrome

    b) neurosis-like syndrome

    c) hypothalamic syndrome

    d) hydrocephalic syndrome

    V d) cerebrasthenic syndrome

    086. The focus of brain contusion occurs more often in children

    a) only in the area of ​​impact

    b) only in the brain stem

    V c) in the area of ​​impact or counter-impact

    d) only subtentorially

    e) in the area of ​​the subcortical nodes

    087.The outcome of a brain contusion in children can be

    a) traumatic arachnoiditis

    b) organic cerebral defect

    V c) systemic neurosis

    d) traumatic epilepsy

    e) cerebrasthenic and hypertensive-hydrocephalic syndrome

    088. In childhood, injuries are more common

    V a) meningeal hemorrhages

    b) parenchymal hemorrhages

    c) intraventricular hemorrhages

    d) parenchymal and intraventricular hemorrhages

    089.Epidural hematoma is often observed in children

    V a) with a fracture of the bones of the calvarium

    b) with a fracture of the base of the skull

    c) when only the inner plate is fractured

    d) only with a linear fracture

    090. Clinical manifestations of traumatic subarachnoid hemorrhage usually develop in children

    a) subacute

    b) after the “light” interval

    c) wavy

    e) the initial period is asymptomatic

    091. When a fracture of the base of the skull occurs in children,

    a) epidural hematoma

    b) subarachnoid hemorrhage

    c) subponeurotic hematoma

    d) hemiparesis

    V d) liquorrhea

    092. A certificate of disability since childhood after a spinal cord injury is issued

    a) only for school-age children

    V b) depending on the nature of the residual effects

    c) only in the presence of tetraparesis

    d) only at an early age

    093. Sanatorium-resort treatment for patients with spinal cord injury is indicated in children

    a)after 1-2 months

    b)after 2-3 months

    V c)after 5-6 months

    d)after 1 year

    094. Contraindications to sanatorium-resort treatment of children after spinal cord injury are

    a) paresis and paralysis

    b) sensory disorders

    V c) urinary disorders and bedsores

    d) spinal deformity

    d) muscle spasms

    095. In order to prevent the development of persistent cerebrovascular disease after an acute period of traumatic brain injury, it is recommended to prescribe

    a) nootropics

    b) lipocerebrin

    c) phytin, calcium glycerophosphate

    d) vitamins

    V d)all of the above

    096. Disorders arising from spinal cord concussion in children

    a) have only a local character

    b) always spread throughout the spinal cord

    c) localized only in the anterior and lateral cords

    d)localized only in gray matter

    V d) are widespread or local in nature

    097. With a partial rupture of the spinal cord in children, it is possible

    a) almost complete recovery

    V b) partial restoration

    c) there are no positive dynamics

    d) positive dynamics only at an early age

    098.In case of complete rupture of the spinal cord in children, recovery

    V a) does not happen

    b) can be partial

    c) only sensitivity improves

    d) partial recovery only in young children

    099.If a vertebra is fractured, displaced or dislocated,

    a) subarachnoid hemorrhage

    V b) compression syndrome of the spinal cord and roots

    c) widespread polyradiculoneuritis

    d) damage to the anterior horns of the spinal cord

    e) serous meningitis

    100. In early childhood, the cause of convulsive seizures is

    V a) lack of pyridoxine (vitamin B6)

    b) lack of calcium pantothenate (vitamin B5)

    c) lack of folic acid (vitamin B12)

    101.Secondary generalized epilepsy occurs in children against the background

    a) allergies

    b)immunodeficiency

    V c) organic cerebral defect

    d) infectious disease

    e) traumatic brain injury

    102.Children should be included in the high “risk” group for epilepsy

    a) with febrile seizures at an early age

    b) with affective-respiratory paroxysms

    c) with an organic cerebral defect

    d) with a hereditary history of epilepsy

    V d) with all the listed factors

    103. It is advisable to combine phenobarbital for young children with the prescription

    b) sodium bicarbonate

    c) magnesium sulfate

    V g) calcium

    104. Gradual withdrawal of anticonvulsant treatment is possible in children

    a) 1-2 years after the last seizure

    b) 7-10 years after the last seizure

    c) with positive EEG dynamics, but depending on the last seizure

    V d) 3-5 years after the seizure with normalization of the EEG

    e) during puberty

    105.Patients with epilepsy or epileptic syndrome are registered with a pediatric neurologist

    a) do not consist

    b) consist only at an early age

    V c) consist in the absence of mental changes and mental equivalents

    d) all patients under 15 years of age

    106. Fears predominate in children of preschool and school age

    a) darkness

    b) loneliness

    c) animals that frightened the child

    d) characters from fairy tales and films

    V d)all of the above

    107. In the pre- and pubertal periods, fear is more often noted

    a) without specific content

    c) illness and death

    V d) animals and people

    108. In the pre- and pubertal periods, fear is often accompanied

    a) hallucinations

    c) convulsions

    d) pronounced vegetative reaction

    V d)urinary incontinence

    109.Stuttering mainly develops with age

    V a) up to 5 years

    b) junior school

    c) high school

    d) prepubertal

    110.Neurotic tics are most common in older people

    a) up to 3 years

    b) from 3 to 5 years

    V c) from 5 to 12 years

    d) from 12 to 16 years old

    e) over 16 years old

    111. The presence of enuresis occurs in children

    a) over 2 years old

    V b) over 4 years old

    c) over 6 years old

    d) over 8 years old

    d) over 10 years old


    Bibliographic index

    Belarusian-Polish scientific and practical seminar = Bialorusko-polski naukovo-praktyczny seminarium: abstract. report, 9-11 Oct. 2002, Brest, Rep. Belarus.

  2. Unified qualification directory (2)

    Directory

    1. The section “Qualification characteristics of positions of workers in the field of healthcare” of the Unified Qualification Directory of Positions of Managers, Specialists and Employees (hereinafter referred to as the EKS) is intended to facilitate the correct selection

  3. The program was approved at: a methodological meeting of the Department of Social and Forensic Psychiatry of the Faculty of Pedagogical Education, MMA named after. I. M. Sechenov minutes of the meeting

    Program

    Issues of improving postgraduate education in psychiatry are becoming very relevant at the present time, both in connection with the increase in mental morbidity in the population, and with the emergence of new areas of psychiatric science and practice.


  4. QUALIFICATION TEST IN NEUROLOGY
    Section 1. CLINICAL ANATOMY AND PHYSIOLOGY OF THE NERVOUS SYSTEM. TOPICAL DIAGNOSTICS
    01.1. When the abducens nerve is damaged, paralysis of the extraocular muscle occurs.

    a) the upper line

    b) outer straight line

    c) bottom line

    d) lower oblique

    e) upper oblique

    01.2. Mydriasis occurs when there is a lesion

    a) the upper portion of the magnocellular nucleus of the oculomotor nerve

    b) the lower portion of the magnocellular nucleus of the oculomotor nerve

    c) parvocellular accessory nucleus of the oculomotor nerve

    d) middle unpaired nucleus

    e) nuclei of the medial longitudinal fasciculus

    01.3. If the upper limit of conduction disorders of pain sensitivity is determined at the level of the T 10 dermatome, the spinal cord lesion is localized at the level of the segment

    a) T 6 or T 7

    b) T 8 or T 9

    c) T 9 or T 10

    d) T 10 or T 11

    e) T 11 or T 12

    01.4. With central paralysis there is

    a) muscle atrophy

    b) increased tendon reflexes

    c) sensitivity disorder of the polyneuritic type

    d) disorders of electrical excitability of nerves and muscles

    e) fibrillary twitching

    01.5. Choreic hyperkinesis occurs when there is a lesion

    a) paleostriatum

    b) neostriatum

    c) medial globus pallidus

    d) lateral globus pallidus

    d) cerebellum

    01.6. Deep sensory fibers for the lower extremities are located in a thin bundle of posterior funiculi in relation to the midline

    a) laterally

    b) medially

    c) ventrally

    d) dorsally

    e) ventrolateral

    01.7. Deep sensory fibers for the trunk and upper extremities are located in the wedge-shaped bundle of the posterior funiculi in relation to the midline

    a) laterally

    b) medially

    c) ventrally

    d) dorsally

    e) ventromedial

    01.8. Fibers of pain and temperature sensitivity (lateral lemniscus) join fibers of deep and tactile sensitivity (medial lemniscus)

