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Файл:Age endocrinology. Study aid for students of medical universities
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2. The syndrome of senile asthenia is characterized by:
a) the development of dependence on outside help
b) loss of ability to self-service
c) decreased muscle strength and mass
d) falls
e) all of the above
3. Prevention of what condition does not prevent frailty syndrome?
a) dementia
b) pathological fractures
c) obesity
d) progressive weight loss
e) hypoproteinemia
4. The most common psychosocial problem in older people is:
a) social isolation
b) feeling lonely
c) concern for the fate of loved ones
d) a feeling of worthlessness
5. Typical pathogenetic mechanisms in viral infections:
a) production of endotoxins
b) production of exotoxins
c) stimulation of phagocytosis of neutrophils
d) activation of the compliment system
e) development of cytopathic effect
6. Senile asthenia syndrome is not characterized by:
a) the development of dependence on outside help
b) loss of ability to self-service
c) increased physical activity
d) the presence of geriatric syndromes
7. An emergency notification in case of detection of an infectious disease that is NOT
classified as especially dangerous must be sent to:
a) immediately
b) after 6 hours

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c) after 1 day
d) after 2 days
e) after 7 days
8. A written appeal received by a state body, local self-government body or an
official in accordance with their competence is considered from the date of
registration of the written appeal within:
a) 14 days
b) 30 days
c) 7 days
d) 21 days
e) 14 working days
9. Sarcopenia is:
a) malignant tumor
b) age-related degenerative-atrophic change in muscle tissue, accompanied by a
decrease in muscle strength
c) blood pathology
d) endocrine disorder
10. Current source of SARS-COV-2 infection in humans
a) birds
b) a sick person
c) rodents
Sample answers
1 — B
2 — D
3 — B
4 — B
5 — D
6 — B
7 — B
8 — B
9 — B
10 — B
Variant 3
1. The causative agent of influenza belongs to the family of viruses:
a) rhabdoviruses
b) picornaviruses
c) retroviruses

133
d) orthomyxoviruses
e) reoviruses
2. The purpose of a specialized geriatric examination is:
a) identification of a specific disease
b) prolonging people's lives
c) identification of conditions leading to a decrease in the quality of life
e) identification of age-associated pathology leading to the development of patient
dependence and death
3. Geriatric examination involves obtaining information on the following items:
a) information about the identity of the patient
b) assessment of physical condition
c) assessment of mental status
d) social status
e) all of the above are correct
4. The extreme manifestation of senile asthenia is:
a) complete immobility
b) hypomobility
c) dementia
d) fall syndrome
5. Actual mechanism of transmission in infection caused by SARS-COV-2:
a) transmissive
b) airborne
c) fecal-oral
6. The main method of laboratory diagnosis of infection caused by SARS-COV-2 is:
a) serological
b) virological
c) immunochromatographic
d) molecular genetic
7. Currently, methods of specific prevention of COVID-19:
a) imply the appointment of antiviral drugs
b) imply the appointment of antibacterial drugs

134
c) not developed
d) are carried out within the expected incubation period (14 days) from the moment
of the last contact with the source of infection
8. Malnutrition syndrome is characterized by:
a) low body mass index values
b) high body mass index values
c) increase in body mass index
d) normal body mass index values
9. Chest X-ray in patients with infection caused by SARS-COV-2 more often reveals:
a) unilateral abscess formation
b) unilateral infiltrative changes
c) bilateral confluent infiltrative changes
d) formation of caverns
10. The most common cause of seasonal influenza is a circulating virus:
a) influenza A — H 1 N 1
b) influenza A — H 2 N 2
c) influenza A — H 3 N 2
d) influenza A — H5 N 1
e) influenza B
Sample answers
1 — G
2 — G
3 — D
4 — A
5 — B
6 — G
7 — B
8 — A
9 — B
10 — B
Variant 4
1. Characteristic manifestations of a violation of phosphorus-calcium metabolism in
Itsenko-Cushing's disease:
a) Osteoporosis
b) nephrolithiasis
c) cholelithiasis
d) Fibrocystic osteitis

135
2. Characteristic manifestations of violations of phosphorus-calcium metabolism in
hyperparathyroidism:
a) Osteoporosis
b) nephrolithiasis
c) cholelithiasis
d) Fibrocystic osteitis
3. Laboratory manifestations of hypoparathyroidism are:
a) hypercalcemia
b) hypocalcemia
c) Decrease in the level of phosphorus in the blood
d) Increased daily excretion of phosphorus in the urine
e) Decreased T wave on ECG
4. Primary hyperparathyroidism is a consequence of:
a) Hemorrhages in the parathyroid gland
b) Adenomatosis (adenomas) of the parathyroid gland
c) Parathyroid amyloidosis glycated
d) Metastasis to the parathyroid glands
5. What factors are taken into account when deciding on the appointment of therapy
in postmenopausal women and in men over 50 years of age who take glucocorticoids:
a) history of low-energy fractures
b) T-criterion ≤ –1.5SD
c) Z-criteria ≤ –2,0С
d) high risk according to FRAX
e) low risk according to FRAX
6. Name non-drug methods of osteoporosis treatment:
a) diet rich in calcium and vitamin D
b) physical activity
c) fall prevention
d) educational programs (“School of health for patients with osteoporosis”)
e) eliminate modifiable risk factors
f) hypodynamia

136
7. Name the first-line drugs in the treatment of osteoporosis:
a) bisphosphonates
b) teriparatide (severe osteoporosis)
c) denosumab
d) strontium renelate
e) selective estrogen receptor modulators
f) active metabolites of vitamin D
8. Name the second-line drugs in the treatment of osteoporosis:
a) bisphosphonates
b) teriparatide (severe osteoporosis)
c) denosumab
d) strontium renelate
e) selective estrogen receptor modulators
f) active metabolites of vitamin D
9. With the development of parathyroid tetany after subtotal strumectomy, the patient
is shown:
a) blood transfusion
b) potassium preparations
c) oxygen therapy
d) meat diet
e) All answers are wrong
10. A patient after strumectomy had convulsions, tail symptom, Trousseau's
symptom. Determine the complication that has arisen in the patient:
a) hypothyroidism
b) thyrotoxic crisis
c) injury of the laryngeal nerves
d) hypoparathyroidism
e) residual effects of thyrotoxicosis
Sample answers
1 — A
2 —
A, B,
G
3 —
B, G
4 —
B
5 —
A, B,
G
6 —
A, B, C,
D, D
7 —
A, B
8 —
G, D
9 — D
10 — G
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