Эталоны ответов

3-й вариант

1
1. Clinical symptoms, physical findings, data of sputum analyses – bronchial
asthma.
2
1. In blood analyses – the increasing leucocytes, ESR, hypoproteinemia,
hypoalbuminemia, increasing of α1-, α2 – globulines – inflammatory process.

3
1. Interpretation of laboratory analyses: anemia, leucocytosis, increasing of renal
indexis (creatinine, urine), Mg, Ca: the 24 –houres diuresis was decreased,
urinal density was decreased, in urine analyses the protein, cystes, erytrocytes
was increased, GFR was decreased – laboratory findings of chronic renal
failure.
4
1. Blood test clinical and biochemical without pathology, that confirms the
diagnosis of spontaneous pneumothorax, during conducting of differential
diagnosis with by shares pneumonia, pulmonary artery thromboembolism.

5
1. The normal values of complex laboratory inspection eliminate organic
pathology of intestine.
6
1. In the blood test marked increase level leucocytes end erythrocyte sedimentation
rate that can testify to the sharp inflammatory process, to be the sign of pain
attack.
7

1. Blood test: increase of biochemical markers, testifying to death of heart cells

- troponin T, myoglobin, creatine kinase-MB, lactate dehydrogenase, lactate
dehydrogenase 1.
8
1. Increase faction of isoferments.
9
1. At a patient the level of beta-lipoproteins is promoted in a blood. High level of
serum lipids multiplies the risk of development of atherosclerosis and ischemic
heart disease.
10
1. At a patient maintenance is promoted in a blood: general cholesterol, level of
lipoproteins low density, maintenance of level of lipoproteins high density is
reduced, i.e. hyperlipoproteinemia is marked, that is one of predisposing factors
for development of arterial hypertension.
 11
1. Eosinophilia of the blood, rhina secretion and sputum, increased
general IgE, positive thrombocytopenic test (more than 25 %)

12
1. Leukocytosis, increased ESR, trace of protein in the urine for the
benefit of a bacterial infection contamination.
13
1. Qualified medical care
Antiemetics. Continued vomiting -10 % sol. of Sodium chloridum 10-20
mls i/v, Neo-Haemodesum 250 mls i/v infusion. If the patient
collapses: 1% sol. of a phenylephine hydrochloride 1 ml i/v or
Noradrenalinum 1 ml i/v infusion on 250-500 mls 5 % sol. of a
glucose. At a heart failure: 0,06 % sol of Korglykonum 1 ml or
0,05 % sol of a strophanthin 0,5-1,0 mls i/v.

14
1. On analysis of blood anaemia, moderate leukocytosis, alteration leukocytic
formula to the left, increased ESR.

15
1. On analysis of blood, there is clinical normochromic anemia, increased
ESR. Analysis of blood biochemistry a present symptoms of
cytolysis (increase bilirubin, АST, АLТ); symptoms of cholestasis
(increase GGT, alkaline phosphatase); hepatocellular
insufficiency (downstroke of prothrombin ratio).

16
1. The eosinophilia in the sputum up to 20 % indicated an immune inflammation in
bronchi, that proves to be true assay also positive skin tests with allergen.

17
1. Moderate leukocytosis, rising AST(in 2 times), rising creatinine
phosphokinase.

18
1. Increasing the level of of WBC, ESR – inflammatory process.

19
1. Investigation of liquor: subarachnoid stroke.
Investigation of eyeground: hypertonic angiopathy
MRI: - braine hemorrhage.
20
1. The increasing the level of glucose to 25mmol/L, glucose in urine are
confermed the diagnosis “diabetes mellitus”; cetonuria, specific gravity – 1028
- diabetic coma; proteinuria, renal epythelium – 10-15 in visual fields, RBC –
10-12 in visual fields, hyaline cylinders – 128 in visual fields – degenarative
changes in kidney and development of glomerulosclerosis.