    a) in the medulla oblongata

    b) in the pons of the brain

    c) in the cerebral peduncles

    d) in the optic thalamus

    d) in the cerebellum

    01.9. The main mediator of the inhibitory effect is

    a) acetylcholine

    c) norepinephrine

    d) adrenaline

    d) dopamine

    01.10. All afferent pathways of the striopallidal system end

    b) in the striatum

    c) in the medial nucleus of the globus pallidus

    d) in the subthalamic nucleus

    d) in the cerebellum

    01.11. Instability in the Romberg position when closing the eyes increases significantly if ataxia occurs.

    a) cerebellar

    b) sensitive

    c) vestibular

    d) frontal

    e) mixed

    01.12. Regulation of muscle tone by the cerebellum when changing the position of the body in space is carried out through

    a) red nucleus

    b) Lewis body

    c) substantia nigra

    d) striatum

    e) blue spot

    01.13. Binasal hemianopsia occurs with lesions

    c) visual radiance

    d) optic tracts

    d) black substance

    01.14. Compression leads to a concentric narrowing of the visual field

    a) optic tract

    b) optic chiasm

    c) external geniculate body

    d) visual radiance

    d) black substance

    01.15. When the optic tract is damaged, hemianopia occurs

    a) binasal

    b) homonymous

    c) bitemporal

    d) lower quadrant

    d) upper quadrant

    0116. Homonymous hemianopsia is not observed with the lesion

    a) optic tract

    b) optic chiasm

    c) visual radiance

    d) internal capsule

    d) optic nerve

    01.17. The pathway passes through the superior cerebellar peduncles

    a) posterior spinocerebellar

    b) anterior spinocerebellar

    c) fronto-pontine-cerebellar

    d) occipitotemporal pons-cerebellar

    e) spinocerebellar

    01.18. Olfactory hallucinations are observed when affected

    a) olfactory tubercle

    b) olfactory bulb

    c) temporal lobe

    d) parietal lobe

    e) frontal lobe

    01.19. Bitemporal hemianopsia is observed with lesions

    a) central parts of the optic chiasm

    b) external parts of the optic chiasm

    c) visual tracts of the optic chiasm

    e) frontal lobe

    01.20. True urinary incontinence occurs when there is damage

    a) paracentral lobules of the anterior central gyrus

    b) cervical spinal cord

    c) lumbar enlargement of the spinal cord

    d) cauda equina spinal cord

    e) pons brain

    01.21. With paresis of upward gaze and convergence disorder, the focus is localized

    a) in the upper parts of the pons of the brain

    b) in the lower parts of the pons of the brain

    c) in the dorsal part of the midbrain tegmentum

    d) in the cerebral peduncles

    d) in the medulla oblongata

    01.22. Half the diameter of the spinal cord (Brown-Séquard syndrome) is characterized by central paralysis on the side of the lesion in combination

    c) in the pons of the brain on the left

    d) in the area of ​​the apex of the pyramid of the left temporal bone

    d) in the cerebral peduncle

    01.25. A seizure begins from the toes of the left foot if the focus is located

    a) in the anterior adversive field on the right

    b) in the upper part of the posterior central gyrus on the right

    e) in the middle section of the anterior central gyrus on the right

    01.28. The cervical plexus is formed by the anterior branches of the spinal nerves and cervical segments

    01.29. The brachial plexus forms the anterior branches of the spinal nerves

    01.30. Nerve impulses are generated

    a) cell nucleus

    b) outer membrane

    c) axon

    d) neurofilaments

    e) dendrites

    01.31. Alexia is observed when affected

    a) superior frontal gyrus

    b) parahippocampal gyrus

    c) thalamus

    d) angular gyrus

    e) pons brain

    01.32. On a section of the lower part of the medulla oblongata, nuclei are not distinguished

    a) tender and wedge-shaped

    b) spinal tract of the trigeminal nerve

    c) hypoglossal nerves

    d) facial, abducens nerves

    01.33. The brainstem pons includes

    a) red kernels

    b) nuclei of the trochlear nerve

    c) nuclei of the oculomotor nerve

    d) nuclei of the abducens nerve

    e) nuclei of the hypoglossal nerves

    01.34. Hemianesthesia, hemiataxia, hemianopsia are characteristic of the lesion

    a) globus pallidus

    b) caudate nucleus

    c) red nucleus

    d) thalamus

    d) black substance

    01.35. Damage to the cauda equina of the spinal cord is accompanied by

    a) flaccid paresis of the legs and sensory impairment of the radicular type

    b) spastic paresis of the legs and pelvic disorders

    c) impaired deep sensitivity of the distal legs and urinary retention

    d) spastic paraparesis of the legs without sensory disorders and dysfunction of the pelvic organs

    e) impairment of deep sensitivity of the proximal legs and urinary retention

    01.36. True astereognosis is caused by a lesion

    a) frontal lobe

    b) temporal lobe

    c) parietal lobe

    d) occipital lobe

    d) cerebellum

    01.37. Loss of the upper quadrants of the visual fields occurs with lesions

    a) external parts of the optic chiasm

    b) lingual gyrus

    c) deep parts of the parietal lobe

    d) primary visual centers in the thalamus

    d) optic nerve

    01.38. Astereognosis occurs when there is a lesion

    a) lingual gyrus of the parietal lobe

    b) superior temporal gyrus

    c) inferior frontal gyrus

    d) superior parietal lobule

    d) cerebellum

    01.39. Closure of the reflex arc from the biceps brachii tendon occurs at the level of the following segments of the spinal cord

    01.40. Association fibers connect

    a) symmetrical parts of both hemispheres

    b) asymmetrical parts of both hemispheres

    c) cortex with the visual thalamus and underlying sections (centrifugal and centripetal paths)

    d) different parts of the cortex of the same hemisphere

    d) cerebral peduncles

    01.41. Patient with visual agnosia

    a) sees surrounding objects poorly, but recognizes them

    b) sees objects well, but the shape seems distorted

    c) does not see objects in the periphery of the visual field

    d) sees objects, but does not recognize them

    e) sees surrounding objects poorly and does not recognize them

    01.42. Patient with motor aphasia

    a) understands spoken speech, but cannot speak

    b) does not understand spoken speech and cannot speak

    c) can speak, but does not understand spoken speech

    d) can speak, but the speech is scanned

    e) can speak, but does not remember the names of objects

    a) cannot speak and does not understand spoken speech

    b) understands spoken speech, but cannot speak

    c) can speak, but forgets the names of objects

    d) does not understand spoken speech, but controls his own speech

    d) does not understand spoken speech and does not control his own

    01.44. Amnestic aphasia is observed with lesions

    a) frontal lobe

    b) parietal lobe

    c) the junction of the frontal and parietal lobes

    d) the junction of the temporal and parietal lobes

    e) occipital lobe

    01.45. The combination of impaired swallowing and phonation, dysarthria, paresis of the soft palate, absence of the pharyngeal reflex and tetraparesis indicates a lesion

    a) cerebral peduncle

    b) pons brain

    c) medulla oblongata

    d) midbrain tegmentum

    d) hypothalamus

    01.46. The combination of paresis of the left half of the soft palate, deviation of the uvula to the right, increased tendon reflexes and pathological reflexes on the right extremities indicates a lesion

    a) medulla oblongata at the level of the motor nucleus of the IX and X nerves on the left

    b) medulla oblongata at the level of the XII nerve on the left

    c) knee of the internal capsule on the left

    d) posterior thigh of the internal capsule on the left

    d) hypothalamus

    01.47. In alternating Millard-Gubler syndrome, the focus is located

    a) at the base of the cerebral peduncle

    b) in the posterolateral part of the medulla oblongata

    c) in the area of ​​the red nucleus

    d) at the base of the lower part of the pons

    d) in the hypothalamus

    01.48. Features of the pilomotor reflex disorder have topical and diagnostic significance in case of damage

    a) quadrigeminal

    b) medulla oblongata

    c) hypothalamus

    d) spinal cord

    e) peripheral nerves

    01.49. Lesions in the ventral half of the lumbar enlargement are not characterized by the presence

    a) inferior flaccid paraparesis

    b) disorders of pain sensitivity

    d) sensitive ataxia of the lower extremities

    e) preserved deep sensitivity

    01.50. Oral automatism reflexes indicate damage to the tracts

    a) corticospinal

    b) corticonuclear

    c) fronto-pontine-cerebellar

    d) rubrospinal

    e) spinocerebellar

    01.51. The grasping reflex (Yaniszewski) is noted when affected

    a) parietal lobe

    b) temporal lobe

    c) frontal lobe

    d) occipital lobe

    d) hypothalamus

    01.52. Auditory agnosia occurs with damage

    a) parietal lobe

    b) frontal lobe

    c) occipital lobe

    d) temporal lobe

    d) hypothalamus

    01.53. Alternating Foville syndrome is characterized by simultaneous involvement of nerves in the pathological process

    a) facial and abducens

    b) facial and oculomotor

    c) glossopharyngeal nerve and vagus

    d) sublingual and accessory

    e) additional and block
    01.54. Jugular foramen syndrome is characterized by nerve damage

