SEMINAR 4 (Diseases of the endocrine system)
Student need to get 23 correct answers (75%) to pass the test 
1) Group number
2) Full name
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A 72-year-old woman suffers from diabetes mellitus type 2, concomitant diseases are stage 2 hypertension and stage 2B heart failure. She takes metformin. Hypertensic crisis had occurred the day before, after which the patient developed extreme weakness, myalgias, thirst, dry mouth, polyuria. BP is 140/95 mm Hg, heart rate is 98/min., no edemas or smell of acetone detected. What measures should be taken to prevent development of comatose state in the patient?

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The clinical picture of thyrotoxicosis is dominated by:
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Patient N., 52 years old, was delivered unconscious to the hospital by ambulance. On examination: facial features pointed, soft eyeballs, skin and mucous membranes very dry, skin temperature slightly elevated, skeletal muscles hypotonia, heart rate 120 beats / min, blood pressure 60/40 mm Hg, received through a catheter 50 ml of urine. Seizures occur intermittently. Additional tests: blood sugar - 60.7 mmol/L, natriemia - 168 mmol/L, glucosuria, no acetone in the urine, blood osmolarity - 480 mosm/L. Establish the diagnosis.

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In which disease is the most pronounced decrease in the number of insulin receptors?

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Which disease develops as a consequence of decreased proinsulin synthesis?
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1 point

What signs are characteristic of thyrotoxic ophthalmopathy in diffuse toxic goiter?
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In the clinical picture, myxedema predominates:
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Leading in the clinic of diffuse toxic goiter are changes from the side:
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Diffuse toxic goiter is a disease:
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Indications for surgical treatment of diffuse toxic goiter:
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For differential diagnosis of diffuse toxic goiter and neurosis, use:
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The basic therapy of hypothyroid coma is:
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Diseases that most often lead to absolute insulin deficiency:
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A typical complication of juvenile diabetes is:
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The main manifestation of diabetic coma is:
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Diabetic nephropathy is characterized by:
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For a pathological climax, the most characteristic changes are from the side of the cardiovascular system:
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Hashimoto's thyroiditis is:
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How much cortisol is produced per day in adults?
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1 point
The pathogenesis of Addison's disease is dominated by:
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Primary aldosteronism is:
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Most often damaged by diabetes:
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Graves' disease is characterized by:
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What clinical symptoms are characteristic of hypothyroidism?
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1 point
In the clinic, pheochromocytomas are dominated by:
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1 point

Prolonged hypoglycemia leads to irreversible damage first of all:

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After a colds disease, a young man aged 18 had thirst and polyuria. General weakness, blood sugar levels are 16 mmol/l, 5% in urine and acetone in urine is positive. What type of diabetes does the patient have?

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To diagnose pheochromocytoma, the determination of:

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A 35-year-old patient underwent bilateral adrenalectomy for a malignant tumor 1.5 years ago. He is receiving supportive treatment with prednisolone, cortisone. For the last 3 days, he had been taking 2 tablets of phenobarbital at night due to worsening of sleep. The day before she had done heavy physical work, after which she had pronounced weakness, nausea, vomiting, abdominal pain, headache, dizziness, tinnitus. At attempt to rise from the bed, brief loss of consciousness. On examination: patient lethargic, speaks softly, slowly. Acrocyanosis, profuse sweat, cold extremities. Pulse 105 bpm, weakly filled, soft. AT 60/20 mmHg. Heart tones weakened, rhythmic. Abdomen painful on palpation in epigastrium, abdominal wall resistance. Stools were frequent and liquid. What condition has developed in the patient? Your actions 
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Which component is the most reliable measure of the degree of compensation for diabetes in a dynamic survey?

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1 point
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