    a) glossopharyngeal, vagus, accessory

    b) vagus, accessory, sublingual

    c) accessory, glossopharyngeal, sublingual

    d) vagus, facial, trigeminal

    e) vagus, oculomotor, abducens

    01.55. Constructive apraxia occurs when there is a lesion

    a) frontal lobe of the dominant hemisphere

    b) frontal lobe of the non-dominant hemisphere

    e) occipital lobes

    01.56. Body schema disorder is noted when affected

    a) temporal lobe of the dominant hemisphere

    b) temporal lobe of the non-dominant hemisphere

    c) parietal lobe of the dominant hemisphere

    d) parietal lobe of the non-dominant hemisphere

    d) hypothalamus

    01.57. Sensory aphasia occurs when there is a lesion

    a) superior temporal gyrus

    b) middle temporal gyrus

    c) superior parietal lobule

    d) inferior parietal lobule

    d) hypothalamus

    01.58. Motor apraxia in the left hand develops with the lesion

    a) genu corpus callosum

    b) trunk of the corpus callosum

    c) thickening of the corpus callosum

    d) frontal lobe

    e) occipital lobe

    01.59. The segmental apparatus of the sympathetic division of the autonomic nervous system is represented by neurons of the lateral horns of the spinal cord at the level of segments

    01.60. The caudal section of the segmental apparatus of the parasympathetic division of the autonomic nervous system is represented by neurons of the lateral horns of the spinal cord at the segment level

    a) L 4 -L 5 -S 1

    b) L 5 -S 1 -S 2

    01.61. The ciliospinal center is located in the lateral horns of the spinal cord at the level of the segments


    Section 2. MEDICAL GENETICS

    02.1. Proband is:

    A. A patient who consults a doctor

    B. A healthy person who applied for medical genetic consultation

    B. A person who first came under the supervision of a geneticist

    D. The person from whom the pedigree collection begins

    02.02. With what type of inheritance are significantly more often patients born into families with consanguineous marriages:

    A. X-linked recessive

    B. Autosomal recessive

    B. X-linked dominant

    02.03. Siblings are:

    A. All relatives of the proband

    B. Proband's uncle

    B. Parents of the proband

    D. Brothers and sisters of the proband

    02.04. The objects of study of clinical genetics are:

    A. Sick person

    B. The patient and sick relatives

    B. The patient and all members of his family, including healthy ones

    02.05. What is the probability of giving birth to a sick child by a woman who has a sick son and brother with hemophilia:


    V. 100%

    D. Close to 0%

    02.06. Dolichocephaly is:

    A. Long narrow skull with prominent forehead and nape

    B. Increase in the longitudinal size of the skull relative to the transverse

    B. An increase in the transverse size of the skull with a relative decrease in the longitudinal size

    D. Expansion of the skull in the occipital region and narrowing in the frontal region

    02.07. Epicanthus is:

    A. Fused eyebrows

    B. Wide-set eyes

    B. Vertical skin fold at the inner corner of the eye

    D. Narrowing of the palpebral fissure

    02.08. Oligodactyly is:

    A. Absence of fingers

    B. Finger fusion

    B. Missing one or more fingers

    D. Increasing the number of fingers

    02.09. Cryptorchidism is:

    A. Non-closure of the urethra

    B. Undescended testicles into the scrotum

    B. Underdevelopment of the genital organs

    02.10. Arachnodactyly is:

    A. Shortening of fingers

    B. Changing finger shapes

    B. Increase in finger length

    02.11. Syndactyly is:

    A. Fusion of the limbs along the entire length

    B. Fusion of the limb in the lower third

    B. Finger fusion

    02.12 Brachycephaly is:

    A. Expansion of the skull in the occipital part and narrowing in the frontal part

    B. “tower skull”

    B. An increase in the transverse size of the head with a relative decrease in the longitudinal size

    D. Increase in the longitudinal size of the skull relative to the transverse

    02.13. Anophthalmia is:

    A. Congenital absence of eyeballs

    B. Congenital absence of the iris

    B. Reduced distance between the inner corners of the eye sockets

    02.14 Micrognathia is:

    A. Small size of the lower jaw

    B. Small size of the upper jaw

    B. Small oral opening

    02.15 Heterochromia of the iris is:

    A. Abnormal color perception

    B. Different colors of the iris

    B. Differences in iris size

    02.16 The most appropriate periods of pregnancy to study the level of alpha-fetoprotein in the blood:

    A. 7-10 weeks

    B. 16-20 weeks

    B. 25-30 weeks

    G. 33-38 weeks

    02.17 Karyotype characteristic of Klinefelter syndrome:


    1. 47, ХХУ

    2. 47, XUU

    3. 46, XY

    4. 45, U

    5. 47, XXX
    02.18. Karyotype characteristic of “cry the cat” syndrome:

    1. 45, XO

    2. 47, ХХУ

    3. 46, XX / 47, XX + 13

    4. 46, XX, del(р5)

    5. 47, XX + 18
    02.19. The level of alpha-fetoprotein in the blood of a pregnant woman increases when:

    1. Down's disease

    2. Edwards syndrome

    3. Patau syndrome

    4. Cystic fibrosis

    5. Congenital malformations
    02.20. The zygote is lethal with the genotype:

    1. 45, X

    2. 47, XY + 21

    3. 45, 0U

    4. 47, ХХУ
    02.21. Polysomy on the X chromosome occurs:

    1. Only for men

    2. Only for women

    3. In men and women
    02.22. Postnatal prevention consists of:

    1. Prenatal diagnosis

    2. Screening programs

    3. Artificial insemination
    02.23. For Wilson-Konovalov disease, the main therapeutic agent is

    is:


    1. Cytochrome C

    2. Prozerin

    3. D-penicillamine

    4. Nootropil

    5. Hepatoprotectors
    02.24. With phenylketonuria, the following is detected:

    1. Hypotyrosinemia

    2. Hypophenylalaninemia

    3. Hypoceruloplasminemia

    4. Hyper-3,4-dihydrophenylalaninemia
    02.25. It is not typical for hepatocerebral dystrophy:

    1. Reduced blood ceruloplasmin

    2. Increased copper content in the liver

    3. Decreased urinary copper excretion

    4. Increase in "direct" blood copper
    02.26. Duchenne myopathy is associated with a mutation in the gene responsible for the synthesis

    enzyme:


    1. Galactokinases

    2. Dehydropteridine reductase

    3. Dystrophin

    4. Ceruloplasmin
    02.27. The process of doubling nucleic acid molecules is called:

    1. Transcription

    2. Processing

    3. Polyploidy

    4. Broadcast

    5. Replication
    02.28. The chromosome set is:

    1. Phenotype

    2. Genotype

    3. Karyotype

    4. Recombinant
    02.29. The haploid set contains cells:

    1. Neurons

    2. Hepatocytes

    3. Zygotes

    4. Gametes

    5. Epithelial
    02.30. To study the role of genetic and environmental factors, the following method is used:

    1. Clinical and genealogical

    2. Direct DNA probing

    3. Microbiological

    4. Cytological

    5. Twin
    02.31. The main property of nucleic acid as a storer and transmitter of hereditary information is the ability to:

    1. Self-reproduction

    2. Methylation

    3. Nucleosome formation

    4. Double-stranded structure
    02.32. Programmed cell death is called:

    1. Apoptosis

    2. Necrosis

    3. Degeneration

    4. Chromatolysis

    5. Mutation
    02.33. The presence of multiple variants of the chromosome set in one person is called:

    1. Chromosism

    2. Polyploidy

    3. Genetic load

    4. Mosaicism
    02.34. Genomic mutations are:

    1. Disturbance in gene structure

    2. Change in the number of chromosomes

    3. Accumulation of intronic repeats

    4. Change in chromosome structure
    02.35. Deletion is:

    1. Genomic mutation

    2. Gene mutation

    3. Chromosomal mutation
    02.36. The replacement of individual nucleotides in a DNA chain with others is referred to as:

    1. Chromosomal mutations

    2. Genomic mutations

    3. Gene mutations
    02.37. Proportion of common genes among first cousins:

    1. 12,5%

    2. As in the population
    02.38. The probability of having a sick son from a father suffering from hemophilia:

    1. 100%
    02.39. The basic law of population genetics is the law:

    1. Mendel

    2. Beadle-Tatuma

    3. Hardy-Weinberg

    4. Morgana

    5. Wright

    02.40. The main objectives of medical genetics are to study


    1. laws of heredity and variability of the human body

    2. population statistics of hereditary diseases

    3. molecular and biochemical aspects of heredity

    4. changes in heredity caused by environmental factors

    5. all of the above
    02.41. A dominant gene is a gene whose action:

    1. detected in a heterozygous state

    2. detected in a homozygous state

    3. detected in hetero- and homozygous states

    4. all of the above are false
    02.42. A phenotype is a set of characteristics and properties of an organism, the manifestation of which is determined by

    1. by the action of a dominant gene

    2. by the action of a recessive gene

    3. by the action of both dominant and recessive genes

    4. interaction of genotype with environmental factors

    02.43. A karyotype is a set of features of the chromosome set of a cell, determined by:


    1. number of sex chromosomes

    2. chromosome shape

    3. chromosome structure

    4. all of the above

    5. none of the above
    02.44. Autosomal dominant mode of inheritance is different

    1. predominantly affects males

    2. prevalence of sick family members in the generation

    3. manifestation of a pathological inherited trait in all generations without skipping

    4. all of the above are true
    02.45. The autosomal recessive type of inheritance is characterized by:

    1. the ratio of healthy and sick family members is 1:1

    2. the disease is not related to consanguinity

    3. the parents of the first identified patient are clinically healthy

    4. all of the above is incorrect
    02.46. The recessive type of inheritance associated with the X chromosome is characterized by:

    1. the ratio of sick men in each generation is 2:1

    2. only men get sick

    3. only women get sick

    4. signs of the disease are always found in the mother of the proband
    02.47. Phenotypic signs of chromosomal diseases are:

    1. mental development disorders

    2. physical development disorders

    3. multiple malformations

    4. all listed
    02.48. Induced mutagenesis is caused by the following factors:

    1. maternal somatic diseases

    2. emotional stress

    3. physical overload

    4. viruses

    5. all of the above factors
    02.49. Progressive muscular dystrophies are caused by damage

    1. cerebrospinal pyramidal tracts

    2. motor neurons of the anterior horns of the spinal cord

    3. peripheral motor neuron

    4. all of the above

    5. none of the above
    02.50. Spinal amyotrophy Werdnig-Hoffmann is inherited

    1. according to the autosomal dominant type

    2. according to the autosomal recessive type

    3. by recessive type associated with sex (X chromosome)

    4. by dominant type associated with gender
    02.51. A change in the contour of the legs like a “overturned bottle” is caused by a change in muscle mass:

    1. with amyotrophy Charcot - Marie - Tuta

    2. for hypertrophic neuropathy Dejerine - Sotta

    3. for Erb's muscular dystrophy

    4. for Becker-Kinner muscular dystrophy

    5. for Kugelberg-Welander amyotrophy
    02.52. Charcot-Marie-Tooth amyotrophy is caused by a primary lesion

    1. anterior horns of the spinal cord

    2. peripheral motor nerves

    3. muscles of the distal limbs

    4. subcortical nuclei
    02.53. A study of plasma from a patient with hepatocerebral dystrophy reveals

    1. increased ceruloplasmin levels and hypercupremia

    2. decreased ceruloplasmin levels and hypercupremia

    3. increased ceruloplasmin levels and hypocupremia

    4. decreased ceruloplasmin levels and hypocupremia
    02.54. The clinical picture of typical Huntington's chorea, in addition to choreic hyperkinesis, includes

    1. plastic extrapyramidal rigidity

    2. akinesia

    3. hypomimia

    4. dementia

    02.55. In Friedreich's disease there is


    1. recessive inheritance pattern

    2. dominant mode of inheritance

    3. sex-linked (via the X chromosome)

    4. all of the above
    02.56. Among spinocerebellar ataxias, Friedreich's disease is distinguished by the presence

    1. foot deformities

    2. dysraphic status

    3. damage to the heart muscle

    4. decreased or lost reflexes

    5. all of the above
    02.57. Neurofibromas in Recklinghausen disease can be localized

    1. along the peripheral nerves

    2. in the spinal canal along the roots

    3. intracranial along the cranial nerves

    4. in any of the specified areas
    02.58. The mode of inheritance of neurofibromatosis (Recklinghausen's disease) is characterized as

    1. autosomal dominant

    2. autosomal recessive

    3. recessive, sex-linked (via the X chromosome)

    4. all of the above is incorrect
    02.59. Down syndrome is characterized by a combination of the following symptoms:

    1. rounded skull, gothic palate, syndactyly, muscle hypotonia

    2. dolichocephaly, cleft palate, arachnodactyly, muscle hypertonicity

    3. Craniostenotic skull, cleft lip, presence of 6th digit, choreoathetosis

    4. a combination of any of the above symptoms is observed
    02.60. Arnold-Chiari malformation is a pathology in which there is

    1. fusion of cervical vertebrae

    2. fusion of the 1st cervical vertebra with the occipital bone

    3. downward displacement of the cerebellar tonsils

    4. cleft arch of the 1st cervical vertebra

    5. all of the above
    02.61. The effect of a mutant gene in monogenic pathology is manifested:

    1. only clinical symptoms

    2. at the clinical, biochemical and cellular levels

    3. only at certain stages of metabolism

    4. only at the cellular level
    02.62. The diagnosis of neurofibromatosis is made based on:

    1. characteristic clinical picture and biochemical analysis

    2. clinical picture

    3. clinical picture, hormonal profile studies, biochemical analysis and pathological examination
    02.63. The etiological factors of monogenic hereditary pathology are:

    1. transfer of a section of one chromosome to another

    2. change in DNA structure

    3. interaction of genetic and environmental factors

    4. deletion, duplication, translocation of chromosome sections
    02.64. Indicate the probability of re-birth of a sick child for spouses who have a sick girl with phenylketonuria:

    1. 50%;

    2. close to 0%;

    3. 75%;

    4. 25%.
    02.65. The diagnosis of Marfan syndrome is made based on:

    1. patient complaints and family history data

    2. characteristic combination of clinical signs

    3. biochemical analysis

    4. clinical symptoms, biochemical and pathomorphological studies
    02.66. Classification of gene diseases is possible based on:

    1. age of onset of disease

    2. predominant damage to certain groups in the population

    3. type of inheritance

    4. nature of the mutation
    02.67. The diagnosis of cystic fibrosis is made based on:

    1. biochemical analysis of urine and blood

    2. examination data by an ophthalmologist, cardiologist and paraclinical research methods

    3. clinical symptoms, studies of the concentration of Na and Cl ions in sweat fluid

    4. characteristic clinical symptoms, electromyography data and determination of serum creatinine phosphokinase levels
    02.68. The probability of a birth in a family of a patient with adrenogenital syndrome, provided that the child from the first pregnancy has this syndrome, and the girl from the second pregnancy is healthy, is:

    1. 50%;

    2. 25%;

    3. 100%.
    02.69. The probability of having a sick child in a family in which the mother has phenylketonuria and the father is homozygous for the normal allele is:

    1. 50%;

    2. 25%;

    3. 100%.

    02.70. Genetic diseases are caused by:


    1. loss of part of the chromosomal material

    2. increase in chromosomal material

    3. loss of two or more genes

    4. single gene mutation
    02.71. The diagnosis of Duchenne muscular dystrophy is made based on:

    1. data for determining the concentration of Na and Cl ions in sweat fluid

    2. characteristic neurological symptoms, time of onset and nature of the course, determination of the level of creatinine phosphokinase in the blood serum

    3. examination by an ophthalmologist, neurologist, ultrasound data

    4. histological examination results
    02.72. The probability of having a child with Marfan syndrome, if the first child has this syndrome and the parents are healthy, is approximately:

    1. 50%;

    2. 25%;

    3. 75%.
    02.73. Specify the factors that determine clinical polymorphism of gene diseases:

    1. primary gene effect

    2. effect of environmental factors

    3. presence of modifier genes

    4. gene dosage effect

    5. all of the above
    02.74. Multifactorial diseases are characterized by:


    1. lack of Mendelization

    2. Children get sick more often

    3. possibility of isolating individual forms with the effect of the main gene
    02.75. The hereditary predisposition of polygenic diseases is evidenced by:

    1. predominant defeat of men

    2. independence from degree of consanguinity

    3. high frequency in the population

    4. greater risk of developing the disease in relatives with a lower incidence of the disease in the population
    02.76. Monogenic diseases include:

    1. phenylketonuria

    2. Kleinfelter's syndrome

    3. hypertension

    4. Arnold-Chiari malformation
    02.77. Polygenically determined congenital malformations:

    1. spinal amyotrophy of Werdnig-Hoffmann

    2. cleft lip, palate

    3. Friedreich's foot

    4. Marfan syndrome
    02.78. Edwards syndrome is characterized by:

    1. trisomy 17

    2. trisomy 18

    3. deletion of chromosome 18

    4. inversion of chromosome 17
    02.79. Patau syndrome is characterized by:

    1. trisomy 14

    2. trisomy 13

    3. deletion of chromosome 18

    4. duplication of chromosome 18
    02.80. Shereshevsky-Turner syndrome is characterized by:

    1. primary amenorrhea

    2. monosomy X

    3. identifying symptoms from birth

    4. short stature

    5. all of the above
    02.81. Indications for prenatal karyotyping of the fetus are:

    1. presence of phenylketonuria in one of the parents

    2. carriage of a balanced chromosomal rearrangement in one of the parents

    3. high levels of alpha-fetoprotein in the mother's blood

    4. one of the parents has diabetes
    02.82. Clinical signs of Klinefelter syndrome:

    1. primary amenorrhea

    2. microorchidism

    3. dolichocephaly, arachnodactyly

    4. all of the above
    02.83. Syndromes caused by abnormalities of autosomal chromosomes are characterized by:

    1. violation of sexual differentiation

    2. presence of enzymopathies

    3. multiple congenital anomalies of internal organs

    4. no changes in karyotype

    5. monosomy
    02.84. The following cells do not contain 46 chromosomes:

    1. egg

    2. squamous epithelium

    3. endothelium

    4. neuron

    5. myocyte
    02.85. Diseases for which it is advisable to study sex chromatin:

    1. Down syndrome

    2. "cry the cat" syndrome

    3. Klinefelter syndrome

    4. Marfan syndrome
    02.86. The following main features are used to identify chromosomes:

    1. chromosome size

    2. location of the primary constriction

    3. streaking in differential staining

    4. all of the above
    02.87. The main objectives of the clinical-genealogical method:

    1. establishing the hereditary nature of the disease

    2. establishing the type of inheritance

    3. determining the circle of people who need a detailed examination

    4. all of the above

    5. none of the above
    02.88. Methods used to diagnose enzymopathies:

    1. buccal test

    2. biochemical

    3. microbiological

    4. population

    5. immunofluorescent
    02.89. Etiological treatment methods include:

    1. genetic engineering

    2. antibiotic therapy

    3. limiting the introduction of a harmful product

    4. replacement therapy
    02.90. Chromosome mutations include:

    1. broadcast

    2. inversion

    3. mimicry

    4. repolarization

    5. extrapolation
    02.91. Autosomal dominantly inherited:

    1. hemophilia

    2. Shereshevsky-Turner syndrome

    3. Duchenne myopathy

    4. neurofibromatosis

    5. schizophrenia
    02.92. Structural chromosomal abnormalities include:

    1. aneuploidy

    2. polysomy

    3. polyploidy

    4. inversion
    02.93. The primary constriction of a chromosome is called:

    1. telomere

    2. centromere

    3. satellite

    4. chromosome arm
    02.94. Marriage between first degree relatives:

    1. morganic

    2. incest

    3. inbreeding

    4. polygamy
    02.95. The duration of dietary treatment for a patient with phenylketonuria is:

    1. from 2 to 6 months

    2. from 2 months to 1 year

    3. from 2 months to 3 years

    4. from 2 months to 5-6 years

    5. all my life
    02.96. Characteristics of Down's disease include all of the following except

    1. Mongoloid eye shape

    2. mental retardation

    3. speech disorders

    4. congenital heart defects

    5. pyramidal insufficiency
    02.97. Shershevsky-Turner syndrome is more common

    1. in boys

    2. in persons of both sexes

    3. only for adults
    02.98. Marfan syndrome is characterized by

    1. arachnodactyly

    2. heart defects

    3. subluxations of the lens

    4. mental retardation

    5. all the listed symptoms
    02.99. The role of hereditary factors in the development of generalized tics in children

    1. absent

    2. insignificant

    3. significant

    4. depends on the age of the parents

    5. depends on the gender of the patient

    02.100. The scapulohumeral-facial form of myopathy (Landouzi - Dezherina) has


    1. autosomal dominant mode of inheritance

    2. autosomal recessive mode of inheritance

    3. autosomal recessive, X-linked type of inheritance

    4. autosomal recessive and autosomal dominant mode of inheritance

    5. type of inheritance unknown
    GENERAL NEUROLOGY TESTS
    __Propulsion system

    1. Muscle tone in peripheral motor neuron lesions:
    1.Decreasing
    2.Increases
    3.Does not change
    Answer: 1
    2. Muscle tone with damage to the central motor neuron:
    1.Decreasing
    2.Increases
    3.Does not change
    Answer: 2
    3. Pathological pyramidal symptoms on the upper limb - reflexes:
    1.Babinsky
    2.Oppenheim
    3.Rossolimo
    4. Schaeffer
    Answer: 3
    4. Muscle wasting is characteristic of the lesion:
    1.Central motor neuron
    2.Peripheral motor neuron
    3. Cerebellum
    Answer: 2
    5. Pathological reflexes are characteristic of the lesion:
    1.Peripheral motor neuron
    2.Central motor neuron
    3. Cerebellum
    Answer: 2
    6. Deep reflexes with damage to the central motor neuron:
    1.Increasing
    2.Do not change
    3.Decreasing
    Answer: 1
    7. Deep reflexes with damage to a peripheral motor neuron:
    1.Increasing
    2.Decreasing
    3.Do not change
    Answer: 2
    8. In case of damage to the peripheral motor neuron of the muscle trophism:
    1.Reduced
    2.Increased
    3.Not changed
    Answer: 1
    9. With damage to the central motor neuron, pathological synkinesis:
    1.Can be observed
    2.Always observed
    3.Not observed
    Answer: 1
    10. Sign of damage to the internal capsule:
    1.Hemiparesis
    2. Paraparesis
    3.Monoplegia
    Answer: 1

    11. Signs of damage to the central motor neuron:
    1.Fibrillation
    2.Hyporeflexia
    3. Muscle atony
    4.Pathological reflexes
    5.Protective reflexes
    6.Synkinesis
    7. Clonus
    8.Lack of skin reflexes
    9.Lack of tendon reflexes
    Answer: 4, 5, 6, 7, 8
    12. Signs of peripheral motor neuron damage:
    1.Spastic tone
    2. Muscle hypotension
    3.Decreased tendon reflexes
    4. Muscle wasting
    5. Reaction of muscle degeneration during the study of electrical excitability
    Answer: 2, 3, 4, 5
    13. Signs of peripheral nerve damage:
    1. Muscle wasting
    2.Pathological reflexes
    3.Defensive reflexes
    4. Areflexia
    Answer: 1, 4
    14. Signs of damage to the pyramidal tract:
    1.Hemiparesis
    2.Increasing muscle tone in paretic muscles
    3.Increased tendon reflexes
    4.Decreased muscle tone
    5.Decreased skin reflexes
    6.Defensive reflexes
    Answer: 1, 2, 3, 5, 6
    15. Signs of damage to the anterior horns of the spinal cord:
    1. Muscle hypotension
    2.Fibrillary twitching
    3.Lack of tendon reflexes
    4. Muscle wasting
    5.Pathological reflexes
    Answer: 1, 2, 3, 4
    Match:
    16. Localization of the lesion: Symptoms:
    1. Bilateral damage to the pyramidal A. Spastic tone
    pathways in the thoracic spine B. Clonus of the feet
    brain (Th5-Th7). B. Muscle hypotonia
    2. Peripheral nerves of the lower G. Absence of knee and
    limb Achilles reflexes
    D. Paresis of the lower extremities
    E. Paresis of the upper limbs
    Answer: 1 - A, B, D. 2 - B, D, D.
    17. Localization of the lesion: Symptoms:
    1. Internal capsule A. Hemiplegia
    2.C4-C8 segments of the spinal cord B. Wernicke-Mann position
    B. Peripheral paresis of the arm
    G. Fibrillary twitching
    Answer: 1 - A, B
    2 - V, G
    18. Localization of the lesion: Symptoms:
    1. Bilateral damage to the pyramidal tracts A. Tetraparesis
    in the upper cervical spinal cord B. Spastic tone
    B. Pathological reflexes
    2. Brachial plexus G. Hypotrophy
    D. Peripheral paresis of the arm
    E. Lack of deep reflexes Answer: 1 - A, B, C. 2 - G, D, E.
    19. Localization of the lesion: Symptoms:
    1. Internal capsule A. Muscle hypotonia
    2. Anterior root of the spinal cord B. Increase in deep
    reflexes
    B. Pathological reflexes
    D. Sensitivity disorder of the radicular type
    Answer: 1 - B, C. 2 - A.
    20. Localization of the lesion: Symptoms:
    1. Pyramidal tracts in the cervical spine A. Tetraparesis
    spinal cord B. Increased muscle tone
    2. Anterior root of S1 segment B. Paresis of foot extensors
    D. Absence of the Achilles reflex
    D. Hyperreflexia
    E. Lack of knee reflex
    Answer: 1 - A, B, D. 2 - V, G
    Add:
    21. Central lower paraparesis is a syndrome of ___________ ___________ spinal cord lesions at the level of _____________ segments.
    Answer: full transverse, thoracic
    22. The syndrome of damage to half the diameter of the spinal cord is called ___________ - _____________ syndrome.
    Answer: Brown-Sequard
    23. Spastic tone, hyperreflexia, pathological reflexes, clonus are signs of damage to the _______________ ____________ neuron.
    Answer: central motor
    24. Muscle atrophy, muscle atony, areflexia - signs of damage
    _____________ _______________ neuron.
    Answer: peripheral motor
    25. Peripheral paresis of the upper limbs - lesion syndrome
    __________ ___________ spinal cord at the level of ____-____ segments.
    Answer: anterior horns, C5-C8
    __Cranial nerves
    Select one correct answer:
    26. Bulbar palsy develops when the cranial nerves are damaged:
    1.IX, X, XII
    2.IX, X, XI
    3.VIII, IX, X
    Answer: 1
    27. The nucleus of the cranial nerves has unilateral cortical innervation:
    1.XII, X
    2.XII, VII
    3.VII, X
    Answer: 2
    28. The area of ​​the brain stem where the nucleus of the oculomotor nerve is located:
    1. Varoliev Bridge
    2.Cerebral peduncle
    3. Medulla oblongata
    Answer: 2
    29. Ptosis is observed when a pair of cranial nerves is damaged:
    1.IV
    2.V
    3.III
    Answer: 3
    30. Strabismus is observed when a pair of cranial nerves is damaged:
    1.III
    2.XII
    3.VII
    4.V
    Answer: 1
    31. Dysphagia occurs when a pair of cranial nerves is damaged:
    1.V-VII
    2.IX-X
    3.VII-XI
    Answer: 2
    32. Dysarthria occurs when a pair of cranial nerves is damaged:
    1.V
    2.XI
    3.XII
    Answer: 3
    33. Facial muscles are innervated by a pair of cranial nerves:
    1.V
    2.VI
    3.VII
    Answer: 3
    34. The sphincter of the pupil is innervated by the nerve:
    1.III
    2.IV
    3.VI
    Answer: 1
    35. Diplopia occurs when a pair of cranial nerves is damaged:
    1.VII
    2.X
    3.VI
    4.V
    Answer: 3
    36. Ptosis occurs when the cranial nerve is damaged:
    1.IV
    2.VI
    3.III
    4.V
    Answer: 3
    37. Dysphagia occurs when cranial nerves are damaged:
    1.IX-X
    2.VIII-XII
    3.VII-XI
    Answer: 1
    38. The muscles of mastication are innervated by the cranial nerve:
    1.VII
    2.X
    3.XII
    4.V
    Answer: 4
    39. Swallowing disorder occurs when muscles are damaged:
    1.Soft palate
    2.Chewable
    3.Mimic
    Answer: 1
    40.Dysphonia occurs when cranial nerves are damaged:
    1.XII
    2.X
    3.XI
    Answer: 2
    Select all correct answers:
    41. Symptoms characteristic of bulbar palsy are:
    1. The pharyngeal reflex is caused
    2. There is no pharyngeal reflex
    3.Peripheral paresis of the hypoglossal nerve
    4. Symptoms of oral automatism
    5.Dysphagia
    6.Dysarthria
    7.Aphonia
    Answer: 2, 3, 5, 6, 7
    42. Signs characteristic of damage to the facial nerve:
    1.Dysphagia
    2. Smoothness of the frontal and nasolabial folds
    3.Lagophthalmos
    4.Bell's sign
    5. Difficulty protruding tongue
    6. "Sail" symptom
    7. Impossibility of whistling
    8.Hyperacusis
    9.Decreased brow reflex
    Answer: 2, 3, 4, 6, 7, 8, 9
    43. Signs characteristic of damage to the oculomotor nerve:
    1. Convergent strabismus
    2.Mydriasis
    3. Limitation of upward movement of the eyeball
    4. Limitation of outward movement of the eyeball
    5. Divergent strabismus
    6.Ptosis
    7.Diplopia
    Answer: 2, 3, 5, 6, 7
    44. Symptoms characteristic of Weber's alternating syndrome:
    1.Mydriasis
    2. Convergent strabismus
    3. Divergent strabismus
    4.Diplopia
    5.Ptosis
    6.Lagophthalmos
    7. Hemiplegia
    Answer: 1, 3, 4, 5, 7
    45. Strabismus occurs when the cranial nerve is damaged:
    1.III
    2.VI
    3.VII
    4.II
    Answer: 1, 2
    Match:
    46. ​​Symptom: Localization of the lesion:
    1.Ptosis A.III
    2.Dysphagia B.IX-X
    3.Strabismus B.VII
    4.Lagophthalmos G.V
    Answer: 1-A, 2-B, 3-A, 4-B
    47. Syndrome: Symptoms of the lesion:
    1. Bulbar palsy A. Dysphagia
    2. Pseudobulbar palsy B. Dysarthria
    B. Dysphonia
    G. Atrophy of the tongue
    D. Symptoms of oral automatism Answer: 1 - A, B, C, D. 2 - A, B, C, D.
    48. Cranial nerve: Symptoms of damage:
    1.IX-X A. Dysphagia
    2.VII B. Divergent strabismus
    3.III V.Lagophthalmos
    4.VI G. Ptosis
    D. Convergent strabismus
    Answer: 1 - A. 2 - C. 3 - B, D. 4 - D.
    49. Nuclei of cranial nerves: Localization:
    1.III A.Cerebral peduncles
    2.VII B. Varoliev Bridge
    3.XII century. Medulla oblongata
    4.IV D. Internal capsule
    5.X
    Answer: 1 - A. 2 - B. 3 - C. 4 - A. 5 - C.
    50. Cranial nerve: Nucleus localization:
    1.IV A.Cerebral peduncles
    2.VI B. Varoliev Bridge
    3.VIII B. Medulla oblongata
    Answer: 1 - A. 2 - B. 3 - B.
    __Extrapyramidal-cerebellar system
    Select one correct answer:
    51. Statics depends on normal activity:
    1.Caudate nucleus
    2. Cerebellum
    3.Substantia nigra
    Answer: 2
    52. Damage to the cerebellum leads to movement disorders in the form of:
    1.Paresis
    2.Ataxia
    3.Hyperkinesis
    Answer: 2
    53. Dysmetria occurs when:
    1.Pyramid path
    2. Cerebellum
    3.Strio-pallidal system
    Answer: 2
    54. Muscle tone with damage to the cerebellum:
    1.Increases
    2.Lowers
    3.Does not change
    Answer: 2
    55. Rate of active movements in case of damage to the pallido-nigral system:
    1.Slows down
    2.Accelerates
    3. Hyperkinesis appears
    Answer: 1
    56. Hyperkinesis occurs when:
    1.Pyramid system
    2. Extrapyramidal system
    3. Temporal lobe cortex
    Answer: 2
    57. When the extrapyramidal system is damaged, the following occurs:
    1.Akinesia
    2.Apraxia
    3.Paresis
    Answer: 1
    58. Nystagmus occurs when:
    1. Frontal lobe cortex
    2.Caudate nucleus
    3. Cerebellum
    Answer: 3
    59. Handwriting with cerebellar damage:
    1.Micrography
    2. Macrography
    3.Does not change
    Answer: 2
    60. The red core is part of the system:
    1.Pallido-nigral
    2.Striatal
    3.Pyramid
    Answer: 1
    61. Handwriting in a patient with damage to the pallido-nigral system:
    1.Micrography
    2. Macrography
    3.Does not change
    Answer: 1
    62. Propulsions are observed with damage to:
    1.Caudate nucleus
    2.Red core
    3.Substantia nigra
    Answer: 3
    63. With damage to the pallido-nigral system, speech:
    1.Scanned
    2.Dysarthric
    3.Quiet monotonous
    Answer: 3
    64. With damage to the cerebellum, speech:
    1.Scanned
    2.Aphonia
    3.Monotonous
    Answer: 1
    65. Muscle tone disorder due to damage to the pallido-nigral system:
    1.Hypotension
    2.Plastic hypertension
    3.Spastic hypertension
    Answer: 2
    66. Gait with damage to the pallido-nigral system:
    1.Spastic
    2. Spastic-atactic
    3.Hemiparetic
    4. Shuffling, small steps
    Answer: 4
    67. Speech disorder due to damage to the extrapyramidal system:
    1.Dysarthria
    2.Speech is quiet, monotonous
    3.Aphonia
    Answer: 2
    68. Subcortical nuclei affected in striatal syndrome:
    1.Pale ball
    2. Caudate nucleus
    3. Substantia nigra
    Answer: 2
    69. Muscle tone in pallido-nigral syndrome:
    1.Hypotension
    2.Hypertension
    3.Does not change
    Answer: 2
    70. When the striatal system is damaged, muscle tone:
    1.Increases
    2.Lowers
    3.Does not change
    Answer: 2

    71. Symptoms characteristic of cerebellar damage:
    1.Dysarthria
    2.Chanted speech
    3.Hypomimia
    4. Bradykinesia
    5.Dysmetria
    6.Atony
    7.Ataxia
    Answer: 2, 5, 6, 7
    72. Symptoms characteristic of cerebellar damage:
    1. Muscular hypertension
    2. Muscular hypotonia
    3. Intention tremor
    4.Chanted speech
    5.Myoclonus
    Answer: 2, 3, 4
    73. When the pallido-nigral system is damaged, the following are observed:
    1.Hyperkinesis
    2.Dysarthria
    3.Chanted speech
    4. Muscular hypertension
    5. Muscular hypotonia
    6.Hypomimia
    7. Intention tremor
    8.Acheirokinesis
    Answer: 4, 6, 8
    74. Impulses from proprioceptors enter the cerebellum along the following path:
    1. Spinothalamic tract
    2.Flexig's Path
    3.Gowers Path
    4.Vestibulospinal tract
    Answer: 2, 3
    75. Damage to the caudate nucleus is characterized by:
    1. Muscular hypertension
    2. Muscular hypotonia
    3.Hyperkinesis
    4. Bradykinesia
    5.Hypomimia
    Answer: 2, 3
    Add:
    76. Damage to the pallido-nigral system is characterized by an increase in muscle tone of the “_____________ ______________” type.
    Answer: "gear".
    77. Damage to the cerebellum is characterized by ______________ tremor.
    Answer: intentional.
    78. Balance, coordination of movements, muscle tone are the functions of ___________.
    Answer: cerebellum.
    79. Hypokinesia, muscle rigidity, rest tremor are signs of ______________ syndrome.
    Answer: parkinsonism.
    80. Muscular hypotonia, hyperkinesis are signs of damage
    ______________ systems.
    Answer: striatal.
    __Sensitive system

    81. When the posterior horns are damaged, sensitivity is impaired:
    1.Exteroceptive
    2.Proprioceptive
    3. Interoceptive
    Answer: 1
    82. When the posterior horn is damaged, sensitivity is impaired:
    1.Tactile and temperature
    2. Temperature and pain
    3. Painful and tactile
    Answer: 2
    83. The occurrence of pain is characteristic of the lesion:
    1.Dorsal roots
    2.Anterior roots
    3.Posterior femoral internal capsule
    Answer: 1
    84. With multiple lesions of the dorsal roots, sensitivity is impaired:
    1.Deep and superficial
    2.Only deep
    3.Only superficial
    Answer: 1
    85. When the optic thalamus is damaged, sensitivity is impaired:
    1.Only deep
    2.Only superficial
    3.Deep and superficial
    Answer: 3
    86. The occurrence of pain is characteristic of the lesion:
    1.Optic tract
    2. Optic thalamus
    3.Visual cortex
    Answer: 2
    87. Bitemporal hemianopsia is observed with lesions:
    1.Optic tract
    2.Medial part of the chiasm
    3. Lateral part of the chiasm
    Answer: 2
    88. When the internal capsule is damaged, the following is observed:
    1. Homonymous hemianopsia on the opposite side
    2. Homonymous hemianopsia on the same side
    3. Heteronymous hemianopsia
    Answer: 1
    89. Brown-Séquard syndrome occurs when the spinal cord is damaged:
    1.Full diameter
    2.Anterior horns
    3.Half diameter
    Answer: 3
    90. With transverse lesions of the thoracic spinal cord, sensitivity disorders are observed:
    1.Conductor
    2.Segmental
    3. Radicular
    Answer: 1
    91. When the internal capsule is damaged, sensory disorders occur:
    1.Monoanesthesia
    2. Hemianesthesia
    3.Paresthesia
    Answer: 2
    92. When the posterior columns of the spinal cord are damaged, sensory disturbances are observed:
    1.Temperature
    2.Vibration
    3. Painful
    Answer: 2
    93. When the optic thalamus is damaged, ataxia occurs:
    1.Cerebellar
    2. Sensitive
    3.Vestibular
    Answer: 2
    94. Complete hearing loss with unilateral damage to the superior temporal gyrus is observed:
    1. For my part
    2.On the opposite side
    3.Not observed
    Answer: 3
    95. When the cortical temporal region is irritated, the following occurs:
    1.Visual hallucinations
    2.Auditory hallucinations
    3. Noise in the ear
    Answer: 2
    Select all correct answers:
    96. The most typical symptoms for the “polyneuritic” type of sensitivity disorder are:
    1. Sensitivity disorder in the corresponding dermatomes
    2. Pain in the limbs
    3.Anesthesia in the distal extremities
    4. Hemianesthesia
    Answer: 2, 3
    97. Segmental type of sensitivity disorder occurs when:
    1. Posterior horns of the spinal cord
    2. Posterior columns of the spinal cord
    3. Nuclei of the spinal tract of the trigeminal nerve
    4.Inner capsule
    Answer: 1, 3
    98. Heteronymous hemianopsia occurs when:
    1. Midpoints of the chiasmus
    2.External geniculate body
    3. External corners of the chiasm
    4.Optic tract
    Answer: 1, 3
    99. The most typical symptoms for damage to the dorsal roots are:
    1.Pain
    2.Dissociated sensory disorder
    3.Paresthesia
    4. Violation of all types of sensitivity
    Answer: 1, 4
    100. Conductive type sensory impairment is observed when:
    1.Dorsal roots
    2. Gray matter of the spinal cord
    3.Lateral columns of the spinal cord
    4.Half the diameter of the spinal cord
    5.Total diameter of the spinal cord
    Answer: 3, 4, 5
    101. Hemianopsia in combination with hemianesthesia occurs when:
    1.Inner capsule
    2. Optic thalamus
    3. Posterior central gyrus
    4.Occipital lobe
    Answer: 1, 2
    102. The most typical symptoms for damage to the cauda equina are:
    1.Pain
    2.Anesthesia on the lower extremities and perineum
    3. Spastic paraplegia of the lower extremities
    4. Dysfunction of the pelvic organs
    5. Leg paresis of peripheral type
    Answer: 1, 2, 4, 5
    103. The most typical symptoms for conus lesions are:
    1. Disorders of the pelvic organs
    2.Anesthesia in the perineal area
    3. Sensitivity disorders of the conduction type
    4. Leg paresis of peripheral type
    Answer: 1, 2
    104. When the gasserian node is affected, the following are observed on the face:
    1. Sensitivity disorders along the branches of the V nerve and herpetic rashes
    2. Sensitivity disorders in the segments of the V nerve and herpetic rashes
    3. Herpetic rashes without sensitivity disorders
    4.Pain along the branches of the V nerve
    Answer: 1, 4
    105. When peripheral nerves are damaged, the following may be observed:
    1.Pain and disorders of deep sensitivity
    2.Pain and disturbance of all types of sensitivity
    3.Impaired pain and temperature sensitivity
    Answer: 1, 2, 3
    Add:
    106. Hemianopsia, hemianesthesia, hemialgia, sensitive hemiataxia are signs of damage to ______________ _______________. Answer: thalamus
    107. When the dorsal horns of the spinal cord are damaged, a ______________ type of sensitivity disorder occurs.
    Answer: segmental (dissociated).
    108. Pain, temperature, tactile types of sensitivity belong to _______________ sensitivity.
    Answer: exteroceptive.
    109. Muscular-articular and vibration types of sensitivity belong to _______________ sensitivity.
    Answer: proprioceptive.
    110. Pain in the face, impaired sensitivity of the facial skin, decreased corneal reflex - symptoms of damage to the __________________ nerve.
    Answer: trigeminal
    Match:
    111. Location of neurons of the spinothalamic tract:
    __ - exteroceptor
    __ - visual thalamus
    __ - internal capsule
    __ - dorsal ganglion

    __ - posterior horn of the spinal cord
    Answer: 1, 4, 5, 2, 6, 3
    112. Location of neurons in the Gaulle pathway:
    __ - postcentral gyrus
    __ - visual thalamus
    __ - dorsal ganglion
    __ - proprioceptor
    __ - Gaulle kernel
    __ - internal capsule
    Answer: 6, 4, 2, 1, 3, 5
    113. Location of optic nerve neurons:
    __ - retinal ganglion cell
    __ - optic tract
    __ - visual chiasma
    __ - optic nerve
    __ - visual thalamus
    __ - visual radiance
    __ - calcarine groove
    Answer: 1, 4, 3, 2, 5, 6, 7
    114. Location of neurons of the trigeminal nerve (sensitive portion):
    __ - gasser knot
    __ - postcentral gyrus
    __ - internal capsule
    __ - visual thalamus
    __ - nucleus of the spinal tract
    Answer: 1, 5, 4, 3, 2
    115. Location of neurons of the auditory nerve:
    __ - spiral knot
    __ - hair cells of the cochlea
    __ - trapezoidal bodies
    __ - ventral and dorsal nuclei
    __ - visual thalamus
    __ - Heschl's gyrus
    Answer: 2, 1, 4, 3, 5, 6
    __Higher cortical functions
    Choose one correct answer:
    116. When the right hemisphere of the brain is damaged, right-handers experience cortical speech disorders:
    1.Aphasia
    2.Alexia
    3.Do not occur
    Answer: 3
    117. In patients with sensory aphasia, the following is impaired:
    1.Speech understanding
    2.Hearing
    3.Speech playback
    Answer: 1
    118. A patient with amnestic aphasia has impaired ability to:
    1.Describe the properties and purpose of the item
    2.Give the name of the item
    3. Identify the object by palpation
    Answer: 2
    119. A patient with apraxia has impaired goal-directed actions due to:
    1.Paresis
    2. Violations of the sequence and pattern of action
    3.Impaired speed and smoothness of action
    Answer: 2
    120. When the left frontal lobe is damaged, aphasia occurs:
    1.Motor
    2.Sensory
    3. Amnestic
    Answer: 1
    121. When cortical speech centers are damaged, the following occurs:
    1.Aphonia
    2.Anarthria
    3.Aphasia
    Answer: 3
    122. When the left angular gyrus is damaged, the following occurs:
    1.Agraphia
    2.Alexia
    3.Aphasia
    Answer: 2
    123. When the left supramarginal gyrus is damaged, the following occurs:
    1.Apraxia
    2.Agraphia
    3.Aphasia
    Answer: 1
    124. Visual agnosia is observed with damage to:
    1.Optic nerve
    2.Occipital lobe
    3.Visual radiance
    Answer: 2
    125. Auditory agnosia is observed with damage to:
    1.Auditory nerve
    2. Temporal lobes
    3. Wernicke's cortical area
    Answer: 2
    Select all correct answers:
    126. When the left temporal lobe is damaged, the following occurs:
    1.Motor aphasia
    2.Sensory aphasia
    3. Amnestic aphasia
    Answer: 2, 3
    127. When the parietal cortex of the right hemisphere of the brain is damaged, the following occurs:
    1.Anosognosia
    2.Pseudomelia
    3.Aphasia
    4.Alexia
    5. Autotopagnosia
    Answer: 1, 2, 5
    128. When the parietal cortex of the left hemisphere of the brain is damaged, the following occurs:
    1.Motor aphasia
    2.Acalculia
    3.Apraxia
    4.Alexia
    5.Agnosia
    Answer: 2, 3, 4
    129. When the left frontal lobe is damaged, the following is impaired:
    1.Letter
    2.Reading
    3. Expressive speech
    Answer: 1, 3
    130. When the left parietal lobe is damaged, apraxia occurs:
    1. Ideation room
    2.Motor
    3.Constructive
    Answer: 1, 2, 3
    Match:
    131. Type of aphasia: Clinical manifestations in the form of a disorder:
    1. Motor A. naming objects
    2.Sensory B.understanding of riddles, logical-grammatical
    3.Amnestic designs
    B. construction of phrasal speech
    D.understanding simple instructions
    D.recognition of objects
    Answer: 1 - C. 2 - B, D. 3 - A.
    132. Type of aphasia: Speech disorder:
    1.Motor A.paraphasia
    2.Sensory B.verbal embolus
    3. Amnestic V. "word salad"
    D. incorrect naming of objects
    D.dysarthria
    Answer: 1 - A, B. 2 - A, B. 3 - G.
    133. Localization of the lesion: Symptom:
    1.Supramarginal gyrus A.motor aphasia
    2. Broca's area B. sensory aphasia
    3. Wernicke's area V. apraxia
    G.amnestic aphasia
    Answer: 1 -. 2 - A. 3 - B.
    134. Localization of the lesion: Symptom:
    1. Middle frontal gyrus A. amnestic aphasia
    2. Superior temporal gyrus B. agraphia
    3. Angular gyrus B. astereognosis
    G.Alexia
    Answer: 1 - B. 2 - A. 3 - D.
    135. Localization of the lesion: Symptom:
    1. Inferior parietal lobule A. motor aphasia
    2. Broca's area B. astereognosis
    3. Angular gyrus B. acalculia
    G.agraphia
    Answer: 1 - B. 2 - A. 3 - B.
    __Disorders of the autonomic nervous system
    Select one correct answer:
    136. When the diencephalic region is damaged, the following occurs:
    1. Gait disturbance
    2. Violation of thermoregulation
    3.Pain
    Answer: 2
    137. When the sympathetic trunk is damaged, the following occurs:
    1.Epileptic seizures
    2.Vasomotor disorders
    3.Sleep disorders
    Answer: 2
    138. When the diencephalic region is damaged, the following occurs:
    1.Sleep disorders
    2.Pain
    3.Sensitivity disorders
    Answer: 1
    139. When the hypothalamic region is damaged, the following occurs:
    1.Vegetative paroxysms
    2. Segmental autonomic disorders
    3.Sensitivity disorders
    Answer: 1
    140. Damage to the solar plexus is characterized by:
    1.Pain in the navel area
    2.Polyuria
    3.Mydriasis
    4.Miosis
    Answer: 1
    Select all correct answers:
    141. Temporal lobe epilepsy is characterized by the following symptoms:
    1. The feeling of “already seen”
    2. Olfactory hallucinations
    3.Visceral crises
    4. Sensitivity disorders of segmental type
    5.Lack of abdominal reflexes
    Answer: 1, 2, 3
    142. Damage to the hypothalamic region is characterized by:
    1. Violation of thermoregulation
    2.Hemiparesis
    3. Hemianesthesia
    4.Sleep and wakefulness disorders
    5. Neuroendocrine disorders
    6. Increased blood pressure
    7.Heart rhythm disturbances
    8.Hyperhidrosis
    Answer: 1, 4, 5, 6, 7, 8
    143. Damage to the hypothalamic region is characterized by:
    1. Vegetative-vascular paroxysms
    2. Sweating disorders
    3.Diabetes insipidus
    4. Facial nerve paresis
    5.Hypalgesia by conduction type
    6.Disturbances in the emotional sphere
    7. Insomnia
    8. Neurodermatitis
    Answer: 1, 2, 3, 6, 7, 8
    144. Damage to the stellate ganglion is characterized by:
    1. Heart rhythm disturbances
    2. Burning pain in the area of ​​half the face, neck and upper limb
    3. Paresis of the arms
    4.Disturbed adaptation to pain
    5.Pathological symptoms
    6.Swelling in the area of ​​half the face, neck and upper limb
    7. Trophic disorders of the skin of the upper limb and half of the face
    8.Vasomotor disorders in the half face area
    Answer: 1, 2, 4, 6, 7, 8
    145. Horner syndrome is characterized by:
    1.Exophthalmos
    2.Ptosis
    3.Miosis
    4. Enophthalmos
    5.Diplopia
    6.Mydriasis
    Answer: 2, 3, 4
    146. General cerebral symptoms include:
    1.Headache
    2.Hemiparesis
    3. Jacksonian epilepsy
    4. Unsystematic dizziness
    5.Vomiting
    6.Generalized seizure
    Answer: 1, 4, 5, 6
    147. Focal neurological symptoms include:
    1.Headache
    2.Hemiparesis
    3.Vomiting
    4. Jacksonian epilepsy
    5. Impaired consciousness
    6. Impaired coordination
    Answer: 2, 4, 6
    148. Meningeal symptoms:
    1.Kernig
    2.Lasega
    3.Neri
    4. Rigidity of the neck muscles
    5.Babinsky
    6.Brudzinsky
    Answer: 1, 4, 6
    149. Signs of hypertension syndrome:
    1.Headache in the morning
    2.Headache in the evening
    3.Bradycardia
    4. Congestive optic disc
    5.Primary optic disc atrophy
    Answer: 1, 3, 4
    150. Brown-Séquard syndrome is characterized by:
    1. Central paresis on the affected side
    2. Central paresis on the opposite side
    3. Impairment of deep sensitivity on the affected side
    4. Violation of deep sensitivity on the opposite side
    5.Impaired pain sensitivity on the affected side
    6. Impaired pain sensitivity on the opposite side
    Answer: 1, 3, 6

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